CN113855122A - Abdominal wall retractor for minimally invasive laparoscopic surgery - Google Patents

Abdominal wall retractor for minimally invasive laparoscopic surgery Download PDF

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Publication number
CN113855122A
CN113855122A CN202111291837.2A CN202111291837A CN113855122A CN 113855122 A CN113855122 A CN 113855122A CN 202111291837 A CN202111291837 A CN 202111291837A CN 113855122 A CN113855122 A CN 113855122A
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China
Prior art keywords
connecting rod
abdominal wall
inner cylinder
minimally invasive
outer cylinder
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Pending
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CN202111291837.2A
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Chinese (zh)
Inventor
耿金宏
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Shanghai Jinshan Tinglin Hospital
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Shanghai Jinshan Tinglin Hospital
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Priority to CN202111291837.2A priority Critical patent/CN113855122A/en
Publication of CN113855122A publication Critical patent/CN113855122A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0281Abdominal wall lifters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/361Image-producing devices, e.g. surgical cameras
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/0034Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Endoscopes (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a laparoscopic micro-wound abdominal wall retractor, which comprises a puncture head, a pull rod, a connecting end, an opening plate, a connecting rod, an outer cylinder, an inner cylinder, a moving handle, a lifting handle, a spring, a rear clamping bead, a front clamping bead and a clamping groove; this peritoneoscope wicresoft hinders stomach wall tractive ware, adopt the invention type, can be convenient carry on the peritoneoscope exempt from pneumoperitoneum patient down, the stomach wall tractive, establish the operation space operation, the puncture head of this apparatus can be under the peritoneoscope camera looks straight, directly carry out patient's stomach wall puncture operation, through open distraction plate, the abdominal cavity is outer through carrying the pull handle, can directly carry out that patient's stomach wall is carried and is drawn, suspend the operation in midair, exempt from pneumoperitoneoscope exposure operation space under the peritoneoscope, assist the operation under the peritoneoscope, be fit for the peritoneoscope that can not bear pneumoperitoneum pressure and suspend the operation in midair, through clinical use, this surgical instrument uses convenient operation, fast, in a flexible way, effectual operation area that exposes, guarantee non-pneumoperitoneoscope laparoscopic operation safety under the laparoscope.

