CN107397576B - Device for recovering hernial membrane - Google Patents
Device for recovering hernial membrane Download PDFInfo
- Publication number
- CN107397576B CN107397576B CN201710607535.9A CN201710607535A CN107397576B CN 107397576 B CN107397576 B CN 107397576B CN 201710607535 A CN201710607535 A CN 201710607535A CN 107397576 B CN107397576 B CN 107397576B
- Authority
- CN
- China
- Prior art keywords
- rod
- push rod
- pliers
- restorer
- flip
- 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.)
- Active
Links
- 239000012528 membrane Substances 0.000 title description 2
- 206010019909 Hernia Diseases 0.000 claims abstract description 16
- 210000002747 omentum Anatomy 0.000 claims abstract description 16
- 230000007306 turnover Effects 0.000 claims abstract description 14
- 239000002906 medical waste Substances 0.000 abstract description 3
- 210000000936 intestine Anatomy 0.000 description 8
- 230000000968 intestinal effect Effects 0.000 description 5
- 238000000034 method Methods 0.000 description 2
- 238000011084 recovery Methods 0.000 description 2
- 210000003815 abdominal wall Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000004204 blood vessel Anatomy 0.000 description 1
- 210000000080 chela (arthropods) Anatomy 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 208000003243 intestinal obstruction Diseases 0.000 description 1
- 210000004379 membrane Anatomy 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 230000017074 necrotic cell death Effects 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2946—Locking means
Abstract
The invention belongs to the field of medical treatment, in particular to an instrument for treating omentum hernia. The device comprises a restorer shell, wherein pliers are arranged at the front end of the restorer shell, a rotating ring is arranged at the rear end of the restorer shell, an inner push rod is sleeved in the restorer shell, sliding grooves are respectively formed in two sides of the restorer shell, sliding pieces are respectively arranged on the sliding grooves, an arc-shaped pushing piece is arranged on the side wall of the inner push rod, when the inner push rod is pushed forward in operation, the arc-shaped pushing piece props against the sliding piece to move forward, the sliding piece moves forward along a track under the action force, a turnover rod is driven to turn over, the closing of the pliers is realized, and the whole pliers are closed and opened by pushing and pulling out the inner push rod, so that the operation is more convenient; and can shorten the hospitalization day, reduce the medical expense of patients and reduce the medical waste.
Description
Technical Field
The invention belongs to the field of medical treatment, in particular to an instrument for treating omentum hernia.
Background
The intestinal canal enters the omentum cavity through the omentum hole to be called as omentum hole hernia, the herniated intestinal canal is easy to twist, intestinal obstruction is caused, if the intestinal canal blood vessel is pressed and stenosed, herniated intestinal canal necrosis and perforation can be caused, and the life safety of a patient is seriously threatened. Once the disease is suspected, the embedded intestinal loop is reset by performing operation treatment, the operation wound is large, the recovery is slow, the operation is performed on the abdominal wall in the past, a large scar is left, the appearance is attractive, the hospitalization time is long, the cost of a patient is high, and medical waste is caused. There is a great clinical need for a minimally invasive surgical treatment to alleviate hernias, and reduce the occurrence of surgical pain and complications in patients.
Disclosure of Invention
The technical problems to be solved by the invention are as follows: aiming at the defects existing in the prior art, the reverser for treating the large omentum hernia by using the minimally invasive surgery is provided, wherein the reverser can push the intestines in and pull the intestines out.
The invention is realized by adopting the following technical scheme: the device comprises a returnable shell, wherein pliers are arranged at the front end of the returnable shell, a rotating ring is arranged at the rear end of the returnable shell, an inner push rod is sleeved in the returnable shell, sliding grooves are respectively formed in two sides of the returnable shell, sliding pieces are respectively arranged on the sliding grooves, and a turning rod is respectively connected with the upper side and the lower side of the sliding pieces; the two sides of the pliers are respectively provided with a rotating wheel, the overturning rod is connected with the rotating wheels, semicircular openings are formed in the front end faces of the two pliers heads of the pliers, and when the pliers are closed, the two semicircular openings form a circular opening which is matched with the front end of the inner push rod.
