CN204364037U - Long sleeves shell type hand-actuated accelerator, clutch and brake - Google Patents
Long sleeves shell type hand-actuated accelerator, clutch and brake Download PDFInfo
- Publication number
- CN204364037U CN204364037U CN201420838598.7U CN201420838598U CN204364037U CN 204364037 U CN204364037 U CN 204364037U CN 201420838598 U CN201420838598 U CN 201420838598U CN 204364037 U CN204364037 U CN 204364037U
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- long sleeves
- ring
- clutch
- shell type
- brake
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Abstract
Long sleeves shell type hand-actuated accelerator, clutch and brake, comprises retractor, sealing mechanism, it is characterized in that sealing mechanism bag one end be tightly connected long sleeves cover on the retractor, can overlap with long sleeves the ring that the other end and glove are connected.This utility model compared with the prior art, avoid nondominant hand to be fixed on and stomach wall to cause limitation of activity and easily tired, operate more flexible, comfortable, also establish stable long-channel and (need to determine the size of assistor otch according to operation, hands can enter or not enter intraperitoneal), abdomen opening device tool can be applied in laparoscopic surgery, for hand assisted laparoscopic surgery provides a brand-new theory and operational approach.
Description
Technical field:
This utility model relates to a kind of operating theater instruments.
Background technology:
Laparoscopic surgery first sets up artificial pneumoperitoneum, performs the operation under laparoscopically illumination, is divided into complete laparoscopic surgery, laparo-assisted and hand assisted laparoscopic surgery three kinds.Hand assisted laparoscopic refers to and puts in by hand-actuated accelerator, clutch and brake hands the operation that intraperitoneal carries out under peritoneoscope, accounts for 30% of laparoscopic surgery.
The use of existing hand-actuated accelerator, clutch and brake is: celiotomy incision is about the size of 7-9cm(according to patient's hands), retract otch with retractor, then with outer shroud, the wrist of patient is fixed on the retractor.This kind of hand-actuated accelerator, clutch and brake, the mode of what the method due to fixing wrist adopted is banding, wrist, by after banding, is easy to cause arm thrombosis, easily causes nondominant hand tired, and then affects the surgical action of doctor.For this reason, someone has invented again and has arranged inflatable seal device at retractor, by inflation, wrist is tightly wrapped up by pressure bladder, because the contact surface of air bag and wrist is large, therefore, effectively can slow down the problem of arm thrombosis, but, can not avoid completely closely wrapping up and affecting arm blood flow smoothly.In addition, when needing to change operating theater instruments, can only sealing mechanism be untied, after changing operating theater instruments, then rebuild pneumoperitoneum, like this, use, very inconvenient, and also the hands location of patient on the retractor, also have impact on the motility of hands.
Summary of the invention:
The purpose of this utility model is to provide one that hermetically-sealed construction can be avoided directly to bind round in doctor's wrist, meanwhile, no matter whether the nondominant hand of patient enters intraperitoneal, can ensure operation technique, and, the long sleeves shell type hand-actuated accelerator, clutch and brake that pneumoperitoneum just can change operating theater instruments easily need not be rebuild.
This utility model is achieved in that and comprises retractor, sealing mechanism, its special feature be sealing mechanism comprise one end be tightly connected long sleeves cover on the retractor, can overlap with long sleeves the ring that the other end and glove are connected.During use, first be fixed on the minimal incision * of stomach wall by the retractor of hand-actuated accelerator, clutch and brake, then ring is worn on the wrist neighbouring operation coat-sleeve of nondominant hand, puts on surgical glove cover ring, long sleeves to be overlapped the other end be bundled on the glove of corresponding ring again, and then manually building pneumoperitoneum just can row laparoscopic surgery.
