A kind of sealing cover, incision protective sleeve and operation device
Technical field
The present invention relates to the field of medical instrument technology more particularly to a kind of sealing covers, and the invention further relates to a kind of notch
Protective case, the invention further relates to the operation devices being assembled by above-mentioned sealing cover and incision protective sleeve.
Background technique
When laparoscopic surgery carries out various resection operations, it is often used multichannel single hole hysteroscope puncture outfit.In an operation,
It generally requires to use multiple single hole hysteroscope puncture outfits.In existing technology there are it is cumbersome or deposit upon connection air-tightness presence
The problem of shortcoming, while complication caused by infection of incisional wound also allows doctor to feel a delicacy about.The Ministry of Public Health puts into effect " medical institutions within 2011
Antimicrobial management method ", strict regulations have been done to the antibiotic usage of hospital, in art, it is postoperative how to control infection propose
Higher requirement.Incision protective sleeve exactly comes into being under the promoting of this demand, it can effectively solve the problem that following problems:
(1) visuality of the appearing property of improvement surgical field of view and notching edge, effectively diminution incision size and prevention incision tissue's bleeding,
Oozing of blood;(2) reduce degree of tissue damage, reduce local trauma be associated with pain;(3) use for reducing drag hook and retractor, gives
Give the biggish operating space of operator;(4) operative incision opportunities for contamination is reduced, to reduce infection of incisional wound risk.
But since incision protective sleeve often uses flexible material to make, when placing it in notch, due to incision protection
It covers the squeezing action by edge tissues and deforms, to limit the operation visual field of operation.In addition, although incision protective sleeve pole
The earth reduces the space of notch exposure, reduces operative incision opportunities for contamination.But incision protective sleeve still can expose top
Opening protrude into inside notch for medical instrument, the opening exposed still can cause the wound infection of patient to a certain degree.
How one kind novel single channel porous laparoscopic surgery device that can with incision protective sleeve be used cooperatively is developed with further
Simplify single-hole laparoscopic surgery operation and reduce infection of incisional wound rate, promote procedure efficiency, becomes the field of medical instrument technology instantly
The a great problem faced.
Summary of the invention
For overcome the deficiencies in the prior art, one of the objects of the present invention is to provide a kind of single channel honeycomb seal covers
Body cooperates incision protective sleeve to use, to overcome notch existing for above-mentioned existing multichannel single hole puncture outfit by the sealing cover
Infection rate is high, is unfavorable for promoting the defect of procedure efficiency.
The second object of the present invention is to provide a kind of incision protective sleeve, passes through the incision protective sleeve and sealing cover cooperates
It uses, to overcome, infection of incisional wound rate existing for above-mentioned existing incision protective sleeve is high, is unfavorable for promoting the defect of procedure efficiency.
The third object of the present invention is to provide a kind of operation device, by using the operation device, to overcome existing hand
Infection of incisional wound rate existing for art device is high, is unfavorable for promoting the defect of procedure efficiency.
An object of the present invention adopts the following technical scheme that realization:
A kind of sealing cover including shell and is set to the instrument channel and inlet channel of the case top, described
Housing bottom is provided with the connector for connecting incision protective sleeve, and the instrument channel and inlet channel connect with enclosure interior
It is logical;
The top of the instrument channel is equipped with sealing cover, and the sealing cover is equipped with through hole, and the instrument channel passes through
Through hole is communicated with outside;
It further include choke baffle, the choke baffle is used to obstruct the connection between instrument channel and shell;
When surgical instrument is inserted through hole, surgical instrument and through hole are interference fitted, and surgical instrument passes through instrument channel
When continuing to protrude into enclosure interior, the choke dam forces are opened.
It further, further include channel liner, the channel liner is set on the inner wall of instrument channel;
The top of the channel liner is connect with sealing cover, and the bottom of the channel liner is connect with choke baffle.
Further, the choke baffle is set in instrument channel, and the bottom of the channel liner is arranged to skewed;
The choke baffle is inclined cover plate, and the side of the inclined cover plate is fixedly connected with the bottom of channel liner, institute
The bottom of the other side and channel liner of stating inclined cover plate is detachably connected.
Further, the choke baffle includes attachment base, the first sealing valve and the second sealing valve, first sealing valve
And second sealing valve be set to attachment base on one end;
The attachment base is equipped with the first removable connector far from one end of the first sealing valve and the second sealing valve, described logical
The bottom of road liner is correspondingly provided with the second removable connector;
First sealing valve and the second sealing valve block one end of attachment base jointly, first sealing valve and second close
The joining place formation of envelope valve struts band, and described strut when band is squeezed by surgical instrument struts.
