CN108836411A - A kind of surgical instrument realized single liver transfer operation and repair liver art - Google Patents
A kind of surgical instrument realized single liver transfer operation and repair liver art Download PDFInfo
- Publication number
- CN108836411A CN108836411A CN201810674072.2A CN201810674072A CN108836411A CN 108836411 A CN108836411 A CN 108836411A CN 201810674072 A CN201810674072 A CN 201810674072A CN 108836411 A CN108836411 A CN 108836411A
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- CN
- China
- Prior art keywords
- liver
- art
- extension plate
- repaired
- scalable
- 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.)
- Granted
Links
- 210000004185 liver Anatomy 0.000 title claims abstract description 68
- 238000012546 transfer Methods 0.000 title claims abstract description 16
- 230000008439 repair process Effects 0.000 title claims abstract description 15
- XEEYBQQBJWHFJM-UHFFFAOYSA-N Iron Chemical compound [Fe] XEEYBQQBJWHFJM-UHFFFAOYSA-N 0.000 claims abstract description 20
- 210000004204 blood vessel Anatomy 0.000 claims abstract description 19
- 239000000758 substrate Substances 0.000 claims abstract description 15
- 239000004677 Nylon Substances 0.000 claims abstract description 13
- 229920001778 nylon Polymers 0.000 claims abstract description 13
- 239000000463 material Substances 0.000 claims abstract description 11
- 229910001220 stainless steel Inorganic materials 0.000 claims abstract description 11
- 239000010935 stainless steel Substances 0.000 claims abstract description 11
- 229910052742 iron Inorganic materials 0.000 claims abstract description 9
- 239000000203 mixture Substances 0.000 claims abstract description 5
- 238000004873 anchoring Methods 0.000 claims description 3
- 230000008859 change Effects 0.000 claims description 3
- 239000003522 acrylic cement Substances 0.000 claims description 2
- 229910000831 Steel Inorganic materials 0.000 claims 1
- 239000008280 blood Substances 0.000 claims 1
- 210000004369 blood Anatomy 0.000 claims 1
- 239000010959 steel Substances 0.000 claims 1
- 238000001356 surgical procedure Methods 0.000 abstract description 7
- 238000003780 insertion Methods 0.000 abstract 1
- 230000037431 insertion Effects 0.000 abstract 1
- 238000000034 method Methods 0.000 description 6
- 238000010586 diagram Methods 0.000 description 4
- 230000008569 process Effects 0.000 description 4
- 210000003734 kidney Anatomy 0.000 description 3
- 230000000694 effects Effects 0.000 description 2
- 238000011160 research Methods 0.000 description 2
- 238000002054 transplantation Methods 0.000 description 2
- 210000001631 vena cava inferior Anatomy 0.000 description 2
- 210000002620 vena cava superior Anatomy 0.000 description 2
- 206010057573 Chronic hepatic failure Diseases 0.000 description 1
- 208000010334 End Stage Liver Disease Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 208000011444 chronic liver failure Diseases 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000013461 design Methods 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 230000002440 hepatic effect Effects 0.000 description 1
- 238000002513 implantation Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000002262 irrigation Effects 0.000 description 1
- 238000003973 irrigation Methods 0.000 description 1
- 238000009940 knitting Methods 0.000 description 1
- 239000000696 magnetic material Substances 0.000 description 1
- 238000004321 preservation Methods 0.000 description 1
- 238000004088 simulation Methods 0.000 description 1
- 239000007787 solid Substances 0.000 description 1
- 230000007704 transition 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
-
- 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
- A61B90/10—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 for stereotaxic surgery, e.g. frame-based stereotaxis
- A61B90/14—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins
- A61B90/17—Fixators for body parts, e.g. skull clamps; Constructional details of fixators, e.g. pins for soft tissue, e.g. breast-holding devices
Abstract
A kind of surgical instrument realized single liver transfer operation and repair liver art, including the scalable blood vessel clip of magnetic orientation, foldable extension plate and repair liver basin, the scalable blood vessel clip of magnetic orientation is mainly by Circular permanent magnet iron, nylon wire, scalable take-up and blood vessel clip composition, foldable extension plate, mainly it is made of the extension plate and substrate plate of the carrying magnetic stainless steel material connected by folding device, repair the basin body with lateral edge that liver basin is carrying magnetic stainless steel material, there is square shaped pin hole two in lateral edge, foldable extension plate is realized by the square shaped pin hole one of bolt insertion and square shaped pin hole two and repairs being connected and fixed for liver basin.The present invention can assist patient's drawing exposure surgical field of view in repairing liver art, and assistance is repaired liver patient and is operated, and while required number is performed the operation in reduction, improve surgical procedure precision.In addition, the system bulk is small, surgical procedure space is not take up in liver art with repairing, the features such as being convenient for carrying during transhipment.
