CN116831657B - Surgical space exposing device for laparoscopic rectal cancer surgery - Google Patents
Surgical space exposing device for laparoscopic rectal cancer surgery Download PDFInfo
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- CN116831657B CN116831657B CN202310954415.1A CN202310954415A CN116831657B CN 116831657 B CN116831657 B CN 116831657B CN 202310954415 A CN202310954415 A CN 202310954415A CN 116831657 B CN116831657 B CN 116831657B
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- 208000015634 Rectal Neoplasms Diseases 0.000 title claims abstract description 22
- 206010038038 rectal cancer Diseases 0.000 title claims abstract description 22
- 201000001275 rectum cancer Diseases 0.000 title claims abstract description 22
- 238000001356 surgical procedure Methods 0.000 title claims abstract description 22
- 230000002457 bidirectional effect Effects 0.000 claims description 27
- 238000000034 method Methods 0.000 claims description 11
- 230000001105 regulatory effect Effects 0.000 claims description 3
- 210000000683 abdominal cavity Anatomy 0.000 abstract description 9
- 230000036285 pathological change Effects 0.000 abstract description 7
- 231100000915 pathological change Toxicity 0.000 abstract description 7
- 210000003437 trachea Anatomy 0.000 abstract description 7
- 238000003384 imaging method Methods 0.000 abstract description 4
- 230000005540 biological transmission Effects 0.000 abstract description 3
- 238000010276 construction Methods 0.000 abstract description 3
- 230000000740 bleeding effect Effects 0.000 abstract description 2
- 238000007493 shaping process Methods 0.000 abstract description 2
- 230000008569 process Effects 0.000 description 8
- 239000000779 smoke Substances 0.000 description 8
- 230000008901 benefit Effects 0.000 description 4
- 238000011161 development Methods 0.000 description 4
- 238000012986 modification Methods 0.000 description 4
- 230000004048 modification Effects 0.000 description 4
- 238000013461 design Methods 0.000 description 3
- 238000004519 manufacturing process Methods 0.000 description 3
- 206010009944 Colon cancer Diseases 0.000 description 2
- 208000001333 Colorectal Neoplasms Diseases 0.000 description 2
- 238000009825 accumulation Methods 0.000 description 2
- 238000003915 air pollution Methods 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 230000009286 beneficial effect Effects 0.000 description 1
- 239000003086 colorant Substances 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000012552 review Methods 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 230000007306 turnover Effects 0.000 description 1
- 238000009423 ventilation Methods 0.000 description 1
Classifications
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B2017/0212—Cushions or pads, without holding arms, as tissue retainers, e.g. for retracting viscera
-
- 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
Abstract
The invention discloses a surgical space exposing device for laparoscopic rectal cancer surgery, and belongs to the technical field of surgical auxiliary instruments. This operation space exposure ware is used in laparoscopic rectal cancer operation is inflated shaping to column gasbag through the operation inflation balloon drive first piston to drive elastic construction drives two-way pinion rack and hinge structure meshing transmission, make the hinge structure prop up column gasbag, make four column gasbag complete expansion states be quadrilateral structure, make it enclose and close in pathological change position, make first trachea keep enclosing and close in pathological change position, can control the gas circulation structure and realize the operation of bleeding through first trachea nearest distance this moment, make smog can be discharged fast and filter and purify the back circulation flow, make it can prevent smog influence imaging system, and keep the air current circulation to avoid the inside atmospheric pressure of abdominal cavity to reduce, lead to being difficult to satisfy operation abdominal cavity space influence operation problem that goes on smoothly, secondly, the exhaust can form the air wall in pathological change position, avoid tiny tissue to splash.
Description
Technical Field
The invention relates to the technical field of surgical auxiliary instruments, in particular to a surgical space exposing device for laparoscopic rectal cancer surgery.
Background
The development of modern medicine, minimally invasive surgery is the development direction of the current surgery, and has the advantages of small wound, quick recovery and less pain, and has become the goal and direction of the common pursuit of the modern medicine.
When the surgical operation is performed on the rectal cancer under the laparoscope, an operator needs to expose the position needing to be operated by using the surgical space exposing device, at present, the common surgical space exposing device is generally in a fixed shape, the shape is difficult to adjust according to the position size of the region to be operated, in addition, in the surgical process, the surgical region cannot be distinguished from the outside, so that some problem tissues are easy to splash outwards during the operation, other non-surgical regions are injured, in addition, when some positions need to be clamped, other clamping devices are required to be replaced in addition to work, the surgical operation process is very inconvenient, excessive smoke is generated when an ultrasonic knife and an electric knife are used in the surgical region, the display content transmitted to a display through an imaging system becomes vague, and a person is required to replace negative pressure suction equipment again to suck the smoke, most of the process is CO2 gas and is directly discharged, the air pressure in the abdominal cavity is reduced while air pollution is caused, the surgical space requirements cannot be met, and the smooth degree of the surgery can be directly influenced, so that the problem of the surgical operation is very important to be solved on researching the novel surgical space exposing device.
