WO2017181659A1 - Intracavity exposure and support device for human surgery - Google Patents
Intracavity exposure and support device for human surgery Download PDFInfo
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- WO2017181659A1 WO2017181659A1 PCT/CN2016/105779 CN2016105779W WO2017181659A1 WO 2017181659 A1 WO2017181659 A1 WO 2017181659A1 CN 2016105779 W CN2016105779 W CN 2016105779W WO 2017181659 A1 WO2017181659 A1 WO 2017181659A1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
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- the invention discloses a human intraoperative in-vivo exposure support device, relating to a surgical medical device, which can be widely used for medical instruments for expanding a human surgical region.
- laparoscopic surgery has been widely carried out in clinical practice. Compared with traditional open surgery, it has the advantage of minimally invasive, but also because of the small incision, which makes many surgical fields insufficiently exposed, which brings inconvenience to the operation. At present, in the laparoscopic surgery, the traction of the tissue in the surgical area is difficult to expose, and it can only be distracted from the limited angle.
- the patent number is CN201110004171.8 "Inflatable handcuff hook for minimally invasive surgery", by installing an inflatable handle made of soft material without inflation on the check valve housing. It is placed into the patient's lumen from the sheath, and the rear of the check valve is left outside the sheath, and the high-pressure gas is pressed into the inflatable hand target from the air inlet of the check valve, and the inflated hand target opens the patient's lumen to form A high-pressure support, which in turn presses and opens a large number of internal organs.
- the drawback of this patent is that in actual operation, the inflatable body exposure device is not only bulky, there is a dead angle of the surgical field of view, affecting the operation; and it is impossible to accurately and openly expose and expose the target surgical field, and the inflatable handcuff hook structure is complicated. It contains many parts and components, and needs to be disassembled during operation, which is easy to fall into the abdominal cavity of the patient and delay the operation.
- the patent number is CN201220454372.8, "the hook for laparoscopic surgery", and the first hook and the second hook which are connected by a plurality of loops are arranged, and a large-area pulling head is formed in the abdominal cavity, and the action area is large.
- the drawback of this patent is that the hooking operation is complicated and requires puncture on the abdominal wall to the abdominal wall. The damage is large, and it is impossible to accurately and accurately open and expose the target area of the operation.
- the object of the present invention is to provide an exposed support device for a human surgical cavity in view of the above-mentioned deficiencies, and the invention not only has a simple structure, a compact size, and is convenient to operate, but also can provide multi-directional pulling and distracting in laparoscopic surgery. It makes the field of vision of the operation fully exposed; and it is durable, low cost and convenient to use, which can effectively reduce the number of surgical assistants during surgery, reduce the labor cost of the hospital, the anesthesia cost of the patient, and have better use and promotion value and economic value. .
- the exposed support device in the human operating cavity is composed of a clamping end, a clamping end 2 and a connecting section; a clamping end is arranged on one side of the connecting section, and a clamping end 2 is arranged on the other end; the connecting section Use elastic material or pullable structure.
- the clamping end and the clamping end 2 are supported by clips or clips.
- the support is O-shaped, U-shaped, V-shaped or a plurality of U-shaped and V-shaped juxtaposed, and the support and the connecting section form an integrated shape.
- the support is a plate-like structure or is wound from a filament.
- the elastic material is an elastic filament, a plate spring or a coil spring.
- the filaments are attached to the grip of the clip.
- the clip has a sigma shape.
- the elastic material is a coil spring
- a sheath is provided outside the coil spring.
- the connecting section is of a drawable structure
- the connecting section is composed of a sheet or a filament which can be bent.
- the connecting section is a plate
- the plate is provided with two pieces, wherein a surface of one plate is provided with a plurality of through holes arranged in a row, and a protrusion is arranged correspondingly on the surface of the other plate, and the protrusion is embedded in the through hole to fix the surface.
- a clamp is also provided at the overlap of the two plates to prevent the plates from coming off.
- the connecting section is a filament
- a filament is arranged on both sides of the clamping end and the clamping end, the end of the filament is provided with a perforation, and the filament end of the clamping end and the clamping end are respectively Knotted together; at least one of the filaments is provided with a groove or a convex tooth on the surface, and the filament is pulled according to the operation, and the groove or the convex tooth catches the perforation on the corresponding filament at a specified position, thereby fixing the length .
