CN112057120B - Exempt from gaseous device suitable for bladder laparoscopic surgery - Google Patents

Exempt from gaseous device suitable for bladder laparoscopic surgery Download PDF

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Publication number
CN112057120B
CN112057120B CN202010786163.2A CN202010786163A CN112057120B CN 112057120 B CN112057120 B CN 112057120B CN 202010786163 A CN202010786163 A CN 202010786163A CN 112057120 B CN112057120 B CN 112057120B
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rod
sliding
bladder
gas
wall
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CN112057120A (en
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林孝坤
林正秀
夏肇波
胡俊
黄晓忠
陈聪德
夏立广
刘平
张华�
陈通克
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Wenzhou Medical University
Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical University
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Wenzhou Medical University
Second Affiliated Hospital and Yuying Childrens Hospital of Wenzhou Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0281Abdominal wall lifters

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  • Life Sciences & Earth Sciences (AREA)
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  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a gas-free device suitable for bladder laparoscopic surgery, wherein a main rod of the gas-free device comprises an upper rod and a lower rod which are mutually installed, four expansion air bags are arranged in the lower rod, an air pumping and inflating mechanism is used for inflating, the expansion air bags can be popped out from a release port to form a flap shape, and the expansion air bags push open the space between the abdominal cavity wall and intra-abdominal organs or in the bladder to form a surgical environment; the annular supporting structure formed by the four expansion air bags can be well supported on the abdominal cavity wall or the bladder wall, and a doctor can lift the lower rod and install the lower rod on the upper rod to position the abdominal cavity wall or the bladder wall; the left and right positions of the main rod relative to the abdominal cavity or the bladder can be changed by adjusting the main rod on the adjusting frame, and the up and down positions of the adjusting frame relative to the abdominal cavity or the bladder can be changed by adjusting the adjusting frame on the sliding frame, so that the requirement of penetrating and supporting at a required position is met; avoid the damage to the patient on the whole, make doctor's operation lighter, can improve security, convenience and adaptability according to the nimble debugging in required position.

Description

Exempt from gaseous device suitable for bladder laparoscopic surgery
Technical Field
The invention relates to the field of medical instruments, in particular to a gas-free device suitable for bladder laparoscopic surgery.
Background
The bladder laparoscope mainly adopts two modes of a pneumoperitonoscope and a pneumoperitoneum-free laparoscope, wherein the two modes need to puncture the abdominal wall or the bladder wall by a pneumoperitoneum needle to form a laparoscope puncture hole, carbon dioxide is introduced into a channel formed by puncture or a suspension device is placed in the channel to separate the abdominal wall and the intra-abdominal organs or prop open the bladder, and an operation space is established in the abdominal cavity or the bladder. Since carbon dioxide introduced in pneumoperitoneoscopy is easily absorbed through the peritoneum or bladder membrane, which may cause adverse effects to patients, especially elderly people, and complications, pneumoperitoneoscopy-free surgery is generally performed by inserting a suspension device under allowable conditions.
The suspension device who uses at present adopts the mechanism that struts of stereoplasm basically, and it can contact with abdominal internal organs and bladder inner wall after putting into puncture channel and in the debugging process, and the doctor of skilled technique can avoid hindering the patient by the operation of woundless, but the mechanism that struts of stereoplasm still has the possibility of possible accidental injury, therefore softer mechanism can be better bring security and convenience for the operation.
Disclosure of Invention
The invention aims to overcome the defects of the prior art and provide a gas-free device suitable for bladder laparoscopic surgery, which can more softly complete the separation work of the abdominal wall, the intra-abdominal organs and the bladder wall and is convenient for position adjustment and adaptation to the surgical environment.
