CN104840226A - Incision retracting fixator applicable to single-pore thoracoscopic surgery - Google Patents
Incision retracting fixator applicable to single-pore thoracoscopic surgery Download PDFInfo
- Publication number
- CN104840226A CN104840226A CN201510284953.XA CN201510284953A CN104840226A CN 104840226 A CN104840226 A CN 104840226A CN 201510284953 A CN201510284953 A CN 201510284953A CN 104840226 A CN104840226 A CN 104840226A
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- CN
- China
- Prior art keywords
- elastic
- pipe body
- round
- pipeline
- otch
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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
- A61B17/02—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
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/0034—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
Abstract
The invention relates to an incision retracting fixator applicable to single-pore thoracoscopic surgery. The incision retracting fixator has two kinds of structures A and B and comprises an elastic pipeline, an oval elastic pipeline is embedded in the circular elastic pipeline, the oval pipeline and the elastic pipeline are integrated, and two ends of an acute point of the oval elastic pipeline embedded in the circular elastic pipeline are closely embedded with circular elastic the pipeline. The circular elastic pipeline is an elastic waist-drum-shaped cylinder, and the oval elastic pipeline is embedded in the pipeline and is arranged in the middle to form three channels or at the edge to form two channels. During surgical operation, a thoracoscope and an operation instrument can pass the same incision, and compared with conventional thoracoscopic surgery, the single-pore thoracoscopic surgery performed with the incision retracting fixator has the advantages that two incisions can be reduced and surgical operation is more minimally invasive and has the remarkable advantages in reducing postoperative incision pain and paresthesia of the thoracic wall and accelerating postoperative recovery and the like, and for those patients with poor cardio-pulmonary function, operation risk is reduced.
Description
Technical field
The present invention relates to technical field of medical instruments, is that a kind of otch being specially adapted to single hole thoracoscopic operation retracts holder.
Background technology
Wicresoft is the direction of surgery development, its objective is and reduces quality of life that is painful and raising patient.The therapeutic effect that tradition 3 otch VATSs (VATS) are applied to thoracopathy is reached common understanding, and has become the indispensable technology of thoracic surgeon.The progress of technically making rapid progress at present impels thoracic surgery more " Wicresoft ", and post-operative recovery is " fast " more.Single hole thoracoscopic operation is undoubtedly the exploration of more " Wicresoft ", is the direction that Wicresoft's thoracic surgery is new.Single hole thoracoscopic operation, refer to the otch only adopting an about 3.0-4.0cm, sight glass and operating theater instruments are all by same operative incision.Such operation generally only needs two doctors, decreases an assistant, and for Cardiac surgeon, patient, fully demonstrated the theory of Wicresoft, save operation cost, its advantage is fully shown.The clinical effectiveness of single hole thoracoscopic operation is suitable with traditional 3 otch thoracoscope Minimally Invasive Surgerys, but is the reduction of two otch, and perform the operation Wicresoft more.Geometry angle, be more conducive to operation technique, " visual angle-operation ", at same projection surface, retains the depth of vision, is easier to judge operating distance.Have a clear superiority in reduction post-operative incisional pain and thoracic wall paraesthesia, quickening postoperative rehabilitation etc., particularly for the patient of cardio-pulmonary function relative mistake, more reduce operation risk.The aspects such as psychological comfort, otch beauty treatment and operation satisfaction after operation in patients are had clear improvement simultaneously.At present, single hole thoracoscopic operation has progressively started in the various operation of thoracic surgery being widely used in comprising pulmonary resection art.Self also there is certain shortcoming in single hole thoracoscopic operation, existing thoracoscope relevant device is not suitable for the operation of single hole thoracoscope: a handle hole, the mouth turnover all thus of all operations apparatus, there is the mutual interference between apparatus, after frequent existence apparatus is entered, other apparatus cannot enter situation about maybe cannot move; The smog that electric knife or coagulation produce cannot be discharged smoothly (because cannot put into suction pump again during operation, and can only suspend operation, vapour discharge); In addition, thoracoscopic operation apparatus self is harder, and instrumentation diameters is large, repeatedly from intercostal turnover in operating process, has increased the weight of intercostal nerve injury, cause postoperative patient sense of discomfort to increase the weight of and the persistent period long.
Summary of the invention
The object of this invention is to provide a kind of otch being applicable to single hole thoracoscopic operation and retract holder, under can realizing single hole, thoracoscope operates, can form 3 or 2 independently operating walk way at chest gathering hole, one of them is used for into thoracoscope light source, in addition enter operating apparatus.
