CN107693079A - Laparoscopic surgical instruments and laparoscopic surgery equipment - Google Patents
Laparoscopic surgical instruments and laparoscopic surgery equipment Download PDFInfo
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- CN107693079A CN107693079A CN201711054312.0A CN201711054312A CN107693079A CN 107693079 A CN107693079 A CN 107693079A CN 201711054312 A CN201711054312 A CN 201711054312A CN 107693079 A CN107693079 A CN 107693079A
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- 238000002357 laparoscopic surgery Methods 0.000 title abstract description 14
- 210000004204 blood vessel Anatomy 0.000 claims abstract description 218
- 230000000903 blocking effect Effects 0.000 claims abstract description 67
- 238000001816 cooling Methods 0.000 claims abstract description 35
- 230000002792 vascular Effects 0.000 claims abstract description 4
- 239000012530 fluid Substances 0.000 claims description 42
- 210000001367 artery Anatomy 0.000 claims description 20
- 210000003462 vein Anatomy 0.000 claims description 11
- 206010053648 Vascular occlusion Diseases 0.000 claims description 9
- 208000021331 vascular occlusion disease Diseases 0.000 claims description 9
- 238000004891 communication Methods 0.000 claims description 6
- 230000008878 coupling Effects 0.000 claims description 6
- 238000010168 coupling process Methods 0.000 claims description 6
- 238000005859 coupling reaction Methods 0.000 claims description 6
- 230000017531 blood circulation Effects 0.000 claims description 5
- 230000033001 locomotion Effects 0.000 claims description 4
- 230000009471 action Effects 0.000 claims description 3
- 230000000149 penetrating effect Effects 0.000 claims 2
- 230000000694 effects Effects 0.000 abstract description 6
- 230000010412 perfusion Effects 0.000 abstract description 5
- 239000007788 liquid Substances 0.000 description 11
- 210000002254 renal artery Anatomy 0.000 description 10
- 239000000243 solution Substances 0.000 description 9
- 210000003734 kidney Anatomy 0.000 description 8
- 239000002826 coolant Substances 0.000 description 3
- 206010028980 Neoplasm Diseases 0.000 description 2
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 description 2
- 230000005856 abnormality Effects 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 239000000110 cooling liquid Substances 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 230000010354 integration Effects 0.000 description 2
- 230000003907 kidney function Effects 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000013059 nephrectomy Methods 0.000 description 2
- 239000011780 sodium chloride Substances 0.000 description 2
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 description 2
- 206010063897 Renal ischaemia Diseases 0.000 description 1
- 230000008321 arterial blood flow Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 239000000470 constituent Substances 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
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- 238000002347 injection Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 208000028867 ischemia Diseases 0.000 description 1
- 230000000302 ischemic effect Effects 0.000 description 1
- 230000014759 maintenance of location Effects 0.000 description 1
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- 230000037323 metabolic rate Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
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Classifications
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/12—Devices for heating or cooling internal body cavities
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F7/00—Heating or cooling appliances for medical or therapeutic treatment of the human body
- A61F7/12—Devices for heating or cooling internal body cavities
- A61F2007/126—Devices for heating or cooling internal body cavities for invasive application, e.g. for introducing into blood vessels
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Public Health (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Engineering & Computer Science (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Medical Informatics (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Gastroenterology & Hepatology (AREA)
- Pathology (AREA)
- Thermal Sciences (AREA)
- Physics & Mathematics (AREA)
- Reproductive Health (AREA)
- Surgical Instruments (AREA)
Abstract
The application provides a kind of laparoscopic surgical instruments and laparoscopic surgery equipment, the laparoscopic surgical instruments include blood vessel blocking structure and vascular puncture structure, by the blood vessel blocking structural clamp on blood vessel, so that the blood vessel near clamped position is deformed, and move the piercing assembly, so that a long axis direction in a section of the piercing assembly along the blood vessel being deformed punctures to the blood vessel, whereby to improve the success rate of vascular puncture.In addition, laparoscopic surgery equipment provided herein by the way that the laparoscopic surgical instruments are combined with refrigerating module, for carrying out cold perfusion operation to the blood vessel punctured in laparoscopic surgery, has cooling effectiveness height and the uniform effect of cooling effect.
Description
Technical Field
The embodiment of the application relates to a medical instrument, in particular to a laparoscopic surgical instrument and laparoscopic surgical equipment.
Background
Technological advances in laparoscopic surgery have led to new developments in laparoscopic partial nephrectomy. However, the requirement of the operation is high, when the tumor is removed and the wound is sutured, the renal artery needs to be temporarily blocked by using the blood vessel blocking clamp, the bleeding amount is reduced, a clear operation field is provided, and the arterial blood flow is reopened after the operation is finished. This procedure leaves the kidneys in a warm ischemic state, severely affecting renal function, and therefore, tumor resection and suture of the wound must be completed in a limited time. Research finds that the reduction of the kidney temperature can effectively reduce the metabolic rate of the kidney, reduce the negative effects caused by ischemia and provide longer operation time on the basis of protecting the kidney function, so that how to solve the problem of reducing the temperature of the kidney in the operation becomes a key scientific problem to be solved urgently.
In view of the above problems of renal ischemia, chinese patent No. CN201510553456.5 provides a kidney cooling sac for cooling the kidney by the contact of the sac with the surface of the kidney, but the cooling efficiency of this solution is low.
In addition, chinese patent No. CN201010239955.4 provides a renal artery blocking and cold perfusion apparatus, which fixes a renal artery puncture needle on a renal artery blocking clip, and reduces the temperature of the kidney by perfusing a cooling liquid, although the cooling efficiency achieved by the solution is high, however, since the renal artery puncture needle provided by the solution is vertically arranged in the longitudinal direction and horizontally fixed at 60 ° in the middle of the front half of the renal artery blocking clip, the whole circumferential dimension formed by the puncture needle and the blocking clip after integration is large, and the problem that the whole renal artery blocking and cold perfusion apparatus is difficult to enter the Trocar channel is easily caused; in addition, when the blood vessel is pinched, the cross section of the nearby blood vessel is flattened to be in an oval shape, and the puncture needle is vertical in the longitudinal direction and fixed on the renal artery blocking clamp at an angle of 60 degrees horizontally, so that the puncture needle can tend to the minor axis direction of the oval cross section to puncture the pinched blood vessel, the puncture stroke is short, the abnormality of blood vessel puncture is easily caused, and the puncture risk is high, so that a doctor often needs to adjust in the operation process, for example, turn over the blood vessel, to avoid the occurrence of the abnormality, and the problems of inconvenient operation and increased operation difficulty are caused. In addition, since the puncture needle head is a rigid hollow needle, other mechanical injuries are easily caused along with the actuation of the renal artery blocking clamp in the operation.
In view of the above, how to provide a laparoscopic surgical instrument to overcome the various problems existing in the prior art is the technical problem to be solved by the present application.
Disclosure of Invention
In view of the above problems, it is a primary object of the present invention to provide a laparoscopic surgical instrument and a laparoscopic surgical apparatus that can improve the convenience of operation by integrating a blood vessel blocking structure and a blood vessel puncturing structure.
