CN213641015U - Expansible specimen extractor for thoraco-laparoscopic surgery - Google Patents

Expansible specimen extractor for thoraco-laparoscopic surgery Download PDF

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CN213641015U
CN213641015U CN202022640227.6U CN202022640227U CN213641015U CN 213641015 U CN213641015 U CN 213641015U CN 202022640227 U CN202022640227 U CN 202022640227U CN 213641015 U CN213641015 U CN 213641015U
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arc
shaped blades
shaped
distraction
sawteeth
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蒋忠
荣辉
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Nanjing Drum Tower Hospital
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Nanjing Drum Tower Hospital
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Abstract

本发明涉及一种胸腹腔镜手术可扩张标本取出器,包括撑开单元、撑开卡钳、弧形叶片、撑开臂、柄、活动关节和卡齿结构;撑开单元由一对撑开卡钳和两组弧形叶片构成;撑开卡钳上部分为撑开臂、下部分为柄,撑开臂通过中部的活动关节与柄呈“S”型一体连接,两个“S”型结构由活动关节处交叉连接;撑开卡钳的每个撑开臂上端各连接一个弧形叶片;一对撑开卡钳的四个弧形叶片通过内、外缘锯齿互相嵌合组成“四叶式”撑开器。本发明的胸腹腔镜手术可扩张标本取出器通过多组撑开单元结合使用,撑开模式灵活,可简化撑开操作流程,避免多次穿刺引起的潜在损伤,除联合使用外还可拆开使用,应用于不同的使用场景。

Figure 202022640227

The invention relates to an expandable specimen extractor for thoracic and laparoscopic surgery, comprising a spreading unit, a spreading caliper, an arc blade, a spreading arm, a handle, a movable joint and a clamping tooth structure; the spreading unit is composed of a pair of spreading calipers It is composed of two sets of arc-shaped blades; the upper part of the opening caliper is the opening arm, and the lower part is the handle. The joints are cross-connected; the upper end of each spreading arm of the spreading caliper is connected with an arc-shaped blade; the four arc-shaped blades of a pair of spreading calipers are fitted with each other by the inner and outer serrations to form a "four-leaf" spread device. The expandable specimen extractor for thoracoscopic laparoscopic surgery of the present invention is used in combination with multiple sets of expansion units, the expansion mode is flexible, the expansion operation process can be simplified, the potential damage caused by multiple punctures is avoided, and it can be disassembled in addition to combined use Use, apply to different usage scenarios.

