CN100589763C - Suspending tool for abdominal wall - Google Patents

Suspending tool for abdominal wall Download PDF

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Publication number
CN100589763C
CN100589763C CN200710199862A CN200710199862A CN100589763C CN 100589763 C CN100589763 C CN 100589763C CN 200710199862 A CN200710199862 A CN 200710199862A CN 200710199862 A CN200710199862 A CN 200710199862A CN 100589763 C CN100589763 C CN 100589763C
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CN
China
Prior art keywords
light source
intraperitoneal
abdominal wall
suspending tool
illumination light
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Active
Application number
CN200710199862A
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Chinese (zh)
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CN101238997A (en
Inventor
河西彻也
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MD CORP
Fujinon Corp
Fujifilm Corp
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MD CORP
Fujifilm Corp
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Publication of CN101238997A publication Critical patent/CN101238997A/en
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Publication of CN100589763C publication Critical patent/CN100589763C/en
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0281—Abdominal wall lifters
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F21—LIGHTING
    • F21V—FUNCTIONAL FEATURES OR DETAILS OF LIGHTING DEVICES OR SYSTEMS THEREOF; STRUCTURAL COMBINATIONS OF LIGHTING DEVICES WITH OTHER ARTICLES, NOT OTHERWISE PROVIDED FOR
    • F21V33/00—Structural combinations of lighting devices with other articles, not otherwise provided for
    • F21V33/0064—Health, life-saving or fire-fighting equipment
    • F21V33/0068—Medical equipment
    • F—MECHANICAL ENGINEERING; LIGHTING; HEATING; WEAPONS; BLASTING
    • F21—LIGHTING
    • F21Y—INDEXING SCHEME ASSOCIATED WITH SUBCLASSES F21K, F21L, F21S and F21V, RELATING TO THE FORM OR THE KIND OF THE LIGHT SOURCES OR OF THE COLOUR OF THE LIGHT EMITTED
    • F21Y2115/00—Light-generating elements of semiconductor light sources
    • F21Y2115/10—Light-emitting diodes [LED]

Abstract

The present invention provides an abdominal wall suspension apparatus, easily ensuring intraperitoneal inner space of the operation need by a simple structure, and easily observing the intraperitonealinner when the suspension apparatus is assembled, easily ensuring intraperitoneal inner space. The abdominal wall suspension apparatus is composed of following components to form a Ko shape: a shovel suspension part used for suspending abdominal wall, inserting in the intraperitoneal inner by a cut small opening of abdominal wall; a pillar part of approximate L shape formed on one end of the suspension part; a traction clamping arm of multiple clamping holes clamping with the traction component, parallel mounted with the suspension part from the front end of the pillar part, a light source unit used as light source for intraperitoneal inner lighting, mounted on the bottom side of the suspension part, which is dismounted freely. The light source unit is provided with a LED part, a batterypart, a control circuit, a lightening switch, the LED part has multiple LED group, capable of individually lightening and controlling each LED group.

