CN204797913U - Drag hook is assisted to plastic surgery chamber mirror - Google Patents
Drag hook is assisted to plastic surgery chamber mirror Download PDFInfo
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- CN204797913U CN204797913U CN201420820368.8U CN201420820368U CN204797913U CN 204797913 U CN204797913 U CN 204797913U CN 201420820368 U CN201420820368 U CN 201420820368U CN 204797913 U CN204797913 U CN 204797913U
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- 238000002316 cosmetic surgery Methods 0.000 title claims abstract description 19
- 238000011010 flushing procedure Methods 0.000 claims abstract description 18
- 238000002357 laparoscopic surgery Methods 0.000 abstract description 18
- 206010033675 panniculitis Diseases 0.000 abstract description 3
- 210000004304 subcutaneous tissue Anatomy 0.000 abstract description 3
- 238000005286 illumination Methods 0.000 abstract description 2
- 230000000694 effects Effects 0.000 abstract 1
- 238000001356 surgical procedure Methods 0.000 description 7
- 238000000034 method Methods 0.000 description 6
- 230000002262 irrigation Effects 0.000 description 4
- 238000003973 irrigation Methods 0.000 description 4
- 210000001519 tissue Anatomy 0.000 description 4
- 210000003491 skin Anatomy 0.000 description 3
- 238000007920 subcutaneous administration Methods 0.000 description 3
- 238000002674 endoscopic surgery Methods 0.000 description 2
- 238000003780 insertion Methods 0.000 description 2
- 230000037431 insertion Effects 0.000 description 2
- 239000007788 liquid Substances 0.000 description 2
- 238000012544 monitoring process Methods 0.000 description 2
- 210000000056 organ Anatomy 0.000 description 2
- 230000000399 orthopedic effect Effects 0.000 description 2
- 210000004872 soft tissue Anatomy 0.000 description 2
- 210000004291 uterus Anatomy 0.000 description 2
- 208000032544 Cicatrix Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
- 238000001467 acupuncture Methods 0.000 description 1
- 230000003796 beauty Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 210000002615 epidermis Anatomy 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 210000003195 fascia Anatomy 0.000 description 1
- 230000002349 favourable effect Effects 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 210000004185 liver Anatomy 0.000 description 1
- 210000003205 muscle Anatomy 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 239000000523 sample Substances 0.000 description 1
- 231100000241 scar Toxicity 0.000 description 1
- 230000037387 scars Effects 0.000 description 1
- 239000000779 smoke Substances 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 238000004659 sterilization and disinfection Methods 0.000 description 1
- 210000000115 thoracic cavity Anatomy 0.000 description 1
- 230000037303 wrinkles Effects 0.000 description 1
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Abstract
本实用新型公开了一种整形外科腔镜辅助拉钩,包括一对平行并紧邻排列的通管和冲洗吸引管,冲洗吸引管固定在通管下方。通管顶部设有提手,通管的前端出口为楔形,楔形出口的顶部设有一个向前伸出并翘起的弧形托板,冲洗吸引管的后端设有连接端,靠近冲洗吸引管的前端下侧设有均匀分布的通孔。通过将提手、通管和冲洗吸引管有效整合,利用弧形托板撑起皮下组织,使皮下形成一个操作空腔,保证了通管内光源有效照射和摄像头的有效拍摄,术野效果明显改善。整个辅助拉钩使用灵活,操作简单,真正实现了整形外科腔镜手术的新时代。
The utility model discloses an auxiliary retractor for plastic surgery laparoscopy, which comprises a pair of through pipes and flushing suction pipes arranged in parallel and closely adjacent to each other. The flushing suction pipe is fixed below the through pipes. There is a handle on the top of the through pipe, the front outlet of the through pipe is wedge-shaped, and the top of the wedge-shaped outlet is provided with an arc-shaped support plate that protrudes forward and tilts up. The lower side of the front end of the pipe is provided with evenly distributed through holes. By effectively integrating the handle, through tube and flushing and suction tube, the subcutaneous tissue is supported by the arc-shaped supporting plate, so that an operating cavity is formed under the skin, which ensures the effective illumination of the light source in the through tube and the effective shooting of the camera, and the effect of the surgical field is significantly improved. . The entire auxiliary retractor is flexible in use and easy to operate, and truly realizes a new era of laparoscopic plastic surgery.
