CN109259810A - A kind of fixed device of operation path - Google Patents

A kind of fixed device of operation path Download PDF

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Publication number
CN109259810A
CN109259810A CN201811312892.3A CN201811312892A CN109259810A CN 109259810 A CN109259810 A CN 109259810A CN 201811312892 A CN201811312892 A CN 201811312892A CN 109259810 A CN109259810 A CN 109259810A
Authority
CN
China
Prior art keywords
channel
pedestal
fixation kit
operation path
sliding slot
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.)
Withdrawn
Application number
CN201811312892.3A
Other languages
Chinese (zh)
Inventor
孙晶
郑民华
薛佩
姚建清
薛剑
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Suzhou Frankenman Medical Equipment Co Ltd
Original Assignee
Suzhou Frankenman Medical Equipment Co Ltd
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Suzhou Frankenman Medical Equipment Co Ltd filed Critical Suzhou Frankenman Medical Equipment Co Ltd
Priority to CN201811312892.3A priority Critical patent/CN109259810A/en
Publication of CN109259810A publication Critical patent/CN109259810A/en
Withdrawn legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/08Accessories or related features not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/0034Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/08Accessories or related features not otherwise provided for
    • A61B2090/0801Prevention of accidental cutting or pricking
    • A61B2090/08021Prevention of accidental cutting or pricking of the patient or his organs

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention provides a kind of fixation device of operation path, is fixed for channel instrument used in performing the operation relative to human body as medical aid.The present invention changes in traditional surgical procedures lane device being sutured in the modus operandi that human skin operates, using relatively fixed device lane device is formed with patient relatively fixed, it eliminates and channel is sutured in human skin this operation process, simplify the pain for reducing patient, in addition, position of the fixed device adjustable operation channel relative to human body, it can be relatively fixed in different coordinates by operation path, and adjustable channels enter the depth of human body, adapt to different operation demands.

