RU153912U1 - DEVICE FOR MANIPULATION IN THE ABDOMINAL CAVITY - Google Patents

Abstract

1. Device for manipulation in the abdominal cavity, containing a tubular holder, blades mounted with the possibility of changing their position and a pusher, characterized in that the blades are mounted on an axis located at the distal end of the tubular holder, and made with grooves through which the axis passes, located at the distal end of the pusher, and a spring-loaded handle is placed at the proximal end of the pusher, and a blade position lock is installed at the proximal end of the tubular holder, made in the form union nut cooperating with the proximal end of the holder and the threaded portion at the proximal end tolkatelya.2. The device according to claim 1, characterized in that it is made of a biologically and chemically inert material. The device according to claim 1, characterized in that the millimeter scale is applied on the blades.

Description

The utility model relates to the field of medicine, and more specifically to medical instruments used during examination of abdominal organs in order to effectively diagnose diseases of the abdominal cavity and determine the volume of surgical intervention, the need to move internal organs and their temporary fixation in a given position, if necessary, instrumental palpation. For example, if necessary, raise the liver, move the loop of the intestine or omentum, to displace the insides when suturing the surgical wound, etc.

A device for pushing and immersing intestinal loops in the abdominal cavity, containing a working part with a handle (1).

The disadvantage of this device is the inconvenience of using deep in the wound.

A diagnostic device is also known comprising a mirror, a frame and a tubular handle (2).

The disadvantage of this device is the inconvenience of use during manipulations in the abdominal cavity, especially in patients with adhesive disease.

A device for manipulation in the abdominal cavity, containing a holder with a pivotally mounted working body.

The disadvantage of this device is the inconvenience and use, due to not reliable fixation of the main working surface of this device.

A device for manipulation in the abdominal cavity is made in the form of a spatula with a working part and a handle (4, 5).

The disadvantage of this device is the difficulty of its use during manipulation in the abdominal cavity.

Known mirror for manipulation in the abdominal cavity, containing a saddle-shaped working part and a handle (6).

The disadvantages of this mirror are the complexity and inconvenience of its use.

A mirror for working in the abdominal cavity is known, which contains articulated spoons with handles (7, 8).

The disadvantages of this mirror are the complexity and inconvenience of use, which in turn lengthens the time of operational benefits.

A device for manipulation in the abdominal cavity is known, containing a handle and a working part in the form of a scapula (9, 10).

The disadvantage of this device is the inconvenience of use when working in the surgical wound, the possibility of injury to the abdominal organs.

A device containing blades, a tubular holder and a pusher (11) is also known.

The disadvantage of this device is the inconvenience of using it deep in the postoperative wound, because it takes up too much area and the possibility of injury to the abdominal organs.

The purpose of creating a utility model is to reduce the morbidity, increase the usability and effectiveness of treatment of patients with abdominal pathology.

This goal is achieved by the fact that the blades are mounted on an axis located at the distal end of the tubular holder and are made with grooves through which an axis located on the distal end of the pusher passes, a spring-loaded handle is placed at the proximal end of the pusher, and a latch is installed on the proximal end of the tubular holder the position of the blades, made in the form of a union nut interacting with the proximal end of the holder and the threaded section at the proximal end of the pusher. It should be noted that this device is made of biologically and chemically inert material, and a millimeter scale is applied on the blades.

Comparison of the proposed device with others known in the field of medicine, showed its compliance with the criteria of a utility model

The utility model is illustrated by graphic material. In FIG. 1 shows the proposed device, a General view; in FIG. 2 - the device is in the working position.

