CN216394134U

CN216394134U - A surgical instrument that is used for TV laparoscopic surgery to have no trace stealthy

Info

Publication number: CN216394134U
Application number: CN202121566790.1U
Authority: CN
Inventors: 曲波; 曲舒扬
Original assignee: Individual
Current assignee: Individual
Priority date: 2020-11-19
Filing date: 2021-07-09
Publication date: 2022-04-29
Anticipated expiration: 2031-07-09

Abstract

The utility model discloses a surgical instrument for traceless invisibility of a television endoscopic surgery, which comprises: a handle (1) and a tip; the handle (1) is connected with the end head through threads or a lock catch; during operation, one or more handles (1) are inserted into the chest or the abdominal cavity from the position which is favorable for assisting a main scalpel operator, and the end head is fixedly connected with the handle (1) in the chest or the abdominal cavity through the main operation hole; one or more handles (1) are operated by an operation assistant by utilizing different functions of the end head, and are matched with instruments of a main operator in the main operation hole to complete various operation steps. After the intracavity operation is finished, the handle (1) is separated from the end head, the handle (1) is pulled out, the puncture inner hole is subjected to the endoscopic examination to determine whether the active hemorrhage exists, and the external puncture hole of the chest wall or the abdominal wall does not need to be sutured and can be directly and aseptically bound; no scar is left. The utility model not only reduces the number of the operation incisions, but also keeps the operation advantages of a plurality of operation incisions, simplifies the operation, improves the medical quality and reduces the operation complications.

Description

A surgical instrument that is used for TV laparoscopic surgery to have no trace stealthy

Technical Field

The utility model relates to a surgical instrument for a television endoscopic surgery, in particular to a traceless invisible surgical instrument for the television endoscopic surgery.

Background

At present, the conventional television endoscope minimally invasive thoracic or abdominal surgery at home and abroad is 2-3 auxiliary incisions with the length of 1cm-2cm and a main operation hole with the length of 3cm-7 cm. With the continuous improvement of the technology and the demand of patients on smaller incisions and better incisions, many doctors in many hospitals at home and abroad carry out single-operation-hole or pure single-hole full-cavity surgery, such as full-cavity pure single-hole radical lung cancer surgery, at present. The full-scope pure single-hole operation or any other operation for reducing or shrinking the incision is smaller in wound and relatively beautiful after the operation, but the operation difficulty is inevitably increased, the operation risk is increased, and the learning growth radius of a doctor is also lengthened.

When a true pure single hole is used, then all surgical instruments, including: the endoscope light source visual tube, the electric hook, the cutting closer, the suction apparatus, even the lung lobe forceps, the tissue forceps and the intestinal forceps can only enter from an operation hole of 3cm-7cm, so that the coaxiality is formed, no angle exists, the space can not be opened by pulling, and the elbows can be mutually clamped, so that the operation difficulty of the operation is caused, and the operation risk is increased.

When a chest or abdomen of a normal person is opened or an abdominal operation is performed, no matter an incision of one centimeter or two centimeters is formed, 100 percent of the normal person can be left with an operation scar after the operation, the appearance is influenced, the incision and psychological trauma need to be repaired in time,

SUMMERY OF THE UTILITY MODEL

The utility model aims to provide a surgical instrument for traceless invisibility of a television endoscopic surgery, which solves the problems that too much or overlarge surgical scar is left after the surgery, the appearance is influenced, and the wound and the psychological wound are repaired.

A surgical instrument for traceless invisibility of TV endoscopic surgery comprises: a handle and a tip. The handle is connected with the end head through threads or a lock catch.

The total length of the handle is 20cm-40cm, and the handle is divided into a working part and a grip part. The working part is as follows: the diameter is 0.1cm-0.4cm, the length is 15cm-30cm, the sharp metal hard rod with external thread is arranged at the tip, and the handle part is as follows: the length of the metal handle is 9cm-12cm, and the metal handle is convenient to hold and is in a random shape and comfortable to hold.