Description
技术领域technical field
本实用新型涉及一种腔镜手术使用的医疗器械,特别涉及一种可提升体表、方便整形外科腔镜手术过程的辅助拉钩,属于医疗器械领域。The utility model relates to a medical instrument used in endoscopic surgery, in particular to an auxiliary hook capable of lifting the body surface and facilitating the process of endoscopic surgery in plastic surgery, which belongs to the field of medical instruments.
背景技术Background technique
随着腔镜技术的发展,通过更小切口实施手术成为可能。其中,利用较小切口进行腔镜手术时,外科医师通过在腔管内插入细小光源、摄像机和外科器械,利用外界监视图像引导实施手术,完成封闭环境下的手术过程。此类手术与传统外科手术相比具有出血少、机会污染少、对人体组织破坏小、瘢痕小及术后恢复快等优点,不仅具有广泛适用性,还特别适合体质较弱的中老年人手术使用,避免了二次损伤对该类群体身体健康的影响。With the development of laparoscopic technology, it is possible to perform surgery through smaller incisions. Among them, when using a small incision for laparoscopic surgery, the surgeon inserts a small light source, camera, and surgical instruments into the lumen, and uses external monitoring images to guide the operation and complete the operation process in a closed environment. Compared with traditional surgical operations, this type of surgery has the advantages of less bleeding, less chance pollution, less damage to human tissue, smaller scars and faster postoperative recovery. It is not only widely applicable, but also especially suitable for middle-aged and elderly people with weak constitutions. The use of it avoids the impact of secondary damage on the health of such groups.
上述腔镜外科手术在腹腔中实施时称为腹腔镜手术;在关节中实施时称为关节腔镜手术;在胸腔中实施时称为胸腔镜手术;在子宫中使用时称为宫腔镜手术。值得注意的是,目前使用腔镜的专业多为具有相对密闭的空腔器官,如子宫,或者器官本身就存在于一个密闭的空腔内,如肝脏、胃肠等,固有空腔相对密闭,在其中充入适量的CO2气体可以撑起组织,这样光源和摄像头不会被其他组织包裹住,从而得到一个清晰的视野,便于手术操作。然而,注重体表美的整形外科在腔镜使用方面却相对落后并受到一定的局限。这是因为:整形外科手术往往位于体表,由于没有固有腔隙,无法形成气体腔,当常规腔镜光源臂插入皮下时,皮下柔软的脂肪、筋膜等很容易将光源探头包裹,无法传输清晰图像到外界监视器中,因此,腔镜手术在整形外科领域的使用和推广受到了严重限制。尽管近年来有相关学者使用腔镜进行除皱、切取肌肉组织瓣等手术,但往往采用扩大切口、将腔镜作为一个加长剥离器械来使用,虽然较传统手术切口小、恢复快,但离真正意义的将术野传输到外界监视器来引导操作的腔镜手术还相距甚远。The laparoscopic surgery described above is called laparoscopic surgery when performed in the abdominal cavity; arthroscopic surgery when performed in the joints; thoracoscopic surgery when performed in the chest cavity; hysteroscopic surgery when performed in the uterus . It is worth noting that most of the majors who use laparoscopy at present are organs with a relatively closed cavity, such as the uterus, or the organ itself exists in a closed cavity, such as the liver, gastrointestinal tract, etc., and the inherent cavity is relatively closed. Filling it with an appropriate amount of CO 2 gas can prop up the tissue, so that the light source and camera will not be wrapped by other tissues, so that a clear field of view can be obtained, which is convenient for operation. However, plastic surgery, which focuses on the beauty of the body surface, is relatively backward and limited in the use of laparoscopic surgery. This is because: Plastic surgery is often performed on the body surface. Since there is no inherent cavity, a gas cavity cannot be formed. When the conventional endoscopic light source arm is inserted under the skin, the soft fat and fascia under the skin can easily wrap the light source probe, making it impossible to transmit. Therefore, the use and promotion of laparoscopic surgery in the field of plastic surgery has been severely limited. Although some scholars have used laparoscopy in recent years to perform surgery such as wrinkle removal and muscle tissue flap removal, they often use enlarged incisions and use laparoscopy as a lengthened stripping instrument. The meaningful laparoscopic surgery, which transmits the operative field to an external monitor to guide the operation, is still far away.