Description

Suspending tool for abdominal wall
Technical field
The present invention relates to a kind of suspending tool for abdominal wall, relate in particular to the required spatial while of operation of guaranteeing to use peritoneoscope etc. with simple formation reliably, for the formation of the suspending tool for abdominal wall that undergos surgery easily.
Background technology
In the past, reduce the vestige of performing the operation when from operation, recovering as early as possible, and carried out to dwindle the operation that utilizes peritoneoscope (endoscope) etc. of the incision of stomach wall, the way of this operation is, be pressed into carbon dioxide to intraperitoneal, expand with this air pressure and open the abdominal cavity, guarantee the required spatial pneumoperitoneum method of performing the operation.But, in this pneumoperitoneum method, require the technology of height by pneumoperitoneum pin injecting gas, simultaneously, in order to prevent that gas leakage from also needing consuming time and utensil etc., and, the patient is also applied burden, as the mode of the problem of eliminating this pneumoperitoneum method, progressively advance the stomach wall suspension method (mode) that uses suspending tool for abdominal wall.
As the suspending tool for abdominal wall that is used for this stomach wall sus-pension, the content that has following document to put down in writing.
[patent documentation 1] Japanese patent laid-open 5-317318 communique
[patent documentation 2] Japan Patent spy opens the 2004-358100 communique
[patent documentation 3] Japanese patent laid-open 8-33631 communique
Summary of the invention
Yet, in suspending tool for abdominal wall in the past, as described in above-mentioned patent documentation 1 or 2, in order to ensure enlarging Intraabdominal space, be arranged on suspention portion along continuous straight runs and rotate unfolded a plurality of wing plate, perhaps, connect the bend arm of small pieces arm in the front-end configuration of suspension arm, it is complicated that the formation of utensil becomes.For this reason, the probability of trivial operations is also high.
In addition, the little opening of this suspending tool for abdominal wall from open abdomen inserted intraperitoneal and dispose this suspending tool for abdominal wall, still, because this intraperitoneal dark, therefore, exist height and the intraperitoneal be difficult to confirm the stomach wall by the suspending tool for abdominal wall suspention to vacate how many spatial problems.
On the other hand, in the operation that utilizes peritoneoscope etc., directly illumination light is penetrated on operation portion and observed body from peritoneoscope and guarantee its visual field, but, if can illuminate intraperitoneal integral body with illumination, then do not need laparoscopically illumination yet, and, the visual field that obtains easier observation from the light of peritoneoscope irradiation can also be weakened.
Summary of the invention
The present invention puts in view of the above problems and proposes, and its purpose is, provide a kind of can be with the simple formation needed intraperitoneal space of guaranteeing easily to perform the operation, and, when the assembling suspending tool, can observe intraperitoneal easily, guarantee the spatial suspending tool for abdominal wall of intraperitoneal easily.
In order to reach above-mentioned purpose, the invention of technical scheme 1 is a kind of suspending tool for abdominal wall, and it is used for the stomach wall sus-pension, it is characterized in that it forms コ word shape by following member: the little opening by the stomach wall that cuts inserts intraperitoneal and is used to suspend in midair the shovel shape suspention portion of stomach wall; Form the roughly column sections of L word shape from an end of this suspention portion; Be provided with from the roughly L word shape front end of this column sections and described suspention portion almost parallel ground, and the traction with a plurality of connecting holes that engages with traction piece engages arm.
The invention of technical scheme 2 is characterized in that, possesses the intraperitoneal illumination light source at the bottom surface side of described suspention portion.
The invention of technical scheme 3 is characterized in that, described intraperitoneal illumination light source constitutes as light source cell independently, and this light source cell dismounting is installed in the bottom surface side of described suspention portion freely.
The invention of technical scheme 4 is characterized in that, described suspention portion or light source cell at least towards the bottom surface of the light-emitting area of intraperitoneal illumination light source, with heat-resistant resin that can transmission illumination light described illumination light source one lining is formed.
The invention of technical scheme 5 is characterized in that, the control part conduct of the described intraperitoneal illumination light source of driving control independently control unit constitutes, and this control unit dismounting is installed in described column sections freely or traction engages arm.
The invention of technical scheme 6 is characterized in that, described intraperitoneal illumination light source is made of light emitting diode.
The invention of technical scheme 7 is characterized in that, described intraperitoneal illumination light source is made of a plurality of light emitting diodes, and lights each light emitting diode of control or light-emitting diode group independently.
According to above-mentioned formation, insert shovel shape suspention portion from the little opening of open abdomen (umbilicus part etc.) to intraperitoneal, hold traction engaging arm and draw back stomach wall, the front end with the traction piece steel wire is hooked in its connecting hole simultaneously, be pulled with traction piece by this steel wire, thus the assembling suspending tool for abdominal wall.This suspending tool for abdominal wall inserts for example 2 from 1 little opening, holds angle by the direction of insertion that makes these 2 suspention portions, forms required space at intraperitoneal.At this moment,, can on stable position, assemble suspending tool for abdominal wall, thus, can make the required space of operation easily at intraperitoneal by hanging up steel wire hook in any hole in a plurality of holes that are chosen in traction engaging arm.
And, when the bottom surface side of suspention portion was provided with the intraperitoneal illumination light source, when the assembling suspending tool for abdominal wall, intraperitoneal can throw light on, this intraperitoneal is observed on the limit, and the assembling of the spatial suspending tool for abdominal wall of sufficient intraperitoneal required in order to obtain to perform the operation is carried out on the limit.
