CN206473352U - One kind exempts from pneumoperitoneum abdominal cavity trailer system - Google Patents

One kind exempts from pneumoperitoneum abdominal cavity trailer system Download PDF

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Publication number
CN206473352U
CN206473352U CN201620824678.6U CN201620824678U CN206473352U CN 206473352 U CN206473352 U CN 206473352U CN 201620824678 U CN201620824678 U CN 201620824678U CN 206473352 U CN206473352 U CN 206473352U
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CN
China
Prior art keywords
sheave
abdominal cavity
trailer system
suspension ring
draught line
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201620824678.6U
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Chinese (zh)
Inventor
周龙翔
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Jinshan Branch Of Shanghai No6 People's Hospital
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Jinshan Branch Of Shanghai No6 People's Hospital
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Priority to CN201620824678.6U priority Critical patent/CN206473352U/en
Application granted granted Critical
Publication of CN206473352U publication Critical patent/CN206473352U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model is related to one kind and exempts from pneumoperitoneum abdominal cavity trailer system, and the abdominal cavity trailer system includes sheave, stiff shaft, draught line, elastic suspension ring, fixing device;Draught line is fixedly connected with described stiff shaft;The draught line other end is fixed on elastic suspension ring by ligature type;Described fixing device includes vertical rod, rotary connector, fixed support arm;Described vertical rod is provided with operation table fixed component;The fixed support arm is provided with projection, and its projection is at intervals of 5cm:Sheave, stiff shaft and draught line design for integral type, form sheave set component.Its advantage is shown:Simple in construction, wound is small, easy to operate, take small volume, can accurately raise the stomach wall above stomach wall, lifting visual area, create larger operative space.

