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CN112022251A - Suspension device for endoscopic surgery - Google Patents

Suspension device for endoscopic surgery Download PDF

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Publication number
CN112022251A
CN112022251A CN202010985531.6A CN202010985531A CN112022251A CN 112022251 A CN112022251 A CN 112022251A CN 202010985531 A CN202010985531 A CN 202010985531A CN 112022251 A CN112022251 A CN 112022251A
Authority
CN
China
Prior art keywords
negative pressure
suspension
hose
pressure zone
endoscopic surgical
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.)
Pending
Application number
CN202010985531.6A
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Chinese (zh)
Inventor
吴斌
张文宇
吴志敏
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Ningbo Tianyi Medical Equipment Co ltd
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Ningbo Tianyi Medical Equipment Co ltd
Priority date (The priority date 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 date listed.)
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Publication date
Application filed by Ningbo Tianyi Medical Equipment Co ltd filed Critical Ningbo Tianyi Medical Equipment Co ltd
Priority to CN202010985531.6A priority Critical patent/CN112022251A/en
Publication of CN112022251A publication Critical patent/CN112022251A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/02Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B17/0218Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a suspension device for endoscopic surgery, which comprises: the suspension body comprises a first negative pressure area, a second negative pressure area, an inner cavity and three hoses, wherein the first negative pressure area is arranged at the upper part of the suspension body, the second negative pressure area is arranged at the lower part of the suspension body, two hoses are respectively communicated with the first negative pressure area and the second negative pressure area, and the remaining hose is communicated with the inner cavity; the advantage is that it includes first negative pressure zone to suspend the body in midair, the second negative pressure zone, the hose of inner chamber and three, it is in between two organs to put suspension device in the thorax, aerify for the inner chamber that suspends the body in midair through the hose, make first negative pressure zone and second negative pressure zone area increase, then inhale the air in first negative pressure zone and the second negative pressure zone through the hose, make two negative pressure zones be negative pressure state, make and suspend the body and adsorb completely on the organ, show the organ of waiting to operate, expose the operation field promptly, conveniently carry out the operation to the organ or the tissue that are covered.

