CN105326542B - Laparoscope with skin extraction mechanism is with taking an outpost of the tax office - Google Patents
Laparoscope with skin extraction mechanism is with taking an outpost of the tax office Download PDFInfo
- Publication number
- CN105326542B CN105326542B CN201510936478.XA CN201510936478A CN105326542B CN 105326542 B CN105326542 B CN 105326542B CN 201510936478 A CN201510936478 A CN 201510936478A CN 105326542 B CN105326542 B CN 105326542B
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- China
- Prior art keywords
- sheath
- skin
- tube core
- puncturing
- puncture
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Classifications
-
- 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
-
- 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
- A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
-
- 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
Abstract
The invention discloses a kind of laparoscope with skin extraction mechanism with taking an outpost of the tax office, including puncture sheath and be arranged on the tube core for puncturing sheath center;The safe correcting mechanism equipped with puncturing sheath screw thread is provided with the puncture sheath of the tube core bottom;It is provided with the safe correcting mechanism for the skin extraction mechanism that sheath surrounding skin is pulled up will to be punctured.The present invention is by puncturing the safe correcting mechanism of sheath bottom setting, so that medical personnel are being fixed amount using screw-in depth each when taking an outpost of the tax office, when experiencing pressure suddenly change, it can in time stop screwing in operation, prevent from poking the generation of abdominal visceral browser phenomenon;And the skin punctured around sheath can reliably be adsorbed, facilitate medical personnel to operate, operation difficulty is reduced before puncture procedure progress.
Description
Technical field
The present invention relates to technical field of medical instruments, what is used in particularly a kind of laparoscopic surgery takes an outpost of the tax office.
Background technology
Laparoscopic surgery be clinical medicine it is common one of surgically, the first step of laparoscopic surgery is stomach wall
Puncture, the step takes an outpost of the tax office to assist completion using laparoscope, and usually blind to wear, this is also the difficult point of abdomen wall puncture.Entering at present
During row abdomen wall puncture, laparoscope takes the operation of an outpost of the tax office, no matter new hand or experienced medical personnel, according to " breakthrough
Whether sense " succeeds to judge to puncture, i.e., judged by the mutation of pressure in puncture process.But, it is unsuitable for new hand
The change of pressure is experienced, and for experienced medical personnel, although can experience pressure change in time, but by
In using taking an outpost of the tax office to need to use larger arm strength when entering stomach wall, and when stomach wall is worn out if need to stop exerting oneself in time, because
This can also be present because puncture is firmly excessive, have little time to stop exerting oneself in time when experiencing breakthrough sense, and cause to take an outpost of the tax office to poke abdomen
The internal organs of intracavitary and the malpractice of blood vessel occur.In addition, before puncture procedure progress, medical personnel need to be pressed from both sides with two towel forceps
Point of puncture both sides skin is taken, during skin gripping, two medical personnel's compounding practices are at least needed, a people carries skin, another
People carries opposite side skin, then makes great strength that an outpost of the tax office will be taken to protrude into skin with hand, and operated by two people is wasted time and energy, and is difficult assurance dynamics
And feel, and towel forceps avulsion is likely to occur, larger cut and damage on skin are caused, pain is brought to patient.Therefore how to carry
Security during high abdomen wall puncture is significant.
The content of the invention
The technical problem to be solved in the invention, which is to provide one kind, can have safety protection function, can be in puncture procedure
The skin near point of puncture is lifted on forward direction and prevents the laparoscope of skin injury with taking an outpost of the tax office.
In order to solve the above technical problems, the technical solution used in the present invention is as follows.
Laparoscope with skin extraction mechanism is with taking an outpost of the tax office, including punctures sheath and be arranged on the tube core for puncturing sheath center,
The safe correcting mechanism equipped with puncturing sheath outer wall thread is provided with the puncture sheath of the tube core bottom;The safe adjusting machine
It is provided with structure for the skin extraction mechanism that sheath surrounding skin is pulled up will to be punctured.
The above-mentioned laparoscope with skin extraction mechanism is with an outpost of the tax office is taken, and the safe correcting mechanism is cylinder locating piece, cylinder
It is provided with the through hole being provided centrally with through puncture sheath of locating piece, the inwall of cylinder locating piece through hole with puncturing sheath external screw thread
The internal thread being mutually equipped with.
