CN203290975U - Apparatus combined device for laparoscope gall bladder protecting operation - Google Patents
Apparatus combined device for laparoscope gall bladder protecting operation Download PDFInfo
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- CN203290975U CN203290975U CN2013202900585U CN201320290058U CN203290975U CN 203290975 U CN203290975 U CN 203290975U CN 2013202900585 U CN2013202900585 U CN 2013202900585U CN 201320290058 U CN201320290058 U CN 201320290058U CN 203290975 U CN203290975 U CN 203290975U
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Abstract
The utility model relates to an apparatus combined device for a laparoscope gall bladder protecting operation. The apparatus combined device for the laparoscope gall bladder protecting operation comprises a forceps body assembly, a forceps holder assembly, a channel assembly and a laparoscope. The forceps holder assembly is installed on the forceps body assembly. The laparoscope is sleeved with the forceps body assembly. The forceps body assembly is sleeved with the channel assembly. The apparatus combined device for the laparoscope gall bladder protecting operation is reasonable in structural design, the laparoscope and various types of forceps holder operation apparatus can be used in one apparatus channel, the application range is wide, and operation is convenient.
Description
Technical field
This utility model relates to a kind of laparoscopic cholecystectomy protection operation rig composite set, belongs to technical field of medical instruments.
Background technology
In human body, gallbladder disease (cholecystitis, cholelithiasis, multiple cholesteric calculus, gallbladder polyp etc.) is numerous; on medical skill, advocated in recent years laparoscopic cholecystectomy protection operation; gallbladder protection operation is the laparoscopically visual field of application, applies multiple operating theater instruments and performs the operation.Prior art is the multiple single-piece operating theater instruments of application to peritoneoscope human gall bladder protection operation; apparatus can not connect; apparatus bore difference does not match yet; in the operation application, can only insert two above puncture channel in human abdominal cavity; to patient, increase misery, can not meet multiple operating theater instruments and enter human abdominal cavity from a puncture channel, and between operating theater instruments, compounding practice also has problem; reduce operation efficiency, can not meet desirable surgical effect.
China Patent Publication No. 101912290A, disclose a kind of multifunctional bendable forceps for laparoscopic surgeries, and it can be used for, and human abdominal cavity inner tissue organ pipe is searched, captures, socketed, separation, radiography and electric coagulation hemostasis, diverse in function.Its defect is: during operation, must coordinate peritoneoscope to carry out, peritoneoscope must be opened operating walk way in addition in human body, increases patient's misery; And there is no rinser, the operating theater instruments cooperation is affected, impact operation efficiency.
The utility model content
Technical problem to be solved in the utility model is to overcome existing above-mentioned deficiency in prior art, and a kind of reasonable in design is provided, and is easy to operate, is exclusively used in the laparoscopic cholecystectomy protection operation rig composite set of laparoscopic cholecystectomy protection operation.
This utility model solves the problems of the technologies described above the technical scheme that adopts: a kind of laparoscopic cholecystectomy protection operation rig composite set, it is characterized in that: it comprises caliper assembly, clamp assemblies, channel components and peritoneoscope.
Described caliper assembly comprises fixed handle, flexible handle, clamp block, slide block, locking device, claw beam, pull bar and a laparoscopic tube, fixed handle is connected with flexible handle, the top of clamp block and fixed handle is fixed, the top of slide block and flexible handle is fixed, and locking device and clamp block are fixed; Described claw beam hollow, the end of claw beam and a locking device are fixed, and the front end of claw beam is provided with positioning sleeve; Described pull bar passes clamp block, locking device, claw beam successively, and end and the slide block of pull bar are fixed, and the front end of pull bar is inserted in positioning sleeve; Described laparoscopic tube comprises mirror pipe and the mirror lock of hollow, and the end of mirror pipe and mirror lock are fixing, and the front end of mirror pipe passes slide block, clamp block, a locking device fixing successively, and peritoneoscope is inserted in laparoscopic tube.
