CN106137323A - Peritoneoscope space dissociation device - Google Patents

Peritoneoscope space dissociation device Download PDF

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Publication number
CN106137323A
CN106137323A CN201610746857.7A CN201610746857A CN106137323A CN 106137323 A CN106137323 A CN 106137323A CN 201610746857 A CN201610746857 A CN 201610746857A CN 106137323 A CN106137323 A CN 106137323A
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China
Prior art keywords
shaped
free
gap
struts
rod
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CN201610746857.7A
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Chinese (zh)
Inventor
张云飞
闫西忠
黄晶晶
陈鹏
樊晓金
赵婷婷
郜永顺
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张云飞
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Application filed by 张云飞 filed Critical 张云飞
Priority to CN201610746857.7A priority Critical patent/CN106137323A/en
Publication of CN106137323A publication Critical patent/CN106137323A/en

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238Type of minimally invasive operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B2017/320044Blunt dissectors

Abstract

The invention relates to a peritoneoscope space dissociation device and aims at effectively solving the problems that the operation is complex, other tissues or layers are easily injured accidentally, a lot of time and a lot of energy are consumed, and the operating efficiency is low in a dissociation process of peritoneoscope gastrointestinal surgery. Two reverse tilted V-shaped support rods are arranged at the top of a rod body; a separation roller wheel is vertically mounted in an opening part of each V-shaped support rod; the separation roller wheels are arranged in the opening parts of the V-shaped support rods and are of rotary structures; a space is formed between the separation roller wheels in the opening parts of the two V-shaped support rods. The peritoneoscope space dissociation device is novel and special in structure, simple to operate and excellent in using effect; time and energy are saved; separation of loose connective tissues in the mesentery space is easily achieved.

Description

腹腔镜间隙游离器 Laparoscopy is a free space

技术领域 FIELD

[0001 ]本发明涉及一种腹腔镜间隙游离器。 [0001] The present invention relates to a laparoscopic device free gap.

背景技术 Background technique

[0002]随着腹腔镜胃肠道手术的愈发成熟,尤其是“腔镜膜解剖”概念的提出,腔镜胃肠道术中全系膜切除的理念越来越深入人心。 [0002] With laparoscopic gastrointestinal surgery become more mature, especially the concept of "laparoscopic dissection membrane", laparoscopic gastrointestinal surgery total mesorectal excision idea gaining in popularity. 术中的多数时间都在系膜间隙内游离操作。 Most of the time surgery operation within the free space based film. 现有的系膜游离方式多是用超声刀、自制“花生米”(即小块纱布)在维持好系膜平面的条件下通过推、拨等操作顿性分离系膜间隙内的疏松结缔组织。 Conventional free-based film is a multi-mode with a scalpel, homemade "peanuts" (i.e. pieces of gauze) is maintained under good conditions based film plane by pushing aside the loose connective tissue and other separation operations based film gap Dayton . 这种方式的缺点在于:1.操作效率低下,一次推或拨的动作仅能游离约数个平方厘米的系膜间隙,一处系膜间隙的完整游离往往需要不断重复上述操作,费时费力;2.系膜间隙两侧受力不均,在游离过程中的相应的器械仅能选择系膜间隙两侧的一面进行推拨等操作,从而造成两侧受力不均,易造成系膜内组织损伤;3.对手术人员要求较高,上述系膜游离过程需要手术人员在操作时维持良好的系膜间隙和术野,对手术技巧要求较高。 The disadvantage of this approach is that: an inefficient operation, a dial or push action based only free film gap of about several cm, a complete free clearance based film often requires the above-described operation is repeated, time-consuming;. 2. the film of uneven force on both sides of the gap, the corresponding instrument only in the process of free choice based film on both sides of the push one side clearance and other operations, thereby causing both sides of the uneven force, could easily lead to mesorectum tissue damage; 3 demanding for the surgeon, the above process requires free-based film maintaining good surgeon and surgical field based film gap during operation, high requirements on the surgical technique.

发明内容 SUMMARY

[0003]针对上述情况,为克服现有技术缺陷,本发明之目的就是提供一种腹腔镜间隙游离器,可有效解决腹腔镜胃肠道手术的游离过程中操作繁锁、易误伤其他组织或层面,费时费力,工作效率低的问题。 [0003] For the above, to overcome the defects in the prior art, an object of the present invention is to provide a free gap laparoscope, a laparoscopic procedure can effectively solve the free gastrointestinal surgery cumbersome in operation, easy to accidental injury or other organizations level, time-consuming, low efficiency problem.

