CN204655011U - A kind of operative incision dilator - Google Patents

A kind of operative incision dilator Download PDF

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Publication number
CN204655011U
CN204655011U CN201520253164.5U CN201520253164U CN204655011U CN 204655011 U CN204655011 U CN 204655011U CN 201520253164 U CN201520253164 U CN 201520253164U CN 204655011 U CN204655011 U CN 204655011U
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CN
China
Prior art keywords
catch
arm
stop piece
operative incision
incision dilator
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Expired - Fee Related
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CN201520253164.5U
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Chinese (zh)
Inventor
邱建新
谈鸣岳
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Shanghai First Peoples Hospital
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Shanghai First Peoples Hospital
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Priority to CN201520253164.5U priority Critical patent/CN204655011U/en
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Publication of CN204655011U publication Critical patent/CN204655011U/en
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Abstract

This utility model relates to a kind of operative incision dilator.Described operative incision dilator be provided with two handles, two strut arm, two catch and locking member; Each arm one end that struts is connected with handle, and the other end is connected with catch, and two are strutted arm and are hinged by the first jointed shaft; Described catch is provided with upper stop piece and lower stop piece, and described upper stop piece is horizontal planar, and the lower edge of described lower stop piece flips to the outside; The lateral surface of described lower stop piece is provided with the chute of both sides cornice first slip teeth, regulates catch to be entrenched in chute by the second slip teeth of self both sides and also can move in described chute; The described arm that struts is flexibly connected with catch by the second jointed shaft.Operative incision dilator of the present utility model struts depth adjustable, be applicable to the patient of different fat or thin degree, fully appear surgical field of view, and catch is rotatable, motility is stronger, locking member is more firm, totally possess practical, structure simple, the advantage of convenient operation, is suitable for popularity application clinically.