Described clamp assemblies comprises clamp, clamp seat and connecting stud, and clamp seat and claw beam are fixed, and clamp is arranged on the clamp seat, and an end of connecting stud is connected with the end of clamp, and the other end is inserted in positioning sleeve and is connected with pull bar.
Described channel components comprises instrument channel and close pin, and instrument channel comprises channel and the channel seat of hollow, and channel and channel seat are fixed, and on channel seat, are provided with flushing valve and suction valve, and flushing valve and suction valve are communicated with channel; The described pin that closes comprises and closes bar, closes head and No. two locking devices, No. two locking devices and close head and be separately fixed at the two ends of closing bar; The described head that closes passes channel seat and channel, and No. two locking device snaps in channel seat and fixes.
A described locking device is identical, big or small identical with No. two locking device shapes; Close pin and detach instrument channel, the claw beam of caliper assembly and laparoscopic tube insertion instrument passage, No. one locking device snaps in channel seat and fixes; Between claw beam, laparoscopic tube and channel, leave ,Gai gap, gap as the irrigation channel of flushing valve and the attraction channel of suction valve.
In said structure, channel components penetrates after human body to pull out and closes pin, and instrument channel is stayed in human body; Clamp assemblies is arranged on caliper assembly front end, and the caliper assembly penetrates instrument channel locking; Between caliper assembly and instrument channel, form two interspaces, two interspaces are communicated with flushing valve and suction valve respectively, while being convenient to perform the operation, carry out I & A; Peritoneoscope is inserted in the laparoscopic tube of caliper assembly and locks under the effect of mirror lock, and operation is carried out under the peritoneoscope visual field, and is more accurate.Control the caliper assembly, clamp assemblies is performed the operation, very convenient.
The outer wall of channel seat described in the utility model has two bayonet socket and the draw-in grooves of symmetry mutually, and the inwall of channel seat has holddown groove.
No. two locking devices described in the utility model comprise and close seat, No. two rotary sleeves, No. two shank of the keys and No. two lock pins, close seat and close bar and fix, close on seat and have locked groove No. two, close on seat and be provided with holder, No. two rotary sleeves are enclosed within and close outside seat, on No. two rotary sleeves, be provided with No. two decks of two symmetries, No. two shank of the keys and No. two lock pins pass No. two rotary sleeves and snap in No. two locked grooves to be fixed; The described cover for seat of closing enters in channel seat, and holder snaps in holddown groove, and two No. two decks snap in two bayonet sockets just, rotate No. two rotary sleeve, and the bayonet socket rotation snaps in draw-in groove and locks.After locking, close pin and in instrument channel, be difficult for moving, close pin channel components is punctured effectively into human body, puncture after human body, rotate No. two rotary sleeve, the pin locking is closed in contact, takes out and closes pin.
A locking device described in the utility model comprises lock, a rotary sleeve, a shank of the key and a lock pin, described lock and clamp block are fixed, on lock, have locked groove No. one, No. one rotary sleeve is enclosed within outside lock, on rotary sleeve, be provided with a deck of two symmetries, a shank of the key and a lock pin pass a rotary sleeve and snap in a locked groove to be fixed; Described lock is inserted in channel seat, and two decks snap in two bayonet sockets just, rotate No. one rotary sleeve, and the bayonet socket rotation snaps in draw-in groove and locks.After locking, the caliper assembly is difficult for mobile in instrument channel, and while guaranteeing operation, clamp assemblies is not rocked, and the assurance operation is carried out smoothly.
The top of flexible handle described in the utility model is provided with stirs seat, stirs seat and snaps in slide block; In slide block, be provided with pin, pin passes stirs seat.Press flexible handle, stir seat band movable slider and move, slide block drives pull bar and moves, and pull bar drives clamp assemblies and unclamps and clamp.