The end head has a plurality of kinds, and each has the internal thread interface that matches with the external screw thread at handle pointed end above. The types of the tip include: the suction apparatus tube end head, the pressure baffle plate end head, the guide end head, the compression end head A, the compression end head B and the positive pressure air blowing tube end head are connected with the hose.

The end head of the suction apparatus is a micro bent pipe with the diameter of 40mm-80mm and the length of 30mm-50mm, and an internal thread joint is fixed on the bent pipe; the connector is connected with the handle through threads, and the bending degree is 0-30 degrees; one end of the bent pipe is close to the side surface of the head and is provided with a plurality of small holes, and the other end of the bent pipe is connected with the hollow pipe of the negative pressure suction device hose.

The end of the pressure baffle plate is a thin and smooth oval-like metal or plastic flat plate with the size of 1cm-2cmx2cm-3 cm.

The guide end is a thin and smooth long groove, the length of the groove is 5cm, the width of the groove is 0.8cm-1.5cm, two ends of the groove are tongue-shaped, and the cross section is 3/8 circles. The metal or composite material is hard, the internal thread interface and the side surface of the long groove are connected into an angle of 30 degrees, and the vertical length is 15mm-20 mm.

The compression end A is a cylindrical tube with the diameter of 3-5 mm and the length of 10-30 mm, an internal thread connector is fixed on the outer surface of the middle part of the tube, and gauze or similar substances are wrapped on the outer surface of the tube.

The pressing end B is a sphere-like frame with the diameter of 10mm-30mm, the top end surface is a horizontal rectangular surface, the bottom is provided with an internal thread interface, and the outer surface of the frame is wrapped by gauze or similar substances.

The end of the positive pressure air blowing pipe is a micro bent pipe with the diameter of 40mm-80mm and the length of 30mm-50mm, and an internal thread joint is fixed on the bent pipe; the connector is connected with the handle through threads, and the bending degree is 0-30 degrees; the other end of the bent pipe is connected with the hollow pipe of the positive pressure suction device hose.

During operation, one or more handles are inserted into the chest or the abdominal cavity from the position which is favorable for assisting a main scalpel operator, namely, the sheaths with corresponding thicknesses can be directly inserted or inserted into the chest or the abdominal cavity around the main operation hole, and then the handles are inserted into the sheaths through the sheaths;

the end head and the handle are fixedly connected in the thoracic cavity or the abdominal cavity by hands or a clamp through the main operation hole;

the tips with different functions can be replaced according to the requirement in the operation;

one or more handles are operated by a surgical assistant by utilizing different functions of the end head, and are matched with instruments of a main operator in the main operation hole to complete various operation steps, and the handles can be operated by the operator in addition to the surgical assistant;

the operation assistant uses the end of the pressing plate to help the operator to expose, so that the operation position is not shielded, the gap is exposed, the operator can safely and accurately complete the operation, the end of the suction apparatus tube utilizes the negative pressure to suck away the flushing fluid to enable the operation field to be clear, and the operator uses the compression end A to expose the operation field and to emergently compress for hemostasis.

The surgical assistant and the operator can use the handles, and the angle formed by the handles and the instruments of the main operation hole is convenient for operation, so that the operation can be completed more reasonably by matching with the instruments of the main operation hole;

after the operation in the cavity is finished, the end head is fixed by hands or a clamp holder, the handle is rotated to separate the end head, the handle is pulled out, whether the active hemorrhage exists in the puncture inner hole is examined by the endoscope, and the external puncture hole of the chest wall or the abdominal wall does not need to be sutured and can be directly and aseptically bandaged.

The utility model not only reduces the number of the operation incisions, but also keeps the operation advantages of a plurality of operation incisions, and the handle inserted into the thoracic cavity is not limited by the consideration of the number and the positions, thereby greatly reducing the difficulty of the operation and the danger of the operation patient, simplifying the operation, improving the medical quality, reducing the operation complications and reducing the scars to take care of the beauty.

