CN203677167U - Numerical control filling type laparoscope porta hepatic blood occlusion instrument - Google Patents
Numerical control filling type laparoscope porta hepatic blood occlusion instrument Download PDFInfo
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- CN203677167U CN203677167U CN201320870002.7U CN201320870002U CN203677167U CN 203677167 U CN203677167 U CN 203677167U CN 201320870002 U CN201320870002 U CN 201320870002U CN 203677167 U CN203677167 U CN 203677167U
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- filled
- hemorrhage
- filled type
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- bloodstream blocking
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Abstract
The utility model provides a numerical control filled type laparoscope porta hepatic blood occlusion instrument which comprises a filled type laparoscope porta hepatic blood occlusion belt, a connecting tube with a one-way valve, a filling medium and an injection pump with a digital control chip, wherein the filled type laparoscope porta hepatic blood occlusion belt is connected with the connecting tube with the one-way valve; the filling medium is arranged in the injection pump with the digital control chip; the injection pump with the digital control chip is connected with the filled type laparoscope porta hepatic blood occlusion belt through the connecting tube with the one-way valve, so as to fill the filling medium into the filled type laparoscope porta hepatic blood occlusion belt; the digital control chip is used for controlling the filling medium to be filled into the filled type laparoscope porta hepatic blood occlusion belt.
Description
Technical field
This utility model relates to medical instruments field, and more particularly, this utility model relates to a kind of numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument.
Background technology
Had domestic literature (Li Baihong, etc. the application of part hepatic vascular exclusion device in laparoscopic liver resection for Zhu new life, Zhang Yuemin. Third Military Medical University's journal, 2009,29 (14): 1447-1448; Lu Bangyu, Lu Wenqi, Cai little Yong, etc. the application of portal blood blocker in partial hepatectomy under the mirror of chamber. Chinese scope magazine, 2005,11:982-983.) report, in laparoscopic liver resection, various simple and easy Porta hepatis blockers are developed voluntarily in minority medical center on the basis that utilizes existing apparatus, but extensively approved and promoted, reason is to be not easy to operate under peritoneoscope, and part blocking-up is not thorough, may affect follow-up operation.
Abroad, have the special vascular occlusion clamp of peritoneoscope, it can be used for blocking porta hepatis.There is introduction domestic minority medical center, but also may affect follow-up operation.
Thereby above-mentioned various apparatus all adopts, a kind of reality strapping tape or blocking-up pincers go to tie up, clamp hepatoduodenal ligament is realized bloodstream blocking, but to realize tie up, clamp is not easy operation under peritoneoscope, part blocking-up is not thorough, therefore barrier effect is not good enough; Need in addition to take an operation path and certain intraperitoneal space, may affect follow-up operation.And, also have major issue be all can not digital automatic control its use, there is certain blindness, it is remarkable and quick to use.
Utility model content
Technical problem to be solved in the utility model is for there being above-mentioned defect in prior art, and a kind of numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument that can realize quantified controlling pringle maneuver, opening and Xining is provided.
In order to realize above-mentioned technical purpose, according to this utility model, a kind of numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument is provided, and it comprises: filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band, connection tube, filled media and the infusion pump with Digital Control chip with check valve; Wherein, filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band is connected to the connection tube with check valve; And, filled media is arranged in the infusion pump with Digital Control chip, and the infusion pump with Digital Control chip is by be connected to filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band with the connection tube of check valve, thereby be filled with filled media to filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band; Wherein, Digital Control chip is for controlling filled media being filled with to filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band.
Preferably, in Digital Control chip, include data base, in this data base, stored all footpaths of hepatoduodenal ligament, pringle maneuver front and back delta data in hepatobiliary surgery; And, Digital Control chip is according to all footpaths of hepatoduodenal ligament delta data before and after pringle maneuver in the size of filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band and hepatobiliary surgery, automatically calculate the filled media volume that need be filled with, thereby automatically control filled media being filled with to filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band.
Preferably, filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band is connected to the connection tube with check valve via snap close.
Preferably, on the housing of the infusion pump with Digital Control chip, be furnished with switch, for starting and stopping being filled with filled media to filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band.
Preferably, described filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band comprises strip tubular body; Wherein strip tubular body first end is in the longitudinal direction opened, the second end sealing in the longitudinal direction of strip tubular body, thus formation has the inner space of the opening at first end place; And strip tubular body has by the full state in the time that the opening at first end place is filled with filled media to inner space; And, with the perpendicular cross section of the length direction of strip tubular body on, the wall thickness of the first side of strip tubular body is less than the wall thickness of the second side of strip tubular body, and under full state, the expansion rate of the wall of the first side is greater than the expansion rate of the wall of the second side thus.
