A kind of magnetic suspention or the intraperitoneal multifunction surgical platform directly suspended in midair
Technical field
The present invention relates to technical field of medical instruments, more particularly to a kind of suspention of magnetic or the intraperitoneal many work(directly suspended in midair
Can Surgery Platform.
Background technology
Laparoscopic technique operation is clinically carried out extensively, there is minimally invasive advantage compared with conventional therapy, but
Because otch is small and produces many inconvenience.
1st, carry out stomach wall bulge with CO2 pneumoperitonium device to improve the abdominal space of operation technique, but titanium dioxide at present
Carbon high pressure can cause many complication." artificial the arcus costarum " (patent No. occurred at present:CN95205612.7), " umbrella-type stomach wall hangs
The device for hoisting " (patent No.:201120263834.3), a kind of " non-pneumoperitoneum bulge device of magnetic " (patent No.:
The device such as CN201520412040.7).Existing defects are as follows:A, needs are pulled in abdomen wall puncture using cotton rope to stomach wall, or logical
Internal shaping equipment is crossed to support stomach wall, it is larger to injury of abdominal wall, and exposure effect is undesirable.The non-pneumoperitoneum bulge dress of b, magnetic
Put in vivo with insert magnet under bed, if both occur it is attracting, have the possibility of huge compressing to the internal organs of posterior wall of abdomen.C, operation
It is cumbersome.
2nd, only one of which camera in current conventional laparoscopy art, the visual field is small, it is impossible to the situation outside field of view.Assistant
Auxiliary operation can not be carried out in different visual areas." a kind of Via vagina twin-lens gynecological laparoscopy ", the patent No. are occurred in that to this:
CN2015201298974.Existing defects are as follows:Only two camera lenses, and two camera lenses are fixed together, and observation visual angle has
Limit.
3rd, the drawing difficult exposure of tissue can only be chosen from the angle of limitation with apparatus in the current conventional laparoscopy art of art
Open.
4th, current conventional laparoscopy needs abdominal cavity to seal, and apparatus trouble is changed in art, smog is produced when removing coagulation TURP
When can also cause abdominal space to reduce.Patient's hand can not touch internal organs, it is difficult to judge lesion by tactile as open surgery
Property, boundary.
The content of the invention
The purpose of the present invention:A kind of magnetic suspention or the intraperitoneal multifunction surgical platform directly suspended in midair are provided, both had
The minimally invasive advantage of laparoscope, has the simple operation that the open surgeries such as various visual angles, multi-direction drawing, finger auxiliary possess again.
To achieve these goals, the technical scheme is that:
A kind of suspention of magnetic or the intraperitoneal multifunction surgical platform directly suspended in midair, including suspension bracket, suspension apparatus, it is a plurality of can
Rail plate, Surgery Platform body, expansion link, bracing member, many stomach wall support bars, polylith support chip, polylith extension supports
Piece, polylith subsidiary magnet, abdomen puncture structure, abdominal puncture needle, bubble top type inflation stomach wall protective pad, auxiliary camera
And auxiliary drag hook;Described suspension apparatus and a plurality of slidably guide rail are connected on described suspension bracket, described suspention dress
Big suction electromagnet or the hoist cable by steel wire hang are set to, described suspension apparatus and a plurality of slidably guide rail pass through described
Hanger suspending is above belly;Described Surgery Platform body is nested with described expansion link, and passes through described expansion link
Push-in is intraperitoneal or is directly pushed into by hand intraperitoneal;Described Surgery Platform body is adsorbed by described big suction electromagnet
It is suspended in abdominal wall or by hoist cable in abdominal wall;Described Surgery Platform body is in foldable mesh structure or box-like knot
Structure;The Surgery Platform body of described foldable mesh structure is folded into strip and inserts abdominal cavity by operative incision, described
Foldable mesh structure Surgery Platform body expansion after formed network structure support stomach wall;The operation of described box like structure
Platform body supports stomach wall by described stomach wall support bar or support chip, and one end of described polylith support chip is connected to
On the lateral edges of described Surgery Platform body, and cover is covered in described Surgery Platform body bottom portion respectively, described polylith branch
Blade is folded form or pulls and pushes type;The other end of the support chip of described folded form is supported provided with hinge leaf with described extension
Piece is connected, and described support chip is stretched out by the hinge leaf described in opening;The described support chip for pulling and pushing type it is another
End is provided with open slot;Described polylith extension support chip is correspondingly arranged in described polylith support chip respectively, described polylith
