CN108553139A - One kind exempting from pneumoperitoneum hanger - Google Patents
One kind exempting from pneumoperitoneum hanger Download PDFInfo
- Publication number
- CN108553139A CN108553139A CN201810727259.4A CN201810727259A CN108553139A CN 108553139 A CN108553139 A CN 108553139A CN 201810727259 A CN201810727259 A CN 201810727259A CN 108553139 A CN108553139 A CN 108553139A
- Authority
- CN
- China
- Prior art keywords
- hanger
- intracavitary
- strut
- pneumoperitoneum
- chamber
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
- 208000005646 Pneumoperitoneum Diseases 0.000 title claims abstract description 39
- 238000003780 insertion Methods 0.000 claims abstract description 5
- 230000037431 insertion Effects 0.000 claims abstract description 5
- 230000000694 effects Effects 0.000 claims description 13
- 239000007769 metal material Substances 0.000 claims description 2
- 238000001356 surgical procedure Methods 0.000 abstract description 6
- 238000002324 minimally invasive surgery Methods 0.000 abstract description 5
- 230000000717 retained effect Effects 0.000 abstract description 5
- 230000006378 damage Effects 0.000 abstract description 3
- 238000002695 general anesthesia Methods 0.000 abstract description 2
- 210000002784 stomach Anatomy 0.000 description 25
- 210000000683 abdominal cavity Anatomy 0.000 description 9
- 238000010586 diagram Methods 0.000 description 9
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 8
- 229910000831 Steel Inorganic materials 0.000 description 6
- 239000010959 steel Substances 0.000 description 6
- 230000008093 supporting effect Effects 0.000 description 6
- 239000000725 suspension Substances 0.000 description 6
- 208000027418 Wounds and injury Diseases 0.000 description 4
- 229910002092 carbon dioxide Inorganic materials 0.000 description 4
- 210000001519 tissue Anatomy 0.000 description 4
- 206010052428 Wound Diseases 0.000 description 3
- 210000001015 abdomen Anatomy 0.000 description 3
- 230000003187 abdominal effect Effects 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 238000012544 monitoring process Methods 0.000 description 3
- 229910001220 stainless steel Inorganic materials 0.000 description 3
- 239000010935 stainless steel Substances 0.000 description 3
- 210000003815 abdominal wall Anatomy 0.000 description 2
- 230000000903 blocking effect Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000006870 function Effects 0.000 description 2
- 238000000338 in vitro Methods 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 238000002357 laparoscopic surgery Methods 0.000 description 2
- 230000005291 magnetic effect Effects 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000000007 visual effect Effects 0.000 description 2
- 208000012260 Accidental injury Diseases 0.000 description 1
- 206010001526 Air embolism Diseases 0.000 description 1
- 206010020591 Hypercapnia Diseases 0.000 description 1
- 208000004550 Postoperative Pain Diseases 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
- 239000011248 coating agent Substances 0.000 description 1
- 238000000576 coating method Methods 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
- 238000005286 illumination Methods 0.000 description 1
- 238000001727 in vivo Methods 0.000 description 1
- 238000009434 installation Methods 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
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 206010033675 panniculitis Diseases 0.000 description 1
- 230000005298 paramagnetic effect Effects 0.000 description 1
- -1 polytetrafluoroethylene Polymers 0.000 description 1
- 229920001343 polytetrafluoroethylene Polymers 0.000 description 1
- 239000004810 polytetrafluoroethylene Substances 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000007493 shaping process Methods 0.000 description 1
- 238000001179 sorption measurement 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
- 230000001360 synchronised effect Effects 0.000 description 1
- 210000001835 viscera Anatomy 0.000 description 1
- 230000009278 visceral effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0281—Abdominal wall lifters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/36—Image-producing devices or illumination devices not otherwise provided for
- A61B90/361—Image-producing devices, e.g. surgical cameras
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
- A61B2090/309—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using white LEDs
Landscapes
- 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)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Public Health (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Endoscopes (AREA)
- Surgical Instruments (AREA)
Abstract
The present invention provides one kind and exempting from pneumoperitoneum hanger, including hanger, intracavitary hanger and strut outside chamber, and the outer hanger of chamber is retained in outside body cavity, and the outer hanger of chamber is connected with intracavitary hanger, and body cavity can be lifted up by intracavitary hanger insertion body intracavitary, form operative space.Intracavitary hanger 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 hanger.
