CN113384346A - Peritoneoscope protects courage rubble and gets sleeve pipe ware for stone - Google Patents
Peritoneoscope protects courage rubble and gets sleeve pipe ware for stone Download PDFInfo
- Publication number
- CN113384346A CN113384346A CN202110840097.7A CN202110840097A CN113384346A CN 113384346 A CN113384346 A CN 113384346A CN 202110840097 A CN202110840097 A CN 202110840097A CN 113384346 A CN113384346 A CN 113384346A
- Authority
- CN
- China
- Prior art keywords
- gallbladder
- puncture
- air bag
- lithotripsy
- protecting
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Pending
Links
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/18—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
- A61B18/20—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
- A61B18/22—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
- A61B18/26—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor for producing a shock wave, e.g. laser lithotripsy
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00529—Liver
- A61B2018/00535—Biliary tract
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/007—Aspiration
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Physics & Mathematics (AREA)
- Public Health (AREA)
- Molecular Biology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Veterinary Medicine (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- General Health & Medical Sciences (AREA)
- Animal Behavior & Ethology (AREA)
- Otolaryngology (AREA)
- Optics & Photonics (AREA)
- Plasma & Fusion (AREA)
- Electromagnetism (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
Abstract
本发明型公开了一种腹腔镜保胆碎石取石用套管器，包括气囊口、阀门、器械口、防滑齿、弹簧、连杆、按柄、防滑垫、主套管筒、气囊、气囊管、滑环、穿刺头、穿刺头孔、穿刺筒、导电杆、挡柱、吸引口、导电柱；该一种腹腔镜保胆碎石取石用套管器，采用本发明型器械，在腹腔镜下进行保胆碎石、取石手术时，本手术器械的穿刺头，可方便的对胆囊壁进行小切口电凝止血穿刺，通过穿刺头孔将胆囊内胆汁吸除后、再通过本器械主套管筒，使用胆道镜和激光导丝将结石碎石后，在胆囊内将结石冲吸掉，经临床使用，此手术器械使用操作方便、快速、灵活，有效的，较小创伤情况下，进行保胆取石手术操作，提高手术安全性。
The invention discloses a laparoscopic gallbladder-preserving lithotripsy cannula for lithotripsy, which comprises an air bag port, a valve, an instrument port, an anti-slip tooth, a spring, a connecting rod, a handle, an anti-slip pad, a main sleeve tube, an air bag, and an air bag. A tube, a slip ring, a puncture head, a puncture head hole, a puncture cylinder, a conductive rod, a blocking post, a suction port, and a conductive post; the laparoscopic bile-preserving lithotripsy lithotripsy cannula adopts the instrument of the present invention, and is placed in the abdominal cavity. When performing gallbladder-preserving lithotripsy and lithotripsy operations under the microscope, the puncture head of this surgical instrument can conveniently conduct a small incision for electrocoagulation and hemostasis puncture on the gallbladder wall. The cannula can be used to remove the stones in the gallbladder after the choledochoscope and the laser guide wire are used to crush the stones. After clinical use, this surgical instrument is easy to operate, fast, flexible, and effective. In the case of minor trauma, Perform gallbladder-preserving lithotripsy surgery to improve surgical safety.
Description
Technical Field
The invention relates to the technical field of laparoscopic surgery application, in particular to a sleeve device for gallbladder-protecting and lithotripsy taking.