The invention adopts the following technical scheme: a gas-free device suitable for a bladder laparoscopic surgery comprises a main rod, two groups of adjusting frames and sliding frames, wherein the sliding frames are arranged on two sides of an operating table in parallel, the adjusting frames are arched and stretch over the operating table, and two ends of the adjusting frames can be arranged on the sliding frames on the two sides in a sliding manner respectively; the main rod comprises an upper rod and a lower rod which are detachably mounted with each other, the upper rod is sleeved on the adjusting frame to slide and can be fixed in position through a fastener, an inner cavity of the lower rod is divided into four independent spaces by a cross partition plate, the upper parts of the independent spaces are provided with vent holes, the lower parts of the independent spaces are provided with expansion air bags, the lower rod is provided with release ports for ejecting the expansion air bags on the side edges of the lower parts of the independent spaces, and the four release ports on the periphery of the lower rod are used for ejecting the expansion air bags in the four independent spaces; when the external pumping and inflating mechanism inflates the vent, the expansion air bags are ejected from the release opening, the expansion air bags are in a petal shape outside the release opening, and the adjacent expansion air bags are mutually extruded to form an integral annular supporting structure; when the external pumping and inflating mechanism pumps air at the vent, the expansion air bag is sucked back to the independent space.
As an improvement, the expansion airbag is communicated with the independent space, the periphery of an opening of the expansion airbag is pasted on the peripheral inner wall of the release opening, an elastic rubber membrane is arranged at the vent opening, the elastic rubber membrane is provided with a cross-shaped crack, the cross-shaped crack seals the gas circulation inside and outside the release opening in the initial state, and the external gas pumping and inflating mechanism is inserted into the cross-shaped crack when the independent space is required to be pumped and inflated.
As an improvement, the lower rod is also provided with a section of mounting section on the upper part of the air vent, the inner cavity of the mounting section is used for detachably mounting an elastic block, and the elastic block is provided with a cylindrical main body matched with the inner cavity of the mounting section and sub-blocks matched with the four air vents and arranged at one end of the cylindrical main body.
As an improvement, the outer wall of the mounting section is provided with external threads, the lower part of the upper rod is provided with a rotating piece, and the inner wall of the rotating piece is provided with internal threads which are matched with the mounting section for mounting.
As an improvement, the upper rod comprises a sliding part, a telescopic part and an installation part which are sequentially connected, the sliding part is provided with a sliding hole, the sliding hole is sleeved on the adjusting frame, the side wall of the sliding part is provided with a threaded hole penetrating through the sliding hole and is matched with and provided with a first bolt, and the first bolt is screwed to the position of the upper rod when abutting against the adjusting frame; the sliding part and the telescopic part are connected through a hinge; the telescopic part is formed by sleeving a plurality of rod pieces to perform telescopic adjustment of length; the installation part is connected to one end of the telescopic part and is rotatably provided with a rotating piece.
As an improvement, the hinge piece comprises a hinge plate positioned at one end of the sliding part, a hinge plate positioned at one end of the telescopic part, a second bolt penetrating through all the hinge plates and a nut screwed on the second bolt, and when the nut is screwed on the second bolt, the hinge plate is pressed to be locked.
As an improvement, the end parts of a plurality of rod pieces of the telescopic part are sleeved with rubber blocks, when one rod piece is sleeved in the other rod piece, the inner wall of the rod piece is in friction limit with the inner wall of the outer rod piece, and when external force is larger than the friction force between the rubber blocks and the rod piece, the two rod pieces are adjusted in a telescopic mode.
As an improvement, the sliding frame is provided with a sliding rail along the length direction thereof, and the end part of the adjusting frame is arranged on the sliding rail in a sliding way through a sliding chute; the lateral wall of alignment jig tip is provided with a screw hole that runs through to the spout and the cooperation is installed the third bolt, and the third bolt precession is fixed a position of alignment jig when conflicting the slide rail.
As an improvement, a plurality of protruding grains which are arranged at intervals are arranged on the contact surfaces of the adjacent expansion air bags which are mutually extruded.
As an improvement, the lower end of the lower rod is provided with a metal ball head.
The invention has the beneficial effects that: through the design of the four expansion air bags in the lower rod, the air pumping and inflating mechanism inflates the release port after the release port is placed in a body, so that the expansion air bags can pop out from the release port to form a petal shape, and the expansion air bags push open the space between the abdominal wall and the intra-abdominal viscera or the space in the bladder to form an operation environment; the annular supporting structure formed by the four expansion air bags can be well supported on the abdominal cavity wall or the bladder wall, and a doctor can lift the lower rod and install the lower rod on the upper rod to position the abdominal cavity wall or the bladder wall; the left and right positions of the main rod relative to the abdominal cavity or the bladder can be changed by adjusting the main rod on the adjusting frame, the upper and lower positions of the adjusting frame relative to the abdominal cavity or the bladder can be changed by adjusting the adjusting frame on the sliding frame, the positioning position can be better determined, and the requirement of penetrating and supporting at a required position can be met; avoid the damage to the patient on the whole, improved the security, make doctor's operation lighter, improve the convenience, can improve adaptability according to the nimble debugging in required position.
