CN102579092A - Double-barrel type gasless abdominal single-aperture operating platform used for laparoscopic surgery - Google Patents
Double-barrel type gasless abdominal single-aperture operating platform used for laparoscopic surgery Download PDFInfo
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- CN102579092A CN102579092A CN2012100624665A CN201210062466A CN102579092A CN 102579092 A CN102579092 A CN 102579092A CN 2012100624665 A CN2012100624665 A CN 2012100624665A CN 201210062466 A CN201210062466 A CN 201210062466A CN 102579092 A CN102579092 A CN 102579092A
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Abstract
A double-barrel type gasless abdominal single-aperture operating platform used for a laparoscopic surgery consists of a single-aperture channel, a suspension umbrella, a mechanical arm and a fixing pole, wherein the single-aperture channel is connected with the suspension umbrella by joints; the suspension umbrella is suspended on the mechanical arm; and the mechanical arm is arranged on the fixing pole. The single-aperture channel consists of a main pipe and a lengthened pipe, a perforated disk through which surgical equipment can pass is arranged in the middle of the interior of the main pipe of the single-aperture channel, the suspension umbrella consists of a spoke, a push-pull pipe, a needle core and a chain, and the spoke is folded towards the center through the near-end joint, the far-end joint and the middle joint to form the umbrella shape when the push-pull pipe slides downwards. According to the invention, the laparoscopic single-aperture technology and the gasless technology are combined organically, thereby overcoming the defects in the existing surgery adopting the gasless technology that the space is small and the exposure of the surgery field is poor, and simplifying the operation of the laparoscopic single-aperture gasless abdominal surgery, so that the double-barrel type gasless abdominal single-aperture operating platform can be promoted and applied easily.
Description
Technical field
The present invention relates to peritoneoscope minimally invasive surgery field, specifically is that the double-cylinder type that a kind of laparoscopic surgery is used is exempted from pneumoperitoneum single hole operating platform.
Background technology
Laparoscopic surgery has become the important modus operandi of histoorgans such as liver, gallbladder, pancreas, spleen, stomach, intestinal, abdominal hernia, uterus and ovary as a kind of less invasive techniques.The laparoscopic surgery routine is utilized CO
2The pneumoperitoneum technology is made the operation technique space.Because CO
2Pneumoperitoneum has many harmful effects to breathing, blood circulation and pregnant fetus, and people have developed the laparoscopic surgery that various stomach wall suspension apparatus are exempted from pneumoperitoneum.But the existing pneumoperitoneum technology of exempting from; The Japan's " Kirschner wire " that comprises the agency of medical treatment group of island section exempts from the pneumoperitoneum device; The fan formula stomach wall of American I RVIN H lifts device; And the half-turn type of recent Japanese Y. Izumi report lifts device, and the drag hook type of Taiwan I-Hui Wu report is exempted from the pneumoperitoneum device, all exists operative space to expose insufficient major defect.Main cause is that existing its stomach wall suspention pulling force of pneumoperitoneum technology of exempting from can make the both sides stomach wall assemble to the centre, and the extruding intestinal tube is concentrated to the centre, causes operative space to diminish, narrow down; When muscular tension was big, the operation technique space dwindles can be more obvious.
Laparoscopic surgery generally need be done 3-5 little otch at stomach wall, as the passage of operating theater instruments.In order to reduce operative incision, improve the Wicresoft and the cosmetic result of laparoscopic surgery, people have invented various single hole operation technique platforms, and promote clinically, like TriPort, Uni-X, Gelport, AirSeal, SILS, EndoCone etc.These single hole operating platforms generally use CO
2Pneumoperitoneum undergos surgery.
