CN111759417B - Stomach surgery abdominal cavity operation piercing depth - Google Patents
Stomach surgery abdominal cavity operation piercing depth Download PDFInfo
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- CN111759417B CN111759417B CN202010567001.XA CN202010567001A CN111759417B CN 111759417 B CN111759417 B CN 111759417B CN 202010567001 A CN202010567001 A CN 202010567001A CN 111759417 B CN111759417 B CN 111759417B
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- 210000000683 abdominal cavity Anatomy 0.000 title claims abstract description 54
- 238000001356 surgical procedure Methods 0.000 title description 10
- 210000002784 stomach Anatomy 0.000 title description 2
- 238000000034 method Methods 0.000 claims abstract description 19
- 238000011902 gastrointestinal surgery Methods 0.000 claims abstract description 5
- 238000009434 installation Methods 0.000 claims abstract description 4
- 230000006698 induction Effects 0.000 claims description 46
- 238000007789 sealing Methods 0.000 claims description 9
- 239000000463 material Substances 0.000 claims description 2
- 230000002496 gastric effect Effects 0.000 claims 4
- 230000008569 process Effects 0.000 abstract description 10
- 230000000750 progressive effect Effects 0.000 abstract description 4
- 230000004044 response Effects 0.000 description 24
- 210000003491 skin Anatomy 0.000 description 11
- 230000033228 biological regulation Effects 0.000 description 10
- 238000000926 separation method Methods 0.000 description 9
- 230000008859 change Effects 0.000 description 8
- 210000001519 tissue Anatomy 0.000 description 8
- 210000003815 abdominal wall Anatomy 0.000 description 6
- 210000002615 epidermis Anatomy 0.000 description 6
- 210000001015 abdomen Anatomy 0.000 description 4
- 210000001835 viscera Anatomy 0.000 description 4
- 201000010099 disease Diseases 0.000 description 3
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 3
- 210000000056 organ Anatomy 0.000 description 3
- 230000000149 penetrating effect Effects 0.000 description 3
- 230000008447 perception Effects 0.000 description 3
- 230000003187 abdominal effect Effects 0.000 description 2
- 230000006978 adaptation Effects 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 2
- 230000006835 compression Effects 0.000 description 2
- 238000007906 compression Methods 0.000 description 2
- 210000004379 membrane Anatomy 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- 230000037368 penetrate the skin Effects 0.000 description 2
- 230000001105 regulatory effect Effects 0.000 description 2
- 230000009278 visceral effect Effects 0.000 description 2
- 241000521257 Hydrops Species 0.000 description 1
- 206010030113 Oedema Diseases 0.000 description 1
- 238000004026 adhesive bonding Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000003028 elevating effect Effects 0.000 description 1
- 239000003562 lightweight material Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000010412 perfusion Effects 0.000 description 1
- 210000003200 peritoneal cavity Anatomy 0.000 description 1
- 210000002489 tectorial membrane Anatomy 0.000 description 1
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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
- A61B17/34—Trocars; Puncturing needles
- A61B17/3403—Needle locating or guiding means
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—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
- A61B17/34—Trocars; Puncturing needles
- A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/06—Measuring instruments not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/101—Clamping means for connecting accessories to the operating table
-
- 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
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/0034—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, 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
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/064—Measuring instruments not otherwise provided for for measuring force, pressure or mechanical tension
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- General Health & Medical Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Animal Behavior & Ethology (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Pathology (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Surgical Instruments (AREA)
Abstract
The invention belongs to the technical field of medical equipment, and particularly relates to a gastrointestinal surgery abdominal cavity operation puncture device which comprises a supporting plate, a sleeve and a puncture rod; the middle part of the supporting plate is provided with an installation groove; the interior of the mounting groove is provided with uniformly arranged adjusting rotating blocks; the adjusting rotary blocks are connected with the same sleeve through common threads; a stepped mounting hole is formed in the sleeve; a rotating block is fixedly connected inside the stepped mounting hole; the inside of the rotating block is provided with an adjusting hole; the same puncture rod is inserted between the stepped mounting hole and the adjusting hole; the supporting abdominal cavity puncture operation is effectively realized through the invention, the problems that in the direct puncture process, a doctor needs to sense and judge whether the puncture is in place through a vacuum falling sense are solved, the puncture technical difficulty and the operation risk are high, the slow puncture operation is realized through a progressive spiral structure, the structure is simple, and the puncture risk is greatly reduced.
Description
Technical Field
The invention belongs to the technical field of medical equipment, and particularly relates to a gastrointestinal surgery abdominal cavity operation puncture device.