It further, further include inlet duct, the inlet duct includes admission line, air inlet switch and intake interface,
The intake interface is for connecting inlet channel;
The air inlet switch is set on admission line for controlling being switched on or off for admission line.
It further, further include air-out apparatus, the air-out apparatus includes outlet pipe, goes out air cock and outlet interface,
Outlet passageway is correspondingly provided on the shell, the outlet interface is for connecting outlet passageway;
The air cock out is set on outlet pipe for controlling being switched on or off for outlet pipe.
Further, the inner wall of the connector is equipped at least one annular groove, and the annular groove is for being socketed
Incision protective sleeve;
The central axes of the shell and the central axes of instrument channel are crossed to form 0~10 ° of angle.
Further, the sealing cover is sealing cover made of flexible material, and the shell is transparent or translucent
Shell made of flexible material.
The second object of the present invention adopts the following technical scheme that realization:
A kind of incision protective sleeve, including channel, connection ring and implantation ring, the connection ring are set to the one end in channel to be used for
The connector of connection sealing cover, the other end for being located on channel that is implanted into is in implant surgery notch;
The incision protective sleeve is incision protective sleeve made of transparent or translucent flexible material.
The third object of the present invention adopts the following technical scheme that realization:
A kind of operation device, including sealing cover described in any of the above embodiments and above-mentioned incision protective sleeve.
Compared with prior art, the beneficial effects of the present invention are:
(1) present invention sealing cover is used by cooperation incision protective sleeve, can be inflated for incision protective sleeve to strut hand
Art notch or its internal organ, tissue, it is ensured that before and after surgical instrument protrudes into notch, which is in opposite always
Closed space, greatly reduces infection rate.The instrument channel of case top setting also facilitates surgical staff to be inserted into surgical device
Tool is performed the operation, and surgical procedure is in relatively sterile environment always.
(2) incision protective sleeve of the present invention cooperates above-mentioned sealing cover to use, and can provide surgical staff surgical field of view, by
In itself flexibility quickly implantation notch in, also facilitate its with sealing cover be attached, it is ensured that operation device it is relatively closed
Property, greatly promote the efficiency of operation.
(3) operation device of the present invention is used cooperatively by sealing cover with incision protective sleeve, facilitate to operative incision or
Tissue or organ in operative incision are strutted, and surgical staff is facilitated to be observed.In addition, the operation device forms one
Relatively closed cavity, surgical staff also can by sealing cover be inserted into surgical instrument, surgical instrument one it is relatively closed, every
From cavity be operated, be capable of high degree reduce operation infection risk.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the operation device of one embodiment of the present invention;
Fig. 2 is the disassembly diagram of operation device shown in Fig. 1;
Fig. 3 is the structural schematic diagram of sealing cover shown in Fig. 2;
Fig. 4 is the cross-sectional view of sealing cover shown in Fig. 3;
Fig. 5 is the partial enlarged view of choke baffle shown in Fig. 4;
Fig. 6 is the structural schematic diagram of the choke baffle of another embodiment;
Fig. 7 is the structural schematic diagram of incision protective sleeve shown in Fig. 2;
Fig. 8 is the cross-sectional view of incision protective sleeve shown in Fig. 7.
In figure: 100, sealing cover;11, shell;12, instrument channel;121, sealing cover;1211, through hole;122, channel
Liner;13, inlet channel;14, connector;141, annular groove;15, choke baffle;151, end;152, tail is connected;
153, attachment base;154, the first sealing valve;155, the second sealing valve;16, inlet duct;17, air-out apparatus;200, incision protection
Set;21, connection ring;22, channel;23, it is implanted into ring.
Specific embodiment
In the following, being described further in conjunction with attached drawing and specific embodiment to the present invention, it should be noted that not
Under the premise of conflicting, new implementation can be formed between various embodiments described below or between each technical characteristic in any combination
Example.
Embodiment 1
It as shown in Figs. 1-2, is the operation device (laparoscopic surgery device) of one embodiment of the present invention.The operation device
Including sealing cover 100 and incision protective sleeve 200, sealing cover 100 is detachably connected with incision protective sleeve 200.As a result, may be used
First incision protective sleeve 200 to be inserted into operative incision as needed during operation, then will sealing cover 100 and incision protective sleeve
200 link together, and are inflated to incision protective sleeve 200 by sealing cover 100 so that operative incision or operation are cut
Tissue or organ in mouthful strut, and surgical staff is facilitated to be observed.In addition, operation device formation one is relatively closed
Cavity, surgical staff can also be inserted into surgical instrument by sealing cover 100, and surgical instrument is in relatively closed, isolation a sky
Chamber is operated, and is capable of the infection risk of high degree reduction operation.