More existing at present application single holes are exempted from the report that the pneumoperitoneum technology is carried out laparoscopic surgery; Mainly contain dual mode; A kind ofly be to use Japan's " Kirschner wire " to exempt from the pneumoperitoneum device to set up on the basis of operative space; Do single small incision at stomach wall and undergo surgery, exempt from pneumoperitoneum single-hole laparoscopic technology like the suspension of the Zhang Guangyong of Shandong Qilu Hospital (Guangyong Zhang) report.A kind of in addition is directly to do an otch at stomach wall, lifts stomach wall through this otch through special drag hook to undergo surgery, and exempts from pneumoperitoneum single hole endoscopic technic like the Kazunori Kihara of Tokyo medical courses in general dentistry university report.But these two kinds of technology all can not solve operative space exposes insufficient problem.
Summary of the invention
The purpose of this invention is to provide the double-cylinder type that a kind of laparoscopic surgery uses and exempt from pneumoperitoneum single hole operating platform; With peritoneoscope single hole technology with exempt from the pneumoperitoneum technology and combine; Overcome and existing exempt from that pneumoperitoneum technology operative space is little, the shortcoming of the wild exposure difference of art; And simplified the peritoneoscope single hole and exempted from the operating procedure of pneumoperitoneum operation, made it to be easier to promotion and application.
The present invention achieves the above object through following technical scheme: the double-cylinder type that a kind of laparoscopic surgery is used is exempted from pneumoperitoneum single hole operating platform; Form by single hole passage, suspention umbrella, mechanical arm and fixed bar; The single hole passage links to each other with the suspention umbrella through the joint; The suspention umbrella is suspended on the mechanical arm, and mechanical arm is installed on the fixed bar.Said single hole passage is made up of main body pipe and extension pipe; The punctured disk that supplies the operating theater instruments turnover is arranged in the middle of in the said main body pipe; Said punctured disk is that three holes are the centre that isosceles triangle is arranged in disk, and sidewall is provided with the pin that is used for fixing extension pipe above punctured disk.
Said extension pipe is divided into the portion of exposing and intussusceptum two parts again, and intussusceptum is nested in the main body pipe, and the tube wall of intussusceptum is provided with groove, and intussusceptum is fixed through pin and the interlock of main body pipe.
Said suspention umbrella is made up of spoke, push-and-pull pipe, nook closing member and chaining, downward sliding push-pull pipe, and spoke is folded to form umbrella through near-end joint, distal joint and middle joint to central authorities.There is a circle silk thread at the edge of said suspention umbrella around a week.
The double-cylinder type that said laparoscopic surgery is used is exempted from pneumoperitoneum single hole operating platform operation principle and process is: fixed bar is fixed on the operating-table through draw-in groove, and mechanical arm is installed on the fixed bar.Patient's horizontal position is mentioned preceding stomach wall, does the otch of an about 30mm in the annulus umbilicalis place; The insertion double-cylinder type is exempted from pneumoperitoneum single hole operating platform and is reached intraperitoneal, upwards lifts nook closing member, downwards the sliding push-pull pipe; Slided to the center relatively in the spoke two ends; Be folded to form the umbrella leaf through burst, suspend preceding stomach wall in midair through the umbrella leaf, nook closing member passes through chain suspension on the suspension hook of mechanical arm.Remove the extension pipe of single hole passage, operating theater instruments is inserted the abdominal cavity through three hole circle dishes of main body pipe, and operation undergos surgery.So far, the working place of laparoscopic surgery and operating platform are set up and are finished.
The technique effect that the present invention gives prominence to is:
Exempt from the pneumoperitoneum compared with techniques with existing peritoneoscope single hole; The present invention peritoneoscope single hole technology with exempt from the pneumoperitoneum technology and combine; Fully lift preceding stomach wall monoblock at intraperitoneal through the umbrella leaf; Solved preferably and existing exempted from that pneumoperitoneum technology operative space is little, the insufficient problem of the wild exposure of art the time, simplified the peritoneoscope single hole and exempted from the operating procedure of pneumoperitoneum operation, made it to be easier to promotion and application.
