CN114191008A - Adhesive liver and stomach fixing device and using method thereof - Google Patents
Adhesive liver and stomach fixing device and using method thereofDownload PDFInfo
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- CN114191008A CN114191008ACN202210015954.4ACN202210015954ACN114191008ACN 114191008 ACN114191008 ACN 114191008ACN 202210015954 ACN202210015954 ACN 202210015954ACN 114191008 ACN114191008 ACN 114191008A
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- stomach
- liver
- abdominal wall
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- film
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/00491—Surgical glue applicators
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00818—Treatment of the gastro-intestinal system
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- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
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- General Health & Medical Sciences (AREA)
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- Surgical Instruments (AREA)
Abstract
Translated fromChinese
Description
Technical Field
The invention relates to the technical field of surgical operation auxiliary devices, in particular to a sticking type liver and stomach fixing device and a using method thereof.
Background
Surgery, which is an important component of medicine, inevitably creates new "wounds" while relieving the pain of a patient, and therefore, reducing the wounds as much as possible while ensuring the safety and effectiveness of the surgery is a goal pursued by each surgical worker and is a constant direction of surgical development.
In the traditional multi-hole laparoscopic splenectomy, an assistant often needs to use one or even two operation channels to insert operation forceps or a baffle to continuously retract the liver, an operator can fully expose ligaments of the spleen, the stomach and the spleen and the diaphragm by pulling the stomach with a grasping forceps by using a left hand, under the condition of a single hole, the number of surgical instruments inserted into the abdominal cavity is strictly limited in view of the limitation of the length of an operation incision, generally only 2-4 instruments (including an observation mirror) are allowed, and because all the instruments enter in the single hole in a concentrated manner, the more instruments are inserted at the same time, the more the interference among the instruments is, the stability of an image picture is influenced, the instruments shield the operation visual field to form an operation blind area, the operation range is greatly reduced, the flexibility of operations such as operation dissection and separation is hindered, and the risk of the operation is increased, and a liver and stomach retracting device for the single-hole laparoscopic downlink splenic surgery is proposed in the Chinese patent 201210035413.4, the retractor can simultaneously perform operations of poking the liver and stretching the stomach, obviously reduces the number of surgical instruments extending into a laparoscopic hole during an operation, but still is difficult to avoid that abdominal viscera shield the operation visual field to form an operation blind area in the operation process, the operation range is greatly reduced, the flexibility of operations such as operation dissection, separation and the like is hindered, and meanwhile, the problem of operation risk is also increased, so that the sticking type liver and stomach fixing device and the using method thereof are provided to solve the problems.
Disclosure of Invention
The invention aims to solve the problems that in the prior art, the abdominal viscera can not be prevented from blocking the operation visual field to form an operation blind area, the operation range is greatly reduced, the operation flexibility such as operation dissection, separation and the like is hindered, and the operation risk is increased, and provides an adhesive type liver and stomach fixing device and a using method thereof.
In order to achieve the purpose, the invention provides the following technical scheme:
a sticking type liver and stomach fixing device comprises an abdominal wall sticking device and a liver and stomach sticking device;
the abdominal wall attaching device consists of an abdominal wall adhesive, an abdominal wall polymeric membrane and an abdominal wall film;
the liver and stomach attaching device consists of a liver and stomach adhesive, a liver and stomach polymer film and a liver and stomach film;
a traction rope is arranged on the opposite surface of the abdominal wall polymer membrane and the liver stomach polymer membrane;
the separated surfaces of the abdominal wall polymer membrane and the liver stomach polymer membrane are respectively coated with an abdominal wall adhesive and a liver stomach adhesive;
the surfaces of the abdominal wall adhesive and the liver stomach adhesive are covered with an easily-torn abdominal wall film and a liver stomach film.
Further, the abdominal wall adhesive and the hepatogastric adhesive are hydrogel, and the adhesion force of the hepatogastric adhesive is weaker than that of the abdominal wall adhesive.
Furthermore, the edges of the abdominal wall polymer film and the liver and stomach polymer film are provided with separating surfaces, and the separating surfaces are not coated with abdominal wall adhesives and liver and stomach adhesives.
Furthermore, markers are arranged on the abdominal wall film and the liver stomach film, the markers on the abdominal wall film are used for marking the abdominal wall attaching surface, and the markers on the liver stomach film are used for marking the liver stomach attaching surface.