Description

One kind exempts from pneumoperitoneum abdominal cavity trailer system
Technical field
The utility model is related to technical field of medical instruments, specifically, is that one kind exempts from pneumoperitoneum abdominal cavity trailer system.
Background technology
With stepping up for medical technology, increasing disease can implement Minimally Invasive Surgery by laparoscopic technique and take Obtain optimum curative effect.Space needed for laparoscopic technique can provide operation technique by manufacturing CO2 artificial pneumoperitoneums, but due to CO2 gas Abdomen can the complication such as secondary hypercapnia, air embolism, stasis of blood stream so that this technology is in histoorgan undeveloped mature Children, gravid woman and merge basis disease gerontal patient in application be restricted.Gas-less laparoscopy is minimally invasive neck The important technology in domain, provides operating space for operation using outside mechanical tensile forces, independent of artificial pneumoperitoneum, reduces CO2 pneumoperitoneums Related complication, make with Minimally Invasive Surgery indication but be not resistant to general anesthesia and pneumoperitoneum related complication patient be also subjected to it is minimally invasive Treatment, has widened Minimally Invasive Surgery indication.Current gas-less laparoscopy technology plays extremely important make in abdominal operation With.
Chinese patent literature CN201521084577.1, applying date 2015.12.23, patent name is:One kind exempts from pneumoperitoneum formula Laparoscope stomach wall suspension apparatus, discloses one kind and exempts from pneumoperitoneum formula laparoscope stomach wall suspension apparatus, it is characterised in that including sleeve, set Cylinder is cylindrical provided with one group of hole clipping, and circumferentially shape is equally spaced settings this group of hole clipping centered on sleeve, and sleeve outside is provided with one The outside L-type folded plate of group bending, circumferentially shape is equally spaced setting this group of L-type folded plate centered on sleeve, and each L-type folded plate is equal To be made up of perpendicular section and crosspiece, wherein perpendicular section side is provided with the bearing pin that spacing cooperation is formed with hole clipping, described perpendicular section side with Sleeve outer wall is engaged.Beneficial effect is simple in construction, safe, is realizing that each L-type folded plate can be assembled and disassembled individually While, each L-type folded plate uniform force is in turn ensure that, the abdominal cavity sky that whole device takes when assembling and disassembling and using is reduced Between.
The disclosed technical scheme structure of above-mentioned patent document is more complicated, and there is provided the reality of surgical staff greatly for space hold Apply space small, it is impossible to precise elevation abdominal space.
In addition, of the prior art also commonly use abdominal puncture needle suspension apparatus:I.e. using diameter 1mm Kirschner wires under xiphoid-process Row passes through upper abdomen skin tissue between omphalos, and spacing 10cm, the fat and higher patient of height moderately increases spacing.But should There is suspension apparatus and there is wound greatly, the small defect of adjustment space.
In summary, need a kind of simple in construction, easy to operate, occupancy small volume badly, can accurately raise belly, wound small Exempt from pneumoperitoneum abdominal cavity trailer system, and report is yet there are no on this trailer system of exempting from.
The content of the invention
The purpose of this utility model is to provide a kind of simple in construction, easy to operate, occupancy small volume, can accurately raise abdomen Portion, wound it is small exempt from pneumoperitoneum abdominal cavity trailer system.
To realize above-mentioned second purpose, the utility model is adopted the technical scheme that:
One kind exempts from pneumoperitoneum abdominal cavity trailer system, and the abdominal cavity trailer system includes sheave, rigidity axle, draught line, elasticity Suspension ring, fixing device;Draught line is fixedly connected with described rigidity axle;The draught line other end is solid by ligature type It is scheduled on elastic suspension ring;Described fixing device includes vertical rod, rotary connector, fixed support arm;Described vertical rod is provided with Operation table fixed component;The fixed support arm is provided with projection, and its projection is at intervals of 5cm:Sheave, rigidity axle and draught line Designed for integral type, form sheave set component.
Further, described sheave is made of elastomeric material.
Further, described sheave uses elastomeric material for silica gel or rubber.
Further, described sheave is shaped as circular or ellipse.
Further, it is to form a diameter of 1-1.5cm cylindric that described sheave is inserted in winding.
Further, described draught line is molded by way of braiding.
Further, described rigidity axle is sealed in sheave.
Further, described elastic suspension ring repeats to be wound the snare chimeric with projection, is tightly fixed to projection On.
Further, described sheave is located in stomach wall, and elastic suspension ring is located at outside stomach wall.
Further, each elastic suspension ring is correspondingly arranged in a sheave, whole trailer system respectively, elasticity The quantity of suspension ring is 3, and fixing device is one.
The utility model advantage is:
1st, one kind of the present utility model exempts from pneumoperitoneum chamber trailer system, simple in construction, and easy-to-use, wound is small, easy to operate, take Small volume, can accurately raise the stomach wall above stomach wall, lifting visual area, create larger operative space;
2nd, the mode for the abdominal cavity that sheave is inserted, to realize the drawing to stomach wall, its stress action spot position stomach wall Inside, compared with being fixed on stomach wall outer surface using apparatus in the prior art, stability is good, difficult for drop-off;
