CN108836449A - A kind of Minimally Invasive Surgery instrument for treating children's hernia - Google Patents
A kind of Minimally Invasive Surgery instrument for treating children's hernia Download PDFInfo
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- CN108836449A CN108836449A CN201810725596.XA CN201810725596A CN108836449A CN 108836449 A CN108836449 A CN 108836449A CN 201810725596 A CN201810725596 A CN 201810725596A CN 108836449 A CN108836449 A CN 108836449A
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- 206010019909 Hernia Diseases 0.000 title claims abstract description 44
- 238000002324 minimally invasive surgery Methods 0.000 title claims abstract description 27
- 238000013461 design Methods 0.000 claims abstract description 32
- NJPPVKZQTLUDBO-UHFFFAOYSA-N novaluron Chemical compound C1=C(Cl)C(OC(F)(F)C(OC(F)(F)F)F)=CC=C1NC(=O)NC(=O)C1=C(F)C=CC=C1F NJPPVKZQTLUDBO-UHFFFAOYSA-N 0.000 claims description 15
- 230000000694 effects Effects 0.000 claims description 12
- 238000000034 method Methods 0.000 claims description 11
- 210000000683 abdominal cavity Anatomy 0.000 claims description 9
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 5
- 238000009434 installation Methods 0.000 claims description 4
- 230000005540 biological transmission Effects 0.000 claims description 3
- 230000008021 deposition Effects 0.000 claims description 3
- 210000000582 semen Anatomy 0.000 claims description 3
- 208000006558 Dental Calculus Diseases 0.000 claims description 2
- 230000009471 action Effects 0.000 claims description 2
- 238000001356 surgical procedure Methods 0.000 abstract description 3
- 238000010586 diagram Methods 0.000 description 10
- 208000029836 Inguinal Hernia Diseases 0.000 description 9
- 210000003815 abdominal wall Anatomy 0.000 description 4
- 230000008901 benefit Effects 0.000 description 4
- 210000001177 vas deferen Anatomy 0.000 description 4
- 241000135309 Processus Species 0.000 description 3
- 230000002159 abnormal effect Effects 0.000 description 3
- 210000000080 chela (arthropods) Anatomy 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 210000004267 spermatic cord Anatomy 0.000 description 3
- 238000012549 training Methods 0.000 description 3
- 210000001015 abdomen Anatomy 0.000 description 2
- 201000010099 disease Diseases 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 230000002028 premature Effects 0.000 description 2
- 230000008439 repair process Effects 0.000 description 2
- 210000004706 scrotum Anatomy 0.000 description 2
- 208000024891 symptom Diseases 0.000 description 2
- 208000004998 Abdominal Pain Diseases 0.000 description 1
- 206010000060 Abdominal distension Diseases 0.000 description 1
- 206010010774 Constipation Diseases 0.000 description 1
- 206010011469 Crying Diseases 0.000 description 1
- 241001313288 Labia Species 0.000 description 1
- 208000002193 Pain Diseases 0.000 description 1
- 206010039740 Screaming Diseases 0.000 description 1
- 238000010521 absorption reaction Methods 0.000 description 1
- 230000006399 behavior Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000002146 bilateral effect Effects 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
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- 210000004013 groin Anatomy 0.000 description 1
- 238000000338 in vitro Methods 0.000 description 1
- 230000000968 intestinal effect Effects 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- 238000007912 intraperitoneal administration Methods 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 238000002357 laparoscopic surgery Methods 0.000 description 1
- 208000018773 low birth weight Diseases 0.000 description 1
- 231100000533 low birth weight Toxicity 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3478—Endoscopic needles, e.g. for infusion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/04—Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
- A61B17/0469—Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/12009—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot
- A61B17/12013—Implements for ligaturing other than by clamps or clips, e.g. using a loop with a slip knot for use in minimally invasive surgery, e.g. endoscopic surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
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- Health & Medical Sciences (AREA)
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- Animal Behavior & Ethology (AREA)
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- Heart & Thoracic Surgery (AREA)
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- General Health & Medical Sciences (AREA)
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- Reproductive Health (AREA)
- Vascular Medicine (AREA)
- Ophthalmology & Optometry (AREA)
- Surgical Instruments (AREA)
Abstract
The present invention discloses a kind of Minimally Invasive Surgery instrument for treating children's hernia, belongs to the field of medical instrument technology.The surgical instrument includes puncturing free device and traction device；It is described to puncture the hollow puncture needle that free device is long 15-20cm, outer diameter 2-3mm, front end is sharp puncturing head, puncturing head center is formed separately openable and closable binding clip, including upper grip head and lower pliers head, hollow puncture needle rear end is operation handle, and the operation handle can control the folding of the upper grip head and lower pliers head of puncturing head by drive rod and gear drive；The traction device includes trochar and needle core, and the needle core can be passed through out of outer diameter is 3-4mm trochar, and needle core Front-end Design has overhead kick.The Minimally Invasive Surgery external member for treating children's hernia is devised, reasonable in design, wound is smaller, is able to achieve Micro-operation；Efficient, simplified surgical procedure swift to operate, is suitble to medical institutions to promote the use of.
