CN118490284A - Kidney auxiliary fixing device for radical kidney cancer treatment - Google Patents

Kidney auxiliary fixing device for radical kidney cancer treatment Download PDF

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Publication number
CN118490284A
CN118490284A CN202410979692.2A CN202410979692A CN118490284A CN 118490284 A CN118490284 A CN 118490284A CN 202410979692 A CN202410979692 A CN 202410979692A CN 118490284 A CN118490284 A CN 118490284A
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China
Prior art keywords
kidney
clamping
arterial
clamping part
vessel
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CN202410979692.2A
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Chinese (zh)
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CN118490284B (en
Inventor
余志贤
高小民
潘悦
陈显武
李叶平
王峰
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First Affiliated Hospital of Wenzhou Medical University
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First Affiliated Hospital of Wenzhou Medical University
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Abstract

The application relates to the technical field of medical equipment, and provides a kidney auxiliary fixing device for radical renal cancer treatment, which comprises: a kidney fixing part for abutting against and fixing the kidney; the arterial vessel clamping part is arranged on the outer side wall of the kidney fixing part; the venous vessel clamping part is arranged on the side wall with the arterial vessel clamping part; the linkage mechanism is arranged on the outer side wall of the kidney fixing part, and two ends of the linkage mechanism are respectively connected with the arterial vessel clamping part and the venous vessel clamping part; the positive regulation and control linkage mechanism drives the arterial vessel clamping part and the venous vessel clamping part to respectively clamp the kidney vessel, so that the kidney fixing part fixes the kidney; the reverse regulation and control linkage mechanism drives the artery blood vessel clamping part and the vein blood vessel clamping part to release the clamping of the kidney blood vessel, so that the kidney fixing part releases the fixation of the kidney. The kidney auxiliary fixing device integrates the fixation of the kidney and the fixation and clamping of the blood vessel, so that the operation steps are simplified.

Description

Kidney auxiliary fixing device for radical kidney cancer treatment
Technical Field
The application relates to the technical field of medical equipment, in particular to a kidney auxiliary fixing device for radical renal cancer treatment.
Background
Kidneys are one of important organs in human body, and have physiological functions of excreting metabolites, regulating water electrolyte balance and the like. However, kidneys are also one of the organs susceptible to cancer, and in particular, in advanced or metastatic stages, it is necessary to perform treatments such as kidney resection. During the operation, due to the specificity of the kidney position, doctors need to take certain auxiliary measures to keep the kidney position stable so as to facilitate the operation. Therefore, the kidney auxiliary fixing device for radical renal cancer therapy becomes an indispensable part in renal surgery.
Kidney in the related art is supplementary fixing device for radical renal carcinoma art, sew up fixedly to kidney and kidney week fascial fascia when using, easily cause certain damage to the kidney to the blood vessel that links to each other with the kidney is difficult to settle, and kidney is fixed, vascular fixed and vascular centre gripping are too loaded down with trivial details simultaneously, are unfavorable for operation and the timeliness of operation.
Disclosure of Invention
The embodiment of the application provides a kidney auxiliary fixing device for radical renal cancer treatment, which can solve the technical problems that the kidney is damaged in the kidney fixing process in the related technology, and the preparation steps before the operation are too complicated due to the fact that the kidney fixing, the blood vessel fixing and the blood vessel clamping cannot be realized together.
In a first aspect, embodiments of the present application provide a kidney-assisted fixation device for radical renal cancer therapy, comprising:
A kidney fixing part for abutting against the kidney to fix the kidney;
An arterial vessel clamping portion disposed on an outer sidewall of the kidney fixing portion;
A venous vessel clamping part arranged on the outer side wall of the kidney fixing part and positioned on the same side as the arterial vessel clamping part, and
The linkage mechanism is arranged on the outer side wall of the kidney fixing part, one end of the linkage mechanism is connected with the arterial vessel clamping part, and the other end of the linkage mechanism is connected with the venous vessel clamping part;
Under the condition of forward regulation and control of the linkage mechanism, the linkage mechanism drives the arterial vessel clamping part to clamp kidney vessels and the venous vessel clamping part to clamp kidney vessels simultaneously, and the arterial vessel clamping part and the venous vessel clamping part to clamp kidney vessels to drive the kidney fixing part to fix kidneys; under the condition of reversely regulating and controlling the linkage mechanism, the linkage mechanism simultaneously drives the artery blood vessel clamping part to release the clamping operation on the kidney blood vessel and the vein blood vessel clamping part to release the clamping operation on the kidney blood vessel, and the artery blood vessel clamping part and the vein blood vessel clamping part to release the clamping operation on the kidney blood vessel drive the kidney fixing part to release the fixing on the kidney.
The technical scheme provided by the embodiment of the application at least has the following technical effects:
According to the kidney auxiliary fixing device for radical renal carcinoma surgery, the kidney fixing part is abutted against the kidney to fix the kidney, the arterial vessel clamping part is arranged on the outer side wall of the kidney fixing part, the venous vessel clamping part is arranged on the outer side wall of the kidney fixing part, and the linkage mechanism is arranged on the outer side wall of the kidney fixing part, so that the kidney fixing part is abutted against the kidney to fix the kidney, and damage to the kidney in the kidney fixing process of the kidney fixing part is reduced; by arranging the arterial vessel clamping part and the venous vessel clamping part on the kidney fixing part, the kidney vessels can be fixed on the arterial vessel clamping part and the venous vessel clamping part, so that the kidney vessels can be fixed in the operation and the influence of free kidney vessels on the operation can be reduced. The arterial blood vessel clamping part is connected with one end of the linkage mechanism, the venous blood vessel clamping part is connected with the other end of the linkage mechanism, the arterial blood vessel clamping part and the venous blood vessel clamping part are simultaneously connected with the kidney fixing part, the operation of clamping the kidney blood vessel by the arterial blood vessel clamping part and the operation of clamping the kidney blood vessel by the venous blood vessel clamping part are simultaneously driven by the positive regulation and control linkage mechanism, and the kidney fixing part is simultaneously driven by the arterial blood vessel clamping part and the venous blood vessel clamping part to fix the kidney; the operation of clamping the kidney blood vessel is relieved by the arterial blood vessel clamping part and the operation of clamping the kidney blood vessel is relieved by the venous blood vessel clamping part through reverse regulation and control of the linkage mechanism, and the kidney fixing part is simultaneously driven by the arterial blood vessel clamping part and the venous blood vessel clamping part to relieve the fixation of the kidney; so that the artery blood vessel clamping part, the vein blood vessel clamping part and the kidney fixing part are connected, and the operation of the artery blood vessel clamping part and the vein blood vessel clamping part kidney fixing part can be simultaneously controlled under the operation of the control linkage mechanism, thereby simplifying the control process, reducing the preparation time before the operation and further enabling the operation to be carried out in time.
