CN209203365U - It is a kind of through abdomen wall puncture suspension apparatus - Google Patents

It is a kind of through abdomen wall puncture suspension apparatus Download PDF

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Publication number
CN209203365U
CN209203365U CN201821055832.3U CN201821055832U CN209203365U CN 209203365 U CN209203365 U CN 209203365U CN 201821055832 U CN201821055832 U CN 201821055832U CN 209203365 U CN209203365 U CN 209203365U
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China
Prior art keywords
puncture
suspension
hoist cable
suspension apparatus
abdomen wall
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CN201821055832.3U
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郑杨
种玉龙
郑兴
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Suzhou Keling Medical Technology Co., Ltd
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Sihong County Positive Medical Technology Co Ltd
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Abstract

The utility model provides a kind of through abdomen wall puncture suspension apparatus, including hoist cable, puncture component and Suspension, and hoist cable one end is protruded into body cavity and is detachably connected with Suspension, and the other end is suspended on the bracket outside body cavity;Puncture component is connect with hoist cable, for guiding hoist cable to enter body cavity.Suspension is also connect with strut, with further expansion operative space.The utility model can be realized the advantage with laparoscope and open surgery, it is avoided that CO2 pneumoperitonium bring endangers again, the patient that makes to have Minimally Invasive Surgery indication but not be resistant to general anesthesia and pneumoperitoneum related complication is also subjected to minimally-invasive treatment, has widened Minimally Invasive Surgery idicatio.