Description

Abdominal wall retractor for minimally invasive laparoscopic surgery
Technical Field
The invention relates to the technical field of laparoscopic surgery application, in particular to a laparoscopic micro-wound abdominal wall retractor.
Background
The development of modern medicine, minimally invasive surgery has been the development direction of surgical operation at present, and minimally invasive surgery has the advantages of small wound, quick recovery and less pain, and has become the object and the direction which are jointly pursued by modern medicine. Laparoscopic techniques are in some respects gradually replacing traditional surgery. During various surgical operations under a laparoscope, a puncture cannula is needed to be used, an in-vitro channel of a patient is established on the abdominal wall of the patient, a small puncture cannula channel is established at the abdominal wall of the patient, a specific pneumoperitoneum machine capable of controlling certain pressure is used, an inflation pipeline is used for injecting carbon dioxide gas into the abdominal cavity of the patient through the puncture cannula, the abdominal cavity of the patient is inflated and expands, a large surgical operation space is artificially established inside the abdominal cavity of the patient, the operation area is exposed clearly, then an operator passes through the abdominal wall of the patient and the channel established by the puncture cannula, and uses minimally invasive surgical instruments such as surgical scissors, separating forceps, electric knives, ultrasonic knives and other surgical instruments to be placed into the abdominal cavity of the patient through the channel of the puncture cannula to perform surgical operations on a lesion part in the abdominal cavity of the patient, and after the operations are finished, the pneumoperitoneum machine is turned off, And simultaneously, the redundant carbon dioxide gas in the abdominal cavity of the patient is discharged, and a small amount of residual carbon dioxide gas can be absorbed through the peritoneum of the patient. However, in actual clinical work, patients are often aged or other patients who cannot tolerate the pressure of the inflated pneumoperitoneum and strongly require laparoscopic minimally invasive surgery, and no special and good pneumoperitoneum-free abdominal wall suspension and traction instrument exists clinically at present, so that certain trouble is brought to surgeons and patients.
Contents of the invention
The invention aims to provide a laparoscopic micro-wound abdominal wall retractor which can effectively solve the problems in the prior art.
In order to achieve the purpose, the invention provides the following technical scheme: a celioscope minimally invasive abdominal wall retractor comprises a puncture head, a pull rod, a connecting end, a distraction plate, a connecting rod, an outer cylinder, an inner cylinder, a moving handle, a lifting handle, a spring, a rear clamping bead, a front clamping bead and a clamping groove; the method is characterized in that: the puncture head is connected with the inner cylinder through a connecting rod; the opening plate is connected with the connecting rod through the connecting end and the pull rod; a lifting handle is fixed on the outer cylinder; the puncture head and the inner cylinder can move back and forth in the outer cylinder; one end of the inner cylinder is connected with the movable handle, and the other end of the inner cylinder is provided with a clamping groove structure; the front clamping bead and the rear clamping bead are connected with the spring.
Furthermore, the puncture head is an inclined surface structure which can move back and forth in the outer barrel and is convenient for abdominal wall puncture.
Furthermore, the connecting rod is a connecting rod, one end of the connecting rod is fixed at the puncture head, the other end of the connecting rod is fixed at the inner cylinder, and the front and back movement of the puncture head is controlled through the front and back movement of the inner cylinder.
Furthermore, one end of the pull rod is fixed on the connecting rod, and the other end of the pull rod is connected with the opening plate through the connecting end and controls the opening and closing of the opening plate through the back-and-forth movement of the connecting rod.
Furthermore, the opening plate is a plate-shaped structure which is protruded out of the outer cylinder when being unfolded and completely contracted in the outer cylinder when being contracted under the action of the movement of the connecting rod and the connecting pull rod.
Furthermore, one end of the inner cylinder is provided with a clamping groove, and the other end of the inner cylinder is connected with the movable handle; and can move back and forth in the outer cylinder under the control of the moving handle.
Furthermore, when the clamping groove on the inner cylinder is connected with the front clamping bead card, the opening plate just retracts into the outer cylinder; when the clamping groove on the inner cylinder is connected with the rear clamping bead card, the opening plate is just completely unfolded outside the outer cylinder.
Furthermore, the spring is fixedly connected with the front clamping bead and the rear clamping bead and has external elasticity.
Furthermore, the lifting handle is a handle which is fixed on the outer cylinder, has an anti-slip structure on the surface and is convenient for an operator to lift.
