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CN116509505A - Minimally invasive lithotripsy and lithotomy device convenient for calculus removal during laparoscopic cholecystectomy - Google Patents

Minimally invasive lithotripsy and lithotomy device convenient for calculus removal during laparoscopic cholecystectomy Download PDF

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Publication number
CN116509505A
CN116509505A CN202310413114.8A CN202310413114A CN116509505A CN 116509505 A CN116509505 A CN 116509505A CN 202310413114 A CN202310413114 A CN 202310413114A CN 116509505 A CN116509505 A CN 116509505A
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cylinder
handle
barrel
side plates
minimally invasive
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CN116509505B (en
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耿利
戴炳华
宋飞虹
董志涛
郭俊武
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Third Affiliated Hospital Of Chinese People's Liberation Army Naval Medical University
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Third Affiliated Hospital Of Chinese People's Liberation Army Naval Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/00234Surgical instruments, devices or methods for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods
    • A61B17/22Implements for squeezing-off ulcers or the like on inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; for invasive removal or destruction of calculus using mechanical vibrations; for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • A61B2017/22034Gripping instruments, e.g. forceps, for removing or smashing calculi for gripping the obstruction or the tissue part from inside
    • YGENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02ATECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

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

Abstract

The invention relates to the technical field of medical appliances, and discloses a minimally invasive lithotriptic device which is convenient for lithotriptic extraction during laparoscopic cholecystectomy, comprising a side plate, a holding cylinder, a connecting rod I, a cylinder I, a rack I, a handle I, a fixed plate, a movable plate, a clamping plate, a rack II, a cylinder II, a connecting rod II, a handle II and a chute. The invention has simple use and strong innovation, can stably clamp stones with different volumes and sizes, breaks up the stones while stably clamps the stones, avoids repeated operation caused by incomplete breaking of the stones, and improves the operation efficiency.

Description

用于腹腔镜胆囊切除时便于结石取出的微创碎石取石装置A minimally invasive lithotripsy device for stone removal during laparoscopic cholecystectomy

技术领域technical field

本发明涉及医疗器械技术领域,更具体地说,它涉及用于腹腔镜胆囊切除时便于结石取出的微创碎石取石装置。The invention relates to the technical field of medical instruments, more specifically, it relates to a minimally invasive lithotripsy device for removing stones during laparoscopic cholecystectomy.

背景技术Background technique

胆囊结石是常见病、多发病。为预防胆囊炎发作及胆囊癌,常需行胆囊切除术。目前胆囊切除常规术式为腹腔镜微创手术。但如胆囊结石较大,取出胆囊标本时非常困难,常需将结石夹碎取出后,才能将胆囊标本取出。部分困难者,往往需扩大Trocar穿刺孔。Gallbladder stone is common disease, frequently-occurring disease. Cholecystectomy is often performed to prevent the onset of cholecystitis and gallbladder cancer. The current routine cholecystectomy is laparoscopic minimally invasive surgery. However, if the gallbladder stones are large, it is very difficult to take out the gallbladder specimen. It is often necessary to crush the stones before taking out the gallbladder specimen. For some difficult cases, the Trocar puncture hole often needs to be enlarged.

现有的用于肝胆外科手术的微创碎石取石装置通常为镊子状,夹取操作困难,且由于结石的体积大小不同,进行碎石操作时存在夹取不稳定导致结石滑脱的情况,影响手术进程。Existing minimally invasive lithotripsy devices for hepatobiliary surgery are usually in the shape of tweezers, and the gripping operation is difficult, and because of the different sizes of the stones, there is a situation that the gripping is unstable during the lithotripsy operation, resulting in slippage of the stones, which affects Surgery process.

因此,亟需设计一种方便有效的碎石取石装置以解决上述技术问题。Therefore, there is an urgent need to design a convenient and effective stone removal device for crushing stones to solve the above technical problems.

发明内容Contents of the invention

为了克服现有技术中所存在的上述缺陷,本发明提供了用于腹腔镜胆囊切除时便于结石取出的微创碎石取石装置,使用简单,创新性强,可稳定夹取不同体积大小的结石,在稳定夹取结石的同时对结石进行击碎,避免结石击碎不彻底导致重复操作,从而提高手术效率。In order to overcome the above-mentioned defects in the prior art, the present invention provides a minimally invasive lithotripsy device for removing stones during laparoscopic cholecystectomy, which is easy to use, highly innovative, and can stably capture stones of different sizes , to crush the stones while stably clamping the stones, avoiding repeated operations caused by incomplete crushing of the stones, thereby improving the operation efficiency.

