CN103505255A - Auxiliary incision sealing device for laparoscopic operation and using method thereof - Google Patents
Auxiliary incision sealing device for laparoscopic operation and using method thereof Download PDFInfo
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- CN103505255A CN103505255A CN201310474403.5A CN201310474403A CN103505255A CN 103505255 A CN103505255 A CN 103505255A CN 201310474403 A CN201310474403 A CN 201310474403A CN 103505255 A CN103505255 A CN 103505255A
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- ring
- pressed
- elastic membrane
- medium
- assistor
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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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
- A61B17/34—Trocars; Puncturing needles
- A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
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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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00238—Type of minimally invasive operation
- A61B2017/00265—Hand assisted surgery, i.e. minimally invasive surgery with at least part of an assisting hand inside the body
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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
- A61B17/0057—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect
- A61B2017/00637—Implements for plugging an opening in the wall of a hollow or tubular organ, e.g. for sealing a vessel puncture or closing a cardiac septal defect for sealing trocar wounds through abdominal wall
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- Heart & Thoracic Surgery (AREA)
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- Medical Informatics (AREA)
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- General Health & Medical Sciences (AREA)
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- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Provided are an auxiliary incision sealing device for a laparoscopic operation and a using method thereof. The auxiliary incision sealing device for the laparoscopic operation is composed of an upper ring, a middle ring, a lower ring, an inner elastic film, an outer elastic film, an upper ring protrusion block, a middle ring groove and an auxiliary device. When an incision is closed temporarily, the lower ring is put into the abdominal cavity through a corresponding incision, the upper ring and the middle ring are arranged outside the abdominal wall of the incision, and the incision can be sealed by adjusting the upper ring and the middle ring. When the auxiliary incision sealing device is used by being matched with the auxiliary device, the auxiliary device is arranged in the middle of the inner elastic film, the upper ring and the middle ring are adjusted, and the auxiliary device is tensioned and fixed by the inner elastic film and the outer elastic film while the incision is sealed. Sealing devices with the same diameters can be applied to sealing of incisions different in size, the incisions can be closed temporarily to achieve incision sealing, and the sealing devices can be also put into the auxiliary device to be tensioned, fixed and stabilized. The sealing effect is ideal, operation results are good, the operation efficiency is improved, and the labor intensity of surgeons is reduced. The auxiliary incision sealing device for the laparoscopic operation is simple in structure and convenient to dismount and is especially suitable for operations needing multiple-time pneumoperitoneum reestablishment, the pain of patients is relieved, the treatment cost of the patients is reduced, and the patients can rehabilitate as early as possible.
Description
Technical field
The present invention relates to laparoscopic surgery field, especially a kind of laparoscopic surgery auxiliary incision sealing device and using method thereof.
Background technology
At present, in laparoscopic procedure process, doctor often need to do at stomach wall the auxiliary incision of 3-5cm size, to complete, specimen is taken out or digestive tract is sewed up the operations such as reconstruction, after completing these operations, often need to close interim otch, rebuild pneumoperitoneum continuation operation, at some in particular cases, need repeated multiple times changing between auxiliary incision operation and laparoscopic procedure, and the position of auxiliary incision selects also have different from effect more in different operations.
How knot operation on rectum can make auxiliary incision through an auxiliary operation Kong position, in next operation after rebuilding pneumoperitoneum, will reduce by a handle hole like this, to operation, make troubles, or Xin position again punctures and insert sleeve pipe as new handle hole, increase patient's wound.
Application number is that 200880007271.2 patent document has been announced a kind of hand assisted laparoscopic seal assembly with ratchet mechanism, and complex structure is expensive, complicated operation, and maintaining cost is high, is difficult to promote the use of.
In view of the foregoing, now invent a kind of laparoscopic surgery auxiliary incision sealing device and using method thereof, can close the sealing that interim otch is realized otch, also can put into assistor and be tightened up fixing-stable, sealing effectiveness is desirable.
Summary of the invention
The object of the invention is in order to overcome deficiency of the prior art, a kind of laparoscopic surgery auxiliary incision sealing device and using method thereof are provided, can close interim otch and realize the sealing of otch, also can put into assistor and be tightened up fixing-stable, sealing effectiveness is desirable, and good operation effect, alleviates patient suffering, reduce patient treatment expense, make patient's rehabilitation as early as possible.
