Background
The surgical operation instrument under the thoracoscope has small operation trauma to a patient, has good operation effect particularly for the thoracoscope heart operation of a newborn, can reduce the hospitalization time and cost, and can recover quickly.
For neonatal thoracoscopic surgery, due to the difficulty and high risk of applying single lung ventilation to a neonate, more lung fixators are needed to expose the operative field. However, at present, no appropriate related instrument exists, the lung can be fixed only by using a small baffle, the area for shielding the lung is insufficient when the lung fixing device is used, the angle and the position cannot be changed easily, and inconvenience is brought to an operation. Furthermore, the neonate is poor in surgical hit resistance, and the increase of the surgical time due to poor operative field exposure brings great risk to the infant patient, and seriously affects the prognosis.
Therefore, there is a need in the art for a lung fixator for use in neonatal thoracoscopic heart surgery to address the above-mentioned problems.
SUMMERY OF THE UTILITY MODEL
The current apparatus is too big, influences the operation field of vision, simultaneously, because mostly be metal, heavy to the lung oppression, causes the lung injury easily, produces the lung tissue damage to lead to the gas leakage point to be sheltered from. The lung injury of the newborn is not easy to repair, pneumothorax caused by the operation is always fatal, the prognosis of the newborn is seriously influenced, and the hospitalization time is prolonged. In order to solve the problem of lung fixation in the neonatal thoracoscopic cardiac surgery, the utility model provides a lung fixator for the neonatal thoracoscopic cardiac surgery, which is of a symmetrical structure and comprises 2 sleeves, a thin-wall structure, a connecting pipe and a buckle; the sleeve is of a hollow structure, a thin-wall structure is arranged between the middle upper parts of the two sleeves and connected with the outer side walls of the two sleeves, the thin-wall structure is fan-shaped, and the lower parts of the two sleeves are connected with each other and are omega-shaped; the sleeve is sleeved at the head end of the separating pliers and can wrap the head end of the separating pliers; the first end of connecting pipe is connected with sheathed tube lower extreme, and the second end of connecting pipe is connected with the buckle, and the buckle is connected with the handle end joint of separation pincers to prevent lung's fixer from droing in the operation.
In the preferred technical scheme of the lung fixer for the neonatal thoracoscopic heart surgery, one side of the sleeve is fixedly connected with the thin-wall structure and is of an integral structure, and the transverse length of the other side of the sleeve is longer than that of the side connected with the thin-wall structure.
In the above preferred technical solution of the lung fixator for neonatal thoracoscopic heart surgery, the two cannulae can be opened and closed with the forceps head end of the separating forceps.
In the above preferred solution of the lung fixation device for neonatal thoracoscopic heart surgery, the angle of opening between the two cannulae ranges from 0 to 120 °.
In the preferable technical scheme of the lung fixer for the neonatal thoracoscopic heart surgery, the buckle is of a circular structure with a notch.
In the preferable technical scheme of the lung fixator for the neonatal thoracoscopic cardiac surgery, the thin-wall structure is a transparent film, the transparent film is made of a medical sterile material, one side of the sleeve is fixedly connected with the transparent film, the sleeve and the transparent film are of an integrated structure, and the transverse length of the other side of the sleeve is longer than that of the side connected with the transparent film, so that the forceps head end of the separating forceps can be conveniently coated.
In the preferred technical solution of the lung fixator for neonatal thoracoscopic heart surgery described above, the cannula is made of a non-metallic material.
As can be understood by those skilled in the art, in the preferred technical scheme of the lung fixer for neonatal thoracoscopic heart surgery of the utility model, the operative field is increased for the neonate, and the operation safety is improved: aiming at the characteristics of fragile and tender lung tissue and low thoracic pressure of the newborn, the utility model adopts the medical transparent film as the main body of the lung baffle, thereby greatly increasing the surgical field and improving the operation safety. Utilize current thoracoscope apparatus, reduce the expense, need not add surgical instruments again, utilize current neonate's thoracoscope separation pincers, will the utility model discloses a lung fixer cover can regard as the lung baffle at the pincers head end of separation pincers, practices thrift greatly and purchases apparatus expense and apparatus disinfection and loss cost, the utility model discloses a lung fixer also can regard as disposable product, reducible cross infection's possibility.
Detailed Description
The present invention is described in terms of specific embodiments, and other advantages and benefits of the present invention will become apparent to those skilled in the art from the following disclosure. 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.
It should be noted that in the description of the present invention, the terms "in", "up", "down", "horizontal", "inner", etc. indicate directions or positional relationships based on those shown in the drawings, which are merely for convenience of description, and do not indicate or imply that the device or element must have a specific orientation, be constructed and operated in a specific orientation, and thus, should not be construed as limiting the present invention. Furthermore, the terms "first" and "second" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
Furthermore, it should be noted that, in the description of the present invention, unless otherwise explicitly specified or limited, the terms "disposed," "mounted," "connected," and "connected" are to be construed broadly and may include, for example, a fixed connection, a detachable connection, or an integral connection; may be a mechanical connection; they may be connected directly or indirectly through intervening media, or they may be interconnected between two elements. The specific meaning of the above terms in the present invention can be understood by those skilled in the art according to specific situations.