As a preferable scheme, the outer side wall of the reverser shell body at one side of the sliding groove at both sides is provided with a rail, a roller capable of moving left and right is connected to the rail, and the other side of the roller is connected to the lower end face of the sliding piece.
As a preferable scheme, the side wall of the inner push rod is provided with an arc-shaped push piece, the arc-shaped push piece is semicircular, the arc-shaped push piece is matched with the arc surface of the outer ring of the sliding piece, and the inner push rod is pushed forward to the position that the arc-shaped push piece is contacted with the sliding piece, and then the arc-shaped push piece drives the sliding piece to move forward.
Preferably, the turnover rod comprises a first turnover rod and a second turnover rod, and the first turnover rod and the second turnover rod are hinged with each other and are fixed by the turnover piece.
Preferably, the sliding piece is provided with arc grooves at the upper and lower sides respectively, and the overturning rod moves in the arc grooves.
Preferably, the rotation angle alpha of the turnover rod in the arc-shaped groove is 30-150 degrees.
As the preferred scheme, the rotation wheel includes connecting rod, action wheel and follow driving wheel, the action wheel is gear structure, the upset pole is connected on the action wheel, and the upset pole upper end of junction is equipped with a fixture block, and when the upset pole upwards moved, the fixture block upwards contacted the gear and drove the action wheel and rotate, and the action wheel passes through the connecting rod and drives from the driving wheel, the pincers pole of pliers is connected with from the driving wheel.
As an optimal scheme, a limit clamping block is arranged on the side wall of the inner push rod, and a clamping groove matched with the limit clamping block is arranged on the inner side surface of the pliers.
Compared with the prior art, the invention has the beneficial effects that: the arc-shaped pushing piece is arranged on the side wall of the inner push rod, when the inner push rod is pushed to move forwards in operation, the arc-shaped pushing piece props against the sliding piece to move forwards, the roller below the sliding piece moves forwards along the track under the action force to drive the overturning rod to overturn, so that the closing of the pliers is realized, and the whole closing and opening of the pliers are completed by pushing and pulling out the inner push rod, so that the operation is more convenient; meanwhile, the design can also finish the operation of directly closing the pliers, ejecting the inner push rod out and pushing the herniated intestines when the pliers are used as the push rod; the two operation modes are minimally invasive modes, and the treatment is completed under the condition that the patient has least wound, so that the size of the wound is obviously reduced, and the recovery is facilitated; and can shorten the hospitalization day, reduce the medical expense of patients and reduce the medical waste.
Drawings
FIG. 1 is a schematic view of the structure of embodiment 1 of the present invention;
FIG. 2 is a schematic view of the structure of embodiment 2 of the present invention;
FIG. 3 is a schematic view showing the open side structure of the pliers 2 of the present invention;
fig. 4 is a schematic view of the structure of the arc pushing member 9 of the present invention;
FIG. 5 is a schematic view of the circular opening 2-3 of the present invention;
fig. 6 is a schematic view of the closing structure of the pliers 2 according to the invention;
fig. 7 is a schematic view of the structure of the connecting pliers 2 of the driving wheel 13 of the invention;
fig. 8 is a schematic structural view of a driving wheel 13 of the present invention connected to a driven wheel 14 through a connecting rod 12;
fig. 9 is a schematic view of the structure of the arc-shaped groove 11 of the present invention;
fig. 10 is an enlarged view of a portion of fig. 2 in accordance with the present invention.
Detailed Description
The following describes in detail the embodiments of the invention with reference to fig. 1-10.