- the filaments are wires, carbon fiber filaments or polymer material filaments.
- the length of the connecting section is 2-20 cm.
- the invention not only has small volume, simple structure, sufficient surgical field exposure, convenient operation, and can be flexibly adjusted according to the actual needs of the operation, and is convenient, durable, labor-saving, equipment cost and anesthesia cost. Moreover, it has no damage to the patient during use, which provides a sufficient exposure advantage for endoscopic surgery, which is convenient for open surgery, facilitates laparoscopic surgery, reduces the difficulty of surgery and the risk of surgery, and also in open surgery.
- the surgical field of exposure can be increased at some locations, and the present invention is A variety of procedures bring safety and convenience, and have good practicality.
- FIG. 1 is a schematic view showing a structure in which a connecting portion of a human surgical cavity exposed supporting device is a sheathed coil spring, and a clamping end and a clamping end are both clips;
- FIG. 2 is a schematic view showing a structure in which the connecting section of the human body operating cavity is in the form of a plate spring, and the clamping end and the clamping end are both clips;
- FIG. 3 is a schematic view showing a structure in which the connecting section of the human surgical cavity is supported by two filaments, and the clamping end 1 and the clamping end 2 are clips;
- FIG. 4 is a schematic view showing a structure in which the connecting section of the human surgical cavity is two filaments, the clamping end is a clip, and the clamping end is a U-shaped bracket;
- FIG. 5 is a schematic structural view showing a connecting portion of a human body operating cavity exposed support device in the form of a plate spring, and a clamping end and a clamping end are U-shaped brackets;
- FIG. 6 is a schematic view showing a structure in which the connecting section of the human surgical cavity is in a stretchable manner, and the clamping end and the clamping end are both clips;
- Figure 7 is a schematic view showing the structure in which the connecting section of the human surgical cavity is in a stretchable manner, and the clamping end is a U-shaped support;
- Figure 8 is a schematic view showing the structure in which the connecting section of the human surgical cavity in the human body cavity is capable of being pulled, and the clamping end and the clamping end are both clips;
- FIG. 9 is a view showing a connecting wire in the human surgical cavity exposed supporting device of the present invention, wherein the connecting end is a U-shaped support and the surface of the filament is provided with a convex tooth.
- Figure 10 is a schematic view showing the structure of the clamping end or the clamping end of the present invention being a sigma-shaped clip
- Figure 11 is a schematic view showing the structure of the y-shaped clip of the clamp end 1 and the clamp end 2 of the present invention.
- the exposed support device in the human operating cavity is composed of a clamping end, a clamping end 2 and a connecting section; a clamping end is arranged on one side of the connecting section, and a clamping end 2 is arranged on the other end; the connecting section Use elastic material or pullable structure.
- the holder 1 and the clamping end 2 are supported by a support 4 or a clip 5.
- the support 4 is O-shaped, U-shaped, V-shaped or a plurality of U-shaped and V-shaped juxtaposed.
- the support 4 is a plate-like structure or is wound from a filament.
- the elastic material is an elastic filament 1, a plate spring 2 or a coil spring 3.
- the filaments 1 are attached to the grips of the clip 5.
- the clip 5 is in the shape of a sigma.
- the sheath 6 is provided outside the coil spring 3.
- the connecting section is of a drawable structure
- the connecting section is composed of a sheet or a filament which can be bent.
- the sheet material 7 is provided with two pieces, wherein a surface of one plate material is provided with a plurality of through holes 7-1 arranged in a row, and a surface of the other plate material is correspondingly provided with a protrusion 7-2, convex 7-2 is inserted into the through hole 7-1 to fix it.
- a clamp 7-3 is also provided at the overlap of the two sheets 7 for preventing the sheets from coming off.
- a filament 1 is respectively disposed on both sides of the clamping end and the clamping end, and the end of the filament 1 is provided with a perforation 1-1, the clamping end 1 and the clamping end 2
- the upper filaments 1 are tangled together; at least one of the filaments 1 is provided with a groove or a convex tooth 1-2 on the surface, and the filament is pulled according to the operation, and the groove or the convex tooth 1-2 is The designated position is caught by the perforation 1-1 on the corresponding filament to fix the length.
