CN103860215A - Intraperitoneal organ drawing device for peritoneoscope and operating method of intraperitoneal organ drawing device - Google Patents
Intraperitoneal organ drawing device for peritoneoscope and operating method of intraperitoneal organ drawing device Download PDFInfo
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- CN103860215A CN103860215A CN201410120728.8A CN201410120728A CN103860215A CN 103860215 A CN103860215 A CN 103860215A CN 201410120728 A CN201410120728 A CN 201410120728A CN 103860215 A CN103860215 A CN 103860215A
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- line cylinder
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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
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Abstract
The invention provides an intraperitoneal organ drawing device for a peritoneoscope and an operating method of the intraperitoneal organ drawing device. The intraperitoneal organ drawing device is composed of a first thread reel, a second thread reel, a projection, a groove, thread reel covers, purse threads, puncture needles, needle outlets, reel cover seams, thread clamps, bearded needle sleeves, and a titanium clip or a vascular clip. Intraperitoneal organs are supported in a V-shaped supporting method or a V-shaped inclined supporting method or a separated horizontal supporting method or a combined horizontal supporting method, an operation space is formed below the intraperitoneal organs, the intraperitoneal organs can be protected very well, assistants do not need to support the intraperitoneal organs all the time, and the assistants can participate in an operation. Operating burden on doctors is relieved, operation cost is lowered, operation efficiency is improved, the operation effect is good, pain of a patient is relieved, medical costs of the patient are reduced, the patient recovers as soon as possible, and the intraperitoneal organ drawing device for the peritoneoscope and the operating method of the intraperitoneal organ drawing device are suitable for being popularized and used.
Description
Technical field
The present invention relates to medical apparatus and instruments operating technology field, abdominal visceral browser pulling device and operational approach for especially a kind of peritoneoscope.
Background technology
Peritoneoscope Stomach duodenum and pancreatic surgery often need leader's art apparatus tractive liver to appear surgical field of view, the method using is at present, assistant uses one laparoscopic instrument is held up abdominal visceral browser to diaphragmatic surface, assistant's a hands need to be held abdominal visceral browser always, therefore, assistant cannot participate in operation technique.
In view of the foregoing, now invent a kind of peritoneoscope abdominal visceral browser pulling device and operational approach.
Summary of the invention
The object of the invention is in order to overcome deficiency of the prior art; a kind of peritoneoscope abdominal visceral browser pulling device and operational approach are provided; employing V-arrangement holds up or V-arrangement tilts picking-up or separation of level picking-up or merging hold up the level of four kinds of methods abdominal visceral browser are held up; make abdominal visceral browser below form operative space; can play a very good protection to abdominal visceral browser; do not need assistant to hold abdominal visceral browser always; make assistant can participate in operation technique, alleviate doctor's operation burden.
The present invention to achieve these goals, adopts following technical scheme: abdominal visceral browser pulling device and operational approach for a kind of peritoneoscope are by First Line cylinder, the second line cylinder, projection, groove, line cover, purse wire, puncture needle, needle outlet, cover seam, wire clamp, bearded needle sleeve pipe, titanium folder or vascular clamp form; First Line cylinder and the second line cylinder are semicircle cylindrical shell, and the in-plane that First Line cylinder is corresponding with the second line cylinder arranges respectively groove and projection, and projection interlock corresponding to groove makes First Line cylinder and the second line cylinder merge into cylindrical tube.
First Line cylinder and the second line cylinder top respectively arrange line cover, on line cover, set out pin hole, and needle outlet one side arranges cover seam; First Line cylinder, the second line cylinder and line cover are made up of silica gel; The preformed hole of purse wire at the bottom of by First Line cylinder and the second line cylinder cylinder is arranged in First Line cylinder and the second line cylinder, and the two ends of purse wire arrange puncture needle, puncture needle and the corresponding setting of cover seam on line cover.
Abdominal visceral browser is lifted from naturalness, and employing V-arrangement holds up or V-arrangement tilts to hold up or separation of level holds up or merging hold up the level of four kinds of methods, and abdominal visceral browser is held up, and makes abdominal visceral browser below form operative space.
