CN113100849B - Pneumoperitoneum-free type laparoscopic abdominal wall suspension device for general surgery department operation - Google Patents
Pneumoperitoneum-free type laparoscopic abdominal wall suspension device for general surgery department operation Download PDFInfo
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- CN113100849B CN113100849B CN202110598915.7A CN202110598915A CN113100849B CN 113100849 B CN113100849 B CN 113100849B CN 202110598915 A CN202110598915 A CN 202110598915A CN 113100849 B CN113100849 B CN 113100849B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0281—Abdominal wall lifters
Abstract
The invention discloses a pneumoperitoneum-free type celioscope abdominal wall suspension device for general surgery operations, which comprises a main body and a chassis, wherein the cross section of the main body is of a regular hexagon structure, the chassis is horizontally fixed on the bottom end of the main body, the bottom end of the main body is rotatably provided with a plurality of supporting plates through a rotating seat, the supporting plates are respectively distributed corresponding to a plurality of side walls of the main body, an auxiliary supporting mechanism is movably arranged in each supporting plate, and the auxiliary supporting mechanism can extend outwards from a first sliding cavity of each supporting plate. The invention can ensure the stability of the abdominal wall support of the patient; the top surface of the upper plate mechanism and the top surface of the supporting plate are matched together to stably support the abdominal wall of a patient, so that the abdominal wall of the patient is prevented from being damaged; the lower layer plate is prevented from continuously extending outwards so as to protect the internal organs of the patient and ensure safe use; when the inclined angle of the inclined supporting plate relative to the supporting plate is increased, the abdominal wall of the patient is supported to open a larger opening, so that the operation of medical personnel is facilitated.
Description
Technical Field
The invention relates to the technical field of surgical operations, in particular to a pneumoperitoneum-free type laparoscopic abdominal wall suspension device for general surgery operations.
Background
At present, the laparoscopic surgery operation space is usually required to be established in the surgical operation mainly by carbon dioxide pneumoperitoneum, the surgical operation performed in the pneumoperitoneum state is required to be in a sealing state, so that the requirements on the sealing performance of surgical instruments and minimally invasive incision holes are high, subcutaneous and mediastinal emphysema, hypercapnia, blood stasis, air embolism and the like can be caused when the operation time is too long and the pneumoperitoneum pressure is too high, and the cardiopulmonary dysfunction can be caused by the compression from the abdominal cavity to the thoracic cavity. The medicine has serious harm to infants and the elderly, especially patients with cardiovascular and pulmonary vascular diseases, and increases the risks of operation and anesthesia. Although some pneumoperitoneum-free devices have been developed in the prior art, the pneumoperitoneum-free devices have the problems of large occupied abdominal cavity space and insufficient exposure of operation space, and are easy to damage intestinal tracts, abdominal walls and the like when being placed in the abdominal cavity.
The Chinese invention patent CN105433994B discloses a gasless laparoscope abdominal wall suspension device, which comprises a sleeve, wherein a group of clamping holes are arranged on the outer circle of the sleeve, the group of clamping holes are circumferentially and equidistantly distributed by taking the sleeve as the center, a group of L-shaped folded plates bent outwards are arranged on the outer side of the sleeve, and the group of L-shaped folded plates are circumferentially and equidistantly distributed by taking the sleeve as the center. However, the above technical solutions have the following disadvantages: 1. the contact area between the transverse section and the abdominal wall of the patient cannot be increased, and the stability of the abdominal wall support cannot be ensured; 2. a greater degree of compression may be formed between the outer end of the transverse section and the patient's internal organs, with the risk of injury to the internal organs; 3. the opening of the abdominal wall of the patient is small, so that the operation of medical staff is not convenient.
Disclosure of Invention
The invention aims to provide a pneumoperitoneum-free type laparoscopic abdominal wall suspension device for general surgery so as to solve the problems that the contact area between a transverse section and the abdominal wall of a patient cannot be increased and the stability of abdominal wall support cannot be ensured; a greater degree of compression may be formed between the outer end of the transverse section and the patient's internal organs, with the risk of injury to the internal organs; the opening of the abdominal wall of the patient is small, which is not convenient for the medical care personnel to operate.
