CN111513820A - Posterior abdominal cavity approach operation space expansion system - Google Patents

Posterior abdominal cavity approach operation space expansion system Download PDF

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Publication number
CN111513820A
CN111513820A CN202010357340.5A CN202010357340A CN111513820A CN 111513820 A CN111513820 A CN 111513820A CN 202010357340 A CN202010357340 A CN 202010357340A CN 111513820 A CN111513820 A CN 111513820A
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CN
China
Prior art keywords
module
inflation
expansion
posterior abdominal
processing module
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
Application number
CN202010357340.5A
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Chinese (zh)
Inventor
伍科
刘志宏
郑军华
王翔
李明清
郑重
姚智显
周文洁
郑心怡
刘语瞳
穆星宇
孙丰
王心怡
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Shanghai First Peoples Hospital
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Shanghai First Peoples Hospital
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Filing date
Publication date
Application filed by Shanghai First Peoples Hospital filed Critical Shanghai First Peoples Hospital
Priority to CN202010357340.5A priority Critical patent/CN111513820A/en
Publication of CN111513820A publication Critical patent/CN111513820A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3474Insufflating needles, e.g. Veress needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M29/00Dilators with or without means for introducing media, e.g. remedies
    • A61M29/02Dilators made of swellable material
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • A61B2090/064Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M2210/00Anatomical parts of the body
    • A61M2210/10Trunk
    • A61M2210/1021Abdominal cavity

Abstract

The invention relates to a posterior abdominal cavity approach operation space expansion system, which comprises an automatic inflation device and an expansion balloon; the automatic inflation device comprises an inflation main body, an inflation guide pipe and a sterile sleeve; the inflation main body comprises an air supply module, a power supply module, a central processing module, a pressure monitoring module, an abnormality processing module, an output module and an input module; the air supply module can provide stable and uniform inflation rate; the pressure monitoring module can monitor the real-time air pressure in the dilatation balloon; the exception handling module is used for warning; the inflatable main body is provided with a connector with an exhaust valve; the sterile sleeve is detachably sleeved with the inflation conduit; the inflation catheter is provided with an annular groove and is detachably connected with the expansion balloon, and the other end of the inflation catheter is detachably connected with the connector; the multifunctional operation table has the advantages of having an intelligent control function, greatly reducing operation risks, saving medical and labor costs, effectively improving operation efficiency and guaranteeing operation safety.

