CN109316280A - A kind of laparoscope puncturing hole hemostasis device - Google Patents
A kind of laparoscope puncturing hole hemostasis device Download PDFInfo
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- CN109316280A CN109316280A CN201811366497.3A CN201811366497A CN109316280A CN 109316280 A CN109316280 A CN 109316280A CN 201811366497 A CN201811366497 A CN 201811366497A CN 109316280 A CN109316280 A CN 109316280A
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- laparoscope
- plate
- hole
- bar shaped
- hoop
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- 230000023597 hemostasis Effects 0.000 title claims abstract description 30
- 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 abstract description 18
- 230000002439 hemostatic effect Effects 0.000 claims abstract description 16
- 239000011505 plaster Substances 0.000 claims abstract description 14
- 238000009434 installation Methods 0.000 claims description 31
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 claims description 9
- 239000000741 silica gel Substances 0.000 claims description 9
- 229910002027 silica gel Inorganic materials 0.000 claims description 9
- 239000010409 thin film Substances 0.000 claims description 9
- 238000000034 method Methods 0.000 claims description 8
- 230000000087 stabilizing effect Effects 0.000 claims description 7
- 241000239290 Araneae Species 0.000 claims description 6
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 claims description 6
- 238000005273 aeration Methods 0.000 claims description 5
- 125000004122 cyclic group Chemical group 0.000 claims description 5
- 210000000683 abdominal cavity Anatomy 0.000 claims description 4
- 239000008280 blood Substances 0.000 claims description 4
- 210000004369 blood Anatomy 0.000 claims description 4
- 210000001015 abdomen Anatomy 0.000 claims description 3
- 229910002092 carbon dioxide Inorganic materials 0.000 claims description 3
- 239000001569 carbon dioxide Substances 0.000 claims description 3
- 238000003780 insertion Methods 0.000 claims description 3
- 230000037431 insertion Effects 0.000 claims description 3
- 238000007912 intraperitoneal administration Methods 0.000 claims description 3
- 150000003839 salts Chemical class 0.000 claims description 3
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 3
- 230000002093 peripheral effect Effects 0.000 claims 1
- 238000012545 processing Methods 0.000 abstract description 5
- 238000002357 laparoscopic surgery Methods 0.000 abstract description 3
- 238000010586 diagram Methods 0.000 description 7
- 238000001356 surgical procedure Methods 0.000 description 3
- 238000011161 development Methods 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 208000002847 Surgical Wound Diseases 0.000 description 1
- 206010052428 Wound Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000013213 extrapolation Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000007634 remodeling Methods 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F13/02—Adhesive bandages or dressings
-
- 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
- A61B17/3403—Needle locating or guiding means
-
- 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
- A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
- A61F13/00—Bandages or dressings; Absorbent pads
- A61F2013/00089—Wound bandages
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Public Health (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Pathology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Vascular Medicine (AREA)
- Surgical Instruments (AREA)
- Endoscopes (AREA)
Abstract
A kind of laparoscope puncturing hole hemostasis device, belongs to medical equipment technical field.It is characterized by comprising external fixing rack and flexible interior hoop, hoop can be set with setting in external fixing rack in the flexibility；The flexible interior hoop includes flexible band band and interior hoop pedestal；External fixing rack can include fixed laparoscope and puncture fixed bracket；Hemostasis device is set in hoop pedestal inside, the hemostasis device includes sterile hemostatic dressing plaster, and the sterile hemostatic dressing plaster can be placed in application storage storehouse；When pulling the first and second draught lines, release paper shift plate can remove release paper from application ontology.The present invention can assist carrying out the treatment operation of laparoscopic surgery；And provisional sterile covering can be carried out to notch, to continue the operative treatment interrupted or to facilitate the subsequent stitching processing step of linking.
Description
Technical field
The invention belongs to medical equipment technical fields, and in particular to a kind of laparoscope puncturing hole hemostasis device.
Background technique
Laparoscopic surgery is the invasive methods that a new development is got up, and is that one of the following operation method development necessarily becomes
Gesture.With advancing by leaps and bounds for industrial manufacturing technology, be fused to carry out new technology, the new method of related discipline have established firm base
Plinth, in addition the operation that doctor is more and more consummate, so that many past open operations have been replaced by intracavity operation now,
Considerably increase surgical selection chance.
But in actual operation operating process, operating theatre staff holds laparoscopic instrument, above the abdomen of patient into
Row observation detection is not trembled if surgery duration is long it cannot be guaranteed that operating theatre staff is able to maintain hand stabilization, and
Operation fatigue is increased, surgical quality is influenced.Further, since post-surgical incisions are in opening-wide state, if carrying out wound not in time
Processing, can bring the risk of infection, and if needing temporarily to interrupt in surgical procedure to patient, and the notch that can not leave opens wide
It is not processed.
