Mirror tissue in chamber takes out bag
Technical field
The present invention relates to a kind of chamber mirror tissue for taking out interior tissue when carrying out endoscope-assistant surgery and take out bag, belong to medical equipment technical field.
Background technology
Endoscope-assistant surgery is a kind of Minimally Invasive Surgery completed by minimal incision *, due to its have wound little, go out insufficiency of blood, recover the advantage such as fast, Gospel is brought to patient with operation, increasing operation can complete under breast or peritoneoscope, has been widely used in the field of surgery such as thoracic surgery, department of general surgery, hepatology and gynecological at present.And for this type of operation, how in breast or laparoscopic surgery, the tissue of excision or local organs organization security successfully to be taken out and not cause otch to pollute the important step having become operation in patient body.
For this problem, traditional way makes sack after utilizing sterile gloves or sterile saline bag to carry out suitable cutting and adjustment, in operation process, sack is put into breast or abdominal cavity from otch, intracavity with many pliers repeatedly clamp involve the bag mouth edge of sack, bag mouth is strutted just can will excision tissue load sack, program is loaded down with trivial details, for a long time consuming time, doctor operates inconvenience, even delays the valuable opportunity of rescue patient. and also may cause shedding neoplastic cells because of misoperation in art and remain.Had improvement on this basis afterwards, its by bag mouth together with two folding ends colligation of pliers, during use, operate above-mentioned pliers to be strutted by bag mouth or closed, operation is relatively simple, but is organized in certain depth place due to what need to take out, pliers can support wound when folding, poor practicability.
For above-mentioned defect, market has occurred some solutions, as Chinese invention patent CN200420005648. X discloses a kind of Automatic-opening laparoscope operation sample bag, but there is complicated integral structure in it, complex operation, and shortcoming of a specified duration consuming time.US Patent No. 5480404 discloses one and is first opened by bag with opening spring, after loading the tissue of excision, start the recovery switch opening spring, spring will be opened and be separated with bag, remove and open spring, the lasso trick on bag bag mouth is used to close bag mouth, and by outside bag pull-out element, though this bag can open bag mouth easily and fast, but structure is too complicated, complex operation, expensive, make general patient be difficult to accept.
Summary of the invention
The object of the invention is to overcome the deficiencies in the prior art, provide a kind of chamber mirror tissue to take out bag, its compact conformation, reasonable in design, handling safety, can open bag bag mouth easily, and be applicable to get the tissue of certain depth in vivo, and wound secondary can not be caused to be wound.
According to technical scheme provided by the invention: chamber mirror tissue takes out bag, comprise bag, it is characterized in that: also comprise action bars and the folding bag mouth device being arranged on action bars front end, described folding bag mouth device comprises the first folding arm, second folding arm, binodal connecting rod and folding driving mechanism, the rear portion of described first folding arm and the second folding arm is hinged together, the front end of the first folding arm and the second folding arm is hinged with the two ends of binodal connecting rod respectively, also connect for being hinged between two connecting rods of binodal connecting rod, first folding arm, second folding arm and binodal connecting rod form a closed frame, the bag mouth edge of described bag is connected in this closed frame, described first folding arm and the second folding arm open or close up under folding driving mechanism drives, and drive the closed frame be made up of the first folding arm, the second folding arm and binodal connecting rod to open or close, thus the bag mouth of bag are opened or closes.
As a further improvement on the present invention, described first folding arm is wholely set in action bars front end, and described second folding arm rear end and the first folding arm rear end are hinged; Described folding driving mechanism comprises motion bar and connecting plate; Described motion bar is parallel to action bars and arranges, motion bar and action bars are formed can axial relative sliding but being flexibly connected of can not mutually throwing off, described connecting plate one end is hinged at motion bar front end, the connecting plate other end is hinged on the second folding arm, and connecting plate is more forward than the hinge point position of the first folding arm and the second folding arm with the hinge point position of the second folding arm.
As a further improvement on the present invention, described action bars is provided with the T-slot moved towards along its length, and described motion bar is provided with the T-shaped bar along its length trend, and motion bar is assemblied in the T-slot of action bars by its T-shaped bar activity.
As a further improvement on the present invention, described folding driving mechanism comprises motion bar and binodal push rod; Described action bars is the cylindrical shell of hollow, can move axially in the centre bore that described motion bar is installed on action bars; Described binodal push rod comprise two isometric and be hinged connect push rod, the hinge end of two push rods is hinged at motion bar front end, the other end of two push rods is hinged with the rear end of the first folding arm, the second folding arm respectively, first folding arm, the second forward position, folding arm rear end are contained on action bars by same bearing pin hinge, and action bars front end is provided with for the first folding arm, the second flared breach in folding arm rear end.
As a further improvement on the present invention, described tissue takes out bag to be also furnished with for being collected by bag so that insert the sleeve in patient body, and jacket casing is on action bars; Described action bars is provided with fixture block, and described sleeve lining rear portion is provided with chuck, and sleeve is coordinated with the fixture block on action bars by its chuck, prevents sleeve slippage.
