CN110477973B - Auxiliary device is peeled off to peritoneoscope ovarian cyst - Google Patents
Auxiliary device is peeled off to peritoneoscope ovarian cyst Download PDFInfo
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- CN110477973B CN110477973B CN201910882036.XA CN201910882036A CN110477973B CN 110477973 B CN110477973 B CN 110477973B CN 201910882036 A CN201910882036 A CN 201910882036A CN 110477973 B CN110477973 B CN 110477973B
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- bag
- ovarian cyst
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- cyst
- aseptic
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- 208000025661 ovarian cyst Diseases 0.000 title claims abstract description 61
- 208000031513 cyst Diseases 0.000 claims abstract description 34
- 230000008602 contraction Effects 0.000 claims abstract description 32
- 206010011732 Cyst Diseases 0.000 claims abstract description 25
- 238000004804 winding Methods 0.000 claims abstract description 20
- 238000000034 method Methods 0.000 claims description 13
- 210000001672 ovary Anatomy 0.000 claims description 5
- 238000010030 laminating Methods 0.000 claims 1
- 210000002726 cyst fluid Anatomy 0.000 abstract description 11
- 230000006835 compression Effects 0.000 abstract description 5
- 238000007906 compression Methods 0.000 abstract description 5
- 238000002360 preparation method Methods 0.000 abstract description 5
- 238000000926 separation method Methods 0.000 abstract description 4
- 238000007789 sealing Methods 0.000 abstract description 3
- 210000000683 abdominal cavity Anatomy 0.000 description 9
- 230000001681 protective effect Effects 0.000 description 8
- 239000000243 solution Substances 0.000 description 6
- 206010028980 Neoplasm Diseases 0.000 description 4
- 230000003187 abdominal effect Effects 0.000 description 4
- 238000002357 laparoscopic surgery Methods 0.000 description 3
- 239000007788 liquid Substances 0.000 description 3
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 210000003815 abdominal wall Anatomy 0.000 description 2
- 230000000844 anti-bacterial effect Effects 0.000 description 2
- 210000000080 chela (arthropods) Anatomy 0.000 description 2
- 230000006378 damage Effects 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 208000005646 Pneumoperitoneum Diseases 0.000 description 1
- 206010046798 Uterine leiomyoma Diseases 0.000 description 1
- 210000001015 abdomen Anatomy 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000000988 bone and bone Anatomy 0.000 description 1
- 229910002092 carbon dioxide Inorganic materials 0.000 description 1
- 239000001569 carbon dioxide Substances 0.000 description 1
- 238000011109 contamination Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 239000006185 dispersion Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 206010034674 peritonitis Diseases 0.000 description 1
- 239000002504 physiological saline solution Substances 0.000 description 1
- 239000002861 polymer material Substances 0.000 description 1
- 230000000638 stimulation Effects 0.000 description 1
- 239000000126 substance Substances 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Images
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets 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
- A61B17/42—Gynaecological or obstetrical instruments or methods
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00287—Bags for minimally invasive surgery
Abstract
The invention discloses a laparoscopic ovarian cyst stripping auxiliary device which comprises a laparoscopic ovarian cyst stripping and collecting bag and a contraction assembly, wherein the contraction assembly is controlled by a miniature tension sensor and a tension controller, the laparoscopic ovarian cyst stripping and collecting bag is a bag body with a structure with 3 one-way holes and a retractable opening, and the laparoscopic ovarian cyst stripping and collecting bag is sequentially connected with the miniature tension sensor and a winding wheel through a compression belt. On one hand, the laparoscopic ovarian cyst stripping and collecting bag and the shrinkage component move mutually to form an operation space with better sealing performance, and avoid cyst fluid overflow caused by rupture of a cyst wall in the ovarian cyst separation process, and on the other hand, the laparoscopic ovarian cyst stripping and collecting bag has the advantages that preoperative preparation work is simplified, the time consumption of an operation is reduced, and the pain of a patient is relieved through simple and convenient design.
Description
Technical Field
The invention relates to the field of medical instruments, in particular to an auxiliary device for stripping ovarian cysts of a laparoscope.
Background
The laparoscopic ovarian cyst stripping operation is characterized in that a plurality of openings of 0.5-1 cm are formed in the abdomen, and laparoscopic cavity surgical instruments such as a cyst separating instrument, a laparoscope and operating forceps are arranged outside the abdominal cavity, so that a doctor monitors the operation process through the laparoscope and an external screen and finishes the cutting of cysts through the cyst separating instrument, the operating forceps and other surgical instruments.