Another object of the present application is to provide a laparoscopic surgical instrument and a laparoscopic surgical apparatus, which are capable of increasing a puncture stroke of a blood vessel by matching a blood vessel blocking structure and a blood vessel puncturing structure, so as to improve a success rate of blood vessel puncturing.
It is still another object of the present application to provide a laparoscopic surgical instrument and a laparoscopic surgical apparatus having the effects of high cooling efficiency and uniform cooling.
It is still another object of the present invention to provide a laparoscopic surgical instrument and a laparoscopic surgical device, which can fix a puncture assembly to a blood vessel to prevent the puncture assembly from being easily dislodged, thereby ensuring the safety of water injection during the operation.
A first embodiment of the present application provides a laparoscopic surgical instrument including a blood vessel blocking structure for clamping a blood vessel to block a flow of blood inside the blood vessel and a blood vessel puncturing structure; the blood vessel puncture structure is used for puncturing the blood vessel and comprises: the puncture body is connected to the blood vessel blocking structure, and a guide rail assembly is arranged on the puncture body; the puncture assembly comprises a sliding part and a puncture part fixedly connected with the sliding part, and the sliding part can be matched with the guide rail assembly to enable the puncture assembly to move along the guide rail assembly; when the blood vessel blocking structure is clamped on the blood vessel, the blood vessel near the part clamped by the blood vessel blocking structure is deformed, and the puncture assembly is moved, so that the puncture piece punctures the blood vessel along the long axis direction of the section of the deformed blood vessel.
Optionally, in an embodiment of the present application, the laparoscopic surgical device further includes the vascular occlusion structure having a first actuator, a second actuator, and a resilient member, the first actuator includes a first clamping portion and a first actuating portion, and the first actuating portion extends from one end of the first clamping portion; the second actuating piece comprises a second clamping part and a second actuating part, and the second actuating part extends from one end of the second clamping part; the elastic piece is respectively connected with the first actuating part and the second actuating part and is used for providing elastic restoring force; when the first actuating part and the second actuating part are stressed, the first clamping part and the second clamping part are mutually matched to be in a pre-clamping state; when the stress of the first actuating part and the second actuating part is relieved, the first clamping part and the second clamping part are mutually matched and are in a clamping state to be clamped on the blood vessel by the elastic restoring force provided by the elastic piece; and a connection assembly for providing interconnection of the vascular occlusion structure and the vascular puncture structure, the puncture body including a first surface and a second surface, and the connection assembly further including: a first flexible connector connecting the first actuation portion and the first surface of the piercing body, respectively; and a second flexible connector connecting the second actuator portion and the second surface of the piercing body, respectively.
Optionally, in an embodiment of the present application, the first flexible connecting element extends from the first surface of the puncture body, and the first flexible connecting element further includes a first positioning portion, and the first actuating portion further includes a first combining unit, and the first positioning portion and the first combining unit cooperate to connect the first flexible connecting element and the first actuating portion; the second flexible connecting piece extends from the second surface of the puncture body, the second flexible connecting piece further comprises a second positioning part, the second actuating part further comprises a second combining unit, and the second positioning part is matched with the second combining unit to connect the second flexible connecting piece with the second actuating part.
Optionally, in an embodiment of the present application, an axial direction of the blood vessel puncturing structure and an axial direction of the blood vessel blocking structure form an included angle, wherein the included angle ranges from 0 ° to 50 °.
Optionally, in this embodiment of the application, the vessel puncture structure is rotated relative to the vessel occlusion structure and positioned on the vessel occlusion structure by the first flexible connector and the second flexible connector.
Optionally, in this embodiment of the application, the first combining unit and the second combining unit are further configured to combine with a force applicator respectively, and configured to apply a force to the first actuating portion and the second actuating portion.
Optionally, in an embodiment of the present application, the guide rail assembly further includes a first slide rail and a second slide rail respectively disposed on the first surface and the second surface, the sliding member is a slider, and two opposite sides of the slider respectively abut against the first slide rail and the second slide rail to slide along the first slide rail and the second slide rail.
Optionally, in an embodiment of the present application, the guide rail assembly includes a third slide rail, and the sliding member is capable of cooperating with the third slide rail to slide along the third slide rail.
Optionally, in an embodiment of the present application, the rail assembly includes a distal end and a proximal end, the slider is movable between the distal end and the proximal end of the rail assembly, wherein the puncture assembly is received in the rail assembly when the slider is located at the distal end of the rail assembly; when the slider moves from the distal end to the proximal end of the rail assembly, the puncture assembly protrudes outward from the interior of the rail assembly in the axial direction of the rail assembly to puncture the blood vessel.
Optionally, in an embodiment of the present application, the puncturing element further includes: an outer trocar connected to the slider; and a needle core which is movably sleeved in the outer trocar.
Optionally, in an embodiment of the present application, the puncture body is further provided with a limiting portion, wherein after the puncture element completes puncturing the blood vessel, the limiting portion provides a limit for the sliding member to disable the outer trocar, and the needle core moves from the proximal end to the distal end under an external force to disengage from the outer trocar.
Optionally, in an embodiment of the present application, the puncture assembly further includes a catheter tube, which communicates with the outer trocar, and one end of the outer trocar is further provided with a drainage hole, and the outer trocar guides a fluid from the catheter tube and guides the fluid into the blood vessel through the drainage hole; alternatively, the outer trocar introduces a fluid from the blood vessel through the drainage hole and leads the fluid out through the catheter.
Optionally, in an embodiment of the present application, the blood vessel puncturing structure further includes an actuating portion connected to the needle core, and applying a force to the needle core to move the needle core.
Optionally, in the embodiment of the present application, the actuating portion is an air bag, a liquid bag, or a push-pull assembly.
A second embodiment of the present application provides a laparoscopic surgical instrument comprising: a blood vessel occluding assembly, a blood vessel puncturing assembly and a coupling assembly, said blood vessel occluding assembly for clamping a blood vessel to occlude blood flow within the blood vessel and comprising: the first actuating piece comprises a first clamping part and a first actuating part, the first actuating part extends from one end of the first clamping part, and the first actuating part is also provided with a first sliding rail; the second actuating piece comprises a second clamping part and a second actuating part, the second actuating part extends from one end of the second clamping part, and a second sliding rail is further arranged on the second actuating part; the elastic piece is respectively connected with the first actuating part and the second actuating part and is used for providing elastic restoring force; when the first actuating part and the second actuating part are stressed, the first clamping part and the second clamping part are mutually matched to be in a pre-clamping state; when the stress of the first actuating part and the second actuating part is relieved, the first clamping part and the second clamping part are mutually matched and are in a clamping state to be clamped on the blood vessel by the elastic restoring force provided by the elastic piece; the blood vessel puncture assembly is used for puncturing the blood vessel; the connecting assembly is used for connecting the blood vessel puncturing assembly and the blood vessel blocking assembly and enabling the blood vessel puncturing assembly to move relative to the blood vessel blocking assembly, and comprises a first connecting piece, a second connecting piece and a third connecting piece, wherein the first connecting piece comprises a first flexible connecting part and a first sliding part arranged on the first flexible connecting part; the first flexible connecting part is connected with the blood vessel puncture assembly, and the first sliding part can be matched with the first sliding rail and can slide in the first sliding rail; the second connecting piece comprises a second flexible connecting part and a second sliding part arranged on the second flexible connecting part; the second flexible connecting part is connected with the blood vessel puncture assembly, and the second sliding part can be matched with the second sliding rail and can slide in the second sliding rail; when the blood vessel blocking component is clamped on the blood vessel, the blood vessel near the part clamped by the blood vessel blocking component is deformed, and the blood vessel puncture component moves relative to the blood vessel blocking component by virtue of the connecting component, so that the puncture component punctures the blood vessel along a long axis direction of a section of the deformed blood vessel.
