CN105212972A - A kind of gallbladder withdrawing device for laparoscopic cholecystectomy and using method thereof - Google Patents
A kind of gallbladder withdrawing device for laparoscopic cholecystectomy and using method thereof Download PDFInfo
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- CN105212972A CN105212972A CN201510706699.8A CN201510706699A CN105212972A CN 105212972 A CN105212972 A CN 105212972A CN 201510706699 A CN201510706699 A CN 201510706699A CN 105212972 A CN105212972 A CN 105212972A
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- gallbladder
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/003—Steerable
- A61B2017/00318—Steering mechanisms
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00349—Needle-like instruments having hook or barb-like gripping means, e.g. for grasping suture or tissue
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Abstract
The invention discloses and a kind ofly assisted surgery doctor can complete the gallbladder withdrawing device of laparoscopic cholecystectomy smoothly, comprise olive shape pocket (1), pipe bar (2), charge valve (3), handle (4), locker (5) and draught line (6).According to bionic principle design olive shape pocket (1), make it be easy to otch less from abdominal cavity of patients and take out.Pass through gas pressure, quickly the annular air cavity (103) of olive shape pocket (1) and radial air cavity (104) are strutted in abdominal cavity, the gallbladder of excision puts into olive shape pocket (1), carry out pressure release and closed up by draught line (6) control olive shape pocket (1) remaining silent, finally gallbladder is taken out abdominal cavity.Use apparatus of the present invention, can when compared with minimal incision *, the gallbladder that will excise conveniently and safely takes out, and avoids the risk that cholelithiasis bile is scattered in abdominal cavity of patients.
Description
Technical field
The invention belongs to armarium and fixture fields, particularly relate to a kind of surgical apparatus, is a kind ofly assisted surgery doctor can complete gallbladder withdrawing device and the using method thereof of laparoscopic cholecystectomy smoothly.
Background technology
Laparoscopic cholecystectomy is little with its incisional wound as the first laparoscopic surgery be widely spread, and patient recovers fast, good prognosis and praise highly by vast department of general surgery doctor.This operation, compared with ordinery glass liner vesiculectomy, effectively avoids the otch of the larger wound of abdominal part, and the healing alleviating patient is painful, improves the quality of life of patient.
But, the surgical operation of, technical conditions relative maturity of long duration as popularization, in its operating procedure, the process in gallbladder taking-up abdominal cavity but fails to form codes and standards always, and surgeon's " each show his special prowess ", adopts nonstandard method that gallbladder is taken out abdominal cavity.Such as, part doctor adopts the method for expansion otch, and direct gripping gallbladder goes out abdominal cavity.There is more drawback in the method.First, the mode of expansion otch is worth discussion, and the advantage of laparoscopic surgery is that otch is less, and undue expansion otch reduces its surgical value.Secondly, when having more calculus in patient's gallbladder, or during with hydrocholecystis, often tear gallbladder because cholelithiasis is more more or gallbladder wall is thinner, thus make bile, cholelithiasis is scattered abdominal cavity.Be scattered bile, cholelithiasis cleaning often seriously extend operating time, increase operation risk.Get stone only also may not cause postoperative infection, compressing internal organs even cause the serious consequences such as Alimentary Tract Perforation.
For another example, in clinical operation, also there is doctor to use the aseptic pockets of material self manufacture such as sterile gloves, put into abdominal cavity, gallbladder is packed in abdominal cavity, then along with sack takes out together.But this kind of method also has its disadvantage.One, because sack is completely by nipper clamping, gallbladder enters the process of bag not easily in abdominal cavity, when especially self-control pocket size can not meet larger gallbladder, more easily skids off.Its two, when sack loads gallbladder by stomach wall hole, if gallbladder is comparatively large, calculus is more, and resistance is very large, at the bottom of often blocking bag, can elastic elongation after pocket tension, and thinning, there is the risk of breaking.Now the processing method of doctor is firmly pullled bag mouth often or is probeed into pocket gripping gallbladder with Alice's pincers, and the movement of this danger very easily causes pocket to break, and cholelithiasis bile is scattered.
Summary of the invention
The object of this invention is to provide a kind of assisting a physician can complete laparoscopic cholecystectomy smoothly, avoid cholelithiasis bile to be scattered risk, easy to operate gallbladder withdrawing device and using method thereof.
For solving the problem, the invention provides a kind of gallbladder withdrawing device for laparoscopic cholecystectomy, comprise olive shape pocket, pipe bar, charge valve, handle, locker and draught line, described olive shape pocket is made up of thin film, threeway, annular air cavity and radial air cavity; Described pipe bar one end and threeway suitable, the other end is fixedly connected with locker, and described charge valve and handle are located on pipe bar; Described draught line passes annular air cavity, threeway, pipe bar and locker successively, and by locker fixed traction line.
