CN107714124B - Laparoscopic hemostasis device - Google Patents

Laparoscopic hemostasis device Download PDF

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Publication number
CN107714124B
CN107714124B CN201711071135.7A CN201711071135A CN107714124B CN 107714124 B CN107714124 B CN 107714124B CN 201711071135 A CN201711071135 A CN 201711071135A CN 107714124 B CN107714124 B CN 107714124B
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Prior art keywords
bag
air bag
operating rod
hemostasis
outer sleeve
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CN201711071135.7A
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CN107714124A (en
Inventor
张俊吉
孙大为
刘海元
张令怡
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Zhuyi Weikang Beijing Technology Development Co ltd
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Zhuyi Weikang Beijing Technology Development Co ltd
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42Gynaecological or obstetrical instruments or methods
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/12Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
    • A61B2017/12004Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for haemostasis, for prevention of bleeding

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Public Health (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Reproductive Health (AREA)
  • Vascular Medicine (AREA)
  • Gynecology & Obstetrics (AREA)
  • Pregnancy & Childbirth (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a laparoscopic hemostasis device which comprises a conveyor and a hemostasis by compression structure connected with the conveyor, wherein the hemostasis by compression structure comprises an inflation pipeline and an air bag, the air bag comprises a bag wall and a bag body, one end of the inflation pipeline penetrates through the conveyor to be communicated with the bag body of the air bag, and the other end of the inflation pipeline is provided with a one-way valve. The invention adopts mechanical compression hemostasis to replace the electric coagulation hemostasis mode in the existing operation process, can avoid the postoperative ovarian function reduction caused by electric coagulation hemostasis, and has simple structure and convenient operation.

