CN112656469B - Quick positioning device and quick positioning method for laparoscopic surgery wound suture - Google Patents
Quick positioning device and quick positioning method for laparoscopic surgery wound suture Download PDFInfo
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- CN112656469B CN112656469B CN202011427021.3A CN202011427021A CN112656469B CN 112656469 B CN112656469 B CN 112656469B CN 202011427021 A CN202011427021 A CN 202011427021A CN 112656469 B CN112656469 B CN 112656469B
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- 238000002357 laparoscopic surgery Methods 0.000 title claims abstract description 18
- 238000000034 method Methods 0.000 title abstract description 8
- 230000000670 limiting effect Effects 0.000 claims abstract description 66
- 230000007246 mechanism Effects 0.000 claims abstract description 65
- 229920000742 Cotton Polymers 0.000 claims abstract description 22
- LFQSCWFLJHTTHZ-UHFFFAOYSA-N Ethanol Chemical compound CCO LFQSCWFLJHTTHZ-UHFFFAOYSA-N 0.000 claims abstract description 22
- 238000010521 absorption reaction Methods 0.000 claims abstract description 21
- 206010052428 Wound Diseases 0.000 claims description 70
- 208000027418 Wounds and injury Diseases 0.000 claims description 70
- 238000004659 sterilization and disinfection Methods 0.000 claims description 13
- 238000001125 extrusion Methods 0.000 claims description 8
- 208000002847 Surgical Wound Diseases 0.000 claims description 5
- 230000002980 postoperative effect Effects 0.000 abstract description 8
- 230000000694 effects Effects 0.000 abstract description 7
- 210000000416 exudates and transudate Anatomy 0.000 abstract description 3
- 208000015181 infectious disease Diseases 0.000 abstract description 3
- 238000004140 cleaning Methods 0.000 abstract description 2
- 238000002674 endoscopic surgery Methods 0.000 abstract description 2
- 210000003205 muscle Anatomy 0.000 description 5
- 230000002745 absorbent Effects 0.000 description 4
- 239000002250 absorbent Substances 0.000 description 4
- 238000009958 sewing Methods 0.000 description 4
- 235000017166 Bambusa arundinacea Nutrition 0.000 description 3
- 235000017491 Bambusa tulda Nutrition 0.000 description 3
- 241001330002 Bambuseae Species 0.000 description 3
- 235000015334 Phyllostachys viridis Nutrition 0.000 description 3
- 239000011425 bamboo Substances 0.000 description 3
- 239000012528 membrane Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 210000001519 tissue Anatomy 0.000 description 2
- 241001391944 Commicarpus scandens Species 0.000 description 1
- 230000006978 adaptation Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000037237 body shape Effects 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 239000012530 fluid Substances 0.000 description 1
- 238000010030 laminating Methods 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000001954 sterilising effect Effects 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
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Abstract
The invention discloses a rapid positioning device and a rapid positioning method for laparoscopic surgery wound suture, which belong to the technical field of endoscopic auxiliary appliances and comprise two placing plates, wherein two sides of the top of each placing plate are fixedly connected with side plates, one side of each side plate is provided with an adjusting mechanism, a positioning mechanism is arranged between the two side adjusting mechanisms, two sides of the bottom of each positioning mechanism are provided with moisture absorption mechanisms, and two sides of the bottom of each positioning mechanism are provided with clamping mechanisms. According to the invention, the clamping mechanism and the limiting mechanism are arranged to adapt to the requirements of limiting the endoscopic wound at different angles, so that a doctor is assisted in performing postoperative suturing, meanwhile, the sterilized alcohol cotton and the hygroscopic gauze can assist in cleaning tissue exudates at two sides of the wound, so that surgical infection sutures are reduced, the endoscopic wound position can be conveniently and rapidly positioned through multi-axis angle adjustment, the wound suturing efficiency is improved, the depth suturing difficulty of the wound after the endoscopic surgery is remarkably reduced, and the influence on postoperative rehabilitation of a patient due to the suturing effect is avoided.
Description
Technical Field
The invention belongs to the technical field of endoscopic auxiliary appliances, and particularly relates to a rapid positioning device and a rapid positioning method for laparoscopic surgical wound suture.
Background
The laparoscopic surgery is a newly developed minimally invasive surgery method, and when the laparoscopic surgery is performed, a doctor only needs to open a plurality of small holes around the surgical part of the patient, and can visually observe the internal condition of the patient in front of a computer screen by matching with an endoscope for examination and treatment, so that the laparoscopic surgery performs accurate surgical operation.
The Chinese patent publication No. CN105748121A discloses a cavity mirror hole-poking stitching instrument, wherein an operation core is protected by an outer sleeve and placed in a cavity mirror hole-poking hole, a peritoneal positioning device is used for rapidly positioning a peritoneal membrane to be stitched, thread ends at two ends of a preset suture thread are pulled into the cavity mirror hole-poking hole through the peritoneal membrane by a suture guiding device, the end thread ends are cut off, and then knotting can be performed to finish the peritoneal stitching.
