CN113662679A - Smoke exhaust system for single-port laparoscopic surgery and operation method thereof - Google Patents
Smoke exhaust system for single-port laparoscopic surgery and operation method thereof Download PDFInfo
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- CN113662679A CN113662679A CN202111028080.8A CN202111028080A CN113662679A CN 113662679 A CN113662679 A CN 113662679A CN 202111028080 A CN202111028080 A CN 202111028080A CN 113662679 A CN113662679 A CN 113662679A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/007—Aspiration
- A61B2218/008—Aspiration for smoke evacuation
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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
Abstract
The invention discloses a smoke exhaust system for a single-hole laparoscopic surgery and an operation method thereof, and relates to the technical field of single-hole laparoscopic surgeries.
Description
Technical Field
The invention relates to the technical field of single-port laparoscopic surgery, in particular to a smoke exhaust system for single-port laparoscopic surgery and an operation method thereof.
Background
The transumbilical single-hole laparoscopic surgery is the international leading minimally invasive technique, surgical instruments and equipment enter an abdominal cavity through an umbilical hole in the surgery, an operation incision is shielded by using a cord wall, and the transumbilical single-hole laparoscopic technique is that after four holes, three holes and two holes are changed into one hole in the traditional laparoscopic surgery, an angle is changed into zero, new challenges are provided for a primary knife doctor on experience and skill, and only a few hospitals in China can master the technique in a mature manner. Compared with the traditional laparoscopic abdominal minimally invasive surgery, the transumbilical single-port laparoscopic minimally invasive technique has the characteristics of outstanding minimally invasive property, safety, economy, aesthetic property, less pain after the surgery and the like.
Aiming at the single-port laparoscopic surgery, harmful smoke is generated in the abdominal cavity during the surgery, and is accumulated in the abdominal cavity of a human body to obstruct the view field of the surgery, so that the harmful smoke needs to be exhausted, and the auxiliary smoke exhausting device used for the single-port laparoscopic surgery at present has the following defects: (1) the smoke outlet and the air inlet are relatively close to each other, clean gas which just enters from the air inlet is easy to exit from the smoke outlet, gas circulation cannot be formed, and the smoke exhaust effect is poor; (2) aiming at the single-port laparoscopic surgery, when an internal smoke exhaust pipe is adopted, the tail end of the smoke exhaust pipe is not provided with a positioning and fixing device, the smoke exhaust pipe cannot reach the optimal smoke exhaust position, and the operation of surgical instruments is greatly hindered and interfered.
Disclosure of Invention
The invention aims to provide a smoke exhaust system for a single-port laparoscopic surgery and an operation method thereof, and solves the technical problems that an existing smoke exhaust device for the single-port laparoscopic surgery is poor in smoke exhaust effect, and the tail end of a smoke exhaust pipe is difficult to position and fix.
In order to solve the technical problems, the invention adopts the following technical scheme:
the utility model provides a haplopore peritoneoscope operation is with system of discharging fume, including haplopore admission platform, the pipe of discharging fume, magnetism traction piece and draw gear, haplopore admission platform bottom opening, the pipe middle section of discharging fume is located haplopore admission platform, the pipe end of discharging fume stretches out haplopore admission platform bottom opening and stretches into human abdominal cavity, the pipe of discharging fume stretches into one section of end of human abdominal cavity and has seted up a plurality of gas pockets, magnetism traction piece sets up the end that stretches into human abdominal cavity at the pipe of discharging fume, draw gear is used for producing magnetic adsorption to magnetism traction piece, draw gear can pull the magnetism traction piece to human abdominal cavity inner wall and correspond the position.
According to a further technical scheme, a lead needle is arranged inside one side, close to the magnetic traction block, of the smoke exhaust pipe, a needle head of the lead needle extends out of the smoke exhaust pipe, the lead needle can be adsorbed and fixed by the magnetic traction block, the tail end, extending out of the smoke exhaust pipe, of the lead needle is connected with a traction wire, the other end of the traction wire is connected to the tail end of the smoke exhaust pipe, and the lead needle has a radian.
According to a further technical scheme, the traction device comprises a magnet block, and a non-woven fabric layer is arranged on the top surface of the magnet block.
The further technical scheme is that the top of the non-woven fabric layer and/or the bottom of the magnetic traction block are/is provided with an adhesive layer, and the adhesive layer is used for being adhered to the outer surface of the abdominal wall of a human body.