Description

A kind of operative incision dilator
Technical field
This utility model relates to technical field of medical instruments, specifically, relates to a kind of operative incision dilator.
Background technology
Kidney transfer operation is generally acknowledged it is the best therapy for the treatment of chronic renal failure by the whole world at present, and be the transplanting that in solid organ transplantation, technology is the most ripe, success rate is the highest, kidney survival rate reaches 96.3%.Kidney transfer operation generally needs three hours, and does not need to excise original two kidneys.This operation adopts hypogastric region curved incision, and the transplanted kidney of implantation is placed at iliac fossa, then by the blood vessel of transplanted kidney with the iliac vessels of receptor coincide, by identical for the bladder of the ureter of transplanted kidney and receptor.
Operative incision dilator is often used in renal transplantation, other urological surgeries and other surgical operations.Chinese patent literature CN201420239908.3, publication date 2014.12.17, disclose a kind of laparoscopic surgery supporting open abdominal wall device, this supporting open abdominal wall device comprises two clamp pieces, cross-coupled two clamp pieces are fixedly connected into by jointed shaft and are integrated mutually, each clamp piece is divided into handle ring, clamp handle and head end successively, and described head end is provided with groove and blunt nosed.Use result shows, top is semicircle blunt nosed, can prevent from injuring the hollow organs such as intestinal tube when inserting abdominal cavity of patients; Two groove positions are symmetrical concave surfaces, and concave part has perpendicular to clamp handle band out of shape, can limit stomach wall and slide to be strutted.
Chinese patent literature CN200720041300.X, publication date 2008.07.16, disclose a kind of expanding device for abdominal operation, described expanding device for abdominal operation is made up of adjustment device for spreading, lowering or hoisting gear and fixture, and lowering or hoisting gear comprises coupling sleeve and is inserted in the metal straight rod of this coupling sleeve; Fixture comprises two pieces of straps; Regulate device for spreading to strut bar by two parallel straight shape mobile jibs and two to form, two straight parallel shape mobile jibs are fixed on the coupling sleeve of lowering or hoisting gear, and this coupling sleeve is movably set on two straight parallel shape mobile jibs; Two strut distraction plate bar being arranged respectively and inserts otch, be provided with between two straight shape mobile jibs and strut bar position adjusting lever, this struts bar position adjusting lever and is provided with one section of external screw thread, between two straight parallel shape mobile jibs, coupling sleeve is provided with the female thread matched with external screw thread, strut on the front end of bar position adjusting lever and coupling sleeve and be rotationally connected, be provided with locking device strutting on the adjusting lever of bar position.This motion strutting bar is completely controlled, and the size of softened wound is easy to accurate adjustment as required.
At present, along with the raising of people's living standard and the day by day busy of work, diet is uncontrolled causes the partially fat number ratio of the bodily form to increase with not getting enough athletic exercise, and this type of crowd's abdominal part piles up significant quantities of fat.Be expert at abdominal operation as renal transplantation time, itself need the scope of organization that struts different owing to performing the operation and clinical conventional operative incision dilator effectively can not regulate the depth of dilator, otch surrounding tissue can not be effectively strutted in operation technique, cause surgical field of view bad, make troubles to operation technique.Therefore need badly and a kind ofly all well can retract otch when being applied to the patient of different fat or thin degree, fully expose the dilator of surgical field of view.
Chinese patent literature CN201210545407.3, publication date 2014.06.18, disclose a kind of disposable surgical dilator, be made up of two elastic dilatation circles and cylindric isolating membrane, described elastic dilatation circle is connected to cylindric isolating membrane two ends, described two elastic dilatation circles are strut circle and insert circle respectively, described in strut the cross section of circle rounded, described in insert the cross section of circle in " 8 " font.This dilator one people can complete installation, substantially increase procedure efficiency, and double elastic dilatation circle and longitudinal section are the airflow design of the inserting circle more convenient adjustment operation desired depth of the figure of eight, this utility model adopts medical-grade plastics material to make, with low cost, generalization is good.
But the shape of above-mentioned surgical dilator cylindrical shape is more difficult fixing, depth adjustment limited use produces interference to operation technique.Therefore need badly and be a kind ofly applicable to the operation of different building shape kidneys of patients, all fully can appear surgical field of view and structure incision distraction device simple, easy and simple to handle.
Summary of the invention
The purpose of this utility model is for deficiency of the prior art, provides a kind of and is applicable to the operation of different building shape kidneys of patients, all fully can appear surgical field of view and structure operative incision dilator simple, easy and simple to handle.
For achieving the above object, the technical scheme that this utility model is taked is:
A kind of operative incision dilator, be provided with two handles, two strut arm and two catch, it is characterized in that, each arm one end that struts is connected with handle, and the other end is connected with catch, and two are strutted arm and are hinged by the first jointed shaft; Described catch is provided with upper stop piece and lower stop piece, and described upper stop piece is horizontal planar, and the lower edge of described lower stop piece flips to the outside; The lateral surface of described lower stop piece is provided with the chute of both sides cornice first slip teeth, regulates catch to be entrenched in chute by the second slip teeth of self both sides and also can move in described chute.
Described lower stop piece and the angle of upper stop piece are 60-80 degree.
The length of described lower stop piece is 2-4cm, and the length of described adjustment catch is 3-6cm.
Described catch is solid laminated structure or the laminated structure with hollow slots.
The described arm that struts is flexibly connected with catch by the second jointed shaft.
Described two centre portions strutting arm are abduction shape.
Each handle is provided with finger-hole and shaft arm, and described shaft arm comprises the first shaft arm and the second shaft arm; Described operative incision dilator is also provided with locking member, and described locking member comprises the ratchet sheet of banking stop and arc; Described ratchet sheet veutro is provided with ratchet, and one end of ratchet sheet is articulated with on the first shaft arm by the 3rd jointed shaft, and the other end is in the ratchet hole of the second shaft arm and stretch out in the outside of the second shaft arm; Described banking stop one end is fixed on the inwall of the first shaft arm, and the other end is provided with limited impression, and described limited impression is buckled in the dorsal part of ratchet sheet.
This utility model advantage is:
1, operative incision dilator of the present utility model is provided with adjustment catch, therefore the degree of depth of catch can be regulated, operative incision dilator of the present utility model is made to be applicable to the patient of different building shape, skin, the muscle and fatty tissue etc. of otch both sides effectively can both be strutted for any patient, guarantee good surgical field of view, effective minimizing, to the interference of patient's operation technique, is conducive to carrying out smoothly of operation;