Drawings
FIG. 1 is a schematic longitudinal sectional view of the inflated airbag at the lower stem of the gas-free apparatus of the present invention as it is ejected.
FIG. 2 is a schematic longitudinal cross-sectional view of the inflated airbag at the lower shaft of the gas-free apparatus of the present invention as it is being retracted.
Fig. 3 is a schematic longitudinal sectional view of the upper stem of the gas-less apparatus of the present invention.
Fig. 4 is a schematic top view of the inflation airbag at the lower stem of the gas-free apparatus of the present invention.
Fig. 5 is a schematic view in longitudinal section, partly at the upper stem, of the gas-free apparatus according to the invention.
Fig. 6 is a schematic view of the overall structure of the gas-free device of the present invention.
Detailed Description
The following detailed description of specific embodiments of the invention refers to the accompanying drawings.
Referring to fig. 1, 2, 3, 4, 5 and 6, there is shown a specific embodiment of the gas-free device of the present invention suitable for laparoscopic bladder surgery. The device comprises a main rod 1, adjusting frames 2 and sliding frames 3, wherein the sliding frames 3 are divided into two groups and are arranged on two sides of an operating table in parallel, the adjusting frames 2 are arched and stretch over the operating table, and two ends of the adjusting frames are arranged on the sliding frames 3 on two sides in a sliding manner respectively; the main rod 1 comprises an upper rod 11 and a lower rod 12 which are detachably mounted with each other, the upper rod 11 is sleeved on the adjusting frame 2 to slide and can be fixed in position through a fastener, an inner cavity of the lower rod 12 is divided into four independent spaces by a cross partition plate 13, a vent 4 is arranged at the upper part of each independent space, an expansion airbag 5 is arranged at the lower part of each independent space, a release port 14 for ejecting the expansion airbag 5 is arranged at the side edge of the lower part of each independent space of the lower rod 12, and the four release ports 14 at the periphery of the lower rod 12 are used for ejecting the expansion airbags 5 in the four independent spaces; when the external pumping and inflating mechanism inflates the vent 4, the expanded air bag 5 is ejected from the release port 14, the expanded air bag 5 is in a petal shape outside the release port 14, and the adjacent expanded air bags 5 are mutually extruded to form an integral annular supporting structure by the four expanded air bags 5; when the external pumping and inflating mechanism pumps air at the vent hole 4, the expansion air bag 5 is sucked back to the independent space.
When the invention is used, firstly, the sliding frame 3 is arranged at two sides of an operating table, and the installation structure can be realized by the prior art; the adjusting frame 2 is arched and spans above the operating table, and the position of the adjusting frame 2 is adjusted back and forth on the sliding frame 3, so that the adjusting frame can adapt to the puncture position of a patient; the upper rod 11 of the main rod 1 can adjust the left and right positions on the adjusting bracket 2 to adapt to the puncture position of the patient. The lower rod 12 in the main rod 1 is used for being placed into a channel after a doctor punctures, the doctor places the lower end of the lower rod 12 into the channel until the release port 14 enters the body, then the upper end is connected with an air pumping and inflating mechanism, the air is inflated from the vent 4 to make the expansion air bag 5 pop out from the release port 14, and the expansion air bag 5 can flexibly prop open the space between the abdominal wall and the intra-abdominal viscera or the space in the bladder to form an operation environment; after the four-position inflatable air bag 5 is filled, the four flap structures form a ring-shaped support body, the upper part of the ring-shaped support body is well supported on the inner side of the abdominal cavity wall or the bladder wall, a doctor can lift the abdominal cavity wall or the bladder wall after lifting the lower rod 12, good space is provided for the operation of the doctor, and the lower rod 12 is arranged on the upper rod 11 to complete the positioning of the abdominal cavity wall or the bladder wall. After the operation, the doctor can remove the rod 12 and use the air pumping and inflating mechanism to pump air, so as to withdraw the inflatable air bag 5, and finish the removal of the gas-free device. The invention avoids the body damage of the patient on the whole and improves the safety; the operation of the doctor is easier, and the convenience is improved; the position can be flexibly debugged according to the requirement of positioning, and the adaptability is improved; can be well suitable for bladder laparoscope operation.
