CN110974324A - Extrusion inflatable liver spreader for laparoscope - Google Patents
Extrusion inflatable liver spreader for laparoscope Download PDFInfo
- Publication number
- CN110974324A CN110974324A CN202010081041.3A CN202010081041A CN110974324A CN 110974324 A CN110974324 A CN 110974324A CN 202010081041 A CN202010081041 A CN 202010081041A CN 110974324 A CN110974324 A CN 110974324A
- Authority
- CN
- China
- Prior art keywords
- balloon
- liver
- exhaust
- inflatable
- connecting pipe
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Images
Classifications
-
- 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
Abstract
The invention discloses an extrusion inflatable liver spreader for laparoscope, which comprises: the inflatable balloon comprises a propping balloon, a balloon interface, a balloon connecting pipe, an outer sleeve, an inflation valve, an inflation balloon, a rotating handle, an exhaust balloon, an exhaust valve and an exhaust hole; this extrusion inflatable liver struts ware for peritoneoscope adopts the type of this invention to carry out liver district operation under the peritoneoscope, and the sacculus that struts of usable this apparatus front end directly keeps off flagging liver tissue, struts the lower edge space of liver, on the basis that does not harm liver tissue, fully shows the liver lower edge region, makes the structure of the regional bile duct of liver lower edge, blood vessel and soft tissue expose more clearly, is favorable to the operation operator to perform the operation. Through clinical practice, the instrument is convenient to use and simple to operate, and can effectively improve the operation safety.
Description
Technical Field
The invention relates to the technical field of laparoscopic surgery application, in particular to an extrusion inflatable liver spreader for a laparoscope.
Background
The development of modern medicine, minimally invasive surgery has been the development direction of surgical operation at present, and minimally invasive surgery has the advantages of small wound, quick recovery and less pain, and has become the object and the direction which are jointly pursued by modern medicine. Laparoscopic techniques are gradually replacing traditional surgery in some aspects, and during laparoscopic surgery, we have found that suturing, clamping and tissue exposure are difficult due to the small operating space, and the "chopstick effect" often occurs. When laparoscopic cholecystectomy is performed, a three-hole puncture method is commonly used, one puncture hole is an observation hole, one puncture hole is an auxiliary traction hole, and the other puncture hole is a main operation hole, when only one puncture hole is used as an auxiliary hole, when a gallbladder triangle area is processed, the liver of a patient often drops to block an operation area, so that the dissection of the operation area is unclear, if the gallbladder is seriously edema or the liver drops seriously, the puncture hole is often required to be added in an auxiliary mode to lift up liver tissues, although the auxiliary puncture hole is added, the dissection of the operation area can be better exposed, but no special liver spreader is clinically used at present, a surgeon uses tissue forceps or a suction apparatus to separate the liver, but the head end of the laparoscopic tissue forceps or the laparoscopic suction apparatus is of a thin structure or a sharp structure, when the liver tissues are spread, the laparoscopic tissue forceps or the laparoscopic suction apparatus often penetrates into the liver tissues, various surgical injuries and complications caused by liver injury, hemorrhage and gallbladder leakage sometimes occur, and certain troubles are brought to medical care personnel.
Contents of the invention
The invention aims to provide an extrusion inflatable liver spreader for a laparoscope, which can effectively solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme: a laparoscopic extrusion inflatable liver distractor comprising: the inflatable balloon comprises a propping balloon, a balloon interface, a balloon connecting pipe, an outer sleeve, an inflation valve, an inflation balloon, a rotating handle, an exhaust balloon, an exhaust valve and an exhaust hole; the method is characterized in that: the opening saccule is connected with the saccule connecting pipe through a saccule interface; one end of the balloon connecting pipe is connected with the inflatable balloon, and the other end of the balloon connecting pipe is connected with the exhaust balloon through the exhaust hole; the front end of the exhaust hole is connected with the balloon connecting pipe, and the rear end of the exhaust hole is connected with the exhaust balloon through an exhaust valve; the front and the back of the inflatable saccule are connected with an inflation valve; the front and the back of the air exhaust balloon are connected with an air exhaust valve.
Further, the opening balloon is an elastic rubber balloon which can expand after being inflated.
Furthermore, the balloon interface is an interface for opening the balloon and the balloon connecting pipe, and the opening balloon can be conveniently detached and replaced.
Further, the outer sleeve is a long cylindrical pipeline made of metal, and the inside of the outer sleeve is passed through by the balloon connecting pipe.
Furthermore, the front end and the rear end of the inflatable balloon are both connected with the soft rubber balloon of the inflation valve.
