CN111772696A - Single-hole laparoscopic surgery operation platform through natural cavity - Google Patents

Single-hole laparoscopic surgery operation platform through natural cavity Download PDF

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Publication number
CN111772696A
CN111772696A CN202010705591.8A CN202010705591A CN111772696A CN 111772696 A CN111772696 A CN 111772696A CN 202010705591 A CN202010705591 A CN 202010705591A CN 111772696 A CN111772696 A CN 111772696A
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China
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inner rod
natural
movable push
push block
opening
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Inventor
冯云
任莉
赵晗
宿凌云
刘靖
张粉
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First Peoples Hospital of Yunnan Province
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First Peoples Hospital of Yunnan Province
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Priority to CN202010705591.8A priority Critical patent/CN111772696A/en
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • 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
    • A61B90/08—Accessories or related features not otherwise provided for
    • 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
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • 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
    • A61B90/36—Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361—Image-producing devices, e.g. surgical cameras
    • 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
    • A61B90/08—Accessories or related features not otherwise provided for
    • A61B2090/0801—Prevention of accidental cutting or pricking
    • A61B2090/08021—Prevention of accidental cutting or pricking of the patient or his organs
    • 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
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/309—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using white LEDs

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Pathology (AREA)
  • Endoscopes (AREA)

Abstract

The invention discloses a single-hole and natural-cavity-passage laparoscopic surgery operation platform, which is characterized by comprising: the device comprises an inner rod, a horn-shaped channel opening, a fixed stop block, an outer sleeve rod, a grab handle, a movable push block, a spreading page, an image transmission line and an LED lamp power line; the auxiliary device can conform to the entrance of a natural cavity of a human body, can realize the opening and space expansion of the natural cavity by simple operation, and leaves a special channel space for surgical instruments by self-carrying a light source and an endoscope camera; after the operation, the spreading page can be easily folded, and the device can be taken out from the natural cavity.

Description

Single-hole laparoscopic surgery operation platform through natural cavity
Technical Field
The invention belongs to the field of endoscopic surgery, and particularly relates to a single-hole and natural-cavity-passage laparoscopic surgery operation platform.
Background
The natural cavity minimally invasive surgery is a research hotspot in the field of new surgical operations after multi-hole minimally invasive surgery and single-hole minimally invasive surgery, surgical instruments enter an abdominal cavity through natural cavities of human bodies such as esophagus, colon and rectum, approach, bladder and the like to treat diseases, and the natural cavity minimally invasive surgery is a scar-free surgery without incision on the body surface. In the process of solving the diseases of the patient through the natural cavity minimally invasive surgery, no incision is left on the surface of the human body, thereby lightening the operative wound and the postoperative pain, increasing the beautifying effect and realizing better physiological minimally invasive and psychological minimally invasive effects.
However, the natural orifice of the human body is often narrow in space and irregular in structure with curvature, so that in the process of performing an operation when an endoscopic surgical instrument enters the abdominal cavity from the natural orifice, the narrow extrusion of the orifice causes obstacles to the operation in the aspects of operation space, safety, flexibility and the like, and the smooth development of the endoscopic operation through the natural orifice is influenced; therefore, an auxiliary tool for endoscopic surgery through a natural orifice is needed, a narrow natural orifice can be expanded, enough space is provided for surgery, surgical instruments and doctors can operate flexibly, and smooth operation is guaranteed; however, some current endoscopic surgery auxiliary devices passing through natural cavities have some defects: 1. the space of a channel for the surgical instruments to enter is limited after the auxiliary tools enter the natural cavity, and the auxiliary instruments entering from the channel, such as the surgical instruments, an endoscope camera, an illuminating LED lamp and the like, are also limited; 2. the auxiliary tool has no curvature, and cannot adapt to the curvature of the natural cavity after entering the natural cavity, so that the natural cavity is easily scratched; 3. the auxiliary tool needs to go through complicated operations after entering the cavity, such as: the expansion can be realized only by inflating, and the operation is finished and the operation is complicated to fold and take out from the natural orifice.
Disclosure of Invention
In order to solve the technical problems, the invention designs a single-hole laparoscopic surgery operation platform passing through a natural cavity, which can be entered in compliance with the natural cavity of a human body, can realize the opening and space expansion of the natural cavity by simple operation, and leaves a special channel space for surgical instruments by self-carrying a light source and an endoscope camera; after the operation, the spreading page can be easily folded, and the device can be taken out from the natural cavity.