Description
Technical field
The invention belongs to the field of medical instrument technology, in particular to a kind of surgical device realized single liver transfer operation and repair liver art
Tool.
Background technique
Liver transfer operation is the treatment method of current treatment End-stage liver disease first choice, since the sixties in last century implements, complete
The world and China obtain fast development.Orthotopic liver transplantation process is always divided into four parts：Liver obtains, liver finishing, liver body
Outer preservation, liver implantation.It usually needs two assistants to cooperate with patient's drawing, exposure tissue in liver dressing process, is patient
Certain tension and good surgical field of view are provided.However, assistant is still since liver is taken at kidney acquisition often while carrying out
Kidney Transplantation doctor need to be assisted to carry out upper mechanical irrigation note to kidney, therefore repair the problem of being frequently present of shortage of manpower in liver art.
Summary of the invention
In order to overcome the disadvantages of the above prior art, realize that liver is repaired in single liver transfer operation the purpose of the present invention is to provide a kind of
The surgical instrument of art can assist patient to pull exposure surgical field of view in repairing liver art, and assistance is repaired liver patient and is operated,
While reducing number needed for performing the operation, surgical procedure precision is improved.In addition, the system bulk is small, it is not take up in liver art with repairing
Surgical procedure space, the features such as being convenient for carrying during transhipment.
To achieve the goals above, the technical solution adopted by the present invention is that：
A kind of surgical instrument realized single liver transfer operation and repair liver art, which is characterized in that including：
The scalable blood vessel clip 1 of magnetic orientation, mainly by Circular permanent magnet iron 6, nylon wire 7, scalable take-up 8 and blood vessel clip
9 compositions, wherein one end of nylon wire 7 is arranged in blood vessel clip 9, and the other end of nylon wire 7 connects scalable take-up 8, round
Permanent magnet 6 is arranged on scalable take-up 8；
Foldable extension plate 2 is mainly made of the extension plate 10 of carrying magnetic stainless steel material and substrate plate 11, extension plate 10
It is connected with substrate plate 11 by folding device 12, there is square shaped pin hole 1 in the center of substrate plate 11；
Liver basin 3 is repaired, is the basin body 14 with lateral edge of carrying magnetic stainless steel material, there is square shaped pin hole 2 15 in lateral edge,
Square shaped pin hole 1 is inserted by bolt 4 and square shaped pin hole 2 15 realizes that foldable extension plate 2 and the connection for repairing liver basin 3 are solid
It is fixed.
It being made of inside the scalable take-up 8 plane scroll spring and drag wire, shell uses stainless steel material,
Plane scroll spring uses stainless steel material, drag wire, that is, nylon wire 7, length about 30mm.
The Circular permanent magnet iron 6 is combined with scalable take-up 8 by the acrylic adhesive of high cohesive force.
The scalable take-up 8 provides 0.5 to 2 N of traction force.
The folding device 12 realizes folder function by internal torsion spring.
In use, Circular permanent magnet iron 6 is anchored on extension plate 10 by magnetic force, by adjusting anchoring height, so as to change
Become drawing angle.
It can make have 0-270 degree angle between substrate plate 11 and extension plate 10 by adjusting the folding device 12.
