CN102860848A - Sleeved gasless single-hole operating platform for laparoscopic surgery - Google Patents
Sleeved gasless single-hole operating platform for laparoscopic surgery Download PDFInfo
- Publication number
- CN102860848A CN102860848A CN2012103464066A CN201210346406A CN102860848A CN 102860848 A CN102860848 A CN 102860848A CN 2012103464066 A CN2012103464066 A CN 2012103464066A CN 201210346406 A CN201210346406 A CN 201210346406A CN 102860848 A CN102860848 A CN 102860848A
- Authority
- CN
- China
- Prior art keywords
- single hole
- umbrella
- suspention
- mechanical arm
- operating platform
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
Links
- 238000002357 laparoscopic surgery Methods 0.000 title claims abstract description 24
- 210000001503 joint Anatomy 0.000 claims abstract description 9
- 208000005646 Pneumoperitoneum Diseases 0.000 claims description 40
- 230000007306 turnover Effects 0.000 claims description 3
- 239000000725 suspension Substances 0.000 abstract description 8
- 238000001356 surgical procedure Methods 0.000 abstract 4
- 210000002784 stomach Anatomy 0.000 description 13
- 238000000034 method Methods 0.000 description 10
- 210000000683 abdominal cavity Anatomy 0.000 description 4
- 238000007912 intraperitoneal administration Methods 0.000 description 3
- 238000011017 operating method Methods 0.000 description 3
- 230000000007 visual effect Effects 0.000 description 3
- 241000893568 Diphylleia cymosa Species 0.000 description 2
- 210000003815 abdominal wall Anatomy 0.000 description 2
- 230000007812 deficiency Effects 0.000 description 2
- 230000000968 intestinal effect Effects 0.000 description 2
- 206010060954 Abdominal Hernia Diseases 0.000 description 1
- 230000003796 beauty Effects 0.000 description 1
- 230000017531 blood circulation Effects 0.000 description 1
- 239000002537 cosmetic Substances 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000009977 dual effect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 210000003754 fetus Anatomy 0.000 description 1
- 210000000232 gallbladder Anatomy 0.000 description 1
- 230000009931 harmful effect Effects 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 230000003387 muscular Effects 0.000 description 1
- 210000001672 ovary Anatomy 0.000 description 1
- 210000000496 pancreas Anatomy 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 210000000952 spleen Anatomy 0.000 description 1
- 210000004291 uterus Anatomy 0.000 description 1
Images
Landscapes
- Surgical Instruments (AREA)
Abstract
The invention discloses a sleeved gasless single-hole operating platform for laparoscopic surgery. The sleeved gasless single-hole operating platform comprises a single-hole channel, a suspension umbrella, a mechanical arm and a fixed rod, wherein the suspension umbrella is suspended on the mechanical arm; the mechanical arm is installed on the fixed rod; the single-hole channel is composed of a main tube and an extension tube; a porous disc for surgical instruments to pass in and out is arranged in the middle of the main tube in the single-hole channel; the single-hole channel of the platform is sleeved in the suspension umbrella; the single-hole channel is connected with a lower ring of the suspension umbrella by joints at two lower sides of the main tube; an upper ring and the lower ring of the suspension umbrella are elliptical; the single-hole channel is sleeved in the middle of the upper ring and the lower ring; and the middle joint of a spoke is in spring connection. With the adoption of the operating platform, the laparoendoscopic single-site surgery and gasless surgery can be organically combined, thus the disadvantage that the prior gasless laparoendoscopic single-site surgery has small operation space and bad surgical field exposure is overcome; and meanwhile, operation of the gasless laparoendoscopic single-site surgery is simplified so as to be easier to popularize and use.
Description
Technical field
The present invention relates to peritoneoscope minimally invasive surgery field, specifically the sleeve type used of a kind of laparoscopic surgery is exempted from pneumoperitoneum single hole operating platform.
