Inflation-free single-port laparoscope abdominal wall fixing device

Abstract

An inflation-free single-port laparoscope abdominal wall fixing device comprises a fixing plate, a handle is arranged on the rear side of the fixing plate, the handle gradually inclines upwards, an operation hole is formed in the fixing plate, connecting plates are arranged on the left inner side and the right inner side in the operation hole respectively, the connecting plates are connected with the fixing plate through an adjusting device, and the adjusting device is connected with the fixing plate. A connecting plate is arranged on the handle, a side drag hook is arranged below the connecting plate, a suction tube is arranged on the handle, a connector is arranged at one end of the suction tube, the connector is connected with a negative pressure suction device, a flat tube which is bent downwards is arranged at the other end of the suction tube, one side of the flat tube is connected with the fixing plate in a welded mode, and suction holes which are communicated with each other are formed in the flat tube and the suction tube. The flat tube can be used as a suction tube to suck smoke and water mist generated in the abdominal cavity during an operation, and can also be used as a drag hook structure on the rear side to tension and support the rear side abdominal wall of an abdominal incision of a human body, the rear drag hook structure is replaced by the flat tube, and the suction tube does not interfere with the scalpel.

Description

Technical Field

[0001] The utility model relates to a single-hole laparoscopic abdominal wall fixing device, in particular to an inflation-free single-hole laparoscopic abdominal wall fixing device, belonging to the technical field of medical equipment. Background Art

[0002] In the non-inflatable single-port laparoscopic surgery, only one incision is made at the human navel, and then the incision is supported and fixed by an abdominal wall fixation device, and the operator's surgical instruments can enter the human abdominal cavity through the incision for operation. Most of the existing abdominal wall fixation devices are umbrella-shaped, such as Chinese patent No. 201310573823.9, and the patent name is "Umbrella-type abdominal wall suspension device for laparoscopic surgery", which includes a suspension umbrella, a mechanical arm and a fixed rod. The suspension umbrella is suspended on the mechanical arm, and the mechanical arm is installed on the fixed rod. The suspension umbrella is composed of a sleeve, a needle core, a dead point ring and a hanging chain. The sleeve is composed of spokes and a push-pull tube. The push-pull tube slides downward, and the spokes slide and fold toward the center through the proximal joint, the distal joint and the middle joint to form an umbrella shape. The disadvantages of this structure are: 1. During surgery, surgical instruments must be inserted into the abdominal cavity between the spokes of the suspension umbrella. The dense spokes can easily block the surgical instruments, thus affecting the operation of the operation; 2. The device can only support the incision of the abdominal wall and pull the abdominal wall upward, but cannot change the angle of the incision plane, that is, it cannot change the inclination angle of the incision. In this way, it is difficult for surgical instruments to enter the deeper parts of the abdominal wall, which increases the difficulty of the operation; 3. The device needs to be inserted vertically into the abdominal cavity to a certain depth in the interference state before the spokes can be opened into an umbrella shape. The space in the abdominal cavity is limited. Blindly inserting the device and further opening it to the surroundings without looking directly into the abdominal cavity may cause damage to the intestinal tract. Therefore, the applicant has applied for Chinese utility model patent 201721674921.1, and the patent name is "Single-hole abdominal wall fixation device for gas-free laparoscopic surgery", but the structure has the following disadvantages: 1. When using electric knife and ultrasonic knife for surgery, smoke and water mist will be generated in the abdominal cavity, and a straw needs to be inserted from the operation hole to absorb the smoke and water mist to make the surgical field clear, but the straw can easily interfere with the electric knife, ultrasonic knife, etc., affecting the surgery; 2. A handle plate is made on the connecting plate, but the handle plate needs to be lifted by hand by medical staff, which is troublesome and laborious to operate, and the lifting stability is poor; 3. When the lens is inserted into the abdominal cavity, there is no structure to fix the lens, and the medical staff needs to hold it with their hands all the time, which is very laborious, and the stability of the lens is poor. Utility Model Content

[0003] The purpose of the utility model is to overcome the shortcomings of the existing technology and provide an inflation-free single-port laparoscopic abdominal wall fixation device which is conducive to absorbing smoke and water mist generated during surgery, and the suction tube does not interfere with the scalpel, the connecting plate is easy to pull sideways, the pulling stability is good, and the lens setting is stable.

