CN210494214U - Non-pneumoperitoneum suspended ceiling system is built to pneumoperitoneum - Google Patents
Non-pneumoperitoneum suspended ceiling system is built to pneumoperitoneum Download PDFInfo
- Publication number
- CN210494214U CN210494214U CN201920022156.8U CN201920022156U CN210494214U CN 210494214 U CN210494214 U CN 210494214U CN 201920022156 U CN201920022156 U CN 201920022156U CN 210494214 U CN210494214 U CN 210494214U
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- Prior art keywords
- pneumoperitoneum
- puncture
- support
- air bag
- ceiling system
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- Expired - Fee Related
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- 208000005646 Pneumoperitoneum Diseases 0.000 title claims abstract description 35
- 230000007246 mechanism Effects 0.000 claims abstract description 29
- 230000002146 bilateral effect Effects 0.000 claims abstract description 4
- 239000000725 suspension Substances 0.000 claims description 14
- 239000007787 solid Substances 0.000 claims 3
- 238000002357 laparoscopic surgery Methods 0.000 abstract description 9
- 238000001356 surgical procedure Methods 0.000 abstract description 7
- 230000000694 effects Effects 0.000 abstract description 5
- 231100000241 scar Toxicity 0.000 abstract description 4
- 208000032544 Cicatrix Diseases 0.000 abstract description 2
- 230000000740 bleeding effect Effects 0.000 abstract description 2
- 230000007547 defect Effects 0.000 abstract description 2
- 230000037387 scars Effects 0.000 abstract description 2
- 230000002612 cardiopulmonary effect Effects 0.000 abstract 1
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 16
- 229910002092 carbon dioxide Inorganic materials 0.000 description 8
- 239000001569 carbon dioxide Substances 0.000 description 8
- 210000000683 abdominal cavity Anatomy 0.000 description 6
- 238000002347 injection Methods 0.000 description 5
- 239000007924 injection Substances 0.000 description 5
- 210000003815 abdominal wall Anatomy 0.000 description 4
- 206010028980 Neoplasm Diseases 0.000 description 3
- 230000035755 proliferation Effects 0.000 description 3
- 210000004881 tumor cell Anatomy 0.000 description 3
- 206010027476 Metastases Diseases 0.000 description 2
- 201000011510 cancer Diseases 0.000 description 2
- 210000004027 cell Anatomy 0.000 description 2
- 238000010276 construction Methods 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000009401 metastasis Effects 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 210000004303 peritoneum Anatomy 0.000 description 2
- 230000001681 protective effect Effects 0.000 description 2
- 206010008342 Cervix carcinoma Diseases 0.000 description 1
- 208000006105 Uterine Cervical Neoplasms Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000000481 breast Anatomy 0.000 description 1
- 230000004663 cell proliferation Effects 0.000 description 1
- 201000010881 cervical cancer Diseases 0.000 description 1
- 230000006835 compression Effects 0.000 description 1
- 238000007906 compression Methods 0.000 description 1
- 238000011902 gastrointestinal surgery Methods 0.000 description 1
- 230000009545 invasion Effects 0.000 description 1
- 208000028867 ischemia Diseases 0.000 description 1
- 238000002350 laparotomy Methods 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 239000000779 smoke Substances 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 239000000758 substrate Substances 0.000 description 1
- 230000004083 survival effect Effects 0.000 description 1
- 238000004804 winding Methods 0.000 description 1
Images
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- Surgical Instruments (AREA)
Abstract
The utility model provides a non-pneumoperitoneum furred ceiling system is built to pneumoperitoneum, includes support frame (5), its characterized in that: the bilateral symmetry of support frame (5) is provided with two admission machines (4), admission machine (4) are including wire reel (41), one side of wire reel (41) is provided with handle (42), two below between admission machine (4) is provided with gasbag area (1), the both ends of gasbag area (1) are provided with piercing mechanism (2), the one end that gasbag area (1) were kept away from in piercing mechanism (2) is provided with suspends nut (3) in midair, the top of suspending nut (3) in midair is provided with stay cord (31), the top of stay cord (31) is around establishing on wire reel (41). The system eliminates the defects of open surgery and the side effects of discarding the pneumoperitoneum of the laparoscopic surgery, fully integrates and applies the advantages of the laparoscopic surgery and the open surgery, and achieves the purposes of non-pneumoperitoneum, extremely low influence of the cardio-pulmonary function, clear operative field, less bleeding, light pain and less scars.