Description
Technical field
The present invention relates to the field of medical instrument technology, are specifically related to a kind of Minimally Invasive Surgery instrument for treating children's hernia.
Background technique
Children's hernia, that is, children's inguinal hernia is commonly called as " hernia, hernia ", is most normal in children's common surgical procedures
The disease seen, in embryonic stage, arteria umbilicalis pulls up to form peritonaeum pleat, is formed " peritonaeum processus vaginalis ", can help testis
The fixation of scrotum or round ligament of uterus is fallen into, after some children birth, this processus vaginalis is closed not exclusively, is caused intraperitoneal small
Intestines, nethike embrane, ovary, fallopian tubal etc. enter this processus vaginalis, i.e. generation hernia.It is reported that youngster's indirect inguinal hernia hernia disease incidence is
5%, premature is then higher, reaches 11%-25%.Usual boy is 3-10 times of girl, and 60% betides right side, and 25% is located at a left side
Side, bilateral incidence 15%.Due to the increase of the operations such as caesarean birth in recent years, the disease incidence of bilateral inguinal hernia in premature and
The infant of low-birth weight is respectively increased to 44% and 55%.
Children inguinal hernia gas classical symptom is intermittent swelling at groin, scrotum or labia, since children's activity is more
Or reason of crying and screaming often has gastrointestinal symptom, such as lower abdomen falling inflation, abdominal distension, abdominal pain, constipation, absorption function be poor, fatiguability and
Constitution decline etc..Again since pars inguinalis is adjacent with urogenital system, reproductive system can influenced just because of the extruding of hernia
Often development.Children's hernia is since institutional framework is soft and developmental immaturity, easily generation incarceration, once cause that an awful ache in the belly and intestines
The severe complications such as obstruction, intestinal tube necrosis, processing not in time can threat to life.
Currently, operation is treatment children's indirect inguinal hernia most efficient method, for children, the treatment of indirect inguinal hernia is not
It needs to repair, it is only necessary to carry out high ligation of hernial sac, surgical effect has obtained universally acknowledged.Although modus operandi is uncomplicated,
It is once the damage of spermatic cord structure or vas deferens occurs, bring consequence is catastrophic, and children's high ligation of hernial sac
Happening occasionally for vas deferens damage occurs afterwards, especially in some basic hospitals, how preferably to avoid to the greatest extent this
Complication is that childhood inguinal hernia surgeon needs most and solves the problems, such as.After therapeutic laparoscopy adult inguinal hernia soon,
The extensive use that laparoscopic hernia repair has obtained in children, the high definition visual field of laparoscope can be clearly seen that the type of hernia
Occur and avoid omitting concealment hernia, looks at lower progress high ligation of hernial sac straight and treat children's hernia, Postoperative recurrent rate is low, and postoperative infant is extensive
It is multiple fast, almost without pain, but it is different that the grasp that surgeon perform the operation for children's hernia is different, and operation level is irregular,
The generation of the effect and complication of operation is directly affected, furthermore currently without the minimally invasive Special surgical instrument of children's hernia, Zhi Nengtong
It crosses other surgical instruments or hysteroscope instrument auxiliary, procedure efficiency substantially reduces, operating time extends, and increases the generation of complication
Rate, it is therefore desirable to which a kind of dedicated Minimally Invasive Surgery instrument for treating childhood inguinal hernia can not only standardize and carry out single hole children under laparoscope
The operation of hernia high ligation of hernial sac, greatly shortens the learning curve of the operation, has the advantages that easy to learn and Reusability, is suitble to
Situation of all-level hospitals is carried out, and this instrument wound is small (only needing 2-3mm), and procedure efficiency is high, greatly shortens operating time (5-
10min), while the abnormal conditions such as abdominal cavity adhesion can be handled by the cooperation of training instrument, is suitable for all children's hernia patients.