Disclosure of Invention
This section is intended to outline some aspects of embodiments of the invention and to briefly introduce some preferred embodiments. Some simplifications or omissions may be made in this section as well as in the description summary and in the title of the application, to avoid obscuring the purpose of this section, the description summary and the title of the invention, which should not be used to limit the scope of the invention.
The present invention has been made in view of the above-mentioned and/or existing problems with laparoscopic surgical instruments.
Therefore, the technical problem to be solved by the invention is that when the operation process is carried out, the operation area cannot be distinguished from the outside, so that some problem tissues are easy to spill outwards during the operation, other non-operation areas are damaged, when some positions are required to be clamped, other clamping devices are required to be replaced additionally for working, the operation process is very inconvenient, in addition, when the ultrasonic knife and the electric knife are used in the operation area, excessive smoke is generated, the display content transmitted to the display through the camera system becomes blurred, the people are required to replace the negative pressure suction equipment again for sucking the smoke, most of the CO2 gas is pumped out during the process and is directly discharged, the air pressure in the abdominal cavity is reduced while the air pollution is caused, the requirement of the operation abdominal cavity space cannot be met, and the problem of the smoothness of the operation can be directly influenced.
In order to achieve the above purpose, the present invention provides the following technical solutions: the utility model provides a surgical space exposure ware is used in laparoscopic rectal cancer operation, includes the deformable exposure ware, the deformable exposure ware includes two rectangular gasbags, two first ratches, two first control structures, second ratches and second control structure, annular piece, four columnar gasbags, four spherical shells, gas circulation structure, barrel, pipeline and the balloon that inflates that communicates with the pipeline, the other end and the barrel of pipeline communicate, the barrel is worn out to the pipe portion of gas circulation structure, one of them spherical shell fixed connection is at the other end of barrel, and communicates through four columnar gasbags between four spherical shells, the gas outlet end and the inlet end of gas circulation structure all surround and fix on four columnar gasbags and four spherical shells, and two rectangular gasbags fixed connection are at the top of two spherical shells wherein, two first ratches mesh with two first control structures respectively, and two first ratches are fixed connection respectively on two lateral walls of barrel, second ratches mesh with second control structure, the gas circulation structure communicates with the inlet end of gas circulation structure; the method comprises the steps of,
the expanding and supporting assembly comprises an elastic structure, a first piston, an inner cylinder, a bidirectional toothed plate and two hinge structures meshed with the bidirectional toothed plate, wherein two ends of the two hinge structures are hinged to the same two spherical shells, middle ends of the two hinge structures are respectively hinged to the other two spherical shells, one end of the elastic structure is fixedly connected with the bidirectional toothed plate, the first toothed bar is fixedly connected to the end of the bidirectional toothed plate, the elastic structure is assembled in the inner cylinder, the inner cylinder is arranged in the cylinder body, the first piston is fixedly connected to the end of the inner cylinder, the first piston is overlapped with the annular block, and the annular block is fixedly connected to the inner cavity of the cylinder body.
As a further aspect of the invention: the air circulation structure comprises an air pump, the air inlet end of the air pump is communicated with a filter, one end of the filter, far away from the air pump, is communicated with an air inlet pipe, and a regulating valve is arranged at the connecting part of the air inlet pipe and the filter.
As a further aspect of the invention: the cylinder is worn to establish by the intake pipe and with first intake pipe and second intake pipe intercommunication, first intake pipe and second intake pipe are the hose, first intake pipe fixed connection is in the inside of four spherical shells and four column gasbag, second trachea fixed connection is in the outside of four spherical shells and four column gasbag.
As a further aspect of the invention: the connecting parts of the air inlet pipe, the first air inlet pipe and the two second air inlet pipes are hard pipes, and the rest parts are hoses.
As a further aspect of the invention: the gas outlet intercommunication of air pump has the outlet duct, the barrel is worn to establish by the outlet duct, the one end intercommunication that the air pump was kept away from to the outlet duct has the blast pipe, blast pipe fixed connection is in the outside of four columnar air bags and four spherical shells.
As a further aspect of the invention: the first control structure comprises a first valve, the first valve is assembled on the extending end of the side part of the joint of the air inlet pipe and the second air pipe, a first gear is fixedly connected to the rotating part of the first valve, the first gear is meshed with a first toothed bar, and a first torsion spring is fixedly connected between the lower part of the first gear and the first valve.
