CN113598866B - Auxiliary clamp device for child hernia ligation based on single-port laparoscopic platform - Google Patents
Auxiliary clamp device for child hernia ligation based on single-port laparoscopic platform Download PDFInfo
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- CN113598866B CN113598866B CN202110846157.6A CN202110846157A CN113598866B CN 113598866 B CN113598866 B CN 113598866B CN 202110846157 A CN202110846157 A CN 202110846157A CN 113598866 B CN113598866 B CN 113598866B
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- fixedly connected
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/128—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips
- A61B17/1285—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord for applying or removing clamps or clips for minimally invasive surgery
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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
- A61B17/12—Surgical instruments, devices or methods, e.g. tourniquets for ligaturing or otherwise compressing tubular parts of the body, e.g. blood vessels, umbilical cord
- A61B17/122—Clamps or clips, e.g. for the umbilical cord
Abstract
The invention provides an auxiliary clamp device for child hernia ligation based on a single-port laparoscope platform, relates to the technical field of medical instruments, and solves the problem that the existing device cannot be vertically stretched along a laparoscope and slide into a patient body, and is inconvenient to use quickly. An auxiliary clamp device for child hernia ligation based on a single-hole laparoscopic platform comprises a single-hole platform; the right side of the laparoscope body is provided with a telescopic sliding mechanism which is of a long strip-shaped structure; an auxiliary clamp mechanism is arranged on the right side in the telescopic sliding mechanism; the bottom of the auxiliary clamp mechanism is provided with a clamp replacing structure and a clamping head angle adjusting structure; after two groups of sliding tubes on the left side of the telescopic sliding mechanism are vertically sleeved into the outer side of the rod part of the laparoscope main body, the outer tube can be placed into the clamping hoop to be buckled with the inner curved side surface, the auxiliary clamp mechanism can be fixed, the auxiliary clamp mechanism is convenient to vertically stretch and slide into a patient body along the laparoscope, and the telescopic sliding mechanism is convenient to use quickly.
Description
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to an auxiliary clamp device for child hernia ligation based on a single-port laparoscopic platform.
Background
The minimally invasive surgery for repairing hernia gaps is still the best and effective treatment mode for infantile hernia, the operation process is that a protruded intestine is pushed back, then the abnormal opening is tied and closed at the abdominal wall hernia opening, and the operation is called high ligation.
For example, patent No. CN112426213A discloses an equipment for child's hernia laparoscopic surgery through retrieving, concretely relates to hernia laparoscopic surgery technical field, including the puncture pole, the sword groove that quantity is two is seted up to puncture pole one end symmetry, movable mounting has the arbor on the sword groove, fixed mounting has the linking tool bit on the arbor, the linking tool bit is kept away from puncture pole one end fixedly connected with puncture blade one and puncture blade two respectively, puncture blade one and puncture blade two phase-matchs and activity link up, fixed mounting has from the driving wheel on the arbor, install a plurality of groups from the teeth of a cogwheel from driving the wheel. In the operation process, the first puncture blade and the second puncture blade can be used for puncture to the hernia ring opening through the skin to separate the peritoneum of the hernia ring opening to assist puncture, and the first puncture blade and the second puncture blade can be brought into a ligature to tie the hernia ring opening when being closed, so that the hernia repair can be quickly and safely carried out in the clinical wide popularization of the children hernia treatment operation under the laparoscope.
For example, patent No. CN210009072U discloses a hernia surgical instrument for abdominal cavity, which comprises a puncture outfit, a wire feeder, a wire fetching unit and a wire clip, wherein the puncture outfit comprises a puncture needle and a puncture outfit handle, the inner cavity of the puncture outfit is communicated with the puncture outfit handle, the puncture outfit handle is provided with a puncture outfit high-position key groove and a puncture outfit low-position key groove, the wire feeder comprises a hollow tube and a wire feeder handle, the inner cavity of the wire feeder handle is communicated with the wire feeder high-position key groove, the wire feeder low-position key groove and a wire feeder convex key, the wire feeder can be inserted into the puncture outfit, the wire feeder convex key can be matched with the puncture outfit low-position key groove or the puncture outfit high-position key groove, the wire fetching unit comprises a wire sleeving ring, a long rod, a wire fetching handle and a pulling ring, the wire fetching unit handle is provided with a wire feeder convex key, the wire fetching unit can be inserted into the wire feeder, the wire fetching unit convex key can be matched with the wire feeder low-position key groove or the wire feeder high-position key groove, and the wire clip can be inserted into the inner cavity of the wire feeder. The utility model discloses hernia surgical instruments for abdominal cavity simple structure has puncture, inlet wire, the function of being qualified for the next round of competitions, and can not fish tail patient's tissue.