Figure 202022640227

Description

Expansible specimen extractor for thoraco-laparoscopic surgery
Technical Field
The invention relates to the field of medical devices, in particular to an expansible specimen extractor for a pleuroperitoneal cavity mirror operation.
Background
With the maturity and development of endoscopic surgery, the endoscopic technology is applied to the minimally invasive thoracoabdominal surgery, and at present, cannulas with different radiuses are often applied to sequentially open a minimally invasive tunnel, then the operation is performed and the sample is taken out. But the main problems of the current sleeve distractors are as follows: 1. the existing commercial dilator is fixed in final distraction radius, so that the tunnel is not large enough to pass through a slightly large specimen (such as a gall bladder filled with calculus and a lump), the specimen is not easy to take out, the operation time can be obviously prolonged, the operation cost of a patient is increased, and the specimen is easy to break or the content is easy to spill when the specimen is forced to pass through the tunnel; 2. the opening process is complicated, and a user needs to sequentially expand the sleeves with different radiuses to achieve a satisfactory effect; 3. repeated insertion of the cannula expands the skin to a certain extent, which increases the probability of accidentally injuring the deep viscera. Obviously, the current endoscope distractor still needs to solve the problems of adjustability of distraction radius, convenience in use, potential safety and the like, which seriously affect the quality of clinical medical service.
Disclosure of Invention
The invention aims to solve the technical problem of providing an expandable specimen extractor for a pleuroperitoneal cavity mirror operation aiming at the defects of the prior art.
In order to achieve the purpose, the technical scheme provided by the invention is as follows:
an expansible specimen extractor for a pleuroperitoneal cavity mirror operation comprises a propping unit, propping calipers, arc-shaped blades, propping arms, a handle, a movable joint and a latch structure; the expanding unit consists of a pair of expanding calipers and two groups of arc-shaped blades; the upper part of the distraction caliper is provided with a distraction arm, the lower part of the distraction caliper is provided with a handle, the distraction arm is integrally connected with the handle in an S shape through a movable joint in the middle, and the two S-shaped structures are connected by the movable joint in a crossing way; the upper end of each opening arm of the opening calipers is connected with an arc-shaped blade; the arc-shaped blades are provided with connecting points connected with the top ends of the distraction arms, the blades on one side of the connecting points of the arc-shaped blades are provided with outer edge sawteeth, the blades on the other side of the connecting points of the arc-shaped blades are provided with inner edge sawteeth, and the four arc-shaped blades of the pair of distraction calipers are mutually embedded through the inner edge sawteeth and the outer edge sawteeth to form the four-blade type distracter.
Further, the arc-shaped blades comprise an upper edge, a lower edge, a left edge and a right edge, each arc-shaped blade is the same in size, the four arc-shaped blades are enclosed into a round hole tunnel, the upper edges of the arc-shaped blades form the upper edge of the round hole tunnel, and the lower edges of the arc-shaped blades form the lower edge of the round hole tunnel.
Further, when the pair of handles are close to each other, the spreading arms are separated, and the opening and closing of the arc-shaped blades are controlled by controlling the distance between the two handles.
Furthermore, the inner edge sawteeth and the outer edge sawteeth are mutually embedded into a joint mode between the adjacent arc-shaped blades, when the force is applied outwards, the inner edge sawteeth and the outer edge sawteeth slide mutually, and the circular hole tunnel can be expanded and fixed and is used for supporting a minimally invasive opening pore channel; when the force is applied inwards, the sawteeth on the inner edge and the outer edge are loosened, and the circular hole tunnel is loosened, so that the circular hole tunnel is convenient to take out from the minimally invasive opening pore passage.
Furthermore, the expanding calipers are vertically connected with the long axis direction of the arc-shaped blade through the forearms.
Furthermore, a latch structure is arranged between the two handles of the distraction caliper and used for fixing the distance between the two handles.
Furthermore, the strutting calipers and the arc-shaped blades are made of high-strength rigid metal materials.
Further, a movable shaft is arranged at the connecting point.
Compared with the prior art, the invention has the beneficial effects that:
the expansible specimen extractor for the thoraco-laparoscopic surgery has the advantages that a circular hole tunnel is designed into a detachable multi-blade structure, the basic units of the multi-blade structure are connected through a sawtooth structure, the outer side of the multi-blade structure is integrally connected with a distraction caliper, and external force or internal force can be applied through the distraction caliper; when the multi-blade structure is acted by an outward force, the sawtooth structure moves relatively to expand the circular hole tunnel, so that the function of expanding the pore canal outwards is exerted; when the inner force is applied, the circular hole tunnel can be reduced, and the hole channel can be conveniently taken out or placed in. The expansible specimen extractor for the pleuroperitoneal cavity mirror operation is used by combining a plurality of groups of opening units, and has the following characteristics:
1. the opening mode is flexible; the circular hole tunnel is divided into a plurality of detachable circular hole tunnels which are assembled in a imbricate manner and plugged into the pore passage, and the left side and the right side of each circular hole tunnel are provided with sawtooth structures which move relatively to cause the circular hole tunnel to expand when the stress is outward;
2. the expanding operation process can be simplified: when the device is used, the device only needs to be assembled in a imbricate shape and inserted into the pore channel, then the pore channel opening effect can be completed by the upper teeth of the opening calipers, and the radius of the circular hole tunnel can be adjusted at any time according to the size of a specimen, so that compared with the traditional sleeve type opener, the process of repeatedly changing a large sleeve and gradually expanding the skin is omitted;
3. avoid the potential damage that many punctures caused: as mentioned above, the radius of the round hole tunnel can be adjusted at any time only by the tooth-mounting operation of the device, so that the repeated puncture process of the traditional sleeve type distractor is avoided, and the accidental injury caused by repeated puncture is avoided;
4. besides combined use, the invention can be detached for use, and can play an unexpected effect when being used in different use scenes.
Drawings
Fig. 1 is a perspective view of the present invention.
Fig. 2 is a view showing the structure of the expanding unit of the present invention.
Fig. 3 is a top view of the present invention.
In the figure: 1-opening unit, 2-opening caliper, 3-arc blade, 4-opening arm, 5-handle, 6-movable joint, 7-latch structure and 8-sawtooth.
Detailed Description
The present invention will be described in further detail with reference to specific examples. The following examples are intended to illustrate the invention only and are not intended to limit the scope of the invention.
