CN214805224U

CN214805224U - Puncture lifting device

Info

Publication number: CN214805224U
Application number: CN202120672296.7U
Authority: CN
Inventors: 李伟
Original assignee: 980th Hospital of the Joint Logistics Support Force of PLA
Current assignee: 980th Hospital of the Joint Logistics Support Force of PLA
Priority date: 2021-03-31
Filing date: 2021-03-31
Publication date: 2021-11-23
Anticipated expiration: 2031-03-31

Abstract

The utility model provides a puncture lifting device, which comprises a sleeve, a through pipe and a slip ring; the pipe wall of the sleeve pipe close to the first end of the sleeve pipe is provided with a flexible folding and unfolding part, and the flexible folding and unfolding part has a contraction state and an expansion state; the penetrating pipe penetrates through the sleeve along the axial direction of the sleeve, one end of the penetrating pipe is connected with the inner wall of the sleeve between the first end and the flexible folding and unfolding part, and the other end of the penetrating pipe is connected with the second end of the sleeve in a sliding manner along the axial direction of the sleeve and is used for driving the flexible folding and unfolding part to switch between a contraction state and an expansion state; the slip ring is sleeved on the outer wall of the sleeve in a sliding manner along the axial direction of the sleeve; when the sleeve is in the contraction state, the first ends of the penetrating tube and the sleeve are used for penetrating into the abdominal cavity and penetrating through the broad ligament, and when the sleeve is in the expansion state, the sliding ring and the flexible folding and unfolding portion are used for being matched to pull and clamp the broad ligament on the abdominal cavity wall. The utility model provides a pair of puncture is carried and is drawn device has the puncture concurrently and carries and draw the function, can improve operation efficiency, is applicable to single operation.

Description

Puncture lifting device

Technical Field

The utility model belongs to the technical field of surgical instruments, more specifically say, relate to a puncture is carried and is drawn device.

Background

At present, the mode of minimal invasive surgery is mostly adopted in common gynecological surgery, after penetrating the abdominal cavity through the puncture outfit, send the lens of peritoneoscope and surgical instruments into the abdominal cavity inside from the perforation of puncture outfit, in the operation process, need the operation assistant to adopt other draw gear to lift the broad ligament of uterus both sides, thereby suspend the uterus in midair and operate with exposing suitable field angle and operating space, because assistant self and draw gear all need occupy certain operating space in the actual operation process, disturb operator's action easily, and in order to ensure good field of vision in whole operation process, the assistant needs to keep same traction posture, and high labor intensity, lead to the action to warp easily because of fatigue, the field of vision is obstructed, influence going on smoothly of operation.

SUMMERY OF THE UTILITY MODEL

An object of the utility model is to provide a device is carried in puncture aims at solving among the prior art uterus traction mode influence operation, and the big problem of intensity of labour when gynaecology's minimal access surgery.

In order to achieve the above object, the utility model adopts the following technical scheme: the puncture pulling device comprises a sleeve, a penetrating pipe and a sliding ring; the flexible folding and unfolding part is provided with a folding state which is flush with the peripheral wall of the sleeve and an expanding state which is bent towards the periphery of the peripheral wall of the sleeve; the penetrating pipe penetrates through the sleeve along the axial direction of the sleeve, one end of the penetrating pipe extends out of the first end of the sleeve and is connected with the inner wall of the sleeve, which is positioned between the first end and the flexible folding and unfolding part, and the other end of the penetrating pipe is connected with the second end of the sleeve in a sliding manner along the axial direction of the sleeve and is used for driving the flexible folding and unfolding part to switch between a contraction state and an expansion state; the slip ring is sleeved on the outer wall of the sleeve in a sliding manner along the axial direction of the sleeve; when the sleeve is in the contraction state, the first ends of the penetrating tube and the sleeve are used for penetrating into the abdominal cavity and penetrating through the broad ligament, and when the sleeve is in the expansion state, the sliding ring and the flexible folding and unfolding portion are used for being matched to pull and clamp the broad ligament on the abdominal cavity wall.

As another embodiment of the present application, the flexible concertina is a plurality of flexible flaps spaced circumferentially along the sleeve.