Summary of the invention
In view of the above-mentioned problems existing in the prior art, the present invention provides a kind of Minimally Invasive Surgery devices for treating children's hernia
Tool devises the Minimally Invasive Surgery external member for treating children's hernia, and reasonable in design, wound is smaller, is able to achieve minimally invasive behaviour
Make；Efficient, simplified surgical procedure swift to operate, is suitble to medical institutions at different levels to promote the use of.
To realize above-mentioned technical purpose and the technique effect, the present invention is achieved through the following technical solutions：
A kind of Minimally Invasive Surgery instrument for treating children's hernia, including puncture free device and traction device；
Described to puncture the hollow puncture needle that free device is long 15-20cm, outer diameter 2-3mm, front end is sharp puncturing head,
Puncturing head center is formed separately openable and closable binding clip, including upper grip head and lower pliers head, and hollow puncture needle rear end is manipulator
Handle, the operation handle can control the folding of the upper grip head and lower pliers head of puncturing head by drive rod and gear drive；
The traction device includes trochar and needle core, and the needle core can be passed through out of outer diameter is 3-4mm trochar,
Needle core Front-end Design has overhead kick.
Further, the upper grip head connects the binding clip pedestal that angle is 160-170 °, binding clip pedestal with lower pliers head rear end
Hinged by the fixing axle in hollow puncture needle, the long 3-5mm of binding clip pedestal, rear end passes through adjusting knob bar that is articulated and connected respectively,
The rear end of connecting rod is connect with the sliding block in hollow puncture needle, and the hollow puncture needle inner stationary shaft and sliding block are located at always
On line；
Design has the sliding slot of long 4-6mm for sliding block activity in the hollow puncture needle, and hollow puncture needle corresponds to binding clip pedestal
Fluting is offered with connecting rod position two sides, the sliding block rear end is fixedly connected with the drive rod being located in hollow puncture needle；Institute
The clamping face design for stating upper grip head and lower pliers head has raised non-slip texture；
Further, the transmission rod rear end is connect with the gear drive in operation handle, the gear drive machine
Structure include with transmission rod rear end connect lower rack gear, with lower rack gear meshed gears and the upper rack engaged with gear, the tooth
Wheel is intermediate to be fixed in operation handle by installation axle, and upper rack and lower rack gear can the axial activities in operation handle；
The empty slot that rear end design on the upside of the upper rack has locking device to open up on the upside of operation handle is pierced by, the lock
Determining device is that the hook knob that can be screwed or the locking level that can pop up locking step, the locking step may be stuck in empty slot front and back end and open up
Lock slots on realize locking.
When the locking device for puncturing free device is located at the empty slot rear end lock slots of operation handle, upper grip head and lower pincers
Head closure forms a sharp puncturing head；Locking device is in empty slot slides forwards, in gear drive and drive rod
Under effect, upper grip head and lower pliers head open, and the opening and closing of upper grip head and lower pliers head is controlled by sliding back and forth locking device.
Further, the front end of described sleeve pipe needle and needle core may be designed as flexure type or erect type, and trochar rear end is base
Seat, front end may be designed as angle puncturing head or mellow and full puncturing head, pass through the sharp end of needle core front end when being designed as mellow and full puncturing head
It realizes and punctures；
The needle core Front-end Design has an overhead kick, overhead kick be can hooking or unwrapping wire overhead kick, i.e. the shape of overhead kick is long axis side
To the ellipse for being provided with opening.