The present invention to achieve these goals, adopts following technical scheme: a kind of laparoscopic surgery auxiliary incision sealing device and using method thereof are by pressed on ring, medium ring, and lower ring, interior elastic membrane, outer elastic membrane, pressed on ring projection, middle ring groove, assistor forms; Medium ring top arranges pressed on ring, and below arranges lower ring, corresponding between pressed on ring inner ring and lower ring inner ring interior elastic membrane is set, and corresponding between medium ring inner ring and lower ring inner ring outer elastic membrane is set; Pressed on ring lower surface arranges many group pressed on ring projections, and medium ring upper surface arranges ring groove in many groups, and the corresponding engaging of middle ring groove that the pressed on ring projection that the lower surface of pressed on ring arranges arranges with medium ring upper surface arranges.
While closing interim otch, lower ring is positioned over to intraperitoneal through corresponding otch, pressed on ring and medium ring are placed in outside the stomach wall of otch, and adjusting pressed on ring and medium ring can be by cut sealing; While being used in conjunction with assistor, assistor is placed in to the middle part of interior elastic membrane, regulates pressed on ring and medium ring, in the time of by cut sealing, assistor is strained and fixed by interior elastic membrane and outer elastic membrane.
While closing interim otch, pressed on ring is rotated clockwise or counterclockwise, and interior elastic membrane tension upper ring and a lower ring is also accordion-like distortion, and the tubular passage of interior elastic membrane is dwindled; Meanwhile, medium ring is done opposite spin with respect to pressed on ring, and outer elastic membrane tension medium ring and lower ring is also accordion-like distortion, the tubular passage of outer elastic membrane is dwindled, the tubular passage of outer elastic membrane and interior elastic membrane is contracted to closure gradually, after cut sealing has operated, by pressed on ring and the corresponding engaging of medium ring.
While being used in conjunction with assistor, assistor is placed in to the middle part of interior elastic membrane, the opposite spin each other of pressed on ring and medium ring, interior elastic membrane and outer elastic membrane are strained respectively upper ring and a lower ring, medium ring and lower ring and are accordion-like distortion, the tubular passage of interior elastic membrane and outer elastic membrane dwindles gradually and assistor is strained and fixed, after cut sealing and assistor are strained and fixed and have operated, by pressed on ring and the corresponding engaging of medium ring.
When interior elastic membrane and outer elastic membrane equate with the elastic force of lower ring different directions rotation, lower ring will can not rotatablely move because elastical retraction produces, now, the corresponding engaging of middle ring groove by the pressed on ring projection of pressed on ring lower surface with medium ring upper surface, is closely as one pressed on ring and medium ring.
Lower ring is positioned at abdominal cavity otch as support ring and is adjacent to abdominal cavity inwall, outside under the elastic force effect of elastic membrane and interior elastic membrane, pressed on ring after engaging and the medium ring notching edge downwards and outside stomach wall is adjacent to, and lower hoop Shang Yu abdominal cavity inwall is close to, and realizes the sealing to otch.
To in pressed on ring, carry, the middle ring groove of the pressed on ring projection of pressed on ring lower surface and medium ring upper surface departs from, and outer elastic membrane and interior elastic membrane naturally recover under taking-up, to encircle in open state ，Cong abdominal cavity otch under elastic force effect; Be used in conjunction with assistor, take out assistor.
Assistor is laparoscopic cannula and anastomat, can select according to practical situation, and also available hands replaces assistor to carry out hands helping operation.
The invention has the beneficial effects as follows: in laparoscopic surgery, the sealing device of same diameter can be applied to the sealing of the otch of different sizes, patient can be completely according to operation technique need to select size incision, and without considering whether size incision is applicable to sealing device; Pressed on ring and medium ring are closely as one, and interior elastic membrane and outer elastic membrane elasticity effect are good, and sealing effectiveness is desirable; Can be used in conjunction with laparoscopic cannula and anastomat, also can realize hand assisted laparoscopic procedures, improve operation efficiency, alleviate the labor intensity of surgical doctor; Simple in structure, convenient disassembly, the operation that is specially adapted to repeatedly to rebuild pneumoperitoneum.
