CN213406225U

CN213406225U - Auxiliary device is sewed up to peritoneoscope incision

Info

Publication number: CN213406225U
Application number: CN202022022013.2U
Authority: CN
Inventors: 何佩; 王中显
Original assignee: Individual
Current assignee: Individual
Priority date: 2020-09-16
Filing date: 2020-09-16
Publication date: 2021-06-11
Anticipated expiration: 2030-09-16

Abstract

A laparoscope incision suturing auxiliary device comprises a deformable rubber ring, wherein two groups of adjusting rods which are vertically and upwards arranged are fixedly arranged in the side wall of the rubber ring, the two groups of adjusting rods are oppositely arranged, each group of adjusting rods comprises two vertical rods, and a gap is formed between the two vertical rods; two airtight layers are arranged in the rubber circular ring; the puncture core penetrates through the rubber circular ring; the adjusting device comprises two sliding blocks which can slide on the adjusting rods, and a telescopic adjusting rod is fixedly connected between the two sliding blocks. The utility model provides a laparoscope incision suturing auxiliary device, which can expose the fascia layer and facilitate the suturing of doctors.

Description

Auxiliary device is sewed up to peritoneoscope incision

Technical Field

The utility model relates to a peritoneoscope technical field, especially an auxiliary device is sewed up to peritoneoscope incision.

Background

At present, peritoneoscope wicresoft technique develops widely in clinical each branch of academic or vocational study room, common incision is 5mm or 10mm or 12mm, 5 mm's incision need not to sew up, 10mm-12 mm's incision need sew up and just can avoid the incision hernia, the abdominal wall is by including the epidermis layer in proper order within the outer, the fat layer, the rete, the muscle layer, the peritoneum layer, many surgeons directly hold the needle-holding stitching instrument and sew up, often because the incision is less, the fat layer is thicker to lead to exposing the rete difficulty, often not having during the sewing up stitches the rete, make the patient have enterocele or the risk of intestinal incarceration. There are also incision suturing devices, such as a knot pusher (patent No. CN 201620970404.8), which are expensive, difficult to operate, and may be operated blindly, or the straight needle may penetrate into the abdominal cavity to damage the organs of the abdominal cavity, resulting in serious medical accidents; in addition, the suture is obliquely pushed to the abdominal cavity, the suture needs to penetrate through the abdominal wall in the whole process, the needle is often a round needle which cannot penetrate well, large force is needed, an intestinal canal or a blood vessel can be damaged or an abdominal membrane layer cannot be penetrated without being effectively pulled, and more time is consumed.

SUMMERY OF THE UTILITY MODEL

The utility model aims to solve the technical problem that a peritoneoscope incision sewing auxiliary device is provided, makes the rete can expose, makes things convenient for the doctor to sew up.

In order to solve the technical problem, the utility model discloses the technical scheme who adopts is: a laparoscope incision suturing auxiliary device comprises a deformable rubber ring, wherein two groups of adjusting rods which are vertically and upwards arranged are fixedly arranged in the side wall of the rubber ring, the two groups of adjusting rods are oppositely arranged, each group of adjusting rods comprises two vertical rods, and a gap is formed between the two vertical rods; two airtight layers are arranged in the rubber circular ring;

the puncture core penetrates through the rubber circular ring;

the adjusting device comprises two sliding blocks which can slide on the adjusting rods, and a telescopic adjusting rod is fixedly connected between the two sliding blocks.

Preferably, the two-layer airtight layer is including locating the first airtight layer at rubber ring middle part and locating the second airtight layer of rubber ring bottom, and first airtight layer sets up a week by the rectangle sheet rubber on the inside wall of rubber ring and constitutes by annular array, leaves the through-hole at the middle part of first airtight layer, and adjacent rectangle sheet rubber overlap sets up, and the second airtight layer comprises four the circular shape arc sheet rubber of fourth, rectangle sheet rubber and arc sheet rubber all with the inside wall fixed connection of rubber ring.