As a modified embodiment, the inflatable air bag 5 is communicated with the independent space, the periphery of the opening of the inflatable air bag 5 is adhered to the peripheral inner wall of the releasing port 14, the vent 4 is provided with an elastic rubber membrane 41, the elastic rubber membrane 41 is provided with a cross-shaped crack 42, the cross-shaped crack 42 seals the gas circulation inside and outside in the initial state, and the cross-shaped crack 42 is inserted into the external gas pumping and inflating mechanism when the independent space needs to be pumped and inflated.
In such an embodiment, the inflated balloon 5 may be deployed with a good deployment and retraction capability through an inflation/deflation mechanism, as shown in fig. 1, 2 and 4. The expansion air bag 5 is made of elastic materials, so that the shape change is facilitated, the valve-shaped structure can be well formed after the expansion air bag is inflated and ejected until the air bag is full of air, the space between the abdominal wall and the abdominal internal organs or the space in the bladder can be preliminarily expanded, and the expansion air bag can be well supported on the inner side of the abdominal wall or the bladder wall; after the suction is withdrawn, the lower rod 12 can be retracted into the independent space of the lower rod 12 due to the good elasticity of the lower rod, and the taking-out of the lower rod 12 from the puncture opening is not influenced. The elastic rubber film 41 arranged at the vent 4 well seals the air pumping and inflating opening, and the insertion of the air pumping and inflating mechanism is completed by the arrangement of the cross-shaped crack 42; in a normal state, the cross slit 42 is contracted to prevent the gas in the independent space from being discharged, and the operation of charging or discharging the gas can be performed only when the pump-inflator mechanism is inserted, ensuring that the ejection state of the inflatable air bag 5 is stable.
As a modified embodiment, the lower rod 12 is further provided with a section of mounting section 121 at the upper part of the vent 4, the inner cavity of the mounting section 121 is used for detachably mounting an elastic block 122, and the elastic block 122 has a cylindrical main body 1221 adapted to the inner cavity of the mounting section 121 and sub-blocks 1222 adapted to the four vent 4 and arranged at one end of the cylindrical main body 1221.
As shown in fig. 1 and 2, the elastic block 122 is arranged to further close the space above the vent 4 after the inflation of the inflatable airbag 5, so as to prevent the gas from flowing through; specifically, four sub-blocks 1222 and a cylindrical main body 1221 are provided, after the inflation is completed, the user installs the cylindrical main body 1221 into the inner cavity of the installation section 121, the periphery of the cylindrical main body 1221 seals the inner wall of the installation section 121, and after the installation is completed, the four sub-blocks 1222 correspond to the four air vents 4 respectively to achieve better air flow sealing. When the inflatable airbag 5 is used specifically, according to different requirements of opening and limiting, only part of the inflatable airbag 5 is inflated selectively, that is, for example, only three inflatable airbags 5 are inflated, so that the three inflatable airbags 5 form a large sector to support, and the other side is not supported, so that the side is not greatly pulled, and the protection requirement on body tissues is met. Preferably, a component which can be easily grasped or hooked by a user can be arranged on the back of the cylindrical body 1221, and the elastic block 122 can be pulled out by hand or tool when deflating. Preferably, a contact member may be disposed on the upper rod 11, and after the upper rod 11 and the lower rod 12 are mounted to each other, the contact member may contact the elastic block 122 on the back surface to prevent the position thereof from shifting.
As a modified embodiment, the outer wall of the mounting section 121 is provided with an external thread, the lower portion of the upper rod 11 is provided with a rotating member 111, and the inner wall of the rotating member 111 is provided with an internal thread which is installed to match with the mounting section 121.
As shown in fig. 1, 2 and 3, after the lower rod 12 completes supporting the abdominal wall or the bladder wall, the doctor lifts the lower rod 12 to the upper rod 11, completes lifting the abdominal wall or the bladder wall, separates the abdominal wall and the intra-abdominal organs, establishes an operation space in the abdominal cavity, or expands the space in the bladder to establish an operation environment; the lower rod 12 does not need to move in the installation process, the lower rod 12 is guaranteed to stably support the abdominal wall or the bladder wall and cannot hurt a puncture hole, the rotating piece 111 on the upper rod 11 rotates, the external thread and the internal thread are screwed, and the abdominal wall or the bladder wall is positioned.
