CN217286094U

CN217286094U - Bile displacer for laparoscope gallbladder-protecting and lithotomy

Info

Publication number: CN217286094U
Application number: CN202121562906.4U
Authority: CN
Inventors: 耿金宏; 石林; 兰德刚; 龙海林
Original assignee: Shanghai Jinshan Tinglin Hospital
Current assignee: Shanghai Jinshan Tinglin Hospital
Priority date: 2021-07-10
Filing date: 2021-07-10
Publication date: 2022-08-26
Anticipated expiration: 2031-07-10

Abstract

The utility model discloses a bile displacer for laparoscope gallbladder-protecting calculus removal, which comprises an aspiration needle, an aspiration needle hole, a flushing needle, a flushing barrel, a spring, a press handle, a rubber pad, a flushing port, an aspiration port, a base, a connecting rod and a suction barrel; this bile displacer for stone is got to peritoneoscope guarantor courage, adopt the utility model discloses the apparatus protects courage under the peritoneoscope and gets the stone operation time, can be convenient wash gallbladder inner bag juice safety and absorb, prevent to get the stone in-process at the courage, when cutting the gall-bladder, it is excessive suddenly to appear gallbladder inner bag juice, arouse to protect courage and get the stone operation, the patient that the stimulation of patient's intra-abdominal bile causes is painful uncomfortable, through clinical use, this surgical instruments uses convenient operation, and is quick, in a flexible way, effectual saving is protected courage and is got the stone operation, gallbladder inner bag juice absorbs except time, improve the operation security.

Description

Bile displacer for laparoscope gallbladder-protecting and lithotomy

Technical Field

The utility model relates to a laparoscopic surgery uses technical field, specifically is a peritoneoscope protects courage and gets bile displacer for stone.

Background

The development of modern medicine, minimally invasive surgery has been the development direction of surgical operation at present, and minimally invasive surgery has the advantages of small wound, quick recovery and less pain, and has become the object and the direction which are jointly pursued by modern medicine. Laparoscopic techniques are in some respects gradually replacing traditional surgery. In the gallbladder descending gallbladder-protecting calculus-removing operation of a laparoscope, firstly, an electric knife or an ultrasonic knife is used for cutting a gallbladder with a small opening, a laparoscope aspirator is used for sucking bile flowing out from a gallbladder incision, then the gallbladder incision is enlarged, and the calculus-removing operation of gallstones in the gallbladder is further carried out; however, during the actual operation, in the process of cutting the gallbladder by using the electric knife or the ultrasonic knife, the gallbladder tension is large, the pressure is large, and bile in the gallbladder flows out along with the incision of the electric knife or the ultrasonic knife, the existing surgical instruments cannot well, quickly and cleanly suck the bile flowing out from the gallbladder incision quickly and completely, so that the bile with irritation pollutes the operation area and even enters the pelvic cavity of a patient, even if the bile of the patient is washed, the bile remained in the postoperative intestinal gap can still bring bile irritation peritonitis to the patient due to the irritation characteristic of the bile, even fever and other postoperative complications, and certain troubles are brought to doctors and the patient.

SUMMERY OF THE UTILITY MODEL

An object of the utility model is to provide a peritoneoscope protects courage and gets bile displacer for stone, the problem that exists among the effectual solution background art of its ability.

In order to achieve the above purpose, the utility model provides a following technical scheme: a bile displacer for laparoscope gallbladder-protecting and lithotomy comprises an aspiration needle, an aspiration needle hole, a flushing needle, a flushing cylinder, a spring, a press handle, a rubber pad, a flushing port, an aspiration port, a base, a connecting rod and an aspiration cylinder; the method is characterized in that: the suction needle with the suction needle hole is connected with the suction port through the suction cylinder; the flushing needle is connected with the flushing port through a flushing barrel; the pressing handle is connected with the base through a connecting rod; the rubber pad is connected with the base; one end of the spring is connected with the cylinder wall, and the other end of the spring is connected with the pressing handle.

Furthermore, the suction needle is a needle body thicker than the flushing needle, the suction needle is connected with the suction port in a sealing way through the suction tube, and the suction needle body is provided with more suction needle holes.

Furthermore, the flushing needle is connected with the flushing opening in a sealing way through a flushing barrel and is a needle body which is thinner than the suction needle.