As shown in Figure 3-4, the cross-sectional view to seal cover 100.The sealing cover 100 is including shell 11 and is set to shell
The instrument channel 12 and inlet channel 13 at 11 top of body.The bottom of shell 11 is additionally provided with connector 14, which is used for
Connect incision protective sleeve 200.Wherein, instrument channel 12 and inlet channel 13 are communicated with the inside of shell 11, instrument channel 12
For being inserted into surgical instrument, inlet channel 13 is used to support for the inside air inlet to shell 11 and incision protective sleeve 200
Notch facilitates tissue and organ inside surgical staff observation notch.The top of instrument channel 12 is equipped with sealing cover 121, close
The top in instrument channel 12 is covered in capping 121, and the middle part of sealing cover 121 is equipped with through hole 1211, through hole 1211 and instrument
Channel 12 communicates namely instrument channel 12 is communicated by through hole 1211 with outside.The sealing cover 100 further includes choke baffle
15, in the present embodiment, choke baffle 15 is set in instrument channel 12, and choke baffle 15 obstructs instrument channel 12 and shell 11
Between connection.In other embodiments, choke baffle 15 can also be set to 11 inside of shell or instrument channel 12 and shell
Between 11, for obstructing the connection between instrument channel 12 and shell 11.
When being performed the operation using the operation device, first incision protective sleeve 200 can be inserted into operative incision, at this point, cutting
The top of mouth protective case 200 and connector 14 are socketed, and the bottom of incision protective sleeve 200 abuts the tissue inside notch, pass through group
It knits perhaps organ and blocks the relatively closed cavity of bottom operation device formation one of incision protective sleeve 200 (when tissue or device
When official not exclusively blocks the bottom of incision protective sleeve 200, operation device is also possible to outside gas leakage, but passes through inlet channel 13
Continuous charge process, it is ensured that the operation device, which is in, is in expanded state during entire operation carries out), pass through inlet channel
13 pairs of operation device inflations are prevented inside shell 11 at this point, instrument channel 12 is blocked by choke baffle 15 by choke baffle 15
It is connected to outside air, operation device forms a relatively closed cavity, it is ensured that certain air pressure shape is maintained inside operation device
State plays and struts wound, the function of facilitating surgical staff to perform the operation.Meanwhile operative incision is covered by the operation device, operation
Notch is in the state of relative closure in the course of surgery, greatly reduces the risk of surgery cut infection.At this point, surgical staff
Surgical instrument is protruded into instrument channel 12 by the through hole 1211 on sealing cover 121, at this point, surgical instrument and through hole
1211 interference fits, i.e. through hole 1211 wrap up surgical instrument, the gas in instrument channel 12 can not or minimal amount from running through
Hole 1211 leaks out.When continuing to continue to protrude into shell 11 and inside of human body by instrument channel 12 by surgical instrument, operation
Instrument is in interference fit state with through hole 1211 always, it is ensured that the air pressure inside shell 11 is relative constant.Work as surgical instrument
When contradicting choke baffle 15,15 stress of choke baffle is opened, at this point, 11 inside of shell is connected to instrument channel 12, is interference fitted
Surgical instrument seal with through hole 1211.Replace sealing with choke baffle 15 by sealing cover 121 as a result, to make
With forming the two pass lock of the operation device, it is ensured that the air pressure inside shell 11 is relative constant and opposing seal.Surgical instrument is stretched
After entering organization internal, surgical staff can the operation device top manipulation surgical instrument tail portion, such as can be tweezers, cut
Knife, scalpel, washing liquid device and aspirator etc..
As preferred embodiment, the through hole 1211 on sealing cover 121 is circle, is mainly used for leading to various instruments,
Aperture is 2~11mm.The sealing cover 121 and through hole 1211 are that flexible material is made, for example, it may be rubber, silica gel etc.
Medical macromolecular materials are made.
As preferred embodiment, shell 11 is shell made of transparent or translucent flexible material.Hand as a result,
When art operates, surgical staff can observe position and the state of surgical instrument by shell 11, facilitate surgical staff to surgical device
Tool is operated;Wedge angle is not present in shell 11 flexible, and unnecessary wound will not be caused to patient.In other specific embodiment parties
In formula, shell 11 or nontransparent flexible material are made, and surgical staff is observed by the incision protective sleeve 200 of its socket
The position of surgical instrument and state.
