CN107397576B - Device for recovering hernial membrane - Google Patents

Abstract

The invention belongs to the field of medical treatment, in particular to an instrument for treating omentum hernia. The device comprises a restorer shell, wherein pliers are arranged at the front end of the restorer shell, a rotating ring is arranged at the rear end of the restorer shell, an inner push rod is sleeved in the restorer shell, sliding grooves are respectively formed in two sides of the restorer shell, sliding pieces are respectively arranged on the sliding grooves, an arc-shaped pushing piece is arranged on the side wall of the inner push rod, when the inner push rod is pushed forward in operation, the arc-shaped pushing piece props against the sliding piece to move forward, the sliding piece moves forward along a track under the action force, a turnover rod is driven to turn over, the closing of the pliers is realized, and the whole pliers are closed and opened by pushing and pulling out the inner push rod, so that the operation is more convenient; and can shorten the hospitalization day, reduce the medical expense of patients and reduce the medical waste.

Description

for omental hernia restorer

Technical field

The invention belongs to the medical field, especially to an instrument for treating omental hernia.

Background technique

When the intestinal tube enters the omental cavity through the omental foramen, it is called an omental foramen hernia. The herniated intestinal tube is prone to strangulation, causing intestinal obstruction. If the intestinal blood vessels are compressed and narrowed, it will also cause necrosis and perforation of the herniated intestinal tube, which is a serious threat. Patient life safety. Once the disease is suspected, surgical treatment should be performed to reduce the embedded intestinal loop. The surgical trauma is large and the recovery is slow. In the past, surgery required an incision on the abdominal wall, leaving a large scar, which was not aesthetically pleasing. At the same time, the hospital stay was long and the patient spent a lot of money. High, resulting in medical waste. There is an urgent clinical need for a minimally invasive surgical treatment method to relieve omental hernia and reduce the patient's surgical pain and complications.

Contents of the invention

The technical problem to be solved by the present invention is to provide a restorer for omental hernia that can both push the intestines in and pull out the intestines and use minimally invasive surgery to treat the shortcomings of the existing technology.

In order to achieve the purpose of the present invention, the following technical solutions are adopted: a restorer for omental hernia, including a restorer housing, the front end of the restorer housing is provided with pliers, and the rear end of the restorer housing is provided with a rotating ring, There is an inner push rod connected to the interior of the returner housing. There are chute on both sides of the returner housing. There are sliding parts on the chute. The upper and lower sides of the sliding part are respectively connected with flip-ups. Rod; both sides of the pliers are respectively provided with rotating wheels, and the flipping rod and the rotating wheels are connected to each other. Semi-circular openings are provided on the front faces of the two jaws of the pliers. When the pliers are closed, the two semi-circular openings form a circle with each other. The circular opening matches the front end of the inner push rod.

As a preferred solution, tracks are provided on the outer walls of the returner housing on one side of the chute on both sides, and rollers that can move left and right are connected to the tracks, and the other side of the rollers is connected under the sliding member. on the end face.

As a preferred solution, an arc-shaped push piece is provided on the side wall of the inner push rod. The shape of the arc-shaped push piece is a semi-circular arc. The arc-shaped push piece matches the arc surface of the outer ring of the sliding member. The inner push rod moves toward After pushing forward until the arc-shaped push part and the sliding part come into contact with each other, the arc-shaped push part drives the sliding part to move forward.

As a preferred solution, the flipping lever includes a first flipping lever and a second flipping lever. The first flipping lever and the second flipping lever are hinged to each other and fixed by a flipping piece.

As a preferred solution, the upper and lower parts of the sliding member are respectively provided with arcuate grooves, and the flipping rod moves within the arcuate grooves.

As a preferred solution, the rotation angle α of the flip rod in the arc groove is 30°-150°.

As a preferred solution, the rotating wheel includes a connecting rod, a driving wheel and a driven wheel. The driving wheel is a gear structure. The flipping rod is connected to the driving wheel. The upper end of the flipping rod at the connection is provided with a block, and the flipping rod faces upward. During movement, the clamping block contacts the gear upward to drive the driving wheel to rotate, and the driving wheel drives the driven wheel through the connecting rod. The clamp rod of the pliers is connected to the driven wheel.

As a preferred solution, a limiting block is provided on the side wall of the inner push rod, and a blocking groove matching the limiting block is provided on the inner surface of the pliers.

