CN210301135U - Hepatobiliary surgery clinical stone extractor - Google Patents

Hepatobiliary surgery clinical stone extractor Download PDF

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Publication number
CN210301135U
CN210301135U CN201920852203.1U CN201920852203U CN210301135U CN 210301135 U CN210301135 U CN 210301135U CN 201920852203 U CN201920852203 U CN 201920852203U CN 210301135 U CN210301135 U CN 210301135U
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tube
forceps
spoon
negative pressure
fixed
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Expired - Fee Related
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CN201920852203.1U
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Chinese (zh)
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叶大才
唐宇
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Individual
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Abstract

The utility model discloses a clinical lithotomy device for hepatobiliary surgery, which comprises lithotomy forceps, a negative pressure suction structure and a basket structure, wherein the lithotomy forceps are detachably connected with the negative pressure suction structure, the lithotomy forceps are fixedly connected with the basket structure, the lithotomy forceps comprise a fixed spoon forceps, a rotary spoon forceps and a forceps tube, the fixed spoon forceps and the rotary spoon forceps are connected with one end of the forceps tube, the forceps tube is of a hollow tubular structure, a suction tube of the negative pressure suction structure and a tube sheath of the basket structure penetrate through the forceps tube, one end of the suction tube of the negative pressure suction structure penetrates through the forceps tube and extends to the end part of the forceps tube connected with the fixed spoon forceps, the suction tube is detachably and hermetically connected with the negative pressure device, the tube sheath of the basket structure sequentially penetrates through the connecting tube and the forceps tube and is slidably connected with the connecting tube and the forceps tube, and four guide wires penetrate through the tube sheath and extend out of two ends of the tube sheath, the clinical calculus removing device for the hepatobiliary surgery has the advantages of being capable of quickly removing calculus and preventing the calculus discharged from the body from scratching the organs.

