CN209932918U - Laparoscope umbrella puncture outfit - Google Patents

Laparoscope umbrella puncture outfit Download PDF

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Publication number
CN209932918U
CN209932918U CN201920022158.7U CN201920022158U CN209932918U CN 209932918 U CN209932918 U CN 209932918U CN 201920022158 U CN201920022158 U CN 201920022158U CN 209932918 U CN209932918 U CN 209932918U
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CN
China
Prior art keywords
puncture
umbrella
strip
protection device
laparoscopic
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Expired - Fee Related
Application number
CN201920022158.7U
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Chinese (zh)
Inventor
罗天平
张琪
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Changzhou TCM Hospital
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Changzhou TCM Hospital
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Priority to CN201920022158.7U priority Critical patent/CN209932918U/en
Application granted granted Critical
Publication of CN209932918U publication Critical patent/CN209932918U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model relates to a peritoneoscope umbrella can puncture ware, including the puncture ware body, the one end of puncture ware body is provided with puncture sheath pipe, is provided with puncture ware umbrella ability protection device on the puncture sheath pipe, and puncture ware umbrella ability protection device includes the dead lever, and the inside of dead lever is provided with the puncture passageway that runs through the dead lever both ends, and the top of dead lever has closely welded the stationary blade. The utility model discloses a protection device is placed in puncture sheath pipe outside, inserts the pjncture needle in the puncture sheath pipe, after the puncture to the abdominal cavity, struts puncture ware umbrella ability protection device, then adjusts puncture ware umbrella ability protection device's position, extracts the pjncture needle at last, stays puncture sheath pipe on the stomach wall, stays puncture ware umbrella ability protection device in the abdominal cavity and hug closely the stomach wall inner membrance, then the reuse chamber mirror action bars passes through the sleeve and gets into the abdominal cavity, operates.

