CN109330650A - A kind of laparoscope inflatable gall-bladder pulling clamp - Google Patents
A kind of laparoscope inflatable gall-bladder pulling clamp Download PDFInfo
- Publication number
- CN109330650A CN109330650A CN201811486243.5A CN201811486243A CN109330650A CN 109330650 A CN109330650 A CN 109330650A CN 201811486243 A CN201811486243 A CN 201811486243A CN 109330650 A CN109330650 A CN 109330650A
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- Prior art keywords
- gall
- compression ring
- pincers
- movable
- bladder
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive 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
-
- 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
- A61B17/2909—Handles
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Engineering & Computer Science (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Ophthalmology & Optometry (AREA)
- Surgical Instruments (AREA)
Abstract
Type of the present invention discloses a kind of laparoscope inflatable gall-bladder pulling clamp, comprising: adjustable clamp, pincers anti-slop serrations, grips pincers strut compression ring, compression ring closing fixing end, compression ring pipe joint, ventilation pipe, compression ring sleeve, breather valve, ventilation interface, movable pipe shelves column, movable pipe behaviour area, tube body enclosed area, fixed handle, tension spring, movable handle, movable end, pincers cylinder, pincers pull rod, fixing end；A kind of laparoscope inflatable gall-bladder pulling clamp, when carrying out celioscope gall-bladder operation using type of the present invention, this instrument can not only assist drawing gallbladder tissue, and compression ring structure possessed by this instrument can be used, directly sagging liver organization is stopped, gall-bladder and liver lower edge space are strutted, sufficiently exposure calot's triangle region, is more clear the structure exposure of calot's triangle region bile duct, blood vessel and soft tissue.Through clinical practice, this instrument can obviously reduce operating time after, effectively improve operation safety.
Description
Technical field
Type of the present invention is related to laparoscopic surgery applied technical field, specially a kind of laparoscope inflatable gall-bladder pulling clamp.
Background technique
The development of modern medicine, minimally invasive surgery have been the developing direction of current surgical operation, and minimally invasive surgery has wound
It is small, to restore fast, pain few, have become the target and direction that modern medicine is pursued jointly.Laparoscopic technique is gradually in some aspects
Gradually replace traditional operation, in laparoscopic surgery operation, it has been found that since operating space is small, when suture, clamp, exposed tissue
Relatively difficult, " chopsticks effect " occurs often.When doing Laparoscopic Cholecystectomy, three hole puncture methods, a puncturing hole are commonly used
For peep hole, a puncturing hole is auxiliary stretch hole, and a puncturing hole is primary operating hole, when only one puncturing hole is as auxiliary
Kong Shi, when handling triangle area, it is sagging usually to encounter patient's liver, blocks operative region, causes the solution of operative region
Cut open it is unintelligible, such as increase puncturing hole, lifting for liver is carried out, although the dissection of operative region can preferably be exposed, but more
Puncturing hole can undoubtedly patient be given to increase more wounds, due to dissecting unintelligible, the band of exposure in the operation in calot's triangle region
The various surgical injuries and complication come, happen occasionally, certain puzzlement are brought to medical staff.
Inventing type content
Type of the present invention is designed to provide a kind of laparoscope inflatable gall-bladder pulling clamp, it can effectively solve in background technique
There are the problem of.
To achieve the above object, type of the present invention provides the following technical solutions: a kind of laparoscope inflatable gall-bladder pulling clamp, packet
Include: adjustable clamp, pincers anti-slop serrations, grips pincers strut compression ring, compression ring closing fixing end, compression ring pipe joint, ventilation pipe, compression ring
Sleeve, breather valve, ventilation interface, movable pipe shelves column, movable pipe behaviour area, tube body enclosed area, fixed handle, tension spring, activity
Handle, movable end, pincers cylinder, pincers pull rod, fixing end；It is characterized in that adjustable clamp is connected by clamping pull rod with movable handle；Tension spring
One end is connected with movable handle, and one end is connected with fixed handle；It struts compression ring and is connected by ventilation pipe with ventilation interface；The gall-bladder
It include the pincers gentle ring set barrel structure of barrel structure in pulling clamp cylinder；The pincers barrel structure and compression ring tube-in-tube structure are two independent portions
Point；The movable handle controls clamp and the release activity of adjustable clamp by pincers pull rod；The compression ring that struts is filled by interface of ventilating
Gas, which deflates to control, to be opened and reduces.
Further, the anti-skidding toothing of pincers is had at the adjustable clamp and grips pincers.
