CN114601529A - Laparoscope auxiliary forceps and laparoscopic surgical instrument - Google Patents
Laparoscope auxiliary forceps and laparoscopic surgical instrument Download PDFInfo
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- CN114601529A CN114601529A CN202210399106.8A CN202210399106A CN114601529A CN 114601529 A CN114601529 A CN 114601529A CN 202210399106 A CN202210399106 A CN 202210399106A CN 114601529 A CN114601529 A CN 114601529A
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- 229910001220 stainless steel Inorganic materials 0.000 claims description 15
- 210000000683 abdominal cavity Anatomy 0.000 abstract description 11
- 231100000241 scar Toxicity 0.000 abstract description 7
- 210000001015 abdomen Anatomy 0.000 abstract description 5
- 230000002980 postoperative effect Effects 0.000 abstract description 4
- 208000032544 Cicatrix Diseases 0.000 abstract description 3
- 230000037387 scars Effects 0.000 abstract description 3
- 201000010099 disease Diseases 0.000 abstract description 2
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 abstract description 2
- 230000000694 effects Effects 0.000 abstract description 2
- 238000002357 laparoscopic surgery Methods 0.000 description 9
- 238000011084 recovery Methods 0.000 description 5
- 210000000080 chela (arthropods) Anatomy 0.000 description 4
- 238000005491 wire drawing Methods 0.000 description 3
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 238000012084 abdominal surgery Methods 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 238000005520 cutting process Methods 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000004080 punching Methods 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B17/2909—Handles
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3415—Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3478—Endoscopic needles, e.g. for infusion
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/29—Forceps for use in minimally invasive surgery
- A61B2017/2926—Details of heads or jaws
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Animal Behavior & Ethology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Veterinary Medicine (AREA)
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- General Health & Medical Sciences (AREA)
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- Ophthalmology & Optometry (AREA)
- Pathology (AREA)
- Gastroenterology & Hepatology (AREA)
- Surgical Instruments (AREA)
Abstract
The invention aims to disclose a laparoscope auxiliary forceps and a laparoscopic surgical instrument, which comprise a handle part, an operating rod and an operating forceps head, wherein the operating rod is provided with a conical cap, and the operating forceps head is bound in the conical cap, and the invention has the following technical effects: the laparoscope auxiliary forceps are provided with the conical caps, the operating forceps heads are bound in the conical caps, after the puncture position of a patient is determined, the auxiliary forceps with the conical caps can be directly punctured into the abdomen of the patient, and in addition, the conical caps are taken down and taken out by using a main operating instrument, so that the auxiliary forceps can be simultaneously used as puncture devices; the auxiliary forceps of the laparoscope are matched with the single-hole operation sheath for use, the single-hole operation sheath is inserted into the abdominal cavity at the navel, the auxiliary forceps are inserted into the abdominal cavity at the position selected by the patient disease condition, the number of holes drilled is reduced on the one hand, on the other hand, the outer diameter of the auxiliary forceps is 0.2cm-0.3cm, the wound of the auxiliary operation hole is greatly reduced, meanwhile, the wound at the navel is not easy to expose, and therefore postoperative scars are greatly reduced or are not easy to find.
Description
Technical Field
The invention relates to the technical field of medical instruments for operations, in particular to a laparoscope auxiliary forceps and a laparoscopic surgical instrument.
Background
Laparoscopic surgery typically requires at least three holes to be made in the patient's abdomen, a primary operation hole, a secondary operation hole, and a camera hole. Compared with the open-abdominal surgery, the laparoscopic surgery has less trauma to the patient and the patient recovers quickly, which has become the mainstream mode of the intra-abdominal surgery. The laparoscopic surgery needs to firstly punch holes through the puncture outfit, then the main operation surgical instruments, the auxiliary operation surgical instruments, the camera and the like enter the abdominal cavity through the puncture outfit and perform the surgery, the more the holes are punched in the laparoscopic surgery, the more the pain of a patient is caused, and more scars are left.
To this end, it is common to the surgeon and patient to minimize the number of perforations in laparoscopic surgery, or to minimize the number of perforations.
In view of the above, there is a need for an improved laparoscopic surgical instrument of the prior art to address the above-mentioned problems.
