CN108634998B

CN108634998B - Multifunctional puncture expanding device for laparoscopic surgery

Info

Publication number: CN108634998B
Application number: CN201810418711.9A
Authority: CN
Inventors: 杜军; 王育; 张俊舜; 徐德钧; 马建华
Original assignee: Individual
Current assignee: Anhui Yichuanglian Medical Technology Co ltd
Priority date: 2018-05-04
Filing date: 2018-05-04
Publication date: 2021-11-19
Anticipated expiration: 2038-05-04
Also published as: CN108634998A

Abstract

The invention provides a multifunctional puncture and expansion device for laparoscopic surgery. By first putting the stored umbrella-shaped expandable part into the abdominal cavity, the base and the instrument channel are outside the body, and then pulling the pulling wire by rotating the pulling head The shield is opened in the body, and the open end of the umbrella-shaped deployable part of the shield is closely attached to the abdominal wall to ensure air tightness, and then carbon dioxide is injected into the gas channel to inflate the abdominal cavity, and then the laparoscope is put into a device channel, and then the surgical forceps are pulled through other instrument channels and hung on the surrounding tissue for fixation, so that the to-be-operated site is fully exposed in the unfolded umbrella-shaped deployable portion; and then the video of the fully exposed field of view of the to-be-operated site transmitted through the laparoscope The image is convenient for doctors to observe and operate, effectively saves the operation procedure and time, and greatly improves the operation efficiency.

Description

Multifunctional puncture expanding device for laparoscopic surgery

Technical Field

The invention relates to the technical field of medical instruments, in particular to a puncture expanding device with an umbrella-shaped fixing hook.

Background

Minimally invasive medicine is the leading development direction of medical science and technology, and minimally invasive surgery represented by laparoscopic surgery has gradually replaced traditional open surgery. It is an emerging technology which is gradually developed in the later 20 th century. Since the 90 s of the 20 th century, laparoscopic surgery has progressed rapidly and is now widely used to treat a variety of diseases in general surgery, obstetrics and gynecology, and urology. Traditional laparoscopic surgery usually needs 3-6 puncture holes to complete, and increasing the puncture holes means increasing potential complications such as hemorrhage, hernia of the puncture hole, visceral injury and the like, and affecting the beautifying effect of the abdominal part after the surgery. How to enable abdominal surgery to be successfully completed with minimal or no abdominal incision has been a goal sought by surgeons.

Compared with the conventional three-hole laparoscopic surgery and four-hole laparoscopic surgery, the single-hole laparoscopic surgery has the greatest advantages of small abdominal wall wound, light postoperative pain, hidden surgical scar which is difficult to discover and satisfactory cosmetic effect besides the basic therapeutic effect, and is gradually becoming the mainstream of the abdominal cavity minimally invasive surgery. In the single port laparoscopic surgery, since the laparoscope and the surgical operating instruments are concentrated in a narrow space of a patient, it is more difficult to effectively expose the surgical field than in the conventional laparoscopic surgery; and the disappearance of the angle between the operation instruments is not beneficial to the traction and exposure of the operation part, which seriously influences the operation effect of the doctor, greatly reduces the operation efficiency of the doctor and needs to be improved urgently.

Disclosure of Invention

The invention aims to solve the problems in the prior art and provides a multifunctional puncture and expansion device for laparoscopic surgery, which is reasonable in design and compact in structure.

In order to achieve the purpose, the invention is realized by the following technical scheme:

a multifunctional puncture expanding device for laparoscopic surgery comprises a shielding cover, a base, a hook, an instrument channel and a traction mechanism; the shielding cover comprises an umbrella-shaped expandable part and rib-shaped radial traction channels, and the radial traction channels are uniformly distributed on the umbrella-shaped expandable part; the base is a columnar hollow cavity structure with an opening at one end, an extension channel corresponding to the radial traction channel is arranged on the circumferential outer side wall of the base, and the closing end of the shielding cover is connected with the edge of the opening end of the base in a seamless mode; the hook is arranged on the inner side of the shielding cover; a plurality of instrument channels are arranged at the bottom of the base; the traction mechanism comprises a traction wire, a pull head and a wire collecting block, one end of the pull head penetrates through the wire collecting block and is fixedly connected with one ends of the traction wires, and the other ends of the traction wires penetrate through the extension channel and the radial traction channel respectively and are connected with the hook.

Further, the instrument channel comprises a tubular channel and a separation blade; the separation baffle is of a sheet structure with a cross opening in the middle; the separation baffle is made of medical soft rubber material; the tubular channel is arranged on the outer side wall of the bottom of the base; one end of the tubular passage with the axial opening is communicated with the cavity of the base, and the other end of the tubular passage with the axial opening is provided with the separation baffle sheet.