As preferred embodiment, the inner wall of connector 14 is equipped with two rule annular grooves 141, correspondingly, such as schemes
Shown in 7-8, the top of incision protective sleeve 200 is equipped with two connection rings 21.When assembling sealing cover 100 and incision protective sleeve 200,
By means of the good fit and sealing effect of flexible material, when two connection rings 21 are embedded in two rule annular grooves 141,
It can guarantee to seal the sealed connection between cover 100 and incision protective sleeve 200, especially when the air pressure in shell 11 is larger
When, by the squeezing action of air pressure, further ensures that and securely connected between sealing cover 100 and incision protective sleeve 200.In other realities
It applies in example, sealing cover 100 with incision protective sleeve 200 can also be the detachable connection methods such as bonding, clamping, socket, can also
To be the connection type to be achieved a fixed connection by seccotine etc..
As preferred embodiment, as shown in figure 4, further including channel liner 122, channel liner in instrument channel 12
122 are set on the inner wall of instrument channel 12.In the present embodiment, channel liner 122 is made of plastic material, and channel liner
122 carry out be bonded with the inner wall of instrument channel 12, thereby guarantee that channel liner 122 is fixed together with instrument channel 12.At it
In its embodiment, channel liner 122 can also be to be integrally formed with instrument channel 12, or passes through the connections such as clamping, socket
Mode connects.
As preferred embodiment, as shown in figure 4, channel liner 122 is extended upwardly to beyond instrument channel 12, channel
The top of liner 122 and sealing cover 121 are clamped, and specially the inner wall of sealing cover 121 is equipped with hook, correspondingly, channel liner
122 outer wall is equipped with card slot, the card slot on hook insertion 122 outer wall of channel liner when assembling, on 121 inner wall of sealing cover
In, it is achieved in channel liner 122 and is clamped sealing cover 121.In other embodiments, channel liner 122 and sealing cover 121 are gone back
It can be the connection types such as bonding, socket, threaded connection.
As preferred embodiment, as shown in figure 4, choke baffle 15 is set in instrument channel 12, and choke baffle 15
Channel liner 122 is blocked from the bottom of channel liner 122.The bottom of channel liner 122 is arranged to skewed, channel liner 122
Bottom and the retractable connection of choke baffle 15.When surgical instrument protrudes into shell 11, surgical instrument abuts choke baffle 15,
Choke baffle 15 receives the thrust of inclined direction, the left end of choke baffle 15 and the de- connection of channel liner 122, choke baffle
15 right end and channel liner 122 keeps connecting, and is achieved in bottom and the retractable company of choke baffle 15 of channel liner 122
It connects, is smoothly inserted into shell 11 convenient for surgical instrument.As shown in figure 5, specific connection type are as follows: choke baffle 15 is arranged like
L shape, including connection tail 152 and end 151, connection tail 152 are located in the outer wall of channel liner 122 and the inner wall of instrument channel 12
Between, and connect tail 152 and be equipped with hook outstanding, correspondingly, the outer wall of channel liner 122 is equipped with card slot, by hook when assembling
It is embedded in corresponding card slot, realizes that choke baffle 15 and channel liner 122 are clamped.In the present embodiment, end 151 is arranged to " lid
Shape ", end 151 include central panel for blocking 122 outlet at bottom of channel liner and for surrounding 122 bottom of channel liner
The flange of outlet, by means of the cooperation of flange and central panel, the bottom that realization choke baffle 15 covers channel liner 122 is opened
Mouthful.In other embodiments, end 151 can also be bonding, socket, the either disconnected band connection of clamping with channel liner 122.
As preferred embodiment, the top of the sealing cover 100 further includes inlet duct 16, the inlet duct 16 packet
Admission line, air inlet switch and intake interface are included, intake interface is for connecting inlet channel 13.Inlet duct 16 and inlet channel
13 connections, by inlet duct 16 to 11 inside air inlet of shell, the tissue or organ gone out for strutting notch facilitates operation people
Member's observation surgery location.Air inlet switch is set on admission line, controls being switched on or off for admission line by air inlet switch.
When intake air is required, inlet duct can also be passed through when needing to deflate to 11 inside air inlet of shell by inlet duct 16
16 deflate, and when needing to maintain 11 air pressure inside of shell relatively stable, can pass through the slow continuous gas entry (gas leakage of inlet duct 16
In the case of) or close air inlet switch (in the case of non-leak).