However, the laparoscopic ovarian cyst removal operation also has the problem of complicated conditions in the operation, particularly when a thin-wall cyst is faced, the problem of rupture of a cyst wall and overflow of cyst fluid are difficult to avoid by performing the cyst removal operation, and in case of rupture of the cyst wall of the ovarian cyst in the laparoscopic operation, the overflow of the cyst fluid not only pollutes the abdominal cavity, but also causes abdominal cavity pollution due to wide dispersion of contents in the abdominal cavity due to low head and high hip positions, and peritonitis and planting caused by chemical stimulation are one of the main concerns affecting the development of the laparoscopic technology, so that in the actual operation, on one hand, the rupture of the cyst wall needs to be avoided by means of a removal method or incision selection, and on the other hand, under the conditions of rupture of the cyst wall and overflow of the cyst fluid, the cyst fluid needs to be immediately sucked and washed by a large amount of physiological saline, so that the laparoscopic ovarian cyst removal operation is difficult and, increasing the infection probability.
To prevent cyst fluid from overflowing and reduce the chances of contamination and infection of the abdominal cavity, some clinical medical institutions have attempted to use a retrieval bag in ovarian cyst removal procedures. At present, a disposable object fetching bag for operation is made of medical high polymer materials and is provided with a contraction belt, separated cysts are put into the object fetching bag, the bag opening is contracted and tensioned, the object fetching bag and the cysts therein are taken out from an abdominal wound, when the cysts with larger diameters face, liquid can be pumped in the bag in advance, and the bag wall breakage and the bag liquid overflow caused by abdominal wall retraction or bone sharp parts in the process of taking out the cysts are avoided, but the object fetching bag cannot break aiming at the bag wall appearing in the process of separating the cysts.
In addition, application number CN201520384022.2 also proposes a disposable collection bag for laparoscopic hysteromyoma crushing operation, which wraps the tumor through a first bag opening with a contraction band, and puts laparoscopic surgery instruments into the first bag opening, the second bag opening, the third bag opening and the fourth bag opening which are respectively externally connected with a first sheath opening, a second sheath opening and a third sheath opening, so that laparoscopic surgery can be completed in a closed space formed by the disposable collection bag, and the problem of pollution caused by tumor tissues separated by cutting is avoided to a certain extent. However, in the process of separating and cutting the tumor, the pre-tightened bag opening gradually has a gap, the risk of overflow still exists, and the collection bag needs to be placed in, aligned with the sheath opening, opened, aligned with the tumor, contracted band and other pre-preparation works, so that the time consumption is too long, and the pain of a patient is increased.
Therefore, a new auxiliary device for removing an ovarian cyst laparoscopically is needed to solve the above problems.
Disclosure of Invention
The invention aims to provide a laparoscopic ovarian cyst stripping auxiliary device which can prevent cyst fluid from overflowing due to rupture of a cyst wall in an ovarian cyst separation process by forming an operation space with better sealing performance, simplify preoperative preparation work, shorten time consumption of an operation and relieve pain of a patient by simple and convenient design.
The invention is realized by the following technical scheme: the utility model provides a peritoneoscope ovarian cyst strips auxiliary device, includes that peritoneoscope ovarian cyst strips collection bag and shrink subassembly, the shrink subassembly include miniature tension sensor and with miniature tension sensor arranges the reel side by side, peritoneoscope ovarian cyst strips the collection bag and is connected with the reel through miniature tension sensor of shrink band via.
Preferably, the retraction assembly further comprises a tension controller, a mounting base plate, a first support, a second support and a rotating motor, the rotating motor is fixedly connected with the winding wheel through a pin shaft, and the miniature tension sensor and the rotating motor are fixedly mounted on the mounting base plate through the first support and the second support respectively.
Preferably, the tension controller comprises a controller input end and a controller output end, the controller input end is connected with the micro tension sensor for signal input, and the controller output end is connected with the rotating motor for output control.
Preferably, peritoneoscope ovarian cyst strips and collects bag and includes the aseptic bag body, and there are first sack, second sack and two supplementary sacks on the aseptic bag body surface, and second sack and supplementary sack department fixed mounting have valve rubber buffer.