Furthermore, the suction cylinder and the flushing cylinder are two pipelines which are not communicated with each other.

Furthermore, the front parts of the suction needle and the flushing needle are of inclined plane structures.

Further, the suction port and the flushing port can be communicated with the suction device and the flushing device in the operating room through leather straps.

Furthermore, the spring is arranged between the press handle and the cylinder wall and has outward elasticity.

And the rubber pads are soft rubber pads which are positioned in the suction cylinder and the flushing cylinder wall and above the base and can control the opening and closing of the flushing cylinder and the suction cylinder under the action of a spring.

Furthermore, one end of the connecting rod is connected with the pressing handle, the other end of the connecting rod is connected with the base, and after the pressing handle is pressed to compress the spring, the suction cylinder can be communicated with the suction port, and the flushing cylinder is communicated with the flushing port.

Compared with the prior art, the bile displacer for gallbladder protection and stone extraction of the laparoscope adopts the utility model, when the gallbladder protection and stone extraction operation is carried out under the laparoscope, before the gallbladder is cut by the electric knife or the ultrasonic knife, the bile can be cut by the ultrasonic knife and the electric knife after the gallbladder inner container juice is replaced and washed cleanly by using the bile displacer, so as to carry out the stone extraction operation; after the instrument is used for placing a patient in an abdominal cavity, the suction needle and the flushing needle are directly punctured into the gallbladder of the patient together, the suction needle is firstly used for sucking bile, the suction needle is provided with a suction needle hole, the bile in the gallbladder can be sucked quickly, then the flushing needle is used for injecting the water into the gallbladder and flushing the diluted bile, the bile is sucked and flushed at the same time, finally, the gallbladder is diluted and flushed completely, then, the operation of cutting and taking stones is carried out on the gallbladder, and then, the condition of postoperative peritonitis of the patient caused by the overflow of the gallbladder juice can be avoided. Through clinical use, the surgical instrument is convenient, quick and flexible to use and operate, effectively saves surgical time and improves surgical safety.

Drawings

FIG. 1 is a schematic view of the structure of the suction rod of the present invention;

in the reference symbols: the device comprises a suction needle 1, a suction needle hole 2, a flushing needle 3, a flushing barrel 4, a spring 5, a press handle 6, a rubber pad 7, a flushing port 8, a suction port 9, a base 10, a connecting rod 11 and a suction barrel 12.

Detailed Description

The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments in the present invention, all other embodiments obtained by a person skilled in the art without creative efforts belong to the protection scope of the present invention.

Referring to fig. 1, the present invention provides a technical solution: a bile displacer for laparoscope gallbladder-protecting and lithotomy comprises an aspiration needle 1, an aspiration needle hole 2, a flushing needle 3, a flushing cylinder 4, a spring 5, a pressing handle 6, a rubber pad 7, a flushing port 8, an aspiration port 9, a base 10, a connecting rod 11 and a suction cylinder 12; the method is characterized in that: the suction needle 1 with the suction needle hole 2 is connected with the suction port 9 through a suction cylinder 12; the flushing needle 3 is connected with a flushing port 8 through a flushing barrel 4; the pressing handle 6 is connected with the base 10 through a connecting rod 11; the rubber pad 7 is connected with the base 10; one end of the spring 5 is connected with the cylinder wall, and the other end is connected with the pressing handle 6.

Furthermore, the suction needle 1 is a needle body thicker than the flushing needle 3, the suction needle 1 is connected with the suction port 9 in a sealing way through a suction tube 12, and the suction needle body 1 is provided with a plurality of suction needle holes 2.

Furthermore, the flushing needle 3 is connected with the flushing port 8 in a sealing way through a flushing barrel 4, and the needle body is thinner than the suction needle 1.

Further, the suction cylinder 12 and the flushing cylinder 4 are two pipelines which are not communicated with each other.

Furthermore, the front parts of the suction needle 1 and the flushing needle 3 are of inclined plane structures.

Further, the suction port 9 and the flushing port 8 can be communicated with the suction device and the flushing device of the operating room through leather strips.

Further, the spring 5 is a spring 5 with outward elasticity between the press handle 6 and the barrel wall.

Furthermore, the rubber pad 7 is positioned in the wall of the suction cylinder 12 and the washing cylinder 4, above the base 10, and the soft rubber pad 7 can control the opening and closing of the washing cylinder 4 and the suction cylinder 12 under the action of the spring 5.