As a further improvement on the present invention, described first folding arm, the second folding arm and binodal connecting rod are provided with the notch of equidistantly distribution, the bag mouth edge of described bag is provided with button line, and the button line of bag bag mouth is connected in the notch on the first folding arm, the second folding arm and binodal connecting rod.
As a further improvement on the present invention, the operating mechanism being convenient to sliding active bar is provided with between described motion bar and action bars.
As a further improvement on the present invention, described operating mechanism is scissor-type, and it comprises fixedly cuts arm and shears arm, and the middle part of fixedly cutting arm and shears arm is hinged, the front end of fixedly cutting arm is fixedly connected with action bars rear end, and the front end of shears arm is flexibly connected with the rear end of motion bar.
As a further improvement on the present invention, described shears arm front end is provided with connecting hole, and shears arm is enclosed within motion bar and energy front and back by this connecting hole and moves freely, and motion bar is provided with cuts for restraint the fastener that arm moves forward and backward scope.
As a further improvement on the present invention, described shears arm front end is connected with connecting pin, and described motion bar rear end is provided with pin-and-hole, and described connecting pin activity is plugged in pin-and-hole.
compared with prior art, tool has the following advantages in the present invention:compact conformation of the present invention, reasonable in design, handling safety, can open bag bag mouth easily, takes out tissue smoothly and effectively can prevent tissue loss or residual, ensureing accuracy and the safety of operation technique, improve procedure efficiency; And the present invention is applicable to get the tissue of certain depth in vivo, and wound secondary can not be caused to be wound.
Accompanying drawing explanation
Fig. 1 is the structural representation of the embodiment of the present invention 1.
Fig. 2 is the structural representation after Fig. 1 removes sleeve.
Fig. 3 is the structural representation of Fig. 1 sleeve.
Fig. 4 is the A-A direction view in Fig. 3.
Fig. 5 is the amplification plan view of Fig. 2 fore-end.
Fig. 6 is the structural representation of action bars in Fig. 5.
Fig. 7 is the top view of Fig. 6.
Fig. 8 is the B-B sectional view in Fig. 6.
Fig. 9 is the C-C sectional view in Fig. 7.
Figure 10 is the structural representation of folding bag mouth device in Fig. 5.
Figure 11 is the connection schematic diagram of bag and the first folding arm, the second folding arm or binodal connecting rod.
Figure 12 is the structural representation of the embodiment of the present invention 2.
Figure 13 is structural representation when folding bag mouth device closes after Figure 12 removes sleeve.
Figure 14 is structural representation when folding bag mouth device is opened after Figure 12 removes sleeve.
Figure 15 is D-D sectional view in Figure 14.
Detailed description of the invention
Below in conjunction with concrete drawings and Examples, the invention will be further described.
Embodiment 1
As shown in Fig. 1 ~ Figure 11, chamber mirror in embodiment 1 tissue takes out bag primarily of bag (1), action bars (2) and folding bag mouth device composition, described folding bag mouth device is arranged on action bars (2) front end, folding bag mouth device is primarily of the first folding arm (3), second folding arm (4), binodal connecting rod (5) and folding driving mechanism composition, described first folding arm (3) is hinged together with the rear portion of the second folding arm (4), first folding arm (3) is hinged with the two ends of binodal connecting rod (5) respectively with the front end of the second folding arm (4), also connect for being hinged between two connecting rods (5a) of binodal connecting rod (5), first folding arm (3), second folding arm (4) and binodal connecting rod (5) form a closed frame, the bag mouth edge of described bag (1) is connected in this closed frame, described first folding arm (3) and the second folding arm (4) open or close up under folding driving mechanism drives, and drive the closed frame be made up of the first folding arm (3), the second folding arm (4) and binodal connecting rod (5) to open or close, thus the bag mouth of bag (1) is opened or closes.
In embodiment 1, the structure of folding driving mechanism is as shown in Fig. 1,2,5 ~ 10, and it is primarily of motion bar (6) and binodal push rod (7) composition; The cylindrical shell that described action bars (2) is hollow, can move axially in the centre bore that described motion bar (6) is installed on action bars (2); Described binodal push rod (7) comprise two isometric and be hinged connect push rod (7a), the hinge end of two push rods (7a) is hinged at motion bar (6) front end, the other end of two push rods (7a) is hinged with the rear end of the first folding arm (3), the second folding arm (4) respectively, first folding arm (3), the second forward position, folding arm (4) rear end are contained on action bars (2) by same bearing pin (8) hinge, and action bars (2) front end is provided with for the first folding arm (3), the second flared breach in folding arm (4) rear end (9).
As shown in Fig. 1 ~ Fig. 4, in the embodiment of the present invention 1, described tissue takes out bag to be furnished with for being collected by bag (1) so that insert the sleeve (10) in patient body, and sleeve (10) is enclosed within action bars (2); Described action bars (2) is provided with fixture block (2a), and described sleeve (10) inwall rear portion is provided with chuck (10a), and sleeve (10) is coordinated with the fixture block (2a) on action bars (2) by its chuck (10a), prevents sleeve (10) slippage.