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 one additional 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 hand of periphery exposure of surgical field
Art difficulty.In addition it can both be operated using laparoscopic instrument, also might be used from the position row inferior epigastric vessels close to surgical procedure area again
To use the instrument of part abdominal to be directly entered the operation of art area, abdominal incision quantity is caused to increase.It is suspended to high-altitude holder
On drawstring blocking is formed to the handle operating space of laparoscopic instrument, which also limits improve abdominal cavity week by multipoint suspension
The method in side visual area space, especially certain surgical procedure ranges are larger, need the instrument operated simultaneously more, can not pass through choosing
Suitable point of suspension is selected to avoid the blocking to instrument handle；Especially obese patient's stomach wall is thicker, is suspended to stomach wall shallow-layer fat
Fat, stomach wall deep tissues fail effectively to be suspended, and the visual field provided is poor, while 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：There is provided it is a kind of it is simple and safe exempt from pneumoperitoneum hanger, it is excellent with laparoscope and open surgery
Gesture, and it is avoided that the harm that CO2 pneumoperitonium is brought.
To achieve the goals above, the technical scheme is that：
One kind exempting from pneumoperitoneum hanger, including hanger, intracavitary hanger and strut outside chamber, and the outer hanger of the chamber is retained in outside body cavity, institute
The outer hanger of chamber is stated to connect with intracavitary hanger；The intracavitary hanger insertion body intracavitary, the intracavitary hanger connect with the strut activity
It connects.
Specifically, the intracavitary hanger and the outer hanger of chamber collectively form U-shaped or L-type, the outer hanger suspention or fixed of the chamber
Above operating bed.
Specifically, the intracavitary hanger and the outer hanger of chamber are made of metal material.It is preferred that stainless steel material.
Specifically, the intracavitary hanger and the outer hanger of chamber are to be detachably connected；It is described be detachably connected be key connection or
Pin connection or threaded connection.It is preferred that being threadedly coupled by bolt.
Specifically, the intracavitary hanger is to be flexibly connected with the strut.
Specifically, shaft is installed on the intracavitary hanger.Described strut one end or middle part are movably connected in shaft, excellent
Choosing rotation connection.
It is preferred that there is sliding sleeve on the intracavitary hanger；Described strut one end or middle part are movably connected in sliding sleeve
On, preferably it is rotatablely connected.There is sliding to be keyed between sliding sleeve and the intracavitary hanger.It is preferred that intracavitary hanger section is hexagonal
Shape, tube chamber is also the hexagon being consistent therewith in sliding sleeve, can only be axially sliding along intracavitary hanger with limit slippage sleeve
It is dynamic.When having multiple holders, preferably each holder is connect with individual sliding sleeve, can be independent in tandem on intracavitary hanger
Activity.
It is preferred that having revolving part on the intracavitary hanger；Shaft is installed, the strut is movably connected on the revolving part
In shaft.It is preferred that revolving part to be located to the distal end of intracavitary hanger.When having multiple holders, preferably each holder and individual revolving part
Connection, arranged in parallel, can independent activities on intracavitary hanger.Moving member is equipped with control-rod, and the control-rod is revolved for pushing and pulling
Turn part.There is the locating part of protrusion on the control-rod.
It is preferred that there is sliding groove on the intracavitary hanger, the strut is movably connected on sliding groove, can be along sliding groove to remote
End movement, can also rotate in sliding groove to outside intracavitary hanger.It is preferred that sliding groove is the elongated through-holes on intracavitary hanger,
Strut cuttage is in through-hole.