Description

Laparoscopic hemostasis device
Technical Field
The invention relates to the technical field of medical equipment, in particular to a laparoscopic hemostasis device.
Background
In recent years, laparoscopic surgery has been rapidly developed, and laparoscopic surgery has been increasingly popular. Among them, laparoscopic ovarian cyst dissection surgery is an important component in minimally invasive techniques, and ovarian cyst dissection minimally invasive surgery improves the outcome of surgery and disease-related, benefiting tens of millions of female patients worldwide.
The method for treating the ovarian chocolate cyst by laparoscopic surgery generally adopts a cyst stripping and wound surface electric coagulation hemostasis method, and the electric coagulation hemostasis method is widely used because of the simplicity, convenience and rapidness. However, according to the pre-operation and post-operation observations of a patient adopting a wound surface electrocoagulation hemostasis method in laparoscopic ovarian cyst stripping operation, the electrocoagulation hemostasis method has a large influence on the ovarian reserve function, so that the ovarian function is easily reduced, the electrocoagulation hemostasis method is avoided as much as possible in the operation, and the heat damage of the electrocoagulation on ovarian tissues is prevented. Therefore, there is a need for a hemostatic method that can avoid the decrease in ovarian function applied to laparoscopic surgery, achieving a truly minimally invasive treatment.
Disclosure of Invention
The invention aims to provide a laparoscopic hemostasis device, which solves the problems in the prior art, adopts mechanical compression hemostasis to replace an electrocoagulation hemostasis mode in the existing operation process, and can avoid postoperative ovarian function reduction caused by the electrocoagulation hemostasis.
In order to achieve the above object, the present invention provides the following solutions:
The invention provides a laparoscopic hemostasis device which comprises a conveyor and a hemostasis by compression structure connected with the conveyor, wherein the hemostasis by compression structure comprises an inflation pipeline and an air bag, the air bag comprises a bag wall and a bag body, one end of the inflation pipeline penetrates through the conveyor to be communicated with the bag body of the air bag, and the other end of the inflation pipeline is provided with a one-way valve.
Preferably, the conveyor comprises an outer sleeve and an operating rod, the operating rod is sleeved in the outer sleeve, an operating rod handle is arranged at the tail end of the operating rod, and the inflation pipeline passes through the operating rod and is communicated with the bag body of the air bag; the tail end of the outer sleeve is provided with an outer sleeve handle.
Preferably, an elastic body is fixed at the front end of the operating rod, a cylindrical channel is formed in one end periphery of the air bag, and the elastic body penetrates into the cylindrical channel.
Preferably, the capsule wall and the capsule body are made of high polymer materials or silica gel materials.
Preferably, the air bag is rolled into a cylinder or folded into a fan shape when not inflated, and is retracted into the outer sleeve along with the elastic body and the operation rod.
Preferably, the balloon is connected by a balloon wall and one or more of the bodies; when the number of the bag bodies is multiple, an air passage is arranged among the bag bodies, so that the bag bodies are communicated; the end face of the air bag is in an open cylinder shape.
Preferably, the balloon comprises a balloon wall and a balloon body, the balloon body being attached to one side of the balloon wall.
Preferably, the air bag comprises a bag wall and a plurality of bag bodies, wherein the bag bodies are attached to the inner side of the bag wall, and the air charging pipeline is respectively connected with the bag bodies.
Preferably, the conveyor is also connected with a laparoscopic surgical instrument extraction bag.
Preferably, a pressure indicating device is arranged between the one-way valve and the air bag.
Compared with the prior art, the invention has the following beneficial technical effects:
1. The laparoscopic hemostasis device provided by the invention is beneficial to the recovery of the ovarian function and prevents the decrease of the ovarian function caused by hemostasis by adopting an electric coagulation forceps after the cyst is stripped in the prior art.
2. The laparoscopic hemostasis device provided by the invention has small damage to ovarian tissues, and avoids hard damage to oviduct wall blood vessels and tissues caused by metal forceps.
3. The laparoscopic hemostasis device provided by the invention has the advantages of simple structure, good operability and convenience and rapidness in use.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions of the prior art, the drawings that are needed in the embodiments will be briefly described below, it being obvious that the drawings in the following description are only some embodiments of the present invention, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
FIG. 1 is a schematic view of a first embodiment of a laparoscopic hemostasis device in accordance with the present invention;
FIG. 2 is a schematic view of the first embodiment of the laparoscopic hemostasis device of the present invention after inflation;
FIG. 3 is a schematic view of a second embodiment of a laparoscopic hemostasis device in accordance with the present invention;
FIG. 4 is a schematic view of a laparoscopic hemostasis device of a second embodiment of the present invention inflated;
In the figure: 1: conveyor, 1-1: outer sleeve 1-2: outer sleeve handle, 1-3: operating lever, 1-4: lever handle, 2: compression hemostasis structure, 2-1: elastomer, 2-2: inflation pipeline, 2-3: check valve, 2-4: airbag, 2-4-1: capsule wall, 2-4-2: a capsule body.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
The invention aims to provide a laparoscopic hemostasis device which aims to solve the problems existing in the prior art.
In order that the above-recited objects, features and advantages of the present invention will become more readily apparent, a more particular description of the invention will be rendered by reference to the appended drawings and appended detailed description.
Example 1:
