TW201813593A - Viscus holding device - Google Patents

Abstract

A viscus holding device is disclosed for promoting the convenience of holding a viscus. This viscus holding device has at least one pivoting assembly between two end members, and connects the two end members and the pivoting assembly with several elastic members. The two end members connect to a fixed member respectively, with the pivoting assembly connects to another fixed member. The two end members, the pivoting assembly and the several elastic members are able to form a stick shape collectively.

Description

 Organ carrier  

The present invention relates to a surgical instrument, in particular to an organ carrier device for carrying a non-surgical target organ in a laparoscopic operation, to avoid obscuring the site where the operation is to be performed, in order to obtain a good surgical operation field of view. Improve the ease of operation of laparoscopic surgery.

Please refer to FIG. 1 , which is a conventional organ carrier device 9 . The conventional organ carrier device 9 has a puncture body 91 . One end of the puncture body 91 is a metal tip 911 . The first body 92 is inserted through a central portion of the support member 93. One end of the wire body 92 is fixed to the outside of the support member 93, and the other end of the wire body 92 is fixed to the other end of the puncture body 91. An embodiment similar to the conventional organ carrier device 9 has been disclosed in the Patent Case No. M444147 of the Republic of China on "Abdominal Minimally Invasive Organ Suspension".

In use, the conventional organ carrier device 9 is first placed inside the patient's abdominal cavity, so that the support member 93 can receive an organ A, and the tip portion 911 of the puncture body 91 penetrates the organ A and the abdominal cavity. The wall B is inserted out of the abdominal wall B, and the puncture body 91 and the wire body 92 are fixed by a fixing tool such as a hemostat, so that the supporting member 93 can effectively suspend the organ A to provide an appropriate surgical operation field. And space.

However, when the conventional organ carrier device 9 is actually applied to a laparoscopic operation, it is necessary to use a plurality of organ carrier devices 9 to secure the carrier A, otherwise the organ A is slippery. The failure problem, and also need to be fixed with a plurality of fixing tools from outside the body, so the operation is not easy, not only the operation time of carrying the organ A, but also a plurality of fixing tools placed outside the patient's abdominal wall B It is also easy to affect the ease of operation of laparoscopic surgery. Further, the conventional organ carrier device 9 is used to cause a penetrating injury to the organ A and the abdominal wall B to be carried, thereby increasing the probability of infection.

In view of this, the conventional organ carrier device does have the need to improve.

In order to solve the above problems, the present invention provides an organ carrier device which can be inserted into a patient from a laparoscopic channel which is necessary to be opened on the abdominal wall of a patient, and is directly fixed in the body to fix the organ to be carried. The patient's abdominal wall is placed outside any fixed tool that affects the operation of the laparoscopic procedure.

The invention provides an organ carrier device which does not cause penetrating injury to the organ and the abdominal wall.

The organ carrier device of the present invention comprises: two end members; at least one pivoting assembly, the pivoting assembly is disposed between the two end members; and a plurality of elastic members, the plurality of elastic members are connected to the a pivoting assembly and the two end members; and a plurality of fixing members respectively disposed on the two end members and the pivoting assembly; the first pivoting member and the second pivoting member of the pivoting assembly When the center of the piece is coaxial, the two end members, the pivoting assembly and the plurality of elastic members together form a straight rod shape.

Accordingly, the organ carrier device of the present invention does not need to additionally increase the opening through the abdominal wall of the patient, but can be inserted into the patient from the laparoscopic channel which is necessary to be opened on the abdominal wall of the patient, and can be directly fixed in the patient. The organ to be loaded has a simple operation procedure, and can stably hold the organ to avoid slippage, and does not need to place any fixing tool that affects the operation of the laparoscopic surgery outside the patient's abdominal wall, and can simultaneously lift the carrier. The convenience of the operation of the device and the laparoscopic surgery can reduce the operation time. In addition, the use of the organ carrier device of the present invention does not cause penetrating penetrating injuries to any organ or abdominal wall, and at most, it produces only a few tiny pinholes in the fascia tissue with excellent toughness in the patient's abdomen. The tiny pinholes formed in the body have the advantages of rapid recovery and extremely low infection probability, which can greatly reduce the chance of postoperative infection.