As another embodiment of the present application, a separation groove is formed on an inner wall of a bending position of the flexible folded plate.

As another embodiment of this application, the sleeve pipe is located and is equipped with first joint portion on the internal perisporium between first end and the flexible portion of taking down and opening up, is equipped with second joint portion on the periphery wall of poling, and first joint portion corresponds the joint with second joint portion.

As another embodiment of the present application, the second end is provided with an accommodating chamber, one end of the penetrating pipe passes through the accommodating chamber and extends out of the sleeve, the elastic member is sleeved on a portion of the penetrating pipe located in the accommodating chamber, one end of the elastic member is connected with the penetrating pipe, and the other end of the elastic member is connected with a chamber wall of the accommodating chamber.

As another embodiment of the application, the second end is provided with a blind hole extending along the axial direction of the sleeve, the opening part of the blind hole is screwed with a sealing cover, and the sealing cover and the inner wall of the blind hole enclose a containing cavity together.

As another embodiment of the application, a limiting table is arranged on the outer wall of the through pipe close to the sealing cover, one end of the elastic piece is abutted against the limiting table, and the other end of the elastic piece is abutted against the cavity wall of the accommodating cavity far away from the sealing cover; when the flexible folding and unfolding piece is in an expansion state, the limiting table is abutted to the sealing cover.

As another embodiment of the application, the peripheral wall of the limiting table is in sliding contact with the hole wall of the blind hole along the axial direction of the sleeve.

As another embodiment of the application, the end of the through pipe extending out of the second end is provided with an operating handle.

As another embodiment of the present application, a damping ring is fitted to an inner peripheral wall of the slip ring, and the damping ring slidably abuts against an outer peripheral wall of the sleeve.

The utility model provides a pair of puncture is carried and is drawn device's beneficial effect lies in: compared with the prior art, the utility model relates to a puncture lifting device, press the poling by sheathed tube second end along sheathed tube axial, can make the poling drive flexible piece of taking out and stretching to the contraction state of the parallel and level with sheathed tube perisporium, then pass the inside of patient's abdominal cavity with the first end of sheathed tube with the end that stretches out of poling, until passing wide ligament, then slide the poling towards the second end, thereby drive flexible portion of taking out and buckling to the extension state to the sleeve pipe periphery, make flexible piece of taking out and stretching card on the inner wall of wide ligament, then pull the sleeve pipe to the direction outside the abdominal cavity, make wide ligament drive the uterus and laminate on the abdominal cavity inner wall in order to expose suitable operation space and field of vision angle, and through sliding the sliding ring, with the outer wall butt of peritoneal, thereby clamp wide ligament on the abdominal cavity wall, realize the traction of uterus suspends in midair, need not assistant and extra draw gear and can carry out gynaecology minimal access surgery, the labor intensity is low, the operation is suitable for a single person to carry out operation, so that the occupation of personnel can be reduced, meanwhile, sufficient operation space and good visual field can be provided for the operation, and the operation efficiency and quality are improved.

Drawings

In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings required for the embodiments or the prior art descriptions will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings without creative efforts.

Fig. 1 is a schematic perspective view of a puncture lifting device according to an embodiment of the present invention;

fig. 2 is a schematic view of an internal structure of a puncture lifting device according to an embodiment of the present invention;

fig. 3 is an enlarged view of a portion a of fig. 2.

In the figure: 1. a sleeve; 10. a flexible folding and unfolding part; 101. a flexible flap; 1010. a separation tank; 11. a first end; 12. a second end; 13. an accommodating cavity; 14. sealing the cover; 15. a first clamping part; 2. pipe penetration; 21. a limiting table; 22. an operating handle; 23. a second clamping part; 3. a slip ring; 30. a damping ring; 4. an elastic member.

Detailed Description

In order to make the technical problem, technical solution and advantageous effects to be solved by the present invention more clearly understood, the following description is given in conjunction with the accompanying drawings and embodiments to illustrate the present invention in further detail. It should be understood that the specific embodiments described herein are merely illustrative of the invention and are not intended to limit the invention.