In order to achieve the technical effects, the invention is realized by the following technical scheme: a single-port and natural-cavity-passage laparoscopic surgery operation platform is characterized by comprising: the device comprises an inner rod, a horn-shaped channel opening, a fixed stop block, an outer sleeve rod, a grab handle, a movable push block, a spreading page, an image transmission line and an LED lamp power line;
the inner rod is hollow, the head end of the inner rod is open, and the head end of the inner rod is connected with the horn-shaped passage opening; the tail end is fixedly connected with a fixed stop block; the outer wall of the inner rod is movably sleeved with an outer sleeve rod, two ends of the outer sleeve rod are provided with openings, a grab handle is connected to the position close to the head end of the outer sleeve rod, the edge of the opening at the tail end of the outer sleeve rod is connected with a movable push block, and the movable push block is also sleeved on the inner rod and can move; the outer edges of the movable push block and the fixed stop block are hinged with two ends of four spreading leaves; an image transmission line and an LED lamp power line are distributed in the outer wall of the inner rod and are LED out from the head end of the inner rod;
the inner rod and the outer rod are made of bendable materials with certain support property;
further, the distance from the head end of the outer loop bar to the head end of the inner bar is 100mm, and the distance from the tail end of the outer loop bar to the tail end of the inner bar is 100 mm;
furthermore, the spreading page is divided into a main page and two auxiliary pages, and the main page is longer than the auxiliary pages; two side edges of the main page are respectively hinged with one side edge of the two auxiliary pages, and the other side edges of the two auxiliary pages are respectively hinged with the outer edges of the movable push block and the fixed stop block; the material of the spreading sheet has certain support property;
further, the outer diameter of the movable push block is equal to that of the fixed stop block; the inner diameter of the movable push block is equal to the inner diameter of the outer sleeve rod and is larger than the outer diameter of the inner rod;
furthermore, when the spreading page is in a completely spread state, two instrument in-and-out openings are correspondingly formed in the inner rod body between the movable push block and the fixed stop block; the two endoscope cameras are also connected in an up-down symmetrical manner; the LED lamp is also connected along the rod body;
further, the endoscope camera and the LED lamp are respectively connected with an image transmission line and an LED lamp power line;
furthermore, the front surface of the head end of the fixed stop block is provided with an inner diameter camera and an LED lamp which are respectively connected with an image transmission line and an LED lamp power line in the inner rod;
another objective of the present invention is to provide a method for using a single-hole and natural-transluminal laparoscopic surgical operation platform:
1. sterilizing the auxiliary device and surgical instruments before operation for later use;
2. after the patient is anesthetized, the image transmission line and the LED lamp power line of the auxiliary device are respectively connected with the imaging terminal and the power supply;
3. the auxiliary device is sent into a natural cavity of a patient, and an endoscope camera arranged on a fixed stop block at the head end of the device can transmit back images in the natural cavity in real time under the illumination of an LED lamp;
4. when the patient reaches the affected part, the pushing is stopped, the assistant medical care holds the handle, and slowly pushes the outer loop bar forwards to drive the movable push block to move forwards;
5. because the opening leaf is hinged with the movable push block and the fixed stop block, the opening leaf can be slowly opened after being subjected to extrusion force, and the opening leaf is utilized to realize the opening of the natural orifice and expand the space; the spreading degree can be controlled until the spreading page is completely spread;
6. after the cavity is unfolded, the inner rod section is exposed, and an inner diameter camera on the inner rod transmits an image back to the imaging terminal under the illumination of the LED lamp;
7. at the moment, a doctor feeds instruments needed to be used in the operation into the body from the middle part of the inner rod through the trumpet-shaped channel opening, and after the head end of the surgical instruments captured by the camera reaches an affected part, the surgical instruments stop being pushed;
8. the surgical instrument is controlled to extend out of the instrument inlet and outlet opening on the inner rod and reach the affected part through the space between the opening pages for operation;
9. after the operation is finished, the surgical instrument is withdrawn on the original way;
10. the grab handle is held to move back to the outer sleeve rod, and the support page is folded to cover the inner rod and restore to the original shape;
11. then slowly withdrawing the auxiliary device from the natural cavity of the human body, and finishing the operation.