Another object of the present invention is to provide a kind of Minimally Invasive Surgery instrument for treating children's hernia is minimally invasive in children's hernia
The operating method of operation, under laparoscope auxiliary, the locking device for puncturing free device is located at empty slot rear end, the puncturing head of front end
It is closed the sharp puncturing head to be formed for upper grip head and lower pliers head, abdominal cavity is pierced through by it；The overhead kick of the needle core of traction device can
It puts on suture and is used for unwrapping wire, move under water outside peritonaeum after being reached under peritonaeum by trocar puncturing free, pass through control during free
The folding that system punctures the upper grip head and lower pliers head of free device clamps the free of peritonaeum auxiliary trochar, complete in semen deposition pipe surface
At peritonaeum is punctured after the suture of inner ring half cycle, suture out of is taken in abdominal cavity by the overhead kick of needle core, is knotted later in outside.
The beneficial effects of the invention are as follows：The Minimally Invasive Surgery instrument that the present invention treats children's hernia uses the sky of outer diameter 2-3mm
The trochar that heart puncture needle and outer diameter are 3-4mm, the wound of operation is very small, can not find wound after patient discharge substantially, meets
The standard of Minimally Invasive Surgery；The design of the flexure type or erect type of trochar and needle core front end more meets the outer of abdominal wall and interior collar extension
Shape, the barb of Front-end Design can be used for unwrapping wire or hooking, while needle core is kept away in trochar during hooking or unwrapping wire
Exempt from needle core to the wound of abdominal wall tissue, reduces complication and increase surgical result；Operation handle passes through drive rod and tooth
Wheel drive mechanism can control the folding of the upper grip head and lower pliers head of puncturing head, and the clamping face design of upper grip head and lower pliers head has protrusion
Non-slip texture, trocar puncturing reach peritonaeum under after move under water free outside peritonaeum when, be capable of clamping peritonaeum and be isolated association
Puncture is helped, between the peritonaeum and peritonaeum and vas deferens and spermatic cord for facilitating trochar and needle core to pass through fold, damage can be reduced, is prevented
On-slip is de-；The free device of puncture in the present invention can be used as puncture needle and use but also as free pincers, and has structure design and close
Reason, swift and convenient to operate, the small characteristic of wound, and the design of the trochar of traction device and needle core can effectively reduce hooking unwrapping wire
The complication of process, reasonable in design, wound is smaller, is able to achieve Micro-operation；It can not only standardize and carry out under laparoscope
The operation of single hole children's hernia high ligation of hernial sac, greatly shortens the learning curve of the operation, with easy to learn and Reusability
Advantage is suitble to situation of all-level hospitals to carry out, and this instrument wound is small (only needing 2-3mm), and procedure efficiency is high, when greatly shortening operation
Between (5-10min), while the abnormal conditions such as abdominal cavity adhesion can be handled by the cooperation of training instrument, be suitable for all children's hernias and suffer from
Person.
Certainly, it implements any of the products of the present invention and does not necessarily require achieving all the advantages described above at the same time.
Detailed description of the invention
In order to illustrate the technical solution of the embodiments of the present invention more clearly, will be described below to embodiment required
Attached drawing is briefly described, it should be apparent that, drawings in the following description are only some embodiments of the invention, for ability
For the those of ordinary skill of domain, without creative efforts, it can also be obtained according to these attached drawings other attached
Figure.
Fig. 1 is the structural schematic diagram of the Minimally Invasive Surgery instrument for the treatment of children's hernia described in the embodiment of the present invention；
Fig. 2 is the structural schematic diagram that free device and traction device are punctured described in the embodiment of the present invention；
Fig. 3 is the structural schematic diagram that free device puncturing head is punctured described in the embodiment of the present invention；
Fig. 4 is the connection schematic diagram of drive rod and gear drive described in the embodiment of the present invention；
Fig. 5 is the structural schematic diagram of gear drive described in the embodiment of the present invention；
Fig. 6 is the structural schematic diagram of operation handle and upper locking device described in the embodiment of the present invention；
Fig. 7 is the structural schematic diagram of traction device described in the embodiment of the present invention；
Fig. 8 is another structural schematic diagram of traction device described in the embodiment of the present invention；
Fig. 9 is another structural schematic diagram of traction device described in the embodiment of the present invention；
Figure 10 uses schematic diagram for the free device of puncture described in the embodiment of the present invention；
In attached drawing, parts list represented by the reference numerals are as follows：
1- punctures free device, the hollow puncture needle of 101-, and 1011- slots, 1012- sliding slot, 102- puncturing head, on 1021-
Binding clip, 1022- lower pliers head, 1023- fixing axle, 1024- adjusting knob, 1025- sliding block, 1026- non-slip texture, 1027- binding clip
Pedestal, 103- operation handle, 1031- empty slot, 1032- lock slots, 104- drive rod, 105- gear drive, under 1051-
Rack gear, 1052- upper rack, 1053- gear, 1054- installation axle, 106- locking device, 1061- locking level, 1062- locking
Platform, 2- traction device, 201- trochar, 2011- angle puncturing head, 2012- pedestal, 202- needle core, 2021- overhead kick, 203- circle
Moisten puncturing head, 204- sharp end.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete
Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on
Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts all other
Embodiment shall fall within the protection scope of the present invention.