A third embodiment of the present application provides a laparoscopic surgical apparatus comprising a laparoscopic surgical instrument as described in the first or second embodiment above; and a cooling module in communication with the laparoscopic surgical instrument for providing a fluid to the laparoscopic surgical instrument; wherein the laparoscopic surgical instrument is clamped to an artery to puncture the artery and to input the fluid provided by the cooling module into the artery.
A fourth embodiment of the present application provides a laparoscopic surgical apparatus including a first laparoscopic surgical instrument and a second laparoscopic surgical instrument as described in the first embodiment or the second embodiment above, a cooling module in communication with the first laparoscopic surgical instrument and the second laparoscopic surgical instrument, respectively, for supplying a fluid to the first laparoscopic surgical instrument and introducing the fluid from the second laparoscopic surgical instrument; wherein the first laparoscopic surgical instrument is clamped to an artery to puncture the artery and to input the fluid provided by the cooling module into the artery, and the second laparoscopic surgical instrument is clamped to a vein to puncture the vein and to introduce the fluid from the vein and into the cooling module.
It can be seen from the above technical scheme that the laparoscopic surgery instrument of this application is through blocking the structure with the blood vessel and puncturing the structure integration as an organic whole with the blood vessel to when carrying out laparoscopic surgery, the accessible blocks the structure centre gripping on the blood vessel with the blood vessel, and blocks the inside blood flow of blood vessel, and make the blood vessel that is located by near of centre gripping position produce the deformation, and provide blood vessel puncture structure and can puncture the operation along a major axis direction of the cross section of the blood vessel that produces the deformation, therefore, this application not only can conveniently be operated, still can prolong the puncture stroke of blood vessel, in order to improve the success rate of blood vessel puncture.
The laparoscopic surgery equipment of this application is through integrating laparoscopic surgery apparatus and cooling module mutually, and pours the coolant liquid into to the blood vessel that punctures, and not only cooling efficiency is high, and can reach the even effect of cooling. Furthermore, the blood vessel puncture structure can be stably fixed on the blood vessel by the blood vessel blocking structure and is not easy to move, thereby ensuring the safety of cold perfusion operation in the operation.
Drawings
In order to more clearly illustrate the embodiments of the present application or the technical solutions in the prior art, the drawings needed to be used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments described in the embodiments of the present application, and other drawings can be obtained by those skilled in the art according to the drawings.
Fig. 1A and 1B are schematic views illustrating a state in which a laparoscopic surgical instrument of the present application is used.
Fig. 2 is a schematic structural view showing a laparoscopic surgical instrument according to a first embodiment of the present application.
FIGS. 3A to 3C are schematic structural views showing different embodiments of a blood vessel blocking structure of the laparoscopic surgical instrument of FIG. 2;
FIG. 4 is a schematic view showing a structure of an embodiment of a penetration body of the laparoscopic surgical instrument of FIG. 2;
FIG. 5 is a schematic view showing the angle arrangement of the blood vessel blocking structure and the blood vessel puncturing structure in the laparoscopic surgical instrument of FIG. 2;
FIG. 6 is a schematic view showing the construction of an embodiment of the puncture assembly of the laparoscopic surgical instrument of FIG. 2;
FIGS. 7A to 7D are views showing different embodiments of a stopper portion of the laparoscopic surgical instrument of FIG. 2;
FIG. 8 is a schematic view showing an embodiment of an actuating portion of the laparoscopic surgical instrument of FIG. 2;
FIGS. 9A and 9B are views showing another embodiment of an actuating portion of the laparoscopic surgical instrument of FIG. 2;
FIGS. 10A and 10B are views showing a second embodiment of the laparoscopic surgical instrument;
FIGS. 11A and 11B are views showing a third embodiment of the laparoscopic surgical instrument; and
FIG. 12 is a schematic view showing an embodiment of the laparoscopic surgical device of the present application.
Element number
A blood vessel
1 laparoscopic surgical instrument
11 vascular occlusion structure
111 first actuator
1111 first clamping part
1112 first actuator
11121 first binding Unit
112 second actuating component
1121 second clamping part
1122 second actuation portion
11221 second binding unit
113 elastic member
114 riveting point
12 blood vessel puncture structure
121 puncture body
121a first surface
121b second surface
1211 guide rail assembly
1211a distal end
1211b proximal end
12111 first slide rail
12112 second slide rail
12113 third slide rail
1212 limit part
1213 perforation
122 puncture assembly
1221 sliding parts (sliding block)
1222 puncturing part
12221 outer trocar
12221a hollow needle cannula
12221b three-way pipe
122211 liquid guiding hole
12222 needle core
12223 one-way through hole
12224 conduction pipe
12225 catheter
1223 catheter
123 action part (push-and-pull component)
1231 inner core
1232 sheath
1233 position limiting ring
124 arc-shaped groove
13 connecting assembly
131 first flexible connecting piece
1311 first positioning part
132 second Flexible connector
1321 second positioning part
2 laparoscopic surgical instrument
21 vascular occlusion assembly
21a distal end
21b proximal end
211 first actuator
2111 first clamping part
2112 first actuating part
2113 first slide rail
212 second actuator
2121 second clamping part
2122 second actuating part
2123 second slide rail
213 elastic member
22 blood vessel puncture assembly
221 outer cannula needle
222 needle core
223 actuating part
224 position limiting part
225 catheter
23 connecting assembly
231 first connecting piece
2311 first flexible connecting part
2312 first slide part
232 second connecting piece
2321 second flexible connection
2322 second sliding part
3 laparoscopic surgical device
31 first laparoscopic surgical instrument
32 second laparoscopic surgical instrument
33 Cooling module
Detailed Description
In order to make those skilled in the art better understand the technical solutions in the embodiments of the present application, the technical solutions in the embodiments of the present application will be described clearly and completely below with reference to the drawings in the embodiments of the present application, and it is obvious that the described embodiments are only a part of the embodiments of the present application, but not all embodiments. All other embodiments obtained by a person of ordinary skill in the art based on the embodiments in the present application shall fall within the scope of the protection of the embodiments in the present application.
