CN108523952A - One kind exempting from pneumoperitoneum suspension platform - Google Patents
One kind exempting from pneumoperitoneum suspension platform Download PDFInfo
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- CN108523952A CN108523952A CN201810727250.3A CN201810727250A CN108523952A CN 108523952 A CN108523952 A CN 108523952A CN 201810727250 A CN201810727250 A CN 201810727250A CN 108523952 A CN108523952 A CN 108523952A
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- 239000000725 suspension Substances 0.000 title claims abstract description 127
- 208000005646 Pneumoperitoneum Diseases 0.000 title claims abstract description 41
- 230000000694 effects Effects 0.000 claims description 11
- 238000001356 surgical procedure Methods 0.000 abstract description 7
- 238000002324 minimally invasive surgery Methods 0.000 abstract description 5
- 230000008901 benefit Effects 0.000 abstract description 2
- 230000006378 damage Effects 0.000 abstract description 2
- 238000002695 general anesthesia Methods 0.000 abstract description 2
- 229910000831 Steel Inorganic materials 0.000 description 42
- 239000010959 steel Substances 0.000 description 42
- 210000002784 stomach Anatomy 0.000 description 35
- 210000000683 abdominal cavity Anatomy 0.000 description 24
- 238000010586 diagram Methods 0.000 description 14
- 238000012544 monitoring process Methods 0.000 description 8
- 210000001519 tissue Anatomy 0.000 description 8
- 238000007912 intraperitoneal administration Methods 0.000 description 7
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 6
- 229910001220 stainless steel Inorganic materials 0.000 description 6
- 230000008093 supporting effect Effects 0.000 description 6
- 208000027418 Wounds and injury Diseases 0.000 description 4
- 210000001015 abdomen Anatomy 0.000 description 4
- 239000010935 stainless steel Substances 0.000 description 4
- 206010052428 Wound Diseases 0.000 description 3
- 210000003815 abdominal wall Anatomy 0.000 description 3
- 229910002092 carbon dioxide Inorganic materials 0.000 description 3
- 238000000338 in vitro Methods 0.000 description 3
- 230000005291 magnetic effect Effects 0.000 description 3
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 description 2
- 230000003187 abdominal effect Effects 0.000 description 2
- 238000005452 bending Methods 0.000 description 2
- 230000000903 blocking effect Effects 0.000 description 2
- 238000000576 coating method Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- 238000005286 illumination Methods 0.000 description 2
- 238000001727 in vivo Methods 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 238000009434 installation Methods 0.000 description 2
- 238000002357 laparoscopic surgery Methods 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 230000000717 retained effect Effects 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 206010001526 Air embolism Diseases 0.000 description 1
- 206010020591 Hypercapnia Diseases 0.000 description 1
- 208000004550 Postoperative Pain Diseases 0.000 description 1
- 239000004809 Teflon Substances 0.000 description 1
- 229920006362 Teflon® Polymers 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 239000001569 carbon dioxide Substances 0.000 description 1
- 238000005266 casting Methods 0.000 description 1
- 239000011248 coating agent Substances 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 229910052742 iron Inorganic materials 0.000 description 1
- 238000009940 knitting Methods 0.000 description 1
- 239000000314 lubricant Substances 0.000 description 1
- 230000005389 magnetism Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 206010033675 panniculitis Diseases 0.000 description 1
- 239000002907 paramagnetic material Substances 0.000 description 1
- 230000005408 paramagnetism Effects 0.000 description 1
- 230000035807 sensation Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000007493 shaping process Methods 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 210000004304 subcutaneous tissue Anatomy 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 210000001835 viscera Anatomy 0.000 description 1
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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors 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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0281—Abdominal wall lifters
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The present invention provides one kind and exempting from pneumoperitoneum suspension platform, including strut and Suspension, and strut and Suspension are all placed in body cavity, and the outer suspension apparatus of body cavity, which stretches into body cavity, connect with the Suspension and provide support force, can be lifted up body cavity, form operative space.Suspension is also connect with strut, further to expand operative space.The present invention can realize the advantage with laparoscope and open surgery, it is avoided that the harm that CO2 pneumoperitonium is brought again, the patient that makes to have Minimally Invasive Surgery indication but not be resistant to general anesthesia and pneumoperitoneum related complication is also subjected to minimally-invasive treatment, has widened Minimally Invasive Surgery idicatio.