Description

It is a kind of through abdomen wall puncture suspension apparatus
Technical field
The utility model relates to the field of medical instrument technology more particularly to a kind of through abdomen wall puncture suspension apparatus.
Background technique
With the progress of economic society, requirement of the patient to Minimally Invasive Surgery is more more and more urgent, and overwhelming majority operation is all by abdomen Hysteroscope is completed.Due to CO2 pneumoperitonium can the complication such as secondary hypercapnia, air embolism, stasis of blood stream, make it in group Children, gravid woman and the application merged in the sick gerontal patient in basis for knitting organ undeveloped mature are restricted.Exempt from gas Pneumascos laparoscopic is to provide operating space using external mechanical tensile forces for operation, does not depend on artificial pneumoperitoneum, reduces carbon dioxide gas Abdomen related complication, make there is Minimally Invasive Surgery indication but not be resistant to general anesthesia and pneumoperitoneum related complication patient be also subjected to it is micro- Wound treatment, has widened Minimally Invasive Surgery idicatio.
In prior art, promote preferable gas-less laparoscopy stomach wall suspension solution mainly pass through umbilical notch cut into Enter laparoscope, mirror downward view guidance monitoring under, with a Ke Shi steel needle from the certain position subcutaneous layer of fat of stomach wall pass through not into Enter abdominal cavity, Ke Shi steel needle is hung on high-altitude bracket by suspension apparatus, so that stomach wall be made to obtain suspending in midair and provide for laparoscopic surgery Operating space.For example Patent Office of the People's Republic of China is in a CN101098106Y patent of on August 13rd, 2008 bulletins, it is entitled A perpendicular type bracket is arranged in gasless laparoscope suspension apparatus, and upright bar activity is fixed, and multiple extensions are arranged on cross bar A chaining is arranged in hook, and upper end link is suspended on a hook, and lower end link is connected in the equalization point of a gate frame crossbeam On, the fixed Ke Shi needle of the vertical pawl end activity of the two of gate frame.Ke Shi needle will be needed to be inserted at the stomach wall position sling and worn Out, and by be exposed at the Ke Shi needle both ends outside stomach wall protrude into gate frame two vertical pawl end activities compress, pass through lifting chaining The height of adjustment lifting stomach wall.But it is one additional to patient that Ke Shi needle, which penetrates Abdominal Wall Fat layer to carry out stomach wall suspention itself, Wound is suspended to the wedge shape that operating space provided by a part is similar to tent top, the bad increase hand of periphery exposure of surgical field Art difficulty.In addition laparoscopic instrument operation both can be used from the position row inferior epigastric vessels close to surgical procedure area again, it can also To use the instrument of part abdominal to be directly entered the operation of art area, abdominal incision quantity is caused to increase.It is suspended to high-altitude bracket On drawstring the handle operating space of laparoscopic instrument formed stop, which also limits improve abdominal cavity week by multipoint suspension The method in side visual area space, especially certain surgical procedure ranges are larger, and the instrument for needing to operate simultaneously is more, can not pass through choosing Suitable point of suspension is selected to avoid the blocking to instrument handle;Especially obese patient's stomach wall is thicker, is suspended to stomach wall shallow-layer rouge Fat, stomach wall deep tissues fail effectively to be suspended, and the provided visual field is poor, while this suspension solution can cause subcutaneous tissue With the separation of deep tissues, postoperative pain, hemotoncus may.
A CN2221943Y patent that on March 13rd, 1996 is announced, entitled umbrella shape drawing device, including inner tube group Part, outer tube assembly and umbrella wing component, inner tube assembly and outer tube assembly coaxially can be relatively movably set in together.This needs to cut Biggish abdominal cavity entry or the aperture that can reduce the channel that instrument enters, inner tube and outer tube have relative movement, it is therefore desirable to interior Pipe has enough length to ensure that the umbrella wing struts, this allows for being affected when instrument enters abdominal cavity by inner tubal wall, seriously Person may influence the normal operating of operative site.
Other similar patents such as " artificial arcus costarum " (patent No.: CN95205612.7), a kind of " non-pneumoperitoneum bulge dress of magnetism Set " devices such as (patent No.: CN201520412040.7).Existing defects are as follows: a, needs are repeatedly punctured in stomach wall, by internal Shaping equipment supports stomach wall, larger to injury of abdominal wall, and exposure effect is undesirable.B, magnetic non-pneumoperitoneum bulge device is in body It is placed in magnet under interior and bed, if the two appearance is attracting, there is the possibility of huge compressing to the internal organs of posterior wall of abdomen.C, it operates number It is tired.Therefore clinically simple and safe exempt from pneumoperitoneum device there is an urgent need to a kind of.
Summary of the invention
The purpose of this utility model: provide it is a kind of through abdomen wall puncture suspension apparatus, not only with laparoscope minimally invasive advantage, but also Avoid complication caused by pneumoperitoneum.
To achieve the goals above, the technical solution of the utility model is:
It is a kind of through abdomen wall puncture suspension apparatus, including hoist cable, puncture component and Suspension, described hoist cable one end protrude into body cavity with Suspension is detachably connected, and the other end is suspended on the bracket outside body cavity;The puncture component is connect with hoist cable, for guiding hoist cable Into body cavity.The preferred wirerope of hoist cable, preferably Suspension are made of stainless steel material.
Specifically, the puncture component is hard puncture tube of the housing outside the hoist cable, and described puncture tube one end has sharp keen Puncture tip.It is preferred that the large size stainless steel syringe needle of internal diameter 0.8mm or more.
Specifically, the puncture component is the hard needle being connected on hoist cable.It is preferred that stainless pin.
It is preferred that the puncture component further includes soft casing, the soft casing is wrapped in outside hard needle.It is preferred that stainless pin With the soft plastics casing being wrapped in outside stainless pin.
