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WO2015060611A1 - Stabilisateur pour une opération du cœur - Google Patents

Stabilisateur pour une opération du cœur Download PDF

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Publication number
WO2015060611A1
WO2015060611A1 PCT/KR2014/009872 KR2014009872W WO2015060611A1 WO 2015060611 A1 WO2015060611 A1 WO 2015060611A1 KR 2014009872 W KR2014009872 W KR 2014009872W WO 2015060611 A1 WO2015060611 A1 WO 2015060611A1
Authority
WO
WIPO (PCT)
Prior art keywords
anastomosis
heart
cardiac surgery
pressing
unit
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.)
Ceased
Application number
PCT/KR2014/009872
Other languages
English (en)
Korean (ko)
Inventor
이영삼
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.)
JINHWA MEDICAL COLTD
Original Assignee
JINHWA MEDICAL COLTD
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.)
Filing date
Publication date
Priority claimed from KR1020140091078A external-priority patent/KR101687754B1/ko
Application filed by JINHWA MEDICAL COLTD filed Critical JINHWA MEDICAL COLTD
Publication of WO2015060611A1 publication Critical patent/WO2015060611A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/003—Steerable
    • A61B2017/00305—Constructional details of the flexible means
    • A61B2017/00314—Separate linked members
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
    • A61B2017/0237—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for heart surgery
    • A61B2017/0243—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for heart surgery for immobilizing local areas of the heart, e.g. while it beats
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/50—Supports for surgical instruments, e.g. articulated arms
    • A61B90/57—Accessory clamps
    • A61B2090/571—Accessory clamps for clamping a support arm to a bed or other supports

Definitions

  • the present invention relates to a stabilizing device for cardiac surgery used in coronary surgery of the heart, and more particularly, it is possible to prevent the epidermis of the heart sucked up to block the nozzle for inhaling air, the anastomosis device is the outer surface of the heart
  • the present invention relates to a stabilization device for cardiac surgery, which can prevent deviation from, easily change the close contact position of the stabilization device, and prevent the separation from the procedure table during the procedure.
  • the arteries of the heart send blood to the heart wall and support the heart itself, and there are two arteries to the left and right, which are called coronary arteries.
  • angina can occur due to a lack of blood supply to the heart, and clogging of the coronary arteries can result in myocardial infarction or heart attack.
  • a vessel region is implanted into an artificial vessel by using a coronary artery replacement graft.
  • the handle is mounted to one side of the main holder and the main holder, which is conventionally fixed and mounted on the treatment table, and the soluble arm which can be rotated in all directions from the lower side of one side of the handle is mounted, and at the bottom of the soluble arm
  • a head having a suction groove is mounted to suck and lift the outer surface, and a suction pipe having a suction nozzle for sucking air in the head is provided inside the head.
  • myocardial infarction occurs to treat the obstructive vascular method is mainly used by surgery.
  • a commonly used method for surgery is an end-to-end anastomosis method in which the vessels in question are cut out and then the cut vessels are anastomated.
  • the head of the stabilization device for heart surgery is disclosed in Korean Patent No. 10-0916506000 "Head of the stabilization device for heart surgery”.
  • the head of the stabilization device for cardiac surgery is characterized in that the head is inserted into the stabilization device is inserted into the suction tube is formed in the suction nozzle and the suction nozzle is formed, the suction groove is formed in the stepped portion of the suction nozzle of the head is formed; .
  • anastomosis device of the stabilization device for cardiac surgery is disclosed in Korea Patent Registration No. 10-1024344 "Medical anastomosis device".
  • the medical anastomosis device is a cylindrical body extending in the longitudinal direction having a hollow, a pressure rod which is provided inside the hollow of the body to translate along the hollow, connected to the pressure rod, the handle to provide a driving force to translate the pressure rod, It is inserted into one end of the body at the same time is connected to be exposed to the outside, and is inserted along the outer peripheral surface of the guide member and the guide member having a pressing means for moving radially in accordance with the translational movement of the pressure rod therein It is coupled to the body, and includes a staple cartridge is built in the staple clip protruding to the outside according to the movement of the pressing means.