As a further aspect of the invention: the second control structure comprises a second valve, the second valve is arranged at the straight pipe end of the joint of the air inlet pipe and the first air pipe, a second gear is fixedly connected to the rotating part of the second valve, the second gear is meshed with a second toothed bar, and a second torsion spring is fixedly connected between the lower part of the second gear and the second valve.
As a further aspect of the invention: the elastic structure comprises a second piston and a movable rod, the air inlet pipe penetrates out of the second piston, the movable rod and the bidirectional toothed plate, and the extending end of the side part of the air inlet pipe penetrates out of the movable rod.
As a further aspect of the invention: the second piston is arranged in the inner cylinder, one side of the second piston is fixedly connected with a movable rod, one end of the movable rod, which is far away from the second piston, penetrates out of the inner cylinder and is fixedly connected with the bidirectional toothed plate, one side of the second piston is fixedly connected with a spring, and one end of the spring, which is far away from the second piston, is fixedly connected with the end wall of the inner cylinder.
As a further aspect of the invention: the hinge structure comprises two movable rods, the connecting parts of the two movable rods are hinged to the spherical shell through pin shafts, one end of one movable rod is hinged to the other spherical shell, the two movable rods are respectively located in two columnar air bags, a third gear is fixedly connected to the end part of the other movable rod, the third gear is meshed with one side of the bidirectional toothed plate, the third gear is rotatably connected to the spherical shell through pin shafts, and a third torsion spring is fixedly connected between two sides of the inner wall of the spherical shell and two sides of the third gear.
Compared with the prior art, the invention has the beneficial effects that: this operation space exposure ware is used in laparoscopic rectal cancer operation is inflated to column gasbag through operation inflation balloon drive first piston and is made its inflation shaping to drive elastic construction and drive two-way pinion rack and hinge structure meshing transmission, make hinge structure prop up column gasbag, make four column gasbag complete expansion states be quadrilateral structure, make it enclose and close in the pathological change position, make first trachea keep enclosing in pathological change position, can control the gas circulation structure and realize the operation of bleeding through first trachea nearest distance this moment, make smog can be discharged fast and filter and purify the back circulation flow, make it can prevent smog influence imaging system, and keep the air current circulation to avoid the inside atmospheric pressure of abdominal cavity to reduce, lead to being difficult to satisfying operation abdominal cavity space influence operation problem that goes on smoothly, secondly, the exhaust can form the gas wall in pathological change position, avoid tiny tissue to splash out.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings that are needed in the description of the embodiments will be briefly described below, it being obvious that the drawings in the following description are only some embodiments of the present invention, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art. Wherein:
fig. 1 is a schematic view showing a three-dimensional structure of an surgical space exposing device for a laparoscopic rectal cancer surgery according to an embodiment of the present invention.
Fig. 2 is a schematic structural view of a cylinder body in a surgical space exposing device for laparoscopic and rectal cancer surgery according to an embodiment of the present invention.
Fig. 3 is a schematic view showing a three-dimensional structure of a columnar balloon in a surgical space exposing device for laparoscopic and rectal cancer surgery according to an embodiment of the present invention.
Fig. 4 is a schematic view showing a three-dimensional structure of a first air tube in a surgical space exposing device for laparoscopic and rectal cancer surgery according to an embodiment of the present invention.
Fig. 5 is a schematic view of a three-dimensional structure of an inner cylinder in a surgical space exposing device for laparoscopic and rectal cancer surgery according to an embodiment of the present invention.
Fig. 6 is an enlarged schematic view of the structure of the surgical space exposing device for colorectal cancer surgery at a position a in fig. 5 according to an embodiment of the present invention.
Fig. 7 is a schematic view showing a structure of a hinge structure in a surgical space exposing device for a colorectal cancer surgery according to an embodiment of the present invention.
Detailed Description
In order that the above-recited objects, features and advantages of the present invention will become more readily apparent, a more particular description of the invention will be rendered by reference to specific embodiments thereof which are illustrated in the appended drawings.
In the following description, numerous specific details are set forth in order to provide a thorough understanding of the present invention, but the present invention may be practiced in other ways other than those described herein, and persons skilled in the art will readily appreciate that the present invention is not limited to the specific embodiments disclosed below.
In the following detailed description of the embodiments of the present invention, the cross-sectional view of the device structure is not partially enlarged to a general scale for the convenience of description, and the schematic is merely an example, which should not limit the scope of the present invention. In addition, the three-dimensional dimensions of length, width and depth should be included in actual fabrication.