如何形成一个视野较好的“空”腔?改善整形外科腔镜使用环境,就成为本实用新型想要解决的问题。How to form an "empty" cavity with a better view? Improving the use environment of the plastic surgery laparoscope becomes the problem that the utility model wants to solve.
发明内容Contents of the invention
鉴于上述现有装备的不足,本实用新型旨在提供一种可有效推进-收缩、方向可控并撑开人体皮下组织,保证腔镜手术顺利实施的整形外科腔镜辅助拉钩,以满足腔镜手术需要,更好的使外科整形腔镜手术得到全面推广和应用。In view of the deficiencies of the above-mentioned existing equipment, the utility model aims to provide an auxiliary retractor for plastic surgery laparoscopic surgery that can effectively advance-shrink, control the direction, and stretch the subcutaneous tissue of the human body to ensure the smooth implementation of laparoscopic surgery. Surgical needs, better make surgical plastic laparoscopic surgery be fully promoted and applied.
本实用新型是通过以下技术方案来实现的:The utility model is achieved through the following technical solutions:
一种整形外科腔镜辅助拉钩,包括一对平行并紧邻排列的通管和冲洗吸引管,冲洗吸引管固定在通管下方;通管顶部设有提手,通管的前端出口为楔形,楔形出口的顶部设有一个向前伸出并翘起的弧形托板;冲洗吸引管的后端设有连接端,靠近冲洗吸引管的前端下侧设有均匀分布的通孔。A laparoscopic auxiliary retractor for plastic surgery, comprising a pair of parallel and adjacently arranged through tubes and flushing and suction tubes, the flushing and suction tubes are fixed under the through tubes; The top of the outlet is provided with an arc-shaped supporting plate that protrudes forward and tilts up; the rear end of the flushing suction pipe is provided with a connecting end, and evenly distributed through holes are provided on the lower side of the front end of the flushing suction pipe.
所述弧形托板与通管为一体结构。The arc supporting plate and the through pipe are integrally structured.
所述提手的方向倾斜向上并朝向通管前端。The direction of the handle is inclined upward and towards the front end of the through pipe.
所述冲洗吸引管的直径小于通管的直径。The diameter of the flushing suction pipe is smaller than that of the through pipe.
所述通管的后端入口设有固定托架。The rear entrance of the through pipe is provided with a fixed bracket.
本实用新型所述的整形外科腔镜辅助拉钩,通过将提手、通管和冲洗吸引管有效整合,利用在通管前端楔形出口上方设置弧形托板,使通管在插入人体体表下方时,弧形托板可以将其上方软组织撑起,利用软组织弹性形成一个皮下操作空腔,保证了通管内光源有效照射和摄像头有效拍摄,实现了图像的清晰、准确监控,术野明显改善,为腔镜手术在整形外科的推广和使用创造了有利条件。整个辅助拉钩不仅可以依靠提手前进、后退,还可通过提手向上提升,以形成更大、更方便的皮下操作空间,使用灵活,操作简单,融合负压吸引的冲洗吸引管后,真正实现了整形外科腔镜手术,开创了腔镜在整形外科手术中使用、推广的新时代。The auxiliary retractor for orthopedic surgery described in the utility model effectively integrates the handle, the through pipe and the flushing suction pipe, and uses an arc-shaped supporting plate above the wedge-shaped outlet at the front end of the through pipe to make the through pipe inserted under the body surface of the human body. The arc-shaped supporting plate can support the soft tissue above it, and use the elasticity of the soft tissue to form a subcutaneous operation cavity, which ensures the effective illumination of the light source in the tube and the effective shooting of the camera, realizes clear and accurate monitoring of the image, and significantly improves the surgical field. It creates favorable conditions for the promotion and use of laparoscopic surgery in plastic surgery. The entire auxiliary hook can not only rely on the handle to advance and retreat, but also can be lifted upwards through the handle to form a larger and more convenient subcutaneous operation space. It is flexible to use and easy to operate. After integrating the flushing and suction tube of negative pressure suction, it truly realizes He pioneered laparoscopic surgery in plastic surgery and created a new era in the use and promotion of laparoscopic surgery in plastic surgery.