The above scheme still has certain defect, if the relative position of the wire taking needle of the suture guiding device and the wire outlet sleeve on the peritoneal positioning device is fixed, the wire outlet sleeve is inconvenient to fix and position with the wound, and the limited effect of the sleeve on the position of the operation wound is poor, when the endoscope operation is performed at different positions, the adaptability performance is lower, and when the suture guiding device is used for suturing the wound of the endoscope operation, the wound cannot be rapidly positioned and limited, so that the depth suturing difficulty after the endoscope operation is larger, the wound is easy to break, and the rehabilitation effect of the postoperative patient is affected.
Therefore, the invention provides a rapid limiting device and a rapid limiting method for laparoscopic surgical port suturing.
Disclosure of Invention
The invention aims at: in order to solve the technical problems that the wire outlet sleeve and the wound are inconvenient to fix and position and adjust, the limiting effect of the sleeve on the position of the surgical wound is poor, the suitability performance is low and the wound cannot be rapidly positioned and limited during endoscopic surgery at different positions, the rapid limiting device for the laparoscopic surgery wound suture is provided, and at least one of the technical problems is solved.
In order to achieve the above purpose, the present invention adopts the following technical scheme:
the quick positioning device for the laparoscopic surgery wound suture comprises two placing plates, wherein two sides of the top of each placing plate are fixedly connected with side plates, one side of each side plate is provided with an adjusting mechanism, a limiting mechanism is arranged between the two side adjusting mechanisms, two sides of the bottom of each limiting mechanism are provided with moisture absorption mechanisms, and two sides of the bottom of each limiting mechanism are provided with clamping mechanisms;
the limiting mechanism comprises a supporting plate, the inner cavity of the supporting plate is connected with a wheel disc in a sliding manner, a limiting cylinder is embedded at the top of the wheel disc, and a limiting seat is fixedly connected to the outer side wall of the bottom of the limiting cylinder;
the clamping mechanism comprises a fourth sliding block, third sliding grooves are formed in two sides of the bottom of the limiting seat, the fourth sliding block is slidably connected in the third sliding grooves, a second sliding sleeve is embedded in one side of the fourth sliding block, a second sliding rod is slidably connected in the second sliding sleeve, two ends of the second sliding rod are fixedly connected with two sides of an inner cavity of the third sliding groove respectively, a second spring is sleeved on the outer side wall of the second sliding rod, two ends of the second spring are fixedly connected with one side of the inner cavity of the second sliding sleeve and one side of the inner cavity of the third sliding groove respectively, a placing seat is fixedly connected to the bottom of the fourth sliding block, and an extrusion block is clamped in the placing seat.
As a further description of the above technical solution:
the adjusting mechanism comprises a sliding seat, a first rotating shaft is fixedly connected to one side of the sliding seat, a first bearing is sleeved on the outer side wall of the first rotating shaft, the first bearing is embedded on one side of the side plate, a first handle is fixedly connected to the other end of the first rotating shaft, a second bearing is embedded on the top of an inner cavity of the sliding seat, a second rotating shaft is sleeved in the second bearing, a second handle is fixedly connected to the top of the second rotating shaft, a first threaded column is fixedly connected to the bottom of the second rotating shaft, a first threaded cap is connected to the outer side wall of the first threaded column in a threaded manner, a first sliding block is sleeved on the outer side wall of the first threaded cap, one side of the first sliding block is fixedly connected with one side of the limiting mechanism, and the first sliding block is slidably connected in the sliding seat.
As a further description of the above technical solution:
the moisture absorption mechanism comprises a first sliding sleeve, a first sliding rod is connected in the first sliding sleeve in a sliding manner, the first sliding sleeve is embedded in the top of the limiting seat, a fourth handle is fixedly connected to the top end of the first sliding rod, a clamping seat is fixedly connected to the bottom of the first sliding rod, second sliding grooves are formed in two sides of the bottom of the clamping seat, a third sliding block is connected in the second sliding groove in a sliding manner, and moisture absorption gauze and disinfection alcohol cotton are fixedly connected to the bottoms of the third sliding blocks on two sides.
As a further description of the above technical solution:
the cross sections of the second sliding groove and the third sliding block are T-shaped, and the width of the third sliding block is equal to the width of the inner cavity of the second sliding groove.
As a further description of the above technical solution:
clamping plates are fixedly connected to two sides of the clamping seat, the bottoms of the clamping plates are attached to the bottoms of the sterilized alcohol cotton, and the clamping plates are elastic plastic plates.
