CN103565483A - Gasless device of inflatable laparoscope - Google Patents

Gasless device of inflatable laparoscope Download PDF

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Publication number
CN103565483A
CN103565483A CN201310560359.XA CN201310560359A CN103565483A CN 103565483 A CN103565483 A CN 103565483A CN 201310560359 A CN201310560359 A CN 201310560359A CN 103565483 A CN103565483 A CN 103565483A
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China
Prior art keywords
air bag
gasless
free device
pneumoperitoneum
sleeve
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CN201310560359.XA
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Chinese (zh)
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CN103565483B (en
Inventor
耿葵花
粟奕勇
韦为
郑广平
吴东波
韩小刚
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Guangxi University
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Guangxi University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0281Abdominal wall lifters

Abstract

A gasless device of an inflatable laparoscope comprises a switch, air bags, lifting lines, supporting rods and a sleeve. Each air bag is provided with an inflatable hose. The tail ends of the inflatable hoses are connected with the switch. One end of each supporting rod is connected with the upper portion of each air bag, and the other end of each supporting rod is connected with the lower portion of each air bag. One end of each lifting line is connected with the upper portion of each supporting rod or the upper portion of each air bag. The sleeve is an independent part. By the adoption of the gasless device, the phenomena that abdominal walls on the two sides gather towards the middle to extrude intestinal canals to centralize towards the middle, and operation space becomes smaller and narrower are avoided, and the problem that in the existing gasless technology, the operation space is insufficient in exposure is well solved. More importantly, operation instrument trouble-free operation can be achieved without adopting a lifting hollow mode, and the gasless device is suitable for both a porous laparoscope gasless operation and a single-port laparoscope gasless operation.

