CN204233194U - A kind of endoscope-assistant surgery organ puncture fixture - Google Patents
A kind of endoscope-assistant surgery organ puncture fixture Download PDFInfo
- Publication number
- CN204233194U CN204233194U CN201420649115.9U CN201420649115U CN204233194U CN 204233194 U CN204233194 U CN 204233194U CN 201420649115 U CN201420649115 U CN 201420649115U CN 204233194 U CN204233194 U CN 204233194U
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- lid
- supporter
- endoscope
- draught line
- assistant surgery
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Abstract
This utility model relates to technical field of medical instruments, specifically a kind of for carrying out puncturing and the fixture of support to organ during endoscope-assistant surgery, comprise body, pull needle, draught line and bearing, sheathed pull needle, draught line and bearing in described body; Described bearing comprises one and has the lid on arc-shaped surface and the supporter of at least one group of flat structure, and described supporter symmetry is laid on lid, and lid runs through and is provided with centre bore; One end of described draught line connects supporter, and the other end of draught line extends the outside of lid through centre bore and connects pull needle in lid.The beneficial effects of the utility model are, provide a kind of structure simple, easy to operate, under pneumoperitoneum, fully can draw organ, effectively expose the visual field needing operative site, to reduce operation to human body traumatogenic endoscope-assistant surgery organ puncture fixture.
Description
Technical field
This utility model relates to technical field of medical instruments, specifically a kind of for carrying out puncturing and the fixture of support to organ during endoscope-assistant surgery.
Background technology
Endoscope-assistant surgery is because overall wound is little, recover soon, at present in wide clinical application.
For peritoneoscope stomach major part excision, the stomach of the mankind is positioned at liver proceeds posterolateral, and from cardia, body of stomach, pylorus along the line, the gastric tissue of lesser gastric curvature side about 50% is covered by liver and blocks.Because liver is one of most important organ of human body, accept Hepatic artery and pylic dual blood supply simultaneously, therefore its blood circulation complex structure, between each blood vessel, there is abundant contact and interaction, blood supply is enriched, therefore, when needs carry out gastric operation, generally first certain space can be reserved between liver and stomach, to guarantee the object fully exposing surgical field of view in operation process, avoid causing liver unnecessary wound.Tradition opens abdomen when carrying out stomach operation, need assistant prepare in the preoperative to hold up liver, with realize exposing the picking-up instrument that divides of excision stomach, the making step of described picking-up instrument is: first repeatedly fold gauze, make it have certain thickness, then the pull needle with draught line is from bottom to top run through and mistake through gauze center, and fixing to the draught line knotting bottom gauze.During operation, select suitable position to the puncture of stomach wall direction from lower edge before liver pull needle, pull needle continues puncture until outside stomach wall after penetrating liver.Although this mode employs have certain thickness multilamellar gauze, picking-up instrument is still a little fixing tractive to liver, holds up degree larger, causes the damage of liver also larger.
After considering use conventional point to fix defect that tractive liver exists, with special drag hook, tractive being continued to liver by assistant by being changed into by the tractive mode of fixing of carrying out liver puncturing, lesser gastric curvature fully being exposed and performed the operation afterwards.But when doing gastric operation under peritoneoscope, the drag hook of tractive liver cannot enter abdominal cavity, therefore the exposure of lesser gastric curvature side is by pliers or contractile baffle plate being sent into abdominal cavity from stomach wall puncture, being continued to provoke liver by assistant, to reach the object exposing the stomach operation visual field.There is following open defect in this process for exposing: when 1, using pliers or contractile baffle plate to provoke liver, large and unstable owing to provoking dynamics control difficulty, easy liver injury tissue; 2, assistant must continue to take a puncture to provoke liver, rises and does not sell, can not effectively coordinate patient to carry out operation technique; 3, the size by stomach wall puncture limits, and the size, the shape that enter the pliers in abdominal cavity or contractile baffle plate are all undesirable, do not reach satisfied exposure effect.