Preferably, the first bag opening, the second bag opening and the auxiliary bag opening are respectively provided with different identification marks.
Preferably, the collecting bag is peeled off to peritoneoscope ovarian cyst still includes the double-deck gasbag that is located first sack top, and double-deck gasbag lower extreme has 3~8 shrink band openings, and the shrink band passes in proper order the shrink band opening.
Preferably, the double-layer balloon is connected with the balloon airway and is filled with gas in an expansion circular ring structure.
Preferably, the flap rubber plug is a circular rubber sheet and comprises a flap introducing surface, a guide hole positioned at the center of the flap introducing surface, a dividing groove divided from the guide hole to the outer edge and a flap divided by the dividing groove, the depths of the guide hole and the dividing groove are both shallower than the thickness of the flap rubber plug, and the non-introducing surface side of the flap rubber plug is only provided with cross cutting along the dividing groove direction.
Preferably, peritoneoscope ovarian cyst strips and collects bag still includes aseptic protective sheath, aseptic protective sheath is column thin wall hollow structure, and the aseptic external surface of bag that is in compression state before the art laminates with aseptic protective sheath internal surface, and aseptic protective sheath length slightly is longer than the aseptic bag body of compression state.
Preferably, be in the aseptic bag body of compression state before the art, form through-hole structure between its first sack and the second sack, peritoneoscope front end peritoneoscope camera lens pass flap rubber buffer and the second sack of first sack, and its surface laminates with the aseptic bag body center through-hole structure surface of compression state, is located the rotary drive machine and the peritoneoscope camera lens fixed connection of peritoneoscope main part in addition.
Compared with the prior art, the invention has the beneficial effects that:
1) the invention adopts the structure that the miniature tension sensor inputs signals, the tension controller controls the rotating motor in a feedback way, and the rotating motor drives the winding wheel, so that the contraction belt always keeps stable tension to contract when cutting cysts, and further, the bag opening is prevented from generating gaps and the cyst fluid is prevented from overflowing in the process of cutting and separating the cysts.
2) The invention adopts the design of the double-layer inflatable bag opening, can rapidly open the bag opening and stabilize the shape by inflating, and is convenient to guide the bag opening to the position of the cyst.
3) The invention adopts the valve rubber plug to replace the bag mouth externally connected to the sheath mouth, on one hand, the preparation time of the collection bag before use is shortened, and on the other hand, the bag body has better sealing performance, so that the bag body is continuously opened, and the operation is more convenient.
4) The collecting bag I can be placed in the pelvic cavity of a patient through the laparoscope without being separately placed in the pelvic cavity before an operation, and meanwhile, the outer part of the collecting bag I is isolated by the antibacterial protective sleeve, so that the collecting bag I is safer to use and more convenient to operate.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and other drawings can be obtained by those skilled in the art without creative efforts.
FIG. 1 is a block diagram of the present invention;
FIG. 2 is a top view of the double bladder when inflated;
FIG. 3 is a view showing the structure of the valve rubber stopper;
FIG. 4 is a view of the structure of a pre-operative laparoscope;
FIG. 5 is a partial enlarged view of the laparoscope and the main bag body before operation;
in the figure: 1. laparoscopy; 11. a laparoscope lens; 13. a rotary drive; 2. stripping off and collecting bags for the ovarian cysts of the laparoscope; 21. a sterile bag body; 211. a first bag opening; 212. a second bag opening; 213. an auxiliary bag opening; 214. a valve rubber plug; 2141. a valve; 2142. a guide hole; 2143. dividing the groove; 2144. a flap lead-in surface; 215. a shrink band; 216. a shrink band opening; 217. a double-layer air bag; 218. an air duct of the air bag; 22. a sterile protective sleeve; 4. a retraction assembly; 41. mounting a bottom plate; 42. a miniature tension sensor; 43. a first bracket; 44. a tension controller; 441. a controller input; 442. a controller output; 45. a rotating electric machine; 46. a second bracket; 47. a winding wheel.
Detailed Description
The technical solutions of the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings, and it is to be understood that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments of the present invention without any inventive step, are within the scope of the present invention.
The present invention will be described in further detail below with reference to specific embodiments and with reference to the attached drawings.