Based on the above, traditional child hernia ligation surgery auxiliary clamp device based on haplopore peritoneoscope platform generally is the pole structure, does not set up the structure that is convenient for carry out whole horizontal angle to the grip part and deflects usually, is convenient for carry out the centre gripping to the tissue of different angles, does not set up the structure that can carry out quick convenient change to the tong head, and the auxiliary clamp mechanism of being not convenient for carries out the vertical flexible cunning of going into patient along the peritoneoscope internal, the quick use of being not convenient for. Therefore, the existing requirements are not met, and an auxiliary clamp device for the pediatric hernia ligation based on a single-hole laparoscope platform is provided for the auxiliary clamp device.
Disclosure of Invention
In order to solve the technical problem, an auxiliary clamp device for pediatric hernia ligation based on a single-port laparoscopic platform is provided to solve the problem that the traditional auxiliary clamp device for pediatric hernia ligation based on a single-port laparoscopic platform, which is proposed in the background art, is not convenient for deflecting the whole horizontal angle of the clamping part.
In order to achieve the purpose, the invention provides the following technical scheme: an auxiliary clamp device for child hernia ligation based on a single-hole laparoscopic platform comprises a single-hole platform;
the single-hole platform comprises two groups of pressure valves, an instrument working port and an incision supporting part, and the pressure valves are fixedly connected to the outer curved side face of the single-hole platform; the number of the instrument working ports is three, and the instrument working ports are arranged at the top of the single-hole platform; the incision supporting part is fixedly connected to the bottom of the single-hole platform;
a laparoscope main body is arranged in the middle of the top surface of the single-hole platform in a penetrating manner in the instrument working port with the largest diameter;
the right side of the laparoscope body is provided with a telescopic sliding mechanism which is of a long strip-shaped structure;
an auxiliary clamp mechanism is arranged on the right side in the telescopic sliding mechanism;
and a clamp replacing structure and a clamping head angle adjusting structure are arranged at the bottom of the auxiliary clamp mechanism.
The telescopic sliding mechanism comprises:
the sliding tubes are arranged into two groups, and the two groups of sliding tubes are arranged on the outer curved side surface of the laparoscope main body through sliding connection;
the clamping hoop is of a hinged double-flap structure and is fixedly connected to the right side of the sliding pipe;
and the number of the fastening bolts is two, and the fastening bolts are connected with the right side of the clamping hoop through threads.
Preferably, the auxiliary clamp mechanism includes:
the outer pipe is connected and arranged on the inner curved side surface of the clamping hoop in an interference fit manner;
the bottom threaded pipe is fixedly connected to the bottom end of the outer pipe, the diameter of the bottom threaded pipe is smaller than that of the outer pipe, and the outer curved side surface of the bottom threaded pipe is fixedly connected with threads;
the limiting pipe is fixedly connected to the bottom end of the inner side of the bottom threaded pipe, and a vertical circular through hole is formed in the center of the limiting pipe;
the groove is fixedly connected to the bottom end of the limiting pipe;
the limiting grooves are arranged in three groups, and vertically penetrate through the limiting pipes;
preferably, the auxiliary clamp mechanism includes:
the fixing ring is fixedly connected to the inner curved side surface of the outer tube; a circular through hole is arranged in the center of the fixing ring and is in sliding contact with the outer curved side surface of the middle rod;
the reset spring is fixedly connected to the top surface of the fixed ring, and the top of the reset spring is fixed with the curved side surface of the middle rod.
Preferably, the auxiliary clamp mechanism includes:
the middle rod is arranged on the inner side of the outer pipe, and the bottom of the middle rod is connected with the inner side of the circular through hole in the middle of the limiting pipe in a sliding mode;
the limiting pieces are arranged in three groups, and are fixedly connected to the curved side face of the bottom of the middle rod;
the fixing piece is fixedly connected to the bottom end of the middle rod, and the top surface of the fixing piece is fixed with the bottoms of the three groups of limiting pieces;
the threaded hole is vertically and fixedly connected to the center of the bottom surface of the fixing sheet;
preferably, the clip replacing structure includes:
the thread fixing pipe is arranged at the bottom of the bottom threaded pipe through thread connection, and the inner curved side surface of the thread fixing pipe is fixedly connected with threads;
the bottom hinge connecting pieces are arranged in two groups, and are fixedly connected to the bottom end surface of the thread fixing pipe;
the sliding threaded rod is vertically arranged in the threaded fixing tube through sliding connection, and the top of the sliding threaded rod is provided with an external curved side surface with threads;
the limiting ring is fixedly connected inside the sliding threaded rod;
the hinged connecting piece A is arranged at the bottom end of the sliding threaded rod through hinged connection;
the clamping seats are arranged at the bottoms of the two groups of bottom hinged sheets through hinged connection;
the sliding groove is fixedly connected inside the clamping seat, and the inner side of the sliding groove is in sliding connection with the sliding threaded rod;
