CN110811712A - a fixed retractor - Google Patents
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- CN110811712A CN110811712A CN201911115290.3A CN201911115290A CN110811712A CN 110811712 A CN110811712 A CN 110811712A CN 201911115290 A CN201911115290 A CN 201911115290A CN 110811712 A CN110811712 A CN 110811712A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors 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
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/0281—Abdominal wall lifters
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B2017/0287—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors with elastic retracting members connectable to a frame, e.g. hooked elastic wires
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Abstract
本发明公开了一种固定牵开器,包括两个用于夹持在患者腹腔壁上的牵开夹以及组织器官抬杆,组织器官抬杆的一端与其中一个牵开夹通过钢丝相连,另一端与另一个牵开夹通过钢丝相连,牵开夹包括长条形的牵开夹固定壳以及沿牵开夹固定壳长度向方向滑动连接的联动件,联动件与牵开夹固定壳之间设有复位弹性件,牵开夹固定壳上设置有夹持组件,联动件与牵开夹固定壳发生相对滑动时驱使夹持组件开合,复位弹性件处于自然状态下时,夹持组件处于夹持状态。本发明通过两个牵开夹夹持在腹腔壁上,给与组织器官抬杆足以支撑其组织器官的支撑力,然后利用组织器官抬杆将组织器官抬起并支撑住,从而能很好地为微创手术开拓视野,有利于医生进行手术。
The invention discloses a fixed retractor, comprising two retractor clips for clamping on the abdominal cavity wall of a patient and a tissue and organ lift rod. One end of the tissue and organ lift rod is connected with one of the retractor clips through a steel wire, and the other One end is connected with the other retractor clip through a steel wire, and the retractor clip includes a long strip-shaped retractor clip fixing shell and a linkage piece that is slidably connected along the length of the retractor clip fixing shell. A reset elastic member is provided, and a clamping assembly is arranged on the fixing shell of the retraction clip. When the linkage member and the fixing shell of the retracting clip slide relative to each other, the clamping assembly is driven to open and close. When the reset elastic member is in a natural state, the clamping assembly is in the clamped state. The present invention is clamped on the abdominal cavity wall by two retraction clips, giving the tissue and organ lifting rod enough supporting force to support the tissue and organ, and then using the tissue and organ lifting rod to lift and support the tissue and organ, so that the tissue and organ lifting rod can be well supported. Expanding horizons for minimally invasive surgery is beneficial for doctors to perform surgery.
Description
技术领域technical field
本发明涉及微创手术器械技术领,具体涉及一种固定牵开器。The invention relates to the technical field of minimally invasive surgical instruments, in particular to a fixed retractor.
背景技术Background technique
微创手术,顾名思义就是微小创伤的手术。是指利用腹腔镜、胸腔镜等现代医疗器械及相关设备进行的手术。微创手术的优点是创伤小、疼痛轻、恢复快是每个需要手术的病人的梦想,微创外科使这个梦想成为了现实。Minimally invasive surgery, as the name suggests, is surgery with minimal trauma. Refers to the use of laparoscopes, thoracoscopes and other modern medical equipment and related equipment for surgery. The advantages of minimally invasive surgery are that less trauma, less pain, and faster recovery are the dreams of every patient who needs surgery. Minimally invasive surgery has made this dream a reality.
现有的微创手术器械多种多样,基本都是需要医生从人体体外进行操作,如手术剪、抓钳等。这些手术器械在使用的时候都需要医生进行操作,有时候,在进行手术的时候,病人腹腔内的组织器官等会遮挡或覆盖住需要针对的部位,此时则需要医生再利用现有的器械工具进行翻开、支撑,这样极大程度妨碍了手术的进行,拖延了手术的时间,无形中增加了手术的风险。There are various types of existing minimally invasive surgical instruments, which basically require doctors to operate from outside the human body, such as surgical scissors, grasping forceps, etc. These surgical instruments need to be operated by a doctor. Sometimes, during the operation, the tissues and organs in the patient's abdominal cavity will block or cover the parts that need to be targeted. At this time, the doctor needs to reuse the existing instruments. The tools are opened and supported, which greatly hinders the operation, delays the operation time, and virtually increases the risk of the operation.