The further technical scheme is that the magnetic traction block is made of neodymium magnets, and the shape of the magnetic traction block is an ellipsoid or a sphere.
According to a further technical scheme, the smoke exhaust pipe comprises a first air pipe, one end of the first air pipe is connected with the magnetic traction block, the other end of the first air pipe is integrally connected to the top of the single-hole access platform and stretches out of one section, and one section of the first air pipe stretching out of the single-hole access platform is detachably connected with a second air pipe.
The further technical scheme is that the tail end of the smoke exhaust pipe, which is positioned outside the single-hole access platform, is connected with a negative pressure suction device, and a section of the smoke exhaust pipe, which is close to the negative pressure suction device, is provided with a flow regulating valve.
The further technical scheme is that the tail end of the smoke exhaust pipe extending into the abdominal cavity of the human body is connected with an accommodating pipe, the magnetic traction block is arranged in the accommodating pipe, and the shape of the accommodating pipe is the same as that of the magnetic traction block.
According to a further technical scheme, the single-hole access platform comprises a sealing cap, a plurality of operation pipe orifices are formed in the top of the sealing cap, an incision protection sleeve is arranged at the bottom of the sealing cap, an opening is formed in the bottom of the incision protection sleeve, and the incision protection sleeve is used for extending into the abdominal cavity of a human body.
An operation method of a smoke exhausting system for single-port laparoscopic surgery is characterized by comprising the following steps:
step S1: the lower section of the single-hole access platform extends into the abdominal cavity of the human body through the navel of the human body, so that the sections of the smoke exhaust pipes positioned below the single-hole access platform extend into the abdominal cavity of the human body;
step S2: judging the thickness of the abdominal wall of the patient, if the thickness of the abdominal wall of the patient is lower than a standard value, selecting a traction device and bonding the traction device at a corresponding position on the outer surface of the abdominal wall of the human body, enabling a magnetic traction block to be adsorbed to the inner wall of the corresponding position of the abdominal wall of the human body under the magnetic adsorption effect of the traction device, enabling a smoke exhaust pipe to be unfolded along with the traction block, positioning and fixing the tail end of the smoke exhaust pipe, if the thickness of the abdominal wall of the patient is higher than the standard value, pulling out the tail end of the smoke exhaust pipe to the corresponding position of the abdominal wall of the human body, pulling out a lead needle and part of traction wires to penetrate through the abdominal wall of the human body, cutting off the lead needle and tensioning the traction wires, and fixing the tail end of the smoke exhaust pipe through the traction wires;
step S3: after the tail end of the smoke exhaust pipe is fixed, the laparoscope and the surgical instruments are stretched into the abdominal cavity of the human body through the corresponding surgical pipe openings to carry out surgical operation, the negative pressure suction device is started timely, and harmful smoke generated in the abdominal cavity of the human body during the surgery is extracted out through the smoke exhaust pipe.
Compared with the prior art, the invention has the beneficial effects of at least one of the following:
1. the invention can automatically adsorb and draw the magnetic traction block to the corresponding position of the inner wall of the abdominal cavity of a human body through the traction device, the smoke exhaust pipe is automatically unfolded, the tail end of the smoke exhaust pipe is fixed, the tail end of the smoke exhaust pipe is quickly positioned and fixed, smoke enters the smoke exhaust pipe through the air hole to be discharged, the process has low technical requirements on operators, the operation difficulty is further reduced, the smoke exhaust pipe is accurately positioned, the safety is improved, the practicability is high, meanwhile, the air hole is arranged at the tail end of the smoke exhaust pipe, which is far away from the single-hole access platform, the air hole is prevented from being separated from the air inlet on the single-hole access platform too closely to influence the gas circulation, and the smoke exhaust effect is ensured.
2. The invention also provides a lead needle in one side of the smoke exhaust pipe close to the magnetic traction block, when the thickness of the abdominal wall of a patient is larger, the magnetic adsorption force of the traction device on the magnetic traction block is correspondingly reduced, at the moment, the lead needle and part of the traction line penetrate out of the abdominal wall of the patient, the traction line is tensioned and fixed from the outside, and thus the tail end of the smoke exhaust pipe is fixed through the traction line.
Drawings
FIG. 1 is a schematic structural view of a smoke evacuation system for a single port laparoscopic surgery according to the present invention;
FIG. 2 is a schematic structural diagram of another embodiment of the present invention;
FIG. 3 is a schematic structural view of the present invention when a thread-leading needle is passed out of the abdominal wall of a human body to fix a smoke-discharging tube;
FIG. 4 is a schematic view of a portion of the enlarged structure at A in FIG. 1;
fig. 5 is a schematic structural view of the traction device of the present invention.