Compared with the prior art, the abdominal wall retractor for the minimally invasive laparoscopic surgery adopts the apparatus of the invention, so that the diseased part and the abdominal wall of the patient needing the surgery can be drawn away to expose the operation space of the surgery area in a very good and very convenient pneumoperitoneum-free state (without filling carbon dioxide gas into the abdominal cavity of the patient). When the multifunctional abdominal cavity laparoscopic surgery instrument is used, the movable handle is pushed forwards, the puncture head protrudes out of the outer barrel, the puncture head of the multifunctional abdominal cavity laparoscopic surgery instrument can be directly under the direct vision of the laparoscopic camera, the puncture operation can be directly performed on an abdominal cavity lesion part of a patient, after the puncture is successful, the movable handle is returned, the puncture head is contracted in the outer barrel, the opening plate is opened at the same time, the expanding plate is opened through opening, the puncture head is clamped on the abdominal wall in the abdominal cavity of the patient, the abdominal wall of the patient can be directly lifted and pulled out through the lifting handle outside the abdominal cavity, the operation is suspended, an operation space is exposed under the laparoscopic without pneumoperitoneum, the operation under the laparoscopic peritoneoscope is assisted, the multifunctional abdominal cavity laparoscopic surgery instrument is suitable for the laparoscopic suspension operation which cannot bear the pneumoperitoneum pressure, and the multifunctional abdominal cavity laparoscopic surgery instrument is convenient to use and operate, fast and flexible, the operation area is effectively exposed, and the operation safety under the non-pneumoperitoneoscope operation is ensured.
Drawings
FIG. 1 is a schematic view of the overall structure of the present invention;
in the reference symbols: puncture head, pull rod, link, distraction board, connecting rod, urceolus, inner tube, removal handle, carry pull handle, spring, back card pearl, preceding card pearl, draw-in groove.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying 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. All other embodiments, which can be derived by a person skilled in the art from the embodiments of the invention without making any creative effort, fall within the protection scope of the invention.
Referring to fig. 1, the present invention provides a technical solution: a celioscope minimally invasive abdominal wall retractor comprises a puncture head 1, a pull rod 2, a connecting end 3, an opening plate 4, a connecting rod 5, an outer cylinder 6, an inner cylinder 7, a moving handle 8, a lifting handle 9, a spring 10, a rear clamping bead 11, a front clamping bead 12 and a clamping groove 13; the method is characterized in that: the puncture head 1 is connected with the inner cylinder 7 through the connecting rod 5; the opening plate 4 is connected with a connecting rod 5 through a connecting end 3 and a pull rod 2; a lifting handle 9 is fixed on the outer cylinder 6; the puncture head 1 and the inner cylinder 7 can move back and forth in the outer cylinder 6; one end of the inner cylinder 7 is connected with the movable handle 8, and the other end is provided with a clamping groove 13 structure; the front clamping bead 12 and the rear clamping bead 11 are connected with the spring 10.
Furthermore, the puncture head 1 is an inclined plane structure which can move back and forth in the outer cylinder 6 and is convenient for abdominal wall puncture.
Further, the connecting rod 5 is a connecting rod, one end of which is fixed at the puncture head 1, and the other end of which is fixed at the inner cylinder 7, and the front and back movement of the puncture head 1 is controlled through the front and back movement of the inner cylinder 7.
Furthermore, one end of the pull rod 2 is fixed on the connecting rod 5, and the other end of the pull rod is connected with the opening plate 4 through the connecting end 3, and the opening and closing of the opening plate 4 are controlled through the back and forth movement of the connecting rod 5.
Further, the expanding plate 4 is a plate-shaped structure which is expanded to protrude out of the outer cylinder 6 and contracted to be completely retracted in the outer cylinder 6 under the action of the connecting rod 5 and the connecting pull rod 2.
Furthermore, one end of the inner cylinder 7 is provided with a clamping groove 13, and the other end is connected with the movable handle 8; and can move back and forth in the outer cylinder 6 under the control of the moving handle 8.
Further, when the clamping groove 13 on the inner cylinder 7 is connected with the front clamping bead 12, the opening plate 4 just retracts into the outer cylinder 6; when the clamping groove 13 on the inner cylinder 7 is connected with the rear clamping bead 11, the opening plate 4 is just completely unfolded outside the outer cylinder 6.
Further, the spring 10 is fixedly connected with the front clamping bead 12 and the rear clamping bead 11 and has external elasticity.
Further, the lifting handle 9 is a handle which is fixed on the outer cylinder 6, has an anti-slip structure on the surface and is convenient for an operator to lift.
The specific connection structure of the abdominal wall retractor for the minimally invasive laparoscopic surgery comprises the following components: inside the outer cylinder 6, the puncture head 1 is connected with the inner cylinder 7 through the connecting rod 5; the number of the pull rods 2 is two, the two pull rods are respectively connected with the two opening plates 4, one end of each pull rod 2 is fixed on the connecting rod 5, and the other end of each pull rod 2 is connected with the corresponding opening plate 4 through a port, namely a connecting end 3, which can be movably connected and fixedly connected; a lifting handle 9 with an anti-skid structure is fixed on the outer cylinder 6; the lifting handle 9 is a handle convenient for an operator to lift; the inner cylinder 7 is positioned in the outer cylinder 6 and can slide back and forth; a moving handle 8 which can enable the inner cylinder 7 to slide back and forth is designed on the wall of one end of the inner cylinder 7 through a small notch of the outer cylinder 6, and a clamping groove 13 structure is designed at the other end of the inner cylinder 