As a further description of the above technical solution:
the wheel disc outer side wall fixedly connected with second slider, first spout has been seted up to the backup pad inner chamber, in second slider sliding connection had first spout, and spacing section of thick bamboo outer wall both sides equal fixedly connected with third handle, first spout inner chamber top inlays and is equipped with the second screw cap, second screw cap internal thread connection has the second screw post, second screw post bottom and second slider top fixed connection.
As a further description of the above technical solution:
the cross section of the first sliding block is annular, and the width of the first sliding block is equal to the width of the inner cavity of the first sliding groove.
As a further description of the above technical solution:
the bottom of the first threaded column is fixedly connected with a third rotating shaft, a third bearing is sleeved on the outer side wall of the third rotating shaft, and the third bearing is embedded on one side of the inner cavity of the sliding seat.
As a further description of the above technical solution:
the bottom of the first threaded column is fixedly connected with a third rotating shaft, a third bearing is sleeved on the outer side wall of the third rotating shaft, and the third bearing is embedded on one side of the inner cavity of the sliding seat.
As a further description of the above technical solution:
the outer side wall of the first sliding rod is sleeved with a first spring, and two ends of the first spring are fixedly connected with corresponding positions of the first sliding sleeve and the fourth handle respectively.
As a further description of the above technical solution:
the diameter of the inner cavity of the limiting cylinder is equal to that of the endoscope, clamping grooves are formed in two sides of the bottom of the limiting cylinder, and disinfection pads are clamped in the clamping grooves through lugs.
A rapid positioning method for laparoscopic surgery wound suture, which performs surgery by using the rapid positioning device for laparoscopic surgery wound suture according to any one of claims 1 to 9.
In summary, due to the adoption of the technical scheme, the beneficial effects of the invention are as follows:
1. according to the invention, the clamping mechanism and the limiting cylinder are arranged, the absorbent gauze and the sterilized alcohol cotton are attached to the vicinity of the wound, the first rotating shaft rotates to drive the sliding seat and the supporting plate to adjust the inclination angle, the two side placing seats move mutually to drive the extrusion block to extrude muscles on two sides of the wound to limit, so that the wound can be extruded and limited through the adjustment of the multiple angles, the requirements of different angles for limiting the use of the endoscopic wound are met, a doctor is assisted in suturing after operation, meanwhile, the sterilized alcohol cotton and the absorbent gauze can assist in cleaning tissue exudates on two sides of the wound, the operation infection suture is reduced, the wound position of the endoscopic wound can be conveniently and rapidly positioned through the adjustment of the multiple angles, the suturing efficiency of the wound is improved, the depth suturing difficulty of the wound after the endoscopic operation is remarkably reduced, and the postoperative rehabilitation of a patient is prevented from being influenced by the suturing effect.
2. According to the invention, the moisture absorption mechanism is arranged, when the moisture absorption mechanism is attached to a wound, the first sliding rod moves in the first sliding sleeve and drives the bottom clamping seat, the bottom moisture absorption gauze and the disinfection alcohol cotton to attach to the vicinity of the wound, the first spring can ensure the attachment stability of the moisture absorption gauze, the disinfection alcohol cotton and the wound by utilizing the self tension, the moisture absorption gauze and the disinfection alcohol cotton are slidably connected into the second sliding groove through the T-shaped third sliding block, so that the moisture absorption gauze and the disinfection alcohol cotton are convenient to detach and replace, contact pollution is avoided, and a doctor is effectively assisted to carry out sewing operation under the limiting effect of the limiting seat.
3. According to the invention, the adjusting mechanism is arranged, the second threaded column is screwed to rotate in the second threaded cap to move upwards to be separated from the threaded groove, at the moment, the wheel disc can slide in the first sliding groove through the second sliding block, the wheel disc slides to drive the limiting cylinder and the bottom limiting seat to rotate, the limiting seat rotates the clamping mechanisms at two sides of the bottom to adjust positions, the incision angle of the wound is adapted to, the incision muscle texture angle of the wound is adapted to the endoscope, the joint angle of the wound after suturing is ensured, and the postoperative rehabilitation difficulty of a patient is reduced.
4. According to the invention, the limiting mechanism is arranged, the first threaded column rotates in the first threaded cap to drive the first sliding block to slide in the sliding seat, the first sliding block slides to pull the supporting plate to adjust the height between the sliding seats at two sides, patients with different body shapes and positions are adapted, the supporting plate matched with the offset can rapidly position and limit the position of the operation wound, the operation suturing difficulty is further reduced, and the suturing operation of doctors is effectively facilitated.
5. According to the invention, the disinfection pad at the bottom of the limiting cylinder can be attached to a patient and then is adsorbed to ensure the limiting effect on the position near the wound, and the endoscope tube is convenient to detach and clean through the bump clamping, so that the endoscope tube moves in the limiting cylinder more stably, the endoscope tube is prevented from being offset due to external false touch, the operation precision is improved, and the wound can be quickly sutured through limiting and fixing the endoscope tube suturing nail.