Preferably, described connection tube is connected to and the opening at the first end place of described strip tubular body removably.
Preferably, the wall thickness of the second side of strip tubular body is at least five times of wall thickness of the first side of strip tubular body.
Preferably, the expansion rate of the wall of the first side is at least five times of expansion rate of the wall of the second side.
Preferably, filled media is air, CO
2or normal saline.
This utility model has solved the difficult problem that automatic control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band is full or dwindle, and realizes the object of quantified controlling pringle maneuver, opening and Xining.
Brief description of the drawings
By reference to the accompanying drawings, and by reference to detailed description below, will more easily there is more complete understanding to this utility model and more easily understand its advantage of following and feature, wherein:
Fig. 1 schematically shows according to the schematic diagram of the numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument of this utility model preferred embodiment.
Fig. 2 schematically shows not longitudinal diagram of full state of the filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band adopting according to the numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument of this utility model preferred embodiment.
Fig. 3 schematically shows longitudinal diagram of the full state of the filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band adopting according to the numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument of this utility model preferred embodiment.
Fig. 4 schematically shows the not sectional view of full state of the filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band adopting according to the numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument of this utility model preferred embodiment.
Fig. 5 schematically shows the sectional view of the full state of the filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band adopting according to the numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument of this utility model preferred embodiment.
The not full state that Fig. 6 schematically shows the filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band adopting according to the numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument of this utility model preferred embodiment uses schematic diagram.
The full state that Fig. 7 schematically shows the filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band adopting according to the numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument of this utility model preferred embodiment uses schematic diagram.
It should be noted that, accompanying drawing is used for illustrating this utility model, and unrestricted this utility model.Note, the accompanying drawing that represents structure may not be to draw in proportion.And in accompanying drawing, identical or similar element indicates identical or similar label.
Detailed description of the invention
In order to make content of the present utility model more clear and understandable, below in conjunction with specific embodiments and the drawings, content of the present utility model is described in detail.
This utility model is on development filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band basis, in conjunction with delta data storehouse, hepatoduodenal ligament week footpath before and after pringle maneuver in clinical hepatobiliary surgery, draw the footpath variation of pringle maneuver front and back hepatoduodenal ligament week and patient's nutrition, the corresponding relation of morbid state, again in conjunction with the relevant parameter of filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band, draw the corresponding relation of hepatoduodenal ligament Zhou Jing before filled media volume that filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band need fill or discharge and pringle maneuver, by parameter adjustment, draw the nutrition of hepatoduodenal ligament Zhou Jing and patient before filled media volume that filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band need fill or discharge and pringle maneuver, the corresponding relation of morbid state.
Fig. 1 schematically shows according to the schematic diagram of the numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument of this utility model preferred embodiment.
Particularly, as shown in Figure 1, comprise according to the numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument of this utility model preferred embodiment: filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band 100, connection tube 200, filled media 300 and the infusion pump with Digital Control chip 401 400 with check valve 201.
Wherein, filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band 100 is connected to the connection tube 200 with check valve 201.
And, filled media 300 is arranged in the infusion pump 400 with Digital Control chip, and the infusion pump 400 with Digital Control chip is connected to filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band 100 by the connection tube 200 with check valve 201, thereby can be filled with filled media 300 to filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band 100.Wherein, Digital Control chip 201 is for controlling filled media 300 being filled with to filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band 100.
And, in Digital Control chip 401, include data base's (not specifically illustrating), in this data base, store all footpaths of hepatoduodenal ligament, pringle maneuver front and back delta data in hepatobiliary surgery.And, Digital Control chip 401 is controlled filled media 300 being filled with to filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band 100 in real time according to all footpaths of hepatoduodenal ligament delta data before and after pringle maneuver in the size of filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band 100 and hepatobiliary surgery, for example automatically calculate the filled media volume that need be filled with, thereby automatically control filled media being filled with to filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band.
The specific embodiment of filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band is described below in conjunction with accompanying drawing.
Referring to figs. 2 to Fig. 7, comprise strip tubular body 100 according to the filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band of this utility model preferred embodiment; Wherein strip tubular body 100 first end 101 is in the longitudinal direction opened, and strip tubular body 100 the second end 102 in the longitudinal direction seals, thereby forms the inner space of the opening with first end 101 places.