本发明的上述技术目的是通过以下技术方案得以实现的:用于腹腔镜胆囊切除时便于结石取出的微创碎石取石装置,包括侧板和握筒,侧板设有两块,握筒的一端伸入两块侧板之间,握筒伸入两块侧板的部分的外侧壁与两块侧板之间均设有连杆一;握筒内设有两端均穿出握筒的筒体一,筒体一的一端设有齿条一,另一端设有把手一;两块侧板之间设有两个夹臂,夹臂包括固定板、活动板和夹取板,固定板的一端圆弧形设置且设有与齿条一啮合的齿条二,固定板设有齿条二的一端铰接与两块侧板之间,活动板与固定板之间和夹取板与活动板之间均为弹性铰接;筒体一内设有一端伸出筒体一的筒体二,筒体二伸出筒体一的一端与活动板靠近夹取板的一端之间设有连杆二,连杆二的两端分别与活动板和筒体二铰接,筒体二的另一端的顶部设有把手二,筒体一的侧壁设有供把手二穿过的滑槽。The above-mentioned technical purpose of the present invention is achieved through the following technical solutions: a minimally invasive lithotripsy device for removing stones during laparoscopic cholecystectomy, including a side plate and a holding tube, the side plate is provided with two pieces, and the holding tube One end extends between the two side plates, and a connecting rod is provided between the outer wall of the part where the grip tube extends into the two side plates and the two side plates; Cylinder 1, rack 1 is provided at one end of cylinder 1, and handle 1 is provided at the other end; two clamping arms are provided between the two side plates, and the clamping arms include a fixed plate, a movable plate and a clamping plate, and the fixed plate One end of the rack is arranged in an arc shape and is provided with a rack two meshing with the rack one. The fixed plate is provided with one end of the rack two hinged between the two side plates, between the movable plate and the fixed plate, and between the clamping plate and the movable plate. The plates are all elastically hinged; the first cylinder is provided with a second cylinder with one end protruding from the first cylinder, and a connecting rod is provided between the end of the second cylinder protruding from the first cylinder and the end of the movable plate close to the clamping plate Two, the two ends of the connecting rod two are respectively hinged with the movable plate and the cylinder two, the top of the other end of the cylinder two is provided with the handle two, and the side wall of the cylinder one is provided with a chute for the handle two to pass through.

进一步的,夹取板的内侧壁设有夹取垫。Further, the inner side wall of the clamping plate is provided with clamping pads.

进一步的,筒体二内设有两端均伸出筒体二的碎石电极,筒体一内设有一端伸出筒体一的把手三,把手三与碎石电机相连接。Furthermore, the cylinder body 2 is provided with stone crushing electrodes with both ends protruding from the cylinder body 2, and the cylinder body 1 is provided with a handle 3 with one end extending out of the cylinder body 1, and the handle 3 is connected with the stone crushing motor.

进一步的,握筒未伸入两块侧板之间的部分的外侧壁设有防滑纹。Further, anti-slip lines are provided on the outer side wall of the part of the handle tube that does not extend between the two side plates.

综上所述,本发明具有以下有益效果:本发明使用简单,创新性强,可稳定夹取不同体积大小的结石,在稳定夹取结石的同时对结石进行击碎,避免结石击碎不彻底导致重复操作,从而提高手术效率。To sum up, the present invention has the following beneficial effects: the present invention is simple to use, highly innovative, can stably clamp stones of different sizes, crush the stones while stably clamping the stones, and avoid incomplete crushing of the stones Lead to repeated operations, thereby improving surgical efficiency.

附图说明Description of drawings

图1是本发明实施例中用于腹腔镜胆囊切除时便于结石取出的微创碎石取石装置的结构图;Fig. 1 is a structural diagram of a minimally invasive lithotripsy device for removing stones during laparoscopic cholecystectomy in an embodiment of the present invention;

图2是本发明实施例中用于腹腔镜胆囊切除时便于结石取出的微创碎石取石装置的剖视图;Fig. 2 is a cross-sectional view of a minimally invasive lithotripsy device for removing stones during laparoscopic cholecystectomy in an embodiment of the present invention;

图3是本发明实施例中握筒部分的俯视图;Fig. 3 is a top view of the handle part in the embodiment of the present invention;

图4是图1中A处的结构图;Fig. 4 is the structural diagram of place A in Fig. 1;

图中:1、侧板;2、握筒;3、连杆一;4、筒体一;5、齿条一;6、把手一;7、固定板;8、活动板;9、夹取板;10、齿条二;11、筒体二;12、连杆二;13、把手二;14、滑槽;15、夹取垫;16、碎石电极;17、把手三;18、防滑纹。In the figure: 1, side plate; 2, grip tube; 3, connecting rod 1; 4, cylinder body 1; 5, rack 1; 6, handle 1; 7, fixed plate; 8, movable plate; 9, clamping Plate; 10, rack two; 11, barrel two; 12, connecting rod two; 13, handle two; 14, chute; 15, clamping pad; 16, gravel electrode; 17, handle three; 18, anti-slip pattern.