In some embodiments, the kidney fixing section includes:
The kidney fixing device is provided with a kidney installation space for installing a kidney, the arterial vessel clamping part and the venous vessel clamping part are arranged on the outer side wall of the kidney fixing device, and the linkage mechanism is arranged on the outer side wall of the kidney fixing device; and
An expansion device disposed on the kidney fixation device;
Under the condition that the arterial vessel clamping part and the venous vessel clamping part clamp kidney vessels, the arterial vessel clamping part and the venous vessel clamping part drive the expansion device to expand into the kidney installation space so that the expansion device is abutted against the kidney to fix the kidney; under the condition that the arterial vessel clamping part and the venous vessel clamping part release clamping operation on the kidney vessel, the arterial vessel clamping part and the venous vessel clamping part drive the expansion device to shrink inwards back to the kidney installation space so as to enable the expansion device to be separated from the kidney to release the fixation on the kidney.
In some embodiments, the kidney fixation device comprises:
The arterial vessel clamping part and the venous vessel clamping part are arranged on the outer side wall of the kidney cavity shell; the linkage mechanism is arranged on the kidney cavity shell; and
The kidney cavity inner shell is arranged on the inner side of the kidney cavity outer shell, a first space is formed between the inner side wall of the kidney cavity outer shell and the outer side wall of the kidney cavity inner shell, and the expansion space of the expansion device is communicated with the first space; the inner side of the kidney cavity inner shell forms the kidney installation space.
In some embodiments, the expansion device comprises:
The inflatable air bags are arranged on the kidney cavity inner shell, and the inner space of each inflatable air bag is communicated with the first space;
one end of the air inlet pipe is arranged on the outer side wall of the kidney cavity shell and extends into the first space; the air inlet pipe is positioned between the arterial vessel clamping part and the venous vessel clamping part;
The air outlet pipe is arranged on the outer side wall of the kidney cavity shell and is communicated with the first space and the external space; and
The air charging device is connected to the other end of the air inlet pipe;
The arterial vessel clamping part and the venous vessel clamping part can open the air inlet pipe and close the air outlet pipe under the condition of clamping the kidney vessel, and the expansion air bag expands into the kidney installation space to press against the kidney so as to fix the kidney; the arterial vessel clamping part and the venous vessel clamping part can close the air inlet pipe under the condition that the clamping of the kidney vessel can be released, and open the air outlet pipe, so that the inflatable air bag releases the fixation of the kidney.
In some embodiments, the arterial vessel clamp comprises:
An arterial clamping tube disposed on an outer sidewall of the kidney cavity housing and extending to the kidney installation space; and
The artery clamping part is arranged on the artery clamping tube;
The venous vessel clamping portion includes:
The vein clamping tube is arranged on the outer side wall of the kidney cavity shell and extends to the kidney installation space; the vein clamping tube and the artery clamping tube are positioned on the same side of the outer side wall of the kidney cavity shell; and
The vein clamping piece is arranged on the vein clamping pipe;
Wherein the air inlet pipe is positioned between the artery clamping pipe and the vein clamping pipe and between the artery clamping piece and the vein clamping piece; one end of the linkage mechanism is connected with the artery clamping part, and the other end of the linkage mechanism is connected with the vein clamping part; when the artery clamping part clamps the artery clamping pipe, the artery clamping part drives the vein clamping part to clamp the vein clamping pipe through the linkage mechanism, and meanwhile, the artery clamping part and the vein clamping part open the air inlet pipe; when the artery clamping piece releases the clamping operation on the artery clamping tube, the artery clamping piece drives the vein clamping piece to release the clamping operation on the vein clamping tube through the linkage mechanism, and meanwhile, the artery clamping piece and the vein clamping piece close the air inlet pipe.
In some embodiments, the arterial clamp tube comprises an arterial hose, the venous clamp tube comprises a venous hose, the air inlet tube comprises an air inlet hose, and the arterial hose, the venous hose, and the air inlet hose are on the same plane; the arterial clamping piece is arranged on the arterial hose, the venous clamping piece is arranged on the venous hose, and the air inlet hose is located between the arterial clamping piece and the venous clamping piece.
In some embodiments, the arterial clamp comprises an arterial fixed clamp rod and an arterial movable clamp rod, the arterial fixed clamp rod is fixedly arranged on one side of the arterial hose facing away from the air inlet pipe, and the arterial movable clamp rod is arranged on one side of the arterial hose facing towards the air inlet pipe;
The vein clamping piece comprises a vein fixed clamping rod and a vein movable clamping rod, the vein fixed clamping rod is fixedly arranged on one side of the vein hose, which is opposite to the air inlet pipe, and the vein movable clamping rod is arranged on one side of the vein hose, which is opposite to the air inlet pipe; the arterial movable clamping rod and the venous movable clamping rod are respectively positioned at two opposite sides of the air inlet pipe;
One end of the linkage mechanism is connected with the artery clamping part, and the other end of the linkage mechanism is connected with the vein clamping part.
In some embodiments, the linkage comprises:
The control piece is movably arranged on the kidney cavity shell;
The first transmission gear is rotationally arranged on the kidney cavity shell and meshed with the control piece; the artery movable clamping rod is arranged on the first transmission gear;
The second transmission gear is rotationally arranged on the kidney cavity shell and meshed with the control piece; and
The third transmission gear is rotationally arranged on the kidney cavity shell, and the second transmission gear is meshed with the third transmission gear; the venous movable clamping rod is arranged on the third transmission gear.
In some embodiments, the kidney fixture has at least two openings in communication with the kidney placement space.
In some embodiments, the kidney-shaped cavity inner shell has a placement inlet for placement of a kidney into the kidney placement space, the placement inlet in communication with the kidney placement space;
The expansion device comprises a plurality of bottom opening expansion air bags, and each bottom opening expansion air bag is arranged on the inner side wall of the mounting inlet at intervals and communicated with the first space; the bottom opening expansion air bag and the expansion air bag are used for limiting kidneys to move out of the kidney installation space under the condition that the bottom opening expansion air bag and the expansion air bag are expanded, and the length of the bottom opening expansion air bag is larger than that of the expansion air bag.
In some embodiments, the outlet tube is located on a side of the venous fixation clamp stem facing away from the venous clamp tube, and the outlet tube includes an outlet hose that is on the same plane as the inlet hose; the linkage mechanism further comprises a movable rod, the movable rod is arranged on the second transmission gear, and the movable rod is positioned at one side of the air outlet pipe, which is away from the vein clamping pipe; the second transmission gear can rotate to drive the movable rod to clamp or release the clamping operation of the air outlet pipe.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present application, the drawings that are needed in the embodiments or the description of the prior art will be briefly described below, it being obvious that the drawings in the following description are only some embodiments of the present application, and that other drawings may be obtained according to these drawings without inventive effort for a person skilled in the art.
Fig. 1 is a schematic perspective view of a kidney-assisting fixing device according to an embodiment of the present application;
fig. 2 is a schematic side view of a kidney-assisting fixing device according to an embodiment of the present application;
fig. 3 is a schematic front view of a linkage mechanism according to an embodiment of the present application;
fig. 4 is a schematic bottom view of a kidney-assisting fixing device according to an embodiment of the present application;
Fig. 5 is a schematic perspective view of a kidney-assisting fixing device according to an embodiment of the application.