The operational approach that V-arrangement holds up, abdominal visceral browser is lifted from naturalness, the cylinder liver dragline device of merging phase is put into abdominal visceral browser below from operative incision, the groove of First Line cylinder is separated with the projection of the second line cylinder, First Line cylinder after separation and the V-shaped picking-up abdominal visceral browser of the second line cylinder, puncture needle in two line cylinder cover seams is extracted out from needle outlet, two root puncture pins carry purse wire and pass stomach wall, two root puncture pins carry purse wire respectively by the line hole of two wire clamps, wire clamp clamps purse wire, the position that two line cylinders are held up after abdominal visceral browser is fixed, make abdominal visceral browser below form operative space.
The operational approach that V-arrangement tilts to hold up, abdominal visceral browser is lifted from naturalness, the cylinder liver dragline device of merging phase is put into abdominal visceral browser below from operative incision, the groove of First Line cylinder is separated with the projection of the second line cylinder, the V-shaped inclination of First Line cylinder after separation and the second line cylinder holds up abdominal visceral browser, the omentum minus clamping to abdominal visceral browser below by the purse wire between First Line cylinder and the second line cylinder with titanium folder or vascular clamp, puncture needle in two line cylinder cover seams is extracted out from needle outlet, two root puncture pins carry purse wire and pass stomach wall, two root puncture pins carry purse wire respectively by the line hole of two wire clamps, wire clamp clamps purse wire, the position that two line cylinders are tilted to hold up after abdominal visceral browser is fixed, make abdominal visceral browser below form operative space.
The operational approach that separation of level holds up, abdominal visceral browser is lifted from naturalness, the cylinder liver dragline device of merging phase is put into abdominal visceral browser below from operative incision, the groove of First Line cylinder is separated with the projection of the second line cylinder, First Line cylinder after separation and the second line cylinder hold up the level of abdominal visceral browser, bearded needle sleeve pipe is put into abdominal cavity, purse wire between First Line cylinder and the second line cylinder hangs on the hook mouth of bearded needle in bearded needle sleeve pipe, bearded needle in rotation hook needle cannula, hook mouthful rotation to a side corresponding with internal surface of sleeve pipe, pull-out bearded needle, hook mouth and take purse wire out of stomach wall, take out bearded needle sleeve pipe, clamp purse wire with wire clamp, puncture needle in two line cylinder cover seams is extracted out from needle outlet, two root puncture pins carry purse wire and pass stomach wall, two root puncture pins carry purse wire respectively by the line hole of two wire clamps, wire clamp clamps purse wire, the position that two line cylinders are held up the level of after abdominal visceral browser is fixed, make abdominal visceral browser below form operative space.
Merge the operational approach holding up the level of, abdominal visceral browser is lifted from naturalness, the cylinder liver dragline device of merging phase is put into abdominal visceral browser below from operative incision, the cylinder line cylinder of merging phase is held up the level of to abdominal visceral browser, bearded needle sleeve pipe is put into abdominal cavity, purse wire between First Line cylinder and the second line cylinder hangs on the hook mouth of bearded needle in bearded needle sleeve pipe, bearded needle in rotation hook needle cannula, hook mouthful rotation to a side corresponding with internal surface of sleeve pipe, pull-out bearded needle, hook mouth and take purse wire out of stomach wall, take out bearded needle sleeve pipe, clamp purse wire with wire clamp, puncture needle in two line cylinder cover seams is extracted out from needle outlet, two root puncture pins carry purse wire and pass stomach wall from same place, wire clamp clamps two purse wires, the position that cylinder line cylinder is held up the level of after abdominal visceral browser is fixed, make abdominal visceral browser below form operative space.
The invention has the beneficial effects as follows: the object of the invention is by shirtsleeve operation, abdominal visceral browser well to be fixed to diaphragmatic surface traction, liberation assistant's a hands, makes assistant can better participate in operation technique and cooperation.