Compared with the prior art, the beneficial effects of the present invention are: adopting a design in which an arc-shaped push piece is provided on the side wall of the inner push rod. When the inner push rod is pushed forward during operation, the arc-shaped push piece resists the sliding member and moves forward. When the sliding part moves, under the action of force, the roller below moves forward along the track, driving the flip rod to flip and realize the closing of the pliers. The entire closing and opening of the pliers is completed by pushing and pulling out the inner push rod, making the operation more convenient. ; At the same time, this design can also be used as a clipper. After closing the pliers, push out the inner push rod to push the herniated intestine to complete the operation; both operation methods are minimally invasive. The treatment is completed with minimal trauma to the patient, which significantly reduces the size of the wound and facilitates recovery; it can also shorten the length of hospitalization, reduce the patient's medical expenses, and reduce medical waste.

Description of drawings

Figure 1 is a schematic structural diagram of Embodiment 1 of the present invention;

Figure 2 is a schematic structural diagram of Embodiment 2 of the present invention;

Figure 3 is a schematic side view of the open side structure of the pliers 2 of the present invention;

Figure 4 is a schematic structural diagram of the arc pusher 9 of the present invention;

Figure 5 is a schematic structural diagram of the circular opening 2-3 of the present invention;

Figure 6 is a schematic structural diagram of the closed pliers 2 of the present invention;

Figure 7 is a schematic structural diagram of the driving wheel 13 connected to the pliers 2 of the present invention;

Figure 8 is a schematic structural diagram of the driving wheel 13 connected to the driven wheel 14 through the connecting rod 12 of the present invention;

Figure 9 is a schematic structural diagram of the arc groove 11 of the present invention;

Figure 10 is a partial enlarged view of Figure 2 of the present invention.

Detailed ways

The specific embodiments of the present invention will be described in detail below based on Figures 1-10.

Example 1

As shown in Figures 1 to 10, this embodiment provides a restorer for omental hernia, including a restorer housing 1. The front end of the restorer housing 1 is provided with a forceps 2, and the rear end of the restorer housing 1 is provided with a pliers 2. The rotating ring 3, the inner push rod 4 of the returner housing 1 is sleeved, the returner housing 1 has chute 5 on both sides, and the chute 5 is respectively provided with a sliding piece 6, and the sliding piece 6 The upper and lower sides of the pliers 2 are respectively connected with flipping rods 7; both sides of the pliers 2 are respectively provided with rotating wheels 8, the flipping rod 7 and the rotating wheels 8 are connected to each other, and the two pliers 2-1 of the pliers 2 are on the front end surface. Both are provided with semicircular openings 2-2. When the pliers 2 are closed, the two semicircular openings 2-2 are combined to form a circular opening 2-3. The circular opening 2-3 is in contact with the front end of the inner push rod 4. Matching, the side wall of the inner push rod 4 is provided with an arc-shaped push piece 9, the arc-shaped push piece 9 matches the sliding piece 6, and the inner push rod 4 is pushed forward until the arc-shaped push piece 9 and the sliding piece 6 interact with each other. When in contact, the arc pusher 9 drives the slider 6 to move forward. The flipping lever 7 includes a first flipping lever 7-1 and a second flipping lever 7-2. The first flipping lever 7-1 and the second flipping lever 7-2 are hinged to each other and fixed by a flipping member 10. The upper and lower sides of the sliding member 6 are respectively provided with arcuate grooves 11. The flipping rod 7 moves in the arcuate groove 11. The flipping rod 7 moves in the arcuate groove 11. The rotation angle α of the groove is 30°-150°. The rotating wheel 8 includes a connecting rod 12, a driving wheel 13 and a driven wheel 14. The driving wheel 13 is a gear structure, and the flipping rod 7 is connected to the driving wheel 13. , the upper end of the flipping rod 7 at the connection is provided with a clamping block 15. When the flipping rod 7 moves upward, the clamping block 15 contacts the gear upward to drive the driving wheel 13 to rotate. The driving wheel 13 drives the driven wheel 14 through the connecting rod 12. The pliers 2 The pliers rod is connected to the driven wheel 14. A limiting block 16 is provided on the side wall of the inner push rod 4. A slot 17 matching the limiting block 16 is provided on the inner surface of the pliers 2. Rails 19 are provided on the outer walls of the returner housing 1 on one side of the chute 5 on both sides. The rails 19 are connected with rollers 18 that can move left and right. The other side of the rollers 19 is connected to the sliding member. 6 on the lower end surface.