  • the medical anastomosis device has a problem that the anastomosis part is easily detached from the outer surface of the heart.
  • Surgical instruments and surgical methods for stabilizing the pulsating heart during coronary artery graft surgery are characterized by mechanical or chemical attachment of the stabilization means to the rigid or non-rigid support in such a way that the movement of the heart is effectively eliminated. It is done.
  • Embodiment of the present invention for solving the above problems is formed by a plurality of embossing projections on one surface of the adsorption groove, to prevent the external surface of the heart to block the suction nozzle, to maintain the adsorption power of the head sophisticated cardiac procedure
  • the purpose is to provide a stabilizer for cardiac surgery that becomes possible.
  • the present invention by forming a plurality of protrusions in the anastomosis portion that guides the anastomosis of the cardiovascular while seated on the outer surface of the heart. It is an object of the present invention to provide a stabilizing device for cardiac surgery that prevents anastomosis from escaping, thereby enabling sophisticated cardiac procedures.
  • a stabilizing device for cardiac surgery including a main holder to increase the adhesion without pressing the pressing member forward pressure on the lower end surface of the moving part to leave the mounting trace on the treatment table according to the rotation of the drive unit There is a purpose.
  • the stabilizing device for cardiac surgery in the stabilization device for cardiac surgery to be seated on the outer surface of the heart during cardiac surgery.
  • the suction nozzle which extends from the air suction device and sucks the outer surface of the heart comprises a suction groove for inserting a formodine suction tube and a head formed with a plurality of embossing protrusions formed on one surface of the suction groove.
  • the stabilizing device for cardiac surgery is characterized in that the suction groove is formed at least one, the length of the embossing projection of the suction groove formed on both ends of the head is longer than the length of the embossing projection of the suction groove formed in the center. do.
  • the stabilizing device for cardiac surgery is formed on both ends of the connecting portion connected to the control bar, the elastic force output unit for outputting the elastic force by the external force, respectively extending from the elastic force output unit,
  • the anastomosis device is formed by the anastomosis part that guides the anastomosis of the cardiovascular system while seated on the outer surface of the heart and the locking part that one end rotates to one end of the anastomosis part, and the other end attached to the anastomosis part is detached by the elastic force.
  • the anastomosis portion is characterized in that a plurality of protrusions are formed on the surface is deposited on the outer surface of the heart.
  • the elastic force output portion is characterized in that the cross-sectional area of both ends fixedly coupled to the connecting portion and the anastomosis portion is larger than the cross-sectional area of the central portion.
  • the stabilizing device for cardiac surgery is a body portion that is primarily in close contact with the rail of the operation table, the sliding portion is coupled to the lower portion of the body, the moving part is in close contact with the rail of the procedure table
  • the drive unit is installed in the upper end of the body portion to move linearly or rotatably, through the moving part and the body part is fixedly coupled to the lower end of the drive unit, the connecting member rotated by the rotation operation of the drive unit, fixedly coupled to the lower end of the connection member
  • a holder is a body portion that is primarily in close contact with the rail of the operation table, the sliding portion is coupled to the lower portion of the body, the moving part is in close contact with the rail of the procedure table
  • the drive unit is
  • the lower end of the drive unit is formed with a pressing projection
  • the pressing projection is characterized in that the main holder is in close contact with the rail of the treatment table by pressing the upper end of the body portion while rotating by the rotation operation of the driving unit.
  • connection member is formed in the center of the pressing member is inserted through the connection hole is formed, the lower end is characterized in that the groove is formed in an intaglio shape.
  • a lower end of the connecting member is formed with a locking plate, the locking plate, when the pressing member is fixedly coupled to the lower end of the connecting member, the pressing member is rotated to the lower end of the moving part corresponding to the groove of the pressing member It is characterized in that it is possibly seated.
