CN113081082A

CN113081082A - Ultra-microporous surgical instrument under thoracoscope

Info

Publication number: CN113081082A
Application number: CN202110396223.4A
Authority: CN
Inventors: 闫小龙; 刘红岗; 段鸿涛; 韩静; 姜涛; 同李平; 董小平; 张勇; 朱以芳; 侯丽华; 乔卫茹; 辛涛
Original assignee: Air Force Medical University of PLA
Current assignee: Air Force Medical University of PLA
Priority date: 2021-04-13
Filing date: 2021-04-13
Publication date: 2021-07-09

Abstract

The invention belongs to the technical field of medical instruments, in particular to a thoracoscopic ultra-microporous surgical instrument which comprises a pinhole type operating rod, a thoracoscope, grasping forceps, an elbow suction apparatus, a straight-head suction apparatus and a blunt separation head, wherein the outer diameter of the pinhole type operating rod is 2-3mm, and the working end of the pinhole type operating rod is respectively butted with the grasping forceps, the elbow suction apparatus, the straight-head suction apparatus and the blunt separation head in a threaded screwing mode; the first micropore, the second micropore and the third micropore cut at the operation position are utilized to realize different functions, the needle hole type operating rod and the surgical instrument can be conveniently connected during operation, different surgical instruments can be replaced at any time during the operation, the needle hole type operating rod does not need to be taken out, the replacement is more convenient, meanwhile, the needle hole type operation is realized, the wound is reduced, the ultramicro wound operation is realized, the pain of a patient is relieved, and the operation condition can be timely observed through the second micropore.

Description

Ultra-microporous surgical instrument under thoracoscope

Technical Field

The invention belongs to the technical field of medical instruments, and particularly relates to a super-microporous surgical instrument under a thoracoscope.

Background

Medical instruments refer to instruments, devices, appliances, in-vitro diagnostic reagents and calibrators, materials and other similar or related items used directly or indirectly on the human body, including the required computer software.

The thoracoscopic surgery (television assisted thoracoscopic surgery) uses modern camera technology and high-tech surgical instrument equipment to complete the minimally invasive thoracic surgery new technology of complicated operations in the chest under the chest wall sleeve or a tiny incision, changes the treatment idea of thoracic surgical diseases, is known as one of the major breakthroughs of the thoracic surgery world in the last century, is a representative operation of the thoracic minimally invasive surgery and is also the development direction of the thoracic surgery in the future.

When the original ultra-microporous surgical instrument under the thoracoscope is used, micropores are cut at a proper position of the chest cavity of a patient, a pinhole type operating rod is connected with the proper surgical instrument and then is used for performing micropore surgery, the surgical instrument needs to be connected in advance, when the surgical instrument needs to be replaced, the surgical instrument and the pinhole type operating rod need to be taken out and replaced, the operation is very inconvenient, extra trauma of the patient is easily caused, pain of the patient is aggravated, and the operation condition is difficult to observe in real time.

Disclosure of Invention

In order to solve the problems in the prior art, the invention provides a super-microporous surgical instrument under a thoracoscope, which has the characteristics of convenience in use, easiness in observation and convenience in observation.

In order to achieve the purpose, the invention provides the following technical scheme: the ultra-microporous surgical instrument under the thoracoscope comprises a needle-hole type operating rod, the thoracoscope, a grasping forceps, an elbow aspirator, a straight-head aspirator and a blunt separating head, wherein the outer diameter of the needle-hole type operating rod is 2-3mm, and the working end of the needle-hole type operating rod is respectively butted with the grasping forceps, the elbow aspirator, the straight-head aspirator and the blunt separating head in a threaded screwing mode.

Furthermore, the needle-hole type operating rod is embedded into the thoracic cavity through a first micropore, the thoracoscope is embedded into the thoracic cavity through a second micropore, and the grasping forceps or the elbow suction apparatus or the straight suction apparatus or the blunt separating head is embedded into the thoracic cavity through a third micropore and is connected and converted with the needle-hole type operating rod.

Further, the aperture of the first micropore is smaller than 3 mm.

Further, the aperture of the second micropore is 5 mm.

Furthermore, the first micropore is a main operation hole, is positioned between the 3 rd or 4 th rib of the anterior axillary line, and is cut to be 2cm-2.5cm in length.

