CN101828938A - Pneumoperitoneum-free puller - Google Patents
Pneumoperitoneum-free puller Download PDFInfo
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- CN101828938A CN101828938A CN 201010174504 CN201010174504A CN101828938A CN 101828938 A CN101828938 A CN 101828938A CN 201010174504 CN201010174504 CN 201010174504 CN 201010174504 A CN201010174504 A CN 201010174504A CN 101828938 A CN101828938 A CN 101828938A
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- screw
- pneumoperitoneum
- free
- ratchet
- shell
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Abstract
The invention relates to a pneumoperitoneum-free puller, which belongs to a pneumoperitoneum-free puller for laparoscopic surgery and belongs to the technical field of medicinal instruments. The pneumoperitoneum-free puller consists of a bracket, a permanent seat, a steering chain device and a hanging rod, wherein the bracket is connected with a bedstead through the permanent seat, the bracket is provided with the steering chain device and a mounting hole, and the hanging rod is arranged on the steering chain device and/or the mounting hole. The pneumoperitoneum-free puller has the advantages of reasonable structural design, free pneumoperitoneum, little wound, good effect, convenient surgery use, safety and reliability.
Description
Technical field
The present invention relates to a kind of pneumoperitoneum-free puller, belong to a kind of device that lifts that laparoscopic surgery is exempted from pneumoperitoneum that is used for, belong to technical field of medical instruments.
Background technology
Laparoscopic procedures in the human body body in case find focus in the human body body, needs operative treatment, in the treatment journey of performing the operation, has Technology Need that human abdominal cavity is carried out pneumoperitoneum in showing, and makes to have certain space in the human abdominal cavity, carries out laparoscopic surgical procedure.But the patient who has is the treatment that can not pneumoperitoneum undergos surgery, particularly have hypertension and cardiopathic patient, in case pneumoperitoneum, cause pressure to heart and blood pressure, in case disease relapse in operation causes life danger, so prior art has hypertension and cardiopathic patient, can only treat by abdominal, bring a lot of miseries and risk to patient.
Summary of the invention
Technical problem to be solved by this invention provides a kind of reasonable in design, avoids pneumoperitoneum, wound is little, effective, pneumoperitoneum-free puller that operation is esy to use, safe and reliable.
It is this pneumoperitoneum-free puller that the present invention solves the problems of the technologies described above the technical scheme that is adopted, its construction features is: be made up of support, holder, commentaries on classics chain device, hanging bar, described support links to each other with bedstead by holder, support is provided with changes chain device and installing hole, changes chain device and/or installing hole and is provided with the hanging bar.
Support of the present invention is made up of mobile jib and pole, and mobile jib and pole interconnect by steady pin, and pole is provided with installing hole.
Holder of the present invention is by the holder handle, tie down screw, fixed cover, Fastener, chuck, the locking swivel nut is formed, described locking screw is set in the fixed cover, described tie down screw is arranged in the locking swivel nut, at fixed cover, be provided with in locking swivel nut and the tie down screw and have folder hole, tie down screw is provided with the holder handle, have stopper slot on the fixed cover, stop screw is arranged in the stopper slot, fixed cover is fixed by stop screw and locking swivel nut, described Fastener is fixedlyed connected with the locking swivel nut, described Fastener is stuck in the collet slot of chuck, the below of described fixed cover is provided with tooth plate, and the top of described chuck is provided with the described upward tooth plate of lower tooth plate and lower tooth plate mates mutually.
Commentaries on classics chain device of the present invention is by shell, spring base, flower is swung cover, pawl bar, spring, runner, ratchet, pad, the axle screw, nut, axle sleeve, lock dog, fast pulley, baffle plate, steel wire rope, drag hook is formed, described runner, ratchet is arranged in the shell, ratchet links to each other with the pawl bar that is provided with ratchet, pawl bar is outside equipped with spring and spring base, spring base is fixed on the shell, the upper fixed of pawl bar is connected with flower and swings cover, runner links to each other with pin by pad with ratchet, be provided with axle sleeve in the runner, axle sleeve is connected with shell, be provided with a screw in the axle sleeve, the axle screw nut outer with being arranged on shell is connected, and also is fixedly connected with lock dog on shell, and lock dog is provided with fast pulley and baffle plate, be wound with steel wire rope on runner, the lower end of steel wire rope is provided with drag hook.