Preferably, the lower end of the puncture core is a conical pointed end, and a limiting stop for preventing the puncture core from penetrating out of the rubber ring is arranged on the side wall of the puncture core.

Preferably, the adjusting rod comprises two threaded rods, the two threaded rods are fixedly connected with the sliding block respectively, the sleeves are connected to the outer portions of the two threaded rods through threads, and telescopic adjustment is performed through rotating the sleeves.

Preferably, the lower part of the sliding block is fixedly provided with a sleeve sleeved outside the vertical rod, the lower end of the sleeve is fixedly provided with a limiting plate horizontally arranged, and the limiting plate is provided with a through hole for the vertical rod to pass through.

Preferably, the diameter of the rubber ring is 10mm, and the distance between the two vertical rods is 2 mm.

Preferably, the surface of the sleeve is of a saw-toothed structure.

The use method of the laparoscopic incision suturing assisting device is characterized by comprising the following steps of:

step one, inserting a puncture core into a rubber ring;

secondly, inserting the puncture core and the rubber ring into a laparoscope incision together in a pneumoperitoneum state;

taking out the puncture core, putting the laparoscope probe into the rubber circular ring, and adjusting the position of the rubber circular ring under the shooting and monitoring of the laparoscope probe to enable the rubber circular ring to be positioned below the fascia layer;

and step four, taking out the laparoscope probe, then sleeving the slide blocks on the vertical rods, adjusting the adjusting rods, extending the adjusting rods to enable the distance between the two slide blocks to be gradually increased, driving the two groups of vertical rods to respectively move towards two sides by the two slide blocks, and driving the rubber rings to deform by the vertical rods to enable the rubber rings to be changed into long strip-shaped structures.

The utility model provides a peritoneoscope incision suture auxiliary device and application method thereof has following beneficial effect:

1. the utility model discloses safe and reliable is under pneumoperitoneum state, and adjustment under the monitoring of peritoneoscope camera lens avoids risks such as damage intestines tube, great vessel completely.

2. The utility model discloses a slider becomes rectangular shape with circular incision, fully exposes the incision, lets the operation doctor see, can hand needle holder just can sew up the muscle rete, avoids complication such as enterocele, intestinal strangury to appear in the postoperative to the method is simple, does not have the risk of blind operation completely.

3. The utility model can use common sewing needle and needle holder, which is convenient for popularization and application, and is economical and cheap.

Drawings

The invention will be further explained with reference to the following figures and examples:

fig. 1 is a schematic structural view of the present invention;

FIG. 2 is a schematic structural view of the rubber ring of the present invention;

FIG. 3 is a schematic view of the structure of the puncture core of the present invention inserted into the rubber ring;

FIG. 4 is a schematic structural view of the present invention after the upper slide block is installed;

FIG. 5 is a schematic structural view of the extended adjusting rod of the present invention;

fig. 6 is a schematic structural view of the adjusting lever of the present invention;

FIG. 7 is a schematic structural view of the first airtight layer after the rubber ring of the present invention is changed into a strip-shaped structure;

FIG. 8 illustrates a first position of the present invention in use;

FIG. 9 shows a second state of the present invention in use;

FIG. 10 shows a third position of the present invention in use;

FIG. 11 shows a fourth state of the present invention in use;

fig. 12 shows a fifth state of the present invention in use;

fig. 13 is a schematic diagram illustrating the shape change of the incision to be sutured according to the present invention.

Detailed Description

As shown in fig. 1-3, a laparoscope incision suturing auxiliary device comprises a deformable rubber ring 1, two groups of adjusting rods which are vertically and upwardly arranged are fixedly arranged in the side wall of the rubber ring 1, the two groups of adjusting rods are oppositely arranged, each group of adjusting rods comprises two vertical rods 2, and a gap is arranged between the two vertical rods 2; two air-tight layers are arranged in the rubber ring 1;

the puncture core 4 penetrates through the rubber ring 1;

as shown in fig. 4-5, the adjusting device for adjusting the distance between the two sets of adjusting rods is further included, the adjusting device includes two sliding blocks 3 capable of sliding on the adjusting rods, and a telescopic adjusting rod is fixedly connected between the two sliding blocks 3.