Furthermore, No. three micropores are vice operation holes and are positioned between the 7 th, 8 th or 9 th ribs of the posterior axillary line, No. two micropores are observation holes and are positioned between the 7 th ribs of the medial axillary line, and the two incisions are poked with the diameter of 5 mm.

Compared with the prior art, the invention has the beneficial effects that: the first micropore, the second micropore and the third micropore cut at the operation position are utilized to realize different functions, the needle hole type operating rod and the surgical instrument can be conveniently connected during operation, different surgical instruments can be replaced at any time during the operation, the needle hole type operating rod does not need to be taken out, the replacement is more convenient, meanwhile, the needle hole type operation is realized, the wound is reduced, the ultramicro wound operation is realized, the pain of a patient is relieved, and the operation condition can be timely observed through the second micropore.

Drawings

The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention. In the drawings:

FIG. 1 is a schematic structural view of the present invention;

FIG. 2 is a schematic side view of the surgical instrument of the present invention;

FIG. 3 is a side view of the grasper of the present invention;

in the figure: 1. a first micropore; 2. a second micropore; 3. a third micropore; 4. a pinhole type operating lever; 5. a thoracoscope; 61. grasping forceps; 62. an elbow aspirator; 63. a straight head aspirator; 64. a blunt dissection tip.

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.

Referring to fig. 1-3, the present invention provides the following technical solutions: the ultra-microporous surgical instrument under the thoracoscope comprises a pinhole type operating rod 4, a thoracoscope 5, a grasping forceps 61, an elbow aspirator 62, a straight-head aspirator 63 and a blunt separating head 64, wherein the outer diameter of the pinhole type operating rod 4 is 2-3mm, and the working end of the pinhole type operating rod is respectively butted with the grasping forceps 61, the elbow aspirator 62, the straight-head aspirator 63 and the blunt separating head 64 in a threaded screwing manner; when in use, the first micropore 1, the second micropore 2 and the third micropore 3 are firstly cut at the thorax part of a patient, the pinhole type operating rod 4 is a hollow rod, the pinhole type operating rod 4 is inserted into the first micropore 1, the grasping forceps 61 or the elbow suction apparatus 62 or the straight suction apparatus 63 or the blunt separation head 64 is put in through the third micropore 3, after the grasping forceps 61 or the elbow suction apparatus 62 or the straight suction apparatus 63 or the blunt separation head 64 is put into the third micropore 3, the grasping forceps are connected with the working end of the pinhole type operating rod 4 to carry out the operation, wherein the grasping forceps 61 is used for clamping tissues, the second micropore 2 is used for penetrating into the thoracoscope 5 so as to observe the operation condition through the second micropore 2, the needle hole type operation is adopted, the wound is reduced, the ultramicro wound operation is realized, the pain of a patient is relieved, the grasping forceps 61 or the elbow suction apparatus 62 or the straight suction apparatus 63 or the blunt separating head 64 can be replaced at any time according to the actual operation condition to perform the operation.

Specifically, according to fig. 1 and fig. 2, in the present embodiment, the aperture of the first micro-hole 1 is smaller than 3mm, and is used for placing the pinhole-type operating rod 4, and after connecting the grasping forceps 61 or the elbow aspirator 62 or the straight-head aspirator 63 or the blunt-tip separation 64, different surgical operations can be realized.

Specifically, according to the illustration in fig. 1, in the present embodiment, the diameter of the second micro-hole 2 is 5mm, and the second micro-hole is used for placing a grasping forceps 61 or an elbow aspirator 62 or a straight aspirator 63 or a blunt separation tip 64.

Specifically, according to fig. 1 and fig. 2, in this embodiment, the first micropore 1 is a main operation hole, is located between the 3 rd or 4 th rib of the anterior axillary line, is cut to 2cm-2.5cm in length, the third micropore 3 is an auxiliary operation hole, is located between the 7 th, 8 th or 9 th rib of the posterior axillary line, the second micropore 2 is an observation hole, is located between the 7 th rib of the medial axillary line, and the two incisions are all poked with a diameter of 5 mm.