Furthermore, the front end and the rear end of the exhaust balloon are both connected with the soft rubber balloon of the exhaust valve.
Furthermore, the rotating handle is a rotatable handle, and the opening and closing of the exhaust hole can be controlled by rotating the rotating handle.
Further, the inflation valve and the exhaust valve are valves for controlling unidirectional air flow.
Compared with the prior art, this extrusion inflatable liver struts ware for peritoneoscope, adopt the invention type to carry out the regional operation of liver under the peritoneoscope, press the inflatable balloon of this apparatus, can strut that the balloon is sufficient with this apparatus, it is smooth, the moist balloon that struts, under the condition that does not harm the liver tissue, can directly keep off flagging liver tissue upwards, the operation region space of gall-bladder and liver lower edge is fully strut, fully expose the triangle region of gall-bladder, strut the in-process, can be according to the operation needs, adjust liver tissue to all directions, be favorable to operation region tissue operation, after the operation, adjustable twist grip, establish the connection with the exhaust hole, press the exhaust balloon, the gas can pass through discharge valve in the balloon struts, with gaseous exhaust. The instrument is convenient and flexible to use and operate. Through clinical practice, when a complicated hepatobiliary surgery is met, the instrument can obviously reduce the surgery time after being used, and effectively improve the surgery safety.
Drawings
FIG. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is an enlarged structural view of the tail end of the instrument;
in the reference symbols:
the balloon dilator comprises a dilation balloon 1, a balloon connector 2, a balloon connecting pipe 3, an outer sleeve 4, an inflation valve 5, an inflation balloon 6, a rotating handle 7, an exhaust balloon 8, an exhaust valve 9 and an exhaust hole 10.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious 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 invention without making any creative effort, fall within the protection scope of the invention.
Please refer to fig. 1 and fig. 2; the invention provides a technical scheme that:
a laparoscopic extrusion inflatable liver distractor comprising: the balloon opening device comprises an opening balloon 1, a balloon interface 2, a balloon connecting pipe 3, an outer sleeve 4, an inflation valve 5, an inflation balloon 6, a rotating handle 7, an exhaust balloon 8, an exhaust valve 9 and an exhaust hole 10; the method is characterized in that: the opening sacculus 1 is connected with a sacculus connecting pipe 3 through a sacculus interface 2; one end of the balloon connecting pipe 3 is connected with the inflatable balloon 6, and the other end is connected with the exhaust balloon 8 through an exhaust hole 10; the front end of the exhaust hole 10 is connected with the balloon connecting pipe 3, and the rear end is connected with the exhaust balloon 8 through an exhaust valve 9; the front and the back of the inflatable saccule 6 are connected with the inflation valve 5; the exhaust balloon 8 is connected with an exhaust valve 9 at the front and the rear.
Further, the expansion balloon 1 is an inflatable elastic rubber balloon after inflation.
Further, the balloon interface 2 is an interface for opening the balloon 1 and the balloon connecting pipe 3, and the opening balloon 1 can be conveniently detached and replaced.
Further, the outer sleeve 4 is a long cylindrical pipe made of metal, and the inside of the outer sleeve is passed through by the balloon connecting pipe 3.
Further, the front end and the rear end of the inflatable balloon 6 are both connected with the soft rubber balloon of the inflation valve 5.
Further, the front end and the rear end of the exhaust balloon 8 are both connected with a soft rubber balloon of an exhaust valve 9.
Further, the rotating handle 7 is a rotatable handle, and the opening and closing of the exhaust hole 10 can be controlled by rotating the rotating handle 7.
Further, the inflation valve 5 and the exhaust valve 9 are valves for controlling unidirectional air flow.