The invention effect
According to suspending tool for abdominal wall of the present invention, can guarantee the intraperitoneal space of performing the operation required easily with simple formation.And, when little opening assembles this suspending tool, needn't insert peritoneoscope from the little opening that cuts separately with this little opening and throw light on, and by observing intraperitoneal easily from the illumination of suspention portion bottom surface sections, and guarantee the intraperitoneal space easily.And, in when operation, can not rely on laparoscopically illumination, illuminate intraperitoneal integral body and guarantee surgical field of view, and, can weaken from the light of peritoneoscope irradiation obtaining the easier visual field of seeing.
In addition, according to the invention of technical scheme 3,, therefore, can select to use state that light source cell is not installed and the state that light source cell is installed because the light source cell dismounting is installed in the bottom surface side of suspention portion freely.
According to the invention of technical scheme 5, because the control unit dismounting is installed in column sections or traction engaging arm freely, therefore, can change the control unit that comprises battery etc., can be corresponding to life-span of battery, control circuit etc.
According to the invention of technical scheme 7, following advantage is arranged: light a plurality of light emitting diodes of control or light-emitting diode group independently, can change lighting field and illumination light quantity.
Description of drawings
Fig. 1 is a part of profile of the formation of the related suspending tool for abdominal wall of the expression first embodiment of the present invention.
Fig. 2 is the axonometric chart of the suspending tool for abdominal wall of expression first embodiment.
Fig. 3 is the axonometric chart that is illustrated in the state before the assembling light source cell in the suspending tool for abdominal wall of first embodiment.
Fig. 4 is the figure of the state of expression when using the suspending tool for abdominal wall of embodiment.
Fig. 5 is the figure of the Intraabdominal state of expression when using the suspending tool for abdominal wall of embodiment.
Fig. 6 represents the formation of the suspending tool for abdominal wall of second embodiment, and figure (A) is a part of profile of seeing from the side, and figure (B) is the exploded view of seeing from the column sections side.
Fig. 7 is the axonometric chart of the suspending tool for abdominal wall state before of expression assembling second embodiment.
Fig. 8 is a part of profile of formation of the suspending tool for abdominal wall of expression the 3rd embodiment.
Fig. 9 is the figure of the formation of the LED portion of suspending tool for abdominal wall of expression the 4th embodiment and control circuit (switch portion).
11,31,41- suspention portion 12,32,42- column sections 14,34,44-traction engaging arm 15,22,35,45-connecting hole 16,36- light source cell 16a, 36a, 41a, the 16e of 50-LED portion, 36e, 41e-illumination (window) 47-of portion control unit 16d, 36d, 47d, 51-light switch among the figure:
The specific embodiment
Fig. 1～Fig. 3 represents the formation of the suspending tool for abdominal wall that first embodiment is related, and light source cell is installed in this first embodiment dismounting freely.In each figure, suspending tool for abdominal wall comprises that shovel shape suspention portion 11, column sections 12 and the traction parallel with above-mentioned suspention portion 11 engage arm 14, and forms コ word shape by these members.Above-mentioned column sections 12 is oblique to 11 inclinations of suspention portion, promptly establishes with respect to top the standing of suspention portion 11 with acute angle less than 90 degree, and, on above-mentioned traction engaging arm 14, be formed with a plurality of (majorities more than 3) connecting hole 15.
Promptly, in an embodiment, by making column sections 12 oblique to 11 inclinations of suspention portion, stomach wall can not move to the last direction of column sections 12, and, by will drawing engaging arm 14 and suspention portion 11 configured in parallel, grip or mention traction when engaging arm 14 with hands with traction piece (device), can with stomach wall with stable status remain on shovel shape suspention portion 11 above.And, a plurality of connecting holes 15 more than 3, the suspension point of the balance of the suspending tool for abdominal wall self in order to select to suspend in midair or this suspending tool for abdominal wall that has good stability and being provided with traction piece.
And, bottom surface side in above-mentioned suspention portion 11 is equipped with dismounting light source cell 16 freely, this light source cell 16 is provided with: portion disposes the 16a of LED portion, battery (battery supply) 16b of portion, the starting controlling circuit 16c of a plurality of light emitting diodes (LED) within it, and lights switch 16d in the side setting of column sections 12.That is,, then the electric power of the 16b of battery portion is supplied to the 16a of LED portion by this starting controlling circuit 16c if this operation signal of lighting of lighting switch 16d is imported into above-mentioned starting controlling circuit 16c.
As shown in Figure 3, on above-mentioned light source cell 16, be provided with the fixing protuberance 17 of using that forms by the banded protuberance that forms at the central part length direction, and at this fixing narrow and small downwards inclined plane 17S of side, two ends formation width with protuberance 17, on the other hand, form in the bottom surface of suspention portion 11 chimeric said fixing with protuberance 17 and have an inclined plane 18S fixing with recess (slot part) 18.That is, the upper face side by making light source cell 16 fixing inserts the fixing with recess 18 of the bottom surface side that is entrenched in suspention portion 11 from the end with protuberance 17, and both are securely by chimeric fixing.
And, bottom surface at above-mentioned light source cell 16, at least towards illumination (window) 16e of portion of the light-emitting area of the 16a of LED portion, constitute by the heat-resistant resin (epoxy resin, silicone rubber etc.) that can see through LED light, with the exterior body of this heat-resistant resin as light source cell 16, lining forms or is integrally formed with the exterior body of other parts to the 16a of LED portion one.