Description
Technical field
The present invention relates to the field of medical instrument technology more particularly to one kind exempting from pneumoperitoneum suspension platform.
Background technology
With the progress of economic society, requirement of the patient to Minimally Invasive Surgery is more and more urgent, and overwhelming majority operation is all by abdomen
Hysteroscope is completed.Due to CO2 pneumoperitonium can the complication such as secondary hypercapnia, air embolism, stasis of blood stream, make it in group
Application in the gerontal patient of children, gravid woman and the merging basis disease of knitting organ undeveloped mature is restricted.Exempt from gas
Pneumascos laparoscopic is to provide operating space using external mechanical tensile forces for operation, does not depend on artificial pneumoperitoneum, reduces carbon dioxide gas
Abdomen related complication, make there is Minimally Invasive Surgery indication but not be resistant to general anesthesia and pneumoperitoneum related complication patient be also subjected to it is micro-
Wound treatment, has widened Minimally Invasive Surgery idicatio.
In prior art, promote preferable gas-less laparoscopy stomach wall suspension solution mainly by umbilical notch cut into
Enter laparoscope, mirror downward view guiding monitoring under, with a Ke Shi draw point from the certain position subcutaneous layer of fat of stomach wall pass through not into
Enter abdominal cavity, Ke Shi draw points are hung on high-altitude holder by suspension apparatus, are provided for laparoscopic surgery to make stomach wall obtain suspending in midair
Operating space.For example Patent Office of the People's Republic of China is in a CN101098106Y patents of the bulletin on the 13rd of August in 2008, it is entitled
A perpendicular type holder is arranged in gasless laparoscope suspension apparatus, and upright bar activity is fixed, and multiple extensions are arranged on cross bar
A chaining is arranged in hook, and upper end link is suspended on a hook, and lower end link is connected in the equalization point of a gate frame crossbeam
On, Ke Shi needles are fixed in two vertical pawl end activities of gate frame.It will need to be inserted into Ke Shi needles at the stomach wall position sling and wear
Go out, and the two vertical pawl end activities for being exposed at the Ke Shi needles both ends outside stomach wall and stretching into gate frame are compressed, passes through and lift chaining
The height of adjustment lifting stomach wall.But it is an additional wound to patient that Ke Shi needles, which penetrate Abdominal Wall Fat layer to carry out stomach wall suspention itself,
Wound is suspended to the wedge shape that the operating space that a part is provided is similar to tent top, the bad increase operation of periphery exposure of surgical field
Difficulty.In addition it can both be operated again from the position row inferior epigastric vessels close to surgical procedure area using laparoscopic instrument, it can also
It is directly entered art area using the instrument of part abdominal to operate, abdominal incision quantity is caused to increase.It is suspended on the holder of high-altitude
Drawstring blocking is formed to the handle operating space of laparoscopic instrument, which also limits improve abdominal cavity periphery by multipoint suspension
The method in visual area space, especially certain surgical procedure ranges are larger, need the instrument operated simultaneously more, can not pass through selection
Suitable point of suspension avoids the blocking to instrument handle；Especially obese patient's stomach wall is thicker, is suspended to stomach wall shallow-layer fat,
Stomach wall deep tissues fail effectively to be suspended, and the visual field provided is poor, at the same this suspension solution can cause subcutaneous tissue with
The separation of deep tissues, postoperative pain, hemotoncus may.
A CN2221943Y patents that on March 13rd, 1996 is announced, entitled umbrella shape drawing device, including inner tube group
Part, outer tube assembly and umbrella wing component, interior tube assembly and outer tube assembly coaxially can be relatively movably set in together.This needs to cut
The aperture of larger abdominal cavity entry or the channel that can reduce instrument entrance, inner tube have relative movement with outer tube, it is therefore desirable to interior
Pipe has enough length to ensure that the umbrella wing struts, this allows for being affected by inner tubal wall when instrument enters abdominal cavity, seriously
Person may influence the normal operating of operative site.
