CN113951986B - Single-hole laparoscope operating forceps with smoke exhaust function - Google Patents

Single-hole laparoscope operating forceps with smoke exhaust function Download PDF

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Publication number
CN113951986B
CN113951986B CN202011413867.1A CN202011413867A CN113951986B CN 113951986 B CN113951986 B CN 113951986B CN 202011413867 A CN202011413867 A CN 202011413867A CN 113951986 B CN113951986 B CN 113951986B
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forceps
rod
fixed
valve core
clamp
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CN113951986A (en
Inventor
陈继明
鲍明月
其他发明人请求不公开姓名
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Changzhou Second Peoples Hospital
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Changzhou Second Peoples Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/28Surgical forceps
    • A61B17/29Forceps for use in minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00General characteristics of surgical instruments
    • A61B2217/002Auxiliary appliance

Abstract

The invention relates to the technical field of operating forceps, in particular to a single-hole laparoscope operating forceps with a smoke exhaust function, wherein an outer forceps rod is fixedly connected with a fixed forceps jaw, a rotating forceps jaw is rotatably connected with the outer forceps rod, and the position of the rotating forceps jaw, which deviates from a rotating shaft, is fixedly connected with an inner forceps rod; the outer clamp rod is internally provided with an annular valve seat, a valve core, a spring and a fixed seat, the valve core is provided with a communication channel, one end of the communication channel is closed when the valve core is attached to the annular valve seat, the other end of the communication channel is fixedly connected with an exhaust pipeline, the exhaust pipeline is connected with a negative pressure suction pipe, the spring provides force for the valve core to attach to the annular valve seat, and the valve core is fixedly connected with the inner clamp rod; the movable handle drives the inner clamp rod to move linearly by rotating, and the valve core is controlled to be attached to or away from the annular valve seat. The exhaust pipeline is connected with the negative pressure suction pipe, so that the suction device can play a role of efficiently removing smoke, thereby being beneficial to the operation and maintaining the stability of pneumoperitoneum, and greatly improving the efficiency and the safety of single-hole operation.

Description

Single-port laparoscope operating forceps with smoke exhaust function
Technical Field
The invention relates to the technical field of operating forceps, in particular to a single-hole laparoscope operating forceps with a smoke exhaust function.
Background
The single-hole laparoscopic surgery is usually operated by a single person, smoke generated in the surgery process cannot be absorbed and removed in time by an aspirator of an assistant like the traditional laparoscopic surgery, so that the vision field of the surgery is kept clear, and the safety of the surgery is ensured. In the single-hole operation process, the suction apparatus is frequently required to be replaced to suck smoke, and then the apparatus is replaced to carry out the next operation, so that the operation is obviously slowed down, and the operation time of a patient is prolonged.
In view of the above problems, the designer actively makes research and innovation based on years of abundant practical experience and professional knowledge in engineering application of such products and with the application of theory, so as to create a single-hole laparoscope operating forceps with smoke exhaust function, and make the forceps more practical.
Disclosure of Invention
The invention provides a single-hole laparoscope operating forceps with a smoke exhaust function, which effectively solves the problems in the background art.
In order to achieve the purpose, the invention adopts the technical scheme that:
single-port laparoscopic forceps with smoke evacuation function, comprising: the clamp comprises an outer clamp rod, an inner clamp rod, a fixed clamp claw, a rotating clamp claw, a fixed handle and a movable handle;
the outer clamp rod is fixedly connected with the fixed clamp claw, the rotating clamp claw is rotatably connected with the outer clamp rod, and the position of the rotating clamp claw, which deviates from the rotating shaft, is fixedly connected with the inner clamp rod;
an annular valve seat, a valve core, a spring and a fixed seat fixed inside the outer clamping bar are sequentially arranged inside the outer clamping bar along the direction far away from the fixed clamping jaw, a communicating channel is arranged on the valve core, one end of the communicating channel is closed when the valve core is attached to the annular valve seat, the other end of the communicating channel is fixedly connected with an exhaust pipeline, the other end of the exhaust pipeline is connected with a negative pressure suction pipe, the spring is in an extrusion state and provides force for the valve core to attach to the annular valve seat, and the valve core is fixedly connected with the inner clamping bar;
the outer clamping bar is fixedly connected with the fixed handle and is rotationally connected with the movable handle, the movable handle is connected with the inner clamping bar and drives the inner clamping bar to move linearly through rotation, so that the valve core is controlled to be attached to or away from the annular valve seat, when the valve core and the annular valve seat are attached to each other, the fixed clamping claw and the rotating clamping claw are opened, and when the valve core and the annular valve seat are away from each other, the fixed clamping claw and the rotating clamping claw are closed and clamped.