Here, in order to adapt to the difference of patient's wrist size, ring is the ring of an opening, and the opening of ring is mutually folded to be close together and to be connected by bindiny mechanism.Bindiny mechanism is arranged on the column hook of ring wherein on an opening and the mouth of hook corresponding with column hook be arranged on another opening of ring; Or velcro.Like this, the wrist that the size carrying out adjustable ring internal diameter by the different snap-in position of the column hook on fastener fastener diverse location or velcro varies in size to adapt to patient.
In order to ensure that long sleeves the cover other end and glove are tightly connected, ring is provided with groove, by bind round or long sleeves are overlapped the other end by tied rope and glove are fixed on the groove of ring.
Owing to adopting ring, glove and long sleeves cover are connected, like this, overcome doctor's wrist to be fixed on stomach wall and to affect the motility of doctor's arm and nondominant hand holds fatigable shortcoming, the end of oversleeve and near-end can bundle with rope, pneumoperitoneum is closed, like this, the hands of patient just can leave long sleeves cover together with glove, to change operating theater instruments, then the hands of patient is reentered long sleeves cover together with glove, after sealing, unclamp rope, pneumoperitoneum need not be rebuild again perform the operation with regard to new operating theater instruments can be used, not need to rebuild pneumoperitoneum when thus realizing hands turnover assistor.Simultaneously, long sleeves cover is equivalent to establish a stable channel be connected as a single entity with abdominal cavity, even if stomach wall only opens very little otch (about 3-4cm), nondominant hand can not put in intraperitoneal, also the apparatus of abdomen can be utilized out to carry out the highly difficult operations such as Intraabdominal separation and stitching by hand-actuated accelerator, clutch and brake, for hand assisted laparoscopic surgery provides the apparatus of a brand-new operational approach, so, make hand assisted laparoscopic surgery more Wicresoft, safer, make more patients benefit.
Compared with the prior art this utility model, has:
1, possess the common advantage of general hand-actuated accelerator, clutch and brake: the sense of touch adding hands in laparoscopic surgery, assist chorista, hemostasis by compression, specimens from pri can be taken out at the otch of hand-actuated accelerator, clutch and brake;
2, expand the range of activity of nondominant hand, decrease the impact that hands operates peritoneoscope and laparoscopic instrument simultaneously;
3, wrist not pressurized, alleviates the fatigue of nondominant hand;
4, abdomen opening device tool can be applied in laparoscopic surgery simultaneously, the large operation of difficulty in laparoscopic surgery more easily, is safely completed, the separation of such as blood vessel, the stitching etc. of anastomotic stoma;
5, because oversleeve long enough, the otch of hand-actuated accelerator, clutch and brake can very little (about 4cm), and hands can not enter abdominal cavity, and completes laparoscopic surgery by this hand-actuated accelerator, clutch and brake application abdomen opening device tool, and under making peritoneoscope, operation such as stitching grade becomes easy safety;
6, the operating technology opening abdomen is applied in peritoneoscope, makes more how highly difficult operation, larger tumor resection can complete under peritoneoscope, allow more patients benefit from it;
7, simplify the operating technology under peritoneoscope, the doctor newly learning laparoscopic surgery is more easily learned, is conducive to the training of basic unit peritoneoscope doctor simultaneously.
Accompanying drawing illustrates:
Fig. 1 is structural representation of the present utility model;
Fig. 2 is the structural representation of the ring of opening.
Detailed description of the invention:
Now in conjunction with the accompanying drawings and embodiments this utility model is described in further detail:
As shown in Figure 1,
This utility model comprises retractor 1, sealing mechanism on the minimal incision * being fixed on stomach wall 6, and its special feature is that sealing mechanism bag one end is sealedly connected on long sleeves cover 2 on retractor 1, can overlaps with long sleeves the plastic hoop 4 be worn in patient's wrist that glove 3 that 2 other ends and patient wear are connected.
As shown in Figure 2, ring 4 is rings of an opening, and the opening of ring 4 is mutually folded to be close together and to be connected by bindiny mechanism 7.Bindiny mechanism 7 is arranged on the column hook 7a of ring 4 wherein on an opening 4a and the mouth of hook 7b corresponding with column hook 7a be arranged on another opening of ring 4 4b; Or velcro.