Other similar patents such as " artificial arcus costarum "（The patent No.：CN95205612.7）, a kind of " non-pneumoperitoneum bulge of magnetism
Device "（The patent No.：CN201520412040.7）Equal devices.Existing defects are as follows：A, it needs repeatedly to puncture in stomach wall, passes through body
Interior shaping equipment supports stomach wall, larger to injury of abdominal wall, and exposure effect is undesirable.B, magnetic non-pneumoperitoneum bulge device exists
It is placed in magnet in vivo and under bed, if the two appearance is attracting, there is the possibility of huge compressing to the internal organs of posterior wall of abdomen.C, operation is compared
Trouble.Therefore clinically simple and safe exempt from pneumoperitoneum device there is an urgent need to a kind of.
Invention content
The purpose of the present invention：One kind is provided and exempts from pneumoperitoneum suspension platform, both the minimally invasive advantage with laparoscope, in turn avoided gas
Complication caused by abdomen.
To achieve the goals above, the technical scheme is that：
One kind exempting from pneumoperitoneum suspension platform, including：Including strut and Suspension, it is characterised in that：The strut and Suspension are all set
In in body cavity, suspension apparatus stretches into body cavity and is connect with the Suspension and provide support force outside body cavity；The strut and suspention
Part is flexibly connected, for expanding suspention range.
Specifically, the outer suspension apparatus of the body cavity is can to stretch into endoceliac hoist cable.It is preferred that steel wire rope.
Specifically, the outer suspension apparatus of the body cavity is can to stretch into endoceliac U-shaped or L-type hanger.It is preferred that stainless steel frame.
Specifically, suspension apparatus is to be detachably connected to the Suspension outside with endoceliac body cavity is stretched into.It is preferred that pin connection
Or it is threadedly coupled.
Specifically, the Suspension is to be flexibly connected with the strut.
Specifically, Suspension is equipped with shaft, and the strut is connected in shaft.It is preferred that Suspension and strut are all strips
Shape, strut one end or middle part are movably connected in shaft.
It is preferred that there is sliding part on the Suspension, the strut is connected on sliding part.The preferred sleeve of sliding part；Branch
Bar one end or middle part are movably connected on sliding sleeve, are preferably rotatablely connected.There is slide key company between sliding sleeve and Suspension
It connects.Or Suspension section is hexagon, tube chamber is also the hexagon being consistent therewith in sliding sleeve, can be with limit slippage sleeve
It can only slide axially along Suspension.When having multiple holders, preferably each holder is connect with individual sliding sleeve, in tandem
It, can independent activities on Suspension.
It is preferred that there is jack on the Suspension, the strut is connect by jack with Suspension.
It is preferred that having revolving part on the Suspension；Shaft is installed, the strut, which is movably connected in, to be turned on the revolving part
On axis.It is preferred that revolving part to be located to the distal end of Suspension.When having multiple holders, preferably each holder connects with individual revolving part
It connects, arranged in parallel, can independent activities on Suspension.Moving member is equipped with control-rod, and the control-rod is used for sliding rotary part.
There is the locating part of protrusion on the control-rod.
It is preferred that there is sliding groove on the Suspension, the strut is movably connected on sliding groove, can be along sliding groove to distally
It is mobile, it can also be rotated to outside Suspension in sliding groove.It is preferred that sliding groove is the elongated through-holes on Suspension, strut skewer
It is inserted in through-hole.
It is preferred that having sliding groove and revolving part on the Suspension, the revolving part can be along sliding groove activity, the rotation
Turn that shaft is installed on part, the strut is movably connected in shaft.Holder can also be while mobile to sliding groove distal end
It is rotated to outside Suspension in sliding groove.
Specifically, drag-line is connected on the strut or Suspension, described drag-line one end is stretched out outside body cavity, and the drag-line is used for
Control strut activity.
Specifically, the strut is formed by multiple strut segments by strut drag-line axial series, and adjustment strut drag-line is tight
Tonicity can adjust the curvature of strut.
Specifically, there are film or drag-line connection between the strut.Film or drag-line can expand the bearing area of strut,
Tissue between strut is also suspended in midair together, while can also mitigate the tissue contacted with strut and be pressurized.