Furthermore, the haulage rope is flexible rope, be provided with the medical regulation clamp that is used for adjusting length on the haulage rope.
The other technical scheme required to be provided by the invention is as follows:
the use method of the adhesive liver and stomach fixing device comprises the following steps:
1) the whole liver and stomach fixing device is placed in the abdominal cavity, and the fixing device can be placed through an open incision or a puncture device hole after being curled;
2) after being placed in the abdominal cavity, the liver and stomach membranes are torn off, and the liver and stomach attaching device is attached to the surface of the liver or the stomach;
3) tearing off the abdominal wall film, and attaching the abdominal wall attachment device to the surface of the abdominal wall;
4) if the suspension height is not suitable, the length can be adjusted by clamping the medical adjusting clamp on the traction rope;
5) when suspension is not needed any more, the abdominal wall attaching device can be torn off by drawing the non-glued part at the edge of the abdominal wall polymer film, and then the liver and stomach attaching device can be torn off by drawing the non-glued part at the edge of the liver and stomach polymer film, so that the pasted liver and stomach fixing device can be completely removed.
Another embodiment of the present invention is:
a sticking type liver and stomach fixing device is also composed of simple polymer film, abdominal wall adhesive, liver and stomach adhesive, abdominal wall film and liver and stomach film;
an abdominal wall adhesive and an abdominal wall film are sequentially arranged on one side of the simple polymer film;
the other side of the simple polymer film is sequentially provided with a liver and stomach adhesive and a liver and stomach film;
the edges of two sides of the simple polymer film are provided with separating surfaces, and the separating surfaces are not coated with abdominal wall adhesives and liver and stomach adhesives;
the two layers of abdominal wall films and the liver and stomach films are respectively provided with a marker, the marker on the abdominal wall film is used for marking an abdominal wall attaching surface, and the marker on the liver and stomach film is used for marking a liver and stomach attaching surface.
Further, the liver and stomach fixing device can be cut into a plurality of parts, and each part can be pasted on the liver or the stomach in a point mode for fixing.
Another technical solution that needs to be provided by the above embodiment of the present invention is:
an adhesive liver and stomach fixing device and a using method thereof comprise the following steps:
1) the whole liver and stomach fixing device is placed in the abdominal cavity, and the fixing device can be placed through an open incision or a puncture device hole after being curled;
2) after the liver or stomach is placed in the abdominal cavity, the liver and stomach film is torn off, the liver and stomach attaching device is attached to the surface of the liver or stomach, the abdominal wall film is torn off, and the liver or stomach is pushed to the abdominal wall by a surgical instrument to complete the attachment;
3) when the suspension is not needed any more, the abdominal wall and the liver or the stomach are pushed away by using a surgical instrument, and the bonding force of the liver and stomach adhesive is weaker than that of the abdominal wall adhesive, so that the liver and stomach attaching device is mostly attached to the abdominal wall;
4) and tearing off the liver and stomach attaching device from the part without glue coating on the edge of the simple polymer film by drawing.
Compared with the prior art, the beneficial effects of this application are:
the sticking type liver and stomach fixing device and the using method thereof have simple structure, convenient operation and implementation, and the abdominal wall attaching device and the liver and stomach attaching device, the liver and stomach adhesive and the liver and stomach film are respectively attached to the surface of the abdominal wall and the liver and stomach attaching device is attached to the surface of the liver or the stomach, so that the operation exposure can be completed on the premise of not damaging the abdominal wall and the liver and stomach of a patient and causing no remarkable discomfort after the operation, and simultaneously, according to the actual condition in use, when a user needs to adjust, the relative length of the traction rope can be contracted, and then the medical adjusting clamp is used for fixing, thereby realize length adjustment's effect, be convenient for adjust and suspend the height in midair, the edge of stomach wall polymer film and liver stomach polymer film all is provided with the parting surface simultaneously, and the stomach wall adhesive and liver stomach adhesive are not coated on the parting surface, and the convenience of customers operation is accomplished the back, removes paste formula liver stomach fixing device completely.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view of the adjustment of the medical adjustment clip of the present invention;
FIG. 3 is a schematic view of an embodiment of the present invention;
fig. 4 is a schematic structural view of the water absorbing attachment of the present invention.