Clamp described in the utility model has two, on clamp, has the clamp tooth, and two clamps cross one another and are fixed on the clamp seat by the clamp pin; The end of two clamps is connected with a slice connecting plate by the connecting plate pin respectively, and the other end of connecting plate is connected with connecting stud by stay rod pin.Make pull bar effectively drive the clamp assemblies activity, operate more smooth and easy.
Clamp assemblies described in the utility model can be designed to multiple pincer, and every kind of pincerlike function difference is changed the clamp that needs and got final product during operation, can be applied to multiple operation case.
This utility model compared with prior art, has following positive effect: reasonable in design, in an instrument channel, can use peritoneoscope and various clamp class operating theater instruments, and be widely used, easy to operate.
The accompanying drawing explanation
Fig. 1 is structural representation of the present utility model.
Fig. 2 is the structural representation of caliper assembly and clamp assemblies in this utility model.
Fig. 3 is the structure for amplifying schematic diagram of a-quadrant in Fig. 2.
Fig. 4 is the structure for amplifying schematic diagram in B zone in Fig. 2.
Fig. 5 is the structural representation of channel components in this utility model.
Fig. 6 is the structural representation of instrument channel in Fig. 5.
Fig. 7 is the right TV structure schematic diagram of channel seat in Fig. 6.
Fig. 8 closes the structural representation of pin in Fig. 5.
Fig. 9 is laparoscopically structural representation in this utility model.
Figure 10 be in Fig. 1 A-A to the sectional structure schematic diagram.
Figure 11 is the structural representation that in this utility model, clamp assemblies adopts stone tongs.
Figure 12 is the structural representation that in this utility model, clamp assemblies adopts the noinvasive nipper.
Figure 13 is that in this utility model, clamp assemblies adopts biopsy to get the structural representation of thing.
Figure 14 is the structural representation that in this utility model, clamp assemblies adopts forceps.
Figure 15 is the structural representation that in this utility model, clamp assemblies adopts shears.
Figure 16 is the structural representation that in this utility model, clamp assemblies adopts calculus catching net-like means.
The specific embodiment
The utility model is described in further detail below in conjunction with accompanying drawing and by embodiment.
Embodiment:
Referring to Fig. 1~Figure 10, the present embodiment comprises caliper assembly I, clamp assemblies II, channel components III and peritoneoscope VI.
Referring to Fig. 2~Fig. 4, described caliper assembly I comprises fixed handle 17, flexible handle 18, clamp block 21, slide block 22, locking device IV, claw beam 26, pull bar 33 and a laparoscopic tube V, fixed handle 17 is connected with flexible handle 18, clamp block 21 is fixed with the top of fixed handle 17, slide block 22 is fixed with the top of flexible handle 18, and No. one the locking device IV is fixed with clamp block 21; Described claw beam 26 hollows, the end of claw beam 26 and a locking device IV are fixed, and the front end of claw beam 26 is provided with positioning sleeve 34; Described pull bar 33 passes clamp block 21, locking device IV, claw beam 26 successively, and the end of pull bar 33 and slide block 22 are fixing, and the front end of pull bar 33 is inserted in positioning sleeve 34; Described laparoscopic tube V comprises the mirror pipe 24 of hollow and mirror lock 25, and the end of mirror pipe 24 is fixing with mirror lock 25, and the front end of mirror pipe 24 passes successively slide block 22, clamp block 21, a locking device IV and fixes, and the peritoneoscope VI is inserted in the laparoscopic tube V.
Described clamp assemblies II comprises clamp 35, clamp seat 41 and connecting stud 42, clamp seat 41 is fixing with claw beam 26, clamp 35 is arranged on clamp seat 41, and an end of connecting stud 42 is connected with the end of clamp 35, and the other end is inserted in positioning sleeve 34 and is connected with pull bar 33.
