CN109480920A - Tool punctures the multiholed catheter device and its application method of supplementary structure - Google Patents
Tool punctures the multiholed catheter device and its application method of supplementary structure Download PDFInfo
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- CN109480920A CN109480920A CN201710815047.7A CN201710815047A CN109480920A CN 109480920 A CN109480920 A CN 109480920A CN 201710815047 A CN201710815047 A CN 201710815047A CN 109480920 A CN109480920 A CN 109480920A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/0034—Surgical 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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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/005—Auxiliary appliance with suction drainage system
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/007—Auxiliary appliance with irrigation system
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Abstract
The present invention provides the multiholed catheter device and its application method of a kind of tool puncture supplementary structure.Tool punctures the multiholed catheter device of supplementary structure to guide introscope and surgical instrument and include multi-pore channel ontology and piercing point.Multi-pore channel ontology includes two ontology perforation, proximal end and distal end, and two ontology perforation are independently of one another and its extending direction is different each other.Two ontology perforation are separated by perforation spacing, and perforation spacing is gradually changed by proximal end towards distal end.Two puncture holes of piercing point respectively correspond linking two ontologies perforation.Introscope and surgical instrument extend through corresponding ontology perforation and corresponding puncture hole.Whereby, surgical apparatus is put using independent multi-pore channel, can avoid interfering with each other, and independent multi-pore channel has specific direction, punctured it includes center and intersect puncture, healthcare givers can be allowed to select structure appropriate according to demand.
Description
Technical field
The present invention relates to a kind of multiholed catheter device and its application methods, puncture supplementary structure especially with regard to a kind of tool
Multiholed catheter device and its application method.
Background technique
Minimally Invasive Surgery has many advantages, such as that wound is small, wound is beautiful, bleeding is few, infection probability is low, recovery is fast, therefore becomes mesh
The new trend of preceding surgical operation, such as: arthroscope and laparoscopic surgery.Traditionally when carrying out Minimally Invasive Surgery, surgical doctor must
An opening first must be punctured in the skin surface of sufferer, then reuse a conduit to strut this opening, to maintain in skin
Outer connection, and introscope or surgical instrument are protruded into the skin of sufferer via conduit to perform the operation.And it is such operating
Complete sealing mechanism is generally required in the process of Minimally Invasive Surgery to ensure the isolation situation inside and outside body, therefore the doctor that performs the operation
Teacher can achieve the purpose that inside and outside isolation and operation safety using the conduit with sealing effect.
Although Minimally Invasive Surgery have above-mentioned many advantages, it is well known, however, that conduit there are still some serious problems.Example
Such as: (such as while operating introscope or surgical instrument) when operating multiple surgical apparatus simultaneously under single duct, be easy to happen phase
The situation mutually interfered, therefore surgical apparatus can not be successfully moved to desired position very much.In addition, traditional conduit is soft
Or semi-soft material, it generally requires additional hard puncture supplementary structure and be combined with each other to realize piercing step, and then will lead
Pipe is pierced into the skin of patient.After conduit is pierced into and is positioned, also by hard puncture supplementary structure detach duct, could again by
Surgical apparatus is inserted into duct to execute operation, and such surgical procedure is considerably complicated and operation is extremely inconvenient, be easy to cause operation
Failure and the risk and degree of difficulty for significantly increasing operation.Therefore, internal, sealing can be formed directly by lacking currently on the market
Property it is high, easy to operate, reduce and using multiple surgical apparatus interfere with each other and can cooperate various forms of surgical apparatus demands
Conduit, therefore related dealer is seeking its solution.
Summary of the invention
Therefore, the purpose of the present invention is to provide multiholed catheter device and its users that a kind of tool punctures supplementary structure
Method puts introscope, surgical instrument, bath unit, suction unit or other surgical apparatus using independent multi-pore channel, can
It avoids interfering with each other.In addition, these independent multi-pore channels have specific direction, is punctured it includes center and intersect puncture, energy
User is allowed to select structure appropriate according to demand.Furthermore device front end is tip hard, can be used for puncturing skin and need not again
It is additional to arrange in pairs or groups other puncturing structures to assist, therefore can directly be worn behind device puncturing operation position and limit introscope and hand
Art instrument, and then simplify surgical procedure and increase the convenience of operation, it is led with solving the additional puncturing structure auxiliary of tradition needs
The problem of causing inconvenient and multiple surgical apparatus easily to interfere with each other in single duct.
One embodiment of structure aspect according to the present invention provides a kind of multiholed catheter device of tool puncture supplementary structure,
It is to guide an at least introscope and a surgical instrument.The multiholed catheter device that this tool punctures supplementary structure includes a multi-pore channel
Ontology and a piercing point, wherein multi-pore channel ontology includes that at least two ontology perforation, a proximal end and a distal end, two ontologies are worn
Hole is independently of one another and the extending direction of two ontologies perforation is different each other.Two ontology perforation are separated by a perforation spacing, perforate
Spacing is gradually changed by proximal end towards distal end.In addition, piercing point connection distal end, piercing point include at least two puncturing holes
Hole, two puncture holes respectively correspond linking two ontologies perforation.Introscope therethrough perforate and corresponding puncture by an ontology
Hole, surgical instrument puncture hole with another through the perforation of another ontology.
Whereby, the multiholed catheter device that tool of the invention punctures supplementary structure puts introscope using independent multi-pore channel
It with surgical instrument, not only can avoid interfering with each other, and the operation ease of healthcare givers can be increased.Furthermore these are independent
Multi-pore channel has specific direction, and introscope and surgical instrument can be allowed to intersect at operative site, facilitate healthcare givers to manipulate, in turn
Shorten operating time and increase operation safety, is easily interfered with each other in single duct with solving the multiple surgical apparatus of tradition
The problem of.
The other embodiments of aforementioned embodiments are as follows: aforementioned two ontologies perforation can extend outwardly and be respectively formed two void
Quasi- duct, each ontology perforation are linearly with each virtual duct.Perforation spacing is gradually reduced by proximal end towards distal end.Two void
Quasi- duct intersects at except multi-pore channel ontology and shape has angle, this angle is greater than 0 degree and less than 45 degree.Furthermore previous porous
The outer wall of road ontology can be equipped with multiple horizontal ridges, these horizontal ridges are parallel to each other and spaced set.Previous porous road sheet
The outer wall of body is equipped with a spiral burr, this spiral burr is to reduce resistance when multi-pore channel ontology punctures.In addition, aforementioned proximal
It may include two lugs, this two lugs are located at opposite two sides of proximal end, and two lugs are to rotate multi-pore channel ontology
With piercing point.In addition, it may include a lid that aforementioned tool, which punctures the multiholed catheter device of supplementary structure, this lid is by soft materials
It constitutes, lid coats proximal end.Lid includes at least two cap bore, an accommodating space and a caulking groove, and wherein cap bore is rounded and divides
It Dui Ying not two ontology perforation and two puncture holes.Accommodating space is connected two cap bore.It is then set in lid as caulking groove
Side simultaneously connects accommodating space, and the shape of caulking groove corresponds to the shape of proximal end.Furthermore aforementioned tool punctures the multiholed catheter dress of supplementary structure
Setting may include a washer, this washer is made of soft materials, and washer is between lid and proximal end and is set in accommodating space.Pad
Circle has at least two washer apertures, this two washer apertures are in more valve types and respectively correspond two cap bore, two faces point of washer
An inner top surface of lid and a proximal end top surface of proximal end are not fitted closely.In addition, aforementioned piercing point can be by a rigid material structure
At piercing point is in sharp vertebra shape.One junction of piercing point and distal end is equipped with a ring convex, the piercing point positioned at junction
Cross section is greater than the cross section of distal end.In addition, previous porous road ontology may include an interlaced area, this interlaced area is located at porous
Within road ontology and between proximal end and distal end.Each ontology perforation is linearly, and two ontology perforation are interlaced with each other in friendship
Wrong region, perforation spacing are gradually reduced by proximal end towards interlaced area, and spacing of perforating gradually is become by interlaced area towards distal end
Greatly.
