CN102008354A - Umbrella-like protective cover type invisible endoscopic channel for abdominal minimally invasive surgery - Google Patents

Umbrella-like protective cover type invisible endoscopic channel for abdominal minimally invasive surgery Download PDF

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Publication number
CN102008354A
CN102008354A CN2010105561216A CN201010556121A CN102008354A CN 102008354 A CN102008354 A CN 102008354A CN 2010105561216 A CN2010105561216 A CN 2010105561216A CN 201010556121 A CN201010556121 A CN 201010556121A CN 102008354 A CN102008354 A CN 102008354A
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CN
China
Prior art keywords
umbrella
cover body
abdominal cavity
minimally invasive
invasive surgery
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Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN2010105561216A
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Chinese (zh)
Inventor
莫春林
胡海
浦峥峻
姚佳陈
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SHANGHAI INNOVEX MEDICAL CO Ltd
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SHANGHAI INNOVEX MEDICAL CO Ltd
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Priority to CN2010105561216A priority Critical patent/CN102008354A/en
Publication of CN102008354A publication Critical patent/CN102008354A/en
Pending legal-status Critical Current

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Abstract

The invention relates to an umbrella-like protective cover type invisible endoscopic channel for an abdominal minimally invasive surgery. The endoscopic channel comprises an in-vitro combined platform and an in-vivo expansion cover body, and is characterized in that the in-vitro combined platform comprises a porous platform (19), a pair of combined outer ferrules (16) and inner ferrules (17) arranged in the outer ferrules, wherein the porous platform (18) is arranged in the inner ferrules by plug-in connection; and the in-vivo expansion cover body comprises an abdominal channel pipe (13) and an umbrella-like cover body (20), an annular ball bag (12) is arranged at the bottom part of the outer ring of the abdominal channel pipe (13), the annular ball bag (12) is communicated with an external gas source through a gas filling pipe (14) which is arranged in the abdominal channel pipe (13) and is communicated with the inner cavity of the annular ball bag (12), and the umbrella-like cover body (20) is an annular cover body which is small at top and big at bottom and fixedly combined with the annular ball bag (12) into a whole.