Icon: 110-single-hole access platform, 111-sealing cap, 112-operation tube mouth, 113-incision protective sleeve, 120-smoke exhaust tube, 121-first air tube, 1211-air hole, 122-second air tube, 130-magnetic traction block, 140-traction device, 141-magnet block, 142-non-woven fabric layer, 150-lead needle, 160-traction line, 170-adhesive layer, 180-negative pressure suction apparatus, 190-flow regulating valve and 210-containing tube.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, 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 some, but not all, embodiments of the present invention. The components of embodiments of the present invention generally described and illustrated in the figures herein may be arranged and designed in a wide variety of different configurations.
Thus, the following detailed description of the embodiments of the present invention, presented in the figures, is not intended to limit the scope of the invention, as claimed, but is merely representative of selected embodiments of the invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
It should be noted that: like reference numbers and letters refer to like items in the following figures, and thus, once an item is defined in one figure, it need not be further defined and explained in subsequent figures.
In the description of the embodiments of the present invention, it should be noted that, if the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc. indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings or the orientations or positional relationships that the products of the present invention are usually placed in when used, the orientations or positional relationships are only used for convenience of describing the present invention and simplifying the description, but the terms do not indicate or imply that the devices or elements indicated must have specific orientations, be constructed in specific orientations, and operate, and therefore, should not be construed as limiting the present invention. Furthermore, the terms "first," "second," "third," and the like are used solely to distinguish one from another and are not to be construed as indicating or implying relative importance.
Furthermore, the terms "horizontal", "vertical", "overhang" and the like do not require that the components be absolutely horizontal or overhang, but may be slightly inclined. For example, "horizontal" merely means that the direction is more horizontal than "vertical" and does not mean that the structure must be perfectly horizontal, but may be slightly inclined.
In the description of the embodiments of the present invention, "several" represents at least 2.
In the description of the embodiments of the present invention, it should be further noted that unless otherwise explicitly stated or limited, the terms "disposed," "mounted," "connected," and "connected" should be interpreted broadly, and may be, for example, fixedly connected, detachably connected, or integrally connected; can be mechanically or electrically connected; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meanings of the above terms in the present invention can be understood by those skilled in the art according to specific situations.
Example 1
Referring to fig. 1 to 5, the present embodiment provides a smoke evacuation system for a single-port laparoscopic surgery, including a single-port access platform 110, a smoke evacuation tube 120, a magnetic traction block 130 and a traction device 140, wherein the bottom of the single-port access platform 110 is open, the single-port access platform 110 is used for installation and operation of a laparoscope, surgical instruments, various pipelines, and the like, the middle section of the smoke evacuation tube 120 is located in the single-port access platform 110, the end of the smoke evacuation tube 120 extends out of the bottom opening of the single-port access platform 110 and extends into the abdominal cavity of a human body, a section of the end of the smoke evacuation tube 120 extending into the abdominal cavity of the human body is provided with a plurality of air holes 1211, the magnetic traction block 130 is disposed at the end of the smoke evacuation tube 120 extending into the abdominal cavity of the human body, the traction device 140 is used for generating magnetic adsorption on the magnetic traction block 130, and the traction device 140 can pull the magnetic traction block 130 to a corresponding position on the inner wall of the abdominal cavity of the human body.
At present, when a single-hole laparoscopic surgery is performed, the single-hole access platform 110 extends into an abdominal cavity through a navel of a human body, a smoke exhaust port and an air inlet on the single-hole access platform 110 are relatively close to each other, so that smoke exhaust is not smooth, the smoke exhaust pipe 120 is inserted, the end, far away from the single-hole access platform 110, of the smoke exhaust pipe 120 is provided with a plurality of air holes 1211, smoke can enter the smoke exhaust pipe 120 from the air holes 1211 during smoke exhaust and is finally exhausted from the other end of the smoke exhaust pipe 120, and the air holes 1211 are far away from the air inlet (not shown in the figure) on the single-hole access platform 110, so that the air circulation is not influenced, and the smoke exhaust effect is ensured.
