CN211460320U

CN211460320U - Single channel system for surgical operation

Info

Publication number: CN211460320U
Application number: CN201922232596.9U
Authority: CN
Inventors: 程帆; 陈锐; 张静; 罗莎; 许丽琴; 陈茜; 王龙; 张闵
Original assignee: Central Hospital of Wuhan
Current assignee: Central Hospital of Wuhan
Priority date: 2019-12-12
Filing date: 2019-12-12
Publication date: 2020-09-11
Anticipated expiration: 2029-12-12

Abstract

A surgical single-channel system is provided with a rubber saccule with an opening at the bottom end, the top of the rubber saccule is provided with at least 4 flexible extension barrels extending outwards in a cylindrical shape, and the middle lower part of the rubber saccule is provided with a trocar; the bottom of the extension cylinder is communicated with the rubber ball bag, the inside of the extension cylinder is respectively attached and wrapped with a channel part of an operation extension clamp, the lower half parts of two outer diameter reducing pipes and the lower part of a pneumoperitoneum pipe, a spring clamp is arranged outside the extension cylinder, and the extension cylinder and the annular outer wall or the columnar outer wall of a wrapping object inside the extension cylinder are fixed in a sealing mode. The utility model discloses can provide equipment support for realizing the haplopore peritoneoscope technique, and whole ease for use and gas tightness are good, rubber balloon light in weight and support nature are good, and whole equipment cost is low, and the collocation is easily changed to the part. The single-channel system can provide enough operation space for a surgeon, and ensures that surgical instruments can freely come and go in a single channel. Is suitable for the application of laparoscopic surgery.

Description

Single channel system for surgical operation

Technical Field

The utility model relates to a surgical instrument, a surgery operation single channel system specifically says so.

Background

With the popularization and promotion of the fast recovery concept, the updating of instruments and equipment and the rapid development of medical technology, taking the conventional cholecystectomy as an example, the abdominal cholecystectomy, the minimally invasive laparoscopic four-hole cholecystectomy and the current conventional minimally invasive laparoscopic three-hole cholecystectomy are performed. Nowadays, more and more patients have higher requirements on the appearance, and the incision is desirably reduced and reduced as much as possible while treating diseases, so that the single-port laparoscope can be produced at the same time.

The navel is the residual scar of human congenital, the cavity mucous membrane tissue can be completely repaired, the pain feeling of the navel and the vaginal mucous membrane is much lighter than that of the skin, so that the single-hole laparoscopic surgery can furthest relieve postoperative pain, reduce the occurrence of surgical complications such as multi-incision infection, hemorrhage, hernia and the like, shorten the time required by hospitalization and recovery after the surgery, and obtain nearly perfect cosmetic effect. These advantages of single port laparoscopic surgery represent the clinical need and ergonomic care of minimally invasive surgical procedures. The innovative single-channel surgical system is low in manufacturing cost, raw materials are easy to obtain, the requirements of operators can be met in operation, equipment support is provided for the single-port laparoscope technology, and the system has important significance and is worthy of popularization.

In order to provide equipment support for the single-port laparoscopic technology, the development of the laparoscopic surgery technology is promoted, a single-port brand is created, and the medical operation cost is reduced. The single-channel system equipment is simple to manufacture and low in cost, and can provide enough operation space for surgeons and ensure that surgical instruments can freely come and go.

Disclosure of Invention

The utility model aims to solve the technical problem that a surgical operation single channel system is provided, provide necessary equipment and technique for abdominal cavity wicresoft single-hole passageway operation to minimize cost improves maneuverability.

The surgical single-channel system is characterized in that: the rubber balloon is provided with an opening at the bottom end, the top of the rubber balloon is provided with at least 4 extending cylinders which flexibly extend towards the outer cylinder, and the middle lower part of the rubber balloon is provided with a trocar;

the bottom of the epitaxial cylinder is communicated with the rubber balloon and is hermetically connected with the rubber balloon, the interior of the epitaxial cylinder is respectively jointed and wrapped with a channel part of an operation extension clamp, the lower half parts of two outer diameter reducing pipes (commonly called converters in the industry) and the lower part of a pneumoperitoneum tube, a spring clamp is arranged outside the epitaxial cylinder, and the epitaxial cylinder and the annular outer wall or the columnar outer wall of a wrapping object in the epitaxial cylinder are hermetically fixed;

the trocar is fixedly wrapped in the skin of the rubber balloon, the opening of the trocar faces the outside, and the periphery of the opening is hermetically isolated from the inner cavity of the rubber balloon.

Typically, the rubber balloon is made of expandable film-shaped silica gel or latex material, and the side wall from the lower part to the bottom end is concave relative to the upper part.

By way of example, an outer diameter reduction tube is embedded in the channel of the trocar.