The invention has the beneficial effects that:
1. the auxiliary device can conform to the curvature trend of the natural cavity of the human body, and the natural cavity of the human body is prevented from being damaged;
2. the device is simple to operate for opening the natural orifice of the human body, and the opening degree can be controlled until the natural orifice is completely opened in the opening process, so that excessive opening or insufficient opening is avoided;
3. the device has the advantages that the camera and the LED lamp of the endoscope are automatically controlled, the channel space is completely reserved for surgical instruments, and the space of the surgical instruments is not occupied;
4. the multi-directional camera can provide comprehensive image support for the propulsion process and the operation process; ensuring the accurate operation of the operation.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings used in the description of the embodiments will be briefly introduced below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art that other drawings can be obtained according to the drawings without creative efforts.
FIG. 1 is a schematic structural view of a single-hole and natural-channel laparoscopic surgical operating platform 1;
FIG. 2 is a schematic structural view of a single-port and natural-translumenal laparoscopic surgical platform 2;
FIG. 3 is a schematic structural view of a single-port and natural-translumenal laparoscopic surgical manipulation platform shown in FIG. 3;
FIG. 4 is a schematic view of a support blade of a single port and natural translumenal laparoscopic surgical platform;
FIG. 5 is a schematic view of the outer loop bar end and the movable push block of a single-hole and natural-translumenal laparoscopic surgical operation platform;
in the drawings, the components represented by the respective reference numerals are listed below:
1-inner rod, 101-instrument inlet and outlet opening, 102-LED lamp, 103-endoscope camera, 2-horn-shaped channel opening, 3-fixed stop block, 4-outer sleeve rod, 5-grab handle, 6-movable push block, 7-spreading page, 701-main page, 702-auxiliary page, 8-image transmission line and 9-LED lamp power line.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the 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 given herein without making any creative effort, shall fall within the protection scope of the present invention.
Example 1
Referring to fig. 1 to 5, a single-port and natural-cavity laparoscopic surgery operation platform comprises: the device comprises an inner rod 1, a horn-shaped channel opening 2, a fixed stop block 3, an outer sleeve rod 4, a grab handle 5, a movable push block 6, a spreading page 7, an image transmission line 8 and an LED lamp power line 9;
the inner rod 1 is hollow, the head end of the inner rod is open, and the head end of the inner rod is connected with the horn-shaped passage opening 2; the tail end is fixedly connected with a fixed stop block 3, and instruments enter from the trumpet-shaped passage port 2 and enter a human body along the inner passage of the inner rod 1 during operation; an outer loop bar 4 can be movably sleeved on the outer wall of the inner rod 1, two ends of the outer loop bar 4 are open, the distance from the head end of the outer loop bar 4 to the head end of the inner rod 1 is 100mm, and the distance from the tail end of the outer loop bar 4 to the tail end of the inner rod 1 is 100 mm; the handle 5 is connected near the head end, the edge of the opening at the tail end is connected with the movable push block 6, the movable push block 6 is also sleeved on the inner rod 1 and can move, the handle 5 is held by hand to push the outer sleeve rod 4, and the movable push block 6 can be driven to move; the outer edges of the movable push block 6 and the fixed stop block 3 are hinged with two ends of four spreading leaves 7, and the outer diameter of the movable push block 6 is equal to that of the fixed stop block 3; the inner diameter of the movable push block 6 is equal to the inner diameter of the outer loop bar 4 and is larger than the outer diameter of the inner bar 1; the expanding page 7 is divided into a main page 701 and two auxiliary pages 702, wherein the main page 701 is longer than the auxiliary pages 702; two side edges of the main page 701 are respectively hinged with one side edge of the two auxiliary pages 702, and the other side edges of the two auxiliary pages 702 are respectively hinged with the outer edges of the movable push block 6 and the fixed stop 3; the material of the spreading leaf 7 has certain support property; because the fixed stop 3 hinged with the other auxiliary leaf 702 of the spreading leaf 7 is not moved and the movable push block 6 hinged with one auxiliary leaf 702 of the spreading leaf 7 moves, when the movable push block 6 moves towards the direction close to the fixed stop 3, the spreading of the spreading leaf 7 can be realized by the extrusion force, and the spreading degree can be increased along with the push of the movable push block 6, so that the spreading degree can be adjusted;
when the spreading page 7 is in a completely spread state, two instrument in-and-out openings 101 are correspondingly formed in the rod body of the inner rod 1 between the movable push block 6 and the fixed stop block 3; the two endoscope cameras 103 are also connected in an up-down symmetrical manner; an LED lamp 102 is also connected along the shaft; an image transmission line 8 and an LED lamp power line 9 are distributed in the outer wall of the inner rod 1 and are LED out from the head end of the inner rod 1; the endoscope camera 103 and the LED lamp 102 are respectively connected with the image transmission line 8 and the LED lamp power line 9; the spreading page 7 can be spread, and the visual field guarantee is provided for the operation under the illumination of the LED lamp 102 when the operation is performed, so that the accuracy of the operation is ensured; the front side of the head end of the fixed stop block 3 is provided with an inner diameter camera and an LED lamp which are respectively connected with an image transmission line 8 and an LED lamp power line 9 distributed in the inner rod 1, so that the auxiliary device can provide a visual field when propelling a natural cavity of a human body and ensure that the auxiliary device reaches an affected part;
the inner rod 1 and the outer sleeve rod 4 are made of materials which have certain support and can be bent, and gastroscopes can be selected as the materials; can adapt to the curvature of the natural cavity of the human body and avoid the damage of the natural cavity of the human body.