发明内容SUMMARY OF THE INVENTION
针对现有技术的不足,本发明提供一种固定牵开器。In view of the deficiencies of the prior art, the present invention provides a fixed retractor.
为实现上述目的,本发明的技术方案为:For achieving the above object, the technical scheme of the present invention is:
一种固定牵开器,包括两个用于夹持在患者腹腔壁上的牵开夹以及组织器官抬杆,所述组织器官抬杆的一端与其中一个牵开夹通过钢丝相连,另一端与另一个牵开夹通过钢丝相连,所述牵开夹包括长条形的牵开夹固定壳以及沿牵开夹固定壳长度向方向滑动连接的联动件,所述联动件与牵开夹固定壳之间设有复位弹性件,所述牵开夹固定壳上设置有夹持组件,所述联动件与牵开夹固定壳发生相对滑动时驱使夹持组件开合,复位弹性件处于自然状态下时,夹持组件处于夹持状态。A fixed retractor, comprising two retractor clips for clamping on the abdominal cavity wall of a patient and a tissue and organ lift rod, one end of the tissue and organ lift rod is connected with one of the retractor clips through a steel wire, and the other end is connected with the retractor. Another retraction clip is connected by a steel wire, and the retraction clip includes a long strip-shaped retraction clip fixing shell and a linkage member that is slidably connected along the length of the retraction clip fixing shell, and the linkage member is connected with the retraction clip fixing shell. There is a reset elastic member between them, and a clamping component is arranged on the retraction clip fixing shell. When the linkage member and the retraction clip fixing shell slide relative to each other, the clamping component is driven to open and close, and the reset elastic member is in a natural state. , the clamping assembly is in the clamping state.
进一步地,所述夹持组件包括两个转动连接在牵开夹固定壳一端的夹块,所述夹块上开设有滑槽,所述联动件上凸设有与滑槽配合的滑块,通过滑槽与滑块的配合以及联动件与牵开夹固定壳之间的配合实现夹块的开合。Further, the clamping assembly includes two clamping blocks that are rotatably connected to one end of the fixing shell of the retraction clamp, the clamping blocks are provided with a chute, and the linkage member is protruded with a sliding block matched with the chute, The opening and closing of the clamping block is realized through the cooperation between the sliding groove and the sliding block and the cooperation between the linkage piece and the fixing shell of the retracting clamp.
进一步地,所述牵开夹固定壳形状为圆柱形,其一端凸设有一圈凸边,所述牵开夹固定壳上开设有贯穿其侧壁的通槽,所述牵开夹固定壳的一端开设有连通至通槽的供联动件滑动的开槽,所述联动件伸入牵开夹固定壳的一端沿通槽的方向凸设有两个卡块,所述卡块伸出牵开夹固定壳,所述复位弹性件的一端与卡块相抵,另一端与凸边相抵,所述卡块向靠近夹块的方向延伸并与夹块连接。Further, the retraction clip fixing shell is cylindrical in shape, one end of which is protruded with a ring of protruding edges, the retraction clip fixing shell is provided with a through groove running through its side wall, and the retraction clip fixing shell is One end is provided with a slot connected to the through slot for the linkage member to slide, and one end of the linkage member extending into the fixing shell of the retraction clip is protruded with two blocking blocks along the direction of the through groove, and the blocking blocks extend and retract In the clip fixing shell, one end of the reset elastic piece is abutted against a clamping block, and the other end is abutted against a convex edge, and the clamping block extends in a direction close to the clamping block and is connected with the clamping block.
进一步地,所述联动件远离牵开夹固定壳的一端设置有拉钩。通过加设拉钩,可以更好地拉动联动件,与牵开夹固定壳发生相对滑移,完成夹持功能。Further, a pull hook is provided at one end of the linkage member away from the fixing shell of the retraction clip. By adding a pull hook, the linkage can be better pulled, and the relative sliding with the fixing shell of the retraction clip can be performed to complete the clamping function.