Example 1
According to fig. 1 to 10, the present embodiment provides a mesh hernia restorer, including a restorer housing 1, wherein pliers 2 are provided at the front end of the restorer housing 1, a rotating ring 3 is provided at the rear end of the restorer housing 1, an inner push rod 4 is sleeved in the restorer housing 1, sliding grooves 5 are respectively provided at both sides of the restorer housing 1, sliding members 6 are respectively provided on the sliding grooves 5, and turning rods 7 are respectively connected to the upper side and the lower side of the sliding members 6; the two sides of the pliers 2 are respectively provided with a rotating wheel 8, the overturning rod 7 is connected with the rotating wheel 8, the front end faces of the two pliers heads 2-1 of the pliers 2 are respectively provided with a semicircular opening 2-2, when the pliers 2 are closed, the two semicircular openings 2-2 are mutually combined into a circular opening 2-3, the circular opening 2-3 is matched with the front end of the inner push rod 4, the side wall of the inner push rod 4 is provided with an arc push rod 9, the arc push rod 9 is matched with the sliding piece 6, when the inner push rod 4 forwards pushes the arc push rod 9 to be in contact with the sliding piece 6, the arc push rod 9 drives the sliding piece 6 to move forwards, the overturning rod 7 comprises a first overturning rod 7-1 and a second overturning rod 7-2, the first overturning rod 7-1 and the second overturning rod 7-2 are mutually hinged and are formed by fixing the overturning piece 10, the upper portion and the lower portion of the sliding piece 6 are respectively provided with an arc groove 11, the overturning rod 7 moves in the arc groove 11, the rotating angle alpha of the overturning rod 7 in the arc groove is 30 degrees, the rotating wheel 9 is matched with the sliding piece 6, the inner push rod 4 forwards pushes the sliding piece 9 to be in contact with the sliding piece 6, the driving wheel 12 is provided with the driving wheel 13, the driving wheel 13 is connected with the driving wheel 13, the driving wheel is connected with the driving wheel 13, and the driving wheel is connected with the driving wheel 13 through the driving wheel 13, and the driving wheel 13, the driving wheel is connected with the driving wheel 13, and the driving wheel 13, the driving wheel is connected with the driving wheel 13, and the driving wheel is connected with the driving 13 through the driving wheel 13, the driving wheel is 13. The outer side walls of the reverser shell 1 on one side of the sliding groove 5 on both sides are respectively provided with a track 19, the tracks 19 are connected with rollers 18 capable of moving left and right, and the other sides of the rollers 19 are connected to the lower end face of the sliding piece 6.
In the closed state of the pliers 2, the inner push rod 4 is pushed from the rear side, the inner push rod 4 penetrates out of the circular opening 2-3, and the limiting clamping block 16 is clamped into the clamping groove 17 to be locked, so that a device with a protruding front side is formed. When the puncture needle is positioned above the omentum hernia, the large omentum restorer of the closing forceps 2 is put in, and the herniated intestines are pushed by the protruding end part of the inner push rod 4, so that the omentum hernia problem is solved.
During this operation, the clamping groove 17 matched with the limit clamping block 16 is necessary, and because of the possibility of outward pulling in the pushing process, if the matching structural design is not adopted, the inner push rod 4 is easily pulled out, and in the non-clamping state, after the inner push rod 4 is pulled out, the position of the head of the reverser may touch the intestines, so that unnecessary damage is caused. In the design of the position, if the limit clamping block 16 and the clamping groove 17 are required to be separated, only two pliers are required to be manually held to be pulled out from the upper side and the lower side, and then the inner push rod 4 is pulled out, so that the operation is very convenient.
Example 2
When the puncture needle is positioned at the inner side of the omentum hernia, the large omentum hernia recoverer with the forceps 2 opened is put in, the forceps 2 are adjusted and controlled to be opened and closed from the side, and when the forceps head 2-1 grabs the intestines, the intestines are pulled out, so that the omentum hernia is successfully relieved.
During this operation, the inner push rod 4 is pushed, the arc-shaped push member 9 moves forward against the sliding member 6, the sliding member 6 moves forward along the rail 19 under the action of the force, the sliding member 6 is driven to move forward, the turnover member 10 overlaps the first turnover rod 7-1 and the second turnover rod 7-2, the clamping block 15 on the second turnover rod 7-2 moves upwards or downwards and contacts with the gear of the driving wheel 13, the upper driving wheel 13 rotates clockwise, the lower driving wheel 13 rotates anticlockwise, the connected connecting rod 12 is driven to rotate, the driven wheel 14 is driven to rotate, the upper pliers 2 moves clockwise, and the lower pliers 2 move anticlockwise until the two pliers are mutually closed. This operation is to push the inner push rod 4 forward, and when the forceps 2 are opened in the closed state, only the inner push rod 4 needs to be pulled backward. The inner push rod 4 is pulled back and forth in the whole process, and the opening and closing of the pliers are controlled to clamp the intestines.