  • the stabilizing device for cardiac surgery by forming a plurality of embossed projections on one surface of the suction groove that is sucked to the outer surface of the heart through the suction nozzle, the outer surface of the heart during the procedure There is an effect that can be prevented.
  • the stabilization device for cardiac surgery according to another embodiment of the present invention, there is an effect that can prevent the anastomosis device is separated from the outer surface of the heart.
  • the pressing member includes the main holder to increase the adhesion without pressing the lower surface of the moving part forward by leaving the traces of attachment to the operation table in accordance with the rotation of the drive unit
  • the contact position of the cardiac stabilization device can be changed without leaving an attachment trace on the procedure table. There is an effect of preventing the stabilization device for cardiac surgery is separated from the operation table during the procedure.
  • FIG. 1 is a perspective view of a stabilizing device for heart surgery including a head according to an embodiment of the present invention.
  • Figure 2 is an exploded perspective view of a stabilizing device for heart surgery including a head according to an embodiment of the present invention.
  • FIG. 3 is a state diagram used in the stabilization device for heart surgery according to an embodiment of the present invention.
  • FIG. 4 is a front view of a stabilizing device for heart surgery including a anastomosis device according to another embodiment of the present invention.
  • FIG. 5 is a bottom view of the anastomosis device shown in FIG. 4.
  • FIG. 6 is a side view of the anastomosis device shown in FIG. 4.
  • FIG. 7 is a state diagram used in the stabilization device for heart surgery according to another embodiment of the present invention.
  • FIG. 8 is an exploded perspective view showing a state in which the main holder is separated according to another embodiment of the present invention.
  • FIG. 8 9 and 10 are perspective views of FIG. 8.
  • FIG. 11 is a state diagram used in FIG.
  • suction pipe 121 suction nozzle
  • accommodating part 300 handle
  • connecting rod 430 elastic force output unit
  • locking portion 451 hinge portion
  • main holder 510 body
  • FIG. 1 is a perspective view of a stabilizing device for heart surgery including a head according to an embodiment of the present invention
  • Figure 2 is an exploded perspective view of a stabilizing device for heart surgery including a head according to an embodiment of the present invention.
  • four suction grooves 110 are formed in the head 100, but more than four or less than four suction grooves 110 may be formed in the head 100.
  • the stabilizing device for cardiac surgery includes a suction groove 110 is inserted into the suction pipe 120 is formed with a suction nozzle 121 to extend the air suction device to suck the outer surface of the heart; And a head 100 including a plurality of embossing protrusions 111 formed on one surface of the suction groove 110.
  • the head 100 includes a suction groove 110 formed of a plurality.
  • a portion in which the suction groove 110 of the head 100 is formed is formed to be curved inward so that the suction force on the round heart.
  • the curved portion increases the adhesion to the round heart, which further stabilizes the heart when inhaling the outer surface of the heart.
  • a plurality of embossing protrusions 111 are formed on one surface of the suction groove 110 to prevent the outer surface of the heart from blocking the suction nozzle 121, and the head 100 by the surgical instruments on the outer surface of the heart. By preventing the separation, the suction force of the head 100 is maintained.
  • the suction pipe 120 having the plurality of suction nozzles 121 formed therein is inserted through the mounting groove of the head 100.
  • the number of suction nozzles 121 may be equal to or greater than the number of suction grooves 110.
  • the stabilizing device for heart surgery includes a head 100; Air suction device 130; Adjuster 200; Handle 300; And a main holder 500.
  • the head 100 includes a plurality of suction grooves 110 into which a suction pipe 120 is formed, which extends from the air suction device 130 and has a suction nozzle 121 for sucking the outer surface of the heart.
  • a plurality of embossing protrusions 111 are formed on one surface of the suction groove 110.
  • the control unit 200 is connected to the head 100, is composed of a plurality of link modules, to allow the head 100 to move in multiple directions, to prevent the stabilization device for heart surgery by the heart beat. .