It is preferred that having sliding groove and revolving part on the intracavitary hanger, the revolving part can be described along sliding groove activity
Shaft is installed, the strut is movably connected in shaft on revolving part.Holder can also while mobile to sliding groove distal end
It is rotated to outside intracavitary hanger in sliding groove.
Specifically, drag-line is connected on the strut, described drag-line one end is stretched out outside body cavity, and the drag-line is for controlling strut
Activity.The strut is formed by multiple strut segments by strut drag-line axial series, and adjustment strut drag-line tensity can be adjusted
The curvature of whole strut.
Above-mentioned pneumoperitoneum hanger of exempting from is also equipped with ancillary equipment, including one or more small drag hooks, and small drag hook is fixed on resistance to
On high temperature magnet, and it is adsorbed on the strut.Ancillary equipment further includes the high-brightness LED lamp chip of back side carry magnet, highlights
LED light strip light bar and Miniature high-definition camera.
The present invention supports abdominal cavity bulge, the complication for avoiding CO2 pneumoperitonium from bringing by exempting from pneumoperitoneum hanger.This hair
It is bright to 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.The present invention has the advantages that simple in structure, easy to use, wound is small and feature-rich.
Description of the drawings
Fig. 1 is to exempt from pneumoperitoneum hanger in embodiment one to open pre-structure schematic diagram.
Fig. 2 is to exempt from structural schematic diagram after pneumoperitoneum hanger is opened in embodiment one.
Fig. 3 is to exempt from the external schematic diagram of pneumoperitoneum hanger during surgery in embodiment one.
Fig. 4 is the internal schematic diagram exempted from pneumoperitoneum hanger in embodiment one and open rear support stomach wall.
Fig. 5 is to exempt from schematic diagram after pneumoperitoneum hanger is opened in embodiment two.
Fig. 6 is the schematic diagram exempted from pneumoperitoneum hanger in embodiment two and assemble each holder.
Fig. 7 is to exempt from outside schematic diagram before pneumoperitoneum hanger is opened in embodiment three.
Fig. 8 is to exempt from outside schematic diagram after pneumoperitoneum hanger is opened in embodiment three.
Fig. 9 is to exempt from schematic internal view before pneumoperitoneum hanger is opened in embodiment three.
Figure 10 is to exempt from schematic internal view after pneumoperitoneum hanger is opened in embodiment three.
Figure 11 is to exempt from schematic internal view before the rotation of pneumoperitoneum hanger in example IV.
Figure 12 is to exempt from schematic internal view after the rotation of pneumoperitoneum hanger in example IV.
Figure 13 is to be bent schematic diagram after exempting from the relaxation of pneumoperitoneum hanger multi-segmental holder in embodiment five.
Wherein：1- hangers, 2- revolving parts, 3- struts, 4- sliding sleeves, 5- sliding grooves, 6- stomach walls, 7- external supportings, 8-
Control-rod
11- intracavitary hangers, the outer hanger of 12- chambers, bar exports in 13-, 14- wedge shape platforms, 15- control-rod entrances,
21- shafts, 22- movable rotational pieces, 23- fix revolving part
31- struts segment, the segments 32- drag-line, 33- strut drag-lines, 34- control-rod protrusions reel rope, the outer tensioning of 36- in 35-
Rope, 37- drag-line rings.
Specific implementation mode
Embodiment one
As shown in attached drawing 1 to attached drawing 4, one kind exempting from pneumoperitoneum hanger, and hanger 1 is made of hanger 12 outside intracavitary hanger 11 and chamber, by
Stainless steel steel column curves U-shaped, and steel column diameter 1cm can suspend 30 kilograms or more weights in midair.Intracavitary hanger 11 is about 15cm, insertion body
Intracavitary, hanger 12 is retained in outside body cavity chamber outside, is connect with the external supporting 7 being fixed on operating bed.