As shown in fig. 1, the auxiliary device for stripping the laparoscopic ovarian cyst comprises a laparoscopic ovarian cyst stripping and collecting bag 2 and a contraction component 4, wherein the laparoscopic ovarian cyst stripping and collecting bag 2 is connected to the contraction component 4 through a contraction band 215, and the contraction band 215 is tightened by the contraction component 4 in an operation, so that a first bag opening 211 of a sterile bag body 21 is always attached to a joint of the ovarian cyst and an ovary.
In this embodiment, as shown in fig. 1, 2 and 3, the laparoscopic ovarian cyst removal and collection bag 2 comprises a sterile bag body 21 and a sterile protective sleeve 22 which is not placed in the body and is sleeved with a front cover; the surface of the sterile bag body 21 is respectively provided with a first bag opening 211, a second bag opening 212 and two auxiliary bag openings 213, and different bag openings are provided with different marks for facilitating identification operation during surgery; the first bag opening 211 is used for wrapping ovarian cyst, the top of the first bag opening is provided with a double-layer air bag 217, an air bag inflation tube 218 is connected to the double-layer air bag 217, part of the air bag inflation tube 218 is reserved outside the patient body from the sheath opening, when the air bag inflation tube 218 is inflated, the double-layer air bag 217 is rapidly opened and expanded to an inflated annular structure, and the first bag opening 211 is conveniently guided to wrap the ovarian cyst by using operation forceps in the abdominal cavity of the basin; the lower part of the double-layer air bag 217 is provided with 3-8 contraction belt access holes 216, and the contraction belt 215 passes through the contraction belt access holes 216; a flap rubber plug 214 is mounted on the second bag opening 212 and the auxiliary bag opening 213, a guide hole 2142 is formed in the center of a flap leading-in surface 2144 of the flap rubber plug 214, dividing grooves 2143 which are uniformly distributed are formed in the guide hole 2142 towards the outer edge of the flap rubber plug 214, and the depths of the guide hole 2142 and the dividing grooves 2143 are both shallower than the thickness of the flap rubber plug 214, so that the structure is convenient for positioning the surgical instrument in the thrust direction of the flap 2141 in the pelvic cavity, the flap rubber plug 214 is kept in a closed state in a normal state, and when the flap leading-in surface 2144 is slightly acted by external force, the flap 2141 is opened inwards; in the operation state, the first bag opening 211 is tightened by the contraction band 215 to be attached to the combination part of the cyst and the ovary, part of the first bag opening 211 extends out of the body from the sheath opening, the sterile bag body 21 forms a closed operation space, surgical instruments such as the laparoscope 1, the cyst separating forceps and the operating forceps are respectively guided by the guide holes 2142 from the first bag opening 211, the second bag opening 212 and the auxiliary bag opening 213, are pushed in from the valve guide surface 2144, slowly open the valve 2141, enter the sterile bag body 21, and perform operation in the closed space.
In this embodiment, as shown in fig. 4 and fig. 5, the front end of the laparoscope 1 is a laparoscope lens 11, and when preparing before an operation, the laparoscope lens 11 passes through the flap rubber stopper 214 of the second bag opening 212 and the first bag opening 211, the sterile bag body 21 is in a contracted state and is tightly attached to the outer surface of the laparoscope lens 11, and the sterile protection cover 22 is tightly attached to the outer surface of the sterile bag body 21 in the contracted state, so as to perform antibacterial protection on the sterile bag body and make the sterile bag body more easily enter the inside of the pelvic cavity of a patient along with the laparoscop; the laparoscope 1 body is also provided with a rotary driving machine 13, and the front end of the rotary driving machine 13 is fixedly connected with the laparoscope lens 11 and is used for driving the laparoscope lens 11 to rotate; during the operation, with peritoneoscope camera lens 11 from the sheath mouth department put into the peritoneoscope intracavity, slowly take out aseptic lag 22, open rotary driving machine 13 and drive peritoneoscope camera lens 11 and rotate, under the effect of centrifugal force, the aseptic bag body 21 of shrink scatters in the peritoneoscope intracavity, and because peritoneoscope camera lens 11 is in the rotating-state, it can shoot all directions, provides open, clear field of vision for the operation.