Further still, reference herein to "one embodiment" or "an embodiment" means that a particular feature, structure, or characteristic may be included in at least one implementation of the invention. The appearances of the phrase "in one embodiment" in various places in the specification are not necessarily all referring to the same embodiment, nor are separate or alternative embodiments mutually exclusive of other embodiments.
Example 1
As shown in fig. 1-5 and fig. 7, the present invention provides a technical solution: the utility model provides a surgical space exposure device for laparoscopic rectal cancer surgery, including deformable exposure device 100, deformable exposure device 100 includes two rectangular gasbags 106, two first ratch 111, two first control structure 108, second ratch 110 and second control structure 109, annular piece 103, four columnar gasbags 104, four spherical shells 105, gas circulation structure 101, barrel 102, pipeline 112 and the inflatable balloon 107 that communicates with pipeline 112, the other end of pipeline 112 communicates with barrel 102, the pipe portion of gas circulation structure 101 wears out barrel 102, one of them spherical shell 105 is fixedly connected at the other end of barrel 102, and communicate through four columnar gasbags 104 between four spherical shells 105, the gas outlet end and the gas inlet end of gas circulation structure 101 all surround and are fixed on four columnar gasbags 104 and four spherical shells 105, and two rectangular gasbags 106 are fixedly connected at the top of two of these spherical shells 105, two first ratch 111 mesh with two first control structure 108 respectively, and two first ratch 111 are fixedly connected on two lateral walls of barrel 102 respectively, second ratch 111 mesh with second control structure 109, gas circulation structure 109 and gas inlet end assembly 200 communicate with second control structure 109;
comprises an elastic structure 201, a first piston 203, an inner cylinder 204, a bidirectional toothed plate 205 and two hinging structures 202 which are meshed and connected with the bidirectional toothed plate 205, wherein two ends of the two hinging structures 202 are hinged with the same two spherical shells 105, the middle ends of the two hinging structures 202 are respectively hinged with the other two spherical shells 105, the hinging structures 202 comprise two movable rods 201b, the connecting parts of the two movable rods 201b are hinged with the spherical shells 105 through pin shafts, the spherical shells 105 are of round structures without obtuse angles, so that damage to the spherical shells can be avoided when the spherical shells are pulled out, one end of one movable rod 201b is hinged with the other spherical shell 105, the two movable rods 201b are respectively positioned in the two columnar airbags 104, the end part of the other movable rod 201b is fixedly connected with a third gear 202b, the third gear 202b is meshed with one side of the bidirectional toothed plate 205, the third gear 202b is connected with the spherical shells 105 through pin shafts in a rotating way, and a third torsion spring 202c is fixedly connected between the two sides of the inner wall of the spherical shell 105 and the two sides of the third gear 202b, the third torsion spring 202c not only can drive the connecting rod 202a to realize turnover reset, but also can maintain the angle of the connecting rod 202a, thereby maintaining the angle of the columnar airbag 104, one end of the elastic structure 201 is fixedly connected with the bidirectional toothed plate 205, the first toothed rod 111 is fixedly connected with the end part of the bidirectional toothed plate 205, the elastic structure 201 is assembled in the inner cylinder 204, the elastic structure 201 comprises a second piston 201a and a movable rod 201b, the air inlet pipe 101e penetrates out of the second piston 201a, the movable rod 201b and the bidirectional toothed plate 205, the side extending end of the air inlet pipe 101e penetrates out of the movable rod 201b, the second piston 201a is arranged in the inner cylinder 204, one side of the second piston 201a is fixedly connected with the movable rod 201b, one end of the movable rod 201b, which is far away from the second piston 201a, penetrates out of the inner cylinder 204 and is fixedly connected with the bidirectional toothed plate 205, one side of the second piston 201a is fixedly connected with a spring 201c, one end of the spring 201c, which is far away from the second piston 201a, is fixedly connected with the end wall of the inner cylinder 204, the inner cylinder 204 is arranged in the cylinder 102, the first piston 203 is fixedly connected with the end part of the inner cylinder 204, the first piston 203 is in lap joint with the annular block 103, the annular block 103 can block the first piston 203, the first piston 203 is prevented from excessively moving, further, the movement of the second piston 201a can be smoothly driven by air pressure, and the annular block 103 is fixedly connected in the inner cavity of the cylinder 102.