In order to realize the purpose of the invention, the invention adopts the following technical scheme: the pneumoperitoneum-free type laparoscopic abdominal wall suspension device for the general surgery comprises a main body and a chassis, wherein the cross section of the main body is of a regular hexagon structure, the chassis is horizontally fixed at the bottom end of the main body, a plurality of supporting plates are rotatably arranged at the bottom end of the main body through a rotating seat, the supporting plates are respectively distributed corresponding to a plurality of side walls of the main body, an auxiliary supporting mechanism is movably arranged in each supporting plate, and the auxiliary supporting mechanism can extend outwards from a first sliding cavity of each supporting plate;
the auxiliary supporting mechanism comprises a sliding block, a lower plate and an upper plate mechanism, the sliding block and the lower plate are arranged inside the first sliding cavity in a sliding mode, the inner end of the lower plate is fixedly connected with the outer end of the sliding block, the upper plate mechanism is located right above the lower plate, an elastic piece is arranged between the upper plate mechanism and the lower plate, when the upper plate mechanism extends out of the first sliding cavity, the elastic piece enables the top surface of the upper plate mechanism to be flush with the top surface of the supporting plate, and a diaphragm is arranged between the edges of the upper plate mechanism and the lower plate;
the upper plate mechanism is formed by mutually splicing a plurality of auxiliary small plates, the number of the elastic pieces is multiple, and the plurality of the elastic pieces are distributed corresponding to the plurality of the auxiliary small plates;
the ejection mechanism is used for driving the auxiliary supporting mechanism to extend out of the first sliding cavity, and the ejection mechanism can detect extrusion force applied to the auxiliary supporting mechanism.
Preferably, the outer end of the auxiliary small plate is provided with a flange, the inner end of the auxiliary small plate is provided with a notch, the flanges and the notches of two adjacent auxiliary small plates are matched with each other, the top surface of the inner end of each auxiliary small plate is provided with a guiding slope, and the top surface of the outer end of the first sliding cavity is provided with a guiding inlet.
Preferably, an inclined supporting plate is rotatably arranged at the middle position of the top surface of the supporting plate, a pulling plate is rotatably arranged at the top end of the inclined supporting plate, a pulling mechanism is arranged at the top end of the main body and can drive the top end of the pulling plate to move upwards, so that the bottom end of the pulling plate upwards pulls the top end of the inclined supporting plate, and the inclination angle of the inclined supporting plate relative to the supporting plate is changed.
Preferably, the lifting mechanism comprises a stud, a nut, an annular ring, a pull rod and a pulling piece, the stud is vertically fixed on the top surface of the main body, the nut is in threaded connection with the periphery of the stud, the periphery of the nut is provided with the annular groove, the annular ring is slidably arranged in the annular groove, the pull rod is vertically fixed on the bottom surface of the annular ring, the pulling piece is arranged at the bottom end of the pull rod, and the pulling piece is rotatably connected with the top ends of the pull plates.
Preferably, the pulling part is of a closed broken line type structure, the cross section of the pulling part is circular, a through hole is formed in the top end of the pulling plate in the width direction, and the pulling part penetrates through the through holes.
Preferably, ejection mechanism includes gasbag, ejecting piece, second sliding chamber and pressure sensor, the gasbag is installed on the inner end in first sliding chamber, ejecting piece is fixed on the outer end of gasbag, the inside at the sliding block is seted up in the second sliding chamber, ejecting piece's outer end extends to the second sliding chamber in, pressure sensor sets up between ejecting piece's outer end and the left side wall in second sliding chamber.
Preferably, the holding tank has all been seted up on every lateral wall of main part, the bottom size of holding tank is greater than its top size, and when the backup pad was folded vertically upwards, the holding tank was used for holding inclined supporting plate and arm-tie.
Preferably, the bottom end of the pulling plate is rotatably connected with the top end of the inclined supporting plate through a connecting piece, and a hanging lug is fixed at the top end of the stud.