Please refer to fig. 1A and 1B, which are schematic views illustrating the use of the laparoscopic surgical instrument 1 of the present application. As shown in the drawings, the laparoscopic surgical instrument 1 of the present application is used for providing operations of blocking and puncturing a blood vessel a (e.g., renal artery) in laparoscopic surgery (e.g., partial nephrectomy) by integrating a blood vessel blocking structure 11 and a blood vessel puncturing structure 12, wherein fig. 1A illustrates a use state in which the blood vessel puncturing structure 12 has not been punctured after the blood vessel a is blocked by the blood vessel blocking structure 11 of the laparoscopic surgical instrument 1, and fig. 1B illustrates a use state in which the blood vessel puncturing structure 12 has punctured the blood vessel a after the blood vessel a is blocked by the blood vessel blocking structure 11 of the laparoscopic surgical instrument 1.
Referring to fig. 2, the laparoscopic surgical device 1 of the present application mainly includes a blood vessel blocking structure 11 and a blood vessel puncturing structure 12. The blood vessel blocking structure 11 is used to clamp the blood vessel a to block the flow of blood inside the blood vessel a. The blood vessel puncturing structure 12 includes a puncturing body 121 and a puncturing assembly 122, when performing laparoscopic surgery, the blood vessel blocking structure 11 can be clamped on the blood vessel a, at this time, the blood vessel a (for example, blood vessels located at two sides of the clamped portion) near the blood vessel blocking structure will deform to form a cross section close to an oval shape, because the puncturing assembly 122 and the blood vessel puncturing structure 12 are horizontally arranged, when moving the puncturing assembly 122, the puncturing assembly 122 can puncture the blood vessel a along the major axis direction of the oval cross section of the blood vessel a, so as to improve the success rate of puncturing the blood vessel by prolonging the puncturing stroke of the blood vessel.
Specific description will be provided below with respect to the main constituent elements of the laparoscopic surgical instrument 1 of the present application in conjunction with the accompanying drawings of the various embodiments.
Referring to fig. 3A, in an embodiment, the blood vessel blocking structure 11 further includes a first actuator 111, a second actuator 112, and a resilient member 113, wherein the first actuator 111 includes a first clamping portion 1111 and a first actuating portion 1112, and the first actuating portion 1112 extends from an end of the first clamping portion 1111. The second actuator 112 includes a second clamping portion 1121 and a second actuating portion 1122, and the second actuating portion 1122 extends from an end of the second clamping portion 1121. The elastic element 113 is connected to the first actuator 1112 and the second actuator 1122 respectively for providing an elastic restoring force. When the first actuator 1112 and the second actuator 1122 are stressed, the first clamping portion 1111 and the second clamping portion 1121 are engaged with each other to be in a pre-clamping state; when the first actuator 1112 and the second actuator 1122 are released from the force, the first clamping portion 1111 and the second clamping portion 1121 are engaged with each other to be in a clamping state to clamp the blood vessel by the elastic restoring force provided by the elastic member 113 (i.e. the state shown in fig. 3A).
As shown in fig. 2 or fig. 3A, in an embodiment, the elastic element 113, the first actuating portion 1112, and the second actuating portion 1122 may be integrally formed. However, the elastic member 113, the first actuating portion 1112, and the second actuating portion 1122 may be designed as separate components and connected to each other (as shown in fig. 3B and 3C).
Referring to fig. 3A, in an embodiment, at least one of the first clamping portion 1111 and the second clamping portion 1121 may further include a ruler for marking a clamping position of the blood vessel, so as to improve safety of subsequent blood vessel puncture.
The blood vessel puncture structure 12 is used for puncturing a blood vessel a, and mainly includes a puncture body 121 and a puncture unit 122. Referring to fig. 2, the puncture body 121 is connected to the blood vessel blocking structure 11, a guide rail assembly 1211 is further disposed on the puncture body 121, the puncture assembly 122 further includes a sliding member 1221 and a puncture member 1222 fixedly connected to the sliding member 1221, and the sliding member 1221 can cooperate with the guide rail assembly 1211 on the puncture body 121 to move the puncture assembly 122 along the guide rail assembly 1211.
Specifically, in one embodiment, the laparoscopic surgical device 1 further includes a connection assembly 13 for providing connection of the vessel puncture structure 12 to the vessel occlusion structure 11.
Referring to fig. 2, fig. 3A and fig. 4, the puncturing body 121 includes a first surface 121a and a second surface 121b, and the connecting assembly 13 further includes a first flexible connecting member 131 for connecting the first actuating portion 1112 and the first surface 121a of the puncturing body 121, and a second flexible connecting member 132 for connecting the second actuating portion 1122 and the second surface 121b of the puncturing body 121, so that the puncturing body 121 is positioned between the first actuating portion 1112 and the second actuating portion 1122 by the structural design, and since the first and second flexible connecting members 131 and 132 are made of flexible materials, even when the first actuating portion 1112 and the second actuating portion 1122 are pressed and deformed by an external force, the puncturing body 121 therebetween is still maintained.
It should be noted that the connection manner between the blood vessel blocking structure 11 and the blood vessel puncturing structure 12 is not limited to the arrangement manner through the connection assembly 13, and in other embodiments, the connection assembly 13 may be omitted, and the puncturing body 121 is directly fixed to the first actuating portion 1112 and the second actuating portion 1122 (as shown in fig. 10A and 10B) of the blood vessel blocking structure 11, and one or more arc-shaped grooves are disposed on the puncturing body 121, so that the first actuating portion 1112 and the second actuating portion 1122 can slide along the arc-shaped groove 124 to deform when a force is applied to the puncturing body 121, thereby maintaining the puncturing body 121 to be the original state.
Referring to fig. 2, 3A and 4, in an embodiment, the first flexible connecting element 131 extends from the first surface 121a of the puncture body 121 and includes a first positioning portion 1311 (as shown in fig. 4), a first combining unit 11121 (as shown in fig. 3A) is further disposed on the first actuating portion 1112, and the first positioning portion 1311 is capable of cooperating with the first combining unit 11121 to connect the first flexible connecting element 131 to the first actuating portion 1112 (as shown in fig. 2). Similarly, the second flexible connecting element 132 extends from the second surface 121b of the puncturing body 121, and the second flexible connecting element 132 further includes a second positioning portion 1321 (as shown in fig. 2), and the second actuating portion 1122 is further provided with a second combining unit 11221 (as shown in fig. 3A), wherein the second positioning portion 1321 can cooperate with the second combining unit 11221 to connect the second flexible connecting element 132 to the second actuating portion 1122.
Preferably, in an embodiment, an angle θ (as shown in fig. 5) is formed between the axial direction of the blood vessel puncturing structure 12 and the axial direction of the blood vessel blocking structure 11, wherein the angle θ can be set to be between 0 ° and 50 °.
Furthermore, the first positioning portion 1311 and the first combining unit 11121, and the second positioning portion 1321 and the second combining unit 11221 may be pivotally connected to each other, so that the blood vessel puncturing structure 12 (i.e., the puncturing body 121) can be rotated relative to the blood vessel blocking structure 11 and positioned on the blood vessel blocking structure 11 by the first flexible connecting member 131 and the second flexible connecting member 132, thereby providing a positioning member (not shown) for positioning and fixing the blood vessel blocking structure 11 and the blood vessel puncturing structure 12 after a doctor adjusts an angle between the two structures according to actual needs during operation, thereby improving operation flexibility and increasing a success rate of blood vessel puncturing.