  • the handle 300 is a part connected to the control unit 200, the operator can hold the handle 300 to move the head 100 to be seated on the outer surface of the heart.
  • the handle 300 is connected to the main holder 500, the main holder 500 is in close contact with the operation table, and is then fixed to the operation table by rotating the drive unit 540, the stabilizing device for cardiac surgery on the operation table It is fixed.
  • the main holder 500 is attached to the operating table, and the driving unit 540 is rotated to fix the cardiac surgery stabilization device on the operating table.
  • the operator adjusts the bending angle of the adjuster 200 using the handle 300.
  • the operator drives the air suction device 130, and seats the head 100 connected to the control unit 200 on the outer surface of the heart using the handle 300.
  • the suction nozzle 121 is not in direct contact with the outer surface of the heart by the embossing protrusion 111 formed on one surface of the suction groove 110, the hop-in nozzle 121 is not blocked by the outer surface of the heart. Therefore, according to the stabilization device for heart surgery including the head 100 according to the present invention, it is possible to prevent the suction nozzle 121 is blocked by the outer surface of the heart, it is possible to maintain the suction force of the head 100 during the heart surgery.
  • FIG. 4 is a front view of a stabilizing device for cardiac surgery including an anastomosis device according to another embodiment of the present invention
  • FIG. 5 is a bottom view of the anastomosis device shown in FIG. 4
  • FIG. 6 is an anastomosis device shown in FIG. 4.
  • the anastomosis device 400 is connected to the 410, the elastic force output unit 430, anastomosis unit 440; And a lock 450.
  • the stabilizing device for heart surgery formed on both ends of the connecting portion 410 is connected to the control unit 200, the elastic force output unit 430 for outputting the elastic force by the external force;
  • An anastomosis part 440 extending from the elastic force output part 430 and guiding anastomosis of cardiovascular blood while seating on the outer surface of the heart;
  • One end is pivotally coupled to one end of the anastomosis unit 440, and the other end of the anastomosis unit 440 attached to the other end attached to the anastomosis unit 440 by detachable;
  • the anastomosis portion 440 is characterized in that a plurality of protrusions are formed on the surface seated on the outer surface of the heart.
  • the connecting portion 410 is a configuration for connecting the adjuster 200 (see FIG. 3) and the elastic force output unit 430.
  • the adjuster 200 is composed of several link modules, to allow the anastomosis device 400 to move in multiple directions.
  • One side of the connecting portion 410 is formed with a connecting rod 411 for connecting the adjuster 200 with the connecting portion 410.
  • the connecting rod 411 is accommodated in the accommodating part 210 (see FIG. 7) provided at the front of the adjuster 200, and the connecting part 410 and the adjuster 200 are connected to each other.
  • the protrusion 442 is formed on the other surface of the connection part 410.
  • the protrusion 442 is seated on the outer surface of the heart and prevents the anastomosis device 400 from being separated from the outer surface of the heart when performing anastomotic surgery.
  • the elastic force output unit 430 is characterized in that the cross-sectional area of both ends fixedly coupled to the connecting portion 410 and the anastomosis portion 440 is larger than the cross-sectional area of the central portion.
  • the elastic force output unit 430 is formed at both ends of the connecting portion 410 connected to the adjuster 200, and outputs the elastic force by the external force (F).
  • the cross-sectional area of both ends of the elastic force output unit 430 is preferably larger than the cross-sectional area of the central portion.
  • the cross-sectional area of both ends of the elastic force output part 430 is larger than the cross-sectional area of the central part of the elastic force output part 430, so that the elastic force is the elastic force.
  • the central portion of the output unit 430 is concentrated. Thereafter, when the operator releases the force, the elastic force concentrated on the elastic force output unit 430 is transmitted to the anastomosis unit 440 and is generated in the opposite direction in which the operator applies the force.
  • the anastomosis unit 440 extends from the elastic force output unit 430, respectively, and guides the anastomosis of the cardiovascular system while being seated on the outer surface of the heart.
  • a groove 441 is formed in one surface of the anastomosis portion 440.