Compared with the prior art, the pneumoperitoneum-free type laparoscopic abdominal wall suspension device for the general surgery department adopting the technical scheme has the following beneficial effects:
when the auxiliary supporting mechanism is used, medical staff can extend out of the auxiliary supporting mechanism from the first sliding cavity of the supporting plate according to needs, and the supporting plate and the auxiliary supporting mechanism support the abdominal wall of a patient upwards together, so that the contact area between the supporting plate and the abdominal wall of the patient can be increased, and the stability of supporting the abdominal wall of the patient is ensured;
when the upper plate mechanism is positioned outside the first sliding cavity, the elastic piece drives the upper plate mechanism to move upwards, the top surface of the upper plate mechanism and the top surface of the supporting plate are flush to form a horizontal supporting surface, the height difference between the top surface of the upper plate mechanism and the top surface of the supporting plate is avoided, the top surface of the upper plate mechanism and the top surface of the supporting plate are matched together to stably support the abdominal wall of a patient, the abdominal wall of the patient is prevented from being injured, and safe use is ensured;
in the process of extending the lower plate outwards, when the outer end of the lower plate butts against the viscera of a patient, the lower plate can bear extrusion force towards the air bag, the pressure sensor arranged between the outer end of the ejection block and the left side wall of the second sliding cavity can bear the extrusion force, the pressure sensor transmits the detected extrusion force to the control module in the hand of the medical staff, and the medical staff can stop inflating the air bag or extract partial gas from the air bag according to the pressure value, so that the lower plate is prevented from extending outwards continuously, the viscera of the patient are protected, and the safe use is ensured;
fourth, during the use, upward movement carries and draws mechanism, carries the top rebound that draws the mechanism to drive the arm-tie, and the top rebound of two connection piece pulling inclined supporting plate is passed through to the bottom of arm-tie, and between this, the arm-tie, inclined supporting plate homogeneous phase is relative rotation to adapt to inclined supporting plate inclination's change, when inclined supporting plate increases for the inclination of backup pad, the top surface of inclined supporting plate can strut patient's stomach wall, makes patient's stomach wall supported and opens a great opening, the medical personnel's of being convenient for operation.
Drawings
FIG. 1 is a perspective view of an embodiment of the pneumoperitoneum-free laparoscopic abdominal wall suspension device for general surgery department of the present invention.
Fig. 2 is a top view of the embodiment.
Fig. 3 is a cross-sectional view taken at a-a in fig. 2 of the embodiment.
Fig. 4 is a partial sectional view of the pulling mechanism in the embodiment.
FIG. 5 is a sectional view of the support plate and the auxiliary support mechanism in the embodiment.
Fig. 6 is a schematic sectional view of the ejection mechanism in the embodiment.
FIG. 7 is a schematic view of the position of the upper plate mechanism in the embodiment.
Detailed Description
The invention is further described below with reference to the accompanying drawings.
The first embodiment is as follows:
the pneumoperitoneum-free type celioscope abdominal wall suspension device for general surgery department operation as shown in fig. 1-3 comprises a main body 1 and a chassis 12, wherein the cross section of the main body 1 is in a regular hexagon structure, the main body 1 is vertically distributed, the chassis 12 is horizontally fixed on the bottom end of the main body 1, the chassis 12 is in a disc-shaped structure, the edge of the disc-shaped structure outwards protrudes out of the edge of the bottom end of the main body 1, the bottom end of the main body 1 is rotatably provided with a plurality of supporting plates 3 through rotating seats 11, the plurality of supporting plates 3 are respectively distributed corresponding to a plurality of side walls of the main body 1, wherein the bottom end of six side surfaces of the main body 1 is respectively provided with a group of rotating seats 11, the number of the supporting plates 3 is 6, the inner ends of the 6 supporting plates 3 are respectively rotatably connected with the 6 groups of rotating seats 11 through rotating shafts, the rotating shafts are parallel to the side surfaces of the main body 1, the supporting plates 3 are distributed along the meridian direction of the main body 1, auxiliary supporting mechanisms 4 are movably arranged in the inner parts of the supporting plates 3, the auxiliary supporting means 4 can protrude outwards from the first sliding chamber 34 of the supporting plate 3. Wherein, the first sliding chamber 34 is opened inside the supporting plate 3 and distributed along the length direction of the supporting plate 3.
Before use, the supporting plates 3 are rotated to be in a vertical state under the action of the rotating seat 11, and at the moment, the 6 supporting plates 3 are respectively attached to 6 side surfaces of the main body 1 and abut against each other, so that the volume is reduced, and the occupied space is reduced; when the support plate is required to be used, the support plate 3 is rotated outwards to be in a horizontal state, at the moment, the inner end of the support plate 3 is blocked by the edge of the chassis 12, so that the support plate 3 can not rotate downwards any more, and upward supporting force is provided for the abdominal wall of a patient through the support plate 3; in the using process, the medical staff can extend the auxiliary supporting mechanism 4 outwards from the first sliding cavity 34 of the supporting plate 3 as required, and at the moment, the supporting plate 3 and the auxiliary supporting mechanism 4 support the abdominal wall of the patient upwards together, so that the contact area between the supporting plate 3 and the abdominal wall of the patient can be increased, and the stability of supporting the abdominal wall of the patient is ensured.
