CN105662499B - Laparoscope is combined vagina and hooks pincers - Google Patents
Laparoscope is combined vagina and hooks pincers Download PDFInfo
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- CN105662499B CN105662499B CN201610163643.7A CN201610163643A CN105662499B CN 105662499 B CN105662499 B CN 105662499B CN 201610163643 A CN201610163643 A CN 201610163643A CN 105662499 B CN105662499 B CN 105662499B
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- 210000001215 vagina Anatomy 0.000 title claims abstract description 22
- 210000000080 chela (arthropods) Anatomy 0.000 title claims description 17
- 150000001875 compounds Chemical class 0.000 claims abstract description 20
- 239000002131 composite material Substances 0.000 claims abstract description 12
- 238000009804 total hysterectomy Methods 0.000 abstract description 5
- 230000009286 beneficial effect Effects 0.000 abstract description 4
- 238000010586 diagram Methods 0.000 description 4
- 238000002357 laparoscopic surgery Methods 0.000 description 2
- 230000003187 abdominal effect Effects 0.000 description 1
- 238000005452 bending Methods 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000009802 hysterectomy Methods 0.000 description 1
- 238000000034 method Methods 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors 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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in 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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/42—Gynaecological or obstetrical instruments or methods
- A61B17/4241—Instruments for manoeuvring or retracting the uterus, e.g. during laparoscopic 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
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
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Abstract
本发明公开了一种腹腔镜复合阴道勾钳,要解决的技术问题是在腹腔镜全子宫切除手术时,手术助手经阴道同时钳夹前后阴道壁残端,暴露手术视野,有利于术者在腹腔镜下缝合残端,能够节省人力和手术时间。本发明包括复合阴道勾钳本体,所述复合阴道勾钳本体包括左钳柄、右钳柄,所述左钳柄和右钳柄通过连接轴铰接,所述左钳柄的前端以及右钳柄的前端分别设有左活动叶、右活动叶,在左活动叶和右活动叶的前端分别设有朝复合阴道勾钳本体的外侧弯折的勾子状的左钩部、右钩部,在左钳柄和右钳柄之间设有固定钳柄。与现有技术相比,在腹腔镜下全子宫切除手术时,暴露手术视野,有利于术者在腹腔镜下缝合残端,能够节省人力和手术时间。
The invention discloses a laparoscopic composite vaginal hook forceps. The technical problem to be solved is that during laparoscopic total hysterectomy, the surgical assistant simultaneously clamps the front and rear vaginal wall stumps through the vagina, exposing the surgical field of view, which is beneficial to the operator during the laparoscopic total hysterectomy. Laparoscopic suturing of the stump can save manpower and operation time. The present invention includes a compound vagina hook forceps body, the compound vagina hook forceps body includes a left pliers handle and a right pliers handle, the left pliers handle and the right pliers handle are hinged by a connecting shaft, the front end of the left pliers handle and the right pliers handle The front ends of the front end are respectively provided with a left movable leaf and a right movable leaf, and the front ends of the left movable leaf and the right movable leaf are respectively provided with a hook-shaped left hook part and a right hook part bent towards the outside of the composite vagina hook forceps body, A fixed pliers handle is arranged between the left pliers handle and the right pliers handle. Compared with the prior art, during the laparoscopic total hysterectomy, the surgical field of view is exposed, which is beneficial for the operator to suture the stump under the laparoscope, and can save manpower and operation time.
Description
技术领域technical field
本发明涉及一种腹腔镜的手术器械,特别是一种腹腔镜复合阴道勾钳。The invention relates to a laparoscopic surgical instrument, in particular to a laparoscopic compound vagina hook forceps.