进一步地,所述组织器官抬杆包括抬杆杆套以及抬杆内杆,所述抬杆杆套为一端封闭的圆筒形结构,所述抬杆内杆形状为圆柱形,所述抬杆杆套套设在抬杆内杆外部,并与抬杆内杆滑动连接,所述抬杆杆套封闭的一端与牵开夹连接,所述抬杆内杆伸出抬杆杆套的一端与牵开夹连接。这样能使得组织器官抬杆的长度能根据不同的组织器官作适应性的调节长度,从而令使用更方便。Further, the tissue and organ lift rod includes a lift rod cover and a lift rod inner rod, the lift rod cover is a cylindrical structure with one end closed, the lift rod inner rod is cylindrical in shape, and the lift rod The rod sleeve is sleeved on the outside of the lift rod inner rod and is slidably connected with the lift rod inner rod. Open clip connection. In this way, the length of the tissue-organ lifting rod can be adjusted adaptively according to different tissues and organs, thereby making the use more convenient.
进一步地,所述抬杆杆套与抬杆内杆之间设置有拉簧,所述拉簧的一端与抬杆杆套内侧的封闭端面固定连接,所述拉簧的另一端与抬杆内杆伸入抬杆杆套内的一端的端面固定连接。这样设计,使得组织器官抬杆在平常状态下能自动收缩,并且由于拉簧的存在,等于间接地增大了两个牵开夹之间的支撑力,令组织器官抬杆能抬得更稳定。Further, a tension spring is arranged between the lift rod cover and the lift rod inner rod, one end of the tension spring is fixedly connected with the closed end face inside the lift rod cover, and the other end of the tension spring is connected with the lift rod. The end face of one end of the rod extending into the rod cover is fixedly connected. In this way, the tissue and organ lifter can be automatically retracted under normal conditions, and due to the existence of the tension spring, the supporting force between the two retraction clips is indirectly increased, so that the tissue and organ lifter can be lifted more stably .
本发明与现有技术相比,具有如下优点:Compared with the prior art, the present invention has the following advantages:
本发明通过两个牵开夹夹持在腹腔壁上,给与组织器官抬杆足以支撑其组织器官的支撑力,然后利用组织器官抬杆将组织器官抬起并支撑住,从而能很好地为微创手术开拓视野,减少手术难度,有利于医生进行手术。同时牵开夹与组织器官抬杆均为圆柱形结构,能更好地从Trocar孔送入人体腹腔内进行夹持工作,组织器官加设有拉钩,更便于医生在使用的时候拉动牵开夹和组织器官夹进行使用,组织器官抬杆为可伸缩的结构,能适配各种不同长度大小的组织器官,并进行支撑。The invention is clamped on the abdominal cavity wall by two retraction clips, giving the tissue and organ lifting rod enough supporting force to support the tissue and organ, and then using the tissue and organ lifting rod to lift and support the tissue and organ, so that the tissue and organ lifting rod can be well supported. Expanding horizons for minimally invasive surgery, reducing the difficulty of surgery, and helping doctors to perform surgery. At the same time, both the retractor clip and the lifting rod for tissues and organs are cylindrical structures, which can be better sent from the Trocar hole into the abdominal cavity of the human body for clamping work. Used with tissue and organ clips, the tissue and organ lift rod is a retractable structure, which can adapt to and support tissues and organs of various lengths and sizes.