[0004] The utility model discloses a technical scheme of an inflation-free single-port laparoscopic abdominal wall fixing device, which comprises a fixing plate, a handle is formed on the rear side of the fixing plate, the handle is gradually inclined upward, an operation hole is opened in the fixing plate, connecting plates are respectively arranged on the left and right inner sides of the operation hole, the connecting plate is connected to the fixing plate via an adjusting device, a side retractor is formed under the connecting plate, a suction tube is arranged on the handle, a connecting head is formed at one end of the suction tube, the connecting head is connected to a negative pressure suction device, a downwardly bent flat tube is formed at the other end of the suction tube, one side of the flat tube is connected to the fixing plate via welding, and communicating suction holes are formed in the flat tube and the suction tube.

[0005] Furthermore, a small hole is formed at the lower part of the flat tube.

[0006] Furthermore, the connecting plate is provided with a vertical plate, and a lifting hole is provided in the vertical plate.

[0007] Furthermore, the fixing plate is provided with fixing columns.

[0008] Furthermore, the adjustment device includes studs respectively formed on the upper left and right sides of the fixing plate located at the operating hole, an adjustment hole is opened in the connecting plate, the stud passes through the adjustment hole, and an adjusting nut and a Yuanbao nut are arranged on the stud, the adjusting nut and the Yuanbao nut are matched with the stud thread, the adjusting nut is in contact with the bottom of the connecting plate, and the Yuanbao nut is in contact with the top of the connecting plate.

[0009] Furthermore, the adjustment hole is an elongated hole, and its length L is 20-40 mm.

[0010] The utility model provides an inflation-free single-port laparoscopic abdominal wall fixing device with the following beneficial effects: first, the head of the suction tube is made into a flat tube that bends downward in an arc shape, and one side of the flat tube is directly fixed to the inner wall of the operation hole of the fixing plate by welding. The flat tube can be used as a suction tube to absorb smoke and water mist generated in the abdominal cavity during surgery, and can also be used as a rear hook structure to tighten and support the rear abdominal wall of the abdominal incision of the human body. By replacing the rear hook structure with the flat tube, the suction tube will not interfere with the scalpel; second, vertical plates are respectively formed on the left and right connecting plates, and lifting holes are opened on the vertical plates. The lifting holes can be fixed to the suspension system through a suspension roller. The vertical plate, the connecting plate and the side hook on one side are lifted or moved by the suspension roller, so that the operation hole can be tilted to the left or right, so that the surgical field in the abdominal cavity of the corresponding side can be fully exposed, thereby facilitating the doctor to observe and operate. BRIEF DESCRIPTION OF THE DRAWINGS

[0011] Figure 1 It is a three-dimensional schematic diagram of an inflation-free single-port laparoscopic abdominal wall fixation device of the utility model;

[0012] Figure 2It is a top view schematic diagram of an inflation-free single-port laparoscopic abdominal wall fixation device of the utility model;

[0013] Figure 3 yes Figure 2 Schematic diagram of the cross section in the A-A direction. DETAILED DESCRIPTION

[0014] The utility model relates to an inflation-free single-hole laparoscopic abdominal wall fixation device, such as Figure 1 — Figure 3 As shown, it includes a fixing plate 1, a handle 2 is formed on the rear side of the fixing plate 1, the handle 2 is gradually inclined upward, an operation hole 3 is opened in the fixing plate 1, and connecting plates 4 are respectively arranged on the left and right inner sides of the operation hole 3, the connecting plate 4 is connected to the fixing plate 1 through an adjusting device, and a side retractor 5 is formed under the connecting plate 4, a suction tube 6 is arranged on the handle 2, a connector 7 is formed at one end of the suction tube 6, the connector 7 is connected to the negative pressure suction device, and a downwardly bent flat tube 8 is formed at the other end of the suction tube 6, one side of the flat tube 8 is connected to the fixing plate 1 by welding, and a suction hole 9 communicating with the flat tube 8 and the suction tube 6 is formed.