Strip tubular body 100 has and is filled with filled media to inner space by the opening at first end 101 places (for example, filled media includes but not limited to air, CO
2or normal saline) time full state.
And, with the perpendicular cross section of the length direction of strip tubular body 100 on, the wall thickness of the first side 10 of strip tubular body 100 is less than the wall thickness of the second side 20 of strip tubular body 100; Under full state, the expansion rate of the wall of the first side 10 is greater than the expansion rate of the wall of the second side 20 thus.
Wherein, preferably, described strip tubular body 100 is flexible main body.
Preferably, the material of described strip tubular body 100 is medical silica-gel.
Preferably, the wall thickness that makes the second side 20 of strip tubular body 100 is at least five times of wall thickness of the first side 10 of strip tubular body 100, makes filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band substantially show as unidirectional expansion under full state.
Further preferably, the wall thickness that makes the second side 20 of strip tubular body 100 is at least ten times of wall thickness of the first side 10 of strip tubular body 100, now better bonding to dilatancy.
On the other hand, preferably, for the selection of the wall thickness of the first side 10 and the wall thickness of the second side 20, can be concrete thickness limited ratio, is at least five times of expansion rate of the wall of the second side 20 but can make the expansion rate of the wall of the first side 10; More preferably, can make the expansion rate of the wall of the first side 10 is at least ten times of expansion rate of the wall of the second side 20.
And further, as shown in Figure 6 and Figure 7, preferably, connection tube 200 is connected with the opening at first end 101 places of described strip tubular body 100.
And preferably, described connection tube 200 is connected to the opening with first end 101 places of described strip tubular body 100 removably, like this can more convenient operation when concrete.
Like this, as shown in Figure 6 and Figure 7, when filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band of the present utility model uses, need only and stay connection tube 200 filled medias outside abdominal cavity at it, its one end (first end of opening) stayed outside abdominal cavity, all the other major parts are placed into intraperitoneal, around all or part of hepatoduodenal ligament; Just can make it be positioned over intraperitoneal and tentatively to tie up the part of all or part of hepatoduodenal ligament B full; Wherein, thin-walled side (the first side 10) is towards hepatic portal blood flow, and inside unidirectional expansion, blocks the blood flow of Hepatic artery C, portal vein D and the bile flow of common bile duct E in hepatoduodenal ligament; Realize the effect of pringle maneuver.Aforesaid operations is simple, quick, and barrier effect is thorough.Filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band is a soft band (flexible main body) in addition, does not take an operation path and certain intraperitoneal space, does not affect follow-up operation technique.This utility model has overcome existing various simple and easy Porta hepatis blocker and under peritoneoscope, has been not easy operation, and it is firm not that hepatoduodenal ligament is tied up knotting, clamp, blocks thoroughly, may affect the shortcomings such as subsequent operation.
On the basis of above-mentioned filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band, the connection tube that the automatic control filled media of infusion pump 400 with Digital Control chip carries check valve is injected and is packed into filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band by high pressure, the all or part of hepatoduodenal ligament of being tied up by it in abdominal cavity 500 is oppressed in the unidirectional expansion of filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band afterwards, under peritoneoscope, realize simple, efficient pringle maneuver, and do not affect subsequent operation.
For example, on the housing of the infusion pump 400 with Digital Control chip 401, be furnished with switch 402, for starting and stopping being filled with filled media 300 to filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band 100.
And preferably, filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band 100 is connected to the connection tube 200 with check valve 201 via snap close 101.Thereby form stable connection.
This utility model had both solved a difficult problem that realizes the pringle maneuver that simply, efficiently and does not affect subsequent operation under peritoneoscope, reduce the hemorrhage of laparoscopic liver resection, ensure the safety of laparoscopic liver resection, reach again Digital Control, simple and quick object.Realize as long as according to hepatoduodenal ligament Zhou Jing before pringle maneuver, automatically calculate the filled media volume that needs filling or discharge, by infusion pump automatic filling or discharge filled media, automatically control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band and fill or dwindle, realize quantified controlling pringle maneuver, opening and Xining.
In addition, it should be noted that, unless stated otherwise or point out, otherwise the descriptions such as term " first " in description, " second ", " the 3rd " are only for distinguishing each assembly, element, step of description etc., instead of for representing logical relation or the ordering relation etc. between each assembly, element, step.
Be understandable that, although this utility model discloses as above with preferred embodiment, but above-described embodiment is not in order to limit this utility model.For any those of ordinary skill in the art, do not departing from technical solutions of the utility model scope situation, all can utilize the technology contents of above-mentioned announcement to make many possible variations and modification to technical solutions of the utility model, or be revised as the equivalent embodiment of equivalent variations.Therefore, every content that does not depart from technical solutions of the utility model,, all still belongs in the scope of technical solutions of the utility model protection any simple modification made for any of the above embodiments, equivalent variations and modification according to technical spirit of the present utility model.