In this embodiment, the inflatable balloon 107 is inflated to the inside of the cylinder 102 in a reciprocating manner, so that the air pressure controls the first piston 203 to press the air into the columnar balloon 104 and the rectangular balloon 106, so that the columnar balloon 104 is inflated and kept supported, then when the second piston 201a pushes the movable rod 201b to drive the bidirectional toothed plate 205 to engage and drive with the third gear 202b, the connecting rod 202a is stretched, the connecting rod 202a drives the columnar balloon 104 to be unfolded, the spherical shells 105 on two sides are separated from each other, the deformable exposure device 100 combined by the spherical shells 105 and the columnar balloon 104 is of a flat structure, the opening area of tissues can be increased, then the movable rod 201b is driven to reset by the elastic force of the spring 201c, the hinged structure 202 is reset to drive the spherical shells 105 to retract, a protruding part is formed after retraction, at this time, the tissues in a smaller area can be opened, and further the use requirements of different conditions can be met.
Example 2
In combination with fig. 2, fig. 4 and fig. 6, we get: the air circulation structure 101 comprises an air pump 101a, a filter 101b is communicated with an air inlet end of the air pump 101a, an air inlet pipe 101e is communicated with one end, far away from the air pump 101a, of the filter 101b, a regulating valve 101c is arranged at a connecting part of the air inlet pipe 101e and the filter 101b, the air inlet pipe 101e penetrates through a cylinder 102 and is communicated with a first air inlet pipe 101g and a second air inlet pipe 101h, air inlets are formed in the first air inlet pipe 101g and the second air inlet pipe 101h, air inlets are further formed in the first air inlet pipe 101g and the second air inlet pipe 101h, air inlet operation can be further carried out, the cylindrical air bags 104 can be smoothly subjected to angle steering, the first air inlet pipe 101g is fixedly connected to the interiors of four spherical shells 105 and four cylindrical air bags 104, the connecting part of the air inlet pipe 101e and the first air inlet pipe 101g and the two second air inlet pipes 101h is a hard pipe, the other parts are soft pipes, smooth movement of the first piston 203 can be ensured through the soft pipe arrangement of the air inlet pipe 101e, an air outlet of the air outlet pipe 101d is communicated with a cylinder 101d, the air outlet pipe 102 is formed in a penetrating way, one end, far away from the air pump 101a of the air pump 101a is communicated with an air outlet pipe 101f, the air outlet pipe 101f is further is provided with the air outlet pipe 101f, the air inlet pipe 101f is fixedly connected to the interiors of the four spherical shells and the spherical air bags 104 can be smoothly subjected to be fixedly connected to the exterior to the four spherical shells;
the second control structure 109 comprises a second valve 109a, the second valve 109a is arranged on a straight pipe end at the joint of the air inlet pipe 101e and the first air pipe 101g, a rotating part of the second valve 109a is fixedly connected with a second gear 109b, the second gear 109b is meshed with a second toothed bar 110, a second torsion spring 109c is fixedly connected between the lower part of the second gear 109b and the second valve 109a, and the second torsion spring 109c can drive the valve to rotate and reset, so that the first air pipe 101g and the air inlet pipe 101e can be sealed.
In this embodiment: through rotating the air inlet that governing valve 101c can adjust intake pipe 101e, the operation of control air pump 101a again, then can extract smog through first gas tube 101g and intake pipe 101e, make smog get into through first gas tube 101 g's gas port, and purify the discharge through filter 101b, make gas rethread outlet duct 101d and blast pipe 101 f's gas port discharge, can realize getting rid of the operation of smog this moment, avoid smog to influence imaging system, and can keep the air current circulation avoid abdominal cavity inside atmospheric pressure to reduce, lead to being difficult to satisfying the problem that operation abdominal cavity space influences the operation to go on smoothly, secondly, the exhaust can form the air wall in pathological change position, avoid tiny tissue spill.
Example 3
In connection with fig. 5, we find: the first control structure 108 includes a first valve 108c, the first valve 108c is assembled on the side extension end of the joint of the air inlet pipe 101e and the second air pipe 101h, the rotating part of the first valve 108c is fixedly connected with a first gear 108a, the first gear 108a is meshed with a first rack 111, a first torsion spring 108b is fixedly connected between the lower part of the first gear 108a and the first valve 108c, and the second air pipe 101h is fixedly connected to the outer parts of the four spherical shells 105 and the four columnar airbags 104.
In this embodiment: through the bi-directional toothed plate 205 that contracts, make first valve 108c drive first gear 108a and first rack 111 separately, the torsion of first torsional spring 108b can drive the valve rotatory reset this moment, make intake pipe 101e keep opening with second trachea 101h, make first gear 108a also separate with first rack 111 when column gasbag 104 keeps flat state similarly, simultaneously keep intake pipe 101e and second trachea 101h ventilation equally, make when dialling the tissue in less district or large tracts of land, still can keep the effect of drawing smog, effectively improve good operation environment.