The diameter of the bottom end of the rubber balloon is smaller than that of the universal incision expander, and the rubber balloon can be closely wrapped outside the annular outer wall of the incision expander after being expanded in diameter.

Preferably, the number of the extension cylinders is four, and the extension cylinders are uniformly distributed at the top of the rubber balloon.

The spring clamp is provided with 1-3 circles of torsion spring metal wires, handles which are opened outwards are arranged at two ends of each torsion spring metal wire in a staggered mode and extend towards each other, so that the spring clamp is in a free state and is contracted in diameter of the torsion spring, and the diameter of the torsion spring is expanded in a holding state.

The utility model discloses having been tried out for a long time, concluding up the conclusion through a large amount of observation contrasts and experiments and drawing, can provide equipment support for realizing the haplopore peritoneoscope technique, and whole ease for use is good, and rubber balloon light in weight and support nature are good, can not arouse the great motion of following of patient's human tissue because of the apparatus action in the operation, and whole equipment cost is low, and the part is liable to change collocation. The single-channel system can provide enough operation space for a surgeon, and ensures that surgical instruments can freely come and go in a single channel. The trocar is arranged at the lower part of the rubber balloon, so that the space utilization in the rubber balloon is saved, the equipment arrangement is reasonably distributed, and the use is more flexible and free. The utility model is suitable for the application of laparoscopic surgery, and has practicability and popularization.

Drawings

Fig. 1 is a schematic structural diagram of the present invention.

In the figure: 1-an extension tube, 2-an outer diameter reduction tube, 3-a pneumoperitoneum tube, 4-operation extension forceps, 5-a spring clamp, 6-a rubber saccule, 7-a trocar and 8-a binding end.

Detailed Description

The invention will be further described with reference to the following figures and examples: the surgical single-channel system shown in fig. 1 is used for only a single-hole wound in minimally invasive abdominal surgery, and realizes synchronous operation of multiple devices.

As shown in the figure, the utility model discloses be equipped with bottom open-ended rubber sacculus 6, rubber sacculus 6 is expandable film form silica gel or latex material, and rubber sacculus 6's main cavity body is close spherically, and inside atmospheric pressure can expand when big than the outside, supports the part at top simultaneously.

The bottom surface of the rubber saccule 6 is provided with an opening and is used for being hermetically connected with an incision protector fixed on a wound to enable the abdominal cavity of a patient to be communicated with the rubber saccule, the outside of the rubber saccule is connected with a pneumoperitoneum tube to inject gas into the abdominal cavity to enable the abdominal cavity and the rubber saccule to be expanded, and the top equipment is supported and erected through air pressure.

The side wall from the lower part to the bottom end of the rubber balloon 6 is concave relative to the upper part. So that a plurality of instruments on the top of the rubber balloon have more ample moving space.

The top of rubber sacculus is equipped with the epitaxial section of thick bamboo 1 of at least 4 outside tube-shapes extensions, and epitaxial section of thick bamboo 1 essence is flexible film rubber, and the outer end opening is the column under the closed end inflation state, and the bottom and the rubber sacculus intercommunication of epitaxial section of thick bamboo 1, and with rubber sacculus sealing connection, epitaxial section of thick bamboo 1 itself has sufficient elasticity, can wrap up the column and have the part of passageway.

The utility model provides an embodiment is four epitaxial barrels, and the inside of four epitaxial barrels is laminated the passageway portion that the parcel has an operation extension pincers 4 respectively, two outer diameter reducing pipe 2 and an pneumoperitoneum pipe 3 for the hollow channel of the outer diameter reducing pipe 2 and the pneumoperitoneum pipe 3 that are wrapped up communicates the outside and the inside of rubber balloon, is equipped with spring clamp 5 in the outside of epitaxial barrel, and the cyclic annular outer wall or the column outer wall of the inside parcel thing of epitaxial barrel is sealed fixed with the epitaxial barrel. The pneumoperitoneum tube 3 is used for injecting gas into the abdominal cavity to prop open the abdominal cavity and the rubber saccule. The external diameter reducing pipe 2 is used for inserting instruments with the diameter of 5mm through a hollow channel, the operation part of the operation extending forceps 4 is arranged outside, the rod part is inserted into the abdominal cavity through an external extending cylinder, and the front end of the operation extending forceps is used for clamping operation.

A trocar 7 is arranged at the middle lower part of the rubber balloon; the trocar 7 is fixedly wrapped in the skin of the rubber balloon, the opening of the trocar faces the outside, and the periphery of the opening is hermetically isolated from the inner cavity of the rubber balloon. The opening of the trocar directly faces to the sealed part of the rubber film, when in use, the rubber film is directly punctured to insert the trocar into the abdominal cavity, and an outer diameter reducing pipe is embedded in the channel of the trocar 7 according to the requirement. For example, when a gallbladder operation is performed, the gallbladder is pulled and exposed by using special gallbladder grasping forceps. The trocar 7 can be added with a 5mm converter to use an aspirator or other instruments. Absorbent or plastic clamps may also be used alone.