The fixing member disposed on the pivoting assembly is located at a pivotal relationship between the first pivoting member and the second pivoting member; the structure is such that the first pivoting member and the second pivoting member are not pivoted relative to each other. The fixing member is hidden between the two without being exposed to the outside, and has the effects of improving the safety of use.

The first pivoting member has a protruding post, and the second pivoting member has two side plates, and a receiving groove is formed between the two side plates. The protruding post penetrates into the receiving slot and pivotally connects the two side plates; It is easy to manufacture and assemble, and has the effects of reducing manufacturing costs and improving assembly convenience.

Wherein the fixing member disposed on the pivoting assembly is coupled to the free end of the protruding post of the first pivoting member, and the fixing member is hidden in the first pivoting member and the second pivoting member The second pivot member has a simple structure, is easy to manufacture and assemble, and has the effects of reducing manufacturing cost and improving assembly convenience.

Each of the end members is provided with a pivoting portion for pivoting the corresponding fixing member, and each of the end members is provided with a slot in a pivoting direction of the fixing member, and the fixing member is pivotally hidden The slot is exposed or exposed outside the free end of the end member; the structure can prevent the fixing member provided on each end member from injuring the patient when being inserted into the patient or being taken out, and has the effect of improving the safety of use and the like. .

Wherein the free ends of the end members are convexly curved; the structure is such that the free ends of the end members have no angular or sharp end edges, thereby avoiding injury to the patient when placed in the patient or taken out, Improve the safety of use and other functions.

Wherein, the fixing member is rotatably connected to the pivoting assembly; the structure enables the fixing member provided on the pivoting assembly to be fixed to the abdominal fascia tissue of the patient in a convenient operation direction, and has the functions of improving the operation convenience and the like. .

Wherein, the elastic member is a tension spring; when the elastic member is unstressed, the distance between the two end members can be narrowed to a minimum, which helps to reduce the initial volume of the whole organ carrier device, and has the lifting Efficacy such as ease of operation when placed in a patient or taken out.

Wherein, the number of the pivoting assemblies is three, and the number of the elastic members is four, wherein one elastic member connects one of the end members to the adjacent pivoting member, and the other elastic member connects the other end member with Adjacent pivoting assemblies, the remaining two elastic members are respectively connected between the three pivoting components; the structure enables the organ carrier device to be flexed into a W-shape when deployed, to provide the current medical community The best loading mode of the organ has the effect of improving the stability of the loaded organ.

〔this invention〕

1‧‧‧End components

11‧‧‧ pivotal department

12‧‧‧ slotting

2‧‧‧ pivoting components

2a‧‧‧First pivot

2b‧‧‧Second pivot

21‧‧‧Bump

22‧‧‧ 丘丘

23‧‧‧ side panels

24‧‧‧ 容容

25‧‧‧ hole

3‧‧‧Flexible parts

4‧‧‧Fixed parts

41‧‧‧ pivotal department

42‧‧‧ Ring groove

43‧‧‧ Limit pin

L‧‧‧ Liver

[Use]

9‧‧‧ Organs loading device

91‧‧‧Puncture

911‧‧‧ pointed

92‧‧‧Line body

93‧‧‧Support

A‧‧‧ Organs

B‧‧‧ abdominal wall

Figure 1: Schematic diagram of a conventional organ carrier device.

Fig. 2 is a perspective exploded perspective view showing an embodiment of the present invention.

Figure 3 is a schematic view showing the planar structure of an embodiment of the present invention.

Figure 4 is a schematic view showing the implementation of an embodiment of the present invention.

Fig. 5 is a schematic view showing the implementation of a V-shaped carrier in accordance with an embodiment of the present invention.

Figure 6 is a perspective view showing the structure of a second embodiment of the present invention.

Fig. 7 is a schematic view showing the implementation of the W-shaped carrier in the second embodiment of the present invention.