Assistor is laparoscopic cannula and anastomat, can select according to practical situation, and also available hands replaces assistor to realize hand assisted laparoscopic procedures; After elastic membrane and assistor are strained and fixed, the position stability of assistor, guarantees that laparoscopic surgery can carry out smoothly.
Can guarantee that auxiliary incision is in sealing state, can continue to utilize the present invention to carry out laparoscopic procedure simultaneously, also can make originally must to open the operation that abdomen carries out and can under peritoneoscope, complete (such as gastral reconstruction), reach the standard of full laparoscopic surgery, particularly by the present invention, can realize easily and under pneumoperitoneum state, apply circular stapler and carry out reconstruction of digestive tract, compare with the reconstruction of digestive tract that the line cutting stitching instrument of current application peritoneoscope special use carries out under full peritoneoscope, for each patient has saved huge medical expense.
Simple in structure, manufacture easily, easy to use, economic and practical, handling safety, is convenient to promote, and volume is little, is easy to carry and transports; Can realize not damaged and close interim otch, time saving and energy saving, sealing effectiveness is desirable, and good operation effect, alleviates patient suffering, reduces patient treatment expense, makes patient's rehabilitation as early as possible, can promote the use of.
Accompanying drawing explanation
Below in conjunction with accompanying drawing, the invention will be further described:
Fig. 1 is, general assembly structural representation;
Fig. 2 is, cross-sectional view;
Fig. 3 is, cut sealing state cross-sectional view;
Fig. 4 is to be used in conjunction with cross-sectional view with assistor;
In Fig. 1,2,3,4: pressed on ring 1, medium ring 2, lower ring 3, interior elastic membrane 4, outer elastic membrane 5, pressed on ring projection 6, middle ring groove 7, assistor 8.
The specific embodiment
Below in conjunction with embodiment and the specific embodiment, the present invention is described in further detail:
While closing interim otch, lower ring 3 is positioned over to intraperitoneal through corresponding otch, pressed on ring 1 and medium ring 2 are placed in outside the stomach wall of otch, and adjusting pressed on ring 1 and medium ring 2 can be by cut sealing; While being used in conjunction with assistor 8, assistor 8 is placed in to the middle part of interior elastic membrane 4, regulates pressed on ring 1 and medium ring 2, in the time of by cut sealing, assistor 8 is strained and fixed by interior elastic membrane 4 and outer elastic membrane 5.
While closing interim otch, pressed on ring 1 is rotated clockwise or counterclockwise, and interior elastic membrane 4 tension pressed on ring 1 and lower rings 3 are also accordion-like distortion, and the tubular passage of interior elastic membrane 4 is dwindled; Simultaneously, medium ring 2 is done opposite spin with respect to pressed on ring 1, outer elastic membrane 5 tension medium ring 2 and lower rings 3 are also accordion-like distortion, the tubular passage of outer elastic membrane 5 is dwindled, the tubular passage of outer elastic membrane 5 and interior elastic membrane 4 is contracted to closure gradually, after cut sealing has operated, by pressed on ring 1 and the corresponding engaging of medium ring 2.
While being used in conjunction with assistor 8, assistor 8 is placed in to the middle part of interior elastic membrane 4, pressed on ring 1 and medium ring 2 opposite spin each other, interior elastic membrane 4 and outer elastic membrane 5 are strained respectively pressed on ring 1 and lower ring 3, medium ring 2 and lower ring 3 and are accordion-like distortion, the tubular passage of interior elastic membrane 4 and outer elastic membrane 5 dwindles gradually and assistor 8 is strained and fixed, after cut sealing and assistor 8 are strained and fixed and have operated, by pressed on ring 1 and the corresponding engaging of medium ring 2.
When interior elastic membrane 4 and outer elastic membrane 5 equate with the elastic force of lower ring 3 different directions rotations, lower ring 3 will can not rotatablely move because elastical retraction produces, now, the corresponding engaging of middle ring groove 7 by the pressed on ring projection 6 of pressed on ring 1 lower surface with medium ring 2 upper surfaces, is closely as one pressed on ring 1 and medium ring 2.