Another embodiment of structure aspect according to the present invention provides a kind of multiholed catheter dress of tool puncture supplementary structure
It sets, to guide an introscope, a surgical instrument, a bath unit and a suction unit.This tool punctures the more of supplementary structure
Hole conduit device includes a multi-pore channel ontology and a piercing point, wherein multi-pore channel ontology include a first noumenon perforate, one the
The perforation of two ontologies, third ontology perforation, the perforation of one the 4th ontology, a proximal end and a distal end, the first noumenon perforation, the second ontology
Perforation, the perforation of third ontology and the perforation of the 4th ontology are independently of one another and extending direction is different each other.The first noumenon perforation and second
Ontology perforation is separated by a perforation spacing, and perforation spacing is gradually changed by proximal end towards distal end.In addition, piercing point connection is remote
End, piercing point punctures hole comprising one first puncture hole, one second, a third punctures hole and one the 4th punctures hole,
First puncture hole, second puncture hole, third puncture hole and the 4th puncture hole respectively correspond linking the first noumenon perforation,
The perforation of second ontology, the perforation of third ontology and the perforation of the 4th ontology.Introscope punctures hole with first through the first noumenon perforation,
Surgical instrument punctures hole with second through the perforation of the second ontology, and bath unit is through the perforation of third ontology and third puncturing hole
Hole, suction unit puncture hole with the 4th through the perforation of the 4th ontology.
Whereby, the multiholed catheter device that tool of the invention punctures supplementary structure puts interior view using independent multi-pore channel
Mirror, surgical instrument, bath unit and suction unit, not only can avoid interfering with each other, and operation is quite convenient, is very suitable to
The use of healthcare givers.In addition, these independent multi-pore channels have specific direction, healthcare givers can be facilitated to manipulate, and then contracted
Short operating time simultaneously increases operation safety.
The other embodiments of aforementioned embodiments are as follows: aforementioned the first noumenon perforation, the perforation of the second ontology, third ontology are worn
Hole and the perforation of the 4th ontology can extend outwardly and to be respectively formed one first virtual duct, one second virtual duct, a third virtual
Duct, one the 4th virtual duct.The first noumenon perforation, the perforation of the second ontology, the perforation of third ontology, the perforation of the 4th ontology, first
Virtual duct, the second virtual duct, the virtual duct of third and the 4th virtual duct are linearly.Spacing of perforating is by proximal end direction
Distal end is gradually reduced, and the first virtual duct, the second virtual duct, the virtual duct of third and the 4th virtual duct intersect at multi-pore channel
Except ontology.Furthermore the outer wall of previous porous road ontology can be equipped with a plurality of horizontal ridges, these horizontal ridges are parallel to each other and wait
Spacing setting.The outer wall of previous porous road ontology can be equipped with a spiral burr, this spiral burr is to reduce when device punctures
Resistance.In addition, aforementioned proximal may include two lugs, this two lugs are located at opposite two sides of proximal end, and two lugs are used
To rotate multi-pore channel ontology and piercing point.In addition, it may include a lid that aforementioned tool, which punctures the multiholed catheter device of supplementary structure,
This lid is made of soft materials, and lid coats proximal end.Lid includes the first cap bore, the second cap bore, third cap bore, the 4th lid
Hole, accommodating space and caulking groove, wherein the rounded and corresponding the first noumenon of the first cap bore perforates and punctures hole with first；Second lid
Rounded and corresponding second ontology in hole, which is perforated, punctures hole with second；Third cap bore is rounded and corresponding third ontology perforation and the
Three puncture hole；Rounded and corresponding 4th ontology of 4th cap bore, which is perforated, punctures hole with the 4th.The first lid of accommodating space linking
Hole, the second cap bore, third cap bore and the 4th cap bore.Caulking groove is set to the inside of lid and connects accommodating space, the shape pair of caulking groove
Answer the shape of proximal end.Furthermore it may include a washer that aforementioned tool, which punctures the multiholed catheter device of supplementary structure, this washer is by soft material
Texture is at washer is between lid and proximal end and is set in accommodating space.There are four washer aperture, this four washers for washer tool
Aperture is in more valve types and respectively corresponds the first cap bore, the second cap bore, third cap bore and the 4th cap bore.The two faces difference of washer is tight
One inner top surface of closely connected closing lid and a proximal end top surface of proximal end.In addition, aforementioned piercing point can be made of a rigid material, wear
Puncture tip portion is in sharp vertebra shape.One junction of piercing point and distal end be equipped with a ring convex, positioned at junction piercing point it is transversal
Face is greater than the cross section of distal end.In addition, previous porous road ontology may include an interlaced area, this interlaced area is located at multi-pore channel sheet
Within body and between proximal end and distal end.The first noumenon perforation, the perforation of the second ontology, the perforation of third ontology and the 4th ontology are worn
Hole is linearly, and the first noumenon perforation and the perforation of the second ontology are interlaced with each other in interlaced area.Spacing of perforating is by proximal end direction
Interlaced area is gradually reduced, and spacing of perforating is become larger by interlaced area towards distal end.
One embodiment of method aspect according to the present invention provides a kind of multiholed catheter device of tool puncture supplementary structure
Application method, to guide introscope and surgical instrument, application method includes that a piercing step, an introscope install step
And one surgical instrument install step, wherein piercing step is rotation multi-pore channel ontology and piercing point, makes piercing point along one
Axial displacement.And introscope installing step is that introscope is perforated and wherein one by proximal end to one of ontology is distally arranged in
A puncture hole.It is then to wear surgical instrument to another ontology is distally arranged in by proximal end as surgical instrument installing step
Hole and another puncture hole.
Whereby, application method of the invention puts introscope and surgical instrument using the conduit device of independent multi-pore channel,
It not only can avoid interfering with each other, can also increase convenience when healthcare givers's operation.