In the figure: 1. an abdominal wall attachment device; 11. an abdominal wall adhesive; 12. an abdominal wall polymeric membrane; 13. an abdominal wall film; 2. a hauling rope; 3. a liver and stomach attachment device; 31. liver and stomach adhesives; 32. liver and stomach polymer membranes; 33. liver and stomach membranes; 41. a simple polymer film; 5. a medical adjusting clamp; 6. a water absorbing accessory.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-4, an adhesive type liver and stomach fixing device includes an abdominalwall attachment device 1 and a liver andstomach attachment device 3;
the abdominalwall attaching device 1 consists of an abdominal wall adhesive 11, an abdominalwall polymer film 12 and anabdominal wall film 13;
the liver andstomach attaching device 3 consists of a liver and stomach adhesive 31, a liver andstomach polymer film 32 and a liver andstomach film 33;
thetraction rope 2 is arranged on the opposite surface of the abdominalwall polymer membrane 12 and the liver andstomach polymer membrane 32;
the separated surfaces of the abdominalwall polymer membrane 12 and the liverstomach polymer membrane 32 are respectively coated with an abdominal wall adhesive 11 and a liver stomach adhesive 31;
the surfaces of the abdominal wall adhesive 11 and the gastric stomach adhesive 31 are covered with an easily-tornabdominal wall film 13 and agastric stomach film 33.
Specifically, the abdominalwall attachment device 1 is connected with the liver andstomach attachment device 3 through atraction rope 2 at the opposite side.
It should be noted that, the abdominal wall adhesive 11 and the gastric wall adhesive 31 are hydrogel or other compositions having the same function as those easily conceived by those skilled in the art, and it is necessary to supplement that the adhesive 31 has weaker adhesion than the adhesive 11.
In order to facilitate the user to remove the abdominalwall polymer film 12 and the liver andstomach polymer film 32 after use, the edges of the abdominalwall polymer film 12 and the liver andstomach polymer film 32 are provided with separating surfaces, the separating surfaces are not coated with the abdominal wall adhesive 11 and the liver and stomach adhesive 31, and the user can tear off the liver and stomach attachment device through the separating surfaces which are not coated with the adhesive glue.
In order to distinguish the abdominal wall attaching surface from the liver stomach attaching surface for a user, theabdominal wall film 13 and theliver stomach film 33 are provided with markers, the markers on theabdominal wall film 13 are used for marking the abdominal wall attaching surface, and the markers on theliver stomach film 33 are used for marking the liver stomach attaching surface.
Further, thehaulage rope 2 is flexible rope, it should be explained that thehaulage rope 2 can be for having elastic band, also can be for not having elastic haulage band, the quantity ofhaulage rope 2 is a plurality of, even distribution is betweenpolymer membrane medical regulation clamp 5 that is used for adjusting length on thehaulage rope 2, as shown in fig. 2, when the user needs to adjust, can tighten up relative length withhaulage rope 2, then fix throughmedical regulation clamp 5 to realize length adjustment's effect, be convenient for adjust and hang the height in midair.
The other technical scheme required to be provided by the invention is as follows:
the use method of the adhesive liver and stomach fixing device comprises the following steps:
1) the whole liver and stomach fixing device is placed in the abdominal cavity, and the fixing device can be placed through an open incision or a puncture device hole after being curled;
2) after being placed in the abdominal cavity, the liver andstomach membranes 33 are torn off, and the liver andstomach attaching device 3 is attached to the surface of the liver or the stomach;
3) then tearing off theabdominal wall film 13, and attaching the abdominalwall attachment device 1 to the surface of the abdominal wall;
4) if the suspension height is not suitable, the length can be adjusted by clamping themedical adjusting clamp 5 to thetraction rope 2;
5) when suspension is not needed any more, the abdominal wall attaching device can be torn off by pulling the non-glued part at the edge of the abdominalwall polymer film 12, and then the liver and stomach attaching device can be torn off by pulling the non-glued part at the edge of the liver andstomach polymer film 32, so that the sticking type liver and stomach fixing device can be completely removed.