3rd, the cylindric of a diameter of 1-1.5cm is formed when sheave is inserted, required opening is small, and sheave is placed to abdomen Behind the suitable position of chamber, because self-deformation is launched into original toroidal or cylindric, there is larger contact area with stomach wall, When being pulled power drawing, larger stomach wall space is advantageously formed;
4th, on the one hand it is used to fix corresponding draught line provided with rigidity axle, another side provides one for the sheave of correspondence connection The direction of individual winding, and with certain hardness, be conducive to inserting;Draught line is molded by way of braiding, and it weaves The mode of shaping has the characteristics of pull resistance is good, is not easy to be pulled off during belly is pulled, with good power performance;
5th, elastic suspension ring keeps the rational pulling force of stomach wall, can adjust in time;It can prevent from anaesthetizing in operation simultaneously and subtract Weak, abdominal wall muscle shrinks abdomen wall tension increase, and elastic suspension ring can be buffered effectively, without causing drag wire pulling force rapid So increase excessively damages abdominal wall tissue, is also prevented from causing drag wire to break:
6th, draught line pulling force can be distributed on sheave by rigidity axle, and sheave further disperses pulling force, can be subtracted Few damage to stomach wall;
7th, rigidity axle is sealed in sheave, can prevent from damaging abdominal cavity intestinal tube;
8th, provided with fixing device, can be adjusted in longitudinal height and transverse plane in rotate so that elastic suspension ring exists The satisfaction of suitable position fixes needs, while multiple elastic suspension rings in art are fixed in a fixing device, saves Operative space.
Brief description of the drawings
Accompanying drawing 1 is that one kind of the present utility model exempts from pneumoperitoneum abdominal cavity trailer system structural representation.
Accompanying drawing 2 is that one kind of the present utility model exempts from pneumoperitoneum abdominal cavity trailer system suspension status structural representation.
Accompanying drawing 3 is elastic suspension ring and traction downlink connection partial enlargement structural representation.
Accompanying drawing 4 is two sheave modular construction schematic diagrames.
Accompanying drawing 5 is two sheave suspension status structural representations.
Embodiment
With reference to embodiment and the utility model is further described referring to the drawings.
The reference and part being related in accompanying drawing are as follows:
Fig. 1 is refer to, Fig. 1 is that one kind of the present utility model exempts from pneumoperitoneum abdominal cavity trailer system structural representation.Fig. 2 is this reality Exempt from pneumoperitoneum abdominal cavity trailer system suspension status structural representation with new one kind.One kind exempts from pneumoperitoneum abdominal cavity trailer system, described Abdominal cavity trailer system includes sheave 1, rigidity axle 11, draught line 12, elastic suspension ring 3, fixing device 2;Described rigidity axle Draught line 12 is fixedly connected with 11;The other end of draught line 12 is fixed on elastic suspension ring by ligature type (see Fig. 3) On 3;Described fixing device 2 includes vertical rod 21, rotary connector 24, fixed support arm 23;Described vertical rod 21 is provided with operation Bed fixed component 22;The fixed support arm 23 is provided with projection 25, and its projection 25 is at intervals of 5cm.
It should be noted that:Described sheave 1 is located in stomach wall, and elastic suspension ring 3 is located at outside stomach wall;Described traction Disk 1 is made of elastomeric material, and preferably such as flexible medical silica-gel or rubber, the cost of material is low, and material is readily available.
The pulling force of draught line 12 can be distributed on sheave 1 by rigidity axle 11, and sheave 1 further disperses pulling force, can To reduce the damage to stomach wall;In use, sheave 1 can be crimped with rigidity axle 11 for axle center, it is convenient to pass through laparoscope umbilical region 1-1.5cm otch is put into abdominal cavity, and rigidity axle 11 is sealed in sheave 1, can prevent from damaging abdominal cavity intestinal tube.
Sheave 1, rigidity axle 11 and draught line 12 design for integral type, 1 set of component of sheave are formed, in use, leading The method how external member of lead plate 1 is put into abdominal cavity and draught line 12 is passed into stomach wall is as follows:1-2cm does one above or below umbilical region Individual 1-1.5cm otch, first external member of sheave 1 using the blind feeding abdominal cavity of sponge holding forceps, rather than laparoscope direct-view under, Draught line 12 is passed into abdominal cavity using abdominal puncture needle under laparoscope direct-view again, and pulls stomach wall and constitutes local abdominal space;
The external member of sheave 1 and the quantity of hanging ring increase (see Fig. 4 and Fig. 5) as needed, wherein, the second sheave 1 External member or the external member of the 3rd sheave 1 can laparoscope direct-view under or the blind mode sent be put into abdominal cavity, other steps are according to above-mentioned Operation.
Elastic suspension ring 3 keeps the rational pulling force of stomach wall, can adjust in time;It can prevent from anaesthetizing in operation simultaneously and subtract Weak, abdominal wall muscle shrinks abdomen wall tension increase, and elastic suspension ring 3 can be buffered effectively, without causing drag wire pulling force Suddenly increase excessively and damage abdominal wall tissue, be also prevented from causing drag wire to break.