Another embodiment of method aspect according to the present invention provides a kind of multiholed catheter dress of tool puncture supplementary structure
The application method set, to guide introscope, surgical instrument, bath unit and suction unit.Application method includes a puncture
Step, a bath unit installing step, suction unit installing step, introscope installing step and surgical instrument installing
Step, wherein piercing step is rotation multi-pore channel ontology and piercing point, makes piercing point along an axial displacement.Unit of washing by water fills
If step be will wash by water unit be installed in third ontology perforation with third puncture hole.Suction unit installing step is the list that will absorb water
Member is installed in the perforation of the 4th ontology and punctures hole with the 4th.Introscope installing step is by proximal end by introscope to being distally arranged in
The first noumenon perforation punctures hole with first.Surgical instrument installing step is by proximal end by surgical instrument to being distally arranged in second
Ontology perforation punctures hole with second.
Whereby, application method of the invention is by the independent multi-pore channel with specific direction, allow introscope, surgical instrument,
Bath unit and suction unit intersect at operative site, and healthcare givers is facilitated to manipulate, and then shorten operating time and increase operation
Safety.
Detailed description of the invention
Fig. 1 is the stereoscopic schematic diagram for being painted the multiholed catheter device of tool puncture supplementary structure of first embodiment of the invention；
Fig. 2A is to be painted the multiholed catheter device of the tool puncture supplementary structure of Fig. 1 according to the stereogram exploded view of first direction；
Fig. 2 B is to be painted the multiholed catheter device of the tool puncture supplementary structure of Fig. 1 according to the stereogram exploded view of second direction；
Fig. 3 A is the cross-sectional view for being painted the multiholed catheter device of tool puncture supplementary structure of Fig. 1；
Fig. 3 B be painted Fig. 1 tool puncture supplementary structure multiholed catheter device two ontologies perforation extend intersect at device
The schematic diagram in outside；
Fig. 4 A is the top view for being painted the multiholed catheter device of tool puncture supplementary structure of Fig. 1；
Fig. 4 B is the perspective view for being painted the multiholed catheter device of tool puncture supplementary structure of Fig. 1；
Fig. 5 is the operation chart for being painted the multiholed catheter device of tool puncture supplementary structure of Fig. 1；
Fig. 6 A is the top view for being painted the multiholed catheter device of tool puncture supplementary structure of second embodiment of the invention；
Fig. 6 B is the exploded perspective view for being painted the multiholed catheter device of tool puncture supplementary structure of Fig. 6 A；
Fig. 7 is the stereoscopic schematic diagram for being painted the multiholed catheter device of tool puncture supplementary structure of third embodiment of the invention；
Fig. 8 A is to be painted the multiholed catheter device of the tool puncture supplementary structure of Fig. 7 according to the stereogram exploded view of first direction；
Fig. 8 B is to be painted the multiholed catheter device of the tool puncture supplementary structure of Fig. 7 according to the stereogram exploded view of second direction；
Fig. 9 A is the top view for being painted the multiholed catheter device of tool puncture supplementary structure of Fig. 7；
Fig. 9 B is the perspective view for being painted the multiholed catheter device of tool puncture supplementary structure of Fig. 7；
Figure 10 is the operation chart for being painted the multiholed catheter device of tool puncture supplementary structure of Fig. 7；
Figure 11 A is the top view for being painted the multiholed catheter device of tool puncture supplementary structure of fourth embodiment of the invention；
Figure 11 B is the exploded perspective view for being painted the multiholed catheter device of tool puncture supplementary structure of Figure 11 A；
Figure 12 A is the outside side view for being painted the horizontal ridges of multi-pore channel ontology of one embodiment of the invention；
Figure 12 B is the outside side view for being painted the spiral burr of multi-pore channel ontology of one embodiment of the invention；
Figure 13 is the stream for being painted the application method of the multiholed catheter device of tool puncture supplementary structure of one embodiment of the invention
Journey schematic diagram；
Figure 14 is the application method for being painted the multiholed catheter device of tool puncture supplementary structure of another embodiment of the present invention
Flow diagram.
Specific embodiment
The following drawings illustrate multiple embodiments of the invention.As clearly stated, the details in many practices
It will be explained in the following description.It should be appreciated, however, that the details in these practices is not applied to limit the present invention.Also
It is to say, in section Example of the present invention, the details in these practices is non-essential.In addition, for the sake of simplifying attached drawing, it is some
Known usual structure will be painted in a manner of simply illustrating in the accompanying drawings with element；And duplicate element will likely use phase
Same number indicates.
Also referring to Fig. 1 to Fig. 5, Fig. 1 be painted first embodiment of the invention tool puncture the porous of supplementary structure lead
The stereoscopic schematic diagram of pipe device 100.Fig. 2A is to be painted the multiholed catheter device 100 of the tool puncture supplementary structure of Fig. 1 according to first party
To stereogram exploded view.Fig. 2 B is to be painted the multiholed catheter device 100 of the tool puncture supplementary structure of Fig. 1 according to the solid of second direction
Exploded view.Fig. 3 A is the cross-sectional view for being painted the multiholed catheter device 100 of tool puncture supplementary structure of Fig. 1.Fig. 3 B is painted Fig. 1
The two ontologies perforation 210 that tool punctures the multiholed catheter device 100 of supplementary structure extends the schematic diagram intersected on the outside of device.Fig. 4 A
It is the top view for being painted the multiholed catheter device 100 of tool puncture supplementary structure of Fig. 1.Fig. 4 B is the tool puncture auxiliary for being painted Fig. 1
The perspective view of the multiholed catheter device 100 of structure.Fig. 5 is the multiholed catheter device for being painted the tool puncture supplementary structure of Fig. 1
100 operation chart.As shown, tool punctures the multiholed catheter device 100 of supplementary structure to guide introscope 110 and hand
Art instrument 120.The multiholed catheter device 100 that this tool punctures supplementary structure includes multi-pore channel ontology 200, piercing point 300, lid
400 and washer 500.
Multi-pore channel ontology 200 includes two ontologies perforation 210, proximal end 220, distal end 230 and horizontal ridges 240, and two
Ontology perforation 210 is independently of one another and the extending direction of two ontologies perforation 210 is different each other.Two ontology perforation 210 are separated by
One perforation spacing, perforation spacing are gradually changed by proximal end 220 towards distal end 230.In detail, perforation spacing is at proximal end 220
For first distance D1, spacing of perforating is second distance D2 at distal end 230.First distance D1 is greater than second distance D2.In addition, two
A ontology perforation 210 extends outwardly and is respectively formed two virtual ducts 212, and each ontology perforation 210 is in each virtual duct 212
Linearly.Perforation spacing is gradually reduced by proximal end 220 towards distal end 230, and two virtual ducts 212 intersect at multi-pore channel sheet
An angle theta is formed except body 200, this angle theta is greater than 0 degree and less than 45 degree.Horizontal ridges 240 are set to multi-pore channel ontology 200
Outer wall on, the horizontal ridges 240 of the present embodiment have five, parallel to each other and spaced set.Furthermore proximal end 220 includes
Two lugs 222, this two lugs 222 are located at opposite two sides of proximal end 220, and two lugs 222 are more to rotate synchronously
Duct ontology 200 and piercing point 300.Whereby, the present invention puts introscope 110 and surgical instrument using independent multi-pore channel
120, it not only can avoid interfering with each other, and operation is quite convenient, can say healthcare givers to be a big Gospel.In addition, these
Independent multi-pore channel has specific direction, and introscope 110 and surgical instrument 120 can be allowed to intersect at operative site, facilitate medical treatment
Personnel's manipulation, and then shorten operating time and increase operation safety, to solve the multiple surgical apparatus of tradition in single duct
The problem of easily interfering with each other.