Background technology
Laparoscopic surgery has become the important modus operandi of the histoorgans such as liver, gallbladder, pancreas, spleen, stomach, intestinal, abdominal hernia, uterus and ovary as a kind of less invasive techniques.The laparoscopic surgery routine utilizes CO2 pneumoperitoneum technology to make the operation technique space.Because the CO2 pneumoperitoneum has many harmful effects to breathing, blood circulation and Pregnant Fetus, people have developed the laparoscopic surgery that various stomach wall suspension apparatus are exempted from pneumoperitoneum.But the existing pneumoperitoneum technology of exempting from, the Japan's " Kirschner wire " that comprises the Medical Group agency of island section exempts from the pneumoperitoneum device, the fan formula retractor for abdominal wall of American I RVIN H, and the half-turn type drawing device of recent Japanese Y.Izumi report, the drag hook type of TaiWan, China I-Hui Wu report is exempted from pneumoperitoneum device etc., all exists operative space to expose not enough major defect.Main cause is that existing its stomach wall suspention pulling force of pneumoperitoneum technology of exempting from can make the both sides stomach wall assemble to the centre, and the extruding intestinal tube is concentrated to the centre, causes operative space to diminish, narrow down; When muscular tension was larger, the operation technique space dwindles can be more obvious.
Chinese patent 201120263834.3 has been announced the umbrella formula stomach wall suspension apparatus that a kind of laparoscopic surgery is used, and is comprised of suspention umbrella, mechanical arm and fixed bar, and the suspention umbrella is suspended on the mechanical arm, and mechanical arm is installed on the fixed bar.The suspention umbrella is comprised of sleeve pipe, nook closing member and chaining, and sleeve pipe is made of spoke and push-and-pull pipe, down sliding push-and-pull pipe, and spoke is folded to form umbrella by near-end joint, distal joint and middle joint to central authorities.The suspention umbrella fully lifts whole front stomach wall at intraperitoneal during operation, solves preferably and originally exempts from the problem that pneumoperitoneum technology operative space exposes deficiency.
Laparoscopic surgery generally need to be done 3～5 little otch at stomach wall, as the passage of operating theater instruments.In order to reduce operative incision, improve Wicresoft and the cosmetic result of laparoscopic surgery, people have invented various single-hole surgical platforms, and promote clinically, such as TriPort, Uni-X, Gelport, AirSeal, SILS
TM, EndoCone etc.These single hole operating platform normal operations CO
2Pneumoperitoneum is performed the operation.
The report that pneumoperitoneum single hole technology is carried out laparoscopic surgery is exempted from present more existing application, mainly contain dual mode, a kind of is to use Japan's " Kirschner wire " to exempt from the pneumoperitoneum device to set up on the basis of operative space, do single small incision at stomach wall and perform the operation, exempt from pneumoperitoneum single-hole laparoscopic technology such as the suspension of the Zhang Guangyong of Shandong Qilu Hospital report.Another is directly to do an otch at stomach wall, stomach wall is lifted through this otch by special drag hook and performs the operation, and exempts from pneumoperitoneum single hole endoscopic technic such as the Kazunori Kihara of Tokyo medical courses in general dentistry university report.But these two kinds of technology all can not solve operative space exposes not enough problem.
Chinese patent 201220089141.1 has been announced the double-cylinder type that a kind of laparoscopic surgery uses and has been exempted from pneumoperitoneum single hole operating platform, formed by single hole passage, suspention umbrella, mechanical arm and fixed bar, single hole passage and suspention umbrella are " double-cylinder type " and arrange, the suspention umbrella is suspended on the mechanical arm, and mechanical arm is installed on the fixed bar.The advantage of this platform is: (1) is peritoneoscope single hole technology and exempt from the pneumoperitoneum technology and combine, and has realized peritoneoscope single hole technology and has exempted from integrated design on the pneumoperitoneum technical body; (2) overcome the shortcoming that existing laparoscope pneumoperitoneum-free single hole technology operative space is little, the visual area exposes difference; (3) simplify the operating procedure that the laparoscope pneumoperitoneum-free single hole is performed the operation, made it to be easier to promotion and application.But this platform also has shortcoming: (1) single hole passage and suspention umbrella are " double-cylinder type " and arrange, they link to each other by the joint of lower end, single hole passage and the vertical suspention umbrella nook closing member angles of 60 degree of having an appointment during operation technique are therefore the incision of abdominal wall of original update platform needs further to enlarge; (2) the suspention umbrella is decided to be the words in the place ahead, then being the single hole passage that " double-cylinder type " be arranged in its rear can only move backward, namely can only detect and perform the operation the histoorgan of front portion, abdominal cavity in when operation, and can't detect and perform the operation the histoorgan at rear portion, abdominal cavity.