The described processing of rigidity axle 11 is sealed in inside sheave 1, is on the one hand had fixation to draught line 12, is prevented Draught line 12 comes off, on the other hand, is that the winding of sheave 1 gets up to provide a direction guide, i.e., the edge of sheave 1 before use The axis direction winding of rigidity axle 11, moreover, after sheave 1 is wound along rigidity axle 11, because rigidity axle 11 is wrapped It is rolled in the inside so that the positioning that winding is got up has certain hardness, and the hardness can facilitate inserts abdomen by sheave 1 through opening In chamber.
The cylinder for being shaped as circular or ellipse, a diameter of 1-1.5cm being formed when receipts certificate is inserted of described sheave 1 Shape, therefore required opening is small, with wound it is small the characteristics of, in addition, with stomach wall being connect by face after sheave 1 is inserted Touch, active area advantageously forms greatly larger stomach wall space.
Described draught line 12 is molded by way of braiding, and the mode of its knitting forming has the good spy of pull resistance Point, is not easy to be pulled off, with good power performance during belly is pulled.
Described elastic suspension ring 3 is used under elastomeric material, use state, and elastic suspension ring 3 is repeated to be wound in multi-turn Form the snare chimeric with projection 25, so that elastic suspension ring 3 can be tightly fixed on projection 25, elastic suspension ring 3 Using elastomeric material, on the one hand it is easy to medical worker by the shape size required for elastic suspension ring 3, on the other hand, good toughness, It is not easy to be broken off.
Described fixing device 2 includes vertical rod 21, rotary connector 24, fixed support arm 23;The vertical rod 21 is provided with hand Fixing device 2, operation bedside can be fixed on by operation table part by art bed fixed component 22, simple to operation;Described rotation Turning connector 24 is used for respectively from the upper connecting upright pole 21 in longitudinal direction, and be connected support arm 23 from transverse direction, passes through rotary connector 24 Fixed support arm 23 is adjusted in longitudinal height, such as bodily form overweight people, the height required for it is of a relatively high, it is old man, small Child and thin weak person, the height that it needs are relatively low;Fixed support arm 23 can to fix support arm by rotary connector 24 23 are rotated in transverse plane, so so that fixed support arm 23 can be rotated, with reference to needed for being fixed elastic suspension ring 3, by fixation Support arm 23 turns to suitable position, because according to clinical experience, pneumoperitoneum abdominal cavity trailer system, each bullet are exempted from using the application Property suspension ring 3 be correspondingly arranged on respectively in a sheave 1, whole trailer system, the quantity of elastic suspension ring 3 is 3, fixed Device 2 is one, and three elastic distributions triangular in shape in belly plane of suspension ring 3, can so be rotated fixed support arm 23 Into the region of the Triangle-Profile, realize that the projection 25 on a fixed support arm 23 can just consolidate three elastic suspension rings 3 It is scheduled on projection 25, is correspondingly arranged a fixing device 2 without an elastic suspension ring 3, effectively solves gas-less laparoscopy Required abdominal cavity operating space.
One kind of the present utility model exempts from pneumoperitoneum chamber trailer system, simple in construction, and easy-to-use, wound is small, easy to operate, take body Product is small, can accurately raise the stomach wall above stomach wall, lifting visual area, create larger operative space;It is intraperitoneal that sheave 1 is inserted The mode in portion, to realize the drawing to stomach wall, its stress action spot position interior abdominal wall, with being fixed in the prior art using apparatus Compared in stomach wall outer surface, stability is good, difficult for drop-off;Sheave 1 forms the cylindric of a diameter of 1-1.5cm, institute when inserting The opening needed is small, and sheave 1 is placed to behind the suitable position in abdominal cavity, because self-deformation is launched into original toroidal or cylinder Shape, has larger contact area with stomach wall, when being pulled power drawing, advantageously forms larger stomach wall space;It is provided with The one side of rigidity axle 11 is used to fix corresponding draught line 12, and another side is one winding of the offer of sheave 1 of correspondence connection Direction, and with certain hardness, be conducive to inserting;Draught line 12 is molded by way of braiding, its knitting forming Mode has the characteristics of pull resistance is good, is not easy to be pulled off during belly is pulled, with good power performance;Elastic suspended Suspension ring 3 keep the rational pulling force of stomach wall, can adjust in time;It can prevent from anaesthetizing in operation simultaneously and weaken, abdominal wall muscle shrinks Abdomen wall tension increase, elastic suspension ring 3 can be buffered effectively, be damaged without causing drag wire pulling force to increase suddenly excessively Hinder abdominal wall tissue, be also prevented from causing drag wire to break:The pulling force of draught line 12 can be distributed on sheave 1 by rigidity axle 11, be led Lead plate 1 further disperses pulling force, it is possible to reduce the damage to stomach wall;Rigidity axle 11 is sealed in sheave 1, can be prevented Damage abdominal cavity intestinal tube;Provided with fixing device 2, can be adjusted in longitudinal height and transverse plane in rotate so that elasticity suspention The satisfaction of ring 3 in place fixes needs, while multiple elastic suspension rings 3 in art are fixed in a fixing device 2, Save operative space.
Described above is only preferred embodiment of the present utility model, it is noted that for the common skill of the art Art personnel, on the premise of the utility model principle is not departed from, can also make some improvement and supplement, and these improve and supplemented Also it should be regarded as protection domain of the present utility model.