To in pressed on ring 1, carry, the pressed on ring projection 6 of pressed on ring 1 lower surface departs from the middle ring groove of medium ring 2 upper surfaces 7, and outer elastic membrane 5 and interior elastic membrane 4 naturally recover under taking-up, to encircle 3 in open state ，Cong abdominal cavity otch under elastic force effect; Be used in conjunction with assistor 8, take out assistor 8.
Claims (8)
1. a laparoscopic surgery auxiliary incision sealing device, is by pressed on ring (1), medium ring (2), and lower ring (3), interior elastic membrane (4), outer elastic membrane (5), pressed on ring projection (6), middle ring groove (7), assistor (8) forms; It is characterized in that: medium ring (2) top arranges pressed on ring (1), below arranges lower ring (3), the corresponding interior elastic membrane (4) that arranges between pressed on ring (1) inner ring and lower ring (3) inner ring, the corresponding outer elastic membrane (5) that arranges between medium ring (2) inner ring and lower ring (3) inner ring; Pressed on ring (1) lower surface arranges many group pressed on ring projections (6), medium ring (2) upper surface arranges ring groove in many groups (7), and the corresponding engaging of middle ring groove (7) that the pressed on ring projection (6) that the lower surface of pressed on ring (1) arranges arranges with medium ring (2) upper surface arranges.
2. the using method of a laparoscopic surgery auxiliary incision sealing device, it is characterized in that: while closing interim otch, lower ring (3) is positioned over to intraperitoneal through corresponding otch, pressed on ring (1) and medium ring (2) are placed in outside the stomach wall of otch, and adjusting pressed on ring (1) and medium ring (2) can be by cut sealing; While being used in conjunction with assistor (8), assistor (8) is placed in to the middle part of interior elastic membrane (4), regulates pressed on ring (1) and medium ring (2), in the time of by cut sealing, assistor (8) is strained and fixed by interior elastic membrane (4) and outer elastic membrane (5).
3. the using method of a kind of laparoscopic surgery auxiliary incision sealing device according to claim 2, it is characterized in that: while closing interim otch, pressed on ring (1) is rotated clockwise or counterclockwise, interior elastic membrane (4) tension pressed on ring (1) and lower ring (3) is also accordion-like distortion, and the tubular passage of interior elastic membrane (4) is dwindled; Simultaneously, medium ring (2) is done opposite spin with respect to pressed on ring (1), outer elastic membrane (5) tension medium ring (2) and lower ring (3) is also accordion-like distortion, the tubular passage of outer elastic membrane (5) is dwindled, the tubular passage of outer elastic membrane (5) and interior elastic membrane (4) is contracted to closure gradually, after cut sealing has operated, by pressed on ring (1) and the corresponding engaging of medium ring (2).
4. the using method of a kind of laparoscopic surgery auxiliary incision sealing device according to claim 2, it is characterized in that: while being used in conjunction with assistor (8), assistor (8) is placed in to the middle part of interior elastic membrane (4), pressed on ring (1) and medium ring (2) opposite spin each other, interior elastic membrane (4) and outer elastic membrane (5) are strained respectively pressed on ring (1) and lower ring (3), medium ring (2) and lower ring (3) are also accordion-like distortion, the tubular passage of interior elastic membrane (4) and outer elastic membrane (5) dwindles gradually and assistor (8) is strained and fixed, after cut sealing and assistor (8) are strained and fixed and have operated, by pressed on ring (1) and the corresponding engaging of medium ring (2).
5. the using method of a kind of laparoscopic surgery auxiliary incision sealing device according to claim 2, it is characterized in that: when interior elastic membrane (4) and outer elastic membrane (5) equate with the elastic force of lower ring (3) different directions rotation, lower ring (3) will can not rotatablely move because elastical retraction produces, now, the corresponding engaging of middle ring groove (7) by the pressed on ring projection (6) of pressed on ring (1) lower surface with medium ring (2) upper surface, is closely as one pressed on ring (1) and medium ring (2).