An expansible specimen extractor for a pleuroperitoneal cavity mirror operation comprises a distraction unit 1, distraction calipers 2, arc-shaped blades 3, distraction arms 4, a handle 5, a movable joint 6 and a latch structure 7; the opening unit 1 is composed of a pair of opening calipers 2 and two groups of arc-shaped blades 3; the upper part of the distraction caliper 2 is provided with a distraction arm 4, the lower part of the distraction caliper is provided with a handle 5, the distraction arm 4 is integrally connected with the handle 5 in an S shape through a movable joint 6 in the middle, and the two S-shaped structures are connected by the movable joint 6 in a cross way; the upper end of each strutting arm 4 of the strutting calipers 2 is respectively connected with an arc-shaped blade 3; the arc-shaped blades 3 are provided with connecting points connected with the top ends of the distraction arms 4, the blades on one side of the connecting points of the arc-shaped blades 3 are provided with outer edge sawteeth 8, the blades on the other side are provided with inner edge sawteeth 8, and the four arc-shaped blades 3 of the pair of distraction calipers 2 are mutually embedded through the inner edge sawteeth 8 and the outer edge sawteeth 8 to form a four-blade type distracter.
Arc blade 3 include four limits on upper and lower, left and right, every arc blade 3 is the same size, a round hole tunnel is enclosed into to four arc blades 3, and arc blade 3 is the limit on the upper edge constitution round hole tunnel, constitutes round hole tunnel lower edge below the arc blade 3.
When the pair of handles 5 are close, the opening and closing of the arc-shaped blades 3 are controlled by controlling the distance between the two handles 5, which causes the separation of the opening and closing arms 4.
The inner edge sawteeth 8 and the outer edge sawteeth 8 are mutually embedded into each other in a joint mode between the adjacent arc-shaped blades 3, when the force is applied outwards, the inner edge sawteeth 8 and the outer edge sawteeth 8 slide mutually, and the circular hole tunnel can be expanded and fixed and is used for supporting a minimally invasive opening pore passage; when the force is applied inwards, the sawteeth 8 on the inner edge and the outer edge are loosened, and the circular hole tunnel is loosened, so that the circular hole tunnel is convenient to take out from the minimally invasive opening pore passage.
The expanding caliper 2 is vertically connected with the long axis direction of the arc-shaped blade 3 through a front arm. A latch structure 7 is arranged between the two handles 5 of the expanding caliper 2 and used for fixing the distance between the two handles 5.
The expanding caliper 2 and the arc-shaped blades 3 are made of high-strength rigid metal materials.
The connecting point is provided with a movable shaft.
As shown in fig. 1, when the invention is used, one or more groups of distraction units 1 are combined for use, and taking a four-leaf type distraction device consisting of two groups of distraction units 1 as an example, the two groups of distraction units 1 are overlapped and assembled in a crossing way.
As shown in fig. 2, the spreader unit 1 is composed of a spreader caliper 2 and arc-shaped blades 3. One end of the distraction caliper 2 is provided with a distraction arm 4, the other end is provided with a handle 5, the distraction arm 4 is integrally connected with the handle 5 to form an S-shaped structure, the two S-shaped structures are in cross connection by virtue of a joint 6, and when a pair of handles 5 approach, the distraction arm 4 can be separated; when the opening and closing device is applied to opening a pore channel, the arc-shaped blade 3 is sequentially connected with the opening arm 4, the movable joint 6, the latch structure 7 and the handles 5 from inside to outside, and the opening and closing process of the arc-shaped blade 3 can be controlled by controlling the distance between the two handles 5; when the arc-shaped blades 3 are connected for use, the arc-shaped blades 3 are vertically placed in the thoracoabdominal cavity incision duct, the distraction calipers 2 are arranged outside the duct, and the distraction calipers 2 are alternately stacked on the body surface. After the upper and lower edges of the arc-shaped blade 3 are aligned, the left and right edges surround a circular hole tunnel in a imbricate shape. The latch structure 7 is arranged between the two handles 5 and used for fixing the distance between the two handles 5 after being toothed.
As shown in fig. 3, sawteeth 8 are arranged on the left side and the right side of each arc-shaped blade 3, when the arc-shaped blades 3 are stressed outwards, the adjacent arc-shaped blades 3 move relatively through the clamping teeth, and the relative positions can be fixed without sliding after force application is stopped, so that the tooth-loading effect is achieved. When the arc-shaped blades 3 are stressed inwards, the latch of the adjacent arc-shaped blade 3 is separated, the action of the upper teeth disappears, and the relative position of the arc-shaped blades 3 is restored to be before the upper teeth.
The invention is characterized in that the integral connection of the distraction units is completed by manufacturers, and the application process of the expansible specimen extractor for the pleuroperitoneal cavity mirror operation is explained as follows: taking a four-blade type spreader consisting of two groups of spreading units 1 as an example of the use condition, the sequence of using the device is as follows: firstly holding a propping unit 1, opening a handle 5 to enable the two units to be in a close state, placing a vertical cut into a pore channel, placing a propping caliper 2 on the body surface, properly closing the handle 5, and properly propping the cut through a latch structure 7; holding another opening unit 1, embedding the opening unit 1 into the incision in the same way, overlapping the second opening unit 1 on the first opening unit 1 in a crossed manner, appropriately carrying out tooth feeding to enable the four imbricated shapes to form a circular hole tunnel, then, when the circular hole tunnel needs to be expanded continuously, synchronously folding the handles 5 of the two opening units 1 by two hands, carrying out tooth feeding on the opening calipers 2 by controlling a latch structure 7, leading the stress to be outward and to move mutually at the moment to cause the circumference of the circular hole tunnel to be increased gradually, ensuring that the circular hole tunnel is always cylindrical during expansion at the moment, facilitating the sample to be taken out and pass through, and simultaneously ensuring that the radius of the opening circular hole tunnel is fixed and does not rebound by the latch on the left and the right; when the specimen is removed, the latch structure 7 is released and the handle 5 is opened to move the arcuate blades 3 towards each other, at which point the device can be withdrawn from the incision.
In the case of complex incision requiring expansion, the three or four expanding units 1 can also form a "six-leaf type" or "eight-leaf type" expander, and the use process is the same as above and is not described again. Besides the combination use, the expanding unit 1 also has unexpected application value when being used alone, for example, the expanding unit 1 can be used as a simple expander and is suitable for expanding deep tunnels with low requirements.
The above description is only a preferred embodiment of the present invention, and should not be taken as limiting the invention in any way, and any person skilled in the art can make any simple modification, equivalent replacement, and improvement on the above embodiment without departing from the technical spirit of the present invention, and still fall within the protection scope of the technical solution of the present invention.