Further, the compression ring that struts is elastic rubber annular structure, and it can pass through the inflation of ventilation interface and exhaust
Control is opened and is reduced.
Further, the tension spring is in state of tension, can make adjustable clamp and grips pincers in closed state under natural conditions.
Further, the movable end is the moveable connectivity port in port, and fixing end is the irremovable connecting pin in port
Mouthful.
Further, the bumping post before and after the movable pipe shelves column is when compression ring sleeve is mobile, is fixed on outside gall-bladder pulling clamp
On cylinder.
Further, the fixed handle is fixed handle, and movable handle is that can be drawn between the two with movable handle
Power spring is connected.
Further, the compression ring sleeve can be movable all around in movable pipe behaviour area by mobile ventilation interface.
Compared with prior art, a kind of laparoscope inflatable gall-bladder pulling clamp carries out laparoscope gallbladder using type of the present invention
When capsule is performed the operation, this instrument only needs a puncturing hole, can not only assist drawing gallbladder tissue, but also this instrument institute can be used
What is had struts compression ring structure, and directly sagging liver organization is stopped, and the operative region space of gall-bladder and liver lower edge is supportted
It opens, sufficiently exposure calot's triangle region, and does not need additionally to increase patient abdomen operative incision, do not need to additionally set up operation
Channel, in a puncture cannula can complete the Generals culture drawing and support operation that cannot complete, be conducive to guarantee compared with
In the case where few abdominal incision, more beautiful postoperative abdominal appearance, make when Laparoscopic gallbladder is performed the operation, calot's triangle region gallbladder
Pipe, blood vessel structure be more clear, operative region exposure it is more abundant.Through clinical practice, can obviously reduce after this instrument is practical
Operating time effectively improves operation safety.
Detailed description of the invention
Fig. 1 is the overall structure diagram of type of the present invention；
Fig. 2 is the head end enlarged structure schematic diagram of this instrument；
Fig. 3 is the tail end enlarged structure schematic diagram of this instrument；
In appended drawing reference:
Adjustable clamp 1, pincers anti-slop serrations 2, grips pincers 3 strut compression ring 4, compression ring closing fixing end 5, compression ring pipe joint 6, snorkel
Road 7, breather valve 9, ventilation interface 10, movable pipe shelves column 11, movable pipe behaviour area 12, tube body enclosed area 13, is consolidated compression ring sleeve 8
Determine handle 14, tension spring 15, movable handle 16, movable end 17, pincers cylinder 18, pincers pull rod 19, fixing end 20.
Specific embodiment
Below in conjunction with the attached drawing in type embodiment of the present invention, the technical solution in type embodiment of the present invention is carried out clear
Chu is fully described by, it is clear that described embodiment is only type a part of the embodiment of the present invention, rather than whole implementation
Example.Based on the embodiment in type of the present invention, those of ordinary skill in the art are obtained without making creative work
All other embodiment, belong to the range of type of the present invention protection.
Please refer to Fig. 1, Fig. 2, Fig. 3；Type of the present invention provides a kind of technical solution:
A kind of laparoscope inflatable gall-bladder pulling clamp, comprising: adjustable clamp 1, grips pincers 3, struts compression ring 4, compression ring at pincers anti-slop serrations 2
Close fixing end 5, compression ring pipe joint 6, ventilation pipe 7, compression ring sleeve 8, breather valve 9, ventilation interface 10, movable pipe shelves column
11, movable pipe behaviour area 12, tube body enclosed area 13, fixed handle 14, tension spring 15, movable handle 16, movable end 17, pincers cylinder 18,
Clamp pull rod 19, fixing end 20；It is characterized in that adjustable clamp 1 is connected by clamping pull rod 19 with movable handle 16；15 one end of tension spring
It is connected with movable handle 16, one end is connected with fixed handle 14；It struts compression ring 4 and is connected by ventilation pipe 7 with ventilation interface 10；It is described
It include pincers gentle 8 structure of ring sleeve of 18 structure of cylinder in gall-bladder pulling clamp cylinder；18 structure of pincers cylinder and 8 structure of compression ring sleeve are two
A independent part；The movable handle 16 controls clamp and the release activity of adjustable clamp 1 by pincers pull rod 19；It is described to strut compression ring
4 deflate to control by the ventilation inflation of interface 10 opens and reduces.
Further, pincers 2 structure of anti-slop serrations is had at the adjustable clamp 1 and grips pincers 3.