In addition, the first combining unit 11121 of the first actuating portion 1112 and the second combining unit 11221 of the second actuating portion 1122 may be further configured to combine with a force applying device (not shown) respectively, so as to apply a force to the first actuating portion 1112 and the second actuating portion 1122, so that the first actuating portion 1112 and the second actuating portion 1122 are stressed to deform, and further the first clamping portion 1111 and the second clamping portion 1121 are driven to be in a pre-clamping state. In one embodiment, the first positioning portion 1311 and the second positioning portion 1321 are two positioning holes, and the first combining unit 11121 and the second combining unit 11221 are two clamping holes, wherein the inner diameters of the positioning holes 1311 and 1321 are smaller than the inner diameters of the clamping holes 11121 and 11221, so as to not hinder the force applicator from clamping on the first combining unit 11121 and the second combining unit 11221, and facilitate the detachment. In addition, the force applier may be rotated relative to the vascular occlusion structure 11 by an external force to accommodate the angular adjustment requirements.
Referring to fig. 2 and fig. 4, in an embodiment, the guide rail assembly 1211 further includes a first sliding rail 12111 and a second sliding rail 12112 respectively disposed on the first surface 121a and the second surface 121b, and the slider 1221 of the puncturing assembly 122 is, for example, a slider, which is located between the first sliding rail 12111 and the second sliding rail 12112, and two opposite sides of the slider 1221 respectively abut against the first sliding rail 12111 and the second sliding rail 12112, so that the slider 1221 slides along the first sliding rail 12111 and the second sliding rail 12112 to drive the puncturing assembly 122 to move relative to the puncturing body 121. However, the arrangement of the guide rail assembly 1211 is not limited thereto, please refer to fig. 10A and 10B, in another embodiment, the guide rail assembly 1211 may only have a third sliding rail 12113, and the sliding element 1221 may be matched with the third sliding rail 12113 to slide along the third sliding rail 12113.
In one embodiment, the rail assembly 1211 includes a distal end 1211A and a proximal end 1211B, the sliding member 1221 is movable between the distal end 1211A and the proximal end 1211B of the rail assembly 1211, wherein when the sliding member 1221 is located at the distal end 1211A of the rail assembly 1211, the puncturing assembly 122 is received in the rail assembly 1211 (i.e., the state shown in fig. 1A), and when the sliding member 1221 moves from the distal end 1211A to the proximal end 1211B of the rail assembly 1211, the puncturing assembly 122 extends outward from the inside of the rail assembly 1211 along the axial direction of the rail assembly 1211 to puncture the blood vessel a (i.e., the state shown in fig. 1B).
Referring to fig. 6, the puncturing element 1222 of the present application can be, for example, an indwelling needle, and includes an outer cannula needle 12221 and a needle core 12222 movably sleeved inside the outer cannula needle 12221, wherein the outer cannula needle 12221 is further connected to the sliding element 1221. In one embodiment, the outer cannula 12221 may include a hollow needle tube 12221a and a tee 12221b, one end of the hollow needle tube 12221a is provided with a drainage hole 122211, the other end is connected to the tee 12221b, the tee 12221b is provided with a one-way through hole 12223 and a conducting tube 12224, wherein the needle core 12222 is inserted into the hollow needle tube 12221a of the outer cannula 12221 through the one-way through hole 12223 or pulled out from the hollow needle tube 12221a of the outer cannula 12221, and the one-way through hole 12223 is in a closed state when the needle core 12222 is pulled out from the outer cannula 12221. Conduit 12224 may be in communication with a catheter 1223 (described in more detail below).
Referring to fig. 7A to 7D, in an embodiment, the puncture body 121 is further provided with a position-limiting portion 1212, wherein, as shown in fig. 7A, when the puncture element 1222 is to puncture the blood vessel a, a force is applied to the stylet 12221, so that the stylet 12222 pushes the outer trocar 12221 to move toward the blood vessel (i.e., to move from the distal end 1211a toward the proximal end 1211B), and the slider 1221 connected to the outer trocar 12221 moves from the distal end 1211a of the guide rail assembly 1211 toward the proximal end 1211B, and passes through the position-limiting portion 1212 (as shown in fig. 7B) disposed on the puncture body 121. Referring to fig. 7C, after the puncturing element 1222 completes puncturing the blood vessel, an external force is applied to the needle core 12222 to move the needle core 12222 away from the blood vessel (i.e. the proximal end 1211b moves from the distal end 1211 a), at this time, since the sliding element 1221 abuts against the limiting portion 1212, the outer cannula needle 12221 cannot slide with the needle core 12222, so that the needle core 12222 is separated from the outer cannula needle 12221 (as shown in fig. 7D) by the external force, and the outer cannula needle 12221 is still maintained in the state of puncturing the blood vessel.
Referring to fig. 2 and fig. 6, in an embodiment, the puncturing assembly 122 further includes a liquid guiding tube 1223, which is communicated with the outer trocar 12221, and one end of the outer trocar 12221 is further provided with a liquid guiding hole 122211, wherein when the stylet 12222 is detached from the inner portion of the outer trocar 12221 through the one-way through hole 12223, a hollow fluid passage is formed inside the hollow needle 12221a, and the liquid guiding tube 1223 guides a fluid through the liquid guiding tube 12224 and the hollow needle 12221a, and guides the fluid into the blood vessel a through the liquid guiding hole 122211; alternatively, hollow needle 12221a introduces a fluid from the blood vessel through catheter port 122211 and directs the fluid out through catheter 1223. In one embodiment, the fluid introduced by the liquid guiding tube 1223 is a cooling liquid, such as a physiological saline solution, but not limited thereto, and other fluids may be suitable.
Preferably, the blood vessel puncturing structure 12 further comprises an actuating portion 123 connected to the stylet 12222 for applying a force to the stylet 12222 to move the stylet 12222. Referring to fig. 8, in an embodiment, the actuating portion 123 is, for example, an air bag or a liquid bag. When the action part 123 is a sac, the sac is extended by injecting water to push the puncture element 1222 to move toward the proximal end 1211b to puncture the blood vessel, and when the outer cannula needle 12221 is locked by the limiting part 1212, the liquid in the sac is extracted to shrink the sac, and since the sac is coupled with the stylet 12222, the sac shrinkage drives the stylet 12222 to move toward the distal end 1211a, so as to pull out the outer cannula needle 12221 of the stylet 12222.