Above-mentioned pneumoperitoneum suspension platform of exempting from is additionally provided with ancillary equipment, wherein the ancillary equipment includes one or more
Small drag hook, the small drag hook are fixed on by surgical thread on the high temperature resistant magnet, and are adsorbed on the bracing member
On, or be adsorbed on the polylith subsidiary magnet across abdominal wall.
Above-mentioned exempts from pneumoperitoneum suspension platform, wherein the ancillary equipment includes high-brightness LED lamp of the back side with paramagnetic material
Chip, high-brightness LED lamp band light bar and Miniature high-definition camera.
The present invention is by platform abdominal cavity bulge, the complication for avoiding CO2 pneumoperitonium from bringing；Pass through Multifunctional flat
Platform can be placed in multiple high-brightness LED lamps, multiple pick-up lens, multiple intracavitary drag hooks, complete multi-direction illumination, multi-visual angle filming, more
The functions such as direction draw tissue exposure.
Description of the drawings
Fig. 1 is to exempt from pneumoperitoneum suspension platform merging abdominal cavity pre-structure schematic diagram in embodiment one.
Fig. 2 is to exempt from structural schematic diagram after pneumoperitoneum suspension platform Suspension is opened in embodiment one.
Fig. 3 is the schematic diagram that embodiment 1 exempts from pneumoperitoneum suspension platform suspention stomach wall.
Fig. 4 is to exempt from pneumoperitoneum suspension platform merging abdominal cavity pre-structure schematic diagram in embodiment two.
Fig. 5 is to exempt from structural schematic diagram after pneumoperitoneum suspension platform Suspension is opened in embodiment two.
Fig. 6 is to exempt from pneumoperitoneum suspension platform merging abdominal cavity pre-structure schematic diagram in embodiment three.
Fig. 7 is to exempt from pneumoperitoneum suspension platform Suspension and strut combination schematic diagram in embodiment three.
Fig. 8 is to exempt from pneumoperitoneum suspension platform difference drag-line coiling stereoscopic schematic diagram in embodiment three.
Fig. 9 is to exempt from pneumoperitoneum suspension platform merging abdominal cavity pre-structure schematic diagram in example IV.
Figure 10 is the structural schematic diagram exempted from pneumoperitoneum suspension platform Suspension in example IV and open forceps major bucket rope.
Figure 11 is to exempt from pneumoperitoneum suspension platform extension rod and strut connection diagram in example IV.
Figure 12 is to exempt from pneumoperitoneum suspension platform structural schematic diagram in intraperitoneal use in example IV.
Figure 13 is to exempt from pneumoperitoneum suspension platform difference drag-line coiling schematic diagram in embodiment five.
Figure 14 is to exempt from pneumoperitoneum suspension platform difference drag-line coiling stereoscopic schematic diagram in embodiment five.
Wherein, 1- hoist cables, 2- Suspensions, 3- struts, the external hangers of 4-, 5- external supportings, 6- stomach walls,
11- steel wire ropes, 12- steel balls, 13- lock screws, the segments 14- drag-line reel rope, the outer stretching ropes of 16-, 17- steel wires in 15-
Locking folder, 18- pins
21- suspension discs, 22- shafts, 23- tube channels, 24- ball-and-sockets, 25- hasp straps, 26- locking pintles, 27- through-holes, 28- drag-lines
Ring, 29- drag-lines nail
31- strut drag-lines, 32- extension rods, 33- bellmouths, 34- sockets, 35- struts segment, 36- fix strut, 37- activity branch
Bar.
Specific implementation mode
Embodiment one
As shown in Figure 1 and Figure 2, one kind exempting from pneumoperitoneum suspension platform, including：Suspension 2, strut 3 and external hanger 4.In vitro
Hanger 4 is curved U-shaped by stainless steel steel column, and steel column diameter 1cm can suspend 30 kilograms or more weights in midair.External hanger 4 is grown
15cm, bending section are the semicircles of diameter 12cm, and there is jack in lower end.Suspension 2 is the stock of long 24cm, and section is diameter 1cm
Semicircle stainless steel column, both ends polish smooth.Strut 3 is identical as Suspension 2, is connected by shaft 22 at 12cm among the two, two
Person can be pivoted into mutually shown in Fig. 2.3 both ends of strut reel rope 15 and outer stretching rope 16 is connect with interior respectively, and drag-line prolongs
It is outer to facilitate patient to control the rotation of strut 3 outside body cavity to stretch out body cavity.