As an improved specific embodiment, the upper rod 11 includes a sliding portion 112, a telescopic portion 113 and an installation portion 114 connected in sequence, the sliding portion 112 has a sliding hole 1121, the sliding hole 1121 is sleeved on the adjusting frame 2, a threaded hole penetrating to the sliding hole 1121 is formed in a side wall of the sliding portion 112 and is matched with and provided with a first bolt 6, and the first bolt 6 is screwed to a position where the upper rod 11 is positioned when the first bolt 6 abuts against the adjusting frame 2; the sliding part 112 and the telescopic part 113 are connected by a hinge 115; the telescopic part 113 is formed by sleeving a plurality of rod pieces to perform telescopic adjustment of length; the mounting portion 114 is connected to one end of the telescopic portion 113 and rotatably provided with the rotary member 111.
As shown in fig. 3 and 6, in practical implementation, the sliding hole 1121 of the sliding portion 112 may be slightly larger than the adjusting bracket 2, so as to adapt to the arc of the adjusting bracket 2 to slide along the adjusting bracket 2, and after reaching a desired positioning position, the first bolt 6 is screwed to abut against the adjusting bracket 2, so that the sliding portion 112 and the adjusting bracket 2 are positioned, and the structure is simple and convenient to operate. The plurality of rod pieces of the telescopic part 113 can control the supporting and positioning height of the main rod 1 to the abdominal wall or the bladder wall through mutual telescopic adjustment, and meet the specific supporting requirements of doctors on different body types and different positions of patients during operation; wherein the sleeving, positioning and mutual friction force limitation of the plurality of rod pieces can be realized by the prior art, and the accidental separation among the plurality of rod pieces is avoided. The mounting portion 114 is an integral lower end of the upper rod 11, on which a rotating member 111 is rotatably disposed for mounting with the lower rod 12. The sliding part 112 and the telescopic part 113 are connected through a hinge 115, so that the whole body can be further adjusted in angle, and when the upper rod 11 is located at a position deviated from the left and right of the adjusting frame 2, the relative angle of the lower rod 12 can be adjusted, for example, the lower rod 12 is kept to be vertically arranged downwards relatively, so that the expansion air bag 5 is kept in a good stress state with the abdominal cavity wall or the bladder wall in the circumferential direction, and the expansion air bag 5 can well support the abdominal cavity wall or the bladder wall.
As a modified embodiment, the hinge 115 includes a hinge plate at one end of the sliding part 112, a hinge plate at one end of the telescopic part 113, a second bolt 7 passing through all the hinge plates, and a nut 71 screwed on the second bolt 7, and is locked when the nut 71 is screwed on the second bolt 7 to press the hinge plates.
As shown in fig. 3 and 5, in the implementation, the doctor unlocks the sliding part 112 and the telescopic part 113 by loosening the second bolt 7 and the nut 71, and then tightens the sliding part 112 and the telescopic part 113 after adjusting the relative angle therebetween, so that the angle adjustment of the main rod 1, specifically, the lower rod 12 and the inflatable airbag 5 can be easily completed. And the adjustment can be completed in advance according to the lying position of the patient before the operation of the lower rod 12, and the operation of the lower rod 12 by a doctor is not influenced.
As a modified specific implementation manner, the end portions of the plurality of rods of the telescopic portion 113 are sleeved with the rubber blocks 1131, when one rod is sleeved in the other rod, the inner rubber blocks 1131 rub against the inner wall of the outer rod for limiting, and when the external force is greater than the friction force between the rubber blocks 1131 and the rods, the telescopic adjustment is performed on the two rods.
As shown in fig. 3, the rubber block 1131 may be provided with a plurality of protruding points arranged in the radial direction, or may be a convex rib, or may be an annular body, which may limit the position between the rods by friction force, and may be adjusted to stretch and retract only by a doctor exerting a certain force to pull, so as to ensure the stability of the limit of the stretching length, and the structure is simple and easy to implement, and effectively controls the cost. And the adjustment can be completed in advance according to the lying position of the patient before the operation of the lower rod 12, and the operation of the lower rod 12 by a doctor is not influenced.