Embodiment 1
As shown in figs 1-9, a kind of Minimally Invasive Surgery instrument for treating children's hernia, including puncture free device 1 and traction dress
Set 2；
Described to puncture the hollow puncture needle 101 that free device 1 is long 15-20cm, outer diameter 2-3mm, front end is sharp wears
Tartar 102, and 102 center of puncturing head is formed separately openable and closable binding clip, including upper grip head 1021 and lower pliers head 1022, hollow
101 rear end of puncture needle is operation handle 103, and the operation handle 103 is controllable by drive rod 104 and gear drive 105
The folding of the upper grip head 1021 and lower pliers head 1022 of puncturing head 102 processed；
Traction device 2 includes trochar 201 and needle core 202, the trochar 201 that the needle core 202 can be 3-4mm from outer diameter
It inside passes through, 202 Front-end Design of needle core has overhead kick 2021.
The upper grip head 1021 connects the binding clip pedestal 1027 that angle is 160-170 °, binding clip base with 1022 rear end of lower pliers head
Seat 1027 is hinged by the fixing axle 1023 in hollow puncture needle 101, and binding clip pedestal 1027 is 3-5mm long, and rear end passes through tune respectively
1024 bar that is articulated and connected of knob is saved, the rear end of connecting rod connect with the sliding block 1025 in hollow puncture needle 101, described hollow to wear
101 inner stationary shaft 1023 of pricker and sliding block 1025 are located along the same line；
Design has the sliding slot 1012 of long 4-6mm for 1025 activity of sliding block, hollow puncture needle in the hollow puncture needle 101
101 corresponding binding clip pedestals 1027 and connecting rod position two sides offer fluting 1011,1025 rear end of sliding block with positioned at hollow
Drive rod 104 in puncture needle 101 is fixedly connected；The design of the clamping face of the upper grip head 1021 and lower pliers head 1022 has protrusion
Non-slip texture 1026；
104 rear end of drive rod is connect with the gear drive 105 in operation handle 103, the gear drive machine
Structure 105 includes the lower rack gear 1051 connecting with 104 rear end of drive rod and lower 1051 meshed gears 1053 of rack gear and and gear
The upper racks 1052 of 1053 engagements, are fixed in operation handle 103 among the gear 1053, upper tooth by installation axle 1054
Item 1052 and lower rack gear 1051 can the axial activities in operation handle 103；
Design the empty slot for thering is locking device 106 to open up on the upside of operation handle 103 in the rear end of 1052 upside of upper rack
1031 are pierced by, and the locking device 106 is the hook knob that can be screwed or the locking level 1061 that can pop up locking step 1062, described
Locking step 1062, which may be stuck in, realizes locking on the lock slots 1032 that 1031 front and back end of empty slot opens up.
The locking device 106 for puncturing free device 1 is located at the 1031 rear end lock slots of empty slot of operation handle 103
When 1032, upper grip head 1021 and the closure of lower pliers head 1022 form a sharp puncturing head；Locking device 106 in empty slot 1031 to
When front slide, under the action of gear drive 105 and drive rod 104, upper grip head 1021 and lower pliers head 1022 open, and pass through
Slide back and forth the opening and closing that locking device 106 controls upper grip head 1021 and lower pliers head 1022.
The front end of described sleeve pipe needle 201 and needle core 202 may be designed as flexure type or erect type, and trochar rear end is pedestal
2012, front end may be designed as angle puncturing head 2011 or mellow and full puncturing head 203, be designed as passing through needle core when mellow and full puncturing head 203
The sharp end 204 of 202 front ends, which is realized, to be punctured；
202 Front-end Design of needle core has an overhead kick 2021, overhead kick 2021 be can hooking or unwrapping wire overhead kick 2021, i.e. overhead kick
2021 shape is the ellipse that long axis direction is provided with opening.