Furthermore, haplopore peritoneoscope operation pincers with function of discharging fume, its characterized in that, it includes clamping end, link and filter screen to rotate the tong claw, link one end with clamping end integrated into one piece, the link other end is to the filter screen is fixed, form the cell body between clamping end, link and the filter screen, the link with outer tong pole rotates and is connected.
Furthermore, the filter screen comprises a flexible frame and a screen body, wherein a clamping groove for coating the flexible frame is formed in the connecting end, and the clamping groove is used for coating the flexible frame beyond 1/2 circumference and is smaller than 3/5 circumference.
Furthermore, the outer part of the connecting end is of a partial spherical structure, and the part, corresponding to the spherical structure, of the outer clamp rod is of a curved surface structure.
Furthermore, the outer caliper bar is arranged in sections, and a connecting position is arranged at least between the connecting end and the annular valve seat.
Further, the connecting position is fixed by a connecting piece or welding.
Furthermore, a secondary filtering structure is arranged at the connecting position, two limiting structures are arranged at the connecting position at intervals to limit the secondary filtering structure in the length direction of the outer jaw rod, a 1/2 annular through hole position is arranged between the two limiting structures and used for the insertion of the secondary filtering structure, and a frame body of the secondary filtering structure blocks the through hole position;
the frame body of the secondary filtering structure is provided with a notch structure, a U-shaped sealing structure is fixedly connected in the notch structure and used for penetrating through the inner clamping bar, and the opening direction of the U-shaped sealing structure faces the inserting direction of the secondary filtering structure.
Furthermore, the annular valve seat is extruded and fixed through a connecting piece penetrating through the outer clamping rod, and the connecting piece is in threaded connection with the outer clamping rod.
Furthermore, the fixed seat is extruded and fixed through a connecting piece penetrating through the outer clamping rod, and the connecting piece is in threaded connection with the outer clamping rod.
Through the technical scheme, the invention has the beneficial effects that:
the smoke adsorption control can be realized by controlling the operation forceps in the operation process, and the negative pressure suction tube and the rear end part need to be controlled in rare cases, so that the whole operation process is simple and effective, the advantages in the single-hole laparoscopic operation are obvious, and the efficiency and the safety of the single-hole operation are greatly improved. The exhaust pipeline is connected with the negative pressure suction pipe, which can play the role of a suction apparatus and efficiently remove smoke, thereby being beneficial to the operation and the stability of pneumoperitoneum.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the embodiments or the description of the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments described in the present invention, and it is also possible for those skilled in the art to obtain other drawings based on the drawings without creative efforts.
FIG. 1 is a schematic end view (including a partially enlarged view) of a single port laparoscopic manipulator with smoke evacuation;
FIG. 2 is a partial cross-sectional view (including a partial enlarged view) of a single port laparoscopic forceps with smoke evacuation capability closed;
FIG. 3 is a partial cross-sectional view (including a partial enlarged view) of the single port laparoscopic manipulator with smoke evacuation when opened;
FIG. 4 is a schematic view (including a partial enlarged view) of the rotating jaws at a first angle;
FIG. 5 is a schematic view (including a partial enlarged view) of the rotating jaws at a second angle;
FIG. 6 is a schematic view of a filter net;
FIG. 7 is a comparison of the spacing and attachment of the spherical structures of the connecting end portion to the curved structures;
FIG. 8 is a schematic view of the installation of the secondary filtration structure;
FIG. 9 is a schematic end view of a segment of the outer jaw lever;
FIG. 10 is a front view of a secondary filter structure;
description of the drawings: 1. an outer nipper bar; 2. an inner nipper bar; 3. fixing the clamp claws; 4. rotating the clamp claws; 41. a clamping end; 42. a connecting end; 43. a filter screen; 43a, a flexible frame; 43b, a net body; 44. A trough body; 5. an annular valve seat; 6. a valve core; 61. a communication channel; 7. a spring; 8. a fixed seat; 9. an exhaust duct; 10. a through hole site; 11. a secondary filtration structure; 12. u type seal structure.
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.
Unless defined otherwise, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terminology used in the description of the invention herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the invention. As used herein, the term "and/or" includes any and all combinations of one or more of the associated listed items.