Background
The puncture outfit is an operation instrument which is matched with a minimally invasive device and provides an instrument channel for the abdominal cavity pelvic cavity minimally invasive operation, in the minimally invasive human medical operation, once a disease is found in a human body and needs to be operated or cut, in the operation process, firstly, a puncture outfit is needed to be applied, the puncture outfit is a surgical instrument which punctures the abdominal wall and enters a body cavity channel for other surgical instruments, and belongs to a minimally invasive surgical instrument, the puncture outfit generally comprises a sleeve component which is used as an entering channel for other surgical instruments and a puncture rod which penetrates through the sleeve component, firstly, in order to penetrate through the skin, the skin epidermis is firstly cut by an operation knife, the puncture rod is then used to penetrate the skin and enter the body cavity along with the sleeve assembly, and the sleeve assembly is then withdrawn to provide access for the introduction of various instruments and tools into the abdominal cavity and for the elevation of the insufflating chamber abdominal wall above the organ.
According to CN108784794A a novel enterocoelia surgery abdominal cavity operation piercing depth, among the prior art, when carrying out the abdominocentesis operation, be the doctor and hold the sleeve that has the puncture pole, insert the belly towards the belly position that cuts the epidermis, need insert the limit and rotate the sleeve, when the vacuum sense of falling, show that the sleeve reachs the peritoneal layer, it stops to continue to insert the operation to patient's peritoneal cavity immediately this moment to need the doctor, avoid puncture pole or sleeve to insert the viscera problem of damaging too deeply, but the vacuum sense of falling, only for the operation sense after penetrating the tectorial membrane layer, it is difficult to handle the accuse to correspond the doctor of first operation, therefore the degree of difficulty and the risk increase scheduling problem of abdominocentesis operation.
In view of the above, in order to overcome the above technical problems, the present inventors have designed and developed a puncture device for abdominal cavity surgery in gastrointestinal surgery, which solves the above technical problems.
Disclosure of Invention
In order to make up the defects of the prior art and solve the problems that in the prior art, when abdominal cavity puncture operation is carried out, a doctor holds a sleeve with a puncture rod, inserts the sleeve into an abdominal part with an incised epidermis, needs to rotate the sleeve while inserting, indicates that the sleeve reaches an abdominal membrane layer when a vacuum falling feeling occurs, and then needs to immediately stop inserting the sleeve into the abdominal cavity of a patient, so that the problem that the puncture rod or the sleeve is inserted too deeply and damages viscera is avoided, but the vacuum falling feeling is only an operation feeling after penetrating into the membrane layer and is difficult to control corresponding to a doctor who operates for the first time, so that the difficulty and the risk of the abdominal cavity puncture operation are increased, and the like.
The technical scheme adopted by the invention for solving the technical problems is as follows: the invention discloses a gastrointestinal surgery abdominal cavity operation puncture device, which comprises a supporting plate, a sleeve and a puncture rod; the support plate is designed to be of a cuboid structure; the front and rear width sizes of the middle position of the supporting plate are larger than the size values of the two sides of the supporting plate; supporting seats are arranged at the positions close to the left side and the right side of the supporting plate; the two supporting seats are provided with adjusting grooves at the positions of the supporting plates, and the supporting plates are connected inside the adjusting grooves in a vertically sliding manner; adjusting rods are fixedly connected to the inner parts of the two adjusting grooves at the lower positions of the supporting plates; the middle part of the supporting plate is provided with an installation groove; the interior of the mounting groove is provided with uniformly arranged adjusting rotating blocks; the side surface position of one side opposite to the adjusting rotating block is designed into an arc surface structure; the adjusting rotary block is provided with threads at the position of the arc surface; the adjusting rotary blocks are connected with the same sleeve through common threads; a stepped mounting hole is formed in the middle of the sleeve; a sealing film is fixedly connected inside the stepped mounting hole; a rotating block is fixedly connected inside the stepped mounting hole; a first sealing ring is arranged between the rotating block and the sleeve; an adjusting hole which is communicated up and down is formed in the rotating block; the same puncture rod is inserted into the stepped mounting hole and the regulating hole; when the puncture outfit is used in minimally invasive human medical surgery, once a disease condition is found in a human body, the surgery or the excision is needed, in the surgery process, firstly, the puncture outfit is needed to be applied, the puncture outfit is a surgical instrument which punctures the abdominal wall and enters a body cavity channel for other surgical instruments, and belongs to a minimally invasive surgical instrument, the puncture outfit generally comprises a sleeve component which is used as an entry channel for other surgical instruments and a puncture rod which penetrates through the sleeve component, firstly, in order to puncture the skin, the skin epidermis of the skin is cut by a surgical knife, then, the puncture rod penetrates through the skin and enters the body cavity together with the sleeve component, then, the puncture rod is drawn out, the sleeve component can be used as a channel for introducing various instruments and tools into the abdominal cavity and providing an air-filling chamber for elevating the abdominal wall above an organ, in the prior art, when the abdominal cavity puncture operation is carried out, the sleeve with the puncture rod is taken by a doctor, when the abdominal cavity puncture operation is required, the supporting seats are firstly fixed at the two side positions of the operating bed, the supporting plate is arranged at the position right above the abdominal cavity of the patient, the sleeve with the puncture rod is arranged in the mounting groove of the supporting plate, the sleeve is rotatably connected to the inner part of the adjusting rotary block, when an abdominal cavity puncture operation is carried out, a doctor can continuously rotate the sleeve, so that the puncture rod and the sleeve are slowly inserted into the abdominal cavity of a patient, the difficulty of puncture operation is greatly reduced, the supporting type abdominal cavity puncture operation is effectively realized, the problem that in the direct puncture process, the doctor needs to sense and judge whether puncture is in place through a vacuum empty sense is solved, the puncture technical difficulty and the operation risk are high, the slow puncture operation is realized through a progressive spiral structure, the structure is simple, and the puncture risk is greatly reduced.