11 end of intracavitary hanger is connect with shaft 21, and three flat 3 sizes of strut are identical, long 12cm, wide 1cm, thick
0.5cm can comply with 6 crooked radian of stomach wall under stress.3 one end of strut is rotatably connected with shaft 21, and the other end is arc, no
Stomach wall 6 can be damaged.Strut 3 can support the rectangular area of diagonal line length 24cm after being unfolded, can suspend corresponding stomach wall 6 in midair,
Form operative space.
First lift stomach wall 6 with two towel forceps when surgical procedure, cut the osculum of 3cm, the hanger 1 under Fig. 1 states is inserted
Enter abdominal cavity, holds the outer 12 upward suspention stomach wall 6 of hanger of chamber, and hanger outside chamber 12 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, by the rotation of each strut 3 to Fig. 4
Shown state.The outer hanger 12 of chamber is further lifted later, until operative space is satisfied with.First suitably loosen after operation
The outer hanger 12 of chamber, reduces 6 tensity of stomach wall, pulls out intracavitary hanger 11.Since smaller operative incision stops, strut 3 is certainly
It is dynamic to be collapsed.
Embodiment two
As shown in Figure 5 and Figure 6, the present embodiment is similar to embodiment one, and difference lies in struts 3 to be hung by sliding sleeve 4 with intracavitary
Frame 11 is slidably connected, and three struts 3 are separately connected three sliding sleeves 4 and three shafts, tandem.11 section of intracavitary hanger
Inner cavity with sliding sleeve is all hexagon, is rotated along the axis of intracavitary hanger 11 after can preventing 3 stress of strut.
It is first placed in intracavitary hanger 11 when use, is placed in three struts 3 and sliding sleeve successively, then hanger outside chamber 12 is inserted into
Thicker intracavitary hanger 12, is inserted into pin and does pin connection.Then U-shaped hanger is would be combined into be suspended on external supporting 7.Again
Under laparoscope monitoring, by the rotation of each strut 3 to state shown in Fig. 5.The outer hanger 12 of chamber is further lifted later, until hand
Until art space is satisfied with.First suitably loosen the outer hanger 12 of chamber after operation, reduces 6 tensity of stomach wall, disassemble cavity of resorption internal hanger
11, each strut 3 and sliding sleeve 4 are pulled out one by one.
In a non-limiting embodiments, there is thread socket on hanger 12 outside chamber, can be inserted into the screw thread on intracavitary hanger 12
Bellmouth is threadedly coupled.
At another in a non-limiting embodiments, there is socket on the outer hanger of chamber 12, the key of socket upper process, on key
Also upward barb, the bellmouth that can be inserted on intracavitary hanger 12 simultaneously hook upwards.Intracavitary hanger 11 is by stomach wall when due to suspention
Downward pressure, can make barb stress, hook it is tighter.To be broken on intracavitary hanger 11 when dismounting can release and hanger outside chamber 12
Connection.
Embodiment three
As shown in Figure 7 to 10, the hanger 1 in the present embodiment is made square steel column by stainless steel material and curves U-shaped, steel column section
It is long 3cm, the rectangle of wide 2cm can suspend 30 kilograms or more weights in midair.Intracavitary hanger 11 and chamber 12 integrally connected of outer hanger are long
All it is 15cm, medial arc interconnecting piece diameter 10cm.11 insertion body intracavitary of intracavitary hanger, inside have through 11 both sides of intracavitary hanger
Through-hole as sliding groove 5.5 thickness 1cm of sliding groove, intracavitary hanger 11 retain the steel plate of 5mm in 5 upper and lower of sliding groove.Outside chamber
Hanger 12 is retained in outside body cavity, is connect with the external supporting 7 being fixed on operating bed.
Three struts 3 are installed, each strut 3 has independent shaft 21 and movable rotational piece 22 to connect on movable rotational piece 22
It connects.There is thread jack on movable rotational piece 22, can be connected through a screw thread with control-rod 8.