In consideration of it, applicant devises a kind of laparoscope puncturing hole hemostasis device, surgical staff can be assisted to carry out abdominal cavity
Mirror puncturing operation, hence it is evident that mitigate operation fatigue and be able to ascend surgical quality；And provisional sterile cover can be carried out to notch
Lid, to continue the operative treatment interrupted or to facilitate the subsequent stitching processing step of linking.
Summary of the invention
Technical problem to be solved by the invention is to provide a kind of laparoscope puncturing hole hemostasis device, can assist carrying out abdomen
The treatment of endoscope-assistant surgery operates；And provisional sterile covering can be carried out to notch, so that the operation for continuing to interrupt is controlled
Treat or facilitate the subsequent stitching processing step of linking.
In order to solve the above technical problems, the technical scheme is that providing laparoscope puncturing hole hemostasis device, feature
It is to include external fixing rack and flexible interior hoop, hoop can be set with setting in external fixing rack in the flexibility；The flexible interior hoop
Including flexible band band and interior hoop pedestal, the interior hoop pedestal includes circular ring shape chassis, and the arranged on left and right sides on circular ring shape chassis is distinguished
Left and right band inserting groove is set, and the top arranged on left and right sides on circular ring shape chassis installs left and right installation column respectively；The flexibility
The head and the tail both ends of band are separately connected in the left and right band inserting groove for being fixed on interior hoop pedestal；On the left and right installation column
Fixed laparoscope is installed and punctures fixed bracket；The external fixing rack can include fixed laparoscope and puncture fixed bracket；
Hemostasis device is set in hoop pedestal inside, the hemostasis device includes sterile hemostatic dressing plaster, the sterile hemostatic dressing plaster packet
Application ontology is included, waterproof layer is set in the upper surface of application ontology, it is cyclic annular glutinous in the lower surface outer ring position setting of application ontology
Glue-line sticks release paper in the lower surface of application ontology, the first and second draught lines is connected and fixed on the left of Sterilized application
Front end；The setting application storage storehouse on the left of the through-hole on circular ring shape chassis, what the bottom setting in application storage storehouse can open and close
Door, the sterile hemostatic dressing plaster can be placed in application storage storehouse；First outlet is opened up on the right side of application storage storehouse；?
Longitudinal lifting hole is opened up on right installation column, and laterally lifting hole, longitudinal lifting are set on the right side of the through-hole on circular ring shape chassis
The lower end in hole and the laterally mutual connection in right side in lifting hole；Second outlet is opened up on the left of the laterally lifting hole；Described first
It is connected with second outlet with the through-hole on circular ring shape chassis；The rear end of first and second draught line passes through first and goes out
After mouth, the through-hole on circular ring shape chassis, second outlet, it is then passed through laterally lifting hole and longitudinal lifting hole, finally connects pull ring；It is leaning on
Release paper shift plate is arranged in the bottom in the application storage storehouse of nearly first outlet one end, release when pulling the first and second draught lines
Paper shift plate can remove release paper from application ontology.
Preferably, annular storage line slot is opened up on the through-hole internal perisporium on circular ring shape chassis, it is described to be located at first and second and go out
The first and second draught lines between mouthful, can temporarily be accommodated in respectively in the annular storage line slot of two sides；In drawing first and the
When two draught lines, the first and second draught lines can be deviate from from the annular storage line slot of two sides.
Preferably, the external fixing rack includes lower plate, outer spider and clamping device, and the outer spider includes left sliding rack
With right sliding rack；The left sliding rack includes the first arc bent plate and first movement plate, is pacified in the lower end of first movement plate
Fill the first sliding block.The right sliding rack includes the second arc bent plate and the second mobile plate, is pacified in the lower end of the second mobile plate
Fill the second sliding block.Left and right sliding slot is laterally opened up respectively in the top arranged on left and right sides of lower plate, and the left and right sliding slot is collinearly set
It sets；First and second mobile plates pass through the first and second sliding blocks respectively and install in left and right sliding slot, and left and right sliding rack can divide
It is not moved relatively or contrarily along left and right sliding slot；The first double mobile pulley is installed in the lower end surface of first movement plate, second
The second double mobile pulley is installed in the lower end surface of mobile plate, the first and second double mobile pulley be separately positioned on it is left,
It the two sides of right rail and can be moved back and forth along the upper surface of lower plate；The first curved bend is connected in the left side of first movement plate
The right side of the lower end of plate, the second mobile plate connects the second arc bent plate；Pacify respectively in the upper end of the first and second arc bent plates
Left and right strut is filled, left and right sliding sleeve is set on the left and right strut, is transversely mounted left and right stretch respectively on left and right sliding sleeve
Left and right interior inserted block is installed in contracting arm, the opposite one end of left and right telescopic arm respectively.