Preferably, the inside of the mounting groove is connected with a first sliding block in a front-back sliding manner; the front side surface and the rear side surface of the supporting plate are rotatably connected with fixed knobs at the first slide block positions; a sliding groove is formed in the middle of the first sliding block; a second sliding block is connected inside the sliding groove in a left-right sliding manner; the middle part of the second sliding block is provided with an up-and-down through connecting groove; the adjusting rotating blocks are all positioned in the connecting grooves; the upper surface of the first sliding block is provided with limiting grooves which are symmetrical front and back at the positions close to the left side surface and the right side surface of the sliding groove; the inner parts of the limiting grooves are rotatably connected with adjusting columns; the same limiting rod is fixedly connected between the front and the rear corresponding adjusting columns; during operation, through setting up first slider and second slider, can slide around the inside of mounting groove through first slider, the second slider can be in the inside horizontal slip of first slider surface spout, because the sleeve sets up in the inside of second slider surface spread groove, the slip through first slider and second slider can realize the quick position adjustment that carries on of sleeve and puncture pole, in order to adapt to different patient puncture position requirements, through setting up fixed knob and regulation post, can be to the effective spacing fixed of first slider and second slider, avoid the operation in-process, the skew problem appears in the sleeve position.
Preferably, the support plate is in surface contact connection with the two adjusting rods, the two adjusting rods support the support plate, and the support plate is made of light materials; the during operation can carry out quick adjustment to the high position of backup pad through rotating the regulation pole to better adaptation different patient's requirement, after accomplishing the abdominocentesis operation, because the occupation space of backup pad is great, be unfavorable for doctor's follow-up operation, accomplish the abdominocentesis operation after, can shift out the backup pad, for quick shift out the backup pad, through the backup pad with adjust direct face contact support between the pole, therefore manual upwards lift up the backup pad that can be quick promptly, convenient simple.
Preferably, the inside of the connecting groove is fixedly connected with a fixed block; a guide hole which is communicated up and down is formed in the fixed block; the cambered surface position of the guide hole is provided with guide grooves which are uniformly distributed; the inner parts of the guide grooves are connected with the adjusting rotating blocks in a sliding manner; the upper surface of the fixed block is rotatably connected with an adjusting knob; the upper surfaces of the adjusting knobs are provided with connecting grooves; the lower surfaces of the adjusting knobs are fixedly connected with connecting rods at the connecting groove positions, and the connecting rods are inserted into the corresponding connecting grooves; the during operation, when shifting out the regulation pole, for convenient regulation commentaries on classics piece quick separation between the sleeve, through setting up adjust knob, manual rotation adjust knob, adjust knob and then drive the connecting rod and rotate, the connecting rod can drive the inside slider of regulation commentaries on classics piece at the guide slot, changes through the different circles footpaths of guide slot, can realize adjusting drawing in each other or separating between the commentaries on classics piece, shifting out of the backup pad of being convenient for.
Preferably, the outer arc surface of the sleeve is provided with a connecting hole at a position close to the lower end surface of the sleeve; a pressing block is connected inside the adjusting hole in a vertical sliding manner; a slotted hole is formed in the middle of the pressing block, and the puncture rod is inserted into the slotted hole; the bottom of the adjusting hole is fixedly connected with a second sealing ring at the position below the puncture rod; the bottom of the adjusting hole is fixedly connected with uniformly arranged press cylinders close to the inner arc surface of the adjusting hole; the outer cambered surface of the sleeve is fixedly connected with a fixing ring at a position close to the supporting plate; an induction groove is formed in the fixing ring, and the induction groove, the pressure cylinder and the connecting hole are communicated with each other; an induction block is arranged inside the induction groove; the during operation, for the convenience of the judgement of doctor's puncture, through setting up the briquetting, when the puncture, the doctor needs manual rotation to press the briquetting, make the briquetting be in the inside downstream of regulation hole, the briquetting and then the compression jar, make the gas that presses in the jar enter into the inside in response groove, because the puncture in-process, the even hole on sleeve surface receives the sealed separation of skin tissue, the atmospheric pressure of response inslot portion increases, and then the response piece stretches out the response groove, when the sleeve inserts abdominal cavity inside, because abdominal cavity's inside has lost the sealed separation of skin tissue, and then the gas can be leading-in through even hole, the inside in response groove is regained again to the response piece, through this phenomenon, can provide assistance for the doctor and judge.