Description

Inflated type laparoscope pneumoperitoneum-free device
Technical field
The present invention relates to technical field of medical instruments, specifically a kind of inflated type laparoscope pneumoperitoneum-free device.
Background technology
Tradition laparoscopic surgery utilizes CO 2pneumoperitoneum technology is manufactured operation technique space, due to CO 2pneumoperitoneum has many harmful effects to breathing, blood circulation and Pregnant Fetus, and people have developed the laparoscopic surgery that various stomach wall suspension apparatus are exempted from pneumoperitoneum.But the existing pneumoperitoneum technology stomach wall suspention pulling force of exempting from can make bilateral stomach wall assemble to centre, extruding intestinal tube is concentrated to centre, cause operative space to diminish, narrow down, and suspension apparatus itself has also occupied certain position, hindered the motion of operating theater instruments, therefore operative space exposes deficiency and operation is not their major defect.In addition, existing laparoscopic surgery of exempting from pneumoperitoneum generally need to be done 3~5 little otch as the passage of operating theater instruments at stomach wall, and otch Yue Duo Wicresoft and cosmetic result are poorer, and the risk of postoperative infection is larger, and healing time is also longer.Therefore, single hole technology and the combination of exempting from pneumoperitoneum technology are one of developing direction of laparoscopic technique, and the key that peritoneoscope single hole is exempted from pneumoperitoneum technology is to develop the stomach wall suspension apparatus that is applicable to single hole technology, and this prior art open question also just.
Summary of the invention
The object of this invention is to provide a kind of inflated type laparoscope pneumoperitoneum-free device, it can overcome existingly exempt from that pneumoperitoneum technology operative space is little, visual area exposes poor shortcoming, and easy operating, both can be used for porous operation, also can be used for the feature of single hole operation.
The present invention achieves the above object by the following technical programs: a kind of inflated type laparoscope pneumoperitoneum-free device, comprise air bag and sleeve, and described air bag carries inflated hose.
Described air bag is at least comprised of two annular air-pockets, uppermost one is upper annular air-pocket, nethermost one is lower annular air-pocket, between air bag by communicating pipe UNICOM together, the diameter of each annular air-pocket, caliber and spacing both can equate also can be unequal, and ring can be also zero with the spacing of ring.
Described air bag is single annular or single cylindrical, truncated cone-shaped, spherical, spiral type, complex.
Described sleeve is provided with a breach, and this breach is in axial direction connecting the open slot of offering.
Described air bag can be attached thereto with support bar, and described support bar or air bag top can connect and lifts line.
The outstanding technique effect of the present invention is:
Utilize airbag inflation to support out stomach wall, make abdominal cavity form the operative space of a cylindrical or spherical or truncated cone-shaped, solved preferably the existing pneumoperitoneum technology operative space of exempting from and exposed not enough problem.What is more important, does not need the hollow form lifting can realize the accessible operation of operating theater instruments, has both been applicable to porous laparoscope pneumoperitoneum-free operation, is applicable to single-hole laparoscopic yet and exempts from pneumoperitoneum operation.
Accompanying drawing explanation
Fig. 1 is the working state schematic representation of inflated type laparoscope pneumoperitoneum-free device of the present invention.
Fig. 2 is the air bag schematic diagram of two ring-shaped combinations of duty of inflated type laparoscope pneumoperitoneum-free device of the present invention.
Fig. 3 is the air bag schematic diagram of a plurality of ring-shaped combinations of duty of inflated type laparoscope pneumoperitoneum-free device of the present invention.
Fig. 4 is the single cylindrical air bag schematic diagram of the duty of inflated type laparoscope pneumoperitoneum-free device of the present invention.
Fig. 5 is the single spherical air bag schematic diagram of the duty of inflated type laparoscope pneumoperitoneum-free device of the present invention.
Fig. 6 is annular air-pocket in Fig. 1, support bar, lift the structural representation of line junction.
Fig. 7 is the original state schematic diagram of inflated type laparoscope pneumoperitoneum-free device of the present invention.
Fig. 8 is the original state schematic diagram that inflated type laparoscope pneumoperitoneum-free device of the present invention removes sleeve.The specific embodiment
Below in conjunction with drawings and Examples, technical scheme of the present invention is further described.
As shown in Figures 1 to 8, inflated type laparoscope pneumoperitoneum-free device of the present invention, comprise switch 1, air bag 2, lift line 3, support bar 4 and sleeve 9, described air bag 2 includes a upper annular air-pocket 5 and a lower annular air-pocket 8(as shown in Figure 2), one end of described support bar 4 is connected with the upper annular air-pocket 5 of air bag 2, the other end of support bar 4 and the lower annular air-pocket 8 of air bag 2 are connected, described in lift line 3 one end with support bar 4 or with upper annular air-pocket 5, be connected; It should be noted that, air bag 2 comprises that annular air-pocket 5 and a lower annular air-pocket 8 are hollow structure, and adopts elastomeric material to make; It is to be noted, the annular air-pocket of air bag 2 can adopt two offices's (as shown in Figure 2) that are periphery, also can adopt many annular air-pocket layouts (as shown in Figure 3), diameter, caliber and the spacing of each ring both can equate also can be unequal, and ring can be also zero with the spacing of ring; Also it is pointed out that air bag 2 can adopt the shapes (as shown in Figure 4, Figure 5) such as single annular or single cylindrical, truncated cone-shaped, spherical, spiral type, complex; Characteristic of the present invention is: the gas of certain pressure is filled with in the air bag 2 of flexible hollow, utilizes air pressure that air bag inflation is opened, thereby the stomach wall that struts patient is to obtain operative space.
For can be convenient and successfully by air bag 2, lift the importing patients' such as line 3, support bar 4 intraperitoneal, a sleeve 9 can be set, the separate piece that this sleeve 9 is hollow, can be by described air bag 2, lift the hollow cavity that the member storages such as line 3, support bar 4 enter sleeve 9, and can from patient's intraperitoneal, extract sleeve 9 out (as shown in Figure 7) as required.
For can be smoothly by air bag 2, lift the parts such as line 3, support bar 4 and discharge, can on sleeve 9, offer a breach 9a(as shown in Figure 7), described breach 9a for better, wherein take again that in axial direction to connect the open slot of offering be the best (referring to Fig. 7) with the open slot that connects shape.
For gas is imported in air bag 2 quickly, can between the each several part of above-mentioned air bag, at least be connected with a communicating pipe 7, described communicating pipe 7 by upper annular air-pocket 5 together with lower annular air-pocket 8 and intermediate annular air bag UNICOM.In addition, on upper annular air-pocket 5, be at least connected with an inflated hose 6, can inflate or exit by 6 pairs of air bags 2 of inflated hose like this.
Operation principle and the process of described inflated type laparoscope pneumoperitoneum-free device are:
Air bag 2 and support bar 4 are packed in sleeve from the breach 9a of sleeve 9, and make to lift line 3 and inflated hose 6 stretches out upper cartridge, make it form the original state of Fig. 7; In annulus umbilicalis place, do the otch of about 25mm, mention front stomach wall, inflated type laparoscope pneumoperitoneum-free device is inserted and reaches intraperitoneal by original state, the free end and the switch 1 that lift line 3 remain on outside abdominal cavity otch, sleeve 9 is taken out, pull and lift line 3, make remainder be retained in vertical state in abdominal cavity, open switch 1, be filled with the gas of certain pressure, air bag 2 expands and launches, abdominal cavity is strutted, form cylindrical operative space, closing switch 1, puts lift line 3 and inflated hose 6 outside stomach wall can perform the operation by operation demand position.Perform the operation complete, open switch 1, bleed off gas, evenly pull and lift line 3, handle assembly is extracted out from abdominal cavity.
Above-described embodiment is only some preferred embodiments of the present invention, not limits the scope of the invention according to this, and the various equivalences of doing according to structure of the present invention, shape, principle therefore all change, within all should being included in protection scope of the present invention.