The basin body 14 has upper edge, and square shaped pin hole 2 15 has several, is distributed in the upper edge.
Compared with prior art, the beneficial effects of the invention are as follows：
It can be single by three traditional people's operational transitions 1. the scalable blood vessel clip of magnetic orientation can replace manually pulling in art completely
People's operation, is greatly saved manpower；
2. the substrate plate of foldable extension plate is fixed on by bolt repairs liver basin lateral edge, extension plate is scalable as magnetic orientation
The positioning site of blood vessel clip can pull the angle of angle adjustment extension plate and substrate plate, adjustable range 0 according to needed for patient
Degree is to 270 degree；
3. the scalable blood vessel clip of magnetic orientation is located on extension plate by magnet, angle can be pulled according to needed for patient by magnetic
Sprocket bit point is finely adjusted, and in addition can be pulled dynamics by changing line stretcher length adjustment, will not be damaged group in drawing dynamics
Under the premise of knitting, makes drawing that can sufficiently expose surgical field of view, provide tension for surgical procedure.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of system entirety of the invention.
Fig. 2 is the structural schematic diagram of the scalable blood vessel clip of magnetic orientation of the invention.
Fig. 3 is the structural schematic diagram of foldable extension plate of the invention.
Fig. 4 is the structural schematic diagram for repairing liver basin of the invention.
Fig. 5 is the operation chart that liver art is repaired using the single liver transfer operation of apparatus of the present invention.
Specific embodiment
The embodiment that the present invention will be described in detail with reference to the accompanying drawings and examples.
Magnetic orientation instrument is the important directions of magnetic surgery research, can pass through the directly or indirectly side of contact using magnetic material
Formula generates the characteristic of power effect, realizes the space orientation of functional module.The advantage of magnetic orientation instrument is pointing device design letter
It is single, it is not required to occupy too large space, while being easy to convert position location, move functional module can flexibly in working space.This
Before, in terms of the research of magnetic orientation instrument has been focused into laparoscopic instrument, it is intended to reduce abdominal cavity by magnetic orientation laparoscopic instrument
The quantity or diameter of mirror stamp card, improve operation minimal invasive.Therefore, designing a kind of small and exquisite, crawl precision can be appointed by repairing liver patient
The magnetic orientation instrument of meaning adjustment, for pulling, fixing liver and liver surrounding tissue, it is possible to reduce greatly improved while manpower
Repair hepatic efficiency.
Based on above-mentioned thought, overall structure of the invention as shown in Figure 1, by the scalable blood vessel clip 1 of two to four magnetic orientations,
Two to four foldable extension plates 2, one is repaired the composition of liver basin 3.
The scalable blood vessel clip 1 of magnetic orientation is as shown in Fig. 2, by Circular permanent magnet iron 6, nylon wire 7,8 and of scalable take-up
Blood vessel clip 9 four basic original part compositions, each scalable blood vessel clip altitude simulation manpower of magnetic orientation can be according to traction needed for operation
Power size adjusts the flexible line length of nylon, and traction force is controlled at 0.5 to 2 N, can guarantee not injury tissue and provides enough lead
Drawing tension；It can change drawing angle simultaneously by adjusting position of the magnet on extension plate 10.
For foldable extension plate 2 as shown in figure 3, being made of extension plate 10 and substrate plate 11, two pieces of stainless steel plates pass through folding
Device 12 connects.Extension plate 10 is that the magnet 6 of the scalable blood vessel clip 1 of magnetic orientation provides positioning site.The control of magnetic orientation binding force
It at 5 Ns or so, can guarantee in repairing liver operating process, magnetic orientation will not fall off easily, and patient can be according to drawing angle demand
Arbitrarily adjustment position location.The effect of substrate plate 11 is to be fixed on extension plate 10 to repair in liver basin lateral edge 14, central square pin
Hole 13 with repair the square shaped pin hole 15 of same size in liver basin lateral edge 14 through bolt 4 it is fixed can guarantee it is fixed, substrate plate in
Repair the swing offset that will not issue licence between liver basin.In addition, there is 0-270 degree angle between substrate plate 11 and extension plate 10, which can
It is adjusted by folding device 12, so as to provide more angle Selections for drawing.