Extend the " T " shape structure of support chip, the end of described polylith extension support chip opening by described polylith support chip respectively
Mouth groove stretches out;Described bracing member by two support bar decussates, and described bracing member pass through it is described
Polylith support chip be placed in described Surgery Platform body, described bracing member is hollow structure, and many described abdomens
Wall support bar is separately positioned in described bracing member, and is stretched out;Described Surgery Platform body is provided with multiple embedding
Tankage, one or more auxiliary equipments are inlaid in described auxiliary equipment embedding slot, and described auxiliary camera and auxiliary is drawn
Hook is by magnet adsorption on platform;Described polylith subsidiary magnet is correspondingly arranged at described a plurality of slidably guide rail respectively
On, described stomach wall support bar is inlaid on the embedding slot of described Surgery Platform body, instead of or the described support chip of auxiliary
Stomach wall is supported, many described stomach wall support bars are adsorbed in abdominal wall by described polylith subsidiary magnet, constitute abdominal cavity
Bulge structure;The described " U "-shaped structure of abdomen puncture structure simultaneously inserts abdominal cavity, described abdomen puncture knot by operative incision
The both sides of structure are respectively inside and outside abdominal cavity, and the abdomen puncture structure described in outside stomach wall guides described stomach wall provided with puncture path
Puncture needle, the abdomen puncture structure described in stomach wall is provided with steel plate, protects abdominal visceral browser;Described bubble top type
Inflation stomach wall protective pad is made up of transparent soft material, and long paper is rolled into before unaerated and fills in abdominal cavity, is pasted after inflation in thin layer dome
Merge support stomach wall, described Surgery Platform body is placed in the lower section that described bubble top type inflates stomach wall protective pad;It is described
The bottom of bubble top type inflation stomach wall protective pad be provided with the hole that passes through of container tool, described bubble top type inflation stomach wall is prevented
The center of top of protection pad is passed through provided with pore volume hoist cable, the described bracing member lifting of suspention;Described bubble top type inflation abdomen
Wall protective pad is connected provided with inflation exhaust tube with outside abdomen.
Above-mentioned magnetic suspention or the intraperitoneal multifunction surgical platform directly suspended in midair, wherein, described bracing member
Pole length is supported to be more than the side length of described Surgery Platform body, and less than the diagonal line length of described Surgery Platform body
Degree.
Above-mentioned magnetic suspention or the intraperitoneal multifunction surgical platform directly suspended in midair, wherein, described bracing member
Support bar, many stomach wall support bars, the edge of polylith support chip and polylith extension support chip are arc-shaped structure.
Above-mentioned magnetic suspention or the intraperitoneal multifunction surgical platform directly suspended in midair, wherein, described bracing member with
Connected between described stomach wall support bar for straight or arc, be straight between described support chip and described extension support chip
Or arc connection;Described many stomach wall support bars, polylith support chip and polylith extension support chip is made up of paramagnetic material.
Above-mentioned magnetic suspention or the intraperitoneal multifunction surgical platform directly suspended in midair, wherein, described stomach wall support bar
Composition finger joint component is sequentially connected, described finger joint component includes stomach wall support bar body, connecting groove, high temperature resistant magnet and abdomen
Wall support rod joint head;Described connecting groove, which caves inward, is arranged on one end that described stomach wall supports bar body, described
High temperature resistant magnet is arranged in described connecting groove;Described stomach wall support rod joint head is arranged on described stomach wall support bar
The other end of body, described stomach wall support rod joint head adaptation is inserted in described connecting groove, and with described resistance to height
Warm magnet adsorption connection.
Above-mentioned magnetic suspention or the intraperitoneal multifunction surgical platform directly suspended in midair, wherein, described stomach wall support bar
Body is provided with baffle plate, supports the side of bar body ball and socket joint positioned at described stomach wall, the end of described baffle plate with it is adjacent
Described stomach wall support bar body connection, described baffle plate is in half curved baffle.
Above-mentioned magnetic suspention or the intraperitoneal multifunction surgical platform directly suspended in midair, wherein, described stomach wall support bar
The side end face of body is provided with finger joint ring.