In this embodiment, as shown in fig. 1, the sterile bag 21 is connected to the shrinking assembly 4 through the external end of the shrinking belt 215, and the shrinking assembly 4 comprises a mounting base plate 41, a micro tension sensor 42, a first bracket 43, a tension controller 44, a rotating motor 45, a second bracket 46, a winding wheel 47; the tension controller 44 and the rotating motor 45 are fixedly mounted on the mounting base plate 41 through the first bracket 43 and the second bracket 46 respectively, the outer end of the contraction band 215 passes through the micro tension sensor 42 and is connected with the winding wheel 47, the numerical value received by the micro tension sensor 42 is input through the controller input end 441 and is output through the controller output end 442 through the internal feedback of the controller 44 to control the running state of the rotating motor 45, and the winding wheel 47 is fixedly connected with the rotating motor 45 through a pin shaft, so that the running of the winding wheel 47 and the contraction band 215 connected with the winding wheel 47 are controlled, and the purposes of controlling the tensioning and the loosening of the first bag opening 211 are further achieved.
In specific implementation, during preoperative preparation, the laparoscopic ovarian cyst stripping and collecting bag 2 in a compressed state is sleeved in the valve rubber plug 214 of the second bag opening 212 of the laparoscopic ovarian cyst stripping and collecting bag along the front end of the laparoscope 1, is tightly attached to the outer surface of the laparoscopic lens 11, and penetrates out of the first bag opening 211 of the laparoscopic ovarian cyst stripping and collecting bag; puncturing an abdominal membrane by using a pneumoperitoneum needle to enter the abdominal cavity, filling carbon dioxide gas into the abdominal cavity of a patient, performing 3 openings of 0.5-1 cm on the abdominal part of the patient, respectively placing the abdominal membrane into sheath openings, placing a laparoscope 1 which is prepared before an operation into the pelvic cavity from the sheath openings, keeping the contraction band 215 and the airbag inflation tube 218 part outside the body, slowly extracting the sterile protective sleeve 22, starting the rotary driving machine 13 to a proper rotating speed, driving the laparoscope lens 11 to rotate, enabling the laparoscope lens 11 to shoot in all directions, providing a wide and clear visual field for the operation, and slowly dispersing the sterile bag body 21 in a contraction state in the pelvic cavity by centrifugal force; the double-layer air bag 217 is inflated through the air bag inflation tube 218, the double-layer air bag 217 is rapidly and fully opened and expanded to an inflated annular structure, the first bag opening 211 is guided to wrap ovarian cyst by using operating forceps extending from the sheath opening, the contraction band 215 is tightened to tighten the contraction band access hole 216 to tightly wrap the ovarian cyst, and then the double-layer air bag 217 is deflated and contracted through the air bag inflation tube 218; stretch into the pelvic cavity intracavity with surgical instruments such as operation pincers and cyst separation pincers from sheath mouth department inside, according to the sign on different supplementary sack 213 surfaces, push into surgical instruments from the flap rubber buffer 214 outside of supplementary sack 213, push open flap rubber buffer 214 and enter into the aseptic bag body 21 inside, make surgical instruments all be in the airtight space that the aseptic bag body 21 formed, avoid breaking the cyst liquid excessive that causes at the in-process bag wall that separates ovarian cyst, and surgical instruments and peritoneoscope 1 all are in the internal portion of bag, the sight is observed to open widely clearly among the operation process, not sheltered from.
In the laparoscopic ovarian cyst operation, under the observation of a laparoscope 1 in an aseptic bag body 21, the cyst is clamped by operating forceps, the ovarian cyst is slowly separated from the ovary by cyst separating forceps, and in the separating process, as the joint part of the ovarian cyst and the ovary is gradually reduced, a first bag opening 211 tightly attached to the joint part gradually has a tiny gap, so that the risk of the outflow of cyst fluid exists; the external end of the contraction belt 215 is connected with the contraction component 4 and sequentially bypasses the micro tension sensor 42 and the winding wheel 47; when a first bag opening 211 is slightly gapped due to cyst cutting in the operation process, the tension borne by the contraction band 215 is reduced, a signal input by the micro tension sensor 42 through the input end 441 of the controller changes, the controller output end 442 controls the rotation of the rotating motor 45 through the feedback control in the tension controller 44, the rotating motor 45 is fixedly connected with the winding wheel 47 through a pin shaft, and then the winding wheel 47 is driven to rotate, so that the contraction band 215 is tightened, and the first bag opening 211 is further attached to a cyst joint; when the tension of the contraction band 215 is too high due to over-contraction caused by rotation of the winding wheel 47, the signal at the input end 441 of the controller changes, and the output end 442 of the controller stops the rotation of the rotating motor 45 through the feedback control in the controller 44, so as to avoid the rupture of the ovarian cyst wall and the injury of the internal tissues of the patient due to the over-contraction of the contraction band 215 driven by the winding wheel 47.