Description

Laparoscope umbrella puncture outfit
Technical Field
The utility model relates to the technical field of machinery, specifically a peritoneoscope umbrella can puncture ware.
Background
Laparoscopic techniques have been commonly developed, and laparoscopic surgery is performed, in which a puncture must be made with a puncture outfit in the first step, then pneumoperitoneum is established, artificially creating high pressure in the abdominal cavity, in which case the puncture hole becomes the weakest point of the abdominal wall, and all gas escapes from this hole or the gap beside the puncture hole, the so-called chimney effect.
When a laparoscopic tumor resection is performed, tumor cells are gasified by an ultrasonic knife or burnt by an electrotome to smoke, and the tumor cells with different numbers are dissociated in an abdominal cavity of a pneumoperitoneum and emerge from a weak part at any time to cause metastasis.
SUMMERY OF THE UTILITY MODEL
An object of the utility model is to provide a peritoneoscope umbrella can puncture ware to solve the free abdominal cavity that causes the transfer scheduling problem at pneumoperitoneum of the tumor cell who provides among the above-mentioned background art.
In order to achieve the above object, the utility model provides a following technical scheme:
a laparoscope umbrella energy puncture outfit comprises a puncture outfit body, wherein one end of the puncture outfit body is provided with a puncture sheath tube, a puncture outfit umbrella energy protection device is arranged on the puncture sheath tube and comprises a fixed rod, a puncture channel penetrating through two ends of the fixed rod is arranged inside the fixed rod, a fixed plate is tightly welded at the top end of the fixed rod, a protective film is arranged outside the top of the fixed rod, the middle part of the fixed rod is sleeved with a sleeve, the outer wall of the sleeve is sleeved with a fixed ring, and the outer wall of the fixed ring is provided with a plurality of support rods;
the protection film includes the opening strip that a plurality of arc set up, the top and the stationary blade of opening strip are connected, the below of opening strip is provided with flexible strake, the bottom and the flexible strake of opening strip closely bond, adjacent two be provided with the connection piece between the opening strip.
Preferably, the puncture sheath passes through the puncture channel, and the puncture sheath is connected with the fixing rod in a sliding manner.
Preferably, the top end of the fixing rod penetrates through the surface of the fixing sheet.
Preferably, a plurality of the connecting sheets and a plurality of the opening strips form a semispherical structure together.
Preferably, the bottom end of the supporting rod is hinged to the outer wall of the fixing ring, and the top end of the supporting rod is hinged to the middle of the inner side of the protective film.
Preferably, two sides of the connecting sheet are tightly adhered with the opening strip.
Preferably, the top of stationary blade is provided with a plurality of fixing bolt, the top of stationary blade is close to fixing bolt department and sets up threaded hole, the top of strutting the strip is around establishing on fixing bolt's screw rod, fixing bolt's bottom and threaded hole threaded connection.
Compared with the prior art, the utility model has novelty, the puncture outfit of the laparoscope umbrella is proposed for the first time, and domestic and foreign publications are not published; the design structure is simple, the use is convenient, the utility model is particularly suitable for the cooperation of modern advanced technology, and the utility model is very practical; its function receive and releases the freedom like the umbrella, and nimble adjustment can protect device can avoid chimney effect as far as possible through the puncture ware umbrella that wherein sets up, makes its tumor cell and flue gas, blood emerge through the puncture ware centre bore, can protect the peritoneum of artificial puncture when cutting off the tumour under the peritoneoscope, avoids tumor cell to plant, the utility model discloses novelty and creativity have very big practical value moreover, facilitate promotion.
Drawings
Fig. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a schematic view of the present invention;
FIG. 3 is one of the schematic views showing the umbrella energy protector of the puncture device according to the present invention;
FIG. 4 is a drawing-in schematic view of the umbrella energy protection device of the puncture outfit of the present invention;
FIG. 5 is a second schematic view showing the umbrella energy protector of the puncture device according to the present invention;
fig. 6 is an enlarged view of a portion a of fig. 5 according to the present invention;
FIG. 7 is a structural diagram of the storage state after use of the present invention;
FIG. 8 is a structural diagram of the air bag type opening device according to the present invention;
FIG. 9 is a structural diagram of the airbag type distracting device of the present invention in an expanded state;
FIG. 10 is a schematic view of the structure of the air bag of the present invention;
fig. 11 is a schematic view of the structure of the sleeve of the present invention.
In the figure: 1. a puncture outfit body; 11. puncturing a sheath tube; 2. a peritoneal membrane; 3. the puncture outfit umbrella energy protecting device; 31. fixing the rod; 311. a puncture channel; 32. a protective film; 321. opening the strip; 322. connecting sheets; 323. a flexible edge strip; 33. a sleeve; 331. a stationary ring; 332. a support bar; 34. a fixing sheet; 341. fixing the bolt; 35. opening the tube; 8. an air bag type opening device; 81. a sleeve; 82. an air bag; 821. a waterproof film; 822. an air bag framework; 83. an inflation tube; 831. a luer fitting.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative work belong to the protection scope of the present invention.