preferably, the auxiliary clamp mechanism includes:
the bent bottom fins are arranged in two groups, and are fixedly connected to the bottom end face of the clamping base;
and the fixed clamping pieces are fixedly connected to the bottom ends of the two groups of bent bottom fins. The fixed clamping piece is of an arc-shaped sheet structure;
the movable clamping pieces are arranged on the inner sides of the two groups of bent bottom fins through hinge connection and are positioned above the fixed clamping pieces;
the connecting rod is fixedly connected to the rear end of the movable clamping piece, and the rear end of the connecting rod is hinged to the bottom of the hinge connecting piece A;
preferably, the clip replacing structure includes:
the fixed seat is fixedly connected to the rear end of the clamping seat, and the fixed seat and the sliding groove are positioned on the same horizontal line;
the hinged connecting piece B is arranged at the top end of the fixed seat through hinged connection;
the fixed hinge bolt transversely penetrates through the hinge joint of the hinge connecting piece B and the fixed seat;
the driven rod is arranged at the top end of the hinged connecting piece B through hinged connection, and the distance between the driven rod and the outer pipe is greater than the thickness of the clamping hoop;
the limiting sleeve is arranged on the outer curved side surface of the driven rod through sliding connection, and the right side of the limiting sleeve is fixedly connected to the outer curved side surface of the outer tube;
preferably, the angle adjusting structure of the clamping head further comprises:
the rack part is fixedly connected to the side surface of the top of the driven rod;
the fixed holding part is fixedly connected to the outer curved side surface of the top of the outer tube;
the movable holding part is arranged at the top of the inner side of the fixed holding part through hinged connection;
the angle modulation structure of the clamping head further comprises:
the top hinge piece is arranged at the left end of the movable holding part through hinge connection, and the bottom of the top hinge piece is hinged with the top end of the middle rod;
the damping rotating button is arranged at the right side vertical surface of the fixed holding part through hinged connection;
and the transmission gear is coaxially connected and arranged on the left side of the damping rotating button and is in meshed transmission with the rack part.
Compared with the prior art, the invention has the following beneficial effects:
1. according to the invention, through arranging the clamping head angle adjusting structure, the transmission gear coaxial with the clamping head can be rotated by screwing the damping rotating button, the driven rod is vertically limited through the limiting sleeve, so that the driven rod can be driven to vertically move by meshing the rack part, and the fixed seat hinged to the bottom of the driven rod can be driven to vertically move upwards by vertically moving the driven rod upwards, so that the fixed seat drives the rear end of the clamping seat to move, the whole horizontal angle of the clamping seat is deflected, and tissues with different angles can be clamped more conveniently; in the horizontal angle deflection process of the clamping seat, the sliding threaded rod can be controlled in the sliding groove, so that the horizontal angle deflection of the clamping seat does not affect the tissue clamping.
2. The clamp replacing structure is further arranged, the fixed hinge bolt is unscrewed, the fixed seat is separated from the driven rod, the thread fixing pipe is rotated, the thread fixing pipe can be separated from the bottom threaded pipe through the threads, the top of the sliding threaded rod can be synchronously separated from the threaded hole, the limiting groove and the limiting piece are used for limiting, the middle rod can be prevented from rotating to damage the hinged part when the thread fixing pipe is rotated, and the clamp head can be quickly and conveniently replaced through screwing of the threads.
3. The telescopic sliding mechanism is arranged, two groups of sliding tubes on the left side of the telescopic sliding mechanism are vertically sleeved and connected to the outer side of the rod part of the laparoscope main body, the outer tube can be placed into the inner curved side surface of the clamping hoop, after the clamping hoop is buckled, two sides of the clamping hoop are clamped tightly by screwing two groups of fastening bolts, the auxiliary clamp mechanism can be fixed, the auxiliary clamp mechanism can conveniently vertically extend and slide into a patient along the laparoscope, and the telescopic sliding mechanism is convenient to use quickly.
Drawings
FIG. 1 is a schematic top perspective view of an embodiment of an apparatus according to the present invention;
FIG. 2 is an enlarged view of a portion of FIG. 1 in accordance with an embodiment of the present invention;
FIG. 3 is a perspective view of an auxiliary clamping mechanism according to an embodiment of the present invention;
FIG. 4 is a schematic side-sectional bottom perspective view of a bottom threaded tube according to an embodiment of the present invention;
FIG. 5 is a schematic front side top perspective view of a clamping base according to an embodiment of the present invention;
FIG. 6 is a schematic rear side perspective view of the clamping base according to the embodiment of the present invention;
FIG. 7 is an enlarged view of a portion of B in FIG. 6 according to an embodiment of the present invention;
FIG. 8 is a schematic side sectional view of a fixed grip portion according to an embodiment of the present invention;
fig. 9 is a schematic bottom perspective view of the fixed grip portion according to the embodiment of the present invention.