It is preferred that the puncture component is connect by high-molecular organic material with hoist cable, the high-molecular organic material is easy to cut Disconnected or fusing.It is preferred that nylon rope or plastic ties.
Specifically, the hoist cable and being detachably connected for Suspension are pin connection or threaded connection.Or hoist cable and suspention Part is cooperatively connected through interference.
Specifically, there are protrusion or through-hole in one end of the hoist cable.It is preferred that one end of hoist cable is fixedly connected with steel ball or steel wire ring.
Specifically, drag-line is connected on the Suspension, described drag-line one end is stretched out outside body cavity.
Specifically, there is through-hole on the Suspension, the through-hole is used for across hoist cable.
Specifically, the Suspension is equipped with jaw device, is used for clamp hoist cable.It is preferred that retainer clip.
Specifically, there is shaft on the Suspension, be connected with strut in the shaft, for expanding suspention range.
Specifically, the strut is formed by multiple strut segments by strut drag-line axial series, and adjustment strut drag-line is tight The curvature of the adjustable strut of tonicity.
Above-mentioned is additionally provided with ancillary equipment through abdomen wall puncture suspension apparatus, wherein the ancillary equipment include one or Multiple small drag hooks, the small drag hook are fixed on the high temperature resistant magnet by surgical thread, and are adsorbed on the support On bridge, or it is adsorbed on the muti-piece subsidiary magnet across abdominal wall.
It is above-mentioned through abdomen wall puncture suspension apparatus, wherein the ancillary equipment includes the high-brightness LED lamp of back side carry magnet Chip, high-brightness LED lamp band light bar and Miniature high-definition camera.
The utility model avoids CO2 pneumoperitonium bring simultaneously by supporting abdominal cavity bulge through abdomen wall puncture suspension apparatus Send out disease;By the way that multiple high-brightness LED lamps, multiple pick-up lens, multiple intracavitary drag hooks can be placed in through abdomen wall puncture suspension apparatus, complete The functions such as multi-direction illumination, multi-visual angle filming, the exposure of multi-direction draw tissue.
Detailed description of the invention
Fig. 1 is the structural schematic diagram through abdomen wall puncture suspension apparatus Suspension in embodiment one.
Fig. 2 is the structural schematic diagram in embodiment one after abdomen wall puncture suspension apparatus Suspension opening.
Fig. 3 is the scheme of installation in embodiment one through abdomen wall puncture suspension apparatus puncture tube and hoist cable.
Fig. 4 is in embodiment one through abdomen wall puncture suspension apparatus hoist cable chuck structure schematic diagram.
Fig. 5 is in embodiment one through abdomen wall puncture suspension apparatus hoist cable collet decomposition diagram.
Fig. 6 be in embodiment one through abdomen wall puncture suspension apparatus in intraperitoneal use schematic diagram.
Fig. 7 is in embodiment two through abdomen wall puncture suspension apparatus puncture component schematic diagram.
Fig. 8 is in embodiment two through abdomen wall puncture suspension apparatus puncture component decomposition diagram.
Fig. 9 is the puncture component schematic diagram through abdomen wall puncture suspension apparatus steel wire ring in embodiment three.
Figure 10 is the structural schematic diagram through abdomen wall puncture suspension apparatus Suspension in embodiment three.
Figure 11 is the structural schematic diagram in embodiment three after the installation of abdomen wall puncture suspension apparatus.
Wherein, 1- hoist cable, 2- Suspension, 3- hoist cable collet, 4- puncture component, 5- external supporting, 6- stomach wall, 7- strut
11- wirerope, 12- steel wire ring, 13- plastic ties, 17- drag-line, 18- pin
21- suspension disc, 22- shaft, 23- tube channel, 24- jack,
31- wirerope clip slot, 32- wirerope clip tooth, 33- screw,
41- puncture needle, 42- hold ball, 43- casing, 44- sleeve shank, 45- puncture tube.
Specific embodiment
Embodiment one
As shown in Figure 1 and Figure 2, this is through abdomen wall puncture suspension apparatus, comprising: wirerope 11, Suspension 2 and hoist cable collet 3.Wirerope 11 is that stainless steel wire is woven into, diameter 1mm, can be 100 kilograms of load-bearing or more.Suspension 2 is two root long 24cm Stainless steel rod, section are all the semicircles of diameter 1cm, and both ends polish smooth.Pass through rotatable channel among the two at 12cm Pipe 23 connects, and the two can be pivoted into mutually shown in Fig. 2.2 both ends of Suspension are connect with drag-line 17 respectively, and drag-line 17 extends Body cavity is outer to facilitate patient to control outside body cavity out.
As shown in Fig. 3, puncture tube 45 is large size stainless steel syringe needle, and outer diameter 1.2mm, internal diameter 1mm can penetrate diameter The wirerope 11 of 1mm.
As shown in figures 4 and 5, wirerope 11 is connect after passing through tube channel 23 with hoist cable collet 3, hoist cable collet 3 Outer diameter is greater than the internal diameter of tube channel 23, Suspension 2 can be held up.Wirerope clip slot 31 is the disk of diameter 1cm, has hole for steel Cord 11 is penetrated and is gone for a stroll.Wirerope clip tooth 32 can be embedded in wirerope clip slot 31, can go in ring and clamp wirerope 11, use screw 33 tighten wirerope clip slot 31 and wirerope clip tooth 32, and wirerope 11 is securely fixed.
As shown in Fig. 6, it first uses two towel forceps to lift stomach wall 6 when surgical procedure, cuts the osculum of 2cm, expansion operation is cut Mouthful, merging abdominal cavity retractor, laparoscope and nipper.With abdominal cavity retractor pull-up stomach wall 6, certain intraperitoneal space is formed.In abdominal cavity Under mirror monitoring, suitable position is vertically punctured into the puncture tube 45 for being equipped with wirerope 11 intraperitoneal outside stomach wall 6, by steel wire 11 insertion abdominal cavity of rope.Wirerope 11 is caught with nipper, first pulls in abdominal cavity, then draw outside operative incision.
Wirerope 11 is penetrated into tube channel 23, then is locked with hoist cable collet 3, so that Suspension 2 is born 30 kilograms or more and presses Power.Under laparoscope monitoring, Suspension 2, hoist cable collet 3 and wirerope 11 are placed in abdominal cavity together, lifting wirerope 11 is upward It suspends stomach wall 6 in midair, and is connected on external supporting 5.Drag-line 17 is pulled to rotate Suspension 2 to state shown in Fig. 6.Later again into one Step lifting wirerope 11, until operative space is satisfied.First suitably loosen wirerope 11 after operation, it is tight to reduce stomach wall 6 Tonicity, drawing drag-line 17 rotate Suspension as shown in Figure 1, pulling out Suspension 2.Unscrew screw 33, removes hoist cable collet 3, release Wirerope 11 is put, then pulls out wirerope 11 and puncture tube 45 together from the puncture tube 45 on stomach wall 6.