Wherein, each reference sign in the figure:
100. kidney auxiliary fixing device for radical treatment of kidney cancer;
10. A kidney fixing section; 11. a kidney fixing device; 110. kidney placement space; 12. an expansion device; 13. kidney cavity shell; 130. a first space; 131. a first elliptical ring; 132. a first semi-circular ring; 14. a kidney cavity inner shell; 141. a second elliptical ring; 142. a second semicircle ring; 15. inflating the balloon; 16. an air inlet pipe; 17. an air outlet pipe; 18. an inflator; 19. a bottom opening expands the air bag; 190. an inlet is arranged;
20. an arterial vessel clamping portion; 21. an arterial clamp tube; 22. an arterial clamp; 23. an arterial hose; 24. an artery fixing clamping rod; 25. an arterial active clamping rod;
30. A venous vessel clamping portion; 31. a venous clamp tube; 32. a venous clamp; 33. a venous hose; 34. a venous fixation clamping rod; 35. a venous movable clamping rod;
40. a linkage mechanism; 41. an air intake hose; 42. a control member; 43. a first transmission gear; 44. a second transmission gear; 45. a third transmission gear; 46. an air outlet hose; 47. a movable rod.
Detailed Description
In order to make the technical problems, technical schemes and beneficial effects to be solved more clear, the application is further described in detail below with reference to the accompanying drawings and embodiments. It should be understood that the specific embodiments described herein are for purposes of illustration only and are not intended to limit the scope of the application.
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 application belongs; the terminology used herein is for the purpose of describing particular embodiments only and is not intended to be limiting of the application. The terms "comprising" and "having" and any variations thereof in the description of the application and the claims and the description of the drawings above are intended to cover a non-exclusive inclusion.
It will be understood that when an element is referred to as being "mounted" or "disposed" on another element, it can be directly on the other element or be indirectly on the other element. When an element is referred to as being "connected to" another element, it can be directly connected to the other element or be indirectly connected to the other element.
It is to be understood that the terms "length," "width," "upper," "lower," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," and the like are merely for convenience in describing and simplifying the description based on the orientation or positional relationship shown in the drawings, and do not indicate or imply that the devices or elements referred to must have a particular orientation, be constructed and operated in a particular orientation, and thus are not to be construed as limiting the application.
Furthermore, the terms "first," "second," and the like, are used for descriptive purposes only and are not to be construed as indicating or implying a relative importance or implicitly indicating the number of technical features indicated. Thus, a feature defining "a first" or "a second" may explicitly or implicitly include one or more such feature. In the description of the present application, the meaning of "a plurality" is two or more, unless explicitly defined otherwise.
In the present application, "and/or" is merely one association relationship describing the association object, meaning that three relationships may exist; for example, a and/or B may represent: a exists alone, A and B exist together, and B exists alone. In addition, the character "/" herein generally indicates that the front and rear associated objects are an "or" relationship.
It should be noted that, in the present application, words such as "in some embodiments," "illustratively," "for example," and the like are used to indicate examples, illustrations, or descriptions. Any embodiment or design described herein as "in some embodiments," "illustratively," "for example," should not be construed as preferred or advantageous over other embodiments or designs. Rather, the use of words such as "in some embodiments," "illustratively," "for example," and the like is intended to present related concepts in a concrete fashion, meaning that a particular feature, structure, or characteristic described in connection with an embodiment may be included in at least one embodiment of the present application. The appearances of the phrase 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. Those of skill in the art will explicitly and implicitly appreciate that the embodiments described herein may be combined with other embodiments.
The kidney auxiliary fixing device is an auxiliary kidney fixing device in the radical renal cancer treatment, and the application of the kidney auxiliary fixing device can fix the kidney in a free state at a specific position and prevent the rotation of the kidney in the operation process so as to facilitate the radical renal cancer treatment to be carried out more easily.
Kidney in the related art is supplementary fixing device for radical renal carcinoma art, sew up fixedly to kidney and kidney week fascial fascia when using, easily cause certain damage to the kidney to the blood vessel that links to each other with the kidney is difficult to settle, and kidney is fixed, vascular fixed and vascular centre gripping are too loaded down with trivial details simultaneously, are unfavorable for operation and the timeliness of operation.
Based on the above, in order to solve the technical problems that the kidney auxiliary fixing device in the related art has a certain damage to kidney fixing and cannot integrate the kidney fixing, the blood vessel fixing and the blood vessel clamping, the following scheme is provided in the embodiment of the application.
Referring to fig. 1, an embodiment of the application provides a kidney auxiliary fixing device 100 for treating renal cancer, which includes a kidney fixing portion 10, an arterial vessel clamping portion 20, a venous vessel clamping portion 30 and a linkage mechanism 40. Wherein:
the kidney fixing section 10 is for abutting against the kidney to fix the kidney.
The arterial vessel clamping portion 20 is provided on the outer side wall of the kidney fixing portion 10.
The venous blood vessel clamping portion 30 is disposed on the outer side wall of the kidney fixing portion 10 and is located on the same side as the arterial blood vessel clamping portion 20.
The linkage mechanism 40 is disposed on the outer side wall of the kidney fixing portion 10, one end of the linkage mechanism 40 is connected with the arterial vessel clamping portion 20, and the other end of the linkage mechanism 40 is connected with the venous vessel clamping portion 30.
Under the condition of the normal regulation and control linkage mechanism 40, the linkage mechanism 40 drives the arterial vessel clamping part 20 and the venous vessel clamping part 30 to respectively clamp the kidney vessel, and the arterial vessel clamping part 20 and the venous vessel clamping part 30 drive the kidney fixing part 10 to fix the kidney while clamping the kidney vessel; in the case of the reverse regulation and control linkage mechanism 40, the linkage mechanism 40 simultaneously drives the arterial vessel clamping portion 20 and the venous vessel clamping portion 30 to release the clamping operation on the kidney vessel, and the arterial vessel clamping portion 20 and the venous vessel clamping portion 30 simultaneously drive the kidney fixing portion 10 to release the fixing on the kidney.
It will be appreciated that the kidney fixing portion 10 is a device capable of abutting against the kidney to mount and fix the kidney, for example, may be a device in which a balloon is matched with a receiving mechanism, the kidney is received by the receiving mechanism, and the balloon is inflated to abut against the kidney to fix the kidney; for example, the device can also be a device with a containing mechanism and a telescopic inner wall, wherein the kidney is contained by the containing mechanism, and the inner wall stretches towards the kidney to be abutted against the kidney to fix the kidney.
The arterial vessel clamping portion 20 is a device for clamping a renal vessel, and may include, for example, two mutually hinged straight bars and a flexible vessel accommodating mechanism (for example, a hose), wherein the renal vessel is accommodated by the flexible vessel accommodating mechanism, and the flexible vessel mechanism is clamped by the two mutually hinged straight bars, so as to clamp the renal vessel; for another example, a ring mechanism surrounding the renal blood vessel and a balloon provided on an inner wall of the ring mechanism may be included, the renal blood vessel portion is placed in the surrounding space of the ring mechanism, and the renal blood vessel is pressed by the balloon so that the clamping of the renal blood vessel is completed.