Example 2
Referring to fig. 1 to 5, a single-port and natural-cavity laparoscopic surgery operation platform comprises: the device comprises an inner rod 1, a horn-shaped channel opening 2, a fixed stop block 3, an outer sleeve rod 4, a grab handle 5, a movable push block 6, a spreading page 7, an image transmission line 8 and an LED lamp power line 9;
the inner rod 1 is hollow, the head end of the inner rod is open, the head end of the inner rod is connected with the horn-shaped channel port 2, the horn-shaped channel port 2 is detachably connected with an elastic rubber sterile sealing film, and when the inner rod is used, surgical instruments pass through the sterile sealing film and enter a human body along the inner channel of the inner rod 1, so that the sterile environment of a surgical channel can be ensured; the tail end is fixedly connected with a fixed stop block 3; an outer loop bar 4 can be movably sleeved on the outer wall of the inner rod 1, two ends of the outer loop bar 4 are open, the distance from the head end of the outer loop bar 4 to the head end of the inner rod is 100mm, and the distance from the tail end of the outer loop bar 4 to the tail end of the inner rod 1 is 100 mm; the handle 5 is connected near the head end, the edge of the opening at the tail end is connected with the movable push block 6, the movable push block 6 is also sleeved on the inner rod 1 and can move, the handle 5 is held by hand to push the outer sleeve rod 4, and the movable push block 6 can be driven to move; the outer edges of the movable push block 6 and the fixed stop block 3 are hinged with two ends of four spreading leaves 7, and the outer diameter of the movable push block 6 is equal to that of the fixed stop block 3; the inner diameter of the movable push block 6 is equal to the inner diameter of the outer loop bar 4 and is larger than the outer diameter of the inner bar 1; the expanding page 7 is divided into a main page 701 and two auxiliary pages 702, wherein the main page 701 is longer than the auxiliary pages 702; two side edges of the main page 701 are respectively hinged with one side edge of the two auxiliary pages 702, and the other side edges of the two auxiliary pages 702 are respectively hinged with the outer edges of the movable push block 6 and the fixed stop 3; the material of the spreading leaf 7 has certain support property; because the fixed stop 3 hinged with the other auxiliary leaf 702 of the spreading leaf 7 is not moved and the movable push block 6 hinged with one auxiliary leaf 702 of the spreading leaf 7 moves, when the movable push block 6 moves towards the direction close to the fixed stop 3, the spreading of the spreading leaf 7 can be realized by the extrusion force, and the spreading degree can be increased along with the push of the movable push block 6, so that the spreading degree can be adjusted;
when the spreading page 7 is in a completely spread state, two instrument in-out openings 101 are correspondingly formed in the rod body of the inner rod 1 between the movable push block 6 and the fixed stop block 3, and instruments extend out of the instrument in-out openings 101 to be operated after reaching an affected part; the rod body 1 is vertically and symmetrically connected with two endoscope cameras 103; an LED lamp 102 is also connected along the shaft; an image transmission line 8 and an LED lamp power line 9 are distributed in the outer wall of the inner rod 1 and are LED out from the head end of the inner rod 1; the endoscope camera 103 and the LED lamp 102 are respectively connected with the image transmission line 8 and the LED lamp power line 9; the spreading page 7 can be spread, and the visual field guarantee is provided for the operation under the illumination of the LED lamp 102 when the operation is performed, so that the accuracy of the operation is ensured; the front surface of the head end of the fixed stop block 3 is provided with an inner diameter camera 103 and an LED lamp 102 which are respectively connected with an image transmission line 8 and an LED lamp power line 9 distributed in the inner rod 1, so that the auxiliary device can provide a visual field when being pushed into a natural cavity of a human body, and can ensure that the auxiliary device reaches an affected part;
the inner rod 1 and the outer loop rod 4 are made of bendable materials with certain support performance; can adapt to the curvature of the natural cavity of the human body and avoid the damage of the natural cavity of the human body.
