CN113397660A

CN113397660A - Peritoneoscope clamping device for uropoiesis surgery

Info

Publication number: CN113397660A
Application number: CN202110568337.2A
Authority: CN
Inventors: 王家武; 张成瑶
Original assignee: Second Affiliated Hospital of Chongqing Medical University
Current assignee: Second Affiliated Hospital of Chongqing Medical University
Priority date: 2021-05-25
Filing date: 2021-05-25
Publication date: 2021-09-17

Abstract

The invention provides a laparoscope clamping device for urinary surgery, which comprises a sleeve, an upper fixing block, an air guide block, a catheter and a trocar, wherein the upper end of the sleeve is fixedly connected with the lower end of the upper fixing block, the lower end of the air guide block is vertically arranged at the upper end of the sleeve, the upper end of the catheter is fixedly connected with the lower end of the sleeve, the outer side of the trocar is fixedly connected with the inner side of the catheter in a clamping way, the sleeve comprises a fixing block, a connecting block, an adjusting block and a limiting block, the upper end of the fixing block is fixedly connected with the lower end of the upper fixing block, the outer side of the connecting block is fixedly connected with the inner side of the adjusting block in a clamping way, the upper end of the limiting block is fixedly connected with the lower end of the connecting block in a clamping way, after a grasping forceps is inserted into the catheter through the sleeve, when the position of the grasping forceps needs to be fixed, the adjusting block is rotated through the rotation of the fixing wall, so that the connecting rod at the inner side drives the clamping block to rotate, and the middle end of the rotating block fixes the outer side of the grasping forceps, the problem that the grasping forceps cannot be fixed due to insufficient hands can be effectively solved.

Description

Peritoneoscope clamping device for uropoiesis surgery

Technical Field

The invention belongs to the field of medical instruments, and particularly relates to a laparoscopic clamping device for urology surgery.

Background

In the abdominal cavity operation process, need earlier carry out the incision through the scalpel in patient's belly both sides, insert pneumoperitoneum needle and trocar afterwards and inject carbon dioxide gas into the abdominal cavity inside, insert nipper, separation pincers through the trocar afterwards to throw in the demonstration through laparoscopic instrument to patient's belly viscus, make things convenient for the operation doctor to cut the separation through nipper and separation pincers to patient inside.

Because the operation flow of laparoscopic surgery is more, and medical personnel in the operating room are limited, when the operation doctor frequently switches the nipper and the separating forceps, because the jack diameter of trocar tube is greater than the peripheral diameter of nipper, can't carry out the centre gripping fixedly to the outside of nipper, make nipper lose behind the stationary force through gravitation and self gravity down slip in the jack, lead to the front end position of nipper to collide with patient's internal tissue organ, thereby cause the patient to appear the internal bleeding probability and increase.

Disclosure of Invention

In order to solve the above technical problems, the present invention provides a laparoscopic holding device for urology surgery to solve the existing problems.

Aiming at the defects of the prior art, the purpose and the efficacy of the laparoscopic clamping device for the urology surgery are achieved by the following specific technical means: uropoiesis is peritoneoscope clamping device for surgery, its structure include the sleeve pipe, go up solid piece, air guide block, pipe, trocar, the sleeve pipe upper end is inlayed with last solid piece lower extreme and is connected, air guide block lower extreme is installed perpendicularly in the sleeve pipe upper end, the pipe upper end is inlayed with the sleeve pipe lower extreme and is connected, trocar outside block is connected in the pipe inboard, the sleeve pipe includes fixed block, connecting block, regulating block, stopper, the fixed block upper end is inlayed and is connected in last solid piece lower extreme, connecting block upper end block is connected in the fixed block lower extreme, the connecting block outside is connected with the inboard block of regulating block, the stopper upper end is inlayed with the connecting block lower extreme and is connected.

Preferably, the adjusting block comprises a clamping device, an anti-slip strip, a fixed wall and an installation block, the outer side of the clamping device is fixedly embedded with the inner side of the installation block, the lower end of the anti-slip strip is vertically installed at the upper end of the fixed wall, the inner side of the fixed wall is connected with the outer side of the installation block in a welding mode, and the anti-slip strip is annularly installed on the outer side of the fixed wall.