Summary of the invention
The purpose of this invention is to provide the sleeve type that a kind of laparoscopic surgery uses and exempt from pneumoperitoneum single hole operating platform, with peritoneoscope single hole technology with exempt from the pneumoperitoneum technology and combine, can overcome the existing shortcoming that pneumoperitoneum technology operative space is little, the visual area exposes difference of exempting from, develop again the single hole technology more Wicresoft, more the beauty treatment advantage, and simplified the operating procedure of laparoscope pneumoperitoneum-free single hole operation, made it to be easier to promotion and application.
Exempt from pneumoperitoneum single hole operating platform with respect to double-cylinder type, sleeve type is exempted from pneumoperitoneum single hole operating platform except having same advantage, also overcome its shortcoming: (1) single hole passage is inserted in the middle of the suspention umbrella rather than is double-cylinder type to be arranged, therefore do not need further to enlarge operative incision during operation technique; (2) exactly because " sleeve type " design of single hole passage and suspention umbrella and the elliptic design encircled up and down of suspention umbrella, the single hole passage can swing, can detect and operate the histoorgan in whole abdominal cavity in operation process.
The present invention achieves the above object by the following technical programs: the sleeve type that a kind of laparoscopic surgery is used is exempted from pneumoperitoneum single hole operating platform, comprise single hole passage, suspention umbrella, mechanical arm and fixed bar, the suspention umbrella is suspended on the mechanical arm, mechanical arm is installed on the fixed bar, described single hole passage is comprised of main body tube and extension pipe, the middle punctured disk that has for the operating theater instruments turnover in the main body tube of described single hole passage.Described suspention umbrella is pumped axle, lower ring suspention axle and chaining by spoke, upper ring and lower ring, pressed on ring and is formed, and pushes pressed on ring downwards and pumps axle, and pressed on ring moves downward, and spoke is folded to form umbrella by near-end joint, distal joint and middle joint to central authorities.
Described suspention umbrella is fixed on the mechanical arm by lower ring suspention axle and chaining suspention.
Described single hole channel sleeve is in the suspention umbrella, and the single hole passage links to each other by the lower ring of joint, both sides, main body tube lower end with the suspention umbrella.
The upper ring and a lower ring ovalize of described suspention umbrella, the single hole passage that is inserted in wherein during the stack of upper ring and a lower ring level can seesaw.
The middle joint of described spoke is that spring connects, the front and back relative motion when superposeing to satisfy upper ring and a lower ring.
The sleeve type that described laparoscopic surgery is used is exempted from pneumoperitoneum single hole operating platform operation principle and process is: fixed bar is fixed on the operating-table by draw-in groove, and mechanical arm is installed on the fixed bar.Patient's horizontal position, mention front stomach wall, do the about otch of 30mm in the annulus umbilicalis place, insert sleeve type and exempt from pneumoperitoneum single hole operating platform, after pressed on ring arrives intraperitoneal, upwards lift lower ring suspention axle, push pressed on ring downwards and pump axle, make the spoke two ends to the center relative sliding, be folded to form the umbrella leaf through burst, by the umbrella leaf front stomach wall monoblock is suspended in midair, the suspention umbrella hangs on the mechanical arm by lower ring suspention axle and chaining.Remove the extension pipe of single hole passage, operating theater instruments is inserted the abdominal cavity by porose (porous) disk of main body tube, carries out operation technique.So far, the working place of laparoscopic surgery and operating platform are set up complete.
The technique effect that the present invention gives prominence to is:
Compare with existing laparoscope pneumoperitoneum-free single hole technology, the present invention has preferably integrated design in mechanism, organically peritoneoscope single hole technology with exempt from the pneumoperitoneum technology and combine, front stomach wall monoblock is fully lifted at intraperitoneal by the suspention umbrella, solved preferably the problem that existing laparoscope pneumoperitoneum-free single hole technology operative space is little, the visual area exposes deficiency, simplify simultaneously the operating procedure of laparoscope pneumoperitoneum-free single hole operation, made it to be easier to promotion and application.
Description of drawings
Fig. 1 is the structural representation that sleeve type that laparoscopic surgery of the present invention is used is exempted from pneumoperitoneum single hole operating platform.
Fig. 2 is that sleeve type that laparoscopic surgery of the present invention is used is exempted from the structural representation under the semi-open state of suspention umbrella of pneumoperitoneum single hole operating platform.
Fig. 3 is the structural representation that sleeve type that laparoscopic surgery of the present invention is used is exempted from the main body tube of pneumoperitoneum single hole operating platform.
Fig. 4 is main body tube and the upper ring and lower ring structural representation that sleeve type that laparoscopic surgery of the present invention is used is exempted from pneumoperitoneum single hole operating platform.