Background
The development of modern medicine, minimally invasive surgery has been the development direction of surgical operation at present, and minimally invasive surgery has the advantages of small wound, quick recovery and less pain, and has become the object and the direction which are jointly pursued by modern medicine. Laparoscopic techniques are in some respects gradually replacing traditional surgery. In the laparoscopic gallbladder descending gallbladder protecting and stone removing operation, two problems are often encountered in clinical operation, one is that when a gallbladder is cut, the gallbladder is stimulated to overflow bile; the other is to take larger gall-bladder stones, cut the larger gall-bladder wall, and suture the cut of the gall-bladder wall, sometimes the problem of postoperative biliary leakage occurs: the calculus removal operation which is commonly used clinically is as follows: firstly, an electric knife or an ultrasonic knife is used for cutting the gall bladder, a laparoscope aspirator is used for completely sucking bile flowing out from the cut of the gall bladder, then the cut of the gall bladder is enlarged according to the size of gall bladder stones, and the operation of calculus removal operation of the gall bladder stones is further carried out; in the process of cutting open the gallbladder by using an electric knife or an ultrasonic knife, because the gallbladder has large tension and large pressure, bile in the gallbladder flows out along with the incision of the electric knife or the ultrasonic knife, the prior surgical instrument cannot rapidly and completely suck and remove the bile flowing out from the gallbladder incision, so that the bile with irritative bile pollutes the surgical area and even enters the pelvic cavity of a patient, even after the bile of the patient is washed, the bile remained in the postoperative intestinal gap still can bring bile irritative peritonitis to the patient due to the irritative characteristic of the bile, even the postoperative complications such as fever occur, meanwhile, the patient with large calculus has large incision on the gallbladder wall after the bile is kept and the incision is sutured, some patients can have gallbladder leakage risks after several days of operation, and certain troubles are brought to doctors and patients.
Contents of the invention
The invention aims to provide a sleeve device for laparoscope gallbladder-protecting lithotripsy and lithotripsy, which can effectively solve the problems in the background technology.
In order to achieve the purpose, the invention provides the following technical scheme: a sleeve device for laparoscope gallbladder-protecting lithotripsy stone extraction comprises an air bag opening, a valve, an instrument opening, an anti-slip tooth, a spring, a connecting rod, a pressing handle, an anti-slip pad, a main sleeve barrel, an air bag tube, a sliding ring, a puncture head hole, a puncture barrel, a conductive rod, a stop pillar, a suction opening and a conductive pillar; the method is characterized in that: the air bag port is connected with the air bag through a valve and an air bag pipe; the instrument opening is connected with the main sleeve barrel through a valve; the pressing handle is connected with the anti-skid pad on the anti-skid tooth through the connecting rod; the slip ring is connected with the main sleeve barrel in a sliding manner; the conductive column is connected with the puncture head through a conductive rod; the suction port is connected with the puncture head hole through the puncture cylinder; the stop column is fixedly connected with the puncture cylinder; one end of the spring is connected with the non-slip mat, and the other end of the spring is connected with the slip body where the slip ring is located.
Furthermore, the air bag opening can be communicated with a syringe of the medical injector, a valve made of rubber for preventing air leakage is arranged behind the air bag opening, and the air bag opening is communicated with an oblate air bag which is made of rubber and can expand after being inflated in a closed manner through an air bag pipe.
Furthermore, the instrument opening is in a horn shape, and the rear part of the instrument opening is communicated with the main sleeve barrel through a valve which is made of rubber and can prevent air leakage.
Furthermore, the spring has outward elasticity, and under the action of the elasticity of the spring, the anti-skid pad connected with the connecting rod can be firmly clamped on the anti-skid teeth.
Furthermore, the metal conductive column can be communicated with the operating room electrocoagulation device, and the conductive column is connected with the puncture head made of the metal material through the metal conductive rod.
Furthermore, the plastic suction port is connected with the puncture head hole at the front end of the puncture head and made of metal through the puncture cylinder made of plastic.
Furthermore, the stop pillar is fixed on the outer wall of the puncture cylinder, and after the puncture cylinder is placed into the main sleeve cylinder, the stop pillar is contacted with the instrument opening, and the puncture head just protrudes out of the main sleeve cylinder.
Further, the outer diameter of the puncture cylinder is just consistent with the inner diameter of the main sleeve.
Compared with the prior art, the sleeve device for gallbladder-protecting and lithotripsy of the laparoscope adopts the device of the invention, when the gallbladder-protecting and lithotripsy operation is performed under the laparoscope, a smaller puncture hole is electrocoagulated at the bottom of the gallbladder by using the electrocoagulation equipment connected with the metal puncture head of the device through the conductive column, and the gallbladder is cut open while stopping bleeding through electrocoagulation; meanwhile, after the puncture head pierces the gallbladder, juice in the gallbladder is absorbed through the puncture head hole, the puncture barrel and the suction port, the air bag placed in the gallbladder is inflated, the main sleeve barrel is pulled back, the inner wall of the gallbladder is tightly pressed with the air bag on the main sleeve barrel, the puncture barrel is taken out, a choledochoscope and laser equipment are placed through the main sleeve barrel channel, calculus crushing is carried out on stones in the gallbladder, smaller crushed stones are flushed and sucked, after the stone crushing and stone taking are finished, only a hole with a smaller diameter of the main sleeve barrel is formed in the wall of the gallbladder, and after the hole of the wall of the gallbladder is sewn or tied, compared with a traditional patient needing a larger cut of the wall of the gallbladder, the incidence rate of gallbladder leakage is obviously reduced, no bile overflows in the stone taking process, and postoperative complications of the patient are obviously reduced. Through clinical use, the surgical instrument is convenient, quick and flexible to use and operate, effectively saves surgical time, reduces gallbladder trauma of a patient, and improves surgical safety.