Preferably, the induction groove is designed to be of an annular structure; the inner part of the induction groove is rotatably connected with an induction rotating ring at a position close to the outer cambered surface of the fixed ring; the inner arc surface of the induction swivel is fixedly connected with a first baffle; the fixed ring is fixedly connected with a second baffle inside the induction groove, and the first baffle and the second baffle divide the induction groove; springs are fixedly connected between the first baffle and the second baffle; scales are engraved on the outer arc surface of the fixed ring above the induction rotating ring; the outer arc surface of the induction swivel is provided with a pointer; the during operation, when performing the operation, in order to avoid touching visceral tissue or avoiding gluing the problem, can be to the inside leading-in gas of patient's abdominal cavity, when performing the operation to the abdominal cavity ponding patient, need carry out the drainage, these operations all can lead to abdominal cavity internal pressure to change, in order to provide pressure variation's real-time data for the doctor, through setting up the response swivel, change through pressure, drive the response swivel and rotate at the inside in response groove, drive the pointer through the response swivel and rotate, and then perception pressure variation's data difference, operation for the doctor provides timely data reference.
The invention has the following beneficial effects:
1. according to the enterogastric surgery abdominal cavity operation puncture device, the supporting plate, the sleeve and the puncture rod are arranged, and the sleeve is rotatably connected to the supporting plate through the threads of the sleeve, so that the supporting type abdominal cavity puncture operation is effectively realized, the problem that whether puncture is in place or not is judged by a doctor through a vacuum falling sense in a direct puncture process is solved, the puncture technical difficulty and the operation risk are high, the puncture operation is slowly performed through a progressive spiral structure, the structure is simple, and the puncture risk is greatly reduced.
2. According to the enterogastric surgery abdominal cavity operation puncture device, the induction swivel and the pointer are arranged, so that gas can be introduced into the abdominal cavity of a patient in order to avoid touching visceral tissues or adhesion during operation, drainage is needed during operation of a patient with abdominal cavity hydrops, pressure inside the abdominal cavity can be changed due to the operations, the induction swivel is arranged, the induction swivel is driven to rotate inside the induction groove through pressure change, the pointer is driven to rotate through the induction swivel, and then data difference of pressure change is sensed, and timely data reference is provided for operation of doctors.
Drawings
The invention will be further explained with reference to the drawings.
FIG. 1 is a perspective view of the present invention;
FIG. 2 is a top view of the present invention;
FIG. 3 is a cross-sectional view taken at A-A in FIG. 2;
FIG. 4 is a perspective view of the components of the sleeve of the present invention;
FIG. 5 is an enlarged partial view at B in FIG. 3;
FIG. 6 is an enlarged partial view at C of FIG. 3;
in the figure: the puncture rod comprises a supporting plate 1, a supporting seat 11, an adjusting rod 12, an adjusting rotating block 13, a rotating block 14, a first sliding block 15, a fixing knob 16, a second sliding block 17, a sleeve 2, an adjusting column 21, a limiting rod 22, a fixing block 23, an adjusting knob 24, a connecting rod 25, a pressing block 26, a pressing cylinder 27, an induction rotating ring 28, a spring 29, a pointer 210 and a puncture rod 3.
Detailed Description
In order to make the technical means, the creation characteristics, the achievement purposes and the effects of the invention easy to understand, the invention is further described with the specific embodiments.