Further, the compression ring 4 that struts is elastic rubber annular structure, and it can pass through ventilation interface 10 and ventilation
The inflation of valve 9 and gas exhaust inspecting are opened and are reduced.
Further, the tension spring 15 is in state of tension, can make adjustable clamp 1 and grips pincers 3 in closure under natural conditions
State.
Further, the movable end 17 is the moveable connectivity port in port, and fixing end 20 is the irremovable company in port
Connect port.
Further, the bumping post before and after the movable pipe shelves column 11 is when compression ring sleeve 8 is mobile, is fixed on gall-bladder pulling clamp
On outer cylinder.
Further, the fixed handle 14 is fixed handle, and movable handle 16 is can be with movable handle, between the two
It is connected by tension spring 15.
Further, the compression ring sleeve 8 can all around be lived in movable pipe behaviour area 12 by mobile ventilation interface 10
It is dynamic.
Further, the compression ring closing fixing end 5 is completely enclosed compression ring end, and compression ring pipe joint 6 can be with operating room
Aspirator leather strap phase communications and liaison.
Further, the movable pipe behaviour area 12 is the ventilation mobilizable region of interface 10.
Type of the present invention is in design:
This kind of benefit of laparoscope inflatable gall-bladder pulling clamp are as follows: existing clinic laparoscopic cholecystectomy, most common hand
Art mode is, in surgical procedure, patient uses head height sole position, left-leaning 30 degree positions, and lower edge puncture cannula, which is placed, at navel takes the photograph
As head apparatus, puncture cannula is primary operating hole under xiphoid-process, and right side anterior axillary line gall-bladder bottom puncture cannula is that gall-bladder drawing punctures set
Pipe is established at above-mentioned three after puncture cannula, starts to carry out Cholecystectomy operation, now common laparoscopic cholecystectomy pulls pliers
For the single operation pliers for only pulling gallbladder tissue, operation on gallbladder process is being pulled using conventional surgical instrument three pores
In, it can not accomplish to strut sagging liver organization, it is thus impossible to preferably expose calot's triangle region, if necessary will
The tissue in calot's triangle region clearly exposes, and when supporting liver organization, then needs in addition to cut skin, places the 4th puncture set
Pipe places puncture cannula, by the 4th abdominocentesis casing, carries out sagging liver support, clearly exposes triangle area
Domain will certainly cause more major trauma due to increasing the 4th puncture cannula to patient.This instrument is per se with drawing pliers and support
Compression ring 4 is opened, in the case where not increasing trauma of abdomen and in addition not increasing puncture cannula, utilizes adjustable clamp 1 possessed by this instrument
With the direct clamp gall-bladder of closure of grips pincers 3, while this instrument has pincers anti-slop serrations 2, can prevent the gall-bladder clamped of pincers from slipping,
After suitable position clamp gall-bladder, rotation adjustment this instrument direction, the gallbladder for compression ring 4 will be strutted possessed by this instrument being placed on drawing
Between capsule and liver organization, using the opening for strutting compression ring 4 of this instrument, sagging liver is strutted upwards, sufficiently exposure
Operative region can equally make surgical procedure get a clear view and can debate in the case where not increasing puncture cannula, reduce operation risk.
This kind of specific connection structure of laparoscope inflatable gall-bladder pulling clamp are as follows: a kind of this laparoscope inflatable gall-bladder is led
Draw vice is laparoscope surgical instrument, including two half-unit point, leads the sub half part of clamp and strut liver struts compression ring one
Half part, two half-unit point is both placed in master lever cylinder, and respectively accounts for half space structure, the connection structure of clamp pliers
Are as follows: adjustable clamp 1 is connected with pincers pull rod 19, and pincers pull rod 19 is connected with movable handle 16, and grips pincers 3 are to be fixed on instrument front end, cannot
There are pincers anti-slop serrations 2 on the inside of the jaw of mobile jaw, adjustable clamp 1 and grips pincers 3, fixed handle 14 is to be fixed on instrument end, no
Mobile fixed handle, tension spring of the tension spring 15 between fixed handle 14 and movable handle 16, under natural relaxation state,
Tension spring 15 can make fixed handle 14 and movable handle 16 in pulling force closed state, under its effect, the pulling force of pincers pull rod 19 backward,
By 20 link structure of movable end 17 and fixing end (this structure is that medical instrument often uses link structure), causes adjustable clamp 1 and consolidate
Surely pincers 3 are in closed state, can carry out clamp gallbladder tissue, carry out the operation of clamp gallbladder tissue；Liver struts compression ring part company
Binding structure are as follows: strut compression ring 4 and be the circular ring structure of elastic rubber material, and strutting 4 one end of compression ring is that compression ring closing fixing end 5 is
Closing, the one end that cannot be ventilated, the other end are connected by compression ring pipe joint 6 with ventilation pipe 7, and ventilation pipe 7 passes through ventilation