Description
Technical Field
The utility model relates to a laparoscopic surgery technical field specifically is a non-pneumoperitoneum suspended ceiling system is built to pneumoperitoneum.
Background
Laparoscopic surgery has been developed sufficiently in surgical systems, and particularly in the last decade, the laparoscopic technology has been developed rapidly in the treatment of tumors, including gastrointestinal surgery, hepatobiliary surgery, urological surgery, breast surgery, and gynecology, and with the continuous development of foreign clinical trials, clinical experimental data have been provided, and recently, clinical trials conducted by the MD anderson cancer center have been published in the international top-grade journal "new england medical journal", and the results of the studies are concluded: at present, the cervical cancer laparoscopic radical operation widely developed in clinic has the effect which is not the same as that of the traditional laparotomy, the death risk of a patient after the operation is doubled by 6 times, and the recurrence risk is doubled by 4 times. The paper gives some reasons, for example, when an artificial pneumoperitoneum is established in a laparoscopic surgery, carbon dioxide needs to be filled into an abdominal cavity, the carbon dioxide can promote proliferation and metastasis of cancer cells, so that the artificial pneumoperitoneum has a long-time effect, and the proliferation and metastasis probability of tumor cells is greatly improved due to the influence of the pressure of the carbon dioxide and the carbon dioxide.
SUMMERY OF THE UTILITY MODEL
An object of the utility model is to provide a non-pneumoperitoneum suspended ceiling system is built to pneumoperitoneum to solve the proliferation and the transfer that the carbon dioxide of proposing in the above-mentioned background art can promote cancer cell, cause the long-time effect of artifical pneumoperitoneum, because the influence of carbon dioxide and carbon dioxide pressure, improved tumor cell proliferation and transfer probability scheduling problem greatly.
In order to achieve the above object, the utility model provides a following technical scheme:
the non-pneumoperitoneum suspended ceiling system for pneumoperitoneum construction comprises a supporting frame, wherein two wire collecting mechanisms are symmetrically arranged on two sides of the supporting frame, each wire collecting mechanism comprises a wire spool, a handle is arranged on one side of the wire spool, an airbag belt is arranged below the space between the two wire collecting mechanisms, two ends of the airbag belt are provided with puncture mechanisms, one end, away from the airbag belt, of each puncture mechanism is provided with a suspension nut, the top of each suspension nut is provided with a pull rope, and the top end of each pull rope is wound on the wire spool;
the supporting frame comprises vertical supports on two sides, an arched support is arranged between the tops of the two vertical supports, a branch support is transversely arranged on one side of the arched support close to the take-up mechanism, a branch support fixing seat is arranged on one end of the branch support close to the arched support, the branch support fixing seat comprises a fixing ring, the fixing ring is in sleeve fit with the arched support, a notch is formed in one side of the fixing ring, fastening pieces are symmetrically and tightly welded on two sides of the outer surface of the fixing ring close to the notch, screw holes are formed in the two fastening pieces, the two fastening pieces are fixedly connected through fastening bolts, and one end of the branch support, far away from the arched support, is rotatably connected with the wire spool through a bearing;
the puncture mechanism includes the puncture screw, the puncture screw with suspend nut threaded connection in midair, the top of puncture screw closely welds the drill bit, the bottom of puncture screw closely welds the extension pipe, the inside of extension pipe is provided with the rubber buffer.
Preferably, the airbag belt is a flat hollow structure.
Preferably, the arch support and the vertical support are of an integrally formed structure.
Preferably, the outer wall of the rubber plug is tightly adhered to the inner wall of the extension tube.
Preferably, the outer wall of the extension tube is closely adhered to the airbag band.
Preferably, the pinhole has been seted up to the vertical run-through in inside of puncture screw, it has the syringe needle to peg graft in the pinhole, the bottom of syringe needle runs through the rubber buffer and extends to the inside in air bag area.
Preferably, the outer wall of the air bag belt is connected with an inflation tube, and one end of the inflation tube, which is far away from the inner air bag belt, is connected with a luer connector.
Compared with the prior art, the beneficial effects of the utility model are that:
1. simple, scientific, convenient and practical.
2. The wound is extremely low, and no scar is left after the suspended ceiling line is pulled out.
3. Can be flexibly adjusted to achieve the pneumoperitoneum effect.
4. Under the non-pneumoperitoneum state, the aspirator can be used to suck the smoke and the carbonized and gasified tumor cells at any time.