Specifically, when the device is used, the liver andstomach film 33 on the surface of the liver andstomach attaching device 3 is torn off, the liver andstomach attaching device 3 is attached to the surface of a liver or a stomach, theabdominal wall film 13 on the surface of the abdominalwall attaching device 1 is torn off, the abdominalwall attaching device 1 is attached to the abdominal wall, if the length of thetraction rope 2 is not suitable, the length can be adjusted by clamping themedical adjusting clamp 5 to thetraction rope 2, and after the operation is finished, a user can tear off the liver and stomach attaching device through the separating surface which is not coated with adhesive.
Another embodiment of the present invention is:
the first embodiment is as follows:
a sticking type liver and stomach fixing device is also composed ofsimple polymer film 41, abdominal wall adhesive 11, liver and stomach adhesive 31,abdominal wall film 13 and liver andstomach film 33;
an abdominal wall adhesive 11 and anabdominal wall film 13 are sequentially arranged on one side of thesimple polymer film 41;
the other side of thesimple polymer film 41 is sequentially provided with a liver and stomach adhesive 31 and a liver andstomach film 33;
the edges of the two sides of thesimple polymer film 41 are provided with separating surfaces, and the separating surfaces are not coated with the abdominal wall adhesive 11 and the liver and stomach adhesive 31;
the two layers ofabdominal wall films 13 and the liver andstomach films 33 are provided with markers, the markers on theabdominal wall films 13 are used for marking the abdominal wall attaching surfaces, and the markers on the liver andstomach films 33 are used for marking the liver and stomach attaching surfaces.
Another technical solution that needs to be provided by the above embodiment of the present invention is:
an adhesive liver and stomach fixing device and a using method thereof comprise the following steps:
1) the whole liver and stomach fixing device is placed in the abdominal cavity, and the fixing device can be placed through an open incision or a puncture device hole after being curled;
2) after the liver or stomach is placed in the abdominal cavity, the liver andstomach film 33 is torn off, the liver and stomach attaching device is attached to the surface of the liver or stomach, theabdominal wall film 13 is torn off, and the liver or stomach is pushed to the abdominal wall by a surgical instrument to complete the attachment;
3) when the suspension is not needed any more, the abdominal wall and the liver or the stomach are pushed away by using a surgical instrument, and the bonding force of the liver and stomach adhesive 31 is weaker than that of the abdominal wall adhesive 11, so that the liver and stomach attachment device is mostly attached to the abdominal wall;
4) and tearing off the liver and stomach attaching device from the part without glue coating at the edge of thesimple polymer film 41.
It should be further noted that the liver and stomach fixing device can be cut into a plurality of parts, and each part can be pasted on the liver or the stomach in a dotted manner for fixing, so that the device can be selected according to the use requirement, and the applicability of the device is improved.
In this embodiment, the adhesive liver and stomach fixing device further includes awater absorbing attachment 6, as shown in fig. 4, thewater absorbing attachment 6 may be in a sheet shape or other shapes convenient for medical staff to use.
Theabsorbent attachment 6 is made of one or a combination of fibers, conventional desiccants such as but not limited to calcium chloride, and super absorbent resin (SAP), or other components as would occur to one skilled in the art.
When the surfaces of the viscera and the peritoneum are wet, thewater absorption accessory 6 is firstly used for absorbing the liquid on the surfaces of the viscera and the peritoneum to realize surface drying, and then the adhesive type liver and stomach fixing device is used by the two using methods.
When the device is used, the liver and stomach fixing device can be cut into a plurality of parts according to the requirements of a user, then the liquid on the surfaces of the viscera and the peritoneum is adsorbed by thewater absorption accessories 6 to realize surface drying, then the liver andstomach film 33 on the surface of the liver andstomach attaching device 3 is torn off, the liver andstomach attaching device 3 is attached to the surface of a liver or a stomach, then theabdominal wall film 13 on the surface of the abdominalwall attaching device 1 is torn off, the abdominalwall attaching device 1 is attached to the abdominal wall, the traction on the liver and stomach is realized, the influence on the operation visual field is avoided, if the length of thetraction rope 2 is not suitable, the length can be adjusted by clamping themedical adjusting clamp 5 to thetraction rope 2, and after the operation is finished, the abdominal wall attaching device and the liver and stomach attaching device are torn off.