the embodiment provides an abdominal hemostasis device, as shown in fig. 1 and 2, the abdominal hemostasis device comprises a conveyor 1 and a hemostasis by compression structure 2, the conveyor 1 comprises an outer sleeve 1-1 and an operating rod 1-3, the hemostasis by compression structure 2 comprises an elastic body 2-1, an inflation pipeline 2-2, a one-way valve 2-3 and an air bag 2-4, an outer sleeve handle 1-2 is arranged at the tail end of the outer sleeve 1-1, the operating rod 1-3 is sleeved in the outer sleeve 1-1, the operating rod 1-3 is arranged at one end of the outer sleeve handle 1-2, the other end of the operating rod 1-3 is connected with the elastic body 2-1, the elastic body 2-1 is connected with the air bag 2-4, a cylindrical channel is arranged at one end circumference of the air bag 2-4, the elastic body 2-1 penetrates into the cylindrical channel and is fixed, the air bag 2-4 comprises two air bags 2-4-2 and air bags 2-4-1, the air bags 2-4-1 are made of high molecular cloth materials, the air bags 2-4-2 are made of silica gel, the two air bags 2-4-2 are connected in a sleeved mode, the two air bags 2-4-2 side by side channels are arranged on the side surfaces of the outer sleeve handle 1-2-4. The inflation pipeline 2-2 passes through one bag body 2-4-2 connected with the air bag 2-4 from the operation rod 1-3, the other end is provided with a one-way valve 2-3, and a pressure indicating device is arranged between the one-way valve 2-3 and the air bag 2-4 and used for indicating the inflation pressure of the air bag.
In the embodiment, the air bag 2-4 is folded into a fan shape under the condition of no inflation, and the air bag 2-4 is unfolded conveniently by adopting the fan shape along with the elastic body 2-1 and the operating rod 1-3 which are contained in the outer sleeve 1-1. When the air bag is used, the outer sleeve handle 1-2 and the operating rod handle 1-4 are held by hand, the operating rod 1-3 is controlled to extend forwards from the tail part of the outer sleeve 1-1, the elastic body 2-1 is automatically opened to drive the air bag opening to open, and the end face of the air bag 2-4 after being opened is in an open cylinder shape; the tissue to be pressed is flatly placed in the openings of the two bag bodies 2-4-2 of the air bag 2-4, a certain amount of gas is injected through the one-way valve 2-3 to enable the two bag bodies 2-4-2 to be full, the two bag bodies expand along with the opening, the middle opening of the bag bodies 2-4-2 is closed, the clamping and pressing are formed, the purpose of mechanical compression hemostasis is achieved, the operation is simple, the damage to the ovarian tissue is small, and the rigid damage to the oviduct wall blood vessel and the tissue caused by the metal clamp is avoided.
In example 1, the capsule body 2-4-2 may be one, and the end face of the capsule body 2-4-2 may be in an open tubular shape, otherwise the same arrangement as in example 1. In embodiment 1, the number of the capsules 2-4-2 may be two or more, and the two or more capsules 2-4-2 may have a structure in which the end face is formed in an open tubular shape, otherwise the same arrangement as in embodiment 1 is adopted.
Example 2:
The invention provides an abdominal cavity hemostasis device, as shown in figures 3 and 4, the abdominal cavity hemostasis device comprises a conveyor 1 and a hemostasis by compression structure 2, the conveyor 1 comprises an outer sleeve 1-1 and an operating rod 1-3, the hemostasis by compression structure 2 comprises an elastic body 2-1, an inflation pipeline 2-2, a one-way valve 2-3 and an air bag 2-4, an outer sleeve handle 1-2 is arranged at the tail end of the outer sleeve 1-1, the operating rod 1-3 is sleeved in the outer sleeve 1-1, the operating rod 1-3 is provided with the operating rod handle 1-4 at one end of the outer sleeve handle 1-2, the other end of the operating rod 1-3 is connected with the elastic body 2-1, the elastic body 2-1 is connected with the air bag 2-4, a cylindrical channel is arranged at one end circumference of the air bag 2-4, the elastic body 2-1 penetrates into the cylindrical channel and is fixed, the air bag 2-4 comprises a bag body 2-4-2 and a bag wall 2-4-1, the bag wall 2-4-1 is made of high polymer cloth material, the bag body 2-4-2 is a silica gel bag body, and the bag body 2-4-2-1 is attached to one side of the bag wall 2-4-1. The inflation pipeline 2-2 passes through the operation rod 1-3 and is connected with the bag body 2-4-2 of the air bag 2-4, the other end of the inflation pipeline is provided with a one-way valve 2-3, and a pressure indicating device is arranged between the one-way valve 2-3 and the air bag 2-4 and used for indicating the inflation pressure of the air bag.
In this embodiment, the air bag 2-4 is rolled into a cylinder without inflation, and is retracted into the outer sleeve 1-1 along with the elastic body 2-1 and the operation rod 1-3. When the device is used, the outer sleeve handle 1-2 and the operating rod handle 1-4 are held by hand, the operating rod 1-3 is controlled to extend forwards from the tail part of the outer sleeve 1-1, the elastic body 2-1 is automatically opened to drive the air bag 2-4 to be unfolded, tissues to be laminated are horizontally placed between the bag wall 2-4-1 and the bag body 2-4-2 of the air bag 2-4, a certain amount of gas is injected through the one-way valve 2-3 to enable the bag body 2-4-2 to be filled, the bag body is inflated, the bag body 2-4-2 is filled in the inner space of the high polymer cloth to form clamp lamination, the aim of mechanical compression hemostasis is achieved, the operation is simple, the damage to ovarian tissues is small, and hard injuries to blood vessels and tissues of the wall of a fallopian tube caused by metal clamps are avoided.
In embodiment 2, the number of the capsules 2-4-2 may be 2, and the inflation lines 2-2 are respectively connected to the two capsules 2-4-2 on both sides of the capsule wall 2-4-1, otherwise the same arrangement as in embodiment 2. The number of the bag bodies 2-4-2 may be 4, and the bag bodies are respectively attached to the inner sides of the periphery of the bag walls 2-4-1, and the air charging pipelines 2-2 are respectively communicated with the four bag bodies 2-4-2, otherwise, the arrangement is the same as that in the embodiment 2.
In addition, in the two embodiments, besides the connecting air bags 2-4, the conveyor 1 can also be provided with a laparoscopic surgical instrument fetching bag at the tail end of the operating rod 1-3, so that the operating rod 1-3 is controlled to be sent into the abdominal cavity together during operation, thereby reducing the varieties of surgical instruments and reducing consumption.
It should be noted that the section of the capsule body 2-4-2 of the invention can be rectangular or elliptical, and other shapes can be selected according to actual needs.
The principles and embodiments of the present invention have been described with reference to specific examples, which are provided to facilitate understanding of the method and core ideas of the present invention; also, it is within the scope of the present invention to be modified by those of ordinary skill in the art in light of the present teachings. In summary, the present description should not be construed as limiting the invention.