The venous blood vessel clamping part 30 is a device for clamping a renal blood vessel, and may include two mutually hinged straight bars and a flexible blood vessel accommodating mechanism, wherein the renal blood vessel is accommodated by the flexible blood vessel accommodating mechanism, and the flexible blood vessel mechanism is clamped by the two mutually hinged straight bars, so that the renal blood vessel is clamped; for another example, a ring mechanism surrounding the renal blood vessel and a balloon provided on an inner wall of the ring mechanism may be included, the renal blood vessel portion is placed in the surrounding space of the ring mechanism, and the renal blood vessel is pressed by the balloon so that the clamping of the renal blood vessel is completed.
The link mechanism 40 is a device for synchronously controlling the arterial vessel clamping portion 20, the venous vessel clamping portion 30, and the kidney fixing portion 10, and the link mechanism 40 may be provided as a gear transmission mechanism, a link transmission mechanism, or the like.
As can be seen from the above, the kidney-assisting fixing device 100 for treating renal cancer according to the embodiment of the application comprises the kidney fixing portion 10 for abutting against the kidney to fix the kidney, the arterial blood vessel clamping portion 20 provided on the outer side wall of the kidney fixing portion 10, the venous blood vessel clamping portion 30 provided on the outer side wall of the kidney fixing portion 10, and the linkage mechanism 40 provided on the outer side wall of the kidney fixing portion 10. The kidney fixing portion 10 fixes the kidney by abutting the kidney, so that damage to the kidney is reduced in the process of fixing the kidney by the kidney fixing portion 10. By providing the arterial vessel clamping portion 20 and the venous vessel clamping portion 30 at the kidney fixing portion 10, the renal vessels can be fixed to the arterial vessel clamping portion 20 and the venous vessel clamping portion 30, so that the renal vessels can be fixed during the operation and the influence of free renal vessels on the operation can be reduced. The arterial vessel clamping part 20 is connected with one end of the linkage mechanism 40, and the venous vessel clamping part 30 is connected with the other end of the linkage mechanism 40; the operation of clamping the kidney blood vessel by the arterial blood vessel clamping part 20 and the operation of clamping the kidney blood vessel by the venous blood vessel clamping part 30 are simultaneously driven by the forward regulation and control linkage mechanism 40, and the kidney fixing part 10 is simultaneously driven by the arterial blood vessel clamping part 20 and the venous blood vessel clamping part 30 to fix the kidney; the operation of releasing the clamp of the kidney blood vessel by the arterial blood vessel clamping part 20 and the operation of releasing the clamp of the kidney blood vessel by the venous blood vessel clamping part 30 are simultaneously driven by the reverse regulation and control linkage mechanism 40, and the kidney fixing part 10 is simultaneously driven by the arterial blood vessel clamping part 20 and the venous blood vessel clamping part 30 to release the fixation of the kidney; so that the arterial vessel clamping part 20, the venous vessel clamping part 30 and the kidney fixing part 10 are connected, and the opening and closing of the arterial vessel clamping part 20, the venous vessel clamping part 30 and the kidney fixing part 10 can be simultaneously controlled under the operation of the control linkage mechanism 40, so that the control process is simplified, the preparation time before the operation is reduced, and the operation can be performed in time.
In some embodiments, referring to fig. 1, a kidney fixation section 10 includes a kidney fixation device 11 and an expansion device 12. Wherein:
the kidney fixing device 11 has a kidney installation space 110 for installing a kidney, the arterial vessel clamping portion 20 and the venous vessel clamping portion 30 are provided on an outer side wall of the kidney fixing device 11, and the link mechanism 40 is provided on the outer side wall of the kidney fixing device 11.
The expansion device 12 is arranged on the kidney fixing device 11.
Wherein, in the case that the arterial vessel clamping portion 20 and the venous vessel clamping portion 30 clamp the renal vessel, the arterial vessel clamping portion 20 and the venous vessel clamping portion 30 drive the expansion device 12 to expand into the renal installation space 110, so that the expansion device 12 abuts against the kidney to fix the kidney; in the case where the arterial vessel clamping portion 20 and the venous vessel clamping portion 30 perform the clamping operation on the renal vessel, the arterial vessel clamping portion 20 and the venous vessel clamping portion 30 drive the expansion device 12 to retract back into the renal placement space 110, so that the expansion device 12 is separated from the kidney to release the fixation of the kidney.
It is understood that the kidney fixing device 11 is a device having a space capable of accommodating and placing the kidney, and that the kidney fixing device 11 may be shaped as a semi-ellipsoid, a rectangular parallelepiped, a hemisphere, or the like. The expansion device 12 is a device for fixing and releasing the kidney by expanding and contracting, and the expansion device 12 may be provided as a balloon, a mechanical expansion structure, or the like.
The arrangement is that the kidney is placed in the kidney placing space 110, so that the kidney can be kept in the kidney placing space 110, the kidney is prevented from moving out of the kidney fixing device 11, the kidney is fixed by expanding through the expansion device 12, the kidney is prevented from sliding in the operation process, and the operation is convenient to carry out; and the fixation of the kidney is released by the contraction of the expansion device 12, so that the kidney can be conveniently taken out of the kidney installation space 110 after operation and placed back into position.
Optionally, in some embodiments, referring to fig. 1, kidney fixture 11 includes kidney cavity outer shell 13 and kidney cavity inner shell 14. Wherein:
the arterial vessel clamping part 20 and the venous vessel clamping part 30 are arranged on the outer side wall of the kidney cavity shell 13; the linkage mechanism 40 is disposed on the kidney cavity housing 13.
The kidney cavity inner shell 14 is arranged at the inner side of the kidney cavity outer shell 13, a first space 130 is formed between the inner side wall of the kidney cavity outer shell 13 and the outer side wall of the kidney cavity inner shell 14, and the expansion space of the expansion device 12 is communicated with the first space 130; the inner side of the kidney cavity inner shell 14 forms a kidney installation space 110.
It will be appreciated that the kidney cavity housing 13 is part of the mechanism for positioning the linkage 40 and the expansion device 12; the kidney cavity inner shell 14 is used for limiting the kidney in the kidney installation space 110, and the connection mode of the kidney cavity outer shell 13 and the kidney cavity inner shell 14 can be a buckle connection, a bolt connection and the like.
By arranging the kidney cavity outer shell 13 and the kidney cavity inner shell 14 to be connected to form the kidney fixing device 11, the first space 130 through which the gas can pass is formed, so that the expansion device 12 can expand or contract due to gas transmission or gas release of the expansion device 12, and the kidney fixing device 11 can be replaced respectively under the condition of damage to the kidney fixing device 11, so that replacement cost is reduced.
Optionally, the expansion device 12 is at least partially located in the first space 130, and in the case that the expansion device 12 expands, the expansion device 12 partially extends into the kidney-placement space 110 to abut against the kidney to fix the kidney, and in the case that the expansion device 12 contracts, the expansion device 12 may partially or completely retract into the first space 130, so that the expansion device 12 can prevent the expansion device 12 from sticking to the kidney in the case that the expansion device 12 contracts, compared to the case that the expansion device 12 is directly disposed on the inner sidewall of the kidney-shaped inner shell 14, so as to reduce damage to the kidney.
Alternatively, referring to fig. 1 and 5, the expansion device 12 includes a plurality of expansion airbags 15, an intake pipe 16, an outlet pipe 17, and an inflator 18. Wherein:
The inflatable balloon 15 is disposed on the kidney-shaped cavity inner shell 14, and the inner space of the inflatable balloon 15 is communicated with the first space 130.