Application number is " 201210035413.4 ", Authorization Notice No. is " CN 102579091B ", name is called that the Chinese invention patent of " the liver stomach pull device of the descending operation on spleen of a kind of single-hole laparoscopic " discloses the bearing apparatus pushing liver aside of the descending splenectomy operation of a kind of single-hole laparoscopic, described bearing apparatus is a support umbrella, the gathering of one support umbrella and spreading mechanism and a check controlling organization, wherein support umbrella is made up of the handle of umbrella of tubulose and some umbrella frames, handle of umbrella passes through set pilot hole in handlebody, umbrella frame is articulated with head handle of umbrella being positioned at handle front end face side, draw spreading mechanism in be made up of steel wire rope, fixed pulley group, crank and the strut equal with umbrella frame quantity, check controlling organization by along handle of umbrella surface axial distribution and crown towards handle of umbrella afterbody several annular ratchets, be hinged on ratchet on handle and back-moving spring forms.Implement this invention push the bearing apparatus part of liver aside time, rocking arm on crank is changed into towards the outside of shaking hands, moving linking arm, drive fixed pulley rotates, thus driving steel wire rope to rotate, the strut be connected to like this on steel wire rope just can promote umbrella frame and strut or draw in, when umbrella frame struts correct position, described rocking arm is changed into the side of shaking hands and snaps in described groove, assembly pulley so just can be prevented to be rotated further; The operation principle of its check controlling organization is: by handle of umbrella after the direction propelling of handle of umbrella afterbody, because the effect of ratchet and ratchet can not retreat, thus when ensure that the umbrella frame of handle of umbrella afterbody supports organ, can not loosen backward; And when needs exit handle of umbrella, make it unclamp ratchet by rotating described ratchet.The defect pushing the bearing apparatus part of liver in this invention aside is: 1, poor feasibility in practical operation, in single-hole laparoscopic surgery, stomach wall is a manhole appendix only, the apparatus must placed in this hole comprises shank, main operation pincers and auxiliary operation pincers, pull device of the present invention is placed again in the space of limitation, and manhole appendix is taken continuously in whole operation process, operation progress can be had a strong impact on; 2, assistant needs adjust and monitor bearing in real time, can not effectively coordinate patient to carry out operation technique; 3, the loaded down with trivial details burden of parts, under peritoneoscope in operation on spleen or other Laparoscopic operations, retracting of organ or internal organs is fraction operation in operation, should not take too much surgical procedure and the energy of patient, and pull device parts in the present invention are many, type is large, in practical operation, need monitoring in real time and adjustment position, lose time and energy; 4, complex structure flexibility ratio is not high, and more, the mutual interference of assembly are more serious, the risk easily cause and block operation, forming operation blind area, and cost is higher, causes unnecessary financial burden to patient.
Utility model content
The purpose of this utility model is to overcome the deficiencies in the prior art, provides a kind of endoscope-assistant surgery organ puncture fixture, comprises body, pull needle, draught line and bearing, sheathed pull needle, draught line and bearing in described body;
Described bearing comprises one and has the lid on arc-shaped surface and the supporter of at least one group of flat structure, and described supporter symmetry is laid on lid, and lid runs through and is provided with centre bore;
One end of described draught line connects supporter, and the other end of draught line extends the outside of lid through centre bore and connects pull needle in lid.
Preferably, described body is be separated into the double channel catheter with main chamber and secondary chamber, wherein the sheathed bearing of main intracavity, the sheathed pull needle of secondary intracavity.
Preferably, plate washer established by one end card of described body.
Preferably, described lid is umbrella cover structure.
Preferably, the side of described supporter is axially arranged with groove, and one end of draught line is connected to the midpoint of supporter inner groovy;
One end of described supporter is hinged on the edge of lid.
Preferably, the edge of described lid is arranged with opening;
One end of described supporter is interted from lid to lid through opening, and the other end of supporter is connected on draught line.
Preferably, described lid and supporter are integral type structure.
Preferably, described fixture comprises recovery conduit.
Preferably, the area of the expansion plane of described supporter >=with supporter length is for the conglobate area of radius institute structure.
Preferably, the caliber of described body is 6 ~ 10cm, and length is 11 ~ 15cm;
The length of described pull needle is 10 ~ 14cm;
The length of described draught line is 15 ~ 30cm;
The length of described supporter is 3 ~ 6cm, and thickness is 0.2 ~ 1.2mm.
