CN202982087U - Endoscopic soft tissue push-aside device - Google Patents

Endoscopic soft tissue push-aside device Download PDF

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Publication number
CN202982087U
CN202982087U CN 201220666425 CN201220666425U CN202982087U CN 202982087 U CN202982087 U CN 202982087U CN 201220666425 CN201220666425 CN 201220666425 CN 201220666425 U CN201220666425 U CN 201220666425U CN 202982087 U CN202982087 U CN 202982087U
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CN
China
Prior art keywords
handle
push rod
aside
push
soft tissue
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Withdrawn - After Issue
Application number
CN 201220666425
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Chinese (zh)
Inventor
池永龙
林仲可
吴爱悯
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ZHEJIANG TIANSONG MEDICAL INSTRUMENT CO Ltd
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ZHEJIANG TIANSONG MEDICAL INSTRUMENT CO Ltd
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Priority to CN 201220666425 priority Critical patent/CN202982087U/en
Application granted granted Critical
Publication of CN202982087U publication Critical patent/CN202982087U/en
Anticipated expiration legal-status Critical
Withdrawn - After Issue legal-status Critical Current

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Abstract

The utility model discloses a novel surgical minimally invasive surgical instrument--endoscopic soft tissue push-aside device, and belongs to the field of surgical minimally invasive surgical instruments. The endoscopic soft tissue push-aside device comprises a handle, an outer sleeve, a push rod, a planar push-aside piece and an inner sleeve, wherein the handle comprises a handle upper half part and a handle lower half part; and the push rod comprises a push rod upper end part and a push rod body part. The endoscopic soft tissue push-aside device is characterized in that the planar push-aside piece can extend out and be automatically popped up or be retracted to a gap between the outer sleeve and the inner sleeve again through the relative motion between the handle upper half part and the handle lower half part; the planar push-aside piece is outward to form an angle with the push rod body part, has certain elasticity and hardness, is not restrained by the outer sleeve and the inner sleeve, and can be automatically popped up. The endoscopic soft tissue push-aside device can reduce tissue injury, and realizes double-channel operation, thereby improving the convenience and safety of surgical operation.