Secondly, when the smoke exhaust pipe 120 is adopted, the end position of the smoke exhaust pipe 120 needs to be positioned and fixed according to the operation position, so that the air hole 1211 is positioned at the corresponding position to facilitate air exhaust, and only one hole of the navel can be opened aiming at the single-hole laparoscopic operation, if the smoke exhaust pipe 120 is fixed from the outside by performing secondary operation at the corresponding position of the abdomen of a patient, the operation difficulty is high, the operation is troublesome, the secondary wound of the patient is increased, and the principle of the single-hole laparoscopic operation is violated, so that the positioning and fixing of the end of the smoke exhaust pipe 120 become a new problem, based on the problem, the invention arranges the magnetic traction block 130 at the end of the smoke exhaust pipe 120, additionally arranges the traction device 140 capable of generating magnetic adsorption on the magnetic traction block 130, and can automatically adsorb and draw the magnetic traction block 130 to the corresponding position of the inner wall of the abdominal cavity of the human body through the traction device 140, so that the smoke exhaust pipe 120 automatically unfolds and the end is fixed, the tail end of the smoke exhaust pipe 120 is quickly positioned and fixed, the tail end of the smoke exhaust pipe 120 can be fixed from the outside, secondary operation is not needed, the idea of single-port laparoscopic surgery is met, a foundation is laid for effective implementation of the smoke exhaust pipe 120, the process has low technical requirements on operators, the operation difficulty is further reduced, the tail end of the smoke exhaust pipe 120 is accurately positioned, the safety is improved, and the practicability is high, so that the smoke exhaust pipe has high clinical popularization value in the field of single-port laparoscopic surgery.
It should be noted that, a section of the smoke exhaust pipe 120 extending into the abdominal cavity of the human body 3-5cm away from the end is provided with a plurality of air holes 1211, the number of the air holes 1211 is generally 3-5, the distance is uniform, and the air holes 1211 are spirally distributed along the length direction of the smoke exhaust pipe 120, so that the smoke in the circumferential direction of the smoke exhaust pipe 120 can be adsorbed in all directions, and the smoke exhaust is ensured to be fully performed. The single-hole access platform 110 is made of transparent materials, so that operation observation is facilitated.
As an alternative embodiment, a wire leading needle 150 is arranged inside one side of the smoke exhaust pipe 120 close to the magnetic traction block 130, the needle head of the wire leading needle 150 extends out of the smoke exhaust pipe 120, the wire leading needle 150 can be fixed by the magnetic traction block 130 in an adsorption manner, the tail end of the wire leading needle 150 extending out of the smoke exhaust pipe 120 is connected with a wire leading wire 160, the other end of the wire leading wire 160 is connected to the tail end of the smoke exhaust pipe 120, and the wire leading needle 150 has a radian.
In this embodiment, the lead needle 150 is further disposed inside the side of the smoke exhaust tube 120 close to the magnetic traction block 130, when the thickness of the abdominal wall of the patient is large, the magnetic adsorption effect of the traction device 140 on the magnetic traction block 130 is reduced, that is, the end of the smoke exhaust tube 120 is not stably fixed, at this time, the lead needle 150 and a part of the traction wire 160 can penetrate out of the abdominal wall of the patient through the opening at the corresponding position of the abdominal wall, the traction wire 160 is tightened and fixed from the outside, the traction wire 160 can be fixed by using a separate fixing device (generally a clip), so that the end of the smoke exhaust tube 120 is tightened and fixed on the inner wall of the abdominal cavity by the traction wire 160, the arrangement of the lead needle 150 can be used as a standby surgical scheme, mainly aiming at the case of more abdominal fat of the patient, therefore, the fixing mode of the end of the smoke exhaust tube 120 of the present invention can be flexibly selected according to specific situations, can be suitable for patients with different body conditions and has good universality.
It should be noted that the magnetic traction block 130 itself has a certain adsorption effect on the lead needle 150, and prevents the lead needle 150 from shaking randomly when the smoke exhaust tube 120 extends out of the abdominal cavity of the human body or during the positioning and moving process, so the arrangement of the magnetic traction block 130 also plays a role in establishing the feasibility of additionally arranging the lead needle 150 as an alternative surgical scheme, when the lead needle 150 is pulled out, the needle head of the lead needle 150 extending out of the smoke exhaust tube 120 is clamped by using a tool and then pulled out, the operation difficulty is low, meanwhile, the lead needle 150 with the radian can be beneficial to being pulled out in a clockwise manner, and the smoke exhaust tube 120 is prevented from being punctured when the long and straight lead needle 150 is pulled out, the structural design is flexible and ingenious, and the feasibility is high.
