CN106214191B - A kind of puncture outfit of air pressure balance - Google Patents

A kind of puncture outfit of air pressure balance Download PDF

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Publication number
CN106214191B
CN106214191B CN201610713510.2A CN201610713510A CN106214191B CN 106214191 B CN106214191 B CN 106214191B CN 201610713510 A CN201610713510 A CN 201610713510A CN 106214191 B CN106214191 B CN 106214191B
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China
Prior art keywords
air
puncture outfit
air pressure
epitheca
pressure balance
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CN106214191A (en
Inventor
魏云海
牟平
牟一平
魏忠民
邵婕
梅敬泉
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3478Endoscopic needles, e.g. for infusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/0034Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Pathology (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)

Abstract

The present invention relates to field of medical products, and in particular to a kind of puncture outfit of air pressure balance.A kind of puncture outfit of air pressure balance, including epitheca, the epitheca includes epitheca wall, the inner cavity in the middle part of the epitheca wall and the piercing portion for being pierced into sufferer body, and the epitheca wall is hollow structure, goes out gas-bearing formation equipped with what is be discharged for gas;Also include air intake vent and guiding air duct, described guiding air duct one end is connect with the air intake vent, and the other end is connected with the inner cavity;Also include with it is described go out the air outlet that connect of gas-bearing formation.The object of the present invention is to provide a kind of puncture outfit of air pressure balance, the air inlet of puncture outfit and outlet are separated from each other, and air-flow accomplishes disengaging balance in a puncture outfit so that good surgical procedure space is always existed at sufferer operation.