The structure of liver basin 3 is repaired in the present invention as shown in figure 4, main material is carrying magnetic stainless steel, structure is band lateral edge 14
Basin body, repairing liver surgery can carry out in the basin.15 function of square shaped pin hole in lateral edge 4 is as described above.
Use process of the invention such as Fig. 5, liver 5 is placed in basin during repairing liver, is utilized respectively two scalable blood vessels
The fixed liver superior and inferior vena cava 16 of blood vessel clip 9 and infrahepatic vena cava 17 on folder 1, tensile nylon line 7, by 6 anchor of Circular permanent magnet iron
Be scheduled on extension plate 10, adjust anchoring height on extension plate 10 to adjust drawing angle, adjust 7 tensile elongation of nylon wire with
Traction force is adjusted, to keep liver superior and inferior vena cava 16 and 17 holding of infrahepatic vena cava horizontal, there is tension, convenient for finishing.
Claims (8)
1. a kind of surgical instrument realized single liver transfer operation and repair liver art, which is characterized in that including：
The scalable blood vessel clip of magnetic orientation (1), mainly by Circular permanent magnet iron (6), nylon wire (7), scalable take-up (8) and blood
Pipe clamp (9) composition, wherein blood vessel clip (9) setting connects scalable receipts in one end of nylon wire (7), the other end of nylon wire (7)
Line apparatus (8), Circular permanent magnet iron (6) are arranged on scalable take-up (8)；
Foldable extension plate (2) is mainly made of the extension plate (10) of carrying magnetic stainless steel material and substrate plate (11), extension plate
(10) it is connected with substrate plate (11) by folding device (12), there is square shaped pin hole one (13) in the center of substrate plate (11)；
Liver basin (3) are repaired, is the basin body (14) with lateral edge of carrying magnetic stainless steel material, there is square shaped pin hole two in lateral edge
(15), square shaped pin hole one (13) and the foldable extension plate (2) of square shaped pin hole two (15) realization are inserted by bolt (4) and repaired
Liver basin (3) are connected and fixed.
2. realizing that the surgical instrument of liver art is repaired in single liver transfer operation according to claim 1, which is characterized in that the scalable receipts
It is made of inside line apparatus (8) plane scroll spring and drag wire, shell uses stainless steel material, and plane scroll spring is not using
Become rusty Steel material, drag wire, that is, nylon wire (7), length about 30mm.
3. realizing that the surgical instrument of liver art is repaired in single liver transfer operation according to claim 1, which is characterized in that the Circular permanent magnet
Iron (6) is combined with scalable take-up (8) by the acrylic adhesive of high cohesive force.
4. realizing that the surgical instrument of liver art is repaired in single liver transfer operation according to claim 1, which is characterized in that the scalable receipts
Line apparatus (8) provides 0.5 to 2 N of traction force.
5. realizing that the surgical instrument of liver art is repaired in single liver transfer operation according to claim 1, which is characterized in that the folding device
(12) folder function is realized by internal torsion spring.
6. realizing that the surgical instrument of liver art is repaired in single liver transfer operation according to claim 1, which is characterized in that in use, round
Permanent magnet (6) is anchored on extension plate (10) by magnetic force, by adjusting anchoring height, so as to change drawing angle.
7. realizing that the surgical instrument of liver art is repaired in single liver transfer operation according to claim 1, which is characterized in that adjust the folding
Device (12) makes have 0-270 degree angle between substrate plate (11) and extension plate (10).
