CN103735244B - A kind of can the slidingtype laparoscopic cannula of folding - Google Patents

A kind of can the slidingtype laparoscopic cannula of folding Download PDF

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Publication number
CN103735244B
CN103735244B CN201410047928.5A CN201410047928A CN103735244B CN 103735244 B CN103735244 B CN 103735244B CN 201410047928 A CN201410047928 A CN 201410047928A CN 103735244 B CN103735244 B CN 103735244B
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CN
China
Prior art keywords
channel pipe
inner sleeve
lower channel
housing
carriage
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Expired - Fee Related
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CN201410047928.5A
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Chinese (zh)
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CN103735244A (en
Inventor
魏东
蔡建
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THE 105 CENTRAL HOSPITAL OF PEOPLE'S LIBERATION ARMY
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魏东
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Publication of CN103735244B publication Critical patent/CN103735244B/en
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Abstract

A kind of can the slidingtype laparoscopic cannula of folding and using method, be that hinge is constituted by housing, upper channel pipe, lower channel pipe, slide rail, slideway, pulley, slide bar, push rod, sliding tie rod, inner sleeve, motion bar, interior grooving, hook; Housing is provided above upper channel pipe, and the preformed hole of lower section correspondence housing arranges lower channel pipe, and the preformed hole both sides in housing respectively arrange slide rail, and slide rail side arranges slideway, arrange carriage between two one slide rails; Inner sleeve is set in lower channel pipe, is correspondingly arranged with carriage above inner sleeve; Be a kind of front end can the sleeve pipe of opening, make laparoscopic instrument can grip different size of object, improve work efficiency, save the time, simplify operation sequence.<!--2-->