Description

Posterior abdominal cavity approach operation space expansion system
Technical Field
The invention relates to the technical field of medical instruments, in particular to a posterior abdominal cavity approach operation space expansion system.
Background
The posterior abdominal cavity, i.e., the potential cavity behind the peritoneum, is typically operated via a posterior abdominal approach in connection with laparoscopic or robotic surgery involving the adrenal gland, kidneys, ureters in urology.
At present, before the operation of a retroperitoneal approach is clinically performed, a potential cavity of the retroperitoneal cavity needs to be established, so that an initial operation visual field is provided, a self-made suction tube head is generally used and fixed by a cotton thread for surgical gloves, and an 80ml flushing needle cylinder is used for beating for about 7-10 times, so that the potential cavity is expanded, meanwhile, a blood vessel forceps is needed to temporarily clamp a suction tube during air suction every time, the operation is more complicated, and if the blood vessel forceps are not clamped due to errors, air leakage is caused, and the current air bag volume is unknown. The volume and pressure are not known in the conventional practice, and the latex gloves are at risk of explosion.
Chinese patent document CN205697875U discloses a poking card balloon expander, which comprises a poking card, a push rod, an expanding balloon and a one-way inflation tube. The poking chuck end is provided with an expansion sacculus which can expand after being inflated and is used for manufacturing an endoscopic surgery space. Poke the intracavity activity and bury underground and be used for the top to hold the expansion sacculus, be convenient for expand the propelling movement pole in the clearance under the sacculus deformation back of putting into the incision through less operation incision. The one-way inflation tube is connected with the inflator pump and can rapidly inflate the expansion balloon, so that tissues around narrow gaps below the incision of the operation are pushed, and the gaps below the incision are expanded to be enlarged to form an endoscopic operation space. The front end of the push rod is provided with an expansion balloon taking-out device, and the expansion balloon can be taken out from the poking clamp head end and taken out from the poking clamp cavity after the expansion balloon completes the operation space expansion; the technical scheme that this patent document provided can be used in some laparoscopic surgery, has the function of sacculus expander early, can be used for making laparoscopic surgery space, can deviate from the expansion sacculus of stabbing the dop end after laparoscopic surgery accomplishes to use in the operation in the function that possesses the card of stabbing, but its operation is complicated, and reuse rate is low, and does not have intelligent control function.
Chinese patent document CN204618318U discloses a posterior peritoneal dilatation cuff, which comprises a cuff used for forming an operation space by inflating and expanding the posterior peritoneal subcutaneous tissue after peritoneum, an inflation tube used for communicating with the cuff to inflate the cuff, a one-way suction inflation port communicated with the inflation tube to inflate the cuff, and a quick exhaust port communicated with the inflation tube to deflate the cuff quickly after the operation space is finished; according to the technical scheme provided by the patent document, the clamp of the inflation tube is not needed during inflation, the inflation is convenient and quick, the structure is simple, the cost is low, the operation can be quickly carried out by a single person, and the safety and the reliability are realized; but its flexibility is limited and still does not have the intelligent controllable function.
In conclusion, there is a need for a posterior abdominal approach operation space expanding system having an intelligent control function, greatly reducing operation risks, saving medical and labor costs, improving operation efficiency, and ensuring operation safety.
Disclosure of Invention
The invention aims to provide a posterior abdominal cavity approach operation space expansion system which has an intelligent control function, greatly reduces operation risks, can save medical and labor costs, can improve operation efficiency and ensures operation safety.
In order to achieve the purpose, the invention adopts the technical scheme that:
a posterior abdominal cavity approach operation space expansion system comprises an automatic inflation device and an expansion balloon; the automatic inflation device comprises an inflation main body and an inflation conduit; the expansion saccule is detachably connected with the inflation catheter; the inflation main body comprises an air supply module, a power supply module, a central processing module, a pressure monitoring module, an abnormality processing module, an output module and an input module; the gas supply module, the power supply module, the central processing module, the pressure monitoring module, the abnormality processing module, the output module and the input module are electrically connected; the inflatable main body is provided with a connector, and the connector is detachably connected with the inflatable guide pipe.
As a preferred technical scheme, the air supply module is a small air pump for inflating; the power module is a chargeable and dischargeable lithium battery and is used for providing power for each electric element; the central processing module is a singlechip and is used for the operation processing of data signals; the pressure monitoring module comprises an air pressure sensor, the abnormity processing module comprises a buzzer and is used for alarming abnormity; the output module is a display screen and can display power supply electric quantity, a preset air pressure value and a real-time air pressure value; the input module is provided with a plurality of control buttons, including a power supply button, a pressure setting button and a switch button.
As a preferred technical scheme, an exhaust valve is arranged on the connecting head.
As a preferable technical scheme, one end of the inflation conduit is provided with a plurality of annular grooves.
As a preferred technical scheme, the automatic inflation device further comprises a sterile sleeve, wherein the sterile sleeve is of a cylindrical cavity structure with an opening at one end and can be detachably connected with the inflation conduit.