The beneficial effects of the utility model are, provide a kind of structure simple, easy to operate, under pneumoperitoneum, fully can draw organ, effectively expose the visual field needing operative site, to reduce operation to human body traumatogenic endoscope-assistant surgery organ puncture fixture; When adopting this utility model to puncture fixing to organ, puncture safety is high, the damage of acupuncture is little, organ institute is stressed is face stress, stress is stablized, and can remain lasting traction in operation, can not repeatedly fall because of being pulled organ generation and affect operation, release right redundant pincers, carrying out fast advantageously in operation simultaneously.This utility model not only can be used for peritoneoscope stomach major part excision and carries out lasting tractive to liver, and carry out in the operations such as puncture lift (point of puncture needs to sew up) stomach when also can be used on pancreatic surgery, the scope of application does not limit.
Accompanying drawing explanation
Fig. 1 is structural representation of the present utility model;
Fig. 2 is the structural representation of this utility model middle tube body part;
Fig. 3 is this utility model expansion process schematic diagram;
Fig. 4 is the structural representation of this utility model when launching completely;
Fig. 5 is the front view of Fig. 4;
Fig. 6 is the top view of Fig. 4;
Fig. 7 is another structural representation of the present utility model;
Wherein:
1-body 2-pull needle 3-draught line
4-bearing 41-lid 411-centre bore
412-opening 42-supporter 421-groove
5-plate washer
Detailed description of the invention
Below in conjunction with the drawings and specific embodiments, this utility model is described further.
Embodiment 1:
A kind of endoscope-assistant surgery organ puncture fixture as shown in Fig. 1 ~ Fig. 6, comprises body 1, pull needle 2, draught line 3 and bearing 4, sheathed pull needle 2, draught line 3 and bearing 4 in described body 1.
Described body 1 is for being separated into the double channel catheter with main chamber and secondary chamber, and the wherein sheathed bearing 4 of main intracavity, the sheathed pull needle 2 of secondary intracavity, plate washer 5 established by one end card of body 1.
Described bearing 4 comprises one and has arc-shaped surface, the lid 41 of umbrella cover structure and the supporter 42 of two groups of flat structures.Wherein lid 41 runs through and is provided with centre bore 411, and the edge of lid 41 is arranged with four openings 412, and described supporter 42 interts symmetry after opening 412 and is laid on lid 41.The other end of described supporter 42 is interconnected and is fixedly connected on draught line 3.
One end of described draught line 3 connects supporter 42, and the other end of draught line 3 extends the outside of lid 41 through centre bore 411 and connects pull needle 2 in lid 41.
Described fixture comprises recovery conduit 6, is used for reclaiming when removing external to bearing 4.
The area of the expansion plane of described supporter 42 >=with supporter length is for the conglobate area of radius institute structure.
When lifting pull needle 2, drive draught line 3, one end of supporter 42 inside lid 41 is towed to opening 412 place of lid 41, and the other end of supporter 42 extend out to the outside of lid 41 gradually until open completely from opening 412, carries out support to liver.
After operation terminates, the interconnective one end of tractive supporter 42, makes it return back to rounding state, is now convenient to bearing and takes out in body.
Embodiment 2:
All the other are with embodiment 1, as shown in Figure 7 a kind of laparoscopic surgery liver puncture fixture, and the caliber of described body 1 is 9mm, and length is 11cm, and the length of described pull needle 2 is 10cm.
Bearing 4 comprises lid 41 and the supporter 42 of integral structure, and one end of described supporter 42 is hinged on the edge of lid 41, wherein:
Described lid 41 is for having the spherical structure on arc-shaped surface;
Described supporter 42 is lamellar umbrella cover structure, comprises four blades, and material therefor is the flexible high molecular material specifically having shape memory; The length of blade is 3cm, and the thickness of blade successively decreases by being laid in the free end of the link on lid 41 to surrounding, and wherein the vane thickness of link is 0.8mm, and the vane thickness of free end is 0.4mm; The bottom of each blade is axially arranged with groove.
One end of described draught line 3 is connected to the midpoint of blade inner groovy.
The length of described draught line 3 is 20cm.