7; the clamping groove 13 can be clamped with the front clamping bead 12 and the rear clamping bead 11; when the clamping groove 13 is connected with the front clamping bead 12, the opening plate 4 is retracted inside the outer cylinder 6 under the connecting action of the connecting rod 5 and the pull rod 2, and the puncture head 1 protrudes out of the outer cylinder 6; when the clamping groove 13 is clamped with the rear clamping bead 11, the opening plate 4 is just opened and protrudes out of the outer barrel 6, and the puncture head 1 is retracted inside the outer barrel 6; the wall of the outer cylinder 6 corresponding to the clamping groove 13 on the inner cylinder 7 is provided with a front clamping bead 12 and a rear clamping bead 11; the clamping balls on the front clamping ball 12 and the rear clamping ball 11 partially protrude into the outer cylinder 6 under the action of the elastic force of the spring 10. The spring 10 is a spring structure with external elasticity; one end of each spring 10 is fixed with a front clamping bead 12 and a rear clamping bead 11, and the other end of each spring is fixed on an external bracket.
The abdominal wall retractor for the minimally invasive laparoscopic surgery has the advantages that: when the laparoscopic minimally invasive surgery instrument is used in clinical work, a patient who needs to perform laparoscopic minimally invasive surgery cannot tolerate the intra-abdominal pneumoperitoneum pressure to cause untimely operation on the patient, and the laparoscopic surgery instrument can well replace the laparoscopic surgery without pneumoperitoneum. The instrument is convenient to use, when in use, under the states of disinfection and anesthesia, firstly, after a camera observation channel is established at the navel of a patient, a lesion part of the patient needing operation is taken, the movable handle 8 of the instrument is pushed to the front end, the clamping groove 13 is clamped with the front clamping bead 12, at the moment, the opening plate 4 is contracted in the outer barrel 6, the puncture head 1 (which is a common, non-sharp and non-sharp puncture instrument head end structure in clinic and cannot cause loss to visceral organs in the abdominal cavity) protrudes out of the outer barrel 6, under the monitoring of a laparoscope camera, the abdominal wall where the lesion part in the abdominal cavity of the patient is located can be directly punctured, after successful puncture, the movable handle 8 is pulled backwards, the clamping groove 13 is clamped with the rear clamping bead 11, at the moment, the opening plate 4 is opened, the puncture head 1 is contracted in the outer barrel 6, an assistant can lift the handle 9 by hand, and lift the abdominal wall of the patient, or the lifting handle 9 is adjusted to a proper height and then fixed on a bracket near an operating table to lift the abdominal wall of the diseased region, an operation space of the diseased region of the patient is established under an artificial pneumoperitoneum-free state, the operation is convenient, after the operation is finished, the movable handle 8 is pushed forward, the opening plate 4 is contracted in the outer barrel 6, the surgical instrument is taken out, and the operation is finished. Through clinical use, the surgical instrument is convenient, rapid and flexible to use and operate, effectively exposes the operation area, and ensures the operation safety under the non-pneumoperitoneum laparoscope.
The specific use method of the abdominal wall retractor for the laparoscopic minimally invasive surgery comprises the following steps: when a patient needs to perform an operation under a laparoscope and cannot tolerate pneumoperitoneum pressure in clinic, the surgical instrument can be well solved. The patient operating table is in a horizontal position, under the anesthesia state, the patient is disinfected and draped, after a camera system is established on the navel, under the monitoring of a laparoscope camera, the position of the pathological change of the patient needing to be operated is searched, the abdominal wall of the patient is cut, the surgical instrument is taken, the movable handle 8 is pushed forward, the front clamping bead 12 is clamped and connected with the clamping groove 13, the opening plate 4 is contracted inside the outer barrel 6 under the action of the connecting rod 5 and the pull rod 2 connected with the inner barrel 7, and the puncture head 1 protrudes out of the outer barrel 6; at this time, the abdominal wall puncture operation of the diseased region of the patient can be carried out under the monitoring of a laparoscope imagination system, after the puncture head 1 enters the abdominal cavity of the patient, the movable handle 8 is pulled back under the monitoring of the camera equipment, the puncture head 1 is retracted in the outer cylinder 6 under the pulling force of the connecting rod 5 and the pull rod 2, the opening plate 4 is in an opening state, and at this time, an operation assistant holds the lifting handle 9 upwards to lift the abdominal wall of the diseased region of the patient, so that the diseased region of the patient can be exposed, and the operation can be carried out; after the operation is finished, under the monitoring of the camera equipment, the movable handle 8 is pushed forward, under the connecting action of the connecting rod 5 and the pull rod 2, the opening plate 4 is retracted in the outer cylinder 6 in the abdominal cavity of the patient, the traction apparatus is taken out, and the operation is finished. Through clinical use, the abdominal wall retractor with the minimally invasive laparoscope can effectively assist a surgeon to expose pathological tissues in the abdominal cavity in a non-pneumoperitoneum state, establish an operation space, assist operation, reduce operation difficulty, improve operation safety and reduce operation time, and is worthy of clinical popularization.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (9)