Example 3
Referring to fig. 1 to 5, a single-port and natural-cavity laparoscopic surgery operation platform comprises: the device comprises an inner rod 1, a horn-shaped channel opening 2, a fixed stop block 3, an outer sleeve rod 4, a grab handle 5, a movable push block 6, a spreading page 7, an image transmission line 8 and an LED lamp power line 9;
the inner rod 1 is hollow, the head end of the inner rod is open, and the head end of the inner rod is connected with the horn-shaped passage opening 2; the tail end is fixedly connected with a fixed stop block 3, and instruments enter from the horn-shaped opening during operation and enter a human body along the inner channel of the inner rod 1; an outer loop bar 4 can be movably sleeved on the outer wall of the inner rod 1, two ends of the outer loop bar 4 are open, the distance from the head end of the outer loop bar 4 to the head end of the inner rod 1 is 100mm, and the distance from the tail end of the outer loop bar 4 to the tail end of the inner rod 1 is 100 mm; the outer sleeve rod 4 is connected with the grab handle 5 at the position close to the head end, the opening edge at the tail end is connected with the movable push block 6, the movable push block 6 is also sleeved on the inner rod 1 and can move, and the grab handle 5 is held by hand to push the outer sleeve rod 4 to drive the movable push block 6 to move; the outer edges of the movable push block 6 and the fixed stop block 3 are hinged with two ends of four spreading leaves 7, and the outer diameter of the movable push block 6 is equal to that of the fixed stop block 3; the inner diameter of the movable push block 6 is equal to the inner diameter of the outer loop bar 4 and is larger than the outer diameter of the inner bar 1; the expanding page 7 is divided into a main page 701 and two auxiliary pages 702, wherein the main page 701 is longer than the auxiliary pages 702; two side edges of the main page 701 are respectively hinged with one side edge of the two auxiliary pages 702, and the other side edges of the two auxiliary pages 702 are respectively hinged with the outer edges of the movable push block 6 and the fixed stop 3; the material of the spreading leaf 7 has certain support property; because the fixed stop 3 hinged with the other auxiliary leaf 702 of the spreading leaf 7 is not moved and the movable push block 6 hinged with one auxiliary leaf 702 of the spreading leaf 7 moves, when the movable push block 6 moves towards the direction close to the fixed stop 3, the spreading of the spreading leaf 7 can be realized by extrusion force, the spreading degree can be increased along with the pushing of the movable push block, and the spreading degree can be adjusted;
when the spreading page 7 is in a completely spread state, two instrument in-and-out openings 101 are correspondingly formed in the rod body of the inner rod 1 between the movable push block 6 and the fixed stop block 3; the two endoscope cameras 103 are also connected in an up-down symmetrical manner; an LED lamp 102 is also connected along the shaft; an image transmission line 9 and an LED lamp power line 9 are distributed in the outer wall of the inner rod 1 and are LED out from the head end of the inner rod 1; the endoscope camera 103 and the LED lamp 102 are respectively connected with the image transmission line 8 and the LED lamp power line 9; the spreading page 7 can be spread, and the visual field guarantee is provided for the operation under the illumination of the LED lamp 102 when the operation is performed, so that the accuracy of the operation is ensured; the head end of the fixed stop block 3 is a hemispherical cambered surface, an inner diameter camera 103 and an LED lamp 102 are arranged on the hemispherical cambered surface and are respectively connected with an image transmission line 8 and an LED lamp power line 9 which are distributed in the inner rod 1, the resistance can be reduced when the auxiliary device pushes the natural orifice of a human body, and the LED lamp 102 and the endoscope camera 103 provide the visual field to ensure that the auxiliary device reaches an affected part;
the inner rod 1 and the outer loop rod 4 are made of bendable materials with certain support performance; can adapt to the curvature of the natural cavity of the human body and avoid the damage of the natural cavity of the human body.