As an alternative embodiment, the traction device 140 includes a magnet block 141, and a non-woven fabric layer 142 is disposed on the top surface of the magnet block 141. The magnet block 141 is generally 5 × 5cm in size depending on the usage environment. The non-woven fabric is also called non-woven fabric, needle-punched cotton, needle-punched non-woven fabric and the like, is produced by adopting polyester fiber and polyester fiber (PET for short) material, can be manufactured by a needle-punching process, has different thicknesses, handfeel, hardness and the like, has the characteristics of moisture resistance, ventilation, flexibility, light weight, flame retardance, no toxicity, no odor, low price, recycling and the like, is suitable for medical environment, and keeps the cleanness of the magnet block 141.
As an alternative embodiment, the top of the non-woven fabric layer 142 and/or the bottom of the magnetic traction block 130 is provided with an adhesive layer 170, and the adhesive layer 170 is used for adhering to the outer surface of the human abdominal wall. Can fix whole draw gear 140 bonding at human abdominal cavity outer wall corresponding position through adhesive linkage 170, prevent that magnet piece 141 from being touched and the offset in operation in-process to guarantee that the usable magnetic adsorption of magnet piece 141 fixes magnetism traction block 130, thereby make and also fix after the pipe 120 expandes of discharging fume, realize fixing the pipe of discharging fume from the outside, the design is nimble ingenious, greatly reduced the operation degree of difficulty.
It should be noted that, the adhesive layer 170 may be a double-sided tape or other medical adhesive tape, when in use, when the adhesive layer 170 is disposed on the top of the non-woven fabric layer 142, the medical adhesive tape (as shown in fig. 2) is generally used, and the adhesive layer 170 is disposed on the bottom of the magnetic traction block 130, the double-sided tape (as shown in fig. 1) is generally used.
As an alternative embodiment, the magnetic traction block 130 is made of neodymium magnet, the neodymium magnet is a tetragonal crystal formed by neodymium, iron and boron (Nd2Fe14B), all directions are magnetic and corrosion resistant, strong adsorption fit can be formed with the magnet block 141, and the shape of the magnetic traction block 130 is an ellipsoid or a sphere to avoid secondary damage to the inside of the human body due to edges and corners.
As an optional embodiment, the smoke exhaust pipe 120 includes a first air pipe 121, one end of the first air pipe 121 is connected to the magnetic traction block 130, the other end of the first air pipe 121 is integrally connected to the top of the single-hole access platform 110 and extends out of one section, and one section of the first air pipe 121 extending out of the single-hole access platform 110 is detachably connected to a second air pipe 122.
Through the one end body coupling with first trachea 121 at haplopore income way platform 110 top, only need stretch out one section at haplopore income way platform 110 top at first trachea 121 during every use assemble the second trachea 122 can, need not all to stretch into haplopore income way platform 110 with whole tub 120 of discharging fume and install at every turn, simplify operation flow and the degree of difficulty.
In other embodiments, as shown in fig. 2, the smoke exhaust pipe 120 may be installed as a whole and installed on the single-hole access platform 110, and may be inserted into the single-hole access platform 110 through a through hole.
As an alternative embodiment, the end of the smoke exhaust pipe 120 located outside the single-hole access platform 110 is connected with a negative pressure aspirator 180, that is, the second air pipe 122 is connected with the negative pressure aspirator 180, and a section of the smoke exhaust pipe 120 close to the negative pressure aspirator 180 is provided with a flow regulating valve 190. When the negative pressure aspirator 180 is started, suction force can be generated to suck the smoke in the smoke exhaust pipe 120 into the negative pressure aspirator 180, wherein a filtering device can be arranged on one side of the negative pressure aspirator 180 to purify harmful smoke, and the flow of the smoke passing through the smoke exhaust pipe 120 can be properly adjusted through the flow adjusting valve 190.
As an alternative embodiment, the end of the smoke exhaust tube 120 extending into the abdominal cavity of the human body is connected with a containing tube 210, the magnetic traction block 130 is arranged in the containing tube 210, and the containing tube 210 and the magnetic traction block 130 are the same in shape. The magnetic traction block 130 is arranged in the accommodating tube 210, so that the magnetic traction block 130 is prevented from directly contacting human tissues, and safety and sanitation are realized.