Disclosure of Invention
In order to solve the above technical problems, an object of the present invention is to provide an auxiliary forceps for laparoscopy and a laparoscopic surgical instrument, in which the auxiliary forceps can be used as a puncture device after puncture by providing a tapered cap on the basis of a conventional auxiliary forceps.
The invention aims to provide a pair of laparoscope auxiliary forceps.
It is a second object of the present invention to provide a laparoscopic surgical instrument.
In order to achieve the first object, the invention provides a pair of laparoscopic auxiliary forceps, which comprises a handle part, an operating rod and an operating forceps head, wherein the operating rod is provided with a conical cap, and the operating forceps head is restrained in the conical cap.
Preferably, the conical cap has a pointed head.
Preferably, the pointed part is provided with a plurality of conical ridges.
Preferably, the outer diameter of the operating rod is 0.2cm-0.3 cm.
Preferably, the operating binding clip comprises an upper binding clip and a lower binding clip.
Preferably, the upper binding clip is an elastic arc-shaped crochet hook, the lower binding clip is an elastic arc-shaped crochet hook, the crochet hook structures of the upper binding clip and the lower binding clip are arranged oppositely, the operating rod is provided with a hollow part, a stainless steel wire is arranged in the hollow part, and the stainless steel wire is connected with the upper binding clip and the lower binding clip.
Preferably, the handle portion comprises a first handle, a second handle and a handle, the first handle and the second handle are connected through a hinge, a sliding block, a spring and a wire drawing are arranged in an inner cavity of the handle, one side of the sliding block is fixedly connected with the stainless steel wire, the other side of the sliding block is connected with the spring, the wire drawing is arranged in the spring, and two ends of the wire drawing are respectively connected with the sliding block and the top end of the second handle.
Preferably, the lever head is ramp-shaped.
In order to achieve the second object, the invention provides a laparoscopic surgical instrument, which comprises a single-hole surgical sheath and the laparoscopic auxiliary forceps of the first invention, wherein the single-hole surgical sheath comprises an instrument operating table and a flexible pipe, the flexible pipe is hermetically connected with the instrument operating table, and the instrument operating table is provided with a first operating hole and a second operating hole.
Preferably, the diameter of the first operation hole is 1cm, the diameter of the second operation hole is 0.5cm, a lantern ring is arranged at the top end of the flexible pipe, the lantern ring is provided with an internal thread, and an external thread is arranged at the bottom of the instrument operation table.
Compared with the prior art, the invention has the following technical effects:
(1) the laparoscope auxiliary forceps are provided with the conical caps, the operating forceps heads are bound in the conical caps, and after the puncture position of a patient is determined, the auxiliary forceps with the conical caps can be directly punctured into the abdomen of the patient without using an additional puncture device, so that the aperture of the auxiliary forceps is greatly reduced; in addition, the conical cap is taken down and taken out by the main operation instrument, so that the auxiliary forceps can be simultaneously used as the puncture outfit.
(2) Supplementary pincers of peritoneoscope and the cooperation of single-port operation sheath are used, the abdominal cavity is inserted in navel department to the single-port operation sheath, and supplementary pincers insert the abdominal cavity according to patient's disease condition selected position, only need two holes such as supplementary pincers hole and main handle hole like this, the quantity of punching has been reduced on the one hand, on the other hand, the external diameter of supplementary pincers is 0.2cm-0.3cm, the wound of supplementary handle hole reduces by a wide margin, the wound of navel department is difficult for exposing simultaneously, thereby make the postoperative scar reduce by a wide margin or be difficult to discover, postoperative patient resumes soon.
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 description of the embodiments or the prior art will be briefly described below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and other drawings can be obtained by those skilled in the art without creative efforts.
FIG. 1 is a schematic cross-sectional view of an auxiliary clamp according to embodiment 1 of the present invention;
FIG. 2 is a cross-sectional view of the auxiliary jaw head of the present invention;
FIG. 3 is a schematic cross-sectional view of an auxiliary clamp according to embodiment 2 of the present invention;
FIG. 4 is a perspective view of the single-hole surgical sheath of the present invention;
FIG. 5 is a schematic view of a laparoscopic surgical punch placement of the present invention;
FIG. 6 is a perspective view of the instrument console of the present invention;
FIG. 7 is a schematic cross-sectional view of an auxiliary clamp according to embodiment 3 of the present invention;
fig. 8 is an enlarged schematic view of the head of an auxiliary clamp according to embodiment 3 of the present invention.