In fig. 1 to 9, the correspondence between the part names or lines and the reference numbers is:
1. a single-hole platform;
101. a pressurization valve; 102. an instrument work port; 103. an incision support;
2. a laparoscope body;
3. a telescopic sliding mechanism;
301. a sliding tube; 302. a clamping hoop; 303. fastening a bolt;
4. an auxiliary clamp mechanism;
401. an outer tube; 4011. a bottom threaded tube; 4012. a limiting pipe; 4013. a groove; 4014. a limiting groove; 4015. a fixing ring; 4016. a reset spring; 402. a middle rod; 4021. a limiting sheet; 4022. a fixing sheet; 4023. a threaded hole; 403. fixing the pipe by screw threads; 4031. a bottom hinge tab; 4032. sliding the threaded rod; 4033. a limiting ring; 4034. a hinge connection A; 404. a clamping seat; 4041. a chute; 4042. bending the bottom fin; 4043. fixing the clamping sheet; 4044. a movable clamping piece; 4045. a connecting rod; 405. the angle adjusting structure of the clamping head; 4051. a fixed seat; 4052. a hinge connection B; 4053. fixing the hinge bolt; 4054. a driven lever; 4055. a limiting sleeve; 4056. a rack portion; 406. a fixed grip portion; 4061. a movable holding part; 4062. a top hinge; 4063. a damping knob; 4064. a transmission gear.
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.
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.
Referring to fig. 1 to 9, an embodiment of the present invention includes: an auxiliary clamp device for child hernia ligation based on a single-hole laparoscopic platform comprises a single-hole platform 1;
the single-hole platform 1 comprises two groups of pressure valves 101, an instrument working opening 102 and an incision supporting part 103, wherein the pressure valves 101 are fixedly connected to the outward curved side surface of the single-hole platform 1; the number of the instrument working ports 102 is three, and the instrument working ports 102 are arranged at the top of the single-hole platform 1; the cut supporting part 103 is fixedly connected to the bottom of the single-hole platform 1; the instrument working hole 102 with the largest diameter is arranged in the middle of the top surface of the single-hole platform 1, and a laparoscope body 2 is arranged in the instrument working hole; the right side of the laparoscope body 2 is provided with a telescopic sliding mechanism 3, and the telescopic sliding mechanism 3 is of a long strip-shaped structure; an auxiliary clamp mechanism 4 is arranged on the right side inside the telescopic sliding mechanism 3; the bottom of the auxiliary clamp mechanism 4 is provided with a clamp replacing structure and a clamping head angle adjusting structure 405.
As shown in fig. 2, the telescopic slide mechanism 3 includes: the sliding tubes 301, the number of the sliding tubes 301 is two, and the two groups of sliding tubes 301 are sleeved on the outer curved side surface of the laparoscope body 2 in a sliding connection manner; the clamping hoop 302 is of a hinged double-flap structure, and the clamping hoop 302 is fixedly connected to the right side of the sliding tube 301; fastening bolt 303, fastening bolt 303 sets up to two groups in quantity, fastening bolt 303 sets up in centre gripping hoop 302 right side through threaded connection, insert peritoneoscope main part 2 pole portion outside with the perpendicular cover of two sets of sliding tubes 301 on telescopic sliding mechanism 3 left, place outer tube 401 into centre gripping hoop 302 inside curve side, with centre gripping hoop 302 lock back, make centre gripping hoop 302 both sides press from both sides tightly through screwing up two sets of fastening bolt 303, can be to fixing carrying out supplementary clamp mechanism 4, the supplementary clamp mechanism 4 of being convenient for carries out the slip of vertically stretching out and drawing back.
The auxiliary clamp mechanism 4 includes: the outer pipe 401 is connected and arranged on the inner curved side surface of the clamping hoop 302 through interference fit; the bottom threaded pipe 4011 is fixedly connected to the bottom end of the outer pipe 401, the diameter of the bottom threaded pipe 4011 is smaller than that of the outer pipe 401, and the outer curved side face of the bottom threaded pipe 4011 is fixedly connected with threads; the limiting pipe 4012 is fixedly connected to the bottom end of the inner side of the bottom threaded pipe 4011, and a circular through hole is axially formed in the center of the limiting pipe 4012 and used for the middle rod 402 to penetrate through; the groove 4013 is fixedly connected to the bottom end of the limiting pipe 4012; the limiting grooves 4014 are arranged in three groups, and the limiting grooves 4014 are radially arranged in the limiting pipe 4012; as shown in fig. 8, it further comprises a fixing ring 4015, the fixing ring 4015 is fixedly connected to the inner curved side surface of the outer tube 401; a circular through hole is formed in the center of the fixing ring 4015 and used for the middle rod 402 to penetrate through and be connected in a sliding mode; reset spring 4016, reset spring 4016 fixed connection is in fixed ring 4015 top surface, and reset spring 4016 top and stem 402 fixed connection.