Chamber venting leather strap is general is connected with operation for interface 10, and ventilation can be controlled by ventilation interface 10, and ventilation gas ducting is distributed
In compression ring casing 8, compression ring casing 8 is gall-bladder pulling clamp top half internal structure, and it can be inside gall-bladder pulling clamp certainly
By activity, the direction for strutting compression ring 4 can be adjusted by the different directions of mobile ventilation interface 10, while interface 10 of ventilating can be
Front and rear, left and right activity among movable pipe behaviour area 12 between movable pipe shelves column 11.And then according to distracted needs, support can adjust
Four different directions of compression ring 4 are opened, movable pipe shelves column 11 is fixed in the outer surface wall of gall-bladder pulling clamp, is not needing to strut gas
When ring 4, the gas for strutting compression ring 4 can be bled off, interface 10 of ventilating of pulling back will have by the breather valve 9 on ventilation interface 10
Discouraged struts compression ring 4 and compression ring sleeve 8, is retracted in inside gall-bladder pulling clamp upper half, it is avoided to cause shadow to operative region
It rings.
This kind of specifically used method of laparoscope inflatable gall-bladder pulling clamp are as follows: perform the operation in laparoscopic cholecystectomy
When operation, after anaesthetizing successfully, adjustment operating bed is patient's head height sole, and patient body is 30 degree left-leaning, makes intraperitoneal intestinal tube to the left
Lower section is mobile, prevents the potential risk of intestinal tract injury that may cause in surgical procedure, while being conducive to sufficiently expose gall-bladder hand
Art region, but liver is due to gravity at this time, is also easy sagging, pushes down gall-bladder, increases operating difficulty, three pores laparoscope
Lower cholecystectomy establishes camera operation path at navel, primary operating hole is established under xiphoid-process, right side anterior axillary line gall-bladder bottom is built
Gall-bladder auxiliary operation hole is stood, is three pores at above-mentioned three, is common intraperitoneal access penetrations casing placement location, by this instrument
(clamp mouth is in folder closed state, struts the state that compression ring 4 is in closure retraction) is put by the channel that the puncture cannula is established
It is intraperitoneal, gall-bladder is found first to movable handle 16 is pushed forward, and so that adjustable clamp 1 and grips pincers 3 is in open configuration by clamping pull rod 19, is sought
Suitable angles and positions are looked for, pull movable handle 16 backward, the folder for carrying out gallbladder wall closes, carries out the drawing of gall-bladder, pressed from both sides at this time
The gall-bladder of drawing is closed to close and under the action of tension spring 15 in the folder of adjustable clamp 1, pincers anti-slop serrations 2, grips pincers 3 in firmly
Press from both sides closed state.The position for adjusting this instrument gall-bladder pulling clamp makes to strut the middle position that compression ring 4 closes gall-bladder in liver and folder, and
It is vertical with liver lower edge to strut 4 long axis of compression ring, is connected by the way that ventilation interface 10 is inflated leather strap with operating room in advance, opens logical
Air valve 9 allows gas by ventilation pipe, into strutting in compression ring 4, due to strutting compression ring 4 as caoutchouc elasticity annular structure, and
One end is that compression ring closes fixing end 5, and after inflation, high pressure gas can make to strut compression ring 4 in inflation turgor state, closes breather valve
9, it prevents high pressure gas from excessively inflating, the operative region of liver lower edge and gall-bladder can be strutted at this time, exposure calot's triangle region,
Facilitate surgical procedure, when needing simple adjustment surgical exposure region, hand-holdable ventilation interface 10, left and right adjustment different directions,
8 front end of compression ring sleeve strut compression ring 4 also and can adjust therewith it is different strut direction, at the end of operation, operating room is inflated
Leather strap pulls out from ventilation interface 10, opens breather valve 9, will strut gas in compression ring 4 and all bleed off, interface of ventilating of pulling back is let out
Gas struts compression ring 4 and can be retracted in inside gall-bladder pulling clamp top half, facilitates taking-up puncture cannula, and ventilation interface 10 is adjusting
In the process, it can be moved forward and backward among movable pipe shelves column 11, it is adjustable to strut compression ring, it is at the shape to work after inflation
State and lose heart after retracted state, contract inside gall-bladder pulling clamp.Ventilating interface 10 simultaneously can also be in movable pipe behaviour area or so
Activity, to adjust strut compression ring 4 become different directions, according to the needs of operation, carry out the operative region support of different directions
It opens, exposure surgical field of view.This instrument can expose operation view in the case where not increasing abdomen puncture casing and skin injury
Open country is more clear its exposure.It is more conducive to fining surgical procedure.