The distal end 230 of 300 integrally connected multi-pore channel ontology 200 of piercing point, piercing point 300 include two puncture holes
310 puncture hole 310 and respectively correspond two ontology perforation 210 of linking with ring convex 320, wherein two.Introscope 110 can run through it
In ontology perforation 210 and corresponding punctures hole 310, and surgical instrument 120 can through another ontology perforation 210 and separately
One puncture hole 310, as shown in Figure 5.In addition, piercing point 300 is made of a rigid material, and piercing point 300 is in point
Vertebra shape.The junction of the distal end 230 of piercing point 300 and multi-pore channel ontology 200 is equipped with ring convex 320.Puncture positioned at junction
The cross section of tip 300 is greater than the cross section of distal end 230, that is to say, that the cross-sectional area of ring convex 320 is greater than distal end 230
Cross-sectional area.Whereby, tool of the invention punctures piercing point of the multiholed catheter device 100 through tip hard of supplementary structure
300 additional again need not arrange in pairs or groups other puncturing structures and assist puncturing skin, and making can be straight behind device puncturing operation position
It connects and wears and limit introscope 110 and surgical instrument 120, and then simplify surgical procedure and increase the convenience of operation, to solve
Tradition needs additional puncturing structure auxiliary and leads to inconvenient problem.
Lid 400 is made of soft materials, the proximal end 220 of the coated porous road ontology 200 of lid 400.Lid 400 includes two
The caulking groove 430 of accommodating space 420, one of a cap bore 410, one and an inner top surface 440.Two cap bore 410 it is rounded and
Respectively correspond two ontology perforation 210 and two puncture holes 310.Accommodating space 420 is connected two cap bore 410 and is located at lid
400 inside.The outer profile of the annular in shape and corresponding lid 400 of caulking groove 430, and caulking groove 430 is set to inside and the connection of lid 400
Accommodating space 420, the shape of caulking groove 430 correspond to the shape of proximal end 220.In other words, caulking groove 430 along lid 400 inner edge
Ring is set, to be fitted into and coat entire proximal end 220.As for inner top surface 440 then towards accommodating space 420.
Washer 500 is made of soft materials, and washer 500 is between lid 400 and proximal end 220 and is set to accommodating space
In 420.Washer 500 has two washer apertures 510, this two washer apertures 510 are in more valve types and respectively correspond lid 400
Two cap bore 410.The washer aperture 510 of the present embodiment is surround by three limbs and is formed, when no foreign object is inserted into washer aperture 510
When, washer aperture 510 is in closed form, and three limbs is caused to be connected.(such as introscope when there is foreign object to be inserted into washer aperture 510
110 or surgical instrument 120), then washer aperture 510 is in open shape, and the surface of three limbs and foreign object is caused to fit closely.Washer
500 two faces up and down fit closely the inner top surface 440 of lid 400 and the proximal end top surface 224 of proximal end 220 respectively.In addition, accommodating is empty
Between 420 top at cap bore 410 have a washer accommodation groove identical with 500 shape of washer, the depth of washer accommodation groove
Equal to the thickness of washer 500, so as to enabling washer 500 and washer accommodation groove seamless combination.Whereby, the present invention utilizes dismountable lid
400 collocation washer 500 of son, enables the proximal end 220 of multi-pore channel ontology 200 to generate airtight effect, when tool punctures supplementary structure
After multiholed catheter device 100 is pierced into skin, it is inside and outside and the risk of surgical site infection is greatly reduced can effectively to completely cut off skin.In addition
It is noted that being respectively used to setting introscope 110 and surgical instrument since the structure of the present embodiment only includes double hole channel
120, if healthcare givers need operative site wash by water or absorb water to increase visibility, may be used a suction set component (such as:
Endoscope sheath) combine introscope 110 after be sequentially inserted into again corresponding cap bore 410, washer aperture 510, ontology perforation
210 and puncture hole 310.Deduced by above-mentioned, cap bore 410, washer aperture 510, ontology perforation 210 and punctures hole 310
The aperture that aperture is all larger than the aperture of suction set component, and suctions set component is greater than the aperture of introscope 110, could will so rush
It inhales set component and introscope 110 is freely arranged in tool and punctures in the multiholed catheter device 100 of supplementary structure.
A and Fig. 6 B referring to Figure 6 together, Fig. 6 A are to be painted having for second embodiment of the invention to puncture the porous of supplementary structure
The top view of conduit device 100a.Fig. 6 B is the solid point for being painted the multiholed catheter device 100a of tool puncture supplementary structure of Fig. 6 A
Solve perspective view.As shown, the multiholed catheter device 100a that tool punctures supplementary structure includes multi-pore channel ontology 200a, piercing point
300a, lid 400a and washer 500a.Multi-pore channel ontology 200a includes two ontologies perforation 210a, proximal end 220a, distal end
230a, horizontal ridges 240 and interlaced area R.Interlaced area R be located within multi-pore channel ontology 200a and between proximal end 220a with
Between the 230a of distal end, each ontology perforation 210a is linearly, and two ontologies perforation 210a is interlaced with each other in interlaced area R, hands over
Wrong region R is a cross section of multi-pore channel ontology 200a, and two ontologies perforation 210a on this interlaced area R is each other
Distance (i.e. perforation spacing) near.In other words, perforation spacing is gradually reduced by proximal end 220a towards interlaced area R, and
Perforation spacing is become larger by interlaced area R towards distal end 230a.Furthermore piercing point 300a includes two puncture holes
310a, this two puncture hole 310a are connected two ontology perforation 210a respectively.It is real as lid 400a, washer 500a and first
The difference of the lid 400, washer 500 of applying example is only that cap bore 410,410a and the washer aperture 510 of two embodiments, 510a
Set difference, the two cap bore 410a of lid 400a respectively correspond the two washer aperture 510a of washer 500a, multi-pore channel ontology 200a
The two of two ontologies perforation 210a and piercing point 300a puncture hole 310a.Whereby, the present invention penetrate with specific direction and
Alternating expression multi-pore channel independent of each other operates come the introscope 110 for realizing different form and orientation and using for surgical instrument 120,
It can not only solve the problems, such as that the multiple surgical apparatus of tradition easily interfere with each other in single duct, can also increase healthcare givers
The elasticity that uses and the operation for reducing particular procedure equipment limitation.In addition it is noted that surgical apparatus of the invention is unlimited
It can be the device of various soft or hard matter strip, to meet different Operative categories in introscope 110 and surgical instrument 120
Demand.