Drawings
FIG. 1 is a schematic view of an outer sleeve of the present invention;
fig. 2 is a schematic structural view of the puncture inner core of the invention:
in the reference symbols: the device comprises an air bag opening 1, a valve 2, an instrument opening 3, an anti-skidding tooth 4, a spring 5, a connecting rod 6, a pressing handle 7, an anti-skidding cushion 8, a main sleeve barrel 9, an air bag 10, an air bag tube 11, a sliding ring 12, a puncture head 13, a puncture head hole 14, a puncture barrel 15, a conductive rod 16, a stop column 17, a suction opening 18 and a conductive column 19.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments of the invention without making any creative effort, fall within the protection scope of the invention.
Referring to fig. 1 and fig. 2, the present invention provides a technical solution: a sleeve device for laparoscope gallbladder-protecting lithotripsy stone extraction comprises an air bag opening 1, a valve 2, an instrument opening 3, an anti-skidding tooth 4, a spring 5, a connecting rod 6, a pressing handle 7, an anti-skidding pad 8, a main sleeve barrel 9, an air bag 10, an air bag tube 11, a sliding ring 12, a puncture head 13, a puncture head hole 14, a puncture barrel 15, a conductive rod 16, a stop column 17, a suction opening 18 and a conductive column 19; the method is characterized in that: the air bag port 1 is connected with an air bag 10 through a valve 2 and an air bag pipe 11; the instrument opening 3 is connected with a main sleeve pipe 9 through a valve 2; the pressing handle 7 is connected with the anti-skid pad 8 on the anti-skid tooth 4 through the connecting rod 6; the slip ring 12 is connected with the main sleeve barrel 9 in a sliding mode; the conductive column 19 is connected with the puncture head 13 through a conductive rod 16; the suction port 18 is connected with the puncture head hole 14 through the puncture cylinder 15; the stop column 17 is fixedly connected with the puncture cylinder 15; one end of the spring 5 is connected with the non-slip mat 8, and the other end is connected with a slip body where the slip ring 12 is located.
Further, the air bag opening 1 can be communicated with a syringe of a medical injector, a valve 2 made of rubber for preventing air leakage is arranged behind the air bag opening 1, and the air bag opening is communicated with an oblate air bag 10 made of rubber and capable of expanding after inflation in a sealing mode through an air bag pipe 11.
Further, the instrument opening 3 is in a horn shape, and the rear part of the instrument opening 3 is communicated with the main sleeve pipe 9 through a valve 2 which is made of rubber and can prevent air leakage.
Further, the spring 5 has an outward elastic force, and under the elastic force of the spring 5, the anti-skid pad 8 connected with the connecting rod 6 can be firmly clamped on the anti-skid tooth 4.
Further, the conductive column 19 made of metal material may be communicated with the electro-coagulation device in the operating room, and the conductive column 19 is connected with the piercing head 13 made of metal material through the conductive rod 16 made of metal material.
Further, the plastic suction port 18 is connected to the puncture tip hole 14 at the tip of the puncture tip 13 made of a metal through the puncture tube 15 made of a plastic.
Further, the stop pillar 17 is fixed on the outer wall of the puncture cylinder 15, and after the puncture cylinder 15 is placed in the main cannula cylinder 9, when the stop pillar 17 contacts the instrument opening 3, the puncture head 13 just protrudes out of the main cannula cylinder 9.
Further, the outer diameter of the puncture cylinder 15 is exactly the same as the inner diameter of the main cannula tube 9.