Embodiment 2
As Figure 1-10 shows, a kind of Minimally Invasive Surgery instrument for treating children's hernia is in the operation side of children's hernia Minimally Invasive Surgery
Method cuts a 5mm-8mm wound in omphalos fold place, under laparoscope auxiliary, punctures locking device 106 of free device 1
In 1031 rear end of empty slot, the puncturing head 102 of front end is upper grip head 1021 and the sharp puncturing head that the closure of lower pliers head 1022 is formed, and is led to
It crosses it and pierces through abdominal cavity；Use hollow puncture needle 101 and the outer diameter of outer diameter 2-3mm for the trochar 201 of 3-4mm, the wound of operation
It is very small, it can not find wound after patient discharge substantially, meet the standard of Minimally Invasive Surgery；
The design of the flexure type or erect type of 202 front end of trochar 201 and needle core more meets the outer of abdominal wall and interior collar extension
Shape, the overhead kick 2021 of Front-end Design can be used for unwrapping wire or hooking, at the same needle core 202 during hooking or unwrapping wire in casing
It avoids needle core 202 to the wound of abdominal wall tissue in needle 201, reduce complication and increases surgical result；
When operation, upper suture can be covered for unwrapping wire in the overhead kick 2021 of the needle core 202 of traction device 2, passes through trochar 201
Puncture free, the free upper grip head 1021 for puncturing the device 1 that dissociates by control in the process that moves under water outside peritonaeum after reaching under peritonaeum
Folding with lower pliers head 1022 clamps free, the clamping of upper grip head 1021 and lower pliers head 1022 of peritonaeum auxiliary trochar 201
Face design has the non-slip texture 1026 of protrusion, i.e., as shown in Fig. 3-7 and Figure 10, in operation, will puncture the locking of free device 1
Device 106 is pushed ahead from the rear end lock slots 1032 of empty slot 1031, and upper rack 1052 is driven to move forward, and is driven therewith
Meshed gears 1053 moves clockwise to, drive lower end engagement lower rack gear 1051 move forward, push drive rod 104 to
Before, drive rod 104 pushes the sliding block 1025 in hollow 101 front side sliding slot 1012 of puncture needle to move forward, at this time with sliding block 1025
The adjusting knob 1024 of 1027 connecting pin of connecting rod and binding clip pedestal is pierced by from the fluting 1011 of hollow puncture needle 101, binding clip base
The connecting pin of seat 1027 and adjusting knob 1024 is pierced by the upper grip head 1021 so that hinged by fixing axle 1023 from fluting 1011
It is opened with lower pliers head 1022, upper grip head 1021 and 1022 clamping face of the lower pliers head design of opening have the non-slip texture 1026 of protrusion
There is clamp column peritonaeum to be separated, operate locking device 106 at this time and moved to the back-end from the front end lock slots 1032 of empty slot 1031,
It drives upper rack 1052 to move forwards, backwards, and the gear 1053 being engaged with is driven to go to counterclockwise, drive under the engagement of lower end
Rack gear 1051 moves backward, and pushes drive rod 104 backward, drive rod 104 pulls in hollow 101 front side sliding slot 1012 of puncture needle
Sliding block 1025 move backward, at this time with the adjusting knob 1024 of 1027 connecting pin of 1025 connecting rod of sliding block and binding clip pedestal from sky
The fluting 1011 of heart puncture needle 101 is returned in hollow puncture needle 101, passes through hinged upper of fixing axle 1023 under the drawing of rear end
Binding clip 1021 and lower pliers head 1022 are closed, and clamping face design has the non-slip texture 1026 of protrusion to have clamp column peritonaeum to be separated,
Aforesaid operations are repeated, are moved under water outside peritonaeum after assisting trochar 201 to reach under peritonaeum free, complete inner ring half in semen deposition pipe surface
Peritonaeum is punctured after week suture, between the peritonaeum and peritonaeum and vas deferens and spermatic cord for facilitating trochar and needle core to pass through fold, can be subtracted
Small loss prevents from slipping；Suture is taken out of abdominal cavity, 201 He of trochar of traction device 2 by the overhead kick 2021 of needle core 202
Needle core 202 is in use, needle core 202 is placed in always in trochar 201, and the overhead kick 2021 of needle core 202 is no matter in unwrapping wire or hooking
Pass through out of trochar 201, avoids traditional self-control overhead kick from catching on other tissues and peritonaeum when operating, hooking can be effectively reduced
The complication of unwrapping wire process；It knots after suture is ticked in vitro in outside.The free device of puncture in the present invention can be used as