If the epitaxial growth cylinders 1 are provided in plurality and not all used, the corresponding epitaxial growth cylinders need to be sealed.

The spring clamp 5 is provided with 1-3 circles of torsion spring metal wires, and handles which are opened outwards are arranged at two ends of each torsion spring metal wire in a staggered mode and extend towards each other, so that the spring clamp is in a free state and is contracted in diameter of the torsion spring, and the diameter of the torsion spring is expanded in a holding state. The component is used for fixing the component wrapped in the epitaxial cylinder. When the extension cylinder is fixed by the sealed component, the extension cylinder can be supported to stand when the air pressure in the rubber balloon is enough, and the whole rubber balloon including the component is supported.

When in use, the product of the utility model which is disinfected and subjected to air leakage detection is taken out, an incision which is not more than 2cm is made at the position about 4cm below the navel in the operation, the incision expander is embedded into the incision and is sealed and fixed, the bottom opening of the product of the utility model is pulled open and then is sleeved outside the incision expander along the axial lead direction, and seven silk threads are bound and fixed on the outer side to ensure that the abdominal cavity is communicated with the cavity of the rubber balloon without air leakage with the outside, the pneumoperitoneum tube is connected with a pressure gas transmission machine to inject carbon dioxide gas and keep stable pressure, for the gall bladder operation, the gall bladder grasping forceps are used as operation extension forceps to draw and expose gall bladders, the trocar penetrates into a suction instrument to perform auxiliary suction, the space in the rubber balloon is saved by the trocar, the equipment arrangement is reasonably distributed, the space is saved, the instruments are used more flexibly and freely, and other surgical instruments and a laparoscope enter the abdominal cavity operation through the outer diameter reducing tube. After the operation is finished, the movable instrument is withdrawn in sequence, and the silk thread outside the incision expander is cut off to take down the utility model product.

The utility model discloses through trial-and-manufacture experimental use, among the partial operation is accepted in my hospital hepatobiliary surgery, 59 cases of single port laparoscopic surgery treatment patient, wherein 56 cases of women, 3 cases of men, the age 18- -40 years old, average age (28.4 + -4.1) year old, 48 cases of cholecystectomy, 7 cases of appendectomy, 2 cases of hepatic cyst windowing, 1 case of liver subtotal resection, 1 case of hepatic hemangioma denudation. The better effect is achieved, the result shows that all operations can be smoothly carried out, the purpose of operation treatment is achieved, and no air leakage condition occurs during the operation.

Claims

1. A surgical single channel system, comprising: the rubber balloon is provided with a rubber balloon (6) with an opening at the bottom end, the top of the rubber balloon is provided with at least 4 extending cylinders (1) which flexibly extend towards the outer cylinder, and the middle lower part of the rubber balloon is provided with a trocar (7);

the bottom of the epitaxial cylinder (1) is communicated with the rubber balloon and is hermetically connected with the rubber balloon, the interior of the epitaxial cylinder is respectively attached and wrapped with a channel part of an operation extension clamp (4), the lower half parts of two outer diameter reducing pipes (2) and the lower part of a pneumoperitoneum pipe (3), a spring clamp (5) is arranged outside the epitaxial cylinder, and the epitaxial cylinder and the annular outer wall or the columnar outer wall of a wrapping object in the epitaxial cylinder are hermetically fixed;

the trocar (7) is fixedly wrapped in the skin of the rubber balloon, the opening of the trocar faces the outside, and the periphery of the opening is hermetically isolated from the inner cavity of the rubber balloon.

2. The surgical single channel system of claim 1, wherein: the rubber saccule is made of expansible film silica gel or latex material, and the side wall from the lower part to the bottom end is concave relative to the upper part.

3. The surgical single channel system of claim 1, wherein: an outer diameter reducing pipe is embedded in the channel of the trocar (7).

4. The surgical passchannel system of claim 2, wherein: the diameter of the bottom end of the rubber balloon is smaller than that of the universal incision expander, and the rubber balloon can be closely wrapped outside the annular outer wall of the incision expander after being expanded in diameter.

5. The surgical single channel system of claim 1, wherein: the number of the extension cylinders (1) is four, and the extension cylinders are uniformly distributed at the top of the rubber ball bag.

6. The surgical single channel system of claim 1, wherein: the spring clamp (5) is provided with 1-3 circles of torsion spring metal wires, handles which are opened outwards are arranged at two ends of the torsion spring metal wires in a staggered and opposite extending mode, so that the spring clamp is in a free state and is contracted in the diameter of the torsion spring, and the diameter of the torsion spring is expanded in a holding state.