具体实施方式Detailed ways

以下结合附图1-4对本发明作进一步详细说明。The present invention will be described in further detail below in conjunction with accompanying drawings 1-4.

实施例:用于腹腔镜胆囊切除时便于结石取出的微创碎石取石装置,如图1至图4所示,包括侧板1和握筒2,侧板1设有两块,握筒2的一端伸入两块侧板1之间,握筒2伸入两块侧板1的部分的外侧壁与两块侧板1之间均固定安装有连杆一3,握筒2未伸入两块侧板1之间的部分的外侧壁刻画有防滑纹18,防滑纹18的设置可避免医护人员手握握筒2时握筒2滑脱。Example: A minimally invasive lithotripsy device for removing stones during laparoscopic cholecystectomy, as shown in Figures 1 to 4, includes a side plate 1 and a holding tube 2, the side plate 1 is provided with two pieces, and the holding tube 2 One end of one end stretches between the two side plates 1, and the handle tube 2 is fixedly installed with a connecting rod 1 between the outer wall of the part of the two side plates 1 and the two side plates 1, and the handle tube 2 does not extend into The outer wall of the part between the two side plates 1 is depicted with anti-slip lines 18, the setting of the anti-slip lines 18 can prevent the holding tube 2 from slipping when the medical personnel hold the holding tube 2.

握筒2内安装有两端均穿出握筒2的筒体一4,筒体一4可在握筒2内滑动,筒体一4的一端安装有齿条一5,另一端安装有把手一6;两块侧板1之间安装有两个夹臂,夹臂包括固定板7、活动板8和夹取板9,夹取板9的内侧壁固定安装有夹取垫15,夹取垫15用于增加装置与结石之间的摩擦力,避免夹取结石时出现滑脱的情况。Grip tube 2 is equipped with cylinder body-4 that both ends pass through the handle tube 2, cylinder body-4 can slide in the handle tube 2, one end of cylinder body-4 is equipped with rack-5, and the other end is equipped with handle- 6. Two clamping arms are installed between the two side plates 1. The clamping arms include a fixed plate 7, a movable plate 8 and a clamping plate 9. The inner wall of the clamping plate 9 is fixedly equipped with a clamping pad 15, and the clamping pad 15 is used to increase the frictional force between the device and the calculus, so as to avoid slipping when the calculus is clamped.

固定板7的一端圆弧形设置且安装有与齿条一5啮合的齿条二10,固定板7安装有齿条二10的一端铰接于两块侧板1之间,即固定板7可绕铰接处转动,活动板8与固定板7之间和夹取板9与活动板8之间均为弹性铰接,当不受外力作用时,该弹性铰接使夹臂自然恢复为如图1所示的状态。One end of the fixed plate 7 is arranged in an arc shape and is equipped with a rack two 10 engaged with the rack one 5, and one end of the fixed plate 7 equipped with the second rack 10 is hinged between two side plates 1, that is, the fixed plate 7 can be Rotate around the hinge, between the movable plate 8 and the fixed plate 7 and between the clamping plate 9 and the movable plate 8 are all elastic hinges. displayed status.

筒体一4内安装有一端伸出筒体一4的筒体二11,筒体二11可沿筒体一4滑动,筒体二11伸出筒体一4的一端与活动板8靠近夹取板9的一端之间安装有连杆二12,连杆二12的两端分别与活动板8和筒体二11铰接。A cylinder body two 11 with one end extending out of the cylinder body one 4 is installed in the cylinder body one 4, the cylinder body two 11 can slide along the cylinder body one 4, and the end of the cylinder body two 11 protruding out of the cylinder body one 4 is clamped close to the movable plate 8 A connecting rod two 12 is installed between one end of the plate 9, and the two ends of the connecting rod two 12 are hinged with the movable plate 8 and the cylindrical body two 11 respectively.

筒体二11的另一端的顶部安装有把手二13,筒体一4的侧壁开设有供把手二13穿过的滑槽14,把手二13可在滑槽14内滑动,筒体二11内安装有两端均伸出筒体二11的碎石电极16,筒体一4内安装有一端伸出筒体一4的把手三17,把手三17与碎石电机相连接。The top of the other end of cylinder body two 11 is equipped with handle two 13, and the sidewall of cylinder body one 4 is provided with the chute 14 that passes for handle two 13, and handle two 13 can slide in the chute 14, and cylinder body two 11 The gravel electrode 16 that both ends stretch out cylinder two 11 is installed in, and the handle three 17 that one end stretches out cylinder one 4 is installed in cylinder one 4, and handle three 17 is connected with gravel motor.

