CN102727265A

CN102727265A - Lung lobe traction combined instrument for thoracoscopic surgery

Info

Publication number: CN102727265A
Application number: CN2012102125943A
Authority: CN
Inventors: 刘希斌; 邹卉; 张百江
Original assignee: Individual
Current assignee: Individual
Priority date: 2012-06-26
Filing date: 2012-06-26
Publication date: 2012-10-17
Anticipated expiration: 2032-06-26
Also published as: CN103845089A; CN102727265B; CN103845089B

Abstract

The invention provides a lung leaf traction combination instrument for a thoracoscope surgery, which comprises a first clamping arm, a second clamping arm and a traction rope, wherein the first clamping arm and the second clamping arm are equal in length, the middle protruding part of the first clamping arm and the second clamping arm is connected through a hinged shaft, a spring is arranged on the hinged shaft, two ends of the spring are respectively contacted with the first clamping arm and the second clamping arm, the inner side of the left end of the first clamping arm is connected with a first clamping plate, the right end of the first clamping arm is provided with a first groove, the inner side of the left end of the second clamping arm is connected with a second clamping plate, the right end of the second clamping arm is provided with a second groove, the first clamping plate and the second clamping plate are mutually corresponding and contacted, the first groove and the second groove are same in shape and size and are positioned in the same vertical plane, one end of the traction rope is connected with the first clamping arm or the second clamping arm, and the other end of the traction rope is connected with. The invention can solve the problems of more operation incisions, larger wound of a patient, fussy operation and more operators in the prior art.

Description

Thoracoscopic operation is with lobe of the lung tractive combined apparatus

Technical field

The present invention relates to medical operation technique with the apparatus field, specifically a kind ofly cooperatively interact the thoracoscopic operation that uses with lobe of the lung tractive combined apparatus by lobe of the lung clamper, puncture tractor and tractive localizer.

Background technology

At present; Medical department generally is to cut three otch respectively at position, front side, rear side position and the midaxillary line of patient's chest when patient pulmonary is carried out traditional thoracoscopic operation, and it is respectively gathering hole, auxiliary ports and advances Jing Kou; And all be equipped with corresponding surgical staff at each cutting part; The surgical staff of operator is in the gathering hole operation that undergos surgery, and first assistant adopts related equipment to carry out the work of the tractive lobe of the lung in auxiliary ports, with the operative site of cooperation surgical exposure lobe of the lung root; Second assistant is through advancing Jing Kou operation thoracoscope, with illumination and the video picture to operative site.The existing shortcoming of traditional thoracoscopic operation is: one, operative incision is more, and patient's wound is bigger; Two, operation technique is loaded down with trivial details, and operator are more, thus, has brought many worries to every aspect.

Summary of the invention

The purpose of this invention is to provide a kind of thoracoscopic operation with lobe of the lung tractive combined apparatus, it can solve, and the operative incision that prior art exists is more, and patient's wound is bigger, and operation technique is loaded down with trivial details, the problem that operator are more.

The objective of the invention is to realize through following technical scheme: thoracoscopic operation is with the lobe of the lung clamper in the lobe of the lung tractive combined apparatus; It comprises first jig arm, second jig arm and pulling rope, first jig arm and the second jig arm equal in length, and first jig arm is connected through articulated axle with the intermediary boss of second jig arm; Mounting spring on the articulated axle; Both ends of the spring contacts with first jig arm and second jig arm respectively, and inboard the connection on first clamping plate, the right-hand member of the left end of first jig arm offered first groove, and inboard the connection on second clamping plate, the right-hand member of the left end of second jig arm offered second groove; The mutual correspondence of first clamping plate and second clamping plate also contacts; First groove and second groove shapes and measure-alike are positioned at same vertical plane, and an end of pulling rope is connected with first jig arm or second jig arm, the other end connects the pulling circle.

