CN203677188U - Pull rope type lung traction tongs for single-port thoracoscope pulmonary lobectomy - Google Patents

Pull rope type lung traction tongs for single-port thoracoscope pulmonary lobectomy Download PDF

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Publication number
CN203677188U
CN203677188U CN201420018523.4U CN201420018523U CN203677188U CN 203677188 U CN203677188 U CN 203677188U CN 201420018523 U CN201420018523 U CN 201420018523U CN 203677188 U CN203677188 U CN 203677188U
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China
Prior art keywords
traction tongs
pull rope
arm
stay cord
rope type
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Expired - Fee Related
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CN201420018523.4U
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Chinese (zh)
Inventor
赵晓刚
朱余明
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Shanghai Pulmonary Hospital
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Shanghai Pulmonary Hospital
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Abstract

The utility model belongs to the technical field of medical instruments and particularly relates to a pair of pull rope type lung traction tongs for single-port thoracoscope pulmonary lobectomy. The pair of pull rope type lung traction tongs for the single-port thoracoscope pulmonary lobectomy is composed of a pull rope type lung traction tongs body and a double-joint opening and closing device. The pull rope type lung traction tongs body is in magnetic butt joint with the double-joint opening and closing device. The pair of pull rope type lung traction tongs for the single-port thoracoscope pulmonary lobectomy has the advantages that operation is easy, the pair of pull rope type lung traction tongs is convenient to use, light and handy, the tail end of the pair of pull rope type lung traction tongs can be free, the number of single-port going-in and going-out instruments is reduced, collision of multiple instruments is avoided, the pulmonary lobes can be pulled in all directions, corresponding portions and structures can be exposed, and exposure of the surgical field and operation are facilitated during the single-port thoracoscope pulmonary lobectomy.