The above and other objects, features, and advantages of the present invention will become more apparent from the aspects of the appended claims. It is a first embodiment of the organ carrier device of the present invention. The organ carrier device generally comprises two end members 1, at least one pivoting assembly 2, a plurality of elastic members 3 and a plurality of fixing members 4. The pivoting assembly 2 is disposed between the two end members 1 and is connected by the plurality of elastic members 3 into a straight rod-shaped pen-shaped structure for being placed in the patient body for re-expansion. The plurality of fixing members 4 are respectively respectively Provided on the two end members 1 and the pivot assembly 2.

In detail, since the organ carrier device of the present invention can be inserted into the patient from a laparoscopic channel that is necessary to be opened on the abdominal wall of the patient, each of the end members 1 and the pivoting assembly of the organ carrier device 2. The width dimension of the elastic member 3 and the fixing member 4 should be smaller than the laparoscopic passage. In order to avoid injury to the patient when placed in or removed from the patient, the free ends of the end members 1 are preferably convexly curved without angular or sharp edges to enhance safety in use. The end member 1 and the pivoting assembly 2 can be made of biocompatible engineering plastics, and the elastic member 3 and the fixing member 4 can be made of stainless steel.

The number of the pivoting assemblies 2 is not limited and may be, for example, one, two, three or four...etc. When the number of the pivoting assemblies 2 is one, the organ supporting device of the present invention can be deployed into a V shape; when the number of the pivoting assemblies 2 is two, the organ supporting device of the present invention can be deployed into an N shape. When the number of the pivoting assemblies 2 is three, the organ supporting device of the present invention can be deployed into a W-shape, etc., so that the organ supporting device of the present invention can determine the pivot according to the position to be applied. The number of sets of the rotary assembly 2 is not limited to the embodiment disclosed in the present invention.

The pivoting assembly 2 includes a first pivoting member 2a and a second pivoting member 2b. The present invention does not limit the configuration of the first pivoting member 2a and the second pivoting member 2b. For example, but not limited to, the first pivot member 2a is configured to have a shape of a stud 21, and a ridge 22 is respectively disposed on two sides adjacent to the free end of the stud 21; The member 2b is configured to form a groove 24 between the two side plates 23, and opposite sides of the two side plates 23 are provided with opposite two holes 25; thus, the protrusions 21 of the first pivot member 2a can be Inserting into the receiving groove 24 of the second pivoting member 2b, and causing the two ridges 22 of the first pivoting member 2a to be respectively inserted into the two holes 25 of the second pivoting member 2b, so that the first pivoting member The boss 21 of 2a is pivoted relative to the two side plates 23 of the second pivot member 2b.

When the plurality of elastic members 3 are used to connect the pivoting assembly 2 and the two end members 1, and the centers of the first pivoting member 2a and the second pivoting member 2b of the pivoting assembly 2 are coaxial, the two The end member 1, the pivoting assembly 2 and the plurality of elastic members 3 can together form a straight rod-shaped pen-shaped structure, and define the "unexpanded" state of the organ carrier device of the present invention; The device is placed in the undeployed state or removed for ease of insertion or removal.

The number of the elastic members 3 depends on the number of the pivoting assemblies 2, and the number of the elastic members 3 is one more than the number of the pivoting assemblies 2. In other words, for example, only one single pivoting assembly 2 is provided in the embodiment, the number of the elastic members 3 is two, and one elastic member 3 connects one of the end members 1 and the first pivoting member of the pivoting assembly 2 2a, the other elastic member 3 connects the other end member 1 and the second pivot member 2b of the pivot assembly 2. Preferably, the elastic member 3 is an extension spring, so that when the plurality of elastic members 3 are unstressed, the distance between the two end members 1 can be minimized to help reduce the overall dirtyness. The load carrying device is in an undeployed state, thereby improving the ease of operation when placed in or removed from the patient.