Description

Suspension device for endoscopic surgery
Technical Field
The invention relates to the field of medical instruments, in particular to a suspension device for endoscopic surgery.
Background
With the advancement of medical technology, it has become practical to perform surgery through smaller incisions, and endoscopic surgery has been developed, which causes less trauma, less hospitalization of the patient, less post-operative pain, and less scarring than conventional surgery. The procedure is performed through a keyhole-sized incision and the surgeon inserts a tiny light source, camera and surgical instruments. The surgeon guides the operation of the surgical instruments to perform the procedure through the images transmitted to the monitor. Such a surgical operation is called laparoscopic when performed in the abdominal cavity and thoracoscopic when performed in the thoracic cavity. In endoscopic surgery, organs are often suspended for surgical operation, because thoracic and abdominal organs are arranged in multiple layers, for example, the front uterus needs to be suspended when rectal surgery is performed, and the front stomach and the omentum are required to be opened when pancreatic surgery is performed, so that the organs are often suspended during endoscopic surgery to expose the surgical field, thereby facilitating the operation of covered organs or tissues. The current common suspension mode is that a needle with silk thread is directly penetrated into the abdominal cavity from the outer side of the abdominal wall, the silk thread is penetrated below the organ, then the sewing needle turns to pass through the abdominal wall from the abdominal cavity to the outside of the abdominal cavity, then the silk thread is penetrated out of the abdominal wall and knotted outside the abdominal wall, and the knotting tightness is judged according to the degree of the suspended organ. The existing mode has large trauma to patients, the suture passes through the abdominal wall from the outside of the abdominal wall to the inside of the abdominal wall, the risk of skin infection of the patients is increased, the degree of traction can be adjusted only by adjusting the tightness of the suture, the adjustment range is limited, and the puncture is needed to be carried out again if the suspended position needs to be changed.
In order to solve the problems caused by the conventional suspension devices, for example, CN204744271U discloses a liver suspension device for laparoscopic surgery, which requires the separation of coronary ligaments around the liver, which may damage blood vessels and lymphatic vessels around the liver, and which suspends only the middle position of the left lobe of the liver, so that the left free surface of the left lobe of the liver is still in a sagging state, which is not good in appearance. Patent document CN111388032A discloses an organ suspension device for endoscopic surgery, which uses a flexible band-shaped film having a width of at least 0.8cm, and ensures that the flexible band-shaped film is spread in the width direction as much as possible by an elastic edge, thereby increasing the contact area with the organ during suspension, enabling continuous and stable pulling of large tissues such as the liver, enabling efficient and clear exposure of the surgical field, and causing little stress on the pulled tissues, thereby preventing damage to the tissues or organs. Meanwhile, the base suspension band and one or more additional suspension bands are connected in a pivoting mode, so that the same suspension device can be repeatedly used in the same operation, and the suspension device can be suitable for visceral organs and tissues with different specifications and shapes. The suspension device in the prior art has the same problems in actual operation, namely, the suspension wire or the strip-shaped film is pulled out of the thoracic cavity through the thoracic puncture needle, and is knotted and fixed on the external fixing device, so that the liver is suspended in the thoracic cavity to fully expose the operation visual field, and in the operation process, the steps of thoracic puncture and knotting of a doctor are added, and an external additional fixing device is also added. When the liver is hung on the suspension line or the strip-shaped film, the stress surface of the suspension line or the strip-shaped film is very narrow, and when the young liver is hung on the line or the strip, the liver operation is inevitably carried out after long-time operation.
Disclosure of Invention
The main object of the present invention is to provide a suspension device for endoscopic surgery, which solves the above problems in the prior art.
In order to achieve the above object, the present invention provides a suspension device for endoscopic surgery, comprising: suspend the body in midair, suspend the body in midair and include first negative pressure zone, second negative pressure zone, inner chamber and three hoses, first negative pressure zone sets up suspend the upper portion of body in midair, the second negative pressure zone sets up suspend the lower part of body in midair, wherein two the hose communicates respectively first negative pressure zone with the second negative pressure zone, the hose intercommunication of the remaining one the inner chamber.
Further, a switch valve is arranged on the hose and used for controlling air intake and air discharge in the hose. The switching valve is arranged to conveniently control air intake and relief of the hose, so that the pressure of the inner cavity of the suspension body and the pressure of the first negative pressure area and the second negative pressure area are adjusted.
Further, the suspension device further comprises a first suspension auxiliary body, the first suspension auxiliary body is arranged on the first negative pressure area and covers one end of the hose, and at least one through hole is formed in the first suspension auxiliary body. The first suspension auxiliary body and the through hole are arranged, so that the air in the first negative pressure area is uniformly extracted by the hose, and the damage of the liver on the first negative pressure area due to negative pressure is reduced.
Further, the suspension device further comprises a second suspension auxiliary body, the second suspension auxiliary body is arranged on the second negative pressure area and covers one end of the hose, and at least one through hole is formed in the second suspension auxiliary body. The second suspension auxiliary body and the through hole are arranged, so that the air in the second negative pressure area is uniformly extracted by the hose, and the damage degree of negative pressure on the second negative pressure area to the liver is reduced.
Furthermore, the longitudinal section of the suspension body is formed by connecting two circles at two ends and a concave arc in the middle respectively. The longitudinal section of the suspension body is formed by connecting two circular ends by concave circular arcs, so that the first negative pressure region and the second negative pressure region are respectively positioned right above and below the middle part of the suspension body, the design is ingenious, the surface of the suspension body is smooth and mellow, and the damage degree of the suspension device to the liver is reduced in one step.
Further, both the hanger body and the hose are made of a flexible material. When the suspension body is not inflated, namely the initial state is a circular plane, the suspension body and the hose made of flexible materials are very suitable for being folded, the volume of the suspension device is reduced, and then the suspension device is placed in a chest cavity through an incision with the size of a keyhole without using a thoracic cavity puncturing and knotting step or using an external fixing device.