As a modified specific embodiment, the sliding frame 3 is provided with a sliding rail 31 along the length direction thereof, and the end of the adjusting frame 2 is slidably arranged on the sliding rail 31 through a sliding chute; the lateral wall of the adjusting bracket 2 tip is provided with a screw hole that runs through to the spout and the cooperation is installed third bolt 8, and the position of positioning adjusting bracket 2 when third bolt 8 precession is to conflicting slide rail 31.
As shown in fig. 6, in specific implementation, the sliding groove of the adjusting frame 2 is adapted to the sliding rail 31 of the sliding frame 3, the adjusting frame 2 slides along the sliding rail 31 during adjustment, the front and rear positions of the adjusting frame 2 are adjusted, and the third bolt 8 is screwed to abut against the sliding rail 31 after reaching a desired positioning position, so that the sliding frame 3 and the adjusting frame 2 are positioned, and the structure is simple and the operation is convenient.
As a modified embodiment, a plurality of protruding grains 51 are arranged at intervals on the contact surface of the adjacent inflated airbags 5 pressed against each other.
As shown in fig. 4, the further arranged protruding particles 51 make the adjacent inflatable air bags 5 generate larger contact and restriction after being squeezed mutually, so that the mutual friction force between the two inflatable air bags is larger, the contact surfaces of the inflatable air bags 5 are not easy to generate displacement in the vertical direction or the horizontal direction, and the four inflatable air bags 5 forming a ring shape can be more stable in structure, become a stable whole and better support the abdominal wall.
As a modified embodiment, the lower end of the lower rod 12 is provided with a metal ball 9.
As shown in figures 1 and 2, the lower end of the lower rod 12 of the metal ball 9 provides a smooth contact spherical surface, so that the metal ball 9 can be inserted into a puncture hole more safely and nondestructively, and the metal ball 9 can be in soft contact with the internal organs of the abdomen or the inner wall of the bladder, thereby ensuring the safety of the operation.
As optimization, because the abdominal cavity space and the bladder space are different in size, the gas-free device or the lower rod 12 part can be correspondingly set to be different in size and specification, and can be applied to supporting of the abdominal cavity space in a large size and applied to supporting of the bladder space in a small size, so that a better supporting and using effect is achieved.
The above is only a preferred embodiment of the present invention, and the protection scope of the present invention is not limited to the above-mentioned embodiments, and all technical solutions belonging to the idea of the present invention belong to the protection scope of the present invention. It should be noted that modifications and embellishments within the scope of the invention may occur to those skilled in the art without departing from the principle of the invention, and are considered to be within the scope of the invention.

Claims (9)

1. A gas-free device suitable for bladder laparoscopic surgery is characterized in that: the device comprises a main rod (1), adjusting frames (2) and sliding frames (3), wherein the sliding frames (3) are divided into two groups and are arranged on two sides of an operating table in parallel, the adjusting frames (2) are arched and stretch over the operating table, and two ends of the adjusting frames (2) can be arranged on the sliding frames (3) on two sides in a sliding manner respectively; the main rod (1) comprises an upper rod (11) and a lower rod (12) which are detachably mounted with each other, the upper rod (11) is sleeved on the adjusting frame (2) to slide and can be fixed in position through a fastener, an inner cavity of the lower rod (12) is divided into four independent spaces by a cross partition plate (13), the upper parts of the independent spaces are provided with vent holes (4), the lower parts of the independent spaces are provided with expansion air bags (5), the lower side edges of the lower parts of the independent spaces of the lower rod (12) are provided with release ports (14) for the expansion air bags (5) to pop up, and the four release ports (14) on the periphery of the lower rod (12) are used for the expansion air bags (5) in the four independent spaces to pop up; when the external pumping and inflating mechanism inflates the vent hole (4), the expansion air bag (5) is ejected from the release hole (14), the expansion air bag (5) is in a petal shape outside the release hole (14), and the adjacent expansion air bags (5) are mutually extruded to form an integral annular supporting structure by the four expansion air bags (5); when the external pumping and inflating mechanism pumps air at the vent hole (4), the expansion air bag (5) is sucked back to the independent space; a plurality of protruding grains (51) which are arranged at intervals are arranged on the mutual extrusion contact surface of the adjacent expansion air bags (5).