[0015] Furthermore, a small hole 10 is formed at the bottom of the flat tube 8. The smoke and water mist generated by the operation can be sucked into the suction tube 6 through the large hole at the head of the flat tube 8, and can also be sucked into the suction tube 6 through the multiple small holes 10 at the bottom of the flat tube 8.

[0016] Furthermore, the connecting plate 4 is provided with a vertical plate 11, and a lifting hole 12 is provided in the vertical plate 11. A suspension roller can be provided on the suspension system (the specific structure of the suspension system and the suspension roller is an existing technology), and the hook of the suspension roller is directly hung on the lifting hole 12, and the vertical plate 11 is directly pulled up or down by the suspension roller. When one side of the vertical plate 11 is pulled up, the vertical plate 11 drives the connecting plate 4 and the side hook 5 of the corresponding side upward, and the connecting plate 4 and the side hook 5 drive the fixing plate 1 and the operation hole 3 to tilt toward the side, so that the surgical field in the abdominal cavity of the corresponding side can be fully exposed, thereby facilitating the doctor to observe and operate.

[0017] Furthermore, a fixing column 13 is formed on the fixing plate 1. A collar can be provided on one side of the lens (the specific structure of the lens is a prior art), and the lens can be sleeved on the fixing column 13 through a sleeve, so that the lens can remain stable.

[0018] Furthermore, the adjustment device includes studs 14 formed on the upper left and right sides of the fixing plate 1 at the operation hole 3, and an adjustment hole 15 is opened in the connecting plate 4. The stud 14 passes through the adjustment hole 15, and an adjustment nut 16 and a nut 17 are arranged on the stud 14. The adjustment nut 16 and the nut 17 are threadedly matched with the stud 14, and the adjustment nut 16 contacts the bottom of the connecting plate 4, and the nut 17 contacts the top of the connecting plate 4. The height of the connecting plate 4 and the side retractor 5 can be adjusted by rotating the adjustment nut 16, which plays a role in adjusting the distance between the side retractor 5 and the fixing plate 1, and can adapt to patients with different abdominal wall thicknesses. The nut 17 is used to press and fix the connecting plate 4 after it is adjusted into place, so as to ensure that the connecting plate 4 and the side retractor 5 can be fixed reliably.

[0019] Furthermore, the adjustment hole 15 is a long hole, and its length L is 20-40 mm. The adjustment hole 15 is set as a long hole. After the ingot nut 17 is loosened, the connecting plate 4 can be moved left and right along the stud 14 through the adjustment hole 15, and the position of the connecting plate 4 and the side hook 5 in the left and right directions can be adjusted. The length of the long hole is designed to be 20-40 mm, and the spacing of the lower side hooks of the connecting plate can be adjusted left and right according to the size of the navel incision.