As shown in figure 3, Suspension 2 and strut 3 close up growth stripe shape insertion body intracavitary, external hanger 4 is retained in body cavity
Outside, it is connect with the external supporting 5 being fixed on operating bed.First lift stomach wall 6 with two towel forceps when surgical procedure, cuts 2-3cm
Osculum, abdominal cavity, inserting below outer 4 bending section of hanger of other end insertion body are inserted into 2 one end of Suspension under Fig. 1 states
Hole.The outer 4 upward suspention stomach wall 6 of hanger of hand held body, and external hanger 4 is connected on external supporting 7.Expansion operation is cut
Mouthful, or it is placed in laparoscope and surgical instrument from other positions of stomach wall 6, under laparoscope monitoring, outer stretching rope 16 is pulled by strut 3
It rotates to state shown in Fig. 2.External hanger 4 is further lifted later, until operative space is satisfied with.After operation
First suitably loosen external hanger 4, reduce 6 tensity of stomach wall, rope 15 is reeled in drawing and is rotated strut 3 as shown in Figure 1, outward
Pull out Suspension 2.
In a non-limiting embodiments, also outer on Suspension 2 to be cased with sliding sleeve, shaft 22 is connected on sliding sleeve, is turned
Axis 22 is connect with strut 3.Strut 3 can also be moved forward and backward while being pivoted along Suspension.Facilitating patient to adjust stomach wall 6 needs
The range to be suspended.
In another non-limiting embodiments, there are film or drag-line connection between strut 3.Film or drag-line can expand branch
The bearing area of bar 3 also suspends the tissue between strut 3 in midair together, while can also mitigate the tissue contacted with strut 3 and be pressurized.
Embodiment two
As shown in attached drawing 4 and Fig. 5, this exempts from pneumoperitoneum suspension platform, including：Steel wire rope 11, Suspension 2 and strut 3.Steel wire rope 11 is
What stainless steel wire was woven into, diameter 1mm can 100 kilograms of load-bearing or more.Suspension 2 is the stock of long 24cm, and section is diameter
The semicircle stainless steel column of 1cm, both ends polish smooth.Strut 3 is identical as Suspension 2, is connected by shaft 22 at 12cm among the two
It connects, the two can be pivoted into mutually shown in Fig. 2.There is tube channel 23 among shaft 22, is passed through for steel wire rope 11.3 liang of strut
End reels rope 15 and outer stretching rope 16 connect with interior respectively, and drag-line extends body cavity outside to facilitate patient to control strut outside body cavity
3 rotation.
First lift stomach wall 6 with two towel forceps when surgical procedure, cut the osculum of 2-3cm, expand operative incision, is placed in abdominal cavity
Drag hook, laparoscope and nipper.With abdominal cavity retractor pull-up stomach wall 6, certain intraperitoneal space is formed, under laparoscope monitoring, from
6 outer suitable position of stomach wall vertically enters the lancet puncture for wearing steel wire rope 11 intraperitoneal.Puncture needle is caught with nipper, with steel wire
Rope 11 pulls in abdominal cavity together, and further moves to outside operative incision.
Puncture needle is cut, steel wire rope 11 is penetrated into tube channel 23 and around lopping, grips 17 lockings with cable-type padlock, uses locking screw
Silk 13 is fixed, and Suspension is enable to bear 30 kilograms with upper pulling force.Under laparoscope monitoring, by Suspension 2 together with steel wire rope 11 1
With merging abdominal cavity, lifting steel wire rope 11 suspends stomach wall 6 in midair upwards, and is connected on external supporting 5.Outer stretching rope 16 is pulled by strut
3 rotate to state shown in Fig. 5.Steel wire rope 11 is further lifted later, until operative space is satisfied with.After operation first
It is appropriate to loosen steel wire rope 11,6 tensity of stomach wall is reduced, reeling rope 15 in drawing rotates strut 3 as shown in figure 4, pulling out suspention
Part 2 is simultaneously removed.