As shown in fig. 1 to 3, the single-port laparoscopic forceps with smoke evacuation function includes: the clamp comprises an outer clamp rod 1, an inner clamp rod 2, a fixed clamp claw 3, a rotating clamp claw 4, a fixed handle and a movable handle; the outer clamp rod 1 is fixedly connected with the fixed clamp claw 3, the rotating clamp claw 4 is rotatably connected with the outer clamp rod 1, and the position of the rotating clamp claw 4 deviated from the rotating shaft is fixedly connected with the inner clamp rod 2; the inside of the outer tong rod 1 is sequentially provided with an annular valve seat 5 fixed inside the outer tong rod 1, a valve core 6, a spring 7 and a fixed seat 8 fixed inside the outer tong rod 1 along the direction far away from the fixed jaw 3, the valve core 6 is provided with a communication channel 61, one end of the communication channel 61 is closed when the valve core 6 is attached to the annular valve seat 5, the other end of the communication channel 61 is fixedly connected with an exhaust pipeline 9, the other end of the exhaust pipeline 9 is connected with a negative pressure suction pipe, the spring 7 is in an extrusion state and provides force for the valve core 6 to be attached to the annular valve seat 5, and the valve core 6 is fixedly connected with the inner tong rod 2; outer tong pole 1 and fixed handle fixed connection just rotate with the movable handle and be connected, the movable handle is connected with interior tong pole 2, and carries out rectilinear movement through rotating drive interior tong pole 2 to control case 6 laminates or keeps away from with cyclic annular disk seat 5, and when the two were laminated, fixed claw 3 opened with rotation claw 4, and when the two was kept away from, fixed claw 3 closed clamp with rotation claw 4.
As shown in fig. 1 to 3, the single-port laparoscopic operating forceps with a smoke evacuation function of the present invention includes two working states during use:
the first state: the fixed jaw 3 and the rotary jaw 4 are in a clamping state, the valve core 6 is far away from the annular valve seat 5, the communicating channel 61 is communicated, and the high-efficiency discharge of smoke can be realized through the control of the negative pressure suction tube, so that the stability of pneumoperitoneum in the operation process is maintained, and the function of the suction apparatus is added on the basis of the operation forceps.
The clamping in the state can be naturally realized when the tissue is clamped, and in the state, the communication channel 61 is normally opened and is defaulted to be in the operation, so that the complexity of frequent operation can be reduced; it is also possible to specifically remove smoke when the tissue is not clamped, in which case locking of the state is achieved by the fixation of the fixed handle and the movable handle.
And a second state: the fixed jaw 3 and the rotary jaw 4 are in an open state, the valve core 6 is attached to the annular valve seat 5, the communication channel 61 is closed, and at the moment, the smoke discharge effect can be closed under the condition of no operation, so that the control difficulty of the operating pliers is reduced.
The smoke adsorption control can be realized by controlling the operation forceps in the operation process, and the negative pressure suction tube and the rear end part need to be controlled in rare cases, so that the whole operation process is simple and effective, the advantages in the single-hole laparoscopic operation are obvious, and the efficiency and the safety of the single-hole operation are greatly improved.
As a preferred embodiment, as shown in fig. 4 and 5, the rotary jaw 4 includes a clamping end 41, a connecting end 42 and a filter net 43, one end of the connecting end 42 is integrally formed with the clamping end 41, the other end of the connecting end 42 fixes the filter net 43, a groove 44 is formed among the clamping end 41, the connecting end 42 and the filter net 43, and the connecting end 42 is rotatably connected with the outer jaw bar 1.
In this preferred scheme, the region that blocks has been played to human tissue through setting up of cell body 44, carry out absorptive in-process to the flue gas, because the effect of suction, can be difficult to the partial tissue absorption of human body, this kind of condition can be in the problem that becomes the operation pincers and be difficult to the clearance, in order to overcome above-mentioned problem, in this preferred scheme, set up cell body 44 on the one hand and collect the solid matter, on the other hand through the effect of the blockking of setting up of filter screen 43 play, thereby the inside cleanliness factor of interior tong pole 2 has been improved, when the clearance, the accessible opens clamping end 41 and link 42 and realizes the degree of depth clearance of cell body 44.
In this preferred scheme, through the setting of filter screen 43, also reduced the manufacturing degree of difficulty that rotates tong jaw 4, it is comparatively convenient to set up on filter screen 43 with the connection structure of interior tongs pole 2.