One end of the air inlet pipe 16 is arranged on the outer side wall of the kidney-shaped cavity shell 13 and extends into the first space 130; the air inlet tube 16 is located between the arterial vessel clamp portion 20 and the venous vessel clamp portion 30.
The air outlet pipe 17 is arranged on the outer side wall of the kidney cavity shell 13, and the air outlet pipe 17 is communicated with the first space 130 and the external space.
An inflator 18 is connected to the other end of the intake pipe 16.
Wherein, the arterial vessel clamping part 20 and the venous vessel clamping part 30 can open the air inlet pipe 16 and close the air outlet pipe 17 under the condition of clamping the kidney vessel, and the expansion air bag 15 expands into the kidney installation space 110 to prop against the kidney so as to fix the kidney; when the arterial vessel holding portion 20 and the venous vessel holding portion 30 are capable of releasing the holding of the renal vessel, the air inlet tube 16 is closed, and the air outlet tube 17 is opened, so that the inflatable bag 15 releases the fixation of the kidney.
It will be appreciated that the inflatable balloon 15 is used to contact the kidney after inflation and thereby fix the kidney, the inflatable balloon 15 is made of a material suitable for contact with the kidney, the material of the inflatable balloon 15 may be polyethylene, polypropylene or the like, and the opening and closing of the air intake tube 16 is controlled by the arterial vessel clamping portion 20 and the venous vessel clamping portion 30 together. The inflator 18 is an apparatus that inflates the first space 130 through the intake pipe 16, and the inflator 18 may be provided as an inflator, a pneumatic inflator, or the like.
In this way, the kidney is fixed by providing the expansion balloon 15, and the damage to the kidney when the kidney is fixed by the expansion device 12 can be reduced as compared with the thermal expansion device and the mechanical expansion device. Simultaneously, the air inlet pipe 16 is arranged between the arterial vessel clamping part 20 and the venous vessel clamping part 30, so that the arterial vessel clamping part 20 and the venous vessel clamping part 30 can clamp kidney vessels and simultaneously open the air inlet pipe 16, the arterial vessel clamping part 20 and the venous vessel clamping part 30 can unclamp kidney vessels and simultaneously close the air inlet pipe 16, the arterial vessel clamping part 20 and the venous vessel clamping part 30 can clamp kidney vessels or unclamp kidney vessels and are connected with the opening or closing of the air inlet pipe 16, and forgetting of a certain step in the operation process is prevented, and damage to kidneys is avoided.
Optionally, the kidney-shaped cavity housing 13 includes a first elliptical ring 131 and a plurality of first semicircular rings 132, two ends of the first semicircular rings 132 are respectively connected to two sides of the first elliptical ring 131, and an inner side of the first semicircular rings 132 faces an inner space of the first elliptical ring 131, and each of the first semicircular rings 132 may be disposed at intervals along a radial direction of the first elliptical ring 131.
The shape of the kidney cavity inner shell 14 is adapted to the shape of the kidney cavity outer shell 13. The kidney-shaped cavity inner shell 14 may include a second elliptical ring 141 and a plurality of second semicircular rings 142, wherein two ends of the second semicircular rings 142 are respectively connected to two sides of the second elliptical ring 141, and an inner side of the second semicircular rings 142 faces an inner side space of the second elliptical ring 141, so that the inner side space of the second semicircular rings 142 is communicated with the inner side space of the second elliptical ring 141 to form the kidney-accommodating space 110, and each second semicircular ring 142 may be disposed along a radial direction of the first elliptical ring 131 at intervals. The second elliptical ring 141 is buckled with the first elliptical ring 131, and the second semicircular ring 142 is buckled with the first semicircular ring 132 in a one-to-one correspondence. The space formed between the second elliptical ring 141 and the first elliptical ring 131 and the space formed between the second semicircular ring 142 and the first semicircular ring 132 are communicated to form the first space 130. The second semicircular ring 142 may be provided with the inflatable bladder 15, and the second elliptical ring 141 may be provided with the inflatable bladder 15, or of course, may not be provided with the inflatable bladder 15.
The arrangement is that the inner shell 14 of the kidney cavity for placing the kidney is arranged as an ellipsoid formed by connecting the second elliptical ring 141 and the plurality of second semicircular rings 142, so that the kidney can be placed into the kidney placing space 110 through the second elliptical ring 141, and the inner shell 14 of the kidney cavity is made to be close to the shape of the kidney as much as possible, thereby increasing the utilization rate of the kidney placing space 110; the kidney cavity shell 13 is provided with the ellipsoids formed by connecting the first elliptical ring 131 and the plurality of first semicircular rings 132, so that the damage to human bodies at the corners of the square shell can be avoided compared with the square shell. And the space formed between the second elliptical ring 141 and the first elliptical ring 131 and the space formed between the second semicircular ring 142 and the first semicircular ring 132 are communicated to form the first space 130 such that all the inflatable bladders 15 are inflated through the first space 130.
Optionally, the second semicircular ring 142 is provided with a plurality of placement openings, the placement openings are communicated with the first space 130, and the inflatable air bags 15 are disposed in the placement openings in a one-to-one correspondence. Of course, the second elliptical ring 141 may also be provided with a mounting opening.
Illustratively, referring to fig. 2, an arterial vessel clamp 20 includes an arterial clamp tube 21 and an arterial clamp 22. Wherein:
An arterial clamping tube 21 is provided on the outer side wall of the kidney cavity housing 13 and extends to the kidney installation space 110.
An arterial clamp 22 is provided on the arterial clamp tube 21.
The venous blood vessel clamping portion 30 includes a venous clamping tube 31 and a venous clamping member 32. Wherein:
the vein clamping tube 31 is arranged on the outer side wall of the kidney cavity shell 13 and extends to the kidney installation space 110; the venous clamp tube 31 and the arterial clamp tube 21 are located on the same side of the outer side wall of the kidney cavity housing 13.
The vein clamp 32 is provided on the vein clamp tube 31.
Wherein the air inlet tube 16 is located between the arterial clamp tube 21 and the venous clamp tube 31 and between the arterial clamp 22 and the venous clamp 32; one end of the linkage mechanism 40 is connected with the artery clamping part 22, and the other end of the linkage mechanism 40 is connected with the vein clamping part 32; while the artery clamping member 22 clamps the artery clamping tube 21, the artery clamping member 22 drives the vein clamping member 32 to clamp the vein clamping tube 31 through the linkage mechanism 40, and simultaneously the artery clamping member 22 and the vein clamping member 32 open the air inlet tube 16; simultaneously with the release of the clamping operation of the arterial clamp 22 to the arterial clamp tube 21, the arterial clamp 22 drives the venous clamp 32 through the linkage mechanism 40 to release the clamping operation to the venous clamp tube 31, and simultaneously the arterial clamp 22 and the venous clamp 32 close the air inlet tube 16.