Drawings

FIG. 1 is a schematic view of the handle of a surgical instrument for use in TV endoscopic surgery for traceless invisibility;

FIG. 2 is a schematic view of the tip of the suction tube of the surgical instrument for use in traceless stealth in the TV endoscopic surgery;

FIG. 3 is a schematic view of the end of the pressure baffle plate of the surgical instrument for the traceless invisibility of the TV endoscopic surgery;

FIG. 4 is a schematic view of the guiding tip of a surgical instrument for use in traceless stealth in TV endoscopic surgery;

FIG. 5 is a schematic view of the pressing tip A of the surgical instrument for use in the traceless stealth of the TV endoscopic surgery;

FIG. 6 is a schematic view of the pressing tip B of the surgical instrument for use in traceless stealth of TV endoscopic surgery;

fig. 7 is a schematic view of the end of the positive pressure blowing pipe of the surgical instrument for traceless invisibility in the TV endoscopic surgery.

1. Handle 2, aspirator tube end 3, pressure baffle plate end 4, guide end 5, compression end A6, compression end B7, positive pressure blowing tube end

Detailed Description

A surgical instrument for traceless invisibility of TV endoscopic surgery comprises: a handle 1 and a tip. The handle 1 is connected with the end head through screw threads.

The total length of the handle 1 is 35cm, and the handle 1 is divided into a working part and a grip part. The working part is as follows: diameter 0.2cm, length 23cm, sharp metal hard pole of point for having the external screw thread, the handle part is: the length of the metal handle is 12cm, and the metal handle is convenient to hold and is in a random shape and comfortable to hold.

The suction apparatus comprises a suction apparatus tube end head 2, a pressure baffle plate end head 3, a guide end head 4 and a compression end head 5, wherein an internal thread interface matched with an external thread at the tip end of a handle 1 is arranged on each end head.

The end 2 of the suction apparatus tube is a micro-bent tube with the diameter of 50mm and the length of 45 mm; the internal thread interface is in threaded connection with the handle 1, and the degree of curvature is 30 degrees; the side surface of one end of the bent pipe close to the head is provided with a plurality of small holes, and the other end of the bent pipe is connected with the hollow pipe of the negative pressure suction device hose. An internal thread interface is fixed on the outer side of the middle part of the elbow, and the internal thread interface and one end of the elbow connected with a negative pressure suction device hose form an angle of 30 degrees.

The end 3 of the pressure baffle plate is a thin and smooth oval-like metal plate with the size of 1.5cmx2 cm.

The guide end 4 is a thin and smooth long groove with a length of 5cm and a width of 1.2cm, the two ends of the groove are tongue-shaped, and the cross section is 3/8 circles. The metal material, the texture is hard, and the internal thread interface connects into the angle of 30 degrees with long recess side, vertical length 20 mm.

The pressing end A5 is a cylindrical tube with a diameter of 3mm and a length of 20mm, an internal thread connector is fixed on the outer surface of the middle part of the tube, and the outer surface of the tube is wrapped by gauze.

An example of a full-scope minimally invasive right superior pulmonary lobe resection procedure was performed.

During operation, two handles 1 are selected to be inserted into the chest cavity from the periphery of the main operation hole to assist in completing the operation. Namely: a main operation hole of 4cm is selected between the 4 th ribs of the right axillary anterior line, after the thoracic cavity is explored, a first handle 1 is directly inserted between the 6 th ribs of the right axillary medial line, then a sheath tube with corresponding thickness is inserted between the 8 th ribs of the right acromion inferior angle line, and a second handle 1 is inserted through the sheath tube.

Fixedly connecting the end 3 of the pressure baffle plate with the first handle 1 in the thoracic cavity by a clamp through the main operation hole; the end head 2 of the suction apparatus tube is fixedly connected with the second handle 1.

The operation assistant uses the pressing plate end 3 to help the operator to expose, so that the operation part is not shielded and the gap is exposed, and the operator can safely and accurately complete the operation; the end head 3 of the pressure baffle plate is replaced by a guide end head 4 in the operation, and an operator uses the guide end head 4 to guide the automatic cutting closer to pass through a blood vessel and a bronchus. The operation assistant uses the aspirator tube tip 2 to suck away the washing liquid by using negative pressure to enable the operation field to be clear, then the guiding tip 4 is replaced by a pressing tip A5, and the operator uses the pressing tip A5 to expose the operation field and emergently press for hemostasis.