5. Abandoning the defects of the open surgery and the laparoscopic surgery, fully applying the advantages of the laparoscopic surgery and the open surgery, and achieving the purposes of minimal invasion, less bleeding, light pain, less scars, non-pneumoperitoneum and long postoperative survival time.
Drawings
Fig. 1 is a schematic view of the overall structure of the present invention;
FIG. 2 is a schematic view of the assembly of the take-up mechanism and the supporting frame of the present invention;
FIG. 3 is an enlarged view of a portion of the substrate of FIG. 2;
fig. 4 is a schematic view of the combination of the piercing mechanism and the suspension nut of the present invention;
FIG. 5 is a schematic structural view of the puncturing mechanism of the present invention;
fig. 6 is a second schematic structural view of the puncturing mechanism of the present invention;
fig. 7 is a schematic cross-sectional view of the middle arch support of the present invention.
Fig. 8 is a sectional view of the connection limiting structure of the arch support and the branch support fixing seat of the present invention.
In the figure: 1. an air bag belt; 2. a puncture mechanism; 23. puncturing screws; 231. a drill bit; 21. an extension tube; 22. a rubber plug; 234. a pinhole; 24. an injection needle; 25. an inflation tube; 251. a luer fitting; 26. a protective cap; 3. a suspension nut; 31. pulling a rope; 4. a take-up mechanism; 41. a wire spool; 42. a handle; 5. a support frame; 51. a vertical support; 52. an arched bracket; 53. a branch frame fixing seat; 531. a fixing ring; 5331. a notch; 532. a fastening tab; 5321. fastening a bolt; 54. a branch frame; 6. suspending wires; 521. positioning concave holes; 533. and positioning the convex column.
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.
Example 1
The utility model provides a non-pneumoperitoneum furred ceiling system is built to pneumoperitoneum, as shown in fig. 1, including support frame 5, the bilateral symmetry of support frame 5 is provided with two admission machines 4, admission machine 4 includes wire reel 41, one side of wire reel 41 is provided with handle 42, below between two admission machines 4 is provided with gasbag area 1, gasbag area 1 is flat hollow structure, the both ends of gasbag area 1 are provided with puncture mechanism 2, the one end that puncture mechanism 2 kept away from gasbag area 1 is provided with nut 3 in suspension, the top of nut 3 in suspension is provided with stay cord 31, the top of stay cord 31 is around establishing on wire reel 41, suspend in suspension between nut 3 and the stay cord 31 for rotating the connection, the bottom of stay cord 31 is passed through universal spin and is connected with nut 3.
In this embodiment, the wire winding mechanism 4 is provided with a locking device, the handle 42 is pushed inward to realize rotation, the locking is performed automatically during resetting, and the connection between the handle 42 and the wire spool 41 can adopt a structure of a jaw clutch.
As shown in fig. 2, fig. 3 and fig. 7, the support frame 5 includes the vertical support 51 of both sides, be provided with the arch support 52 between the top of two vertical supports 51, the arch support 52 is the integrated into one piece structure with vertical support 51, one side of arch support 52 is close to admission machine 4 department and transversely is provided with the branch frame 54, the one end that branch frame 54 is close to arch support 52 is equipped with branch frame fixing base 53, branch frame fixing base 53 includes fixed ring 531, fixed ring 531 cup joints with arch support 52 and cooperates, breach 5331 has been seted up to one side of fixed ring 531, the bilateral symmetry that the surface of fixed ring 531 is close to breach 5331 has fastening plate 532, all seted up the screw on two fastening plates 532, through fastening bolt 5321 fixed connection between two fastening plates 532, the one end that the branch frame 54 keeps away from arch support 52 is connected through the bearing rotation with reel.
Specifically, the support frame 5 does not need to be fallen down, and the horizontal suspension can be realized by the sub-frame 54.
As shown in fig. 4 and 5, the puncture mechanism 2 includes a puncture screw 23, a protective cap 26 is sleeved on the top of the puncture screw 23, the puncture screw 23 is in threaded connection with the suspension nut 3, a drill bit 231 is tightly welded on the top end of the puncture screw 23, an extension tube 21 is tightly welded on the bottom of the puncture screw 23, a rubber plug 22 is arranged inside the extension tube 21, the outer wall of the rubber plug 22 is tightly adhered to the inner wall of the extension tube 21, and the outer wall of the extension tube 21 is tightly adhered to the airbag belt 1.