Drawings
FIG. 1 is a schematic perspective view of a rapid positioning device for laparoscopic wound suturing in accordance with the present invention;
FIG. 2 is an enlarged schematic view of the portion A of FIG. 1 of a rapid positioning device for laparoscopic wound closure according to the present invention;
FIG. 3 is a schematic view of a three-dimensional exploded structure of an adjusting mechanism of a rapid positioning device for laparoscopic wound suturing in accordance with the present invention;
fig. 4 is a schematic rear view of a three-dimensional structure of a limiting seat of a rapid limiting device for laparoscopic wound suturing, which is provided by the invention;
FIG. 5 is an enlarged schematic view of the portion B of FIG. 4 of a rapid positioning device for laparoscopic surgical wound closure according to the present invention;
FIG. 6 is a schematic view of a three-dimensional exploded view of a moisture absorption mechanism of a rapid positioning device for laparoscopic wound suturing in accordance with the present invention;
FIG. 7 is a schematic view of a second slider perspective of a rapid positioning device for laparoscopic wound closure according to the present invention;
fig. 8 is a schematic view of a supporting plate part of a rapid positioning device for laparoscopic wound suturing according to the present invention.
Legend description:
1. placing a plate; 2. a side plate; 3. an adjusting mechanism; 301. a first bearing; 302. a first rotating shaft; 303. a first handle; 304. a slide; 305. a second handle; 306. a second rotating shaft; 307. a second bearing; 308. a first threaded cap; 309. a first slider; 310. a third rotating shaft; 311. a third bearing; 312. a first threaded post; 4. a limiting mechanism; 401. a support plate; 402. a wheel disc; 403. a limiting cylinder; 404. a second slider; 405. a third handle; 406. a disinfection pad; 407. a first chute; 408. a clamping groove; 409. a limit seat; 410. a second threaded post; 411. a second threaded cap; 412. a thread groove; 5. a moisture absorption mechanism; 501. a fourth handle; 502. a first slide bar; 503. a first sliding sleeve; 504. a first spring; 505. a clamping seat; 506. a second chute; 507. a clamping plate; 508. a third slider; 509. moisture-absorbing gauze; 510. sterilizing alcohol cotton; 6. a clamping mechanism; 601. a fourth slider; 602. a third chute; 603. the second sliding sleeve; 604. a second slide bar; 605. a second spring; 606. a placement seat; 607. extruding the blocks.
Detailed Description
The following description of the embodiments of the present invention will be made clearly and completely with reference to the accompanying drawings, in which it is apparent that the embodiments described are only some embodiments of the present invention, but not all embodiments. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention.
Referring to fig. 1-8, the invention provides a quick positioning device for laparoscopic surgery wound suture, which comprises two placing plates 1, wherein two sides of the top of each placing plate 1 are fixedly connected with side plates 2, one side of each side plate 2 is provided with an adjusting mechanism 3, a limiting mechanism 4 is arranged between the two side adjusting mechanisms 3, two sides of the bottom of each limiting mechanism 4 are provided with moisture absorption mechanisms 5, and two sides of the bottom of each limiting mechanism 4 are also provided with clamping mechanisms 6;
the adjusting mechanism 3 comprises a sliding seat 304, a first rotating shaft 302 is fixedly connected to one side of the sliding seat 304, a first bearing 301 is sleeved on the outer side wall of the first rotating shaft 302, the first bearing 301 is embedded on one side of the side plate 2, the other end of the first rotating shaft 302 is fixedly connected with a first handle 303, a second bearing 307 is embedded on the top of an inner cavity of the sliding seat 304, a second rotating shaft 306 is sleeved in the second bearing 307, a second handle 305 is fixedly connected to the top of the second rotating shaft 306, a first threaded column 312 is fixedly connected to the bottom of the second rotating shaft 306, a first threaded cap 308 is connected to the outer side wall of the first threaded column 312 in a threaded manner, a first sliding block 309 is sleeved on the outer side wall of the first threaded cap 308, one side of the first sliding block 309 is fixedly connected with one side of the limiting mechanism 4, the first sliding block 309 is slidably connected in the sliding seat 304, a third rotating shaft 310 is fixedly connected to the bottom of the first threaded column 312, a third bearing 311 is sleeved on the outer side wall of the third rotating shaft 310, and the third bearing 311 is embedded on one side of the inner cavity of the sliding seat 304.