- the filament 1 is a wire, a carbon fiber or a polymer material.
- the length of the connecting section is 2-20 cm.
- the surgeon uses a laparoscopic surgical instrument, such as a laparoscopic grasping forceps, a laparoscopic forceps, or a specially designed laparoscopic surgical forceps, to take the support device from the trocar (previously already in the body)
- a laparoscopic surgical instrument such as a laparoscopic grasping forceps, a laparoscopic forceps, or a specially designed laparoscopic surgical forceps
- the table establishes a passage into the abdominal cavity, and the surgeon can send various laparoscopic surgical instruments into the body to push into the body (cavity);
- step 2 Using the laparoscopic surgical instrument described in step 1, clamp any end of the support device in the body and place it in the surgical area to be exposed;
- the surgeon can use the laparoscopic surgical instrument to clamp and open the clip to clamp the tissue on the side of the area to be exposed;
- the clamping end or the clamping end of the supporting device is a support
- the surgeon can use the laparoscopic surgical instrument to clamp the support and support or support the tissue on the side to be exposed;
- the physician can open and move the clip end away from the tissue through the laparoscopic surgical instrument, or remove the support end from the tissue, and then remove the device from the Trocar channel to the outside of the body.
- the invention not only has small volume, simple structure, sufficient surgical field exposure, convenient operation, but also can be flexibly adjusted according to the actual needs of the operation, and is convenient and durable in entering and leaving the Trocar, saving labor cost, equipment cost and anesthesia cost.
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Abstract
Description
本发明一种人体手术腔内暴露支撑装置涉及一种外科手术医疗器械,能够广泛用于人体手术区域扩张的医疗器械。The invention discloses a human intraoperative in-vivo exposure support device, relating to a surgical medical device, which can be widely used for medical instruments for expanding a human surgical region.
目前腔镜手术己在临床上广泛开展,与传统开放手术相比，具有微创的优势,但也因切口小，从而使得很多手术视野暴露不足，从而给手术带来不便。目前腔镜手术中对手术区域组织的牵拉暴露困难,只能从局限的角度用器械拨开。At present, laparoscopic surgery has been widely carried out in clinical practice. Compared with traditional open surgery, it has the advantage of minimally invasive, but also because of the small incision, which makes many surgical fields insufficiently exposed, which brings inconvenience to the operation. At present, in the laparoscopic surgery, the traction of the tissue in the surgical area is difficult to expose, and it can only be distracted from the limited angle.
为解决腔镜手术的视野暴露困难问题,专利号为CN201110004171.8的“微创手术的充气手耙拉钩”,通过将没有充气的软材料制成的充气手把安装在单向阀外壳上,把它从鞘中放入病人内腔中,单向阀后部留在鞘外部,将高压气从单向阀的入气孔压入充气手靶中,充气手靶把病人的内腔打开,形成一块高压支撑,进而将大量内脏器官压住和扒开。该专利的缺陷在于实际操作中,可充气的体内暴露装置不仅体积较大,存在着手术视野死角，影响手术；而且无法对目标手术区域做精细准确撑开和暴露，此外充气手耙拉钩结构复杂,其含有的零部件较多,操作过程中需要拆解零部件,容易落入病患腹腔中,耽误手术进程。In order to solve the problem of difficulty in visual field exposure of laparoscopic surgery, the patent number is CN201110004171.8 "Inflatable handcuff hook for minimally invasive surgery", by installing an inflatable handle made of soft material without inflation on the check valve housing. It is placed into the patient's lumen from the sheath, and the rear of the check valve is left outside the sheath, and the high-pressure gas is pressed into the inflatable hand target from the air inlet of the check valve, and the inflated hand target opens the patient's lumen to form A high-pressure support, which in turn presses and opens a large number of internal organs. The drawback of this patent is that in actual operation, the inflatable body exposure device is not only bulky, there is a dead angle of the surgical field of view, affecting the operation; and it is impossible to accurately and openly expose and expose the target surgical field, and the inflatable handcuff hook structure is complicated. It contains many parts and components, and needs to be disassembled during operation, which is easy to fall into the abdominal cavity of the patient and delay the operation.