As shown in Figure 1 and Figure 2, in the embodiment of the present invention 1, between described motion bar (6) and action bars (2), be provided with the operating mechanism being convenient to sliding active bar (6).Operating mechanism in embodiment 1 is scissor-type, it comprises fixedly cuts arm (11) and shears arm (12), the middle part of fixedly cutting arm (11) and shears arm (12) is hinged, the front end of fixedly cutting arm (11) is fixedly connected with action bars (2) rear end, the front end of shears arm (12) is provided with connecting hole, shears arm (12) is enclosed within before and after the upper also energy of motion bar (6) by this connecting hole and moves freely, and motion bar (6) is provided with the fastener (13) cutting the movable scope of arm (12) for restraint.
As shown in figure 11, in the embodiment of the present invention 1, described first folding arm (3), the second folding arm (4) and binodal connecting rod (5) are provided with the notch (14) of equidistantly distribution, the bag mouth edge of described bag (1) is provided with button line (15), and the button line (15) of bag (1) bag mouth is connected in the notch (14) on the first folding arm (3), the second folding arm (4) and binodal connecting rod (5).In the closed frame that the bag mouth of bag (1) can be made so to be evenly connected to be made up of the first folding arm (3), the second folding arm (4) and binodal connecting rod (5), prevent bag (1) from cannot open smoothly because part gathers.
When using of the present invention, grasp the operating mechanism at rear portion, the present invention is stretched into miniature incision along self radian, operant activity bar (6) is to protracting, motion bar (6) is promoted by the first folding arm (3) by binodal push rod (7), the closed frame that second folding arm (4) and binodal connecting rod (5) form is launched, thus the bag mouth of bag (1) is opened, bag (1) is put into by needing the tissue taken out, after tissue is put into, operant activity bar (6) moves backward, binodal push rod (7) pulls by the first folding arm (3), the closed frame that second folding arm (4) and binodal connecting rod (5) form closes, the bag mouth of bag (1) also closes thereupon, can take out.
Embodiment 2
As shown in Figure 12 ~ Figure 15, chamber mirror in embodiment 2 tissue takes out bag primarily of bag (1), action bars (2) and folding bag mouth device composition, described folding bag mouth device is arranged on action bars (2) front end, folding bag mouth device is primarily of the first folding arm (3), second folding arm (4), binodal connecting rod (5) and folding driving mechanism composition, described first folding arm (3) is hinged together with the rear portion of the second folding arm (4), first folding arm (3) is hinged with the two ends of binodal connecting rod (5) respectively with the front end of the second folding arm (4), also connect for being hinged between two connecting rods (5a) of binodal connecting rod (5), first folding arm (3), second folding arm (4) and binodal connecting rod (5) form a closed frame, the bag mouth edge of described bag (1) is connected in this closed frame, described first folding arm (3) and the second folding arm (4) open or close up under folding driving mechanism drives, and drive the closed frame be made up of the first folding arm (3), the second folding arm (4) and binodal connecting rod (5) to open or close, thus the bag mouth of bag (1) is opened or closes.
Embodiment 2 is with the difference of embodiment 1: described first folding arm (3) is wholely set in action bars (2) front end, and described second folding arm (4) rear end and the first folding arm (3) rear end are hinged; In embodiment 2, the structure of folding driving mechanism is as shown in Figure 13 ~ 15, and it is primarily of motion bar (6) and connecting plate (16) composition; Described motion bar (6) is parallel to action bars (2) and arranges, motion bar (6) and action bars (2) are formed can axial relative sliding but being flexibly connected of can not mutually throwing off, described connecting plate (16) one end is hinged at motion bar (6) front end, connecting plate (16) other end is hinged on the second folding arm (4), and connecting plate (16) is more forward with the hinge point position of the second folding arm (4) than the first folding arm (3) with the hinge point position of the second folding arm (4).
As shown in figure 15, described action bars (2) is provided with the T-slot moved towards along its length, and described motion bar (6) is provided with the T-shaped bar along its length trend, and motion bar (6) is assemblied in the T-slot of action bars (2) by its T-shaped bar activity.
As shown in Figure 12 ~ Figure 14, in the embodiment of the present invention 2, between described motion bar (6) and action bars (2), be also provided with the operating mechanism being convenient to sliding active bar (6).Operating mechanism in embodiment 2 is also scissor-type, it comprises fixedly cuts arm (11) and shears arm (12), the middle part of fixedly cutting arm (11) and shears arm (12) is hinged, described front end of fixedly cutting arm (11) is connected with connecting pin (17), described motion bar (6) rear end is provided with pin-and-hole, and described connecting pin (17) activity is plugged in pin-and-hole.
The operational approach of the chamber mirror tissue taking-up bag of embodiment 2 is identical with embodiment, repeats no more herein.