As a preferred preference of the above embodiment, the filtering net 43 includes a flexible frame 43a and a net body 43b, and the connecting end 42 is provided with a clamping groove for coating the flexible frame 43a, and the clamping groove coats the flexible frame by exceeding 1/2 of the circumference and being smaller than 3/5 of the circumference.
As shown in fig. 6, in the preferred embodiment, an optimized way for conveniently installing the filter screen 43 is provided, because of the flexibility characteristic of the flexible frame itself, the filter screen can be inserted into the slot only by being pressed by an external force in the installation process, of course, the flexibility in the preferred embodiment needs to be strictly controlled, so as to ensure the rigidity requirement for fixing the internal clamping bar 2, and the number of materials meeting the requirement is large, such as plastic or metal, and because the wrapping of the slot on the flexible frame 43a exceeds 1/2 of the circumference, the self-fixing can be realized without an external connecting piece, in the use process, the component force of the internal clamping bar 2 on the flexible frame 43a in the direction of pulling the flexible frame 43a away from the slot is small, so as to ensure the fixed connection between the flexible frame and the connecting end 42, and regarding the connection position with the internal clamping bar 2, the flexible frame 43a is preferably arranged on the top of the slot body 44, and the use strength can be increased by adopting a local reinforcement mode. Of course, the area around the filter screen 43 is also made larger to allow the gas to flow therethrough during use, but the area of the filter screen 43 may be increased as appropriate to increase the filtering effect.
Preferably, the connecting end 42 is partially spherical, and the portion of the outer clamping bar 1 corresponding to the spherical structure is curved. Through the setting of curved surface structure, can avoid the influence that sharp-pointed structure caused to the human body at link 42 pivoted in-process, and through the adaptability cooperation extension cooperation region of sphere with the curved surface, also prolong sealed area through regional increase, wherein, curved surface structure is in the in-process of design, as shown in fig. 7, can select to laminate with spherical surface structure when rotating jaw 4 opens to guarantee the stability of structure.
The outer clamp rod 1 is arranged in a segmented mode, and at least a connecting position is arranged between the connecting end 42 and the annular valve seat 5, so that the mounting difficulty of each structure can be reduced through the segmented arrangement mode. The connection position is fixed by a connecting piece or welding, and a threaded connection mode cannot be applied here because the position relation of the internal structure can be influenced by a rotating mode.
As a preferred example of the above embodiment, as shown in fig. 8 and 9, a secondary filtering structure 11 is further disposed at the connection position, two limiting structures are disposed at the connection position at intervals to limit the secondary filtering structure 11 in the length direction of the outer caliper bar 1, a 1/2 annular through hole 10 is disposed between the two limiting structures, into which the secondary filtering structure 11 is inserted, and the through hole 10 is blocked by the frame of the secondary filtering structure 11; be provided with the notch structure in second grade filtration 11's the framework, and fixedly connected with U type seal structure 12 in the notch structure, the tong 2 runs through in supplying, and U type seal structure 12's uncovered direction is towards second grade filtration 11's the direction of inserting.
As shown in fig. 10, the secondary filtering structure 11 is provided to increase the filtering effect, and the installation is convenient, and the secondary filtering structure 11 can be pulled out only by applying force to the part exposed outside the through hole site 10, and the secondary installation is also convenient, and the through hole site 10 is inserted, wherein the secondary filtering structure 11 can be fixed by the arrangement of the U-shaped sealing structure 12, the fixing of the coating of the internal clamping bar 2 by the elastic structure can be realized, and the internal clamping bar 2 can be moved out from the open end by the elastic deformation of the U-shaped structure when the secondary filtering structure 11 is moved out.
Preferably, the annular valve seat 5 is fixed by pressing a connecting member penetrating the outer clamp bar 1, the connecting member being screwed to the outer clamp bar 1, in such a manner that the position of the annular valve seat 5 can be adjusted and fixed, and the fixing base 8 is fixed by pressing a connecting member penetrating the outer clamp bar 1, the connecting member being screwed to the outer clamp bar 1 for the same purpose.