The invention is designed as follows:
this peritoneoscope is with extrusion inflatable liver spreader's benefit does: can conveniently, nondestructively, flexibly and safely prop open the liver tissue. Taking a cholecystectomy under a clinical laparoscope as an example: the cholecystectomy under the current clinical laparoscope is the most common operation mode, in the operation process, a patient adopts a head-high and foot-bottom position and a body position inclined at 30 degrees left, a camera device is placed in a puncture cannula at the lower edge of a navel, a puncture cannula under xiphoid process is a main operation hole, a puncture cannula at the bottom of a right axillary anterior line gallbladder is a gallbladder traction puncture cannula, after the three puncture cannulas are established, the gallbladder resection operation is started, the current common laparoscope gallbladder traction forceps are single operation forceps only used for traction of gallbladder tissues, in the process of traction of the gallbladder by using a three-hole method of a conventional operation instrument, the drooping liver tissues cannot be propped open, therefore, the gallbladder trigone area cannot be better exposed, if acute cholecystitis operation is carried out, gallbladder edema is obvious, or gallbladder adhesion operation is carried out, if the tissues in the gallbladder trigone area are wanted to be clearly exposed, when upwards supporting liver tissue, then need cut the skin in addition, place fourth puncture sleeve, place puncture sleeve, through fourth abdominal cavity puncture sleeve, carry out flagging liver and support, clearly expose the three angular regions of gall-bladder, because do not have special liver tissue at present and strut the apparatus clinically, the doctor of performing the operation lets operation assistant use peritoneoscope aspirator or peritoneoscope tissue pincers usually, keep off the liver directly upwards, however, the aspirator for peritoneoscope and the head end of peritoneoscope tissue pincers are more sharp-pointed head end structure, often return carelessly to pierce in inside the softer liver tissue, arouse complications such as liver tissue's damage, hemorrhage, courage hourglass. This apparatus head end struts sacculus 1 for aerifing the expandable elasticity rubber material sacculus of back, upwards strut the liver tissue in, because the great sacculus of broad can not pierce inside the liver tissue, consequently, when using, can be according to the operation needs, strut the liver tissue to all directions safety, and can not harm the liver tissue, the sacculus 6 that aerifys that this apparatus used is soft rubber sacculus, press the inflation valve 5 that 6 accessible list gas of sacculus flows, fill gas into and strut inside the sacculus 1, after the operation, the twist off twist grip 7 of rotating is twisted to the rotating and makes exhaust hole 10 establish and connect, press exhaust sacculus 8, the gas that will strut in the sacculus 1 is discharged, exhaust sacculus 1 reduces, take out the puncture sleeve pipe. When acute cholecystitis or adhesion of gallbladder operation area is serious, the apparatus can conveniently prop up the prolapsed liver upwards to fully expose the operation area, so that the operation visual field is clear and distinguishable, and the operation risk is reduced.
This concrete connection structure of extrusion inflatable liver spreader for peritoneoscope does: the utility model provides a peritoneoscope is with extrusion inflatable liver spreader for peritoneoscope is the surgical instruments for peritoneoscope, includes two halves, aerifys the structure part and exhausts the structure part. The integral connection structure of the instrument is as follows: the both ends of outer sleeve 4 are confined metal tubular structure, and in the inside of outer sleeve 4, have sacculus connecting pipe 3, 3 head ends of sacculus connecting pipe link to each other with strutting sacculus 1 through sacculus interface 2, and sacculus interface 2 is detachable sealing screw structure, can be fixed continuous with sacculus connecting pipe 3 with strutting sacculus 1. After disassembly, the sealing screw is connected with the distraction balloon 1, the distraction balloon 1 with the sealing screw is screwed and connected with the balloon connecting pipe 3 in a rotating way, the air leakage at the balloon interface 2 can be ensured in the process of inflating the distraction balloon, and the distraction balloon 1 is an inflatable elastic rubber balloon which can be expanded after inflation and can be expanded to be larger than the diameter of the outer sleeve 4; after the air is pumped out of the distraction balloon 1, the distraction balloon 1 can be contracted and reduced, the diameter of the reduced distraction balloon 1 is smaller than that of the outer sleeve 4, and the distraction balloon 1 is made of thicker rubber materials and cannot be exploded after being inflated. The balloon connecting pipe 3 is connected with the inflatable balloon 6 at one part of the rear end, the inflatable balloon 6 is a soft rubber balloon, and the inflatable balloon 6 can be automatically expanded after being pressed and is changed into a spherical shape. The two ends of the inflatable saccule 6 are provided with an inflation valve 5 structure, the inflation valve 5 is a valve for controlling air to flow in one direction (the valve structure is similar to the valve of a negative pressure ball used in the prior medical treatment, and the principle is not described in detail here for the mature technology), and after the saccule 6 is inflated by pressing, the air can flow in one direction into the saccule connecting pipe 3. The lower end of the rotating handle 7 is connected with an exhaust hole 10, the exhaust hole 10 is a control valve penetrating through the balloon connecting pipe 3, and the exhaust hole 10 can be closed and opened by rotating the handle 7 (the structures of the rotating handle 7, the exhaust hole 10 and the balloon connecting pipe 3 are similar to the valve for inflating a laparoscope puncture cannula used in the prior medical treatment, and the principle is not described in detail here for mature technology), so that the connection between the exhaust balloon 8 and the balloon connecting pipe 3 is closed and communicated. When the balloon connection tube 3 is connected through the exhaust hole 10, the gas in the expansion balloon 1 can be evacuated and exhausted by pressing the exhaust balloon 8 under the action of the one-way gas flow of the exhaust valve 9, so that the expansion balloon 1 is shrunk. The exhaust balloon 8 is a soft rubber balloon, and can be inflated automatically after being pressed and exhausted, and then is changed into a spherical shape. The two ends of the exhaust balloon 8 are provided with exhaust valve 9 structures, the exhaust valve 9 is a valve for controlling air to flow in a single direction (the valve structure is similar to that of a negative pressure ball used in the existing medical treatment, and the principle is not described in detail here), after the exhaust balloon 9 is pressed, gas in the distraction balloon 1 can flow out of the instrument through the balloon connecting pipe 3, and then the distraction balloon 1 is shrunk, so that the instrument can be taken out of a laparoscope through a laparoscope puncture sleeve conveniently.