专利号为CN201220454372.8的“腔镜手术用拉钩”，设置多个环扣连接的第一拉钩和第二拉钩，在腹腔内形成大面积的牵拉头，作用面积大。该专利的缺陷在于拉钩操作复杂，需要在腹壁穿刺，对腹壁 损伤较大，而且也无法对手术目标区域作精细准确撑开和暴露。The patent number is CN201220454372.8, "the hook for laparoscopic surgery", and the first hook and the second hook which are connected by a plurality of loops are arranged, and a large-area pulling head is formed in the abdominal cavity, and the action area is large. The drawback of this patent is that the hooking operation is complicated and requires puncture on the abdominal wall to the abdominal wall. The damage is large, and it is impossible to accurately and accurately open and expose the target area of the operation.
所以有必要设计出一种新的产品来满足实际的使用需求，方便医生操作，减少被手术者的痛苦和伤害。Therefore, it is necessary to design a new product to meet the actual needs of use, to facilitate the operation of doctors, and to reduce the pain and injury of the operator.
发明内容Summary of the invention
本发明的目的在于针对上述不足之处，提供一种人体手术腔内暴露支撑装置，本发明不仅结构简单、体积紧凑、操作方便，而且在腔镜手术中能提供多方向牵拉和撑开，使得手术的视野充分暴露；而且经久耐用、成本低廉、使用方便，能够有效减少了手术中手术辅助人员的数量，减少医院的人力成本、患者的麻醉成本，具有较好的使用推广价值和经济价值。The object of the present invention is to provide an exposed support device for a human surgical cavity in view of the above-mentioned deficiencies, and the invention not only has a simple structure, a compact size, and is convenient to operate, but also can provide multi-directional pulling and distracting in laparoscopic surgery. It makes the field of vision of the operation fully exposed; and it is durable, low cost and convenient to use, which can effectively reduce the number of surgical assistants during surgery, reduce the labor cost of the hospital, the anesthesia cost of the patient, and have better use and promotion value and economic value. .
本发明是采取以下技术方案实现的：The invention is implemented by the following technical solutions:
一种人体手术腔内暴露支撑装置由夹持端一、夹持端二和连接段组成；在连接段的一侧设置有夹持端一，另一端设置有夹持端二；所述连接段采用弹性材料或可抽拉结构。The exposed support device in the human operating cavity is composed of a clamping end, a clamping end 2 and a connecting section; a clamping end is arranged on one side of the connecting section, and a clamping end 2 is arranged on the other end; the connecting section Use elastic material or pullable structure.
所述夹持端一和夹持端二采用撑托或夹子。The clamping end and the clamping end 2 are supported by clips or clips.
所述撑托为O形、U形、V形或多个U形、V形并列组成，撑托与连接段形成一体化形状。The support is O-shaped, U-shaped, V-shaped or a plurality of U-shaped and V-shaped juxtaposed, and the support and the connecting section form an integrated shape.
所述撑托为板状结构或由细丝绕制而成。The support is a plate-like structure or is wound from a filament.
当连接段采用弹性材料时，所述弹性材料为弹性细丝、板状弹簧或螺旋弹簧。When the connecting section is made of an elastic material, the elastic material is an elastic filament, a plate spring or a coil spring.
弹性材料采用弹性细丝时，两根长度相同的弹性细丝平行安装在夹持端一和夹持端二之间。 When the elastic material adopts the elastic filament, two elastic filaments of the same length are installed in parallel between the clamping end and the clamping end 2.
当夹持端一和夹持端二为夹子时，细丝连接在夹子的夹柄上。When the clamping end one and the clamping end two are clips, the filaments are attached to the grip of the clip.
所述夹子为σ形。The clip has a sigma shape.
弹性材料采用螺旋弹簧时，在螺旋弹簧外设有护套。When the elastic material is a coil spring, a sheath is provided outside the coil spring.
当连接段采用可抽拉结构时，所述连接段采用板材或细丝组成，所述板材或细丝能弯曲。When the connecting section is of a drawable structure, the connecting section is composed of a sheet or a filament which can be bent.
当连接段为板材时，所述板材设有两块，其中一块板材的表面开设有多个排列成行的通孔，在另一块板材表面对应设置有凸起，凸起嵌入通孔内起固定作用。When the connecting section is a plate, the plate is provided with two pieces, wherein a surface of one plate is provided with a plurality of through holes arranged in a row, and a protrusion is arranged correspondingly on the surface of the other plate, and the protrusion is embedded in the through hole to fix the surface. .