Description

Hepatobiliary surgery clinical stone extractor
Technical Field
The utility model relates to a get stone implement technical field, specifically be a clinical stone implement of getting of hepatobiliary surgery.
Background
Generally, patients with choledochus, common hepatic duct and calculus in the liver and gall area often have clinical symptoms of abdominal pain, obstructive jaundice, fever and the like. For patients who do not want to do surgery or have contraindications of surgery, relapse after surgery, cholecystectomy and the like, therapeutic ERCP (endoscopic retrograde cholangiopancreatography) is preferably adopted, and a commonly adopted therapeutic apparatus is a calculus removing device.
The specific calculus removing process comprises the steps of knowing the position, size and number of calculus, carrying out in-vitro ultrasonic calculus removing on larger calculus, and then treating by adopting an in-vivo discharging method or a method of taking out the liver and gall stone by using a corresponding device.
In actual clinical treatment activities, broken stones have edges and corners, when the stones are discharged from the body, the gall bladder and the common bile duct are easily scratched, and the stone taking device is usually of a clip-shaped structure and is manually operated by medical workers during use, so that the stones are small and many, long-time clinical operation is required, and great examination is brought to the medical workers and patients. Therefore, there is a need to provide a new surgical lithotomy device for liver and gall bladder.
SUMMERY OF THE UTILITY MODEL
The utility model provides a not enough to prior art, the utility model provides a hepatobiliary surgery clinical stone extractor has solved and can get the stone fast and prevent the problem of internal discharge calculus fish tail organ.
In order to achieve the above purpose, the utility model is realized by the following technical scheme. A hepatobiliary surgery clinical stone extractor which is characterized in that: comprises lithotomy forceps, a negative pressure suction structure and a basket structure, wherein,
the lithotomy forceps comprise a fixed spoon forceps, a rotary spoon forceps and a forceps tube, the forceps tube is of a hollow tubular structure, the fixed spoon forceps is fixedly connected to one end along the extension direction of the forceps tube, the rotary spoon forceps is rotatably connected to the forceps tube, the rotary spoon forceps and the fixed spoon forceps are connected to the same end of the forceps tube, the fixed spoon forceps and the rotary spoon forceps are identical in structural size, and the fixed spoon forceps and the rotary spoon forceps are buckled with each other;
the negative pressure suction structure comprises a suction tube and a negative pressure device, one end of the suction tube penetrates through the forceps tube and extends to the end part of the forceps tube connected with the fixed spoon forceps, the suction tube is detachably and hermetically connected with the negative pressure device, the suction tube is of a soft rubber tubular structure, and the negative pressure device is of a transparent cylindrical structure;
the basket structure includes seal wire, tube-sheath, connecting pipe, fixed end and seal wire slide button, connecting pipe fixed connection in the pincers pipe surface, the connecting pipe with the pincers pipe is inside to communicate with each other, the tube-sheath runs through in proper order the connecting pipe with the pincers pipe, and sliding connection in the connecting pipe with the pincers pipe, the tube-sheath with attract pipe sliding connection, the seal wire runs through the tube-sheath and extend the both ends of tube-sheath, the seal wire with tube-sheath sliding connection, the seal wire is provided with four, four the one end of seal wire is provided with fixed end, four the other end of seal wire with seal wire slide button fixed connection.
Preferably, the lithotomy forceps are further provided with a rotating shaft, a connecting rod, a control sliding button and a lithotomy handle, the rotating spoon forceps are fixedly connected with the connecting rod, the connecting rod is fixedly connected with the rotating shaft, the rotating shaft is rotatably connected with the forceps tube, the control sliding button is connected with the rotating shaft in a control mode, the control sliding button is arranged on the outer surface of the lithotomy handle, the lithotomy handle is of a cylindrical structure with a groove, and the control sliding button is connected in the groove of the lithotomy handle in a sliding mode.
Preferably, a notch is formed in the position, close to the rotary spoon forceps, of the forceps tube, and the connecting rod is located in the notch.
Preferably, the negative pressure suction structure includes sealing port, regulating switch, sealed tube and sealed lid, sealed lid set up in the negative pressure ware top, sealed lid with negative pressure ware screwed connection, be provided with the sealing strip in the sealed lid, sealed covering be provided with the sealing port with the sealed tube, the sealing port is fixed with sealed piston, the sealed tube with attract the pipe can dismantle the connection, regulating switch set up in attract on the pipe, regulating switch with attract pipe sliding connection.
Preferably, the adjusting switch is of a trapezoidal structure with a high top and a low bottom, a roller is arranged in the adjusting switch, the suction tube penetrates through the adjusting switch, and the roller in the adjusting switch is arranged above the suction tube.
Preferably, the basket structure is still including the basket handle, the basket handle is the cylindrical structure of surface area recess, the basket handle with tube-sheath fixed connection, the smooth button of guide wire set up in the basket handle surface, the smooth button sliding connection of guide wire in the recess of basket handle.
The utility model provides a clinical lithotomy device for hepatobiliary surgery. The method has the following beneficial effects:
the hepatobiliary surgery clinical lithotomy device is provided with lithotomy forceps, a negative pressure suction structure and a basket structure, wherein the lithotomy forceps comprise a fixed spoon forceps, a rotary spoon forceps and a forceps tube, the fixed spoon forceps and the rotary spoon forceps are connected with the forceps tube, the forceps tube is of a hollow tubular structure, a suction tube of the negative pressure suction structure and a tube sheath of the basket structure penetrate through the forceps tube, the fixed spoon forceps and the rotary spoon forceps are buckled and then enter the hepatobiliary calculus part of a patient, a sliding button is controlled to control the rotary spoon forceps to rotate, an included angle is formed between the rotary spoon forceps and the fixed spoon forceps, the negative pressure suction structure absorbs liquid at the hepatobiliary part, the visual field of a doctor is convenient to widen, the negative pressure suction structure can also suck fine broken stones, the workload of the doctor is reduced, the broken stones are prevented from having edge angles, when the broken stones are discharged from the body, the organs of the patient are cut, a guide wire of the basket structure is pushed out from the guide wire tube sheath, and four net-, great calculus is lived to the seal wire net, and the wire is followed the pull and is led to the back, fixes the calculus through seal wire and tube sheath, and other calculus are held to the fixed spoon pincers of reuse and the pincers of rotation spoon, and spoon pincers structure can hold more calculus, and it drops to also prevent to take out the calculus of taking out when getting the stone ware simultaneously, once can take out the internal more calculus of patient through getting stone pincers, negative pressure suction structure and basket structure, shortens clinical operation time, uses manpower sparingly, improves work efficiency.
Drawings
Fig. 1 is a schematic structural view of a preferred embodiment of a hepatobiliary surgery clinical lithotomy device provided by the present invention;
FIG. 2 is a front view of the hepatobiliary surgery clinical lithotomy device provided by the present invention;
fig. 3 is a left side view of the hepatobiliary surgery clinical lithotomy device provided by the utility model.