Description

A kind of can the slidingtype laparoscopic cannula of folding
Technical field
The present invention relates to medical device operating technology field, especially a kind of can the slidingtype laparoscopic cannula of folding and using method.
Background technology
At present, laparoscopic surgery is very universal at surgical field, for appendectomy, gallbladder removal, abdominal tissue biopsy, oophorocystectomy, hysteromyoma such as divests at the operation that need not excise bulk tissue, and full laparoscopic surgery has absolute advantages, after completing operation technique, need as far as possible by taking out specimen in original puncture casing or taking out specimen by the position of some puncture casing as far as possible, it is to avoid expanding otch increases patient trauma and affect attractive in appearance.
The method complicated operation of existing acquisition small sample, inefficiency, increase patient economy burden. One, small sample is hauled out by direct clamp in sleeve pipe, or together takes out together with sleeve pipe in sleeve pipe, and operational approach is simple, but requires height for specimen, and specimen diameter is necessarily less than the internal diameter of sleeve pipe; Two, the specimen being relatively large in diameter is pulled in sleeve pipe otch, apply routine operation apparatus after pulling out sleeve pipe, specimen is pulled out external, owing to specimen is direct and Wound contact, add the chance of wound infection; Three, the specimen being relatively large in diameter is put in special specimen bag, specimen bag is external through the pull-out of the position of sleeve pipe, again through routine operation apparatus, specimen bag is taken out together with specimen simultaneously, or in specimen bag, specimen is taken out, the specimen bag used at present is expensive, and the process that specimen loads specimen bag is very loaded down with trivial details; Method two and method three, be all extremely complex specimen is pulled out external operation through incision of abdominal wall, and doctor is frequently encountered by the situation that this time of label taking is far longer than the time of Operated Specimens.
Application number be 200920280325.4 patent document disclose a kind of fixed celioscope sleeve, it is prevented that sleeve pipe is outwards deviate from by human body, slid inward and entrance abdominal cavity excessively deep, but for the operation of extraction specimen, then cannot execute reality.
In view of the foregoing, now invent a kind of can the slidingtype laparoscopic cannula of folding and using method.
Summary of the invention
The invention aims to overcome deficiency of the prior art, there is provided a kind of can the slidingtype laparoscopic cannula of folding and using method, it is that a kind of front end can the sleeve pipe of opening, make laparoscopic instrument can grip different size of specimen, improve work efficiency, save the time, simplify operation sequence, reduce patient trauma, save unnecessary economic expenditure for patient.
The present invention to achieve these goals, adopt the following technical scheme that a kind of can the slidingtype laparoscopic cannula of folding and using method, be by housing, upper channel pipe, lower channel pipe, slide rail, slideway, pulley, slide bar, push rod, sliding tie rod, inner sleeve, motion bar, interior grooving, hook, hinge is constituted; Housing is provided above upper channel pipe, and the preformed hole of lower section correspondence housing arranges lower channel pipe, and the preformed hole both sides in housing respectively arrange slide rail, and slide rail side arranges slideway, arrange carriage between two one slide rails; Inner sleeve is set in lower channel pipe, is correspondingly arranged with carriage above inner sleeve.
Described carriage is divided into suspension type carriage and push-down carriage; Suspension type carriage be two one slide rails slideway in pulley is set, the two ends of two pulleys and sliding tie rod U-shaped mouth are correspondingly arranged slide bar, and one end of slide bar arranges crotch, and above inner sleeve, both sides respectively arrange hook, and the crotch of hook and slide bar is correspondingly arranged; Push-down carriage be two one slide rails slideway in pulley is set, between two ends and two pulleys of sliding tie rod U-shaped mouth, slide bar is set, the lower section at sliding tie rod U-shaped mouth two ends respectively arranges two push rods, above inner sleeve, both sides respectively arrange motion bar, between two push rods of carriage both sides with inner sleeve above the motion bar of both sides be correspondingly arranged, the middle part correspondence lower channel pipe of inner sleeve arranges hinge.
The sliding tie rod of mobile housing side, the sliding tie rod pulley with moving slide-bar one end moves in the slideway of slide rail, and carriage drives inner sleeve and lower channel pipe Guan Bi or formation jaws; When the inwall of inner sleeve and lower channel pipe is fitted, the laparoscopic instrument corresponding with lower channel bore is put into sleeve pipe and is operated, operated Hou Yuanlu and exited; Mobile sliding tie rod makes to form jaws with lower channel pipe below inner sleeve, the laparoscopic instrument corresponding with interior grooving is put into sleeve pipe, abdominal cavity is entered by interior grooving, laparoscopic instrument gripping specimen puts into clamp mouth part, mobile sliding tie rod makes inner sleeve and lower channel pipe by specimen holder in close passage, and laparoscopic instrument carries specimen and exits from sleeve pipe; When extracting bulky specimen, specimen is clamped by the jaws formed with lower channel pipe below inner sleeve, and sleeve pipe carries specimen and takes out from abdominal cavity simultaneously.