[0004]本发明解决的技术方案是,杆体的顶部有两个反向倾斜的V形支杆,每个V形支杆的口部内竖直装有分离辊轮,分离辊轮置于V形支杆的口部呈转动状结构,两个V形支杆口部内的分离辊轮之间有间隙。 [0004] The present invention solves the technical solution, the top rod has two oppositely inclined V-shaped struts, the separation roller is equipped with a vertical portion of the mouth of each V-shaped strut, the separation roller disposed V-shaped rod was rotated mouth-like structure, a gap between the separation roller within the two V-shaped struts mouth portion.

[0005]本发明结构新颖独特,操作简单,使用效果好,省时省力,轻松实现系膜间隙内的疏松结缔组织的分离。 [0005] The present invention is novel and unique structure, simple operation, the use of effective, time-saving, easy in loose connective tissue isolated mesangial gap.

附图说明 BRIEF DESCRIPTION

[0006]图1为本发明的结构主视图。 [0006] FIG 1 a front view of the structure of the present invention.

[0007]图2为本发明的结构俯视图。 [0007] FIG. 2 is a plan view of the structure of the invention.

[0008]图3为本发明V形支杆的结构放大图。 Structure [0008] FIG. 3 is an enlarged view of V-shaped struts.

具体实施方式 Detailed ways

[0009]以下结合附图对本发明的具体实施方式作详细说明。 [0009] The following specific embodiments in conjunction with the accompanying drawings of the present invention will be described in detail.

[0010]由图1 -图3给出,本发明的结构是,杆体I的顶部有两个反向倾斜的V形支杆2,每个V形支杆的口部内竖直装有分离辊轮3,分离辊轮置于V形支杆的口部呈转动状结构,两个V形支杆口部内的分离辊轮之间有间隙。 [0010] Figure 1 - Shows FIG. 3, the structure of the present invention, the top rod I have two inverted V-shaped oblique struts 2, the separating roller with a vertical opening portion of each V-shaped strut wheel 3, the mouth portion placed on the separation roller is rotated as a V-shaped strut structure, the separation gap between the two rollers in the V-shaped struts mouth portion.

[0011]所述的两个反向倾斜的V形支杆2以杆体的顶部中心为对称点呈对称状分布。 [0011] The two inverted V-shaped oblique struts 2 at the top center of the rod-shaped symmetrical distribution of point symmetry.

[0012]所述的V形支杆2的尖部为连接端,V形支杆的连接端固定在杆体的顶部,V形支杆的开口部为自由端,两个反向倾斜的V形支杆分别为左V形支杆和右V形支杆,左V形支杆的连接端和右V形支杆的连接端之间的间距小于左V形支杆的自由端和右V形支杆的自由端之间的间距。 [0012] The V-shaped rod 2 is connected to the tip end of the V-shaped end strut connecting rod fixed to the top of the opening portion of the V-shaped rod is a free end, two oppositely inclined V-shaped struts respectively between the connecting rod end of the left and right V-shaped V-shaped struts, connector struts of the V-shaped end of the left and right V-shaped struts is smaller than the pitch of V-shaped struts of the left and right V-shaped free end the spacing between the free ends of the struts.

[0013]所述的杆体I的尾部有手柄4。 Tail [0013] I said rod has a handle body 4.

[0014]所述的手柄4上有齿槽5,方便手握,防止滑脱。 On [0014] the handle 4 cogging 5, convenient grip to prevent slippage.

[0015]所述的V形支杆2口部两端分别有水平伸出、相互平行的固定部7。 [0015] The ends of the two V-shaped struts extending portions are horizontal, mutually parallel fixing portion 7.

[0016]所述的转动状结构为,V形支杆口部两端的固定部之间有转轴6,转轴上固定有分离辊轮,分离辊轮绕着转轴和V形支杆的固定部连接处呈转动状;或为V形支杆口部两端的固定部之间有连接轴,连接轴上套有分离辊轮,分离辊轮绕着连接轴呈转动状;或为分离辊轮的中心有中心轴,中心轴的两端分别卡装在V形支杆口部两端的固定部之间。 Rotatable structure [0016] according to have both ends of the fixed shaft 6 between the V-shaped rod portion opening portion is fixed on the separation roller shaft, the separation roller fixing portion about the pivot pin and the V-shaped struts connected the shape was rotated; or both ends of the fixing portions between the V-shaped mouth portion connecting rod shaft, the connecting shaft sleeve with a separation roller, the separation roller is rotated about the connecting shaft-like form; the center or as separate rollers has a central axis, the central axis of the chucking both ends between the ends of the V-shaped rod fixing portion opening portion.