Referring to Figure 7 together to Figure 10, Fig. 7 be painted third embodiment of the invention tool puncture the porous of supplementary structure lead
The stereoscopic schematic diagram of pipe device 100b.Fig. 8 A is to be painted the multiholed catheter device 100b of the tool puncture supplementary structure of Fig. 7 according to first
The stereogram exploded view in direction.Fig. 8 B is to be painted the multiholed catheter device 100b of the tool puncture supplementary structure of Fig. 7 according to second direction
Stereogram exploded view.Fig. 9 A is the top view for being painted the multiholed catheter device 100b of tool puncture supplementary structure of Fig. 7.Fig. 9 B is to be painted
The tool of Fig. 7 punctures the perspective view of the multiholed catheter device 100b of supplementary structure.Figure 10 is the tool puncture auxiliary knot for being painted Fig. 7
The operation chart of the multiholed catheter device 100b of structure.As shown, the multiholed catheter device 100b that tool punctures supplementary structure is used
To guide introscope 110, surgical instrument 120, bath unit 130 and suction unit 140, and has and puncture the porous of supplementary structure
Conduit device 100b includes multi-pore channel ontology 200b, piercing point 300b, lid 400b and washer 500b.
Multi-pore channel ontology 200b include the first noumenon perforate the 2102, second ontology perforation 2104, third ontology perforation 2106,
4th ontology perforation 2108, proximal end 220b, distal end 230b and horizontal ridges 240, wherein the first noumenon is perforated 2102, second
Body perforation 2104, the perforation 2106 of third ontology and the 4th ontology perforation 2108 are independently of one another and extending direction is different each other.First
Ontology perforation 2102 and the second ontology perforation 2104 are separated by a perforation spacing, and perforation spacing is by proximal end 220b towards distally
230b gradually becomes smaller.
Piercing point 300b connection distal end 230b, and piercing point 300b includes that the first puncture hole 3102, second punctures
Hole 3104, third puncture hole 3106 and the 4th puncture hole 3108.First, which punctures hole 3102, second, punctures hole
3104, third punctures hole 3106 and the 4th puncture hole 3108 respectively corresponds linking the first noumenon and perforates 2102, second
Body perforation 2104, the perforation 2106 of third ontology and the 4th ontology perforation 2108.Introscope 110 through the first noumenon perforation 2102 with
First punctures hole 3102；Surgical instrument 120 punctures hole 3104 through the second ontology perforation 2104 and second；Bath unit
130 puncture hole 3106 with third through third ontology perforation 2106；Suction unit 140 is through the 4th ontology perforation 2108 and the
Four puncture hole 3108.The 2102, second ontology perforation 2104, third ontology perforation 2106 and the 4th in addition, the first noumenon is perforated
Ontology perforation 2108 extends outwardly and is respectively formed the first virtual duct, the second virtual duct, the virtual duct of third, the 4th virtually
Duct, and the first noumenon perforate the 2102, second ontology perforation 2104, third ontology perforate the 2106, the 4th ontology perforation 2108,
First virtual duct, the second virtual duct, the virtual duct of third and the 4th virtual duct are linearly cylindric.Perforation spacing
It is gradually reduced by proximal end 220b towards distal end 230b, and the first virtual duct, the second virtual duct, the virtual duct of third and the 4th
Virtual duct intersects at except multi-pore channel ontology 200b.In other words, in the course of surgery, the first virtual duct, second virtual
Duct, the virtual duct of third and the 4th virtual duct intersect at the operative site of patient, cause to penetrate introscope 110 in it,
Surgical instrument 120, bath unit 130 and suction unit 140 also intersect at the operative site of patient, and then allow healthcare givers's energy
The multiholed catheter device 100b for enough puncturing supplementary structure through tool effectively operates introscope 110, surgical instrument 120, bath list
Member 130 and suction unit 140.
The difference of the lid 400 of the first embodiment of lid 400b and Fig. 2A, Fig. 2 B is only that lid 400b also and includes the
One cap bore 4102, the second cap bore 4104, third cap bore 4106 and the 4th cap bore 4108, this first cap bore 4102, the second cap bore
4104, third cap bore 4106 and the 4th cap bore 4108 are rounded.The corresponding the first noumenon perforation 2102 of first cap bore 4102 and the
One punctures hole 3102；The corresponding second ontology perforation 2104 and second of second cap bore 4104 punctures hole 3104；Third cap bore
4106 corresponding third ontology perforation 2106 puncture hole 3106 with third；The corresponding 4th ontology perforation 2108 of 4th cap bore 4108 with
4th punctures hole 3108.Accommodating space 420 is connected the first cap bore 4102, the second cap bore 4104, third cap bore 4106 and the 4th
Cap bore 4108.Then identical as lid 400 as remaining structure, so it will not be repeated.
The difference of the washer 500 of the first embodiment of washer 500b and Fig. 2A, Fig. 2 B is only that washer 500b also and includes the
One washer aperture 5102, second packing ring aperture 5104, the aperture 5106 of third washer and the 4th washer aperture 5108, this first washer
Aperture 5102, second packing ring aperture 5104, the aperture 5106 of third washer and the 4th washer aperture 5108 are in more valve types and difference
Corresponding first cap bore 4102, the second cap bore 4104, third cap bore 4106 and the 4th cap bore 4108.As for remaining structure then with washer
500 is identical, and so it will not be repeated.Whereby, the multiholed catheter device 100b that tool of the invention punctures supplementary structure utilizes independent more
Introscope 110, surgical instrument 120, bath unit 130 and suction unit 140 are put in duct, not only can avoid mutually dry
It disturbs, and operation is quite convenient, can say it is a big Gospel for healthcare givers.In addition, these independent multi-pore channels are with specific
Direction, can allow introscope 110, surgical instrument 120, bath unit 130 and suction unit 140 intersect at operative site, side
Just healthcare givers manipulates, and then shortens operating time and increase operation safety, to solve the multiple surgical apparatus of tradition single
It is easily interfered with each other in duct and 110 palpus additional knot syzygies of introscope is inhaled produced by set component (endoscope sheath)
Problem not easy to operate.
Also referring to Figure 11 A and Figure 11 B, Figure 11 A is the tool puncture supplementary structure for being painted fourth embodiment of the invention
The top view of multiholed catheter device 100c.Figure 11 B is the multiholed catheter device 100c for being painted the tool puncture supplementary structure of Figure 11 A
Exploded perspective view.As shown, the multiholed catheter device 100c that tool punctures supplementary structure includes multi-pore channel ontology 200c, wears
Puncture tip portion 300c, lid 400c and washer 500c.
Multi-pore channel ontology 200c includes the first noumenon perforation 2102c, the second ontology perforation 2104c, the perforation of third ontology
2106c, the 4th ontology perforation 2108c, proximal end 220c, distal end 230c, horizontal ridges 240 and interlaced area R.Interlaced area R
Within multi-pore channel ontology 200c and between proximal end 220c and distal end 230c, the first noumenon perforation 2102c, the second ontology
Perforation 2104c, third ontology perforation 2106c, the 4th ontology perforation 2108c are linearly.The first noumenon is perforated 2102c and the
Two ontologies are perforated, and 2104c is interlaced with each other in interlaced area R, this interlaced area R is a cross-sectional area of multi-pore channel ontology 200c
Domain, and on this interlaced area R the first noumenon perforation 2102c and the second ontology perforate the mutual distance of 2104c near.It changes
Sentence is talked about, and perforation spacing is gradually reduced by proximal end 220c towards interlaced area R, and spacing of perforating is by interlaced area R direction distal end
230c becomes larger.Above-mentioned interlaced area R is identical as the position interlaced area R of Fig. 6 B.