The working principle of the invention is as follows: in use, the inflatable bladder 107 is first reciprocally pressed, so that the inflatable bladder 107 is reciprocally inflated into the cylinder 102, so that the gas accumulation can drive the first piston 203 to move by air pressure, so that the first piston 203 inflates the gas to the spherical shell 105 and the columnar air bag 104, so that the columnar air bag 104 is inflated and swelled, and the rectangular air bag 106 is inflated, when the first piston 203 moves to be in contact with the annular block 103, the first piston 203 is blocked by the annular block 103 from moving, and the continuous accumulation of the gas can realize the movement of the second piston 201a, so that the second piston 201a compresses the spring 201c, the movable rod 201b pushes the bidirectional toothed plate 205 to move, the bidirectional toothed plate 205 is meshed with the third gear 202b for transmission, the third gear 202b drives the third torsion spring 202c to generate torsion, the third gear 202b drives the connecting rod 202a to rotate, the connecting rod 202a expands the columnar airbag 104, so that the four columnar airbags 104 are fully unfolded to be in a quadrilateral structure with the largest enclosing space, the bidirectional toothed plate 205 moves to push the second toothed bar 110 to move, the second toothed bar 110 is meshed with the second gear 109b to drive, the second gear 109b drives the second torsion spring 109c to twist, the second gear 109b drives the second valve 109a to rotate, the second valve 109a opens the air inlet pipe 101e, the air inlet pipe 101e is communicated with the first air pipe 101g, the four sides of the four columnar airbags 104 with the largest enclosing space are positioned at a lesion position, then when smoke is generated by an electrotome in the operation process, the air pump 101a can extract the smoke through the air inlet pipe 101e and the first air pipe 101g, the smoke can be purified and filtered by the filter 101b, the filtered gas enters the exhaust pipe 101f through the air outlet pipe 101d and then is discharged through the air outlet of the exhaust pipe 101f, the four-sided structure enclosed by the exhaust pipe 101f can form an air wall, so that fine tissues can be prevented from splashing;
when the tissue in a larger area is to be opened, the inflatable balloon 107 is continuously inflated, so that the hinged structure 202 is continuously kept expanding, the spherical shells 105 on two sides extend to two sides, the four columnar airbags 104 are kept flat, the contact area between the four columnar airbags 104 and the four spherical shells 105 in a flat state and the tissue can be increased, the larger area can be opened, when the smaller area is required to be opened, the inflatable balloon 107 is inflated, the spring 201c is reset, the second piston 201a drives the movable rod 201b to reset, the bidirectional toothed plate 205 is retracted, the hinged structure 202 is retracted, the spherical shells 105 on two sides are close to the tissue in the smaller area, the third torsion spring 202c drives the valve to rotate and reset, the air inlet pipe 101e and the orifice of the first air pipe 101g are closed, the bidirectional toothed plate 205 drives the first valve 108c to move, the first gear 108a is separated from the first toothed rod 111, the first valve 108b is driven by the first torsion spring 108b to be clamped with the first valve 108c, and the first valve 101c can be continuously opened when the first valve is opened, and the first valve 101c is continuously clamped with the first valve 101h to be opened, and the small area can be continuously opened, and the smoke can be continuously extracted.
It is important to note that the construction and arrangement of the present application as shown in a variety of different exemplary embodiments is illustrative only. Although only a few embodiments have been described in detail in this disclosure, those skilled in the art who review this disclosure will readily appreciate that many modifications are possible (e.g., variations in sizes, dimensions, structures, shapes and proportions of the various elements, values of parameters (e.g., temperature, pressure, etc.), mounting arrangements, use of materials, colors, orientations, etc.) without materially departing from the novel teachings and advantages of the subject matter described in this application. For example, elements shown as integrally formed may be constructed of multiple parts or elements, the position of elements may be reversed or otherwise varied, and the nature or number of discrete elements or positions may be altered or varied. Accordingly, all such modifications are intended to be included within the scope of present invention. The order or sequence of any process or method steps may be varied or re-sequenced according to alternative embodiments. In the claims, any means-plus-function clause is intended to cover the structures described herein as performing the recited function and not only structural equivalents but also equivalent structures. Other substitutions, modifications, changes and omissions may be made in the design, operating conditions and arrangement of the exemplary embodiments without departing from the scope of the present inventions. Therefore, the invention is not limited to the specific embodiments, but extends to various modifications that nevertheless fall within the scope of the appended claims.
Furthermore, in an effort to provide a concise description of the exemplary embodiments, all features of an actual implementation may not be described (i.e., those not associated with the best mode presently contemplated for carrying out the invention, or those not associated with practicing the invention).
It should be appreciated that in the development of any such actual implementation, as in any engineering or design project, numerous implementation-specific decisions may be made. Such a development effort might be complex and time consuming, but would nevertheless be a routine undertaking of design, fabrication, and manufacture for those of ordinary skill having the benefit of this disclosure.