[0017]所述的分离辊轮3置于V形支杆的口部呈转动状构成游离部。 Separating roller according to [0017] 3 placed in V-shaped rod-shaped mouth portion constituting the free form of the rotation portion.

[0018]所述的分离棍轮3为高8_、直径4mm的圆柱形。 Separation round stick [0018] 3 is the high 8_, the diameter of the cylindrical 4mm.

[0019]所述的V形支杆2为直径Imm的圆管体。 [0019] The V-shaped strut tube 2 of Imm diameter.

[0020]所述的两个V形支杆2 口部内的分离辊轮之间的间隙为1_。 [0020] The gap between the separation roller within the two V-shaped portions of two struts 1_.

[0021]本发明是由手柄、杆体和游离部构成,游离部与手柄分别位于杆体的两端。 [0021] the present invention, the rod consists of a handle and a free portion, the free portion at each end of the handle of the rod. 在腹腔镜胃肠道手术的游离过程中,先固定好系膜间隙两侧,手持本发明沿着系膜间隙向前移动,两侧的分离辊轮由于同两侧系膜的表面的摩擦力而相对滑动,在其前方垂直于系膜表面的方向形成一对大小相等方向相反的力从而使系膜间隙分开。 In the course of the free laparoscopic surgery in the gastrointestinal tract, the first fixed space-based film on both sides, the present invention is a handheld-based film moves forward along the gap, since the separation roller with the surface of both sides of the film of the frictional force the relative sliding of a pair of equal magnitude opposite to the direction of a force in a direction perpendicular to the front thereof so that the surface of the film of mesangial separated by a gap. 能够极大地提高操作效率,并且两侧系膜所受的力大小相等,同时对于手术人员操作要求低,操作简单,且不损伤系膜内其他组织和层面,至少能将系膜间隙的分离时间缩短至原来的1/2,大大提高了工作效率,且安全稳定,减少了手术中的风险,有显著的经济和社会效益。 Can greatly improve operational efficiency, and the force on both sides of the film of equal size, while the low operating requirements for the surgeon, easy to operate, and does not damage the membrane-based organizations, and other dimensions, at least capable of time-based membrane separation gap reduced to the original 1/2, greatly improving the work efficiency, and security and stability, reduce the risk of surgery, there are significant economic and social benefits.

Claims (10)