As shown in fig. 4, the clamp replacing structure includes: the middle rod 402 is arranged on the inner side of the outer tube 401, and the bottom of the middle rod 402 is connected with the inner side of the circular through hole in the middle of the limiting tube 4012 in a sliding mode; the limiting pieces 4021 are arranged in three groups, and the limiting pieces 4021 are fixedly connected to the curved side surface of the bottom of the middle rod 402 and correspond to the limiting grooves 4014 one to one; the fixing plate 4022 is fixedly connected to the bottom end of the middle rod 402, and the top surface of the fixing plate 4022 is fixed to the bottoms of the three sets of limiting plates 4021; a screw hole 4023, and the screw hole 4023 is provided at the center of the bottom surface of the fixing plate 4022.
Through unscrewing fixed hinge bolt 4053 to make fixing base 4051 and driven lever 4054 after separating, through rotating thread tightening pipe 403, can make thread tightening pipe 403 and end screwed pipe 4011 separate through the screw thread simultaneously, can make slip threaded rod 4032 top and screw hole 4023 carry out the synchronous separation, it is spacing through spacing groove 4014 and spacing piece 4021, prevent that well pole 402 from rotating when can making to rotate thread tightening pipe 403 and causing articulated part to damage, can carry out quick convenient the change to the tong head through the screw thread.
The auxiliary clamp mechanism 4 further includes: the thread fixing pipe 403 is arranged at the bottom of the bottom thread pipe 4011 in a threaded connection mode, and threads are fixedly connected to the inner curved side face of the thread fixing pipe 403; the bottom hinge pieces 4031 are arranged in two groups, and the bottom hinge pieces 4031 are fixedly connected to the bottom end surface of the thread fixing pipe 403; the sliding threaded rod 4032 is inserted into the bottom of the thread fixing tube 403 and is in sliding connection with the thread fixing tube 4032, and the top of the sliding threaded rod 4032 is provided with external threads and is in threaded connection with the threaded hole 4023; the limit ring 4033 is fixedly connected inside the sliding threaded rod 4032; the hinge connecting piece A4034, the hinge connecting piece A4034 is hinged with the bottom end of the sliding threaded rod 4032; the clamping bases 404 are arranged at the bottoms of the two groups of bottom hinge pieces 4031 through hinge connection; the sliding groove 4041, the sliding groove 4041 is fixedly connected to the inside of the holder 404, and the inner side of the sliding groove 4041 is slidably connected to the sliding threaded rod 4032.
As shown in fig. 6, the auxiliary clamp mechanism 4 further includes: the bent bottom fins 4042, the number of the bent bottom fins 4042 is two, and the bent bottom fins 4042 are fixedly connected to the bottom end surface of the clamping base 404; and the fixed clamping pieces 4043 are fixedly connected to the bottom ends of the two groups of bent bottom fins 4042. The fixed clamping piece 4043 is of an arc-shaped sheet structure; the movable clamping pieces 4044 are arranged on the inner sides of the two groups of bent bottom fins 4042 through hinged connection, and the movable clamping pieces 4044 are positioned above the fixed clamping 4043; and the connecting rod 4045 is fixedly connected with the rear end of the movable clamping piece 4044, and the rear end of the connecting rod 4045 is hinged with the bottom of the hinge connecting piece A4034. Through reset spring 4016 shrink, make well pole 402 vertical upward displacement, can drive rather than the perpendicular upwards slip of the slip threaded rod 4032 through threaded connection to make the perpendicular upwards angle that deflects of connecting rod 4045 that slip threaded rod 4032 bottom end hinge connects, thereby make the downward angle that deflects of activity centre gripping piece 4044 of connecting rod 4045 front end, make activity centre gripping piece 4044 carry out the centre gripping laminating with fixed centre gripping piece 4043, thereby carry out automatic convenient centre gripping to the tissue.
The clamping head recliner structure 405 includes: the fixed seat 4051, the fixed seat 4051 is fixedly connected to the rear end of the clamping seat 404, and the fixed seat 4051 and the chute 4041 are in the same horizontal plane; the hinged connecting piece B4052 is arranged at the top end of the fixed seat 4051 through hinged connection; the fixed hinge bolt 4053 is transversely arranged at the hinge joint of the hinge connecting piece B4052 and the fixed seat 4051 in a penetrating manner and used for fixing the hinge connecting piece B4052 and the fixed seat 4051; a driven rod 4054, the driven rod 4054 is arranged at the top end of the hinge joint B4052 through hinge joint, and the distance between the driven rod 4054 and the outer tube 401 is larger than the thickness of the clamping hoop 302; the limiting sleeve 4055 is sleeved on the outer curved side surface of the driven rod 4054 in a sliding connection mode, and the right side of the limiting sleeve 4055 is fixedly connected to the outer curved side surface of the outer pipe 401; a rack portion 4056, the rack portion 4056 being fixedly attached to the top side surface of the driven rod 4054; and a fixed grip 406.