Preferably, the clamping device includes left and right clamping snap arm, and the left and right clamping snap arm is separately positioned on left and right
The two sides of sliding rack；Left and right clamping snap arm respectively includes left and right installation nut and left and right top dress column, the left and right installation spiral shell
Mother is separately fixed on the lower plate of left and right sliding rack two sides, and annular groove is arranged on the periphery wall of the left and right top dress column,
It is set with external thread sleeve in annular groove, external screw thread, left and right top dress column and external thread sleeve are set on the outer wall of external thread sleeve
Cylinder is arranged in left and right installation nut, and external thread sleeve is logical by the internal screw thread that external screw thread is separately mounted to left and right installation nut
Kong Zhong；The left and right top fills column and installs left and right top dress arc plate respectively towards one end of left and right sliding rack；When rotating in the forward direction outer spiral shell
When line sleeve, it can enable left and right top dress column that left and right top is pushed to fill arc plate from arranged on left and right sides jam-packed the first and second arcs bent plate.
It preferably, further include left and right pressure-stabilizing bin, the left and right pressure-stabilizing bin is separately mounted on left and right sliding sleeve；The left side,
Right pressure-stabilizing bin includes inflation pressure stabilizing warehouse, and the inflation pressure stabilizing warehouse includes the storehouse plate that section is in " " shape, the storehouse plate
Silica gel thin film is arranged in open-mouth, and the storehouse plate and silica gel thin film enclose plenum space；Aeration aperture is set on the plate of storehouse, it is described to fill
Stomata connects air valve and inflator pump by gas tube.
Preferably, longitudinally disposed left and right bar shaped outer jack is distinguished in the left and right outside of the left and right installation column, described
The upper end of left and right bar shaped outer jack is open, and the left and right interior inserted block is able to insert from the open end of left and right bar shaped outer jack
Installing is set in left and right bar shaped outer jack and can be slided up and down along left and right bar shaped outer jack, when cannot be from left and right bar shaped extrapolation
Laterally deviate from hole.
Preferably, left and right bar shaped internal plug seat, the left and right bar shaped interpolation are set in the relative inner of left and right installation column
The upper end in hole is open；It further include left and right mounting blocks and laparoscope fixed ring, the left and right mounting blocks are respectively out of left and right bar shaped
The open end inserting of jack is arranged in left and right bar shaped internal plug seat and can slide up and down along left and right bar shaped internal plug seat；Left and right
Left and right spherical jack is opened up on the opposite face of mounting blocks respectively, is passed through respectively in the arranged on left and right sides of laparoscope fixed ring left and right
Spherical shape rotation inserted block inserting is fixed in left and right spherical jack.
The application method of laparoscope puncturing hole hemostasis device of the present invention, characterized by the following steps:
(1) patient is enabled to select hoop in the flexibility of suitable dimension, the circular ring shape center chassis through-hole alignment of hoop pedestal will be inserted into order
The position of gastroscope；
(2) when reversely rotating external thread sleeve, it can enable left and right top dress that left and right top dress arc plate is driven to unclamp left and right sliding rack,
Enabling left and right sliding rack, two sides are moved to upper limit to left and right, and patient is enabled to lie directly between left and right sliding rack；It rotates in the forward direction outer
Screw shell can enable left and right top dress column that left and right top is pushed to fill arc plate from the left and right sliding rack of arranged on left and right sides jam-packed, a rotation left side,
It on right sliding sleeve, while adjusting left and right telescopic arm and enabling left and right telescopic arm in straight line, left and right interior inserted block is respectively from left and right item
The open end inserting setting of shape outer jack along left and right bar shaped outer jack in left and right bar shaped outer jack and under capable of sliding down to
Limit；Adjusting left and right pressure-stabilizing bin at the same time enables silica gel thin film towards hoop arranged on left and right sides in the flexibility of sufferer；
(3) skin 1cm is cut in navel wheel lower edge, by incision with 45 degree of insertion veress needles, pumpback is followed by a needle tubing without blood, if raw
Reason salt water smoothly flows into, and illustrates to puncture successfully, syringe needle is intraperitoneal；Carbon dioxide inflator is connect, intake velocity is no more than 1L/
Min, total amount are advisable with 2-3L.Intra-abdominal pressure is no more than 2.13KPa (16mmHg)；Left and right pressure-stabilizing bin is carried out at the same time
Inflation enables left and right pressure-stabilizing bin can be from the fixed sufferer of arranged on left and right sides；
(4) patient holds laparoscope, and the trochar of laparoscope is sequentially inserted into laparoscope fixed ring and circular ring shape chassis from top
Through-hole, until trochar vertically slowly be inserted into abdominal cavity patient；The top of laparoscope clamps and is fixed on the upper of laparoscope fixed ring
Portion, patient can swing laparoscope and carry out treatment operation；
(5) after completing surgical operation, laparoscope is extracted, lifts pull ring, is applied sterile hemostasis by the first and second draught lines
Patch is pulled out from application storage storehouse, and at the same time, release paper shift plate can remove release paper from application ontology；Drawing first
With the second draught line, until the through-hole on circular ring shape chassis is completely covered in application ontology, the lower surface center for applying ontology is covered
The cyclic annular mucigel of lid operative incision, application ontology lower surface can be bonded the skin around operative incision, realize hemostatic function.