Description

Microendoscopic soft tissue Separator
Technical field
The invention belongs to surgery Minimally Invasive Surgery instrument field, specifically, invent a kind of new surgery Minimally Invasive Surgery apparatus, be applicable to human body without the Minimal Invasive Endoscopic operation at chamber position.This apparatus can effectively be pushed the soft tissue that passes through blunt separation aside, makes at artificial cavity of surgical target zone formation, is beneficial to further operation technique.
Background technology
The operation of Microendoscopic surgery Minimally Invasive Surgery needs at cavity of surgical target zone formation, and this cavity is referred to as the working place, so just can make patient's " direct-view " operative region under Endoscope-assisted, recognizes dividing tissue and carries out the related surgical operation; Therefore, can form the working place with proper volume be one of key factor that affects Microendoscopic surgery Minimally Invasive Surgery operation ease, safety in the surgical target zone.At present, different according to anatomical features, the endoscopic surgery position can be divided into two kinds of different types.A kind of is the Minimal Invasive Endoscopic operation of carrying out at the chamber position of human body, as peritoneoscope, thoracoscope, cystoscope and Arthroscopic management, because there being chamber, only need in chamber injecting gas or liquid to keep or increase the volume of chamber, make chamber wall be unlikely to subside, so just can form the working place with proper volume.The thoracic cavity because the support of thorax is arranged, does not need injecting gas or liquid in chamber more even, itself just can keep chamber wall and be unlikely and subside, and can obtain easily having the working place of proper volume.Another kind is the Minimally Invasive Surgery that carries out at the non-chamber position of human body, because there not being chamber, be difficult to form effective working place, take MED(microendoscopic discectomy) be representative, these apparatuses all form a working place that certain volume is arranged by a unaugmentable metal canula, carry out operation technique, have so following shortcoming.One, the sleeve pipe external diameter is excessive, the working place causes that otch is long and tissue injury is excessive: because need have certain volume, because its metallic conduit has not expansivity, cause the effective operational volume that will reach same, the diameter of metallic conduit is excessive, is about 19mm as the external diameter of MED, needs so corresponding increase operative incision length, affect outward appearance, simultaneously the corresponding damage that adds re-organized of increase meeting of caliber.Two, visual floor space is too small, affect safety and the convenience of operation technique: because pipeline does not have dilatancy, the visual floor space of performing the operation is equal to or less than the area in the cross section of pipeline, the visual floor space of the operation larger than pipeline section area be can not obtain, thereby safety and the convenience of operation technique affected.three, the single-pass pipe operations, the cooperation and the various visual angles that are unfavorable for operating theater instruments are observed operative region: the metal canula surrounding is sealing, the operating theater instruments that enters from another passage can't enter in sleeve pipe, all like this operations all can only be carried out in same metallic conduit, be unfavorable for the cooperation between operating theater instruments, affect the convenience of operation technique, simultaneously because only having a passage, only can observe the operative region tissue from an angle, can not can observe the operative region tissue from a plurality of angles as the dual pathways, though can improve this shortcoming by different angles endoscope, but still can reduce the convenience of operation technique, accuracy and safety.
Summary of the invention
Goal of the invention: when carrying out the Microendoscopic operation at the non-chamber of human body position, the Microendoscopic soft tissue Separator (hereinafter to be referred as Separator) of this invention, make in the situation that otch shortens, still can form the working place of proper volume and then fully expose the operative region tissue, simultaneously can reduce tissue injury, can also carry out dual pathways operation, be conducive to cooperatively interacting between apparatus.The present invention can improve at present when the row endoscopic surgery of the non-chamber of human body position, long with the otch that conventional apparatus causes, damage excessively, operative region exposes insufficient relatively, and these affect the shortcoming of operation technique convenience, accuracy and safety to be unfavorable for twin-channel cooperation etc.
Detailed description of the present invention: Separator by handle, trocar sheath, push rod, planarly push the mechanism that sheet and inner sleeve consist of aside, handle is comprised of handle the first half and handle the latter half, push rod is comprised of push rod upper part and push rod body, it is characterized in that by the relative motion between handle the first half and handle the latter half, can make the planar sheet of pushing aside stretch out and automatically spring open or bounce back and come back in space between trocar sheath and inner sleeve.Push rod upper part, push rod body dough-making powder shape are pushed aside in the space of sheet between trocar sheath, handle and inner sleeve; Planar sheet and the outside angulation of push rod body pushed aside, the planar sheet of pushing aside has certain elasticity and hardness, not can automatically spring open by the constraint of trocar sheath, inner sleeve; When Separator planar pushed sheet aside and do not stretched out, the close gap between trocar sheath, handle and inner sleeve was subject to the constraint of inner sleeve, trocar sheath, and the planar sheet of pushing aside becomes 180 ° of angles with the push rod body.By the relative motion between handle the first half and handle the latter half, transmission through power between handle the first half and push rod upper part, the push rod body is moved downward or upward, promote the planar sheet of pushing aside and produce and to stretch out and to flick or retract to close gap between trocar sheath, handle and inner sleeve.
The invention has the beneficial effects as follows, push stretching out of sheet aside and automatically spring open and bounce back by planar, reaching under same valid function volume, can effectively reduce the external diameter of sleeve pipe, thereby reduce operative incision length and alleviate damage to tissue; Push flicking of sheet aside by planar, make the visual floor space of operation can surpass the area in the cross section of pipeline, under formed objects sleeve pipe caliber, can increase the visual floor space of operation; Because the planar sheet of pushing aside is semicircular arc, the planar leaf offside of pushing aside is opened, and operating theater instruments is placed in the working place that forms because of Separator through open that side from another passage, realizes twin-channel cooperatively interacting.Thereby improve safety, accuracy and the convenience of operation technique.
Description of drawings
Accompanying drawing 1 is for when the planar schematic diagram of Separator when pushing the sheet retraction aside, accompanying drawing 2 is for stretching out outside inside and outside sleeve pipe and the front view of Separator when automatically springing open when the planar sheet of pushing aside, accompanying drawing 3 is for stretching out outside inside and outside sleeve pipe and the side view of Separator when automatically springing open when the planar sheet of pushing aside, accompanying drawing 4 is the element exploded view of Separator, and accompanying drawing 5 is the transverse cross-sectional view of Separator handle the first half.In figure:
1 is handle the first half of Separator, hollow;
2 is handle the latter half of Separator, hollow;
3 is the trocar sheath of Separator head, hollow pipeline;
4 is the push rod upper part of Separator, and screw thread or chute are arranged;
5 is the push rod body of Separator;
6 are the planar sheet of pushing aside of Separator, push aside blade several, each pushes the outside angulation of body of sheet and push rod aside, and has certain elasticity and hardness;
7 is the inner sleeve of Separator, hollow pipeline.
The specific embodiment
Below in conjunction with accompanying drawing, patent of the present invention is further described.Embodiment is that metal alloy compositions is made.
Separator always has 7 elements (seeing accompanying drawing 4): handle the first half (1), and hollow, inner face has screw thread; Handle the latter half (2), hollow; Trocar sheath (3), hollow; There are screw thread or chute in push rod upper part (4); Push rod body (5); The planar sheet (6) of pushing aside; Inner sleeve (7), hollow.In accompanying drawing 1, the Separator outermost layer divides two parts, and upper part is the thicker handle of external diameter, and lower part is the thinner trocar sheath of external diameter (7), and handle is comprised of handle the first half (1) and handle the latter half (2).The innermost layer of Separator is the inner sleeve (7) of a hollow, can place operation technique apparatus or endoscope in it.Push rod and the planar space of sheet (6) between outermost layer and innermost layer of pushing aside, push rod is comprised of push rod upper part (4) and push rod body (5).Planar push aside sheet (6) push aside blade several, be positioned in the lower end of push rod body (5), each push aside blade all with the outside angulation of push rod body (5), and have certain elasticity and hardness.
The planar sheet (6) of pushing aside is when being in retracted state (accompanying drawing 1), insert targeted surgical site (its soft tissue has passed through blunt separation), again by the relative motion (as turning clockwise) between handle the first half (1) and handle the latter half (2), make the planar sheet (6) of pushing aside stretch out and automatically spring open (accompanying drawing 2,3), thereby reach the working place of separating soft tissue and forming proper volume at the target operative region, so that next step operation technique.After operation technique is completed, when needing that retraction is planar pushes sheet (6) aside, by the relative motion (as being rotated counterclockwise) between handle the first half (1) and handle the latter half (2), the planar blade (6) of pushing aside is retracted in small gap between trocar sheath (3) and inner sleeve (7) (accompanying drawing 1) again, then Separator is taken out.Inner sleeve (7) is hollow pipeline, but deploying endoscope or relevant operation technique apparatus (seeing accompanying drawing 5).The planar sheet (6) of pushing aside is semicircular arc, offside is for open, can pass through the opposite side operating walk way like this, corresponding operating theater instruments is placed in the working place that forms because of Separator through open that side, so just can accomplish that the dual pathways cooperatively interacts, improve safety, accuracy and the convenience (seeing accompanying drawing 3) of operation technique.Push stretching out of sheet aside and automatically spring open and bounce back by planar, reaching under same valid function volume, can effectively reduce the external diameter of sleeve pipe, thereby reduce operative incision length and alleviate damage to tissue; Push flicking of sheet aside by planar, make the visual floor space of operation can surpass the area in the cross section of pipeline, under formed objects sleeve pipe caliber, can increase the visual floor space of operation.