背景技术Background technique
近二十年来,多方面的科技进展使腹腔镜手术有了很大的发展,具有微创效果的腹腔镜在腹部疾病的诊断及治疗中已发挥着重大作用。腹腔镜下全子宫切除后,需缝合阴道残端,由于膀胱及阴道旁的阻挡,手术视野欠清,不利于残端缝合,影响了手术操作,延长了手术时间。In the past two decades, various scientific and technological advances have made great progress in laparoscopic surgery, and laparoscopy with minimally invasive effects has played an important role in the diagnosis and treatment of abdominal diseases. After total laparoscopic hysterectomy, the vaginal stump needs to be sutured. Due to the obstruction of the bladder and the vagina, the surgical field of view is not clear, which is not conducive to suturing the stump, which affects the operation and prolongs the operation time.
发明内容Contents of the invention
本发明的目的是提供一种腹腔镜复合阴道勾钳,要解决的技术问题是在腹腔镜全子宫切除手术时,手术助手经阴道同时钳夹前后阴道壁残端,暴露手术视野,有利于术者在腹腔镜下缝合残端,能够节省人力和手术时间。The purpose of the present invention is to provide a laparoscopic compound vaginal hook forceps. The technical problem to be solved is that during laparoscopic total hysterectomy, the surgical assistant can simultaneously clamp the front and rear vaginal wall stumps through the vagina to expose the surgical field of view, which is beneficial to the operation. Those who suture the stump under laparoscope can save manpower and operation time.
为解决上述问题,本发明采用以下技术方案实现:一种腹腔镜复合阴道勾钳,包括复合阴道勾钳本体,所述复合阴道勾钳本体包括左钳柄、右钳柄,所述左钳柄和右钳柄通过连接轴铰接,所述左钳柄的前端以及右钳柄的前端分别设有左活动叶、右活动叶,在左活动叶和右活动叶的前端分别设有朝复合阴道勾钳本体的外侧弯折的勾子状的左钩部、右钩部,在左钳柄和右钳柄之间设有固定钳柄,所述固定钳柄通过连接轴与左钳柄以及右钳柄铰接固定;所述左活动叶、右活动叶的外侧分别设有与固定钳柄连接的固定叶,固定叶与左活动叶、右活动叶之间设有活动间隙,两个固定叶的前端分别从左钩部、右钩部的钩部开口伸入左钩部、右钩部中;左钳柄与固定钳柄之间、右钳柄与固定钳柄之间分别通过咬合机构相互咬合,所述左钩部的左钩臂的内侧面以及右钩部的右钩臂的内侧面上分别设有第一齿纹。In order to solve the above problems, the present invention adopts the following technical solutions: a laparoscopic composite vaginal hook forceps, comprising a composite vaginal hook forceps body, the composite vagina hook forceps body includes a left handle and a right handle, and the left handle is It is hinged with the right pliers handle through a connecting shaft, and the front ends of the left pliers handle and the right pliers handle are respectively provided with a left movable leaf and a right movable leaf. The hook-shaped left and right hooks bent on the outside of the pliers body are provided with a fixed pliers handle between the left pliers handle and the right pliers handle. The pliers handle is hinged and fixed; the outer sides of the left movable leaf and the right movable leaf are respectively provided with fixed leaves connected to the fixed pliers handle, and there is a movable gap between the fixed leaf and the left movable leaf and the right movable leaf. The front ends extend into the left and right hooks from the hook openings of the left and right hooks respectively; the left pliers handle and the fixed pliers handle, and the right pliers handle and the fixed pliers handle are respectively engaged with each other through the bite mechanism , the inner surface of the left hook arm of the left hook part and the inner surface of the right hook arm of the right hook part are respectively provided with first tooth patterns.
本发明的两个固定叶的前端外侧面与第一齿纹位置相对应处设有第二齿纹。In the present invention, the outer surfaces of the front ends of the two fixed leaves are provided with second serrations corresponding to the positions of the first serrations.
本发明所述的固定钳柄与两个固定叶之间形成一个Y字形。A Y shape is formed between the fixed pliers handle of the present invention and the two fixed leaves.
本发明所述的固定钳柄设于复合阴道勾钳本体的前侧面或后侧面上。The fixed forceps handle of the present invention is arranged on the front side or the rear side of the compound vagina hook forceps body.