As preferred, clamping device includes connecting plate, connecting rod, solid fixed ring, connection wall, presss from both sides tight piece, set block, the connecting plate outside is connected with the inboard embedded solid of connection wall, the connecting rod outside is articulated to be connected and the connecting plate outside, the connecting rod is inboard to be connected with the embedded solid outside of pressing from both sides tight piece, press from both sides the articulated connection in solid fixed ring inboard in the tight piece lower extreme outside, gu fixed ring outside and set block inboard embedded solid connect, the connection wall is inboard and set block outside welded connection, press from both sides tight piece totally three, and annular articulated the installation in solid fixed ring inboard, its wherein end forms the triangle form and wraps up the periphery of nipper.

Preferably, the connecting rod includes go-between, fixed plate, tensile piece, snap ring, mounting panel, go-between right-hand member and fixed plate left end welded connection, the fixed plate inboard is connected with the outside of tensile piece is embedded solid, the fixed plate inboard is connected with the mounting panel outside is embedded solid, the snap ring left end is connected with fixed plate right-hand member block, tensile piece is total two, and installs perpendicularly in the inboard of fixed plate, and its material uses the plastic material to make.

As preferred, press from both sides tight piece including connecting concave piece, compression piece, collar, it is inboard with the compression piece to connect the concave piece outside, the compression piece lower extreme is connected with the collar upper end is embedded firmly, the collar is inboard articulated to be connected in solid fixed ring inboard, the compression piece adopts the rubber material to make, and the mirror image is installed at the outside both ends of connecting the concave piece.

Preferably, the connecting concave block comprises pressing blocks, mounting walls and positioning blocks, the lower end of each pressing block is fixedly mounted at the upper end of each mounting wall in an embedded mode, the outer sides of the positioning blocks are fixedly connected with the inner sides of the mounting walls in an embedded mode, and the two positioning blocks are mounted on the hollow-out inner sides of the mounting walls.

Preferably, the pressing block comprises an extruding plate, an extruding block, an embedding plate and a reinforcing block, the lower end of the extruding plate is embedded and connected with the upper end of the extruding block, the lower end of the extruding block is vertically installed at the upper end of the embedding plate, the inner side of the embedding plate is clamped and connected with the outer side of the extruding plate, the lower end of the reinforcing block is embedded and installed at the upper end of the extruding plate, the middle end of the extruding plate is hollowed, and the extruding blocks are installed at the lower ends of the two sides of the extruding plate.

Preferably, the inner side of the lower end of the positioning plate is fixedly connected with the outer side of the lower end of the elastic block in an embedded mode, the lower end of the anti-slip block is vertically installed at the upper end of the pressure plate, the upper end of the elastic block is fixedly connected with the lower end of the pressure plate in an embedded mode, and the pressure plate is made of deformable rubber materials.

Compared with the prior art, the invention has the following advantagesAdvantageous effects：

1. After the grasping forceps are inserted into the catheter through the sleeve, when the position of the grasping forceps is required to be fixed, the grasping forceps are driven to be connected with the connecting wall to rotate through rotation of the fixing wall, the connecting rod on the inner side drives the clamping block to rotate, the middle end of the rotating block fixes the outer side of the grasping forceps, and the problem that the grasping forceps cannot be fixed due to insufficient hands can be effectively solved.

2. When the clamping block rotates, the periphery of the clamping block is extruded with the compression block, so that the outer side of the grasping forceps can enter the connection concave block, the pressing plate on the inner side is pressed through the extrusion pressing block, and the pressing plate of the reinforcing block is pressed, so that the pressing plate and the anti-slip block fix the outer side of the grasping forceps.

Drawings

Fig. 1 is a schematic view showing the construction of a laparoscopic holding device for urinary surgery of the present invention.

FIG. 2 is a schematic top view of the cannula of the laparoscopic holding device for urology of the present invention.