The fixing member 4 can be, for example, a hook, and the plurality of fixing members 4 are respectively disposed on the two end members 1 and the pivoting assembly 2; that is, the number of the fixing members 4 depends on the number of the pivoting assemblies 2 The number of the fixing members 4 is two more than the number of the pivoting assemblies 2. For example, in this embodiment, only one single pivoting assembly 2 is provided, and the number of the fixing members 4 is three, wherein two fixing members 4 are respectively connected to the two end members 1, and the other fixing member 4 is connected to the pivot. The rotating assembly 2 is connected to the two end members 1 and each of the pivoting assemblies 2 with a fixing member 4. Wherein, in order to avoid injury to the patient by the fixing member 4 connected to the two end members 1 when the organ carrier device is placed in the patient or taken out, the interior of each of the end members 1 may be adjacent thereto A pivoting portion 11 is disposed at a free end, and a pivoting portion 41 of the corresponding fixing member 4 is pivotally connected. Each of the end members 1 further defines a slot 12 in a pivoting direction of the fixing member 4, so that the The fixing member 4 can be pivotally hidden in the slot 12 to prevent the patient from being injured when being placed in the patient or taken out, thereby achieving the effect of improving the safety of use; or being pivoted to be exposed in the patient after being placed in the patient body The free end of the end member 1 is externally fixed to the intra-abdominal fascia of the patient (described in detail later).

The fixing member 4 of the pivoting assembly 2 is located at a pivotal connection between the first pivoting member 2a and the second pivoting member 2b. The fixing member 4 is connectable to the first pivoting member 2a or the second pivoting member 2b. In this embodiment, the first pivot member 2a is selected to have the shape of the stud 21, so the fixing member 4 can be connected to the free end of the stud 21 of the first pivot member 2a, so that the first pivot When the piece 2a and the second pivoting member 2b are not pivoted relative to each other, the fixing member 4 can be hidden in the receiving groove 24 of the second pivoting member 2b, and the first pivoting member 2a is opposite to the second pivoting member 2b. After pivoting, the protrusion 21 of the first pivot member 2a can be disengaged from the cavity 24 of the second pivot member 2b, so that the fixing member 4 is naturally exposed for fixation to the intra-abdominal fascia of the patient. ).

Moreover, in order to further improve the operation convenience of the fixing member 4 provided on the pivoting assembly 2, the fixing member 4 provided on the pivoting assembly 2 is preferably configured to be rotatable relative to the pivoting assembly 2, The fixing member 4 provided on the pivoting assembly 2 can be fixed to the intra-abdominal fascia tissue of the patient in a convenient operation direction. For example, in this embodiment, a ring groove 42 is disposed at one end of the fixing member 4 in combination with the pivoting assembly 2, and a limiting pin 43 is inserted into the protruding post 21 of the first pivoting member 2a to align the ring groove. 42, the fixing member 4 can be rotated but not detached from the stud 21. The fixing member 4 can also be configured as another rotatable equivalent structure (for example, a universal joint or the like), which is not limited by the present invention.

Referring to FIG. 4, according to the foregoing configuration, the organ carrier device of the present invention can be used in a laparoscopic surgery for carrying an organ that will obscure the surgical field of view. The present embodiment is described below by taking the liver L as an example, but does not limit the applicable portion of the present invention; for example, the organ carrier device of the present invention can also be used in small intestine truncation surgery. It is used to carry small intestines or other organs that do not need to be cut.

In use, an organ carrier device (shown in FIG. 3) that has not yet been deployed and has a pen-shaped structure is first placed into the patient from a laparoscopic channel pre-opened on the abdominal wall of the patient, and the laparoscopic surgical instrument will The first pivoting member 2a of the pivoting assembly 2 and the second pivoting member 2b are pivoted at a desired angle to expose the fixing member 4 provided on the pivoting assembly 2 to fix the fixing member 4 to the patient. An anchorage device with excellent toughness such as ligament or peritoneum forms an anchor point of the organ carrier device. Further, the fixing member 4 of the two end members 1 is pivoted to the bare state, and one of the end members 1 is clamped to elasticize the elastic member 3 between the end member 1 and the pivoting assembly 2. Deformation, to freely adjust the length and range of deployment of the elastic member 3 to carry the liver L, so that the elastic member 3 can span the liver L and fix the fixing member 4 provided on the end member 1 to the intra-abdominal fascia of the patient Elsewhere in the tissue, another location of the organ carrier is formed.