Embodiment three
As shown in Fig. 6,7,8, the present embodiment is similar to embodiment two, difference lies in having through-hole 27 on Suspension 2, exists for strut 3
It is inserted into art and is combined into suspension platform.There is hole in 11 end of steel wire rope, can be inserted into pin 18 and is detachably connected.Each strut 3
One end reels rope 15 in being respectively connected with, in order to withdraw.
First lift stomach wall 6 with two towel forceps when surgical procedure, cut the osculum of 2-3cm, expand operative incision, is placed in abdominal cavity
Drag hook, laparoscope and nipper.With abdominal cavity retractor pull-up stomach wall 6, certain intraperitoneal space is formed, under laparoscope monitoring, from
6 outer suitable position of stomach wall vertically enters the lancet puncture for wearing steel wire rope 11 intraperitoneal.Puncture needle is caught with nipper, with steel wire
Rope 11 pulls in abdominal cavity together, and further moves to outside operative incision.
Puncture needle is cut, steel wire rope 11 is penetrated into tube channel 23, pin 18 is inserted into the hole of 11 end of steel wire rope, makes to hang
Hanging piece can bear 30 kilograms with upper pulling force.Under laparoscope monitoring, Suspension 2 is placed in abdominal cavity together with steel wire rope 11 together, is carried
The suspention stomach wall 6 upwards of steel wire rope 11 is drawn, and is connected on external supporting 5.The outer stretching rope 16 of drawing, adjustment Suspension 2 is in abdominal cavity
Interior angle is inserted into strut 3 into through-hole 27 to facilitate.After installation as shown in Figure 8.Steel wire rope 11 is further lifted later, directly
Until operative space is satisfied with.First suitably loosen steel wire rope 11 after operation, reduces 6 tensity of stomach wall, rope is reeled in drawing
15 first pull out strut 3 one by one, finally pull out Suspension 2 and remove steel wire rope 11.
Example IV
As shown in Fig. 9,10,11,12, hoist cable 1 includes the steel wire rope 11 that stainless steel wire is woven into, diameter 1mm, 11 one end of steel wire rope
It is fused with steel ball 12,12 diameter 3mm of steel ball, steel ball 12 can suspend 30 kilograms or more weights in midair.Suspension 2 be by upper and lower two not
Steel suspension disc 21 of becoming rusty and intermediate tube channel 23 are constituted, preferably integrated casting.Two suspension discs 21 diameter 20mm, thick 3mm, in
There is the connection of tube channel 23 in centre.There are the ball-and-socket of diameter 3mm in tube channel 23 high 10mm, internal diameter 1mm, centre, are used for clamp hoist cable 1 and steel
Pearl 12.Around tube channel 23,6 struts 3 of equidistant arrangement, one end of strut 3 pass through steel column and Suspension in two suspension discs 21
2 rotatable connections, steel column diameter 2mm high 10mm, the shaft 22 as strut 3.
Suspension 2 is involuted by two symmetrical components, is connected by the hasp strap 25 of 21 side of suspension disc.Hasp strap
25 be the arc-shaped steel belt of thickness 1mm wide 2mm, there is locking pintle 26 above, is had in the side of suspension disc 21 corresponding with locking pintle 26
Buttonhole has screw thread on locking pintle 26, can screw in buttonhole.
Strut 3 is cylindrical type, and long 12cm, section is the circle of diameter 8mm, and one end is rotatably connected with shaft 22, another
End dissociative, top are dome-type, will not affected organ.Strut 3 can form the circular support of diameter about 23cm after being unfolded, can be with
It has suspended corresponding stomach wall in midair, has formed operative space.
Strut 3 as shown in figure 11 is hollow, inside has threaded socket, can be connect with the socket 34 on extension rod 32, after rotation
It is fixed.It can make the bearing area bigger of suspension apparatus, or extension rod 32 is made to stretch out abdominal cavity, facilitate patient from manipulation in vitro.