Wherein, 1, handle part; 11. a first handle; 12. a second handle; 13. a handle; 131. a slider; 132. a spring; 133. drawing wires; 14. a hinge; 2. an operating lever; 21. a hollow part; 22. stainless steel wires; 3. operating the tong head; 31. an upper binding clip; 32. a lower binding clip; 4. a conical cap; 41. a tip portion; 411. conical corrugation; 5. a single-port surgical sheath; 51. an instrument console; 52. a flexible tube; 511. a first operation hole; 512. a second operation hole; 513. an external thread; 6. and (6) puncturing the hole.
Detailed Description
The present invention is described in detail with reference to the embodiments shown in the drawings, but it should be understood that these embodiments are not intended to limit the present invention, and those skilled in the art should understand that functional, methodological, or structural equivalents or substitutions made by these embodiments are within the scope of the present invention.
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", and the like, indicate orientations and positional relationships based on those shown in the drawings, and are used only for convenience of description and simplicity of description, and do not indicate or imply that the device or element being referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus, should not be considered as limiting the present invention.
Example 1
Referring to fig. 1 to 2, this embodiment discloses an embodiment of a laparoscopic forceps.
The laparoscope auxiliary forceps, as shown in fig. 1 to 2, comprises a handle part 1, an operating rod 2 and an operating forceps head 3, wherein the operating rod 2 is provided with a conical cap 4, and the operating forceps head 3 is bound in the conical cap 4.
Specifically, the auxiliary forceps usually enter the abdominal cavity through a puncture hole to assist in performing an operation, the outer diameter of the auxiliary forceps is usually large, and the auxiliary forceps can be fed into the abdominal cavity only through the large puncture hole (0.5cm-1 cm).
It should be further noted that the operating head 3 of the auxiliary forceps is selected according to the condition of a patient, and may be a gripping head, a crochet hook type head, or the like.
In a preferred embodiment, the pointed part 41 is provided with a plurality of conical ridges 411, the conical ridges 411 are arranged to reduce the puncture resistance of the conical cap 4, and in addition, the conical ridges 411 are smooth and are not easy to damage the intestinal tract and the like in the puncture process.
As a preferred embodiment, the outer diameter of the operating rod 2 is 0.2cm-0.3cm, the outer diameter of the conical cap 4 is slightly larger than that of the operating rod 2, the aperture of the puncture hole of the auxiliary forceps is only 0.2cm-0.3cm, and compared with the traditional puncture hole, the puncture hole is greatly reduced, so that the recovery of a patient is quicker, and scars after the recovery are smaller.
In a preferred embodiment, the operating forceps head 3 includes an upper forceps head 31 and a lower forceps head 32, and the tissue of the patient is grasped by opening and closing the upper forceps head 31 and the lower forceps head 32.
Through the embodiment, the outer diameter size of the traditional auxiliary forceps is reduced, the outer diameter of the auxiliary forceps is small, the auxiliary forceps have a puncture function, the auxiliary forceps can be directly used after puncture enters an abdominal cavity, and a hole reserved for a patient is only 0.2cm-0.3cm, so that compared with the traditional puncture hole, the puncture hole is greatly reduced, the recovery of the patient is quicker, and a scar after the recovery is smaller.
Example 2
The difference from embodiment 1 is that, referring to fig. 3, the upper binding clip 31 is an elastic arc-shaped crochet hook, the lower binding clip 32 is an elastic arc-shaped crochet hook, the crochet hook structures of the upper binding clip 31 and the lower binding clip 32 are oppositely arranged, the operating rod 2 is provided with a hollow part 21, a stainless steel wire 22 is arranged in the hollow part 21, and the stainless steel wire 22 connects the upper binding clip 31 and the lower binding clip 32.