Hanging bar of the present invention is made up of chain, connecting rod, turning handle, screw rod, fixture, puncture needle, described chain links to each other with drag hook or installing hole, below chain, be provided with connecting rod, the connecting rod below is provided with symmetric turning handle, screw rod, fixture, described screw rod is fixedlyed connected with connecting rod, and described turning handle is enclosed within outside the screw rod, and described fixture is fixedly connected on the below of screw rod, described fixture is provided with the card needle tray, is provided with puncture needle in the card needle tray.
The present invention compares with prior art and has the following advantages and effect:
1, the present invention has realized lifting of laparoscopic surgery midriff, need not carry out pneumoperitoneum, has reduced the risk of operation, is had hypertension and cardiopathic patient's operation to bring safety, has alleviated misery.
2, the fit system of runner and ratchet, pawl bar is convenient, flexible, can lift fast and locate, and saves valuable time for operation.
3, the reasonable in design of holder can install and adjust fast, fixation, good environmental adaptability.
4, the design of hanging bar can be accurately, the skin that lifts abdominal part of Wicresoft, fixing safety, reliable.
Description of drawings
Fig. 1 is a structural representation of the present invention;
Fig. 2 is the structural representation of support 1-1;
Fig. 3 is the structural representation of holder 1-2;
Fig. 4 is the lateral parts sectional structure sketch map of holder 1-2;
Fig. 5 is that the A-A of Fig. 4 is to structural representation;
Fig. 6 is for changeing the structural representation of chain device 1-3;
Fig. 7 is for changeing the lateral parts sectional structure sketch map of chain device 1-3;
Fig. 8 is the structural representation of small size hanging bar 1-4;
Fig. 9 is the structural representation of large size hanging bar 1-4;
Figure 10 is the side structure sketch map of hanging bar 1-4;
Figure 11 is the part-structure sketch map of hanging bar 1-4;
Figure 12 is the structural representation of puncture needle;
Figure 13 surgical procedure schematic block diagram.
The specific embodiment
The present invention is described in further detail below in conjunction with embodiment, and following examples are explanation of the invention and the present invention is not limited to following examples.
Embodiment 1:
As shown in Figure 1, present embodiment is made up of support 1-1, holder 1-2, commentaries on classics chain device 1-3, hanging bar 1-4.
As shown in Figure 2, support 1-1 is provided with: mobile jib 1, pole 2, installing hole 3, steady pin 4; Annexation is: have installing hole 3 on the pole 2, mobile jib 1 and pole 2 usefulness steady pins 4 are connected and fixed and can stir.
Shown in Fig. 3,4,5, holder 1-2 is provided with: holder handle 5, tie down screw 6, fixed cover 7, stopper slot 8, stop screw 9, last tooth plate 10, lower tooth plate 11, Fastener 12, chuck 13, collet slot 14, folder hole 15, locking swivel nut 16;
The annexation of holder 1-2 is: holder handle 5 is inserted in tie down screw 6 and can slides, and tie down screw 6, locking swivel nut 16 and fixed cover 7 have folder hole 15, and tie down screw 6 is screwed into locking swivel nut 16; Fixed cover 7 has stopper slot 8 and last tooth plate 10, and locking swivel nut 16 is inserted in that fixed cover 7 usefulness stop screws 9 pass stopper slot 8 and 6 locking screw cover screwings are fixed, and stop screw 9 can slide in stopper slot 8; Chuck 13 has lower tooth plate 11 and is one with collet slot 14, locking swivel nut 16 passes fixed cover 7, be inserted in chuck 13 after, it is fixing with 16 welding of locking swivel nut that Fastener 12 snaps in collet slot 14, last tooth plate 10 and lower tooth plate 11 fit like a glove; Mobile jib 1 passes fixed cover 7 and locking swivel nut 16 tie down screws 6 installation location from folder hole 15.Positive and negative rotation holder handle 5, locking swivel nut 16 can drive Fastener 12 and slides up and down at collet slot 14, realizes clamping and unclamping, and realizes going up tooth plate 10 and lower tooth plate 11 simultaneously and coincide and clamp and unclamp.