As shown in fig. 5 and 6, the auxiliary supporting mechanism 4 includes a sliding block 41, a lower plate 42 and an upper plate mechanism, the sliding block 41 and the lower plate 42 are slidably disposed inside the first sliding cavity 34, wherein the sliding block 41 is located at an inner end of the first sliding cavity 34, an inner end of the lower plate 42 is fixedly connected with an outer end of the sliding block 41, the lower plate 42 adopts a long strip-shaped plate structure, the upper plate mechanism is located right above the lower plate 42, and a plurality of elastic members 43 are disposed between the upper plate mechanism and the lower plate 42, wherein the number of the elastic members 43 is multiple, the plurality of elastic members 43 are uniformly distributed on the top surface of the lower plate 42 along the length direction, when the upper plate mechanism extends out of the first sliding cavity 34, the elastic members 43 can make the top surface of the upper plate mechanism flush with the top surface of the supporting plate 3, a diaphragm 33 is disposed between edges of the upper plate mechanism and the lower plate 42, the diaphragm 33 is used to seal the gap between the upper plate mechanism and the lower plate 42 from the circumferential edge, so as to prevent patient's internal organs from being clamped between the upper plate mechanism and the lower plate 42 during use.
When the device is used, the sliding block 41 is driven by the ejection mechanism to move outwards in the first sliding cavity 34, the sliding block 41 drives the lower layer plate 42 to move outwards in the first sliding cavity 34, so that the outer end of the lower layer plate 42 extends outwards to the outside of the first sliding cavity 34, the lower layer plate 42 drives the upper layer plate mechanism to extend outwards to the outside of the first sliding cavity 34 through the plurality of elastic pieces 43, wherein the elastic pieces 43 adopt rectangular spiral springs, when the upper layer plate mechanism is positioned outside the first sliding cavity 34, the upper layer plate mechanism moves upwards under the action of the elastic force of the elastic pieces 43, the top surface of the upper layer plate mechanism and the top surface of the supporting plate 3 are flush to form a horizontal supporting surface, the height difference between the top surface of the upper layer plate mechanism and the top surface of the supporting plate 3 is avoided, and the top surface of the upper layer plate mechanism and the top surface of the supporting plate 3 are ensured to be matched together to stably support the abdominal wall of a patient, avoid putting the abdominal wall of the patient wounded, ensure safe use.
As shown in fig. 7, the upper plate mechanism is formed by detachably splicing a plurality of small auxiliary plates 44, the number of the elastic members 43 is plural, and the plurality of elastic members 43 are distributed corresponding to the plurality of small auxiliary plates 44, wherein the elastic members 43 are vertically distributed, and the elastic members 43 are arranged at the center of the bottom surface of the small auxiliary plates 44. Specifically, the outer end of the small auxiliary plate 44 is provided with a flange 441, the inner end of the small auxiliary plate 44 is provided with a notch 442, the flanges 441 and the notches 442 of two adjacent small auxiliary plates 44 are matched with each other, the cross sections of the flanges 441 and the notches 442 are both rectangular structures, the top surface of the inner end of each small auxiliary plate 44 is provided with a guiding slope 45, the top surface of the outer end of the first sliding cavity 34 is provided with the introducing port 32, and the inclined angles of the guiding slope 45 and the introducing port 32 are both 30 degrees.