After the ovarian cyst separation process is finished, slowly extracting surgical instruments from the valve rubber plug 214 at the bag opening on the surface of the sterile bag body 21, and fully tightening the first bag opening 211 of the sterile bag body 21 through the operation forceps and the contraction band 215; when the volume of the separated cyst is small, the first bag opening 211 can be directly clamped through the operation forceps, and the sterile bag body 21 and the cyst inside the sterile bag body are taken out from the sheath opening; if the size of the separated cyst is large, the hand aid can be placed at the position of the sheath opening to prop open the skin, the sample is easy to take out and protected by the hand aid, the sterile bag body 21 is not easy to damage, the cyst fluid does not overflow the abdominal cavity and the abdominal wall incision, the operation process is attractive and clean, or a suction instrument is placed at the position of the bag opening on the surface of the sterile bag body 21 to suck the cyst fluid of the ovarian cyst in advance in the sterile bag body 21, so that the size of the ovarian cyst is reduced, and the ovarian cyst can be conveniently taken out from the sheath opening.
Finally, it should be noted that: the above examples are only intended to illustrate the technical solution of the present invention, but not to limit it; although the present invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some or all of the technical features may be equivalently replaced; and the modifications or the substitutions do not make the essence of the corresponding technical solutions deviate from the technical solutions of the embodiments of the present invention.
Claims (7)
1. A laparoscopic ovarian cyst stripping auxiliary device comprises a laparoscopic ovarian cyst stripping and collecting bag (2) and a contraction assembly (4), and is characterized in that the contraction assembly (4) comprises a micro tension sensor (42) and a winding wheel (47) which is arranged in parallel with the micro tension sensor (42), and the laparoscopic ovarian cyst stripping and collecting bag (2) is connected with the winding wheel (47) through a contraction belt (215) via the micro tension sensor (42);
the laparoscopic ovarian cyst stripping and collecting bag (2) comprises an aseptic bag body (21), wherein a first bag opening (211) is formed in the top of the aseptic bag body (21), a second bag opening (212) and two auxiliary bag openings (213) are formed in the surface of the aseptic bag body (21), and valve rubber stoppers (214) are fixedly installed at the second bag opening (212) and the auxiliary bag openings (213);
the retraction assembly (4) further comprises a tension controller (44), a mounting base plate (41), a first support (43), a second support (46) and a rotating motor (45), the rotating motor (45) is fixedly connected with the winding wheel (47) through a pin shaft, the miniature tension sensor (42) and the rotating motor (45) are fixedly mounted on the mounting base plate (41) through the first support (43) and the second support (46) respectively, the tension controller (44) comprises a controller input end (441) and a controller output end (442), the controller input end (441) is connected with the miniature tension sensor (42) for signal input, and the controller output end (442) is connected with the rotating motor (45) for output control;
in the laparoscopic ovarian cyst operation, under the observation of a laparoscope inside an aseptic bag body (21), an operating clamp clamps cysts, and a cyst separating clamp slowly separates the ovarian cysts from the ovaries; the external end of the contraction belt (215) is connected with a contraction component (4) and sequentially bypasses the micro tension sensor (42) and the winding wheel (47); when first sack (211) appeared little space because of the cyst cutting in the operation process, the tension that shrink band (215) received reduces, miniature tension sensor (42) change through the signal of controller input (441) input, and through the inside feedback control of tension controller (44), controller output (442) control rotating electrical machines (45) rotate, and rotating electrical machines (45) are round pin axle fixed connection with spiral winding wheel (47), and then drive spiral winding wheel (47) and rotate, thereby tighten up shrink band (215), realize first sack (211) and the further laminating of cyst junction.
2. The laparoscopic ovarian cyst removal aid according to claim 1, wherein the first (211), second (212) and auxiliary (213) mouths have different identification marks.
3. The laparoscopic ovarian cyst removal auxiliary device according to claim 1, wherein the laparoscopic ovarian cyst removal collection bag (2) further comprises a double-layer air bag (217) located at the top end of the first bag opening (211), the lower end of the double-layer air bag (217) has 3-8 shrink band openings (216), and the shrink bands (215) sequentially pass through the shrink band openings (216).