本发明所述的固定钳柄与固定叶的接合处与腹腔镜复合阴道勾钳本体相对的一侧上设有通槽。A through groove is provided on the side opposite to the body of the laparoscopic composite vaginal hook forceps at the junction of the fixed forceps handle and the fixed leaf.
本发明所述的咬合机构包括设于固定钳柄左右两侧的第一咬合齿条和分别设于左钳柄内侧面上的第二咬合齿条、右钳柄内侧面上的第三咬合齿条。The snapping mechanism of the present invention comprises a first snapping rack arranged on the left and right sides of the fixed pliers handle, a second snapping rack provided on the inner side of the left pliers handle, and a third snapping tooth on the inner side of the right pliers handle. strip.
本发明与现有技术相比,通过在复合阴道勾钳的钳叶前端设置钩部以及用于与钩部的钩臂实现夹持的固定叶,使得在腹腔镜下全子宫切除手术时,手术助手经阴道同时钳夹前后阴道壁残端,从而暴露手术视野,有利于术者在腹腔镜下缝合残端,能够节省人力和手术时间。Compared with the prior art, the present invention provides a hook part and a fixed leaf used for clamping with the hook arm of the hook part at the front end of the forceps leaf of the compound vaginal hook forceps, so that during laparoscopic total hysterectomy, the operation The assistant clamps the anterior and posterior vaginal wall stumps through the vagina at the same time, thereby exposing the surgical field of view, which is beneficial for the operator to suture the stumps under the laparoscope, which can save manpower and operation time.
附图说明Description of drawings
图1是本发明的结构示意图。Fig. 1 is a schematic structural view of the present invention.
图2是本发明的固定叶与固定钳柄之间的连接结构示意图。Fig. 2 is a schematic diagram of the connection structure between the fixed leaf and the fixed pliers handle of the present invention.
图3是本发明的左钳柄与左活动叶以及左钩部之间的连接结构示意图。Fig. 3 is a schematic diagram of the connection structure between the left pliers handle, the left movable leaf and the left hook part of the present invention.
图4是本发明的右钳柄与右活动叶以及右钩部之间的连接结构示意图。Fig. 4 is a schematic diagram of the connection structure between the right pliers handle, the right movable leaf and the right hook of the present invention.
图5是本发明的使用状态示意图。Fig. 5 is a schematic diagram of the use state of the present invention.
具体实施方式detailed description
下面结合附图和实施例对本发明作进一步详细说明。The present invention will be described in further detail below in conjunction with the accompanying drawings and embodiments.
如图1所示,本发明的腹腔镜复合阴道勾钳包括复合阴道勾钳本体1,所述复合阴道勾钳本体1包括左钳柄2、右钳柄3,左钳柄2和右钳柄3通过连接轴4铰接。As shown in Figure 1, the laparoscopic composite vaginal hook forceps of the present invention comprises a composite vaginal hook forceps body 1, and the composite vaginal hook forceps body 1 includes a left pliers handle 2, a right pliers handle 3, a left pliers handle 2 and a right pliers handle 3 is hinged by connecting shaft 4.
如图3所示,所述左钳柄2的前端设有左活动叶7,在左活动叶7的前端设有朝复合阴道勾钳本体1(左活动叶7)外侧(图中右侧)弯折的勾子状的左钩部16,左钩部16具有左钩臂14以及钩部开口,在左钳柄2的后端设有左手指把环21;左钩臂14的内侧面上设有第一齿纹12。As shown in Figure 3, the front end of the left pliers handle 2 is provided with a left movable leaf 7, and the front end of the left movable leaf 7 is provided with an outer side (right side in the figure) towards the compound vagina hook forceps body 1 (left movable leaf 7). The hook-shaped left hook 16 of bending, the left hook 16 has the left hook arm 14 and the hook opening, and the rear end of the left pincer handle 2 is provided with a left finger ring 21; A first tooth pattern 12 is provided.