The corresponding interlock of groove of the projection of the second line cylinder and First Line cylinder, First Line cylinder and the second line cylinder are merged into cylindrical tube, in operative process, can enter easily abdominal cavity, by the groove of the projection of the second line cylinder and First Line cylinder dial from, puncture needle is by the needle outlet on line cover, purse wire is pulled out in First Line cylinder and the second line cylinder, First Line cylinder and the second line cylinder are held up abdominal visceral browser, First Line cylinder and the second line cylinder are made up of silica gel, silica gel material can play a very good protection to abdominal visceral browser, can not cause any damage to abdominal visceral browser.
Line cover is made up of silica gel, and on line cover, a side of needle outlet arranges cover seam, and silica gel self has good elastic force, and cover seam relies on the elastic force of self that puncture needle is fixedly clamped, and has avoided puncture needle fall into line cylinder or wear output cylinder.
The present invention adopts V-arrangement to hold up or V-arrangement tilts picking-up or separation of level picking-up or merging hold up the level of four kinds of methods abdominal visceral browser are held up, make abdominal visceral browser below form operative space, be applicable to hold up uterus, bladder, liver, stomach, colon, make operation technique safer, save manpower, material resources, increase work efficiency.Simple in structure, easy to use, easy to manufacture; with low cost, result of use ideal, easy to carry; operational approach is simple, can play a very good protection to abdominal visceral browser, does not need assistant to hold abdominal visceral browser always; make assistant can participate in operation technique, alleviate doctor's operation burden, reduce operation cost; improve operation efficiency, good operation effect, alleviates patient suffering; reduce patient treatment expense, make patient's rehabilitation as early as possible, be applicable to promoting the use of.
Brief description of the drawings
Below in conjunction with accompanying drawing, the invention will be further described:
Fig. 1 is, general assembly structural representation;
Fig. 2 is, plan structure schematic diagram;
Fig. 3 is, cable clamp structure schematic diagram;
Fig. 4 is, bearded needle sleeve structure schematic diagram;
Fig. 5 is that V-arrangement holds up structural representation;
Fig. 6 is that V-arrangement tilts to hold up structural representation;
Fig. 7 is that separation of level holds up structural representation;
Fig. 8 is to merge and hold up the level of structural representation;
Fig. 9 is that V-arrangement holds up operational flowchart:
Figure 10 is that V-arrangement tilts to hold up operational flowchart:
Figure 11 is that separation of level holds up operational flowchart:
Figure 12 is to merge and hold up the level of operational flowchart:
In Fig. 1,2,3,4,5,6,7,8: First Line cylinder 1, the second line cylinder 2, projection 3, groove 4, line cover 5, purse wire 6, puncture needle 7, needle outlet 8, cover seam 9, wire clamp 10, bearded needle sleeve pipe 11, titanium folder or vascular clamp 12.
Below in conjunction with embodiment and detailed description of the invention, the present invention is described in further detail:
Abdominal visceral browser is lifted from naturalness, and employing V-arrangement holds up or V-arrangement tilts to hold up or separation of level holds up or merging hold up the level of four kinds of methods, and abdominal visceral browser is held up, and makes abdominal visceral browser below form operative space.
The operational approach that V-arrangement holds up, abdominal visceral browser is lifted from naturalness, the cylinder liver dragline device of merging phase is put into abdominal visceral browser below from operative incision, the groove of First Line cylinder 14 is separated with the projection 3 of the second line cylinder 2, First Line cylinder 1 after separation and the V-shaped picking-up abdominal visceral browser of the second line cylinder 2, puncture needle 7 in two line cylinder cover seams 9 is extracted out from needle outlet 8, two root puncture pins 7 carry purse wire 6 and pass stomach wall, two root puncture pins 7 carry purse wire 6 respectively by the line hole of two wire clamps 10, wire clamp 10 clamps purse wire 6, the position that two line cylinders are held up after abdominal visceral browser is fixed, make abdominal visceral browser below form operative space.