The specific use method of the extrusion inflatable liver spreader for the laparoscope comprises the following steps: the instrument is a gallbladder opening instrument, taking laparoscopic cholecystectomy as an example: when the cholecystectomy operation is performed under the laparoscope, after the anesthesia is successful, the operating bed is adjusted to be the position of the head, the sole and the body of the patient are inclined at 30 degrees left, so that the intestinal canal in the abdominal cavity moves towards the lower left, the potential risk of intestinal injury possibly caused in the operation process is prevented, meanwhile, the gallbladder operation area is favorably and fully exposed, but the liver is easy to droop due to the action of gravity at the moment to press the gallbladder, the operation difficulty is increased, in the cholecystectomy under the three-hole laparoscope, a camera operation channel is established at the navel, a main operation hole is established under the xiphoid process, a gallbladder auxiliary operation hole is established at the bottom of the gallbladder at the right axillary anterior line, the three positions are three-hole methods, under the conditions that the structure of a gallbladder operation area is unclear and gallbladder adhesion is serious, a fourth puncture cannula needs to be established under the right rib edge, and the liver is unfolded upwards by using the liver unfolding surgical instrument, so that the operation area is conveniently exposed. The specific using method comprises the following steps: before the instrument is used, the exhaust hole 10 is firstly opened, namely, the exhaust balloon 8 is communicated with the balloon connecting pipe 3, the exhaust balloon 8 is pressed, the gas in the expansion balloon 1 can pass through the balloon connecting port 2, the balloon connecting pipe 3 and the exhaust hole 10 and is exhausted through the exhaust valve 9, so that the expansion balloon 1 is reduced, when the diameter of the expansion balloon 1 is reduced to be within the diameter of the outer sleeve 4, the instrument can be put into a patient through a puncture sleeve which is built on the abdominal wall of the patient in advance, after the instrument is put into the patient, liver tissues needing to be expanded are found, the exhaust hole 10 is closed by the rotating handle 7, the inflation balloon 6 is pressed, the gas can pass through the one-way flow inflation valve 5 balloon connecting pipe 3 and flows into the expansion balloon 1 through the balloon interface 2, so that the expansion balloon 1 is inflated, and the expansion balloon 1 can effectively and fully expand the liver tissues in an operation area, The safe top is opened, and then exposes the operation area, makes the operation area more clear. After the operation is finished, the exhaust hole 10 is opened, the exhaust balloon 8 is pressed, the diameter of the expansion balloon 1 is reduced to the diameter of the outer sleeve 4, the abdominal cavity can be taken out through the puncture sleeve, and the balloon with different types can be replaced by the instrument according to the operation requirement when the balloon 1 is expanded. The head end of the instrument is of a propping balloon 1 structure made of rubber materials, and the head end of the instrument cannot pierce into soft liver tissues, so that the surgical field of vision can be exposed without damaging the liver tissues, and the instrument can be exposed more clearly. Is more favorable for the refined operation.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (8)
1. A laparoscopic extrusion inflatable liver distractor comprising: the inflatable balloon comprises a propping balloon, a balloon interface, a balloon connecting pipe, an outer sleeve, an inflation valve, an inflation balloon, a rotating handle, an exhaust balloon, an exhaust valve and an exhaust hole; the method is characterized in that: the opening saccule is connected with the saccule connecting pipe through a saccule interface; one end of the balloon connecting pipe is connected with the inflatable balloon, and the other end of the balloon connecting pipe is connected with the exhaust balloon through the exhaust hole; the front end of the exhaust hole is connected with the balloon connecting pipe, and the rear end of the exhaust hole is connected with the exhaust balloon through an exhaust valve; the front and the back of the inflatable saccule are connected with an inflation valve; the front and the back of the air exhaust balloon are connected with an air exhaust valve.