The fixed holding part 406 is fixedly connected to the outer curved side surface of the top of the outer tube 401, and further comprises a movable holding part 4061, and the movable holding part 4061 is arranged at the top of the inner side of the fixed holding part 406 through hinge connection; a top hinge 4062, wherein the top hinge 4062 is arranged at the left end of the movable holding part 4061 through hinge connection, and the bottom of the top hinge 4062 is hinged with the top end of the middle rod 402; the damping rotating button 4063 is arranged on the right vertical surface of the fixed holding part 406 through hinging; drive gear 4064, drive gear 4064 sets up in damping turning knob 4063 left side through coaxial coupling, drive gear 4064 and rack portion 4056 meshing transmission, can make rather than coaxial drive gear 4064 rotate through twisting damping turning knob 4063, it is perpendicular spacing to driven lever 4054 through spacing collar 4055, thereby can drive driven lever 4054 vertical migration by the meshing of rack portion 4056, through the vertical upward displacement of driven lever 4054, can drive the vertical upward displacement of articulated fixing base 4051 in driven lever 4054 bottom, thereby make fixing base 4051 drive the displacement of grip slipper 404 rear end, make the whole angle of grip slipper 404 deflect, grip slipper 404 angle deflection in-process, slip threaded rod 4032 can be about in spout 4041 is inside, make the horizontal angle deflection of grip slipper 404 not influence simultaneously and organize the centre gripping.
The working principle of the embodiment is as follows: when the device is used, firstly, after the abdominal part of a patient is subjected to opening treatment, the single-hole platform 1 is installed at the abdominal wound of the patient, the incision supporting part 103 is inserted into the inner side of an operation wound for supporting, two groups of sliding tubes 301 at the left side of the telescopic sliding mechanism 3 are vertically sleeved into the outer side of the rod part of the laparoscope main body 2, the outer tube 401 is placed into the inner curved side surface of the clamping hoop 302, after the clamping hoop 302 is buckled, two groups of fastening bolts 303 are screwed down to clamp two sides of the clamping hoop 302, the auxiliary clamp mechanism 4 is fixed, the auxiliary clamp mechanism 4 can be telescopically slid by dragging the telescopic sliding mechanism 3, firstly, the laparoscope main body 2 is inserted into the abdominal cavity of the patient to be observed, when the internal tissue is required to be clamped, the auxiliary clamp mechanism 4 can be slid downwards to the lower part of the instrument working hole 102 to quickly enter the body of the patient by dragging the telescopic sliding mechanism 3, the damping rotating button 4063 is screwed to rotate the transmission gear 4064 which is coaxial with the damping rotating button 4063, the motion track of the driven rod 4054 is limited by the limiting sleeve 4055, the driven rod 4054 is driven to move by the meshing of the rack portion 4056, the driven rod 4054 is driven to move upwards by the upward displacement of the driven rod 4054, the fixed seat 4051 hinged at the bottom of the driven rod 4054 is driven to move upwards, the fixed seat 4051 drives the rear end of the clamping seat 404 to move, the whole horizontal angle of the clamping part is deflected, the middle rod 402 moves upwards by the contraction of the reset spring 4016, the sliding threaded rod 4032 connected with the middle rod 402 by the thread can be driven to slide upwards, the connecting rod 4045 hinged at the bottom end of the sliding threaded rod 4032 deflects upwards, the movable clamping piece 4044 at the front end of the connecting rod 4045 deflects downwards by the angle by the lever principle, the movable clamping piece 4044 is clamped and attached to the fixed clamping piece 4043, and the tissue is automatically and conveniently clamped, through unscrewing fixed hinge bolt 4053 to make fixing base 4051 and driven lever 4054 after separating, through rotating thread tightening pipe 403, can make thread tightening pipe 403 and end screwed pipe 4011 separate through the screw thread simultaneously, can make slip threaded rod 4032 top and screw hole 4023 carry out the synchronous separation, it is spacing through spacing groove 4014 and spacing piece 4021, prevent that well pole 402 from rotating when can making to rotate thread tightening pipe 403 and causing articulated part to damage, can carry out quick convenient the change to the tong head through the screw thread.
It will be evident to those skilled in the art that the invention is not limited to the details of the foregoing illustrative embodiments, and that the present invention may be embodied in other specific forms without departing from the spirit or essential attributes thereof. The present embodiments are therefore to be considered in all respects as illustrative and not restrictive, the scope of the invention being indicated by the appended claims rather than by the foregoing description, and all changes which come within the meaning and range of equivalency of the claims are therefore intended to be embraced therein. Any reference sign in a claim should not be construed as limiting the claim concerned.