在两块板材的重合处还设有卡箍，用于防止板材之间脱落。A clamp is also provided at the overlap of the two plates to prevent the plates from coming off.
当连接段为细丝时，在夹持端一和夹持端二两侧分别设置一根细丝，细丝的末端设置有穿孔，夹持端一和夹持端二上的细丝活动串结在一起；所述细丝中至少有一根在表面上设置有凹槽或凸齿，根据手术需要拉动细丝，凹槽或凸齿在指定位置卡住对应细丝上的穿孔，从而固定长度。When the connecting section is a filament, a filament is arranged on both sides of the clamping end and the clamping end, the end of the filament is provided with a perforation, and the filament end of the clamping end and the clamping end are respectively Knotted together; at least one of the filaments is provided with a groove or a convex tooth on the surface, and the filament is pulled according to the operation, and the groove or the convex tooth catches the perforation on the corresponding filament at a specified position, thereby fixing the length .
所述的细丝为金属丝、碳纤维丝或高分子材料丝。The filaments are wires, carbon fiber filaments or polymer material filaments.
所述的连接段长度为2～20cm。The length of the connecting section is 2-20 cm.
与现有技术相比，本发明不仅体积小、结构简单、手术视野暴露充分，操作便捷，而且能够根据手术的实际需要灵活调整，进出Trocar方便，经久耐用、节省人力成本、器材成本和麻醉成本；并且，使用时对患者无损伤，为腔镜手术提供了可媲美开放手术所具备的充分暴露优势，为腔镜手术带来便利,降低了手术困难度和手术风险，并且在开放手术中也能够在一些部位增加手术的暴露视野，本发明为 多种手术带来了安全性和便捷性，具备很好的实用性。Compared with the prior art, the invention not only has small volume, simple structure, sufficient surgical field exposure, convenient operation, and can be flexibly adjusted according to the actual needs of the operation, and is convenient, durable, labor-saving, equipment cost and anesthesia cost. Moreover, it has no damage to the patient during use, which provides a sufficient exposure advantage for endoscopic surgery, which is convenient for open surgery, facilitates laparoscopic surgery, reduces the difficulty of surgery and the risk of surgery, and also in open surgery. The surgical field of exposure can be increased at some locations, and the present invention is A variety of procedures bring safety and convenience, and have good practicality.
图1是本发明一种人体手术腔内暴露支撑装置中连接段为套有护套的螺旋弹簧，夹持端一和夹持端二均为夹子的结构示意图；1 is a schematic view showing a structure in which a connecting portion of a human surgical cavity exposed supporting device is a sheathed coil spring, and a clamping end and a clamping end are both clips;
图2是本发明一种人体手术腔内暴露支撑装置中连接段为板状弹簧，夹持端一和夹持端二均为夹子的结构示意图；2 is a schematic view showing a structure in which the connecting section of the human body operating cavity is in the form of a plate spring, and the clamping end and the clamping end are both clips;
图3是本发明一种人体手术腔内暴露支撑装置中连接段为两根细丝，夹持端一和夹持端二均为夹子的结构示意图；3 is a schematic view showing a structure in which the connecting section of the human surgical cavity is supported by two filaments, and the clamping
图4是本发明一种人体手术腔内暴露支撑装置中连接段为两根细丝，夹持端一为夹子，夹持端二为U形撑托的结构示意图；4 is a schematic view showing a structure in which the connecting section of the human surgical cavity is two filaments, the clamping end is a clip, and the clamping end is a U-shaped bracket;
图5是本发明一种人体手术腔内暴露支撑装置中连接段为板状弹簧，夹持端一、夹持端二均为U形撑托的结构示意图；FIG. 5 is a schematic structural view showing a connecting portion of a human body operating cavity exposed support device in the form of a plate spring, and a clamping end and a clamping end are U-shaped brackets;