The existing current instruments pointed out based on the background technology are too large for adults and heavy children, influence the operation visual field, and are heavy in lung compression due to the fact that most of the instruments are metal, so that lung air leakage is easily caused, and air leakage points are shielded. Difficult repair in neonate's lung gas leakage art, pneumothorax that the postoperative caused often is fatal, seriously influences neonate's prognosis, prolongs the problem of time in hospital, the utility model discloses a lung fixer cooperation thoracoscope for neonate's thoracoscope heart operation uses, and area occupied is little, need not increase extra apparatus, reduces the blind area of oppression lung tissue, prevents to omit the breach of lung, increases the art wild, reduces the risk of operation complication. Aiming at the newborn, the surgical field is increased, and the operation safety is improved: aiming at the characteristics of fragile and tender lung tissue and low thoracic pressure of the newborn, the utility model adopts the medical transparent film as the main body of the lung baffle, thereby greatly increasing the surgical field and improving the operation safety. Utilize current thoracoscope apparatus, reduce the expense, this design need not add surgical instruments again, utilizes current neonate's thoracoscope separation pincers, will the utility model discloses a fixer cover of lung can regard as the lung baffle at the pincers head end of separation pincers, practices thrift greatly and purchases apparatus expense and apparatus disinfection and loss cost, the utility model discloses a fixer of lung also can regard as disposable product, reducible cross infection's possibility.
Specifically, as shown in fig. 1 to 4, the lung fixator of the present invention for thoracoscopic cardiac surgery of a newborn has a symmetrical structure, and includes 2 sleeves 1, a thin-walled structure, a connecting tube 3 and a buckle 4; the sleeve 1 is of a hollow structure, a thin-wall structure is arranged between the middle upper parts of the two sleeves 1 and connected with the outer side walls of the two sleeves 1, the thin-wall structure is fan-shaped, and the lower parts of the two sleeves 1 are connected with each other and are omega-shaped; the sleeve 1 is sleeved on the head end 5 of the separating clamp 6, and the sleeve 1 can cover the head end 5 of the separating clamp 6; the first end of connecting pipe 3 is connected with the lower extreme of sleeve pipe 1, and the second end of connecting pipe 3 is connected with buckle 4, and buckle 4 and the handle end joint of release forceps 6 to prevent lung's fixer from droing in the operation. The shape phase-match of sleeve pipe 1 and the pincers head end of separation pincers 6, the pincers head end of separation pincers 6 embolias in sleeve pipe 1, and the pincers head end of separation pincers 6 expandes the back, and middle thin-walled structure (film 2) is opened, and its shape after opening is similar to fan-shaped, and buckle 4 is fixed in the fixed part of the tong pole of separation pincers 6, guarantees that the lung fixer can not fall into the thorax. The utility model discloses in, connecting pipe 3 is the solid hose of plastics material, has certain pliability. The specific structure of the buckle 4 is the prior art, as shown in fig. 5, as long as the buckle can be fixed with the handle end of the separating forceps 6 (the separating forceps 6 is the prior art), so as to ensure that the lung fixator cannot slide off in the using process.
Preferably, as shown in fig. 1, one side of the sleeve 1 is fixedly connected with the thin-wall structure, and the sleeve 1 and the thin-wall structure are of an integral structure, and the transverse length of the other side of the sleeve 1 is longer than that of the side connected with the thin-wall structure, so as to facilitate covering the forceps head end 5 of the separation forceps 6.
Preferably, as shown in fig. 1, the sleeve 1 is in an arc-like configuration with an arc range of 0 to 20 °.
Preferably, the two sleeves 1 can be opened and closed with the head end of the separating forceps 6.
Preferably, the angle of opening between the two sleeves 1 ranges from 0 to 120 °.
Preferably, the buckle 4 is a ring-shaped structure with a notch.
Preferably, the thin-walled structure is a transparent film 2, and the transparent film 2 is made of medical sterile materials, so that the possibility of secondary infection is reduced. One side of the sleeve 1 is fixedly connected with the transparent film 2, the sleeve 1 and the transparent film 2 are of an integral structure, and the transverse length of the other side of the sleeve 1 is longer than that of the side connected with the transparent film 2, so that the clamp head end 5 of the separating clamp 6 can be conveniently coated.
Preferably, the sleeve 1 is made of a non-metal material, has moderate hardness and width, is convenient to be sleeved into the separating forceps 6, and does not damage tissues, more preferably, the sleeve 1 is made of plastic, and more preferably, the sleeve 1 is made of silica gel.
The utility model discloses a lung fixer for neonate's thoracoscope heart operation's beneficial effect does:
aiming at the newborn, the surgical field is increased, and the operation safety is improved: aiming at the characteristics of fragile and tender lung tissue and low thoracic pressure of the newborn, the utility model adopts the medical transparent film as the main body of the lung baffle, thereby greatly increasing the surgical field and improving the operation safety. Utilize current thoracoscope apparatus, reduce the expense, this design need not add surgical instruments again, utilizes current neonate's thoracoscope separation pincers, will the utility model discloses a lung's fixer cover is at the pincers head end of separation pincers, can regard as the lung baffle, practices thrift greatly and purchases apparatus expense and apparatus disinfection and loss cost, reduces the blind area of oppression lung tissue, prevents to omit the breach of lung, increases the art wild, reduces the risk of operation complication. The lung fixer of the utility model can also be used as a disposable product, and the possibility of cross infection can be reduced.
So far, the technical solution of the present invention has been described with reference to the preferred embodiments shown in the drawings, but it is easily understood by those skilled in the art that the scope of the present invention is obviously not limited to these specific embodiments. Without departing from the principle of the present invention, a person skilled in the art can make equivalent changes or substitutions to the related technical features, and the technical solutions after these changes or substitutions will fall within the protection scope of the present invention.