When using suspension type carriage, it is suspended on the inner sleeve below carriage slide bar to move and lower channel pipe Guan Bi or formation jaws with carriage, carriage drives when pressing close to lower channel inside pipe wall above inner sleeve, in the middle part of inner sleeve, the projection of both sides is movable in the groove that lower channel pipe is corresponding, constitutes close passage with lower channel pipe below inner sleeve; The inner sleeve that drives carriage moves and makes to form jaws with the lower channel pipe of semi-open state below inner sleeve, and the interior grooving above inner sleeve is corresponding with the preformed hole in housing.
When using push-down carriage, carriage both sides push rod promotes motion bar to make inner sleeve move for fulcrum with hinge with carriage, carriage drive inner sleeve move over to the inwall with lower channel pipe press close to time, close passage is constituted with lower channel pipe below inner sleeve, the inner sleeve that drives carriage moves and makes to form jaws with the lower channel pipe of semi-open state below inner sleeve, and the interior grooving above inner sleeve is corresponding with the preformed hole in housing.
Below lower channel pipe, side is semi-open state, and lower channel pipe is round tube or U-tube, corresponding with the circular preformed hole in housing above circular lower channel pipe, corresponding with circular arc inner sleeve in circular lower channel pipe; Above U-shaped lower channel pipe corresponding with the U-shaped preformed hole in housing, corresponding with plate shaped inner sleeve in U-shaped lower channel pipe.
The invention has the beneficial effects as follows: the present invention be design a kind of front end can the sleeve pipe of opening, laparoscopic instrument is made to grip different size of specimen, when gripping less specimen, promote carriage, inner sleeve is made to constitute close passage with lower channel pipe, supporting laparoscopic instrument is put into sleeve pipe entrance abdominal cavity specimen has been extracted, from sleeve pipe, specimen is taken out of after gripping specimen, when gripping bigger specimen, mobile sliding device, make to form jaws with lower channel pipe below inner sleeve, interior grooving above inner sleeve is corresponding with the mouth of pipe of lower channel pipe, the laparoscopic instrument supporting with interior grooving is put into sleeve pipe entrance abdominal cavity specimen has been extracted, grip bigger specimen to sleeve pipe clamp mouth part, even try hard to recommend dynamic carriage, the jaws that carriage drives inner sleeve and lower channel pipe formed below closes gradually, bigger specimen is squeezed in close passage, then directly in sleeve pipe, specimen pulled out or together take out from intraperitoneal together with sleeve pipe, so that the process that more specimen is taken out can be very convenient.
Simple in construction, easy to operate, low cost of manufacture, it is simple to carry, improve work efficiency, save the time, simplify operation sequence, reduce patient trauma, save unnecessary economic expenditure for patient, be suitable for promoting the use of.
Accompanying drawing explanation
Below in conjunction with accompanying drawing, the invention will be further described:
Fig. 1 is, general assembly structural representation;
Fig. 2 is, circular arc inner sleeve hook structure schematic diagram;
Fig. 3 is, circular lower channel pipe Guan Bi suspension type carriage plan structure schematic diagram;
Fig. 4 is, circular lower channel pipe forms jaws suspension type carriage plan structure schematic diagram with inner sleeve;
Fig. 5 is, circular lower channel pipe Guan Bi suspension type carriage side elevational cross-section structural representation;
Fig. 6 is, circular lower channel pipe forms jaws suspension type carriage side elevational cross-section structural representation with inner sleeve;
Fig. 7 is, plate shaped inner sleeve hook structure schematic diagram;
Fig. 8 is, U-shaped lower channel pipe Guan Bi suspension type carriage plan structure schematic diagram;
Fig. 9 is, U-shaped lower channel pipe forms jaws suspension type carriage plan structure schematic diagram with inner sleeve;
Figure 10 is, U-shaped lower channel pipe Guan Bi suspension type carriage side elevational cross-section structural representation;
Figure 11 is, U-shaped lower channel pipe forms jaws suspension type carriage side elevational cross-section structural representation with inner sleeve;
Figure 12 is, circular arc inner sleeve motion bar structural representation;
Figure 13 is, circular lower channel pipe Guan Bi push-down carriage plan structure schematic diagram;
Figure 14 is, circular lower channel pipe forms jaws push-down carriage plan structure schematic diagram with inner sleeve;
Figure 15 is, circular lower channel pipe Guan Bi push-down carriage side elevational cross-section structural representation;
Figure 16 is, circular lower channel pipe forms jaws push-down carriage side elevational cross-section structural representation with inner sleeve;