2. The compression inflatable liver distractor for laparoscope according to claim 1, wherein: the opening saccule is an inflatable elastic rubber saccule after being inflated.
3. The compression inflatable liver distractor for laparoscope according to claim 1, wherein: the sacculus interface is the interface of strutting sacculus and sacculus connecting pipe, can conveniently dismantle the change and strut the sacculus.
4. The compression inflatable liver distractor for laparoscope according to claim 1, wherein: the outer sleeve is a long cylindrical pipeline made of metal, and the inside of the outer sleeve is passed through by the balloon connecting pipe.
5. The compression inflatable liver distractor for laparoscope according to claim 1, wherein: the front end and the rear end of the inflatable saccule are both connected with the soft rubber saccule of the inflation valve.
6. The compression inflatable liver distractor for laparoscope according to claim 1, wherein: the front end and the rear end of the exhaust balloon are both connected with the soft rubber balloon of the exhaust valve.
7. The compression inflatable liver distractor for laparoscope according to claim 1, wherein: the rotating handle is a rotatable handle, and the opening and closing of the exhaust hole can be controlled by rotating the rotating handle.
8. The compression inflatable liver distractor for laparoscope according to claim 1, wherein: the inflation valve and the exhaust valve are valves for controlling the unidirectional flow of air.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010081041.3A CN110974324A (en) | 2020-02-05 | 2020-02-05 | Extrusion inflatable liver spreader for laparoscope |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202010081041.3A CN110974324A (en) | 2020-02-05 | 2020-02-05 | Extrusion inflatable liver spreader for laparoscope |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN110974324A true CN110974324A (en) | 2020-04-10 |
Family
ID=70081409
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202010081041.3A Pending CN110974324A (en) | 2020-02-05 | 2020-02-05 | Extrusion inflatable liver spreader for laparoscope |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN110974324A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113317830A (en) * | 2021-06-25 | 2021-08-31 | 中南大学湘雅医院 | Air bag for assisting exposure under laparoscope |
-
2020
- 2020-02-05 CN CN202010081041.3A patent/CN110974324A/en active Pending
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113317830A (en) * | 2021-06-25 | 2021-08-31 | 中南大学湘雅医院 | Air bag for assisting exposure under laparoscope |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US5209754A (en) | Vaginal cervical retractor elevator | |
| JP3924033B2 (en) | Device for forming a hole in the tracheal wall | |
| AU712851B2 (en) | Expandable multifunctional instruments for creating spaces at obstructed sites endoscopically and methods therefor | |
| JP4282242B2 (en) | Specially shaped balloon device for use in surgery and method of use thereof | |
| US5354270A (en) | Surgical closure disk and balloon method | |
| US20090270789A1 (en) | Suction dome for atraumatically grasping or manipulating tissue | |
| JP4073965B2 (en) | Balloon incision device | |
| CN110403706B (en) | Inflatable channel device for taking out tumor specimen through anus after colorectal surgery | |
| CN111887910A (en) | Abdominal cavity dilator | |
| CN110974324A (en) | Extrusion inflatable liver spreader for laparoscope | |
| CN109259811A (en) | A kind of laparoscope baffle-type gall-bladder pulling clamp | |
| CN211674379U (en) | Extrusion inflatable liver spreader for laparoscope | |
| CN115737085A (en) | Device for establishing amniotic cavity channel through mother body and use method thereof | |
| CN113855124A (en) | Inflatable abdominal wall retractor for laparoscope | |
| CN112263288A (en) | Gallstone extractor for laparoscope | |
| CN210228213U (en) | Utricule is used in postoperative laparoscopic surgery behind uropoiesis | |
| CN109330650A (en) | A kind of laparoscope inflatable gall-bladder pulling clamp | |
| CN215739181U (en) | Tissue space spreader for peritoneoscope total extraperitoneal single-hole hernia port | |
| CN208031238U (en) | A kind of laparoscope inflatable organization space device for spreading | |
| CN209713014U (en) | A kind of laparoscope inflatable gall-bladder pulling clamp | |
| CN215129272U (en) | Bogros gap spreader for full-laparoscopic extraperitoneal hernia repair | |
| CN214906694U (en) | Conical vaginal dilator | |
| CN216317760U (en) | Inflatable abdominal wall retractor for laparoscope | |
| CN111803171B (en) | Vascular surgery is with plugging device convenient to operation | |
| CN212973040U (en) | Drainage tube placer for laparoscope |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination |