CN205683099U - Artificial laparoscopic surgery room device - Google Patents

Artificial laparoscopic surgery room device Download PDF

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Publication number
CN205683099U
CN205683099U CN201520891146.XU CN201520891146U CN205683099U CN 205683099 U CN205683099 U CN 205683099U CN 201520891146 U CN201520891146 U CN 201520891146U CN 205683099 U CN205683099 U CN 205683099U
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artificial
laparoscopic surgery
bag
room device
surgery room
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孙大为
张俊吉
刘海元
张令怡
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Abstract

A kind of artificial laparoscopic surgery room device is made up of carrier, bag, carrier is made up of trocar sheath, handle, action bars, elastomer, soft ribbons, soft ribbons draw ring, bag includes bag cylinder and gathering hole composition, can be in abdominal cavity of patients, creating the operation technique space of isolation, after preventing tumor resection, in crushing process, free muscular tumor cell contamination abdominal cavity causes tumor shifting to grow.

Description

Artificial laparoscopic surgery room device
Technical field:
The invention belongs to medical operating articles for use, be specifically related to the artificial laparoscopic surgery room device of abdominal cavity isolation, can keep away Exempting from operation process, free muscular tumor cell contamination abdominal cavity causes tumor shifting to grow.
Background technology:
Laparoscopic surgery is an important component part in less invasive techniques, and laparoscopic surgery quickly grows in recent years, abdominal cavity Videoendoscopic surgery is the most gradually popularized, and nineteen ninety-five FDA approval uses peritoneoscope motor destructor, rejects because of hysteromyoma of gynecology or uterus is cut The Minimally Invasive Surgery removed improves the final result that operation is relevant with disease, counts and be benefited with the female patient of ten million in worldwide.
The evidence of FDA: about 1/400 to 1/1000 is speculated as the optimum leiomyoma in uterus and implements the woman of hysterectomy Female's pathological diagnosis is leiomyosarcoma of uterus, and leiomyosarcoma of uterus prognosis is the most poor, may because of motor destructor prognosis more Difference, motor pulverizes art it may also happen that other risks, such as: benign tissue send out the damage with internal organs, need training, experience and Skill.
The reason causing the shifting of postoperative malignant tumor to grow is: operation now is pulverized during peeling off muscular tumor, and employing is directly taking The mode pulverized in thing bag, it is impossible to avoid muscular tumor cell contamination abdominal cavity free in crushing process to cause transfer.Highly desirable grind A kind of special utility medical apparatus and instruments of system, simple, effective, easy to operate in muscular tumor crushing process by operation technique space and trouble Person abdominal cavity is completely isolated, it is to avoid pollutes abdominal cavity and causes transfer.
Summary of the invention:
It is an object of the invention to: overcome the deficiency of existing art formula, innovative design one Special surgical instrument-artificial peritoneoscope Operative space device, in abdominal cavity of patients, creates the operation technique space of isolation, dissociates after preventing tumor resection in crushing process Muscular tumor cell contamination abdominal cavity.
The present invention artificial laparoscopic surgery room device solves the technical problem that and be the technical scheme is that
This artificial laparoscopic surgery room device is formed (referring to accompanying drawing 1 structural representation) by carrier, bag.
Artificial laparoscopic surgery room device carrier is by trocar sheath, handle, action bars, elastomer, soft ribbons, soft ribbons draw ring Composition, bag includes bag cylinder and gathering hole composition.
Described handle is fixed on the end of trocar sheath, and elastomer is fixed on operation through the opening of bag, two ends symmetry Bar front end, soft ribbons passes bag mouth cervical region, and from the gap of trocar sheath and action bars through being connected to soft ribbons draw ring.Artificial peritoneoscope Operative space device bag can use flexible material to make, available single or composite high-molecular material;Bag structure, by bag mouth, holds Thing capsule and some gathering holes composition, described bag mouth, hold thing capsule and gathering hole links into an integrated entity.
Bag mouth is connected to elastomer ring part;Holding thing capsule and have long cervical region, balloon shapes can use spherical, hemispherical, circle Tubular, cone barrel or elliposoidal etc. are variously-shaped, and capsule bottom is provided with multiple gathering hole.After bag mouth closes, bag is one air tight Closed structure, bag volume is not less than 0.3 liter, no more than 5 liters.Bag mouth can be strained and fixed in suspended tissue by soft ribbons and carry out Airtight, can carry out reinforcing by the pipe clamp adnexa that trocar sheath enters airtight for strengthening airtight reliability, or set up in soft ribbons lower end One annular balloon, its vent line is external through being connected to from the gap of trocar sheath and action bars, to vent line inflation, annular Capsule Expansion sealing.
Gathering hole quantity is 2~5, and available different colours is distinguished, and gathering hole can be to be connected directly between to hold below thing capsule Elastic ring or film, shape is annular, ellipse or polygon, and bore is 5 to 30 millimeters, and between gathering hole, spacing is 4 To 30 centimetres;Gathering hole also can set changeover portion and hold thing capsule and be connected, and its end sets elastic ring or film, and transition section can use Circle, ellipse, polygon etc. are variously-shaped.Gathering hole can be connected with holding thing capsule by welding or bonding way, stings in operation Break or cut off gathering hole center and carry out instrumentation.
