CN113598850A - Device for exposing upper abdomen part in laparoscopic surgery - Google Patents
Device for exposing upper abdomen part in laparoscopic surgery Download PDFInfo
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- CN113598850A CN113598850A CN202111002474.6A CN202111002474A CN113598850A CN 113598850 A CN113598850 A CN 113598850A CN 202111002474 A CN202111002474 A CN 202111002474A CN 113598850 A CN113598850 A CN 113598850A
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- Prior art keywords
- arc
- spring
- shaped portion
- section
- liver
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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
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61G—TRANSPORT, PERSONAL CONVEYANCES, OR ACCOMMODATION SPECIALLY ADAPTED FOR PATIENTS OR DISABLED PERSONS; OPERATING TABLES OR CHAIRS; CHAIRS FOR DENTISTRY; FUNERAL DEVICES
- A61G13/00—Operating tables; Auxiliary appliances therefor
- A61G13/10—Parts, details or accessories
- A61G13/101—Clamping means for connecting accessories to the operating table
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
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- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Surgical Instruments (AREA)
Abstract
The invention provides a device for exposing the upper abdomen in laparoscopic surgery, which comprises a fixed bracket (8) and a lifting part, and is characterized in that: the lifting component comprises a horizontal section (1), a longitudinal section (2) is connected to one end of the horizontal section (1), a bending portion (3) is arranged on the horizontal section (1), a first arc-shaped portion (4) is arranged at one end of the bending portion (3), a second arc-shaped portion (5) is arranged at the other end of the bending portion (3), springs (6) are arranged on the first arc-shaped portion and the second arc-shaped portion (4) and the second arc-shaped portion (5) respectively, and a control rope (7) is clamped on each spring (6). The invention has convenient use, simple operation, adjustable liver posture and convenient adjustment, and other parts except the control rope which is contacted with the liver are not contacted with the liver in the operation process, thereby effectively avoiding the postoperative problems of damage, postoperative infection, transaminase rise and the like caused by the direct contact of the existing liver drag hook with the liver.
Description
The technical field is as follows:
the invention relates to a surgical instrument, in particular to a device for abdominal exposure in laparoscopic surgery.
Background art:
since 1987, after the first laparoscopic surgery in the world is completed, with the continuous improvement of laparoscopic equipment and instruments, the laparoscopic surgery is developed vigorously and the indications are gradually expanded. Now, surgery of all organs inside the abdominal cavity can be performed by means of laparoscopic surgery. When performing laparoscopic surgery on the upper abdominal organs, such as the stomach and pancreas, the left liver of a normal person often affects the exposure of the surgical field in order to keep the left liver open.
The liver drag hook directly pushes and picks the liver or pushes and picks the liver with other apparatus clamping gauze blocks in the prior art, the operation is unstable, liver injury and infection are often caused, the transaminase after operation rises and the like, the apparatus in the abdominal cavity is criss-cross and interferes with each other to influence the operation, and the posture of the liver can not be regulated again as required in the operation.
The invention content is as follows:
the invention aims to overcome the defects in the prior art and provides a device for exposing the upper abdomen in laparoscopic surgery.
The application provides the following technical scheme:
a device for abdominal exposure in laparoscopic surgery, comprising a fixed bracket and a lifting component, characterized in that: the lifting component comprises a horizontal section, one end of the horizontal section is connected with a longitudinal section, the horizontal section is provided with a bending portion, one end of the bending portion is provided with a first arc-shaped portion, the other end of the bending portion is provided with a second arc-shaped portion, the first arc-shaped portion and the second arc-shaped portion are respectively provided with a section of spring, and each section of spring is connected with at least one control rope in a clamping mode.
On the basis of the technical scheme, the following further technical scheme can be provided:
the medical aseptic rope of control rope, it has two spaced distribution's knot to tie at control rope one end tip, the rope body between two knots and the formation joint cooperation of spring, the surplus of removal is left on the spring to this rope body.
The fixed bolster include be connected the complex draw-in groove with the operation table, be equipped with the pole setting on the draw-in groove, through cross connecting piece, be connected with the horizontal pole in the pole setting, be connected with on the horizontal pole and be connected complex universal anchor clamps with vertical section.
The horizontal section and the longitudinal section are of an integrated structure and are made of medical stainless steel.
The spring wires of the spring are mutually attached, so that the spring is integrally of a tension spring type structure and is made of medical stainless steel.
The invention has the advantages that:
the invention has convenient use, simple operation, adjustable liver posture and convenient adjustment, and other parts except the control rope which is contacted with the liver are not contacted with the liver in the operation process, thereby effectively avoiding the postoperative problems of damage, postoperative infection, transaminase rise and the like caused by the direct contact of the existing liver drag hook with the liver.
Description of the drawings:
FIG. 1 is a schematic view of a lifting member according to the present invention;
FIG. 2 is a schematic view of a lifting member of the present invention in use;
figure 3 is a schematic view of the lifting member when connected to the mounting bracket.