  • the elastic force output from the elastic force output unit 430 by the groove 441 is better transmitted to the anastomosis unit 440.
  • Protrusions 442 are formed on the other surface of the anastomosis portion 440 to prevent the anastomosis device 400 from escaping from the outer surface of the heart during anastomosis.
  • One end of the locking part 450 is pivotally coupled to one end of the anastomosis part 440, and the other end of the locking part 450 is formed to be detached from the other end of the anastomosis part 440.
  • a hinge portion 451 is formed at one end of the locking portion 450 so that one end of the locking portion 450 is connected to one end of the anastomosis portion 440.
  • a fastening groove 452 is formed at the other end of the locking part 450, and the other end of the locking part 450 is fastened to the fastening part 453 formed at the other end of the anastomosis part 440.
  • the fastening groove 452 formed at the other end of the locking portion 450 is separated from the fastening portion 453 formed at the other end of the anastomosis portion 440 and locked.
  • the other end of the unit 450 and the other end of the anastomosis unit 440 are separated.
  • one end of the anastomosis part 440 and one end of the locking part 450 are pivotally coupled by the hinge part 451 formed at one end of the locking part 450.
  • anastomosis unit 440 is restored to its original state by the elastic force generated by the elastic force output unit 430.
  • the stabilizing device for cardiac surgery includes an anastomosis device 400, a control panel 200, a handle 300, and a main holder 500.
  • the anastomosis device 400 seats on the outer surface of the heart to guide cardiovascular vessels.
  • the control unit 200 is connected to the anastomosis device 400, and is composed of a plurality of link modules, so that the anastomosis device 400 can move in multiple directions.
  • the handle 300 is a part connected to the control unit 200, the operator can hold the handle 300 to move the head 100 to be seated on the outer surface of the heart.
  • the handle 300 is connected to the main holder 500, the main holder 500 is in close contact with the operation table, and then fixed to the operation table according to the rotation of the drive unit 540, the stabilizing device for cardiac surgery is fixed to the operation table do.
  • a method of using a stabilizing device for cardiac surgery including an anastomosis device according to the present invention.
  • the operator closes the main holder 500 to the operating table, and turns the driving unit 540 to fix the stabilizing device for the cardiac surgery to the operating table.
  • the operator adjusts the bending angle of the adjuster 200 using the handle 300. After the anastomosis device 400 connected to the control unit 200 using the handle 300 is seated on the outer surface of the heart, anastomosis surgery is performed to connect the cardiovascular vessels.
  • the plurality of protrusions 442 are formed on the other surface of the anastomosis part 440 and the connection part 410, it is possible to prevent the anastomosis device 400 from being detached from the outer surface of the heart during anastomosis surgery.
  • the operator grasps the anastomosis 440 and exerts a force to narrow each of the anastomosis 440, the fastening groove 452 formed at the other end of the locking portion 450 is the other end of the anastomosis 440 It is separated from the fastening portion 453 formed in the.
  • one end of the anastomosis part 440 and one end of the locking part 450 are pivotally coupled by the hinge part 451 formed at one end of the locking part 450.
  • FIG. 8 is an exploded perspective view showing a state in which a main holder is separated according to another embodiment of the present invention.
  • FIGS. 9 and 10 are perspective views of FIG. 8
  • FIG. 11 is a view showing a use state of FIG. 3
  • FIG. 12 is FIG. Is also used.
  • the driving unit 540 is placed for the convenience of description so that the bottom face upward.
  • the main holder 500 includes a body part 510, a moving part 520, a driving part 540, a connecting member 550, and a pressing member 560.