Figure 17 is, plate shaped inner sleeve motion bar structural representation;
Figure 18 is, U-shaped lower channel pipe Guan Bi push-down carriage plan structure schematic diagram;
Figure 19 is, U-shaped lower channel pipe forms jaws push-down carriage plan structure schematic diagram with inner sleeve;
Figure 20 is, U-shaped lower channel pipe Guan Bi push-down carriage side elevational cross-section structural representation;
Figure 21 is, U-shaped lower channel pipe forms jaws push-down carriage side elevational cross-section structural representation with inner sleeve;
In Fig. 1,2,3,4,5,6,7,8,9,10,11,12,13,14,15,16,17,18,19,20,21: housing 1, upper channel pipe 2, lower channel pipe 3, slide rail 4, slideway 5, pulley 6, slide bar 7, push rod 7-1, sliding tie rod 8, inner sleeve 9, motion bar 9-1, interior grooving 10, links up with 11, hinge 11-1.
Detailed description of the invention
Below in conjunction with embodiment and detailed description of the invention, the present invention is described in further detail:
Embodiment 1
Housing 1 is provided above upper channel pipe 2, and the preformed hole of lower section correspondence housing 1 arranges lower channel pipe 3, and the preformed hole both sides in housing 1 respectively arrange slide rail 4, and slide rail 4 side arranges slideway 5, arrange carriage between two one slide rails 4; Inner sleeve 9 is set in lower channel pipe 3, is correspondingly arranged with carriage above inner sleeve 9.
Embodiment 2
Described carriage is divided into suspension type carriage and push-down carriage; Suspension type carriage be two one slide rails 4 slideway 5 in pulley 6 is set, the two ends of two pulleys 6 and sliding tie rod 8U shape mouth are correspondingly arranged slide bar 7, one end of slide bar 7 arranges crotch, and above inner sleeve 9, both sides respectively arrange hook 11, and the crotch of hook 11 and slide bar 7 is correspondingly arranged; Push-down carriage be two one slide rails 4 slideway 5 in pulley 6 is set, between two ends and two pulleys 6 of sliding tie rod 8U shape mouth, slide bar 7 is set, the lower section at sliding tie rod 8U shape mouth two ends respectively arranges two push rod 7-1, above inner sleeve 9, both sides respectively arrange motion bar 9-1, between two push rod 7-1 of carriage both sides with inner sleeve 9 above the motion bar 9-1 of both sides be correspondingly arranged, the middle part correspondence lower channel pipe 3 of inner sleeve 9 arranges hinge 11-1.
Embodiment 3
The sliding tie rod 8 of mobile housing 1 side, the sliding tie rod 8 pulley 6 with moving slide-bar 7 one end is mobile in the slideway 5 of slide rail 4, and carriage drives inner sleeve 9 and lower channel pipe 3 close or form jaws; When the inwall of inner sleeve 9 and lower channel pipe 3 is fitted, the laparoscopic instrument corresponding with lower channel pipe 3 internal diameter is put into sleeve pipe and is operated, operated Hou Yuanlu and exited; Mobile sliding tie rod 8 makes to form jaws with lower channel pipe 3 below inner sleeve 9, the laparoscopic instrument corresponding with interior grooving 10 is put into sleeve pipe, abdominal cavity is entered by interior grooving 10, laparoscopic instrument gripping specimen puts into clamp mouth part, mobile sliding tie rod 8 makes inner sleeve 9 and lower channel pipe 3 by specimen holder in close passage, and laparoscopic instrument carries specimen and exits from sleeve pipe; When extracting bulky specimen, specimen is clamped by the jaws formed with lower channel pipe 3 below inner sleeve 9, and sleeve pipe carries specimen and takes out from abdominal cavity simultaneously.
Embodiment 4
When using suspension type carriage, it is suspended on the inner sleeve 9 below carriage slide bar 7 to move with carriage and close with lower channel pipe 3 or form jaws, carriage drives when pressing close to lower channel pipe 3 inwall above inner sleeve 9, in the middle part of inner sleeve 9, the projection of both sides is movable in the groove of lower channel pipe 3 correspondence, constitutes close passage with lower channel pipe 3 below inner sleeve 9; Carriage drives inner sleeve 9 to move and makes to form jaws with the lower channel pipe 3 of semi-open state below inner sleeve 9, and the interior grooving 10 above inner sleeve 9 is corresponding with the preformed hole in housing 1.
Embodiment 5
When using push-down carriage, carriage both sides push rod 7-1 promotes motion bar 9-1 to make inner sleeve 9 move for fulcrum with hinge 11-1 with carriage, carriage drive inner sleeve 9 move over to the inwall with lower channel pipe 3 press close to time, close passage is constituted with lower channel pipe 3 below inner sleeve 9, carriage drives inner sleeve 9 to move and makes to form jaws with the lower channel pipe 3 of semi-open state below inner sleeve 9, and the interior grooving 10 above inner sleeve 9 is corresponding with the preformed hole in housing 1.
Embodiment 6
Below lower channel pipe 3, side is semi-open state, and lower channel pipe 3 is round tube or U-tube, corresponding with the circular preformed hole in housing 1 above circular lower channel pipe 3, corresponding with circular arc inner sleeve 9 in circular lower channel pipe 3;Above U-shaped lower channel pipe 3 corresponding with the U-shaped preformed hole in housing 1, corresponding with plate shaped inner sleeve 9 in U-shaped lower channel pipe 3.

