CN102018568B - Laparoscope canula device - Google Patents
Laparoscope canula device Download PDFInfo
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- CN102018568B CN102018568B CN 201010588552 CN201010588552A CN102018568B CN 102018568 B CN102018568 B CN 102018568B CN 201010588552 CN201010588552 CN 201010588552 CN 201010588552 A CN201010588552 A CN 201010588552A CN 102018568 B CN102018568 B CN 102018568B
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- sleeve pipe
- laparoscope
- disk
- spherical
- branching rod
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Abstract
The invention relates to a laparoscope canula device, comprising a disk with a first surface and a second surface which are opposite to each other, a plurality of ball-like canulas which are arranged in the disk and enable the first surface and the second surface to be penetrated through, an elastic sealing skirt which is arranged along the outer diameter of the second surface and a plurality of supporting rod structures; and a first end of the supporting rod structure is articulated with the second surface, and a second end of the supporting rod structure is connected with the lower hem of the elastic sealing skirt. The laparoscope canula device is used for medical-treatment operations.
Description
[technical field]
The present invention is about a kind of laparoscope canula device, particularly the laparoscope canula device about using in a kind of single hole endoscope-assistant surgery.
[background technology]
The Mouret of France in 1987 has completed cholecystectomy under video-laparoscope, indicate the beginning in the invasive operation epoch that are with historically new significance on SH.
At first, we set forth the technical background of this patent from laparoscopic cholecystectomy.Current, laparoscopic cholecystectomy (three holes or four hole methods) has become the goldstandard of cholecystectomy.And the single-hole laparoscopic cholecystectomy is because of its Wicresoft and have cosmetic result and attempted by a part of surgeon more.But its difficulty is larger.Now analyze the reason that the single hole operative difficulties of laparoscopic cholecystectomy produces, comprise the laparoscopic instrument factor.The operation method of general peritoneoscope single hole cholecystectomy is as follows: be about 2.5cm left and right otch in the umbilicus lower right, inserting respectively diameter is 10mm, the 5mm trocar.Also former entrance stings out at the bottom of being used as the tractive gallbladder on every side from stomach wall again to pass the gallbladder bottom after entering with band line length perpendicular insertion on the stomach wall at 1-2cm place below right side midclavicular line and arcus costarum are had a common boundary; Thrust another one band line length staight needle and pass after calot's triangle (near the neck of gallbladder ampulla in order to avoid the damage common bile duct) and knotting that 1-2cm stings out stomach wall below right anterior axillary line and arcus costarum boundary under xiphoid-process.Expose from different directions calot's triangle by this to upper left and bottom right tractive neck of gallbladder.With separation calot's triangles such as handling tongs, finally isolate gallbladder vascular and cystic duct.Peritoneoscope with diameter 5mm is inserted from the 5mm sleeve pipe, and the pliers of upper titanium folder and Absorbable clips is inserted from the 10mm sleeve pipe, then clamp corresponding pipeline and cut-out.Finally downcut and take out gallbladder.The reason that this operating difficulty is large has: 1, two sleeve pipe distances are very near, cause do on one group of plane that operating apparatus consists of when two sleeve pipes are parallel near or away from action substantially can not (chopsticks effect), this group plane is the line (L1) by stomach wall and two sleeve pipe intersection points jointly; This is maximum perpendicular to the operation amplitude on the plane of L1 through otch and the apparatus in two sleeve pipes is made in.Other plane is between also transition gradually between the two.During the single-hole method gallbladder removal, a sleeve pipe is put peritoneoscope, puts operating equipment for one.During cholecystectomy, the position of most critical is to dissect calot's triangle, cuts off cystic duct and gallbladder vascular.This requirement must be able to see that when carrying out these operations calot's triangle consists of the both sides on plane (P).Therefore, as the most difficult in L1 and P vertical operation, and L1 is the simplest when parallel with P.The individual difference existence causes the plane P difference and is difficult to abundant estimation before art, in case the traditional surgical approaches sleeve pipe just can't be adjusted after placing, the relation of L1 and P can't change, and making many times, operation is restricted.2, traditional sleeve pipe (as stryker company) is all long, and more than 10cm is arranged, and near-end expands to have and prevents the device that leaks gas.This has a strong impact on operation.In fact as long as an air-leakage preventing device adds the long sleeve pipe of thickness of abdominal wall.Due to individual variation, thickness of abdominal wall can't be predicted, therefore can only use long sleeve pipe.The present invention reduces operating difficulty in order to improve above shortcoming.