First embodiment is formed by above constituting, and this suspending tool for abdominal wall is used with the state as Fig. 4.As shown in Figure 4, between 2 pillars (rod) 20 that are fixed in operating-table etc., laterally stride support plate 21, on this support plate 21, be provided with a plurality of connecting holes 22 of the peritoneoscope etc. that is used to dangle with S word sigmoid.And this support plate 21 possesses the steel wire 24 with preceding end hook, and 2 traction pieces 25 can selecting to install and fix the position arbitrarily are installed by not shown clamp mechanism.
And, when holding the traction engaging arm 14 of suspending tool for abdominal wall, from the little opening 27 that is formed on stomach wall (umbilicus part etc.) suspention portion 11 is inserted intraperitoneal, after this suspention portion 11 is configured in the position that can guarantee the intraperitoneal operative space, the front end of the steel wire 24 of above-mentioned traction piece 25 is hooked in the hole in a plurality of connecting holes 15 of traction engaging arm 14, and with traction piece 25 this steel wire 24 that is pulled.At this moment, by on traction engaging arm 14, a plurality of connecting holes 15 being set, thereby can select to be pulled the position of the suspending tool for abdominal wall of part 25 tractions arbitrarily, keep suspending tool for abdominal wall with stable status thus.
Like this, for example, thus, as shown in Figure 5, can guarantee operative space based on the intraperitoneal of pliers 29 and peritoneoscope 30 assembling 2 suspending tool for abdominal wall in the mode of 2 places suspention stomach wall.And, by utilizing the connecting portion of above-mentioned connecting hole 22 suspention supportings and external equipment, can guarantee the operability of peritoneoscope 30.
And, in first embodiment, can the 16a of LED portion be lighted by the operation of lighting switch 16d, at this moment, can be in side below above-mentioned suspention portion 11, promptly light source cell 16 below when carrying out optical illumination, assemble 2 suspending tool for abdominal wall, therefore, have the height that to confirm the stomach wall that is suspended easily and the advantage of the spatial state of intraperitoneal.
Fig. 5 represents the Intraabdominal state of embodiment, and in the intraperitoneal space, little opening insertion configuration pliers 29 and peritoneoscope (endoscope) 30 from above-mentioned little opening 27 and incision separately carry out the operation under the peritoneoscope.At this moment, also illuminate intraperitoneal, thus, do not rely on the illumination of peritoneoscope 30, also can guarantee surgical field of view by light source cell 16 (16a of LED portion).Especially, can produce dark position from the illumination of the peritoneoscope 30 of a direction, but since whole illuminated in the surgical field of view, whole bright surgical field of view for executing the patient, become, the environment that easily undergos surgery can be provided.
Fig. 6 and Fig. 7 represent the formation of the suspending tool for abdominal wall of second embodiment, and this second embodiment is constituted as, and light source cell is installed in dismounting freely, and lighting of throwing light on automatically when mounted.As shown in Figure 6, this suspending tool for abdominal wall too, the suspention portion 31, column sections 32 of shovel shape and the traction engaging arm 34 parallel with above-mentioned suspention portion 31 form コ word shape, engage the connecting hole 35 that is formed with on the arm 34 more than 3 in above-mentioned traction.And, light source cell 36 has the 36a of LED portion, comprises the 36b of battery portion of control circuit, dispose in the above by what move up and down that action carries out that switch opens and closes and light switch 36d, and be constituted as this light source cell 36 fixing with protuberance 37 sliding gomphosis fixing in the bottom surface of above-mentioned suspention portion 31 with in the recess 38.
According to this second embodiment, as shown in Figure 7, by light source cell 36 fixing inserted the fixing of the bottom surface side be entrenched in suspention portion 31 from the end with slip limit, protuberance 37 limit with recess 38, thereby light source cell 36 is assembled, when this assembling, light switch 36d and pushed automatically, thereby light the 36a of LED portion.The light that this LED36a produces, the Lighting Division 36e that constitutes from the transparency and heat-proof resin outputs to the outside.
Fig. 8 represents the formation of the suspending tool for abdominal wall of the 3rd embodiment, and the 3rd embodiment dismounting constitutes control unit freely.As shown in Figure 8, suspending tool for abdominal wall is formed by suspention portion 41, the column sections 42 of shovel shape and the traction engaging arm 44 that is formed with a plurality of connecting holes 45, inside in above-mentioned suspention portion 41 is provided with the 41a of LED portion, and the bottom surface of this suspention portion 41 becomes the Lighting Division 36e that is made of the transparency and heat-proof resin.And, in the inboard configured electrodes 42h of the コ of above-mentioned column sections 42 word, the control unit 47 that has with this electrode 42h electrodes in contact is set.On this control unit 47, be provided with light switch 47d in, in control circuit and battery are housed.
According to this 3rd embodiment, control unit 47 is installed on the column sections 42, light switch 47d by operation, the 41a of LED portion is lighted, and can change control unit 47.For example, battery supply tails off, or when using etc., can change control unit 47 and keep illumination.
Fig. 9 represents the LED portion in the suspending tool for abdominal wall of the 4th embodiment and the formation of control circuit, and the 4th embodiment optionally carries out lighting of a plurality of LED.As shown in Figure 9, LED portion 50 is made of 3 LED groups (or LED) of A, B, C, and this LED portion 50 can be used as the above-mentioned LED 16a of portion, 36a, 41a and disposes.And setting has the terminal a that is used to switch these 3 LED groups A, B, C 0～a 7 Light switch 51.
According to this 4th embodiment, switch to terminal a by lighting switch 51 0～a 7In any and connect, can select the illuminating state of LED group A, B, C, terminal a 1Light all LED group A, B, C, terminal a 2Only light LED group A, terminal a 3Only light LED group B, terminal a 4Only light LED group C, terminal a 5Light LED group A, B, terminal a 6Light LED group B, C, terminal a 7Light LED group A, C.Thus, can change irradiation field, the light quantity of illumination light.

