CN104473667B - Long oversleeve type hand-actuated accelerator, clutch and brake - Google Patents
Long oversleeve type hand-actuated accelerator, clutch and brake Download PDFInfo
- Publication number
- CN104473667B CN104473667B CN201410822979.0A CN201410822979A CN104473667B CN 104473667 B CN104473667 B CN 104473667B CN 201410822979 A CN201410822979 A CN 201410822979A CN 104473667 B CN104473667 B CN 104473667B
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- Prior art keywords
- ring
- hand
- long
- clutch
- brake
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Classifications
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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
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0281—Abdominal wall lifters
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
Long oversleeve type hand-actuated accelerator, clutch and brake, long oversleeve type hand-actuated accelerator, clutch and brake, including retractor, sealing mechanism, it is characterised in that the ring that sealing mechanism bag one end is tightly connected long oversleeve on the retractor, can be connected with the long oversleeve other end and gloves.The present invention is compared with the prior art, it is to avoid nondominant hand is fixed on stomach wall and causes limitation of activity and easily fatigue, operates more flexible, comfortable, also establishes stable long-channel（Needed to determine the size of assistor otch according to operation, hand can enter or not enter intraperitoneal）, abdomen opening device tool can be applied in laparoscopic surgery, and a brand-new theory and operating method is provided for hand assisted laparoscopic surgery.
Description
Technical field：
The present invention relates to a kind of operating theater instruments.
Background technology：
Laparoscopic surgery first sets up artificial pneumoperitoneum, is performed the operation under the illumination of laparoscope, be divided into complete laparoscopic surgery,
Three kinds of laparo- assisted and hand assisted laparoscopic surgery.Hand assisted laparoscopic refer to by one hand of hand-actuated accelerator, clutch and brake put in it is intraperitoneal enter
Operation under row laparoscope, accounts for the 30% of laparoscopic surgery.
The use of existing hand-actuated accelerator, clutch and brake is：Celiotomy incision about 7-9cm（According to the size of patient's hand）, retracted and cut with retractor
Mouthful, then fixed the wrist of patient on the retractor with outer shroud.Such a hand-actuated accelerator, clutch and brake, because the method for fixed wrist uses hoop
Tight mode, after wrist is tightened, it is easy to cause arm thrombosis, easily causes nondominant hand fatigue, and then influence doctor
Surgical action.Therefore, someone has invented sets inflatable seal device in retractor again, pressure bladder is made by hand by inflation
Wrist is tightly wrapped up, because air bag and the contact surface of wrist are big, therefore, the problem of can effectively slowing down arm thrombosis, still, no
Tight can be avoided completely and influence arm blood flow smoothly.In addition, it is necessary to which when changing operating theater instruments, sealer can only be untied
Structure, is changed after operating theater instruments, then rebuilds pneumoperitoneum, so, is used, very inconvenient, moreover, the hand of patient is positioned at retractor
On, it also have impact on the flexibility of hand.
The content of the invention：
Sealing structure directly hoop had both been avoided that in doctor's wrist it is an object of the invention to provide one kind, meanwhile, no matter
The nondominant hand of patient whether enter it is intraperitoneal, operation technique can be ensured, moreover, without need rebuild pneumoperitoneum it become convenient substantially that more
Change the long oversleeve type hand-actuated accelerator, clutch and brake of operating theater instruments.
The present invention is achieved in that including retractor, sealing mechanism it is particular in that sealing mechanism includes one end
The ring that be tightly connected long oversleeve on the retractor, can be connected with the long oversleeve other end and gloves.In use, first by hand-actuated accelerator, clutch and brake
Retractor is fixed on the small otch of stomach wall, and then ring is worn near the wrist of nondominant hand and performed the operation on coat-sleeve, puts on surgical glove
Cover ring, then the long oversleeve other end is bundled on the gloves of correspondence ring, then carry out it is artificial build pneumoperitoneum just can row laparoscope
Perform the operation.
Here, in order to adapt to the difference of patient's wrist size, ring is the ring of an opening, and the openend of ring is mutually folded against one
Rise and connected by bindiny mechanism.Column hook that bindiny mechanism is provided on a ring wherein openend and to be arranged on ring another
The mouth of hook corresponding with column hook on openend；Or velcro.So, the column on fastener fastener diverse location is passed through
The different snap-in positions of hook or velcro carry out the size of regulation ring internal diameter to adapt to the wrist that patient is of different sizes.
In order to ensure that the long oversleeve other end is tightly connected with gloves, set fluted on ring, will by hoop or tied rope
Long the oversleeve other end and gloves are fixed on the groove of ring.