  • the body portion 510 is primarily in close contact with the rail of the operating table; Sliding coupled to the lower portion of the body portion 510, the moving portion 520 is in close contact with the rail of the procedure table;
  • a driving unit 540 installed on the upper end of the body 510 to be linearly movable or rotatable;
  • a connecting member 550 that is fixedly coupled to the lower end of the driving unit 540 by passing through the moving unit 520 and the body unit 510 and rotated by a rotation operation of the driving unit 540;
  • And fixedly coupled to the lower end of the connecting member 550, is seated rotatably on the lower end of the moving part 520, while pressing by the rotational operation of the driving unit 540 forward pressure on the rear side of the lower end of the moving part 520
  • the body 510 may be formed of any one of a plastic material, PC, PE, PET, or aramid.
  • the body portion 510 is the base portion 517 is formed with a through hole 512 so that the driving portion 540 is installed to be linearly movable or rotatable ;
  • a connection part 511 formed to protrude upward of the base part 517 and to be coupled to the handle 300;
  • a bent portion 513 that protrudes from the lower portion of the base portion 517 and slides and adheres to the treatment table;
  • a first uneven portion 514 formed to protrude from the lower portion of the base portion 517 to be in close contact with the moving portion 520;
  • Guide grooves 515 formed on both side surfaces of the first uneven portion 514; It includes; and an insertion groove 516 formed symmetrically to both sides on one surface of the first uneven portion 514.
  • Base portion 517 is formed of a three-dimensional structure, the base portion 517 is formed with a through hole 512 so that the driving unit 540 is installed to be linearly movable or rotatable.
  • connection part 511 is formed to protrude upward from the base part 517, and the handle part 300 is coupled to the connection part 511, and the connection part 511 has a cylindrical shape having a larger diameter in the downward direction, and the handle 300. It is hollow so that it can be inserted, and the top can be tapered.
  • the bent portion 513 extends downward from the lower front portion of the body portion 510 and then is bent toward the rear to be in close contact with the treatment table.
  • the first uneven portion 514 is formed in the direction of the front portion from the lower rear portion of the base portion 517 to be engaged or separated from the upper end of the pressing plate 530 of the moving portion 520.
  • Guide grooves 515 are formed on both side surfaces of the first uneven portion 514, the guide protrusion 521 of the moving part 520 is slidingly coupled to the guide groove 515.
  • the insertion groove 516 is recessed on both sides with respect to the center line of the first uneven portion 514, and the spring 522 of the moving part 520 is inserted into the insertion groove 516.
  • the moving part 520 has a polygonal shape having a central hole, and may be formed of any one of plastic, PC, PE, PET, and aramid.
  • the moving part 520 is a hollow guide base 526; A guide protrusion 521 which is bent after extending upward from both top surfaces of the guide base 526; Fitting grooves 523 formed on the inner rear surface of the guide base 526; Fitting protrusions 524 formed on the inner front surface of the guide base 526; A fixing part 525 which protrudes downward from the lower front part of the guide base 526 and forwardly presses the rail of the treatment table by front pressing of the pressing member 560 according to the rotation operation of the driving unit 540; A pressing plate 530 coupled to the connection member 550 and inserted into the hollow of the guide base 526; A spring 522 that is fitted to the fitting protrusion 524 and inserted into the insertion groove 516 of the body 510 to closely contact the fixing part 525 in the bent portion 513 by the rotation of the driving part 540. );
  • the guide base 526 is provided in a hollow frame shape.
  • the guide protrusion 521 is bent after extending upward from both top surfaces of the guide base 526, and the guide protrusion 521 is slidably inserted into the guide groove 515 of the body 510.
  • the fitting groove 523 is formed in a groove shape on the inner rear surface of the guide base 526, and the fitting groove 523 is supported by a spring 533 coupled to the protrusion 532 of the pressing plate 530.
  • the fitting protrusion 524 is formed to protrude on the inner front surface of the guide base 523, and the spring 522 is coupled to and supported by the fitting protrusion 524.
  • the fixing part 525 protrudes downward from the lower front part of the guide base 526.
  • the rear side surface of the fixing part 525 is formed by the front pressing of the pressing member 560 according to the rotation operation of the driving part 540. As it is pressurized and moved forward, it is in close contact with the rail of the procedure table.