Referring to FIG. 5, the other end member 1 is continuously clamped, and the elastic member 3 between the end member 1 and the pivoting assembly 2 is elastically deformed to span the liver L and is disposed at the end portion. The fixture 4 of the element 1 is secured to another location on the patient's intra-abdominal fascia tissue to form yet another anchor point for the organ carrier. In this way, the patient's liver L can be formed into a V-shaped carrier mode by the organ carrier device, so that the liver L does not shield the stomach portion and provides a good surgical operation vision of the doctor, so that the doctor can accurately and quickly The patient undergoes the next related surgery.

After the operation is completed, as long as the two end members 1 and the pivoting assembly 2 are clamped again and again, the plurality of fixing members 4 fixed on the intra-abdominal fascia tissue of the patient can be removed one by one. The elastic force of the plurality of elastic members 3 restores the two end members 1 and the pivoting assembly 2 to an initial distance, and pivots the first pivoting member 2a and the second pivoting member 2b of the pivoting assembly 2 back relative to each other. The state in which the fixing member 4 is hidden and the fixing member 4 provided on the two end members 1 are pivoted back to the unexposed state, so that the organ supporting device can be restored to a pen-shaped structure that has not yet been unfolded (for example, Figure 3), and the organ carrier can be easily removed from the patient through the patient's laparoscopic passage.

The present invention does not limit the order in which the plurality of fixing members 4 are fixed to the intra-abdominal fascia of the patient, and does not limit the order in which the plurality of fixing members 4 are removed from the intra-abdominal fascia of the patient. Habit adjustment.

Referring to FIG. 6, which is a second embodiment of the organ carrier device of the present invention, the second embodiment of the present invention is substantially the same as the first embodiment described above, and the main difference is that the second embodiment of the present invention The number of the pivoting components 2 is three, so that the organ carrier device can be bent into a W-shape when deployed, so as to provide the best supporting mode for the organ in the medical field, and to improve the stability of the supporting organ. Sex and other effects.

In detail, the number of the pivoting assemblies 2 is three, so the number of the elastic members 3 should be four, one of the elastic members 3 connecting one of the end members 1 and the adjacent pivoting assembly 2, and the other elastic The piece 3 connects the other end element 1 with the adjacent pivoting assembly 2, and the remaining two elastic parts 3 are respectively connected between the three pivoting assemblies 2 such that the three pivoting assemblies 2 have not yet pivoted The two end members 1, the three pivoting assemblies 2, and the four elastic members 3 may be arranged to form a straight rod-shaped pen-shaped structure.

Please refer to Fig. 7. In use, firstly, the organ carrier device (as shown in Fig. 6) which has not been unfolded and has a pen-shaped structure is inserted into the patient from the laparoscopic channel pre-opened on the abdominal wall of the patient, and The laparoscopic surgical instrument pivots the first pivoting member 2a and the second pivoting member 2b of each of the pivoting assemblies 2 to a desired angle, so that the fixing members 4 provided on each of the pivoting assemblies 2 are exposed so as to be The plurality of fasteners 4 are respectively fixed to appropriate places in the intra-abdominal fascia tissue of the patient. On the other hand, the fixing members 4 of the two end members 1 are also pivoted to bare so that the two fixing members 4 are respectively fixed to the appropriate places in the intra-abdominal fascia of the patient.

Accordingly, the organ carrier device of the present embodiment can freely adjust the length and range of the deployment of the liver member L by the elastic deformation of the four elastic members 3, and jointly form the liver L. The optimal loading mode of the glyph makes the range of the liver L more comprehensive and uniform, so that the weight of the liver L can be evenly distributed on the organ supporting device, thereby avoiding the partial slip of the liver L. The failure condition can also reduce the problem that the organ carrier device causes scratches or cuts on the surface of the liver L due to excessive local force.