It should be noted that, here, the containing pipe 210 and the smoke exhaust pipe 120 are integrally formed, the size specification of the containing pipe 210 is larger than that of the smoke exhaust pipe 120, generally, the inner diameter of the smoke exhaust pipe 120 is 3mm, the wall thickness of the smoke exhaust pipe 120 is 0.5mm, that is, the outer diameter of the smoke exhaust pipe 120 is 4mm, when the magnetic traction block 130 is spherical, the diameter of the magnetic traction block 130 is generally 6mm, the wall thickness of the containing pipe 210 is 0.5mm, and the outer diameter is 7 mm.
As an optional implementation manner, the single-hole access platform 110 includes a sealing cap 111, the top of the sealing cap 111 is provided with a plurality of operation nozzles 112, the first air tube 121 is integrally formed on the sealing cap 111, or the whole smoke discharge tube 120 extends into the sealing cap through the operation nozzles 112, the bottom of the sealing cap 111 is provided with an incision protection sleeve 113, the bottom of the incision protection sleeve 113 is open, and the incision protection sleeve 113 is used for extending into the abdominal cavity of the human body. Laparoscope and other surgical instruments can be passed through the surgical port 112 and out of the incision protection sleeve 113 into the abdominal cavity for surgical operation.
Example 2
Referring to fig. 1 to 5, the present embodiment provides an operating method of a smoke evacuation system for a single port laparoscopic surgery, including the following steps:
step S1: the lower section of the single-hole access platform 110 extends into the abdominal cavity of the human body through the navel of the human body, so that the sections of the smoke exhaust pipe 120 positioned below the single-hole access platform 110 extend into the abdominal cavity of the human body;
step S2: judging the thickness of the abdominal wall of the patient, if the thickness of the abdominal wall of the patient is lower than a standard value, selecting the traction device 140 and bonding the traction device 140 at the corresponding position of the outer surface of the abdominal wall of the human body, enabling the magnetic traction block 130 to be adsorbed to the inner wall of the corresponding position of the abdominal wall of the human body under the magnetic adsorption effect of the traction device 140, enabling the smoke exhaust pipe 120 to be unfolded therewith, positioning and fixing the tail end of the smoke exhaust pipe 120, if the thickness of the abdominal wall of the patient is higher than the standard value, pulling the tail end of the smoke exhaust pipe 120 to the corresponding position in the abdominal wall of the human body, pulling out the lead needle 150 and part of the traction wire 160 to penetrate through the abdominal wall of the human body, cutting the lead needle 150 and tensioning the traction wire 160, and fixing the tail end of the smoke exhaust pipe 120 through the traction wire 160;
step S3: after the end of the smoke exhaust pipe 120 is fixed, the laparoscope and the surgical instruments are inserted into the abdominal cavity of the human body through the corresponding surgical tube opening 112 for surgical operation, and the negative pressure suction device 180 is started in due time to extract harmful smoke generated in the abdominal cavity of the human body through the smoke exhaust pipe 120.
In this embodiment, in step S2, the standard value, i.e., the critical value of the abdominal wall thickness with unstable adsorption of the traction device 140 and the magnetic traction block 130, may be selected flexibly according to the patient 'S abdominal wall thickness, according to the present operation method, when the patient' S abdominal wall thickness is too large, the lead needle 150 and a portion of the traction wire 160 may be passed through the abdominal opening, the traction wire 160 is tightened and fixed from the outside, a separate fixing device (generally a clip) may be used to fix the traction wire 160, so that the end of the smoke exhaust tube 120 is tightened and fixed on the abdominal wall through the traction wire 160, the lead needle 150 may be used as a spare operation scheme, mainly aiming at the situation where the patient has more abdominal fat, so the present invention may flexibly select the fixing mode of the end of the smoke exhaust tube 120 according to specific situations, and may be applied to patients with different physical conditions, the method has the advantages of good universality, low cost and good applicability, can greatly improve the safety and success rate of the operation, and can be widely popularized in the field of laparoscopic surgery or other applicable surgeries.
It should be noted that, after the operation is finished, once the clamp for fixing the traction wire 160 is released, the traction wire 160 is naturally retracted to the smoke exhaust tube 120, and when the smoke exhaust tube 120 is drawn out from the abdominal cavity of the human body, the traction wire 160 is also drawn out, so that the traction wire is not left in the abdominal cavity of the human body, and the operation safety is ensured.
Although the invention has been described herein with reference to a number of illustrative embodiments thereof, it should be understood that numerous other modifications and embodiments can be devised by those skilled in the art that will fall within the spirit and scope of the principles of this disclosure. More specifically, various variations and modifications are possible in the component parts and/or arrangements of the subject combination arrangement within the scope of the disclosure, the drawings and the appended claims. In addition to variations and modifications in the component parts and/or arrangements, other uses will also be apparent to those skilled in the art.