As a preferable technical scheme, the expansion saccule is made of polyurethane and takes a conical shape after being inflated.
As a preferred aspect, the dilation balloon may also be a surgical glove.
The invention has the advantages that:
1. the posterior abdominal cavity approach operation space expansion system comprises the air supply module, the power supply module, the central processing module, the pressure monitoring module, the abnormality processing module, the output module and the input module, and can realize intelligent control of inflation, so that operation risks are controllable, operation efficiency is effectively improved, and human resources are saved.
2. The inflatable main body is provided with a connector, and the connector is detachably connected with the inflatable guide pipe, so that the inflatable guide pipe is convenient to disinfect, clean and replace; the expansion sacculus with aerify the pipe detachable linking to each other, make its easy contaminated position easily change, reduced cross infection's risk, aerify the main part then repeatedly usable, save medical cost.
3. The expansion balloon is made of polyurethane, is in a conical shape after being inflated, accords with human engineering, and can better meet the requirements of operations; and the expansion balloon can also be a surgical glove, so that the flexibility of the invention is greatly improved, and the problem of shortage of the expansion balloon can be effectively solved.
4. The automatic inflation device also comprises a sterile sleeve which can be detachably connected with the inflation conduit, and the sterile sleeve can be sleeved at the tail end of the inflation conduit in a non-use state to provide sterile protection and further reduce the risk of cross infection.
Drawings
FIG. 1 is a perspective view of a posterior abdominal approach surgical space expanding system device according to the present invention.
FIG. 2 is a block diagram of a posterior abdominal approach surgical space expansion system of the present invention.
FIG. 3 is a schematic view of the sterile sleeve and the inflation catheter of the posterior abdominal access surgical space augmentation system of the present invention.
Fig. 4 is a schematic view of the use state of the expansion balloon of the posterior abdominal cavity approach operation space expansion system.
Fig. 5 is a schematic view of another dilatation balloon of a posterior abdominal access surgical space dilatation system of the present invention.
Detailed Description
The invention will be further illustrated with reference to specific embodiments. It should be understood that these examples are for illustrative purposes only and are not intended to limit the scope of the present invention. Furthermore, it should be understood that various changes and modifications can be made by those skilled in the art after reading the disclosure of the present invention, and equivalents fall within the scope of the appended claims.
The reference numerals and components referred to in the drawings are as follows:
1. automatic inflating device 2, expansion saccule 11 and inflating main body
12. Inflating conduit 13, sterile sleeve 14, buzzer
15. Display screen 16, control button 17, connector
18. Exhaust valve 19, annular groove
Example 1
Referring to fig. 1, fig. 1 is a schematic perspective view of a posterior abdominal approach surgical space expanding system device according to the present invention; a posterior abdominal cavity approach operation space expansion system comprises an automatic inflation device 1 and an expansion balloon 2; the automatic inflating device 1 comprises an inflating main body 11, an inflating conduit 12 and a sterile sleeve 13; referring to fig. 2, fig. 2 is a block diagram of a posterior abdominal approach surgical space expansion system of the present invention; the inflatable main body 11 comprises an air supply module, a power supply module, a central processing module, a pressure monitoring module, an abnormality processing module, an output module and an input module; the air supply module is a small air pump and is used for inflating the expansion balloon 2 and providing stable and uniform inflation rate; the power module is a lithium battery which can be charged and discharged through a USB data line and can be used for providing sufficient power for each electric element; the central processing module is a singlechip and is used for the operation processing of data signals; the pressure monitoring module comprises a gas pressure sensor and can monitor the gas pressure in the expansion balloon 2 and the inflation catheter 12; the abnormity processing module comprises a buzzer 14 for alarming abnormity; the output module is a display screen 15 and can display power supply electric quantity, a preset air pressure value and a real-time air pressure value; the input module is a plurality of control buttons 16, including a power supply button, a pressure setting button and a switch button; the gas supply module, the power supply module, the central processing module, the pressure monitoring module, the abnormality processing module, the output module and the input module are electrically connected; referring to fig. 3, fig. 3 is a schematic view of the sterile sleeve and the inflation catheter of the posterior abdominal access surgical space expanding system according to the present invention; the inflatable main body 11 is provided with a connector 17, and the connector 17 is also provided with an exhaust valve 18 with an exhaust switch; please refer to fig. 1 and fig. 3 again; the sterile sleeve 13 is a cylindrical cavity structure with an opening at one end, and is detachably sleeved with the tail end of the inflation catheter 12; the inflation catheter 12 is a tubular structure with two open ends, one end of the inflation catheter is provided with a plurality of annular grooves 19 which can be detachably connected with the expansion balloon 2, and the other end of the inflation catheter is detachably connected with the connector 17; referring to fig. 4, fig. 4 is a schematic view illustrating a usage state of the dilatation balloon of the posterior abdominal access operation space dilatation system according to the present invention; the expansion sacculus 2 is made of polyurethane, and is in a conical shape after being inflated, namely in an inverted bowl shape.