Puncture needle is used but also as free pincers, and has reasonable in design, swift and convenient to operate, the small characteristic of wound, and is drawn
The design of the trochar 201 and needle core 202 of device 2, reasonable in design, wound is smaller, is able to achieve Micro-operation；Not only may be used
Carry out single hole children's hernia high ligation of hernial sac under laparoscope with specification to perform the operation, greatly shortens the learning curve of the operation, there is letter
The advantages of single easy to learn and Reusability, is suitble to situation of all-level hospitals to carry out, and this instrument wound is small (only needing 2-3mm), operation effect
Rate is high, greatly shortens operating time (5-10min), while the abnormal feelings such as abdominal cavity adhesion can be handled by the cooperation of training instrument
Condition is suitable for all children's hernia patients.
In the description of this specification, the description of reference term " one embodiment ", " example ", " specific example " etc. means
Particular features, structures, materials, or characteristics described in conjunction with this embodiment or example are contained at least one implementation of the invention
In example or example.In the present specification, schematic expression of the above terms may not refer to the same embodiment or example.
Moreover, particular features, structures, materials, or characteristics described can be in any one or more of the embodiments or examples to close
Suitable mode combines.
Present invention disclosed above preferred embodiment is only intended to help to illustrate the present invention.There is no detailed for preferred embodiment
All details are described, are not limited the invention to the specific embodiments described.Obviously, according to the content of this specification,
It can make many modifications and variations.These embodiments are chosen and specifically described to this specification, is in order to better explain the present invention
Principle and practical application, so that skilled artisan be enable to better understand and utilize the present invention.The present invention is only
It is limited by claims and its full scope and equivalent.
Claims (9)
1. a kind of Minimally Invasive Surgery instrument for treating children's hernia, it is characterised in that：Including puncturing free device and traction device；
Described to puncture the hollow puncture needle that free device is long 15-20cm, outer diameter 2-3mm, front end is sharp puncturing head, is punctured
Head center is formed separately openable and closable binding clip, including upper grip head and lower pliers head, and hollow puncture needle rear end is operation handle, institute
Stating operation handle can control the folding of upper grip head and lower pliers head of puncturing head by drive rod and gear drive；
The traction device includes trochar and needle core, and the needle core can be passed through out of outer diameter is 3-4mm trochar, before needle core
End design has overhead kick.
2. a kind of Minimally Invasive Surgery instrument for treating children's hernia as described in claim 1, it is characterised in that：The upper grip head and
Lower pliers head rear end connects the binding clip pedestal that angle is 160-170 °, and binding clip pedestal is hinged by the fixing axle in hollow puncture needle,
The long 3-5mm of binding clip pedestal, rear end pass through adjusting knob bar that is articulated and connected respectively, and the rear end of connecting rod is and in hollow puncture needle
Sliding block connection, the hollow puncture needle inner stationary shaft and sliding block are located along the same line.
3. a kind of Minimally Invasive Surgery instrument for treating children's hernia as claimed in claim 2, it is characterised in that：The hollow puncture
Design has the sliding slot of long 4-6mm for sliding block activity in needle, and hollow puncture needle corresponds to binding clip pedestal and connecting rod position two sides open up
There is fluting, the sliding block rear end is fixedly connected with the drive rod being located in hollow puncture needle；The folder of the upper grip head and lower pliers head
Hold the non-slip texture that face design has protrusion.
4. a kind of Minimally Invasive Surgery instrument for treating children's hernia as described in claim 1, it is characterised in that：After the drive rod
End is connect with the gear drive in operation handle, and the gear drive includes the lower tooth connecting with transmission rod rear end
Item, with lower rack gear meshed gears and the upper rack engaged with gear, manipulator is fixed on by installation axle among the gear
In handle, upper rack and lower rack gear can the axial activities in operation handle.