如图4所示,所述右钳柄3的前端设有右活动叶8,在右活动叶8的前端设有朝复合阴道勾钳本体1(右活动叶8)的外侧(图中左侧)弯折的勾子状的右钩部17,右钩部17具有右钩臂15以及钩部开口,在右钳柄3的后端设有右手指把环22;右钩臂15的内侧面上也设有第一齿纹12。As shown in Figure 4, the front end of described right pincer handle 3 is provided with right movable leaf 8, is provided with the outside (left side among the figure) towards compound vagina hook forceps body 1 (right movable leaf 8) at the front end of right movable leaf 8. ) the hook-like right hook 17 that is bent, the right hook 17 has the right hook arm 15 and the hook opening, and the rear end of the right pincer handle 3 is provided with a right finger ring 22; the inner surface of the right hook arm 15 The first tooth pattern 12 is also provided on the top.
如图1所示,在左钳柄2和右钳柄3之间设有固定钳柄9,所述固定钳柄9通过连接轴4与左钳柄2以及右钳柄3铰接固定;如图2所示,在固定钳柄9的前端分别设有两个固定叶10,后端设有固定手指把环23,固定钳柄9与两个固定叶10之间形成一个Y字形;所述固定叶10设于左活动叶7、右活动叶8的外侧(图中左侧及右侧),固定叶10为长杆状,与左活动叶7以及右活动叶8平行,在固定叶10与左活动叶7、右活动叶8之间设有活动间隙18,两个固定叶10的前端分别从左钩部16、右钩部17的钩部开口伸入左钩部16、右钩部17中;固定钳柄9设于复合阴道勾钳本体1的前侧面或后侧面上;在固定钳柄9与固定叶10的接合处与复合阴道勾钳本体1相对的一侧上设有通槽19,通槽19的两个开口分别设于固定钳柄9的前端以及后端,当固定钳柄9与复合阴道勾钳本体1连接后,复合阴道勾钳本体1设于通槽19内;两个固定叶10的前端外侧面与第一齿纹12位置相对应处设有第二齿纹13,当将左钳柄2与固定钳柄9合拢时,左钩臂14的内侧面与该侧的固定叶10的前端外侧面接触,并夹紧;右钳柄3与固定钳柄9合拢时,右钩臂15的内侧面与该侧的固定叶10的前端外侧面接触,并夹紧。As shown in Figure 1, a fixed pincer handle 9 is provided between the left pincer handle 2 and the right pincer handle 3, and the fixed pincer handle 9 is hinged and fixed with the left pincer handle 2 and the right pincer handle 3 through the connecting shaft 4; 2, the front end of the fixed pincer handle 9 is respectively provided with two fixed leaves 10, and the rear end is provided with a fixed finger ring 23, and a Y shape is formed between the fixed pincer handle 9 and the two fixed leaves 10; Leaf 10 is located at the outside of left movable leaf 7, right movable leaf 8 (left side and right side in the figure), and fixed leaf 10 is long rod shape, and left movable leaf 7 and right movable leaf 8 are parallel, between fixed leaf 10 and A movable gap 18 is provided between the left movable leaf 7 and the right movable leaf 8, and the front ends of the two fixed leaves 10 stretch into the left hook 16 and the right hook 17 from the hook openings of the left hook 16 and the right hook 17 respectively. Middle; the fixed pliers handle 9 is arranged on the front side or the rear side of the composite vagina hook pliers body 1; a through groove is provided on the side opposite to the composite vagina hook pliers body 1 at the junction of the fixed pliers handle 9 and the fixed leaf 10 19. The two openings of the through groove 19 are respectively arranged at the front end and the rear end of the fixed pliers handle 9. After the fixed pliers handle 9 is connected to the compound vagina hook forceps body 1, the compound vagina hook forceps body 1 is set in the through groove 19; The front end outer surface of two fixed leaves 10 is provided with the second tooth pattern 13 corresponding to the position of the first tooth pattern 12. When the left pincer handle 2 and the fixed pincer handle 9 are closed, the inner surface of the left hook arm 14 is aligned with the position of the first tooth pattern 12. The outer surface of the front end of the fixed leaf 10 on the side contacts and clamps; when the right pliers handle 3 and the fixed pliers handle 9 are closed, the inner surface of the right hook arm 15 contacts the outer surface of the front end of the fixed leaf 10 on this side, and clamps .