The limiting mechanism 4 comprises a supporting plate 401, a wheel disc 402 is slidably connected in an inner cavity of the supporting plate 401, a limiting cylinder 403 is embedded in the top of the wheel disc 402, and a limiting seat 409 is fixedly connected to the outer side wall of the bottom of the limiting cylinder 403; the wheel disc 402 lateral wall fixedly connected with second slider 404, first spout 407 has been seted up to backup pad 401 inner chamber, second slider 404 sliding connection has in the first spout 407, and in spacing section of thick bamboo 403 outer wall both sides all fixedly connected with third handle 405, second screw cap 411 has been inlayed at first spout 407 inner chamber top, second screw cap 411 internal thread is connected with second screw post 410, second screw post 410 bottom and second slider 404 top fixed connection, the cross section of first slider 309 is annular, and the width of first slider 309 equals with the width of first spout 407 inner chamber.
The moisture absorption mechanism 5 comprises a first sliding sleeve 503, a first sliding rod 502 is connected to the first sliding sleeve 503 in a sliding manner, the first sliding sleeve 503 is embedded in the top of a limiting seat 409, a fourth handle 501 is fixedly connected to the top end of the first sliding rod 502, a clamping seat 505 is fixedly connected to the bottom of the first sliding rod 502, second sliding grooves 506 are formed in two sides of the bottom of the clamping seat 505, third sliding blocks 508 are connected to the second sliding grooves 506 in a sliding manner, moisture absorption gauze 509 and sterilized alcohol cotton 510 are fixedly connected to the bottoms of the third sliding blocks 508 on two sides of the second sliding grooves 506, clamping plates 507 are fixedly connected to two sides of the clamping seat 505, the bottoms of the clamping plates 507 are attached to the bottoms of the sterilized alcohol cotton 510, the clamping plates 507 are elastic plastic plates, first springs 504 are sleeved on the outer side walls of the first sliding rod 502, two ends of each first spring 504 are fixedly connected to the corresponding positions of the first sliding sleeve 503 and the fourth handle 501 respectively, the cross section shapes of the second sliding grooves 506 and the third sliding blocks 508 are T-shaped, and the width of the inner cavities of the third sliding blocks 508 are equal to the width of the second sliding grooves 506.
The clamping mechanism 6 comprises a fourth slide block 601, a third slide groove 602 is formed in two sides of the bottom of the limiting seat 409, the fourth slide block 601 is slidably connected in the third slide groove 602, a second slide sleeve 603 is embedded in one side of the fourth slide block 601, a second slide rod 604 is slidably connected in the second slide sleeve 603, two ends of the second slide rod 604 are fixedly connected with two sides of the inner cavity of the third slide groove 602 respectively, a second spring 605 is sleeved on the outer side wall of the second slide rod 604, two ends of the second spring 605 are fixedly connected with the second slide sleeve 603 and one side of the inner cavity of the third slide groove 602 respectively, a placing seat 606 is fixedly connected with the bottom of the fourth slide block 601, an extrusion block 607 is clamped in the placing seat 606, the diameter of the inner cavity of the limiting cylinder 403 is equal to that of the cavity mirror, clamping grooves 408 are formed in two sides of the bottom of the limiting cylinder 403, and disinfection pads 406 are clamped in the clamping grooves 408 through lugs.
Through the bonding contact between the placing plate 1 and the two sides of the operation table surface, the endoscope tube is moved into the limiting cylinder 403 at the top of the wheel disc 402, the disinfection pad 406 at the bottom of the limiting cylinder 403 can be adsorbed to ensure the limiting effect on the position near the wound after being bonded with a patient, and the endoscope tube is convenient to detach and clean through the bump clamping, the endoscope tube is moved more stably in the limiting cylinder 403, the offset of the endoscope tube caused by the external false contact is avoided, the operation precision is improved, the first rotating shaft 302 is driven to rotate in the first bearing 301 by pulling the first handles 303 at the two sides, the sliding seat 304 and the supporting plate 401 are driven to adjust the inclination angle through the rotation of the first rotating shaft 302 in the first bearing 301, the rotation offset stability of the supporting plate 401 is improved, and the device can be in spacing fixation through the contact of the bottom spacing seat 409 and the patient after rotating, thereby the angle inclination of the supporting plate 401 can be adapted to the wound offset angle of the endoscope, after the supporting plate 401 is inclined, when the spacing seat 409 is in contact with the wound of the endoscope of the patient through the adjustment of the supporting plate 401, the bottom clamping seat 505 of the spacing seat 409 is stressed to drive the bottom disinfection alcohol cotton 510 to be attached to two sides of the wound, the absorbent gauze 509 simultaneously absorbs the penetrating fluid near the wound, simultaneously, the second spring 605 of the clamping mechanism 6 drives the second sliding sleeve 603 to slide outside the second sliding rod 604 by self tension and pulls the fourth sliding block 601 and the placing seat 606 to move, the placing seats 606 on two sides mutually move to drive the extrusion block 607 to extrude muscles on two sides of the wound to limit, the clamping mechanism 6 effectively facilitates the extrusion limiting of the endoscope pipeline and two sides of the wound after the angle of the spacing cylinder 403 is adjusted, the second spring 605 can effectively improve the extrusion limiting effect of fourth slider 601 and placing seat 606, guarantee to extrude fixed effect to the wound laminating, thereby can extrude spacingly to the wound through the adjustment of multi-angle, the spacing use needs of the chamber mirror wound of the different angles of adaptation, assist the doctor to sew up after the operation, disinfection alcohol cotton 510 and absorbent gauze 509 can assist clearance wound both sides tissue exudates simultaneously, reduce operation infection suture, multiaxis angle's regulation can conveniently fix a position chamber mirror wound position fast, improve wound sewing efficiency, show and reduce chamber mirror postoperative wound degree of depth degree of difficulty and sew up the degree of difficulty, avoid influencing patient postoperative rehabilitation because of the sewing effect.