Similarly, after the operation is completed, the plurality of fixing members 4 fixed on the fascia tissue of the patient's abdomen are removed one by one, and the two end members 1 and the number are obtained by the elastic force of the plurality of elastic members 3. The pivoting assemblies 2 are all returned to the initial spacing, and the pivoting assemblies 2 are pivoted back to the state in which the fixing members 4 are hidden, and the fixing members 4 provided on the two end members 1 are pivoted back to the In the bare state, the organ carrier can be restored to a pen-shaped structure that has not yet been deployed (as shown in Fig. 6), and the organ carrier can be easily removed from the patient through the patient's laparoscopic passage. take out.

In summary, the organ carrier device of the present invention does not need to additionally increase the opening through the abdominal wall of the patient, but can be inserted into the patient from the laparoscopic channel which is necessary to be opened on the abdominal wall of the patient, and can be directly in the patient. Fixing the organ to be carried, the operation procedure is simple, and the organ can be stably held to avoid slippage, and it is not necessary to place any fixing tool which may affect the operation of the laparoscopic surgery outside the patient's abdominal wall, and the lifting device can be lifted at the same time. The convenience of carrying the organ and performing laparoscopic surgery can reduce the operation time.

In addition, the use of the organ carrier device of the present invention produces only a few tiny pinholes in the fascia tissue with excellent toughness in the patient's abdomen, without penetrating penetrating lesions on any organ or abdominal wall. And the micro pinhole formed in the body using the organ carrier device of the invention has the advantages of quick recovery speed and extremely low infection probability compared with the wound worn outside the body caused by the conventional organ carrier device. Significantly reduce the chance of postoperative infection.

While the invention has been described in connection with the preferred embodiments described above, it is not intended to limit the scope of the invention. The technical scope of the invention is protected, and therefore the scope of the invention is defined by the scope of the appended claims.

Claims (9)

 An organ carrier device comprising: two end members; at least one pivoting assembly, the pivoting assembly being disposed between the two end members, the pivoting assembly having a first pivoting member pivotally connected thereto And a second pivoting member; the plurality of elastic members connecting the pivoting assembly and the two end members; and a plurality of fixing members respectively disposed on the two end members And the pivoting assembly; when the centers of the first pivoting member and the second pivoting member of the pivoting assembly are coaxial, the two end members, the pivoting assembly and the plurality of elastic members together form a straight rod shape.    The organ carrier device of claim 1, wherein the fixing member disposed on the pivoting assembly is located at a pivotal relationship between the first pivot member and the second pivot member.    The organ carrier device of claim 2, wherein the first pivot member has a protrusion, the second pivot member has two side plates, and a cavity is formed between the two side plates, The protrusion penetrates into the pocket and pivots the two side plates.    The organ carrier device of claim 3, wherein the fixing member disposed on the pivoting assembly is coupled to a free end of the boss of the first pivot member, the first pivot member and the first When the two pivot members have not been relatively pivoted, the fixing member is hidden in the pocket of the second pivot member.    The organ carrier device of claim 1, wherein each of the end members is provided with a pivoting portion for pivoting the corresponding fixing member, and each of the end members is at the pivot of the fixing member. A slot is provided in the direction of rotation, and the fixing member can be pivotally hidden in the slot or exposed outside the free end of the end member.    The organ carrier device of claim 1, wherein the free ends of the end members are convexly curved.    The organ carrier device of claim 1, wherein the fixing member is rotatably coupled to the pivoting assembly.    The organ carrier device of claim 1, wherein the elastic member is a tension spring.    The organ carrier device according to any one of claims 1 to 8, wherein the number of the pivoting assemblies is three, and the number of the elastic members is four, and one of the elastic members is connected to one of them. The end member is coupled to the adjacent pivot assembly, the other resilient member is coupled to the other end member and the adjacent pivot assembly, and the remaining two resilient members are coupled between the three pivot assemblies, respectively.