When the ejection mechanism pushes the sliding block 41 outwards, the lower plate 42 drives the plurality of small auxiliary plates 44 to move outwards through the plurality of elastic members 43, meanwhile, the plurality of small auxiliary plates 44 sequentially extend out of the first sliding cavity 34, when the previous small auxiliary plate 44 completely extends out of the first sliding cavity 34, the elastic members 43 drive the small auxiliary plates 44 to move upwards, then the next small auxiliary plate 44 continues to extend out of the first sliding cavity 34, when the next small auxiliary plate 44 is also sprung upwards, the flanges 441 and the notches 442 of the two small auxiliary plates 44 are matched with each other, so that the function of auxiliary limiting is achieved, and the top surfaces of the two small auxiliary plates 44 are flush with each other; when the suspension operation of the abdominal wall of the patient is completed, the ejection mechanism drives the sliding block 41 to move towards the inside of the first sliding cavity 34, the sliding block 41 drives the lower layer plate 42 to move inwards, the lower layer plate 42 simultaneously drives the auxiliary small plates 44 to move inwards through the elastic pieces 43, the guiding slopes 45 at the inner ends of the auxiliary small plates 44 are guided into the first sliding cavity 34 through the guiding openings 32, under the matching action of the guiding slopes 45 and the guiding openings 32, the auxiliary small plates 44 are favorably and smoothly guided into the first sliding cavity 34, so that the auxiliary small plates 44 of the upper layer plate mechanism are sequentially guided into the first sliding cavity 34, the contact area with the abdominal wall of the patient is gradually reduced, and the smooth contact with the abdominal wall of the patient is ensured.
As shown in fig. 5 and 6, an ejection mechanism is disposed inside the first sliding cavity 34, and is configured to drive the auxiliary supporting mechanism 4 to extend out of the first sliding cavity 34, and the ejection mechanism is further capable of detecting a pressing force applied to the auxiliary supporting mechanism 4. Specifically, the ejection mechanism comprises an air bag 31, an ejection block 81, a second sliding cavity 82 and a pressure sensor 83, wherein the air bag 31 is installed on the inner end of the first sliding cavity 34, the air bag 31 is in a long strip-shaped structure, the inner end of the air bag 31 is fixedly connected with the inner end of the first sliding cavity 34, the ejection block 81 is fixed on the outer end of the air bag 31, the second sliding cavity 82 is arranged inside the sliding block 41, and the outer end of the ejection block 81 extends into the second sliding cavity 82, wherein the cross section of the ejection block 81 is in a T-shaped structure, the large end of the T-shaped structure is located inside the second sliding cavity 82, and the pressure sensor 83 is arranged between the outer end of the ejection block 81 and the left side wall of the second sliding cavity 82.
When the air bag 31 is used, air is filled into the air bag 31, the outer end of the air bag 31 drives the ejector block 81 to move outwards in the first sliding cavity 34, the ejector block 81 drives the sliding block 41 to move outwards, a power source is provided for movement of the sliding block 41, the air bag 31 has a certain buffering function, in addition, an elastic gasket is arranged between the ejector block 81 and the right side wall of the second sliding cavity 82 to play an auxiliary buffering function, when the air of the air bag 31 is extracted, the left end of the air bag 31 pulls the ejector block 81 to move towards the inside of the first sliding cavity 34, and the ejector block 81 pulls the sliding block 41 to move inwards. In addition, in the process of extending the lower plate 42 outwards, when the outer end of the lower plate 42 collides with the internal organs of the patient, the lower plate 42 can be pressed towards the air bag 31, the pressure sensor 83 arranged between the outer end of the ejection block 81 and the left side wall of the second sliding cavity 82 can be pressed, the pressure sensor 83 transmits the detected pressing force to the control module in the hand of the medical staff, and the medical staff can stop inflating the air bag 31 or extract part of air from the air bag 31 according to the pressure value, so that the lower plate 42 is prevented from extending outwards continuously, the internal organs of the patient are protected, and safe use is ensured.
Example two:
the difference between the present embodiment and the first embodiment is:
as shown in fig. 1-3 and 5, an inclined supporting plate 5 is rotatably disposed at a middle position of the top surface of the supporting plate 3, a pulling plate 6 is rotatably disposed at the top end of the inclined supporting plate 5, wherein the widths of the inclined supporting plate 5 and the pulling plate 6 are equal, specifically, the bottom end of the pulling plate 6 and the top end of the inclined supporting plate 5 are rotatably connected through a connecting sheet 7, wherein the number of the connecting sheets 7 is two, the two connecting sheets 7 are respectively located at two side positions of the bottom end of the pulling plate 6, a lifting mechanism is disposed at the top end of the main body 1, the lifting mechanism can drive the top end of the pulling plate 6 to move upwards, so that the bottom end of the pulling plate 6 upwards pulls the top end of the inclined supporting plate 5, and thus the inclination angle of the inclined supporting plate 5 relative to the supporting plate 3 is changed.