Above-mentioned magnetic suspention or the intraperitoneal multifunction surgical platform directly suspended in midair, wherein, described auxiliary equipment bag
One or more small drag hooks are included, described small drag hook is fixed on by surgical thread on described high temperature resistant magnet, and is adsorbed in institute
On the bracing member stated, or across abdominal wall absorption on described polylith subsidiary magnet.
Above-mentioned magnetic suspention or the intraperitoneal multifunction surgical platform directly suspended in midair, wherein, described auxiliary equipment bag
Include high-brightness LED lamp chip of the back side with paramagnetic material, high-brightness LED lamp band light bar and Miniature high-definition camera.
Above-mentioned magnetic suspention or the intraperitoneal multifunction surgical platform directly suspended in midair, wherein, described big suction electromagnetism
Iron inserts diaphragm pressure sensor with stomach wall joint place.
The present invention passes through platform abdominal cavity bulge, it is to avoid the complication that CO2 pneumoperitonium is brought;Pass through Multifunctional flat
Platform can insert multiple high-brightness LED lamps, multiple pick-up lens, multiple intracavitary drag hooks, complete multi-direction illumination, multi-visual angle filming, many
The functions such as direction draw tissue exposure.
Brief description of the drawings
Fig. 1 is the master of a kind of magnetic suspention of the invention or the magnetic suspention of the intraperitoneal multifunction surgical platform directly suspended in midair
View.
Fig. 2 is the master of a kind of magnetic suspention of the invention or the direct suspention of the intraperitoneal multifunction surgical platform directly suspended in midair
View.
Fig. 3 is the hand of a kind of magnetic suspention of the invention or the magnetic suspention of the intraperitoneal multifunction surgical platform directly suspended in midair
The front view of art platform body expansion support.
Fig. 4 is a kind of magnetic suspention of the invention or support chip and the extension of the intraperitoneal multifunction surgical platform directly suspended in midair
The connection diagram of support chip.
Fig. 5 is the Surgery Platform body of a kind of magnetic suspention of the invention or the intraperitoneal multifunction surgical platform directly suspended in midair
Upward view.
Fig. 6 is the foldable mesh knot of a kind of magnetic suspention of the invention or the intraperitoneal multifunction surgical platform directly suspended in midair
The expansion top view of the Surgery Platform body of structure.
Fig. 7 is the foldable mesh knot of a kind of magnetic suspention of the invention or the intraperitoneal multifunction surgical platform directly suspended in midair
The gathering top view of the Surgery Platform body of structure.
Fig. 8 is the abdomen puncture structure of a kind of magnetic suspention of the invention or the intraperitoneal multifunction surgical platform directly suspended in midair
Side view.
Fig. 9 is the master of the finger joint component of a kind of magnetic suspention of the invention or the intraperitoneal multifunction surgical platform directly suspended in midair
View.
Figure 10 is the otch enlarging device of a kind of magnetic suspention of the invention or the intraperitoneal multifunction surgical platform directly suspended in midair
Front view.
Embodiment
Embodiments of the invention are further illustrated below in conjunction with accompanying drawing.
Refer to shown in accompanying drawing 1 to accompanying drawing 8, a kind of magnetic suspention or the intraperitoneal multifunction surgical platform directly suspended in midair,
Including suspension bracket 1, suspension apparatus, a plurality of slidably guide rail 2, Surgery Platform body 3, expansion link 4, bracing member 5, many stomach wall branch
Strut 6, polylith support chip 7, polylith extension support chip 8, polylith subsidiary magnet 9, abdomen puncture structure 18, abdominal puncture needle
19th, bubble top type inflation stomach wall protective pad, auxiliary camera and auxiliary drag hook;Described suspension apparatus and a plurality of slidably lead
Rail 2 is connected on described suspension bracket 1, and described suspension apparatus is big suction electromagnet 10 or hanging by steel wire hang
Rope, described suspension apparatus and a plurality of slidably guide rail 2 are suspended on above belly by described suspension bracket 1;Described operation is put down
Playscript with stage directions body 3 is nested with described expansion link 4, and be pushed into by described expansion link 4 it is intraperitoneal, also can be logical without expansion link 4
Receive and distribute and directly insert abdominal cavity;Such as need further to protect stomach wall, can first insert described bubble top type inflation stomach wall protective pad,
Implantation surgery platform body 3 is supported below described bubble top type inflation stomach wall protective pad again;Described Surgery Platform sheet
Body 3 is adsorbed in abdominal wall by described big suction electromagnet 10 or is suspended on by hoist cable in abdominal wall;Described operation
The structure of platform body 3 has two kinds, and one kind is foldable mesh structure, and one kind is box like structure;Described foldable mesh structure