The operational approach that V-arrangement tilts to hold up, abdominal visceral browser is lifted from naturalness, the cylinder liver dragline device of merging phase is put into abdominal visceral browser below from operative incision, the groove of First Line cylinder 14 is separated with the projection 3 of the second line cylinder 2, the V-shaped inclination of First Line cylinder 1 after separation and the second line cylinder 2 holds up abdominal visceral browser, the omentum minus clamping to abdominal visceral browser below by the purse wire 6 between First Line cylinder 1 and the second line cylinder 2 with titanium folder or vascular clamp 12, puncture needle 7 in two line cylinder cover seams 9 is extracted out from needle outlet 8, two root puncture pins 7 carry purse wire 6 and pass stomach wall, two root puncture pins 7 carry purse wire 6 respectively by the line hole of two wire clamps 10, wire clamp 10 clamps purse wire 6, the position that two line cylinders are tilted to hold up after abdominal visceral browser is fixed, make abdominal visceral browser below form operative space.
The operational approach that separation of level holds up, abdominal visceral browser is lifted from naturalness, the cylinder liver dragline device of merging phase is put into abdominal visceral browser below from operative incision, the groove of First Line cylinder 14 is separated with the projection 3 of the second line cylinder 2, First Line cylinder 1 after separation and the second line cylinder 2 hold up the level of abdominal visceral browser, bearded needle sleeve pipe 11 is put into abdominal cavity, purse wire 6 between First Line cylinder 1 and the second line cylinder 2 hangs on the hook mouth of bearded needle sleeve pipe 11 interior bearded needles, bearded needle in rotation hook needle cannula 11, hook mouthful rotation to a side corresponding with internal surface of sleeve pipe, pull-out bearded needle, hook mouth and take purse wire 6 out of stomach wall, take out bearded needle sleeve pipe 11, clamp purse wire 6 with wire clamp 10, puncture needle 7 in two line cylinder cover seams 9 is extracted out from needle outlet 8, two root puncture pins 7 carry purse wire 6 and pass stomach wall, two root puncture pins 7 carry purse wire 6 respectively by the line hole of two wire clamps 10, wire clamp 10 clamps purse wire 6, the position that two line cylinders are held up the level of after abdominal visceral browser is fixed, make abdominal visceral browser below form operative space.
Merge the operational approach holding up the level of, abdominal visceral browser is lifted from naturalness, the cylinder liver dragline device of merging phase is put into abdominal visceral browser below from operative incision, the cylinder line cylinder of merging phase is held up the level of to abdominal visceral browser, bearded needle sleeve pipe 11 is put into abdominal cavity, purse wire 6 between First Line cylinder 1 and the second line cylinder 2 hangs on the hook mouth of bearded needle sleeve pipe 11 interior bearded needles, bearded needle in rotation hook needle cannula 11, hook mouthful rotation to a side corresponding with internal surface of sleeve pipe, pull-out bearded needle, hook mouth and take purse wire 6 out of stomach wall, take out bearded needle sleeve pipe 11, clamp purse wire 6 with wire clamp 10, puncture needle 7 in two line cylinder cover seams 9 is extracted out from needle outlet 8, two root puncture pins 7 carry purse wire 6 and pass stomach wall from same place, wire clamp 10 clamps two purse wires 6, the position that cylinder line cylinder is held up the level of after abdominal visceral browser is fixed, make abdominal visceral browser below form operative space.
Claims (7)
1. a peritoneoscope abdominal visceral browser pulling device is by First Line cylinder (1), the second line cylinder (2), projection (3), groove (4), line cover (5), purse wire (6), puncture needle (7), needle outlet (8), cover seam (9), wire clamp (10), bearded needle sleeve pipe (11), titanium folder or vascular clamp (12) form; It is characterized in that: First Line cylinder (1) and the second line cylinder (2) are semicircle cylindrical shell, the in-plane that First Line cylinder (1) is corresponding with the second line cylinder (2) arranges respectively groove (4) and projection (3), projection (3) and the corresponding interlock of groove (4), make First Line cylinder (1) and the second line cylinder (2) merge into cylindrical tube.