Description

A kind of dragline type pulmonary traction tongs being applied in single hole VATS lobectomy
Technical field
This utility model relates to technical field of medical instruments, is specifically related to a kind of dragline type pulmonary traction tongs being applied in single hole VATS lobectomy.
Background technology
Thoracoscopic operation is carried out in early 1990s, through vicennial development, has been widely used in diagnosis and the operative treatment of thoracic surgery various diseases at present.The treatment of thoracoscope lobectomy of lungs I, II phase nonsmall-cell lung cancer and lung benign lesion, its safety and efficacy is affirmed to have the advantages such as wound is little, recovery is fast, postoperative pain is light, shoulder joint function impact is little.
The operative approach of VATS lobectomy has experienced the course of thoracoscopic operation, three holes, single operation hole (two holes), single hole (unique hole) under auxiliary incision to be changed.Because the excision of thoracoscope lower lobe exists three-dimensional visual field to arrive the conversion in the two-dimentional visual field, in the two-dimentional visual field, be there is to certain difficulty in the location of three dimensional structure, especially in the time carrying out some accurate operations, therefore carry out at first thoracoscope lobectomy of lungs operative method auxiliary incision, be three holes of standard afterwards, along with the raising of operation skill and enriching of experience, be transitioned into gradually operation under single operation hole (two holes), having reached at present single hole at the thoracic surgery center of minority is under unique hole, to carry out the operation of thoracoscope lower lobe resection operation, further reduce otch quantity, alleviate postoperative pain, reduce operation wound, really reach Wicresoft, embody the huge superiority of Wicresoft, .
But because the operation otch of single hole thoracoscope lobe of the lung operation is fixed and unique, be subject to the restriction of incision site and size, thoracoscope and various operating theater instruments must pass in and out jointly from unique hole, the angle that operates various apparatuses in art is often collided limited each other, can not as open chest surgery or three hole thoracoscopic operations, can use from different perspectives various apparatuses; Again, viewing angle is limited, and open chest surgery or three hole thoracoscopic operations can expose to all directions tractive lobe of the lung position and the structure of required understanding, and under single hole thoracoscope, operation just cannot so be followed one's bent.Above drawback causes the difficulty of thoracoscope Minimally Invasive Surgery operation under single hole to increase; only just can be completed by veteran doctor at veteran thoracic surgery center; how to solve these drawbacks; make thoracoscope Minimally Invasive Surgery operation under single hole push domestic grass-roots unit to, better benefiting patient becomes problem in the urgent need to address.
Utility model content
For the operating defect of single hole, the purpose of this utility model is to provide a kind of pulmonary traction tongs, and it can meet following requirement: 1. reduce single orifice turnover apparatus quantity, avoid the collision of multiple apparatus.2. can expose corresponding position and structure from all directions tractive lobe of the lung, facilitate exposure and the operation of visual area.3. simple to operate, convenient light and handy.
A kind of dragline type pulmonary traction tongs being applied in single hole VATS lobectomy that this utility model provides, formed magnetic docking between dragline type pulmonary traction tongs body and doublejointed open and close device by dragline type pulmonary traction tongs body and doublejointed open and close device two parts; Wherein:
Described dragline type pulmonary traction tongs body is made up of the two symmetrical calipers that are hingedly connected together through bearing pin, described caliper comprises binding clip and clamp handle, described binding clip is right angled triangle, in described clamp handle, be symmetrical arranged hollow hexahedron, hollow hexahedron bottom arranges Magnet, between described two clamp handles, spring is set, and is fixedly installed stay cord circle on spring, on stay cord circle, be wound around stay cord, stay cord tail end is set to ring-type;
Described doublejointed open and close device comprises two arm bodies parallel with one another, and arm body is divided into forearm, middle arm and postbrachium three parts, and the middle arm of arm body is contiguous setting side by side, and both ends are flexibly connected; Forearm and the postbrachium of arm body are flexibly connected the middle arm of two arm bodies respectively and separately; The front end of described forearm arranges ridge, and ridge is hexagon cylindrical structure, the mutual chimeric connection of hollow hexahedron when use in itself and clamp handle; Impetus is held in the afterbody setting of described postbrachium, and holding impetus is ring-type.
In this utility model, described binding clip surface arranges Z-Correct bump mapping Z-correct.
In this utility model, described stay cord is elastic drag rope.
The beneficial effects of the utility model are: it is simple to operate, convenient light and handy, possess the advantage that end can be free, can reduce single orifice turnover apparatus quantity, avoid the collision of multiple apparatus; Can expose corresponding position and structure from all directions tractive lobe of the lung, facilitate exposure and the operation of visual area in single hole VATS lobectomy.
Accompanying drawing explanation
Fig. 1 is this utility model dragline type pulmonary traction tongs schematic diagram.
Fig. 2 is the traction tongs using state figure of this utility model dragline type pulmonary.
Number in the figure: 1-dragline type pulmonary traction tongs body; 2-doublejointed open and close device; 3-binding clip; 4-bearing pin; 5-clamp handle; 6-spring; 7-stay cord circle; 8-stay cord; 9-hollow hexahedron; 10-the first forearm; Arm in 11-first; 12-the first postbrachium; 13-the second forearm; Arm in 14-second; 15-the second postbrachium; 16-the first junction; 17-the second junction; 18-ridge; 19-holds impetus.
The specific embodiment
Below in conjunction with drawings and Examples, this utility model is elaborated further.
As shown in Figure 1, this device is made up of dragline type pulmonary traction tongs body 1 and doublejointed open and close device 2 two parts, both magnetic docking, be entrenched togather, send in thoracic cavity, when operation is implemented, by the effect of doublejointed open and close device 2, discharge dragline type pulmonary traction tongs body 1, make it free, finally pull it outside thoracic cavity by the stay cord 8 arranging in dragline type pulmonary traction tongs body 1.
Dragline type pulmonary traction tongs body 1 is made up of the two symmetrical calipers that are hingedly connected together through bearing pin 4, and the front end of caliper is binding clip 3, and binding clip 3 is right angled triangle, and its surface arranges Z-Correct bump mapping Z-correct, increases frictional force, directly contacts lungs surface.Binding clip 3 forms galianconism and is connected with clamp handle 5 by bearing pin 4, forms leverage, and clamp handle 5 is subject to when External Force Acting is drawn close to center causing outwards opening of binding clip 3.Spring 6 is between clamp handle 5, and the two ends of spring 6 are fixedly connected with clamp handle 5 two ends by screw respectively, in the time that clamp handle 5 loses External Force Acting, makes clamp handle 5 return to original position, is closure state thereby binding clip 3 also returns to original position.In clamp handle 5, be symmetrical arranged hollow hexahedron 9, hollow hexahedron 9 bottoms arrange Magnet, for docking with the magnetic of doublejointed open and close device 2.Stay cord circle 7 is axle shape, and its one end is fixed on spring 6.The stay cord 8 being wound around on stay cord circle 7, flexible, tail end is ring-type, in the time of stay cord 8 outside tractive, can elongate, there is sufficient length, lose external force, can automatic retracted, enter in stay cord circle 7, its ring-type tail end guarantees that stay cord 8 can not be fully retracted in stay cord circle 7, is stuck in the outside of stay cord circle 7, the enforcement of convenient searching and tractive action.
Doublejointed open and close device 2 is made up of two arm body parallel connections, and two arm bodies are metal material.Arm body is respectively by arm 11 and the first postbrachium 12 in the first forearm 10, first; And in second forearm 13, second, arm 14 and the second postbrachium 15 are connected, are flexibly connected and form.Its movable connection method can be any suitable form in prior art in this area.In the present embodiment, take the mode being coupling.
Arm 14 contiguous placement side by side in arm 11 and second in first, its two ends are flexibly connected, and realize in parallel.Its flexible connection can be any suitable form in prior art in this area.In the present embodiment, can be flexibly connected by spring or bearing pin mode.
The front end of the first forearm 10 and the second forearm 13 arranges respectively ridge 18, and it is that hexagon is cylindric, for chimeric with the docking of the hollow hexahedron 9 of dragline type pulmonary traction tongs body 1.It is designed to magnetic docking, facilitates chimericly, and chimeric 2 one-tenth different angles of dragline type pulmonary traction tongs body 1 and doublejointed open and close device that are conducive to of hexagon, facilitate intrathoracic operation.Impetus 19 is held in afterbody setting at the first postbrachium 12 and the second postbrachium 15, holds impetus 19 for ring-type, so that folding.
Use step: when finger is inserted in one's hands holding in impetus 19, open the first postbrachium 12 and the second postbrachium 15 gap time, act on the second junction 17, promote again in first arm 11 to front slide, and then act on the first junction 16, the second forearm 13 is opened downwards, open the gap between the first forearm 10 and the second forearm 13, ridge 18 and hollow hexahedron 9 are docked, enter breast chamber, firmly make to hold impetus 19 closures, dwindle the gap between two postbrachiums, retract arm 11 in first, the second forearm 13 is drawn close to the first forearm 10, dwindle gap between the two, thereby make clamp handle 5 pressurizeds, by bearing pin 4, binding clip 3 is opened.In the time that binding clip 3 is clipped in the suitable position of lungs, open and hold impetus 19, make ridge 18 and hollow hexahedron 9 depart from chimerism, doublejointed open and close device 2 is taken out in thoracic cavity.
Now extend in the ring-type tail end of stay cord 8 with conventional thoracic forceps, clamp tail end dragline type pulmonary traction tongs body 1 is hauled out outside thoracic cavity and fixed, realized the application of dragline type pulmonary traction tongs, saved space.Facilitate the carrying out of operation, the exposure of visual area.