Claims (5)

1. suspending tool for abdominal wall, it is used for the stomach wall sus-pension, it is characterized in that,
It forms コ word shape by following member:
Little opening by the stomach wall that cuts inserts intraperitoneal and is used to suspend in midair the shovel shape suspention portion of stomach wall;
Form the roughly column sections of L word shape from an end of this suspention portion;
Be provided with from the roughly L word shape front end of this column sections and described suspention portion almost parallel ground, and the traction with a plurality of connecting holes that engages with traction piece engages arm,
Bottom surface side in described suspention portion possesses the intraperitoneal illumination light source,
Described intraperitoneal illumination light source conduct independently light source cell constitutes, the fixing of upper face side by making described light source cell inserts the fixing recess of using of the bottom surface side that is entrenched in described suspention portion with protuberance from the end, this light source cell dismounting is installed in the bottom surface side of described suspention portion freely.
2. suspending tool for abdominal wall according to claim 1 is characterized in that,
Described suspention portion or light source cell at least towards the bottom surface of the light-emitting area of intraperitoneal illumination light source, with heat-resistant resin that can transmission illumination light described illumination light source one lining is formed.
3. suspending tool for abdominal wall according to claim 1 is characterized in that,
The control part conduct of the described intraperitoneal illumination light source of driving control independently control unit constitutes, and this control unit dismounting is installed in described column sections freely or traction engages arm.
4. suspending tool for abdominal wall according to claim 1 is characterized in that,
Described intraperitoneal illumination light source is made of light emitting diode.
5. suspending tool for abdominal wall according to claim 1 is characterized in that,
Described intraperitoneal illumination light source is made of a plurality of light emitting diodes, and lights each light emitting diode of control or light-emitting diode group independently.
CN200710199862A 2007-02-08 2007-12-14 Suspending tool for abdominal wall Active CN100589763C (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
JP2007029428A JP2008194086A (en) 2007-02-08 2007-02-08 Abdominal wall lifting tool
JP2007029428 2007-02-08