Example 4
Referring to fig. 1 to 5, a method for using a single-port and natural-cavity laparoscopic surgical operation platform is disclosed:
1. sterilizing the auxiliary device and surgical instruments before operation for later use;
2. after the patient is anesthetized, the image transmission line and the LED lamp power line of the auxiliary device are respectively connected with the imaging terminal and the power supply;
3. the auxiliary device is sent into a natural cavity of a patient, and an endoscope camera arranged on a fixed stop block at the head end of the device can transmit back images in the natural cavity in real time under the illumination of an LED lamp;
4. when the patient reaches the affected part, the pushing is stopped, the assistant medical care holds the handle, and slowly pushes the outer loop bar forwards to drive the movable push block to move forwards;
5. because the opening leaf is hinged with the movable push block and the fixed stop block, the opening leaf can be slowly opened after being subjected to extrusion force, and the opening leaf is utilized to realize the opening of the natural orifice and expand the space; the spreading degree can be controlled until the spreading page is completely spread;
6. after the cavity is unfolded, the inner rod section is exposed, and an inner diameter camera on the inner rod transmits an image back to the imaging terminal under the illumination of the LED lamp;
7. at the moment, a doctor feeds instruments needed to be used in the operation into the body from the middle part of the inner rod through the trumpet-shaped channel opening, and after the head end of the surgical instruments captured by the camera reaches an affected part, the surgical instruments stop being pushed;
8. the surgical instrument is controlled to extend out of the instrument inlet and outlet opening on the inner rod and reach the affected part through the space between the opening pages for operation;
9. after the operation is finished, the surgical instrument is withdrawn on the original way;
10. the grab handle is held to move back to the outer sleeve rod, and the support page is folded to cover the inner rod and restore to the original shape;
11. then slowly withdrawing the auxiliary device from the natural cavity of the human body, and finishing the operation.
In conclusion, 1, the auxiliary device can conform to the curvature trend of the natural cavity of the human body, and the natural cavity of the human body is prevented from being damaged;
2. the device is simple to operate for opening the natural orifice of the human body, and the opening degree can be controlled until the natural orifice is completely opened in the opening process, so that excessive opening or insufficient opening is avoided;
3. the device has the advantages that the camera and the LED lamp of the endoscope are automatically controlled, the channel space is completely reserved for surgical instruments, and the space of the surgical instruments is not occupied;
4. the multi-directional camera can provide comprehensive image support for the propulsion process and the operation process; ensuring the accurate operation of the operation.
In the description herein, references to the description of "one embodiment," "an example," "a specific example" or the like are intended to mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
The preferred embodiments of the invention disclosed above are intended to be illustrative only. The preferred embodiments are not intended to be exhaustive or to limit the invention to the precise embodiments disclosed. Obviously, many modifications and variations are possible in light of the above teaching. The embodiments were chosen and described in order to best explain the principles of the invention and the practical application, to thereby enable others skilled in the art to best utilize the invention. The invention is limited only by the claims and their full scope and equivalents.

Claims (9)

1. A single-port and natural-cavity-passage laparoscopic surgery operation platform is characterized by comprising: the device comprises an inner rod, a horn-shaped channel opening, a fixed stop block, an outer sleeve rod, a grab handle, a movable push block, a spreading page, an image transmission line and an LED lamp power line;
the inner rod is hollow, the head end of the inner rod is open, and the head end of the inner rod is connected with the horn-shaped passage opening; the tail end is fixedly connected with a fixed stop block; the outer wall of the inner rod is movably sleeved with an outer sleeve rod, two ends of the outer sleeve rod are provided with openings, a grab handle is connected to the position close to the head end of the outer sleeve rod, the edge of the opening at the tail end of the outer sleeve rod is connected with a movable push block, and the movable push block is also sleeved on the inner rod and can move; the outer edges of the movable push block and the fixed stop block are hinged with two ends of four spreading leaves; an image transmission line and an LED lamp power line are distributed in the outer wall of the inner rod and are LED out from the head end of the inner rod;
the inner rod and the outer rod are made of bendable materials with certain support performance.
2. The single-hole and natural-translumenal laparoscopic surgical platform of claim 1, wherein the head end of said outer loop is 100mm from the head end of said inner rod, and the tail end of said outer loop is 100mm from the tail end of said inner rod.