Claims (10)
1. a numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument, is characterized in that comprising: filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band, connection tube, filled media and the infusion pump with Digital Control chip with check valve; Wherein, filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band is connected to the connection tube with check valve; And, filled media is arranged in the infusion pump with Digital Control chip, and the infusion pump with Digital Control chip is by be connected to filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band with the connection tube of check valve, thereby be filled with filled media to filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band; Wherein, Digital Control chip is for controlling filled media being filled with to filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band.
2. numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument according to claim 1, it is characterized in that, in Digital Control chip, include data base, in this data base, stored all footpaths of hepatoduodenal ligament, pringle maneuver front and back delta data in hepatobiliary surgery; And, Digital Control chip is according to all footpaths of hepatoduodenal ligament delta data before and after pringle maneuver in the size of filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band and hepatobiliary surgery, automatically calculate the filled media volume that need be filled with, thereby automatically control filled media being filled with to filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band.
3. numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument according to claim 1 and 2, it is characterized in that, on the housing of the infusion pump with Digital Control chip, be furnished with switch, for starting and stopping being filled with filled media to filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band.
4. numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument according to claim 1 and 2, is characterized in that, filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band is connected to the connection tube with check valve via snap close.
5. numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument according to claim 1 and 2, is characterized in that, described filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking band comprises strip tubular body; Wherein strip tubular body first end is in the longitudinal direction opened, the second end sealing in the longitudinal direction of strip tubular body, thus formation has the inner space of the opening at first end place; And strip tubular body has by the full state in the time that the opening at first end place is filled with filled media to inner space; And, with the perpendicular cross section of the length direction of strip tubular body on, the wall thickness of the first side of strip tubular body is less than the wall thickness of the second side of strip tubular body, and under full state, the expansion rate of the wall of the first side is greater than the expansion rate of the wall of the second side thus.
6. numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument according to claim 5, is characterized in that, described strip tubular body is flexible main body.
7. numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument according to claim 5, is characterized in that, described connection tube is connected to the opening with the first end place of described strip tubular body removably.
8. numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument according to claim 5, is characterized in that, the wall thickness of the second side of strip tubular body is at least five times of wall thickness of the first side of strip tubular body.
9. numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument according to claim 5, is characterized in that, the expansion rate of the wall of the first side is at least five times of expansion rate of the wall of the second side.
10. numerical control filled type Control of Hemorrhage in Laparoscopic Liver door bloodstream blocking instrument according to claim 1 and 2, is characterized in that, filled media is air, CO
2or normal saline.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201320870002.7U CN203677167U (en) | 2013-12-26 | 2013-12-26 | Numerical control filling type laparoscope porta hepatic blood occlusion instrument |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201320870002.7U CN203677167U (en) | 2013-12-26 | 2013-12-26 | Numerical control filling type laparoscope porta hepatic blood occlusion instrument |
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CN203677167U true CN203677167U (en) | 2014-07-02 |
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CN201320870002.7U Withdrawn - After Issue CN203677167U (en) | 2013-12-26 | 2013-12-26 | Numerical control filling type laparoscope porta hepatic blood occlusion instrument |
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Cited By (2)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN104146740A (en) * | 2014-08-13 | 2014-11-19 | 中国人民解放军总医院 | Hepatic portal occlusion device |
CN104739481A (en) * | 2013-12-26 | 2015-07-01 | 浙江大学医学院附属邵逸夫医院 | Numerical control filling type laparoscopic portal blood blocking instrument |
-
2013
- 2013-12-26 CN CN201320870002.7U patent/CN203677167U/en not_active Withdrawn - After Issue
Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN104739481A (en) * | 2013-12-26 | 2015-07-01 | 浙江大学医学院附属邵逸夫医院 | Numerical control filling type laparoscopic portal blood blocking instrument |
CN104739481B (en) * | 2013-12-26 | 2017-03-22 | 浙江大学医学院附属邵逸夫医院 | Numerical control filling type laparoscopic portal blood blocking instrument |
CN104146740A (en) * | 2014-08-13 | 2014-11-19 | 中国人民解放军总医院 | Hepatic portal occlusion device |
CN104146740B (en) * | 2014-08-13 | 2016-06-29 | 中国人民解放军总医院 | Porta blocking-up device |
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