Furthermore, the connecting rod 11 has one end connected to the pressing handle 6 and one end connected to the base 10, and after the pressing handle 6 is pressed to compress the spring 5, the suction cylinder 12 is communicated with the suction port 9 and the flushing cylinder 4 is communicated with the flushing port 8.

The utility model discloses a concrete connection structure of apparatus does: the instrument is a bile displacer for laparoscope gallbladder-protecting and lithotomy, which comprises an aspiration needle 1, an aspiration needle hole 2, a flushing needle 3, a flushing cylinder 4, a spring 5, a pressing handle 6, a rubber pad 7, a flushing port 8, an aspiration port 9, a base 10, a connecting rod 11 and an aspiration cylinder 12. The connection structure among each part is as follows: the suction needle 1 is connected with the suction port 9 in a sealing way through a suction cylinder 12; the head end of the suction needle 1 is designed into an inclined plane structure convenient for puncture, and the suction needle 1 is provided with a plurality of suction needle holes 2 capable of assisting suction; the opening and closing between the suction cylinder 12 and the suction port 9 are controlled by a rubber pad 7 on a base 10 with a spring 5 structure; the spring 5 is a spring 5 which is positioned between the pressing handle 6 and the cylinder wall and has outward elasticity; the connecting rod 11 is a connecting rod between the base 10 and the press handle 6; a rubber pad 7 made of soft rubber is arranged on the base 10 in the suction cylinder 12 and the washing cylinder 4; in a natural state, under the action of the elastic force of the spring 5, the rubber pad 7 on the base 10 closes the suction cylinder 12 and the suction port 9, and closes the flushing cylinder 4 and the flushing port 8; the front of the washing needle 3 is an inclined plane structure convenient for puncture; the flushing needle 3 is communicated with the flushing port 8 through the flushing barrel 4; the washing cylinder 4 and the suction cylinder 12 are two independent, semicircular hollow cylinder wall structures which are not communicated with each other and are adhered together. The washing needle 3 is thinner than the suction needle 1, and the front end of the suction needle 1 is provided with a suction needle hole 2 for assisting suction.

The utility model has the advantages that: at present, no special puncture needle for sucking bile is used in gallbladder-protecting and calculus-removing operation clinically, an electric knife and an ultrasonic knife are needed to be used in laparoscopic gallbladder-protecting and calculus-removing operation, a small hole is formed in a gallbladder to be removed through electrocoagulation, a suction apparatus is used, after gallbladder juice is sucked in the small hole, an incision is formed in the gallbladder to be enlarged, and calculus is taken out of the gallbladder; when the gallbladder is cut through the electric coagulation by using the electric knife and the ultrasonic knife, the bile overflows more when the gallbladder is cut because the internal pressure of the gallbladder is higher, an operator can hardly use the aspirator right, the overflowing bile is completely and cleanly sucked and removed, the overflowing redundant bile can cause pollution to the abdominal cavity, the bile has irritation, even if the overflowing bile is washed and diluted for treatment, part of patients still have bile irritation peritonitis after the operation, and even the patients are heated and uncomfortable; this patent can be smooth, the above-mentioned problem of safe solution: under the laparoscope, firstly, the suction needle 1 and the flushing needle 3 are inserted into a gallbladder to be cut to remove stones, the pressing handle 6 is pressed, gallbladder juice can be sucked out through the head of the suction needle 1 and the suction needle hole 2, after the gallbladder is obviously reduced, the pressing handle 6 at the end of the flushing barrel 4 is pressed, flushing liquid connected in advance can enter the gallbladder through the flushing needle 3 to dilute bile, the bile in the gallbladder can be completely replaced by pressing different flushing and sucking pressing handles 6 for a plurality of times, then the suction needle 1 and the flushing needle 3 on the gallbladder wall of the electric knife and the ultrasonic knife are used for expanding to remove stones, at the moment, the gallbladder is cut, no obvious bile exists in the gallbladder, and the abdominal cavity cannot be polluted.