Compared with prior art, the beneficial effects of the present invention are:
The present invention can assist surgical staff to carry out laparoscope puncturing operation, and the position of laparoscope had not only been facilitated to fix, but also can be obvious
Mitigate operation fatigue, promote surgical quality；And provisional sterile covering can be carried out to notch, to continue interruption
Operative treatment facilitates the subsequent stitching processing step of linking.
Detailed description of the invention
Fig. 1 is structural schematic diagram of the invention；
Fig. 2 is the portion the A enlarged drawing of Fig. 1 (sterile hemostatic dressing plaster is placed in application storage storehouse)；
Fig. 3 is the top view of Fig. 2；
Fig. 4 is status diagram of the sterile hemostatic dressing plaster in traction；
Fig. 5 is status diagram when sterile hemostatic dressing plaster is located in the through-hole on circular ring shape chassis；
Fig. 6 is the top view of Fig. 5；
Fig. 7 is the structural schematic diagram of external fixing rack；
Fig. 8 is the right structural schematic diagram for clamping snap arm；
Fig. 9 is the structural schematic diagram bound round in flexibility；
Figure 10 is the structural schematic diagram of interior hoop pedestal；
In figure: 1, left branching rod；2, left sliding sleeve；3, the first arc bent plate；4, left clamping snap arm；5, left sliding slot；6, the first double shifting
Movable pulley；7, first movement plate；8, the first sliding block；9, the second sliding block；10, the second mobile plate；11, second is double mobile sliding
Wheel；12, right rail；13, lower plate；14, right clamping snap arm；15, the second arc bent plate；16, right sliding sleeve；17, right strut；18,
Right pressure-stabilizing bin；19, right telescopic arm；20, flexible band band；21, flexible interior hoop；22, left telescopic arm；23, left pressure-stabilizing bin；24, left item
Shape outer jack；25, left installation column；26, left inside inserted block；28, circular ring shape chassis；30, inserted block in the right side；31, right installation column；
32, right bar shaped outer jack；33, right bar shaped internal plug seat；34, right spherical rotation inserted block；35, right mounting blocks；36, laparoscope is fixed
Ring；37, left mounting blocks；38, left spherical rotation inserted block；39, left bar shaped internal plug seat；40, right top fills arc plate；41, right installation nut；
42, right sliding sleeve；43, right top fills column；44, left band inserting groove；45, right band inserting groove；46, application storage storehouse；47, door；
48, sterile hemostatic dressing plaster；49, the first draught line；50, the second draught line；51, release paper shift plate；52, first outlet；53, second
Outlet；54, hole is laterally lifted；55, longitudinal lifting hole；56, pull ring；57, annular storage line slot.
Specific embodiment
Present invention is further described in detail with specific embodiment with reference to the accompanying drawing.
One kind of the present invention includes binding round in external fixing rack and flexibility, and flexible interior bind round can be set with setting outside admittedly
Determine in frame；The flexible interior hoop includes flexible band band and interior hoop pedestal, and the interior hoop pedestal includes circular ring shape chassis, in circular ring shape
Left and right band inserting groove is respectively set in the arranged on left and right sides on chassis, the top arranged on left and right sides on circular ring shape chassis install respectively it is left,
Right installation column；The head and the tail both ends of the flexible band band are separately connected in the left and right band inserting groove for being fixed on interior hoop pedestal；?
Fixed laparoscope is installed on the left and right installation column and punctures fixed bracket；The external fixing rack can include fixed laparoscope
Puncture fixed bracket.It should be noted that both ends are fixed on left and right band and inserted by the mode that bonding can be used in flexible band band
In access slot；Pin hole can also be opened up on the side wall of left and right band inserting groove, the both ends to flexible band band are fully inserted into left and right hoop
After in band inserting groove, pin can be used to run through left and right band inserting groove and flexible band band, to realize being bonded for the two.
Hemostasis device is set in hoop pedestal inside, the hemostasis device includes sterile hemostatic dressing plaster, and the sterile hemostasis is applied
Patch includes application ontology, and waterproof layer is arranged in the upper surface of application ontology, and ring is arranged at the lower surface outer ring position of application ontology
Shape mucigel sticks release paper in the lower surface of application ontology, the first and second tractions is connected and fixed on the left of Sterilized application
The front end of line；The bottom setting in the setting application storage storehouse on the left of the through-hole on circular ring shape chassis, application storage storehouse can open
The door of conjunction, the sterile hemostatic dressing plaster can be placed in application storage storehouse；First is opened up on the right side of application storage storehouse to go out
Mouthful；Longitudinal lifting hole is opened up on right installation column, and laterally lifting hole, the longitudinal direction are set on the right side of the through-hole on circular ring shape chassis
It lifts the lower end in hole and laterally lifts the mutual connection in right side in hole；Second outlet is opened up on the left of the laterally lifting hole；It is described
First and second outlets are connected with the through-hole on circular ring shape chassis；The rear end of first and second draught line passes through first
After outlet, the through-hole on circular ring shape chassis, second outlet, it is then passed through laterally lifting hole and longitudinal lifting hole, finally connects pull ring；?