Specifically, the upper jaw 31 is an elastic arc-shaped crochet hook and the lower jaw 32 is an elastic arc-shaped crochet hook, namely, a downward-bent crochet hook is arranged at the end part of the upper jaw 31, an upward-bent crochet hook is arranged at the end part of the lower jaw 32, the upper jaw 31 and the lower jaw 32 are clamped by pulling the stainless steel wire 22 and are extended to the hollow part 21, the stainless steel wire 22 is loosened, the upper jaw 31 and the lower jaw 32 are separated from the hollow part 21, and the upper jaw 31 and the lower jaw 32 are opened under the elastic action of the upper jaw 31 and the lower jaw 32.
In a preferred embodiment, the handle part 1 includes a first handle 11, a second handle 12 and a handle 13, the first handle 11 and the second handle 12 are connected by a hinge 14, a slider 131, a spring 132 and a wire 133 are disposed in an inner cavity of the handle 13, one side of the slider 131 is fixedly connected to the stainless steel wire 22, the other side of the slider 131 is connected to the spring 132, the wire 133 is disposed in the spring 132, and two ends of the wire 133 are respectively connected to the slider 131 and the top end of the second handle 12.
Specifically, the first handle 11 and the second handle 12 are formed into an X-shaped structure through the hinge 14, when the second handle 12 is close to the first handle 11, the top end of the second handle 12 pulls the sliding block 131 and the stainless steel wire 22 through the pulling wire 133, and the spring 132 is compressed, so as to drive the operating forceps head 3 to clamp the tissue, when the operating forceps head 3 needs to be loosened, and when the second handle 12 is far from the first handle 11, under the elastic force of the spring 132, the sliding block 131 and the stainless steel wire 22 are pushed, and the operating forceps head 3 extends out of the hollow structure 21 and is opened.
In a preferred embodiment, the head of the operating rod 2 is shaped like a slope, and in particular, the slope enables the head of the operating rod 2 to have a sharp part, and after the operating forceps head 3 is received in the hollow structure 21, the sharp part can assist a doctor in performing cutting operation.
Example 3
The difference from embodiment 2 is that, referring to fig. 7 and 8, the upper binding clip 31 is a straight binding clip or a bent binding clip, the lower binding clip 32 is a straight binding clip, the upper binding clip 31 and the lower binding clip 32 are connected by a hinge, the operating rod 2 is provided with a hollow portion 21, a stainless steel wire 22 is arranged in the hollow portion 21, the stainless steel wire 22 is connected with the upper binding clip 31, the upper binding clip 31 rotates around the hinge and engages or opens with the lower binding clip 32, and the lower binding clip 32 is fixedly connected with the outer wall of the operating rod 2.
Example 4
The laparoscopic surgical instrument, referring to fig. 4 to 6, comprises a single-hole surgical sheath 5 and laparoscopic auxiliary forceps as described in embodiment 1 and embodiment 2, wherein the single-hole surgical sheath 5 comprises an instrument operation table 51 and a flexible tube 52, the flexible tube 52 is hermetically connected with the instrument operation table 51, the instrument operation table 52 is provided with a first operation hole 521 and a second operation hole 522, specifically, during laparoscopic surgery, such as appendix excision, the laparoscopic auxiliary forceps are used to directly puncture into the abdominal cavity, an incision with a certain length is separated from the navel, the flexible tube 52 of the single-hole surgical sheath 5 is inserted into the abdominal cavity through the incision, a camera is inserted into the first operation hole 521, a main operation instrument is inserted into the second operation hole 522 to perform the surgery, by design, a puncture hole with a depth of 0.2cm-0.3cm is formed at the navel of a patient, and under the cooperation of the main operation instrument and the auxiliary forceps, compared with the traditional three-hole laparoscopic surgery, the three-hole laparoscopic surgery has the advantages of less incision, small scar or being hidden in the navel, difficult scar discovery, quick postoperative recovery and the like.
In a preferred embodiment, the diameter of the first operation hole 521 is 1cm, the diameter of the second operation hole 522 is 0.5cm, a collar is arranged at the top end of the flexible tube 52, the collar is provided with an internal thread, the bottom of the instrument operation table 51 is provided with an external thread 513, specifically, during an operation, the incision length at the navel is about 2cm, the instrument operation table 51 is detachably matched with the internal thread of the collar through the external thread 513 arranged at the bottom, during the operation, when a small resected tissue needs to be taken out, a main operation instrument can be used for taking out the tissue from the second operation hole 522, when a large resected tissue needs to be taken out, the instrument operation table 51 can be unscrewed and then taken out, compared with the traditional laparoscopic operation, the tissue can be taken out in a single time.