FIG. 3 is a schematic view of the adjusting block of the laparoscopic holding device for urinary surgery of the present invention in a bottom view.

Fig. 4 is a schematic view showing the construction of a clamping means of the laparoscopic clamping device for urinary surgery of the present invention.

Fig. 5 is a schematic view showing the structure of a connection rod of the laparoscopic clamping device for urinary surgery of the present invention.

Fig. 6 is a schematic view showing the structure of a clamp block of the laparoscopic clamping device for urinary surgery of the present invention.

FIG. 7 is a schematic view showing the construction of a coupling concave portion of the laparoscopic grasping device for urinary surgery of the present invention.

Fig. 8 is a schematic view showing the construction of a pressing block of the laparoscopic holding device for urinary surgery of the present invention.

FIG. 9 is a schematic view showing the structure of a reinforcing block of the laparoscopic clamping device for urinary surgery of the present invention.

In the figure: a sleeve-1, an upper fixed block-2, an air guide block-3, a guide pipe-4, a trocar-5, a fixed block-11, a connecting block-12, an adjusting block-13, a limiting block-14, a clamping device-131, an anti-slip strip-132, a fixed wall-133, a mounting block-134, a connecting plate-311, a connecting rod-312, a fixed ring-313, a connecting wall-314, a clamping block-315, a setting block-316, a connecting ring-121, a fixed plate-122, a stretching block-123, a clamping ring-124, a mounting plate-125, a connecting concave block-151, a compression block-152, a mounting ring-153, a pressing block-511, a mounting wall-512, a positioning block-513, an extrusion plate-111, an extrusion block-112, an embedded plate-113, a fixed block-, Reinforcing blocks-114, a positioning plate-141, anti-slip blocks-142, a pressure plate-143 and elastic blocks-144.

Detailed Description

The embodiments of the present invention will be described in further detail with reference to the drawings and examples. The following examples are intended to illustrate the invention but are not intended to limit the scope of the invention.

In the description of the present invention, "a plurality" means two or more unless otherwise specified; the terms "upper", "lower", "left", "right", "inner", "outer", "front", "rear", "head", "tail", and the like, indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, are only for convenience in describing and simplifying the description, and do not indicate or imply that the device or element referred to must have a particular orientation, be constructed in a particular orientation, and be operated, and thus, should not be construed as limiting the invention. Furthermore, the terms "first," "second," "third," and the like are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.

In the description of the present invention, it is to be noted that, unless otherwise explicitly specified or limited, the terms "connected" and "connected" are to be interpreted broadly, e.g., as being fixed or detachable or integrally connected; can be mechanically or electrically connected; may be directly connected or indirectly connected through an intermediate. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.

Example 1

As shown in figures 1 to 5:

the invention provides a laparoscope clamping device for urinary surgery, which structurally comprises a sleeve 1, an upper fixing block 2, an air guide block 3, a catheter 4 and a trocar 5, wherein the upper end of the sleeve 1 is fixedly connected with the lower end of the upper fixing block 2 in an embedded manner, the lower end of the air guide block 3 is vertically arranged at the upper end of the sleeve 1, the upper end of the catheter 4 is fixedly connected with the lower end of the sleeve 1 in an embedded manner, the outer side of the trocar 5 is connected to the inner side of the catheter 4 in a clamped manner, the sleeve 1 comprises a fixing block 11, a connecting block 12, an adjusting block 13 and a limiting block 14, the upper end of the fixing block 11 is fixedly connected to the lower end of the upper fixing block 2 in an embedded manner, the upper end of the connecting block 12 is connected to the lower end of the fixing block 11 in a clamped manner, the outer side of the connecting block 12 is connected with the inner side of the adjusting block 13 in an embedded manner, and the upper end of the limiting block 14 is fixedly connected with the lower end of the connecting block 12 in an embedded manner.