In the figure: 1-lithotomy forceps, 2-negative pressure suction structure, 3-basket structure, 11-fixed spoon forceps, 12-rotary spoon forceps, 13-rotating shaft, 14-connecting rod, 15-forceps tube, 16-control slide button, 17-lithotomy handle, 21-suction tube, 22-sealing port, 23-regulating switch, 24-sealing tube, 25-sealing cover, 26-negative pressure device, 31-guide wire, 32-sheath, 33-connecting tube, 34-basket handle, 35-fixed end and 36-guide wire slide button.
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.
Referring to fig. 1-3, the present invention provides a technical solution: the utility model provides a clinical stone extractor of hepatobiliary surgery, includes stone forceps 1, negative pressure suction structure 2 and basket structure 3, wherein, stone forceps 1 can dismantle with negative pressure suction structure 2 and be connected, stone forceps 1 and basket structure 3 fixed connection.
In the specific implementation process, as shown in fig. 1, the lithotomy forceps 1 includes a fixed spoon forceps 11, a rotary spoon forceps 12, a connecting rod 14, a forceps tube 15, a control slide button 16 and a lithotomy handle 17, the forceps tube 15 is a hollow tubular structure, the fixed spoon forceps 11 is fixedly connected to one end along the extending direction of the forceps tube 15, the rotary spoon forceps 12 and the fixed spoon forceps 11 are connected to the same end of the forceps tube 15, the rotary spoon forceps 12 is rotatably connected to the forceps tube 15, the spoon forceps parts of the fixed spoon forceps 11 and the rotary spoon forceps 12 are the same in size, the fixed spoon forceps 11 and the rotary spoon forceps 12 can be mutually buckled, the rotary spoon forceps 12 and the connecting rod 14 are fixedly connected, the control slide button 16 is arranged on the outer surface of the lithotomy handle 17, the lithotomy handle 17 is a cylindrical structure with a groove, and the friction force of the lithotomy handle 17 is increased through the, the stone forceps 1 adopts a spoon forceps structure, can contain more stones, and simultaneously prevents the stones from falling off when the stone taking device is taken out.
The negative pressure suction structure 2 comprises a suction tube 21, an adjusting switch 23 and a negative pressure device 26, one end of the suction tube 21 penetrates through the forceps tube 15 and extends to the end part of the forceps tube 15 connected with the fixed spoon forceps 11, the suction tube 21 is detachably and hermetically connected with the negative pressure device 26, the suction tube 21 is of a soft rubber tubular structure, the negative pressure device 26 is of a transparent cylindrical structure, the adjusting switch 23 is arranged on the suction tube 21, the adjusting switch 23 is in sliding connection with the suction tube 21, and the negative pressure suction structure 2 does not need electricity, so that energy is saved.
The basket structure 3 comprises guide wires 31, tube sheaths 32, connecting tubes 33, basket handles 34, fixed end heads 35 and guide wire sliding buttons 36, the connecting tubes 33 are fixedly connected to the outer surfaces of the forceps tubes 15, the connecting tubes 33 are communicated with the insides of the forceps tubes 15, the tube sheaths 32 sequentially penetrate through the connecting tubes 33 and the forceps tubes 15 and are slidably connected with the connecting tubes 33 and the forceps tubes 15, the tube sheaths 32 are slidably connected with the suction tubes 21, the guide wires 31 penetrate through the tube sheaths 32 and extend out of the two ends of the tube sheaths 32, the guide wires 31 are slidably connected with the tube sheaths 32, the guide wires 31 are provided with four guide wires 31, one end of each of the four guide wires 31 is provided with the fixed end head 35, the fixed end heads 35 realize that the four guide wires 31 form a net structure, large stones can be conveniently taken out, the other ends of the four guide wires 31 are fixedly connected with the guide wire sliding buttons 36, the sliding guide wire buttons 36 move along with the guide wires 31, the guide, the guide wire slide button 36 is connected in a groove of the basket handle 34 in a sliding manner, the basket handle 34 is fixedly connected with the tube sheath 32, the tube sheath 32 can be pushed out from the jaw of the lithotomy forceps 1 by pushing the basket handle 34, and the tube sheath 32 can be pulled out from the lithotomy forceps 1 by pulling the basket handle 34.
As shown in fig. 2, the lithotomy forceps 1 is further provided with a rotating shaft 13, a connecting rod 14 is fixedly connected with the rotating shaft 13, the rotating shaft 13 is rotatably connected with a forceps tube 15, a notch is formed in a position, close to the rotating spoon forceps 12, of the forceps tube 15, the rotating shaft 13 and the connecting rod 14 are located in the notch, an inelastic control rope is arranged between the rotating shaft 13 and a control slide button 16, and the slide control slide button 16 can realize rotation of the rotating shaft 13, so that rotation of the rotating spoon forceps 12 is driven, and opening and buckling of the rotating spoon forceps 12 and the fixed spoon forceps 11 are realized.
As shown in fig. 3, the negative pressure suction structure 2 includes a sealing port 22, an adjusting switch 23, a sealing tube 24 and a sealing cover 25, the sealing cover 25 is disposed on the top end of a negative pressure device 26, the sealing cover 25 is spirally connected with the negative pressure device 26, a sealing strip is disposed in the sealing cover 25, the sealing cover 25 is provided with the sealing port 22 and the sealing tube 24, the sealing port 22 is fixed with a sealing piston, the sealing port 22 is opened to tilt, the sealing tube 24 is detachably connected with the suction tube 21, the suction tube 21 penetrates through the adjusting switch 23, the adjusting switch 23 is a ladder-shaped structure with a high top and a low bottom, a roller is disposed in the adjusting switch 23, the roller in the adjusting switch 23 is disposed above the suction tube 21, the force of negative pressure suction can be adjusted by adjusting the position of the roller in the adjusting switch 23 in the ladder-shaped structure, the roller in the adjusting switch 23 is rolled to the, the negative pressure suction is closed, the negative pressure suction structure 2 realizes the absorption of the liquid at the liver and gall positions, the visual field of a doctor is convenient to widen, the negative pressure suction structure 2 can also suck tiny broken stones, the workload of the doctor is reduced, the broken stones are prevented from having edges and corners, and the patient organs are scratched when the broken stones are discharged from the body.
The utility model provides a pair of clinical stone extractor of hepatobiliary surgery's theory of operation as follows:
when in use, the suction tube 21 of the negative pressure suction structure 2 and the tube sheath 32 of the basket structure 3 are penetrated in the forceps tube 15, the fixed spoon forceps 11 and the rotary spoon forceps 12 are buckled and then enter the hepatobiliary calculus part of a patient, the slide button 16 is controlled to control the rotary spoon forceps 12 to rotate, the rotary spoon forceps 12 and the fixed spoon forceps 11 form an included angle, the negative pressure suction structure 2 absorbs the liquid at the hepatobiliary part to conveniently widen the visual field of a doctor, the negative pressure suction structure 2 can also suck small broken calculus to reduce the workload of the doctor and prevent the broken calculus from having edges and corners, when the stone is discharged from the body, the organ of the patient is cut, the guide wires 31 of the basket structure 3 are pushed out from the tube sheath 32, the four guide wires 31 are rotated to form a net structure, the guide wires net a larger calculus, the guide wires are pulled backwards, the calculus is fixed through the guide wires 31 and the tube sheath 32, and other calculi are clamped by the fixed spoon forceps 11 and the rotary forceps 12, the spoon pincers structure can hold more calculus, also prevents to take out the calculus and takes place the calculus when getting the stone implement simultaneously and drops, once can take out the internal more calculus of patient through getting stone pincers 1, negative pressure suction structure 2 and basket structure 3, shortens clinical operating time, uses manpower sparingly, improves work efficiency.
It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims (6)