Claims (2)

1. can the suspension slidingtype laparoscopic cannula of folding, be by: housing (1), upper channel pipe (2), lower channel pipe (3), slide rail (4), slideway (5), pulley (6), slide bar (7), sliding tie rod (8), inner sleeve (9), hook (11) are constituted; It is characterized in that: housing (1) is provided above upper channel pipe (2), the preformed hole of the corresponding housing (1) in lower section arranges lower channel pipe (3), preformed hole both sides in housing (1) respectively arrange slide rail (4), slide rail (4) side arranges slideway (5), and two one slide rails arrange suspension type carriage between (4); Described suspension type carriage be two one slide rails (4) slideway (5) in pulley (6) is set, the two ends of two pulleys (6) and sliding tie rod (8) U-shaped mouth are correspondingly arranged slide bar (7), one end of slide bar (7) arranges crotch, inner sleeve (9) is set in lower channel pipe (3), both sides, inner sleeve (9) top respectively arrange hook (11), and the crotch of hook (11) and slide bar (7) is correspondingly arranged.
2. can the pusher slide dynamic formula laparoscopic cannula of folding, be by: housing (1), upper channel pipe (2), lower channel pipe (3), slide rail (4), slideway (5), pulley (6), slide bar (7), push rod (7-1), sliding tie rod (8), inner sleeve (9), motion bar (9-1), hinge (11-1) are constituted, it is characterized in that: housing (1) is provided above upper channel pipe (2), the preformed hole of the corresponding housing (1) in lower section arranges lower channel pipe (3), preformed hole both sides in housing (1) respectively arrange slide rail (4), slide rail (4) side arranges slideway (5), and two one slide rails arrange push-down carriage between (4), described push-down carriage be two one slide rails (4) slideway (5) in pulley (6) is set, between two ends and two pulleys (6) of sliding tie rod (8) U-shaped mouth, slide bar (7) is set, the lower section at sliding tie rod (8) U-shaped mouth two ends respectively arranges two push rods (7-1), inner sleeve (9) is set in lower channel pipe (3), both sides, inner sleeve (9) top respectively arrange motion bar (9-1), it is correspondingly arranged with the motion bar (9-1) of both sides, inner sleeve (9) top between two push rods (7-1) of push-down carriage both sides, middle part correspondence lower channel pipe (3) of inner sleeve (9) arranges hinge (11-1).
CN201410047928.5A 2014-02-11 2014-02-11 A kind of can the slidingtype laparoscopic cannula of folding Expired - Fee Related CN103735244B (en)

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CN103735244B true CN103735244B (en) 2016-06-08

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Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6258102B1 (en) * 1998-11-20 2001-07-10 Ancel Surgical R&D, Inc. Reusable laproscopic retrieval mechanism
WO2008114234A2 (en) * 2007-03-22 2008-09-25 Anchor Products Company Surgical tissue retrieval instrument
CN201353167Y (en) * 2009-02-12 2009-12-02 王忠亮 Laparoscopic extractor
CN201537130U (en) * 2009-12-11 2010-08-04 耿爱芝 Fixed celioscope sleeve
CN201572081U (en) * 2009-12-23 2010-09-08 郭秀琪 Special cannula for non-blind area laparoscope
CN201624745U (en) * 2010-02-04 2010-11-10 张士更 Novel laparoscope puncture casing
CN102274001A (en) * 2011-05-17 2011-12-14 东南大学 Flexible sleeve for minimally invasive laparoscopic surgery

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6258102B1 (en) * 1998-11-20 2001-07-10 Ancel Surgical R&D, Inc. Reusable laproscopic retrieval mechanism
WO2008114234A2 (en) * 2007-03-22 2008-09-25 Anchor Products Company Surgical tissue retrieval instrument
CN201353167Y (en) * 2009-02-12 2009-12-02 王忠亮 Laparoscopic extractor
CN201537130U (en) * 2009-12-11 2010-08-04 耿爱芝 Fixed celioscope sleeve
CN201572081U (en) * 2009-12-23 2010-09-08 郭秀琪 Special cannula for non-blind area laparoscope
CN201624745U (en) * 2010-02-04 2010-11-10 张士更 Novel laparoscope puncture casing
CN102274001A (en) * 2011-05-17 2011-12-14 东南大学 Flexible sleeve for minimally invasive laparoscopic surgery

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Effective date of registration: 20170418

Address after: 471000 Henan, Jianxi, China West Road, No. 1, No.

Patentee after: THE 105 CENTRAL HOSPITAL OF PEOPLE'S LIBERATION ARMY

Address before: Jianxi District xujiaying 471000 Henan city of Luoyang province No. 4 neighborhood 12-3-301 room

Patentee before: Wei Dong

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