Thoracoscopic operation is with the puncture tractor in the lobe of the lung tractive combined apparatus; It comprises interconnective puncture needle and needle handle; One side of the tip portion of puncture needle is an inclined plane shape, offers bar hole on the puncture needle, and bar hole is arranged on the top of tip portion; Offer notch on the puncture needle, notch communicates with bar hole top.

Thoracoscopic operation is with the tractive localizer in the lobe of the lung tractive combined apparatus, and it comprises that table top clamper and at least one are the location-plate of ruler shape, are provided with groove on the table top clamper; Groove is made up of upper plate, lower plate and side plate, connects vertical rod on the upper plate, and positioning knob is threaded in the vertical rod; Location-plate is installed on the positioning knob, and location-plate is hinged with positioning knob mutually, and location-plate contacts with positioning knob and rod end respectively; Several positioning tooths of equidistant connection on the upper surface of location-plate; The fastening push rod that is threaded on the lower plate of groove, the footstock that is hinged on the fastening push rod top, lower end connect swing handle, and footstock is arranged in the groove and is corresponding with upper plate.

For further realizing the object of the invention, also can accomplish through following technical scheme: described thoracoscopic operation is installed draw ring with the puncture tractor in the lobe of the lung tractive combined apparatus on the needle handle, draw ring is hinged with needle handle mutually.The cross section of needle handle is six side's prismatics.

Described thoracoscopic operation is with the tractive localizer in the lobe of the lung tractive combined apparatus, and the vertical bottom of positioning tooth one side offers arc groove.

The beneficial effect that the present invention can produce: because lobe of the lung clamper comprises first jig arm, second jig arm and pulling rope, first jig arm and the second jig arm equal in length, first jig arm is connected through articulated axle with the intermediary boss of second jig arm; Mounting spring on the articulated axle, both ends of the spring contact with first jig arm and second jig arm respectively, and inboard the connection on first clamping plate, the right-hand member of the left end of first jig arm offered first groove; The inboard connection on second clamping plate, the right-hand member of the left end of second jig arm offered second groove; The mutual correspondence of first clamping plate and second clamping plate also contacts, and first groove and second groove shapes and measure-alike are positioned at same vertical plane; One end of pulling rope is connected with first jig arm or second jig arm, the other end connects the pulling circle; So it can be inserted in patient's the thoracic cavity through surgical wound surface when thoracoscopic operation, first clamping plate and second clamping plate can guarantee that the lobe of the lung is not damaged in clamping process; The jaw clamping that first groove and second groove can make medical calm within it; To guarantee the reliability of clamping operation, avoid the jaw slippage, pulling rope can play the effect of the tractive lobe of the lung;

Because the puncture tractor comprises interconnective puncture needle and needle handle, a side of the tip portion of puncture needle is an inclined plane shape, offers bar hole on the puncture needle; Bar hole is arranged on the top of tip portion, offers notch on the puncture needle, and notch communicates with bar hole top; So; It can be punctured in patient's the thoracic cavity when thoracoscopic operation, and the pulling circle on the pulling rope is inserted in the bar hole through notch, makes puncture needle when extracting, can take out of in patient's the thoracic cavity pulling circle external;

Because the tractive localizer comprises table top clamper and at least one and is the location-plate of ruler shape that on the table top clamper groove is set, groove is made up of upper plate, lower plate and side plate; Connect vertical rod on the upper plate, positioning knob is threaded in the vertical rod, and location-plate is installed on the positioning knob; Location-plate is hinged with positioning knob mutually, and location-plate contacts with positioning knob and rod end respectively, several positioning tooths of equidistant connection on the upper surface of location-plate; The fastening push rod that is threaded on the lower plate of groove, the footstock that is hinged on the fastening push rod top, lower end connect swing handle, and footstock is arranged in the groove and is corresponding with upper plate; So; It can be realized the tractive lobe of the lung and make the localized purpose of the lobe of the lung with this with the pulling snare on the pulling rope on positioning tooth when thoracoscopic operation, to expose the operative site of lobe of the lung root;