3. The single-port and natural translumenal laparoscopic surgical manipulation platform of claim 1, wherein said spreading leaf is divided into a main leaf and two auxiliary leaves, the main leaf being longer than the auxiliary leaves; two side edges of the main page are respectively hinged with one side edge of the two auxiliary pages, and the other side edges of the two auxiliary pages are respectively hinged with the outer edges of the movable push block and the fixed stop block; the material of the opening sheet has certain support property.
4. The single-port and natural translumenal laparoscopic surgical manipulation platform of claim 1, wherein said movable push block has an outer diameter equal to an outer diameter of said fixed stop; the inner diameter of the movable push block is equal to the inner diameter of the outer sleeve rod and is larger than the outer diameter of the inner rod.
5. The single-hole natural-cavity laparoscopic surgery operating platform as claimed in claim 1, wherein when said spreading leaf is in a fully spread state, two instrument access openings are correspondingly formed on the inner rod body between the movable push block and the fixed stop block; the two endoscope cameras are also connected in an up-down symmetrical manner; an LED lamp is also connected along the shaft.
6. The single-port natural-translumenal laparoscopic surgical operating platform of claim 5, wherein said endoscopic camera and said LED light are connected to said image transmission line and said LED light power line, respectively.
7. The single-hole natural-translumenal laparoscopic surgical operating platform of claim 1, wherein said fixed stop has an inner diameter camera and an LED light mounted on the front surface of the head end thereof, and is connected to the image transmission line and the LED light power line in the inner rod, respectively.
8. The use of the single-port and natural-translumenal laparoscopic surgical platform as claimed in any one of claims 1 to 7, wherein:
(1) sterilizing the auxiliary device and surgical instruments before operation for later use;
(2) after the patient is anesthetized, the image transmission line and the LED lamp power line of the auxiliary device are respectively connected with the imaging terminal and the power supply;
(3) the auxiliary device is sent into a natural cavity of a patient, and an endoscope camera arranged on a fixed stop block at the head end of the device can transmit back images in the natural cavity in real time under the illumination of an LED lamp;
(4) when the patient reaches the affected part, the pushing is stopped, the assistant medical care holds the handle, and slowly pushes the outer loop bar forwards to drive the movable push block to move forwards;
(5) because the opening leaf is hinged with the movable push block and the fixed stop block, the opening leaf can be slowly opened after being subjected to extrusion force, and the opening leaf is utilized to realize the opening of the natural orifice and expand the space; the spreading degree can be controlled until the spreading page is completely spread;
(6) after the cavity is unfolded, the inner rod section is exposed, and an inner diameter camera on the inner rod transmits an image back to the imaging terminal under the illumination of the LED lamp;
(7) at the moment, a doctor feeds instruments needed to be used in the operation into the body from the middle part of the inner rod through the trumpet-shaped channel opening, and after the head end of the surgical instruments captured by the camera reaches an affected part, the surgical instruments stop being pushed;
(8) the surgical instrument is controlled to extend out of the instrument inlet and outlet opening on the inner rod and reach the affected part through the space between the opening pages for operation;
(9) after the operation is finished, the surgical instrument is withdrawn on the original way;
(10) the grab handle is held to move back to the outer sleeve rod, and the support page is folded to cover the inner rod and restore to the original shape;
(11) then slowly withdrawing the auxiliary device from the natural cavity of the human body, and finishing the operation.
9. The single-port and natural-translumenal laparoscopic surgical manipulation platform of any one of claims 1 to 7, which discloses the use of a single-port and natural-translumenal laparoscopic surgical manipulation platform in the field of endoscopic surgery.
CN202010705591.8A 2020-07-21 2020-07-21 Single-hole laparoscopic surgery operation platform through natural cavity Pending CN111772696A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112244910A (en) * 2020-11-05 2021-01-22 中南大学湘雅医院 Distraction instrument for laparoscopic surgery
CN113349851A (en) * 2021-07-16 2021-09-07 华中科技大学同济医学院附属协和医院 Duodenum intracavity spreader

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112244910A (en) * 2020-11-05 2021-01-22 中南大学湘雅医院 Distraction instrument for laparoscopic surgery
CN113349851A (en) * 2021-07-16 2021-09-07 华中科技大学同济医学院附属协和医院 Duodenum intracavity spreader

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