Further, the first negative pressure region and the second negative pressure region are each concave. The first negative pressure area and the second negative pressure area are arranged in a concave shape, so that the damage degree of negative pressure on the first negative pressure area and the second negative pressure area to the liver is further reduced.
This patent application provides a suspending device of laparoscopic surgery again, includes: the hanging body is of an air bag type structure, two opposite concave negative pressure regions and three hoses are arranged on the hanging body respectively, the two hoses are connected with the negative pressure regions respectively, and the remaining hose is communicated with the interior of the hanging body. The suspension body is of an air bag type structure, is easy to fold and very small in size in an uninflated state, can be easily placed in the chest cavity of a human body and between two organs through a keyhole incision or a hole of a single-hole multi-channel laparoscopic surgery sheath tube, then is inflated to be expanded to a proper size, and then is vacuumed through a hose to suck air on a negative pressure area to achieve negative pressure, so that the suspension body is adsorbed on the organs to expose the organs to be operated, namely the surgical field is exposed, and the operation is carried out on the covered organs or tissues. The air bag type structure provides mild and lasting expansion force for the opening between two organs in the chest cavity, and is simple to operate, convenient and safe.
Further, the suspension body and the hose are made of polyvinyl chloride or medical silicon rubber or silica gel. The hanging body and the hose are made of polyvinyl chloride or medical silicon rubber or silica gel materials which are very soft and are convenient to fold and place into a cylinder shape, so that the volume of the hanging body is greatly reduced.
Further, the suspension body has a maximum outer diameter of 5cm and a maximum inner diameter of 2cm in the expanded condition. So set up, more be fit for exposing the operation field.
Compared with the prior art, the invention has the advantages that the suspension body comprises the first negative pressure area, the second negative pressure area, the inner cavity and three hoses, when the suspension body is not inflated, the suspension body is flat and easy to fold, the volume of the suspension body is smaller, the suspension body can be conveniently placed on an organ above the organ to be operated in the chest cavity of a human body through a keyhole incision or a hole of a single-hole multi-channel laparoscopic surgery sheath tube, then the inner cavity of the suspension body is inflated through the hoses, the suspension body is expanded, the areas of the corresponding first negative pressure area and the second negative pressure area are increased, then the air in the first negative pressure area and the air in the second negative pressure area are sucked through the hoses, the two negative pressure areas are in a negative pressure state, the suspension body is effectively adsorbed on the organ, the organ to be operated is exposed, namely, the operation field is exposed, and the operation on the covered organ.
Drawings
The accompanying drawings, which are incorporated in and constitute a part of this application, illustrate embodiments of the invention and, together with the description, serve to explain the invention and not to limit the invention. In the drawings:
fig. 1 is a schematic structural diagram of a suspension device according to an embodiment of the present invention;
fig. 2 is a front sectional view of a suspension device according to an embodiment of the present invention;
FIG. 3 is a sectional perspective view of a suspension device according to an embodiment of the present invention
Fig. 4 is a schematic structural diagram of a suspension device according to a second embodiment of the present invention;
fig. 5 is a sectional perspective view of a suspension device according to a second embodiment of the present invention;
fig. 6 is a front perspective view of a suspension device according to a third embodiment of the present invention.
Wherein the drawings include the following reference numerals: the suspension body 1, the first negative pressure region 10, the second negative pressure region 11, the inner cavity 12, the hose 13, the first suspension auxiliary body 2, the through hole 21 and the second suspension auxiliary body 3.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. The following description of at least one exemplary embodiment is merely illustrative in nature and is in no way intended to limit the invention, its application, or uses. 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 first embodiment is as follows:
as shown in fig. 1-3, there is provided an endoscopic surgical suspension device comprising: the hanging body 1 comprises a first negative pressure region 10, a second negative pressure region 11, an inner cavity 12 and three hoses 13, wherein the first negative pressure region 10 is arranged at the upper part of the hanging body 1, the second negative pressure region 11 is arranged at the lower part of the hanging body 1, the two hoses 13 are respectively communicated with the first negative pressure region 10 and the second negative pressure region 11, and the remaining hose 13 is communicated with the inner cavity 12.
In specific implementation, the hose 13 is provided with a switch valve (not shown), and the switch valve controls air intake and air discharge in the hose 13.
In specific implementation, the suspension body 1 and the hose 13 are both made of polyvinyl chloride material.
In particular, the first negative pressure region 10 and the second negative pressure region 11 are each concave, preferably semicircular concave. The first negative pressure region 10 and the second negative pressure region 11 are arranged in a semicircular concave shape, so that the damage degree of negative pressure on the first negative pressure region 10 and the second negative pressure region 11 to the liver is further reduced.
Example two:
as shown in fig. 4 to 5, the present embodiment is different from the first embodiment in that the suspension apparatus further includes a first suspension auxiliary body 2 and a second suspension auxiliary body 3, the first suspension auxiliary body 2 is disposed on the first negative pressure region 10 and covers one end of the hose 13, and two through holes 21 are disposed on the first suspension auxiliary body 2; the second suspension auxiliary body 3 is arranged on the second negative pressure region 11 and covers one end of the hose 13, and two through holes 21 are arranged on the second suspension auxiliary body 3; the material of the suspension body 1 and the hose 13 is silica gel, and the maximum outer diameter of the suspension body 1 under the expansion condition is 5cm, and the maximum inner diameter is 2 cm.
Example three:
as shown in fig. 6, the present embodiment is different from the first embodiment in that the longitudinal section of the suspension body 1 is formed by connecting two circles with concave arcs in between; the material of the suspension body 1 and the hose 13 is medical silicon rubber.
It is noted that the terms first, second and the like in the description and in the claims of the present application are used for distinguishing between similar elements and not necessarily for describing a particular sequential or chronological order. It is to be understood that the data so used is interchangeable under appropriate circumstances such that the embodiments of the application described herein are, for example, capable of operation in sequences other than those illustrated or otherwise described herein.
The above is only a preferred embodiment of the present invention and is not intended to limit the present invention, and various modifications and variations of the present invention are possible to those skilled in the art. Any modification, favorable replacement, improvement and the like made within the spirit and principle of the invention shall be included in the protection scope of the invention.