Embodiment two
As shown in attached drawing 7 and Fig. 8, the present embodiment is similar to embodiment one, and difference is puncture component 4 and the fixed company of hoist cable 1 It connects.Puncture component 4 includes the soft plastics casing 43 and stainless steel puncture needle 41 of not easy damaged abdominal organs.43 outer diameter of casing 1.2mm, internal diameter 1mm, long 6cm, there is the sleeve shank 44 of thicker wall in one end.Sleeve shank 44 is connected by plastic ties 13 and wirerope 11 It connects.Puncture needle 41 outer diameter 1mm, long 7cm, one end, which has, holds ball 42, is firmly punctured with facilitating.
It first uses two towel forceps to lift stomach wall 6 when surgical procedure, cuts the osculum of 2cm, expand operative incision, merging abdominal cavity is drawn Hook, laparoscope and nipper.With abdominal cavity retractor pull-up stomach wall 6, certain intraperitoneal space is formed, under laparoscope monitoring, from abdomen The outer suitable position of wall 6 vertically punctures into casing 43 and puncture needle 41 intraperitoneal together.After 43 front end of casing enters abdominal cavity, return Puncture needle 41 is withdrawn from, is only retained in soft 43 front end of casing intraperitoneal.43 front end of casing is caught with nipper, by sleeve shank 44 Abdominal cavity is pulled in together with wirerope 11, and is further drawn outside operative incision.Cut off casing 43, sleeve shank 44 and plastic ties 13. Other operations are the same as embodiment one.
Embodiment three
As shown in attached drawing 9,10 and 11, the present embodiment is similar to embodiment two, and difference is the present embodiment without using hoist cable Collet 3, but pin connection is carried out with Suspension 2.There is steel wire ring 12 in 1 end of hoist cable in the present embodiment, for being inserted into pin 18.It is outstanding There is through-hole 24 on hanging piece 2, is inserted into art for strut 7 and is combined into suspension platform.Suspension 2 and strut 7 are all connected with drag-line 17, In order to withdraw.
It first uses two towel forceps to lift stomach wall 6 when surgical procedure, cuts the osculum of 2cm, expand operative incision, merging abdominal cavity is drawn Hook, laparoscope and nipper.With abdominal cavity retractor pull-up stomach wall 6, certain intraperitoneal space is formed, under laparoscope monitoring, from abdomen The outer suitable position of wall 6 vertically punctures into casing 43 and puncture needle 41 intraperitoneal together.After 43 front end of casing enters abdominal cavity, return Puncture needle 41 is withdrawn from, is only retained in soft 43 front end of casing intraperitoneal.43 front end of casing is caught with nipper, by sleeve shank 44 Abdominal cavity is pulled in together with wirerope 11, and is further drawn outside operative incision.
Cut off casing 43, sleeve shank 44 and plastic ties 13.Wirerope 11 is penetrated into tube channel 23, to 11 end of wirerope It is inserted into pin 18 in hole, Suspension is enable to bear 30 kilograms with upper pulling force.
Suspension 2 is placed in abdominal cavity together with wirerope 11 together, lifting wirerope 11 suspends stomach wall 6 in midair upwards, and is connected to On external supporting 5.Drag-line 17 is pulled, adjustment Suspension 2 is inserted into strut 7 into through-hole 24 in intraperitoneal angle, to facilitate.Installation Afterwards as shown in figure 11.Wirerope 11 is further lifted later, until operative space is satisfied.It is first suitably put after operation Loose wirerope 11, reduces 6 tensity of stomach wall, and drawing drag-line 17 first pulls out strut 7 one by one.It finally pulls out Suspension 2 and removes Pin 18 discharges wirerope 11, then pulls out wirerope 11 from stomach wall 6.
Example IV
The present embodiment is similar to embodiment one, and difference is that exempting from pneumoperitoneum hanger making material is paramagnetism steel, can be led to Magnet absorption ancillary equipment, including one or more small drag hooks are crossed, small drag hook is fixed on high temperature resistant magnet, and is adsorbed on strut On 7.Ancillary equipment further includes the high-brightness LED lamp and Miniature high-definition camera of back side carry magnet.These ancillary equipments are achievable more The functions such as directional lighting, multi-visual angle filming, the exposure of multi-direction draw tissue.
In conclusion in the description of the present invention, it should also be noted that, unless otherwise specific regulation and limit Fixed, term " setting ", " installation ", " connected ", " connection " shall be understood in a broad sense, for example, it may be being fixedly connected, being also possible to can Dismantling connection, or be integrally connected;It can be mechanical connection, be also possible to magnetic connects;It can be directly connected, can also pass through Intermediary is indirectly connected, and can be the connection inside two elements.For the ordinary skill in the art, can have Body situation understands the concrete meaning of above-mentioned term in the present invention.
It should also be noted that similar label and letter indicate similar terms in following attached drawing, therefore, once a certain Xiang Yi It is defined in a attached drawing, does not then need that it is further defined and explained in subsequent attached drawing.
It is in the description of the present invention, it should be noted that term " center ", "upper", "lower", "left", "right", " perpendicular Directly ", the orientation or positional relationship of the instructions such as "horizontal", "inner", "outside" be based on the orientation or positional relationship shown in the drawings, or The utility model product using when the orientation or positional relationship usually put, be merely for convenience of description the utility model and letter Change description, rather than the device or element of indication or suggestion meaning must have a particular orientation, with specific orientation construct and Operation, therefore should not be understood as limiting the present invention.
Above description is merely a prefered embodiment of the utility model, is not intended to limit the utility model, for For those skilled in the art, various modifications and changes may be made to the present invention, in the principles of the present invention and technology In the range of thought, a variety of variations, modifications, equivalent substitutions and improvements etc. are carried out to these embodiments, should be included in this reality Within novel protection scope.