It should be noted that the above embodiments are only for illustrating the technical solution of the present invention and not for limiting the same, and although the present invention has been described in detail with reference to the preferred embodiments, it should be understood by those skilled in the art that the technical solution of the present invention may be modified or substituted without departing from the spirit and scope of the technical solution of the present invention, which is intended to be covered in the scope of the claims of the present invention.
Claims (8)
1. A surgical space exposure device for laparoscopic rectal cancer surgery, which is characterized in that: the deformable exposer (100) comprises two rectangular air bags (106), two first toothed bars (111), two first control structures (108), a second toothed bar (110) and a second control structure (109), an annular block (103), four columnar air bags (104), four spherical shells (105), a gas circulation structure (101), a cylinder body (102), a pipeline (112) and an inflatable balloon (107) communicated with the pipeline (112), the other end of the pipeline (112) is communicated with the cylinder body (102), the pipe part of the gas circulation structure (101) is penetrated out of the cylinder body (102), one spherical shell (105) is fixedly connected to the other end of the cylinder body (102), the four spherical shells (105) are communicated through the four columnar air bags (104), the gas outlet end and the gas inlet end of the gas circulation structure (101) are respectively fixed on the four columnar air bags (104) and the four spherical shells (105) in a surrounding manner, the two rectangular air bags (106) are fixedly connected to the tops of the two spherical shells (105), the two spherical shells (111) are respectively meshed with the two toothed bars (108) on the two side walls of the two spherical shells (102), the second control structure (109) is communicated with the air inlet part of the gas circulation structure (101); the method comprises the steps of,
the expanding and supporting assembly (200) comprises an elastic structure (201), a first piston (203), an inner cylinder (204), a bidirectional toothed plate (205) and two hinge structures (202) which are in meshed connection with the bidirectional toothed plate (205), wherein two ends of the two hinge structures (202) are hinged to the same two spherical shells (105), middle ends of the two hinge structures (202) are respectively hinged to the other two spherical shells (105), one end of the elastic structure (201) is fixedly connected with the bidirectional toothed plate (205), a first toothed rod (111) is fixedly connected to the end of the bidirectional toothed plate (205), the elastic structure (201) is assembled in the inner cylinder (204), the inner cylinder (204) is arranged inside the cylinder (102), the first piston (203) is fixedly connected to the end of the inner cylinder (204), the first piston (203) is in lap joint with the annular block (103), and the annular block (103) is fixedly connected to the inner cavity of the cylinder (102);
the air circulation structure (101) comprises an air pump (101 a), wherein the air inlet end of the air pump (101 a) is communicated with a filter (101 b), one end, far away from the air pump (101 a), of the filter (101 b) is communicated with an air inlet pipe (101 e), and a regulating valve (101 c) is arranged at the connecting part of the air inlet pipe (101 e) and the filter (101 b);
the hinge structure (202) comprises two movable rods (201 b), the connecting parts of the two movable rods (201 b) are hinged to the spherical shell (105) through pin shafts, one end of one movable rod (201 b) is hinged to the other spherical shell (105), the two movable rods (201 b) are respectively located in the two columnar air bags (104), a third gear (202 b) is fixedly connected to the end part of the other movable rod (201 b), the third gear (202 b) is meshed with one side of the bidirectional toothed plate (205), the third gear (202 b) is connected to the spherical shell (105) through pin shafts in a rotating mode, and a third torsion spring (202 c) is fixedly connected between two sides of the inner wall of the spherical shell (105) and two sides of the third gear (202 b).
2. A surgical space exposure for laparoscopic rectal cancer surgery as claimed in claim 1, wherein: the cylinder (102) is worn to establish by intake pipe (101 e) and is linked together with first intake pipe (101 g) and second intake pipe (101 h), first intake pipe (101 g) and second intake pipe (101 h) are the hose, first intake pipe (101 g) fixed connection is in the inside of four spherical shells (105) and four columnar gasbag (104), second intake pipe (101 h) fixed connection is in the outside of four spherical shells (105) and four columnar gasbag (104).
3. A surgical space exposure for laparoscopic rectal cancer surgery as claimed in claim 1, wherein: the connecting part of the air inlet pipe (101 e) and the first air inlet pipe (101 g) and the two second air inlet pipes (101 h) is a hard pipe, and the rest part is a hose.
4. A surgical space exposure for laparoscopic rectal cancer surgery as claimed in claim 1, wherein: the air pump is characterized in that an air outlet of the air pump (101 a) is communicated with an air outlet pipe (101 d), the air outlet pipe (101 d) penetrates through the cylinder body (102), one end, far away from the air pump (101 a), of the air outlet pipe (101 d) is communicated with an air outlet pipe (101 f), and the air outlet pipe (101 f) is fixedly connected to the outer parts of the four columnar air bags (104) and the four spherical shells (105).