In the description of the present invention, it is to be understood that the terms "center", "longitudinal", "lateral", "length", "width", "thickness", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", "clockwise", "counterclockwise", and the like indicate orientations or positional relationships based on the orientations or positional relationships shown in the drawings, and are only for convenience of description and to simplify the description, but do not indicate or imply that the device or element referred to must have a particular orientation, be constructed and operated in a particular orientation, and therefore should not be construed as limiting the present invention.
The utility model discloses a protection device is placed in puncture sheath pipe outside, inserts the pjncture needle in the puncture sheath pipe, after the puncture to the abdominal cavity, struts puncture ware umbrella ability protection device, then adjusts puncture ware umbrella ability protection device's position, extracts the pjncture needle at last, stays puncture sheath pipe on the stomach wall, stays puncture ware umbrella ability protection device in the abdominal cavity and hug closely the stomach wall inner membrance, then the reuse action bars passes through the sleeve and gets into the abdominal cavity, operates.
This is the utility model discloses set up puncture ware umbrella ability protection device's purpose, the first effect is the protection wall peritoneum, struts puncture ware umbrella ability protection device, and protection device closely laminates with the wall peritoneum. And secondly, the leakage of gas is prevented, and the pressure in the abdominal cavity is kept stable. For the third purpose: the center of the puncture sheath tube is hollow, and instruments are put in the puncture sheath tube for operation, so that the feasibility of operation is ensured.
Example 1
The utility model provides a peritoneoscope umbrella can puncture ware, as shown in fig. 1, fig. 3 and fig. 4, including puncture ware body 1, the one end of puncture ware body 1 is provided with puncture sheath pipe 11, be provided with puncture ware umbrella on the puncture sheath pipe 11 and can protection device 3, puncture ware umbrella can protection device 3 includes dead lever 31, the inside of dead lever 31 is provided with puncture channel 311 that runs through the dead lever 31 both ends, puncture sheath pipe 11 passes puncture channel 311, and puncture sheath pipe 11 and dead lever 31 sliding connection, the top of dead lever 31 has closely welded stationary blade 34, the surface of stationary blade 34 is run through on the top of dead lever 31, the top outside of dead lever 31 is provided with protection film 32, the middle part cover of dead lever 31 is equipped with sleeve pipe 33, the outer wall cover of sleeve pipe 33 is equipped with retainer ring 331, the outer wall of retainer ring 331.
Specifically, retainer plate 331 adopts the silica gel material to make, and the silica gel material is soft, has certain elasticity, can make retainer plate 331 tightly overlap on sleeve pipe 33, and can conveniently dismantle.
It should be noted that, as shown in fig. 11, one end of the sleeve 33 may be connected to an expanding tube 35, and the expanding tube 35 is sleeved outside the fixing rod 31, so that the sleeve 33 can be moved by pushing the expanding tube 35 with a hand, thereby opening or closing the protecting film 32.
In addition, bracing piece 332 adopts the aluminum alloy material to make, and aluminum alloy density is low, and intensity is than higher, and plasticity is good, can strut the protection film 32 at top, can change the size that the protection film 32 struts through sliding sleeve 33, conveniently gets into and wears out the puncture hole.
Protection film 32 includes the strip 321 that struts that a plurality of arc set up, the top of the strip 321 that struts is connected with stationary blade 34, the below of the strip 321 that struts is provided with flexible strake 323, the bottom of the strip 321 that struts closely bonds with flexible strake 323, be provided with connection piece 322 between two adjacent strips 321 that strut, the both sides of connection piece 322 closely bond with the strip 321 that struts, a plurality of connection piece 322 and a plurality of strut the strip 321 and form a hemispherical structure jointly, the bottom of bracing piece 332 is articulated with the outer wall of retainer plate 331, the top of bracing piece 332 is articulated with the inboard middle part of protection film 32.
In addition, the opening strips 321 are made of carbon steel, and the carbon steel has good elasticity and hardness, so that the protective film 32 can be in an umbrella-shaped structure when being opened, and can be well attached to the abdominal wall film 2; the connecting sheet 322 is made of a polyester film, and the polyester film is a colorless, transparent and glossy film, can be well attached to the abdominal wall membrane 2 of a patient, and avoids the emergence of free tumor cells inside.
When the laparoscopic umbrella puncture outfit of the present embodiment is used, the sleeve 33 is sleeved on the fixing rod 31, so that the puncture outfit umbrella protection device 3 is fixed outside the fixing rod 31, the puncture sheath 11 penetrates through the puncture channel 311 on the fixing rod 31, and then the puncture sheath 11 punctures into the abdominal wall membrane 2 of the patient, as shown in fig. 2, after the puncture is successful, the puncture outfit umbrella protection device 3 is spread as required, the sleeve 33 is slid, so that the supporting rod 332 moves, one end of the supporting rod 332 applies pressure to the inner wall of the protection membrane 32, so as to spread the protection membrane 32, after the puncture is maximized, the connecting sheets 322 on the protection membrane 32 are in an umbrella-shaped structure supported by the spreading strips 321, the protection membrane 32 is tightly attached to the wall peritoneum 2, so that the weakest part of the wall peritoneum 2 is protected, the umbrella-shaped protection membrane 32 is soft in material, and is not easy to cause tissue damage, the protection membrane, the protective film 32 is tightly attached to the abdominal wall membrane 2, the shape of the protective film 32 can be flexibly changed through the sliding sleeve 33, the protective film can pass through a narrow puncture hole to be unfolded in an abdominal cavity, finally, the puncture sheath 11 is pulled out, an instrument passes through the puncture channel 311 to perform an operation, when the operation is performed, tumor cells, blood and smoke on the inner side of the abdominal wall membrane 2 can be discharged through the puncture channel 311, and when an aspirator is used, the smoke and the blood can be prevented from contacting the abdominal wall membrane 2 when the aspirator is used for suction, so that the tumor cells are prevented from being planted, and meanwhile, the protective film 32 is attached to the abdominal wall membrane 2 to prevent air leakage;