Fig. 5 is the structural representation that sleeve type that laparoscopic surgery of the present invention is used is exempted from the suspention umbrella full open position of pneumoperitoneum single hole operating platform.
The specific embodiment
Below by accompanying drawing and example technical scheme of the present invention is further described.
Contrast Fig. 1, the sleeve type that laparoscopic surgery of the present invention is used is exempted from pneumoperitoneum single hole operating platform, is comprised of single hole passage 1, suspention umbrella 2, mechanical arm 3 and fixed bar 4, and suspention umbrella 2 is suspended on the mechanical arm 3, and mechanical arm 3 is installed on the fixed bar 4.
Contrast Fig. 2,3, single hole passage of the present invention is comprised of main body tube 1-1 and extension pipe 1-2, the middle punctured disk 10 that has for the operating theater instruments turnover in the main body tube of described single hole passage.Described suspention umbrella 2 pumps axle 2-4, lower ring suspention axle 2-5 by spoke 2-1, pressed on ring 2-2, lower ring 2-3, pressed on ring and chaining 2-6 forms, push pressed on ring downwards and pump axle 2-4, pressed on ring 2-2 moves downward, and spoke 2-1 is folded to form umbrella by near-end joint 5, distal joint 6 and middle joint 7 to central authorities.
Contrast Fig. 4, pressed on ring 2-2 of the present invention near 5 places, near-end joint have on annular groove shape inclined-plane 8 to adapt to the motion of spoke 2-1, lower ring 2-3 is having lower annular groove shape inclined-plane 9 to adapt to the motion of spoke 2-1 near distal joint 6 places, described spoke 2-1 is folded to form to central authorities in the process of umbrella by near-end joint 5, distal joint 6 and middle joint 7, and pressed on ring 2-2 and lower ring 2-3 become level by inclination gradually by upper annular groove shape inclined-plane 8 and lower annular groove shape inclined-plane 9 respectively and be superimposed.
Contrast Fig. 5, suspention umbrella 2 of the present invention is fixed on the mechanical arm 3 by lower ring suspention axle 2-5 and chaining 2-6 suspention.
Contrast Fig. 2,4, single hole passage 1 of the present invention are enclosed among the suspention umbrella 2, and single hole passage 1 links to each other by the lower ring 2-3 of joint, both sides, main body tube 1-1 lower end 11 with the suspention umbrella.
Contrast Fig. 1,4, the pressed on ring 2-2 of suspention umbrella 2 of the present invention and lower ring 2-3 ovalize, the main body tube 1-1 that is inserted in single hole passage 1 wherein when pressed on ring 2-2 and the stack of lower ring 2-3 level can seesaw.
Contrast Fig. 4, the middle joint 7 of spoke 2-1 of the present invention connects for spring, the front and back relative motion when superposeing to satisfy pressed on ring 2-2 and lower ring 2-3.
Claims (2)
1. the sleeve type used of a laparoscopic surgery is exempted from pneumoperitoneum single hole operating platform, comprise the single hole passage, the suspention umbrella, mechanical arm and fixed bar, the suspention umbrella is suspended on the mechanical arm, mechanical arm is installed on the fixed bar, described single hole passage is comprised of main body tube and extension pipe, punctured disk for the operating theater instruments turnover is arranged in the middle of in the main body tube of described single hole passage, it is characterized in that: the single hole channel sleeve of this platform is in the suspention umbrella, the single hole passage links to each other by the lower ring of joint, both sides, main body tube lower end with the suspention umbrella, the upper ring and a lower ring ovalize of described suspention umbrella, the single hole channel sleeve is in the middle of upper ring and a lower ring, and the middle joint of described spoke is that spring connects.