Claims (4)

1. A laparoscopic hemostasis device, characterized in that: the compression hemostasis structure comprises a conveyer and an compression hemostasis structure connected with the conveyer, wherein the compression hemostasis structure comprises an air charging pipeline and an annular air bag, the annular air bag is formed by connecting an annular bag wall and one or more bag bodies, the bag bodies are attached to the inside of the annular bag wall, the annular air bag is in a cylinder shape with two open ends, the annular bag wall is made of high polymer cloth materials, the bag bodies are made of silica gel materials, one end of the air charging pipeline penetrates through the conveyer and is communicated with the bag bodies of the annular air bag, and the other end of the air charging pipeline is provided with a one-way valve; when the bag body is one, the bag body is attached to one side of the inner part of the annular bag wall; when the number of the bag bodies is multiple, an air passage is arranged among the bag bodies, so that the bag bodies are communicated;
The conveyor comprises an outer sleeve and an operating rod, the operating rod is sleeved in the outer sleeve, an operating rod handle is arranged at the tail end of the operating rod, and the inflation pipeline passes through the operating rod to be communicated with the bag body of the annular air bag; the tail end of the outer sleeve is provided with an outer sleeve handle;
The front end of the operating rod is fixedly provided with an elastomer, a cylindrical channel is arranged at the periphery of one end of the annular air bag, the elastomer penetrates into the cylindrical channel, the annular air bag is rolled into a cylinder or folded into a fan shape under the condition of no inflation, the operating rod is taken in the outer sleeve along with the elastomer, when the operating rod is used, the outer sleeve handle and the operating rod handle are held by hand, the operating rod is controlled to extend forwards from the tail of the outer sleeve, the elastomer is automatically opened to drive the cylindrical shape of the openings at the two ends of the annular air bag Zhang Kaicheng, tissues to be pressed are flatly placed into the openings of the annular air bag, a certain amount of gas is injected into the openings of the annular air bag to enable the air bag to expand, and the openings of the annular air bag are closed to form clamp pressing.
2. A laparoscopic hemostasis device according to claim 1, wherein: the inflation pipeline is respectively connected with a plurality of the bag bodies.
3. A laparoscopic hemostasis device according to claim 1, wherein: the conveyor is also connected with a laparoscopic surgical instrument fetching bag.
4. A laparoscopic hemostasis device according to claim 1, wherein: and a pressure indicating device is arranged between the one-way valve and the annular air bag.
CN201711071135.7A 2017-11-03 2017-11-03 Laparoscopic hemostasis device Active CN107714124B (en)

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CN107714124B true CN107714124B (en) 2024-06-11

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Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115399817A (en) * 2022-07-28 2022-11-29 中国人民解放军联勤保障部队第九二〇医院 Keep splenic organ external member for operation under peritoneoscope

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5236437A (en) * 1992-07-14 1993-08-17 Wilk Peter J Surgical instrument assembly and associated technique
US6276661B1 (en) * 1996-11-06 2001-08-21 Medtronic, Inc. Pressure actuated introducer valve
WO2011077145A1 (en) * 2009-12-21 2011-06-30 Smith & Nephew Plc Hemostatic device for administration to a wound cavity
CN202821503U (en) * 2012-09-24 2013-03-27 乐普(北京)医疗器械股份有限公司 Hemostasis device
CN104622532A (en) * 2014-12-30 2015-05-20 陈世伟 Air bag type kidney part blocking device
CN205458879U (en) * 2016-03-14 2016-08-17 中国人民解放军第四军医大学 Oppression type femoral vein hemostasis device
CN209186808U (en) * 2017-11-03 2019-08-02 张俊吉 A kind of laparoscope hemostasis device

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2480272B (en) * 2010-05-11 2012-10-10 Cook Medical Technologies Llc Haemostatic valve assembly

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5236437A (en) * 1992-07-14 1993-08-17 Wilk Peter J Surgical instrument assembly and associated technique
US6276661B1 (en) * 1996-11-06 2001-08-21 Medtronic, Inc. Pressure actuated introducer valve
WO2011077145A1 (en) * 2009-12-21 2011-06-30 Smith & Nephew Plc Hemostatic device for administration to a wound cavity
CN202821503U (en) * 2012-09-24 2013-03-27 乐普(北京)医疗器械股份有限公司 Hemostasis device
CN104622532A (en) * 2014-12-30 2015-05-20 陈世伟 Air bag type kidney part blocking device
CN205458879U (en) * 2016-03-14 2016-08-17 中国人民解放军第四军医大学 Oppression type femoral vein hemostasis device
CN209186808U (en) * 2017-11-03 2019-08-02 张俊吉 A kind of laparoscope hemostasis device

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