[summary of the invention]
The object of the present invention is to provide a kind of laparoscope canula device, it comprises: have relative first surface and the disk of second surface; The spherical sleeve pipe of a plurality of classes is arranged in this disk, and described first surface and described second surface are connected; Elastic packing skirt along described second surface external diameter setting; A plurality of branching rod structures, the first end of described branching rod structure is hinged on described second surface, and the second end of described branching rod structure connects the bottom of described elastic packing skirt.
As optional technical scheme, the spherical sleeve pipe of described class is to be connected with described disk by the ball pivot form, and it can do the three-dimensional rotation of certain limit in this disk centered by the centre of sphere of its spherical part.
As optional technical scheme, this disk is combined by the first disc and the second disc.
As optional technical scheme, have closure plate in such spherical sleeve pipe, such spherical sleeve pipe of the unidirectional shutoff of this closure plate blocks by the conducting of this second surface to this first surface direction.
As optional technical scheme, the spherical sleeve pipe of described class has magnetic sections in described first surface side, this closure plate has magnetic, this closure plate is positioned at the spherical part of the spherical sleeve pipe of described class under naturalness, and is adsorbed on the joining place of the spherical part of described magnetic sections and the spherical sleeve pipe of described class.
As optional technical scheme, described laparoscope canula device comprises that the spherical sleeve pipe of the described class of covering is at the sealing ring of described first surface side entrance.
As optional technical scheme, described laparoscope canula device comprises traction component, and described traction component draws and locate described branching rod structure.
As optional technical scheme, described traction component comprises: the screw rod that runs through described disk; One end is wrapped on described screw rod, and the other end is fixed on the draught line on described branching rod structure; Described screw rod is locked at nut on described disk.
As optional technical scheme, described branching rod structure is combined to form by the first bar section and the second bar section.
As optional technical scheme, the second end of described branching rod structure has fillet arrow shaped structure, to penetrate and to be fixed on the bottom of described elastic packing skirt.
Benefit of the present invention is, by the relation of rotating circular disk capable of regulating sleeve pipe and anatomical planes, realizes the best exposure in affected part; Shorten casing length, be beneficial to operation.
[description of drawings]
Fig. 1 is the schematic top plan view of laparoscope canula device according to an embodiment of the invention.
Fig. 2 is the profile along AA line in Fig. 1.
Fig. 3 is the cutaway view along BB line in Fig. 1.
[specific embodiment]
See also Fig. 1 to Fig. 3, Fig. 1 is the schematic top plan view of laparoscope canula device according to an embodiment of the invention.Fig. 2 is the profile along AA line in Fig. 1.Fig. 3 is the cutaway view along BB line in Fig. 1.The laparoscope canula device of present embodiment comprises: the disk 11 with relative first surface 115 and second surface 116; The spherical sleeve pipe 12 of a plurality of classes, 22 is arranged in this disk, and described first surface 115 and described second surface 116 are connected; Elastic packing skirt 16 along described second surface 116 external diameters settings; A plurality of branching rod structures 18, the first end of described branching rod structure 18 are hinged on described second surface 116, and the second end of described branching rod structure 18 connects the bottom of described elastic packing skirt 16.In the present embodiment, adopt two spherical sleeve pipes of class, three branching rod structures, can adjust as required quantity in other embodiments.The present invention opens and seals stomach wall by the elastic packing pannier, so the length of the spherical sleeve pipe of class can be very short.Comparatively ideal scheme is that elastic packing skirt bottom end arranges one and expands rubber ring, and the supplemental support elastic packing skirt bottom more connects rotund strutting.
In the present embodiment, elastic packing skirt 16 is being pressed by the magnetic rings 17 that is adsorbed on second surface 116 and is being fixed on second surface 116 all edges.In other embodiments, can adopt the modes such as bonding, screw locking to be fixed on second surface.
In the present embodiment, the spherical sleeve pipe 12 of described class, the 22nd is connected with described disk 11 by the ball pivot form, can do the three-dimensional rotation of certain limit centered by the centre of sphere of its spherical part 121 in this disk 11.Make like this apparatus that stretches into the spherical sleeve pipe of class have larger movable range.
In the present embodiment, this disk 11 is combined by the first disc 111 and the second disc 112.Can facilitate so the spherical sleeve pipe of class to insert in disk 11.The first disc 111 and the second disc 112 are by spiral shell 15 lockings.