Release paper shift plate is arranged in bottom close to the application storage storehouse of first outlet one end, when pulling the first and second draught lines, from
Type paper shift plate can remove release paper from application ontology.
Annular storage line slot is opened up on the through-hole internal perisporium on circular ring shape chassis, it is described to be located between the first and second outlets
First and second draught lines can be temporarily accommodated in respectively in the annular storage line slot of two sides；Pulling the first and second draught lines
When, the first and second draught lines can be deviate from from the annular storage line slot of two sides.
The external fixing rack includes lower plate, outer spider and clamping device, and the outer spider includes left sliding rack and right cunning
Move frame；The left sliding rack includes the first arc bent plate and first movement plate, installs first in the lower end of first movement plate
Sliding block.The right sliding rack includes the second arc bent plate and the second mobile plate, in the lower end installation second of the second mobile plate
Sliding block.Left and right sliding slot is laterally opened up respectively in the top arranged on left and right sides of lower plate, and the left and right sliding slot is collinearly arranged；First
Pass through the first and second sliding blocks respectively with the second mobile plate to install in left and right sliding slot, left and right sliding rack can respectively along it is left,
Right rail relatively or contrarily moves；The first double mobile pulley is installed in the lower end surface of first movement plate, it is mobile flat second
The second double mobile pulley is installed in the lower end surface of plate, and the first and second double mobile pulley is separately positioned on left and right sliding slot
Two sides and can be moved back and forth along the upper surface of lower plate；It is connected under the first arc bent plate in the left side of first movement plate
The right side at end, the second mobile plate connects the second arc bent plate；It is installed respectively in the upper end of the first and second arc bent plates left and right
Strut is set with left and right sliding sleeve on the left and right strut, is transversely mounted left and right telescopic arm respectively on left and right sliding sleeve,
The opposite one end of left and right telescopic arm is installed by left and right interior inserted block respectively.
Mature structure in the prior art can be used in the left and right telescopic arm, such as the telescopic rod of minitype cylinder drive-type, energy
It is enough to realize flexible and fixed point location function.Two sections of screw rod rotary joint style structures can also be used in the present apparatus, that is, use screw rod and thread bush
It is connected and is formed by screw thread rotation, by the pattern length for rotating thread bush, that is, adjustable screw and thread bush.
The clamping device includes left and right clamping snap arm, and the left and right clamping snap arm is separately positioned on left and right sliding rack
Two sides；Left and right clamping snap arm respectively includes left and right installation nut and left and right top dress column, the left and right installation nut difference
It is fixed on the lower plate of left and right sliding rack two sides, annular groove is set on the periphery wall of the left and right top dress column, in annular
It is set with external thread sleeve in groove, external screw thread, left and right top dress column and external thread sleeve setting are set on the outer wall of external thread sleeve
In left and right installation nut, external thread sleeve is separately mounted in the internal thread through hole of left and right installation nut by external screw thread；
The left and right top fills column and installs left and right top dress arc plate respectively towards one end of left and right sliding rack；When rotating in the forward direction external thread sleeve
When cylinder, it can enable left and right top dress column that left and right top is pushed to fill arc plate from arranged on left and right sides jam-packed the first and second arcs bent plate.
It further include left and right pressure-stabilizing bin, the left and right pressure-stabilizing bin is separately mounted on left and right sliding sleeve；The left and right pressure stabilizing
Storehouse includes inflation pressure stabilizing warehouse, and the inflation pressure stabilizing warehouse includes the storehouse plate that section is in " " shape, the open-mouth of the storehouse plate
Silica gel thin film is set, and the storehouse plate and silica gel thin film enclose plenum space；Aeration aperture is set on the plate of storehouse, and the aeration aperture is logical
Overcharge tracheae connection air valve and inflator pump.
Distinguish longitudinally disposed left and right bar shaped outer jack, the left and right bar shaped in the left and right outside of the left and right installation column
The upper end of outer jack is open, and the left and right interior inserted block is able to insert to be arranged from the open end of left and right bar shaped outer jack to exist
Can slide up and down in left and right bar shaped outer jack and along left and right bar shaped outer jack, when cannot from left and right bar shaped outer jack laterally
Abjection.