Publications (2)

Publication Number Publication Date
CN101238997A CN101238997A (en) 2008-08-13
CN100589763C true CN100589763C (en) 2010-02-17

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KR (1) KR100932161B1 (en)
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Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2532239A (en) 2014-11-12 2016-05-18 Clear Surgical Ltd Retractor with improved light source, and light source for an improved retractor
KR102023347B1 (en) 2018-05-17 2019-09-20 가톨릭관동대학교산학협력단 Retrator system for gasless laparoscopic surgery
CN108553139A (en) * 2018-07-05 2018-09-21 泗洪县正心医疗技术有限公司 One kind exempting from pneumoperitoneum hanger

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JPH0833631A (en) * 1994-07-21 1996-02-06 Nisshin Kikai Kk Hanging appliance used for operation using laparoscope
NO312054B1 (en) * 1997-07-18 2002-03-11 Petersvik Alf Wound latch system for use in surgical operations
JPH11285498A (en) 1998-04-03 1999-10-19 Shimadzu Corp Abdominal wall hoisting apparatus for operation
US6228025B1 (en) * 1998-05-01 2001-05-08 Genzyme Corporation Illuminated saphenous vein retractor
JP2000254140A (en) * 1999-03-11 2000-09-19 Olympus Optical Co Ltd Battery-driven type surgical instrument
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JP2004305525A (en) * 2003-04-09 2004-11-04 Sharp Corp Abdominal wall suspending device with endoscope
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KR20070000408U (en) * 2007-02-21 2007-04-06 부수일 The structure of Auvard Weighted Speculum adapted LED light with contamination prevention function

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JP2008194086A (en) 2008-08-28
KR100932161B1 (en) 2009-12-16
CN101238997A (en) 2008-08-13

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