Further, it establishes to receive the line piece is fixed on the base center pin lateral wall of base, receive a plurality of pull wire perforation of line piece radial evenly distributed, it is a plurality of pull wire perforation with receive the pull head perforation intercommunication on the line piece center pin.

Furthermore, the umbrella-shaped extensible part is an umbrella cloth structure with an opening at the closing end.

Furthermore, the hook is of a J-shaped hook structure, and the head end of the hook is of a sawtooth structure; the tail end of the hook is fixedly connected with the traction wire.

Furthermore, the traction wire is of an elastic pull rope or a spring structure.

Furthermore, a connecting joint is also arranged; the connecting joint is fixedly arranged on the traction line, and the connecting joint is fixedly arranged in the radial traction channel.

Further, the radial traction passage is of a hollow cavity passage structure, and the radial traction passage is arranged along the radial direction of the umbrella-shaped deployable part.

Compared with the prior art, the invention has the beneficial effects that:

1. when the puncture outfit is used, the umbrella-shaped deployable part which is stored by the puncture outfit is placed into an abdominal cavity, the base and the instrument channel are arranged outside the body, the pull head is rotated to pull the pull wire to open the shielding cover in the body, the open end of the umbrella-shaped deployable part of the shielding cover is tightly attached to the abdominal wall to ensure the air tightness, carbon dioxide is injected into the gas channel (one of the four channels is the gas channel) to expand the abdominal cavity, the laparoscope is placed into one instrument channel, tissues in the body cavity are seen through the laparoscope, the surgical forceps are placed into other instrument channels, and the surgical forceps pull the hooks to be hung on peripheral tissues for fixation, so that the part to be operated is fully exposed in the unfolded umbrella-shaped deployable part; and the video image of the part to be operated, which is transmitted by the laparoscope, fully exposes the visual field, so that the observation and the operation of a doctor are facilitated, the operation process and time are effectively saved, and the operation efficiency is greatly improved.

2. The invention has the advantages of simple integral structure, repeated utilization, economy, practicality, flexible use, reasonable design and compact structure, and is suitable for wide popularization.

Drawings

In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to the drawings without creative efforts.

FIG. 1 is a schematic view of a three-dimensional structure of the shielding cover in an open state according to the present invention;

FIG. 2 is a top view of the present invention;

FIG. 3 is a side view of the present invention;

FIG. 4 is a schematic view of a retracted state of the shielding cover according to the present invention;

FIG. 5 is a schematic view of a portion of the interior of the draft gear of the present invention;

the reference numbers in the figures illustrate:

1. a shield cover; 11. an umbrella-shaped deployable portion; 12. a radial traction channel; 2. a base; 21. an extension channel; 3. hooking; 4. an instrument channel; 41. a tubular passage; 42. separating sheets; 5. a traction mechanism; 51. a pull wire; 52. a slider; 53. a wire take-up block; 54. a connecting joint; 55. and (4) connecting the blocks.

Detailed Description

In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the embodiments of the present invention, and it is obvious that the described embodiments are some embodiments of the present invention, but not all embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.

The invention will be further described with reference to figures 1, 2, 3 and 4:

a multifunctional puncture expanding device for laparoscopic surgery comprises a shielding cover 1, a base 2, a hook 3, an instrument channel 4 and a traction mechanism 5; the shielding cover 1 comprises an umbrella-shaped expandable part 11 and rib-shaped radial traction channels 12, wherein the radial traction channels 12 are uniformly distributed on the umbrella-shaped expandable part 11; the base 2 is a columnar hollow cavity structure with an opening at one end, an extension channel 21 corresponding to the radial traction channel 12 is arranged on the circumferential outer side wall of the base 2, and the closing end of the shielding cover 1 is in seamless connection with the edge of the opening end of the base 2; the hook 3 is arranged on the inner side of the shielding cover 1; a plurality of instrument channels 4 are arranged at the bottom of the base 2; the traction mechanism 5 comprises traction wires 51, a pull head 52 and a wire collecting block 53, one end of the pull head 52 penetrates through the wire collecting block 53 and is fixedly connected with one ends of the traction wires 51, and the other ends of the traction wires 51 penetrate through the extension channel 21 and the radial traction channel 12 respectively and are connected with the hook 3.