Shown in Fig. 6,7, change chain device 1-3 and be provided with: shell 17, spring base 18, flower are swung cover 19, pawl bar 20, spiral pin 21, spring 22, runner 23, ratchet 24, pad 25, pin 26, axle screw 27, nut 28, axle sleeve 29, lock dog 30, screw 31, fast pulley 32, baffle plate 33, rotational pin 34, steel wire rope 35, ratchet 36, drag hook 37;
The annexation of changeing chain device 1-3 is: pawl bar 20 and ratchet 36 are one, and spring 22 is inserted in pawl bar 20, and pawl bar 20 is inserted in spring base 18, and shell 17 is fixing with spring base 18 welding, and flower is swung cover 19 and is inserted in pawl bar 20 usefulness spiral pins 21 and fixes; Ratchet 24 is inserted in runner 23, pad 25 pads pass ratchet 24 with pin 26 on ratchet 24 fixing with runner 23, axle sleeve 29 is installed in the shell 17 after being inserted in runner 23, and an axle screw 27 is inserted in runner 23 and passes shell 17 usefulness nuts 28 and tighten fixingly, and ratchet 24 mates identical with ratchet 36 just; Lock dog 30 usefulness screws 31 are fixed on the shell 17, and fast pulley 32 is screwed on the lock dog 30, and baffle plate 33 usefulness rotational pins 34 are fixed on the shell 17 and can rotate, and pole 2 is stuck in the lock dog 30, and rotational fixation wheel 32 makes pole 2 at lock dog 30 internal fixation; Steel wire rope 35 and drag hook 37 are connected and fixed, and steel wire rope 35 coilings are fixed in the runner 23;
Rotating wheel 23 upwards pullings of steel wire rope 35 are decontroled runner 23 and are blocked under the effect of ratchet 36 and ratchet 24, and steel wire rope 35 can be toward gliding; Last pulling flower swings cover 19 ratchets 36 and ratchet 24 is thrown off, and steel wire rope 35 can pulled down.
Shown in Fig. 8 to 12, hanging bar 1-4 is provided with: chain 38, connector 39, connecting rod 40, turning handle 41, screw rod 43, fixture 44, card needle tray 45, puncture needle 46.
The annexation of hanging bar 1-4 is: chain 38, connector 39 and connecting rod 40 are inserted in that fixedly connected can be movable, screw rod 43 is screwed into turning handle 41 and tightens fixing with connecting rod 40, fixture 44 has card needle tray 45 and fixing with screw rod 43 welding, and puncture needle 46 snaps in card needle tray 45 and can fix also and can unclamp; Rotate turning handle 41, make fixture 44 snap in turning handle 41, turning handle 41 and puncture needle 46 chuckings.
The model of hanging bar 1-4 can be divided big-and-middle trumpet, the structure unanimity of big-and-middle trumpet, just size difference.
Whole annexation is: holder 1-2 is installed on the mobile jib 1 of support 1-1, changeing chain device 1-3 is installed on the pole 2 of support 1-1, hanging bar 1-4 can be installed on the drag hook 37 that changes chain device 1-3, also can be installed on the installing hole 3 of support 1-1, form Wicresoft's laparoscopic surgery pneumoperitoneum-free puller.
The pneumoperitoneum of exempting from of the present invention is in laparoscopic procedures, and prior art need be carried out pneumoperitoneum with human abdominal cavity, makes to have certain space in the human abdominal cavity, carries out laparoscopic surgical procedure.Application of the present invention makes laparoscopic surgery without pneumoperitoneum, human abdominal cavity is pulled upwardly nature and forms certain space, the treatment of laparoscopic surgery is effectively carried out, and reasonable in design on the structure, surgical result good, safety easy to use, belongs to domestic initiation at present.
Holder 1-2 of the present invention, the art designs of collet slot 14 is to use and the operation bedstead that is fixedly clamped, and support 1-1 is connected with the operation bedstead; The art designs of last tooth plate 10 and lower tooth plate 11, the angle adjustment of special use and support 1-1 makes healthcare givers's operation technique convenient, and what help performing the operation carries out smoothly.
Commentaries on classics chain device 1-3 of the present invention, the design of technology is a jacking system, and in operation was used, as long as rotating wheel 23, steel wire rope 35 will upwards spur, and decontroled runner 23, blocked under the effect of ratchet 36 and ratchet 24, and steel wire rope 35 can be toward gliding; Last pulling flower is swung cover 19, ratchet 36 and ratchet 24 are thrown off, steel wire rope 35 can pulled down, human abdominal cavity just can be located up and down, operation is used convenient, helps shortening operating time, can be with upwards tension of human abdominal cavity in operation is used, strengthen its stability, the innovation of technology reaches international most advanced level.