5. a kind of Minimally Invasive Surgery instrument for treating children's hernia as claimed in claim 4, it is characterised in that：On the upper rack
The empty slot that the rear end design of side has locking device to open up on the upside of operation handle is pierced by, and the locking device is the locking that can be screwed
Knob or the locking level that can pop up locking step, the locking step, which may be stuck in, realizes locking on the lock slots that empty slot front and back end opens up.
6. a kind of Minimally Invasive Surgery instrument for treating children's hernia as described in claim 1, it is characterised in that：Described puncture is dissociated
When the locking device of device is located at the empty slot rear end lock slots of operation handle, upper grip head and lower pliers head, which are closed, to be formed one and sharply wears
Tartar；Locking device is in empty slot slides forwards, under the action of gear drive and drive rod, upper grip head and lower pliers head
It opens, the opening and closing of upper grip head and lower pliers head is controlled by sliding back and forth locking device.
7. a kind of Minimally Invasive Surgery instrument for treating children's hernia as described in claim 1, it is characterised in that：Described sleeve pipe needle and
The front end of needle core may be designed as flexure type or erect type, and trochar rear end is pedestal, and front end may be designed as angle puncturing head or circle
Moisten puncturing head, sharp end when being designed as mellow and full puncturing head by needle core front end, which is realized, to be punctured.
8. a kind of Minimally Invasive Surgery instrument for treating children's hernia as described in claim 1, it is characterised in that：The needle core front end
Design has an overhead kick, overhead kick be can hooking or unwrapping wire overhead kick, i.e. the shape of overhead kick is the ellipse that long axis direction is provided with opening.
9. a kind of Minimally Invasive Surgery instrument of the children's hernia for the treatment of as described in claim 1 is in the operation side of children's hernia Minimally Invasive Surgery
Method, it is characterised in that：Under laparoscope auxiliary, the locking device for puncturing free device is located at empty slot rear end, the puncturing head of front end
It is closed the sharp puncturing head to be formed for upper grip head and lower pliers head, abdominal cavity is pierced through by it；The overhead kick of the needle core of traction device can
It puts on suture and is used for unwrapping wire, move under water outside peritonaeum after being reached under peritonaeum by trocar puncturing free, pass through control during free
The folding that system punctures the upper grip head and lower pliers head of free device clamps the free of peritonaeum auxiliary trochar, complete in semen deposition pipe surface
At peritonaeum is punctured after the suture of inner ring half cycle, suture out of is taken in abdominal cavity by the overhead kick of needle core, is knotted later in outside.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810725596.XA CN108836449A (en) | 2018-07-04 | 2018-07-04 | A kind of Minimally Invasive Surgery instrument for treating children's hernia |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810725596.XA CN108836449A (en) | 2018-07-04 | 2018-07-04 | A kind of Minimally Invasive Surgery instrument for treating children's hernia |
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| CN108836449A true CN108836449A (en) | 2018-11-20 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201810725596.XA Pending CN108836449A (en) | 2018-07-04 | 2018-07-04 | A kind of Minimally Invasive Surgery instrument for treating children's hernia |
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| CN (1) | CN108836449A (en) |
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| CN110680431A (en) * | 2019-10-24 | 2020-01-14 | 苏州特普新智能科技有限公司 | Minimally invasive suturing device |
| CN110731804A (en) * | 2019-09-29 | 2020-01-31 | 上海凯利泰医疗科技股份有限公司 | Hinge dog meniscus stitching instrument |
| CN112426213A (en) * | 2020-12-09 | 2021-03-02 | 淮北市人民医院 | Equipment for laparoscopic hernia operation of children |
| CN113598866A (en) * | 2021-07-26 | 2021-11-05 | 中国人民解放军陆军军医大学第一附属医院 | Auxiliary clamp device for child hernia ligation based on single-port laparoscopic platform |
| CN116269589A (en) * | 2023-02-10 | 2023-06-23 | 中国人民解放军总医院第七医学中心 | Bendable and adjustable child laparoscope hernia soft needle |
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| CN116269589B (en) * | 2023-02-10 | 2023-12-05 | 中国人民解放军总医院第七医学中心 | Bendable and adjustable child laparoscope hernia soft needle |
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