When the pliers 2 are in a closed state, push the inner push rod 4 from the rear side, the inner push rod 4 passes through the circular opening 2-3, and the limit block 16 snaps into the slot 17 to lock, forming a front convex out of the device. When the puncture needle is located above the omental hernia, put in the omentum restorer of the closing forceps 2, and use the protruding end of the inner push rod 4 to push the herniated intestine to solve the problem of omental hernia.

During this operation, it is necessary to engage the limiting block 16 with the matching slot 17. Since there is a possibility of pulling out during the pushing process, if there is no such matching structural design, the inner push rod 4 will be easily pulled out. , in the non-clamped state, after the inner push rod 4 is pulled out, the position of the returner head may touch the intestines, causing unnecessary damage. With such a position design, if you need to separate the limit block 16 and the slot 17, you only need to manually hold the two pliers to open the upper and lower sides, and then pull out the inner push rod 4. The operation is very convenient.

Example 2

When the puncture needle is located inside the omental hernia, put in the omental hernia restorer with the forceps 2 open, adjust and control the opening and closing of the forceps 2 from the side, and when the forceps head 2-1 grasps the intestine, pull the intestine out , successfully relieved omental hernia.

During this operation, the inner push rod 4 is pushed, and the arc-shaped push member 9 moves forward against the sliding member 6. Under the force of the sliding member 6, the roller 18 below moves forward along the track 19, driving the sliding member 6 to Front, the flipping member 10 overlaps the first flipping lever 7-1 and the second flipping lever 7-2, and the block 15 on the second flipping lever 7-2 moves upward or downward, contacting the gear of the driving wheel 13, above The driving wheel 13 rotates clockwise, and the driving wheel 13 below rotates counterclockwise, driving the connected connecting rod 12 to rotate, thereby driving the driven wheel 14 to rotate, the pliers 2 above move clockwise, and the pliers 2 below move counterclockwise, until form a closure to each other. This operation is to push the inner push rod 4 forward. When the pliers 2 are opened in the closed state, only the inner push rod 4 needs to be pulled backward. During the whole process, pull the inner push rod 4 back and forth to control the opening and closing of the pliers to clamp the intestines.

Claims (5)

1. Be used for omentum hernia restorer, including restorer casing, the front end of restorer casing is equipped with pliers, and the rear end of restorer casing is equipped with the rotation circle, its characterized in that: an inner push rod is sleeved in the reverser shell, sliding grooves are respectively formed in two sides of the reverser shell, sliding pieces are respectively arranged on the sliding grooves, and a turnover rod is respectively connected with the upper side and the lower side of each sliding piece; the utility model discloses a pliers, including pliers, inner push rod, slider, arc push rod, track, arc push rod, slider, first flip rod and second flip rod, the both sides of pliers are equipped with the rotor respectively, flip rod and rotor interconnect, all are equipped with semicircular opening on the terminal surface before two binding clip of pliers, and when pliers are closed, two semicircular openings form a circular opening each other, circular opening with the front end phase-match of inner push rod, both sides on one side of spout all be equipped with the track on the outer lateral wall of restorer casing, be connected with the gyro wheel that can control the removal on the track, one side of gyro wheel is connected on the lower terminal surface of slider, be equipped with the arc push rod on the lateral wall of inner push rod, the shape of arc push rod is the semicircle, arc push rod with slider outer lane cambered surface phase-match, the inner push rod promotes to arc push rod and slider back each other, arc push rod drives slider forward motion, the flip rod includes first flip rod and second flip rod, first flip rod and second flip rod articulated each other and forms by the flip rod is fixed.

2. The device for a omentum hernia reverter of claim 1 wherein the slide is provided with arcuate slots in the upper and lower sides, respectively, in which the flipping rod moves.

3. The device for a omentum hernia reverter of claim 2 wherein the turning rod is rotated at an angle α of 30 ° -150 ° in the arcuate slot.

4. The mesh hernia reverter according to claim 1, wherein the rotating wheel comprises a connecting rod, a driving wheel and a driven wheel, the driving wheel is of a gear structure, the turning rod is connected to the driving wheel, a clamping block is arranged at the upper end of the turning rod at the connecting position, when the turning rod moves upwards, the clamping block contacts with the gear upwards to drive the driving wheel to rotate, the driving wheel drives the driven wheel through the connecting rod, and the clamp rod of the clamp is connected with the driven wheel.

5. The device for omentum hernia reverter of claim 1, wherein the side wall of the inner push rod is provided with a limit fixture block, and the inner side surface of the pliers is provided with a fixture groove matched with the limit fixture block.