CN210447098U

CN210447098U - Structure convenient for lifting tissue in cavity in laparoscopic surgery

Info

Publication number: CN210447098U
Application number: CN201920803181.XU
Authority: CN
Inventors: 张伟; 杨文增; 马涛; 刘明楷; 李月; 沈丹
Original assignee: AFFILIATED HOSPITAL OF HEBEI UNIVERSITY
Current assignee: AFFILIATED HOSPITAL OF HEBEI UNIVERSITY
Priority date: 2019-05-30
Filing date: 2019-05-30
Publication date: 2020-05-05
Anticipated expiration: 2029-05-30

Abstract

The utility model provides a structure that is convenient for carry and draws intracavity tissue among laparoscopic surgery, including the clamp, the clamp is connected with and carries the portion of drawing, when the operation, when the clamp is sent into the intracavity, carry the portion of drawing and be sent into the intracavity in the lump, clamp clamping intracavity pathological change tissue back, carry the needle and shift out the extraluminal again, the needle is carried in the pulling this moment, can stimulate the clamp with carrying the pull wire that the needle links to each other of drawing, thereby to mention by the intracavity tissue of clamping, be convenient for enlarge the operation field of vision and to the excision of pathological change tissue, make the doctor can accurately accomplish the treatment more fast, two clamps also can be connected to a pull needle, the manpower has also been practiced thrift in the time of convenient operation, laparoscopic surgery's efficiency has been improved greatly.

Description

Structure convenient for lifting tissue in cavity in laparoscopic surgery

Technical Field

The utility model relates to the field of medical supplies, in particular to a structure convenient for lifting and pulling tissue in a cavity in laparoscopic surgery.

Background

When the surgery, especially laparoscopic surgery, the doctor of the main knife is difficult to directly operate the pathological change part, the pathological change tissue needs to be allocated to a proper angle in advance, the forceps are used for fixing the pathological change tissue, then the pathological change tissue is cut off, the operation process is very inconvenient, sometimes, even one or more assistants are needed to help to fix the pathological change tissue, the risk and the complexity of the surgery are greatly improved, and the timeliness of the treatment is influenced.

In the operation process, the tubular tissue is often clamped by the ligation clip to prevent the liquid in the tubular tissue from flowing out, the existing ligation clip is a titanium clip, a Hem-o-lok clip, an absorbable clip and the like, and the ligation clip is widely applied to clinical medicine as an excellent auxiliary tool.

Although the ligature clamp is widely used for clamping intracavity tissues in the operation, at present, the structure that can pull intracavity pathological change tissue with the help of the ligature clamp does not exist, so, need urgently to need a structure that is arranged in laparoscopic surgery to be convenient for pull intracavity tissues to when solving to pathological change tissue excision in the laparoscopic surgery at present, pathological change tissue often shelters from the operation field of vision, need expend time and manpower and allocate intracavity tissues, influences the ageing problem of treatment.

SUMMERY OF THE UTILITY MODEL

The utility model discloses an aim at is exactly to make the improvement on the basis that traditional ligature pressed from both sides, increases and carries the portion of drawing, makes the ligature knot can be applied to clamping pathological change tissue and be convenient for carry and divide and dial, enlarges the operation field of vision, makes things convenient for the operation to when solving in the present laparoscopic surgery to pathological change tissue excision, pathological change tissue often shelters from the operation field of vision, need expend time and manpower and divide and dial intracavity tissue, influences the problem of treatment timeliness.

In order to achieve the above object, the utility model provides a following scheme:

the utility model provides a be convenient for carry structure of drawing intracavity tissue among laparoscopic surgery, including the clamp, the clamp includes first arm lock and second arm lock, first arm lock with the second arm lock is connected through the elasticity kink, and two arm locks are the identical arc structure of contact surface, and the free end of two arm locks is equipped with matched with fastening structure, the clamp still is connected with and carries the portion of drawing, carry the portion of drawing including carrying the line and carrying the needle, wherein carry the one end of drawing with the clamp is connected, carry the other end of drawing with carry and draw the needle and connect.

Preferably, the contact surface of first arm lock with the second arm lock all is equipped with matched with sawtooth, and the height of sawtooth is 0.4~0.8 mm.

Preferably, the fastening structure comprises a clamping head and a clamping groove, the clamping head is connected to the free end of the first clamping arm, and the clamping groove is connected to the free end of the second clamping arm.