Claims (5)
1. Be used for omentum hernia restorer, including restorer casing, the front end of restorer casing is equipped with pliers, and the rear end of restorer casing is equipped with the rotation circle, its characterized in that: an inner push rod is sleeved in the reverser shell, sliding grooves are respectively formed in two sides of the reverser shell, sliding pieces are respectively arranged on the sliding grooves, and a turnover rod is respectively connected with the upper side and the lower side of each sliding piece; the utility model discloses a pliers, including pliers, inner push rod, slider, arc push rod, track, arc push rod, slider, first flip rod and second flip rod, the both sides of pliers are equipped with the rotor respectively, flip rod and rotor interconnect, all are equipped with semicircular opening on the terminal surface before two binding clip of pliers, and when pliers are closed, two semicircular openings form a circular opening each other, circular opening with the front end phase-match of inner push rod, both sides on one side of spout all be equipped with the track on the outer lateral wall of restorer casing, be connected with the gyro wheel that can control the removal on the track, one side of gyro wheel is connected on the lower terminal surface of slider, be equipped with the arc push rod on the lateral wall of inner push rod, the shape of arc push rod is the semicircle, arc push rod with slider outer lane cambered surface phase-match, the inner push rod promotes to arc push rod and slider back each other, arc push rod drives slider forward motion, the flip rod includes first flip rod and second flip rod, first flip rod and second flip rod articulated each other and forms by the flip rod is fixed.
2. The device for a omentum hernia reverter of claim 1 wherein the slide is provided with arcuate slots in the upper and lower sides, respectively, in which the flipping rod moves.
3. The device for a omentum hernia reverter of claim 2 wherein the turning rod is rotated at an angle α of 30 ° -150 ° in the arcuate slot.
4. The mesh hernia reverter according to claim 1, wherein the rotating wheel comprises a connecting rod, a driving wheel and a driven wheel, the driving wheel is of a gear structure, the turning rod is connected to the driving wheel, a clamping block is arranged at the upper end of the turning rod at the connecting position, when the turning rod moves upwards, the clamping block contacts with the gear upwards to drive the driving wheel to rotate, the driving wheel drives the driven wheel through the connecting rod, and the clamp rod of the clamp is connected with the driven wheel.
5. The device for omentum hernia reverter of claim 1, wherein the side wall of the inner push rod is provided with a limit fixture block, and the inner side surface of the pliers is provided with a fixture groove matched with the limit fixture block.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201710607535.9A CN107397576B (en) | 2017-07-24 | 2017-07-24 | Device for recovering hernial membrane |
Applications Claiming Priority (1)
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CN201710607535.9A CN107397576B (en) | 2017-07-24 | 2017-07-24 | Device for recovering hernial membrane |
Publications (2)
Publication Number | Publication Date |
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CN107397576A CN107397576A (en) | 2017-11-28 |
CN107397576B true CN107397576B (en) | 2023-12-15 |
Family
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CN201710607535.9A Active CN107397576B (en) | 2017-07-24 | 2017-07-24 | Device for recovering hernial membrane |
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JP2002505136A (en) * | 1998-03-03 | 2002-02-19 | セノークス・インコーポレイテッド | Chest biopsy system and method |
US6358268B1 (en) * | 2000-03-06 | 2002-03-19 | Robert B. Hunt | Surgical instrument |
CN201389098Y (en) * | 2009-04-16 | 2010-01-27 | 北京天助畅运医疗技术有限公司 | Preperitoneal repair mesh |
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CN203506791U (en) * | 2013-10-15 | 2014-04-02 | 深圳市第二人民医院 | Abdominal wall incision suture needle used in laparoscopic surgery |
CN204049762U (en) * | 2014-08-12 | 2014-12-31 | 厦门大博颖精医疗器械有限公司 | Flushable engaging clamp |
CN105534602A (en) * | 2014-10-22 | 2016-05-04 | 柯惠Lp公司 | Surgical instruments and switch assemblies thereof |
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