Wherein, regulating block 13 includes clamping device 131, antislip strip 132, fixed wall 133, installation piece 125, the clamping device 131 outside is connected with the inboard embedded of installation piece 125, antislip strip 132 lower extreme is installed perpendicularly in fixed wall 133 upper end, fixed wall 133 inboard and installation piece 125 outside welded connection, antislip strip 132 annular is installed in fixed wall 133's outside to increase medical personnel's hand and fixed wall 133's frictional force, can be effectively convenient carry out control regulation to regulating block 13.

Wherein the clamping device 131 comprises a connecting plate 311, a connecting rod 312, a fixing ring 313, a connecting wall 314, a clamping block 315 and a setting block 316, the outer side of the connecting plate 311 is fixedly connected with the inner side of the connecting wall 314, the outer side of the connecting rod 312 is hinged with the outer side of the connecting plate 311, the inner side of the connecting rod 312 is fixedly connected with the outer side of the clamping block 315, the outer side of the lower end of the clamping block 315 is hinged and connected with the inner side of the fixing ring 313, the outer side of the fixing ring 313 is fixedly connected with the inner side of the setting block 316 in an embedded manner, the inner side of the connecting wall 314 is connected with the outer side of the setting block 316 in a welding manner, the clamping blocks 315 are three in number, and are annularly and hingedly mounted on the inner side of the fixing ring 313, the middle end forms a triangular form to wrap the periphery of the nipper, the connecting rod 312 drives the clamping block 315 to rotate when the adjusting fixing wall 133 rotates, the grasping forceps are fixed through the shape of the middle end, and the situation that the position of the grasping forceps cannot be fixed in time when the hands are insufficient is prevented.

Wherein, the connecting rod 312 includes go-between 121, fixed plate 122, tensile piece 123, block ring 124, mounting panel 125, go-between 121 right-hand member and fixed plate 122 left end welded connection, the fixed plate 122 inboard is connected with the outside rigid coupling of tensile piece 123, the fixed plate 122 inboard is connected with the mounting panel 125 outside rigid coupling, block ring 124 left end and fixed plate 122 right-hand member block are connected, tensile piece 123 is total two, and installs perpendicularly in the inboard of fixed plate 122, and its material uses the plastic material to make, and accessible connecting rod 312 is when pulling clamping block 315, carries out the position fine setting through extrusion tensile piece 123, can prevent because connecting rod 312 is too stiff and straight to clamping block 315 pulling difficulty.

The specific use mode and function of the embodiment are as follows:

in the invention, the trocar 5 is inserted through the catheter 4 and then inserted through the incision, and then the trocar 5 is taken out and then gas is injected into the body through the gas guide block 3, thereby enlarging the operation space of the operator, inserting the grasper from the cannula 1 and the catheter 3, when the grasper needs to be fixed, the friction force between the fixing wall 133 and the hand is increased by rotating the adjusting block 13, by the presence of the anti-slip strip 132, when the fixing wall 133 is rotated, the mounting block 134 is driven to rotate the connecting wall 314, and when the outside of the connecting rod 312 is driven to rotate, the inside of the connecting rod 312 rotates the clamping block 315, the tensile block 123 is pressed by the fixing plate 122 to be deformed when the connecting rod 312 is pulled, thereby preventing the connecting rod from being too stiff to pull the clamping block 315, and the space of the inner side is reduced by the inward rotation of the clamping block 315 to fix the outer side of the clinch.

Example 2

As shown in fig. 6 to 9:

the invention provides a laparoscopic clamping device for urology surgery, wherein a clamping block 315 comprises a connecting concave block 151, a compression block 152 and a mounting ring 153, the outer side of the connecting concave block 151 is connected with the inner side of the compression block 152, the lower end of the compression block 152 is fixedly embedded and connected with the upper end of the mounting ring 153, the inner side of the mounting ring 153 is hinged and connected with the inner side of a fixing ring 313, the compression block 152 is made of rubber materials and is arranged at two ends of the outer side of the connecting concave block 151 in a mirror image mode, so that the compression block 152 is pressed to deform when a connecting rod 312 pulls the clamping block 315, and then the periphery of a grasper is clamped and fixed with the connecting concave block 151.