Description of drawings
Fig. 1 is the general structure sketch map that double-cylinder type that laparoscopic surgery according to the invention is used is exempted from pneumoperitoneum single hole operating platform.
Fig. 2 is that double-cylinder type that laparoscopic surgery according to the invention is used is exempted from the structural representation under the off working state of pneumoperitoneum single hole operating platform.
Fig. 3 is that double-cylinder type that laparoscopic surgery according to the invention is used is exempted from the structural representation under the duty of pneumoperitoneum single hole operating platform.
Fig. 4 is the structural representation that double-cylinder type that laparoscopic surgery according to the invention is used is exempted from the main body pipe of pneumoperitoneum single hole operating platform.
Fig. 5 is the structural representation that double-cylinder type that laparoscopic surgery according to the invention is used is exempted from the extension pipe of pneumoperitoneum single hole operating platform.
Fig. 6 is the structural representation that double-cylinder type that laparoscopic surgery according to the invention is used is exempted from the suspention umbrella of pneumoperitoneum single hole operating platform.
Fig. 7 structural representation that to be double-cylinder type that laparoscopic surgery according to the invention the is used spoke of exempting from pneumoperitoneum single hole operating platform be connected with nook closing member with the push-and-pull pipe.
The specific embodiment
Below through accompanying drawing and instance technical scheme of the present invention is further described.
Map 1,2, the double-cylinder type that laparoscopic surgery of the present invention is used are exempted from pneumoperitoneum single hole operating platform, are made up of single hole passage 1, suspention umbrella 2, mechanical arm 3 and fixed bar 4.Said single hole passage 1 is connected with suspention umbrella 2 through joint 7, and suspention umbrella 2 is suspended on the mechanical arm 3, and mechanical arm 3 is installed on the fixed bar 4.
Map 2,3,4; Single hole passage 1 of the present invention is made up of main body pipe 1-1 and extension pipe 1-2; In the middle of in the said main body pipe 1-1 is punctured disk 5; Said punctured disk 5 is that three holes are the centre that isosceles triangle is arranged in disk, and said main body pipe 1-1 inner tubal wall has pin 6 above punctured disk 5, is used for the fixing of extension pipe 1-2.
Map 2,3, suspention umbrella 2 of the present invention is made up of spoke 2-1, push-and-pull pipe 2-2, nook closing member 2-3 and chaining 2-4.
Claims (3)
1. the double-cylinder type used of a laparoscopic surgery is exempted from pneumoperitoneum single hole operating platform, comprises suspention umbrella, mechanical arm and fixed bar, and the suspention umbrella is suspended on the mechanical arm; Mechanical arm is installed on the fixed bar; Said suspention umbrella is made up of spoke, push-and-pull pipe, nook closing member and chaining, downward sliding push-pull pipe, and spoke is folded to form umbrella through near-end joint, distal joint and middle joint to central authorities; It is characterized in that: this device also is provided with the single hole passage; The single hole passage is connected with the suspention umbrella through the joint, and said single hole passage is made up of main body pipe and extension pipe, the middle punctured disk that the turnover of confession operating theater instruments is arranged in the main body pipe of said single hole passage.
2. the double-cylinder type that laparoscopic surgery according to claim 1 is used is exempted from pneumoperitoneum single hole operating platform; It is characterized in that: said punctured disk is that three holes are the centre that isosceles triangle is arranged in disk, and sidewall is provided with the pin that is used for fixing extension pipe above punctured disk.