Due to being connected gloves and long oversleeve using ring, so, overcome doctor's wrist and be fixed on stomach wall upper influence
The flexibility of doctor's arm and nondominant hand hold fatigable shortcoming, and the end of oversleeve and near-end can be bundled with rope, by pneumoperitoneum
Closing, so, the hand of patient together with gloves with regard to long oversleeve can be left, to change operating theater instruments, then by the hand of patient together with
Gloves reenter long oversleeve, after sealing, unclamp rope, without rebuilding pneumoperitoneum again with regard to that new operating theater instruments can be used to carry out hand
Art, thus need not rebuild pneumoperitoneum when realizing hand turnover assistor.Meanwhile, long oversleeve connects equivalent to establishing one with abdominal cavity
The stable channel being integrated, even if stomach wall only opens the otch of very little（About 3-4cm）, nondominant hand can not put in it is intraperitoneal, can also
The highly difficult operations such as intraperitoneal separation and suture are carried out using the apparatus of abdomen is driven by hand-actuated accelerator, clutch and brake, are that hand assisted laparoscopic surgery is carried
It is so for the apparatus of a brand-new operating method, make hand assisted laparoscopic surgery more minimally invasive, safer, make more patients
Be benefited.
Compared with the prior art the present invention, has：
1st, possesses the common advantage of general hand-actuated accelerator, clutch and brake：The sense of touch of hand in laparoscopic surgery is added, chorista, pressure is assisted
Compel hemostasis, specimens from pri can be taken out in the otch of hand-actuated accelerator, clutch and brake；
2nd, the scope of activities of nondominant hand is expanded, while decreasing the shadow that hand is operated to laparoscope and laparoscopic instrument
Ring；
3rd, wrist is not pressurized, and mitigates the fatigue of nondominant hand；
4th, abdomen opening device tool can be applied in laparoscopic surgery simultaneously, be easier in laparoscopic surgery the operation of difficulty greatly,
It is safely completed, separation such as blood vessel, the suture of previous anastomotic；
5th, because oversleeve long enough, the otch of hand-actuated accelerator, clutch and brake can be with very little（4cm or so）, hand can not enter abdominal cavity, and lead to
Cross the hand-actuated accelerator, clutch and brake application abdomen opening device tool and complete laparoscopic surgery, the operation such as suture under laparoscope is become easy safety；
6th, the operating technology for opening abdomen is applied in laparoscope, makes more highly difficult operations, bigger tumor resection can be with
Completed under laparoscope, allow more patients to benefit from it；
7th, the operating technology under laparoscope is simplified, the new doctor for learning laparoscopic surgery is easier association, while favorably
In the training of basic unit laparoscope doctor.
Brief description of the drawings：
Fig. 1 is structural representation of the invention；
Fig. 2 is the structural representation of the ring of opening.
Embodiment：
The present invention is described in further detail in conjunction with drawings and examples：
As shown in figure 1,
The present invention includes retractor 1, the sealing mechanism being fixed on the small otch of stomach wall 6, and it is particular in that sealing
Long oversleeve 2 that mechanism bag one end is sealedly connected on retractor 1, the gloves 3 that can be worn with the long other end of oversleeve 2 and patient are connected
The plastic hoop 4 being worn in patient's wrist.
As shown in Fig. 2 ring 4 is the ring of an opening, the openend of ring 4 mutually folds against together and connected by bindiny mechanism 7
Connect.Column hook 7a and be arranged on another openend 4b of ring 4 that bindiny mechanism 7 is provided on the wherein openend 4a of ring 4
Mouth of hook 7b corresponding with column hook 7a；Or velcro.
Fluted 4c is set on ring 4, the long other end of oversleeve 2 and gloves 3 are fixed on by ring 4 by hoop or tied rope 5
On groove 4c.
Performed the operation in use, doctor can be stretched into by gloves 3 in abdominal cavity of patients 6, the manipulator of gloves 3 can also be passed through
Art apparatus enters through retractor 1 is performed the operation in abdominal cavity of patients 6.
Claims (5)
1. long oversleeve type hand-actuated accelerator, clutch and brake, including retractor, sealing mechanism, it is characterised in that sealing mechanism is sealedly connected on including one end
Long oversleeve on retractor, the ring that can be connected with the long oversleeve other end and gloves, gloves cover ring, then the long oversleeve other end is tied
Tie up on the gloves of correspondence ring, ring is the ring of an opening, and the openend of ring mutually folds against together and connected by bindiny mechanism.