The instrument channel 4 comprises a tubular channel 41 and a barrier 42; the separation baffle plate 42 is a sheet structure with a cross opening in the middle; the separation block piece 42 is made of medical soft rubber material; the tubular channel 41 is arranged on the outer side wall of the bottom of the base 2; one end of the axial opening of the tubular passage 41 is communicated with the cavity of the base 2, and the other end is provided with the separation baffle plate 42. In the scheme, the isolation baffle made of the soft rubber material can perform good isolation and sealing effects on equipment penetrating through the cross-shaped opening of the isolation baffle, so that the isolation operation of the equipment is facilitated; and when the device is not used, the device can naturally rebound to plug the opening, thereby reducing the entering of bacteria and foreign matters in the external environment, greatly reducing the infection probability of patients and effectively improving the success rate of the operation.

Receive line piece 53 and fix and establish on the base center pin lateral wall of base 2, receive a plurality of pull wire perforation of line piece 53 radial evenly distributed, it is a plurality of pull wire perforation with receive the pull head perforation intercommunication on the line piece 53 center pin. According to the scheme, one end of the pull head 52 is fixedly connected with the plurality of pull wires 51 through the connecting block 55, and the pull head 52 can be rotated to pull and release the pull wires 51, so that the shielding cover 1 is tightened and expanded; pulling the hook 3 pulls the pull wire 51, thereby opening the shielding cover 1.

One end of the connecting block 55 is fixedly connected with the pull head 52, and the other end of the connecting block is fixedly connected with one end of the plurality of traction wires 51; the connecting block 55 is arranged in an accommodating cavity of the wire collecting block 53, and the circumferential side wall of the accommodating cavity is provided with the traction wire through hole; can realize dragging along with individual pull wire 51 draw effective spacing of length, especially when loosening couple 3, because the butt power that holds the chamber relatively of connecting block 55 makes pull wire 51 shrink, realize that whole umbelliform can expand the automation of portion 11 and tighten up, it is more convenient during the use, and the condition of the tensioning of the umbrella-shaped that can expand portion 11 of accessible judges the state of articulating of couple.

The umbrella-shaped deployable part 11 is an umbrella cloth structure with an opening at the closing end, and the umbrella cloth structure can be made of medical soft rubber materials.

The hook 3 is of a J-shaped hook structure, and the end of the hanging head of the hook 3 is of a flat-head sawtooth structure; the tail end of the hook 3 is fixedly connected with the traction wire 51.

The size of the hook 3 is larger than that of the extension channel 21, so that the hook 3 can be limited at the front end of the extension channel 21, and the use is more convenient.

The pull wire 51 is an elastic pull rope or a spring structure, so that the pulling hook 3 is more labor-saving and convenient.

Preferably, with reference to fig. 5, a connecting joint 54 is further provided; the connecting joint 54 is fixedly arranged on the traction wire 51, and the connecting joint 54 is fixedly arranged in the radial traction channel 12, so that the phenomenon that the traction wire is violently shaken due to overlarge elastic expansion amount of the traction wire 51 is avoided, and the pain of a patient is avoided being increased; the pull head 52 penetrates through the wire take-up block 53 and is in threaded connection with the wire take-up block, the lower end of the pull head 52 is provided with a connecting block 55, and when the pull head 52 is rotated, the connecting block 55 is driven to rotate along with the pull head, so that the pull wire 51 connected with the pull head 52 is pulled and loosened; the structure that adopts pure machinery, it is more convenient to receive and release the regulation, and through the connected mode of screw thread, it is better to receive and release the accuracy of regulation, can realize the fine setting, and the reliability is higher. The connecting block 55 can be a hollow tubular structure, and the pull wire 51 passes through a through hole on the side wall of the middle position of the tube body, so that the pull wire 51 is driven to wind on the connecting block 55 when the connecting block 55 is rotated in the axial direction of the whole body.

The radial traction passage 12 is a hollow cavity passage structure, and the radial traction passage 12 is arranged along the radial direction of the umbrella-shaped deployable part 11.

When the puncture outfit is used, the umbrella-shaped expandable part accommodated by the puncture outfit is placed in an abdominal cavity, the base and the instrument channel are arranged outside the body, then the pull head is rotated to pull the pull wire to open the shielding cover in the body and adjust the opening amplitude, the outer expanding opening end of the umbrella-shaped expandable part of the shielding cover is tightly attached to the abdominal wall so as to ensure the air tightness, then carbon dioxide is injected into the gas channel (one of the four channels is the gas channel) to expand the abdominal cavity, then the laparoscope is placed into one instrument channel, the tissues in the body cavity are seen through the laparoscope, then the surgical forceps are placed into other instrument channels, and then the surgical forceps pull the hooks to be hung on the peripheral tissues for fixation, so that the part to be operated is fully exposed in the expanded umbrella-shaped expandable part; the video image of the part to be operated, which is transmitted by the laparoscope, fully exposes the visual field, is convenient for a doctor to observe and operate, effectively saves the operation process and time, and greatly improves the operation efficiency; the novel multifunctional electric heating cooker is simple in overall structure, capable of being repeatedly used, economical, practical, flexible to use, reasonable in design, compact in structure and suitable for wide popularization.