Specifically, according to fig. 3, in this embodiment, as shown in fig. 3, the grasping forceps 61 includes two forceps flaps, the tails of the two forceps flaps are hinged to each other, and the tails of the two forceps flaps are respectively connected to two ends of the torsion spring, during actual operation, when the torsion spring is pressed down, the torsion spring generates elastic deformation, the tails of the two forceps flaps are simultaneously driven to turn inwards, the grasping forceps 61 opens, after the torsion spring is loosened, the torsion spring recovers, and the two forceps flaps of the grasping forceps 61 automatically close to clamp tissues.

The working principle and the using process of the invention are as follows: the invention discloses a thoracoscopic ultramicropore surgical instrument, which is used for cutting three micropores of a first micropore 1, a second micropore 2 and a third micropore 3 at the thoracic cavity part of a patient, taking the No. 3 micropore of the posterior axillary line 7, the No. 8 or the No. 9 rib, taking the No. 1 micropore of the anterior axillary line 3 or the No. 4 rib, taking the No. 2 micropore of the central axillary line 7, taking the pinhole operating rod 4 as a hollow rod, inserting the pinhole operating rod 4 into the No. 1 micropore, putting a grasping forceps 61 or an elbow aspirator 62 or a straight aspirator 63 or a blunt separating head 64 into the No. 3, putting the grasping forceps 61 or the elbow 62 or the straight aspirator 63 or the blunt separating head 64 into the No. 3, connecting the grasping forceps with the working end of the pinhole operating rod 4 to perform surgical operation, wherein the total length of an incision is small, and the surgical instrument and the incision for observation are not in the same pore channel, interference among instruments is reduced, the probability of mechanical injury of intercostal nerves by the micropores is obviously reduced, and postoperative pain is slight;

the grasping forceps 61 is used for clamping tissues, the second micropore 2 is used for penetrating the thoracoscope 5, so that the operation condition can be observed through the second micropore 2, the needle hole type operation is performed, the wound is reduced, the ultra-micro wound operation is realized, the pain of a patient is relieved, and the grasping forceps 61 or the elbow suction apparatus 62 or the straight suction apparatus 63 or the blunt separating head 64 can be replaced at any time according to the actual operation condition for performing the operation.

Finally, it should be noted that: although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that changes may be made in the embodiments and/or equivalents thereof without departing from the spirit and scope of the invention. Any modification, equivalent replacement, or improvement made within the spirit and principle of the present invention should be included in the protection scope of the present invention.

Claims

1. Super micropore surgical instruments under thoracoscope, including pinhole formula action bars (4) and thoracoscope (5), its characterized in that: the needle hole type operating rod comprises a needle hole type operating rod body and is characterized by further comprising a grasping forceps (61), an elbow suction device (62), a straight-head suction device (63) and a blunt separating head (64), wherein the outer diameter of the needle hole type operating rod (4) is 2-3mm, and the working end of the needle hole type operating rod body is respectively in butt joint with the grasping forceps (61), the elbow suction device (62), the straight-head suction device (63) and the blunt separating head (64) in a threaded screwing mode.

2. The thoracoscopic, ultra-microporous surgical instrument of claim 1, wherein: the pinhole type operating rod (4) is embedded into the thoracic cavity through the first micropore (1), the thoracoscope (5) is embedded into the thoracic cavity through the second micropore (2), and the grasping forceps (61), the elbow suction apparatus (62), the straight suction apparatus (63) or the blunt separating head (64) is embedded into the thoracic cavity through the third micropore (3) to realize connection and conversion with the pinhole type operating rod (4).

3. The thoracoscopic microporous surgical instrument of claim 2, wherein: the aperture of the first micropore (1) is less than 3 mm.

4. The thoracoscopic microporous surgical instrument of claim 2, wherein: the aperture of the second micropore (2) is 5 mm.

5. The thoracoscopic microporous surgical instrument of claim 2, wherein: the first micropore (1) is a main operation hole, is positioned between the 3 rd or 4 th rib of the anterior axillary line, and is cut to be 2cm-2.5cm in length.

6. The thoracoscopic microporous surgical instrument of claim 2, wherein: no. three micropore (3) is vice handle hole, is located and gets between the 7 th, 8 or 9 ribs of armpit back line, and No. two micropore (2) are the observation hole, are located between the 7 th rib of armpit central line, and these two incisions all use the diameter 5mm to stab the card.