RU2110965C1 - Apparatus for laparoscopic interventions - Google Patents
Apparatus for laparoscopic interventions Download PDFInfo
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- RU2110965C1 RU2110965C1 RU95113777A RU95113777A RU2110965C1 RU 2110965 C1 RU2110965 C1 RU 2110965C1 RU 95113777 A RU95113777 A RU 95113777A RU 95113777 A RU95113777 A RU 95113777A RU 2110965 C1 RU2110965 C1 RU 2110965C1
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Description
Изобретение относится к медицинской технике, а именно к хирургическим инструментам, используемым при осуществлении лапароскопических вмешательств. The invention relates to medical equipment, namely to surgical instruments used in laparoscopic interventions.
Известен манипулятор для хирургической иглы, содержащий первый и второй стержни, закрепленные на концах стержней осевые шарниры, игольный держатель, установленный на осевых шарнирах, и управляющие ручки (патент США N 4621640, кл. A 61 B 17/06, 1986). Манипулятор выполняет единственную функцию - обеспечивает прокалывание тканей иглой. Known manipulator for a surgical needle, containing the first and second rods mounted on the ends of the rods axial joints, a needle holder mounted on axial joints, and control handles (US patent N 4621640, CL A 61 B 17/06, 1986). The manipulator performs a single function - it provides piercing of tissues with a needle.
Недостаток манипулятора - узкие функциональные возможности. The disadvantage of the manipulator is its narrow functionality.
Задачей изобретения является создание устройства для осуществления лапароскопических вмешательств, выполняющего несколько функций. The objective of the invention is to provide a device for laparoscopic interventions that performs several functions.
Задача решается тем, что известное устройство для осуществления лапароскопических вмешательств, содержащее первый и второй стержни, закрепленные на концах стержней осевые шарниры, игольный держатель, установленный на осевых шарнирах, и управляющие ручки, согласно изобретению дополнительно содержит цилиндрический корпус с продольным окном, выполненным под держатель с иглой, и размещенный на торце первого стержня зажим, содержащий две перекрещивающиеся бранши, имеющие рабочие губки на одном конце и хвостовики на другом, ось, соединяющую бранши, пружину, установленную на хвостовиках бранш, и фиксаторы, размещенные на оси, а на цилиндрическом корпусе размещены захваты, выполненные под фиксаторы зажима, причем корпус установлен с возможностью продольного перемещения и подпружинен. The problem is solved in that the known device for laparoscopic surgery, comprising first and second rods, axial joints fixed at the ends of the rods, a needle holder mounted on axial joints, and control handles, according to the invention further comprises a cylindrical body with a longitudinal window made under the holder with a needle, and a clamp located at the end of the first rod containing two intersecting branches with working jaws at one end and shanks at the other, an axis connecting jaws, a spring mounted on the shank Branche and latches arranged on the axis and on the cylindrical housing has grippers carried by the clamping latches, the housing is mounted for longitudinal movement and is spring-loaded.
Для обеспечения наибольшего удобства работы устройство содержит крючок, установленный с возможностью продольного перемещения. To ensure the greatest convenience, the device contains a hook mounted with the possibility of longitudinal movement.
На фиг. 1 изображено устройство для осуществления лапароскопических вмешательств, общий вид; на фиг. 2 - отдельно зажим, общий вид; на фиг. 3 - фрагмент устройства с игольным держателем в рабочем положении; на фиг. 4 - фрагмент устройства с выдвинутым крючком. In FIG. 1 shows a device for laparoscopic interventions, general view; in FIG. 2 - separate clip, general view; in FIG. 3 - a fragment of the device with a needle holder in the working position; in FIG. 4 is a fragment of a device with an extended hook.
Устройство для осуществления лапароскопических вмешательств содержит первый стержень 1 и второй стержень 2, закрепленные на концах стержней 1 и 2 осевые шарниры 3 и 4, на которых установлен игольный держатель 5, выполненный в виде стакана, цилиндрический корпус 6 с продольным окном 7, выполненным под держатель 5 с иглой, зажим 8, содержащий две перекрещивающиеся бранши 9, имеющие рабочие губки 10 на одном конце и хвостовики 11 на другом конце, ось 12, соединяющую бранши 9, пружину 13, установленную на хвостовиках 11, и фиксаторы 14, установленные на оси 12. На цилиндрическом корпусе 6 размещены захваты 15, выполненные под фиксаторы 14 зажима 8. Корпус 6 установлен с возможностью продольного перемещения и подпружинен пружиной 16. На торце первого стержня 1 предусмотрена выемка 17 с нанесенной на ее поверхности насечкой для надежной фиксации зажима 8. Устройство снабжено крючком 18, установленным с возможностью продольного перемещения и имеющим ручку 19 с индикатором 20 положения крючка 18. Устройство снабжено ручкой 21 управления зажимом 8 и ручкой 22 управления игольным держателем 5. A device for laparoscopic interventions contains a first rod 1 and a second rod 2,
Устройство работает следующим образом. The device operates as follows.
Устройство вводят через канюлю в брюшную полость. При необходимости наложения зажима 8 на орган или ткани определяют место наложения зажима 8, перемещают ручку 21, при этом корпус 6 перемещается вдоль стержня 1, ось 12 зажима 8 сближается с пружиной 13 и рабочие губки 10 раскрываются. Между ними помещаются захватываемые ткани. Затем ручку 21 отпускают и корпус 6 занимает исходное положение под действием пружины 16, зажим 8 снимается с захватов 15. При помощи ручки 22 приводят в рабочее положение игольный держатель 5 с иглой и осуществляют необходимые манипуляции. По завершении необходимых вмешательств игольный держатель 5 устанавливают параллельно стержням 1 и 2, захватами 15 зацепляют фиксаторы 14 зажима 8, а если это затруднительно из-за неудобного расположения зажима, то выдвигают крючок 18, зацепляют им пружину 13 зажима 8 и ориентируют зажим в удобное положение. После того как фиксаторы 14 зажима 8 размещены в захватах 15, нажатием на ручку 21 освобождают захваченные ткани, зажим устанавливается в исходное состояние и устройство извлекают из брюшной полости. The device is inserted through the cannula into the abdominal cavity. If necessary, the application of the clamp 8 on the organ or tissue determines the location of the clamp 8, move the handle 21, while the housing 6 moves along the rod 1, the
Устройство для осуществления лапароскопических вмешательств выполняет несколько функций - обеспечивает установку и снятие зажима, прошивание тканей, а также манипуляции иглой при наложенном зажиме. A device for laparoscopic interventions performs several functions - it provides installation and removal of a clamp, stitching of tissues, as well as manipulation of the needle with the clamp applied.
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RU95113777A RU2110965C1 (en) | 1995-08-03 | 1995-08-03 | Apparatus for laparoscopic interventions |
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RU95113777A RU2110965C1 (en) | 1995-08-03 | 1995-08-03 | Apparatus for laparoscopic interventions |
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RU2110965C1 true RU2110965C1 (en) | 1998-05-20 |
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