In the relative inner of left and right installation column, left and right bar shaped internal plug seat is set, the left and right bar shaped internal plug seat it is upper
End is open；It further include left and right mounting blocks and laparoscope fixed ring, the left and right mounting blocks are respectively from left and right bar shaped internal plug seat
Open end inserting is arranged in left and right bar shaped internal plug seat and can slide up and down along left and right bar shaped internal plug seat；In left and right mounting blocks
Opposite face on open up left and right spherical jack respectively, pass through left and right spherical turn respectively in the arranged on left and right sides of laparoscope fixed ring
Dynamic inserted block inserting is fixed in left and right spherical jack.
The application method of laparoscope puncturing hole hemostasis device of the invention, includes the following steps:
(1) patient is enabled to select hoop in the flexibility of suitable dimension, the circular ring shape center chassis through-hole alignment of hoop pedestal will be inserted into order
The position of gastroscope；
(2) when reversely rotating external thread sleeve, it can enable left and right top dress that left and right top dress arc plate is driven to unclamp left and right sliding rack,
Enabling left and right sliding rack, two sides are moved to upper limit to left and right, and patient is enabled to lie directly between left and right sliding rack；It rotates in the forward direction outer
Screw shell can enable left and right top dress column that left and right top is pushed to fill arc plate from the left and right sliding rack of arranged on left and right sides jam-packed, a rotation left side,
It on right sliding sleeve, while adjusting left and right telescopic arm and enabling left and right telescopic arm in straight line, left and right interior inserted block is respectively from left and right item
The open end inserting setting of shape outer jack along left and right bar shaped outer jack in left and right bar shaped outer jack and under capable of sliding down to
Limit；Adjusting left and right pressure-stabilizing bin at the same time enables silica gel thin film towards hoop arranged on left and right sides in the flexibility of sufferer；
(3) skin 1cm is cut in navel wheel lower edge, by incision with 45 degree of insertion veress needles, pumpback is followed by a needle tubing without blood, if raw
Reason salt water smoothly flows into, and illustrates to puncture successfully, syringe needle is intraperitoneal；Carbon dioxide inflator is connect, intake velocity is no more than 1L/
Min, total amount are advisable with 2-3L.Intra-abdominal pressure is no more than 2.13KPa (16mmHg)；Left and right pressure-stabilizing bin is carried out at the same time
Inflation enables left and right pressure-stabilizing bin can be from the fixed sufferer of arranged on left and right sides；
(4) patient holds laparoscope, and the trochar of laparoscope is sequentially inserted into laparoscope fixed ring and circular ring shape chassis from top
Through-hole, until trochar vertically slowly be inserted into abdominal cavity patient；The top of laparoscope clamps and is fixed on the upper of laparoscope fixed ring
Portion, patient can swing laparoscope and carry out treatment operation.
(5) after completing surgical operation, laparoscope is extracted, lifts pull ring, is stopped by the first and second draught lines by sterile
Blood application is pulled out from application storage storehouse, and at the same time, release paper shift plate can remove release paper from application ontology；Drawing
First and second draught lines apply the lower surface centre bit of ontology until the through-hole on circular ring shape chassis is completely covered in application ontology
Covering operative incision is set, the cyclic annular mucigel of application ontology lower surface can be bonded the skin around operative incision, realize hemostasis
Function.
For the present invention in addition to having and carrying out interim hemostasis defencive function for laparoscopic surgery, advantage also resides in patient can be with
By the weight of laparoscope fixed ring and circular ring shape chassis support laparoscope, flexibility ratio without will affect laparoscope effectively subtracts
The labor intensity of light patient, avoids over fatigue or effect of jitter surgical effect.
The above described is only a preferred embodiment of the present invention, being not that the invention has other forms of limitations, appoint
What those skilled in the art changed or be modified as possibly also with the technology contents of the disclosure above equivalent variations etc.
Imitate embodiment.Without departing from the technical solutions of the present invention, to the above embodiments according to the technical essence of the invention
Any simple modification, equivalent variations and remodeling, still fall within the protection scope of technical solution of the present invention.
Claims (8)
1. laparoscope puncturing hole hemostasis device, it is characterised in that including external fixing rack and flexible interior hoop, hoop can in the flexibility
Suit is arranged in external fixing rack；The flexible interior hoop includes flexible band band and interior hoop pedestal, and the interior hoop pedestal includes annulus
Left and right band inserting groove is respectively set in shape chassis, the arranged on left and right sides on circular ring shape chassis, and the top on circular ring shape chassis is left and right
Two sides are installed by left and right installation column respectively；The head and the tail both ends of the flexible band band, which are separately connected, is fixed on the left and right of interior hoop pedestal
In band inserting groove；Fixed laparoscope is installed on the left and right installation column and punctures fixed bracket；The external fixing rack can
It includes fixed laparoscope and punctures fixed bracket；
Hemostasis device is set in hoop pedestal inside, the hemostasis device includes sterile hemostatic dressing plaster, the sterile hemostatic dressing plaster packet
Application ontology is included, waterproof layer is set in the upper surface of application ontology, it is cyclic annular glutinous in the lower surface outer ring position setting of application ontology
Glue-line sticks release paper in the lower surface of application ontology, the first and second draught lines is connected and fixed on the left of Sterilized application
Front end；The setting application storage storehouse on the left of the through-hole on circular ring shape chassis, what the bottom setting in application storage storehouse can open and close
Door, the sterile hemostatic dressing plaster can be placed in application storage storehouse；First outlet is opened up on the right side of application storage storehouse；?