Claims (5)

1. an inflated type laparoscope pneumoperitoneum-free device, is characterized in that: comprise air bag and sleeve, described air bag carries inflated hose.
2. inflated type laparoscope pneumoperitoneum-free device according to claim 1, it is characterized in that: described air bag is at least comprised of two annular air-pockets, uppermost one is upper annular air-pocket, nethermost one is lower annular air-pocket, between air bag by communicating pipe UNICOM together, the diameter of each annular air-pocket, caliber and spacing both can equate also can be unequal, and ring can be also zero with the spacing of ring.
3. inflated type laparoscope pneumoperitoneum-free device according to claim 1, is characterized in that: described air bag is single annular or single cylindrical, truncated cone-shaped, spherical, spiral type, complex.
4. inflated type laparoscope pneumoperitoneum-free device according to claim 1, is characterized in that: described sleeve is provided with a breach, and this breach is in axial direction connecting the open slot of offering.
5. inflated type laparoscope pneumoperitoneum-free device according to claim 1, is characterized in that: described air bag can be attached thereto with support bar, and described support bar or air bag top can connect and lifts line.
CN201310560359.XA 2013-11-12 2013-11-12 Inflated type laparoscope pneumoperitoneum-free device Active CN103565483B (en)

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Application Number Priority Date Filing Date Title
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CN103565483B CN103565483B (en) 2016-08-17

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107242886A (en) * 2017-07-28 2017-10-13 佳木斯大学 Minimally-invasive for laparoscopic surgery positions instrument and its protection support positioning mode
CN109498081A (en) * 2019-01-04 2019-03-22 许超宇 Endoscope-assistant surgery inflatable airbag
CN111887910A (en) * 2020-07-13 2020-11-06 杭州山友医疗器械有限公司 Abdominal cavity dilator
CN112932572A (en) * 2021-02-02 2021-06-11 山东中医药大学第二附属医院 Department of general surgery exempts from pneumoperitoneum operation device with haplopore

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5358496A (en) * 1991-10-18 1994-10-25 Ethicon, Inc. Endoscopic tissue manipulator
US5522790A (en) * 1991-05-29 1996-06-04 Origin Medsystems, Inc. Retraction apparatus and methods for endoscopic surgery
US20040097792A1 (en) * 1991-05-29 2004-05-20 Moll Frederic H. Endoscopic inflatable retraction device, method of using, and method of making
CN102695541A (en) * 2009-12-16 2012-09-26 迈克罗普拉塔公司 Arrangements and methods for effecting an endoluminal anatomical structure
CN103126730A (en) * 2011-11-28 2013-06-05 广西大学 Direct-inserting type peritoneoscope pneumoperitoneum-avoiding device
CN203539393U (en) * 2013-11-12 2014-04-16 广西大学 Inflatable laparoscope pneumoperitoneum avoiding device

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5522790A (en) * 1991-05-29 1996-06-04 Origin Medsystems, Inc. Retraction apparatus and methods for endoscopic surgery
US20040097792A1 (en) * 1991-05-29 2004-05-20 Moll Frederic H. Endoscopic inflatable retraction device, method of using, and method of making
US5358496A (en) * 1991-10-18 1994-10-25 Ethicon, Inc. Endoscopic tissue manipulator
CN102695541A (en) * 2009-12-16 2012-09-26 迈克罗普拉塔公司 Arrangements and methods for effecting an endoluminal anatomical structure
CN103126730A (en) * 2011-11-28 2013-06-05 广西大学 Direct-inserting type peritoneoscope pneumoperitoneum-avoiding device
CN203539393U (en) * 2013-11-12 2014-04-16 广西大学 Inflatable laparoscope pneumoperitoneum avoiding device

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107242886A (en) * 2017-07-28 2017-10-13 佳木斯大学 Minimally-invasive for laparoscopic surgery positions instrument and its protection support positioning mode
CN109498081A (en) * 2019-01-04 2019-03-22 许超宇 Endoscope-assistant surgery inflatable airbag
CN111887910A (en) * 2020-07-13 2020-11-06 杭州山友医疗器械有限公司 Abdominal cavity dilator
CN112932572A (en) * 2021-02-02 2021-06-11 山东中医药大学第二附属医院 Department of general surgery exempts from pneumoperitoneum operation device with haplopore

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