Description

A kind of puncture outfit of air pressure balance
Technical field
The present invention relates to field of medical products, and in particular to a kind of puncture outfit of air pressure balance.
Background technology
Puncture outfit is common surgical operation medical treatment device, is widely used in the operation such as abdominal operation, thoracic surgery In operation.The structure that the Chinese patent document of common puncture outfit such as 103284779 A of Publication No. CN is announced, including outer Sheath and the inner cavity being located in epitheca need puncture outfit being pierced into sufferer body in the course of surgery, then will such as carbon dioxide Etc inert gas squeeze into sufferer body, strut space, for operation the visual field and operating space are provided.
The inner cavity of existing puncture outfit uses for air inlet, and in the course of surgery, patient wound generates watery blood and smog, needs It is sucked out.All it is often to carry out air-breathing row from other sites of puncture no matter for the larger substance of volume or smaller substance Go out.Since puncture outfit itself is used only for air inlet, and in operating stage, in order to maintain the gas balance of affected part operative space, into Gas velocity degree can be limited, then an air-breathing, and corrective surgery position can shrink interior flat again, need to carry out a large amount of air inlets again and restore empty Between, seriously affect efficiency.
In addition, gas pours in down a chimney in puncture outfit in order to prevent, entity valve, valve setting are often provided in puncture outfit In the lumen, such as valve is set.But on the one hand such entity valve has a little interference, another party to the movement of puncture needle Face, puncture needle or endoscope have some tissue residues when taking out and are trapped on valve, form pollution and block.
Invention content
The object of the present invention is to provide a kind of puncture outfit of air pressure balance, the air inlet of puncture outfit and outlet are separated from each other, gas Stream accomplishes disengaging balance in a puncture outfit so that good surgical procedure space is always existed at sufferer operation.
The present invention above-mentioned technical purpose technical scheme is that:A kind of puncture of air pressure balance Device, including epitheca, the epitheca includes epitheca wall, the inner cavity in the middle part of the epitheca wall and the thorn for being pierced into sufferer body Enter portion, it is characterised in that:The epitheca wall is hollow structure, goes out gas-bearing formation equipped with what is be discharged for gas;Also include air intake vent and Air duct is guided, described guiding air duct one end is connect with the air intake vent, and the other end is connected with the inner cavity;Also include with it is described go out The air outlet of gas-bearing formation connection.
As a preference of the present invention, the guiding air duct include to far from piercing portion direction extend on draw portion and with The portion's of drawing connection and the undershoot portion extended to close piercing portion direction on described.
Arc transition is used between portion and the undershoot portion as a preference of the present invention, drawing on described.
As a preference of the present invention, the bore in the guiding air duct flows into direction by air-flow and tapers into.
As a preference of the present invention, the guiding air duct is multiple, it is circumferentially positioned at described outer intrathecal.
As a preference of the present invention, also including for detecting air pressure inductor.
As a preference of the present invention, also including the control device for controlling feeder air-flow output state, the control Device processed receives the detection data of the air pressure inductor.
As a preference of the present invention, the epitheca lateral wall is equipped with anti-slip part.
As a preference of the present invention, also including the upper cover being connect with epitheca top, sealing gland knot is equipped in the upper cover Structure.
As a preference of the present invention, the air seal structure includes multiple valves, multiple valve annulus are around setting, by each other Close to direction gradually to piercing portion bottom angled, multiple valve centers be collectively formed gas supply stream pass through pass through mouth.
In conclusion the present invention has the advantages that:
1, air-flow enters inner cavity from air intake vent, and through going out gas-bearing formation discharge from patient's operation cavity, air-flow is in a puncture outfit In accomplish disengaging balance, maintain sufferer cavity in constant pressure, keep operative space, to avoid occur operating space invagination Or reduce, efficiency is improved, the time is tidied up in reduction.
2, guiding air duct generates the effect being oriented to air-flow, prevents air turbulence.
3, the bore variation in acceleration portion has throttling action, promotes air-flow velocity.
4, it is not necessarily to additional setting entity valve in the lumen, it is easy to operation.
5, air pressure inductor and control device monitor the air pressure change of operative region in sufferer body in real time, change gas supply dress Set for gaseity, reach the dynamic realtime air pressure balance of sufferer body.
6, include also air seal structure, prevent reverse flowing of air flows.
Description of the drawings
Fig. 1 is the schematic diagram of embodiment 1;
Fig. 2 is the side view cutaway drawing of Fig. 1;
Fig. 3 is enlarged drawing at Fig. 2A;
Fig. 4 is enlarged drawing at Fig. 2 B.
In figure:
1, epitheca, 11, anti-slip part, 12, inner cavity, 13, piercing portion, 2, upper cover, 3, air intake vent, 4, air seal structure, 41, valve Film, 42, by mouth, 5, epitheca wall, 51, go out gas-bearing formation, 7, guiding air duct, 71, on draw portion, 72 undershoot portions, 73, acceleration portion.
Specific implementation mode
Below in conjunction with attached drawing, invention is further described in detail.
This specific embodiment is only explanation of the invention, is not limitation of the present invention, people in the art Member can as needed make the present embodiment the modification of not creative contribution after reading this specification, but as long as at this It is all protected by Patent Law in the right of invention.
Embodiment 1, as shown in Figure 1, Figure 2, Figure 3 and Figure 4:A kind of puncture outfit of air pressure balance, including epitheca 1, epitheca 1 Bottom includes piercing portion 13, and piercing portion 13 can be that needle is tapered, convenient for being pierced at corrective surgery.
After piercing, it is equipped with feeder in the outside of puncture outfit, passes through air intake vent 3, air-flow input.After air-flow input It is not directly to enter inner cavity 12 from air intake vent 3, otherwise wind direction is possible to have disorderly phenomenon in inner cavity 12.It is ad hoc to lead Wind channel 7, guiding 7 one end of air duct are connected to air intake vent 3, and the other end is located at inner cavity 12 close to the place of entrance, to being input into inner cavity 12 wind plays guiding role.In actual production, guiding air duct 7 can be set as multiple, be circumferentially positioned in inner cavity 12.
Herein, the direction close to piercing portion 13 is defined as lower section, conversely, being defined as top.After air-flow is come in, first Into portion 71 is above drawn, air-flow is walked upward, then passes through arc transition, into undershoot portion 72, undershoot portion 72 extends downwards, leads Draw flowing underneath of the air-flow to inner cavity 12, the flow direction of specification and guiding air-flow, direction is unified to stablize, not disorderly.In addition, Include also acceleration portion 73, the bore in acceleration portion 73 tapers into air flow direction inner cavity 12, the flow velocity of air-flow here into Row is promoted.
Air-flow enters after sufferer body, needs the region performed an operation to be strutted with air-flow sufferer so that doctor is regarded Wild and operating space, doctor can stretch into endoscope or other operating devices by inner cavity 12, and operation is carried out to operative region.
In the course of surgery, it may appear that bleeding, tissue damage, smog etc..The material demand of large volume is punctured by other Equipment siphons away, and the substance of small size can then be siphoned away by this puncture outfit at any time together with smog.
Specifically, air-flow produces the cycle of an air-flow in this puncture outfit and sufferer body, and after air-flow enters, part Air-flow Hui Yong, but due to constantly having air-flow to pour in inner cavity 12, air pressure is higher herein, then air-flow is automatically into epitheca wall 5 Go out gas-bearing formation 51, it is the hollow structure of epitheca wall 5 to go out gas-bearing formation 51 in fact, is an interlayer, and air-flow comes out from there, in this way, air-flow Form an airflow circulating by inner cavity 12 and epitheca wall 5, need not as traditional puncture outfit, can only air inlet, and it is usual Smog can not disperse at the first time, need to siphon away by other positions, after siphoning away operation area again in it is flat, can not operate, need Gas to be squeezed into again, expend operation duration, reduce efficiency.Air-flow is discharged from gas-bearing formation 51 is gone out, and is come out by air outlet, outlet air Mouth can be a pipeline, can also be multiple air draft osculums, different pattern handlings can be done by actual conditions.
Include also air pressure inductor, for incuding the air pressure in this airflow circulating.When the air pressure for sensing operative region When more than or less than preset value, control device can control the air-flow velocity of discharge of feeder so that air-flow become smaller or Person becomes larger, so that the air pressure of operative region reaches dynamic balance and stability.
In surgical procedure, the stress of vertical direction is had, is easy so that epitheca 1 is slipped with patient body, in order to more preferable Fixation, outside the side wall of epitheca 1, if upper anti-slip part 11.The anti-slip part 11 can include multiple skid resistance strips so that outer Sheath 1 is preferably fixed with patient body.
Upper cover 2 is equipped with air seal structure 4, air seal structure 4 includes multiple valves 41, and multiple valves 41 are around setting, by that , close to direction gradually to 1 bottom angled of the epitheca, passing through of passing through of gas supply stream is collectively formed in multiple 41 centers of the valve for this Mouth 42.If air-flow backflows, the bottom of inner cavity 12 is poured in down a chimney, then valve 41 can be jacked up by air-flow, can be contracted by the way that mouth 42 is natural Small or closing, to inhibit to backflow.