Claims (10)

1. a kind of through abdomen wall puncture suspension apparatus, including hoist cable, puncture component and Suspension, it is characterised in that: described hoist cable one end It protrudes into body cavity to be detachably connected with Suspension, the other end is suspended on the bracket outside body cavity;The puncture component is connect with hoist cable, is used Enter body cavity in guidance hoist cable.
2. according to claim 1 through abdomen wall puncture suspension apparatus, it is characterised in that: the puncture component is housing described There are sharp keen puncture tip in hard puncture tube outside hoist cable, described puncture tube one end.
3. according to claim 1 through abdomen wall puncture suspension apparatus, it is characterised in that: the puncture component is to be connected to hoist cable On hard needle.
4. according to claim 3 through abdomen wall puncture suspension apparatus, it is characterised in that: the puncture component further includes soft set Pipe, the soft casing are wrapped in outside hard needle.
5. according to claim 3 through abdomen wall puncture suspension apparatus, it is characterised in that: the puncture component passes through macromolecule material Material is fixedly connected with hoist cable, and the high molecular material is easy to cut or fuse.
6. according to claim 1 through abdomen wall puncture suspension apparatus, it is characterised in that: one end of the hoist cable have protrusion or Through-hole.
7. according to claim 1 through abdomen wall puncture suspension apparatus, it is characterised in that: drag-line is connected on the Suspension, Described drag-line one end is stretched out outside body cavity.
8. according to claim 1 through abdomen wall puncture suspension apparatus, it is characterised in that: have through-hole, institute on the Suspension Through-hole is stated for across hoist cable.
9. according to claim 1 through abdomen wall puncture suspension apparatus, it is characterised in that: be connected with branch on the Suspension Bar, for expanding suspention range.
10. according to claim 1 through abdomen wall puncture suspension apparatus, it is characterised in that: further include jaw device, for clamping Bucket rope.
CN201821055832.3U 2018-07-05 2018-07-05 It is a kind of through abdomen wall puncture suspension apparatus Active CN209203365U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108553138A (en) * 2018-07-05 2018-09-21 泗洪县正心医疗技术有限公司 It is a kind of through abdomen wall puncture suspension apparatus

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108553138A (en) * 2018-07-05 2018-09-21 泗洪县正心医疗技术有限公司 It is a kind of through abdomen wall puncture suspension apparatus

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Effective date of registration: 20200914

Address after: 3 / F, building B, Dongcheng science and technology entrepreneurship Park, Miaoqiao Hengjing village, Tangqiao town, Zhangjiagang City, Suzhou City, Jiangsu Province

Patentee after: Suzhou Keling Medical Technology Co., Ltd

Address before: 223900, Jiangsu, Suqian County, Sihong province Dongcheng Cambridge District 17, 1-1

Patentee before: SIHONG ZHENGXIN MEDICAL TECHNOLOGY Co.,Ltd.