As shown in fig. 1 to 6, the puncture device for enterogastric surgery and abdominal cavity operation of the invention comprises a supporting plate 1, a sleeve 2 and a puncture rod 3; the supporting plate 1 is designed to be of a cuboid structure; the front and rear width sizes of the middle position of the supporting plate 1 are larger than the size values of the two sides of the supporting plate; the supporting seats 11 are arranged at the positions close to the left side and the right side of the supporting plate 1; adjusting grooves are formed in the positions, located on the supporting plates 1, of the two supporting seats 11, and the supporting plates 1 are connected to the inside of the adjusting grooves in a vertically sliding mode; adjusting rods 12 are fixedly connected to the inner parts of the two adjusting grooves below the supporting plate 1; an installation groove is formed in the middle of the supporting plate 1; the interior of the mounting groove is provided with uniformly arranged adjusting rotating blocks 13; the side surface position of one side of the adjusting rotating block 13 opposite to the adjusting rotating block is designed into an arc surface structure; the adjusting rotary block 13 is provided with threads at the position of the arc surface; the same sleeve 2 is connected between the adjusting rotary blocks 13 through common threads; a stepped mounting hole is formed in the middle of the sleeve 2; a sealing film is fixedly connected inside the stepped mounting hole; a rotating block 14 is fixedly connected inside the stepped mounting hole; a first sealing ring is arranged between the rotating block 14 and the sleeve 2; an adjusting hole which is communicated up and down is formed in the rotating block 14; the same puncture rod 3 is inserted into the stepped mounting hole and the regulating hole; when in work, once the disease is found in the human body in a minimally invasive human medical operation, the operation or the excision is needed, in the operation process, firstly, a puncture outfit is needed to be applied, the puncture outfit is a surgical instrument which punctures the abdominal wall and enters a body cavity channel for other surgical instruments, which belongs to a minimally invasive surgical instrument, the puncture outfit generally comprises a sleeve 2 component which is used as an entry channel for other surgical instruments and a puncture rod 3 which penetrates through the sleeve 2 component, firstly, in order to penetrate the skin, the skin epidermis is incised by a surgical knife, then, the skin is penetrated by the puncture rod 3 and enters the body cavity together with the sleeve 2 component, then, the puncture rod 3 is drawn out, the sleeve 2 component can be used as a channel for leading various instruments and tools into the abdominal cavity and providing an air perfusion chamber to be lifted above the abdominal wall organ, in the prior art, when the abdominal cavity puncture operation is carried out, the sleeve 2 with the puncture rod 3 is taken by a doctor, the abdomen is inserted into the abdomen position of the incised epidermis, the sleeve 2 is required to be inserted and rotated at the same time, when the vacuum falling feeling occurs, the sleeve 2 reaches the peritoneal layer, at the moment, a doctor is required to stop inserting operation into the abdominal cavity of a patient immediately, the problem that the puncture rod 3 or the sleeve 2 is inserted too deeply and damages viscera is avoided, but the vacuum falling feeling is only the operation feeling after penetrating into the precoated layer and is difficult to control corresponding to the doctor who operates for the first time, so the difficulty and the risk of the abdominal cavity puncture operation are increased, and the like, through the enterocoelia surgical puncture device, when the enterocoelia puncture operation is required, the supporting seats 11 are firstly fixed at the two side positions of the operating bed, the supporting plate 1 is arranged at the position right above the abdominal cavity of the patient, the sleeve 2 with the puncture rod 3 is arranged in the mounting groove of the supporting plate 1, the sleeve 2 is rotatably connected to the inside the adjusting rotary block 13, when an abdominal cavity puncture operation is carried out, a doctor can continuously rotate the sleeve 2, so that the puncture rod 3 and the sleeve 2 are slowly inserted into the abdominal cavity of a patient, the difficulty of puncture operation is greatly reduced, the supporting type abdominal cavity puncture operation is effectively realized through the invention, the problem that in the direct puncture process, the doctor needs to sense and judge whether puncture is in place through a vacuum falling sense is solved, the puncture technical difficulty and the operation risk are high, the slow puncture operation is realized through a progressive spiral structure, the structure is simple, and the puncture risk is greatly reduced.
As an embodiment of the present invention, a first slider 15 is slidably connected to the inside of the mounting groove back and forth; the front side surface and the rear side surface of the supporting plate 1 are rotatably connected with fixed knobs 16 at the positions of the first sliding blocks 15; a sliding groove is formed in the middle of the first sliding block 15; a second sliding block 17 is connected inside the sliding groove in a left-right sliding manner; the middle part of the second sliding block 17 is provided with an up-and-down through connecting groove; and the adjusting rotary blocks 13 are all positioned in the inner positions of the connecting grooves; the upper surface of the first sliding block 15 is provided with limiting grooves which are symmetrical front and back at the positions close to the left side surface and the right side surface of the sliding groove; the inner parts of the limiting grooves are rotatably connected with adjusting columns 21; the same limiting rod 22 is fixedly connected between the two corresponding adjusting columns 21 at the front and the back; during operation, through setting up first slider 15 and second slider 17, can slide around the inside of mounting groove through first slider 15, second slider 17 can be in the inside horizontal slip of 15 surperficial spouts of first slider, because sleeve 2 sets up in the inside of 17 surperficial spread grooves of second slider, the slip through first slider 15 and second slider 17 can realize sleeve 2 and puncture 3 quick carry out position adjustment, in order to adapt to different patient puncture position requirements, through setting up fixed knob 16 and regulation post 21, can be to the effective spacing of first slider 15 and second slider 17 fixed, avoid the operation in-process, the skew problem appears in 2 positions of sleeve.
As an embodiment of the present invention, the supporting plate 1 and the two adjusting rods 12 are connected in a surface contact manner, and the two adjusting rods 12 support the supporting plate 1, and the supporting plate 1 is made of a lightweight material; the during operation, adjust pole 12 through rotating and can carry out quick adjustment to the high position of backup pad 1, with the requirement of the different patients of better adaptation, after accomplishing the abdominocentesis operation, because the occupation space of backup pad 1 is great, be unfavorable for doctor's follow-up operation, accomplish the abdominocentesis operation after, can shift out backup pad 1, for quick backup pad 1 that shifts out, support through backup pad 1 and the direct face contact between adjusting pole 12, therefore manual upwards lifting up backup pad 1 that can be quick promptly, and is convenient simple.