2, operative incision dilator of the present utility model its regulate catch to be designed to and the chute tabling of lower stop piece and can the form of relative sliding, facilitate patient's instant regulating as required in operation process, and this structure is simple, is convenient to manufacture;
3, operative incision dilator of the present utility model its regulate catch, the shape strutting arm and specifications design reasonable, being utility model people draws according to clinical empirical summary for many years, fully can appear surgical field of view, meet clinical demand;
4, the locking member locking effect of operative incision dilator of the present utility model is more remarkable, and structure is simple, easy and simple to handle;
5, its catch of operative incision dilator of the present utility model and strut and to utilize the first jointed shaft to be flexibly connected between arm, catch can be rotated, and be more convenient for regulating according to clinical needs the angle strutted, motility is stronger.
In general, operative incision dilator of the present utility model has that practical, structure is simple, the advantage of convenient operation, is suitable for popularity application clinically.
Accompanying drawing explanation
Accompanying drawing 1 is this utility model operative incision dilator structural representation.
Detailed description of the invention
Below in conjunction with accompanying drawing, detailed description of the invention provided by the invention is elaborated.
The Reference numeral related in accompanying drawing and ingredient as follows:
1. handle 11. finger-hole
12. shaft arm 121. first shaft arms
122. second shaft arms 2. strut arm
3. catch 31. upper stop piece
32. lower stop piece 321. chutes
322. regulate catch 323. second slip teeth
4. locking member 41. ratchet sheet
411. ratchet 42. banking stops
421. limited impression 43. ratchet holes
51. first jointed shaft 52. second jointed shafts
53. the 3rd jointed shafts
Embodiment 1 operative incision dilator of the present utility model
Refer to Fig. 1, Fig. 1 is this utility model operative incision dilator structural representation.Described operative incision dilator is provided with 1, two, two handles and struts arm 2, two catch 3 and a locking member 4.Each handle 1 is provided with finger-hole 11 and shaft arm 12.Two shaft arms 12 are respectively the first shaft arm 121 and the second shaft arm 122.One end of each shaft arm 12 connects finger-hole 11, the other end with strut arm 2 and be connected, the described other end strutting arm 2 is flexibly connected by the second jointed shaft 52 with catch 3.Two strut being hinged proximally by the first jointed shaft 51 of arm 2, and two centre portions strutting arm 2 bend all laterally, in abduction shape.
Described locking member 4 comprises ratchet sheet 41 and banking stop 42.Described ratchet sheet 41 is arc-shaped flaky, and veutro is provided with ratchet 411.One end of ratchet sheet 41 is articulated with on the first shaft arm 121 by the 3rd jointed shaft 53, and the other end is in the ratchet hole 43 of the second shaft arm 122 and stretch out in the outside of the second shaft arm 122.In the form of sheets, one end is fixed on the inwall of the first shaft arm 121 described banking stop 42, and the other end is provided with limited impression 421, and described limited impression 421 is buckled in the dorsal part of ratchet sheet 41.
Described catch 3 comprises upper stop piece 31 and lower stop piece 32.Described upper stop piece 31, in horizontal planar, and is strutted arm 2 and is flexibly connected by the second jointed shaft 52.The lower edge of described lower stop piece 32 flips to the outside, and lower stop piece 32 is 60-80 degree with the angle of upper stop piece 31.The lateral surface of described lower stop piece 32 is provided with chute 321, two sidewalls of described chute 321 are provided with the first slip teeth (not shown), chimeric in chute 321 have adjustment catch 322, two sidewalls of described adjustment catch 322 are provided with the second slip teeth 323, and the first described slip teeth and the second slip teeth 323 match and described adjustment catch 322 can be moved up and down in chute 321.Two corners of described adjustment catch 322 lower edge are arc.The length of described adjustment catch 322 is 3-6cm, and the length of described lower stop piece 32 is 2-4cm.
It should be noted that, operative incision dilator of the present utility model is provided with and regulates catch 322, can regulate longitudinal degree of depth, therefore be applicable to the patient of different building shape, all effectively can strut otch, fully appear surgical field of view, effectively avoid the interference of fatty tissue, guarantee surgical effect.Two corners of described adjustment catch 322 lower edge are designed to arc, can avoid the injury to patient tissue.The concrete shape of described adjustment catch 322 is not limited only to the present embodiment, and it can be solid lamellar, also can be hollow out lamellar, as having several rectangular hollow slots.Described catch 3 and strut between arm 2 and utilize the second jointed shaft 52 to be flexibly connected, makes catch 3 rotate, is convenient to flexible.Described catch 3 is provided with upper stop piece 31 and lower stop piece 32, the lower edge of described lower stop piece 32 is designed to flip to the outside, and lower stop piece 32 is 60-80 degree with the angle of upper stop piece 31, otch both sides are can be good to organize tractive laterally, be conducive to strengthening surgical field of view, reduce the impact of surrounding tissue.Described two centre portions strutting arm 2 are designed to bend laterally, make two to strut arm 2 and to try one's best abduction, thus reduce the impact on operation, be conducive to fully appearing of surgical field of view.Described locking member 4 withstands due to the limited groove 421 of dorsal part of ratchet sheet 41, ratchet 411 can be buckled together under pressure and can not loose or dislocation with ratchet hole 43 edge card, and fixed effect is obvious, and structure is simple, uses convenient.The parameter of each parts of the present utility model is inventor and draws according to abundant clinical empirical summary, can fully adapt to clinical demand, should not be considered as this area routine techniques and select.Operative incision dilator of the present utility model is not only applicable to kidney transfer operation, is also applicable to other urological surgeries and other surgical operations.Herein, described " near-end " refers to one end that in operation process, distance patient is nearer.
The using method of operative incision dilator of the present utility model is: after kidney surgery incised tissue, according to patient tissue depth information, the adjustment catch 322 of this utility model operative incision dilator is adjusted to appropriate length, then stretch in otch, hand-held handle 1 makes two to strut arm 2 to open to both sides, until expose suitable visual area, then lock ratchet sheet 41 by banking stop 42.After operation technique terminates, mobile banking stop 42, removes the restriction to ratchet sheet 41, catch 3 is shifted out otch and sews up.Operative incision dilator of the present utility model in use regulates catch 322 metastablely with lower stop piece 32 under tension to fix, can not move easily, make the adjustment of the catch degree of depth very convenient, can also be instant to regulating the position of catch 322 to regulate, to guarantee well to appear surgical field of view in whole operation process as required in art.Operative incision dilator of the present utility model can be applicable to the patient of clinical different building shape, and structure is simple, easy and simple to handle, contributes to carrying out smoothly of operation, is suitable for applying on a large scale.
The above is only the preferred embodiment of the present invention; it should be pointed out that for those skilled in the art, under the prerequisite not departing from the inventive method; can also make some improvement and supplement, these improve and supplement and also should be considered as protection scope of the present invention.