The use mode of the invention is as follows: according to the posterior abdominal cavity approach operation space expansion system, the connector 17 is fixedly connected with the inflatable catheter 12, and the sterile sleeve 13 is sleeved at the other end of the inflatable catheter 12; when in use, the exhaust valve 18 is closed, the sterile sleeve 13 is taken down, the sterilized and cleaned, the expansion saccule 2 is sleeved at the tail end of the inflation catheter 12, and the open end of the expansion saccule 2 is fixed on the inflation catheter 12, for example, the expansion saccule can be bound on the annular groove 19 by using an operation line; the dilatation balloon 2 is placed by existing surgical means: firstly, making a small incision on the lumbar rib or the back of the back side corresponding to the operation part, and extending a finger (the finger with sterile gloves after surgical cleaning) through the small incision to push fat and subcutaneous tissues to form a small poroid lacuna; the uninflated dilatation balloon 2 is placed in a small lacuna made by fingers through a small incision; pressing a power button on the inflatable main body 11, starting a power supply, adjusting the size of a preset air pressure value through the pressure setting button according to the operation requirement, and displaying the numerical value on the display screen 15; the switch button is pressed, the air pump in the air supply module operates to slowly and uniformly supply air for the expansion balloon 2, the air pressure gradually rises along with the increase of air, the air pressure sensor on the pressure monitoring module can monitor the change condition of the air pressure in real time and transmit corresponding data to the central processing module for operation, the operation result is transmitted to the output module to be displayed on the display screen 15 in real time, and when the air pressure value reaches the preset air pressure value, the central processing module controls the air supply module to automatically stop operating and sends out transient prompt sound through the abnormal processing module; when the expansion saccule 2 is damaged in the inflation process to cause pressure drop, the abnormity processing module controls the buzzer 14 to continuously give out alarm sound; after the inflation is finished and the expansion saccule 2 is left for a plurality of minutes, the switch on the exhaust valve 18 is opened, the gas in the expansion saccule 2 is discharged through the exhaust valve 18, and the invention is taken out for subsequent operation.
It should be noted that: the inflatable catheter 12 is detachably connected with the connector 17, the expansion balloon 2 is detachably connected with the inflatable catheter 12, so that the inflatable main body 11 can be reused, meanwhile, the expansion balloon 2 is a disposable medical product, and the inflatable catheter 12 is beneficial to disinfection, cleaning and replacement, so that the medical cost is saved, and the occurrence of cross infection is effectively avoided; the inflatable main body 11 is an automatic air supply device, the air supply module is a small air pump, air can be supplied by using slow and uniform air flow, damage to peripheral tissues possibly caused by rapid expansion of the expansion balloon 2 is avoided, the power supply module is a rechargeable lithium battery, the flexibility of the operation is greatly improved, and the central processing module, the pressure monitoring module, the abnormal processing module, the output module and the input module are matched with each other, so that the intelligent control of the inflation process is effectively ensured, and the safety controllability of the system is greatly improved; the inflation main body 11 is provided with a connector 17, the connector 17 is provided with an exhaust valve 18, the exhaust of the expansion balloon 2 can be controlled, and the expansion balloon 2 can be pulled out after the abdominal cavity is expanded; one end of the inflation catheter 12 is provided with a plurality of annular grooves 19, and the opening end of the expansion balloon 2 can be fixed at the annular grooves 19 by matching with corresponding fixing devices such as operation lines and the like, so that the expansion balloon 2 is prevented from falling off; the automatic inflation device 1 further comprises a sterile sleeve 13 which can be detachably connected with the inflation conduit 12, and the sterile sleeve 13 can be sleeved at the tail end of the inflation conduit 12 in a non-use state, so that the pollution of the sterile sleeve can be effectively prevented; the expansion balloon 2 is made of polyurethane, is in a conical shape after being inflated, accords with human engineering, and can better meet the requirements of operations; the posterior abdominal cavity approach operation space expansion system adopts intelligent inflation control, saves human resources, can be repeatedly used by the automatic inflation device 1, reduces operation cost, is beneficial to disinfection and cleaning, and also fully reduces the risk of operation infection by matching with the disposable expansion balloon 2; the pressure monitoring module and other corresponding modules are matched, so that the whole process is controllable and safe, and the operation process is greatly facilitated; the principle of each functional module is the prior art.
Example 2
Referring to fig. 5, fig. 5 is a schematic view of another expansion balloon of the posterior abdominal access surgical space expansion system of the present invention; the present embodiment is substantially the same as embodiment 1, except that the inflatable balloon 2 may also be surgical gloves, it should be noted that the surgical gloves are used as one of the substitutes for the inflatable balloon 2, and the application does not affect the use efficiency of the present invention, and further, the present embodiment illustrates that when there is a shortage of the number of inflatable balloons 2, other substitutes meeting the surgical requirements can be selectively used, which greatly improves the practicability and flexibility of the present invention.
The foregoing is only a preferred embodiment of the present invention, and it should be noted that, for those skilled in the art, various modifications and additions can be made without departing from the principle of the present invention, and these should also be considered as the protection scope of the present invention.