工作原理:本装置使用时,首先通过推动把手一6移动筒体一4,由于齿条一5和齿条二10的啮合,带动固定板7发生转动,使两个夹臂张开,夹取结石后拉动把手二13使夹臂闭合,然后拨动把手二13,将连杆二12向后拉动,连杆二12带动两夹臂之间角度变小,由于夹取垫15的存在,结石不会滑脱,结石被稳定夹取于两个夹取板9之间,然后通过按压把手三17使碎石电机击碎结石。Working principle: When the device is used, firstly, the cylinder body 4 is moved by pushing the handle 1 6, and due to the meshing of the rack 1 5 and the rack 2 10, the fixed plate 7 is driven to rotate, so that the two clamping arms are opened, and the clamping arm is clamped. After concretion, pull the handle 2 13 to close the clamping arm, then turn the handle 2 13 to pull the connecting rod 2 12 backward, and the connecting rod 12 drives the angle between the two clamping arms to become smaller. Can not slip off, the calculus is stably clamped between the two clamping plates 9, and then the stone crushing motor is crushed by pressing the handle 3 17 to crush the calculus.

本具体实施例仅仅是对本发明的解释,其并不是对本发明的限制,本领域技术人员在阅读完本说明书后可以根据需要对本实施例做出没有创造性贡献的修改,但只要在本发明的权利要求范围内都受到专利法的保护。This specific embodiment is only an explanation of the present invention, and it is not a limitation of the present invention. Those skilled in the art can make modifications to this embodiment without creative contribution as required after reading this specification, but as long as they are within the rights of the present invention All claims are protected by patent law.

Claims (4)

1. The minimally invasive lithotripsy and lithotripsy device for conveniently taking out stones during laparoscopic cholecystectomy is characterized by comprising side plates (1) and holding cylinders (2), wherein the side plates (1) are provided with two holding cylinders, one end of each holding cylinder (2) extends into the space between the two side plates (1), and a connecting rod I (3) is arranged between the outer side wall of the part of each holding cylinder (2) extending into the two side plates (1) and the space between the two side plates (1); a first cylinder body (4) with two ends penetrating out of the holding cylinder (2) is arranged in the holding cylinder (2), a first rack (5) is arranged at one end of the first cylinder body (4), and a first handle (6) is arranged at the other end of the first cylinder body; two clamping arms are arranged between the two side plates (1), each clamping arm comprises a fixed plate (7), a movable plate (8) and a clamping plate (9), one end of each fixed plate (7) is arranged in an arc shape and is provided with a rack II (10) meshed with the rack I (5), one end of each fixed plate (7) provided with the rack II (10) is hinged between the two side plates (1), and the movable plates (8) and the fixed plates (7) and the clamping plates (9) and the movable plates (8) are all in elastic hinge; be equipped with one end in barrel one (4) and stretch out barrel two (11) of barrel one (4), barrel two (11) stretch out one end of barrel one (4) and fly leaf (8) and be close to and press from both sides and get between the one end of board (9) be equipped with connecting rod two (12), the both ends of connecting rod two (12) are articulated with fly leaf (8) and barrel two (11) respectively, the top of the other end of barrel two (11) is equipped with handle two (13), the lateral wall of barrel one (4) is equipped with spout (14) that supply handle two (13) to pass.
2. Minimally invasive lithotripsy and lithotripsy device for facilitating stone extraction when laparoscopic cholecystectomy is performed according to claim 1, characterized in that the inner side wall of the gripping plate (9) is provided with gripping pads (15).
3. The minimally invasive lithotriptic stone removing device for conveniently removing stones during laparoscopic cholecystectomy according to claim 1, wherein a lithotriptic electrode (16) with two ends extending out of the second cylinder (11) is arranged in the second cylinder (11), a handle III (17) with one end extending out of the first cylinder (4) is arranged in the first cylinder (4), and the handle III (17) is connected with a lithotriptic motor.
4. Minimally invasive lithotripsy and lithotripsy device for facilitating stone extraction when laparoscopic cholecystectomy is performed according to claim 1, characterized in that the outer side wall of the portion of the grip tube (2) not extending between the two side plates (1) is provided with anti-slip patterns (18).
CN202310413114.8A 2023-04-18 2023-04-18 Minimally invasive lithotripsy device for facilitating stone removal during laparoscopic cholecystectomy Active CN116509505B (en)

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Cited By (1)

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CN119606484A (en) * 2024-11-27 2025-03-14 中国人民解放军总医院第一医学中心 A gallstone surgery stone removal device

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