Description

A kind of fixed device of operation path
Technical field
The present invention relates to a kind of auxiliary device of surgical operating instrument, specially a kind of operation for per anum Minimally Invasive Surgery The fixation device in channel.
Background technique
For rectal benign tumor and Early rectal tumor, conventional surgical means are to look at downlink per anum straight by Anal pull hook Local Resection of Rectal Tumor, but visual area exposure it is poor, it is desirable that tumour is closer (general tumour is away from anus edge < 5cm) away from anus It is the main limitation of this traditional operation.It takes the lead in reporting by German doctor Buess etc. within 1985 and be shown using per anum scope Micro- Surgery Platform (abbreviation TEM) is to the local excision of rectal neoplasm, and TEM platform is by the special hard mirror of rectum, Special surgical instrument It is constituted with visor imaging system.
American physician Atallah in 2010 etc. takes the lead in report for single-hole laparoscopic channel merging anal canal, utilizes after CO2 inflation Conventional laparoscopy equipment completes Local Resection of Rectal Tumor, and is named as TAMIS (transanalminimallyinvasives Urgery) art formula.TAMIS art formula makes the per anum Minimally Invasive Surgery " on tall and big ", in the hospital for only having conventional laparoscopy equipment Development becomes reality.The single-hole laparoscopic channel for TAMIS art formula being commercialized at present has: SILS (Covidien), SSL (Ethicon), Triport (Olympus), GelPOINT (AppliedMedical) etc..TAMIS platform can not only carry out rectum The local excision of tumour, and have the per anum TME that TAMIS platform is used for the progressive stage carcinoma of the rectum in recent years The report of (transanalTME, taTME) operation, i.e. TAMIS-TME art formula.The core component of TAMIS platform is commercialization The laparoscope channel of single hole.
In traditional surgical procedure, when using laparoscope channel, in order to enable channel is relatively fixed with human body, doctor is often adopted It is sewn on the skin near body openings with by channel.Such as a kind of Minimally Invasive Surgery operation of application number CN201510751620.3 Platform, as shown in Figure 1, it is substantially a kind of operation path, the pipe unit in the channel includes connector 22, may be used also on connector 22 It is provided with fixinig plate 221, suture hole is provided on fixinig plate 221, fixinig plate 221 can be sutured and be fixed in tissue, with Prevent the unexpected activity of pipe unit during surgery.However, such mode of operation, the suture with patient is needed, and channel Movement can pull skin, it is also possible to cause the skin injury of patient;The flexibility of skin is easy but also channel is not allowed to be fixed easily It shifts in the course of surgery.
Therefore, it is necessary to a kind of fixation devices of operation path, so that solving the problems, such as that channel is easy movement in surgical procedure While, decrease the damage of patient skin.
Summary of the invention
The present invention provides a kind of fixation device of operation path, as medical aid for used in performing the operation Channel instrument is fixed relative to human body.The present invention changes in traditional surgical procedures lane device being sutured in human skin The modus operandi operated forms lane device with patient using relatively fixed device relatively fixed, eliminate by Channel is sutured in human skin this operation process, simplifies the pain for reducing patient.
The technical scheme of the present invention is realized as follows:
A kind of fixed device of operation path, operation path includes: main channel, channel connector;Operation path fixes device Including channel fixation kit and pedestal fixation kit, channel fixation kit is fixedly connected with operation path, channel fixation kit and Pedestal fixation kit is fixedly connected, and pedestal fixation kit is fixedly connected with operation pedestal;Wherein, operation pedestal is generally operating table Or the constant pedestal with operating table relative position, operation path is thus relatively fixed with operating table, and patient lies on operating table It is also relatively fixed with operating table position after anesthesia.
Wherein, lane device and channel fixation kit can carry out relatively fixed and/or channel in different positions and fix Relatively fixed and/or pedestal fixation kit can be carried out in different positions from pedestal fixation kit and operation pedestal can be in difference Position carry out it is relatively fixed.That is, lane device, channel fixation kit, pedestal fixation kit and operation pedestal are sequentially connected, and At least there are two sequentially connected component, position is adjustable from each other.Wherein there are many adjustable modes, using sliding slot cooperation, open If porous cooperation, be clasped the even diversified forms such as magnet absorption cooperation.
In this text, definition be parallel to main channel axis direction be main passage axis direction, in the horizontal plane perpendicular to Main channel axis direction is defined as transverse direction, and the direction definition perpendicular to horizontal plane is vertical direction.
Optionally, operation path can be relative to channel fixation kit position-adjustable, the specific method of adjusting,