1. A hepatobiliary surgery clinical stone extractor which is characterized in that: comprises lithotomy forceps (1), a negative pressure suction structure (2) and a basket structure (3), wherein,
the lithotomy forceps (1) comprise a fixed spoon forceps (11), a rotary spoon forceps (12) and a forceps tube (15), the forceps tube (15) is of a hollow tubular structure, the fixed spoon forceps (11) is fixedly connected to one end of the forceps tube (15) in the extending direction, the rotary spoon forceps (12) is rotatably connected to the forceps tube (15), the rotary spoon forceps (12) and the fixed spoon forceps (11) are connected to the same end of the forceps tube (15), the fixed spoon forceps (11) and the rotary spoon forceps (12) are identical in structure and size, and the fixed spoon forceps (11) and the rotary spoon forceps (12) are buckled with each other;
the negative pressure suction structure (2) comprises a suction tube (21) and a negative pressure device (26), one end of the suction tube (21) penetrates through the forceps tube (15) and extends to the end part of the forceps tube (15) connected with the fixed spoon forceps (11), the suction tube (21) is detachably and hermetically connected with the negative pressure device (26), the suction tube (21) is of a soft rubber tubular structure, and the negative pressure device (26) is of a transparent cylindrical structure;
the basket structure (3) comprises a guide wire (31), a tube sheath (32), a connecting tube (33), a fixed end head (35) and a guide wire sliding button (36), the connecting pipe (33) is fixedly connected to the outer surface of the clamp pipe (15), the connecting pipe (33) is communicated with the interior of the clamp pipe (15), the tube sheath (32) penetrates through the connecting tube (33) and the clamp tube (15) in sequence and is connected with the connecting tube (33) and the clamp tube (15) in a sliding way, the tube sheath (32) is connected with the suction tube (21) in a sliding way, the guide wire (31) penetrates through the tube sheath (32) and extends out of two ends of the tube sheath (32), the guide wires (31) are connected with the tube sheaths (32) in a sliding mode, four guide wires (31) are arranged, one ends of the four guide wires (31) are provided with the fixed end heads (35), and the other ends of the four guide wires (31) are fixedly connected with the guide wire sliding buttons (36).
2. The hepatobiliary surgery clinical lithotomy device according to claim 1, wherein: get stone pincers (1) and still be provided with pivot (13), connecting rod (14), control slide button (16) and get stone handle (17), rotate spoon pincers (12) with connecting rod (14) fixed connection, connecting rod (14) with pivot (13) fixed connection, pivot (13) with tong pipe (15) rotate and connect, control slide button (16) with pivot (13) control connection, control slide button (16) set up in get stone handle (17) surface, it is the notched cylindrical structure to get stone handle (17), control slide button (16) sliding connection in the recess of getting stone handle (17).
3. The hepatobiliary surgery clinical lithotomy device according to claim 2, wherein: a notch is formed in the position, close to the rotary spoon forceps (12), of the forceps tube (15), and the connecting rod (14) is located in the notch.
4. The hepatobiliary surgery clinical lithotomy device according to claim 1, wherein: negative pressure suction structure (2) is including seal port (22), regulating switch (23), sealed tube (24) and sealed lid (25), sealed lid (25) set up in negative pressure ware (26) top, sealed lid (25) with negative pressure ware (26) threaded connection, be provided with the sealing strip in sealed lid (25), be provided with on sealed lid (25) seal port (22) with sealed tube (24), sealed port (22) are fixed with sealed piston, sealed tube (24) with attract pipe (21) and can dismantle the connection, regulating switch (23) set up in attract on pipe (21), regulating switch (23) with attract pipe (21) sliding connection.
5. The hepatobiliary surgery clinical lithotomy device of claim 4, wherein: the adjusting switch (23) is of a trapezoidal structure with a high top and a low bottom, a roller is arranged in the adjusting switch (23), the suction tube (21) penetrates through the adjusting switch (23), and the roller in the adjusting switch (23) is arranged above the suction tube (21).
6. The hepatobiliary surgery clinical lithotomy device according to claim 1, wherein: basket structure (3) are still including basket handle (34), basket handle (34) are the cylindrical structure of surface area notched, basket handle (34) with tube-sheath (32) fixed connection, guide wire slide button (36) set up in basket handle (34) surface, guide wire slide button (36) sliding connection in the recess of basket handle (34).
CN201920852203.1U 2019-06-06 2019-06-06 Hepatobiliary surgery clinical stone extractor Expired - Fee Related CN210301135U (en)