[0020] The utility model discloses an inflation-free single-port laparoscopic abdominal wall fixing device. When operating, an incision is first made at the navel of a human body, and then a flat tube 8 bent downwardly on the inner wall of an operation hole 3 of a fixing plate 1 is extended from the incision, and the abdominal wall on the rear side of the incision is hooked by the flat tube 8 bent downwardly, and then an adjusting nut 16 is first installed on the stud 14 of the fixing plate 1, and two connecting plates 4 are taken, and side retractors 5 under the connecting plates pass through the operation hole 3 of the fixing plate 1 and the incision of the abdomen, one of the side retractors 5 hooks the abdominal wall on the left side, and the other side retractor 5 hooks the abdominal wall on the right side, and the left, right and rear abdominal walls of the incision are supported by the left and right side retractors 5 and the flat tube 8, and then the connecting plate 4 is clamped on the stud 14 through the adjusting hole 15, and the ingot nut 17 is screwed in to tighten the connecting plate 4, and finally the handle 2 and the vertical plates 11 on the left and right connecting plates 4 are fixed to the suspension system (the specific structures of the suspension system and the suspension roller are existing technologies) through the suspension roller. The present invention is an inflation-free single-port laparoscopic abdominal wall fixation device, which is improved according to the existing patent of the applicant. First, the head of the suction tube 6 is made into a flat tube 8 that bends downward in an arc shape, and one side of the flat tube 8 is directly fixed to the inner wall of the operation hole 3 of the fixing plate 1 by welding. The flat tube 8 can be used as a suction tube to absorb the smoke and water mist generated in the abdominal cavity during surgery, and can also be used as a rear hook structure to tighten and support the rear abdominal wall of the abdominal incision of the human body. By replacing the rear hook structure with the flat tube 8, the suction tube will not interfere with the scalpel; second, vertical plates 11 are respectively formed on the left and right connecting plates 4, and a lifting hole 12 is opened on the vertical plate 1. The lifting hole 12 can be fixed to the suspension system through a suspension roller. The vertical plate 11, the connecting plate 4 and the side hook 5 on one side are lifted or moved by the suspension roller, so that the operation hole 3 can be tilted to the left or right, so that the surgical field in the abdominal cavity of the corresponding side can be fully exposed, thereby facilitating the doctor to observe and operate.

Claims

1. A non-inflation single-port laparoscopic abdominal wall fixation device, comprising a fixing plate (1), a handle (2) formed on the rear side of the fixing plate (1), the handle (2) being gradually inclined upward, an operation hole (3) being opened in the fixing plate (1), connecting plates (4) being respectively arranged on the left and right inner sides of the operation hole (3), the connecting plate (4) being connected to the fixing plate (1) via an adjusting device, and a side retractor (5) being formed under the connecting plate (4), characterized in that: The handle (2) is provided with a suction tube (6), one end of the suction tube (6) is provided with a connector (7), the connector (7) is connected to the negative pressure suction device, and the other end of the suction tube (6) is provided with a flat tube (8) bent downward, one side of the flat tube (8) is connected to the fixing plate (1) by welding, and the flat tube (8) and the suction tube (6) are provided with suction holes (9) communicating with each other.

2. The non-inflation single-port laparoscopic abdominal wall fixation device according to claim 1, characterized in that: The lower part of the flat tube (8) is provided with a small hole (10).

3. The inflation-free single-port laparoscopic abdominal wall fixation device according to claim 1, characterized in that: The connecting plate (4) is provided with a vertical plate (11), and a lifting hole (12) is provided in the vertical plate (11).

4. The non-inflation single-port laparoscopic abdominal wall fixation device according to claim 1, characterized in that: The fixing plate (1) is provided with a fixing column (13).

5. The non-inflation single-port laparoscopic abdominal wall fixation device according to claim 1, characterized in that: The adjustment device comprises studs (14) formed on the upper left and right sides of the fixing plate (1) at the operating hole (3), the connecting plate (4) having an adjustment hole (15), the stud (14) passing through the adjustment hole (15), an adjustment nut (16) and a nut (17) being arranged on the stud (14), the adjustment nut (16) and the nut (17) being threadably matched with the stud (14), the adjustment nut (16) being in contact with the bottom of the connecting plate (4), and the nut (17) being in contact with the top of the connecting plate (4).

6. The non-inflation single-port laparoscopic abdominal wall fixation device according to claim 5, characterized in that: The adjustment hole (15) is a long hole, and its length L is 20-40 mm.

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