As an embodiment of the present invention, a fixed block 23 is fixedly connected to the inside of the connecting groove; a guide hole which is communicated up and down is formed in the fixed block 23; the cambered surface position of the guide hole is provided with guide grooves which are uniformly distributed; the inner parts of the guide grooves are all connected with an adjusting rotating block 13 in a sliding manner; the upper surface of the fixed block 23 is rotatably connected with an adjusting knob 24; the upper surfaces of the adjusting knobs 24 are provided with connecting grooves; the lower surfaces of the adjusting knobs 24 are fixedly connected with connecting rods 25 at the connecting groove positions, and the connecting rods 25 are inserted into the corresponding connecting grooves; during operation, when shifting out regulation pole 12, for the convenience of adjusting the quick separation of commentaries on classics piece 13 between sleeve 2, through setting up adjust knob 24, manual rotation adjust knob 24, adjust knob 24 and then drive connecting rod 25 and rotate, connecting rod 25 can drive and adjust commentaries on classics piece 13 at the inside slider of guide slot, changes through the different circles footpaths of guide slot, can realize adjusting drawing in each other or the separation between the commentaries on classics piece 13, the shifting out of backup pad 1 of being convenient for.
As an embodiment of the present invention, a connecting hole is formed in a position of the outer arc surface of the sleeve 2, which is close to the lower end surface of the sleeve 2; a pressing block 26 is connected inside the adjusting hole in a vertical sliding manner; a slotted hole is formed in the middle of the pressing block 26, and the puncture rod 3 is inserted into the slotted hole; the bottom of the adjusting hole is fixedly connected with a second sealing ring at the position below the puncture rod 3; the bottom of the adjusting hole is fixedly connected with evenly arranged press cylinders 27 close to the inner arc surface of the adjusting hole; the outer arc surface of the sleeve 2 is fixedly connected with a fixing ring at a position close to the support plate 1; an induction groove is formed in the fixing ring, and the induction groove, the pressure cylinder 27 and the connecting hole are communicated with each other; an induction block is arranged inside the induction groove; the during operation, for the convenience of the judgement of doctor's puncture, through setting up briquetting 26, when the puncture, the doctor needs manual rotation to press down briquetting 26, make briquetting 26 at the inside downstream of regulation hole, briquetting 26 and compression pressure jar 27, make the inside that presses the gas in jar 27 to enter into the induction tank, because the puncture in-process, the sealed separation that the hole received skin tissue even on 2 surfaces of sleeve, the atmospheric pressure of induction tank inside increases, and then the induction tank is stretched out to the induction block, when sleeve 2 inserts abdominal cavity inside, because abdominal cavity's inside has lost skin tissue's sealed separation, and then the gas can be leading-in through even hole, the inside of induction tank is regained again to the induction block, through this phenomenon, can provide assistance and judge for the doctor.
As an embodiment of the present invention, the induction groove is designed to have an annular structure; the inner part of the induction groove is rotatably connected with an induction rotating ring 28 at a position close to the outer cambered surface of the fixed ring; the inner arc surface of the induction swivel 28 is fixedly connected with a first baffle; the fixed ring is fixedly connected with a second baffle inside the induction groove, and the first baffle and the second baffle divide the induction groove; springs 29 are fixedly connected between the first baffle and the second baffle; scales are marked on the outer arc surface of the fixed ring above the induction rotating ring 28; the outer arc surface of the induction rotating ring 28 is provided with a pointer 210; the during operation, when performing the operation, in order to avoid touching visceral organ or avoiding the adhesion problem, can be to the inside leading-in gas of patient's abdominal cavity, when performing the operation to the abdominal cavity ponding patient, need carry out the drainage, these operations all can lead to abdominal cavity internal pressure to change, in order to provide pressure variation's real-time data for the doctor, through setting up response swivel 28, change through pressure, drive response swivel 28 and rotate in the inside of response groove, it rotates to drive pointer 210 through response swivel 28, and then perception pressure variation's data difference, operation provides timely data reference for the doctor.