A device for manipulation in the abdominal cavity contains a tubular holder 1, blades 2, 3 and a pusher 4. The blades 2 and 3 are mounted on an axis 5 located at the distal end of the tubular holder 1, and are made with grooves 6 and 7, through which axis 8 passes, located on the distal end of the pusher 4. At the proximal end of the pusher there is a handle 9 with a spring 10. At the proximal end of the tubular holder 1, a position lock of the blades 2 and 3 is installed, made in the form of a union nut 11 interacting with the proximal end of the holder 1 and a threaded section (not shown) on the proximal end of the pusher 4. On the blades 2 and 3, millimeter scales 12 and 13 can be made, which serve to determine the size of one or another organ, which is not unimportant for a practicing surgeon when resecting a pathologically changed any body.

The proposed device is used as follows.

The device in its initial position (see Fig. 1) is inserted into the abdominal cavity through a trocar, with which the abdominal cavity is punctured at the site of the alleged manipulations under the control of a laparoscope or through a “mini-assistant”. By rotating the union nut 11, the blades 2 and 3 are introduced into the working position (see Fig. 2), while the pusher 4 pushes the axis 8 forward, moving along the grooves 6 and 7, translates the blades into the working position, i.e. pushes them.

According to scales 12 and 13, it is possible to determine the size of the investigated organs. With blades 2 and 3, it is possible to carry out instrumental palpation of the abdominal organs, if necessary, it is possible to raise the edge of the liver and examine its lower surface, examine the front wall of the stomach and small omentum, the length of the necrotic section of the intestine. With blades 2 and 3, it is convenient and safe to lift and remove the loop of the intestine or large omentum to create conditions for examining the spleen, mesentery of the transverse colon or small intestine, as well as the hepatoduodenal ligament and Vinsloid opening, lateral canals of the abdominal cavity and pelvic organs .

Using the nut 11, the device is brought to its original position and removed from the abdominal cavity. By placing blades 2 and 3 in a vessel with a nutrient medium for several seconds, it is possible to “sow” the contents of the abdominal cavity for microbiological examination.

Thus, the use of the proposed device allows you to perform a range of manipulations. As a result of the use of the device, the area that can be examined through a laparoscope or with the help of a “mini-assistant” with a illuminator is significantly expanded, the informative value of the laparoscopy and mini-laparotomy method, the effectiveness in the diagnosis of diseases of the abdominal organs and increases the volume of surgery.

The implementation of the device from a biologically and chemically inert material allows for its multiple antiseptic processing and use.

The proposed device for manipulation in the abdominal cavity is possible and appropriate to use when performing surgery on the abdominal organs in various surgical units of medical institutions.

INFORMATION SOURCES

1. Catalog of the company Mueller "The Surgical armamentarium", USA, 1973, p. 959

2. The catalog of the company "Pilling", USA, 1970, p. 91

3. Vasiliev P.X. "Combined laparoscopy", Tashkent, 1976

4. "Medical instruments, devices, apparatus and equipment" Catalog, M., Ministry of Health, 1960, p. 107

5. USSR author's certificate No. 1327876, cl. A61B 1/32, 1987

6. “Reference book of the operating and dressing sister” M., “Medicine”, 1982, p. 116, fig. 82.

7. Catalog of JSC "Schwabe" M., 1903, p. 421

8. Copyright certificate of the USSR No. 876119, cl. A61B 17/02, 1981

9. USSR copyright certificate No. 1473756, cl. A61B 17/02, 1989

10. Catalog of the company "Surgery", Belgium, 1970, p. 557

11. Copyright certificate of the USSR No. 1109122, cl. A61B 1/06, 1984

Claims (3)

1. Device for manipulation in the abdominal cavity, containing a tubular holder, blades mounted with the possibility of changing their position and a pusher, characterized in that the blades are mounted on an axis located at the distal end of the tubular holder, and made with grooves through which the axis passes, located at the distal end of the pusher, and a spring-loaded handle is placed at the proximal end of the pusher, and a blade position lock is installed at the proximal end of the tubular holder, made in the form union nut cooperating with the proximal end of the holder and the threaded portion at the proximal end of the pusher. 2. The device according to claim 1, characterized in that it is made of a biologically and chemically inert material. 3. The device according to claim 1, characterized in that the millimeter scale is applied on the blades.

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