Because draw ring is installed on the needle handle, draw ring is hinged with needle handle mutually,, and need not the pulling circle is enclosed within the complex operation on the positioning tooth after the taking-up in the bar hole again so it can directly be enclosed within on the positioning tooth through draw ring when thoracoscopic operation;

Because the cross section of needle handle is six side's prismatics; So; When it can prevent that the medical worker from operating with glove when thoracoscopic operation and the slip phenomenon that occurs easily; And the tractor of can avoiding puncturing is placed on the rolling dislocation that is prone on the operating-table, and influences the accurate taking and placing of medical worker when operation technique;

Because the vertical bottom of positioning tooth one side offers arc groove, so it can make the pulling circle more reliably be enclosed within on the positioning tooth and can slippage.

The present invention is through the use that cooperatively interacts of lobe of the lung clamper, puncture tractor and tractive localizer; Can carry out clamping, tractive and location to the lobe of the lung; It need not auxiliary ports can realize the purpose of the tractive lobe of the lung; And need not be equipped with first assistant's tractive lobe of the lung, reach thoracoscopic operation with this and can reduce a surgical staff and the purpose that reduces by an operative incision.Thus, it is less to make that thoracoscopic operation has an operative incision, and patient's wound is less, and operation technique is simple, and the remarkable advantage that operator are less is widely used in clinically can producing good social, economic benefit.

Description of drawings

Fig. 1 is the structural representation of the lobe of the lung clamper among the present invention; Main signal first jig arm 1, second jig arm 2 and pulling rope 3; And first clamping plate 1a and the second clamping plate 2a corresponding each other and contact, the version that first jig arm 1 and second jig arm, 2 intermediary boss are connected through articulated axle 4;

Fig. 2 be the A of Fig. 1 to zoomed-in view, mainly illustrate the first groove 1b identical with the second groove 2b shape and size, be positioned at the version of same vertical plane;

Fig. 3 is the structural representation of the puncture tractor among the present invention; One side of the needle point 11a part of main signal puncture needle 11 is an inclined plane shape; Offer bar hole 11b on the puncture needle 11; Bar hole 11b is arranged on the top of needle point 11a part, offers notch 11c on the puncture needle 11, the version that notch 11c communicates with bar hole 11b top;

Fig. 4 is the structural representation of the tractive localizer among the present invention; Main signal groove 21 is made up of upper plate 21a, lower plate 21c and side plate 21b, and upper plate 21a goes up and connects vertical rod 23a, and positioning knob 23 is threaded on the vertical rod 23a; Location-plate 22 is installed on the positioning knob 23; Location-plate 22 is hinged with positioning knob 23 mutually, and location-plate 22 contacts with positioning knob 23 and vertical rod 23a top respectively, the version of several positioning tooths of equidistant connection 22a on the upper surface of location-plate 22.

The specific embodiment

The contrast accompanying drawing combines embodiment that technical scheme of the present invention is done further to describe in detail.

Thoracoscopic operation of the present invention is with the lobe of the lung clamper in the lobe of the lung tractive combined apparatus; It comprises first jig arm 1, second jig arm 2 and pulling rope 3, the first jig arm 1 and second jig arm, 2 equal in length, and first jig arm 1 is connected through articulated axle 4 with second jig arm, 2 intermediary boss; Mounting spring 5 on the articulated axle 4; Spring 5 two ends contact with first jig arm 1 and second jig arm 2 respectively, and inboard the connection on the first clamping plate 1a, the right-hand member of the left end of first jig arm 1 offered the first groove 1b, and inboard the connection on the second clamping plate 2a, the right-hand member of the left end of second jig arm 2 offered the second groove 2b; The mutual correspondence of the first clamping plate 1a and the second clamping plate 2a also contacts; The first groove 1b is identical with the second groove 2b shape and size, is positioned at same vertical plane, and an end of pulling rope 3 is connected with first jig arm 1 or second jig arm 2, the other end connects pulling circle 3a.