4. The laparoscopic ovarian cyst removal aid according to claim 3, wherein the double-layered balloon (217) is connected to the balloon airway (218), and the double-layered balloon (217) is inflated in a gas form to an inflated circular configuration.
5. The laparoscopic ovarian cyst removal aid according to claim 1, wherein the valve rubber stopper (214) is a circular rubber sheet and comprises a valve introduction surface (2144), a guide hole (2142) located at the center of the valve introduction surface (2144), a dividing groove (2143) divided from the guide hole (2142) to the outer edge, and a valve (2141) divided from the dividing groove (2143), wherein the depths of the guide hole (2142) and the dividing groove (2143) are shallower than the thickness of the valve rubber stopper (214), and the non-introduction surface side of the valve rubber stopper (214) has only a cross cut along the direction of the dividing groove (2143).
6. The laparoscopic ovarian cyst removal auxiliary device according to claim 1, wherein the laparoscopic ovarian cyst removal collection bag (2) further comprises an aseptic protection cover (22), the aseptic protection cover (22) is a cylindrical thin-walled hollow structure, the outer surface of the aseptic bag body (21) in a compressed state before the operation is attached to the inner surface of the aseptic protection cover (22), and the length of the aseptic protection cover (22) is slightly longer than that of the aseptic bag body (21) in the compressed state.
7. The laparoscopic ovarian cyst removal auxiliary device according to claim 6, wherein the sterile bag body (21) in a compressed state before operation forms a through hole structure between the first bag opening (211) and the second bag opening (212), the laparoscopic ovarian cyst removal and collection bag (2) in a compressed state is sleeved in the front end of the laparoscope from the valve rubber plug (214) of the second bag opening (212) and tightly attached to the outer surface of the laparoscopic lens (11) and penetrates out from the first bag opening (211), the outer surface of the laparoscopic lens (11) is attached to the surface of the central through hole structure of the sterile bag body (21) in a compressed state, and the rotary driving machine (13) positioned on the laparoscopic body is fixedly connected to the laparoscopic lens (11).
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910882036.XA CN110477973B (en) | 2019-09-18 | 2019-09-18 | Auxiliary device is peeled off to peritoneoscope ovarian cyst |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910882036.XA CN110477973B (en) | 2019-09-18 | 2019-09-18 | Auxiliary device is peeled off to peritoneoscope ovarian cyst |
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| CN110477973A CN110477973A (en) | 2019-11-22 |
| CN110477973B true CN110477973B (en) | 2020-04-14 |
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| CN113303842A (en) * | 2020-07-09 | 2021-08-27 | 重庆橙壹科技有限公司 | Product bag containing object taking device for minimally invasive surgery |
| CN113303841A (en) * | 2020-07-09 | 2021-08-27 | 重庆橙壹科技有限公司 | Surgical medical extractor with reducing hollow tube |
| CN112102696B (en) * | 2020-09-30 | 2023-09-22 | 北京博医时代教育科技有限公司 | Ovarian cyst stripping operation training model and manufacturing method and using method thereof |
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| WO2010099541A1 (en) * | 2009-02-27 | 2010-09-02 | Primary Purpose, Llc | Tissue retrieval bag |
| CN102327134B (en) * | 2010-07-13 | 2013-08-28 | 周星 | Endoscope object taking bag and delivery system |
| CN104473686A (en) * | 2014-12-16 | 2015-04-01 | 佐满珍 | Controlled air-inflation enclosed type myoma specimen smashing bag |
| CN104840225B (en) * | 2015-06-17 | 2017-06-30 | 高宏 | Controllable sack size and the cavity mirror object-obtaining device of opening and closing |
| CN106667533B (en) * | 2015-11-11 | 2019-06-04 | 孙大为 | Artificial laparoscopic surgery room device |
| CN107095712B (en) * | 2017-06-03 | 2023-05-26 | 成都五义医疗科技有限公司 | Specimen bag fetching device with winding pull ring and use method thereof |
| CN108567455A (en) * | 2018-03-15 | 2018-09-25 | 柳涛 | A kind of cardiac surgery operation lungs expansion protection inflation bagging apparatus and its application method |
| CN110101436A (en) * | 2019-04-27 | 2019-08-09 | 中南大学湘雅三医院 | A kind of the puncture suction set and its application method of antiseep |
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