Longitudinal lifting hole is opened up on right installation column, and laterally lifting hole, longitudinal lifting are set on the right side of the through-hole on circular ring shape chassis
The lower end in hole and the laterally mutual connection in right side in lifting hole；Second outlet is opened up on the left of the laterally lifting hole；Described first
It is connected with second outlet with the through-hole on circular ring shape chassis；The rear end of first and second draught line passes through first and goes out
After mouth, the through-hole on circular ring shape chassis, second outlet, it is then passed through laterally lifting hole and longitudinal lifting hole, finally connects pull ring；It is leaning on
Release paper shift plate is arranged in the bottom in the application storage storehouse of nearly first outlet one end, release when pulling the first and second draught lines
Paper shift plate can remove release paper from application ontology.
2. laparoscope puncturing hole hemostasis device described in accordance with the claim 1, it is characterised in that: in the through-hole on circular ring shape chassis
Annular storage line slot is opened up on peripheral wall, first and second draught lines being located between the first and second outlets can face respectively
When be accommodated in the annular storage line slot of two sides；When pulling the first and second draught lines, the first and second draught lines can be from two
Deviate from the annular storage line slot of side.
3. laparoscope puncturing hole hemostasis device according to claim 2, it is characterised in that: the external fixing rack includes bottom
Plate, outer spider and clamping device, the outer spider include left sliding rack and right sliding rack；The left sliding rack includes the first arc
Bent plate and first movement plate install the first sliding block in the lower end of first movement plate；The right sliding rack includes the second arc
Bent plate and the second mobile plate install the second sliding block in the lower end of the second mobile plate；In the top arranged on left and right sides point of lower plate
Left and right sliding slot not laterally is not opened up, the left and right sliding slot is collinearly arranged；First and second mobile plates pass through first and the respectively
Two sliding blocks are installed in left and right sliding slot, and left and right sliding rack can be moved relatively or contrarily along left and right sliding slot respectively；In first movement
The first double mobile pulley is installed in the lower end surface of plate, installs the second double mobile pulley in the lower end surface of the second mobile plate,
The first and second double mobile pulley is separately positioned on the two sides of left and right sliding slot and can be reciprocal along the upper surface of lower plate
It is mobile；The lower end of the first arc bent plate is connected in the left side of first movement plate, the right side of the second mobile plate connects the second arc
Shape bent plate；Left and right strut is installed respectively in the upper end of the first and second arc bent plates, be set on the left and right strut it is left,
Right sliding sleeve, is transversely mounted left and right telescopic arm respectively on left and right sliding sleeve, the opposite one end of left and right telescopic arm install respectively it is left,
Inserted block in the right side.
4. laparoscope puncturing hole hemostasis device described in accordance with the claim 3, it is characterised in that: the clamping device include it is left,
Right clamping snap arm, the left and right two sides for clamping snap arm and being separately positioned on left and right sliding rack；Left and right clamping snap arm respectively includes
Left and right installation nut and left and right top fill column, and the left and right installation nut is separately fixed at the lower plate of left and right sliding rack two sides
On, annular groove is set on the periphery wall of the left and right top dress column, external thread sleeve, external thread sleeve are set in annular groove
External screw thread is set on the outer wall of cylinder, and left and right top dress column and external thread sleeve are arranged in left and right installation nut, external thread sleeve
It is separately mounted to by external screw thread in the internal thread through hole of left and right installation nut；The left and right top fills column towards left and right sliding
One end of frame is installed by left and right top dress arc plate respectively；When rotating in the forward direction external thread sleeve, can enable left and right top dress column push it is left,
Right top fills arc plate from arranged on left and right sides jam-packed the first and second arcs bent plate.
5. laparoscope puncturing hole hemostasis device according to claim 4, it is characterised in that: further include left and right pressure-stabilizing bin, institute
Left and right pressure-stabilizing bin is stated to be separately mounted on left and right sliding sleeve；The left and right pressure-stabilizing bin includes inflation pressure stabilizing warehouse, the inflation
Pressure stabilizing warehouse includes the storehouse plate that section is in " " shape, and silica gel thin film is arranged in the open-mouth of the storehouse plate, and the storehouse plate and silica gel are thin
Film encloses plenum space；Aeration aperture is set on the plate of storehouse, and the aeration aperture connects air valve and inflator pump by gas tube.