after the operation is finished, the sleeve 33 is slid to fold the umbrella-shaped protective film 32, the outer diameter of the protective film 32 is integrally reduced after the protective film is folded, the fixing rod 31 is pulled outwards, so that the protective film 32 in contact with the gas penetrates out of the puncture hole, the puncture device can be taken out, and the puncture device umbrella can protect the whole puncture device 3 to be smooth. Is convenient for entering and exiting the abdominal cavity.
As shown in FIG. 2, the puncture instrument umbrella-like protector 3 needs to be tightly coupled to prevent the contact between the outside air and the tumor cells in the body, and the umbrella-like protective film 32 prevents air leakage to maintain the pressure in the abdominal cavity stable. This is another important function of the puncture outfit of the laparoscope umbrella. The surgeon may puncture the puncture hole too much and not tightly, resulting in a crack between the sheath tube and the abdominal wall, gas leakage, insufficient intra-abdominal pressure and difficulty in laparoscopic operation. Compared with patients with thick abdominal walls, patients with small body sizes have thin abdominal walls, the puncture outfit is easy to loosen, and the fixing effect is enhanced after the protection device is spread. In addition, in the operation process, the puncture device is frequently required to be repeatedly pulled out and penetrated, the puncture hole is enlarged to cause air leakage, and some operation operations need to artificially enlarge the puncture hole, take out a specimen cut out in the abdominal cavity in an operation and then put in the puncture device. The puncture outfit of the laparoscope umbrella can be tightly connected with the peritoneum, so that air leakage is prevented, and as shown in figure 2, the puncture outfit of the laparoscope umbrella can be equivalent to a piston, so that air leakage is prevented.
Example 2
In the specific using process, the joint of the top end of the opening strip 321 and the fixing plate 34 is easy to break when the opening strip 321 is used for a long time, and the replacement and installation of the opening strip 321 are inconvenient after the opening strip 321 is detached, so that an improvement is made on the basis of the embodiment 1, as shown in fig. 5 and 6, a plurality of fixing bolts 341 are arranged at the top of the fixing plate 34, threaded holes are formed in the positions, close to the fixing bolts 341, of the top of the fixing plate 34, the top end of the opening strip 321 is wound on a screw rod of the bolt 341, and the bottom end of the bolt 341 is in threaded connection with the threaded holes.
In this embodiment, through the one end of propping open the strip 321 around establishing on the screw rod of bolt 341, can make the top of propping open the strip 321 fixed, through screwing up bolt 341 on stationary blade 34 for the head of bolt 341 will prop open the strip 321 and tightly press on stationary blade 34, makes it difficult not hard up, use carelessly when splitting for a long time at propping open the strip 321, will prop open the strip 321 to take off through loosening bolt 341 and change, convenient operation is swift.
Example 3
As a third embodiment of the utility model, as shown in fig. 7, the utility model is used and stored, and is flat as the umbrella is folded, beautiful, convenient and more practical.
Example 4
As a fourth embodiment of the present invention, the puncture sheath 11 may further be provided with a balloon type distracting device 8, as shown in fig. 8, the balloon type distracting device 8 includes a sleeve 81, the sleeve 81 is sleeved on the puncture sheath 11, the outer portion of the sleeve 81 is sleeved with a balloon 82, the balloon 82 is a circular structure with a center portion depressed downwards, the balloon 82 includes a plurality of balloon frameworks 822, a waterproof film 821 is disposed between the plurality of balloon frameworks 822, both sides of the waterproof film 821 are tightly adhered to the balloon frameworks 822, the inner portion of the balloon 82 is a hollow structure, the surface of the balloon 82 is connected with an inflation tube 83, one end of the inflation tube 83 away from the balloon 82 is connected with a luer connector 831, after the luer connector 831 is externally connected with an inflation device, gas is filled into the balloon 82 through the inflation tube 83, so that the balloon 82 is inflated, as shown in fig. 9, a good protection effect can be, as shown in fig. 10, a circular downwardly concave configuration.
The foregoing shows and describes the general principles, essential features, and advantages of the invention. It should be understood by those skilled in the art that the present invention is not limited by the above embodiments, and the description in the above embodiments and the description is only preferred examples of the present invention, and is not intended to limit the present invention, and that the present invention can have various changes and modifications without departing from the spirit and scope of the present invention, and these changes and modifications all fall into the scope of the claimed invention. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims (7)