In the present embodiment, have closure plate 125,225 in such spherical sleeve pipe, this closure plate 125, such spherical sleeve pipe 12,22 of 225 unidirectional shutoff block by the conducting of this second surface 116 to these first surface 115 directions.When apparatus is stretched into the spherical sleeve pipe 12 of class, 22 the time, can be pushed aside closure plate 125,225 by first surface 115 sides.When apparatus takes out rear enclosed sheet 125,225 such the spherical sleeve pipe 12,22 of shutoff that resets, can prevent like this in operation process apparatus after the spherical sleeve pipe 12 of class, 22 takes out, Intraabdominal gas leakage.
In the present embodiment, the spherical sleeve pipe 12 of described class, 22 has magnetic sections 122,222 in described first surface side, this closure plate 125,225 has magnetic, this closure plate 125,225 is positioned at the spherical sleeve pipe 12 of described class, 22 spherical part under naturalness, and be adsorbed on described magnetic sections 122,222 and the spherical sleeve pipe 12 of described class, 22 spherical part 121,221 joining place, reach the effect of shutoff.In other embodiments, can adopt other unidirectional blocking design of prior art, such as adopting an end to be positioned at the enclosed elastic sheet etc. of the spherical internal surface of sleeve pipe of class.
In the present embodiment, laparoscope canula device comprises the spherical sleeve pipe 12 of the described class of covering, 22 sealing rings 123,223 in described first surface side entrance.Can avoid so Intraabdominal gas to spill from the gap of apparatus and sleeve pipe.
In the present embodiment, described laparoscope canula device comprises traction component, and described traction component draws and locates described branching rod structure, so that the volume that elastic packing skirt 16 struts is adjustable.Traction component in present embodiment comprises: the screw rod 143 that runs through described disk 11; One end is wrapped on described screw rod 143, and the other end is fixed on the draught line 181 on described branching rod structure 18; Described screw rod 143 is locked at nut 141 on described disk 11.When the volume that adjustable elastic sealed skirt 16 struts, first rotary screw 143 is positioned at the appropriate location with branching rod structure 18 tractions, then screws nut 141, standing screw 143.In other embodiments, can adopt other structure of prior art to regulate the position of branching rod structure, with the adjustable effect of volume that realizes that the elastic packing pannier leaves.When branching rod structure and screw rod distance is larger, take off pendant for preventing lax rear haulage line from screw rod, can metallic channel be set on screw rod or between branching rod structure and screw rod, wire support be set, wire support can be fixed on the second surface of disk.
In the present embodiment, described branching rod structure 18 is combined to form by screw thread by the first bar section 182 and the second bar section 183.By changing the second bar section 183 of different length, can adapt to different thickness of abdominal wall like this.
In the present embodiment, the second end of described branching rod structure has fillet arrow shaped structure 184, to penetrate and to be fixed on the bottom of described elastic packing skirt.Fixing safer for making, can be arranged side by side at the second end of branching rod structure plural arrow shaped structure.In other embodiments, also can adopt other existing structure to be connected with the elastic packing skirt at the second end of branching rod structure.
Below in conjunction with implementing the laparoscopic cholecystectomy process, the use of laparoscope canula device of the present invention is described.The otch that is about below umbilicus about 2.5cm successively enters the abdominal cavity.Select the length (annotate: the second bar section 183 can be produced different length as required) of the second bar section 183 according to thickness of abdominal wall, be connected with screw thread with the first bar section 182.At this moment, because screw rod 143 does not rotate or partial rotation only, pull rope 181 is lax, and three branching rod structures 18 are drawn close mutually.Make branching rod structure 18 enter the abdominal cavity together with elastic packing skirt 16 by incision of abdominal wall, and disk 11 is outside otch.Respectively the slow circumvolve screw rod 143, shorten the second end that pull rope 181 makes branching rod structure 18 and lift and finally make fillet arrow shaped structure 184 hook the intraperitoneal sidewall on gradually, also make simultaneously outside disk and stomach wall near, screw nut 141 with standing screw 143.Then can insert the peritoneoscope of 10mm diameter from the spherical sleeve pipe of the class of diameter 1.6cm, insert other operating apparatus from the spherical sleeve pipe of the class of diameter 1.0cm, perform the operation.For convenience of operation, can rotating circular disk 11, the centre of sphere line that makes two class shape ball cover pipes 12,22 is substantially parallel with the calot's triangle plane.For convenience of rotation, can loosen pull rope 181 by first adjusting screw(rod) 143.After operation is completed, take out laparoscope canula device, simultaneously gallbladder is taken out.Before taking out laparoscope canula device, can first become flexible and adjusting screw(rod) 143, make that branching rod structure 18 is drawn close mutually, elastic packing skirt 16 shrinks, so that taking-up.Successively close at last the abdominal cavity, perform the operation complete.