Thoracoscopic operation is with the puncture tractor in the lobe of the lung tractive combined apparatus; It comprises interconnective puncture needle 11 and needle handle 12; One side of the needle point 11a part of puncture needle 11 is an inclined plane shape, offers bar hole 11b on the puncture needle 11, and bar hole 11b is arranged on the top of needle point 11a part; Offer notch 11c on the puncture needle 11, notch 11c communicates with bar hole 11b top.Draw ring 12a is installed on the needle handle 12, and draw ring 12a is hinged with needle handle 12 mutually.The cross section of needle handle 12 is six side's prismatics.

Thoracoscopic operation is with the tractive localizer in the lobe of the lung tractive combined apparatus, and it comprises that table top clamper and at least one are the location-plate 22 of ruler shape, are provided with groove 21 on the table top clamper; Groove 21 is made up of upper plate 21a, lower plate 21c and side plate 21b; Upper plate 21a goes up and connects vertical rod 23a, and positioning knob 23 is threaded on the vertical rod 23a, and location-plate 22 is installed on the positioning knob 23; Location-plate 22 is hinged with positioning knob 23 mutually; Location-plate 22 contacts with positioning knob 23 and vertical rod 23a top respectively, several positioning tooths of equidistant connection 22a on the upper surface of location-plate 22, and fastening push rod 25 is threaded on the lower plate 21c of groove 21; Hinge footstock 25a, lower end connect swing handle 25b on fastening push rod 25 tops, and it is interior and corresponding with upper plate 21a that footstock 25a is arranged on groove 21.The vertical bottom of positioning tooth 22a one side offers arc groove 22aa.

During making, process by above-mentioned requirements that various parts are assembled into lobe of the lung clamper respectively, puncture tractor and tractive localizer get final product.

During thoracoscopic operation; Surgical staff only needs on patient's chest, to cut two otch; That is: advance Jing Kou on gathering hole on the position, patient's chest front side and the midaxillary line; The surgical staff of operator is in the gathering hole operation that undergos surgery, and the assistant operates thoracoscope through advancing Jing Kou, with illumination and the video picture to operative site.

During operation, surgical staff is clamped in the first groove 1b and the second groove 2b on first jig arm 1 and second jig arm 2 with the jaw of medical calm, lobe of the lung clamper is inserted in the patient thoracic cavity, and make the first clamping plate 1a and the second clamping plate 2a clamp the lobe of the lung.At this moment, puncture in will puncture the again rear side position of 11 pairs of patient's chests of puncture needle of tractor of surgical staff, then; Pulling circle 3a on the pulling rope 3 in the lobe of the lung clamper is inserted in the bar hole 11b through notch 11c; At this moment, extract puncture needle 11 and will spur circle 3a and take out of externally, and will spur and enclose 3a and be enclosed within the tractive localizer on the positioning tooth 22a on the location-plate 22; Through at the external tractive lobe of the lung of patient and make lobe of the lung location, realize to expose the purpose of lobe of the lung root operative site with this.When needing the tractive angle of the adjustment lobe of the lung, can pulling circle 3a be enclosed within on the positioning tooth 22a of diverse location on the location-plate 22; When needing the inflection point of adjustment lobe of the lung tractive, can regulate location-plate 22 deflection angles through positioning knob 23 and get final product.

The present invention also can directly be enclosed within on the positioning tooth 22a through the draw ring 12a on the needle handle 12 in the puncture tractor, and is enclosed within the troublesome operation on the positioning tooth 22a again after need not pulling circle 3a taken off in the bar hole 11b, makes the tractive lobe of the lung operate simple and fast more.

Lobe of the lung clamper of the present invention can be provided with a plurality of, to satisfy the needs to the lobe of the lung a plurality of positions clamping.