Claims (10)
1. A smoke evacuation system for single port laparoscopic surgery, comprising:
the bottom of the single-hole access platform is provided with an opening;
the middle section of the smoke exhaust pipe is positioned in the single-hole access platform, the tail end of the smoke exhaust pipe extends out of the bottom opening of the single-hole access platform and extends into the abdominal cavity of a human body, and a section of the tail end of the smoke exhaust pipe extending into the abdominal cavity of the human body is provided with a plurality of air holes;
the magnetic traction block is arranged at the tail end of the smoke exhaust pipe extending into the abdominal cavity of the human body;
the traction device is used for generating magnetic adsorption on the magnetic traction block, and the traction device can be used for drawing the magnetic traction block to the corresponding position of the inner wall of the abdominal cavity of the human body.
2. The smoke exhaust system for the single-port laparoscopic surgery is characterized in that a lead needle is arranged inside one side, close to a magnetic traction block, of a smoke exhaust pipe, the needle head of the lead needle extends out of the smoke exhaust pipe, the lead needle can be fixed by the magnetic traction block in an adsorption mode, the tail end, extending out of the smoke exhaust pipe, of the lead needle is connected with a traction wire, the other end of the traction wire is connected to the tail end of the smoke exhaust pipe, and the lead needle has a radian.
3. The smoke evacuation system for laparoscopic surgery of claim 2, wherein said traction means comprises a magnet block, said magnet block having a non-woven fabric layer disposed on the top surface thereof.
4. The smoke evacuation system for the haplopore laparoscopic surgery of claim 3, wherein an adhesive layer is arranged on the top of said non-woven fabric layer and/or the bottom of said magnetic traction block, said adhesive layer is used for adhering to the outer surface of the human abdominal wall.
5. The smoke evacuation system for the haplopore laparoscopic surgery of claim 3, wherein said magnetic traction block is made of neodymium magnet, and said magnetic traction block is in the shape of ellipsoid or sphere.
6. The smoke evacuation system for the single-port laparoscopic surgery of claim 1, wherein the smoke evacuation tube comprises a first air tube, one end of the first air tube is connected with the magnetic traction block, the other end of the first air tube is integrally connected to the top of the single-port access platform and extends out of one section, and one section of the first air tube extending out of the single-port access platform is detachably connected with a second air tube.
7. The smoke evacuation system for the single-port laparoscopic surgery according to claim 1 or 6, wherein the end of the smoke evacuation pipe located outside the single-port access platform is connected with a negative pressure aspirator, and a section of the smoke evacuation pipe close to the negative pressure aspirator is provided with a flow regulating valve.
8. The smoke evacuation system for the single-port laparoscopic surgery as claimed in claim 1 or 6, wherein the end of the smoke evacuation tube extending into the abdominal cavity of the human body is connected with a containing tube, the magnetic traction block is arranged in the containing tube, and the shape of the containing tube is the same as that of the magnetic traction block.
9. The smoke evacuation system for the single-port laparoscopic surgery of claim 2, wherein said single-port access platform comprises a sealing cap, said sealing cap top is provided with a plurality of surgical nozzles, said sealing cap bottom is provided with an incision protection cover, said incision protection cover bottom is open, said incision protection cover is used for extending into the abdominal cavity of human body.
10. The operating method of the smoke evacuation system for the single port laparoscopic surgery according to claim 9, comprising the steps of:
step S1: the lower section of the single-hole access platform extends into the abdominal cavity of the human body through the navel of the human body, so that the sections of the smoke exhaust pipes positioned below the single-hole access platform extend into the abdominal cavity of the human body;
step S2: judging the thickness of the abdominal wall of the patient, if the thickness of the abdominal wall of the patient is lower than a standard value, selecting a traction device and bonding the traction device at a corresponding position on the outer surface of the abdominal wall of the human body, enabling a magnetic traction block to be adsorbed to the inner wall of the corresponding position of the abdominal wall of the human body under the magnetic adsorption effect of the traction device, enabling a smoke exhaust pipe to be unfolded along with the traction block, positioning and fixing the tail end of the smoke exhaust pipe, if the thickness of the abdominal wall of the patient is higher than the standard value, pulling out the tail end of the smoke exhaust pipe to the corresponding position of the abdominal wall of the human body, pulling out a lead needle and part of traction wires to penetrate through the abdominal wall of the human body, cutting off the lead needle and tensioning the traction wires, and fixing the tail end of the smoke exhaust pipe through the traction wires;
step S3: after the tail end of the smoke exhaust pipe is fixed, the laparoscope and the surgical instruments are stretched into the abdominal cavity of the human body through the corresponding surgical pipe openings to carry out surgical operation, the negative pressure suction device is started timely, and harmful smoke generated in the abdominal cavity of the human body during the surgery is extracted out through the smoke exhaust pipe.