The specific connecting structure of the instrument of the invention is as follows: the instrument is a sleeve device for laparoscope gallbladder-protecting lithotripsy and lithotripsy, and comprises an air bag opening 1, a valve 2, an instrument opening 3, an anti-slip tooth 4, a spring 5, a connecting rod 6, a pressing handle 7, an anti-slip pad 8, a main sleeve barrel 9, an air bag 10, an air bag tube 11, a sliding ring 12, a puncture head 13, a puncture head hole 14, a puncture barrel 15, a conductive rod 16, a stop column 17, a suction opening 18 and a conductive column 19. The connection structure among each part is as follows: the air bag port 1 is universally connected with a connector of a medical syringe, a valve 2 made of rubber is arranged behind the air bag port 1 (the structures of the air bag port 1 and the valve 2 are similar to the structure of a water injection bag ball port of a catheter used in clinic, and are common technical schemes in clinic and mature technical schemes, which are not the technical difficulties and key points to be achieved in the patent and are not detailed here), and the air bag port 1 is connected with an air bag 10 through a thinner air bag tube 11; the air bag 10 is positioned at the front end of the main sleeve pipe 9 in a circle, can be expanded after being inflated, and can be retracted after being exhausted; the instrument opening 3 is of a horn mouth-shaped structure, so that surgical instruments can be conveniently placed in and removed, the valve 2 with a one-way effect is arranged behind the instrument opening 3 (the structure of the valve 2 is similar to that of an air leakage prevention valve of a puncture cannula used in clinic, and is a common technical scheme in clinic, and is a mature technical scheme, which is not a technical difficulty and a key point to be achieved in the patent, and is not detailed here), and the instrument opening 3 is communicated with the main cannula barrel 9 through the valve 2; the pipe wall on one side of the main sleeve pipe 9 is provided with anti-skid teeth 4 with a convex-concave structure, and the position of the slip ring 12 on the main sleeve pipe 9 can be moved by the slip ring 12; under the natural state, under the action of the elastic force of the spring 5, the anti-skid pad 8 is clamped on the anti-skid teeth 4, so that the movement of the slip ring 12 is limited; the handle 7 is pulled outwards, the spring 5 is compressed, the sliding ring 12 can slide at the moment, and the distance between the sliding ring 12 and the air bag 10 is further controlled; the conductive column 19 made of metal material can be communicated with an operating room and an electrocoagulation device; inside the puncture cylinder 15 made of plastic insulating material, a conductive column 19 is connected with the puncture head 13 made of metal material through a conductive rod 16 made of metal material; the front end of the puncture head 13 is provided with a plurality of puncture head holes 14, and the puncture head holes 14 are positioned at the front end of the puncture head 13 and are small channels communicated with a puncture cylinder 15; the suction port 18 communicated with the suction device of the operating room is communicated with the puncture head hole 14 through the puncture cylinder 15; the outer diameter of the puncture tube 15 is just consistent with the inner diameter of the main cannula tube 9, the puncture tube 15 can be tightly placed in the main cannula tube 9, and after the puncture tube 15 is placed in the main cannula tube 9, the plane of the instrument opening 3 on the main cannula tube 9 just clamps the catch column 17 on the puncture tube 15; and at this time, the piercing head 13 of metal material is just protruded from the front end of the main socket 9.