Strip can be folded into abdominal cavity is inserted by operative incision, network structure support stomach wall is formed after expansion;Described box-like knot
Structure needs stomach wall support bar 6 or support chip 7 supports stomach wall, and one end of described polylith support chip 7 is connected to described hand
On the lateral edges of art platform body 3, and cover covers the bottom in described Surgery Platform body 3, described polylith support chip 7 respectively
There are two kinds of designs, one kind is folded form, another is to pull and push type;The other end of the support chip 7 of described folded form is provided with hinge
Hinge is connected with extension support chip, and the support chip 7 of described folded form is stretched out by the hinge leaf described in opening;It is described
The support chip 7 for pulling and pushing type the other end be provided with open slot;Described polylith extension support chip 8 is correspondingly arranged at described respectively
In polylith support chip 7, the described polylith extension " T " shape structure of support chip 8, described polylith extends the end part of support chip 8
Do not stretched out by the open slot of described polylith support chip 7;It is in cross that described bracing member 5 is intersected by two support bars
Shape, and described bracing member 5 is placed in by described polylith support chip 7 in described Surgery Platform body 3, described support
Bridge 5 is hollow structure, and many described stomach wall support bars 6 are separately positioned in described bracing member 5, and to extension
Stretch;Described Surgery Platform body 3 is provided with multiple embedding slots, and described auxiliary camera and auxiliary drag hook passes through magnet adsorption
On platform;Described polylith subsidiary magnet 9 is correspondingly arranged on described a plurality of slidably guide rail 2 respectively, described abdomen
The supporting way of wall support bar 6 is inlaid in stomach wall support bar 6 on the embedding slot of described Surgery Platform body 3, instead of or it is auxiliary
Support chip 7 is helped to support stomach wall, many described stomach wall support bars 6 are adsorbed in abdominal wall by described polylith subsidiary magnet 9
On, constitute abdominal cavity bulge structure;The described " U "-shaped structure of abdomen puncture structure simultaneously inserts abdominal cavity by operative incision, described
Abdomen puncture structure 18 both sides respectively inside and outside abdominal cavity, abdomen puncture structure 18 described in outside stomach wall is provided with puncturing
The described abdominal puncture needle 19 of road guiding, the abdomen puncture structure 18 described in stomach wall is provided with steel plate, protected intraperitoneal
Internal organs;Described bubble top type inflation stomach wall protective pad is made up of transparent soft material, and long paper can be rolled into before unaerated and is filled in
Abdominal cavity, fits in thin layer dome after inflation and supports stomach wall;The bottom of described bubble top type inflation stomach wall protective pad is provided with
The hole that container tool passes through, the center of top of described bubble top type inflation stomach wall protective pad is passed through provided with pore volume hoist cable, is suspended in midair
Described bracing member 5 is lifted;Described bubble top type inflation stomach wall protective pad is connected provided with inflation exhaust tube with outside abdomen, can
Inflation and exhaust.
The support pole length of described bracing member 5 is more than the side length of described Surgery Platform body 3, and less than institute
The catercorner length for the Surgery Platform body 3 stated, enables bracing member 5 to be placed in Surgery Platform body 3, and after rotation can be right
The edge of Surgery Platform body 3 provides support.
The support bar of described bracing member 5, many stomach wall support bars 6, polylith support chip 7 and polylith extension support chip 8
Edge be arc-shaped structure, can prevent from injuring abdominal wall.
It is that straight or arc are connected between described bracing member 5 and described stomach wall support bar 6, described support chip 7
It is that straight or arc are connected between described extension support chip 8.
Described many stomach wall support bars 6, polylith support chip 7 and polylith extension support chip 8 is made up of paramagnetic material.
Refer to shown in accompanying drawing 9, described stomach wall support bar 6 can be sequentially connected composition finger joint component, described finger joint group
Part includes stomach wall support bar body 11, connecting groove 12, high temperature resistant magnet 13 and stomach wall support rod joint first 14;Described connection
Groove 12, which caves inward, is arranged on one end that described stomach wall supports bar body 11, and described high temperature resistant magnet 13 is arranged on described
Connecting groove 12 in;Described stomach wall support rod joint first 14 is arranged on the other end that described stomach wall supports bar body 11,
First 14 adaptation of described stomach wall support rod joint is inserted in described connecting groove 12, and is inhaled with described high temperature resistant magnet 13
It is attached to connect.