2. a kind of peritoneoscope abdominal visceral browser pulling device according to claim 1, it is characterized in that: First Line cylinder (1) respectively arranges line cover (5) with the second line cylinder (2) top, on line cover (5), set out pin hole (8), needle outlet (8) one sides arrange cover seam (9); First Line cylinder (1), the second line cylinder (2) and line cover (5) are made up of silica gel; Purse wire (6) is arranged in First Line cylinder (1) and the second line cylinder (2) by First Line cylinder (1) and the preformed hole at second line cylinder (2) the cylinder end, the two ends of purse wire (6) arrange puncture needle (7), and puncture needle (7) stitches (9) corresponding setting with the cover on line cover (5).
3. the operational approach of a peritoneoscope use abdominal visceral browser pulling device, it is characterized in that: abdominal visceral browser is lifted from naturalness, adopt V-arrangement picking-up or V-arrangement inclination picking-up or separation of level to hold up or merge the four kinds of methods that hold up the level of, abdominal visceral browser is held up, make abdominal visceral browser below form operative space.
4. the operational approach of abdominal visceral browser pulling device for a kind of peritoneoscope according to claim 3, it is characterized in that: the operational approach that V-arrangement holds up, abdominal visceral browser is lifted from naturalness, the cylinder liver dragline device of merging phase is put into abdominal visceral browser below from operative incision, the groove of First Line cylinder (1) (4) is separated with the projection (3) of the second line cylinder (2), First Line cylinder (1) after separation and the V-shaped picking-up abdominal visceral browser of the second line cylinder (2), puncture needle (7) in two line cylinder cover seams (9) is extracted out from needle outlet (8), two root puncture pins (7) carry purse wire (6) and pass stomach wall, two root puncture pins (7) carry purse wire (6) respectively by the line hole of two wire clamps (10), wire clamp (10) clamps purse wire (6), the position that two line cylinders are held up after abdominal visceral browser is fixed, make abdominal visceral browser below form operative space.
5. the operational approach of abdominal visceral browser pulling device for a kind of peritoneoscope according to claim 3, it is characterized in that: the operational approach that V-arrangement tilts to hold up, abdominal visceral browser is lifted from naturalness, the cylinder liver dragline device of merging phase is put into abdominal visceral browser below from operative incision, the groove of First Line cylinder (1) (4) is separated with the projection (3) of the second line cylinder (2), the V-shaped inclination of First Line cylinder (1) after separation and the second line cylinder (2) holds up abdominal visceral browser, the omentum minus clamping to abdominal visceral browser below by the purse wire (6) between First Line cylinder (1) and the second line cylinder (2) with titanium folder or vascular clamp (12), puncture needle (7) in two line cylinder cover seams (9) is extracted out from needle outlet (8), two root puncture pins (7) carry purse wire (6) and pass stomach wall, two root puncture pins (7) carry purse wire (6) respectively by the line hole of two wire clamps (10), wire clamp (10) clamps purse wire (6), the position that two line cylinders are tilted to hold up after abdominal visceral browser is fixed, make abdominal visceral browser below form operative space.
6. the operational approach of abdominal visceral browser pulling device for a kind of peritoneoscope according to claim 3, it is characterized in that: the operational approach that separation of level holds up, abdominal visceral browser is lifted from naturalness, the cylinder liver dragline device of merging phase is put into abdominal visceral browser below from operative incision, the groove of First Line cylinder (1) (4) is separated with the projection (3) of the second line cylinder (2), First Line cylinder (1) after separation and the second line cylinder (2) hold up the level of abdominal visceral browser, bearded needle sleeve pipe (11) is put into abdominal cavity, purse wire (6) between First Line cylinder (1) and the second line cylinder (2) hangs on the hook mouth of the interior bearded needle of bearded needle sleeve pipe (11), bearded needle in rotation hook needle cannula (11), hook mouthful rotation to a side corresponding with internal surface of sleeve pipe, pull-out bearded needle, hook mouth and take purse wire (6) out of stomach wall, take out bearded needle sleeve pipe (11), with wire clamp (10) clamping purse wire (6), puncture needle (7) in two line cylinder cover seams (9) is extracted out from needle outlet (8), two root puncture pins (7) carry purse wire (6) and pass stomach wall, two root puncture pins (7) carry purse wire (6) respectively by the line hole of two wire clamps (10), wire clamp (10) clamps purse wire (6), the position that two line cylinders are held up the level of after abdominal visceral browser is fixed, make abdominal visceral browser below form operative space.