6. laparoscope puncturing hole hemostasis device according to claim 5, it is characterised in that: the left and right installation column
Longitudinally disposed left and right bar shaped outer jack is distinguished in left and right outside, and the upper end of the left and right bar shaped outer jack is open, described left and right
Interior inserted block is able to insert setting from the open end of left and right bar shaped outer jack in left and right bar shaped outer jack and can be along left and right
Bar shaped outer jack slides up and down, when cannot laterally deviate from from left and right bar shaped outer jack.
7. laparoscope puncturing hole hemostasis device according to claim 6, it is characterised in that: in the phase of left and right installation column
Left and right bar shaped internal plug seat is arranged to inside, the upper end of the left and right bar shaped internal plug seat is open；It further include left and right mounting blocks and abdomen
Hysteroscope fixed ring, from the open end of left and right bar shaped internal plug seat, inserting is arranged in left and right bar shaped the left and right mounting blocks respectively
It can slide up and down in jack and along left and right bar shaped internal plug seat；Open up left and right spherical shape respectively on the opposite face of left and right mounting blocks
Jack passes through left and right spherical rotation inserted block inserting in the arranged on left and right sides of laparoscope fixed ring respectively and is fixed on left and right spherical insert
Kong Zhong.
8. the application method of laparoscope puncturing hole hemostasis device according to claim 7, it is characterised in that: including walking as follows
It is rapid:
(1) patient is enabled to select hoop in the flexibility of suitable dimension, the circular ring shape center chassis through-hole alignment of hoop pedestal will be inserted into order
The position of gastroscope；
(2) when reversely rotating external thread sleeve, it can enable left and right top dress that left and right top dress arc plate is driven to unclamp left and right sliding rack,
Enabling left and right sliding rack, two sides are moved to upper limit to left and right, and patient is enabled to lie directly between left and right sliding rack；It rotates in the forward direction outer
Screw shell can enable left and right top dress column that left and right top is pushed to fill arc plate from the left and right sliding rack of arranged on left and right sides jam-packed, a rotation left side,
It on right sliding sleeve, while adjusting left and right telescopic arm and enabling left and right telescopic arm in straight line, left and right interior inserted block is respectively from left and right item
The open end inserting setting of shape outer jack along left and right bar shaped outer jack in left and right bar shaped outer jack and under capable of sliding down to
Limit；Adjusting left and right pressure-stabilizing bin at the same time enables silica gel thin film towards hoop arranged on left and right sides in the flexibility of sufferer；
(3) skin 1cm is cut in navel wheel lower edge, by incision with 45 degree of insertion veress needles, pumpback is followed by a needle tubing without blood, if raw
Reason salt water smoothly flows into, and illustrates to puncture successfully, syringe needle is intraperitoneal；Carbon dioxide inflator is connect, intake velocity is no more than 1L/
Min, total amount are advisable with 2-3L；Intra-abdominal pressure is no more than 2.13KPa；Left and right pressure-stabilizing bin is inflated at the same time, is enabled
Left and right pressure-stabilizing bin can be from the fixed sufferer of arranged on left and right sides；
(4) patient holds laparoscope, and the trochar of laparoscope is sequentially inserted into laparoscope fixed ring and circular ring shape chassis from top
Through-hole, until trochar vertically slowly be inserted into abdominal cavity patient；The top of laparoscope clamps and is fixed on the upper of laparoscope fixed ring
Portion, patient can swing laparoscope and carry out treatment operation；
(5) after completing surgical operation, laparoscope is extracted, lifts pull ring, is applied sterile hemostasis by the first and second draught lines
Patch is pulled out from application storage storehouse, and at the same time, release paper shift plate can remove release paper from application ontology；Drawing first
With the second draught line, until the through-hole on circular ring shape chassis is completely covered in application ontology, the lower surface center for applying ontology is covered
The cyclic annular mucigel of lid operative incision, application ontology lower surface can be bonded the skin around operative incision, realize hemostatic function.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811366497.3A CN109316280B (en) | 2018-11-16 | 2018-11-16 | Peritoneoscope puncture hole hemostasis device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811366497.3A CN109316280B (en) | 2018-11-16 | 2018-11-16 | Peritoneoscope puncture hole hemostasis device |
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| Publication Number | Publication Date |
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| CN109316280A true CN109316280A (en) | 2019-02-12 |
| CN109316280B CN109316280B (en) | 2021-04-16 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201811366497.3A Active CN109316280B (en) | 2018-11-16 | 2018-11-16 | Peritoneoscope puncture hole hemostasis device |
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| CN111110326A (en) * | 2019-12-30 | 2020-05-08 | 陈加胜 | Puncture needle special for cricothyroid membrane puncture |
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| US6070584A (en) * | 1995-10-26 | 2000-06-06 | Bergstroem; Bo S | Support structure for fixing a medical instrument |
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| CN109316280B (en) | 2021-04-16 |
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