The invention has the advantages that: the surgical instrument can conveniently suck bile when a gallbladder-protecting calculus-removing operation is carried out, and can conveniently insert a choledochoscope and a laser calculus-breaking guide wire into the main sleeve tube 9 tube diameters under the condition of a small gallbladder wall incision to carry out a sleeve device for breaking large calculus in a gallbladder. At present, clinically, when a gallbladder-protecting and calculus-removing operation is performed in a laparoscope downlink, an electric knife and an ultrasonic knife are needed to be used for electrocoagulating a small hole on a gallbladder to be subjected to calculus removal, a suction apparatus is used for sucking and removing gallbladder juice at the small hole, then a gallbladder wall opening is expanded to a gallbladder wall opening exceeding the size of gallbladder calculus, and the calculus is removed from the gallbladder; when the gallbladder is cut through the electric coagulation by using the electric knife and the ultrasonic knife, generally, because the pressure in the gallbladder is higher, bile overflows more at the same time of cutting the gallbladder, an operator hardly uses a suction apparatus right, the overflowing bile is completely and cleanly sucked and removed, the overflowing redundant bile can cause pollution to the abdominal cavity, the bile per se has irritation, even if the overflowing bile is washed and diluted for treatment, part of patients still have bile irritation peritonitis, even if the patients are heated and uncomfortable, due to the influence of the residual overflowing bile; meanwhile, when the patient has large gallstone, the large gallbladder wall needs to be cut for carrying out stone extraction operation, and after the gallbladder wall with a large incision is sutured after operation, because the incision of the gallbladder wall is large, the cut part of the gallbladder wall is also necrotized after operation, so that the biliary leakage risk is caused; this patent apparatus can be smooth, the above-mentioned problem of safe solution: when a patient needing gallbladder protection and calculus removal is encountered, and a gallbladder protection and calculus removal operation is performed under a laparoscope, a smaller puncture hole is formed in the bottom of a gallbladder by using an electrocoagulation device connected with a metal puncture head 13 of the instrument through a conductive column 19, and the gallbladder is cut open and stopped by electrocoagulation, so that the bleeding risk is reduced; meanwhile, after the puncture head 13 pierces the gallbladder, juice in the gallbladder liner is sucked and removed through the puncture head hole 14, the puncture cylinder 15 and the suction port 18, the air bag 10 placed in the gallbladder is inflated, the main sleeve pipe 9 is pulled back, the air bag 10 can be clamped on mucosa on the inner wall of the gallbladder, the sliding ring 12 slides forwards at the moment, the instrument can be fixed between the abdominal wall of a patient and the mucosa inside the gallbladder, a choledochoscope and a laser lithotripsy device are placed through a channel of the main sleeve pipe 9, calculus crushing operation is carried out on the gallbladder, smaller crushed stones are flushed and sucked at the same time, after the stone crushing and stone taking are finished, only a hole with the diameter of the smaller main sleeve pipe 9 is formed in the gallbladder wall, after the hole of the gallbladder wall is sewn or ligated, compared with a patient with a larger incision of the gallbladder wall, the incidence rate of gallbladder leakage of the patient after the operation is obviously reduced, no bile overflows in the stone taking process, and the instrument is safe and convenient. Through clinical use, the surgical instrument is convenient, quick and flexible to use and operate, effectively saves the operation time, reduces the gallbladder injury of a patient and the postoperative risk, and improves the operation safety.
The specific use and operation method of the invention is as follows: when the laparoscopic gallbladder-protecting and stone-taking operation is performed, the surgical instrument can be used for easily, safely and quickly sucking bile in the gallbladder out, and meanwhile, calculus is broken under a small wound of the gallbladder wall and then taken out. When in use, the temporary nondestructive blocking clip (commonly called a pug) is firstly used for temporarily blocking the cystic duct at the neck of the gallbladder to prevent stones in the gallbladder from falling into the common bile duct in the process of removing stones. Then, the instrument is taken, the suction port 18 is communicated with an operating room suction device, the conductive column 19 is communicated with an operating room conductive device, the puncture tube 15 is placed into the main sleeve tube 9, a proper position is selected at the bottom of a gallbladder of a patient, when the puncture head 13 is contacted with the gallbladder wall, the electrocoagulation device is switched on, current is passed through the operating room electrocoagulation device, the conductive column 19, the conductive rod 16 and the puncture head 13 to be contacted with the gallbladder wall, the gallbladder wall is subjected to electrocoagulation windowing operation, the gallbladder wall contacted with the tip of the puncture head 13 is subjected to coagulation while being punctured, at the moment, the puncture head hole 14 is in the gallbladder, bile flowing in the gallbladder can be sucked through the