Actual clinical example:
For peritoneoscope proximal gastric major part excision, usually after gas making abdomen, 10mm sleeve pipe 1 is placed in umbilical opening place puncture, insert camera lens, anterior axillary line costal margin descending 12mm puncture in left side is primary operating hole, and the left 5cm of umbilicus row on the upper side 5mm puncture is auxiliary handle hole, 5mm puncture under anterior axillary line, right side costal margin, the flat umbilicus of right midclavicular line 12mm puncture on the upper side, each major-minor handle hole all inserts appropriate casings.
Detect and determine Post operation, body 1 is sent into epigastrium through primary operating hole sleeve pipe, left side auxiliary forceps provokes liver, expose liver stomach gap, after body 1 being placed in liver stomach gap with main operation pincers, grasp the rear end of body 1 with main operation pincers, left side auxiliary forceps driven forward plate washer 5 is until eject the pull needle 2 in body 1 and bearing 4.Take out body 1 part, stay pull needle 2, draught line 3 and bearing 4 in liver stomach gap, the bearing 4 after now ejecting is rendered as lamellar umbrella cover structure according to memory function.
Grasp lid 41 with main operation pincers, pull needle 2 held by left redundant clamp, suitable position is selected to puncture to stomach wall direction from lower edge before liver, puncture stomach wall is continued until the needle point of pull needle 2 is through stomach wall after penetrating liver, assistant clamps pull needle 2 to tractive outside stomach wall with needle holder outside stomach wall, the position of major-minor handling tongs adjustment lid 41 and supporter 42, after position adjustment is suitable, assistant stomach wall outer with needle holder clamping pull needle 2 to tractive outside stomach wall until lid 41 and supporter 42 jacking liver stomach wall, away from coat of the stomach.To puncture outward one piece of gauze at stomach wall, draught line 3 knotting is fixed on after on the outer gauze of stomach wall, cut off at toe-in far-end and take pull needle 2 away, like this for follow-up stomach resecting operation provides wide surgical field of view and working place, avoid impact and unnecessary damage repeatedly by liver whereabouts in art, release the right redundant pincers being conventionally used in art and provoking liver, right redundant pincers can arbitrarily add in other operating procedure, accelerate the speed of operation simultaneously.
After operation terminates, under pneumoperitoneum, make liver keep fixed position with the horizontal liver of choosing of auxiliary forceps, cut off draught line 3 at the outer toe-in near-end of stomach wall, take gauze and the distal portions draught line 3 of stomach wall puncture before outward away.Send into from primary operating hole sleeve pipe and reclaim conduit, the draught line 3 grasped near lid 41 is clamped with main operation, sent into gradually by support body 4 and reclaim conduit and keep rounding state, recovery conduit and indwelling support body within it take out from intraperitoneal via primary operating hole by main operation pincers in the lump.
Reference examples:
In conventional laparoscopic proximal gastric major part excision, usually after gas making abdomen, place 10mm sleeve pipe in umbilical opening place puncture, insert camera lens, anterior axillary line costal margin descending 12mm puncture in left side is primary operating hole, and the left 5cm of umbilicus row on the upper side 5mm puncture is auxiliary handle hole, 5mm puncture under anterior axillary line, right side costal margin, the flat umbilicus of right midclavicular line 12mm puncture on the upper side, each major-minor handle hole all inserts appropriate casings, detects and determines Post operation, and liver provoked by routine right redundant pincers, make liver lower edge away from coat of the stomach, for operation provides visual area.Such operation occupies right redundant pincers, simultaneously, because need staff whole process to hold right redundant pincers choose liver, the liver that caunches for a long time can not ensure there is desirable operative space all the time in art, and need adjustment right redundant pincers in real time to choose dynamics and the direction of liver, have a strong impact on assistant and coordinate operation, involve the wasted effort time, extend operating time, affect surgical quality.And when using right redundant pincers to choose liver, liver is some stress, certainly will bring no small damage to liver.
Below the preferred embodiment that this utility model is created is illustrated, but this utility model is created and is not limited to described embodiment, those of ordinary skill in the art can also make all equivalent modification or replacement under the prerequisite without prejudice to this utility model creative spirit, and these equivalent modifications or replacement are all included in the application's claim limited range.