The above-mentioned laparoscope with skin extraction mechanism is with an outpost of the tax office is taken, and the skin extraction mechanism includes horizontally disposed flat horizontal stroke
Bar, flat crossbar end is fixedly connected with montant, and montant connects connecting rod by sliding block, and the bottom of connecting rod is provided with the suction of absorption skin
Disk;The bottom of the montant is slidably arranged in sliding block and positioned by alignment pin and sliding block, and bottom and the connecting rod of sliding block are fixed
Connection.
The above-mentioned laparoscope with skin extraction mechanism with take be fitted with an outpost of the tax office, the puncture sheath on the tube core top it is hand-held
Plate, spring is provided between handheld board and tube core top.
The above-mentioned laparoscope with skin extraction mechanism is wearing out skin with taking to be provided with an outpost of the tax office, the handheld board for tube core
The alarm module of alarm signal is sent during skin;The alarm module includes single-chip microcomputer, triggers circuit and is arranged in handheld board
The pressure sensor of heart correspondence spring, the output end of pressure sensor connects the input of single-chip microcomputer, and the output end of single-chip microcomputer connects
The input of Power Generation Road is contacted, the output end connection of triggers circuit is arranged on the buzzer punctured on sheath outer wall.
As a result of above technical scheme, the invention technological progress is as follows.
The present invention is by puncturing the safe correcting mechanism of sheath bottom setting so that medical personnel are using each when taking an outpost of the tax office
Screw-in depth be fixed amount, when experiencing pressure suddenly change, can stop in time screw in operation, effectively prevent stomach wall from wearing
Generation of an outpost of the tax office to abdominal visceral browser and injury of blood vessel phenomenon is taken during thorn, even if the reaction of medical personnel has certain prolong
When, due to the amount of travel very little of tube core, the depth of screw-in is also not enough to poke intraperitoneal internal organs, Reliable guarantee patient's peace
Entirely.The skin extraction mechanism that the present invention is set on safe correcting mechanism, can be before puncture procedure by the skin near point of puncture
Skin is lifted upwards, and will not injured skin, reduce medical personnel's operation difficulty.
Brief description of the drawings
Fig. 1 is structural representation of the invention;
Fig. 2 is Fig. 1 partial enlarged drawing;
Fig. 3 is the structured flowchart of alarm module of the present invention.
Wherein:1. sheath is punctured, 2. tube cores, 3. springs, 4. safe correcting mechanisms, 5. external screw threads, 6. buzzers, 7. is hand-held
Plate, 8. skin extraction mechanisms, 81. flat cross bars, 811. montants, 8111. pin-and-holes, 82. sliding blocks, 83. connecting rods, 84. suckers, 85. determine
Position pin.
Embodiment
Below in conjunction with the drawings and specific embodiments, the present invention will be described in further detail.
A kind of laparoscope with skin extraction mechanism with taking an outpost of the tax office, its structure as shown in figure 1, including puncture sheath 1, tube core 2,
Handheld board 7, safe correcting mechanism 4 and skin extraction mechanism 8, tube core 2 are arranged on puncture sheath 1 center, can be under external force
Skin is punctured;Handheld board 7 is fitted in the top for puncturing sheath 1, facilitates medical personnel hand-held;Safe correcting mechanism 4 is set
On the puncture sheath of tube core bottom, for the amount of travel for controlling medical personnel to puncture, calibration function is played;Skin extraction mechanism is set
Put on safe correcting mechanism, for being pulled up puncturing the skin around sheath.
In the present invention, safe correcting mechanism is cylinder locating piece, and cylinder locating piece is provided centrally with through puncturing sheath
Internal thread is provided with through hole, the inwall of cylinder locating piece through hole, is provided with and cylinder locating piece on the outer wall for puncturing the bottom of sheath 1
The external screw thread 5 that is mutually equipped with of through hole.