Location-plate 22 of the present invention can be provided with a plurality of, and is installed in respectively on the positioning knob 23, and each location-plate all is hinged with positioning knob 23 mutually, to satisfy the needs that 3 pairs of lobes of the lung of pulling rope on a plurality of lobe of the lung clampers carry out a plurality of angle tractives.

Direction up and down of the present invention is all with Fig. 1, Fig. 3, shown in Figure 4 being as the criterion.

Technical scheme according to the invention is not limited only to the embodiment of present embodiment record, can also have other embodiment to accomplish technical scheme of the present invention.

The technology that the present invention does not describe in detail, shape, structure partly are known technology.

Claims

1. The lung lobe holder in the lung lobe traction combined instrument for thoracoscopic surgery is characterized in that it includes the first clamp arm (1), the second clamp arm (2) and the pulling rope (3), the first clamp The length of the arm (1) and the second clamp arm (2) are equal, and the raised part in the middle of the first clamp arm (1) and the second clamp arm (2) is connected by the hinge shaft (4), and the hinge shaft (4) The spring (5) is installed on the top, and the two ends of the spring (5) are respectively in contact with the first clamp arm (1) and the second clamp arm (2), and the inner side of the left end of the first clamp arm (1) is connected with the first splint (1a) , The first groove (1b) is set on the right end, the inner side of the left end of the second clamping arm (2) is connected to the second splint (2a), the second groove (2b) is set on the right end, the first splint (1a) and the second splint The splints (2a) correspond to each other and are in contact with each other. The first groove (1b) and the second groove (2b) have the same shape and size and are located in the same vertical plane. One end of the pulling rope (3) is connected to the first clamping arm ( 1) or the second clamp arm (2), and the other end is connected to the pulling ring (3a).

2. The puncture retractor in the lung lobe traction combined instrument for thoracoscopic surgery, characterized in that it includes a puncture needle (11) and a needle handle (12) connected to each other, and the needle tip (11a) part of the puncture needle (11) One side is inclined, the puncture needle (11) is provided with a strip-shaped hole (11b), the strip-shaped hole (11b) is set on the upper part of the needle tip (11a), and the puncture needle (11) is provided with a notch (11c) , the notch (11c) communicates with the upper part of the strip hole (11b).

3. The puncture retractor in the lung lobe traction combined instrument for thoracoscopic surgery according to claim 2, characterized in that: a pull ring (12a) is installed on the needle handle (12), and the pull ring (12a) and the needle handle (12) are hinged.

4. The puncture retractor in the lung lobe retraction combined instrument for thoracoscopic surgery according to claim 2, characterized in that: the cross section of the needle handle (12) is hexagonal prism.

5. The traction positioner in the lung lobe traction combination instrument for thoracoscopic surgery, which is characterized in that it includes a table top holder and at least one ruler-shaped positioning plate (22), and a groove is set on the table top holder (21), the groove (21) is made up of upper plate (21a), lower plate (21c) and side plate (21b), the upper plate (21a) is connected with vertical rod (23a), and the positioning knob (23) is threaded on On the pole (23a), the positioning plate (22) is installed on the positioning knob (23), the positioning plate (22) is hinged with the positioning knob (23), and the positioning plate (22) is respectively connected with the positioning knob (23) and the vertical The tops of the rods (23a) are in contact, and several positioning teeth (22a) are equidistantly connected on the upper surface of the positioning plate (22), and the lower plate (21c) of the groove (21) is threaded to fasten the ejector rod (25), Fasten the top of the push rod (25) to hinge the top seat (25a), and the lower end to connect the handle (25b). The top seat (25a) is arranged in the groove (21) and corresponds to the upper plate (21a).

6 . The retraction positioner in the lung lobe retraction combination device for thoracoscopic surgery according to claim 5 , wherein an arc-shaped groove ( 22aa ) is provided on the lower part of the vertical surface on one side of the positioning tooth ( 22a ). 7 .