The beneficial effects of the above embodiment are as follows:
the pasting type liver and stomach fixing device and the using method thereof have simple structure, convenient operation and convenient implementation, the abdominalwall attaching device 1 and the liver andstomach attaching device 3 are respectively attached on the surface of the abdominal wall and the surface of the liver and stomach attaching device by the liver and stomach adhesive 31 and the liver andstomach film 33, can finish operation exposure on the premise of not damaging the abdominal wall and the liver and stomach of a patient and not causing discomfort and significance after operation, and can also be used according to the actual situation when in use, when a user needs to adjust, thetraction rope 2 can be contracted to relative length and then fixed by themedical adjusting clamp 5, thereby realizing the effect of length adjustment, being convenient for adjusting the suspension height, simultaneously, the edges of the abdominalwall polymer film 12 and the liver andstomach polymer film 32 are provided with separating surfaces, the separating surfaces are not coated with the abdominal wall adhesive 11 and the liver and stomach adhesive 31, and being convenient for the user to finish the operation, the adhesive liver and stomach fixation device was completely removed.
It is noted that, herein, relational terms such as first and second, and the like may be used solely to distinguish one entity or action from another entity or action without necessarily requiring or implying any actual such relationship or order between such entities or actions. Also, the terms "comprises," "comprising," or any other variation thereof, are intended to cover a non-exclusive inclusion, such that a process, method, article, or apparatus that comprises a list of elements does not include only those elements but may include other elements not expressly listed or inherent to such process, method, article, or apparatus. Without further limitation, an element defined by the phrase "comprising an … …" does not exclude the presence of other identical elements in a process, method, article, or apparatus that comprises the element.
Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.
Claims (9)
Translated fromChinesePriority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210015954.4ACN114191008A (en) | 2022-01-07 | 2022-01-07 | Adhesive liver and stomach fixing device and using method thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202210015954.4ACN114191008A (en) | 2022-01-07 | 2022-01-07 | Adhesive liver and stomach fixing device and using method thereof |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN114191008Atrue CN114191008A (en) | 2022-03-18 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202210015954.4APendingCN114191008A (en) | 2022-01-07 | 2022-01-07 | Adhesive liver and stomach fixing device and using method thereof |
Country Status (1)
| Country | Link |
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| CN (1) | CN114191008A (en) |
Citations (7)
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|---|---|---|---|---|
| US20060106288A1 (en)* | 2004-11-17 | 2006-05-18 | Roth Alex T | Remote tissue retraction device |
| CN101347417A (en)* | 2007-07-20 | 2009-01-21 | 日东电工株式会社 | Patch and Paste Preparations |
| CN209032474U (en)* | 2018-06-12 | 2019-06-28 | 中国人民解放军第一五三中心医院 | A kind of liver and gall surgical department's operation hooking device |
| CN211460332U (en)* | 2020-01-07 | 2020-09-11 | 宁波市医疗中心李惠利医院 | Double-sided sucker for liver retraction |
| CN111920467A (en)* | 2020-09-26 | 2020-11-13 | 耿金宏 | Skin retractor for laparoscope thyroid |
| CN212015666U (en)* | 2020-01-18 | 2020-11-27 | 温州医科大学附属第一医院 | A tissue retractor suitable for endoscopic and open surgery |
| CN212972997U (en)* | 2020-06-03 | 2021-04-16 | 成都市妇女儿童中心医院 | Abdominal wall retractor for open abdomen operation |
- 2022
- 2022-01-07CNCN202210015954.4Apatent/CN114191008A/enactivePending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20060106288A1 (en)* | 2004-11-17 | 2006-05-18 | Roth Alex T | Remote tissue retraction device |
| CN101347417A (en)* | 2007-07-20 | 2009-01-21 | 日东电工株式会社 | Patch and Paste Preparations |
| CN209032474U (en)* | 2018-06-12 | 2019-06-28 | 中国人民解放军第一五三中心医院 | A kind of liver and gall surgical department's operation hooking device |
| CN211460332U (en)* | 2020-01-07 | 2020-09-11 | 宁波市医疗中心李惠利医院 | Double-sided sucker for liver retraction |
| CN212015666U (en)* | 2020-01-18 | 2020-11-27 | 温州医科大学附属第一医院 | A tissue retractor suitable for endoscopic and open surgery |
| CN212972997U (en)* | 2020-06-03 | 2021-04-16 | 成都市妇女儿童中心医院 | Abdominal wall retractor for open abdomen operation |
| CN111920467A (en)* | 2020-09-26 | 2020-11-13 | 耿金宏 | Skin retractor for laparoscope thyroid |
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