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CN201920852203.1U CN210301135U (en) 2019-06-06 2019-06-06 Hepatobiliary surgery clinical stone extractor

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CN201920852203.1U CN210301135U (en) 2019-06-06 2019-06-06 Hepatobiliary surgery clinical stone extractor

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111544116A (en) * 2020-04-26 2020-08-18 秦万祥 Minimally invasive robot surgical instrument quick-dismantling tool
CN111803141A (en) * 2020-07-07 2020-10-23 西安交通大学医学院第一附属医院 Umbrella-shaped negative pressure suction forceps for soft tissue specimens
CN113907840A (en) * 2021-08-31 2022-01-11 山东大学第二医院 Device for taking gallstone
RU2805799C1 (en) * 2023-03-21 2023-10-24 Федеральное государственное бюджетное образовательное учреждение высшего образования "Казанский Государственный медицинский университет" Министерства здравоохранения Российской Федерации Set of laparoscopic instruments for removing stones from common bile duct

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111544116A (en) * 2020-04-26 2020-08-18 秦万祥 Minimally invasive robot surgical instrument quick-dismantling tool
CN111544116B (en) * 2020-04-26 2021-05-11 高胜利 Minimally invasive robot assembly
CN111803141A (en) * 2020-07-07 2020-10-23 西安交通大学医学院第一附属医院 Umbrella-shaped negative pressure suction forceps for soft tissue specimens
CN113907840A (en) * 2021-08-31 2022-01-11 山东大学第二医院 Device for taking gallstone
CN113907840B (en) * 2021-08-31 2023-08-29 山东大学第二医院 Device for taking gall-stone
RU2805799C1 (en) * 2023-03-21 2023-10-24 Федеральное государственное бюджетное образовательное учреждение высшего образования "Казанский Государственный медицинский университет" Министерства здравоохранения Российской Федерации Set of laparoscopic instruments for removing stones from common bile duct

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