The specific working process is as follows:
when the abdominal cavity puncture operation is needed, the supporting seat 11 is firstly fixed at the two side positions of the operating table, the supporting plate 1 is arranged right above the abdominal cavity of a patient, the sleeve 2 with the puncture rod 3 is arranged in the mounting groove of the supporting plate 1, and the sleeve 2 is rotatably connected inside the adjusting rotating block 13, so that a doctor can continuously rotate the sleeve 2 during the abdominal cavity puncture operation, the puncture rod 3 and the sleeve 2 are slowly inserted into the abdominal cavity of the patient, and the difficulty of the puncture operation is greatly reduced; through arranging the first sliding block 15 and the second sliding block 17, the first sliding block 15 can slide back and forth in the mounting groove, the second sliding block 17 can slide left and right in the sliding groove on the surface of the first sliding block 15, and as the sleeve 2 is arranged in the connecting groove on the surface of the second sliding block 17, the sleeve 2 and the puncture rod 3 can be rapidly adjusted in position through the sliding of the first sliding block 15 and the second sliding block 17 so as to meet the puncture position requirements of different patients, and through arranging the fixing knob 16 and the adjusting column 21, the first sliding block 15 and the second sliding block 17 can be effectively limited and fixed, so that the problem of deviation of the position of the sleeve 2 in the operation process is avoided; the height position of the supporting plate 1 can be quickly adjusted by rotating the adjusting rod 12 so as to better adapt to the requirements of different patients, after the abdominal cavity puncture operation is completed, the supporting plate 1 can be moved out due to the fact that the supporting plate 1 occupies a large space and is not beneficial to the subsequent operation of a doctor, and after the abdominal cavity puncture operation is completed, the supporting plate 1 can be moved out, in order to quickly move out the supporting plate 1, the supporting plate 1 and the adjusting rod 12 are in direct surface contact support, so that the supporting plate 1 can be quickly and upwards lifted manually, and the operation is convenient and simple; by arranging the adjusting knob 24 and manually rotating the adjusting knob 24, the adjusting knob 24 further drives the connecting rod 25 to rotate, the connecting rod 25 can drive the adjusting rotating block 13 to slide in the guide groove, and the adjusting rotating blocks 13 can be mutually folded or separated through the change of different diameters of the guide groove, so that the supporting plate 1 can be conveniently moved out; through setting up the briquetting 26, when the puncture, the doctor needs to manually rotate and presses the briquetting 26, make the briquetting 26 move downwards in the inside of regulation hole, the briquetting 26 and then compress the pressure cylinder 27, make the gas in the pressure cylinder 27 enter into the inside of response groove, because in the process of puncturing, the even hole on sleeve 2 surface receives the sealed separation of skin tissue, the atmospheric pressure inside the response groove increases, and then the response piece stretches out the response groove, when sleeve 2 inserts the inside of abdominal cavity, because the inside of abdominal cavity has lost the sealed separation of skin tissue, and then the gas can be leading-in through even hole, the response piece is regained the inside of response groove again, through this phenomenon, can provide assistance and judge for the doctor; through setting up response swivel 28, through the change of pressure, drive response swivel 28 and rotate at the inside in response groove, drive pointer 210 through response swivel 28 and rotate, and then the data difference of perception pressure variation provides timely data reference for doctor's operation.
While there have been shown and described what are at present considered the fundamental principles of the invention, its essential features and advantages, it will be understood by those skilled in the art that the invention is not limited by the embodiments described above, which are merely illustrative of the principles of the invention, but various changes and modifications may be made therein without departing from the spirit and scope of the invention as defined by the appended claims and their equivalents.
Claims (5)
1. A gastrointestinal surgery abdominal cavity operation puncture device comprises a support plate (1), a sleeve (2) and a puncture rod (3); the method is characterized in that: the support plate (1) is designed to be of a cuboid structure; the front and rear width sizes of the middle position of the supporting plate (1) are larger than the size values of the two sides of the supporting plate; the side surfaces of the left side and the right side close to the support plate (1) are respectively provided with a support seat (11); adjusting grooves are formed in the positions, located on the supporting plates (1), of the two supporting seats (11), and the supporting plates (1) are connected to the inside of the adjusting grooves in a vertically sliding mode; adjusting rods (12) are fixedly connected to the positions, below the supporting plate (1), inside the two adjusting grooves; the middle part of the supporting plate (1) is provided with an installation groove; the interior of the mounting groove is provided with uniformly arranged adjusting rotating blocks (13); the side surface position of one side of the adjusting rotating block (13) opposite to the adjusting rotating block is designed into a circular arc surface structure; the adjusting rotary block (13) is provided with threads at the position of the arc surface; the adjusting rotary blocks (13) are connected with the same sleeve (2) through common threads; a stepped mounting hole is formed in the middle of the sleeve (2); a sealing film is fixedly connected inside the stepped mounting hole; a rotating block (14) is fixedly connected inside the stepped mounting hole; a first sealing ring is arranged between the rotating block (14) and the sleeve (2); an adjusting hole which is communicated up and down is formed in the rotating block (14); the ladder mounting hole and the interior of the adjusting hole are jointly inserted with the same puncture rod (3).
2. The gastrointestinal surgical laparoscopic procedure puncture device of claim 1, wherein: a first sliding block (15) is connected in the mounting groove in a front-back sliding manner; the front side surface and the rear side surface of the supporting plate (1) are rotatably connected with fixed knobs (16) at the positions of the first sliding blocks (15); a sliding groove is formed in the middle of the first sliding block (15); a second sliding block (17) is connected inside the sliding groove in a left-right sliding manner; the middle part of the second sliding block (17) is provided with an up-and-down through connecting groove; and the adjusting rotary blocks (13) are all positioned in the inner positions of the connecting grooves; the upper surface of the first sliding block (15) is provided with limiting grooves which are symmetrical front and back at the positions close to the side surfaces of the left side and the right side of the sliding groove; the inner parts of the limiting grooves are rotatably connected with adjusting columns (21); the front and the back of the adjusting columns (21) are connected with a same limiting rod (22) in a common way.