In another embodiment, the actuating portion 123 can also be designed as a push-pull assembly, as shown in fig. 9A, wherein the push-pull assembly 123 comprises a core 1231 and an outer sheath 1232, the core 1231 can slide axially relative to the outer sheath 1232, the end of the outer sheath 1232 is coupled to the through hole 1213 (shown in fig. 4) of the puncturing body 121, and the end of the core 1231 is coupled to the core 12222 of the puncturing element 1222. Preferably, a stop ring 1233 is further disposed on the outer sheath 1232 for limiting the axial movement of the outer sheath 1232. In addition, as shown in fig. 9B, a catheter 122225 may be connected between the hollow needle tube 12221a and the tee 12221B of the outer trocar 12221 so as to extend a portion of the tee 12221B to the outside of the body, wherein the tee 12221B and the catheter 12225 are located between the outer sheath 1232 and the inner core 1231, fluid is introduced through the conduit 12224, the end of the catheter 12225 is connected to the hollow needle tube 12221a, the inner core 12222 is pushed to move toward the proximal end 1211B when the inner core 1231 is pushed, the inner core 1231 and the needle core 12222 are simultaneously withdrawn when the stopper 1212 of the puncture body 121 is triggered, and the outer sheath 1232 is withdrawn to keep the outer trocar 12221 in place for insertion into a blood vessel for delivering cooled saline.
Referring to fig. 10A and 10B, in another embodiment, the puncturing body 121 of the blood vessel puncturing structure 12 of the laparoscopic surgical device 1 is fixed to one side of the blood vessel blocking structure 11 (the side walls of the first actuator 1112 and the second actuator 1122), two arc-shaped grooves 124 are formed on the puncturing body 121, so that the four riveting points 114 on the side walls of the first actuator 1112 and the second actuator 1122 are engaged, and when the first actuator 1112 and the second actuator 1122 are pressed against each other or are opened, the four riveting points 124 can slide along the arc-shaped grooves 124. In addition, a third guide rail 12113 is disposed at the middle position of the puncturing body 121 for the puncturing element 122 to slide along the third guide rail 12113. In addition, an end of the outer sheath 1232 of the push-pull assembly 123 may be designed to have a curved shape or a straight shape to conform to the shape of the vascular occlusion structure 11.
Referring to fig. 11A and 11B, a diagram of a laparoscopic surgical instrument 2 according to a different embodiment of the present application is shown. In the present embodiment, the laparoscopic surgical device 2 is composed of a blood vessel blocking assembly 21, a blood vessel puncturing assembly 22 and a connecting assembly 23.
The blood vessel blocking assembly 21 is used for clamping a blood vessel to block blood flow in the blood vessel, and includes a first actuating member 211, a second actuating member 212 and an elastic member 213, wherein the first actuating member 211 includes a first clamping portion 2111 and a first actuating portion 2112, the first actuating portion 2112 extends from one end of the first clamping portion 2111, and the first actuating portion 2112 is further provided with a first sliding rail 2112. The second actuator 212 includes a second holding portion 2121 and a second actuating portion 2122, the second actuating portion 2122 extends from an end of the second holding portion 2121, and the second actuating portion 2122 further has a second slide rail 2123. The elastic element 213 is connected to the first actuating portion 2112 and the second actuating portion 2122 respectively for providing an elastic restoring force; when the first actuating portion 2112 and the second actuating portion 2122 are stressed, the first clamping portion 2111 and the second clamping portion 2121 are mutually matched to be in a pre-clamping state; when the first actuating portion 2112 and the second actuating portion 2122 are released from the force, the first clamping portion 2111 and the second clamping portion 2121 are mutually matched and in a clamping state to be clamped on the blood vessel by the elastic restoring force provided by the elastic member 213;
the blood vessel puncture assembly 22 is used to puncture the blood vessel.
The connecting assembly 23 is used for connecting the blood vessel puncturing assembly 22 and the blood vessel blocking assembly 21, and moving the blood vessel puncturing assembly 22 relative to the blood vessel blocking assembly 21, and includes a first connecting member 231 and a second connecting member 232, wherein the first connecting member 231 includes a first flexible connecting portion 2311 and a first sliding portion 2312 disposed on the first flexible connecting portion 2311, the first flexible connecting portion 2311 is connected with the blood vessel puncturing assembly 22, and the first sliding portion 2312 can be matched with the first sliding rail 2113 to slide in the first sliding rail 2113. Similarly, the second connecting member 232 also includes a second flexible connecting portion 2321 and a second sliding portion 2322 disposed on the second flexible connecting portion 2321, the second flexible connecting portion 2321 is connected to the blood vessel puncturing assembly 22, and the second sliding portion 2322 can cooperate with the second sliding rail 2123 to slide in the second sliding rail 2123. Therefore, when performing laparoscopic surgery, the blood vessel blocking component 21 is clamped on the blood vessel, so that the blood vessel near the clamped part of the blood vessel blocking component 21 is deformed, and the blood vessel puncturing component 22 is moved relative to the blood vessel blocking component 21 by the connecting component 23, so that the puncturing component 23 punctures the blood vessel along a long axis direction of a section of the deformed blood vessel.
In one embodiment, the blood vessel puncturing assembly 22 also includes an outer trocar 221 and a needle core 222 movably disposed within the outer trocar 221. The blood vessel puncturing assembly 22 further comprises an actuating portion 223 connected to the needle core 222, wherein when the actuating portion 223 moves the needle core 222 from a distal end 21a to a proximal end 21b, the needle core 222 drives the outer trocar 221 to move from the distal end 21a to the proximal end 21b, so as to puncture the blood vessel.
In addition, the blood vessel blocking component 21 is further provided with a limiting portion 224, when the blood vessel puncturing component 22 completes puncturing the blood vessel and the actuating portion 223 moves the needle core 222 from the proximal end 21b to the distal end 21a, the limiting portion 224 arranged on the blood vessel blocking component 21 provides a limit for the outer trocar 221 to disable the outer trocar 221, and the needle core 222 moves from the proximal end 21b to the distal end 21a through the limiting portion 224 to be separated from the outer trocar 221. Preferably, two sets of position-limiting portions 224 can be disposed on the vascular occlusion element 21 to limit the movement of the outer trocar 221 between the two sets of position-limiting portions 224 (as shown in fig. 11B).
In one embodiment, the blood vessel puncturing assembly 22 further comprises a catheter 225, which is in communication with the outer trocar 221, and one end of the outer trocar 221 is further provided with a drainage hole (not shown), the outer trocar 221 guides a fluid from the catheter 225 and guides the fluid into the blood vessel through the drainage hole; alternatively, outer trocar 221 introduces a fluid from the blood vessel through the drainage port and directs the fluid out through catheter 225.
In addition, in an embodiment, the axial direction of the blood vessel puncturing element 22 of the laparoscopic surgical device 2 and the axial direction of the blood vessel blocking element 21 may also form an included angle, which is also set between 0 ° and 50 °.
Furthermore, the present application also provides a laparoscopic surgical device, which in one embodiment may be composed of a laparoscopic surgical instrument 1 or 2 and a cooling module, wherein the cooling module is in communication with the laparoscopic surgical instrument 1 or 2 for providing a fluid to the laparoscopic surgical instrument 1 or 2, and when performing the laparoscopic surgery, the laparoscopic surgical instrument 1 or 2 may be clamped on an artery to puncture the artery, and the fluid provided by the cooling module may be input into the artery.