2. The gas-free device suitable for laparoscopic bladder surgery of claim 1, wherein: the inflatable air bag is characterized in that the inflatable air bag (5) is communicated with the independent space, the periphery of an opening of the inflatable air bag (5) is pasted on the peripheral inner wall of the release port (14), an elastic rubber film (41) is arranged at the vent hole (4), the elastic rubber film (41) is provided with a cross crack (42), the cross crack (42) seals the gas circulation inside and outside in the initial state, and the cross crack (42) is inserted into the external pump inflation mechanism when the independent space is required to be pumped and inflated.
3. A gas-free apparatus suitable for laparoscopic bladder surgery according to claim 1 or 2, wherein: the lower rod (12) is further provided with a section of mounting section (121) on the upper portion of the vent hole (4), the inner cavity of the mounting section (121) is used for detachably mounting an elastic block (122), and the elastic block (122) is provided with a cylindrical main body (1221) matched with the inner cavity of the mounting section (121) and sub-blocks (1222) which are arranged at one end of the cylindrical main body (1221) and matched with the four vent holes (4).
4. A gas-free apparatus suitable for laparoscopic bladder surgery according to claim 3, wherein: the outer wall of the mounting section (121) is provided with external threads, the lower part of the upper rod (11) is provided with a rotating piece (111), and the inner wall of the rotating piece (111) is provided with internal threads which are matched with the mounting section (121) for mounting.
5. The gas-free device suitable for laparoscopic bladder surgery of claim 4, wherein: the upper rod (11) comprises a sliding part (112), a telescopic part (113) and an installation part (114) which are sequentially connected, the sliding part (112) is provided with a sliding hole (1121), the sliding hole (1121) is sleeved on the adjusting frame (2), the side wall of the sliding part (112) is provided with a threaded hole penetrating through the sliding hole (1121) and is provided with a first bolt (6) in a matched mode, and the first bolt (6) is screwed to the position where the upper rod (11) is positioned when the first bolt (6) abuts against the adjusting frame (2); the sliding part (112) and the telescopic part (113) are connected through a hinge (115); the telescopic part (113) is formed by sleeving a plurality of rod pieces to perform telescopic adjustment of length; the mounting part (114) is connected to one end of the telescopic part (113) and is rotatably provided with a rotating piece (111).
6. The gas-free device suitable for laparoscopic bladder surgery of claim 5, wherein: the hinge piece (115) comprises a hinge plate positioned at one end of the sliding part (112), a hinge plate positioned at one end of the telescopic part (113), a second bolt (7) penetrating through all the hinge plates and a nut (71) screwed on the second bolt (7), and when the nut (71) is screwed on the second bolt (7) and presses the hinge plates tightly, locking is carried out.
7. The gas-free device suitable for laparoscopic bladder surgery of claim 5, wherein: many member tip covers of pars contractilis (113) are equipped with rubber block (1131), and when another member was located to a member cover, it was spacing to rub by inside rubber block (1131) and outside member inner wall, and adjust two members that stretch out and draw back when external force was greater than the frictional force of rubber block (1131) and member.
8. A gas-free apparatus suitable for laparoscopic bladder surgery according to claim 1 or 2, wherein: the sliding frame (3) is provided with a sliding rail (31) along the length direction thereof, and the end part of the adjusting frame (2) is arranged on the sliding rail (31) in a sliding manner through a sliding chute; the lateral wall of alignment jig (2) tip is provided with one and runs through the screw hole to the spout and the cooperation is installed third bolt (8), and position alignment jig (2) when third bolt (8) precession is to conflict slide rail (31).
9. A gas-free apparatus suitable for laparoscopic bladder surgery according to claim 1 or 2, wherein: the lower end of the lower rod (12) is provided with a metal ball head (9).
CN202010786163.2A 2020-08-06 2020-08-06 Exempt from gaseous device suitable for bladder laparoscopic surgery Active CN112057120B (en)

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CN202010786163.2A CN112057120B (en) 2020-08-06 2020-08-06 Exempt from gaseous device suitable for bladder laparoscopic surgery

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