In medical personnel's operation in-process, upward movement carries lifting mechanism, carry lifting mechanism and drive the top rebound of arm-tie 6, the top rebound of 7 pulling inclined supporting plates 5 of two connection pieces is passed through to the bottom of arm-tie 6, between this, arm- tie 6, 5 homogeneous phases of inclined supporting plates rotate relatively, in order to adapt to 5 inclination's of inclined supporting plates change, when inclined supporting plates 5 increases for the inclination of backup pad 3, patient's stomach wall can be strutted to inclined supporting plates 5's top surface, make patient's stomach wall supported and open a great opening, the medical personnel's of being convenient for operation.
As shown in fig. 1, 3 and 4, the lifting mechanism includes a stud 2, a nut 21, an annular ring 22, a pull rod 23 and a pulling member 24, the stud 2 is vertically fixed on the top surface of the main body 1, the central axes of the stud 2 and the main body 1 are overlapped, the nut 21 is screwed on the periphery of the stud 2, an annular groove 25 is formed on the periphery of the nut 21, the annular ring 22 is slidably arranged in the annular groove 25, the pull rod 23 is vertically fixed on the bottom surface of the annular ring 22, wherein the number of the pull rods 23 is multiple, the pull rods 23 are parallel to each other, the pulling member 24 is arranged on the bottom end of the pull rod 23, the pulling member 24 is fixedly arranged between the bottom ends of the pull rods 23, and the pulling member 24 is rotatably connected with the top ends of the pull plates 6. As shown in fig. 1, specifically, the pulling member 24 is of a closed broken line type structure, the cross section of the pulling member 24 is circular, a through hole is formed in the top end of the pulling plate 6 along the width direction, and the pulling member 24 penetrates through the through holes. A hanging lug is fixed at the top end of the stud 2.
When in use, the suspension device is hung upwards by the pull rope tied on the hanging lug; when medical personnel revolve the nut 21 around the axis of double-screw bolt 2, at nut 21, under threaded connection's between the double-screw bolt 2 effect, nut 21 is along the direction of height rebound of double-screw bolt 2, at this moment, under the effect of ring channel 25, nut 21 slides for annular ring 22 circumference, and simultaneously, nut 21 drives annular ring 22 and upwards removes, annular ring 22 drives a plurality of pull rods 23 rebound simultaneously, a plurality of pull rods 23 drive pulling piece 24 rebound jointly, thereby the top rebound of pulling arm-tie 6, and simultaneously, pulling arm-tie 6 rotates for pulling piece 24, in order to adapt to the tilting action of pulling arm-tie 6, generally speaking, medical personnel can provide power for the top removal of pulling arm-tie 6 through carrying the mechanism, thereby adjust the inclination of inclined strut 5.
As shown in fig. 1 and 3, each side wall of the main body 1 is provided with a receiving groove 13, the bottom end of the receiving groove 13 is larger than the top end thereof, wherein the cross section of the receiving groove 13 can adopt a triangular structure, and when the supporting plate 3 is folded vertically upwards, the receiving groove 13 is used for receiving the inclined supporting plate 5 and the pulling plate 6. After finishing using, medical personnel carry the mechanism to removing earlier downwards, carry the top that the mechanism drove arm-tie 6 and remove downwards, the bottom of arm-tie 6 drives the top of fagging 5 and removes downwards, thereby make fagging 5 and backup pad 3 hug closely mutually, then upwards rotatory backup pad 3 to vertical state, thereby backup pad 3 fagging 5 to one side, in holding tank 13 is crowded into to arm-tie 6, also relatively rotate between fagging 5 and the arm-tie 6 and be folded and put into holding tank 13, can practice thrift the occupation space of this device.
The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art should be considered to be within the technical scope of the present invention, and the technical solutions and the inventive concepts thereof according to the present invention should be equivalent or changed within the scope of the present invention.
Claims (8)
1. The pneumoperitoneum-free type celioscope abdominal wall suspension device for the general surgery operation comprises a main body and a chassis, wherein the cross section of the main body is of a regular hexagon structure, and the chassis is horizontally fixed on the bottom end of the main body;
the auxiliary supporting mechanism comprises a sliding block, a lower plate and an upper plate mechanism, the sliding block and the lower plate are arranged inside the first sliding cavity in a sliding mode, the inner end of the lower plate is fixedly connected with the outer end of the sliding block, the upper plate mechanism is located right above the lower plate, an elastic piece is arranged between the upper plate mechanism and the lower plate, when the upper plate mechanism extends out of the first sliding cavity, the elastic piece enables the top surface of the upper plate mechanism to be flush with the top surface of the supporting plate, and a diaphragm is arranged between the edges of the upper plate mechanism and the lower plate;
the upper plate mechanism is formed by mutually splicing a plurality of auxiliary small plates, the number of the elastic pieces is multiple, and the plurality of the elastic pieces are distributed corresponding to the plurality of the auxiliary small plates;
the ejection mechanism is used for driving the auxiliary supporting mechanism to extend out of the first sliding cavity, and the ejection mechanism can detect extrusion force applied to the auxiliary supporting mechanism.