As preferred embodiment, the top of the sealing cover 100 further includes air-out apparatus 17, and air-out apparatus 17 includes
Outlet pipe goes out air cock and outlet interface, is correspondingly provided with outlet passageway on shell 11, when assembling the operation device, by going out
Gas channel is connect with outlet interface, realizes that air-out apparatus 17 is connected with enclosure interior.Air cock is set on outlet pipe out, outlet
Switch control outlet pipe is switched on or off.It, can be with when needing to remove the dirty gas inside notch in surgical procedure
By 17 continuous air-out of 16 continuous gas entry of inlet duct and air-out apparatus, gas herein is aseptic gas, is capable of forming one
A access facilitates the progress of surgical procedure so that dirty gas is discharged.
As preferred embodiment, the central axes of instrument channel 12 are intersected with the central axes of shell 11, and two central axes
Between angle be 0~10 °.The central axes of instrument channel 12 are intersected with the central axes of shell 11, facilitate surgical staff from side
To insertion surgical instrument, and surgical instrument put in a distance after act on privileged site.
As preferred embodiment, the top of shell 11 includes four instrument channels 12, and four instrument channels 12 are right
The through hole 1211 answered is of different sizes, for being inserted into different surgical instruments.The central axes of four instrument channels 12 and shell 11
Central axes intersection, and angle is identical, i.e., surgical instrument focuses on same position after protruding into same distance, facilitates surgical staff control
Surgical instrument processed.In other embodiments, the angle that the quantity of instrument channel 12, its central axes are intersected with the central axes of shell 11
It can according to need adjustment.
Embodiment 2
Embodiment 2 difference from example 1 is that: as shown in fig. 6, choke baffle 15 include attachment base 153, first
Sealing valve 154 and the second sealing valve 155.Attachment base 153 is cylindrical in shape, and the first sealing valve 154 and the second sealing valve 155 are set to tubular
The upper end (upper right side in Fig. 6) of attachment base 153.The upper end of attachment base 153 is equipped with the first removable connector, in the present embodiment
In be external screw thread, correspondingly, the bottom of channel liner 122, which is equipped with internal screw thread, by means of the connection of internal and external threads is achieved in resistance
Being detachably connected between gas baffle 15 and channel liner 122.In other embodiments, choke baffle 15 and channel liner 122
Between can also by clamping, socket or bonding realize be detachably connected.
First sealing valve 154 and the common lower end (lower-left end in figure) for blocking attachment base 153 of the second sealing valve 155, first
Sealing valve 154 and the second sealing valve 155 are semicircle in class, the top and connection of the first sealing valve 154 and the second sealing valve 155
The lower section of the lower end connection of seat 153, the first sealing valve 154 and the second sealing valve 155, which connects to each other to form, struts band.Strut band
Most weakness is connected, when surgical instrument squeezes the first sealing valve 154 or when the second sealing valve 155, band is strutted and is squeezed power
Effect struts band stress and bursts, and thus surgical instrument can pass through.
In other embodiments, the first sealing valve 154 can also be not connected to the second sealing valve 155, the first sealing valve 154
Chong Die in middle position formation with the second sealing valve 155, the overlapping by means of the first sealing valve 154 and the second sealing valve 155 is same
Sample can be good at blocking channel liner 122, play certain sealing function.When surgical instrument squeeze the first sealing valve 154 or
When the second sealing valve 155 of person, intermediate lap position is softened, and surgical instrument can smoothly enter into shell 11.
Embodiment 3
It as Figure 7-8, is a kind of incision protective sleeve 200 being used cooperatively with above-mentioned 100 body of seal closure.The incision protection
Set 200 includes channel 22, connection ring 21 and implantation ring 23, wherein connection ring 21 is set to the top in channel 22 with close for connecting
The connector 14 of sealing cover body 100, implantation ring 23 are set to the bottom end in channel 22 to be used in implant surgery notch, by means of being implanted into ring
23 sizing and withstanding effect both can guarantee that the shape of implantation ring 23 is relative constant, be unlikely to deform because of Tissue approximation;It is another
Aspect also ensures that implantation ring 23 abuts tissue or organ, it is ensured that relatively closed inside operation device.
As preferred embodiment, incision protective sleeve 200 is notch made of transparent or translucent flexible material
Protective case, such as medical silica-gel.
The above embodiment is only the preferred embodiment of the present invention, and the scope of protection of the present invention is not limited thereto,
The variation and replacement for any unsubstantiality that those skilled in the art is done on the basis of the present invention belong to institute of the present invention
Claimed range.