Channel fixation kit has channel clamping device, such as the round adjustable claw for opening size of two halves or other are adjustable Clamping device, to the outer surface of the main channel of operation path.In the case, main channel can be moved front and back in its axial direction It is fixed after dynamic, realizes the adjusting of axis direction, to control the depth into human body, adjust depth descendant in order to prevent Body interface gas leakage, it is preferred that be provided with the seal washer that an internal diameter and main channel outer diameter match, seal washer is elasticity dress It sets, internal diameter under natural conditions is slightly less than main channel outer diameter, and preferable air-tightness can be achieved on being set in main channel in this way And the half-way of main channel can be fixed on when relatively moving, in addition, stationarity in order to further increase, it can also be close In seal plus some increases rub or the device of chucking power;Another implementation method is that connector lower edge increases bullet in channel Property device, such as compressed spring, are connected, so that seal washer compresses human body entrance always with seal washer.Seal washer can be with It is directly anchored on the fixation kit of channel, is kept fixed always with human body in this way, it is only necessary to adjust operation path;Sealing dress It sets to slide with respect to operation path and be arranged, after determining operation path position, then pass through manual adjustment sealing device.
In another preferred scheme, channel fixation kit and pedestal fixation kit can be in the different locations of main channel axial direction It is fixed.Enter depth by channel fixation kit being adjusted axially on pedestal fixation kit come control channel.
There are also in a kind of preferred embodiment, pedestal fixing piece operates pedestal relatively to adjust axial position, specifically, pedestal is solid Determining component includes the first base component and the second base component, and the second base component and operation pedestal can axially be carried out in main channel Position adjusts and fixes, and the first base component and channel fixation kit carry out position adjusting in vertical direction and/or transverse direction and consolidate It is fixed.
In adjusting method, it is preferred that cooperated using sliding slot, specifically, the second base component includes the second pedestal sliding slot, the Two pedestal sliding slots are parallel to main channel axial direction.
First base component includes the first pedestal sliding slot, first sliding groove locking piece;Channel fixation kit has intermediate connection Plate, middle connecting plate have connecting plate sliding slot, and the first pedestal sliding slot and connecting plate sliding slot are vertical, and first sliding groove locking piece connects simultaneously Touch the first pedestal sliding slot and connecting plate sliding slot.
In another form of channel fixation kit, channel fixation kit includes two connecting rods, and connecting rod is locked by sliding slot Determine part to be connected on the first connection pedestal;When under sliding slot locking piece is in the unlocked state, connecting rod can be sliding with respect to the first connection pedestal Dynamic and rotation, connecting rod lower end have connecting rod sliding slot, and first sliding groove locking piece connects connecting rod sliding slot and the first pedestal sliding slot simultaneously.This The structure of sample adjusts more flexible and convenient.
There are also a kind of preferred channel fixation kit form, channel fixation kit includes two pressure pins and a positioning ring, The opposite inside of two pressure pins is equipped with groove, and positioning ring is located in groove, and positioning ring has cable clamping interface, and channel connector passes through company Wiring is connected with cable clamping interface.
Wherein, above sliding slot can be replaced using multiple location holes, be located between each other not using by component With the relative adjustment on location hole, realizing position;Component can also be adsorbed on from each other different by the way of magnetic Position carries out relatively fixed.
Above technical scheme is used, the invention has the following advantages:
(1) it solves the damage that operation path is seamed to patient skin generation in traditional operation, fixes the knot of device Although structure and principle are similar with some fixtures of the prior art, do not have use aid device by channel and human body in the prior art Relatively fixed to exempt this concept of suture, the present invention proposes this concept, cooperates corresponding device, imitates with positive technology Fruit and significant progress.
(2) it is set as adjustable mechanism on fixed device, to enter depth according to true bearing and different channels Degree is adjusted accordingly.
Detailed description of the invention
Attached drawing 1 is the structural schematic diagram in common surgical channel in background technique;
Attached drawing 2 is the structural schematic diagram of the first embodiment of the invention;
Attached drawing 3 is the structural schematic diagram of second of embodiment of the invention;
Attached drawing 4 is the structural schematic diagram of the third embodiment of the invention;
Attached drawing 5 is the sectional view of first sliding groove locking piece of the present invention;
Attached drawing 6 is the sectional view of the first pedestal sliding slot;
Attached drawing 7 is the structural schematic diagram of seal washer;
Attached drawing 8 is that seal washer is mounted on the sectional view on operation path.
Specific embodiment
Corresponding appended drawing reference indicates corresponding component in the drawings.The present invention shows of the invention in one form Preferred embodiment, and such embodiment should be construed as limitation of the scope of the invention in no instance.This Field is it will be appreciated by the skilled person that the device and method be described in detail and be shown in the accompanying drawings herein are non-limiting schematically Embodiment, and the range of various embodiments of the invention is limited only by claim.A kind of schematic embodiment party The feature that formula shows and describes can be in conjunction with the feature of other embodiment, it is intended that by such modifications and variations include this In the range of invention.