In one non-limiting embodiments, strut 3 is hollow, and there is telescopic rod in inside, can extend as needed.
First lift stomach wall 6 with two towel forceps when surgical procedure, cut the osculum of 2-3cm, expand operative incision, is placed in abdominal cavity
Drag hook, laparoscope and nipper.With abdominal cavity retractor pull-up stomach wall 6, certain intraperitoneal space is formed, under laparoscope monitoring, from
6 outer suitable position of stomach wall vertically enters the lancet puncture for wearing steel wire rope 11 intraperitoneal.Puncture needle is caught with nipper, with steel wire
Rope 11 pulls in abdominal cavity together, and further moves to outside operative incision.Puncture needle is cut, steel ball 12 is retained.Suspension disc 21 is opened, it will
Steel ball 12 on steel wire rope 11 is placed in ball-and-socket 24, and suspension disc 21 is locked with hasp strap 25.
As shown in figure 12, Suspension 2 is placed in abdominal cavity together together with hoist cable 1, lifting hoist cable 1 suspends stomach wall 6 in midair upwards, and will
Hoist cable 1 is connected on external supporting 5 outside chamber.By the rotation of each strut 3 to the state for being spaced 60 degree of angles.It further lifts later
The outer hoist cable 1 of chamber, until operative space is satisfied with.
First suitably loosen the outer hoist cable 1 of chamber after operation, reduces 6 tensity of stomach wall.Under laparoscope monitoring, incited somebody to action from vitro
Extension rod 32 stretches into be connect with strut 3 in vivo, pulls out suspension apparatus.Since smaller operative incision stops, other three
Strut 3 is collapsed automatically when extracting.It opens suspension disc 21 and discharges hoist cable 1, then hoist cable 1 is pulled out from external.
In a non-limiting embodiments, there are lubricant coating, preferably teflon coatings in suspension disc 21 and 3 surface of strut.
Embodiment five
As shown in Figure 13 and Figure 14, the present embodiment is similar to example IV, and difference lies in symmetrical two fixations in the present embodiment
Strut 36 is fixedly connected in suspension disc 21, cannot be rotated, and two four adjacent movable branching rods 37 of fixed strut 36 or so can
With rotation, by cable control, it to fixed strut 36 closes up or opens.
It is provided with drag-line nail 29 outstanding on movable branching rod 37, is used for stay guy.Drag-line ring is provided in suspension disc 21
28, the active path for guiding drag-line.When reeling rope 15 in pulling, the guiding of tension grommet 28, movable branching rod 37 is to admittedly
Determine strut 36 to close up.When pulling outer stretching rope 16, movable branching rod 37 deviates fixed strut 36.Due to the limitation of drag-line ring 28,
When forming about 60 ° of angles between movable branching rod 37, outer stretching rope 16 can not pull on, thus by the angular interval of six roots of sensation strut 3
Degree is all fixed on 60 °.Two kinds of drag-lines all stretch out in vitro, are controlled as needed by patient.
Embodiment six
The present embodiment is similar to example IV, is paramagnetism steel difference lies in pneumoperitoneum hanger making material is exempted from, can pass through magnetic
Iron adsorbs ancillary equipment, including one or more small drag hooks, and small drag hook is fixed on high temperature resistant magnet, and is adsorbed on strut.
Ancillary equipment further includes the high-brightness LED lamp and Miniature high-definition camera of back side carry magnet.These ancillary equipments can be completed multi-direction
The functions such as illumination, multi-visual angle filming, the exposure of multi-direction draw tissue.
In conclusion in the description of the present invention, it is also necessary to which explanation is unless specifically defined or limited otherwise, art
Language " setting ", " installation ", " connected ", " connection " shall be understood in a broad sense, and can also be detachable for example, it may be being fixedly connected
Connection, or be integrally connected；It can be mechanical connection, can also be magnetic connects；It can be directly connected, centre can also be passed through
Medium is indirectly connected, and can be the connection inside two elements.It for the ordinary skill in the art, can specific feelings
Condition understands the concrete meaning of above-mentioned term in the present invention.