Preferably, each side of the chuck in the thickness direction is wider than the first clamping arm by 0.5-1.5 mm, the outer side of the free end of the second clamping arm is provided with a clamping column, and each side of the clamping column in the thickness direction is wider than the second clamping arm by 0.5-1.5 mm.

Preferably, the lifting line adopts a suture line, the lifting needle adopts a round straight suture needle, the surface of the suture line is smooth, the strip is even, no stain and knot exist, the surface of the suture needle is smooth and straight, no bending exists, the needle point is sharp, no hook exists, the joint of the needle and the line is smooth, and no burr exists.

Preferably, the pulling wire is fixed on the elastic bending part, or the pulling wire is welded inside the elastic bending part.

Preferably, one lifting needle is connected with two lifting wires, and the two lifting wires are respectively connected with one clamp body.

The utility model discloses following beneficial technological effect has been gained for prior art:

1. the utility model provides a pair of a structure that is convenient for carry and draws intracavity tissue among laparoscopic surgery, including the clamp and the portion of carrying that is connected with it, when the operation, the clamp is sent into the intracavity with carrying the portion in the lump, behind the clamp clamping intracavity tissue, carry and draw the needle and shift out the extraventricular again, the needle is carried in the pulling this moment, can stimulate the clamp with carrying the line of carrying that the needle links to each other of carrying, thereby reach and allocate the purpose of intracavity tissue, the doctor of being convenient for accurately accomplishes the treatment fast, one carries and draws the needle and can also connect two clamps, also practiced thrift the manpower in the time of convenient operation.

2. The utility model provides a pair of a structure that is arranged in laparoscopic surgery to be convenient for carry and draws intracavity tissue, the contact surface of two arm lock of clamp all is equipped with protruding structure, and the free end of two arm lock is equipped with matched with fastening structure for the clamp is more firm difficult for droing to the clamping of tissue, but can not constitute the damage to the tissue.

3. The utility model provides a pair of a structure that is arranged in laparoscopic surgery to be convenient for carry and draws intracavity tissue all is equipped with thickness width in the clamping structure of arm lock at the free end of two arm locks, has made things convenient for applying and has pressed from both sides the ware and to the application of clamp, also makes the application of clamp more accurate.

Drawings

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings required to be used in the embodiments will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without inventive labor.

FIG. 1 is a schematic structural view of an embodiment 1 of the present invention for facilitating the lifting of tissue in a cavity during laparoscopic surgery;

FIG. 2 is a schematic view of a clip body portion of an embodiment 1 of the present invention for facilitating the pulling of tissue in a cavity during laparoscopic surgery; FIG. 3 is a schematic structural view of an embodiment 2 of the present invention for facilitating the lifting of tissue in a cavity during laparoscopic surgery;

in the figure: 1: clip body, 11: first clip arm, 12: second arm lock, 121: clamping column, 13: elastic bent portion, 14: fastening structure, 141: chuck, 142: card slot, 2: pulling section, 21: pulling wire, 22: and (5) lifting and pulling the needle.

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.

The utility model aims at providing a structure that is arranged in laparoscopic surgery to be convenient for carry and draws intracavity tissue through setting up the clamp and carrying the portion of drawing to when solving among the present laparoscopic surgery to pathological change tissue excision, pathological change tissue often shelters from the operation field of vision, need expend time and manpower and allocate intracavity tissue, influence the effectual problem of treatment.

In order to make the above objects, features and advantages of the present invention more comprehensible, the present invention is described in detail with reference to the accompanying drawings and the detailed description.

Example 1:

the embodiment provides a structure for facilitating the pulling of tissue in a cavity in a laparoscopic surgery, as shown in fig. 1, the structure for facilitating the pulling of tissue in a cavity in a laparoscopic surgery comprises a clamp body 1 and a pulling part 2, the clamp body 1 comprises a first clamp arm 11 and a second clamp arm 12, the first clamp arm 11 and the second clamp arm 12 are connected through an elastic bending part 13, the elastic bending part 13 ensures that the first clamp arm 11 and the second clamp arm 12 can be tightly attached when needing to be clamped and can be separated to form a certain angle when not needing to be clamped, the two clamp arms are of matched arc structures, the pulling part 2 comprises a pulling wire 21 and a pulling needle 22, wherein one end of the pulling wire 21 is connected with the clamp body 1, specifically, the pulling wire 21 is fastened on the elastic bending part 13, the other end of the pulling wire 21 is connected with the pulling needle 22, the pulling needle 22 can facilitate the pulling wire 21 to move out of the cavity, and the pulling wire 21 is selected from medical sutures, the suture line surface is smooth, the strip is even, no stain, no knot, carry and draw needle 22 to choose for use medical circle straight suture needle, the suture needle surface is smooth straight, no bending, the needle point is sharp-pointed, no crotch, the suture needle can refer to the needle of current band wire suture needle and the connected mode of line with being connected of suture needle and suture line, as long as guarantee that the junction of needle and line is smooth, no burr can, make the structure that is arranged in laparoscopic surgery to be convenient for carry and draw intracavity tissue accord with clinical service environment like this, and simple structure, safety and reliability, can not cause the irritation injury to the histiocyte.

In order to make the pulling wire 21 and the elastic bending portion 13 more smoothly connected, the pulling wire 21 can be directly welded inside the elastic bending portion 13 when the clip 1 is manufactured, as long as the pulling wire 21 and the elastic bending portion 13 can be stably connected, which is all within the protection scope of the present invention.

Further, as shown in fig. 2, in order to make the clamping effect of the clamp 1 better, saw teeth with a height of 0.7mm are disposed on the contact surfaces of the first clamping arm 11 and the second clamping arm 12, and the saw teeth on the contact surfaces of the two clamping arms are matched with each other, so that the two clamping arms can clamp tissues more firmly, meanwhile, the free ends of the two clamping arms are provided with the fastening structures 14 matched with each other, the free end of the first clamping arm 11 is connected with the clamp 141, the free end of the second clamping arm 12 is connected with the clamp slot 142, when clamping is needed, the clamp of the clamp applicator makes the first clamping arm 11 and the second clamping arm 12 gradually fit with each other, when the edge of the clamp 141 contacts the edge of the clamp slot 142, the clamp 141 makes the edge of the clamp slot 142 slightly deform under the action of force, the clamp 141 enters the clamp slot 142, so that the two clamping arms fit firmly, and the occurrence of loosening and.

Further, in order to facilitate the release of the clip body, the chuck 141 is arranged to be wider than 1mm from each side of the first clip arm 11 in the thickness direction, the clamping column 121 is arranged at the outer side of the free end of the second clip arm 12, and similarly, the clamping column 121 is arranged to be wider than 1mm from each side of the second clip arm 12 in the thickness direction, so that when the clip applier clamps the clip body 1, the chuck 141 and the clamping column 121 can be more limited in the groove of the clip applier, so that the clip body can be stably matched with the clip applier, and is not easy to fall off, and the clip body can be accurately and conveniently released, and the chuck 141 and the clamping column 121 can select different thicknesses according to different sizes of the clip body 1, so as to improve the adaptability of the knot.

Example 2:

because often need distribute different positions when carrying out the operation, consequently, the utility model provides a be convenient for carry another kind of embodiment who draws the structure of intracavity tissue among the laparoscopic surgery, as shown in fig. 3, specifically, on the basis that is arranged in being convenient for carry the structure that draws the intracavity tissue among the laparoscopic surgery that embodiment 1 provided, respectively connect one on two the same clamp 1 and carry line 21, two carry and act as go-between 21 and be connected to one and carry on pulling needle 22, just so can carry two clamp closed positions simultaneously and draw, can portably clearly distribute the intracavity tissue, the time of having shortened the treatment greatly, the manpower has been reduced, the efficiency of treatment has been improved.

The structure that is arranged in laparoscopic surgery to be convenient for carry and draw intracavity tissue that this embodiment provided also can connect three on the same root is carried and is drawn needle 22 and carry and draw line 21, and three are carried and are drawn a clamp 1 of being connected respectively on 21, as long as under the prerequisite of convenient operation, can realize carrying simultaneously to many clamp closed positions and draw the branch and allocate, all be in the utility model discloses the within range of protection.