Referring to fig. 12, in another embodiment, the laparoscopic surgical device 3 may be composed of two laparoscopic surgical instruments 31,32 and a cooling module 33, wherein the laparoscopic surgical instruments 31,32 are any one of the laparoscopic surgical instruments 1 or 2, and the cooling module 33 is respectively communicated with the first laparoscopic surgical instrument 31 and the second laparoscopic surgical instrument 32 for providing a fluid to the first laparoscopic surgical instrument 31 and introducing the fluid from the second laparoscopic surgical instrument 32; when performing the laparoscopic surgery, the first laparoscopic surgical instrument 31 is clamped to an artery to puncture the artery and to input the fluid provided from the cooling module 33 into the artery, and the second laparoscopic surgical instrument 32 is clamped to a vein to puncture the vein and to introduce the fluid from the vein and to introduce the fluid into the cooling module 33. The cooling module 33 may be two separate devices for respectively delivering fluid to the first laparoscopic surgical instrument 31 and receiving fluid introduced by the second laparoscopic surgical instrument 32, but the cooling module 33 may also be an integrated structure. Therefore, the present embodiment uses two laparoscopic surgical instruments 31 and 32 to make the cooled victory saline enter the body from the artery, and then exit the body from the vein, which has less influence on the human body compared with the prior art, and has the advantages of high cooling effect and uniform cooling.
In summary, the laparoscopic surgical device provided by the present application integrates the blood vessel blocking structure and the blood vessel puncturing structure, so as to facilitate the blocking and puncturing operation of the blood vessel during the operation. In addition, the axial included angle of the blood vessel blocking structure relative to the axial direction of the blood vessel puncture structure is 0-50 degrees, so that the blood vessel puncture structure can puncture along the long axis direction of the cross section of the clamped blood vessel, the blood vessel puncture structure has the advantages of long puncture stroke and difficulty in puncturing the blood vessel, and the success rate of blood vessel puncture can be improved.
In addition, the laparoscopic surgical apparatus provided by the present application can simultaneously use two laparoscopic surgical instruments, one for providing the artery blocking and the coolant injecting operation, and the other for providing the vein blocking and the coolant discharging operation, which has advantages of high cooling efficiency and uniform cooling.
Moreover, this application permeable sets up spacing locking structure and with the holder on set up safe scale to the accuracy and the security of remaining needle puncture blood vessel have further been guaranteed. Furthermore, the blood vessel puncture structure can be stably fixed on the blood vessel by the blood vessel blocking structure and is not easy to move, thereby ensuring the safety of cold perfusion operation in the operation.
In addition, this application adopts the retention to puncture to the blood vessel, can avoid in the art along with the motion of blood vessel block structure, and cause other mechanical damage's problem.
Finally, it should be noted that: the above embodiments are only used for illustrating the technical solutions of the embodiments of the present application, and are not limited thereto; although the present application has been described in detail with reference to the foregoing embodiments, it should be understood by those of ordinary skill in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some technical features may be equivalently replaced; and such modifications or substitutions do not depart from the spirit and scope of the corresponding technical solutions in the embodiments of the present application.
Claims (17)
1. A laparoscopic surgical instrument, comprising:
a vessel blocking structure for clamping a blood vessel to block blood flow inside the blood vessel; and
a blood vessel puncturing structure for puncturing the blood vessel, comprising:
the puncture body is connected to the blood vessel blocking structure, and a guide rail assembly is arranged on the puncture body; and
the puncture assembly comprises a sliding part and a puncture part fixedly connected with the sliding part, and the sliding part can be matched with the guide rail assembly to enable the puncture assembly to move along the guide rail assembly; wherein,
when the blood vessel blocking structure is clamped on the blood vessel, the blood vessel near the clamped part of the blood vessel blocking structure is deformed, and the puncture assembly is moved, so that the puncture piece punctures the blood vessel along the long axis direction of the section of the deformed blood vessel.
2. The laparoscopic surgical instrument of claim 1, further comprising:
the vascular occlusion structure, further comprising:
the first actuating piece comprises a first clamping part and a first actuating part, and the first actuating part extends from one end of the first clamping part;
the second actuating piece comprises a second clamping part and a second actuating part, and the second actuating part extends from one end of the second clamping part; and
the elastic piece is respectively connected with the first actuating part and the second actuating part and is used for providing elastic restoring force; wherein,
when the first actuating part and the second actuating part are stressed, the first clamping part and the second clamping part are mutually matched to be in a pre-clamping state; when the stress of the first actuating part and the second actuating part is relieved, the first clamping part and the second clamping part are mutually matched and are in a clamping state to be clamped on the blood vessel by the elastic restoring force provided by the elastic piece; and
a connection assembly for providing interconnection of the vascular occlusion structure and the vascular puncture structure, the puncture body including a first surface and a second surface, and the connection assembly further including:
a first flexible connector connecting the first actuation portion and the first surface of the piercing body, respectively; and
a second flexible connection connecting the second actuation portion and the second surface of the piercing body, respectively.
3. The laparoscopic surgical instrument of claim 2, wherein said first flexible connector extends from said first surface of said penetrating body, and said first flexible connector further comprises a first positioning portion, said first actuating portion further comprising a first coupling unit, said first positioning portion cooperating with said first coupling unit to connect said first flexible connector and said first actuating portion; the second flexible connecting piece extends from the second surface of the puncture body, the second flexible connecting piece further comprises a second positioning part, the second actuating part further comprises a second combining unit, and the second positioning part is matched with the second combining unit to connect the second flexible connecting piece with the second actuating part.
4. The laparoscopic surgical instrument of claim 3, wherein an axial direction of said vessel puncturing structure forms an angle with an axial direction of said vessel blocking structure, wherein said angle ranges between 0 ° and 50 °.
5. The laparoscopic surgical instrument of claim 4, wherein said vessel puncturing structure is rotated relative to and positioned over said vessel occluding structure by said first flexible connector and said second flexible connector.
6. The laparoscopic surgical instrument of claim 3, wherein said first and second coupling units are further adapted to couple a force applicator for applying a force to said first and second actuating portions, respectively.
7. The laparoscopic surgical instrument of claim 2, wherein said rail assembly further comprises a first rail and a second rail respectively disposed on said first surface and said second surface, said slider being a slider, opposite sides of said slider respectively abutting against said first rail and said second rail to slide along said first rail and said second rail.
8. The laparoscopic surgical instrument of claim 1, wherein said rail assembly comprises a third slide rail, said slider being cooperable with said third slide rail for sliding movement therealong.
9. The laparoscopic surgical instrument of claim 7 or 8, wherein said rail assembly comprises a distal end and a proximal end, said slider being movable between said distal and proximal ends of said rail assembly, wherein,
the spike assembly is received in the rail assembly when the slider is at the distal end of the rail assembly;
when the slider moves from the distal end to the proximal end of the rail assembly, the puncture assembly protrudes outward from the interior of the rail assembly in the axial direction of the rail assembly to puncture the blood vessel.
10. The laparoscopic surgical instrument of claim 9, wherein said penetrating member further comprises:
an outer trocar connected to the slider; and
a needle core which is movably sleeved in the outer trocar.