The connecting concave block 151 comprises a pressing block 511, an installation wall 512 and two positioning blocks 513, the lower end of the pressing block 511 is fixedly embedded in the upper end of the installation wall 512, the outer side of each positioning block 513 is fixedly embedded in the inner side of the installation wall 512, the two positioning blocks 513 are arranged in total and are arranged in the hollow-out shape of the installation wall 512, the overall weight of the connecting concave block 151 is reduced through the hollow-out design of the installation wall 512, and the installation wall 512 is fixed through the positioning blocks 513, so that the phenomenon of overstock deformation is prevented.

The pressing block 511 comprises an extrusion plate 111, an extrusion block 112, an embedded plate 113 and a reinforcing block 114, the lower end of the extrusion plate 111 is embedded and connected with the upper end of the extrusion block 112, the lower end of the extrusion block 112 is vertically installed at the upper end of the embedded plate 113, the inner side of the embedded plate 113 is connected with the outer side of the extrusion plate 111 in a clamping manner, the lower end of the reinforcing block 114 is embedded and installed at the upper end of the extrusion plate 111, the middle end of the extrusion plate 111 is hollowed, the extrusion blocks 112 are installed at the lower ends of the two sides of the extrusion plate 111, the outer side of the grasper can deform by pressing the extrusion plate 111 when the pressing block 511 is extruded, and the reinforcing block 114 at the outer end can fix the outer side of the grasper.

The inner side of the lower end of the positioning plate 141 is fixedly connected with the outer side of the lower end of the elastic block 144 in an embedded mode, the lower end of the anti-slip block 142 is vertically installed at the upper end of the pressure plate 143, the upper end of the elastic block 144 is fixedly connected with the lower end of the pressure plate 143 in an embedded mode, the pressure plate 143 is made of deformable rubber materials, the pressure plate 143 on the outer side can deform towards two ends or the middle end after being squeezed, the outer side of the clamping and embedding is fixed through the anti-slip block 142, and therefore the effect of secondary wrapping of the clamping forceps is achieved.

The specific use mode and function of the embodiment are as follows:

in the invention, when the clamping block 315 fixes the outer side of the grasper, the compression block 152 on the outer side of the grasper is used for extrusion, the compression block 152 is made of rubber material and is installed at the two ends of the outer side of the connection concave block 151 in a mirror image manner, so that the compression block 152 is pressed to deform when the connecting rod 312 pulls the clamping block 315, then the periphery of the grasper is engaged and fixed with the connection concave block 151, the middle end of the compression plate 111 is hollowed by extruding the compression plate 111 in the pressing block 511, and the lower ends of the two sides of the compression plate 111 are provided with the compression blocks 112, so that the outer side of the grasper is deformed by pressing the compression plate 111 when the pressing block 511 is extruded, the reinforcing block 114 on the outer end is used for fixing the outer side of the grasper, thereby the reinforcing block 114 is wrapped on the outer side of the grasper, the pressure plate 143 is made of deformable rubber material, so that the pressure plate 143 on the outer side can be deformed towards the two ends or the middle end after being extruded, and the outside of the grabbing and embedding is fixed through the anti-skidding blocks 142, so that the effect of secondary wrapping grabbing pincers is achieved.

The embodiments of the present invention have been presented for purposes of illustration and description, and are not intended to be exhaustive or limited to the invention in the form disclosed. Many modifications and variations will be apparent to those of ordinary skill in the art. The embodiment was chosen and described in order to best explain the principles of the invention and the practical application, and to enable others of ordinary skill in the art to understand the invention for various embodiments with various modifications as are suited to the particular use contemplated.

Claims

1. The peritoneoscope clamping device for the urinary surgery structurally comprises a sleeve (1), an upper fixing block (2), an air guide block (3), a guide pipe (4) and a trocar (5), wherein the upper end of the sleeve (1) is fixedly connected with the lower end of the upper fixing block (2), the lower end of the air guide block (3) is vertically installed at the upper end of the sleeve (1), the upper end of the guide pipe (4) is fixedly connected with the lower end of the sleeve (1), and the outer side of the trocar (5) is connected to the inner side of the guide pipe (4) in a clamping mode; the method is characterized in that:

sleeve pipe (1) is including fixed block (11), connecting block (12), regulating block (13), stopper (14), fixed block (11) upper end is embedded to be fixed and is connected in last solid (2) lower extreme, connecting block (12) upper end block is connected in fixed block (11) lower extreme, the connecting block (12) outside is connected with regulating block (13) inboard block, stopper (14) upper end is embedded to be connected with connecting block (12) lower extreme.