Gathering hole can set up non-return passage, and non-return passage is made up of a thin film tubular passage, and one end is connected to gathering hole top End, the other end is placed in changeover portion or holds in thing capsule, is in free state, when operating theater instruments passes from non-return passage, passage Being in opening, when operating theater instruments detaches from non-return passage, thin film channel is by bag internal gas pressure effect, and opening closes door and prevents In bag, other materials such as gas, liquid are revealed from gathering hole top.Operation can be installed auxiliary fixing seat on gathering hole top, Shape can use the forms such as deck dish type, snap ring, fixation clamp.
Enter internal front action bars, elastomer, soft ribbons connect bag all put in trocar sheath;Action bars is by trocar sheath afterbody When forward extending out, elastomer automatically opens up drive bag mouth and opens;When action bars is pulled back by trocar sheath afterbody, elastomer closes Bag mouth Guan Bi is driven in closing retraction trocar sheath.Pull back soft ribbons and can shrink bag mouth when elastomer is opened.
First step during use: by stamp card carrier, bag being sent into operative incision, elastomer automatically opens up bag;The The muscular tumor tissue of stripping is placed in bag by two steps;3rd step is logical from corresponding patient's incision of abdominal wall operation respectively by gathering hole Road pull-out is external fixing;4th step takes out carrier, and that bag mouth pulls out patient is external and fix;5th step by stamp card from accordingly Bag mouth enters and holds in thing capsule, is inflated to holding thing capsule by arbitrary stamp card, and so far in abdominal cavity of patients, construction one is complete airtight Artificial pneumoperitoneum operative space.After building successfully, by operation apparatuses such as endoscope, destructor, operating forcepies from corresponding operating mouth respectively Enter operative space device, sight glass observe under to peel off muscular tumor tissue pulverize, pulverizing terminate after by apparatus from operation Mouth is withdrawn from, and utilizes sutures to lash closed-loop operation mouth, directly utilizes carrier afterwards by bag together with the muscular tumor tissue pulverized Take out from operative incision.
The present invention has a following beneficial effect:
1. closure: form " locked in " operation space under peritoneoscope and carry out associative operation of performing the operation.
2. electronic isolation: bag this as macromolecule class insulating products, can avoid laparoscopically electrical energy drive apparatus with Abdominopelvic cavity important organ such as intestinal tube, ureter, bladder etc. contact, thus avoid the mechanical, electrical damage caused.
3. physics " isolation " property: all operations is all carried out, to the dirtiest in artificial laparoscopic surgery room device bag Device, without directly contact, can avoid mechanical damage, also avoids operating apparatus to the unnecessary interference of surrounding organ, the most postoperative gastrointestinal The functional rehabilitations such as road.
4. environment cleanliness in abdominopelvic cavity: operation technique and specimen take out all to enter in airtight artificial laparoscopic surgery space OK, it is to avoid specimen sends out abdominal cavity, it is to avoid operative hemorrhage diffusing enters abdominopelvic cavity, thus avoids specimen such as uterus from source Muscular tumor tissue, the abdominopelvic cavity of capsule content such as teratoma oils and fats hair etc. of cyst rejecting are sent out, it is also possible to reduce suction basin abdomen The operating time that surgical cavity is hemorrhage, and the postoperative adhesion caused due to operation technique and residual hematocele blocks etc. can be reduced.
5. for malignant ovarian tumor patient, if it is possible to apply artificial laparoscopic surgery room device to carry out operation behaviour Make, even if tumor ruptures, rupture content be scattered abdominopelvic cavity owing to avoiding, the operation of Ia phase patient can not be changed in theory By stages, thus avoid follow-up chemotherapeutic treatment.
To sum up, the mechanically and thermally damage during artificial laparoscopic surgery room device can avoid operation, it is to avoid specimen tissue is broadcast Dissipate in abdominopelvic cavity, reduce operation time, reduce tissue adhesion, and the most postoperative organ dysfunction recovers.
Accompanying drawing explanation
Fig. 1: gathering hole changeover portion connects artificial laparoscopic surgery room device structural representation;
Fig. 2: gathering hole is directly connected to artificial laparoscopic surgery room device structural representation A;
Fig. 3: gathering hole is directly connected to artificial laparoscopic surgery room device structural representation B;
Detailed description of the invention:
Embodiment one
With reference to Fig. 1, carrier 1 of the present invention includes (trocar sheath 1-1, handle 1-2, action bars 1-3, elastomer 1-4, soft ribbons 1-5, soft ribbons draw ring 1-6), bag 2 includes (bag mouth 2-1, holding thing capsule 2-2, gathering hole 2-3 (changeover portion 2-3-1, elastic ring 2-3- 2).Described handle 1-2 is fixed on the end of trocar sheath 1-1, and elastomer 1-4 is fixed on action bars through bag mouth 2-1, two ends symmetry 1-3 front end, soft ribbons 1-5 passes bag mouth 2-1, and from the gap of trocar sheath 1-1 and action bars 1-3 through being connected to soft ribbons draw ring 1- 6.Bag 2 is polyurethane material, and bag is shaped as cylindrical shape, volume 2 liters.Gathering hole 2-3 quantity is 3, by tubular transition Section 2-3-1 is connected to hold thing capsule 2-2, and elastic ring 2-3-2 is polyurethane material, is shaped as ring-type being directly bonded in gathering hole 2-3 Top.
Embodiment two
With reference to Fig. 2, carrier 1 of the present invention includes (trocar sheath 1-1, handle 1-2, action bars 1-3, elastomer 1-4, soft ribbons 1-5, soft ribbons draw ring 1-6), bag 2 include (bag mouth 2-1, hold thing capsule 2-2, gathering hole 2-3).Described handle 1-2 is fixed on overcoat The end of pipe 1-1, elastomer 1-4 is fixed on action bars 1-3 front end through bag mouth 2-1, two ends symmetry, and soft ribbons 1-5 passes bag mouth 2-1, and from the gap of trocar sheath 1-1 and action bars 1-3 through being connected to soft ribbons draw ring 1-6.Bag 2 is polyurethane material, bag Shape is cylindrical shape, volume 2 liters.Gathering hole 2-3 quantity is 3, for polyurethane material, is shaped as circular being directly bonded in Hold on thing capsule 2-2, distinguish with different colours.