While there has been shown and described that the embodiment of type of the present invention for the ordinary skill in the art can
A variety of to the progress of these embodiments can be changed with understanding in the case where not departing from the principle and spirit of type of the present invention, be modified,
The range of replacement and variant, type of the present invention is defined by the appended claims and the equivalents thereof.
Claims (8)
1. a kind of laparoscope inflatable gall-bladder pulling clamp, comprising: adjustable clamp, pincers anti-slop serrations, grips pincers strut compression ring, compression ring envelope
Close fixing end, compression ring pipe joint, ventilation pipe, compression ring sleeve, breather valve, ventilation interface, movable pipe shelves column, the activity of movable pipe
Area, tube body enclosed area, fixed handle, tension spring, movable handle, movable end, pincers cylinder, pincers pull rod, fixing end；It is characterized in that movable
Pincers are connected by clamping pull rod with movable handle；Tension spring one end is connected with movable handle, and one end is connected with fixed handle；It is logical to strut compression ring
Ventilation pipe is crossed to be connected with ventilation interface；It include the pincers gentle ring set barrel structure of barrel structure in the gall-bladder pulling clamp cylinder；The pincers
Barrel structure and compression ring tube-in-tube structure are two independent parts；The movable handle controls clamp and the pine of adjustable clamp by pincers pull rod
Open activity；The compression ring that struts is opened and is reduced by ventilation interface inflation deflation control.
2. a kind of laparoscope inflatable gall-bladder pulling clamp according to claim 1, it is characterised in that: the adjustable clamp and solid
Determine at pincers with the anti-skidding toothing of pincers.
3. a kind of laparoscope inflatable gall-bladder pulling clamp according to claim 1, it is characterised in that: the compression ring that struts is
Elastic rubber annular structure, and it can be opened and be reduced with gas exhaust inspecting by ventilation interface inflation.
4. a kind of laparoscope inflatable gall-bladder pulling clamp according to claim 1, it is characterised in that: the tension spring is in
State of tension can make adjustable clamp and grips pincers in closed state under natural conditions.
5. a kind of laparoscope inflatable gall-bladder pulling clamp according to claim 1, it is characterised in that: the movable end is end
The moveable connectivity port of mouth, fixing end are the irremovable connectivity port in port.
6. a kind of laparoscope inflatable gall-bladder pulling clamp according to claim 1, it is characterised in that: the movable pipe shelves column
Bumping post before and after when moving for compression ring sleeve, is fixed on gall-bladder pulling clamp outer cylinder.
7. a kind of laparoscope inflatable gall-bladder pulling clamp according to claim 1, it is characterised in that: the fixed handle is solid
Fixed motionless handle, movable handle are that can be connected between the two by tension spring with movable handle.
8. a kind of laparoscope inflatable gall-bladder pulling clamp according to claim 1, it is characterised in that: the compression ring sleeve can
It is movable all around in movable pipe behaviour area by mobile ventilation interface.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811486243.5A CN109330650A (en) | 2018-12-06 | 2018-12-06 | A kind of laparoscope inflatable gall-bladder pulling clamp |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811486243.5A CN109330650A (en) | 2018-12-06 | 2018-12-06 | A kind of laparoscope inflatable gall-bladder pulling clamp |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109330650A true CN109330650A (en) | 2019-02-15 |
Family
ID=65303361
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811486243.5A Withdrawn CN109330650A (en) | 2018-12-06 | 2018-12-06 | A kind of laparoscope inflatable gall-bladder pulling clamp |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109330650A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110169793A (en) * | 2019-05-17 | 2019-08-27 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | Ovary draws hanger |
-
2018
- 2018-12-06 CN CN201811486243.5A patent/CN109330650A/en not_active Withdrawn
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110169793A (en) * | 2019-05-17 | 2019-08-27 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | Ovary draws hanger |
| CN110169793B (en) * | 2019-05-17 | 2020-05-22 | 温州医科大学附属第二医院、温州医科大学附属育英儿童医院 | Ovary traction hanger |
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Application publication date: 20190215 |