5. A surgical space exposure for laparoscopic rectal cancer surgery as claimed in claim 4, wherein: the first control structure (108) comprises a first valve (108 c), the first valve (108 c) is assembled on the side extension end of the joint of the air inlet pipe (101 e) and the second air pipe (101 h), a first gear (108 a) is fixedly connected to a rotating part of the first valve (108 c), the first gear (108 a) is meshed with a first toothed bar (111), and a first torsion spring (108 b) is fixedly connected between the lower part of the first gear (108 a) and the first valve (108 c).
6. A surgical space exposure for laparoscopic rectal cancer surgery as claimed in claim 5, wherein: the second control structure (109) comprises a second valve (109 a), the second valve (109 a) is arranged at the straight pipe end of the joint of the air inlet pipe (101 e) and the first air pipe (101 g), the rotating part of the second valve (109 a) is fixedly connected with a second gear (109 b), the second gear (109 b) is meshed with a second toothed bar (110), and a second torsion spring (109 c) is fixedly connected between the lower part of the second gear (109 b) and the second valve (109 a).
7. A surgical space exposure for laparoscopic rectal cancer surgery as claimed in claim 6, wherein: the elastic structure (201) comprises a second piston (201 a) and a movable rod (201 b), the air inlet pipe (101 e) penetrates out of the second piston (201 a), the movable rod (201 b) and the bidirectional toothed plate (205), and the side extension end of the air inlet pipe (101 e) penetrates out of the movable rod (201 b).
8. A surgical space exposure for laparoscopic rectal cancer surgery as claimed in claim 7, wherein: the second piston (201 a) is arranged in the inner cylinder (204), one side of the second piston (201 a) is fixedly connected with a movable rod (201 b), one end, away from the second piston (201 a), of the movable rod (201 b) penetrates through the inner cylinder (204) and is fixedly connected with the bidirectional toothed plate (205), one side of the second piston (201 a) is fixedly connected with a spring (201 c), and one end, away from the second piston (201 a), of the spring (201 c) is fixedly connected with the end wall of the inner cylinder (204).
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| Application Number | Priority Date | Filing Date | Title |
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| CN202310954415.1A CN116831657B (en) | 2023-08-01 | 2023-08-01 | Surgical space exposing device for laparoscopic rectal cancer surgery |
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| Application Number | Priority Date | Filing Date | Title |
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| CN202310954415.1A CN116831657B (en) | 2023-08-01 | 2023-08-01 | Surgical space exposing device for laparoscopic rectal cancer surgery |
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| CN116831657B true CN116831657B (en) | 2023-12-19 |
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| Application Number | Title | Priority Date | Filing Date |
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Citations (5)
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|---|---|---|---|---|
| US5941873A (en) * | 1996-07-22 | 1999-08-24 | Korenfeld; Michael S. | Surgical laser smoke plume evacuator |
| US6942650B1 (en) * | 1998-04-17 | 2005-09-13 | Innovative Surgical Technologies, Inc. | Evacuator |
| CN103120595A (en) * | 2013-02-20 | 2013-05-29 | 王水 | Drag hook device for operation |
| CN208910475U (en) * | 2018-01-31 | 2019-05-31 | 前海三雷斯医疗科技（深圳）有限公司 | A kind of surgical pathway system |
| CN109998613A (en) * | 2019-04-19 | 2019-07-12 | 郑州大学第一附属医院 | The iris extension fixture of corneal incision wound can be reduced |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| GB201219491D0 (en) * | 2012-10-30 | 2012-12-12 | Rainbow Medical Ltd | Surgical controller |
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2023
- 2023-08-01 CN CN202310954415.1A patent/CN116831657B/en active Active
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5941873A (en) * | 1996-07-22 | 1999-08-24 | Korenfeld; Michael S. | Surgical laser smoke plume evacuator |
| US6942650B1 (en) * | 1998-04-17 | 2005-09-13 | Innovative Surgical Technologies, Inc. | Evacuator |
| CN103120595A (en) * | 2013-02-20 | 2013-05-29 | 王水 | Drag hook device for operation |
| CN208910475U (en) * | 2018-01-31 | 2019-05-31 | 前海三雷斯医疗科技（深圳）有限公司 | A kind of surgical pathway system |
| CN109998613A (en) * | 2019-04-19 | 2019-07-12 | 郑州大学第一附属医院 | The iris extension fixture of corneal incision wound can be reduced |
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|---|---|
| CN116831657A (en) | 2023-10-03 |
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