8. realizing that the surgical instrument of liver art is repaired in single liver transfer operation according to claim 1, which is characterized in that the basin body (14)
With upper edge, square shaped pin hole two (15) has several, is distributed in the upper edge.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810674072.2A CN108836411B (en) | 2018-06-27 | 2018-06-27 | Surgical instrument for realizing single liver transplantation liver repair operation |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810674072.2A CN108836411B (en) | 2018-06-27 | 2018-06-27 | Surgical instrument for realizing single liver transplantation liver repair operation |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN108836411A true CN108836411A (en) | 2018-11-20 |
| CN108836411B CN108836411B (en) | 2024-03-29 |
Family
ID=64202811
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810674072.2A Active CN108836411B (en) | 2018-06-27 | 2018-06-27 | Surgical instrument for realizing single liver transplantation liver repair operation |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN108836411B (en) |
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|---|---|---|---|---|
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| US6824511B1 (en) * | 1999-06-23 | 2004-11-30 | Canica Design Inc. | Surgical fixation and retraction system |
| US20070156028A1 (en) * | 2005-12-29 | 2007-07-05 | Van Lue Stephen J | Magnetic surgical/oral retractor |
| US20070276188A1 (en) * | 2006-05-23 | 2007-11-29 | Chappuis James L | Doppler retractor |
| US20070293730A1 (en) * | 2006-06-15 | 2007-12-20 | Boston Scientific Scimed, Inc. | Surgical retractor device and method of use |
| CN201798761U (en) * | 2010-09-19 | 2011-04-20 | 山东省立医院 | Retractor for abdominal surgery |
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| CN103299988A (en) * | 2013-06-28 | 2013-09-18 | 明英姿 | Combined pot body for restoring liver during liver transplantation |
| CN107296664A (en) * | 2017-08-03 | 2017-10-27 | 西安迈格纳特医疗科技有限公司 | A kind of magnetic, multi-functional animal experimental table of one man operation |
| CN208958198U (en) * | 2018-06-27 | 2019-06-11 | 西安交通大学医学院第一附属医院 | A kind of surgical instrument realized single liver transfer operation and repair liver art |
-
2018
- 2018-06-27 CN CN201810674072.2A patent/CN108836411B/en active Active
Patent Citations (11)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6824511B1 (en) * | 1999-06-23 | 2004-11-30 | Canica Design Inc. | Surgical fixation and retraction system |
| US20040186356A1 (en) * | 2001-08-08 | 2004-09-23 | O'malley Michael T. | Surgical retractor and tissue stabilization device |
| CN2616180Y (en) * | 2003-04-24 | 2004-05-19 | 刘春华 | Magnetic-fixed retracting apparatus for surgical operation |
| US20070156028A1 (en) * | 2005-12-29 | 2007-07-05 | Van Lue Stephen J | Magnetic surgical/oral retractor |
| US20070276188A1 (en) * | 2006-05-23 | 2007-11-29 | Chappuis James L | Doppler retractor |
| US20070293730A1 (en) * | 2006-06-15 | 2007-12-20 | Boston Scientific Scimed, Inc. | Surgical retractor device and method of use |
| CN201798761U (en) * | 2010-09-19 | 2011-04-20 | 山东省立医院 | Retractor for abdominal surgery |
| CN102715924A (en) * | 2012-06-15 | 2012-10-10 | 中国人民解放军第四军医大学 | Retractor apparatus available for omnibearing surgical incision regulation |
| CN103299988A (en) * | 2013-06-28 | 2013-09-18 | 明英姿 | Combined pot body for restoring liver during liver transplantation |
| CN107296664A (en) * | 2017-08-03 | 2017-10-27 | 西安迈格纳特医疗科技有限公司 | A kind of magnetic, multi-functional animal experimental table of one man operation |
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Also Published As
| Publication number | Publication date |
|---|---|
| CN108836411B (en) | 2024-03-29 |
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Effective date of registration: 20220307 Address after: 518066 1201, building a, phase I, Qianhai economic and Trade Center, China Merchants Group, No. 151, Zimao West Street, Nanshan street, Qianhai Shenzhen Hong Kong cooperation zone, Shenzhen, Guangdong Province Applicant after: Chonghao Technology Co.,Ltd. Address before: 710061 No. 277, Yanta West Road, Shaanxi, Xi'an Applicant before: THE FIRST AFFILIATED HOSPITAL OF MEDICAL COLLEGE OF XI'AN JIAOTONG University |
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