In the description of the present invention, it is to be understood that the terms "central," "longitudinal," "lateral," "length," "width," "thickness," "upper," "lower," "front," "rear," "left," "right," "vertical," "horizontal," "top," "bottom," "inner," "outer," "clockwise," "counterclockwise," "axial," "radial," "circumferential," and the like are used in the orientations and positional relationships indicated in the drawings for convenience in describing the invention and to simplify the description, and are not intended to indicate or imply that the referenced devices or elements must have a particular orientation, be constructed and operated in a particular orientation, and are therefore not to be considered limiting of the invention.

In the present invention, unless otherwise expressly specified or limited, the terms "mounted," "connected," "secured," and the like are to be construed broadly and can, for example, be fixedly connected, detachably connected, or integrally formed; can be mechanically or electrically connected; they may be directly connected or indirectly connected through intervening media, or they may be connected internally or in any other suitable relationship, unless expressly stated otherwise. The specific meanings of the above terms in the present invention can be understood by those skilled in the art according to specific situations.

In the present invention, unless otherwise expressly stated or limited, the first feature "on" or "under" the second feature may be directly contacting the first and second features or indirectly contacting the first and second features through an intermediate. Also, a first feature "on," "over," and "above" a second feature may be directly or diagonally above the second feature, or may simply indicate that the first feature is at a higher level than the second feature. A first feature being "under," "below," and "beneath" a second feature may be directly under or obliquely under the first feature, or may simply mean that the first feature is at a lesser elevation than the second feature.

Although embodiments of the present invention have been shown and described above, it is understood that the above embodiments are exemplary and should not be construed as limiting the present invention, and that variations, modifications, substitutions and alterations can be made to the above embodiments by those of ordinary skill in the art within the scope of the present invention.

Claims

1. A multi-functional puncture expanding unit for laparoscopic surgery which characterized in that: comprises a shielding cover (1), a base (2), a hook (3), an instrument channel (4) and a traction mechanism (5); the shielding cover (1) comprises an umbrella-shaped expandable part (11) and rib-shaped radial traction channels (12), wherein the radial traction channels (12) are uniformly distributed on the umbrella-shaped expandable part (11); the base (2) is of a cylindrical hollow cavity structure with one open end, an extension channel (21) corresponding to the radial traction channel (12) is arranged on the circumferential outer side wall of the base (2), and the closing end of the shielding cover (1) is in seamless connection with the edge of the open end of the base (2); the hook (3) is arranged on the inner side of the shielding cover (1); the plurality of instrument channels (4) are arranged at the bottom of the base (2); the traction mechanism (5) comprises traction wires (51), a pull head (52) and a wire collecting block (53), one end of the pull head (52) penetrates through the wire collecting block (53) and is fixedly connected with one ends of the traction wires (51), and the other ends of the traction wires (51) penetrate through the extension channel (21) and the radial traction channel (12) respectively and are connected with the hook (3);

a connecting joint (54) is also arranged; the connecting joint (54) is fixedly arranged on the traction wire (51), and the connecting joint (54) is fixedly arranged in the radial traction channel (12); the pull head (52) penetrates through the wire take-up block (53) and is in threaded connection with the wire take-up block, and a connecting block (55) is arranged at the lower end of the pull head (52);

the instrument channel (4) comprises a tubular channel (41) and a barrier sheet (42); the separation baffle plate (42) is of a sheet structure with a cross opening in the middle; the separation baffle sheet (42) is made of medical soft rubber material; the tubular channel (41) is arranged on the outer side wall of the bottom of the base (2); one end of the tubular passage (41) with an axial opening is communicated with the cavity of the base (2), and the other end is provided with the separation baffle sheet (42);

the wire take-up block (53) is fixedly arranged on the outer side wall of the central shaft of the base (2), a plurality of traction wire through holes are uniformly distributed in the radial direction of the wire take-up block (53), and the traction wire through holes are communicated with the pull head through holes on the central shaft of the wire take-up block (53);

the hook (3) is of a J-shaped hook structure, and the head end of the hook (3) is of a sawtooth structure; the tail end of the hook (3) is fixedly connected with the traction wire (51);

the traction wire (51) is of an elastic pull rope or spring structure;

the radial traction passage (12) is of a hollow cavity passage structure, and the radial traction passage (12) is arranged along the radial direction of the umbrella-shaped deployable part (11).

2. The multifunctional puncture dilating device for laparoscopic surgery of claim 1, wherein: the umbrella-shaped deployable part (11) is an umbrella cloth structure with an opening at the closing end.