The utility model provides a structure that is convenient for carry and draws intracavity tissue among laparoscopic surgery is when using, at first, open the osculum at the abdominal cavity position and insert pneumoperitoneum needle and carry out artifical pneumoperitoneum, carry out the trocar puncture after artifical pneumoperitoneum is accomplished, insert the condition of peritoneoscope observation intracavity tissue organ, use and execute the clamp and send clamp 1 into the intracavity, when need use one carry draw needle in embodiment 3 and be used for the structure of being convenient for carry and draw intracavity tissue among the laparoscopic surgery of two clamps, can suitably expand the opening of belly into 10mm or 12mm, so that the entering of clamp, carry portion 2 and use the needle holder to be connected with clamp 1 and send into the intracavity, because artifical pneumoperitoneum has been carried out, therefore the intracavity has sufficient space to hold and carry portion 2, and carry portion 2 and can not cause the harm to intracavity tissue, when first arm lock 11 and second arm lock 12 place the intracavity tissue position that needs to be clamped in, clamping the clamping head 141 in the clamping groove 142, clamping, using a needle holder to pierce the lifting needle 22 through the abdominal cavity to the outside of the cavity after clamping is completed, pulling the lifting needle 22 to drive the lifting wire 21 to move out of the cavity, starting an operation, pulling the lifting needle 22 to further drive the clamp body 1 to move during the operation according to needs so as to realize the distribution of the clamped tissues, fixing the lifting wire 21 outside the cavity when the clamping head is lifted to a space capable of achieving the operation, cutting the lifting wire 21 outside the cavity after the operation is completed, and then taking out the clamp body 1 in the cavity and the connected part of the lifting wire 21.

The utility model discloses the principle and the implementation mode of the utility model are explained by applying the concrete examples, and the explanation of the above examples is only used for helping to understand the method and the core idea of the utility model; meanwhile, for the general technical personnel in the field, according to the idea of the present invention, there are changes in the concrete implementation and the application scope. In summary, the content of the present description should not be construed as a limitation of the present invention.

Claims

1. A structure for facilitating the lifting of tissue in a cavity for use in laparoscopic surgery, comprising: including clamp (1), clamp (1) includes first arm lock (11) and second arm lock (12), first arm lock (11) with second arm lock (12) are connected through elasticity kink (13), and two arm locks are the identical arc structure of contact surface, and the free end of two arm lock is equipped with matched with fastening structure (14), clamp (1) still is connected with and carries and draws portion (2), carry and draw portion (2) including carrying stay wire (21) and carrying stay needle (22), wherein carry the one end of stay wire (21) with clamp (1) is connected, carry the other end of stay wire (21) with carry stay needle (22) and connect.

2. The structure for facilitating the pulling of intraluminal tissue for use in laparoscopic surgery of claim 1, wherein: the contact surface of first arm lock (11) with second arm lock (12) all is equipped with the matched with sawtooth, and the height of sawtooth is 0.4~0.8 mm.

3. A structure for facilitating the pulling of tissue within a cavity for use in laparoscopic procedures as claimed in claim 2, wherein: the fastening structure (14) comprises a clamping head (141) and a clamping groove (142), the clamping head (141) is connected to the free end of the first clamping arm (11), and the clamping groove (142) is connected to the free end of the second clamping arm (12).

4. A structure for facilitating the pulling of tissue within a cavity for use in laparoscopic procedures as claimed in claim 3, wherein: dop (141) are in the thickness direction on every side be wider than first arm lock (11) 0.5~1.5mm, the free end outside of second arm lock (12) is equipped with centre gripping post (121), centre gripping post (121) are in thickness direction on every side be wider than second arm lock (12) 0.5~1.5 mm.

5. The structure for facilitating the pulling of intraluminal tissue for use in laparoscopic surgery of claim 1, wherein: the lifting line (21) is a suture line, the lifting needle (22) is a round straight suture needle, the surface of the suture line is smooth, the strips are even, no stain or knot exists, the surface of the suture needle is smooth and straight, no bending exists, the needle point is sharp, no hook exists, the joint of the needle and the line is smooth, and no burr exists.

6. The structure for facilitating the pulling of intraluminal tissue for use in laparoscopic surgery of claim 5, wherein: the pulling wire (21) is fastened on the elastic bending part (13), or the pulling wire (21) is welded inside the elastic bending part (13).

7. The structure for facilitating the pulling of intraluminal tissue for use in laparoscopic surgery of claim 6, wherein: one lifting needle (22) is connected with two lifting wires (21), and the two lifting wires (21) are respectively connected with one clamp body (1).