Referring to Fig. 5~Fig. 8, described channel components III comprises instrument channel VII and close the pin VIII, and the instrument channel VII comprises channel 1 and the channel seat 2 of hollow, and channel 1 is fixing with channel seat 2, on channel seat 2, be provided with flushing valve 3 and suction valve 4, flushing valve 3 and suction valve 4 are communicated with channel 1; The described pin VIII of closing comprises and closes bar 8, closes 9 and No. two locking device IX, No. two locking device IX and close 9 and be separately fixed at the two ends of closing bar 8; Describedly close 9 and pass that channel seat 2 and 1, No. two locking device IX of channel snap in channel seat 2 and fixing.
A described locking device IV is identical, big or small identical with No. two locking device IX shapes; Close the pin VIII and detach the instrument channel VII, the claw beam 26 of caliper assembly I and laparoscopic tube V insertion instrument passage VII, No. one the locking device IV snaps in channel seat 2 and fixes; Between claw beam 26, laparoscopic tube V and channel 1, leave two interspaces 20, this gap 20 is as the irrigation channel of flushing valve 3 and the attraction channel of suction valve 4, as shown in figure 10.
In said structure, the channel components III penetrates after human body to pull out closes the pin VIII, and the instrument channel VII is stayed in human body; The clamp assemblies II is arranged on caliper assembly I front end, and caliper assembly I penetrates instrument channel VII locking; Between caliper assembly I and instrument channel VII, form two interspace 20, two interspaces 20 and with flushing valve 3 and suction valve 4, be communicated with respectively, while being convenient to perform the operation, carry out I & A; The peritoneoscope VI is inserted in the laparoscopic tube V of caliper assembly I and is locked under the effect of mirror lock 25, and operation is carried out under the peritoneoscope VI visual field, and is more accurate.Control caliper assembly I, the clamp assemblies II is performed the operation, very convenient.
Referring to Fig. 6, in the present embodiment, the outer wall of channel seat 2 has two bayonet socket 5 and the draw-in grooves 6 of symmetry mutually, and the inwall of channel seat 2 has holddown groove 7.
Referring to Fig. 8, in the present embodiment, No. two locking device IX comprise closes 10, No. two rotary sleeves of seat 12, No. two shank of the keys 14 and No. two lock pins 16, close seat 10 and close bar 8 fixing, close seat and have locked groove 15 No. two on 10, close on seat 10 and be provided with 11, No. two rotary sleeves 12 of holder and be enclosed within and close outside seat 10,13, No. two shank of the keys 14 of No. two decks and No. two lock pins 16 of on No. two rotary sleeves 12, being provided with two symmetries pass No. two rotary sleeves 12 and snap in No. two locked grooves 15 fixing; The described seat 10 that closes is inserted in channel seat 2, and holder 11 snaps in holddown groove 7, and two No. two decks 13 snap in two bayonet sockets 5 just, rotate No. two rotary sleeve 12, and bayonet socket 5 rotations snap in locking in draw-in groove 6.After locking, close the pin VIII and in the instrument channel VII, be difficult for moving, close the pin VIII channel components III is punctured effectively into human body, puncture after human body, rotate No. two rotary sleeve 12, the locking of pin VIII is closed in contact, takes out and closes the pin VIII.
Referring to Fig. 3, in the present embodiment, locking device IV comprises lock 27, rotary sleeve 28, shank of the key 30 and a lock pin 31, described lock 27 is fixing with clamp block 21, on lock 27, have locked groove 32 No. one, No. one rotary sleeve 28 is enclosed within outside lock 27, and 29, numbers shank of the keys 30 of a deck and a lock pin 31 of on rotary sleeve 28, being provided with two symmetries pass a rotary sleeve 28 and snap in a locked groove 32 fixing; Described lock 27 is inserted in channel seat 2, and two decks 29 snap in two bayonet sockets 5 just, rotate No. one rotary sleeve 28, and bayonet socket 5 rotations snap in locking in draw-in groove 6.After locking, caliper assembly I is difficult for mobile in the instrument channel VII, and while guaranteeing operation, the clamp assemblies II is not rocked, and the assurance operation is carried out smoothly.