When the device is attached to a wound, the first sliding rod 502 moves in the first sliding sleeve 503 and drives the bottom clamping seat 505, the bottom moisture-absorbing gauze 509 and the sterilized alcohol cotton 510 to attach to the vicinity of the wound, the first spring 504 can drive the fourth handle 501 and the first sliding rod 502 to slide in the first sliding sleeve 503 by using self pulling force, the first sliding rod 502 and the clamping seat 505 are guaranteed to attach to the wound through the moisture-absorbing gauze 509 and the sterilized alcohol cotton 510, the first spring 504 can ensure that the bottom clamping seat 505 moves out of the bottom opening of the limiting seat 409, the attaching effect of the moisture-absorbing gauze 509 is guaranteed, the moisture-absorbing gauze 509 and the sterilized alcohol cotton 510 are connected in the second sliding groove 506 in a sliding mode through the T-shaped third sliding block 508, replacement is convenient, repeated use is avoided, meanwhile, the clamping plates 507 can clamp and fix two sides of the sterilized alcohol cotton 510 without contacting with the wound, contact pollution is avoided, and the doctor is effectively assisted to carry out sewing operation under the limiting effect through the limiting seat 409.
By simultaneously screwing the second handles 305 on both sides to drive the second rotating shaft 306 to rotate in the second bearing 307, the first rotating shaft 302 rotates to drive the first threaded column 312 to rotate, the first threaded column 312 rotates in the first threaded cap 308 to drive the first sliding block 309 to slide in the sliding seat 304, the bottom part simultaneously rotates in the third bearing 311 through the third rotating shaft 310 when the first threaded column 312 rotates, the rotation stability of the first threaded column 312 is ensured, the first sliding block 309 pulls the supporting plate 401 to be stable, the first sliding block 309 slides to pull the supporting plate 401 to adjust the height between the sliding seats 304 on both sides, the second threaded column 410 rotates in the second threaded cap 411 to move upwards to be separated from the threaded groove 412 through screwing, the threaded groove 412 is an annular groove, the second threaded column 410 can be ensured to be matched and limited in the rotation angle of the wheel disc 402, at the moment, the wheel disc 402 can slide in the first sliding groove 407 through the second sliding block 404, the wheel disc 402 slides in the first chute 407 through the second sliding block 404 to be more stable, the wheel disc 402 is prevented from shifting, the wheel disc 402 slides to drive the limit cylinder 403 and the bottom limit seat 409 to rotate, the limit seat 409 rotates the clamping mechanisms 6 and the moisture absorption mechanisms 5 at the two sides of the bottom to adjust positions, the incision angle of a wound is adapted to be clamped, after the angle adjustment is completed, the second threaded column 410 is reversely screwed to be connected with the threaded groove 412, the rotation orientation angle of the limit seat 409 is fixed, thereby the moisture absorption mechanisms 5 and the clamping mechanisms 6 at the bottom can be adjusted to adapt to the muscle texture angle of the incision wound of a cavity mirror, the fitting angle of the wound after suturing is ensured, the postoperative rehabilitation difficulty of a patient is reduced, the height of the contact extrusion of the bottom limit seat 409 and the patient can be adapted to adapt to patients with different shapes and positions, the supporting plate 401 matched with shifting can rapidly position the wound position of the operation and limit, further reduces the suture difficulty of the operation and effectively facilitates the suture operation of doctors.
A rapid positioning method for laparoscopic surgery wound suture, which performs surgery by using the rapid positioning device for laparoscopic surgery wound suture according to any one of claims 1 to 9.