2. The pneumoperitoneum-free laparoscopic abdominal wall suspension device for general surgery as claimed in claim 1, wherein: the outer end of each auxiliary small plate is provided with a flange, the inner end of each auxiliary small plate is provided with a notch, the flanges and the notches of two adjacent auxiliary small plates are matched with each other, the top surface of the inner end of each auxiliary small plate is provided with a guide-in slope, and the top surface of the outer end of the first sliding cavity is provided with a guide-in port.
3. The pneumoperitoneum-free laparoscopic abdominal wall suspension device for general surgery as claimed in claim 1, wherein: the top surface intermediate position department of backup pad rotates and is equipped with oblique fagging, the top of oblique fagging rotates and is equipped with the arm-tie, the top of main part is equipped with carries and draws the mechanism, carry and draw the top that the mechanism can drive the arm-tie and move up for the bottom of arm-tie upwards stimulates the top of oblique fagging, thereby changes the inclination of oblique fagging for the backup pad.
4. The pneumoperitoneum-free laparoscopic abdominal wall suspension device for general surgery as claimed in claim 3, wherein: the lifting mechanism comprises a stud, a nut, an annular ring, a pull rod and a pulling piece, the stud is vertically fixed on the top surface of the main body, the nut is in threaded connection with the periphery of the stud, the periphery of the nut is provided with the annular groove, the annular ring is arranged in the annular groove in a sliding mode, the pull rod is vertically fixed on the bottom surface of the annular ring, the pulling piece is arranged at the bottom end of the pull rod, and the pulling piece is rotatably connected with the top ends of the pull plates.
5. The pneumoperitoneum-free laparoscopic abdominal wall suspension device for general surgery as claimed in claim 4, wherein: the pulling piece is of a closed broken line type structure, the cross section of the pulling piece is circular, a through hole is formed in the top end of the pulling plate in the width direction, and the pulling piece penetrates through the through holes.
6. The pneumoperitoneum-free laparoscopic abdominal wall suspension device for general surgery as claimed in claim 1, wherein: the ejection mechanism comprises an air bag, an ejection block, a second sliding cavity and a pressure sensor, the air bag is installed at the inner end of the first sliding cavity, the ejection block is fixed at the outer end of the air bag, the second sliding cavity is arranged inside the sliding block, the outer end of the ejection block extends into the second sliding cavity, and the pressure sensor is arranged between the outer end of the ejection block and the left side wall of the second sliding cavity.
7. The pneumoperitoneum-free laparoscopic abdominal wall suspension device for general surgery as claimed in claim 3, wherein: all seted up the holding tank on every lateral wall of main part, the bottom size of holding tank is greater than its top size, and when the backup pad was folded vertical upwards, the holding tank was used for holding inclined supporting plate and arm-tie.
8. The pneumoperitoneum-free laparoscopic abdominal wall suspension device for general surgery as claimed in claim 4, wherein: the bottom end of the pulling plate is rotatably connected with the top end of the inclined supporting plate through a connecting piece, and a hanging lug is fixed at the top end of the stud.
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| CN202110598915.7A CN113100849B (en) | 2021-05-31 | 2021-05-31 | Pneumoperitoneum-free type laparoscopic abdominal wall suspension device for general surgery department operation |
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| CN113633325B (en) * | 2021-07-23 | 2022-11-11 | 厦门颐安智能科技有限公司 | Laparoscope introducer |
| CN114176684B (en) * | 2022-01-18 | 2023-03-21 | 中南大学湘雅医院 | Abdominal wall opening support for laparoscopic surgery |
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| GB201012336D0 (en) * | 2010-07-23 | 2010-09-08 | Univ Leeds | Surgical device and procedure |
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| CN113100849A (en) | 2021-07-13 |
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