The fixed device of a kind of operation path as in Figure 2-4, wherein operation path includes:
A kind of fixed device of operation path, operation path 1 includes: main channel 11, channel connector 12;Operation path is fixed Device includes channel fixation kit 2, pedestal fixation kit 3, and channel fixation kit 2 is fixedly connected with operation path 1, and channel is fixed Component 2 is fixedly connected with the fixed group 3 of pedestal, and pedestal fixation kit 3 is fixedly connected with operation pedestal 4;In this embodiment, operation Pedestal 4 be operating table, operation path is thus relatively fixed with operating table, patient lie on operating table anaesthetize after, also with operating table Position is relatively fixed.
Wherein, operation path 1 and channel fixation kit 2 can to carry out relatively fixed and/or channel in different positions solid Determine that relatively fixed and/or pedestal fixation kit can be carried out in different positions from pedestal fixation kit and operation pedestal can be not Same position carries out relatively fixed.That is, lane device, channel fixation kit, pedestal fixation kit and operation pedestal are sequentially connected, And at least there are two sequentially connected component, position is adjustable from each other.Wherein there are many adjustable modes, cooperated using sliding slot, Open up porous cooperation, be clasped the even diversified forms such as magnet absorption cooperation.In 1-3 of the embodiment of the present invention, specifically, hand Art channel 1 is relatively fixed non-adjustable with channel fixation kit 2 by channel connector 12, and channel fixation kit 2 is fixed with pedestal Group 3 is relatively adjustable and opposite locking, and pedestal fixation kit 3 is relatively adjustable relative to operation pedestal 4 and locks.
In three embodiments of the invention, pedestal fixation kit 3 is opposite to operate pedestal 4 to adjust axial position, specifically, base Seat fixation kit 3 includes the first base component 31 and the second base component 32, and the second base component 32 can be in master with operation pedestal 4 Channel axially carries out position adjusting and fixation, and the first base component 31 is carried out with channel fixation kit 2 in vertical direction and laterally Position adjusts and fixes, and the second base component 32 includes the second pedestal sliding slot 321, and the second pedestal sliding slot 321 is parallel to main channel Axial direction;First base component 31 includes the first pedestal sliding slot 311, first sliding groove locking piece 312.
In the first embodiment, channel fixation kit 2 has middle connecting plate 21, and middle connecting plate 21 is sliding with connecting plate Slot 211, the first pedestal sliding slot 311 and connecting plate sliding slot 211 are vertical, and it is sliding that first sliding groove locking piece 312 contacts the first pedestal simultaneously Slot 311 and connecting plate sliding slot 211.
In the channel fixation kit of second of embodiment, channel fixation kit 2 includes two connecting rods 22, and connecting rod 22 passes through Sliding slot locking piece 312 is connected to 31 on the first connection pedestal;When under sliding slot locking piece is in the unlocked state, connecting rod 22 can be with respect to One connection pedestal 31 sliding and rotation, 22 lower end of connecting rod have connecting rod sliding slot 221, and first sliding groove locking piece 312 connects simultaneously Bar sliding slot 221 and the first pedestal sliding slot 311.Such structure adjusts more flexible and convenient.
Channel fixation kit form in the third embodiment, channel fixation kit 2 include two pressure pins 23 and positioning ring 24, the opposite inside of two pressure pins 23 is equipped with groove 231, and positioning ring 24 is located in groove 231, and positioning ring 24 has cable clamping interface 241, channel connector 12 is connected by connecting line 242 with cable clamping interface 241.
Other than above embodiments, corresponding sliding slot sliding slot can be replaced using multiple location holes, using by component phase It is located on different location holes between mutually, realizes the relative adjustment of position;Can also by the way of magnetic, by component mutually it Between be adsorbed on different position carry out it is relatively fixed.
As seen in figs. 5-6, in order to which in sliding process, first sliding groove locking piece 312 will not be from the first pedestal sliding slot 311 Abjection, and connect for convenience, first sliding groove locking piece 312 has lock slider 313 and locking bolt 314, lock slider 3313 are located in pedestal sliding slot 311, connect after 314 penetration channel fixation kit 2 of locking bolt with lock slider 313.Locking is slided Block 313 has threaded hole, and 314 thread outer surface of locking bolt matches with screw thread internal surface of hole, as shown in Figure 5 the present invention three Threaded hole is through-hole in embodiment.
First pedestal sliding slot 311 is dovetail groove, and the first lock slider 313 is shape and the trapezoidal cunning that dovetail groove matches Block.
As Figure 7-8 be a kind of embodiment of seal washer 13 of the present invention, with circular hole and main channel 11 outside Surface matches.It is sleeved on main channel 11 and opposite can slide, to be passed through after being adjusted axially according to operation path 1 Seal washer 13 is adjusted to be adjacent to the skin of patient, prevents gas leakage.
As described above, we are illustrated fully according to spirit of the invention, but the present invention is not limited to above-mentioned reality Apply example and implementation method.The practitioner of correlative technology field can carry out different in the range of technical idea of the invention is permitted Variation and implementation.