It is first placed in intracavitary hanger 11 when use, hanger outside chamber 12 is suspended on external supporting 7.It is monitored again in laparoscope
Under, when holding control-rod 8 pushes ahead movable rotational piece 22 along sliding groove 5 in art, the strut 3 of both sides is lateral by wedge-shaped platform 14
Expansion is pushed, intermediate strut 3 therefrom protract by bar outlet 13.When strut 3, which is expanded to, is satisfied with position, pivoting lever 8 makes control
Bar protrusion 34 processed is stuck on control-rod entrance 15, prevents strut 3 from retreating.At the end of operation, control-rod 8 is held by movable rotational piece
22 pull back, and take in sliding groove 5.It is appropriate to loosen the outer hanger 12 of chamber, 6 tensity of stomach wall is reduced, intracavitary hanger 11 is extracted.
Example IV
As is illustrated by figs. 11 and 12, the present embodiment is similar to embodiment three, and difference lies in the present embodiment five struts 3, uses
Fixed revolving part 23.Fixed revolving part 23 is connected in the shaft 21 of 11 front end of intracavitary hanger, can be pivoted.Strut drag-line
33 are fixedly connected with the posterior segment of each strut 3, so that two struts 3 is closed up and can also be opened after pulling, maximum angle is not
More than 60 degree.Strut drag-line 33 reels rope 35 and outer stretching rope 36 in being divided into after extending to both sides, respectively from 5 both sides of sliding groove
It passes through in drag-line ring 37, is stretched out outside abdominal cavity after extension.
As shown in figure 11, rope 35 is reeled in tension will take in sliding groove 5 in strut 3, by intracavitary hanger 11 from operative incision
It is inserted into abdominal cavity, the extended end of drag-line is retained in outside abdominal cavity.Outer stretching rope 36 is pulled, so that strut 3 is extended out, strut drag-line 33 can be drawn
Other 3 synchronous rotaries of strut are moved, pulling on outer stretching rope 36 can drive fixed revolving part 23 to rotate.Fixed revolving part 23 and chamber
There is limiting stand between internal hanger 11, can limit strut 3 can only extend out to position shown in Figure 12.After expansion is satisfied rope is reeled by interior
35 and the position of outer stretching rope 36 all lock.
First suitably loosen the outer hanger 12 of chamber after operation, reduces 6 tensity of stomach wall, loosen all drag-lines, pull out
Intracavitary hanger 11.Since smaller operative incision stops, strut 3 is collapsed automatically.
Embodiment five
As shown in figure 13, the present embodiment is similar to embodiment three, and difference lies in struts 3 to be drawn by multiple strut segments 31 by segment
32 axial series of rope form, and the tensity of adjustment segment drag-line 32 can adjust the curvature of strut 3.It is bent under relaxed state
Multi-segmental strut 3 can reduce the accidental injury to abdominal visceral browser.
Embodiment six
The present embodiment is similar to embodiment one, and there are lubricant layer, preferably polytetrafluoroethylene coating in intracavitary hanger 11 and 3 surface of strut.
11 long 24cm of intracavitary hanger, strut 3 only have one, long 24cm, pass through at the centre of intracavitary hanger 11 and the intermediate 12cm of strut 3
Shaft 21 is rotatablely connected.One end of strut has drag-line connection, drag-line to extend in vitro, and it is endoceliac can to control merging in vitro
Strut rotation angle.
Embodiment seven
The present embodiment is similar to embodiment one, is to have paramagnetic steel difference lies in pneumoperitoneum hanger making material is exempted from, can lead to
Magnet adsorption ancillary equipment, including one or more small drag hooks are crossed, small drag hook is fixed on high temperature resistant magnet, and is adsorbed on strut
On 3.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 more
The functions such as directional lighting, 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 hanger, including hanger, intracavitary hanger and strut outside chamber, it is characterised in that：The outer hanger of the chamber is protected
It stays in outside body cavity, the outer hanger of the chamber is connected with intracavitary hanger；The intracavitary hanger insertion body intracavitary, the intracavitary hanger and institute
State strut connection.
2. according to claim 1 exempt from pneumoperitoneum hanger, it is characterised in that：The intracavitary hanger and the common structure of the outer hanger of chamber
At U-shaped or L-type.