Referring to fig. 1 and 2 together, a puncture lifting device according to the present invention will now be described. The puncture pulling device comprises a sleeve 1, a penetrating pipe 2 and a sliding ring 3; wherein, the pipe wall of the sleeve 1 near the first end 11 is provided with a flexible folding and unfolding part 10, the flexible folding and unfolding part 10 has a contraction state which is flush with the peripheral wall of the sleeve 1, and also has an expansion state which is bent towards the periphery of the peripheral wall of the sleeve 1; the penetrating pipe 2 penetrates through the sleeve 1 along the axial direction of the sleeve 1, one end of the penetrating pipe extends out of the first end 11 of the sleeve 1 and is connected with the inner wall, located between the first end 11 and the flexible folding and unfolding portion 10, of the sleeve 1, and the other end of the penetrating pipe 2 is connected with the second end 12 of the sleeve 1 in a sliding mode along the axial direction of the sleeve 1 and is used for driving the flexible folding and unfolding portion 10 to switch between a contraction state and an expansion state; the slip ring 3 is sleeved on the outer wall of the sleeve 1 in a sliding manner along the axial direction of the sleeve 1; when the sleeve 1 is in a contraction state, the penetrating pipe 2 and the first end 11 of the sleeve 1 are used for penetrating into the abdominal cavity and penetrating through the broad ligament together, and when the sleeve 1 is in an expansion state, the sliding ring 3 and the flexible folding and unfolding part 10 are used for being matched to pull and clamp the broad ligament on the abdominal cavity wall.

It should be noted that the first end 11 is the end of the cannula 1 intended to penetrate the inside of the abdominal cavity of a patient, and the second end 12 is the end exposed outside the patient, and the first and second designations are used herein for convenience of description only.

The utility model provides a pair of puncture is carried and is drawn device's use: firstly, the penetrating tube 2 is pressed by the second end 12 of the sleeve 1 along the axial direction of the sleeve 1, so that the penetrating tube 2 slides towards the first end 11 relative to the second end 12 of the sleeve 1, thereby driving the flexible expanding member to extend to a contracted state flush with the peripheral wall of the sleeve 1 (namely, the cross-sectional area of the flexible expanding member is smaller than or equal to that of the sleeve 1), then the extending end of the penetrating tube 2 and the first end 11 of the sleeve 1 penetrate through the abdominal cavity of the patient together (the extending end of the penetrating tube 2 is the end used for penetrating into the abdominal cavity of the patient, and the penetrating tube 2 is a tubular structural member, so that the abdominal wall is convenient to penetrate, the end is preferably of a shovel type) until the flexible expanding member completely penetrates through the broad ligament, then the penetrating tube 2 slides towards the second end 12, thereby driving the flexible expanding portion 10 to bend towards the periphery of the sleeve 1 to an expanded state, which can be understood as an umbrella in an expanded state, the flexible folding and unfolding piece is clamped on the inner wall of the broad ligament, then the sleeve 1 is pulled towards the direction outside the abdominal cavity, so that the uterus is driven to be attached to the inner wall of the abdominal cavity through the broad ligament, a proper operation space and a proper visual field angle are exposed, the sliding ring 3 is abutted against the outer wall of the abdominal cavity through the sliding ring 3, so that the broad ligament is clamped on the wall of the abdominal cavity, and when the situation is understood, two traction devices are usually adopted to be matched for use, the broad ligaments on two sides of the uterus are respectively clamped on the inner walls on two sides of the abdominal cavity of a patient, and the traction and suspension of the uterus are realized; after the uterus is suspended, the lens of the laparoscope and the surgical instruments can be sent into the patient body from the inner hole of the puncture tube 2 for operation.

The utility model provides a pair of puncture pulling device, compared with the prior art, have the puncture and carry and draw dual function, can press from both sides the broad ligament tightly on the abdominal wall through sliding ring 3 and the cooperation of flexible expansion piece, realize that the drawing of uterus suspends in midair, need not assistant and extra draw gear and can carry out gynaecology's minimal access surgery, low in labor strength is suitable for single operation, thereby can reduce occuping of personnel, can provide sufficient operating space and good field of vision for the operation simultaneously, thereby improve operation efficiency and quality.