Skin extraction mechanism 8 includes flat cross bar 81, sliding block 82, connecting rod 83 and some suckers 84.Flat cross bar 81 is horizontally disposed with
On the locating piece of safe correcting mechanism, the both ends of flat cross bar 81 connect respectively by the connection sliding block 82 of montant 811 being fixedly connected
Bar 83 is fixedly connected on the bottom of sliding block 82, and connecting rod 83 connects a sucker 84 respectively further through multiple branches.The bottom of montant 811
It is slidably arranged in sliding block 82, the position that the side of sliding block is provided with correspondence through hole on through hole, montant sets some from top to bottom
Pin-and-hole, by through through hole and inserting the alignment pin 85 of pin-and-hole and positioning between montant and sliding block, as shown in Figure 2.Certainly, in reality
In application process, more than two sets skin extraction mechanisms can also be symmetrical arranged.
Then the present invention is being worn each sucker suction in use, the bottom face of cylinder locating piece is adjacent into patient skin
On skin near thorn point, sliding block is lifted then up, after after skin tensioning, by positioning finger setting, stomach wall just can be carried out and wear
Thorn operation.In operating process, the direct vertical dynamics applied on skin can be converted to the revolving force in rotary course, will be managed
The step pitch that core is advanced shortens a puncture sheath circumference, thus to medical personnel stopped in the moment for puncturing skin reaction when
Between, it effectively prevent the generation for taking an outpost of the tax office to abdominal visceral browser and injury of blood vessel phenomenon.
To make medical personnel significantly be experienced when skin is worn out in tube core bottom in the change of pressure, the present embodiment,
Spring 3 is provided between handheld board 7 and tube core top.In medical personnel carry out puncture process, spring is continuous with what is screwed
Compression, when tube core punctures skin, tube core rapidly enters abdominal cavity, and spring loses the resistance of skin and abrupt release so that medical care
Personnel can substantially experience the change of pressure, and stop puncture procedure.
Medical personnel's tube core bottom is reminded to wear out skin to be further directly perceived, the present invention is also provided with handheld board
Alarm module, sends alarm signal when wearing out skin for tube core, medical personnel is reminded in time.In the present embodiment,
The structure of alarm module is as shown in figure 3, including single-chip microcomputer, triggers circuit, buzzer 6 and pressure sensor, buzzer 6 is set
On the outer wall for puncturing sheath;Pressure sensor is arranged on handheld board center, and corresponding with the top of spring, for sensed pressure
Change;The output end of pressure sensor connects the input of single-chip microcomputer, for the pressure information of perception to be transferred into single-chip microcomputer,
Change of the single-chip microcomputer to pressure signal is analyzed;The output end of single-chip microcomputer connects the input of triggers circuit, when single-chip microcomputer point
Analyse pressure and become hour suddenly during being stepped up, triggering and conducting signal is sent to triggers circuit;Triggers circuit is connected
Buzzer loop, buzzer warning plays timely reminding effect to medical personnel.
Claims (1)
1. the laparoscope with skin extraction mechanism is with taking an outpost of the tax office, including punctures sheath(1)And it is arranged on the tube core for puncturing sheath center
(2), it is characterised in that:The safe correcting mechanism equipped with puncturing sheath outer wall thread is provided with the puncture sheath of the tube core bottom
(4), the safe correcting mechanism(4)On be provided with for the skin extraction mechanism that is pulled up of sheath surrounding skin will to be punctured(8);
The safe correcting mechanism is cylinder locating piece, the through hole being provided centrally with through puncture sheath of cylinder locating piece, cylinder
It is provided with the inwall of locating piece through hole with puncturing the internal thread that sheath external screw thread is mutually equipped with;
The skin extraction mechanism(8)Including horizontally disposed flat cross bar(81), flat cross bar(81)End is fixedly connected with montant
(811), montant(811)Pass through sliding block(82)Connect connecting rod(83), connecting rod(83)Bottom be provided with absorption skin sucker
(84);The montant(811)Bottom be slidably arranged in sliding block(82)In and pass through alignment pin(85)With sliding block(82)Positioning, it is sliding
Block(82)Bottom and connecting rod(83)It is fixedly connected;
Handheld board is fitted with the puncture sheath on the tube core top(7), handheld board(7)Spring is provided between tube core top
(3);
The alarm module for sending alarm signal when wearing out skin for tube core is provided with the handheld board;The alarm module
Including single-chip microcomputer, triggers circuit and be arranged on handheld board center correspondence spring pressure sensor, the output of pressure sensor
The input of end connection single-chip microcomputer, the output end of single-chip microcomputer connects the input of triggers circuit, the output end connection of triggers circuit
It is arranged on the buzzer punctured on sheath outer wall(6).