Claims (4)

1. Microendoscopic soft tissue Separator, by handle, trocar sheath (3), push rod, planar mechanism of pushing sheet (6) and inner sleeve (7) formation aside, handle is comprised of handle the first half (1) and handle the latter half (2), push rod is comprised of push rod upper part (4) and push rod body (6), it is characterized in that by the relative motion between handle the first half (1) and handle the latter half (2), can make the planar sheet (6) of pushing aside stretch out and automatically spring open or bounce back and come back in space between trocar sheath (3), inner sleeve (7).
2. Microendoscopic soft tissue Separator as claimed in claim 1, it is characterized in that described planar sheet (6) and the outside angulation of push rod body (5) pushed aside, the planar sheet (6) of pushing aside has certain elasticity and hardness, not can automatically spring open by the constraint of trocar sheath (3), inner sleeve (7).
3. Microendoscopic soft tissue Separator as claimed in claim 1, it is characterized in that by the relative motion between handle the first half (1) and handle the latter half (2), transmission through power between handle the first half (1) and push rod upper part (4), push rod body (5) is moved downward or upward, promote the planar sheet (6) of pushing aside and produce and to stretch out or retracting motion.
4. Microendoscopic soft tissue Separator as claimed in claim 1 is characterized in that push rod upper part (4), push rod body (5) and the planar sheet (6) of pushing aside are positioned at space between trocar sheath (3), handle and inner sleeve (7).
CN 201220666425 2012-12-06 2012-12-06 Endoscopic soft tissue push-aside device Withdrawn - After Issue CN202982087U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN 201220666425 CN202982087U (en) 2012-12-06 2012-12-06 Endoscopic soft tissue push-aside device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN 201220666425 CN202982087U (en) 2012-12-06 2012-12-06 Endoscopic soft tissue push-aside device

Publications (1)

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CN202982087U true CN202982087U (en) 2013-06-12

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CN 201220666425 Withdrawn - After Issue CN202982087U (en) 2012-12-06 2012-12-06 Endoscopic soft tissue push-aside device

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103181793A (en) * 2012-12-06 2013-07-03 池永龙 Microendoscopic parenchyma poking device
CN111803152A (en) * 2020-07-14 2020-10-23 无锡市第九人民医院 Surgical annular minimally invasive retractor
ES2920652A1 (en) * 2021-02-08 2022-08-08 Servei De Salut De Les Illes Balears Ibsalut Device to convert a surgical instrument In a separator (Machine-translation by Google Translate, not legally binding)

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103181793A (en) * 2012-12-06 2013-07-03 池永龙 Microendoscopic parenchyma poking device
CN111803152A (en) * 2020-07-14 2020-10-23 无锡市第九人民医院 Surgical annular minimally invasive retractor
CN111803152B (en) * 2020-07-14 2022-09-23 无锡市第九人民医院 Surgical annular minimally invasive retractor
ES2920652A1 (en) * 2021-02-08 2022-08-08 Servei De Salut De Les Illes Balears Ibsalut Device to convert a surgical instrument In a separator (Machine-translation by Google Translate, not legally binding)

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C14 Grant of patent or utility model
GR01 Patent grant
AV01 Patent right actively abandoned

Granted publication date: 20130612

Effective date of abandoning: 20150520

RGAV Abandon patent right to avoid regrant