  • the pressing plate 530 is coupled to the connecting member 550 and is inserted into the hollow of the guide base 526.
  • a connecting hole 531 into which the connecting member 550 is inserted is formed at the center of the pressing plate 530, and the pressing plate.
  • a protrusion 532 is formed on the rear side of the 530.
  • One side of the spring 533 is fitted to the protrusion 532, and the other side of the spring 533 is inserted into the fitting groove 523 of the moving part 520.
  • the upper surface of the pressing plate 530 is formed with a second uneven portion 534 engaging with the first uneven portion 514 of the body portion 510.
  • the pressing plate 530 may have a pressing plate ( The lower surface of the 530 is pressed upward.
  • the pressing plate 530 is formed in a polygonal shape, it may be made of any one of a plastic material PC, PE, PET or arimid.
  • One side of the spring 522 is fitted into the fitting protrusion 524 is coupled to the insertion groove 516 of the body portion 510, the spring 522 is a moving part in accordance with the rotation or linear movement of the drive unit 540 520 is in close contact with the bent portion 513 of the body portion 510.
  • the driving unit 540 is installed on the upper end of the body portion 510 so as to be linearly movable or rotatable.
  • the driving unit 540 may be manufactured in the form of a lever, the head portion 541 of the circular shape; And a handle 546 extending from one side of the head part 541.
  • the driving unit 540 may be made of any one of plastic, PC, PE, PET, and arimid.
  • An insertion hole 542 into which the connection member 550 is inserted is formed in the head part 541, and a fixing hole 543 is formed in one side of the head part 541.
  • the fixing member 544 is inserted into the fixing hole 543 to fix the connection member 550 to the inside of the driving unit 540, and the pressing protrusion 545 is formed to protrude from the lower end of the head part 541 to drive the driving unit ( According to the rotation of the 540, the upper end of the body portion 510 is pressed.
  • the pressing protrusion 545 limits the linear movement or rotation of the moving portion 520 by pressing the upper end of the body portion 510 according to the rotation operation.
  • connection member 550 is a body portion 551 that is inserted into the insertion hole 542 of the drive unit 540; And a locking plate 553 corresponding to the lower end of the pressing member 560, and may be made of any one of titanium, ceramic, or stainless steel.
  • the body portion 551 is formed in a rod shape, and a fixing hole 552 into which the fixing member 544 of the driving unit 540 is inserted is formed at one side.
  • the locking plate 553 is protruded from the lower end of the body portion 510 to press the lower end of the pressing member 560 by the rotation of the driving unit 540.
  • the locking plate 553 may be formed in various shapes such as a circle and a polygon.
  • the pressing member 560 is formed in a circular shape different from the horizontal diameter and the vertical diameter, the outer peripheral surface of the pressing member 560 having a large diameter when the drive unit 540 rotates, that is, the rear side of the lower end of the moving part 520, The rear side of the fixing part 525 of the part 520 is pressed forward to closely move the moving part 520 to the rail of the operating table. At this time, as the outer circumferential surface of the pressing member 560 having a large diameter presses the rear side of the fixed part 525 of the moving part 520 forward, the pressing plate 530 moves backward, and the moving part 520 moves forward. Move.
  • connection hole 561 through which the connection member 550 penetrates is formed at the center of the pressing member 560, and a recess 562 having an intaglio shape is formed at the lower surface thereof.
  • the locking plate 553 of the connecting member 550 corresponds to the recess 562 of the pressing member 560.
  • the 560 is rotatably seated on the bottom of the pressing plate 530 of the moving unit 520.
  • the pressing member 560 may be made of any one of titanium, ceramic, or stainless steel.
  • 11 and 12 are use state diagrams showing a state in which the main holder is in close contact with the rail mounted on the operation table.
  • the operator slides the body portion 510 of the main holder 500 to the operation table to be in close contact with the primary, and rotates the driving portion 540 of the main holder 500 to hold the main holder. Pressing the rear side of the lower end of the moving part 520 of the 500 forwardly to be in close contact with the operation table, to fix the stabilization device for the cardiac surgery.