Piercing point 300c includes the first puncture hole 3102c, the second puncture hole 3104c, third puncture hole 3106c
And the 4th puncture hole 3108c.First puncture hole 3102c, second puncture hole 3104c, third puncture hole 3106c with
And the 4th puncture hole 3108c respectively correspond linking the first noumenon perforation 2102c, the second ontology perforation 2104c, third ontology are worn
Hole 2106c and the 4th ontology perforation 2108c.Introscope 110 punctures hole 3102c through the first noumenon perforation 2102c and first；
Surgical instrument 120 punctures hole 3104c through the second ontology perforation 2104c and second；Bath unit 130 is worn through third ontology
Hole 2106c and third puncture hole 3106c；Suction unit 140 punctures hole through the 4th ontology perforation 2108c and the 4th
3108c。
Two are only that as the lid 400b of lid 400c, washer 500c and 3rd embodiment, the difference of washer 500b
The cap bore of embodiment and the position of washer aperture are different, the first cap bore 4102c, the second cap bore 4104c, third lid of lid 400c
Hole 4106c, the 4th cap bore 4108c respectively correspond the first washer aperture 5102c of washer 500a, second packing ring aperture 5104c,
The first noumenon the perforation 2102c, the second ontology of three washer aperture 5106c, the 4th washer aperture 5108c, multi-pore channel ontology 200c
The first puncture hole of perforation 2104c, third ontology perforation 2106c, the 4th ontology perforation 2108c and piercing point 300c
3102c, second puncture hole 3104c, third puncture hole 3106c, the 4th puncture hole 3108c.Whereby, the present invention is through tool
There are specific direction and alternating expression multi-pore channel independent of each other to realize different form and the introscope 110 in orientation, surgical instrument
120, bath unit 130 and using for suction unit 140 operate, and can both solve the multiple surgical apparatus of tradition in single duct
In the problem of easily interfering with each other, can also increase the elasticity that healthcare givers uses and reduce the operation limit of particular procedure equipment
System.
Previous porous road ontology 200,200a, 200b, 200c and piercing point 300,300a, 300b, 300c can be by curing
Treatment is made of hard material, such as: acrylonitrile-butadiene-styrene (ABS) polymer (Acryl Buadiene Styrene
Plastic；ABS plastic), polycarbonate (PC), polypropylene (PP), polyethylene (PE), polystyrene (PS), polyvinyl chloride
(PVC), polyethylene terephthalate (PET) or polybutylene terephthalate (PBT) (PBT) etc..
Also referring to Figure 12 A and Figure 12 B, Figure 12 A be the multi-pore channel ontology 200 for being painted one embodiment of the invention, 200a,
The outside side view of the horizontal ridges 240 of 200b, 200c.Figure 12 B is the multi-pore channel ontology 200d for being painted one embodiment of the invention
Spiral burr 240d outside side view.As shown, the outer wall of previous porous road ontology 200,200a, 200b, 200c is set
There are five horizontal ridges 240, these horizontal ridges 240 are parallel to each other and spaced set, as illustrated in fig. 12.Certainly, also may be used
As shown in Figure 12 B, the outer wall of multi-pore channel ontology 200d can be equipped with spiral burr 240d, this spiral burr 240d is used in combination in the shape of a spiral
To reduce resistance when multi-pore channel ontology 200d is punctured.During puncture, healthcare givers utilizes hand force rotary lobe
222, enable piercing point 300,300a, 300b, 300c and multi-pore channel ontology 200,200a, 200b, 200c, 200d penetrate patient's
Skin.Either horizontal ridges 240 either spiral burr 240d, can reduce multi-pore channel ontology 200,200a, 200b,
Displacement frictional force between the outer wall and skin of 200c, 200d, so as to enabling healthcare givers that can successfully puncture patient skin.
It is the tool puncture supplementary structure for being painted one embodiment of the invention also referring to FIG. 1 to FIG. 6 B and Figure 13, Figure 13
The flow diagram of the application method 600 of multiholed catheter device 100,100a.As shown, this application method 600 includes to puncture
Step S12, introscope installing step S14 and surgical instrument install step S16.Wherein piercing step S12 is to rotate and push
Multi-pore channel ontology 200,200a and piercing point 300,300a make multi-pore channel ontology 200,200a and piercing point 300, the edge 300a
One axial displacement.Introscope installing step S14 is that introscope 110 is arranged in it by proximal end 220,220a to distal end 230,230a
In a cap bore 410,410a, one of washer aperture 510,510a, one of ontology perforation 210,210a and wherein
One puncture hole 310,310a.And surgical instrument installing step S16 is by surgical instrument 120 by proximal end 220,220a to distal end
230,230a be arranged in another cap bore 410,410a, another washer aperture 510,510a, another ontology perforation 210,
210a and another puncture hole 310,310a.In addition, the step of application method 600 of Figure 13 execution sequence is piercing step
S12, introscope installing step S14 and surgical instrument install step S16, and in general surgical procedure, step executes suitable
Sequence also can install step S16 for piercing step S12, surgical instrument and introscope installs step S14.In other words, step is punctured
Rapid S12 is bound to first carry out, then can be according to healthcare givers as introscope installing step S14 and surgical instrument installing step S16
Demand and application determine execute sequence.Whereby, application method 600 of the invention punctures the porous of supplementary structure using tool and leads
Pipe device 100,100a put introscope 110 and surgical instrument 120, not only can avoid interfering with each other, and can increase medical treatment
The operation ease of personnel.Furthermore above-mentioned independent multi-pore channel has specific direction, can allow introscope 110 and surgical instrument
120 intersect at operative site, and healthcare givers is facilitated to manipulate, and then shorten operating time and increase operation safety, to solve to pass
The problem of multiple surgical apparatus of uniting easily interfere with each other in single duct.