Claims (7)

1. an artificial laparoscopic surgery room device, is made up of carrier, bag, it is characterized in that: carrier is by trocar sheath, hands Handle, action bars, elastomer, soft ribbons, soft ribbons draw ring form, and bag, by bag mouth, holds thing capsule and some gathering holes composition, can be patient Intraperitoneal builds a complete airtight artificial pneumoperitoneum operation insulating space.
The most artificial laparoscopic surgery room device, is characterized in that: artificial laparoscopic surgery room device Bag can use flexible single or composite high-molecular material making, by bag mouth, holds thing capsule and some gathering holes composition, described bag Mouthful, hold thing bag and gathering hole links into an integrated entity.
The most artificial laparoscopic surgery room device, is characterized in that: artificial laparoscopic surgery room device Bag uses long-neck cryptomere, can class is spherical, hemispherical, cylindrical shape, cone barrel or several shape of elliposoidal, when bag mouth closes back pkt. Body is an air tight closed structure, and volume is not less than 0.3 liter, no more than 5 liters.
The most artificial laparoscopic surgery room device, is characterized in that: artificial laparoscopic surgery room device Bag mouth is divided into and is tied up soft ribbons, can by soft ribbons tension reduce bag mouth, be fixed in suspended tissue carry out airtight, for strengthen airtight can Can carry out reinforcing by the pipe clamp adnexa that trocar sheath enters airtight by property, or set up an annular balloon, breather in soft ribbons lower end Road is external through being connected to from the gap of trocar sheath and action bars, to vent line inflation, annular balloon Expansion sealing.
The most artificial laparoscopic surgery room device, is characterized in that: artificial laparoscopic surgery room device Gathering hole quantity is 2~5, utilizes different colours to distinguish, and artificial laparoscopic surgery room device is made mouth termination and is provided with accordingly Elastic ring or film, shape is annular, ellipse or polygon, and bore is 5 to 30 millimeters, between gathering hole spacing be 4 to 30 centimetres, gathering hole is connected with holding thing bag by welding or bonding way.
The most artificial laparoscopic surgery room device, is characterized in that: artificial laparoscopic surgery room device Gathering hole also can set changeover portion and hold thing capsule and be connected, and its end sets elastic ring or film, and transition section can use circle, ellipse Several shape of shape, polygon.Gathering hole can be connected with holding thing capsule by welding or bonding way, can set up non-return logical in changeover portion Road, non-return passage is made up of a thin film tubular passage.
The most artificial laparoscopic surgery room device, is characterized in that: artificial laparoscopic surgery room device Can install auxiliary fixing seat in operation on gathering hole top, shape uses deck dish type, snap ring, several form of fixation clamp.
CN201520891146.XU 2015-11-11 2015-11-11 Artificial laparoscopic surgery room device Active CN205683099U (en)