It will be appreciated that the arterial clamp tube 21 is used for a device for positioning and clamping renal blood vessels, and that the side wall of the arterial clamp tube 21 is provided with an arterial inlet to allow the external space to communicate with the internal space of the arterial clamp tube 21. The vein clamping tube 31 is used for a device for placing and clamping a renal blood vessel, and a vein inlet is provided at a side wall of the vein clamping tube 31 so that an external space is communicated with an internal space of the vein clamping tube 31. The artery clamping device 22 is used for clamping the artery clamping tube 21 or releasing the clamping of the artery clamping tube 21 so that the artery clamping tube 21 clamps the kidney blood vessel or releases the clamping of the artery clamping tube 21 to the kidney blood vessel, and the artery clamping device 22 can be provided with a clamp or two rods hinged with each other (the two rods are respectively arranged at two sides of the artery clamping tube 21) and the like; the vein clamp 32 is used for clamping the vein clamp tube 31 or releasing the clamping of the vein clamp tube 31, so that the vein clamp tube 31 performs the clamping operation on the kidney blood vessel or releases the clamping operation on the kidney blood vessel by the vein clamp tube 31, and the vein clamp 32 may be provided as a clip or two articulated rods (two rods are respectively provided on both sides of the vein clamp tube 31) or the like.
So configured, by providing the arterial clamp tube 21 and the venous clamp tube 31 that seat and clamp the renal blood vessel, the renal blood vessel can be fixed inside the arterial clamp tube 21 and the venous clamp tube 31. The artery clamping member 22 and the vein clamping member 32 are simultaneously provided, and the artery clamping member 22 and the vein clamping member 32 clamp and unclamp the artery clamping tube 21 and the vein clamping tube 31, thereby completing the clamping operation and unclamp operation of the kidney blood vessel. Further, an arterial inlet and a venous inlet are provided at the side walls of the arterial clamp tube 21 and the venous clamp tube 31 so that renal blood vessels are put into the arterial clamp tube 21 and the venous clamp tube 31 without being cut. The artery clamping device 22 and the vein clamping device 32 are used for clamping the artery clamping tube 21 and the vein clamping tube 31, so that the artery clamping device 22 and the vein clamping device 32 can indirectly clamp the kidney blood vessel, and damage to the kidney blood vessel caused by direct clamping operation of the artery clamping device 22 and the vein clamping device 32 on the kidney blood vessel is reduced.
In some embodiments, referring to fig. 2, arterial clamp tube 21 comprises arterial hose 23, venous clamp tube 31 comprises venous hose 33, air inlet tube 16 comprises air inlet hose 41, and arterial hose 23, venous hose 33, and air inlet hose 41 are on the same plane; the arterial clamp 22 is disposed on the arterial hose 23, the venous clamp 32 is disposed on the venous hose 33, and the intake hose 41 is located between the arterial clamp 22 and the venous clamp 32.
So configured, the arterial clamp tube 21 includes the arterial hose 23, the venous clamp tube 31 includes the venous hose 33, and the intake tube 16 includes the intake hose 41, so that the arterial clamp 22 and the venous clamp 32 can perform clamping operation or unclamping operation on the arterial hose 23 and the venous hose 33, and further the arterial clamp tube 21 and the venous clamp tube 31 perform clamping operation or unclamping operation on the renal blood vessel; it is possible to reduce damage to the renal blood vessel in the process of performing the clamping operation of the renal blood vessel by the arterial clamping tube 21 and the venous clamping tube 31, compared to directly performing the clamping operation of the renal blood vessel. By disposing the arterial hose 23, the venous hose 33, and the intake hose 41 on the same plane, the arterial clamp 22 and the venous clamp 32 can open and close the intake pipe 16 while performing clamping operation and unclamping operation on the renal blood vessels.
Optionally, in some embodiments, referring to fig. 2, the arterial clamp 22 includes an arterial fixed clamp rod 24 and an arterial movable clamp rod 25, the arterial fixed clamp rod 24 is fixedly disposed on a side of the arterial hose 23 facing away from the air inlet tube 16, and the arterial movable clamp rod 25 is disposed on a side of the arterial hose 23 facing toward the air inlet tube 16;
The vein clamping unit 32 comprises a vein fixed clamping rod 34 and a vein movable clamping rod 35, wherein the vein fixed clamping rod 34 is fixedly arranged on one side of the vein hose 33, which is opposite to the air inlet pipe 16, and the vein movable clamping rod 35 is arranged on one side of the vein hose 33, which is opposite to the air inlet pipe 16; the arterial movable clamping rod 25 and the venous movable clamping rod 35 are respectively positioned on two opposite sides of the air inlet pipe 16;
One end of the linkage mechanism 40 is connected to the arterial clamp 22, and the other end of the linkage mechanism 40 is connected to the venous clamp 32.
It will be appreciated that the arterial active clamp bar 25 and the venous active clamp bar 35 are movably disposed on opposite sides of the inlet tube 16.
By fixedly arranging the artery fixing clamp bar 24 on the side of the artery hose 23 facing away from the air inlet pipe 16 and fixedly arranging the vein fixing clamp bar 34 on the side of the vein hose 33 facing away from the air inlet pipe 16, the artery hose 23 is fixedly arranged with the artery movable clamp bar 25 on the side facing towards the air inlet pipe 16 and the vein movable clamp bar 35 on the side of the vein hose 33 facing towards the air inlet pipe 16, so that the artery hose 33 and the artery hose 23 are clamped or unclamped, the movable range of the artery clamp 22 and the vein clamp 32 is reduced by only rotating the artery movable clamp bar 25 and the vein movable clamp bar 35, and the influence on human organs around kidneys is reduced. The arterial activity clamping lever 25 clamps the arterial hose 23 and the venous activity clamping lever 35 clamps the venous hose 33, and the clamping degree of the arterial activity clamping lever 25 and the venous activity clamping lever 35 to the renal blood vessel can be controlled through the rotation angles of the arterial activity clamping lever 25 and the venous activity clamping lever 35.
Alternatively, referring to fig. 3 and 4, the linkage 40 includes a control member 42, a first transmission gear 43, a second transmission gear 44, and a third transmission gear 45. Wherein:
The control member 42 is movably disposed on the kidney cavity housing 13.
The first transmission gear 43 is rotatably arranged on the kidney cavity shell 13, and the first transmission gear 43 is meshed with the control piece 42; the arterial active gripping bar 25 is arranged on the first transmission gear 43.
A second drive gear 44 is rotatably disposed on the kidney cavity housing 13, and the second drive gear 44 is in engagement with the control member 42.
The third transmission gear 45 is rotatably arranged on the kidney cavity shell 13, and the second transmission gear 44 is meshed with the third transmission gear 45; the venous movable clamping lever 35 is arranged on the third transmission gear 45.
It is understood that the control member 42 is a device for inputting positive or negative control information into the linkage 40, and the control member 42 may be configured as a gear or rack, or the like.