puncture head hole 14, the puncture tube 15 and the suction port 18, the instrument is continuously pushed into the gallbladder, the air bag 10 at the front end of the main sleeve tube 9 is further placed into the gallbladder, a medical needle cylinder is used, inflating the air bag port 1 through the air bag port 1, the air bag tube 11 and the air bag, expanding the circular air bag 10 in the gall bladder, pulling out a small part of the main sleeve tube 9 outwards appropriately at the moment, clamping the air bag 10 on the internal mucosa of the gall bladder of a patient, pulling the press handle 7 outwards outside the body, moving the slide ring 12 towards the skin direction, loosening the press handle 7 when the press handle 12 is in a proper position, fixing the slide ring 12 on the skin, establishing a connecting channel mainly comprising the main sleeve tube 9 in the internal mucosa and the abdominal wall of the gall bladder of the patient, crushing large stones in the gall bladder by using a choledochoscope and a laser guide wire after putting the main sleeve tube 9 channel, crushing stones by using laser, taking out the stones through the channel of the main sleeve tube 9, sucking gas in the air bag 10 by using a medical syringe after the crushing is finished, and removing the apparatus in the body of the patient after shrinking the air bag 10, the puncture hole of the gallbladder wall of the patient is a smaller puncture hole of the gallbladder, the diameter of which is consistent with that of the main sleeve 9, after the puncture hole on the gallbladder wall is closed, the puncture hole of the gallbladder wall of the patient can be healed quickly, the occurrence of postoperative complications is reduced, then the temporary atraumatic blocking clip (commonly called a pug) at the neck of the gallbladder is removed, and the operation is finished. This peritoneoscope protects courage rubble and gets sleeve pipe ware for stone under less gall-bladder wound condition, can effectual, safe bile suction, gall-bladder stone rubble in the gall-bladder, and postoperative gall-bladder wall damage is less, obviously reduces the operation degree of difficulty and the emergence of postoperative complication of protecting the courage to get the stone, improves the operation security, reduces the operation time, is worth clinical popularization.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (8)
1. A sleeve device for laparoscope gallbladder-protecting lithotripsy stone extraction comprises an air bag opening, a valve, an instrument opening, an anti-slip tooth, a spring, a connecting rod, a pressing handle, an anti-slip pad, a main sleeve barrel, an air bag tube, a sliding ring, a puncture head hole, a puncture barrel, a conductive rod, a stop pillar, a suction opening and a conductive pillar; the method is characterized in that: the air bag port is connected with the air bag through a valve and an air bag pipe; the instrument opening is connected with the main sleeve barrel through a valve; the pressing handle is connected with the anti-skid pad on the anti-skid tooth through the connecting rod; the slip ring is connected with the main sleeve barrel in a sliding manner; the conductive column is connected with the puncture head through a conductive rod; the suction port is connected with the puncture head hole through the puncture cylinder; the stop column is fixedly connected with the puncture cylinder; one end of the spring is connected with the non-slip mat, and the other end of the spring is connected with the slip body where the slip ring is located.
2. The laparoscope gallbladder-protecting lithotripsy lithotripter casing device of claim 1, wherein: the air bag opening can be communicated with a syringe of the medical injector, a valve made of rubber for preventing air leakage is arranged behind the air bag opening, and the air bag opening is communicated with an oblate air bag which is made of rubber and can expand after being inflated in a closed manner through an air bag pipe.
3. The laparoscope gallbladder-protecting lithotripsy lithotripter casing device of claim 1, wherein: the instrument opening is in a horn shape, and the rear part of the instrument opening is communicated with the main sleeve barrel through a valve which is made of rubber and can prevent air leakage.
4. The laparoscope gallbladder-protecting lithotripsy lithotripter casing device of claim 1, wherein: the spring has outward elasticity, and under the action of the elasticity of the spring, the anti-skid pad connected with the connecting rod can be firmly clamped on the anti-skid teeth.
5. The laparoscope gallbladder-protecting lithotripsy lithotripter casing device of claim 1, wherein: the metal conductive column can be communicated with the operating room electrocoagulation device, and the conductive column is connected with the puncture head made of the metal material through the conductive rod made of the metal material.
6. The laparoscope gallbladder-protecting lithotripsy lithotripter casing device of claim 1, wherein: the plastic suction port is connected with the puncture head hole which is made of metal and is arranged at the front end of the puncture head through the puncture cylinder made of plastic.
7. The laparoscope gallbladder-protecting lithotripsy lithotripter casing device of claim 1, wherein: the stop pillar is fixed on the outer wall of the puncture cylinder, and after the puncture cylinder is placed into the main sleeve cylinder, when the stop pillar is contacted with the instrument opening, the puncture head just protrudes out of the main sleeve cylinder completely.