The specific implementation mode is as follows:
as shown in fig. 1-3, a device for abdominocentesis of laparoscopic surgery comprises a fixed bracket 8 and a lifting component which is connected in a matching way, wherein the lifting component comprises a strip-shaped horizontal section 1, the horizontal section 1 comprises a first arc-shaped part 4, a bent part 3 which is distributed corresponding to the ligamentum teres hepatis extends from one end of the first arc-shaped part 4, and a second arc-shaped part 5 extends from one end of the bent part 3. The first arc-shaped part 4 and the second arc-shaped part 5 are respectively sleeved with springs 6 which are coaxially distributed correspondingly, and spring wires of the springs 6 are mutually attached, so that the springs 6 are integrally in an extension spring type structure.
The end part of the second arc-shaped part 5 extends upwards to form a strip-shaped longitudinal section 2, the longitudinal section 2 comprises a first longitudinal arc-shaped part a, one end of the first longitudinal arc-shaped part extends to form a horizontal part b which is transversely distributed, and the end part of the horizontal part b slightly tilts upwards. The horizontal section 1 and the longitudinal section 2 are of an integrated structure and are made of medical stainless steel as well as the spring 6.
A plurality of medical sterile ropes are arranged as the control ropes 7, two knots 7a which are distributed at intervals are tied at one end part of the control rope 7, the rope body between the two knots 7a is longer (larger than the diameter of the spiral of the spring 6) and can be clamped between spring wires of the spring 6, one end part of the control rope 7 can be clamped through the spring wires, and the control rope 7 is adjusted in a mode of pulling the knots 7a through a surgical instrument.
Fixed bolster 8 include draw-in groove 8a, wear to be equipped with on one side of draw-in groove 8a and form locking complex locking bolt 8f with the operation table, at the pole setting 8b of the vertical distribution of the 8a opposite side fixedly connected with of draw-in groove, be connected with horizontal pole 8d of transverse distribution through cross connecting piece 8c on pole setting 8b, be connected with universal fixture 8e in horizontal pole 8d one end. The universal clamp 8e comprises a connecting portion 18a inserted into the cross rod 8d, a jack matched with the cross rod 8d correspondingly is arranged on the connecting portion 18a, a locking pin 18b matched with the cross rod 8d correspondingly is further arranged on the connecting portion 18a, a swing arm 18c is connected to a ball head of the connecting portion 18a, a corresponding matching mounting hole formed with the horizontal portion b is formed in the swing arm 18c, and a locking matched abutting pin formed with the horizontal portion b is arranged on the swing arm 18 c.
The using method comprises the following steps:
the operator puts the fixed bolster into place during the operation, and then under the peritoneoscope state, the one end of first arc portion 4 stretches into patient's abdominal cavity through an incision protector, then stretches into gradually and makes whole horizontal segment 1 get into patient's abdominal cavity, fixes the lifting and hanging part on the fixed bolster again, and the rethread adjustment swing arm 18c aligns bending portion 3 with the liver round ligament so that adjust the horizontal segment 1 to suitable position.
The control rope 7 is threaded on the surgical needle, the control rope 7 is sewn on an abdominal fascia 9 below a liver 8, a plurality of control ropes 7 are sewn on different fascias after the whole process, then rope bodies between two knots 7a at one end part of each control rope 7 are clamped between spring wires at different positions on a corresponding spring 6, so that the liver lies down in the abdominal cavity in a mode of tensioning the control rope 7, the surgical field is exposed, the tightening degree of the control rope 7 can be adjusted in a mode of pulling the knots 7a along with the surgical process in the process, the posture of the liver is further adjusted, the corresponding control rope 7 can be removed at any time to adjust the posture of the liver and correspond to the surgical progress.
Claims (5)
1. A device for abdominal exposure in laparoscopic surgery, comprising a fixed support (8) and a lifting member, characterized in that: the lifting component comprises a horizontal section (1), a longitudinal section (2) is connected to one end of the horizontal section (1), a bending portion (3) is arranged on the horizontal section (1), a first arc-shaped portion (4) is arranged at one end of the bending portion (3), a second arc-shaped portion (5) is arranged at the other end of the bending portion (3), a section of spring (6) is arranged on each of the first arc-shaped portion and the second arc-shaped portion (4) and the second arc-shaped portion (5), and at least one control rope (7) is clamped on each section of spring (6).
2. A device for laparoscopic surgical laparotomy exposure according to claim 1, wherein: the medical sterile rope of the control rope (7) is characterized in that two knots (7 a) distributed at intervals are tied at one end of the control rope (7), a rope body between the two knots (7 a) is in clamping fit with the spring (6), and moving allowance is reserved on the spring (6) of the rope body.
3. A device for laparoscopic surgical laparotomy exposure according to claim 1, wherein: fixed bolster (8) including be connected complex draw-in groove (8 a) with the operation table, be equipped with pole setting (8 b) on draw-in groove (8 a), through cross connecting piece (8 c) on pole setting (8 b), be connected with horizontal pole (8 d), be connected with on horizontal pole (8 d) and be connected complex universal anchor clamps (8 e) with vertical section (2).