1.一种腹腔镜间隙游离器,其特征在于,杆体(I)的顶部有两个反向倾斜的V形支杆(2),每个V形支杆的口部内竖直装有分离辊轮(3),分离辊轮置于V形支杆的口部呈转动状结构,两个V形支杆口部内的分离辊轮之间有间隙。 A laparoscopic free gap, characterized in that the top rod (I) has two oppositely inclined V-shaped struts (2), the inner mouth portion of each V-shaped strut with the vertical separation roller wheel (3), placed in the mouth portion of the separation roller rotates as a V-shaped strut structure, the separation gap between the two rollers in the V-shaped struts mouth portion.
2.根据权利要求1所述的腹腔镜间隙游离器,其特征在于,所述的两个反向倾斜的V形支杆(2)以杆体的顶部中心为对称点呈对称状分布。 The laparoscope according to claim 1 is a free gap, characterized in that said two oppositely inclined V-shaped struts (2) at the top center of the rod-like symmetry point symmetrical distribution.
3.根据权利要求1所述的腹腔镜间隙游离器,其特征在于,所述的V形支杆(2)的尖部为连接端,V形支杆的连接端固定在杆体的顶部,V形支杆的开口部为自由端,两个反向倾斜的V形支杆分别为左V形支杆和右V形支杆,左V形支杆的连接端和右V形支杆的连接端之间的间距小于左V形支杆的自由端和右V形支杆的自由端之间的间距。 The laparoscope of claim 1 in free gap device as claimed in claim, wherein said V-shaped struts (2) is connected to an end tip portion, the V-shaped rod fixed to the top end of the rod is connected, V rod shaped opening portion is a free end, two oppositely inclined V-shaped struts are V-shaped struts connecting the left and right V-shaped struts, connector struts of the V-shaped end of the left and right V-shaped strut the spacing between the free end and the free end of the right V-shaped struts is smaller than the distance between the left end of the V-shaped struts.
4.根据权利要求1所述的腹腔镜间隙游离器,其特征在于,所述的杆体(I)的尾部有手柄(4);所述的手柄(4)上有齿槽(5)。 According to claim laparoscopic gap free to claim 1, wherein said aft shaft (I), a handle (4); said handle cogging (5) (4).
5.根据权利要求1所述的腹腔镜间隙游离器,其特征在于,所述的V形支杆(2) 口部两端分别有水平伸出、相互平行的固定部(7)。 The laparoscope according to claim 1 is a free gap, characterized in that, (2) at both ends of the V-shaped opening portions are horizontal struts extending parallel to one another fixing portion (7).
6.根据权利要求5所述的腹腔镜间隙游离器,其特征在于,所述的转动状结构为,V形支杆口部两端的固定部之间有转轴(6),转轴上固定有分离辊轮,分离辊轮绕着转轴和V形支杆的固定部连接处呈转动状;或为V形支杆口部两端的固定部之间有连接轴,连接轴上套有分离辊轮,分离辊轮绕着连接轴呈转动状;或为分离辊轮的中心有中心轴,中心轴的两端分别卡装在V形支杆口部两端的固定部之间。 The laparoscope of claim 5 in free space as defined in claim wherein said structure is rotatable with the shaft (6) between the ends of the rod-shaped fixing portions V mouth portion, is fixed to the rotary shaft separated roller, the fixing portion is connected around the separation roller shaft and a V-shaped struts were rotated; or both ends of the fixing portions between the V-shaped mouth portion connecting rod shaft, the connecting shaft sleeve with a separation roller, separating roller rotatable about the connecting shaft-like form; the center or as separate rollers has a center axis, the central axis of both ends of the card mounted between the ends of the V-shaped rod fixing portion opening portion.
7.根据权利要求1所述的腹腔镜间隙游离器,其特征在于,所述的分离辊轮(3)置于V形支杆的口部呈转动状构成游离部。 According to claim laparoscopic gap free to claim 1, wherein said separation roller (3) placed inside the mouth portion of the V-shaped rod-like configuration as a rotation of the free portion.
8.根据权利要求1所述的腹腔镜间隙游离器,其特征在于,所述的分离辊轮(3)为高8mm、直径4mm的圆柱形。 The laparoscope of claim 1, wherein a free gap, characterized in that said separating rollers (3) is high 8mm, 4mm diameter cylindrical.
9.根据权利要求1所述的腹腔镜间隙游离器,其特征在于,所述的V形支杆(2)为直径Imm的圆管体。 According to claim laparoscopic gap free to claim 1, wherein said V-shaped struts (2) is a tube diameter of Imm.
10.根据权利要求1所述的腹腔镜间隙游离器,其特征在于,所述的两个V形支杆(2) 口部内的分离辊轮之间的间隙为1_。 10. The laparoscope of claim 1, claim a free gap, characterized in that said two V-shaped struts (2) a gap between the separator roller is in the mouth portion 1_.
CN201610746857.7A 2016-08-29 2016-08-29 Peritoneoscope space dissociation device CN106137323A (en)

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2429115Y (en) * 2000-02-03 2001-05-09 魏元明 Abdominoscpe pulling-pushing device
CN101061964A (en) * 2006-04-28 2007-10-31 伊西康内外科公司 Apparatus and method for performing an endoscopic mucosal resection
CN101073487A (en) * 2006-05-19 2007-11-21 伊西康内外科公司 Cavity stabilizer for endoscope mucosal resection
CN203634250U (en) * 2013-11-19 2014-06-11 中国人民解放军总医院 Separating forceps for laparoscopic surgery
US20140277021A1 (en) * 2013-03-13 2014-09-18 Boston Scientific Scimed Inc. Tissue cutting devices and methods
CN206285139U (en) * 2016-08-29 2017-06-30 张云飞 Ware dissociates in peritoneoscope clearance

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2429115Y (en) * 2000-02-03 2001-05-09 魏元明 Abdominoscpe pulling-pushing device
CN101061964A (en) * 2006-04-28 2007-10-31 伊西康内外科公司 Apparatus and method for performing an endoscopic mucosal resection
CN101073487A (en) * 2006-05-19 2007-11-21 伊西康内外科公司 Cavity stabilizer for endoscope mucosal resection
US20140277021A1 (en) * 2013-03-13 2014-09-18 Boston Scientific Scimed Inc. Tissue cutting devices and methods
CN203634250U (en) * 2013-11-19 2014-06-11 中国人民解放军总医院 Separating forceps for laparoscopic surgery
CN206285139U (en) * 2016-08-29 2017-06-30 张云飞 Ware dissociates in peritoneoscope clearance

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