3. The gastrointestinal surgical laparoscopic procedure puncture device of claim 2, wherein: the support plate (1) is in surface contact connection with the two adjusting rods (12), the two adjusting rods (12) support the support plate (1), and the support plate (1) is made of light materials.
4. The gastrointestinal surgical laparoscopic procedure puncture device of claim 3, wherein: a fixed block (23) is fixedly connected inside the connecting groove; a guide hole which is communicated up and down is formed in the fixed block (23); the cambered surface position of the guide hole is provided with guide grooves which are uniformly distributed; the inner parts of the guide grooves are all connected with an adjusting rotating block (13) in a sliding way; the upper surface of the fixed block (23) is rotatably connected with an adjusting knob (24); the upper surfaces of the adjusting knobs (24) are provided with connecting grooves; the lower surface of adjusting knob (24) all links firmly connecting rod (25) in the groove position of linking, and connecting rod (25) all pegs graft in the groove inside that links that corresponds.
5. The gastrointestinal surgical laparoscopic procedure puncture device of claim 1, wherein: a connecting hole is formed in the position, close to the lower end face of the sleeve (2), of the outer arc face of the sleeve (2); a pressing block (26) is connected inside the adjusting hole in a vertical sliding manner; a slotted hole is formed in the middle of the pressing block (26), and the puncture rod (3) is inserted into the slotted hole; the bottom of the adjusting hole is fixedly connected with a second sealing ring at the position below the puncture rod (3); the bottom of the adjusting hole is fixedly connected with uniformly arranged press cylinders (27) close to the inner arc surface of the adjusting hole; the outer arc surface of the sleeve (2) is fixedly connected with a fixing ring at a position close to the support plate (1); an induction groove is formed in the fixing ring, and the induction groove, the pressure cylinder (27) and the connecting hole are communicated with each other;
the induction groove is designed to be of an annular structure; an induction rotating ring (28) is rotatably connected to the inner part of the induction groove, close to the outer cambered surface of the fixed ring; the inner arc surface of the induction swivel (28) is fixedly connected with a first baffle; the fixed ring is fixedly connected with a second baffle inside the induction groove, and the first baffle and the second baffle divide the induction groove; springs (29) are fixedly connected between the first baffle and the second baffle; scales are marked on the outer arc surface of the fixed ring above the induction rotating ring (28); and the outer arc surface of the induction rotating ring (28) is provided with a pointer (210).
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| Application Number | Priority Date | Filing Date | Title |
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| CN202010567001.XA CN111759417B (en) | 2020-06-19 | 2020-06-19 | Stomach surgery abdominal cavity operation piercing depth |
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| CN202010567001.XA CN111759417B (en) | 2020-06-19 | 2020-06-19 | Stomach surgery abdominal cavity operation piercing depth |
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| CN111759417B true CN111759417B (en) | 2021-11-12 |
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| CN112741655A (en) * | 2020-12-24 | 2021-05-04 | 河北医科大学第一医院 | Liver malignant tumor puncture biopsy device |
| CN113995485B (en) * | 2021-12-07 | 2024-04-30 | 深圳市金其美医疗器械有限公司 | Abdominal cavity puncture liquid taking device with accurate positioning function |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| US5308352A (en) * | 1989-11-17 | 1994-05-03 | Koutrouvelis Panos G | Stereotactic device |
| CN202892084U (en) * | 2012-08-10 | 2013-04-24 | 张爱英 | Abdominocentesis positioner |
| CN108652714A (en) * | 2018-03-23 | 2018-10-16 | 青岛大学附属医院 | A kind of gastrointestinal surgery abdominal operation sting device |
| CN110811777A (en) * | 2018-08-10 | 2020-02-21 | 郑州瑞宇科技有限公司 | Puncture outfit mirror supporting device |
| CN109223136A (en) * | 2018-11-20 | 2019-01-18 | 林平珍 | A kind of novel gynecological amniocentesis positioning device |
| CN210250005U (en) * | 2019-04-28 | 2020-04-07 | 李宁 | Take fixing device's abdominal cavity puncture ware |
| CN110037778B (en) * | 2019-04-30 | 2021-09-17 | 青岛市中心医院 | Gastrointestinal surgery abdominal cavity operation puncture device |
| CN110584754A (en) * | 2019-10-23 | 2019-12-20 | 孙小青 | Self-fixing type weak piercing anesthesia puncture needle |
| CN110876619A (en) * | 2019-11-29 | 2020-03-13 | 史英红 | Magnetic resonance abdomen fixing puncture device |
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