2. long oversleeve type hand-actuated accelerator, clutch and brake according to claim 1, it is characterised in that bindiny mechanism is provided in ring wherein one and opened
Column hook on mouthful end and the mouth of hook corresponding with column hook being arranged on another openend of ring；Or velcro.
3. long oversleeve type hand-actuated accelerator, clutch and brake according to claim 1 or 2, it is characterised in that set fluted on ring, passes through hoop
Or the long oversleeve other end and gloves are fixed on the groove of ring by tied rope.
4. long oversleeve type hand-actuated accelerator, clutch and brake according to claim 1 or 2, it is characterised in that ring is a plastic hoop.
5. long oversleeve type hand-actuated accelerator, clutch and brake according to claim 3, it is characterised in that ring is a plastic hoop.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410822979.0A CN104473667B (en) | 2014-12-26 | 2014-12-26 | Long oversleeve type hand-actuated accelerator, clutch and brake |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201410822979.0A CN104473667B (en) | 2014-12-26 | 2014-12-26 | Long oversleeve type hand-actuated accelerator, clutch and brake |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN104473667A CN104473667A (en) | 2015-04-01 |
| CN104473667B true CN104473667B (en) | 2017-09-29 |
Family
ID=52748377
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201410822979.0A Expired - Fee Related CN104473667B (en) | 2014-12-26 | 2014-12-26 | Long oversleeve type hand-actuated accelerator, clutch and brake |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN104473667B (en) |
Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6033428A (en) * | 1999-01-26 | 2000-03-07 | Sardella; William V. | Laparoscopic surgery device |
Family Cites Families (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5636645A (en) * | 1995-02-28 | 1997-06-10 | Ou; Honzen | Method and surgical glove for performing laparoscopic-assisted mini laparotomy |
| US6485467B1 (en) * | 1997-10-08 | 2002-11-26 | Medical Creative Technologies, Inc. | Extracorporeal pneumoperitoneum enclosure and method of use |
| EP1135069A1 (en) * | 1998-12-01 | 2001-09-26 | Atropos Limited | An exsanguinator |
| AU768943C (en) * | 1998-12-01 | 2004-07-22 | Atropos Limited | Laparoscopic sealed access device |
| IE990795A1 (en) * | 1999-07-30 | 2001-03-07 | Gaya Ltd | Hand Access Port Device |
| US6471714B1 (en) * | 2000-04-10 | 2002-10-29 | H. Charles Kim | Apparatus and method for manuary access to sufflated body cavity |
| CN2794456Y (en) * | 2005-04-22 | 2006-07-12 | 强生(上海)医疗器材有限公司 | Hand aid device for cavity mirror |
| US7832019B1 (en) * | 2009-12-10 | 2010-11-16 | Jagmohan Bhalla | Sterile glove with touchless donning |
| CN201894661U (en) * | 2010-11-03 | 2011-07-13 | 中山大学孙逸仙纪念医院 | Glove casing for single-hole peritoneoscope |
| CN202010199U (en) * | 2011-03-30 | 2011-10-19 | 三峡大学第一临床医学院 | Air-leakage avoidance device of single-port laparoscope |
| CN202843782U (en) * | 2012-06-29 | 2013-04-03 | 重庆医科大学 | Hand-assisted laparoscope hand-assisted device |
| CN203029288U (en) * | 2012-12-05 | 2013-07-03 | 张占学 | Laparoscope hand assistor |
| JP6360075B2 (en) * | 2013-01-14 | 2018-07-18 | メディカルトゥリー・パテント・リミテッド | Medical device |
| CN203379207U (en) * | 2013-06-27 | 2014-01-08 | 北京大学第三医院 | Cannula device special for single port laparoscopic |
| CN203482920U (en) * | 2013-08-12 | 2014-03-19 | 山东鲁亚制药有限公司 | Gloves used in sterile closed environment |
| CN204364037U (en) * | 2014-12-26 | 2015-06-03 | 佛山市第一人民医院 | Long sleeves shell type hand-actuated accelerator, clutch and brake |
-
2014
- 2014-12-26 CN CN201410822979.0A patent/CN104473667B/en not_active Expired - Fee Related
Patent Citations (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6033428A (en) * | 1999-01-26 | 2000-03-07 | Sardella; William V. | Laparoscopic surgery device |
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| Publication number | Publication date |
|---|---|
| CN104473667A (en) | 2015-04-01 |
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| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| GR01 | Patent grant | ||
| GR01 | Patent grant | ||
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Granted publication date: 20170929 Termination date: 20181226 |