The design of hanging bar 1-4 technology of the present invention is provided with chain 38 and puncture needle 46 clamping systems, and in operation was used, chain 38 belonged to soft, and in lifting process, human abdominal cavity is upwards strained positioning stablity; Puncture needle 46 penetrates human abdominal cavity, and by subcutis, it is outer and fixing again the two ends of puncture needle 46 to be passed human abdominal cavity, uses and changes chain device 1-3 elevating function, is pulled upwardly, and forms the space of human abdominal cavity; Hanging bar 1-4 can be divided into large, medium and small three types, and in operation, the doctor can select to use according to patient's pathologic condition, realizes the multifunctionality of apparatus; The innovation of technology reaches international most advanced level.
The present invention makes of metal material, and easy installation and removal can carry out disinfection with disinfectant solution, also can use high-temperature sterilization.
Operation process:
Referring to Figure 13, Wicresoft's peritoneoscope human abdominal cavity operation, holder 1-2 is installed on the mobile jib 1 of support 1-1, holder 1-2 is connected and fixed with the operation bedstead, changeing chain device 1-3 is installed on the pole 2 of support 1-1, hanging bar 1-4 can be installed on the drag hook 37 that changes chain device 1-3, and (also can be installed on the installing hole 3 of support 1-1), rotational fixation seat handle 5 is adjusted the angle of support 1-1 and human body.Select to use hanging bar 1-4 and puncture needle 46 according to patient's pathologic condition, puncture needle 46 is penetrated human abdominal cavity, by subcutis, the two ends with puncture needle 46 pass outside the human abdominal cavity again; The two ends of puncture needle 46 are snapped in card needle tray 45, rotate turning handle 41, make turning handle 41 and puncture needle 46 chuckings; Rotating wheel 23, upwards pulling of steel wire rope 35 realizes space in the human abdominal cavity; Carry out operative treatment in the peritoneoscope human abdominal cavity.
In addition, need to prove, the specific embodiment described in this description, its zero, the shape of parts, institute's title of being named etc. can be different.Allly conceive equivalence or the simple change that described structure, feature and principle are done, be included in the protection domain of patent of the present invention according to patent of the present invention.The technical staff of the technical field of the invention can make various modifications or replenishes or adopt similar mode to substitute described specific embodiment; only otherwise depart from structure of the present invention or surmount the defined scope of these claims, all should belong to protection scope of the present invention.
Claims (5)
1. pneumoperitoneum-free puller, it is characterized in that: be made up of support, holder, commentaries on classics chain device, hanging bar, described support links to each other with bedstead by holder, and support is provided with changes chain device and installing hole, changes chain device and/or installing hole and is provided with the hanging bar.
2. pneumoperitoneum-free puller according to claim 1 is characterized in that: described support is made up of mobile jib and pole, and mobile jib and pole interconnect by steady pin, and pole is provided with installing hole.
3. pneumoperitoneum-free puller according to claim 1, it is characterized in that: described holder is by the holder handle, tie down screw, fixed cover, Fastener, chuck, the locking swivel nut is formed, described locking screw is set in the fixed cover, described tie down screw is arranged in the locking swivel nut, at fixed cover, be provided with in locking swivel nut and the tie down screw and have folder hole, tie down screw is provided with the holder handle, have stopper slot on the fixed cover, stop screw is arranged in the stopper slot, fixed cover is fixed by stop screw and locking swivel nut, described Fastener is fixedlyed connected with the locking swivel nut, described Fastener is stuck in the collet slot of chuck, the below of described fixed cover is provided with tooth plate, and the top of described chuck is provided with the described upward tooth plate of lower tooth plate and lower tooth plate mates mutually.