Described stomach wall support bar body 11 is provided with baffle plate 15, positioned at described stomach wall support bar body ball and socket joint 14
Side, the end of described baffle plate 15 is connected with adjacent described stomach wall support bar body 11, and described baffle plate 15 is in half arc
Shape baffle plate, available for curved, holding support force under preventing next section stomach wall from supporting bar body 11 excessively.
The side end face of described stomach wall support bar body 11 is provided with finger joint ring 16, convenient clamping.
Described auxiliary equipment includes one or more small drag hooks, and described small drag hook is fixed on described resistance to by rope
On high temperature magnet 13, and adsorb on described bracing member 5, or across abdominal wall absorption in described polylith subsidiary magnet
On 9.
Described auxiliary equipment includes high-brightness LED lamp chip of the back side with paramagnetic material, high-brightness LED lamp band light bar and miniature
High-definition camera, it is adsorbable on platform, adjust as needed.Their electric wire and signal wire is wrapped up with the rubber containing magnetic,
It can be adsorbed on Surgery Platform body 3, expansion link 4 and bracing member 5, it is to avoid be folded down and interference is formed to operation.
Described big suction electromagnet 10 inserts diaphragm pressure sensor 17 with stomach wall joint place, is adjusted by negative-feedback circuit
The attraction of big suction electromagnet 10 is controlled, and high limit and lowest limit alarm are set.
Refer to shown in accompanying drawing 10, also otch enlarging device 20 can be coordinated to use, for expanding operative incision, otch enlarging device
Have 5 circular fixtures at the vaginal dilator of 20 similar gynaecology, the opening of otch enlarging device 20, can flexible rotating, for fixing
Laparoscopic instrument enters operation.
Bubble top type is inserted by operative incision and inflates stomach wall protective pad and intracavity operation platform body 3, Surgery Platform
Body 3 can be connected with the suspension bracket 1 of outer body, can also be not connected to.Surgery Platform body 3 and abdomen that paramagnetic material makes
Big suction electromagnet 10 above wall is suspended to above abdominal cavity across stomach wall is attracting.The Surgery Platform body 3 of non-paramagnetic material
Need directly suspention.
External slidably cross slidably guide rail 2, extend from center-pole, can dismantle as needed.Can
Subsidiary magnet 9, absorption lifting bracing member 5 can be installed on rail plate 2.
If patient is too obese or stomach wall is too thick, the big absorption of suction electromagnet 10 strength is too small, can use high temperature resistant magnetic instead
The Surgery Platform body 3 that iron is made, to increase magnetic-adsorption.Or magnetic force suspention is abandoned, use instead and directly suspended in midair through stomach wall.Pass through abdomen
Chamber puncture outfit, a draw point is worn in stomach wall, to intraperitoneal introducing steel wire hang Surgery Platform body 3.
Surgery Platform body 3 can distally be extended by sliding extension bar 4, also directly can insert abdomen from operative incision
Chamber, stomach wall can be directly supported from Surgery Platform body 3, can also connect stomach wall support bar 6, further the abdomen of support distant place
Wall.Stomach wall support bar 6 can be adsorbed by external subsidiary magnet 9, increase support force.
Operation for not needing long support bar, can use the integrated operation platform body 3 without external support bar, hand
Art platform body 3 is square, lid sample, and built-in one can suspend cross hang bridge 5 in midair, catching with suspension wire.Platform four
Respective four support chips 7 of hinge in side, four support chips 7 are naturally drooped after intraperitoneal opening, expose the cross hang bridge of inside
5.The angle of rotary cross bracing member 5, so that it may supported to the formation of support chip 7.
In summary, the present invention passes through platform abdominal cavity bulge, it is to avoid the complication that CO2 pneumoperitonium is brought;Pass through
Multifunctional platform can insert multiple high-brightness LED lamps, multiple pick-up lens, multiple intracavitary drag hooks, complete multi-direction illumination, various visual angles
The functions such as shooting, the exposure of multi-direction draw tissue.
The preferred embodiments of the present invention are the foregoing is only, are not intended to limit the scope of the invention, it is every to utilize
The equivalent structure transformation that present specification is made, or directly or indirectly with the technology neck for being attached to other Related products
Domain, is included within the scope of the present invention.