Claims (10)
1. an endoscope-assistant surgery organ puncture fixture, comprise body (1), pull needle (2), draught line (3) and bearing (4), it is characterized in that: sheathed pull needle (2), draught line (3) and bearing (4) in described body (1);
Described bearing (4) comprises one and has the lid (41) on arc-shaped surface and the supporter (42) of at least one group of flat structure, described supporter (42) symmetry is laid on lid (41), and lid (41) runs through and is provided with centre bore (411);
One end of described draught line (3) connects supporter (42), and the other end of draught line (3) extends the outside of lid (41) through centre bore (411) and connects pull needle (2) in lid (41).
2. a kind of endoscope-assistant surgery organ puncture fixture according to claim 1, it is characterized in that: described body (1) is for being separated into the double channel catheter with main chamber and secondary chamber, the wherein sheathed bearing of main intracavity (4), the sheathed pull needle of secondary intracavity (2).
3. a kind of endoscope-assistant surgery organ puncture fixture according to claim 1 and 2, is characterized in that: plate washer (5) established by one end card of described body (1).
4. a kind of endoscope-assistant surgery organ puncture fixture according to claim 1, is characterized in that: described lid (41) is umbrella cover structure.
5. a kind of endoscope-assistant surgery organ puncture fixture according to claim 4, it is characterized in that: the side of described supporter (42) is axially arranged with groove (421), one end of draught line (3) is connected to the midpoint of supporter (42) inner groovy (421);
One end of described supporter (42) is hinged on the edge of lid (41).
6. a kind of endoscope-assistant surgery organ puncture fixture according to claim 4, is characterized in that: the edge of described lid (41) is arranged with opening (412);
One end of described supporter (42) is interted to lid (41) outside through opening (412) in lid (41), and the other end of supporter (42) is connected on draught line (3).
7. a kind of endoscope-assistant surgery organ puncture fixture according to claim 1, is characterized in that: described lid (41) and supporter (42) are integral type structure.
8. a kind of endoscope-assistant surgery organ puncture fixture according to claim 1, is characterized in that: described fixture comprises recovery conduit.
9. a kind of endoscope-assistant surgery organ puncture fixture according to claim 1, is characterized in that: the area of the expansion plane of described supporter (42) >=with supporter length is for the conglobate area of radius institute structure.
10., very according to a kind of endoscope-assistant surgery organ puncture fixture according to claim 1, it is characterized in that: the caliber of described body (1) is 6 ~ 10cm, and length is 11 ~ 15cm;
The length of described pull needle (2) is 10 ~ 14cm;
The length of described draught line (3) is 15 ~ 30cm;
The length of described supporter (42) is 3 ~ 6cm, and thickness is 0.2 ~ 1.2mm.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201420649115.9U CN204233194U (en) | 2014-11-03 | 2014-11-03 | A kind of endoscope-assistant surgery organ puncture fixture |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201420649115.9U CN204233194U (en) | 2014-11-03 | 2014-11-03 | A kind of endoscope-assistant surgery organ puncture fixture |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN204233194U true CN204233194U (en) | 2015-04-01 |
Family
ID=52762758
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201420649115.9U Withdrawn - After Issue CN204233194U (en) | 2014-11-03 | 2014-11-03 | A kind of endoscope-assistant surgery organ puncture fixture |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN204233194U (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105455882A (en) * | 2014-11-03 | 2016-04-06 | 中国人民解放军第二军医大学 | Organ puncturing fixing device for endoscope operation |
| CN108420472A (en) * | 2018-01-22 | 2018-08-21 | 安徽奥弗智能微创医疗器械有限公司 | Laparoscope tractor |
-
2014
- 2014-11-03 CN CN201420649115.9U patent/CN204233194U/en not_active Withdrawn - After Issue
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105455882A (en) * | 2014-11-03 | 2016-04-06 | 中国人民解放军第二军医大学 | Organ puncturing fixing device for endoscope operation |
| CN105455882B (en) * | 2014-11-03 | 2018-05-11 | 中国人民解放军第二军医大学 | A kind of endoscope-assistant surgery organ punctures fixing device |
| CN108420472A (en) * | 2018-01-22 | 2018-08-21 | 安徽奥弗智能微创医疗器械有限公司 | Laparoscope tractor |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| AV01 | Patent right actively abandoned |
Granted publication date: 20150401 Effective date of abandoning: 20180511 |
|
| AV01 | Patent right actively abandoned |