6. the using method of a kind of laparoscopic surgery auxiliary incision sealing device according to claim 2, it is characterized in that: lower ring (3) is positioned at abdominal cavity otch as support ring and is adjacent to abdominal cavity inwall, outside under the elastic force effect of elastic membrane (5) and interior elastic membrane (4), pressed on ring after engaging (1) and medium ring (2) notching edge downwards and outside stomach wall is adjacent to, lower ring (3) is upwards close to abdominal cavity inwall, realizes the sealing to otch.
7. the using method of a kind of laparoscopic surgery auxiliary incision sealing device according to claim 2, it is characterized in that: will in pressed on ring (1), carry, the pressed on ring projection (6) of pressed on ring (1) lower surface departs from the middle ring groove (7) of medium ring (2) upper surface, ring (3) under outer elastic membrane (5) and interior elastic membrane (4) naturally recover to take out in open state ，Cong abdominal cavity otch under elastic force effect; Be used in conjunction with assistor (8), take out assistor (8).
8. the using method of a kind of laparoscopic surgery auxiliary incision sealing device according to claim 2, it is characterized in that: assistor (8) is laparoscopic cannula and anastomat, can select according to practical situation, also available hands replaces assistor (8) to carry out hands helping operation.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310474403.5A CN103505255A (en) | 2013-10-11 | 2013-10-11 | Auxiliary incision sealing device for laparoscopic operation and using method thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201310474403.5A CN103505255A (en) | 2013-10-11 | 2013-10-11 | Auxiliary incision sealing device for laparoscopic operation and using method thereof |
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| Publication Number | Publication Date |
|---|---|
| CN103505255A true CN103505255A (en) | 2014-01-15 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201310474403.5A Pending CN103505255A (en) | 2013-10-11 | 2013-10-11 | Auxiliary incision sealing device for laparoscopic operation and using method thereof |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104323805A (en) * | 2014-11-30 | 2015-02-04 | 王洛 | Enterocoelia opening/closing device |
| CN108158616A (en) * | 2018-01-08 | 2018-06-15 | 浙江大学 | The gas that tumor specimen is taken out used in the postoperative per anum of Colon and rectum fills formula lane device |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1329474A (en) * | 1998-12-01 | 2002-01-02 | 阿特波斯有限公司 | A surgical device for retracting and/or sealing an incision |
| CN1329473A (en) * | 1998-12-01 | 2002-01-02 | 阿特波斯有限公司 | Laparoscopic sealed access device |
| CN1735381A (en) * | 2002-10-04 | 2006-02-15 | 阿特波斯有限公司 | Wound retractor device |
| CN101588763A (en) * | 2006-12-15 | 2009-11-25 | 伊西康内外科公司 | Be used for the operating full-automatic membrane seal of hand assisted laparoscopic |
| EP2260777A1 (en) * | 2004-10-11 | 2010-12-15 | Atropos Limited | An instrument access device |
| CN103300899A (en) * | 2013-07-10 | 2013-09-18 | 金黑鹰 | Disposable laparoscope hand-assisted device |
-
2013
- 2013-10-11 CN CN201310474403.5A patent/CN103505255A/en active Pending
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN1329474A (en) * | 1998-12-01 | 2002-01-02 | 阿特波斯有限公司 | A surgical device for retracting and/or sealing an incision |
| CN1329473A (en) * | 1998-12-01 | 2002-01-02 | 阿特波斯有限公司 | Laparoscopic sealed access device |
| CN1735381A (en) * | 2002-10-04 | 2006-02-15 | 阿特波斯有限公司 | Wound retractor device |
| EP2260777A1 (en) * | 2004-10-11 | 2010-12-15 | Atropos Limited | An instrument access device |
| CN101588763A (en) * | 2006-12-15 | 2009-11-25 | 伊西康内外科公司 | Be used for the operating full-automatic membrane seal of hand assisted laparoscopic |
| CN103300899A (en) * | 2013-07-10 | 2013-09-18 | 金黑鹰 | Disposable laparoscope hand-assisted device |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104323805A (en) * | 2014-11-30 | 2015-02-04 | 王洛 | Enterocoelia opening/closing device |
| CN108158616A (en) * | 2018-01-08 | 2018-06-15 | 浙江大学 | The gas that tumor specimen is taken out used in the postoperative per anum of Colon and rectum fills formula lane device |
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Application publication date: 20140115 |
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