Referring to Figure 7 together~Figure 11 B and Figure 14, Figure 14 is the tool puncture supplementary structure for being painted another embodiment of the present invention
Multiholed catheter device 100b, 100c application method 700 flow diagram.As shown, this application method 700 includes to wear
Pierce step S21, bath unit installing step S22, suction unit installing step S23, introscope installing step S24 and surgical device
Tool installs step S25.Wherein piercing step S21 be rotate and push multi-pore channel ontology 200b, 200c and piercing point 300b,
300c makes multi-pore channel ontology 200b, 200c and piercing point 300b, 300c along an axial displacement.Furthermore unit installing step of washing by water
Rapid S22 is that the unit 130 that will wash by water by proximal end 220b, 220c to distal end 230b, 230c is installed in third cap bore 4106,4106c, the
Three washer apertures 5106,5106c, third ontology perforation 2106,2106c and third puncture hole 3106,3106c.Water suction is single
Member installing step S23 be by suction unit 140 by proximal end 220b, 220c to distal end 230b, 230c be installed in the 4th cap bore 4108,
4108c, the 4th washer aperture 5108,5108c, the 4th ontology perforation 2108,2108c and the 4th puncture hole 3108,
3108c.In addition, introscope installing step S24 is to be arranged in introscope 110 by proximal end 220b, 220c to distal end 230b, 230c
First cap bore 4102,4102c, the first washer aperture 5102,5102c, the first noumenon perforation 2102,2102c and first are punctured
Hole 3102,3102c.And surgical instrument installing step S25 be by surgical instrument 120 by proximal end 220b, 220c to distal end 230b,
230c be arranged in the second cap bore 4104,4104c, second packing ring aperture 5104,5104c, the second ontology perforation 2104,2104c with
And second puncture hole 3104,3104c.In addition, the step of application method 700 of Figure 14 execution sequence is piercing step S21, punching
Water unit installs step S22, suction unit installing step S23, introscope installing step S24 and surgical instrument and installs step
S25, and in general surgical procedure, piercing step S21 is bound to first carry out, and the installing as other surgical apparatus then can be according to
The sequence executed is determined according to the demand and application of healthcare givers, that is, sequence can convert on demand.Whereby, user of the invention
Method 700 realized through having specific direction and alternating expression multi-pore channel independent of each other different form and orientation introscope 110,
Surgical instrument 120, bath unit 130 and using for suction unit 140 operate, and under conditions of not interfereing with each other, can increase doctor
Elasticity that treatment personnel use and the operation limitation for reducing particular procedure equipment.
By above embodiment it is found that the present invention is had the advantage that first, being put interior view using independent multi-pore channel
Mirror, surgical instrument, bath unit, suction unit or other surgical apparatus, can avoid interfering with each other.Second, these are independent more
Duct has specific direction, can be divided into center and puncture and intersect puncture, healthcare givers can be allowed to select according to demand appropriate
Structure.Third, center puncture be by the independent multi-pore channel with specific direction, allow introscope, surgical instrument, bath unit and
Suction unit intersects at operative site, and healthcare givers is facilitated to manipulate, and then shortens operating time and increase operation safety.Its
Four, intersect that puncture be through with specific direction and alternating expression multi-pore channel independent of each other realizes the interior of different form and orientation
Visor, surgical instrument, bath unit and using for suction unit operate, and under conditions of not interfereing with each other, can increase medical people
The elasticity that uses of member and the operation limitation for reducing particular procedure equipment.Fifth, device front end is tip hard, can be used for puncturing skin
Skin and additional again need not arrange in pairs or groups other puncturing structures to assist, therefore directly can wear and limit behind device puncturing operation position
Introscope and surgical instrument, and then simplify surgical procedure and increase the convenience of operation, it needs additionally to puncture knot to solve tradition
Structure assists and leads to inconvenient problem.
Although the present invention is disclosed above with embodiment, however, it is not to limit the invention, any to be familiar with this skill
Person, without departing from the spirit and scope of the present invention, when can be used for a variety of modifications and variations, therefore protection scope of the present invention is worked as
Subject to the scope of which is defined in the appended claims.
Claims (20)
1. a kind of tool punctures the multiholed catheter device of supplementary structure, special to guide an at least introscope and a surgical instrument
Sign is that the multiholed catheter device that the tool punctures supplementary structure includes:
One multi-pore channel ontology, comprising at least two ontologies perforation, a proximal end and one distal end, two ontology perforation independently of one another and this two
The extending direction of ontology perforation is different each other, and two ontology perforation is separated by a perforation spacing, and the perforation spacing is by the proximal end
It is distally gradually changed towards this；And
One piercing point connects the distal end, which includes at least two puncture holes, which respectively corresponds rank
Connect two ontology perforation；
Wherein, the introscope therethrough the ontology perforation with the corresponding one puncture hole, the surgical instrument run through it is another
Ontology perforation and another puncture hole.
2. the multiholed catheter device that tool according to claim 1 punctures supplementary structure, which is characterized in that two ontology perforation
Extend outwardly and be respectively formed two virtual ducts, respectively ontology perforation, perforation spacing linearly with the respectively virtual duct
It is distally gradually reduced by the proximal end towards this, which intersects at except the multi-pore channel ontology and shape has angle, should
Angle is greater than 0 degree and less than 45 degree.
3. the multiholed catheter device that tool according to claim 1 punctures supplementary structure, which is characterized in that the multi-pore channel ontology
Outer wall be equipped with a plurality of horizontal ridges, a plurality of horizontal ridges are parallel to each other and spaced set.
4. the multiholed catheter device that tool according to claim 1 punctures supplementary structure, which is characterized in that the multi-pore channel ontology
Outer wall be equipped with a spiral burr, the spiral burr to reduce the multi-pore channel ontology puncture when resistance.
5. the multiholed catheter device that tool according to claim 1 punctures supplementary structure, which is characterized in that the proximal end includes:
Two lugs are located at opposite two sides of the proximal end, and two lug is to rotate the multi-pore channel ontology and the piercing point.
6. the multiholed catheter device that tool according to claim 1 punctures supplementary structure, which is characterized in that also include:
One lid, is made of soft materials, which coats the proximal end, which includes:
At least two cap bore, two cap bore is rounded and respectively corresponds two ontology perforation and the two punctures hole；
One accommodating space is connected two cap bore；And
One caulking groove, set on the lid inside and connect the accommodating space, the shape of the caulking groove corresponds to the shape of the proximal end.
7. the multiholed catheter device that tool according to claim 6 punctures supplementary structure, which is characterized in that also include:
One washer, is made of soft materials, which is located between the lid and the proximal end and is set in the accommodating space, the pad
Circle has at least two washer apertures, and the two washers aperture is in more valve types and respectively corresponds two cap bore, and the two faces difference of the washer is tight
One proximal end top surface of the closely connected inner top surface for closing the lid and the proximal end.
8. it is according to claim 1 tool puncture supplementary structure multiholed catheter device, which is characterized in that the piercing point by
One rigid material is constituted, which is in sharp vertebra shape, and the piercing point and a junction of the distal end are equipped with a ring convex, are located at
The cross section of the piercing point of the junction is greater than the cross section of the distal end.
9. the multiholed catheter device that tool according to claim 1 punctures supplementary structure, which is characterized in that the multi-pore channel ontology
It also include an interlaced area, which is located within the multi-pore channel ontology and between the proximal end and the distal end, respectively should
Ontology perforation is linearly, and two ontology perforation is interlaced with each other in the interlaced area, which should by proximal end direction
Interlaced area is gradually reduced, and the perforation spacing is distally become larger by the interlaced area towards this.