So arranged, by providing a first transmission gear 43 engaged with the control member 42, the movement direction of the arterial movement gripping bar 25 can be indirectly controlled by the control member 42; by providing the second transmission gear 44 engaged with the control member 42 while the third transmission gear 45 engaged with the second transmission gear 44, the movement direction of the venous movable clamp lever 35 can be indirectly controlled by the control member 42, and the control member 42 can simultaneously control the arterial movable clamp lever 25 and the venous movable clamp lever 35, so that the step of controlling the arterial movable clamp lever 25 and the venous movable clamp lever 35 is simplified. The forward regulation control element 42 drives the first transmission gear 43 to reversely rotate so as to enable the artery movable clamping rod 25 to rotate towards the artery hose 23, and further enable the artery hose 23 to clamp the kidney blood vessel; meanwhile, the second transmission gear 44 drives the third transmission gear 45 to rotate forward, so that the movable venous clamping rod 35 rotates towards the venous hose 33, and the venous hose 33 clamps the renal blood vessel; at the same time, the arterial movable grip lever 25 and the venous movable grip lever 35 release the grip operation on the intake hose 41, and thereby open the intake pipe 16. The reverse regulation control element 42 drives the first transmission gear 43 to rotate forward so as to enable the arterial movable clamping rod 25 to rotate back to the arterial hose 23, and further enable the arterial hose 23 to release the clamping operation on the renal blood vessels; simultaneously, the second transmission gear 44 drives the third transmission gear 45 to reversely rotate so as to enable the movable venous clamping rod 35 to rotate back to the venous hose 33, and further enable the venous hose 33 to release the clamping operation on the renal blood vessels; at the same time, the arterial and venous movable clamp bars 25 and 35 clamp the air intake hose 41, thereby closing the air intake pipe 16. So that the vein movable clamping lever 35 can clamp the kidney blood vessel and the artery movable clamping lever 25 can simultaneously clamp the kidney blood vessel and open the air inlet pipe 16; the venous movable clamp lever 35 can close the intake pipe 16 while releasing the clamp operation on the renal blood vessel and the arterial movable clamp lever 25 from the clamp operation on the renal blood vessel.
In some embodiments, referring to fig. 1 and 5, the kidney fixing device 11 has at least two openings, which communicate with the kidney installation space 110.
So configured, by providing the kidney fixing device 11 with an opening communicating with the kidney installation space 110, manipulation of various portions of the kidney during surgery is facilitated.
Illustratively, two adjacent first semicircle rings 132 are disposed at intervals to form an opening.
In some embodiments, referring to fig. 1, the kidney-shaped housing 14 has a placement inlet 190 for the placement of a kidney into the kidney placement space 110, the placement inlet 190 being in communication with the kidney placement space 110. The inflation device 12 includes a plurality of bottom-port inflation bladders 19, each bottom-port inflation bladder 19 being disposed on an inner sidewall of the mounting inlet 190 at intervals and communicating with the first space 130. Bottom-port inflatable balloon 19 and inflatable balloon 15 in the inflated condition, the length of bottom-port inflatable balloon 19 is greater than the length of inflatable balloon 15, and bottom-port inflatable balloon 19 serves to limit kidney movement out of kidney-placement space 110.
It will be appreciated that the bottom-port-inflating bladder 19 is used as a member for restricting movement of the kidney out of the kidney-accommodating space 110 by abutting against the kidney after inflation, the bottom-port-inflating bladder 19 is made of a material suitable for contact with the kidney, and the material of the bottom-port-inflating bladder 19 may be polyethylene, polypropylene or the like.
So set up, through setting up a plurality of bottom mouth inflation gasbag 19 on the inside wall of settling inlet 190, after the kidney is placed in kidney settling space 110, a plurality of bottom mouth inflation gasbag 19 are towards the kidney inflation to block the kidney, so that the kidney is restricted in kidney settling space 110, and then can operate more parts of kidney in the messenger operation.
Illustratively, the interior space of the second elliptical ring 141 forms the placement inlet 190. The inner side wall of the second elliptical ring 141 may be provided with a plurality of placement openings, and the bottom opening inflatable air bags 19 are disposed in the placement openings on the inner side wall of the second elliptical ring 141 in a one-to-one correspondence.
In some embodiments, referring to fig. 2 and 3, the air outlet tube 17 is located on a side of the venous fixation clamp 34 facing away from the venous clamping tube 31, and the air outlet tube 17 includes an air outlet hose 46, the air outlet hose 46 being on the same plane as the air inlet hose 41; the linkage mechanism 40 further comprises a movable rod 47, the movable rod 47 is arranged on the second transmission gear 44, and the movable rod 47 is positioned on one side of the air outlet pipe 17, which is away from the vein clamping pipe 31; the second transmission gear 44 rotates to drive the movable rod 47 to clamp or unclamp the air outlet pipe 17.
So configured, by connecting the movable lever 47 with the second transmission gear 44, the clamping operation or the unclamping operation is performed on the air outlet hose 46 by the movable lever 47. The opening and closing of the outlet duct 17 is linked with the second transmission gear 44 so that the opening and closing of the outlet duct 17 can be controlled by the control member 42. And further connects the opening and closing of the arterial clamp tube 21, venous clamp tube 31, air inlet tube 16 and air outlet tube 17.
The foregoing description of the preferred embodiments of the application is not intended to be limiting, but rather is intended to cover all modifications, equivalents, and alternatives falling within the spirit and principles of the application.

Claims (10)

1. A kidney-assisted fixation device for radical renal cancer surgery, comprising:
A kidney fixing part for abutting against the kidney to fix the kidney;
An arterial vessel clamping portion disposed on an outer sidewall of the kidney fixing portion;
The venous blood vessel clamping part is arranged on the outer side wall of the kidney fixing part and is positioned on the same side as the arterial blood vessel clamping part; and
The linkage mechanism is arranged on the outer side wall of the kidney fixing part, one end of the linkage mechanism is connected with the arterial vessel clamping part, and the other end of the linkage mechanism is connected with the venous vessel clamping part;
Under the condition of forward regulation and control of the linkage mechanism, the linkage mechanism drives the arterial vessel clamping part and the venous vessel clamping part to respectively clamp kidney vessels, and the arterial vessel clamping part and the venous vessel clamping part drive the kidney fixing part to fix kidneys while clamping kidney vessels; under the condition of reversely regulating and controlling the linkage mechanism, the linkage mechanism drives the arterial vessel clamping part and the venous vessel clamping part to release the clamping operation on the kidney vessel, and the arterial vessel clamping part and the venous vessel clamping part drive the kidney fixing part to release the fixing on the kidney while releasing the clamping operation on the kidney vessel.
2. The kidney-assisting fixing device according to claim 1, wherein the kidney fixing section includes:
The kidney fixing device is provided with a kidney installation space for installing a kidney, the arterial vessel clamping part and the venous vessel clamping part are arranged on the outer side wall of the kidney fixing device, and the linkage mechanism is arranged on the outer side wall of the kidney fixing device; and
An expansion device disposed on the kidney fixation device;
Under the condition that the arterial vessel clamping part and the venous vessel clamping part clamp kidney vessels, the arterial vessel clamping part and the venous vessel clamping part drive the expansion device to expand into the kidney installation space so that the expansion device is abutted against the kidney to fix the kidney; under the condition that the arterial vessel clamping part and the venous vessel clamping part release clamping operation on the kidney vessel, the arterial vessel clamping part and the venous vessel clamping part drive the expansion device to shrink inwards back to the kidney installation space so as to enable the expansion device to be separated from the kidney to release the fixation on the kidney.