7. the operational approach of abdominal visceral browser pulling device for a kind of peritoneoscope according to claim 3, it is characterized in that: merge the operational approach holding up the level of, abdominal visceral browser is lifted from naturalness, the cylinder liver dragline device of merging phase is put into abdominal visceral browser below from operative incision, the cylinder line cylinder of merging phase is held up the level of to abdominal visceral browser, bearded needle sleeve pipe (11) is put into abdominal cavity, purse wire (6) between First Line cylinder (1) and the second line cylinder (2) hangs on the hook mouth of the interior bearded needle of bearded needle sleeve pipe (11), bearded needle in rotation hook needle cannula (11), hook mouthful rotation to a side corresponding with internal surface of sleeve pipe, pull-out bearded needle, hook mouth and take purse wire (6) out of stomach wall, take out bearded needle sleeve pipe (11), with wire clamp (10) clamping purse wire (6), puncture needle (7) in two line cylinder cover seams (9) is extracted out from needle outlet (8), two root puncture pins (7) carry purse wire (6) and pass stomach wall from same place, wire clamp (10) clamps two purse wires (6), the position that cylinder line cylinder is held up the level of after abdominal visceral browser is fixed, make abdominal visceral browser below form operative space.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410120728.8A CN103860215B (en) | 2014-03-21 | 2014-03-21 | A kind of peritoneoscope abdominal visceral browser pulling device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410120728.8A CN103860215B (en) | 2014-03-21 | 2014-03-21 | A kind of peritoneoscope abdominal visceral browser pulling device |
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| Publication Number | Publication Date |
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| CN103860215A true CN103860215A (en) | 2014-06-18 |
| CN103860215B CN103860215B (en) | 2016-03-30 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201410120728.8A Expired - Fee Related CN103860215B (en) | 2014-03-21 | 2014-03-21 | A kind of peritoneoscope abdominal visceral browser pulling device |
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| CN (1) | CN103860215B (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107928721A (en) * | 2017-11-24 | 2018-04-20 | 杭州市第人民医院 | Abdominal operation hangs liver device |
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| US20130109911A1 (en) * | 2009-02-25 | 2013-05-02 | Mis Solutions, Inc. | Apparatus and method for intra-abdominally moving a first internal organ to a position away from a second internal organ and then holding the first internal organ in the position without manual input |
| CN203436352U (en) * | 2013-08-05 | 2014-02-19 | 中国人民解放军第四军医大学 | Liver suspending device for laparoscope |
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2014
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|---|---|---|---|---|
| US5362294A (en) * | 1992-09-25 | 1994-11-08 | Seitzinger Michael R | Sling for positioning internal organ during laparoscopic surgery and method of use |
| US5337736A (en) * | 1992-09-30 | 1994-08-16 | Reddy Pratap K | Method of using a laparoscopic retractor |
| US20130109911A1 (en) * | 2009-02-25 | 2013-05-02 | Mis Solutions, Inc. | Apparatus and method for intra-abdominally moving a first internal organ to a position away from a second internal organ and then holding the first internal organ in the position without manual input |
| CN202060818U (en) * | 2011-03-28 | 2011-12-07 | 河北省沧州中西医结合医院 | Abdominal wall lifting device |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN107928721A (en) * | 2017-11-24 | 2018-04-20 | 杭州市第人民医院 | Abdominal operation hangs liver device |
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| CN103860215B (en) | 2016-03-30 |
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Effective date of registration: 20170616 Address after: 471000 Henan, Jianxi, China West Road, No. 1, No. Patentee after: THE 105 CENTRAL HOSPITAL OF PEOPLE'S LIBERATION ARMY Address before: Jianxi District xujiaying 471000 Henan city of Luoyang province No. 4 neighborhood 12-3-301 room Patentee before: Wei Dong |
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