3. according to claim 1 exempt from pneumoperitoneum hanger, it is characterised in that：The intracavitary hanger and the outer hanger of chamber are removable
Unload connection.
4. according to claim 1 exempt from pneumoperitoneum hanger, it is characterised in that：The intracavitary hanger is activity with the strut
Connection.
5. according to claim 4 exempt from pneumoperitoneum hanger, it is characterised in that：There is shaft on the intracavitary hanger；The branch
Bar is connected in the shaft.
6. according to claim 4 exempt from pneumoperitoneum hanger, it is characterised in that：There is sliding sleeve on the intracavitary hanger；
The strut is connected on sliding sleeve.
7. according to claim 4 exempt from pneumoperitoneum hanger, it is characterised in that：There is sliding groove on the intracavitary hanger, it is described
Strut is connected in sliding groove, can be along sliding groove activity.
8. according to claim 7 exempt from pneumoperitoneum hanger, it is characterised in that：There are revolving part, institute on the intracavitary hanger
Shaft can be equipped in sliding groove activity, the revolving part by stating revolving part, and the strut is movably connected in shaft.
9. according to claim 1 exempt from pneumoperitoneum hanger, it is characterised in that：Drag-line, the drag-line are connected on the strut
One end is stretched out outside body cavity, and the drag-line is for controlling strut activity.
10. according to claim 1 exempt from pneumoperitoneum hanger, it is characterised in that：The outer hanger of the intracavitary hanger and/or chamber by
Metal material is made.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810727259.4A CN108553139A (en) | 2018-07-05 | 2018-07-05 | One kind exempting from pneumoperitoneum hanger |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810727259.4A CN108553139A (en) | 2018-07-05 | 2018-07-05 | One kind exempting from pneumoperitoneum hanger |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108553139A true CN108553139A (en) | 2018-09-21 |
Family
ID=63555213
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810727259.4A Pending CN108553139A (en) | 2018-07-05 | 2018-07-05 | One kind exempting from pneumoperitoneum hanger |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN108553139A (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109464171A (en) * | 2019-01-09 | 2019-03-15 | 青岛大学附属医院 | Dilator in a kind of knee joint |
| CN113017723A (en) * | 2021-02-07 | 2021-06-25 | 南方科技大学 | Abdominal cavity supporting mechanism and abdominal cavity supporting equipment |
Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH0819546A (en) * | 1994-07-11 | 1996-01-23 | Terumo Corp | Abdominal wall lifting device |
| RU2123810C1 (en) * | 1996-12-19 | 1998-12-27 | Кулик Ярослав Петрович | Elevator of front abdominal wall |
| RU2185109C2 (en) * | 2000-09-18 | 2002-07-20 | Кулик Ярослав Петрович | Apparatus for lifting abdominal wall |
| CN101238997A (en) * | 2007-02-08 | 2008-08-13 | 富士能株式会社 | Suspending tool for abdominal wall |
| CN102846343A (en) * | 2012-08-01 | 2013-01-02 | 王小军 | Pneumoperitoneum-free peritoneoscope suspending type abdominal wall puncture device |
| US20150342590A1 (en) * | 2012-12-21 | 2015-12-03 | University College Cork, National University Of Ireland, Cork | Inflatable laparoscopic retractor for atraumatic retraction in abdominal surgery |
| CN105902285A (en) * | 2016-04-06 | 2016-08-31 | 北京航空航天大学 | Expandable retractor used for breast tumor surgery |
| CN206044665U (en) * | 2016-07-06 | 2017-03-29 | 孙圣坤 | Apparatus is suspended in midair without gas laparoscopy stomach wall |
| CN208910345U (en) * | 2018-07-05 | 2019-05-31 | 泗洪县正心医疗技术有限公司 | One kind exempting from pneumoperitoneum hanger |
-
2018
- 2018-07-05 CN CN201810727259.4A patent/CN108553139A/en active Pending