Claims (5)
1. The utility model provides a supplementary clamp device of child's hernia ligation based on haplopore peritoneoscope platform which characterized in that: comprises a single-hole platform (1);
the single-hole platform (1) comprises two groups of pressurizing valves (101), an instrument working port (102) and an incision supporting part (103), wherein the pressurizing valves (101) are fixedly connected to the outward-bent side surface of the single-hole platform (1); the number of the instrument working openings (102) is three, and the instrument working openings (102) are arranged at the top of the single-hole platform (1); the cut supporting part (103) is fixedly connected to the bottom of the single-hole platform (1);
a laparoscope main body (2) penetrates through the middle part of the top surface of the single-hole platform (1) and the largest instrument working opening (102) in diameter;
the right side of the laparoscope body (2) is provided with a telescopic sliding mechanism (3), and the telescopic sliding mechanism (3) is of a long strip-shaped structure; the telescopic sliding mechanism (3) comprises: the number of the sliding tubes (301) is two, and the two groups of sliding tubes (301) are arranged on the outer curved side surface of the laparoscope main body (2) through sliding connection; the clamping hoop (302), the clamping hoop (302) is a hinged double-flap structure, and the clamping hoop (302) is fixedly connected to the right side of the sliding pipe (301); the number of the fastening bolts (303) is two, and the fastening bolts (303) are connected with the right side of the clamping hoop (302) through threads;
an auxiliary clamp mechanism (4) is arranged on the right side inside the telescopic sliding mechanism (3);
the bottom of the auxiliary clamp mechanism (4) is provided with a clamp replacing structure and a clamping head angle adjusting structure (405); the clip replacing structure includes: the outer pipe (401) is connected and arranged on the inner curved side surface of the clamping hoop (302) in an interference fit manner; the bottom threaded pipe (4011), the bottom threaded pipe (4011) is fixedly connected to the bottom end of the outer pipe (401), the diameter of the bottom threaded pipe (4011) is smaller than that of the outer pipe (401), and the outer curved side face of the bottom threaded pipe (4011) is fixedly connected with threads; the limiting pipe (4012), the limiting pipe (4012) is fixedly connected to the bottom end of the inner side of the bottom threaded pipe (4011), and a vertical circular through hole is formed in the center of the limiting pipe (4012); the groove (4013), the groove (4013) is fixedly connected to the bottom end of the spacing tube (4012); the limiting grooves (4014), the number of the limiting grooves (4014) is three, and the limiting grooves (4014) vertically penetrate through the limiting pipe (4012); the clip replacing structure further includes: the thread fixing pipe (403), the thread fixing pipe (403) is connected to the bottom of the bottom thread pipe (4011) through threads, and the inner curved side surface of the thread fixing pipe (403) is fixedly connected with threads; the number of the bottom hinge connecting pieces (4031) is two, and the bottom hinge connecting pieces (4031) are fixedly connected to the bottom end surface of the thread fixing pipe (403); the sliding threaded rod (4032), the sliding threaded rod (4032) is vertically arranged inside the thread fixing tube (403) through sliding connection, and the top of the sliding threaded rod (4032) is provided with a thread on the outer curved side surface;
the clamping head angle modulation structure (405) comprises: the fixing seat (4051), the fixing seat (4051) is fixedly connected to the rear end of the clamping seat (404), and the fixing seat (4051) and the sliding groove (4041) are in the same horizontal line; the hinged connecting piece B (4052) is arranged at the top end of the fixed seat (4051) through hinged connection; the fixed hinge bolt (4053) transversely penetrates through the hinged part B (4052) and the hinged part of the fixed seat (4051); the driven rod (4054), the driven rod (4054) is set up in the top of the articulated connecting piece B (4052) through the hinge joint, the distance between outer tube (401) and the driven rod (4054) is greater than the thickness of the clamping hoop (302); the limiting sleeve (4055), the limiting sleeve (4055) is arranged on the outer curved side face of the driven rod (4054) through sliding connection, and the right side of the limiting sleeve (4055) is fixedly connected to the outer curved side face of the outer pipe (401); a rack portion (4056), the rack portion (4056) being fixedly connected to the top side surface of the driven rod (4054); the fixed holding part (406), the fixed holding part (406) is fixedly connected to the outer curved side surface of the top of the outer tube (401); the movable holding part (4061), the movable holding part (4061) is arranged at the top of the inner side of the fixed holding part (406) through hinge connection;
the clamping head angle modulation structure (405) further comprises: the top hinge piece (4062), the top hinge piece (4062) is arranged at the left end of the movable holding part (4061) through hinge connection, and the bottom of the top hinge piece (4062) is hinged with the top end of the middle rod (402); the damping rotating button (4063), the damping rotating button (4063) is arranged at the right side vertical surface of the fixed holding part (406) through hinged connection; and the transmission gear (4064), the transmission gear (4064) is arranged on the left side of the damping rotating button (4063) through coaxial connection, and the transmission gear (4064) is meshed with the rack portion (4056) for transmission.