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Cited By (10)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106667533A (en) * 2015-11-11 2017-05-17 孙大为 Artificial laparoscopic surgery spatial device
CN106725775A (en) * 2016-12-02 2017-05-31 江苏芸众医疗科技有限公司 Minimally invasive surgery can the broken specimen fetching system of pneumoperitoneum
CN106725777A (en) * 2017-02-10 2017-05-31 桓台县妇幼保健院 Laparoscopic surgery closed takes thing bag
CN106994026A (en) * 2017-01-17 2017-08-01 刘苏来 It is intraperitoneal controllable to open and close bagging apparatus
CN108852425A (en) * 2017-12-28 2018-11-23 天津优外医疗器材制造有限公司 Fetching bag device with air bag for minimally invasive surgery
CN109223119A (en) * 2018-10-17 2019-01-18 陈哲 Reality knurl vivo excision equipment used in laparoscopic surgery
US10188374B2 (en) 2011-12-23 2019-01-29 Atropos Limited Pneumoperitoneum device
US10499889B2 (en) 2011-12-23 2019-12-10 Atropos Limited Inflatable pneumoperitoneum device
CN111012520A (en) * 2019-12-18 2020-04-17 华中科技大学同济医学院附属协和医院 Tumor-free device for laparoscopic tumor surgery, manufacturing method and using method
CN111685824A (en) * 2020-07-16 2020-09-22 重庆橙壹科技有限公司 Medical article taking device comprising multiple belt tracks

Cited By (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US10376251B2 (en) 2011-12-23 2019-08-13 Atropos Limited Pneumoperitoneum device
US11134929B2 (en) 2011-12-23 2021-10-05 Atropos Limited Pneumoperitoneum device
US10499889B2 (en) 2011-12-23 2019-12-10 Atropos Limited Inflatable pneumoperitoneum device
US10188374B2 (en) 2011-12-23 2019-01-29 Atropos Limited Pneumoperitoneum device
WO2017080484A1 (en) * 2015-11-11 2017-05-18 孙大为 Apparatus for establishing space for laparoscopic surgery
CN106667533A (en) * 2015-11-11 2017-05-17 孙大为 Artificial laparoscopic surgery spatial device
CN106667533B (en) * 2015-11-11 2019-06-04 孙大为 Artificial laparoscopic surgery room device
CN106725775A (en) * 2016-12-02 2017-05-31 江苏芸众医疗科技有限公司 Minimally invasive surgery can the broken specimen fetching system of pneumoperitoneum
CN106994026A (en) * 2017-01-17 2017-08-01 刘苏来 It is intraperitoneal controllable to open and close bagging apparatus
CN106725777A (en) * 2017-02-10 2017-05-31 桓台县妇幼保健院 Laparoscopic surgery closed takes thing bag
CN108852425A (en) * 2017-12-28 2018-11-23 天津优外医疗器材制造有限公司 Fetching bag device with air bag for minimally invasive surgery
CN109223119A (en) * 2018-10-17 2019-01-18 陈哲 Reality knurl vivo excision equipment used in laparoscopic surgery
CN109223119B (en) * 2018-10-17 2021-06-22 陈哲 Solid tumor body internal cutting equipment used in laparoscopic surgery
CN111012520A (en) * 2019-12-18 2020-04-17 华中科技大学同济医学院附属协和医院 Tumor-free device for laparoscopic tumor surgery, manufacturing method and using method
CN111685824A (en) * 2020-07-16 2020-09-22 重庆橙壹科技有限公司 Medical article taking device comprising multiple belt tracks

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