11. The laparoscopic surgical instrument of claim 10, wherein said piercing body further comprises a stopper, wherein,
when the puncture piece punctures the blood vessel, the limiting part provides a limiting position for the sliding piece to enable the outer trocar not to actuate, and the needle core moves from the near end to the far end under the action of an external force to be separated from the outer trocar.
12. The laparoscopic surgical instrument of claim 11, wherein said puncture assembly further comprises a catheter tube communicating with said outer trocar, and wherein said outer trocar has a drainage hole at one end thereof, said outer trocar introducing a fluid from said catheter tube and introducing said fluid into said blood vessel through said drainage hole; alternatively, the outer trocar introduces a fluid from the blood vessel through the drainage hole and leads the fluid out through the catheter.
13. The laparoscopic surgical instrument of claim 11, wherein said vessel puncturing structure further comprises an actuating portion connected to said stylet for applying a force to said stylet to move said stylet.
14. The laparoscopic surgical instrument of claim 13, wherein said actuating portion is a balloon, a fluid bladder, or a push-pull assembly.
15. A laparoscopic surgical instrument, comprising:
a vessel occluding assembly for clamping a vessel to occlude blood flow within the vessel, comprising:
the first actuating piece comprises a first clamping part and a first actuating part, the first actuating part extends from one end of the first clamping part, and the first actuating part is also provided with a first sliding rail;
the second actuating piece comprises a second clamping part and a second actuating part, the second actuating part extends from one end of the second clamping part, and a second sliding rail is further arranged on the second actuating part; and
the elastic piece is respectively connected with the first actuating part and the second actuating part and is used for providing elastic restoring force; wherein,
when the first actuating part and the second actuating part are stressed, the first clamping part and the second clamping part are mutually matched to be in a pre-clamping state; when the stress of the first actuating part and the second actuating part is relieved, the first clamping part and the second clamping part are mutually matched and are in a clamping state to be clamped on the blood vessel by the elastic restoring force provided by the elastic piece;
a vessel puncture assembly for puncturing the blood vessel; and
a coupling assembly for coupling said vessel puncturing assembly with said vessel occlusion assembly and for moving said vessel puncturing assembly relative to said vessel occlusion assembly, comprising:
the first connecting piece comprises a first flexible connecting part and a first sliding part arranged on the first flexible connecting part; the first flexible connecting part is connected with the blood vessel puncture assembly, and the first sliding part can be matched with the first sliding rail and can slide in the first sliding rail; and
the second connecting piece comprises a second flexible connecting part and a second sliding part arranged on the second flexible connecting part; the second flexible connecting part is connected with the blood vessel puncture assembly, and the second sliding part can be matched with the second sliding rail and can slide in the second sliding rail;
when the blood vessel blocking component is clamped on the blood vessel, the blood vessel near the part clamped by the blood vessel blocking component is deformed, and the blood vessel puncture component moves relative to the blood vessel blocking component by virtue of the connecting component, so that the puncture component punctures the blood vessel along a long axis direction of a section of the deformed blood vessel.
16. A laparoscopic surgical device, comprising:
a laparoscopic surgical instrument as claimed in any one of claims 1 to 15; and
a cooling module in communication with the laparoscopic surgical instrument for providing a fluid to the laparoscopic surgical instrument; wherein,
the laparoscopic surgical instrument is clamped to an artery to puncture the artery and to input the fluid provided by the cooling module into the artery.
17. A laparoscopic surgical device, comprising:
a first laparoscopic surgical instrument as claimed in any one of claims 1 to 15;
a second laparoscopic surgical instrument as claimed in any one of claims 1 to 15; and
a cooling module, which is respectively communicated with the first laparoscopic surgical instrument and the second laparoscopic surgical instrument, and is used for providing a fluid for the first laparoscopic surgical instrument and introducing the fluid from the second laparoscopic surgical instrument; wherein,
the first laparoscopic surgical instrument is clamped to an artery to puncture the artery and to input the fluid provided by the cooling module into the artery, and the second laparoscopic surgical instrument is clamped to a vein to puncture the vein and to introduce the fluid from the vein and into the cooling module.
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| CN201711054312.0A CN107693079B (en) | 2017-10-31 | 2017-10-31 | Laparoscopic surgical instrument and laparoscopic surgical device |
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| CN201711054312.0A CN107693079B (en) | 2017-10-31 | 2017-10-31 | Laparoscopic surgical instrument and laparoscopic surgical device |
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| CN107693079B CN107693079B (en) | 2024-06-14 |
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Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5683405A (en) * | 1995-08-25 | 1997-11-04 | Research Medical Inc. | Vascular occluder |
| CN101889885A (en) * | 2010-07-26 | 2010-11-24 | 沈瑞林 | Renal artery blockage and cold infusion device for laparoscopic surgeries |
| CN102078211A (en) * | 2011-01-27 | 2011-06-01 | 沈瑞林 | Forceps end mechanism of blocking forceps with puncture hole and no damage to renal artery for celioscope |
| US20160256624A1 (en) * | 2013-10-16 | 2016-09-08 | National Cancer Center | Injection device for endoscopy |
| CN107080574A (en) * | 2017-05-18 | 2017-08-22 | 中国人民解放军总医院 | A kind of fixing device of 3D trochars and blood vessel clip |
| CN206473344U (en) * | 2016-11-16 | 2017-09-08 | 哈尔滨理工大学 | A kind of telescopic gripper type puncture biopsy needle |
| CN206548581U (en) * | 2016-12-01 | 2017-10-13 | 中国人民解放军第四军医大学 | A kind of Multifunctional anesthesia puncture needle |
| CN208524949U (en) * | 2017-10-31 | 2019-02-22 | 中国人民解放军第二军医大学 | Laparoscopic surgical instruments and laparoscopic surgery equipment |
-
2017
- 2017-10-31 CN CN201711054312.0A patent/CN107693079B/en active Active
Patent Citations (8)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5683405A (en) * | 1995-08-25 | 1997-11-04 | Research Medical Inc. | Vascular occluder |
| CN101889885A (en) * | 2010-07-26 | 2010-11-24 | 沈瑞林 | Renal artery blockage and cold infusion device for laparoscopic surgeries |
| CN102078211A (en) * | 2011-01-27 | 2011-06-01 | 沈瑞林 | Forceps end mechanism of blocking forceps with puncture hole and no damage to renal artery for celioscope |
| US20160256624A1 (en) * | 2013-10-16 | 2016-09-08 | National Cancer Center | Injection device for endoscopy |
| CN206473344U (en) * | 2016-11-16 | 2017-09-08 | 哈尔滨理工大学 | A kind of telescopic gripper type puncture biopsy needle |
| CN206548581U (en) * | 2016-12-01 | 2017-10-13 | 中国人民解放军第四军医大学 | A kind of Multifunctional anesthesia puncture needle |
| CN107080574A (en) * | 2017-05-18 | 2017-08-22 | 中国人民解放军总医院 | A kind of fixing device of 3D trochars and blood vessel clip |
| CN208524949U (en) * | 2017-10-31 | 2019-02-22 | 中国人民解放军第二军医大学 | Laparoscopic surgical instruments and laparoscopic surgery equipment |
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