Claims (10)

1. An endoscopic surgical suspension device, comprising:
suspend the body in midair, suspend the body in midair and include first negative pressure zone, second negative pressure zone, inner chamber and three hoses, first negative pressure zone sets up suspend the upper portion of body in midair, the second negative pressure zone sets up suspend the lower part of body in midair, wherein two the hose communicates respectively first negative pressure zone with the second negative pressure zone, the hose intercommunication of the remaining one the inner chamber.
2. The endoscopic surgical suspension device according to claim 1, wherein said flexible tube is provided with a switch valve, and said switch valve controls the air intake and air discharge in said flexible tube.
3. The endoscopic surgery suspension device according to claim 2, further comprising a first suspension auxiliary body disposed on the first negative pressure region and covering one end of the flexible tube, wherein the first suspension auxiliary body is provided with at least one through hole.
4. An endoscopic surgical suspension apparatus according to claim 3, wherein said suspension apparatus further comprises a second suspension auxiliary body 3, said second suspension auxiliary body 3 is disposed on said second negative pressure region and covers one end of said flexible tube, said second suspension auxiliary body 3 is provided with at least one through hole.
5. An endoscopic surgical suspension according to any one of claims 1 to 4, wherein said suspension body has a longitudinal section in which two circular ends are connected by a concave circular arc respectively.
6. An endoscopic surgical suspension according to claim 5, wherein said suspension body and said hose are made of flexible material.
7. An endo-scopic surgical suspension according to any one of claims 1-4, wherein said first sub-atmospheric region and said second sub-atmospheric region are each concave.
8. An endoscopic surgical suspension device, comprising:
the hanging body is of an air bag type structure, two opposite concave negative pressure regions and three hoses are arranged on the hanging body respectively, the two hoses are connected with the negative pressure regions respectively, and the remaining hose is communicated with the interior of the hanging body.
9. The endoscopic surgical suspension device according to claim 8, wherein the suspension body and the hose are made of polyvinyl chloride, medical silicone rubber or silica gel.
10. An endoscopic surgical suspension according to claim 9, wherein said suspension body in an expanded condition has a maximum outer diameter of 5cm and a maximum inner diameter of 2 cm.
CN202010985531.6A 2020-09-18 2020-09-18 Suspension device for endoscopic surgery Pending CN112022251A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010985531.6A CN112022251A (en) 2020-09-18 2020-09-18 Suspension device for endoscopic surgery

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202010985531.6A CN112022251A (en) 2020-09-18 2020-09-18 Suspension device for endoscopic surgery

Publications (1)

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CN112022251A true CN112022251A (en) 2020-12-04

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Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5309896A (en) * 1991-05-29 1994-05-10 Origin Medsystems, Inc. Retraction methods using endoscopic inflatable retraction devices
US6251065B1 (en) * 1998-03-17 2001-06-26 Gary S. Kochamba Methods and apparatus for stabilizing tissue
CN103462655A (en) * 2012-06-06 2013-12-25 仁齐企业有限公司 Non-inflatable balloon suspension system
CN207236811U (en) * 2017-01-17 2018-04-17 中国人民解放军总医院第一附属医院 A kind of attractor for laparoscope device for having drawing function concurrently
CN108430301A (en) * 2015-09-17 2018-08-21 贝勒医学院 Esophageal Probes and Methods
CN210354792U (en) * 2019-06-17 2020-04-21 徐州医科大学附属医院 Vacuum negative pressure sucking disc liver suspension device
CN210521025U (en) * 2019-06-14 2020-05-15 郑州大学第五附属医院 Laparoscopic non-invasive organ suspension device

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5309896A (en) * 1991-05-29 1994-05-10 Origin Medsystems, Inc. Retraction methods using endoscopic inflatable retraction devices
US6251065B1 (en) * 1998-03-17 2001-06-26 Gary S. Kochamba Methods and apparatus for stabilizing tissue
CN103462655A (en) * 2012-06-06 2013-12-25 仁齐企业有限公司 Non-inflatable balloon suspension system
CN108430301A (en) * 2015-09-17 2018-08-21 贝勒医学院 Esophageal Probes and Methods
CN207236811U (en) * 2017-01-17 2018-04-17 中国人民解放军总医院第一附属医院 A kind of attractor for laparoscope device for having drawing function concurrently
CN210521025U (en) * 2019-06-14 2020-05-15 郑州大学第五附属医院 Laparoscopic non-invasive organ suspension device
CN210354792U (en) * 2019-06-17 2020-04-21 徐州医科大学附属医院 Vacuum negative pressure sucking disc liver suspension device

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Application publication date: 20201204