附图说明Description of drawings
图1为固定牵开器的整体结构示意图;Fig. 1 is the overall structure schematic diagram of fixed retractor;
图2为固定牵开器的整体内部结构剖视示意图;Fig. 2 is the sectional schematic diagram of the overall internal structure of the fixed retractor;
图3为固定牵开器的牵开夹部分内部结构剖视示意图;Figure 3 is a schematic cross-sectional view of the internal structure of the retractor clip for fixing the retractor;
附图标记说明:1、牵开夹;11、牵开夹固定壳;111、通槽;112、开槽;113、凸边;12、联动件;121、卡块;13、复位弹性件;14、夹持组件;141、夹块;142、滑块;143、滑槽;15、拉钩;2、组织器官抬杆;21、抬杆杆套;22、抬杆内杆;23、拉簧;3、钢丝。Description of reference numerals: 1. Retractor clip; 11. Retractor clip fixing shell; 111, Through groove; 112, Slotted; 113, Raised edge; 14, clamping assembly; 141, clamping block; 142, slider; 143, chute; 15, retractor; 2, tissue and organ lift rod; 21, lift rod cover; 22, lift rod inner rod; 23,
具体实施方式Detailed ways
为使本发明的上述目的、特征和优点能够更加明显易懂,下面结合附图和具体实施方式对本发明作进一步详细的说明。In order to make the above objects, features and advantages of the present invention more clearly understood, the present invention will be described in further detail below with reference to the accompanying drawings and specific embodiments.
实施例Example
如图1所示,一种固定牵开器,包括两个用于夹持在患者腹腔壁上的牵开夹1以及组织器官抬杆2,组织器官抬杆2的一端与其中一个牵开夹1通过钢丝3相连,另一端与另一个牵开夹1通过钢丝3相连,组织器官抬杆2的整体为圆柱形,牵开夹1的整体为近似于圆柱形的结构,其两者的半径相近,从而能更好地从Trocar孔送入人体腹腔内进行夹持工作。为了避免钢丝3在生产的过程中出现倒刺等缺陷,还可在钢丝3上套有一层医用软胶管。As shown in Figure 1, a fixed retractor includes two
如图3所示牵开夹1包括圆柱形的牵开夹固定壳11以及沿牵开夹固定壳11长度向方向滑动连接的联动件12,联动件12与牵开夹固定壳11之间设有复位弹性件13,牵开夹固定壳11上设置有夹持组件14,联动件12与牵开夹固定壳11发生相对滑动时驱使夹持组件14开合,复位弹性件13处于自然状态下时,夹持组件14处于夹持状态。As shown in FIG. 3 , the
牵开夹固定壳11的一端凸设有一圈凸边113,牵开夹固定壳11上开设有贯穿其侧壁的通槽111,牵开夹固定壳11的一端开设有连通至通槽111的供联动件12滑动的开槽112,联动件12伸入牵开夹固定壳11的一端沿通槽111的方向凸设有两个卡块121,卡块121伸出牵开夹固定壳11,复位弹性件13可为弹簧,其一端与卡块121相抵,另一端与凸边113相抵,卡块121向靠近夹块141的方向延伸并与夹块141连接。夹持组件14包括两个转动连接在牵开夹固定壳11一端的夹块141,夹块141的形状结构可依据调整,可为平面的块状结构,亦可为钩状结构等。夹块141上开设有滑槽143,联动件12上凸设有与滑槽143配合的滑块142,通过滑槽143与滑块142的配合以及联动件12与牵开夹固定壳11之间的滑动实现夹块141的开合。One end of the retraction
当联动件12与牵开夹固定壳11之间发生相对滑动的时候,由于夹块141与牵开夹固定壳11为铰接,因此在滑块142与滑槽143的配合下,夹块141会随着联动件12的滑动而有相应的开合动作,达到联动开合的效果。When there is relative sliding between the
此处为了尽量缩小牵开夹1的最大宽度,将联动件12与牵开夹固定壳11做成类似同轴的设置,以能更好地从Trocar孔送入人体内。同时为了能更好地在人体内进行操作,联动件12远离牵开夹固定壳11的一端设置有拉钩15,利用拉钩15能更好地实现固定壳与联动件12之间的相对滑动。Here, in order to reduce the maximum width of the
如图2所示,组织器官抬杆2包括抬杆杆套21以及抬杆内杆22,抬杆杆套21为一端封闭的圆筒形结构,抬杆内杆22形状为圆柱形,抬杆杆套21套设在抬杆内杆22外部,并与抬杆内杆22滑动连接。抬杆杆套21封闭的一端与牵开夹1连接,所述抬杆内杆22伸出抬杆杆套21的一端与牵开夹1连接。为了避免抬杆内杆22完全缩入抬杆杆套21内部,可在抬杆内杆22伸出抬杆杆套21的一端加设有凸沿;为了避免抬杆内杆22完全脱离出抬杆杆套21,可在抬杆内杆22与抬杆杆套21上加设有相应的限位结构,在此不对具体的限位结构作出限定,只需能满足相应功能即可。这样能使得组织器官抬杆2的长度能根据不同的组织器官作适应性的调节长度,从而令使用更方便。As shown in FIG. 2, the tissue and