Claims (9)

1. a kind of puncture outfit of air pressure balance, including epitheca(1), the epitheca(1)Including epitheca wall(5), be located at the epitheca Wall(5)The inner cavity at middle part(12)With the piercing portion for being pierced into sufferer body(13), it is characterised in that:The epitheca wall(5)For Hollow structure goes out gas-bearing formation equipped with what is be discharged for gas(51);It also include air intake vent(3)With guiding air duct(7), the guiding wind Road(7)One end and the air intake vent(3)Connection, the other end and the inner cavity(12)Conducting;Also include with it is described go out gas-bearing formation(51) The air outlet of connection, the guiding air duct(7)Including to far from the piercing portion(13)Draw portion in the extension of direction(71)With with Draw portion on described(71)It connects and to close to the piercing portion(13)The undershoot portion that direction extends(72).
2. a kind of puncture outfit of air pressure balance according to claim 1, it is characterised in that:Draw portion on described(71)With it is described Undershoot portion(72)Between use arc transition.
3. a kind of puncture outfit of air pressure balance according to claim 1, it is characterised in that:The guiding air duct(7)Mouth Diameter flows into direction by air-flow and tapers into.
4. a kind of puncture outfit of air pressure balance according to claim 1 or 2 or 3, it is characterised in that:The guiding air duct (7)It is multiple, is circumferentially positioned at the epitheca(1)It is interior.
5. a kind of puncture outfit of air pressure balance according to claim 1, it is characterised in that:Also include for detecting air pressure sense Answer device.
6. a kind of puncture outfit of air pressure balance according to claim 5, it is characterised in that:Also include for controlling gas supply dress The control device of air-flow output state is set, the control device receives the detection data of the air pressure inductor.
7. a kind of puncture outfit of air pressure balance according to claim 1, it is characterised in that:The epitheca(1)On lateral wall Equipped with anti-slip part(11).
8. a kind of puncture outfit of air pressure balance according to claim 1, it is characterised in that:Also include and the epitheca(1) The upper cover of top connection(2), the upper cover(2)In be equipped with air seal structure(4).
9. a kind of puncture outfit of air pressure balance according to claim 8, it is characterised in that:The air seal structure(4)Including Multiple valves(41), multiple valves(41)Around setting, by direction close to each other gradually to the piercing portion(13)Bottom It tilts, multiple valves(41)Center be collectively formed gas supply stream pass through pass through mouth(42).
CN201610713510.2A 2016-08-24 2016-08-24 A kind of puncture outfit of air pressure balance Active CN106214191B (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113796900A (en) * 2020-06-17 2021-12-17 温州市人民医院 Laparoscope sleeve with air suction function

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109498121B (en) * 2018-12-17 2020-05-15 江苏人冠医疗科技有限公司 Sealing element for puncture outfit and puncture outfit
CN109498122B (en) * 2018-12-17 2020-04-14 江苏人冠医疗科技有限公司 Puncture outfit
CN112155691B (en) * 2020-10-16 2021-08-24 青岛市市立医院(青岛市临床医学研究所、青岛市医学影像中心) Puncture outfit with balanced air pressure

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CN205072934U (en) * 2015-11-02 2016-03-09 王志向 A pneumoperitoneum machine for laparoscopic surgery
CN105796163A (en) * 2016-05-10 2016-07-27 安徽优尼科医疗科技有限公司 Laparoscopic filter puncture outfit
CN206166958U (en) * 2016-08-24 2017-05-17 魏云海 Balanced puncture ware of atmospheric pressure

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US8636686B2 (en) * 2008-04-28 2014-01-28 Ethicon Endo-Surgery, Inc. Surgical access device
US8568362B2 (en) * 2008-04-28 2013-10-29 Ethicon Endo-Surgery, Inc. Surgical access device with sorbents

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CN104797278A (en) * 2012-11-20 2015-07-22 瑟吉奎斯特公司 Systems and methods for conducting smoke evacuation during laparoscopic surgical procedures
CN205072934U (en) * 2015-11-02 2016-03-09 王志向 A pneumoperitoneum machine for laparoscopic surgery
CN105796163A (en) * 2016-05-10 2016-07-27 安徽优尼科医疗科技有限公司 Laparoscopic filter puncture outfit
CN206166958U (en) * 2016-08-24 2017-05-17 魏云海 Balanced puncture ware of atmospheric pressure

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113796900A (en) * 2020-06-17 2021-12-17 温州市人民医院 Laparoscope sleeve with air suction function

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