附图说明Description of drawings
图1为本实用新型的结构示意图;Fig. 1 is the structural representation of the utility model;
图2为图1的左视图。Fig. 2 is a left side view of Fig. 1 .
具体实施方式Detailed ways
下面结合附图1、图2对本实用新型做进一步的描述:Below in conjunction with accompanying drawing 1, Fig. 2, the utility model is further described:
本实用新型所述的整形外科腔镜辅助拉钩,其整体采用不锈钢材料制成,可反复消毒、清洗和使用,并具有很强的刚性,为适合手术使用,辅助拉钩的整体进行倒角和去毛刺处理,以使表面平整、光滑。其具体结构包括:一对平行并紧邻排列的通管2和冲洗吸引管3,冲洗吸引管3固定在通管2下方。通管2用于穿入摄像头和照明灯,以便全向操纵和转动摄像头观察术野,故,通管2直径一般较粗并以能容下摄像头及照明灯操纵杆为准。为方便通管2插入、拔出和上提,在通管2顶部设有提手1,提手1的方向倾斜向上并朝向通管2前端,以便手术过程。通管2的前端出口为楔形,楔形出口7的顶部设有一个向前伸出并翘起的弧形托板8,弧形托板8与通管2为一体结构,弧形托板8沿着通管2的圆周方向呈弧形分布,弧形托板8用于通管2插入时撑起表皮,使皮下形成一个简单的空腔,便于摄像头拍摄图像和为手术提供足够的操作空间。为进一步提高通管2使用的稳定性和灵活性,在通管2的后端入口还设有固定托架5,固定托架5用于固定插入通管2的摄像头及照明灯操纵杆,以便旋转操纵杆,方便照明和摄像。靠近冲洗吸引管3的前端下侧设有均匀分布的通孔6,冲洗吸引管3用于伤口冲洗和吸出手术过程中产生的液体和烟气。为缩小体积,方便吸引和插入,冲洗吸引管3直径明显小于通管2直径,并依附在通管2的下方,冲洗吸引管3的后端设有连接端4,连接端4外露在通管2的侧向上方,连接端4用于连接导管,以便气体、液体等导出或导入。The auxiliary retractor for orthopedic laparoscopic surgery described in the utility model is made of stainless steel as a whole, can be repeatedly sterilized, cleaned and used, and has strong rigidity. In order to be suitable for operation, the entire auxiliary retractor is chamfered and removed. Burr treatment to make the surface even and smooth. Its specific structure includes: a pair of through pipes 2 arranged in parallel and closely adjacent to each other and a flushing and suction pipe 3 , and the flushing and suction pipe 3 is fixed below the through pipe 2 . The through pipe 2 is used for penetrating the camera and the lighting lamp so as to manipulate and rotate the camera in all directions to observe the surgical field. Therefore, the diameter of the through pipe 2 is generally thicker and can accommodate the camera and the lighting lamp joystick as the criterion. In order to facilitate the insertion, extraction and lifting of the through tube 2, a handle 1 is provided on the top of the through tube 2, and the direction of the handle 1 is inclined upward and toward the front end of the through tube 2, so as to facilitate the operation process. The front end outlet of the through pipe 2 is wedge-shaped, and the top of the wedge-shaped outlet 7 is provided with an arc-shaped supporting plate 8 that protrudes forward and tilts up. The arc-shaped supporting plate 8 is integrated with the through-pipe 2. The circumferential direction of the through-tube 2 is distributed in an arc shape, and the arc-shaped supporting plate 8 is used to prop up the epidermis when the through-tube 2 is inserted, so that a simple cavity is formed under the skin, which is convenient for the camera to take images and provide enough operating space for the operation. In order to further improve the stability and flexibility of the use of the through pipe 2, a fixed bracket 5 is also provided at the rear entrance of the through pipe 2, and the fixed bracket 5 is used to fix the camera and the lighting control lever inserted into the through pipe 2, so that Rotate the joystick for convenient lighting and videography. Evenly distributed through holes 6 are arranged near the front end of the irrigation