4. A device for laparoscopic surgical laparotomy exposure according to claim 2, wherein: the horizontal section (1) and the longitudinal section (2) are made of medical stainless steel in an integrated structure.
5. A device for laparoscopic surgical laparotomy exposure according to claim 1, wherein: the spring wires of the spring (6) are mutually attached, so that the spring (6) is integrally of an extension spring type structure and is made of medical stainless steel.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111002474.6A CN113598850B (en) | 2021-08-30 | 2021-08-30 | Device for exposing abdomen in laparoscopic surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111002474.6A CN113598850B (en) | 2021-08-30 | 2021-08-30 | Device for exposing abdomen in laparoscopic surgery |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN113598850A true CN113598850A (en) | 2021-11-05 |
| CN113598850B CN113598850B (en) | 2023-08-25 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202111002474.6A Active CN113598850B (en) | 2021-08-30 | 2021-08-30 | Device for exposing abdomen in laparoscopic surgery |
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| CN (1) | CN113598850B (en) |
Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CA2068121A1 (en) * | 1992-05-07 | 1993-11-08 | Michel Gagner | Abdomen Suspending Device |
| JP2000166930A (en) * | 1998-12-09 | 2000-06-20 | Hama Ika Kogyo Kk | Abdominal wall hanging-up implement for medical use |
| CN102813535A (en) * | 2012-08-08 | 2012-12-12 | 薛运章 | Mesenteric vessel suspension apparatus |
| CN204744271U (en) * | 2015-05-20 | 2015-11-11 | 四川大学华西医院 | Liver suspension device for laparoscopic surgery |
| CN205144629U (en) * | 2015-11-13 | 2016-04-13 | 中国人民解放军第四军医大学 | Abdominal cavity internal organs suspend area in midair |
| CN205672086U (en) * | 2016-05-01 | 2016-11-09 | 杨奕夫 | Laparoscopic surgery liver suspention sheet |
| CN207590709U (en) * | 2017-03-27 | 2018-07-10 | 南方医科大学南方医院 | Liver device is dialled for peritoneoscope stomach gut surgery |
| CN210009067U (en) * | 2018-12-13 | 2020-02-04 | 北京大学第三医院 | Posterior laparoscopic perirenal fascia suspension device |
| CN210249928U (en) * | 2018-10-15 | 2020-04-07 | 云南省肿瘤医院 | Traction device for laparoscopic surgery |
| CN111388032A (en) * | 2020-03-19 | 2020-07-10 | 郑州大学第一附属医院 | Organ suspension device for endoscopic surgery |
-
2021
- 2021-08-30 CN CN202111002474.6A patent/CN113598850B/en active Active
Patent Citations (10)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CA2068121A1 (en) * | 1992-05-07 | 1993-11-08 | Michel Gagner | Abdomen Suspending Device |
| JP2000166930A (en) * | 1998-12-09 | 2000-06-20 | Hama Ika Kogyo Kk | Abdominal wall hanging-up implement for medical use |
| CN102813535A (en) * | 2012-08-08 | 2012-12-12 | 薛运章 | Mesenteric vessel suspension apparatus |
| CN204744271U (en) * | 2015-05-20 | 2015-11-11 | 四川大学华西医院 | Liver suspension device for laparoscopic surgery |
| CN205144629U (en) * | 2015-11-13 | 2016-04-13 | 中国人民解放军第四军医大学 | Abdominal cavity internal organs suspend area in midair |
| CN205672086U (en) * | 2016-05-01 | 2016-11-09 | 杨奕夫 | Laparoscopic surgery liver suspention sheet |
| CN207590709U (en) * | 2017-03-27 | 2018-07-10 | 南方医科大学南方医院 | Liver device is dialled for peritoneoscope stomach gut surgery |
| CN210249928U (en) * | 2018-10-15 | 2020-04-07 | 云南省肿瘤医院 | Traction device for laparoscopic surgery |
| CN210009067U (en) * | 2018-12-13 | 2020-02-04 | 北京大学第三医院 | Posterior laparoscopic perirenal fascia suspension device |
| CN111388032A (en) * | 2020-03-19 | 2020-07-10 | 郑州大学第一附属医院 | Organ suspension device for endoscopic surgery |
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| Publication number | Publication date |
|---|---|
| CN113598850B (en) | 2023-08-25 |
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Effective date of registration: 20230731 Address after: 233000, 287 Changhuai Road, Bengbu, Anhui Province Applicant after: THE FIRST AFFILIATED HOSPITAL OF BENGBU MEDICAL College (AFFILIATED TUMOR HOSPITAL OF BENGBU MEDICAL COLLEGE) Address before: 233000, No. 287, Changhuai Road, Longzihu District, Bengbu City, Anhui Province Applicant before: Hao Bo |
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