4. pneumoperitoneum-free puller according to claim 1, it is characterized in that: described commentaries on classics chain device is by shell, spring base, flower is swung cover, pawl bar, spring, runner, ratchet, pad, the axle screw, nut, axle sleeve, lock dog, fast pulley, baffle plate, steel wire rope, drag hook is formed, described runner, ratchet is arranged in the shell, ratchet links to each other with the pawl bar that is provided with ratchet, pawl bar is outside equipped with spring and spring base, spring base is fixed on the shell, the upper fixed of pawl bar is connected with flower and swings cover, runner links to each other with pin by pad with ratchet, be provided with axle sleeve in the runner, axle sleeve is connected with shell, be provided with a screw in the axle sleeve, the axle screw nut outer with being arranged on shell is connected, on shell, also be fixedly connected with lock dog, lock dog is provided with fast pulley and baffle plate, is wound with steel wire rope on runner, and the lower end of steel wire rope is provided with drag hook.
5. pneumoperitoneum-free puller according to claim 1, it is characterized in that: described hanging bar is made up of chain, connecting rod, turning handle, screw rod, fixture, puncture needle, described chain links to each other with drag hook or installing hole, below chain, be provided with connecting rod, the connecting rod below is provided with symmetric turning handle, screw rod, fixture, described screw rod is fixedlyed connected with connecting rod, described turning handle is enclosed within outside the screw rod, described fixture is fixedly connected on the below of screw rod, described fixture is provided with the card needle tray, is provided with puncture needle in the card needle tray.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201010174504 CN101828938A (en) | 2010-05-17 | 2010-05-17 | Pneumoperitoneum-free puller |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201010174504 CN101828938A (en) | 2010-05-17 | 2010-05-17 | Pneumoperitoneum-free puller |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN101828938A true CN101828938A (en) | 2010-09-15 |
Family
ID=42713262
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN 201010174504 Pending CN101828938A (en) | 2010-05-17 | 2010-05-17 | Pneumoperitoneum-free puller |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN101828938A (en) |
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102871696A (en) * | 2012-09-11 | 2013-01-16 | 张广坛 | Combined tool for lifting abdominal wall |
| CN102920490A (en) * | 2012-11-27 | 2013-02-13 | 桐庐优视医疗器械有限公司 | Self-locking lifting device for laparoscopic surgery |
| CN103829978A (en) * | 2014-02-23 | 2014-06-04 | 金庆涛 | Minimally invasive therapy auxiliary device |
| CN104905830A (en) * | 2015-07-01 | 2015-09-16 | 李银凤 | Gasless lifting device used for laparoscopic surgery |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2195921Y (en) * | 1994-08-19 | 1995-05-03 | 陈宝菊 | Device for adjusting tractor hook |
| US5501653A (en) * | 1991-05-29 | 1996-03-26 | Origin Medsystems, Inc. | Abdominal wall lifting retractor with hinged cross-member |
| CN2244381Y (en) * | 1995-12-05 | 1997-01-08 | 罗菲尔(天津)医学工程有限公司 | Surgical retractor |
| CN201299605Y (en) * | 2008-11-07 | 2009-09-02 | 徐志明 | Pneumoperitoneum suspension-free retractor in laparoscope operation |
-
2010
- 2010-05-17 CN CN 201010174504 patent/CN101828938A/en active Pending
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5501653A (en) * | 1991-05-29 | 1996-03-26 | Origin Medsystems, Inc. | Abdominal wall lifting retractor with hinged cross-member |
| CN2195921Y (en) * | 1994-08-19 | 1995-05-03 | 陈宝菊 | Device for adjusting tractor hook |
| CN2244381Y (en) * | 1995-12-05 | 1997-01-08 | 罗菲尔(天津)医学工程有限公司 | Surgical retractor |
| CN201299605Y (en) * | 2008-11-07 | 2009-09-02 | 徐志明 | Pneumoperitoneum suspension-free retractor in laparoscope operation |
Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102871696A (en) * | 2012-09-11 | 2013-01-16 | 张广坛 | Combined tool for lifting abdominal wall |
| CN102871696B (en) * | 2012-09-11 | 2015-08-12 | 张广坛 | For the tool kit that stomach wall promotes |
| CN102920490A (en) * | 2012-11-27 | 2013-02-13 | 桐庐优视医疗器械有限公司 | Self-locking lifting device for laparoscopic surgery |
| CN103829978A (en) * | 2014-02-23 | 2014-06-04 | 金庆涛 | Minimally invasive therapy auxiliary device |
| CN104905830A (en) * | 2015-07-01 | 2015-09-16 | 李银凤 | Gasless lifting device used for laparoscopic surgery |
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Open date: 20100915 |