Further, a needle hole 234 vertically penetrates through the interior of the puncture screw 23, an injection needle 24 is inserted into the needle hole 234, and the bottom end of the injection needle 24 penetrates through the rubber plug 22 and extends into the air bag belt 1.
When the suspended ceiling system for pneumoperitoneum construction in the embodiment is used, the vertical brackets 51 at two sides of the support frame 5 are fixed at two sides of the bed plate, so that the support frame 5 is fixed, a patient lies on an operating table for laparoscopic surgery, in the laparoscopic surgery, pneumoperitoneum is established at first, puncture holes are placed according to the needs of the surgeon and are put into each puncture mechanism 2 and each airbag belt 1 through the main puncture hole, puncture needles are arranged at two ends of each airbag belt 1 to facilitate puncture, then in the state of low-pressure pneumoperitoneum, the clip applier puncture mechanisms 2 are clamped, the protection devices in front of the puncture needles are pulled out, the puncture needles are selected in front of the puncture holes of each laparoscope, the puncture needles vertically penetrate through the peritoneum wall until the skin, the puncture needles are inflated to the airbag belts 1 through the injection needles 24, then the puncture screws 23 and the nuts 3 are rotated until the fixation is stable, and the suspended, the other end suspension device is placed in the same method, a puncture needle vertically penetrates out of the skin through the front of a puncture hole, the air bag belts 1 in the abdominal cavity are in close contact with the peritoneum, the handle 42 is rotated to enable the wire spool 41 to rotate, the pull rope 31 is further pulled up, the abdominal wall is suspended according to the suspension force outside the abdominal cavity, a plurality of air bag belts 1 can be arranged according to the operation requirement, the length of the air bag belts 1 can be adjusted according to the requirement, the abdominal wall is integrally suspended, enough abdominal cavity operation space is provided, the air cavity is closed after the device is installed, namely carbon dioxide and the pressure of the air cavity are closed, and the subsequent operation is the same as the laparoscopic technology under the air cavity in the prior art. The added air bag belt 1 has very small suspension belt, small damage to the abdominal wall and basically no scar, the air bag belt 1 has good toughness and does not have compression ischemia to the abdominal wall, the device is positioned in front of a puncture hole, the operation in the abdominal cavity can be basically ensured to be unimpeded, meanwhile, the operation of an operator outside the abdominal cavity is unobstructed, even if the operator is slightly obstructed, the situation that the operator slightly obstructs the puncture hole can be avoided, the branch frame fixing seat 53 can slide on the arched bracket 52 and can be fixed through the fastening bolt 5321, and the position of the take-up mechanism 4 can be conveniently adjusted;
when the air bag belt 1 needs to be inflated and deflated, the injection needle 24 penetrates the needle hole 234 to inflate and deflate the air bag belt 1.
Example 2
In the specific use process, the air bag belt 1 can be inflated and deflated through an external inflation tube, as shown in fig. 6, the outer wall of the air bag belt 1 is connected with an inflation tube 25, and one end of the inflation tube 25, which is far away from the air bag belt 1, is connected with a luer connector 251.
In this embodiment, the external inflation tube 25 is connected, and then the distal end of the inflation tube 25 is connected with the syringe inflation rubber balloon through the luer connector 251, so that the inflation and air suction operation of the balloon belt 1 is more convenient, and the medical staff can use the balloon belt conveniently.
Example 3
As shown in fig. 8, in order to further enhance the connection strength between the arch support 52 and the support fixing seat 53 and realize the multi-angle station of the circumferential plane of the support, a plurality of positioning concave holes 521 are particularly formed in the outer surface of the arch support 52, a plurality of positioning convex columns 533 matched with the positioning concave holes 521 are additionally arranged on the inner surface of the support fixing seat 53, which is in contact with the arch support 52, when the fixing device is used, the fastening bolt 5321 is loosened, so that the support fixing seat 533 can rotate circumferentially around the arch support 52, and the support 54 can be fixed at a plurality of angle positions. After the required position and angle are adjusted, the fastening bolt 5321 can be locked and fixed firmly.
For example, 8 positioning concave holes 521 are formed, one positioning concave hole is formed at every 45 degrees, then only 4 positioning convex columns 533 need to be arranged, the protrusions of the positioning convex columns 533 are arc-shaped, sliding out of and sliding into the positioning concave holes 521 is facilitated, and positioning can be effectively achieved after the fastening bolt 5321 is screwed down.