2. the sleeve type used of laparoscopic surgery according to claim 1 is exempted from pneumoperitoneum single hole operating platform, it is characterized in that: described suspention umbrella is fixed on the mechanical arm by lower ring suspention axle and chaining suspention.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210346406.6A CN102860848B (en) | 2012-09-18 | 2012-09-18 | Sleeved gasless single-hole operating platform for laparoscopic surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201210346406.6A CN102860848B (en) | 2012-09-18 | 2012-09-18 | Sleeved gasless single-hole operating platform for laparoscopic surgery |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102860848A true CN102860848A (en) | 2013-01-09 |
| CN102860848B CN102860848B (en) | 2014-07-30 |
Family
ID=47440175
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201210346406.6A Expired - Fee Related CN102860848B (en) | 2012-09-18 | 2012-09-18 | Sleeved gasless single-hole operating platform for laparoscopic surgery |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN102860848B (en) |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH07328018A (en) * | 1994-06-08 | 1995-12-19 | Terumo Corp | Abdomen lifting device |
| US5547458A (en) * | 1994-07-11 | 1996-08-20 | Ethicon, Inc. | T-shaped abdominal wall lift with telescoping member |
| CA2068121C (en) * | 1992-05-07 | 1998-11-24 | Michel Gagner | Abdomen suspending device |
| CN202184755U (en) * | 2011-07-25 | 2012-04-11 | 吴东波 | Umbrella type belly wall suspension device for celioscope operation |
| CN102579092A (en) * | 2012-03-12 | 2012-07-18 | 吴东波 | Double-barrel type gasless abdominal single-aperture operating platform used for laparoscopic surgery |
| CN202776412U (en) * | 2012-09-18 | 2013-03-13 | 吴东波 | Embedded type gasless single-hole operation platform for laparoscopic surgery |
-
2012
- 2012-09-18 CN CN201210346406.6A patent/CN102860848B/en not_active Expired - Fee Related
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CA2068121C (en) * | 1992-05-07 | 1998-11-24 | Michel Gagner | Abdomen suspending device |
| JPH07328018A (en) * | 1994-06-08 | 1995-12-19 | Terumo Corp | Abdomen lifting device |
| US5547458A (en) * | 1994-07-11 | 1996-08-20 | Ethicon, Inc. | T-shaped abdominal wall lift with telescoping member |
| CN202184755U (en) * | 2011-07-25 | 2012-04-11 | 吴东波 | Umbrella type belly wall suspension device for celioscope operation |
| CN102579092A (en) * | 2012-03-12 | 2012-07-18 | 吴东波 | Double-barrel type gasless abdominal single-aperture operating platform used for laparoscopic surgery |
| CN202776412U (en) * | 2012-09-18 | 2013-03-13 | 吴东波 | Embedded type gasless single-hole operation platform for laparoscopic surgery |
Also Published As
| Publication number | Publication date |
|---|---|
| CN102860848B (en) | 2014-07-30 |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| CN103202719B (en) | Spindly non-pneumoperitoneum device for single-port laparoscopy | |
| CN102665577B (en) | Surgical device and attachment | |
| JP2018134486A (en) | System for performing medical procedure | |
| JP2015524710A5 (en) | ||
| CN108542441A (en) | A kind of umbrella-type laparoscope pneumoperitoneum-free support device | |
| US20190167271A1 (en) | Occluding catheter with an optional common inflation and guideware channel and method of use | |
| CN100484463C (en) | Gastroscope casing | |
| CN202776412U (en) | Embedded type gasless single-hole operation platform for laparoscopic surgery | |
| CN102579092B (en) | Double-barrel type gasless abdominal single-aperture operating platform used for laparoscopic surgery | |
| CN103549980A (en) | Umbrella-type abdominal wall hanging device used in laparoscopic operation | |
| CN102860848B (en) | Sleeved gasless single-hole operating platform for laparoscopic surgery | |
| WO2016088055A1 (en) | A device for treating obesity and a corresponding delivery system | |
| CN202505408U (en) | Double cylinder type pneumoperitoneum-free single-hole operation platform for laparoscopic surgery | |
| CN202619727U (en) | Spindle-shaped single-port peritoneoscope pneumoperitoneum-free device | |
| CN201905939U (en) | Multi-cavity single-incision surgical channel | |
| CN204744271U (en) | Liver suspension device for laparoscopic surgery | |
| CN209361560U (en) | Tracheae plugging device | |
| CN106963429A (en) | The minimally invasive tunnel dilator of gasbag-type | |
| CN201157348Y (en) | Reverse flow-proof gastroscope casing tube | |
| CN105833415A (en) | Gall bladder dilation device | |
| CN103654887B (en) | Hollow type abdominal-cavity minimal-invasion surgery endoscope passage | |
| CN203017041U (en) | Inflatable double-opening-hinge protection type puncture outfit used for thoracoscope | |
| CN209629727U (en) | A kind of fascia closer | |
| CN204318819U (en) | Combination type laparoscope pneumoperitoneum-free device | |
| CN203539394U (en) | Umbrella-type abdominal wall suspension apparatus for laparoscope operation |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20140730 Termination date: 20160918 |