It should be noted that：Similar label and letter indicate similar terms in following attached drawing, therefore, once a certain Xiang Yi
It is defined, then it further need not be defined and explained in subsequent attached drawing in a attached drawing.
In the description of the present invention, it should be noted that term "center", "upper", "lower", "left", "right", "vertical",
The orientation or positional relationship of the instructions such as "horizontal", "inner", "outside" is to be based on the orientation or positional relationship shown in the drawings, or be somebody's turn to do
Invention product using when the orientation or positional relationship usually put, be merely for convenience of description of the present invention and simplification of the description, without
It is instruction or implies that signified device or element must have a particular orientation, with specific azimuth configuration and operation, therefore not
It can be interpreted as limitation of the present invention.
The foregoing is merely the preferred embodiment of the present invention, are not intended to restrict the invention, for this field
For technical staff, the invention may be variously modified and varied, in the range of the principle of the present invention and technological thought, to this
A little embodiments carry out a variety of variations, modifications, equivalent substitutions and improvements etc., should all be included in the protection scope of the present invention.
Claims (10)
1. one kind exempting from pneumoperitoneum suspension platform, including strut and Suspension, it is characterised in that：The strut and Suspension are all placed in body
Intracavitary, the outer suspension apparatus of body cavity, which stretches into body cavity, to be connect with the Suspension and provides support force；The strut connects with Suspension
It connects, for expanding suspention range.
2. according to claim 1 exempt from pneumoperitoneum suspension platform, it is characterised in that：The outer suspension apparatus of the body cavity is can to stretch
Enter endoceliac hoist cable.
3. according to claim 1 exempt from pneumoperitoneum suspension platform, it is characterised in that：The outer suspension apparatus of the body cavity is can to stretch
Enter endoceliac U-shaped or L-type hanger.
4. according to claim 1 exempt from pneumoperitoneum suspension platform, it is characterised in that：The Suspension and stretch into endoceliac body
The outer suspension apparatus of chamber is to be detachably connected.
5. according to claim 1 exempt from pneumoperitoneum suspension platform, it is characterised in that：The Suspension is activity with the strut
Connection.
6. according to claim 5 exempt from pneumoperitoneum suspension platform, it is characterised in that：The Suspension is equipped with shaft, described
Strut is connected in shaft.
7. according to claim 5 exempt from pneumoperitoneum suspension platform, it is characterised in that：The Suspension also has sliding part；It is described
Strut is connected on sliding part.
8. according to claim 1 exempt from pneumoperitoneum suspension platform, it is characterised in that：The strut is passed through by multiple strut segments
Strut drag-line axial series form, and adjustment strut drag-line tensity can adjust the curvature of strut.
9. according to claim 1 exempt from pneumoperitoneum suspension platform, it is characterised in that：Control is connected on the strut or Suspension
Drag-line processed, described control drag-line one end are stretched out outside body cavity, for controlling strut or Suspension activity.
10. according to claim 1 exempt from pneumoperitoneum suspension platform, it is characterised in that：There are film or drag-line between the strut
Connection.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810727250.3A CN108523952A (en) | 2018-07-05 | 2018-07-05 | One kind exempting from pneumoperitoneum suspension platform |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810727250.3A CN108523952A (en) | 2018-07-05 | 2018-07-05 | One kind exempting from pneumoperitoneum suspension platform |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108523952A true CN108523952A (en) | 2018-09-14 |
Family
ID=63487917
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810727250.3A Pending CN108523952A (en) | 2018-07-05 | 2018-07-05 | One kind exempting from pneumoperitoneum suspension platform |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN108523952A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111991040A (en) * | 2020-08-27 | 2020-11-27 | 成都市妇女儿童中心医院 | Laparoscopic surgery exposes device |
-
2018
- 2018-07-05 CN CN201810727250.3A patent/CN108523952A/en active Pending
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111991040A (en) * | 2020-08-27 | 2020-11-27 | 成都市妇女儿童中心医院 | Laparoscopic surgery exposes device |
| CN111991040B (en) * | 2020-08-27 | 2023-06-23 | 成都市妇女儿童中心医院 | Laparoscopic surgery exposing device |
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Application publication date: 20180914 |