1. A celioscope minimally invasive abdominal wall retractor comprises a puncture head, a pull rod, a connecting end, a distraction plate, a connecting rod, an outer cylinder, an inner cylinder, a moving handle, a lifting handle, a spring, a rear clamping bead, a front clamping bead and a clamping groove; the method is characterized in that: the puncture head is connected with the inner cylinder through a connecting rod; the opening plate is connected with the connecting rod through the connecting end and the pull rod; a lifting handle is fixed on the outer cylinder; the puncture head and the inner cylinder can move back and forth in the outer cylinder; one end of the inner cylinder is connected with the movable handle, and the other end of the inner cylinder is provided with a clamping groove structure; the front clamping bead and the rear clamping bead are connected with the spring.
2. The laparoscopic minimally invasive abdominal wall retractor of claim 1, wherein: the puncture head is an inclined plane structure which can move back and forth in the outer barrel and is convenient for abdominal wall puncture.
3. The laparoscopic minimally invasive abdominal wall retractor of claim 1, wherein: the connecting rod is a connecting rod, one end of the connecting rod is fixed at the puncture head, the other end of the connecting rod is fixed at the inner cylinder, and the connecting rod controls the puncture head to move back and forth through the back and forth movement of the inner cylinder.
4. The laparoscopic minimally invasive abdominal wall retractor of claim 1, wherein: one end of the pull rod is fixed on the connecting rod, and the other end of the pull rod is connected with the opening plate through the connecting end and controls the opening and closing of the opening plate through the back-and-forth movement of the connecting rod.
5. The laparoscopic minimally invasive abdominal wall retractor of claim 1, wherein: the opening plate is a plate-shaped structure which is protruded out of the outer cylinder when being unfolded and completely contracted in the outer cylinder when being contracted under the action of the movement of the connecting rod and the connecting pull rod.
6. The laparoscopic minimally invasive abdominal wall retractor of claim 1, wherein: one end of the inner cylinder is provided with a clamping groove, and the other end of the inner cylinder is connected with the movable handle; and can move back and forth in the outer cylinder under the control of the moving handle.
7. The laparoscopic minimally invasive abdominal wall retractor of claim 1, wherein: when the clamping groove on the inner cylinder is connected with the front clamping bead card, the opening plate just retracts into the outer cylinder; when the clamping groove on the inner cylinder is connected with the rear clamping bead card, the opening plate is just completely unfolded outside the outer cylinder.
8. The laparoscopic minimally invasive abdominal wall retractor of claim 1, wherein: the spring is fixedly connected with the front clamping bead and the rear clamping bead and has external elasticity.
9. The laparoscopic minimally invasive abdominal wall retractor of claim 1, wherein: the lifting handle is a handle which is fixed on the outer cylinder, has an anti-slip structure on the surface and is convenient for an operator to lift.
CN202111291837.2A 2021-11-03 2021-11-03 Abdominal wall retractor for minimally invasive laparoscopic surgery Pending CN113855122A (en)

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CN202111291837.2A CN113855122A (en) 2021-11-03 2021-11-03 Abdominal wall retractor for minimally invasive laparoscopic surgery

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202111291837.2A CN113855122A (en) 2021-11-03 2021-11-03 Abdominal wall retractor for minimally invasive laparoscopic surgery

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CN113855122A true CN113855122A (en) 2021-12-31

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116687478A (en) * 2023-08-07 2023-09-05 江西省人民医院 Opening device for abdominal cavity minimally invasive surgery

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116687478A (en) * 2023-08-07 2023-09-05 江西省人民医院 Opening device for abdominal cavity minimally invasive surgery
CN116687478B (en) * 2023-08-07 2023-09-29 江西省人民医院 Opening device for abdominal cavity minimally invasive surgery

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