1. The utility model provides a peritoneoscope umbrella can puncture ware, includes puncture ware body (1), the one end of puncture ware body (1) is provided with puncture sheath pipe (11), its characterized in that: the puncture sheath tube (11) is provided with a puncture device umbrella energy protection device (3), the puncture device umbrella energy protection device (3) comprises a fixed rod (31), a puncture channel (311) penetrating through two ends of the fixed rod (31) is arranged inside the fixed rod (31), a fixed plate (34) is tightly welded at the top end of the fixed rod (31), a protection film (32) is arranged on the outer side of the top of the fixed rod (31), a sleeve (33) is sleeved in the middle of the fixed rod (31), a fixed ring (331) is sleeved on the outer wall of the sleeve (33), and a plurality of support rods (332) are arranged on the outer wall of the fixed ring (331);
protection film (32) include the strip (321) of strutting that a plurality of arc set up, the top and the stationary blade (34) of strutting strip (321) are connected, the below of strutting strip (321) is provided with flexible strake (323), the bottom and the flexible strake (323) of strutting strip (321) closely bond, adjacent two it is provided with connection piece (322) to strut between strip (321).
2. The laparoscopic umbrella piercer of claim 1, wherein: puncture sheath pipe (11) pass puncture passageway (311), just puncture sheath pipe (11) and dead lever (31) sliding connection.
3. The laparoscopic umbrella piercer of claim 1, wherein: the top end of the fixing rod (31) penetrates through the surface of the fixing piece (34).
4. The laparoscopic umbrella piercer of claim 1, wherein: the connecting sheets (322) and the opening strips (321) form a hemispherical structure together.
5. The laparoscopic umbrella piercer of claim 1, wherein: the bottom end of the support rod (332) is hinged to the outer wall of the fixing ring (331), and the top end of the support rod (332) is hinged to the middle of the inner side of the protection film (32).
6. The laparoscopic umbrella piercer of claim 1, wherein: two sides of the connecting sheet (322) are tightly adhered with the opening strip (321).
7. The laparoscopic umbrella piercer of claim 1, wherein: the top of stationary blade (34) is provided with a plurality of fixing bolt (341), the top of stationary blade (34) is close to fixing bolt (341) department and is seted up the screw hole, set up on fixing bolt (341)'s screw rod is wound on the top of strutting strip (321), the bottom and the screw hole threaded connection of fixing bolt (341).
CN201920022158.7U 2019-01-08 2019-01-08 Laparoscope umbrella puncture outfit Expired - Fee Related CN209932918U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201920022158.7U CN209932918U (en) 2019-01-08 2019-01-08 Laparoscope umbrella puncture outfit

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201920022158.7U CN209932918U (en) 2019-01-08 2019-01-08 Laparoscope umbrella puncture outfit

Publications (1)

Publication Number Publication Date
CN209932918U true CN209932918U (en) 2020-01-14

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CN201920022158.7U Expired - Fee Related CN209932918U (en) 2019-01-08 2019-01-08 Laparoscope umbrella puncture outfit

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115590588A (en) * 2022-09-26 2023-01-13 中国人民解放军总医院第七医学中心(Cn) A intra-abdominal cavity strutting arrangement for among neonate's laparoscopic surgery

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN115590588A (en) * 2022-09-26 2023-01-13 中国人民解放军总医院第七医学中心(Cn) A intra-abdominal cavity strutting arrangement for among neonate's laparoscopic surgery
CN115590588B (en) * 2022-09-26 2024-01-12 中国人民解放军总医院第七医学中心 Intraperitoneal supporting device used in laparoscopic surgery of newborn

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Granted publication date: 20200114

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