作为优化,还可在抬杆杆套21与抬杆内杆22之间设置有拉簧23,拉簧23的一端与抬杆杆套21内侧的封闭端面固定连接,拉簧23的另一端与抬杆内杆22伸入抬杆杆套21内的一端的端面固定连接。这样设计,使得组织器官抬杆2在平常状态下能自动收缩,并且由于拉簧23的存在,等于间接地增大了两个牵开夹1之间的支撑力,令组织器官抬杆2能抬得更稳定。As an optimization, a
具体地在使用的时候,首先将本发明的固定牵开器全部送入人体腹腔内,然后先利用工具拉动联动件12,使其中一个牵开夹1的夹持组件14打开,根据需要的距离等夹持在患者的腹腔壁上,然后采用相同的步骤将另一个牵开夹1夹持在患者的腹腔壁另一处,利用可伸缩的组织器官抬杆2将组织器官抬起,达到扩展手术视野目的。最后在使用完后只需先后拉动联动件12,便可松开牵开夹1的夹持,之后只需将本发明的完全取出即可。Specifically, when in use, first all the fixed retractor of the present invention is sent into the abdominal cavity of the human body, and then the
上述实施例只是为了说明本发明的技术构思及特点,其目的是在于让本领域内的普通技术人员能够了解本发明的内容并据以实施,并不能以此限制本发明的保护范围。凡是根据本发明内容的实质所做出的等效的变化或修饰,都应涵盖在本发明的保护范围内。The above-mentioned embodiments are only to illustrate the technical concept and characteristics of the present invention, and the purpose thereof is to enable those of ordinary skill in the art to understand the content of the present invention and implement them accordingly, and not to limit the protection scope of the present invention. All equivalent changes or modifications made according to the essence of the present invention shall be included within the protection scope of the present invention.
Claims (6)
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| US20130237768A1 (en) * | 2010-07-05 | 2013-09-12 | Virtual Ports Ltd. | Internal retractor |
| CN208481394U (en) * | 2018-03-08 | 2019-02-12 | 唐海静 | Liver-and-gall surgery drag hook and Medical Devices |
| KR20190078070A (en) * | 2017-12-26 | 2019-07-04 | 연세대학교 산학협력단 | Retractor of organ for laparocopic surgery |
| CN211704713U (en) * | 2019-11-14 | 2020-10-20 | 路鹏 | Fixed retractor |
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2019
- 2019-11-14 CN CN201911115290.3A patent/CN110811712A/en active Pending
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| WO2008041226A2 (en) * | 2006-10-03 | 2008-04-10 | Virtual Ports Ltd | A clip device, system and method for assisting surgical procedures |
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| US20130237768A1 (en) * | 2010-07-05 | 2013-09-12 | Virtual Ports Ltd. | Internal retractor |
| KR20190078070A (en) * | 2017-12-26 | 2019-07-04 | 연세대학교 산학협력단 | Retractor of organ for laparocopic surgery |
| CN208481394U (en) * | 2018-03-08 | 2019-02-12 | 唐海静 | Liver-and-gall surgery drag hook and Medical Devices |
| CN211704713U (en) * | 2019-11-14 | 2020-10-20 | 路鹏 | Fixed retractor |
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