As a further improvement on the present invention, described pipe bar one end by screw thread and threeway suitable, the other end and locker are threaded connection, and pipe bar and charge valve are threaded connection, and described handle is fixedly connected with pipe bar.
As a further improvement on the present invention, described locker is located at least two.The thin film of described olive shape pocket, annular air cavity and radial air cavity are out of shape little material by soft and elastic and make, described annular air cavity and radial air cavity through.
As a further improvement on the present invention, the composite that the thin film of described olive shape pocket, annular air cavity and radial air cavity form interlayer by rubber and carbon fiber, metal gauze makes, and under a stretching force, percentage elongation is less than 1%.Described annular air cavity and radial air cavity through, the model of described olive shape pocket can be selected according to the gallbladder size of patient.
As a further improvement on the present invention, described draught line is stainless steel silk, copper wire or carbon fiber wire, and diameter is 0.3mm-0.7mm.Described locker, while clamping draught line, has good air-tightness.
Present invention also offers the implementation method of the gallbladder withdrawing device for laparoscopic cholecystectomy, comprise the following steps:
Step one: the gallbladder size according to patient selects the olive shape pocket of suitable types, is penetrated by draught line in annular air cavity and threeway;
Step 2: draught line is penetrated in pipe bar, and by screw thread, pipe bar and olive shape pocket are connected into entirety;
Step 3: draught line is penetrated in locker, and locker is installed to pipe rod end head;
Step 4: strut annular air cavity with hands stretch-draw, makes draught line have sufficient length in annular air cavity, tightens locker clamping draught line;
Step 5: olive shape pocket is wrapped pipe rod end head, inserts abdominal cavity of patients, charge valve is connected source of the gas inflation, makes annular air cavity and radial air cavity by air-pressure forming;
Step 6: the gallbladder of excision is vertically put into olive shape pocket, unclamps charge valve pressure release;
Step 7: unclamp locker, stretch-draw draught line, makes the bag mouth of olive shape pocket be contracted to minimum, remains silent, then tighten locker;
Step 8: hold handle, takes out gallbladder.
compared with prior art, the present invention has the following advantages:
1, utensil of the present invention adopts the olive shape pocket based on bionic principle design, is easy to take out from abdominal cavity of patients, can reduces the size of abdominal incisions, accelerates the wound healing of patient, and the healing alleviating patient is painful, improves the quality of life of patient.
2, the present invention adopts gas pressure that the annular air cavity of olive shape pocket and radial air cavity are fast strutted in abdominal cavity, easy to operate, and the vertical Long Circle pocket space formed is beneficial to and guides Long Circle gallbladder vertically in place, is convenient to take out from abdominal cavity.
3, the present invention adopts draught line outside abdominal cavity, control olive shape pocket to remain silent, easy to operate, more reliably avoid the risk that cholelithiasis bile is scattered in abdominal cavity.
4, the present invention designs the olive shape pocket of different model size, and the gallbladder size according to patient is selected, and reuses after disinfecting, and reduces the cost of operation.
5, the present invention struts olive shape pocket source of the gas used, and the pneumatic compression devices that can directly adopt operating room to inflate to abdominal cavity of patients, gathers materials on the spot, and cost is very low.
Accompanying drawing explanation
Fig. 1 is the fill opening status architecture schematic diagram of the gallbladder withdrawing device for laparoscopic cholecystectomy of the present invention.
Fig. 2 is the structural representation of the gallbladder withdrawing device olive shape pocket for laparoscopic cholecystectomy of the present invention.
Fig. 3 is pipe bar and the assembly schematic diagram of the gallbladder withdrawing device for laparoscopic cholecystectomy of the present invention.
Fig. 4 is the draught line schematic diagram of the gallbladder withdrawing device for laparoscopic cholecystectomy of the present invention.
Fig. 5 is the pressure release closed configuration structural representation of the gallbladder withdrawing device for laparoscopic cholecystectomy of the present invention.
In figure, 1-olive shape pocket, 2-pipe bar, 3-charge valve, 4-handle, 5-locker, 6-draught line, 101-thin film, 102-threeway, 103-annular air cavity, 104-radial air cavity, 201-screw thread.
Detailed description of the invention
Below in conjunction with drawings and Examples the present invention will be further explained explanation.