In operation process, can slowly be filled with CO2 gas to the abdominal cavity by the through hole on disk 11 (not illustrating), set up and keep the intraperitoneal gas pressure and reach the 12-15cmH2O left and right.
Claims (9)
1. laparoscope canula device is characterized in that comprising:
Have relative first surface and the disk of second surface;
The spherical sleeve pipe of a plurality of classes is arranged in this disk, and described first surface and described second surface are connected;
Elastic packing skirt along described second surface external diameter setting;
A plurality of branching rod structures, the first end of described branching rod structure is hinged on described second surface, and the second end of described branching rod structure connects the bottom of described elastic packing skirt;
Traction component, described traction component draw and locate described branching rod structure.
2. laparoscope canula device according to claim 1, it is characterized in that: the spherical sleeve pipe of described class is to be connected with described disk by the ball pivot form, it can do the three-dimensional rotation of certain limit in this disk centered by the centre of sphere of its spherical part.
3. laparoscope canula device according to claim 1, it is characterized in that: this disk is combined by the first disc and the second disc.
4. laparoscope canula device according to claim 1, it is characterized in that: have closure plate in such spherical sleeve pipe, such spherical sleeve pipe of the unidirectional shutoff of this closure plate blocks by the conducting of this second surface to this first surface direction.
5. laparoscope canula device according to claim 4, it is characterized in that: the spherical sleeve pipe of described class has magnetic sections in described first surface side, this closure plate has magnetic, this closure plate is positioned at the spherical part of the spherical sleeve pipe of described class under naturalness, and is adsorbed on the joining place of the spherical part of described magnetic sections and the spherical sleeve pipe of described class.
6. laparoscope canula device according to claim 1, is characterized in that comprising covering the spherical sleeve pipe of described class at the sealing ring of described first surface side entrance.
7. laparoscope canula device according to claim 1, is characterized in that described traction component comprises: the screw rod that runs through described disk;
One end is wrapped on described screw rod, and the other end is fixed on the draught line on described branching rod structure;
Described screw rod is locked at nut on described disk.
8. laparoscope canula device according to claim 1, it is characterized in that: described branching rod structure is combined to form by the first bar section and the second bar section.
9. rotary type laparoscopic cannula composite set according to claim 1, it is characterized in that: the second end of described branching rod structure has fillet arrow shaped structure, to penetrate and to be fixed on the bottom of described elastic packing skirt.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201010588552 CN102018568B (en) | 2010-12-03 | 2010-12-03 | Laparoscope canula device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201010588552 CN102018568B (en) | 2010-12-03 | 2010-12-03 | Laparoscope canula device |
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| Publication Number | Publication Date |
|---|---|
| CN102018568A CN102018568A (en) | 2011-04-20 |
| CN102018568B true CN102018568B (en) | 2013-05-08 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN 201010588552 Expired - Fee Related CN102018568B (en) | 2010-12-03 | 2010-12-03 | Laparoscope canula device |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| ES2613871T3 (en) | 2012-01-25 | 2017-05-26 | Sumitomo Bakelite Co., Ltd. | Medical treatment device |
| CN110916761B (en) * | 2019-12-12 | 2021-03-23 | 毕建耀 | Be used for department of general surgery to handle and use tweezers |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101617932A (en) * | 2008-07-03 | 2010-01-06 | 王军 | Multi-channel soft abdominal wall working window |
| CN101711687A (en) * | 2008-09-30 | 2010-05-26 | 伊西康内外科公司 | Surgical access device |
| CN101822554A (en) * | 2009-03-06 | 2010-09-08 | 伊西康内外科公司 | The surgical access devices and the method that in predefined paths, provide sealing to move |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8961407B2 (en) * | 2004-07-21 | 2015-02-24 | Covidien Lp | Surgical port assembly |
| KR100936926B1 (en) * | 2009-03-31 | 2010-01-18 | 주식회사 래보 | Trocar for single port surgery |
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Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101617932A (en) * | 2008-07-03 | 2010-01-06 | 王军 | Multi-channel soft abdominal wall working window |
| CN101711687A (en) * | 2008-09-30 | 2010-05-26 | 伊西康内外科公司 | Surgical access device |
| CN101822554A (en) * | 2009-03-06 | 2010-09-08 | 伊西康内外科公司 | The surgical access devices and the method that in predefined paths, provide sealing to move |
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| CN102018568A (en) | 2011-04-20 |
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