Preferably, the two-layer airtight layer is including locating the first airtight layer in rubber ring 1 middle part and locating the second airtight layer of rubber ring 1 bottom, first airtight layer sets up a week by rectangle sheet rubber 5 on the inside wall of rubber ring 1 annular array and constitutes, leave the through-hole at the middle part of first airtight layer, 5 overlapping settings of adjacent rectangle sheet rubber, the second airtight layer comprises four the circular shape arc sheet rubber 6 of fourth quadrant, rectangle sheet rubber 5 and arc sheet rubber 6 all with rubber ring 1's inside wall fixed connection. Two airtight layers are arranged, the second airtight layer plays an airtight role in a conventional state, after the puncture core 4 is inserted, the first airtight layer plays an airtight role, when the rubber ring 1 is pulled into a long strip shape, as shown in fig. 7, the first airtight layer plays an airtight role, and the two airtight layers can play an airtight role under different use conditions.

Preferably, the lower end of the puncture core 4 is a conical pointed end 7, and a limit stop 8 for preventing the puncture core 4 from penetrating out of the rubber ring 1 is arranged on the side wall of the puncture core 4.

Preferably, as shown in fig. 6, the adjusting rod includes two threaded rods 9, the two threaded rods 9 are respectively fixedly connected with the sliding block 3, a sleeve 10 is connected to the outer portion of the two threaded rods 9 through a thread, and the telescopic adjustment is performed by rotating the sleeve 10. The deformation of the rubber ring 1 is adjusted by adjusting the direct distance of the sliding block 3, so that the rubber ring 1 is changed into a long strip-shaped structure.

Preferably, the lower part of the sliding block 3 is fixedly provided with a sleeve 11 sleeved outside the vertical rod 2, the lower end of the sleeve 11 is fixedly provided with a limiting plate 12 horizontally arranged, and the limiting plate 12 is provided with a through hole for the vertical rod 2 to pass through. After rubber ring 1 becomes rectangular shape structure, montant 2 has great pressure to slider 3, and slider 3 can't slide on the montant 3 again this moment, sets up limiting plate 12 in the below of slider 3, and limiting plate 12 is placed on the epidermis, makes whole device can not be to the landing in the abdominal cavity.

Preferably, the diameter of the rubber ring 1 is 10mm, and the distance between the two vertical rods 2 is 2 mm.

Preferably, the surface of the sleeve 10 is of a saw-toothed structure.

step one, as shown in fig. 8, the puncture core 4 is inserted into the rubber ring;

step two, as shown in fig. 9, in a pneumoperitoneum state, the puncture core 4 together with the rubber ring 1 is inserted into a laparoscopic incision;

step three, as shown in fig. 10, taking out the puncture core 4, placing the laparoscope probe 13 from the rubber ring 1, and adjusting the position of the rubber ring 1 under the shooting of the laparoscope probe 13 to enable the rubber ring 1 to be positioned below the fascia layer;

step four, as shown in fig. 11, the laparoscopic probe is taken out, the sliding blocks 3 are sleeved on the vertical rods 2, the adjusting rods are adjusted to extend, so that the distance between the two sliding blocks 3 is gradually increased, the two sliding blocks 3 drive the two groups of vertical rods 2 to respectively move towards two sides, and the vertical rods 2 drive the rubber rings 1 to deform, so that the rubber rings 1 are changed into long strip-shaped structures.

Then, as shown in fig. 12, a curved needle 14 is held in a space formed by the rubber ring 1 and the vertical rods 2 and is sewn from the lower side of the fascia layer, and the curved needle penetrates out of a gap between the two vertical rods 2.

The steps are all carried out in a pneumoperitoneum state, and the air tightness is well guaranteed by the device.