Claims (3)

1. the dragline type pulmonary traction tongs being applied in single hole VATS lobectomy, it is characterized in that: it is made up of dragline type pulmonary traction tongs body and doublejointed open and close device two parts magnetic docking between dragline type pulmonary traction tongs body and doublejointed open and close device; Wherein:
Described dragline type pulmonary traction tongs body is made up of the two symmetrical calipers that are hingedly connected together through bearing pin, described caliper comprises binding clip and clamp handle, described binding clip is right angled triangle, in described clamp handle, be symmetrical arranged hollow hexahedron, hollow hexahedron bottom arranges Magnet, between described two clamp handles, spring is set, and is fixedly installed stay cord circle on spring, on stay cord circle, be wound around stay cord, stay cord tail end is set to ring-type;
Described doublejointed open and close device comprises two arm bodies parallel with one another, and arm body is divided into forearm, middle arm and postbrachium three parts, and the middle arm of arm body is contiguous setting side by side, and both ends are flexibly connected; Forearm and the postbrachium of arm body are flexibly connected the middle arm of two arm bodies respectively and separately; The front end of described forearm arranges ridge, and ridge is hexagon cylindrical structure, the mutual chimeric connection of hollow hexahedron when use in itself and clamp handle; Impetus is held in the afterbody setting of described postbrachium, and holding impetus is ring-type.
2. the dragline type pulmonary traction tongs being applied in single hole VATS lobectomy according to claim 1, is characterized in that: described binding clip surface arranges Z-Correct bump mapping Z-correct.
3. the dragline type pulmonary traction tongs being applied in single hole VATS lobectomy according to claim 1, is characterized in that: described stay cord is elastic drag rope.
CN201420018523.4U 2014-01-13 2014-01-13 Pull rope type lung traction tongs for single-port thoracoscope pulmonary lobectomy Expired - Fee Related CN203677188U (en)

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CN201420018523.4U CN203677188U (en) 2014-01-13 2014-01-13 Pull rope type lung traction tongs for single-port thoracoscope pulmonary lobectomy

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CN201420018523.4U CN203677188U (en) 2014-01-13 2014-01-13 Pull rope type lung traction tongs for single-port thoracoscope pulmonary lobectomy

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103750882A (en) * 2014-01-13 2014-04-30 上海市肺科医院 Pull cord type lung traction forceps applied to single-port thoracoscopic lobectomy
CN104706417A (en) * 2015-02-03 2015-06-17 首都医科大学附属北京友谊医院 Magnetically fixed suspension type single port laparoscopic surgery robot system

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103750882A (en) * 2014-01-13 2014-04-30 上海市肺科医院 Pull cord type lung traction forceps applied to single-port thoracoscopic lobectomy
CN104706417A (en) * 2015-02-03 2015-06-17 首都医科大学附属北京友谊医院 Magnetically fixed suspension type single port laparoscopic surgery robot system

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CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20140702

Termination date: 20160113