10. a kind of tool punctures the multiholed catheter device of supplementary structure, to guide an introscope, a surgical instrument, a bath list
Member and a suction unit, which is characterized in that the multiholed catheter device that the tool punctures supplementary structure includes:
One multi-pore channel ontology includes the first noumenon perforation, the perforation of one second ontology, third ontology perforation, one the 4th ontology
Perforation, a proximal end and a distal end, the first noumenon perforation, second ontology perforation, third ontology perforation and the 4th ontology
Perforation is independently of one another and extending direction is different each other, and the first noumenon perforation and second ontology perforation are separated by between a perforation
Away from the perforation spacing is distally gradually changed by the proximal end towards this；And
One piercing point connects the distal end, which includes one first puncture hole, one second puncture hole, a third
Hole and one the 4th puncture hole are punctured, the first puncture hole, the second puncture hole, the third puncture hole and the 4th
It punctures hole and respectively corresponds and be connected the first noumenon perforation, second ontology perforation, third ontology perforation and the 4th ontology
Perforation；
Wherein, which runs through second ontology through the first noumenon perforation and the first puncture hole, the surgical instrument
Perforation punctures hole, the suction unit with the third through third ontology perforation with the second puncture hole, the bath unit
Hole is punctured with the 4th through the perforation of the 4th ontology.
11. the multiholed catheter device that tool according to claim 10 punctures supplementary structure, which is characterized in that the first noumenon
Perforation, second ontology perforation, third ontology perforation and the perforation of the 4th ontology extend outwardly and are respectively formed one first void
Quasi- duct, one second virtual duct, the virtual duct of a third, one the 4th virtual duct, the first noumenon perforation, second ontology
Perforation, third ontology perforation, the perforation of the 4th ontology, the first virtual duct, the second virtual duct, the third virtual aperture
Road and the 4th virtual duct are linearly, which is distally gradually reduced by the proximal end towards this, this is first virtual
Duct, the second virtual duct, the virtual duct of the third and the 4th virtual duct intersect at except the multi-pore channel ontology.
12. the multiholed catheter device that tool according to claim 10 punctures supplementary structure, which is characterized in that the multi-pore channel sheet
The outer wall of body is equipped with a plurality of horizontal ridges, and a plurality of horizontal ridges are parallel to each other and spaced set.
13. the multiholed catheter device that tool according to claim 10 punctures supplementary structure, which is characterized in that the multi-pore channel sheet
The outer wall of body is equipped with a spiral burr, and the spiral burr is to reduce resistance when device punctures.
14. the multiholed catheter device that tool according to claim 10 punctures supplementary structure, which is characterized in that proximal end packet
Contain:
Two lugs are located at opposite two sides of the proximal end, and two lug is to rotate the multi-pore channel ontology and the piercing point.
15. the multiholed catheter device that tool according to claim 10 punctures supplementary structure, which is characterized in that also include:
One lid, is made of soft materials, which coats the proximal end, which includes:
One first cap bore, rounded and corresponding the first noumenon perforation and the first puncture hole；
One second cap bore, rounded and corresponding second ontology perforation and the second puncture hole；
One third cap bore, rounded and corresponding third ontology perforation puncture hole with the third；
One the 4th cap bore, rounded and corresponding 4th ontology perforation puncture hole with the 4th；
One accommodating space is connected first cap bore, second cap bore, the third cap bore and the 4th cap bore；And
One caulking groove, set on the lid inside and connect the accommodating space, the shape of the caulking groove corresponds to the shape of the proximal end.
16. the multiholed catheter device that tool according to claim 15 punctures supplementary structure, which is characterized in that also include:
One washer, is made of soft materials, which is located between the lid and the proximal end and is set in the accommodating space, the pad
Circle has four washer apertures, which is in more valve types and respectively corresponds first cap bore, second cap bore, the third
Cap bore and the 4th cap bore, two faces of the washer fit closely an inner top surface of the lid respectively and a proximal end of the proximal end is pushed up
Face.
17. the multiholed catheter device that tool according to claim 10 punctures supplementary structure, which is characterized in that the piercing point
It is made of a rigid material, which is in sharp vertebra shape, and the piercing point and a junction of the distal end are equipped with a ring convex, position
It is greater than the cross section of the distal end in the cross section of the piercing point of the junction.
18. the multiholed catheter device that tool according to claim 10 punctures supplementary structure, which is characterized in that the multi-pore channel sheet
Body also includes an interlaced area, which is located within the multi-pore channel ontology and between the proximal end and the distal end, should
The first noumenon perforation, second ontology perforation, third ontology perforation and linearly, the first of the 4th ontology perforation
Body perforation and second ontology perforation are interlaced with each other in the interlaced area, the perforation spacing by the proximal end towards the interlaced area by
It is tapered small, and the perforation spacing is distally become larger by the interlaced area towards this.
19. a kind of application method for the multiholed catheter device for puncturing supplementary structure applied to tool described in claim 1, to lead
Draw the introscope and the surgical instrument, which is characterized in that the application method includes:
One piercing step is to rotate the multi-pore channel ontology and the piercing point, makes the piercing point along an axial displacement；
One introscope install step, be the introscope is distally arranged in by the proximal end to this wherein the ontology perforation with wherein
The one puncture hole；And
One surgical instrument installs step, be the surgical instrument is distally arranged in by the proximal end to this perforation of another ontology with it is another
The one puncture hole.
20. a kind of application method for the multiholed catheter device that supplementary structure is punctured applied to tool described in any one of claim 10, to
Guide the introscope, the surgical instrument, the bath unit and the suction unit, which is characterized in that the application method includes:
One piercing step is to rotate the multi-pore channel ontology and the piercing point, makes the piercing point along an axial displacement；
One bath unit installs step, is that the bath unit is installed in third ontology perforation to puncture hole with the third；
One suction unit installs step, is that the suction unit is installed in the perforation of the 4th ontology to puncture hole with the 4th；
One introscope install step, be the introscope is distally arranged in by the proximal end to this first noumenon perforation with this first
Puncture hole；And
One surgical instrument installs step, is that the surgical instrument is distally arranged in by the proximal end to this to second ontology perforation and is somebody's turn to do
Second punctures hole.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201710815047.7A CN109480920A (en) | 2017-09-12 | 2017-09-12 | Tool punctures the multiholed catheter device and its application method of supplementary structure |
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| Application Number | Priority Date | Filing Date | Title |
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| CN201710815047.7A CN109480920A (en) | 2017-09-12 | 2017-09-12 | Tool punctures the multiholed catheter device and its application method of supplementary structure |
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| CN1084729A (en) * | 1993-06-16 | 1994-04-06 | 洛马林达大学医学中心 | Be used for the operating trocar of splanchnoscopy and help into 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 |
| CN102028508A (en) * | 2009-10-01 | 2011-04-27 | Tyco医疗健康集团 | Seal anchor with non-parallel lumens |
| CN206261645U (en) * | 2016-08-25 | 2017-06-20 | 江苏明朗医疗器械科技有限公司 | Single use laparoscope puncture outfit |
| CN106725763A (en) * | 2016-12-30 | 2017-05-31 | 江苏风和医疗器材股份有限公司 | Sealing shroud and the puncture outfit with it |
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