  • the operator adjusts the bending angle of the angle adjuster 200 using the handle 300, drives the air suction device 130 (see FIG. 3), and uses the handle 300 to adjust the angle adjuster 200.
  • the head 100 connected to is seated on the outer surface of the heart.
  • the bending angle of the angle adjuster 200 is adjusted using the handle 300, and the anastomosis device 400 connected to the angle adjuster 200 is seated on the outer surface of the heart using the handle 300. Anastomosis surgery is performed to connect the cardiovascular system.

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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

La présente invention concerne un stabilisateur pour une opération du cœur. Le stabilisateur pour une opération du cœur selon un mode de réalisation de la présente invention comprend une pluralité de saillies de gaufrage formées sur une première surface d'une rainure d'aspiration aspirée à travers une buse d'aspiration sur la surface extérieure du cœur, et peut ainsi empêcher la buse d'aspiration d'être bloquée par la surface extérieure du cœur pendant une opération.
PCT/KR2014/009872 2013-10-23 2014-10-21 Stabilisateur pour une opération du cœur Ceased WO2015060611A1 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
KR10-2013-0126491 2013-10-23
KR20130126491 2013-10-23
KR10-2014-0091078 2014-07-18
KR1020140091078A KR101687754B1 (ko) 2013-10-23 2014-07-18 심장수술용 안정화장치

Publications (1)

Publication Number Publication Date
WO2015060611A1 true WO2015060611A1 (fr) 2015-04-30

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/KR2014/009872 Ceased WO2015060611A1 (fr) 2013-10-23 2014-10-21 Stabilisateur pour une opération du cœur

Country Status (1)

Country Link
WO (1) WO2015060611A1 (fr)

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5984864A (en) * 1997-10-07 1999-11-16 Ethicon Endo-Surgery, Inc. Tissue stabilization device for use during surgery
US6113534A (en) * 1998-03-19 2000-09-05 Koros; Tibor B. Adjustable heart surface stabilizer
KR20010071704A (ko) * 1998-07-31 2001-07-31 추후 외과용 안정기
US20020016527A1 (en) * 1999-04-15 2002-02-07 Hancock Andrew H. Apparatus and methods for off-pump cardiac surgery
US6478733B1 (en) * 1999-10-01 2002-11-12 Genzyme Corporation Stabilizing device having a removable portion
KR20090046009A (ko) * 2007-11-05 2009-05-11 이영삼 심장수술용 안정화장치 헤드
KR20090006634U (ko) * 2007-12-28 2009-07-02 이영삼 제작이 쉽고 조작이 용이한 심장수술용 안정화 장치의메인홀더
WO2011159733A1 (fr) * 2010-06-14 2011-12-22 Maquet Cardiovascular Llc Instruments chirurgicaux, systèmes et procédés d'utilisation

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5984864A (en) * 1997-10-07 1999-11-16 Ethicon Endo-Surgery, Inc. Tissue stabilization device for use during surgery
US6113534A (en) * 1998-03-19 2000-09-05 Koros; Tibor B. Adjustable heart surface stabilizer
KR20010071704A (ko) * 1998-07-31 2001-07-31 추후 외과용 안정기
US20020016527A1 (en) * 1999-04-15 2002-02-07 Hancock Andrew H. Apparatus and methods for off-pump cardiac surgery
US6478733B1 (en) * 1999-10-01 2002-11-12 Genzyme Corporation Stabilizing device having a removable portion
KR20090046009A (ko) * 2007-11-05 2009-05-11 이영삼 심장수술용 안정화장치 헤드
KR20090006634U (ko) * 2007-12-28 2009-07-02 이영삼 제작이 쉽고 조작이 용이한 심장수술용 안정화 장치의메인홀더
WO2011159733A1 (fr) * 2010-06-14 2011-12-22 Maquet Cardiovascular Llc Instruments chirurgicaux, systèmes et procédés d'utilisation

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