The handle 1 can be used by both surgical assistants and operators, and most importantly, the handle 1 and the instruments in the main operation hole can form an angle well, so that the operation can be completed more reasonably by matching with the instruments in the main operation hole.

After the intracavity operation is finished, the end head 2 of the suction apparatus tube and the compression end head A5 are fixed by the clamper, the handle 1 is rotated to be separated, the handle 1 is pulled out, all the end heads are taken out from the main operation hole, the main cavity microscope checks whether the puncture inner hole has active hemorrhage, the outer puncture hole of the chest wall does not need to be sutured, and the aseptic bandaging is directly carried out.

Claims

1. A surgical instrument for traceless invisibility of TV endoscopic surgery is characterized by comprising: a handle (1) and a tip; the handle (1) is connected with the end head through screw threads; the total length of the handle (1) is 20cm-40cm, and the handle (1) is divided into a working part and a grip part; the working part is as follows: the diameter is 0.2cm-0.4cm, the length is 15cm-30cm, the sharp metal hard rod with external thread is arranged at the tip, and the handle part is as follows: a metal handle which is convenient to hold and has a length of 9cm-12cm and a comfortable holding shape; the end heads are various, and each upper surface is provided with an internal thread interface matched with the external thread at the tip end of the handle (1); the types of the tip include: a suction apparatus tube end (2) connected with the hose, a pressure baffle plate end (3), a guide end (4), a pressing end A (5), a pressing end B (6) and a positive pressure blowing tube end (7).

2. The surgical instrument for the traceless invisibility of the TV endoscopic surgery according to claim 1, characterized in that the end head (2) of the suction apparatus is a micro-bent pipe with the diameter of 40mm-80mm and the length of 30mm-50mm, and an internal thread joint is fixed on the micro-bent pipe; the connector is connected with the handle through threads, and the bending degree is 0-30 degrees; one end of the bent pipe is close to the side surface of the head and is provided with a plurality of small through holes, and the other end of the bent pipe is connected with the hollow pipe of the negative pressure suction device hose.

3. The surgical instrument for the traceless invisibility of the TV endoscopic surgery according to claim 1, characterized in that the end head (3) of the pressure baffle plate is a thin and smooth ellipse-like metal plate with the size of 1cm-2cmx2cm-3 cm.

4. The surgical instrument for the traceless invisibility of the TV endoscopic surgery according to claim 1, characterized in that the guiding end head (4) is a thin and smooth long groove with the length of 5cm and the width of 0.8cm-1.5cm, the two ends of the groove are tongue-shaped, and the cross section is 3/8 circles; the metal or composite material is hard, the internal thread interface is connected with the side surface of the long groove to form an angle of 30-60 degrees, and the vertical length is 15-20 mm.

5. The surgical instrument for the traceless invisibility of the TV endoscopic surgery as claimed in claim 1, wherein the pressing end A (5) is a cylindrical tube with a diameter of 3mm-5mm and a transverse length of 10mm-30mm, an internal thread interface is fixed on the outer surface of the middle part of the tube, and gauze is wrapped on the outer surface of the tube.

6. The surgical instrument for traceless invisibility of TV endoscopic surgery according to claim 1, wherein said pressing end B (6) is a sphere-like frame with a diameter of 10mm-30mm, a top end surface horizontal rectangle of 3mmx2mm-5mmx6mm, an internal thread interface is fixed at the bottom, and the outer surface of the frame is wrapped by gauze.

7. The surgical instrument for the traceless invisibility of the TV endoscopic surgery according to claim 1, wherein the end head (7) of the positive pressure air blowing tube is a micro-bent tube with the diameter of 40mm-80mm and the length of 30mm-50mm, and an internal thread joint is fixed on the micro-bent tube; the connector is connected with the handle through threads, and the bending degree is 0-30 degrees; the other end of the bent pipe is connected with the hollow pipe of the positive pressure suction device hose.