Priority Applications (1)
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CN201510936478.XA CN105326542B (en) | 2015-12-16 | 2015-12-16 | Laparoscope with skin extraction mechanism is with taking an outpost of the tax office |
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CN201510936478.XA CN105326542B (en) | 2015-12-16 | 2015-12-16 | Laparoscope with skin extraction mechanism is with taking an outpost of the tax office |
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CN105326542A CN105326542A (en) | 2016-02-17 |
CN105326542B true CN105326542B (en) | 2017-08-08 |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2023234475A1 (en) * | 2022-06-02 | 2023-12-07 | 가톨릭대학교 산학협력단 | Device for maintaining position of surgical cannula |
Families Citing this family (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN106236195B (en) * | 2016-08-31 | 2019-02-05 | 施爱德(厦门)医疗器材有限公司 | A kind of grasping tissue pincers |
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DE2922239A1 (en) * | 1979-05-31 | 1980-12-04 | Olympus Optical Co | Vaccination needle penetration sensor - uses reflected light passing through optical fibres to phototransistor to produce visual or audible indication w.r.t. penetration depth |
US4535773A (en) * | 1982-03-26 | 1985-08-20 | Inbae Yoon | Safety puncturing instrument and method |
CN1101538A (en) * | 1993-07-09 | 1995-04-19 | 株式会社日硝 | Trocar Assembly |
US6228058B1 (en) * | 1997-04-03 | 2001-05-08 | Core Dynamics, Inc. | Sleeve trocar with penetration indicator |
CN202235592U (en) * | 2011-09-29 | 2012-05-30 | 孙星慧 | Adjustable celioscope trocar |
CN202313729U (en) * | 2011-10-28 | 2012-07-11 | 于立萍 | Lung puncture locator |
CN202843734U (en) * | 2012-10-24 | 2013-04-03 | 贺廷帮 | Puncture sleeve fixator |
CN204484254U (en) * | 2015-01-13 | 2015-07-22 | 中国人民解放军第二军医大学 | Fixing apparatus for puncture needle |
CN205234594U (en) * | 2015-12-16 | 2016-05-18 | 无锡市人民医院 | Peritoneoscope that belt leather skin extracted mechanism is with getting an outpost of tax office |
Family Cites Families (1)
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WO2009059236A2 (en) * | 2007-10-31 | 2009-05-07 | Kim Stanley I | Rotating biopsy device and biopsy robot |
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Publication number | Priority date | Publication date | Assignee | Title |
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DE836392C (en) * | 1949-01-06 | 1952-04-10 | Dr Med Fritz Hachfeld | Medical puncture device |
DE2922239A1 (en) * | 1979-05-31 | 1980-12-04 | Olympus Optical Co | Vaccination needle penetration sensor - uses reflected light passing through optical fibres to phototransistor to produce visual or audible indication w.r.t. penetration depth |
US4535773A (en) * | 1982-03-26 | 1985-08-20 | Inbae Yoon | Safety puncturing instrument and method |
CN1101538A (en) * | 1993-07-09 | 1995-04-19 | 株式会社日硝 | Trocar Assembly |
US6228058B1 (en) * | 1997-04-03 | 2001-05-08 | Core Dynamics, Inc. | Sleeve trocar with penetration indicator |
CN202235592U (en) * | 2011-09-29 | 2012-05-30 | 孙星慧 | Adjustable celioscope trocar |
CN202313729U (en) * | 2011-10-28 | 2012-07-11 | 于立萍 | Lung puncture locator |
CN202843734U (en) * | 2012-10-24 | 2013-04-03 | 贺廷帮 | Puncture sleeve fixator |
CN204484254U (en) * | 2015-01-13 | 2015-07-22 | 中国人民解放军第二军医大学 | Fixing apparatus for puncture needle |
CN205234594U (en) * | 2015-12-16 | 2016-05-18 | 无锡市人民医院 | Peritoneoscope that belt leather skin extracted mechanism is with getting an outpost of tax office |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
WO2023234475A1 (en) * | 2022-06-02 | 2023-12-07 | 가톨릭대학교 산학협력단 | Device for maintaining position of surgical cannula |
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