图6是本发明一种人体手术腔内暴露支撑装置中连接段为能够抽拉的板材，夹持端一、夹持端二均为夹子的结构示意图；6 is a schematic view showing a structure in which the connecting section of the human surgical cavity is in a stretchable manner, and the clamping end and the clamping end are both clips;
图7是本发明一种人体手术腔内暴露支撑装置中连接段为能够抽拉的板材，夹持端一、夹持端二均为U形撑托的结构示意图；Figure 7 is a schematic view showing the structure in which the connecting section of the human surgical cavity is in a stretchable manner, and the clamping end is a U-shaped support;
图8是本发明一种人体手术腔内暴露支撑装置中连接段为能够抽拉的细丝，夹持端一、夹持端二均为夹子的结构示意图；Figure 8 is a schematic view showing the structure in which the connecting section of the human surgical cavity in the human body cavity is capable of being pulled, and the clamping end and the clamping end are both clips;
图9是本发明一种人体手术腔内暴露支撑装置中连接段为能够抽拉的细丝，夹持端一、夹持端二均为U形撑托且细丝表面上设置有凸齿的结构示意图；FIG. 9 is a view showing a connecting wire in the human surgical cavity exposed supporting device of the present invention, wherein the connecting end is a U-shaped support and the surface of the filament is provided with a convex tooth. Schematic;
图10是本发明夹持端一或夹持端二为σ形夹子的结构示意图； Figure 10 is a schematic view showing the structure of the clamping end or the clamping end of the present invention being a sigma-shaped clip;
图11是本发明夹持端一和夹持端二均为σ形夹子的结构示意图。Figure 11 is a schematic view showing the structure of the y-shaped clip of the
图中：1、细丝，2、板状弹簧，3、螺旋弹簧，4、撑托，5、夹子，6、护套，7、板材，1-1、穿孔，1-2、凸齿，7-1、通孔，7-2、凸起，7-3、卡箍。In the figure: 1, filament, 2, plate spring, 3, coil spring, 4, support, 5, clip, 6, sheath, 7, sheet, 1-1, perforation, 1-2, convex teeth, 7-1, through hole, 7-2, bulge, 7-3, clamp.
以下结合附图1-11和具体实施方式对本发明做进一步的说明：The present invention will be further described below in conjunction with FIGS. 1-11 and specific embodiments:
一种人体手术腔内暴露支撑装置由夹持端一、夹持端二和连接段组成；在连接段的一侧设置有夹持端一，另一端设置有夹持端二；所述连接段采用弹性材料或可抽拉结构。The exposed support device in the human operating cavity is composed of a clamping end, a clamping end 2 and a connecting section; a clamping end is arranged on one side of the connecting section, and a clamping end 2 is arranged on the other end; the connecting section Use elastic material or pullable structure.
所述持端一和夹持端二采用撑托4或夹子5。The
所述撑托4为O形、U形、V形或多个U形、V形并列组成。The
所述撑托4为板状结构或由细丝绕制而成。The
当连接段采用弹性材料时，所述弹性材料为弹性细丝1、板状弹簧2或螺旋弹簧3。When the connecting section is made of an elastic material, the elastic material is an
弹性材料采用弹性细丝1时，两根长度相同的弹性细丝1平行安装在夹持端一和夹持端二之间。When the
当夹持端一和夹持端二为夹子5时，细丝1连接在夹子5的夹柄上。When the grip end one and the grip end 2 are the
所述夹子5为σ形。The
弹性材料采用螺旋弹簧3时，在螺旋弹簧3外设有护套6。When the coil spring 3 is used as the elastic material, the
当连接段采用可抽拉结构时，所述连接段采用板材或细丝组成，所述板材或细丝能弯曲。 When the connecting section is of a drawable structure, the connecting section is composed of a sheet or a filament which can be bent.
当连接段为板材7时，所述板材7设有两块，其中一块板材的表面开设有多个排列成行的通孔7-1，在另一块板材表面对应设置有凸起7-2，凸起7-2嵌入通孔7-1内起固定作用。When the connecting section is the sheet material 7, the sheet material 7 is provided with two pieces, wherein a surface of one plate material is provided with a plurality of through holes 7-1 arranged in a row, and a surface of the other plate material is correspondingly provided with a protrusion 7-2, convex 7-2 is inserted into the through hole 7-1 to fix it.
在两块板材7的重合处还设有卡箍7-3，用于防止板材之间脱落。A clamp 7-3 is also provided at the overlap of the two sheets 7 for preventing the sheets from coming off.