2. The auxiliary clamp device for pediatric hernia ligation based on haplopore laparoscopic platform as claimed in claim 1, wherein said auxiliary clamp mechanism (4) comprises:
the fixing ring (4015) is fixedly connected to the inner curved side surface of the outer tube (401); a circular through hole is formed in the center of the fixing ring (4015) and is in sliding contact with the outer curved side face of the middle rod (402);
reset spring (4016), reset spring (4016) fixed connection in solid fixed ring (4015) top surface, reset spring (4016) top is fixed mutually with well pole (402) curved side.
3. The auxiliary clamp device for pediatric hernia ligation based on haplopore laparoscopic platform as claimed in claim 2, wherein said auxiliary clamp mechanism (4) further comprises:
the middle rod (402) is arranged on the inner side of the outer tube (401), and the bottom of the middle rod (402) is connected with the inner side of the circular through hole in the middle of the limiting tube (4012) in a sliding mode;
the limiting pieces (4021) are arranged in three groups, and the limiting pieces (4021) are fixedly connected to the curved side surface of the bottom of the middle rod (402);
the fixing plate (4022), the fixing plate (4022) is fixedly connected to the bottom end of the middle rod (402), and the top surface of the fixing plate (4022) is fixed with the bottoms of the three sets of limiting plates (4021);
and the threaded hole (4023), and the threaded hole (4023) is vertically and fixedly connected to the center of the bottom surface of the fixing plate (4022).
4. The auxiliary clamping device for pediatric hernia ligation based on haplopore laparoscopic platform as claimed in claim 3, wherein said auxiliary clamping mechanism (4) comprises:
the limiting ring (4033), the limiting ring (4033) is fixedly connected to the inside of the sliding threaded rod (4032);
the hinge connecting piece A (4034), the hinge connecting piece A (4034) is arranged at the bottom end of the sliding threaded rod (4032) through hinge connection;
the clamping seats (404) are arranged at the bottoms of the two groups of bottom hinge plates (4031) through hinge connection;
the sliding groove (4041), the sliding groove (4041) is fixedly connected inside the clamping seat (404), and the inner side of the sliding groove (4041) is connected with the sliding threaded rod (4032) in a sliding mode.
5. The auxiliary clamp device for pediatric hernia ligation based on haplopore laparoscopic platform as claimed in claim 4, wherein said auxiliary clamp mechanism (4) further comprises:
the number of the bent bottom fins (4042) is two, and the bent bottom fins (4042) are fixedly connected to the bottom end face of the clamping seat (404);
the fixed clamping pieces (4043) are fixedly connected to the bottom ends of the two groups of bent bottom fins (4042); the fixed clamping piece (4043) is of an arc-shaped sheet structure;
the movable clamping pieces (4044) are arranged on the inner sides of the two groups of bent bottom fins (4042) through hinged connection, and the movable clamping pieces (4044) are positioned above the fixed clamping pieces (4043);
the connecting rod (4045) is fixedly connected to the rear end of the movable clamping piece (4044), and the rear end of the connecting rod (4045) is hinged to the bottom of the hinged connecting piece A (4034).
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110846157.6A CN113598866B (en) | 2021-07-26 | 2021-07-26 | Auxiliary clamp device for child hernia ligation based on single-port laparoscopic platform |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110846157.6A CN113598866B (en) | 2021-07-26 | 2021-07-26 | Auxiliary clamp device for child hernia ligation based on single-port laparoscopic platform |
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| CN113598866B true CN113598866B (en) | 2022-08-09 |
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| CN108836449A (en) * | 2018-07-04 | 2018-11-20 | 昆明市延安医院 | A kind of Minimally Invasive Surgery instrument for treating children's hernia |
| CN112426213B (en) * | 2020-12-09 | 2023-05-30 | 淮北市人民医院 | Equipment for pediatric hernia laparoscopic surgery |
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| CN101711688A (en) * | 2008-09-30 | 2010-05-26 | 伊西康内外科公司 | Surgical access device with protective element |
| CN102613996A (en) * | 2012-04-18 | 2012-08-01 | 上海英诺伟微创医疗器械有限公司 | Invisible endoscopic channel for multichannel flexible single-hole abdominal cavity minimally invasive surgery |
| CN209678612U (en) * | 2019-01-14 | 2019-11-26 | 青岛德迈迪医疗科技有限公司 | Spacing-type laparoscope plastics Clip Applier binding clip |
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| CN113598866A (en) | 2021-11-05 |
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