3. the double-cylinder type that laparoscopic surgery according to claim 1 is used is exempted from pneumoperitoneum single hole operating platform; It is characterized in that: said extension pipe is divided into the portion of exposing and intussusceptum two parts again; Intussusceptum is nested in the main body pipe; The tube wall of intussusceptum is provided with groove, and intussusceptum is fixed through pin and the interlock of main body pipe.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201210062466 CN102579092B (en) | 2012-03-12 | 2012-03-12 | Double-barrel type gasless abdominal single-aperture operating platform used for laparoscopic surgery |
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| CN 201210062466 CN102579092B (en) | 2012-03-12 | 2012-03-12 | Double-barrel type gasless abdominal single-aperture operating platform used for laparoscopic surgery |
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Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102846343A (en) * | 2012-08-01 | 2013-01-02 | 王小军 | Pneumoperitoneum-free peritoneoscope suspending type abdominal wall puncture device |
| CN102860848A (en) * | 2012-09-18 | 2013-01-09 | 吴东波 | Sleeved gasless single-hole operating platform for laparoscopic surgery |
| CN107320144A (en) * | 2017-07-28 | 2017-11-07 | 广西壮族自治区人民医院 | Straight line purse string suture cutting closer |
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| CN1684644A (en) * | 2002-08-29 | 2005-10-19 | 米特尔溶剂有限公司 | Implantable devices for controlling the internal circumference of an anatomic orifice or lumen |
| US20070203507A1 (en) * | 2005-08-26 | 2007-08-30 | G-Surge Medical Solutions, Inc. | Suturing apparatus and methods |
| CN201091569Y (en) * | 2007-09-29 | 2008-07-30 | 刘传照 | Non-aeroperitoneum laparoscope operation magnetic sucker type hanger car |
| CN201299605Y (en) * | 2008-11-07 | 2009-09-02 | 徐志明 | Pneumoperitoneum suspension-free retractor in laparoscope operation |
| US20110238080A1 (en) * | 2010-03-25 | 2011-09-29 | Date Ranjit | Robotic Surgical Instrument System |
| CN202505408U (en) * | 2012-03-12 | 2012-10-31 | 吴东波 | Double cylinder type pneumoperitoneum-free single-hole operation platform for laparoscopic surgery |
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2012
- 2012-03-12 CN CN 201210062466 patent/CN102579092B/en not_active Expired - Fee Related
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1684644A (en) * | 2002-08-29 | 2005-10-19 | 米特尔溶剂有限公司 | Implantable devices for controlling the internal circumference of an anatomic orifice or lumen |
| US20070203507A1 (en) * | 2005-08-26 | 2007-08-30 | G-Surge Medical Solutions, Inc. | Suturing apparatus and methods |
| CN201091569Y (en) * | 2007-09-29 | 2008-07-30 | 刘传照 | Non-aeroperitoneum laparoscope operation magnetic sucker type hanger car |
| CN201299605Y (en) * | 2008-11-07 | 2009-09-02 | 徐志明 | Pneumoperitoneum suspension-free retractor in laparoscope operation |
| US20110238080A1 (en) * | 2010-03-25 | 2011-09-29 | Date Ranjit | Robotic Surgical Instrument System |
| CN202505408U (en) * | 2012-03-12 | 2012-10-31 | 吴东波 | Double cylinder type pneumoperitoneum-free single-hole operation platform for laparoscopic surgery |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102846343A (en) * | 2012-08-01 | 2013-01-02 | 王小军 | Pneumoperitoneum-free peritoneoscope suspending type abdominal wall puncture device |
| CN102846343B (en) * | 2012-08-01 | 2014-07-30 | 王小军 | Pneumoperitoneum-free peritoneoscope suspending type abdominal wall puncture device |
| CN102860848A (en) * | 2012-09-18 | 2013-01-09 | 吴东波 | Sleeved gasless single-hole operating platform for laparoscopic surgery |
| CN102860848B (en) * | 2012-09-18 | 2014-07-30 | 吴东波 | Sleeved gasless single-hole operating platform for laparoscopic surgery |
| CN107320144A (en) * | 2017-07-28 | 2017-11-07 | 广西壮族自治区人民医院 | Straight line purse string suture cutting closer |
| CN107320144B (en) * | 2017-07-28 | 2023-06-13 | 广西壮族自治区人民医院 | Linear purse-string suture cutting closer |
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| CN102579092B (en) | 2013-12-18 |
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