当连接段为细丝1时，在夹持端一和夹持端二两侧分别设置一根细丝1，细丝1的末端设置有穿孔1-1，夹持端一和夹持端二上的细丝1活动串结在一起；所述细丝1中至少有一根在表面上设置有凹槽或凸齿1-2，根据手术需要拉动细丝，凹槽或凸齿1-2在指定位置卡住对应细丝上的穿孔1-1，从而固定长度。When the connecting section is the
所述的细丝1为金属丝、碳纤维丝或高分子材料丝。The
所述的连接段长度为2～20cm。The length of the connecting section is 2-20 cm.
本发明装置使用时：When the device of the invention is used:
1、以常见的腹腔镜手术为例，外科医生利用腔镜手术器械，如腔镜抓钳、腔镜分离钳，或专门设计的腔镜手术钳，将本支撑装置从trocar(事先已经在体表建立的进入腹腔的通道，外科医生可以此通道将各种腔镜手术器械送入体内)推送入体(腔)内；1. In the case of common laparoscopic surgery, the surgeon uses a laparoscopic surgical instrument, such as a laparoscopic grasping forceps, a laparoscopic forceps, or a specially designed laparoscopic surgical forceps, to take the support device from the trocar (previously already in the body) The table establishes a passage into the abdominal cavity, and the surgeon can send various laparoscopic surgical instruments into the body to push into the body (cavity);
2、使用步骤1中所述的腔镜手术器械在体内钳夹本支撑装置的任何一端，将其置放于需要暴露的手术区域；2. Using the laparoscopic surgical instrument described in
如果支撑装置的夹持端一或夹持端二是夹子，外科医生可利用腔镜手术器械钳夹并打开夹子以夹住需暴露区域的一侧组织；If the clamping end or the clamping end of the supporting device is a clip, the surgeon can use the laparoscopic surgical instrument to clamp and open the clip to clamp the tissue on the side of the area to be exposed;
如果支撑装置的夹持端一或夹持端二是撑托，外科医生可利用腔镜手术器械钳夹撑托并将其支撑住或托住需暴露区域的一侧组织； If the clamping end or the clamping end of the supporting device is a support, the surgeon can use the laparoscopic surgical instrument to clamp the support and support or support the tissue on the side to be exposed;
3、外科医生通过夹子或撑托的置放，从而使得需暴露区域的两侧组织被支撑住，从而将手术区域打开的更充分，暴露的更充分；3. The surgeon places the clips or the support so that the tissues on both sides of the exposed area are supported, thereby opening the surgical area more fully and exposing more fully;
4、手术结束或不需要暴露装置时，医生可以通过上述腔镜手术器械将夹子端打开并移离组织，也可将撑托端移离组织，之后再将装置从Trocar通道取出到体外。4. At the end of the procedure or when the device is not required to be exposed, the physician can open and move the clip end away from the tissue through the laparoscopic surgical instrument, or remove the support end from the tissue, and then remove the device from the Trocar channel to the outside of the body.
本发明不仅体积小、结构简单、手术视野暴露充分，操作便捷，而且能够根据手术的实际需要灵活调整，进出Trocar方便，经久耐用、节省人力成本、器材成本和麻醉成本。 The invention not only has small volume, simple structure, sufficient surgical field exposure, convenient operation, but also can be flexibly adjusted according to the actual needs of the operation, and is convenient and durable in entering and leaving the Trocar, saving labor cost, equipment cost and anesthesia cost.
Claims (13)
Applications Claiming Priority (4)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610242285.9 | 2016-04-19 | ||
| CN201610242298.6A CN105726077A (en) | 2016-04-19 | 2016-04-19 | Intracavity exposure supporting device for human body operation |
| CN201610242298.6 | 2016-04-19 | ||
| CN201610242285.9A CN105962978A (en) | 2016-04-19 | 2016-04-19 | Human body surgery intracavity exposure support device |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| WO2017181659A1 true WO2017181659A1 (en) | 2017-10-26 |
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ID=60115619
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| PCT/CN2016/105779 Ceased WO2017181659A1 (en) | 2016-04-19 | 2016-11-14 | Intracavity exposure and support device for human surgery |
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| Country | Link |
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| WO (1) | WO2017181659A1 (en) |
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