Working principle: when the endoscope tube clamp is used, the placing plate 1 is in contact with two sides of an operation bed surface, the endoscope tube is moved into the limiting cylinder 403 at the top of the wheel disc 402, the first handles 303 at two sides are pulled to drive the first rotating shafts 302 to rotate in the first bearings 301, the first rotating shafts 302 rotate to drive the sliding seats 304 and the supporting plates 401 to adjust the inclination angle, the clamping seats 505 at the bottom of the limiting seats 409 are stressed to drive the sterilized alcohol cotton 510 at the bottom to be in contact with two sides of a wound, the first sliding rods 502 move in the first sliding sleeves 503 and drive the clamping seats 505 at the bottom and the moisture absorbing gauze 509 at the bottom and the sterilized alcohol cotton 510 to be in contact with the vicinity of the wound, and meanwhile, the second springs 605 of the clamping mechanisms 6 drive the second sliding sleeves 603 to slide outside the second sliding rods 604 by means of self tension and pull the fourth sliding blocks 601 to move with the placing seats 606, and the placing seats 606 at two sides move mutually to drive the squeezing blocks 607 to squeeze muscles at two sides of the wound to limit.
The second handles 305 on the two sides are screwed simultaneously to drive the second rotating shafts 306 to rotate in the second bearings 307, the first rotating shafts 302 rotate to drive the first threaded columns 312 to rotate, the first threaded columns 312 rotate in the first threaded caps 308 to drive the first sliding blocks 309 to slide in the sliding seats 304, the bottoms of the first threaded columns 312 rotate simultaneously through the third rotating shafts 310 in the third bearings 311, the rotation stability of the first threaded columns 312 is guaranteed, the stability of the first sliding blocks 309 pulling the supporting plates 401 is guaranteed, and the first sliding blocks 309 slide to pull the supporting plates 401 to adjust the height between the sliding seats 304 on the two sides.
Through twisting second screw thread post 410 and upwards removing in second screw thread cap 411 internal rotation and separating with screw thread groove 412, screw thread groove 412 is the ring channel, can guarantee that second screw thread post 410 matches spacingly at rim plate 402 turned angle, and rim plate 402 can slide in first spout 407 through second slider 404 this moment, and rim plate 402 passes through the slip of second slider 404 in first spout 407 more stable, avoids rim plate 402 to take place the skew, and rim plate 402 slides and drives spacing section of thick bamboo 403 and the rotation of spacing seat 409 in bottom, and spacing seat 409 rotates bottom both sides fixture 6 and moisture absorption mechanism 5 adjustment position.
The foregoing is only a preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art, who is within the scope of the present invention, should make equivalent substitutions or modifications according to the technical scheme of the present invention and the inventive concept thereof, and should be covered by the scope of the present invention.
Claims (7)
1. The quick positioning device for the laparoscopic surgery wound suture comprises two placing plates (1), and is characterized in that two sides of the top of each placing plate (1) are fixedly connected with side plates (2), one side of each side plate (2) is provided with an adjusting mechanism (3), a positioning mechanism (4) is arranged between the two side adjusting mechanisms (3), two sides of the bottom of each positioning mechanism (4) are provided with moisture absorption mechanisms (5), and two sides of the bottom of each positioning mechanism (4) are provided with clamping mechanisms (6); the adjusting mechanism (3) comprises a sliding seat (304), a first rotating shaft (302) is fixedly connected to one side of the sliding seat (304), a first bearing (301) is sleeved on the outer side wall of the first rotating shaft (302), the first bearing (301) is embedded on one side of a side plate (2), a first handle (303) is fixedly connected to the other end of the first rotating shaft (302), a second bearing (307) is embedded on the top of an inner cavity of the sliding seat (304), a second rotating shaft (306) is sleeved in the second bearing (307), a second handle (305) is fixedly connected to the top of the second rotating shaft (306), a first threaded column (312) is fixedly connected to the bottom of the second rotating shaft (306), a first threaded cap (308) is connected to the outer side wall of the first threaded column (312) in a threaded manner, a first sliding block (309) is sleeved on the outer side wall of the first threaded cap (308), one side of the first sliding block (309) is fixedly connected with one side of the limiting mechanism (4), and the first sliding block (309) is slidingly connected in the sliding seat (304);
the limiting mechanism (4) comprises a supporting plate (401), a wheel disc (402) is connected to the inner cavity of the supporting plate (401) in a sliding mode, a limiting cylinder (403) is embedded in the top of the wheel disc (402), a limiting seat (409) is fixedly connected to the outer side wall of the bottom of the limiting cylinder (403), a second sliding block (404) is fixedly connected to the outer side wall of the wheel disc (402), a first sliding groove (407) is formed in the inner cavity of the supporting plate (401), a first sliding groove (407) is connected to the second sliding block (404) in a sliding mode, third handles (405) are fixedly connected to the two sides of the outer wall of the limiting cylinder (403), a second threaded cap (411) is embedded in the top of the inner cavity of the first sliding groove (407), a second threaded column (410) is fixedly connected to the bottom of the second threaded cap (410), the diameter of the inner cavity of the limiting cylinder (403) is equal to that of a cavity mirror, clamping grooves (408) are formed in the two sides of the bottom of the limiting cylinder (403), and the clamping grooves (408) are connected with a disinfection pad (406) through clamping grooves (406).