As Figure 1-5, a kind of gallbladder withdrawing device for laparoscopic cholecystectomy, it is characterized in that: comprise olive shape pocket 1, pipe bar 2, charge valve 3, handle 4, locker 5 and draught line 6, olive shape pocket 1 is made up of thin film 101, threeway 102, annular air cavity 103 and radial air cavity 104; Pipe bar 2 one end and threeway 102 suitable, the other end is fixedly connected with locker 5, and charge valve 3 and handle 4 are located on pipe bar 2; Draught line 6 passes annular air cavity 103, threeway 102, pipe bar 2 and locker 5 successively, and by locker 5 fixed traction line 6.Pipe bar 2 one end is suitable by screw thread 201 and threeway 102, and the other end and locker 5 are threaded connection, and pipe bar 2 and charge valve 3 are threaded connection, and handle 4 is fixedly connected with pipe bar 2.Locker 5 is located at two.The thin film 101 of olive shape pocket 1, annular air cavity 103 and radial air cavity 104 are out of shape little material by soft and elastic and make, annular air cavity 103 through with radial air cavity 104.The composite that the thin film 101 of olive shape pocket 1, annular air cavity 103 and radial air cavity 104 form interlayer by rubber and carbon fiber, metal gauze makes, and under a stretching force, percentage elongation is less than 1%.Draught line 6 is stainless steel silk, copper wire or carbon fiber wire, and diameter is 0.3mm-0.7mm.
The implementation method of the gallbladder withdrawing device for laparoscopic cholecystectomy of the present invention, comprises the following steps:
Step one: the gallbladder size according to patient selects the olive shape pocket 1 of suitable types, is penetrated by draught line 6 in annular air cavity 103 and threeway 102;
Step 2: draught line 6 is penetrated in pipe bar 2, and by screw thread 201, pipe bar 2 and olive shape pocket 1 are connected into entirety;
Step 3: draught line 6 is penetrated in locker 5, and locker 5 is installed to pipe bar 2 termination;
Step 4: strut annular air cavity 103 with hands stretch-draw, makes draught line 6 have sufficient length in annular air cavity 103, tightens locker 5 and clamps draught line 6;
Step 5: olive shape pocket 1 is wrapped pipe bar 2 termination, inserts abdominal cavity of patients, charge valve 3 is connected source of the gas inflation, makes annular air cavity 103 and radial air cavity 104 by air-pressure forming;
Step 6: the gallbladder of excision is vertically put into olive shape pocket 1, unclamps charge valve 3 pressure release;
Step 7: unclamp locker 5, stretch-draw draught line 6, makes the bag mouth of olive shape pocket 1 be contracted to minimum, remains silent, and then tightens locker 5;
Step 8: hold handle 4, takes out gallbladder.
Teachings herein is example of the present invention and explanation; but do not mean that the obtainable advantage of the present invention is so limited, may to wherein one or more of the advantage realized in the simple transformation of structure and/or some embodiments all in the protection domain of the application in every practice process of the present invention.
Claims (8)
1. the gallbladder withdrawing device for laparoscopic cholecystectomy, it is characterized in that: comprise olive shape pocket (1), pipe bar (2), charge valve (3), handle (4), locker (5) and draught line (6), described olive shape pocket (1) is made up of thin film (101), threeway (102), annular air cavity (103) and radial air cavity (104); Described pipe bar (2) one end and threeway (102) suitable, the other end is fixedly connected with locker (5), and described charge valve (3) and handle (4) are located on pipe bar (2); Described draught line (6) passes annular air cavity (103), threeway (102), pipe bar (2) and locker (5) successively, and by locker (5) fixed traction line (6).
2. the gallbladder withdrawing device for laparoscopic cholecystectomy according to claim 1, it is characterized in that: described pipe bar (2) one end is suitable by screw thread (201) and threeway (102), the other end and locker (5) are threaded connection, pipe bar (2) and charge valve (3) are threaded connection, and described handle (4) is fixedly connected with pipe bar (2).
3. the gallbladder withdrawing device for laparoscopic cholecystectomy according to claim 1, is characterized in that: described locker (5) is located at least two.
4. the gallbladder withdrawing device for laparoscopic cholecystectomy according to claim 1, is characterized in that: the thin film (101) of described olive shape pocket (1), annular air cavity (103) and radial air cavity (104) are out of shape little material by soft and elastic and make.
5. the gallbladder withdrawing device for laparoscopic cholecystectomy according to claim 1, is characterized in that: described annular air cavity (103) is through with radial air cavity (104).
6. the gallbladder withdrawing device for laparoscopic cholecystectomy according to claim 1, it is characterized in that: the composite that the thin film (101) of described olive shape pocket (1), annular air cavity (103) and radial air cavity (104) form interlayer by rubber and carbon fiber, metal gauze makes, under a stretching force, percentage elongation is less than 1%.
7. the gallbladder withdrawing device for laparoscopic cholecystectomy according to claim 1, is characterized in that: described draught line (6) is stainless steel silk, copper wire or carbon fiber wire, and diameter is 0.3mm-0.7mm.