Claims (5)

1. one kind exempts from pneumoperitoneum abdominal cavity trailer system, it is characterised in that the abdominal cavity trailer system includes sheave, rigidity axle, led Lead, elastic suspension ring, fixing device;Described sheave is shaped as circular or ellipse, and described sheave is put in winding It is to form a diameter of 1-1.5cm cylindric to enter;Described rigidity axle is sealed in sheave;It is fixed on described rigidity axle It is connected with draught line;The draught line other end is fixed on elastic suspension ring by ligature type, and described draught line is logical Cross what the mode woven was molded;Described fixing device includes vertical rod, rotary connector, fixed support arm;Set in described vertical rod There is operation table fixed component;The fixed support arm is provided with projection, and its projection is at intervals of 5cm:Sheave, rigidity axle and traction Line designs for integral type, forms sheave set component, and described elastic suspension ring repeats to be wound the snare chimeric with projection, It is tightly fixed on projection.
2. abdominal cavity trailer system according to claim 1, it is characterised in that described sheave uses elastomeric material system Into.
3. abdominal cavity trailer system according to claim 2, it is characterised in that described sheave uses elastomeric material for silicon Glue or rubber.
4. abdominal cavity trailer system according to claim 1, it is characterised in that described sheave is located in stomach wall, elasticity Suspension ring is located at outside stomach wall.
5. abdominal cavity trailer system according to claim 1, it is characterised in that each elastic suspension ring is correspondingly arranged respectively Have in a sheave, whole trailer system, the quantity of elastic suspension ring is 3, and fixing device is one.
CN201620824678.6U 2016-08-02 2016-08-02 One kind exempts from pneumoperitoneum abdominal cavity trailer system Expired - Fee Related CN206473352U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201620824678.6U CN206473352U (en) 2016-08-02 2016-08-02 One kind exempts from pneumoperitoneum abdominal cavity trailer system

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Application Number Priority Date Filing Date Title
CN201620824678.6U CN206473352U (en) 2016-08-02 2016-08-02 One kind exempts from pneumoperitoneum abdominal cavity trailer system

Publications (1)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109907785A (en) * 2019-04-04 2019-06-21 辽宁省肿瘤医院 Gas-less laparoscopy abdominal region tractor
CN111991040A (en) * 2020-08-27 2020-11-27 成都市妇女儿童中心医院 Laparoscopic surgery exposes device

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109907785A (en) * 2019-04-04 2019-06-21 辽宁省肿瘤医院 Gas-less laparoscopy abdominal region tractor
CN109907785B (en) * 2019-04-04 2024-04-19 辽宁省肿瘤医院 Pneumoperitoneum-free laparoscope abdomen tractor
CN111991040A (en) * 2020-08-27 2020-11-27 成都市妇女儿童中心医院 Laparoscopic surgery exposes device
CN111991040B (en) * 2020-08-27 2023-06-23 成都市妇女儿童中心医院 Laparoscopic surgery exposing device

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CF01 Termination of patent right due to non-payment of annual fee
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Granted publication date: 20170908

Termination date: 20180802