2. The laparoscopic clip for urology surgery of claim 1, wherein: the adjusting block (13) comprises a clamping device (131), an anti-slip strip (132), a fixing wall (133) and an installation block (125), wherein the outer side of the clamping device (131) is fixedly embedded in the inner side of the installation block (125), the lower end of the anti-slip strip (132) is vertically installed at the upper end of the fixing wall (133), and the inner side of the fixing wall (133) is connected with the outer side of the installation block (125) in a welding mode.

3. The laparoscopic clip for urology surgery of claim 2, wherein: clamping device (131) include connecting plate (311), connecting rod (312), solid fixed ring (313), connecting wall (314), press from both sides tight piece (315), set block (316), the connecting plate (311) outside is connected with the inboard embedded solid of connecting wall (314), the connecting rod (312) outside is articulated to be connected and connecting plate (311) outside, connecting rod (312) inboard with press from both sides tight piece (315) outside embedded solid to be connected, press from both sides tight piece (315) lower extreme outside articulated connection in solid fixed ring (313) inboard, gu fixed ring (313) outside is connected with set block (316) inboard embedded solid, connecting wall (314) inboard with set block (316) outside welded connection.

4. A urological laparoscopic grasping device as claimed in claim 3, wherein: connecting rod (312) are including go-between (121), fixed plate (122), tensile piece (123), block ring (124), mounting panel (125), go-between (121) right-hand member and fixed plate (122) left end welded connection, fixed plate (122) inboard and tensile piece (123) outside are inlayed the solid fixed connection, fixed plate (122) inboard and mounting panel (125) outside are inlayed the solid fixed connection, block ring (124) left end and fixed plate (122) right-hand member block are connected.

5. The laparoscopic clip for urology surgery of claim 1, wherein: the clamping block (315) comprises a connecting concave block (151), a compression block (152) and a mounting ring (153), the outer side of the connecting concave block (151) is connected with the inner side of the compression block (152), the lower end of the compression block (152) is fixedly connected with the upper end of the mounting ring (153), and the inner side of the mounting ring (153) is hinged and connected to the inner side of the fixing ring (313).

6. The laparoscopic clip for urology surgery of claim 5, wherein: the connecting concave block (151) comprises a pressing block (511), an installation wall (512) and a positioning block (513), the lower end of the pressing block (511) is fixedly embedded in the upper end of the installation wall (512), and the outer side of the positioning block (513) is fixedly embedded in the inner side of the installation wall (512).

7. The laparoscopic clip for urology surgery of claim 6, wherein: the pressing block (511) comprises an extrusion plate (111), an extrusion block (112), an embedding plate (113) and a reinforcing block (114), the lower end of the extrusion plate (111) is embedded and connected with the upper end of the extrusion block (112), the lower end of the extrusion block (112) is vertically installed at the upper end of the embedding plate (113), the inner side of the embedding plate (113) is connected with the outer side of the extrusion plate (111) in a clamping mode, and the lower end of the reinforcing block (114) is embedded and installed at the upper end of the extrusion plate (111).

8. The laparoscopic clip for urology surgery of claim 7, wherein: the anti-skidding device comprises a positioning plate (141), anti-skidding blocks (142), a pressure plate (143) and elastic blocks (144), wherein the inner side of the lower end of the positioning plate (141) is fixedly embedded and connected with the outer side of the lower end of the elastic blocks (144), the lower end of the anti-skidding blocks (142) is vertically installed at the upper end of the pressure plate (143), and the upper end of the elastic blocks (144) is fixedly embedded and connected with the lower end of the pressure plate (143).