It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are described in the specification and illustrated only to illustrate the principle of the present invention, but that various changes and modifications may be made therein without departing from the spirit and scope of the present invention, which fall within the scope of the invention as claimed. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims (9)

1. Single-port peritoneoscope operation pincers with function of discharging fume, its characterized in that includes: the clamp comprises an outer clamp rod (1), an inner clamp rod (2), a fixed clamp claw (3), a rotary clamp claw (4), a fixed handle and a movable handle;
the outer clamp rod (1) is fixedly connected with the fixed clamp claw (3), the rotating clamp claw (4) is rotatably connected with the outer clamp rod (1), and the position of the rotating clamp claw (4) deviating from the rotating shaft is fixedly connected with the inner clamp rod (2);
the clamp comprises an outer clamp rod (1), wherein an annular valve seat (5), a valve core (6), a spring (7) and a fixing seat (8) fixed inside the outer clamp rod (1) are sequentially arranged inside the outer clamp rod (1) along the direction far away from a fixed clamp claw (3), a communicating channel (61) is formed in the valve core (6), one end of the communicating channel (61) is closed when the valve core (6) is attached to the annular valve seat (5), the other end of the communicating channel (61) is fixedly connected with an exhaust pipeline (9), the other end of the exhaust pipeline (9) is connected with a negative pressure suction pipe, the spring (7) is in an extrusion state and provides force for the valve core (6) to be attached to the annular valve seat (5), and the valve core (6) is fixedly connected with an inner clamp rod (2);
the outer clamp rod (1) is fixedly connected with the fixed handle and is rotationally connected with the movable handle, the movable handle is connected with the inner clamp rod (2) and drives the inner clamp rod (2) to move linearly through rotation, so that the valve core (6) is controlled to be attached to or away from the annular valve seat (5), when the valve core and the annular valve seat are attached to each other, the fixed clamp claw (3) and the rotary clamp claw (4) are opened, and when the valve core and the rotary clamp claw are away from each other, the fixed clamp claw (3) and the rotary clamp claw (4) are closed and clamped.
2. The single-hole laparoscope operation forceps with smoke exhausting function as recited in claim 1, wherein the rotary forceps jaws (4) comprise a clamping end (41), a connecting end (42) and a filter screen (43), one end of the connecting end (42) is integrally formed with the clamping end (41), the other end of the connecting end (42) fixes the filter screen (43), a groove (44) is formed among the clamping end (41), the connecting end (42) and the filter screen (43), and the connecting end (42) is rotatably connected with the outer forceps rod (1).
3. The forceps with smoke exhausting function for laparoscope as recited in claim 2, wherein the filter screen (43) comprises a flexible frame (43 a) and a screen body (43 b), and the connecting end (42) is provided with a slot for wrapping the flexible frame (43 a), and the slot is wrapped by the flexible frame by more than 1/2 of a circumference and less than 3/5 of a circumference.
4. The single-port laparoscopic forceps with a smoke evacuation function according to claim 2, wherein the outside of the connecting end (42) is of a partial spherical structure, and the part of the external forceps rod (1) corresponding to the spherical structure is of a curved structure.
5. The single port laparoscopic forceps with a smoke evacuation function according to claim 2, characterized in that the external forceps lever (1) is provided in segments and a connection position is provided at least between the connection end (42) and the annular valve seat (5).
6. The forceps with smoke evacuation function of claim 5, wherein the connection position is fixed by a connector or welding.
7. The single-port laparoscope operation forceps with smoke exhausting function as recited in claim 5, wherein a secondary filtering structure (11) is further disposed at the connection position, two limiting structures are disposed at the connection position at intervals to limit the secondary filtering structure (11) in the length direction of the outer forceps rod (1), a 1/2 annular through hole (10) is disposed between the two limiting structures, the secondary filtering structure (11) is inserted into the through hole, and the frame of the secondary filtering structure (11) blocks the through hole (10);
be provided with the notch structure in the framework of second grade filtration (11), just fixedly connected with U type seal structure (12) confession in the notch structure interior tong pole (2) run through, the uncovered orientation of U type seal structure (12) the direction of inserting of second grade filtration (11).
8. The single port laparoscopic forceps with a smoke evacuation function according to claim 1, wherein the annular valve seat (5) is fixed by pressing through a connector penetrating the external forceps rod (1), and the connector is screwed with the external forceps rod (1).
9. The single-port laparoscopic operating forceps with a smoke evacuation function according to claim 1, wherein the fixed base (8) is fixed by pressing through a connecting member penetrating through the external forceps rod (1), and the connecting member is in threaded connection with the external forceps rod (1).
CN202011413867.1A 2020-12-04 2020-12-04 Single-hole laparoscope operating forceps with smoke exhaust function Active CN113951986B (en)

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