As a specific embodiment of the puncture pulling device provided in the present invention, please refer to fig. 2 to 3, the flexible folding and unfolding portion 10 is a plurality of flexible folding plates 101 distributed at intervals along the circumference of the casing 1. A plurality of flexible folded plate 101 form into umbrella structure, when slip poling 2, can drive sleeve pipe 1's second end 12 and keep away from or be close to first end 11 to realize straightening (shrink state) or buckling (expansion state) of flexible folded plate 101, simple structure, convenient operation.

In this embodiment, referring to fig. 3, a separation groove 1010 is formed on an inner wall of the bending position of the flexible flap 101. The bending or straightening resistance of the flexible folded plate 101 can be reduced by arranging the separation groove 1010, so that the flexible folded and unfolded member is convenient and labor-saving to convert between a contraction state and an expansion state, an operator can conveniently control the action precision, and the operation efficiency is improved.

As a specific implementation manner of the embodiment of the present invention, please refer to fig. 2 to fig. 3, the inner peripheral wall of the sleeve 1 between the first end 11 and the flexible folding and unfolding portion 10 is provided with a first clamping portion 15, the outer peripheral wall of the penetrating pipe 2 is provided with a second clamping portion 23, and the first clamping portion 15 and the second clamping portion 23 correspond to a clamping connection. First joint portion 15 can be recess type or boss type, and second joint portion 23 is the boss type or the recess type that corresponds with first joint portion 15, corresponds the joint back with first joint portion 15 and second joint portion 23, can make poling 2 slide in sleeve pipe 1 when, drives flexible receipts extension piece and contracts or expand simple structure.

As a specific implementation manner of the embodiment of the present invention, please refer to fig. 2, the second end 12 is provided with an accommodating chamber 13, one end of the penetrating pipe 2 passes through the accommodating chamber 13 and extends out of the casing 1, the part of the penetrating pipe 2 located in the accommodating chamber 13 is sleeved with the elastic member 4, one end of the elastic member 4 is connected with the penetrating pipe 2, and the other end is connected with the chamber wall of the accommodating chamber 13. Can apply towards the gliding elastic force of second end 12 through elastic component 4 to poling 2 to make flexible expansion spare keep the expansion state, avoid when sliding ring 3 presss from both sides tightly broad ligament and abdominal wall with the cooperation of flexible expansion spare, slide and lead to flexible expansion spare to freely change to the contraction state because of poling 2 relative sleeve pipe 1's second end 12, thereby cause the phenomenon of flexible expansion spare and broad ligament slippage, ensure that the uterus hangs the traction state reliable and stable.

Specifically, referring to fig. 2, the second end 12 is provided with a blind hole extending along the axial direction of the casing 1, a sealing cover 14 is screwed to the mouth of the blind hole, and the sealing cover 14 and the inner wall of the blind hole together enclose an accommodating cavity 13. When the pipe is disassembled, the penetrating pipe 2 can be drawn out from the second end 12 from the sleeve 1 only by screwing down the sealing cover 14, so that the disassembly, the assembly and the cleaning are convenient.

Further, referring to fig. 2, a limiting table 21 is arranged on the outer wall of the penetrating pipe 2 close to the sealing cover 14, one end of the elastic element 4 abuts against the limiting table 21, and the other end abuts against the cavity wall of the accommodating cavity 13 far away from the sealing cover 14; when the flexible stent is in the expanded state, the stopper 21 abuts against the cover 14. On one hand, the installation of the elastic part 4 (specifically, a spring) is convenient, and the stability of the elastic force of the elastic part 4 to the penetrating pipe 2 is ensured; on the other hand can pass through the deformation of the flexible piece of receiving of the butt restriction of spacing platform 21 and closing cap 14, avoid the flexible piece of receiving excessively to buckle and the rupture leads to stabbing internal tissue, improves life, reduces the operation risk.

Further, referring to fig. 2, the peripheral wall of the limiting table 21 is in sliding contact with the hole wall of the blind hole along the axial direction of the casing 1. Ensures the stable sliding of the pipe penetrating 2 in the sleeve 1, thereby avoiding the bending or the breaking of the pipe penetrating 2 in the traction process.