Claims (10)

1. a kind of fixed device of operation path, the operation path includes: main channel, channel connector;It is characterized in that, described The fixed device of operation path includes channel fixation kit and pedestal fixation kit, the channel fixation kit and the operation path It is fixedly connected, the channel fixation kit is fixedly connected with the pedestal fixation kit, the pedestal fixation kit and operation base Seat is fixedly connected;Wherein, the lane device and the channel fixation kit can be carried out in different positions it is relatively fixed, And/or the channel fixation can carry out the relatively fixed and/or described pedestal in different positions from the pedestal fixation kit and consolidate Determining component can be relatively fixed in the progress of different positions from the operation pedestal.
2. the fixed device of a kind of operation path according to claim 1, which is characterized in that the channel fixation kit has The operation path can be fixed in the different location of main channel axial direction for channel clamping device, the channel clamping device.
3. the fixed device of a kind of operation path according to claim 1, which is characterized in that the channel fixation kit and institute Stating pedestal fixation kit can be fixed in the different location of main channel axial direction.
4. a kind of fixed device of operation path according to claim 1, which is characterized in that the pedestal fixation kit includes First base component and the second base component, second base component and the operation pedestal can axially carry out position in main channel Adjusting and fixation are set, first base component and the channel fixation kit carry out position tune in vertical direction and/or laterally It saves and fixes.
5. a kind of fixed device of operation path according to claim 4, which is characterized in that second base component includes Second pedestal sliding slot, the second pedestal sliding slot are parallel to main channel axial direction.
6. the fixed device of a kind of operation path according to claim 4 or 5, which is characterized in that first base component Including the first pedestal sliding slot, first sliding groove locking piece;The channel fixation kit has middle connecting plate, the middle connecting plate With connecting plate sliding slot, the first pedestal sliding slot and the connecting plate sliding slot are vertical, and the first sliding groove locking piece connects simultaneously Touch the first pedestal sliding slot and the connecting plate sliding slot.
7. the fixed device of a kind of operation path according to claim 4 or 5, which is characterized in that the channel fixation kit Including two connecting rods, the connecting rod is connected on the first connection pedestal by the sliding slot locking piece;The sliding slot locking When under part is in the unlocked state, the connecting rod can be relative to the first connection pedestal sliding and rotation, and the connecting rod lower end has Connecting rod sliding slot, the first sliding groove locking piece connect connecting rod sliding slot and the first pedestal sliding slot simultaneously.
8. the fixed device of a kind of operation path according to claim 4 or 5, which is characterized in that the channel fixation kit Including two pressure pins, the opposite inside of two pressure pins is equipped with groove, and the positioning ring is located in groove, the positioning ring tool There is cable clamping interface, the channel connector is connected by connecting line with the cable clamping interface.
9. the fixed device of a kind of operation path according to claim 2, which is characterized in that the fixed device of the operation path It further include seal washer, the seal washer and the channel clamping device are relatively fixed.
10. a kind of fixed device of operation path according to claim 3-4 any one claim, which is characterized in that The fixed device of the operation path further includes seal washer, and the seal washer is located on the main channel and can be logical in the master It is relatively moved in road axial direction.
CN201811312892.3A 2018-11-06 2018-11-06 A kind of fixed device of operation path Withdrawn CN109259810A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201811312892.3A CN109259810A (en) 2018-11-06 2018-11-06 A kind of fixed device of operation path

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Application Number Priority Date Filing Date Title
CN201811312892.3A CN109259810A (en) 2018-11-06 2018-11-06 A kind of fixed device of operation path

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112617914A (en) * 2020-12-11 2021-04-09 苏州贝诺医疗器械有限公司 Operation channel capable of controlling air flow and performing air circulation

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CN107865730A (en) * 2017-12-14 2018-04-03 李丽萍 A kind of neurosurgery care device
CN108644876A (en) * 2018-05-19 2018-10-12 徐琬茹 A kind of energy saving heating device using clean energy resource
CN209360762U (en) * 2018-11-06 2019-09-10 苏州法兰克曼医疗器械有限公司 A kind of fixed device of operation path

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Publication number Priority date Publication date Assignee Title
CN112617914A (en) * 2020-12-11 2021-04-09 苏州贝诺医疗器械有限公司 Operation channel capable of controlling air flow and performing air circulation
CN112617914B (en) * 2020-12-11 2022-02-08 苏州贝诺医疗器械有限公司 Operation channel capable of controlling air flow and performing air circulation

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