Ring 4 is provided with groove 4c, by hoop or tied rope 5 long sleeves is overlapped 2 other ends and glove 3 are fixed on the groove 4c of ring 4.
During use, doctor can be stretched in abdominal cavity of patients 6 by glove 3 and perform the operation, and also can be entered in abdominal cavity of patients 6 perform the operation through retractor 1 by glove 3 operation apparatus.
Claims (6)
1. long sleeves shell type hand-actuated accelerator, clutch and brake, comprises retractor, sealing mechanism, it is characterized in that sealing mechanism comprise one end be tightly connected long sleeves cover on the retractor, can overlap with long sleeves the ring that the other end and glove are connected.
2. long sleeves shell type hand-actuated accelerator, clutch and brake according to claim 1, is characterized in that ring is the ring of an opening, and the opening of ring is mutually folded to be close together and to be connected by bindiny mechanism.
3. long sleeves shell type hand-actuated accelerator, clutch and brake according to claim 2, is characterized in that bindiny mechanism is arranged on the column hook of ring wherein on an opening and the mouth of hook corresponding with column hook be arranged on another opening of ring; Or velcro.
4. the long sleeves shell type hand-actuated accelerator, clutch and brake according to claim 1 or 2 or 3, is characterized in that being provided with groove on ring, by hoop or tied rope long sleeves is overlapped the other end and glove are fixed on the groove of ring.
5. the long sleeves shell type hand-actuated accelerator, clutch and brake according to claim 1 or 2 or 3, is characterized in that ring is a plastic hoop.
6. long sleeves shell type hand-actuated accelerator, clutch and brake according to claim 4, is characterized in that ring is a plastic hoop.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201420838598.7U CN204364037U (en) | 2014-12-26 | 2014-12-26 | Long sleeves shell type hand-actuated accelerator, clutch and brake |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201420838598.7U CN204364037U (en) | 2014-12-26 | 2014-12-26 | Long sleeves shell type hand-actuated accelerator, clutch and brake |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN204364037U true CN204364037U (en) | 2015-06-03 |
Family
ID=53320297
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201420838598.7U Expired - Fee Related CN204364037U (en) | 2014-12-26 | 2014-12-26 | Long sleeves shell type hand-actuated accelerator, clutch and brake |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN204364037U (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104473667A (en) * | 2014-12-26 | 2015-04-01 | 佛山市第一人民医院 | Long sleeve type hand-assisted device |
| CN108236477A (en) * | 2018-03-02 | 2018-07-03 | 宁波市第六医院 | A kind of triangular fiber cartilage disk complex stitching unstrument |
-
2014
- 2014-12-26 CN CN201420838598.7U patent/CN204364037U/en not_active Expired - Fee Related
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104473667A (en) * | 2014-12-26 | 2015-04-01 | 佛山市第一人民医院 | Long sleeve type hand-assisted device |
| CN108236477A (en) * | 2018-03-02 | 2018-07-03 | 宁波市第六医院 | A kind of triangular fiber cartilage disk complex stitching unstrument |
| CN108236477B (en) * | 2018-03-02 | 2024-03-29 | 宁波市第六医院 | Triangular fiber cartilage tray complex stitching instrument |
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Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CB03 | Change of inventor or designer information |
Inventor after: Chen Yingjun Inventor after: Zhen Zuojun Inventor after: Xiang Qingfeng Inventor after: Wu Zhipeng Inventor after: Luo Lifang Inventor before: Chen Yingjun Inventor before: Zhen Zuojun Inventor before: Xiang Qingfeng Inventor before: Wu Zhipeng |
|
| COR | Change of bibliographic data | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20150603 Termination date: 20191226 |
|
| CF01 | Termination of patent right due to non-payment of annual fee |