The clamping mechanism (6) comprises a fourth sliding block (601), third sliding grooves (602) are formed in two sides of the bottom of the limiting seat (409), the fourth sliding block (601) is slidably connected in the third sliding groove (602), a second sliding sleeve (603) is embedded in one side of the fourth sliding block (601), a second sliding rod (604) is slidably connected in the second sliding sleeve (603), two ends of the second sliding rod (604) are fixedly connected with two sides of an inner cavity of the third sliding groove (602) respectively, a second spring (605) is sleeved on the outer side wall of the second sliding rod (604), two ends of the second spring (605) are fixedly connected with one side of the inner cavity of the second sliding sleeve (603) and one side of the third sliding groove (602) respectively, a placing seat (606) is fixedly connected to the bottom of the fourth sliding block (601), and an extrusion block (607) is clamped in the placing seat (606).
2. The quick positioning device for laparoscopic surgery wound suturing according to claim 1, wherein the moisture absorption mechanism (5) comprises a first sliding sleeve (503), a first sliding rod (502) is connected in a sliding manner in the first sliding sleeve (503), the first sliding sleeve (503) is embedded at the top of a positioning seat (409), a fourth handle (501) is fixedly connected to the top of the first sliding rod (502), a clamping seat (505) is fixedly connected to the bottom of the first sliding rod (502), second sliding grooves (506) are formed in two sides of the bottom of the clamping seat (505), a third sliding block (508) is connected in a sliding manner in the second sliding grooves (506), and moisture absorption gauze (509) and sterilized alcohol cotton (510) are fixedly connected to the bottoms of the third sliding blocks (508) on two sides.
3. The rapid positioning device for laparoscopic surgical wound suturing according to claim 2, wherein the cross-sectional shapes of the second runner (506) and the third runner (508) are T-shaped, and the width of the third runner (508) is equal to the width of the inner cavity of the second runner (506).
4. The rapid positioning device for laparoscopic surgery wound suturing according to claim 3, wherein clamping plates (507) are fixedly connected to two sides of the clamping seat (505), the bottoms of the clamping plates (507) are attached to the bottoms of the sterilized alcohol cotton (510), and the clamping plates (507) are elastic plastic plates.
5. The rapid positioning device for laparoscopic surgical wound suturing according to claim 4, wherein the first slider (309) is annular in cross section and the width of the first slider (309) is equal to the width of the first runner (407) lumen.
6. The rapid positioning device for laparoscopic surgery wound suturing according to claim 5, wherein a third rotating shaft (310) is fixedly connected to the bottom of the first threaded column (312), a third bearing (311) is sleeved on the outer side wall of the third rotating shaft (310), and the third bearing (311) is embedded on one side of the inner cavity of the sliding seat (304).
7. The quick positioning device for laparoscopic surgery wound suturing according to claim 6, wherein a first spring (504) is sleeved on the outer side wall of the first sliding rod (502), and two ends of the first spring (504) are fixedly connected with corresponding positions of the first sliding sleeve (503) and the fourth handle (501) respectively.
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| CN113288559B (en) * | 2021-06-01 | 2023-07-07 | 上海开为医药科技有限公司 | Knee fixing bracket |
| CN114431969B (en) * | 2021-12-21 | 2024-03-22 | 曹勇 | Navel positioning and incision design auxiliary device in abdominal wall shaping operation |
| CN114343754B (en) * | 2021-12-22 | 2024-03-22 | 安徽省立医院(中国科学技术大学附属第一医院) | Auxiliary stitching device with double anti-slip mechanisms |
| CN116831838A (en) * | 2023-03-16 | 2023-10-03 | 山东省中医药研究院附属医院(山东省针灸医院) | Oral cavity mouth water absorbing device for gastroscopy |
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| CN108670332A (en) * | 2018-04-27 | 2018-10-19 | 四川力智久创知识产权运营有限公司 | Assist the stitching devices of endoscope-assistant surgery wound suture |
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| CN211243508U (en) * | 2019-11-08 | 2020-08-14 | 付聪 | Novel neurosurgery retractor fixing device |
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| US6743242B2 (en) * | 2002-02-13 | 2004-06-01 | Qi-Zhao Guo | Dual-use suturing device for suturing wound induced from celioscope surgery |
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| CN108670332A (en) * | 2018-04-27 | 2018-10-19 | 四川力智久创知识产权运营有限公司 | Assist the stitching devices of endoscope-assistant surgery wound suture |
| CN210204806U (en) * | 2019-04-12 | 2020-03-31 | 李秀杰 | Suturing device for gynecological operation |
| CN211243508U (en) * | 2019-11-08 | 2020-08-14 | 付聪 | Novel neurosurgery retractor fixing device |
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