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Citations (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5578000A (en) * | 1993-01-21 | 1996-11-26 | Stackhouse, Inc. | Laparoscopic smoke evacuation system |
| US20030114731A1 (en) * | 2001-12-14 | 2003-06-19 | Cadeddu Jeffrey A. | Magnetic positioning system for trocarless laparoscopic instruments |
| CN101322639A (en) * | 2007-06-14 | 2008-12-17 | 奥林巴斯医疗株式会社 | Endoscope system |
| CN102178560A (en) * | 2011-04-11 | 2011-09-14 | 西安交通大学 | Magnetic auxiliary tensioning device for single-pore laparoscope |
| JP2014050553A (en) * | 2012-09-07 | 2014-03-20 | Hakko Co Ltd | Access device for medical treatment instrument |
| WO2018163538A1 (en) * | 2017-03-10 | 2018-09-13 | シャープ株式会社 | Auxiliary tool set and in-vivo imaging device |
| CN208659505U (en) * | 2018-01-26 | 2019-03-29 | 赤峰市第二医院 | Laparoscope magnetic article taking device |
| WO2019070137A2 (en) * | 2017-10-02 | 2019-04-11 | De Asis Edwin Francis Isaac | Magnetically maneuverable laparoscopic camera system 360° |
| CN208808603U (en) * | 2018-05-02 | 2019-05-03 | 程萍 | A kind of self-control simple single-incision laparoscope channel system |
| CN210019461U (en) * | 2019-01-31 | 2020-02-07 | 广州兰世亭生物科技有限公司 | Traction device for laparoscopic surgery |
| CN112806951A (en) * | 2019-10-31 | 2021-05-18 | 伍端友 | Wireless laparoscope |
| CN213249638U (en) * | 2020-09-07 | 2021-05-25 | 郑州大学第三附属医院(河南省妇幼保健院) | Fume extractor for laparoscopic surgery |
-
2021
- 2021-09-02 CN CN202111028080.8A patent/CN113662679B/en active Active
Patent Citations (12)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5578000A (en) * | 1993-01-21 | 1996-11-26 | Stackhouse, Inc. | Laparoscopic smoke evacuation system |
| US20030114731A1 (en) * | 2001-12-14 | 2003-06-19 | Cadeddu Jeffrey A. | Magnetic positioning system for trocarless laparoscopic instruments |
| CN101322639A (en) * | 2007-06-14 | 2008-12-17 | 奥林巴斯医疗株式会社 | Endoscope system |
| CN102178560A (en) * | 2011-04-11 | 2011-09-14 | 西安交通大学 | Magnetic auxiliary tensioning device for single-pore laparoscope |
| JP2014050553A (en) * | 2012-09-07 | 2014-03-20 | Hakko Co Ltd | Access device for medical treatment instrument |
| WO2018163538A1 (en) * | 2017-03-10 | 2018-09-13 | シャープ株式会社 | Auxiliary tool set and in-vivo imaging device |
| WO2019070137A2 (en) * | 2017-10-02 | 2019-04-11 | De Asis Edwin Francis Isaac | Magnetically maneuverable laparoscopic camera system 360° |
| CN208659505U (en) * | 2018-01-26 | 2019-03-29 | 赤峰市第二医院 | Laparoscope magnetic article taking device |
| CN208808603U (en) * | 2018-05-02 | 2019-05-03 | 程萍 | A kind of self-control simple single-incision laparoscope channel system |
| CN210019461U (en) * | 2019-01-31 | 2020-02-07 | 广州兰世亭生物科技有限公司 | Traction device for laparoscopic surgery |
| CN112806951A (en) * | 2019-10-31 | 2021-05-18 | 伍端友 | Wireless laparoscope |
| CN213249638U (en) * | 2020-09-07 | 2021-05-25 | 郑州大学第三附属医院(河南省妇幼保健院) | Fume extractor for laparoscopic surgery |
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