In the present embodiment, the top of flexible handle 18 is provided with stirs seat 19, stirs seat 19 and snaps in slide block 22; In slide block 22, be provided with pin 23, pin 23 passes stirs seat 19.Press flexible handle 18, stir seat 19 band movable sliders 22 and move, slide block 22 drives pull bar 33 and moves, and pull bar 33 drives the clamp assemblies II and unclamps and clamp.
Referring to Fig. 4, in the present embodiment, clamp 35 has two, on clamp 35, has 36, two clamps 35 of clamp tooth and crosses one another and be fixed on clamp seat 41 by clamp pin 37; The end of two clamps 35 is connected with a slice connecting plate 38 by connecting plate pin 39 respectively, and the other end of connecting plate 38 is connected with connecting stud 42 by stay rod pin 40.Make pull bar 33 effectively drive the activity of clamp assemblies II, operate more smooth and easy.
In addition, clamp assemblies II described in the utility model can be designed to multiple pincer, and every kind of pincerlike function difference is changed the clamp 35 that needs and got final product during operation, the end of clamp assemblies II is connected with the connecting stud 42 of caliper assembly I, can be applied to multiple operation case.As shown in figure 11, stone tongs 43, can be applicable to the gripping of cholelithiasis operation calculus; As shown in figure 12, noinvasive nipper 44, can be applicable to gallbladder tissue's gripping and separate; As shown in figure 13, thing pincers 45 are got in biopsy, can be applicable to gallbladder protection operation section and get thing; As shown in figure 14, forceps 46, can be applicable to grasp taking-up after the gallbladder polyp excision; As shown in figure 15, shears 47, can be applicable to gallbladder polyp and cyst excision and separate tissue; As shown in figure 16, calculus catching net-like means 48, can be applicable to the multiple cholesteric calculus and extract.
During use, clamp assemblies II and peritoneoscope VI that first will perform the operation needs are arranged on caliper, the channel components III is punctured in human body, and remove and close the pin VIII; Then caliper assembly I is penetrated in the instrument channel VII and locks, carry out the hands art; In operation, can carry out I & A by flushing valve 3 and 4 pairs of operative sites of suction valve, very convenient, improve operation efficiency.
In addition, it should be noted that, the specific embodiment described in this description, as long as the undeclared concrete shape of its part and size, this part can be any shape and size that adapt with its structure; Simultaneously, the part title of getting also can be different.All equivalence or simple change of doing according to the described structure of this utility model patent design, feature and principle, be included in the protection domain of this utility model patent.
Claims (6)
1. a laparoscopic cholecystectomy is protected operation rig composite set, and it is characterized in that: it comprises caliper assembly, clamp assemblies, channel components and peritoneoscope,
Described caliper assembly comprises fixed handle, flexible handle, clamp block, slide block, locking device, claw beam, pull bar and a laparoscopic tube, fixed handle is connected with flexible handle, the top of clamp block and fixed handle is fixed, the top of slide block and flexible handle is fixed, and locking device and clamp block are fixed; Described claw beam hollow, the end of claw beam and a locking device are fixed, and the front end of claw beam is provided with positioning sleeve; Described pull bar passes clamp block, locking device, claw beam successively, and end and the slide block of pull bar are fixed, and the front end of pull bar is inserted in positioning sleeve; Described laparoscopic tube comprises mirror pipe and the mirror lock of hollow, and the end of mirror pipe and mirror lock are fixing, and the front end of mirror pipe passes slide block, clamp block, a locking device fixing successively, and peritoneoscope is inserted in laparoscopic tube;
Described clamp assemblies comprises clamp, clamp seat and connecting stud, and clamp seat and claw beam are fixed, and clamp is arranged on the clamp seat, and an end of connecting stud is connected with the end of clamp, and the other end is inserted in positioning sleeve and is connected with pull bar;
Described channel components comprises instrument channel and close pin, and instrument channel comprises channel and the channel seat of hollow, and channel and channel seat are fixed, and on channel seat, are provided with flushing valve and suction valve, and flushing valve and suction valve are communicated with channel; The described pin that closes comprises and closes bar, closes head and No. two locking devices, No. two locking devices and close head and be separately fixed at the two ends of closing bar; The described head that closes passes channel seat and channel, and No. two locking device snaps in channel seat and fixes;
A described locking device is identical, big or small identical with No. two locking device shapes; Close pin and detach instrument channel, the claw beam of caliper assembly and laparoscopic tube insertion instrument passage, No. one locking device snaps in channel seat and fixes; Between claw beam, laparoscopic tube and channel, leave ,Gai gap, gap as the irrigation channel of flushing valve and the attraction channel of suction valve.