Claims (8)

1. The utility model provides a pleuroperitoneal cavity mirror operation expansible sample extractor which characterized in that: comprises a spreading unit, a spreading caliper, an arc-shaped blade, a spreading arm, a handle, a movable joint and a latch structure; the expanding unit consists of a pair of expanding calipers and two groups of arc-shaped blades; the upper part of the distraction caliper is provided with a distraction arm, the lower part of the distraction caliper is provided with a handle, the distraction arm is integrally connected with the handle in an S shape through a movable joint in the middle, and the two S-shaped structures are connected by the movable joint in a crossing way; the upper end of each opening arm of the opening calipers is connected with an arc-shaped blade; the arc-shaped blades are provided with connecting points connected with the top ends of the distraction arms, the blades on one side of the connecting points of the arc-shaped blades are provided with outer edge sawteeth, the blades on the other side of the connecting points of the arc-shaped blades are provided with inner edge sawteeth, and the four arc-shaped blades of the pair of distraction calipers are mutually embedded through the inner edge sawteeth and the outer edge sawteeth to form the four-blade type distracter.
2. The thoracolaparoscopic expandable specimen extractor of claim 1, wherein: the arc-shaped blades comprise an upper edge, a lower edge, a left edge and a right edge, each arc-shaped blade is the same in size, the four arc-shaped blades are enclosed into a round hole tunnel, the upper edges of the arc-shaped blades form the upper edge of the round hole tunnel, and the lower edges of the arc-shaped blades form the lower edge of the round hole tunnel.
3. The thoracolaparoscopic expandable specimen extractor of claim 1, wherein: when the pair of handles are close to each other, the opening and closing of the arc-shaped blades are controlled by controlling the distance between the two handles.
4. The thoracolaparoscopic expandable specimen extractor of claim 1, wherein: the inner edge sawteeth and the outer edge sawteeth are mutually embedded into a joint mode between the adjacent arc-shaped blades, when the force is applied outwards, the inner edge sawteeth and the outer edge sawteeth slide mutually, and the circular hole tunnel can be expanded and fixed and is used for supporting a minimally invasive opening pore passage; when the force is applied inwards, the sawteeth on the inner edge and the outer edge are loosened, and the circular hole tunnel is loosened, so that the circular hole tunnel is convenient to take out from the minimally invasive opening pore passage.
5. The thoracolaparoscopic expandable specimen extractor of claim 1, wherein: the expanding calipers are vertically connected with the long axis direction of the arc-shaped blade through the forearms.
6. The thoracolaparoscopic expandable specimen extractor of claim 1, wherein: a latch structure is arranged between the two handles of the distraction caliper and used for fixing the distance between the two handles.
7. The thoracolaparoscopic expandable specimen extractor of claim 1, wherein: the strutting calipers and the arc-shaped blades are made of high-strength rigid metal materials.
8. The thoracolaparoscopic expandable specimen extractor of claim 1, wherein: the connecting point is provided with a movable shaft.
CN202022640227.6U 2020-11-16 2020-11-16 Expansible specimen extractor for thoraco-laparoscopic surgery Active CN213641015U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112263290A (en) * 2020-11-16 2021-01-26 南京鼓楼医院 Expandable Specimen Extractor for Thoracoscopic Surgery

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112263290A (en) * 2020-11-16 2021-01-26 南京鼓楼医院 Expandable Specimen Extractor for Thoracoscopic Surgery

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