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 (5)
1. The utility model provides a non-pneumoperitoneum furred ceiling system is built to pneumoperitoneum, includes support frame (5), its characterized in that: two take-up mechanisms (4) are symmetrically arranged on two sides of the support frame (5), each take-up mechanism (4) comprises a wire spool (41), a handle (42) is arranged on one side of each wire spool (41), an air bag belt (1) is arranged below the space between the two take-up mechanisms (4), puncture mechanisms (2) are arranged at two ends of each air bag belt (1), a suspension nut (3) is arranged at one end, far away from each air bag belt (1), of each puncture mechanism (2), a pull rope (31) is arranged at the top of each suspension nut (3), and the top end of each pull rope (31) is wound on the corresponding wire spool (41);
support frame (5) include vertical support (51) of both sides, two be provided with arch support (52) between the top of vertical support (51), one side of arch support (52) is close to take-up mechanism (4) department and transversely is provided with branch frame (54), the one end that branch frame (54) are close to arch support (52) is equipped with branch frame fixing base (53), branch frame fixing base (53) are including solid fixed ring (531), gu fixed ring (531) cup joints the cooperation with arch support (52), breach (5331) are seted up to one side of solid fixed ring (531), the bilateral symmetry that the surface of solid fixed ring (531) is close to breach (5331) has fastening plate (532), two screw has all been seted up on fastening plate (532) two through fastening bolt (5321) fixed connection between fastening plate (532), the one end that arch support (52) were kept away from to branch frame (54) rotates through the bearing with wire reel (41) and links even Connecting;
puncture mechanism (2) are including puncture screw (23), puncture screw (23) and suspend nut (3) threaded connection in midair, the top of puncture screw (23) closely welds drill bit (231), the bottom of puncture screw (23) closely welds extension pipe (21), the inside of extension pipe (21) is provided with rubber buffer (22), pinhole (234) have been seted up in the vertical running through of inside of puncture screw (23), it has syringe needle (24) to peg graft in pinhole (234), the bottom of syringe needle (24) runs through rubber buffer (22) and extends to the inside of gasbag area (1), the outer wall connection of gasbag area (1) has gas tube (25), the one end that gasbag area (1) was kept away from in gas tube (25) is connected with luer (251).
2. The pneumoperitoneum non-pneumoperitoneum suspended ceiling system of claim 1, wherein: the air bag belt (1) is of a flat hollow structure.
3. The pneumoperitoneum non-pneumoperitoneum suspended ceiling system of claim 1, wherein: the arched bracket (52) and the vertical bracket (51) are of an integrally formed structure.
4. The pneumoperitoneum non-pneumoperitoneum suspended ceiling system of claim 1, wherein: the outer wall of the rubber plug (22) is tightly adhered to the inner wall of the extension tube (21).
5. The pneumoperitoneum non-pneumoperitoneum suspended ceiling system of claim 1, wherein: the outer wall of the extension tube (21) is tightly bonded with the air bag belt (1).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201920022156.8U CN210494214U (en) | 2019-01-08 | 2019-01-08 | Non-pneumoperitoneum suspended ceiling system is built to pneumoperitoneum |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201920022156.8U CN210494214U (en) | 2019-01-08 | 2019-01-08 | Non-pneumoperitoneum suspended ceiling system is built to pneumoperitoneum |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN210494214U true CN210494214U (en) | 2020-05-12 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201920022156.8U Expired - Fee Related CN210494214U (en) | 2019-01-08 | 2019-01-08 | Non-pneumoperitoneum suspended ceiling system is built to pneumoperitoneum |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN210494214U (en) |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111772702A (en) * | 2020-07-23 | 2020-10-16 | 常州赛生医疗科技有限公司 | Non-laparoscope pneumoperitoneum suspension device |
| CN114795326A (en) * | 2022-04-26 | 2022-07-29 | 新光维医疗科技(苏州)股份有限公司 | Pneumoperitoneum machine for laparoscopic surgery |
-
2019
- 2019-01-08 CN CN201920022156.8U patent/CN210494214U/en not_active Expired - Fee Related
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111772702A (en) * | 2020-07-23 | 2020-10-16 | 常州赛生医疗科技有限公司 | Non-laparoscope pneumoperitoneum suspension device |
| CN114795326A (en) * | 2022-04-26 | 2022-07-29 | 新光维医疗科技(苏州)股份有限公司 | Pneumoperitoneum machine for laparoscopic surgery |
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|---|---|---|---|
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20200512 |