3. The kidney-aid fixation device of claim 2, wherein the kidney-aid fixation device comprises:
The arterial vessel clamping part and the venous vessel clamping part are arranged on the outer side wall of the kidney cavity shell; the linkage mechanism is arranged on the kidney cavity shell; and
The kidney cavity inner shell is arranged on the inner side of the kidney cavity outer shell, a first space is formed between the inner side wall of the kidney cavity outer shell and the outer side wall of the kidney cavity inner shell, and the expansion space of the expansion device is communicated with the first space; the inner side of the kidney cavity inner shell forms the kidney installation space.
4. The kidney-assisted fixation device of claim 3, wherein said expansion device comprises:
The inflatable air bags are arranged on the kidney cavity inner shell, and the inner space of each inflatable air bag is communicated with the first space;
one end of the air inlet pipe is arranged on the outer side wall of the kidney cavity shell and extends into the first space; the air inlet pipe is positioned between the arterial vessel clamping part and the venous vessel clamping part;
The air outlet pipe is arranged on the outer side wall of the kidney cavity shell and is communicated with the first space and the external space; and
The air charging device is connected to the other end of the air inlet pipe;
The arterial vessel clamping part and the venous vessel clamping part can open the air inlet pipe and close the air outlet pipe under the condition of clamping the kidney vessel, and the expansion air bag expands into the kidney installation space to press against the kidney so as to fix the kidney; the arterial vessel clamping part and the venous vessel clamping part can close the air inlet pipe under the condition that the clamping of the kidney vessel can be released, and open the air outlet pipe, so that the inflatable air bag releases the fixation of the kidney.
5. The kidney-assisted fixation device of claim 4, wherein said arterial vessel clamp portion comprises:
An arterial clamping tube disposed on an outer sidewall of the kidney cavity housing and extending to the kidney installation space; and
The artery clamping part is arranged on the artery clamping tube;
The venous vessel clamping portion includes:
The vein clamping tube is arranged on the outer side wall of the kidney cavity shell and extends to the kidney installation space; the vein clamping tube and the artery clamping tube are positioned on the same side of the outer side wall of the kidney cavity shell; and
The vein clamping piece is arranged on the vein clamping pipe;
Wherein the air inlet pipe is positioned between the artery clamping pipe and the vein clamping pipe and between the artery clamping piece and the vein clamping piece; one end of the linkage mechanism is connected with the artery clamping part, and the other end of the linkage mechanism is connected with the vein clamping part; when the artery clamping part clamps the artery clamping pipe, the artery clamping part drives the vein clamping part to clamp the vein clamping pipe through the linkage mechanism, and meanwhile, the artery clamping part and the vein clamping part open the air inlet pipe; when the artery clamping piece releases the clamping operation on the artery clamping tube, the artery clamping piece drives the vein clamping piece to release the clamping operation on the vein clamping tube through the linkage mechanism, and meanwhile, the artery clamping piece and the vein clamping piece close the air inlet pipe.
6. The kidney-assisted fixation device of claim 5 wherein: the arterial clamp tube comprises an arterial hose, the venous clamp tube comprises a venous hose, the air inlet tube comprises an air inlet hose, and the arterial hose, the venous hose and the air inlet hose are on the same plane; the arterial clamping piece is arranged on the arterial hose, the venous clamping piece is arranged on the venous hose, and the air inlet hose is located between the arterial clamping piece and the venous clamping piece.
7. The kidney-assisted fixation device of claim 6, wherein: the arterial clamping piece comprises an arterial fixed clamping rod and an arterial movable clamping rod, the arterial fixed clamping rod is fixedly arranged on one side of the arterial hose, which is opposite to the air inlet pipe, and the arterial movable clamping rod is arranged on one side of the arterial hose, which is opposite to the air inlet pipe;
The vein clamping piece comprises a vein fixed clamping rod and a vein movable clamping rod, the vein fixed clamping rod is fixedly arranged on one side of the vein hose, which is opposite to the air inlet pipe, and the vein movable clamping rod is arranged on one side of the vein hose, which is opposite to the air inlet pipe; the arterial movable clamping rod and the venous movable clamping rod are respectively positioned at two opposite sides of the air inlet pipe;
One end of the linkage mechanism is connected with the artery clamping part, and the other end of the linkage mechanism is connected with the vein clamping part.
8. The kidney-assisted fixation device of claim 7, wherein said linkage mechanism comprises:
The control piece is movably arranged on the kidney cavity shell;
The first transmission gear is rotationally arranged on the kidney cavity shell and meshed with the control piece; the artery movable clamping rod is arranged on the first transmission gear;
The second transmission gear is rotationally arranged on the kidney cavity shell and meshed with the control piece; and
The third transmission gear is rotationally arranged on the kidney cavity shell, and the second transmission gear is meshed with the third transmission gear; the venous movable clamping rod is arranged on the third transmission gear.
9. The kidney-assisted fixation device of claim 4 wherein: the kidney cavity inner shell is provided with a placement inlet for placing the kidney into the kidney placement space, and the placement inlet is communicated with the kidney placement space;
The expansion device comprises a plurality of bottom opening expansion air bags, and each bottom opening expansion air bag is arranged on the inner side wall of the mounting inlet at intervals and communicated with the first space; the bottom opening expansion air bag and the expansion air bag are used for limiting kidneys to move out of the kidney installation space under the condition that the bottom opening expansion air bag and the expansion air bag are expanded, and the length of the bottom opening expansion air bag is larger than that of the expansion air bag.
10. The kidney-assisted fixation device of claim 8, wherein: the air outlet pipe is positioned at one side of the vein fixing clamping rod, which is opposite to the vein clamping pipe, and comprises an air outlet hose which is on the same plane with the air inlet hose; the linkage mechanism further comprises a movable rod, the movable rod is arranged on the second transmission gear, and the movable rod is positioned at one side of the air outlet pipe, which is away from the vein clamping pipe; the second transmission gear can rotate to drive the movable rod to clamp or release the clamping operation of the air outlet pipe.
CN202410979692.2A 2024-07-22 2024-07-22 Kidney auxiliary fixing device for radical kidney cancer treatment Active CN118490284B (en)

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Application Number Priority Date Filing Date Title
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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050148825A1 (en) * 1997-09-17 2005-07-07 Spence Paul A. Device to permit offpump beating heart coronary bypass surgery
JP2010259677A (en) * 2009-05-08 2010-11-18 Kitakyushu Foundation For The Advancement Of Industry Science & Technology Forceps
CN206560457U (en) * 2016-12-16 2017-10-17 贵州省人民医院 A kind of substantive device of blocking out blood flow of inflatable kidney
WO2022198090A1 (en) * 2021-03-19 2022-09-22 The Board Of Trustees Of The Leland Devices and methods for regulating temperature of organs during or before surgical procedures

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20050148825A1 (en) * 1997-09-17 2005-07-07 Spence Paul A. Device to permit offpump beating heart coronary bypass surgery
JP2010259677A (en) * 2009-05-08 2010-11-18 Kitakyushu Foundation For The Advancement Of Industry Science & Technology Forceps
CN206560457U (en) * 2016-12-16 2017-10-17 贵州省人民医院 A kind of substantive device of blocking out blood flow of inflatable kidney
WO2022198090A1 (en) * 2021-03-19 2022-09-22 The Board Of Trustees Of The Leland Devices and methods for regulating temperature of organs during or before surgical procedures

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