suction tube 3, and the irrigation suction tube 3 is used for wound irrigation and suction of liquid and smoke generated during the operation. In order to reduce the volume and facilitate suction and insertion, the diameter of the flushing and suction tube 3 is obviously smaller than that of the through tube 2, and it is attached to the bottom of the through tube 2. The rear end of the flushing and suction tube 3 is provided with a connecting end 4, and the connecting end 4 is exposed on the through tube 2 laterally upwards, the connecting end 4 is used to connect the conduit so that gas, liquid, etc. are exported or introduced.
具体使用时,首先,将辅助拉钩整体消毒,根据手术需要,在冲洗吸引管3的连接端4连接相应的导流管,将摄像头及照明灯操纵杆从通管2后端插入并探出在前端楔形出口7处,操纵杆后端由固定托架5托起;接着,通过操作提手1将通管2及冲洗吸引管3插入到事先剥离的穴道内,利用弧形托板8边插入边将皮下组织撑起,为手术和摄像过程提供一个皮下空腔和光源腔,方便图像采集和术野观察;然后,通过操作倾斜向上的提手1使通管2前端的倾斜角度得到有效调整,同时,操作操纵杆使照明角度和拍摄角度达到最佳。必要时,还可再次提拉提手1,撑起组织,扩大术野。位于通管2下方的冲洗吸引管3利用前端通孔6可以随时冲洗术野,吸引渗出及血液,保持术野清晰;最后,手术完成需要退出时,将通管2前端向下倾斜并操作提手1向后上方退出即可,不会因设置向上翘起的弧形托板8而影响手术,同时,辅助拉钩重新清洗、消毒后可再次使用。整个过程操作简单、使用方便,极大地拓展了腔镜手术在整形外科的适用范围。During specific use, first, the auxiliary retractor is sterilized as a whole, and according to the needs of the operation, a corresponding diversion tube is connected to the connection end 4 of the flushing suction tube 3, and the camera and the lighting control rod are inserted from the rear end of the through tube 2 and protruded from the rear end of the tube 2. There are 7 wedge-shaped outlets at the front end, and the rear end of the joystick is supported by the fixed bracket 5; then, insert the through tube 2 and the flushing and suction tube 3 into the previously stripped acupuncture points by operating the handle 1, and insert them with 8 sides of the arc-shaped supporting plate While supporting the subcutaneous tissue, a subcutaneous cavity and a light source cavity are provided for the operation and imaging process, which is convenient for image collection and observation of the surgical field; then, the inclination angle of the front end of the through tube 2 is effectively adjusted by operating the handle 1 that is tilted upward , At the same time, operate the joystick to optimize the lighting angle and shooting angle. When necessary, the handle 1 can be pulled again to prop up the tissue and expand the operative field. The irrigation and suction tube 3 located below the through tube 2 can use the through hole 6 at the front end to flush the operative field at any time, attract exudation and blood, and keep the operative field clear; finally, when the operation is completed and needs to be withdrawn, the front end of the through tube 2 is tilted downward and operated The handle 1 can be withdrawn backward and upward, and the operation will not be affected by the setting of the upwardly tilted arc supporting plate 8. At the same time, the auxiliary pull hook can be used again after cleaning and disinfection. The whole process is simple to operate and easy to use, which greatly expands the scope of application of laparoscopic surgery in plastic surgery.
Claims (5)
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