The procedure of this example is as follows: referring to fig. 5, fig. 5 is a schematic view of a laparoscopic puncture site, in which an incision having a length of about 2cm is formed at the navel, a flexible tube 52 is inserted into the abdominal cavity, a camera is inserted into a first operation hole 511, and a main operation instrument is inserted into a second operation hole 512; directly using auxiliary forceps at a proper position to form a puncture hole 6, and after the auxiliary forceps are inserted into the abdomen, taking down the conical cap and taking out the outside of the abdomen through a main operation instrument to start an operation; in operation, the excised tissue may be taken out through the second operation hole 512, and the excised tissue of a larger size may be taken out through the opened instrument console 51.
Claims (10)
1. The auxiliary forceps for the laparoscope are characterized by comprising a handle part, an operating rod and an operating forceps head, wherein the operating rod is provided with a conical cap, and the operating forceps head is bound in the conical cap.
2. Laparoscopic forceps according to claim 1, wherein said tapered cap has a pointed end.
3. The laparoscopic forceps of claim 1, wherein said tip portion is provided with a plurality of tapered ridges.
4. The laparoscopic forceps of claim 1, wherein said actuating shaft has an outer diameter of 0.2cm to 0.3 cm.
5. A laparoscopic forceps according to any of claims 1 to 4, wherein said operative head comprises an upper head and a lower head.
6. The laparoscopic forceps of claim 5, wherein the upper forceps head is an elastic curved crochet hook, the lower forceps head is an elastic curved crochet hook, the crochet hook of the upper forceps head and the lower forceps head are oppositely arranged, the operating rod is provided with a hollow portion, and a stainless steel wire is arranged in the hollow portion and connected with the upper forceps head and the lower forceps head.
7. The laparoscopic forceps aid of claim 6, wherein the handle portion comprises a first handle, a second handle and a handle, the first handle and the second handle are connected through a hinge, a slider, a spring and a pull wire are arranged in an inner cavity of the handle, one side of the slider is fixedly connected with the stainless steel wire, the other side of the slider is connected with the spring, the pull wire is arranged in the spring, and two ends of the pull wire are respectively connected with the top ends of the slider and the second handle.
8. The laparoscopic forceps of claim 6, wherein the handle head is ramp-shaped.
9. Laparoscopic surgical instrument, characterized in that, including single-port operation sheath and laparoscopic auxiliary forceps of any one of claims 1 to 7, the single-port operation sheath includes instrument operation platform and flexible pipe, sealed connection between the flexible pipe and the instrument operation platform, the instrument operation platform sets up first handle hole and second handle hole.
10. The laparoscopic surgical instrument of claim 9, wherein said first access port has a diameter of 1cm and said second access port has a diameter of 0.5cm, and wherein a collar is disposed at the top end of the flexible tube, said collar having internal threads and the bottom of said instrument console having external threads.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210399106.8A CN114601529B (en) | 2022-04-16 | 2022-04-16 | Laparoscopic auxiliary forceps and laparoscopic surgical instrument |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210399106.8A CN114601529B (en) | 2022-04-16 | 2022-04-16 | Laparoscopic auxiliary forceps and laparoscopic surgical instrument |
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| Publication Number | Publication Date |
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| CN114601529A true CN114601529A (en) | 2022-06-10 |
| CN114601529B CN114601529B (en) | 2024-04-12 |
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| CN211409251U (en) * | 2019-09-19 | 2020-09-04 | 昆明医科大学第二附属医院 | Cavity mirror right angle pliers that binding clip can buckle |
| CN215130009U (en) * | 2021-07-05 | 2021-12-14 | 厦门市妇幼保健院（厦门市计划生育服务中心） | Laparoscope auxiliary instrument |
| CN215651308U (en) * | 2021-07-08 | 2022-01-28 | 复旦大学附属中山医院厦门医院 | Adjustable gripping type percutaneous dilatation tracheotomy forceps |
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