在左钳柄2与固定钳柄9之间、右钳柄3与固定钳柄9之间分别通过咬合机构11相互咬合,咬合机构11包括设于固定钳柄9左右两侧的第一咬合齿条6和分别设于左钳柄2内侧面上的第二咬合齿条5、右钳柄3内侧面上的第三咬合齿条20,第一咬合齿条6与第二咬合齿条5、第三咬合齿条20的齿面相对设置。Between the left pliers handle 2 and the fixed pliers handle 9 , between the right pliers handle 3 and the fixed pliers handle 9 , they are respectively engaged with each other through an engaging mechanism 11 , and the engaging mechanism 11 includes first engaging teeth arranged on the left and right sides of the fixed pliers handle 9 Bar 6 and the second meshing rack 5 that are respectively arranged on the inner side of left pliers handle 2, the third meshing rack 20 on the inner side of right pliers handle 3, the first meshing rack 6 and the second meshing rack 5, The tooth surfaces of the third meshing rack 20 are oppositely arranged.
如图5所示,使用时,首先将左钩部16、右钩部17经阴道将其勾在前后阴道壁残端24,然后合拢左钳柄2与固定钳柄9,使第一咬合齿条6与第二咬合齿条5相互咬合,左钳柄2与固定钳柄9相对固定,实现左钩部16与该侧的固定叶10相互夹紧;然后合拢右钳柄3与固定钳柄9,使第一咬合齿条6与第三咬合齿条20相互咬合,右钳柄3与固定钳柄9相对固定,实现右钩部17与该侧的固定叶10相互夹紧,将阴道壁残端24相对固定,不仅暴露手术视野,有利于术者在腹腔镜下缝合残端,能够节省人力和手术时间。As shown in Figure 5, when in use, first hook the left hook portion 16 and the right hook portion 17 on the front and rear vaginal wall stumps 24 through the vagina, then close the left pliers handle 2 and the fixed pliers handle 9 so that the first occlusal teeth The bar 6 and the second meshing rack 5 are engaged with each other, and the left pliers handle 2 and the fixed pliers handle 9 are relatively fixed to realize the mutual clamping of the left hook 16 and the fixed leaf 10 on this side; then close the right pliers handle 3 and the fixed pliers handle 9. Make the first occlusal rack 6 and the third occlusal rack 20 engage with each other, and the right pliers handle 3 and the fixed pliers handle 9 are fixed relative to each other, so that the right hook 17 and the fixed leaf 10 on this side are mutually clamped, and the vaginal wall The stump 24 is relatively fixed, which not only exposes the surgical field of view, but also facilitates the operator to suture the stump under the laparoscope, which can save manpower and operation time.
Claims (6)
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| CN201610163643.7A CN105662499B (en) | 2016-03-22 | 2016-03-22 | Laparoscope is combined vagina and hooks pincers |
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| CN108714040B (en) * | 2018-05-24 | 2023-05-05 | 郑州大学第一附属医院 | vaginal stump press |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2004098416A2 (en) * | 2003-05-09 | 2004-11-18 | Bernard Ruane | Expandable and pivotally adjustable surgical retractor |
| CN204500828U (en) * | 2015-03-09 | 2015-07-29 | 渠时学 | A kind of Novel laparoscope operation knotting gripper clamp |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2004098416A2 (en) * | 2003-05-09 | 2004-11-18 | Bernard Ruane | Expandable and pivotally adjustable surgical retractor |
| CN204500828U (en) * | 2015-03-09 | 2015-07-29 | 渠时学 | A kind of Novel laparoscope operation knotting gripper clamp |
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| CN105662499A (en) | 2016-06-15 |
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