The object of the invention is to rely on following technical scheme to realize, comprise elastic pipeline body, it is characterized in that, round and elastic pipe body embedded company one elastic elliptic pipe body, described elastic elliptic pipe body and round and elastic pipe body are structure as a whole, and elastic elliptic pipe body sharp some two ends of the embedded company of round and elastic pipe body and round and elastic pipe body round and elastic are closely rabbeted.Round and elastic pipe body is one and has elastic swelling-waist shape cylinder.The elastic elliptic pipe body of the embedded company of round and elastic pipe body is arranged on intermediate formation three passages, or is arranged on edge and forms two passages.Round and elastic pipe body internal diameter 4.0-4.5cm, duct length 2.5cm, wide external diameter about the 1.2cm of elastic elliptic shape pipe body of the embedded company of round and elastic pipe body, long external diameter 4.0-4.5cm, pipeline wall thickness 0.6-1cm.When forming three passages, elastic elliptic pipe body (2) outside operating walk way external diameter is respectively 0.8cm, 1.2cm and 2.0-2.5cm, when forming two passages, outside elastic elliptic pipe body (2) passage operating walk way external diameter be respectively 1.2cm or
1.5cmwith 2.8-3.3cm or
2.5-3.0cm.The vias inner walls formed in described round and elastic pipe body scribbles oily matter.
The advantage of the present invention in single hole thoracoscopic operation is: 1) be convenient to fixing thoracoscope camera lens, forms stable thoracoscope light source; 2) in small space, thoracoscope apparatus easy to use carries out operation technique, avoids mutual interference.Thoracoscope light source and operating apparatus can interexchange channels flexibly, obtain best angle and operating position in being convenient to perform the operation; 3) discharge the smog of electric knife or coagulation generation smoothly, keep surgical field of view clear; 4) do not need stamp card and rib speculum, protection chest gathering hole, avoids damaging rib, intercostal nerves and intercostal vessels.
Accompanying drawing explanation
Fig. 1 is A type structural representation of the present invention.
Fig. 2 is the left view of Fig. 1.
Fig. 3 Type B structural representation of the present invention.
Fig. 4 is A type structure using state schematic diagram of the present invention.
Fig. 5 is Type B structure using state schematic diagram of the present invention.
Detailed description of the invention
Round and elastic pipe body 1 material therefor is the soft ground material with elasticity and tension force.Described incision retractor is put into through thoracic incision, and the elasticity because of described retractor makes otch retract, and meanwhile, elastic elliptic pipe body 2 is formed circular through extruding, is convenient to operator and uses endoscope 3 in this duct.Other two ducts can as handle hole, by apparatus 4.
embodiment 1
As shown in Figure 3, round and elastic pipe body 1 embedded company one elastic elliptic pipe body 2, described elastic oval pipe body 2 and round and elastic pipe body 1 are structure as a whole, and elastic elliptic pipe body 2 sharp some two ends of the embedded company of round and elastic pipe body 1 and round and elastic pipe body 1 are closely rabbeted.Round and elastic pipe body 1 is one and has elastic swelling-waist shape cylinder.The elastic elliptic pipe body 2 of the embedded company of round and elastic pipe body 1 is arranged on intermediate formation three passages, or is arranged on edge and forms two passages.Internal diameter of the pipeline 4.0-4.5cm, duct length 2.5cm, wide external diameter about the 1.2cm of oval ducts of the embedded company of pipeline, long external diameter 4.0-4.5cm, pipeline wall thickness 0.6-1cm.When forming three passages, operating walk way external diameter respectively outer 0.8cm, 1.2cm and 2.0-2.5cm outside elastic elliptic pipe body 2 passage, during formation two passages, outside elastic elliptic pipe body 2 passage operating walk way external diameter be respectively 1.2cm or
1.5cmwith 2.8-3.3cm or
2.5-3.0cm.Three described vias inner walls scribble oily matter.Passage in the middle of in three passages formed is by thoracoscope light source, and other two passages are respectively by operating apparatus.
embodiment 2
See Fig. 4, the elastic elliptic pipe body 2 of the embedded company of round and elastic pipe body 1 is arranged on edge and forms two passages.Formed two passages time, elastic elliptic pipe body 2 passage formed operating walk way external diameter be respectively 1.2cm or
1.5cmwith 2.8-3.3cm or
2.5-3.0cm.In two passages, a passage is by thoracoscope light source, and other passage passes through operating apparatus.