2. laparoscopic cholecystectomy according to claim 1 is protected operation rig composite set, it is characterized in that: the outer wall of described channel seat has two bayonet socket and the draw-in grooves of symmetry mutually, and the inwall of channel seat has holddown groove.
3. laparoscopic cholecystectomy according to claim 2 is protected operation rig composite set, it is characterized in that: described No. two locking devices comprise and close seat, No. two rotary sleeves, No. two shank of the keys and No. two lock pins, close seat and close bar and fix, close on seat and have locked groove No. two, close on seat and be provided with holder, No. two rotary sleeves are enclosed within and close outside seat, on No. two rotary sleeves, are provided with No. two decks of two symmetries, and No. two shank of the keys and No. two lock pins pass No. two rotary sleeves and snap in No. two locked grooves to be fixed; The described cover for seat of closing enters in channel seat, and holder snaps in holddown groove, and two No. two decks snap in two bayonet sockets just, rotate No. two rotary sleeve, and the bayonet socket rotation snaps in draw-in groove and locks.
4. laparoscopic cholecystectomy according to claim 2 is protected operation rig composite set, it is characterized in that: a described locking device comprises lock, a rotary sleeve, a shank of the key and a lock pin, described lock and clamp block are fixed, on lock, have locked groove No. one, No. one rotary sleeve is enclosed within outside lock, on rotary sleeve, be provided with a deck of two symmetries, a shank of the key and a lock pin pass a rotary sleeve and snap in a locked groove to be fixed; Described lock is inserted in channel seat, and two decks snap in two bayonet sockets just, rotate No. one rotary sleeve, and the bayonet socket rotation snaps in draw-in groove and locks.
5. laparoscopic cholecystectomy according to claim 1 and 2 is protected operation rig composite set, and it is characterized in that: the top of described flexible handle is provided with stirs seat, stirs seat and snaps in slide block; In slide block, be provided with pin, pin passes stirs seat.
6. laparoscopic cholecystectomy according to claim 1 and 2 is protected operation rig composite set, and it is characterized in that: described clamp has two, on clamp, has the clamp tooth, and two clamps cross one another and are fixed on the clamp seat by the clamp pin; The end of two clamps is connected with a slice connecting plate by the connecting plate pin respectively, and the other end of connecting plate is connected with connecting stud by stay rod pin.
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CN103263285A (en) * | 2013-05-24 | 2013-08-28 | 桐庐广硕医疗器械有限公司 | Combined device of complete set of instruments for laparoscope gall bladder protection operation |
WO2016169360A1 (en) * | 2015-04-22 | 2016-10-27 | Bio-Medical Engineering (HK) Limited | Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems |
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US9855108B2 (en) | 2014-04-22 | 2018-01-02 | Bio-Medical Engineering (HK) Limited | Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems |
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US11801099B2 (en) | 2014-04-22 | 2023-10-31 | Bio-Medical Engineering (HK) Limited | Robotic devices and systems for performing single incision procedures and natural orifice translumenal endoscopic surgical procedures, and methods of configuring robotic devices and systems |
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CN110123390A (en) * | 2019-05-06 | 2019-08-16 | 潍坊市妇幼保健院 | A kind of multi-functional Cerver biopsy tongs |
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