8., as the implementation method of the gallbladder withdrawing device for laparoscopic cholecystectomy in claim 1-7 as described in any one, it is characterized in that: comprise the following steps:
Step one: the gallbladder size according to patient selects the olive shape pocket (1) of suitable types, is penetrated by draught line (6) in annular air cavity (103) and threeway (102);
Step 2: draught line (6) is penetrated in pipe bar (2), and by screw thread (201), pipe bar (2) and olive shape pocket (1) are connected into entirety;
Step 3: draught line (6) is penetrated in locker (5), and locker (5) is installed to pipe bar (2) termination;
Step 4: strut annular air cavity (103) with hands stretch-draw, makes draught line (6) have sufficient length in annular air cavity (103), tightens locker (5) clamping draught line (6);
Step 5: olive shape pocket (1) is wrapped pipe bar (2) termination, inserts abdominal cavity of patients, charge valve (3) is connected source of the gas inflation, makes annular air cavity (103) and radial air cavity (104) by air-pressure forming;
Step 6: the gallbladder of excision is vertically put into olive shape pocket (1), unclamps charge valve (3) pressure release;
Step 7: unclamp locker (5), stretch-draw draught line (6), makes the bag mouth of olive shape pocket (1) be contracted to minimum, remains silent, then tighten locker (5);
Step 8: hold handle (4), takes out gallbladder.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510706699.8A CN105212972A (en) | 2015-10-27 | 2015-10-27 | A kind of gallbladder withdrawing device for laparoscopic cholecystectomy and using method thereof |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510706699.8A CN105212972A (en) | 2015-10-27 | 2015-10-27 | A kind of gallbladder withdrawing device for laparoscopic cholecystectomy and using method thereof |
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| CN105212972A true CN105212972A (en) | 2016-01-06 |
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| CN201510706699.8A Pending CN105212972A (en) | 2015-10-27 | 2015-10-27 | A kind of gallbladder withdrawing device for laparoscopic cholecystectomy and using method thereof |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110882018A (en) * | 2019-12-26 | 2020-03-17 | 黄香 | Abdominal cavity object fetching bag |
| CN111134741A (en) * | 2020-01-10 | 2020-05-12 | 广东省人民医院(广东省医学科学院) | Thoracoscope withdrawing device |
| KR20200117169A (en) * | 2019-04-03 | 2020-10-14 | 황차영 | An endoscope surgical operation resection part withdrawal bag |
| KR20210043549A (en) * | 2019-04-03 | 2021-04-21 | 서지윤 | An endoscope surgical operation resection part withdrawal bag |
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| US20110190781A1 (en) * | 2010-02-03 | 2011-08-04 | Nicholas John Collier | Surgical retrieval apparatus |
| US20140371759A1 (en) * | 2013-06-14 | 2014-12-18 | Covidien Lp | Specimen Retrieval Device Including a Reusable Shaft With Interchangeable Pouch |
| CN205198045U (en) * | 2015-10-27 | 2016-05-04 | 蒋日磊 | A gall -bladder remove device for peritoneoscope gall -bladder resection operation |
-
2015
- 2015-10-27 CN CN201510706699.8A patent/CN105212972A/en active Pending
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20110190781A1 (en) * | 2010-02-03 | 2011-08-04 | Nicholas John Collier | Surgical retrieval apparatus |
| US20140371759A1 (en) * | 2013-06-14 | 2014-12-18 | Covidien Lp | Specimen Retrieval Device Including a Reusable Shaft With Interchangeable Pouch |
| CN205198045U (en) * | 2015-10-27 | 2016-05-04 | 蒋日磊 | A gall -bladder remove device for peritoneoscope gall -bladder resection operation |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| KR20200117169A (en) * | 2019-04-03 | 2020-10-14 | 황차영 | An endoscope surgical operation resection part withdrawal bag |
| KR20210043549A (en) * | 2019-04-03 | 2021-04-21 | 서지윤 | An endoscope surgical operation resection part withdrawal bag |
| KR102243813B1 (en) | 2019-04-03 | 2021-04-23 | 서지윤 | An endoscope surgical operation resection part withdrawal bag |
| KR102489460B1 (en) | 2019-04-03 | 2023-01-17 | 서지윤 | An endoscope surgical operation resection part withdrawal bag |
| CN110882018A (en) * | 2019-12-26 | 2020-03-17 | 黄香 | Abdominal cavity object fetching bag |
| CN111134741A (en) * | 2020-01-10 | 2020-05-12 | 广东省人民医院(广东省医学科学院) | Thoracoscope withdrawing device |
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Application publication date: 20160106 |