Claims (7)

1. an operative incision dilator, be provided with two handles, two strut arm and two catch, it is characterized in that, each arm one end that struts is connected with handle, and the other end is connected with catch, and two are strutted arm and are hinged by the first jointed shaft; Described catch is provided with upper stop piece and lower stop piece, and described upper stop piece is horizontal planar, and the lower edge of described lower stop piece flips to the outside; The lateral surface of described lower stop piece is provided with the chute of both sides cornice first slip teeth, regulates catch to be entrenched in chute by the second slip teeth of self both sides and also can move in described chute.
2. operative incision dilator according to claim 1, is characterized in that, described lower stop piece and the angle of upper stop piece are 60-80 degree.
3. operative incision dilator according to claim 1, is characterized in that, the length of described lower stop piece is 2-4cm, and the length of described adjustment catch is 3-6cm.
4. operative incision dilator according to claim 1, is characterized in that, described catch is solid laminated structure or the laminated structure with hollow slots.
5. operative incision dilator according to claim 1, is characterized in that, the described arm that struts is flexibly connected with catch by the second jointed shaft.
6. operative incision dilator according to claim 1, is characterized in that, described two centre portions strutting arm are abduction shape.
7. operative incision dilator according to claim 1, is characterized in that, each handle is provided with finger-hole and shaft arm, and described shaft arm comprises the first shaft arm and the second shaft arm; Described operative incision dilator is also provided with locking member, and described locking member comprises the ratchet sheet of banking stop and arc; Described ratchet sheet veutro is provided with ratchet, and one end of ratchet sheet is articulated with on the first shaft arm by the 3rd jointed shaft, and the other end is in the ratchet hole of the second shaft arm and stretch out in the outside of the second shaft arm; Described banking stop one end is fixed on the inwall of the first shaft arm, and the other end is provided with limited impression, and described limited impression is buckled in the dorsal part of ratchet sheet.
CN201520253164.5U 2015-04-21 2015-04-21 A kind of operative incision dilator Expired - Fee Related CN204655011U (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104771198A (en) * 2015-04-21 2015-07-15 上海市第一人民医院 Distracter applied to renal transplantation operation
CN106473782A (en) * 2016-09-30 2017-03-08 中国人民解放军总医院第附属医院 A kind of dry osteotomy operation retractor assembly of fibula and its operation method
CN106510781A (en) * 2016-12-28 2017-03-22 上海市浦东新区公利医院 Articular cavity distracter and use method thereof
CN113633329A (en) * 2021-08-17 2021-11-12 张晗祥 Minimally invasive channel device for minimally invasive spine surgery under microscope
WO2022222063A1 (en) * 2021-04-21 2022-10-27 深圳市中医院 Wound granulation pruning distractor

Cited By (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104771198A (en) * 2015-04-21 2015-07-15 上海市第一人民医院 Distracter applied to renal transplantation operation
CN106473782A (en) * 2016-09-30 2017-03-08 中国人民解放军总医院第附属医院 A kind of dry osteotomy operation retractor assembly of fibula and its operation method
CN106473782B (en) * 2016-09-30 2024-02-27 中国人民解放军总医院第一附属医院 Fibula stem high-position osteotomy retractor assembly
CN106510781A (en) * 2016-12-28 2017-03-22 上海市浦东新区公利医院 Articular cavity distracter and use method thereof
CN106510781B (en) * 2016-12-28 2023-09-05 上海市浦东新区公利医院 Joint cavity spreader and use method thereof
WO2022222063A1 (en) * 2021-04-21 2022-10-27 深圳市中医院 Wound granulation pruning distractor
CN113633329A (en) * 2021-08-17 2021-11-12 张晗祥 Minimally invasive channel device for minimally invasive spine surgery under microscope
CN113633329B (en) * 2021-08-17 2024-06-11 张晗祥 Minimally invasive channel device for minimally invasive spine surgery under microscope

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CF01 Termination of patent right due to non-payment of annual fee
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Granted publication date: 20150923

Termination date: 20160421