As a specific implementation manner of the embodiment of the present invention, please refer to fig. 1 and fig. 2, an operation handle 22 is disposed at one end of the penetrating pipe 2 extending out of the second end 12, which is convenient for operation and can reduce labor intensity.

As a specific implementation manner of the embodiment of the present invention, please refer to fig. 2, a damping ring 30 is embedded on the inner peripheral wall of the slip ring 3, and the damping ring 30 is in sliding contact with the outer peripheral wall of the sleeve 1. Ensure that sliding ring 3 and flexible expansion piece are stable to the clamping state who widens ligament and abdominal wall, ensure that the operation is smooth and easy to improve operation efficiency and quality.

The above description is only exemplary of the present invention and should not be taken as limiting the scope of the present invention, as any modifications, equivalents, improvements and the like made within the spirit and principles of the present invention are intended to be included within the scope of the present invention.

Claims

1. A puncture lifting device, comprising:

the flexible folding and unfolding part is arranged on the pipe wall close to the first end of the sleeve and has a folding state which is flush with the peripheral wall of the sleeve and an expanding state which is bent towards the periphery of the peripheral wall of the sleeve;

the penetrating pipe penetrates through the sleeve along the axial direction of the sleeve, one end of the penetrating pipe extends out of the first end of the sleeve and is connected with the inner wall of the sleeve, which is positioned between the first end and the flexible folding and unfolding part, and the other end of the penetrating pipe is connected with the second end of the sleeve in a sliding manner along the axial direction of the sleeve and is used for driving the flexible folding and unfolding part to switch between the contraction state and the expansion state;

the sliding ring is sleeved on the outer wall of the sleeve in a sliding manner along the axial direction of the sleeve;

when the sleeve is in the contraction state, the penetrating pipe and the first end of the sleeve are used for penetrating into the abdominal cavity and penetrating through the broad ligament together, and when the sleeve is in the expansion state, the sliding ring and the flexible folding and unfolding portion are used for being matched to pull and clamp the broad ligament on the abdominal cavity wall.

2. A puncture pull-up device according to claim 1, wherein the flexible concertina is a plurality of flexible flaps spaced circumferentially around the sleeve.

3. A lancing device according to claim 2, wherein the flexible flap is formed with a separation groove in the inner wall at the location of the bend.

4. The puncture lifting device according to claim 1, wherein a first clamping portion is provided on an inner peripheral wall of the sleeve between the first end and the flexible collapsible portion, a second clamping portion is provided on an outer peripheral wall of the penetrating tube, and the first clamping portion and the second clamping portion are correspondingly clamped.

5. The puncture pulling device as set forth in claim 1, wherein the second end is provided with a receiving chamber, one end of the penetrating tube passes through the receiving chamber and extends out of the sleeve, an elastic member is sleeved on a portion of the penetrating tube located in the receiving chamber, one end of the elastic member is connected with the penetrating tube, and the other end of the elastic member is connected with a chamber wall of the receiving chamber.

6. A puncture lifting device according to claim 5, wherein the second end is provided with a blind hole extending along the axial direction of the casing, the mouth of the blind hole is screwed with a sealing cover, and the sealing cover and the inner wall of the blind hole jointly enclose the accommodating cavity.

7. The puncture pulling device as claimed in claim 6, wherein a limit stop is provided on the outer wall of the penetrating tube close to the cover, one end of the elastic member abuts against the limit stop, and the other end abuts against the cavity wall of the accommodating cavity far from the cover; when the flexible folding and unfolding piece is in the expansion state, the limiting table is abutted to the sealing cover.

8. A puncture lifting device according to claim 7, wherein the peripheral wall of said stopper abuts against the wall of said blind hole in a sliding manner in the axial direction of said casing.

9. A puncture lifting device according to claim 5, wherein the end of the penetrating tube extending beyond the second end is provided with an operating handle.

10. A puncture pulling apparatus according to any one of claims 1 to 9, wherein a damping ring is fitted to an inner peripheral wall of the slip ring, and the damping ring slidably interferes with an outer peripheral wall of the sleeve.