Patent Citations (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH0819546A (en) * | 1994-07-11 | 1996-01-23 | Terumo Corp | Abdominal wall lifting device |
| RU2123810C1 (en) * | 1996-12-19 | 1998-12-27 | Кулик Ярослав Петрович | Elevator of front abdominal wall |
| RU2185109C2 (en) * | 2000-09-18 | 2002-07-20 | Кулик Ярослав Петрович | Apparatus for lifting abdominal wall |
| CN101238997A (en) * | 2007-02-08 | 2008-08-13 | 富士能株式会社 | Suspending tool for abdominal wall |
| CN102846343A (en) * | 2012-08-01 | 2013-01-02 | 王小军 | Pneumoperitoneum-free peritoneoscope suspending type abdominal wall puncture device |
| US20150342590A1 (en) * | 2012-12-21 | 2015-12-03 | University College Cork, National University Of Ireland, Cork | Inflatable laparoscopic retractor for atraumatic retraction in abdominal surgery |
| CN105902285A (en) * | 2016-04-06 | 2016-08-31 | 北京航空航天大学 | Expandable retractor used for breast tumor surgery |
| CN206044665U (en) * | 2016-07-06 | 2017-03-29 | 孙圣坤 | Apparatus is suspended in midair without gas laparoscopy stomach wall |
| CN208910345U (en) * | 2018-07-05 | 2019-05-31 | 泗洪县正心医疗技术有限公司 | One kind exempting from pneumoperitoneum hanger |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109464171A (en) * | 2019-01-09 | 2019-03-15 | 青岛大学附属医院 | Dilator in a kind of knee joint |
| CN113017723A (en) * | 2021-02-07 | 2021-06-25 | 南方科技大学 | Abdominal cavity supporting mechanism and abdominal cavity supporting equipment |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN102846343B (en) | Pneumoperitoneum-free peritoneoscope suspending type abdominal wall puncture device | |
| CN103202719B (en) | Spindly non-pneumoperitoneum device for single-port laparoscopy | |
| US5547458A (en) | T-shaped abdominal wall lift with telescoping member | |
| JP5237301B2 (en) | Device for maintaining a patient in place and method of use thereof | |
| CN108553139A (en) | One kind exempting from pneumoperitoneum hanger | |
| HU229773B1 (en) | A tool for surgical intervention | |
| JP2011506017A5 (en) | ||
| CN108542441B (en) | Umbrella-type laparoscope pneumoperitoneum-free supporting device | |
| CN208910345U (en) | One kind exempting from pneumoperitoneum hanger | |
| US11246580B2 (en) | Cantilever liver retraction devices and methods of use | |
| CN108553138A (en) | It is a kind of through abdomen wall puncture suspension apparatus | |
| CN107582310A (en) | Multifunction surgical support and application method | |
| CN108523952A (en) | One kind exempting from pneumoperitoneum suspension platform | |
| CN209203365U (en) | It is a kind of through abdomen wall puncture suspension apparatus | |
| CN109259811A (en) | A kind of laparoscope baffle-type gall-bladder pulling clamp | |
| CN208910344U (en) | One kind exempting from pneumoperitoneum suspension platform | |
| CN113057704A (en) | Nail anvil assembly, guiding device and surgical instrument for complete laparoscope | |
| CN113616375B (en) | Removable airway stent | |
| CN209966466U (en) | Abdomen tractor of gasless laparoscope | |
| CN107928723A (en) | The single hole stomach wall fixing device of gasless laparoscope | |
| CN207693611U (en) | Clinical operation tension device | |
| CN206473352U (en) | One kind exempts from pneumoperitoneum abdominal cavity trailer system | |
| CN219516401U (en) | Pneumoperitoneum-free stretching device for laparoscopic surgery | |
| CN212015558U (en) | Improved structure of laparoscope for gastrointestinal surgery | |
| CN109907785B (en) | Pneumoperitoneum-free laparoscope abdomen tractor |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| WD01 | Invention patent application deemed withdrawn after publication |
Application publication date: 20180921 |
|
| WD01 | Invention patent application deemed withdrawn after publication |