Preferably, in the third step and the fourth step, the vertical rod 2 is clamped by using a pliers, so that the rubber ring 1 is prevented from sliding into the abdominal cavity in the process of adjusting the rubber ring 1 and installing the sliding block 3.

Preferably, the sleeve 10 is held by a forceps or tissue forceps and then rotated.

When in suturing, an operator holds the needle holder by hand, the suture reaches the fascia layer with enough depth, takes out the needle head of the suture needle from the epidermal layer by using the forceps of the other needle holder, sews the other needle at the opposite side by the same method, ties off the suture, closes the air source from the 5mm puncture outfit, deflates CO2 gas in the abdominal cavity, and ends the operation.

As shown in fig. 13, the incision to be sutured is firstly stretched into a circular shape by the puncture core 4 and the rubber ring, and then is pulled into a long strip-shaped structure, so that the fascia layer is fully exposed, and enough suturing space is provided, so that the suturing position is more accurate.

The above-mentioned embodiments are merely preferred embodiments of the present invention, and should not be considered as limitations of the present invention, and the protection scope of the present invention should be defined by the technical solutions described in the claims, and includes equivalent alternatives of technical features in the technical solutions described in the claims. Namely, equivalent alterations and modifications within the scope of the invention are also within the scope of the invention.

Claims

1. A laparoscopic incision suturing assistance device, comprising: the adjustable rubber ring comprises a deformable rubber ring (1), wherein two groups of adjusting rods which are vertically and upwards arranged are fixedly arranged in the side wall of the rubber ring (1), the two groups of adjusting rods are oppositely arranged, each group of adjusting rods comprises two vertical rods (2), and a gap is formed between the two vertical rods (2); two air-tight layers are arranged in the rubber circular ring (1);

the puncture core (4) penetrates through the rubber ring (1);

the adjusting device comprises two sliding blocks (3) capable of sliding on the adjusting rods, and the telescopic adjusting rods are fixedly connected between the two sliding blocks (3).

2. The laparoscopic incision suturing assistance device of claim 1, wherein: the two-layer airtight layer is including locating the first airtight layer at rubber ring (1) middle part and locating the second airtight layer of rubber ring (1) bottom, first airtight layer sets up a week by rectangle sheet rubber (5) on the inside wall of rubber ring (1) and constitutes, leave the through-hole at the middle part of first airtight layer, adjacent rectangle sheet rubber (5) overlap sets up, the second airtight layer comprises four the circular shape arc sheet rubber (6) of fourth quadrant, rectangle sheet rubber (5) and arc sheet rubber (6) all with the inside wall fixed connection of rubber ring (1).

3. The laparoscopic incision suturing assistance device of claim 1, wherein: the lower end of the puncture core (4) is a conical pointed end (7), and a limiting stop (8) for preventing the puncture core (4) from penetrating out of the rubber ring (1) is arranged on the side wall of the puncture core (4).

4. The laparoscopic incision suturing assistance device of claim 1, wherein: the adjusting rod comprises two threaded rods (9), the two threaded rods (9) are fixedly connected with the sliding block (3) respectively, the outer threads of the two threaded rods (9) are connected with a sleeve (10), and the adjusting rod can be adjusted in a telescopic mode through rotating the sleeve (10).

5. The laparoscopic incision suturing assistance device according to claim 1 or 4, wherein: the lower part of the sliding block (3) is fixedly provided with a sleeve (11) sleeved outside the vertical rod (2), the lower end of the sleeve (11) is fixedly provided with a limiting plate (12) horizontally arranged, and the limiting plate (12) is provided with a through hole for the vertical rod (2) to pass through.

6. The laparoscopic incision suturing assistance device of claim 1, wherein: the diameter of the rubber ring (1) is 10mm, and the distance between the two vertical rods (2) is 2 mm.

7. The laparoscopic incision suturing assistance device of claim 4, wherein: the surface of the sleeve (10) is of a sawtooth structure.