Claims (6)
1. the otch being applicable to single hole thoracoscopic operation retracts holder, comprise elastic pipeline body, it is characterized in that, (1) embedding company one elastic elliptic pipe body (2) in round and elastic pipe body, described elastic elliptic pipe body (2) and round and elastic pipe body are (1) integrative-structure, and elastic elliptic pipe body (2) sharp some two ends and the round and elastic pipe body round and elastic of interior (1) the embedding company of round and elastic pipe body are closely rabbeted.
2. otch as claimed in claim 1 retracts holder, it is characterized in that: round and elastic pipe body (1) is one and has elastic swelling-waist shape cylinder.
3. otch as claimed in claim 1 retracts holder, it is characterized in that: the elastic elliptic pipe body (2) of round and elastic pipe body (1) embedded company is arranged on intermediate formation three passages, or is arranged on edge and forms two passages.
4. otch as claimed in claim 1 retracts holder, it is characterized in that: round and elastic pipe body (1) internal diameter 4.0-4.5cm, duct length 2.5cm, wide external diameter about the 1.2cm of elastic elliptic shape pipe body (2) of round and elastic pipe body (1) embedded company, long external diameter 4.0-4.5cm, pipeline wall thickness 0.6-1cm.
5. otch as claimed in claim 1 retracts holder, it is characterized in that: when forming three passages, elastic elliptic pipe body (2) outside operating walk way external diameter is respectively 0.8cm, 1.2cm and 2.0-2.5cm, formed two passages time, outside elastic elliptic pipe body (2) passage operating walk way external diameter be respectively 1.2cm or
1.5cmwith 2.8-3.3cm or
2.5-3.0cm.
6. the otch as described in claim 1-4 retracts holder, and the vias inner walls formed in described round and elastic pipe body (1) scribbles oily matter.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510284953.XA CN104840226A (en) | 2015-05-29 | 2015-05-29 | Incision retracting fixator applicable to single-pore thoracoscopic surgery |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201510284953.XA CN104840226A (en) | 2015-05-29 | 2015-05-29 | Incision retracting fixator applicable to single-pore thoracoscopic surgery |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN104840226A true CN104840226A (en) | 2015-08-19 |
Family
ID=53840497
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201510284953.XA Pending CN104840226A (en) | 2015-05-29 | 2015-05-29 | Incision retracting fixator applicable to single-pore thoracoscopic surgery |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN104840226A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106236158A (en) * | 2016-05-16 | 2016-12-21 | 杨雪鹰 | A kind of single hole thoracoscope otch separates holder |
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| US20150087917A1 (en) * | 2009-10-07 | 2015-03-26 | Covidien Lp | Universal height foam port |
| CN204274658U (en) * | 2014-11-24 | 2015-04-22 | 江苏芸迪医疗科技发展有限公司 | A kind of otch holder |
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-
2015
- 2015-05-29 CN CN201510284953.XA patent/CN104840226A/en active Pending
Patent Citations (16)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US4352358A (en) * | 1979-12-28 | 1982-10-05 | Angelchik Jean P | Apparatus for effecting anastomotic procedures |
| CN1238705A (en) * | 1996-11-26 | 1999-12-15 | 巴克斯特国际有限公司 | Multiple lumen access device |
| CN101617932A (en) * | 2008-07-03 | 2010-01-06 | 王军 | Multi-channel soft abdominal wall working window |
| US20150087917A1 (en) * | 2009-10-07 | 2015-03-26 | Covidien Lp | Universal height foam port |
| CN102160806A (en) * | 2010-02-12 | 2011-08-24 | Tyco医疗健康集团 | Expandable thoracic access port |
| CN102160807A (en) * | 2010-02-12 | 2011-08-24 | Tyco医疗健康集团 | Expandable thoracic access port |
| CN102160808A (en) * | 2010-02-12 | 2011-08-24 | Tyco医疗健康集团 | Expandable thoracic access port |
| EP2457524A1 (en) * | 2010-11-24 | 2012-05-30 | Tyco Healthcare Group LP | Access assembly including one or more foldable caps |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN106236158A (en) * | 2016-05-16 | 2016-12-21 | 杨雪鹰 | A kind of single hole thoracoscope otch separates holder |
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| C06 | Publication | ||
| PB01 | Publication | ||
| EXSB | Decision made by sipo to initiate substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20150819 |
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| RJ01 | Rejection of invention patent application after publication |