The utility model discloses specific use, operating method do: when the operation of gallbladder-protecting and stone-taking is performed under the laparoscope, the bile in the gall bladder can be replaced and removed easily, safely and quickly by using the surgical instrument, and when the surgical instrument is used, the suction port 9 of the surgical instrument is firstly connected with the suction equipment of an operating room through a universal leather strap; the flushing port 8 is connected with the flushing and sucking equipment in the operating room through a leather strip; the end of a suction needle 1 of the device is placed into the abdominal cavity of a patient through a puncture cannula established on the abdominal wall of the patient, a proper gallbladder incision point is selected on a gallbladder of the patient needing to be incised to take stones, the gallbladder of the patient is punctured, a pressing handle 6 connected with a suction barrel 12 is pressed, and gallbladder juice can be sucked out of the gallbladder through the suction needle 1 and a passage of the suction needle hole 2, the suction barrel 12, a suction port 9 and suction equipment; when the gallbladder is obviously reduced and no bile flows out, the pressing handle 6 at the end of the washing barrel 4 is pressed, the washing fluid connected in advance can enter the gallbladder of a patient through a passage of the washing port 8-the washing barrel 4-the washing needle 3, the residual bile in the gallbladder is diluted, and when the gallbladder is expanded and bulges, the pressing handle 6 at the end of the suction barrel 12 is pressed again to suck and remove the juice in the gallbladder; repeating the above operations for several times to dilute and completely suck the gallbladder and liner juice; when the liquid absorbed by the suction port 9 is clear flushing liquid and no bile flows out, the bile displacer for laparoscope gallbladder-protecting and calculus-removing can be taken out, the electric knife or the ultrasonic knife is used for cutting the bile between the suction needle 1 and the flushing needle 3 and between needle holes, no bile exists in the bile at the time, and the abdominal cavity pollution caused by bile overflow can not be caused after the bile is cut. Through clinical use, the bile displacer for gallbladder protection and stone extraction of the laparoscope can effectively and safely wash, attract and displace bile in a gallbladder, obviously reduce the operation difficulty of gallbladder protection and stone extraction and the occurrence of postoperative complications, improve the operation safety, reduce the operation time and is worthy of clinical popularization.

Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims

1. A bile displacer for laparoscope gallbladder-protecting and stone-taking comprises an aspiration needle, an aspiration needle hole, a flushing needle, a flushing cylinder, a spring, a press handle, a rubber pad, a flushing port, an aspiration port, a base, a connecting rod and an aspiration cylinder; the method is characterized in that: the suction needle is connected with the suction port through the suction barrel; the flushing needle is connected with the flushing port through the flushing barrel; the pressing handle is connected with the base through a connecting rod; the rubber pad is connected with the base; one end of the spring is connected with the cylinder wall, and the other end of the spring is connected with the pressing handle.

2. The bile displacer for laparoscope gallbladder-protecting and calculus-removing of claim 1, wherein: the suction needle is a needle body thicker than the flushing needle, the suction needle is connected with the suction port in a sealing way through the suction tube, and the suction needle body is provided with a suction needle hole.

3. The bile displacer for laparoscope gallbladder-protecting and calculus-removing of claim 1, wherein: the flushing needle is connected with the flushing opening in a sealing way through the flushing barrel and is a needle body thinner than the suction needle.

4. The bile displacer for laparoscope gallbladder-protecting and calculus-removing of claim 1, wherein: the suction cylinder and the flushing cylinder are two pipelines which are not communicated with each other.

5. The bile displacer for laparoscope gallbladder-protecting and calculus-removing of claim 1, wherein: the front parts of the suction needle and the flushing needle are of inclined plane structures.

6. The bile displacer for laparoscope gallbladder protection and calculus removal as claimed in claim 1, wherein: the suction port and the flushing port can be communicated with the suction device and the flushing device of the operating room through leather straps.

7. The bile displacer for laparoscope gallbladder-protecting and calculus-removing of claim 1, wherein: the spring is arranged between the press handle and the cylinder wall and has outward elasticity.

8. The bile displacer for laparoscope gallbladder-protecting and calculus-removing of claim 1, wherein: the rubber pads are positioned in the suction cylinder and the flushing cylinder wall, and above the base, and the soft rubber pads can control the opening and closing of the flushing cylinder and the suction cylinder under the action of the spring.

9. The bile displacer for laparoscope gallbladder-protecting and calculus-removing of claim 1, wherein: the connecting rod has one end connected to the pressing handle and the other end connected to the base, and after the pressing handle is pressed to compress the spring, the sucking barrel is communicated with the sucking port and the flushing barrel is communicated with the flushing port.