Claims (7)

1. A posterior abdominal cavity approach operation space expansion system is characterized by comprising an automatic inflation device and an expansion balloon; the automatic inflation device comprises an inflation main body and an inflation conduit; the expansion saccule is detachably connected with the inflation catheter; the inflation main body comprises an air supply module, a power supply module, a central processing module, a pressure monitoring module, an abnormality processing module, an output module and an input module; the gas supply module, the power supply module, the central processing module, the pressure monitoring module, the abnormality processing module, the output module and the input module are electrically connected; the inflatable main body is provided with a connector, and the connector is detachably connected with the inflatable guide pipe.
2. The posterior abdominal access procedure space augmentation system of claim 1, wherein said gas supply module is a small air pump for inflation; the power module is a chargeable and dischargeable lithium battery and is used for providing power for each electric element; the central processing module is a singlechip and is used for the operation processing of data signals; the pressure monitoring module comprises an air pressure sensor, the abnormity processing module comprises a buzzer and is used for alarming abnormity; the output module is a display screen and can display power supply electric quantity, a preset air pressure value and a real-time air pressure value; the input module is provided with a plurality of control buttons, including a power supply button, a pressure setting button and a switch button.
3. The posterior abdominal access surgical space expanding system of claim 1, wherein said connector has a vent valve disposed thereon.
4. The posterior abdominal access procedure space dilation system according to claim 1, wherein the inflation conduit is provided with a plurality of annular grooves at one end thereof.
5. The posterior abdominal access procedure space expanding system of claim 1, wherein the self-inflating device further comprises a sterile sleeve in the form of a cylindrical cavity structure with an open end, removably connectable to the inflation catheter.
6. The posterior abdominal access surgical space dilation system of claim 1, wherein the dilation balloon is made of polyurethane and is conical when inflated.
7. The posterior abdominal access procedure space dilation system of claim 1, wherein the dilation balloon is further a surgical glove.
CN202010357340.5A 2020-04-29 2020-04-29 Posterior abdominal cavity approach operation space expansion system Pending CN111513820A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112221009A (en) * 2020-11-11 2021-01-15 东莞市景宏塑胶模具有限公司 Medical abdominal cavity dilator and use method thereof

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US5460609A (en) * 1993-11-22 1995-10-24 Advanced Cardiovascular Systems, Inc. Electromechanical inflation/deflation system
US20110054395A1 (en) * 2008-04-09 2011-03-03 Flip Technologies Limited system and a method for inflating an inflatable element with a liquid inflating medium and a balloon catheter inflated by the system and method
CN103393472A (en) * 2013-08-19 2013-11-20 南京特富龙高分子材料有限公司 Operation channel expansion device
CN203564644U (en) * 2013-10-30 2014-04-30 南方医科大学南方医院 Retroperitoneoscopy dilator
CN206934440U (en) * 2016-12-27 2018-01-30 付世裕 Improve balloon dilator
CN109529175A (en) * 2018-09-25 2019-03-29 浙江大学 Automatic sacculus force (forcing) pump
CN208756184U (en) * 2017-12-15 2019-04-19 广州市万和整形材料有限公司 Automatic skin soft tissue expander

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5460609A (en) * 1993-11-22 1995-10-24 Advanced Cardiovascular Systems, Inc. Electromechanical inflation/deflation system
US20110054395A1 (en) * 2008-04-09 2011-03-03 Flip Technologies Limited system and a method for inflating an inflatable element with a liquid inflating medium and a balloon catheter inflated by the system and method
CN103393472A (en) * 2013-08-19 2013-11-20 南京特富龙高分子材料有限公司 Operation channel expansion device
CN203564644U (en) * 2013-10-30 2014-04-30 南方医科大学南方医院 Retroperitoneoscopy dilator
CN206934440U (en) * 2016-12-27 2018-01-30 付世裕 Improve balloon dilator
CN208756184U (en) * 2017-12-15 2019-04-19 广州市万和整形材料有限公司 Automatic skin soft tissue expander
CN109529175A (en) * 2018-09-25 2019-03-29 浙江大学 Automatic sacculus force (forcing) pump

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112221009A (en) * 2020-11-11 2021-01-15 东莞市景宏塑胶模具有限公司 Medical abdominal cavity dilator and use method thereof
CN112221009B (en) * 2020-11-11 2022-07-05 东莞市景宏塑胶模具有限公司 Medical abdominal cavity dilator and use method thereof

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