8. The laparoscope gallbladder-protecting lithotripsy lithotripter casing device of claim 1, wherein: the outer diameter of the puncture cylinder is just consistent with the inner diameter of the main sleeve.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110840097.7A CN113384346A (en) | 2021-07-24 | 2021-07-24 | Peritoneoscope protects courage rubble and gets sleeve pipe ware for stone |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202110840097.7A CN113384346A (en) | 2021-07-24 | 2021-07-24 | Peritoneoscope protects courage rubble and gets sleeve pipe ware for stone |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN113384346A true CN113384346A (en) | 2021-09-14 |
Family
ID=77621986
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202110840097.7A Pending CN113384346A (en) | 2021-07-24 | 2021-07-24 | Peritoneoscope protects courage rubble and gets sleeve pipe ware for stone |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN113384346A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN118453035A (en) * | 2024-05-29 | 2024-08-09 | 无锡市锡山人民医院 | Laparoscopic gallstone removal and lithotripsy device |
-
2021
- 2021-07-24 CN CN202110840097.7A patent/CN113384346A/en active Pending
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN118453035A (en) * | 2024-05-29 | 2024-08-09 | 无锡市锡山人民医院 | Laparoscopic gallstone removal and lithotripsy device |
| CN118453035B (en) * | 2024-05-29 | 2024-11-05 | 无锡市锡山人民医院 | Laparoscopic gallstone removal and lithotripsy device |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| KR100820497B1 (en) | EM treatment equipment and EM device | |
| US5383889A (en) | Tethered everting balloon retractor for hollow bodies and method of using | |
| JP3232938U (en) | Tow device and tow ring for tow device | |
| US20090270789A1 (en) | Suction dome for atraumatically grasping or manipulating tissue | |
| WO2009009275A1 (en) | Methods and systems for submucosal implantation of a device for diagnosis and treatment of a body | |
| JP2006192290A (en) | Balloon dissection apparatus | |
| WO2009009274A2 (en) | Methods and systems for performing submucosal medical procedures | |
| US20160183977A1 (en) | Device for placement of an intrauterine balloon | |
| CN204797948U (en) | Pin type pincers | |
| JP2009183516A (en) | ESD treatment tool | |
| CN112263288A (en) | Gallstone extractor for laparoscope | |
| CN113384346A (en) | Peritoneoscope protects courage rubble and gets sleeve pipe ware for stone | |
| CN215425065U (en) | Peritoneoscope protects courage rubble and gets sleeve pipe ware for stone | |
| CN221750716U (en) | Disposable fascia suture puncture outfit | |
| CN113116450A (en) | Emergency hemostasis method and emergency hemostasis device for vascular surgery | |
| CN201524123U (en) | Puncture cannula for laparoscopic surgery by means of vagina water injection | |
| CN214104486U (en) | Gallstone extractor for laparoscope | |
| CN110974348A (en) | Cholecystolithiasis lithotriptor for laparoscope | |
| CN213821542U (en) | Micro-wound retractor for laparoscope thoracoscope | |
| CN203122693U (en) | Integrated stent implanting device | |
| CN217286094U (en) | Bile displacer for laparoscope gallbladder-protecting and lithotomy | |
| JP4716787B2 (en) | Submucosal layer peeling treatment device and submucosal layer peeling treatment device system | |
| CN211633481U (en) | Cholecystolithiasis lithotriptor for laparoscope | |
| CN115737085A (en) | Device for establishing amniotic cavity channel through mother body and use method thereof | |
| CN222383297U (en) | A casing device for hydraulic and electric lithotripsy |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| PB01 | Publication | ||
| PB01 | Publication | ||
| SE01 | Entry into force of request for substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| CB02 | Change of applicant information | ||
| CB02 | Change of applicant information |
Country or region after: China Address after: 201505, No. 80 Ping Ping North Road, ting Lin Town, Shanghai, Jinshan District Applicant after: Shanghai Jinshan Tinglin Hospital Address before: No. 80 Siping North Road, Tinglin Town, Jinshan District, Shanghai Applicant before: Shanghai Jinshan Tinglin hospital (Jinshan Branch of China Welfare International Peace Maternal and child health Hospital) Country or region before: China |