Description

The stealthy Inner mirror of a kind of umbrella safety cover type locker abdominal cavity Minimally Invasive Surgery passage
Technical field
The present invention relates to a kind of abdominal operation assistive device, the stealthy Inner mirror of especially a kind of umbrella safety cover type locker abdominal cavity Minimally Invasive Surgery passage.
Background technology
Along with the development of Medical Technology, the micro-wound surgical operation of utilization laparoscopic technique is also promoted the use of at home day by day.The 2-4 hole operation methods that adopt in laparoscopic surgery more, one of them is opened on the navel (perhaps other positions of abdominal part) at human body, avoid staying the scar of strip at position, patient abdominal cavity, after the recovery, only leave 1-3 0.5-1 centimetre wire cicatrix at the position, abdominal cavity, it is little to can be described as wound surface, the operation that pain is little, and therefore also the someone is referred to as " keyhole " operation.Carrying out of laparoscopic surgery alleviated the pain that patient operates on, and patient recovery is shortened, and reduced patient's disbursement relatively, be development in recent years operation project rapidly.
When hospitals more both domestic and external have just begun, use single hole or porous laparoscopic technique to implement through umbilicus single hole mirror cholecystectomy, appendectomy, stones in intrahepatic bile duct cystadenoma excision, or the like.In operation process, these are opened on the little otch of doing 5~12 millimeters of diameters at the different parts of abdominal part must settle an abdominal cavity passage, be convenient to insert pick-up lens and various special operating theater instruments, the image that inserts the captured various internal organs of intraperitoneal of Intraabdominal photographic head is transferred on the telescreen, the surgeon finishes operation with various operating theater instruments external the operation by observing image.
But, the habitual at present abdominal cavity passage that passes through the little incision-like of abdominal part carries out Minimally Invasive Surgery and has some obvious defects: after little otch is opened, because the intrinsic pressure effect in abdominal cavity, the influential point of viscera of intracavity device forms extruding to accent, therefore can cause the damage appearance of phenomenons such as the tissue of no pathological changes and organ of operating theater instruments accident.Though the generation of adopting the abdominal cavity channel to prevent these phenomenons is also being arranged at present, but because the abdominal cavity channel that uses is too simple at present, not only under the effect of human abdomen's muscle, can't be positioned at more securely in the little otch, and can't adapt to the requirement that porous road, many apparatuses are operated simultaneously.
Therefore, how to solve the expansion of the little otch of abdominal part stable, can adapt to the demand of many apparatuses again simultaneously from entering with a kerf, having become needs the problem that solves in the clinical Minimally Invasive Surgery.
Summary of the invention
Purpose of the present invention is intended to: by using a kind of stealthy Inner mirror passage of umbrella protective cover; after patient's umbilical part or little otch of nearly umbilical part incision; the stealthy Inner mirror passage of the umbrella protective cover of Shou Suoing is in pusher is pushed to the abdominal part body in advance; trombone slide shape passage is to correct position in the elder generation; the fixed jacket pipe; mechanical means struts the protective cover of umbrella then, has just set up the tubular conduit of the through lesions position of a myopia circle.Because protective cover restriction operating theater instruments is only operated at lesions position, so can eliminate the thunder bolt that some cause because of maloperation.
In order to solve the problems of the technologies described above, technical scheme of the present invention is as follows:
The stealthy Inner mirror of this umbrella safety cover type locker abdominal cavity Minimally Invasive Surgery passage comprises external combined platform and body intramedullary expansion cover body two parts, it is characterized in that:
A, described external combined platform is by porous platform 19, a pair of combination type outer collar 16 and establish
Inside race 17 in outer collar is formed, and described porous platform 19 is plugged in the inside race, and 19 on porous platform is provided with a plurality of tubular conduits 18;
B, described body intramedullary expansion cover body comprise abdominal cavity channel 13 and umbrella cover body 20, wherein
The bottom of abdominal cavity channel 13 outer rings is provided with ring-type sacculus 12, described ring-type sacculus 12 is communicated with extraneous source of the gas by being located at the gas tube 14 that communicates with ring-type sacculus 12 inner chambers in the abdominal cavity channel 13, described umbrella cover body 20 is to assign big ring-type cover body on one for a short time, and it and ring-type sacculus 12 are consolidated into one.
The upper surface of described ring-type sacculus 12 is the matsurface that is provided with projection.
The cover intracavity of described umbrella cover body 20 be provided with the interior stand 21 of being close to the cover body inwall and with this in the telescoping shoring column 22 of stand coupling
According to the special-purpose stealthy Inner mirror passage of this umbrella safety cover type locker abdominal cavity Minimally Invasive Surgery of above technical scheme proposition; it is small and exquisite not only to have structure; convenience operation; shrinking the umbrella cover body in advance after the little otch of abdominal part enters in the human body; strut protective cover as umbrella, just set up the operation path of a through focal zone.Can prevent effectively that abdominal incision from forming the back because the intrinsic pressure squeezing action to incision that causes in abdominal cavity, provide technical support for the accidental injury of eliminating no focus organ in preventing to perform the operation.Can be widely used in through umbilicus single-hole laparoscopic cholecystectomy, appendectomy, stomach fistulation, splenectomy, sticking patch implantation, prostatectomy, adrenalectomy, orchiopexy, orchiectomy, ureterolithotomy, the nephrectomy, pyeloplasty or the like outside peritoneum fully.
Description of drawings
Fig. 1. the overall structure figure of the stealthy Inner mirror of umbrella protective cover passage;
Fig. 2. the decomposing schematic representation of the stealthy Inner mirror of umbrella protective cover passage;
Fig. 3. the cutaway view of umbrella cover body.
Among the figure: 12-ring-type sacculus, 13-abdominal cavity channel 14-gas tube 15-female Luer 16-outer collar 17-inside race 18-tubular conduit 19-porous platform 20-umbrella cover body 21-interior stand 22-telescoping shoring column 23-cover chamber
The specific embodiment
Further describe the present invention below in conjunction with accompanying drawing, and give embodiments of the invention.
Minimally Invasive Surgery special-purpose stealthy Inner mirror passage in this safety cover type locker abdominal cavity comprises external combined platform and body intramedullary expansion cover body two parts, it is characterized in that:
Described external combined platform is made up of porous platform 19, a pair of combination type outer collar 16 and the inside race 17 be located in the outer collar, and described porous platform 19 is plugged in the inside race, and 19 on porous platform is provided with a plurality of tubular conduits 18.
Described body intramedullary expansion cover body comprises abdominal cavity channel 13 and umbrella cover body 20, the bottom of abdominal cavity channel 13 outer rings wherein is provided with ring-type sacculus 12, described ring-type sacculus 12 is communicated with extraneous source of the gas by being located at the gas tube 14 that communicates with ring-type sacculus 12 inner chambers in the abdominal cavity channel 13, described umbrella cover body 20 is to assign big ring-type cover body on one for a short time, and it and ring-type sacculus 12 are consolidated into one.
Simultaneously, the upper surface of ring-type sacculus 12 is designed to have certain annular projection balloon configuration (as surface design being become to be furnished with the prominent convex shape of point-like etc.), utilize these point-like projectioies to make this tubular conduit 13 when the insertion abdominal incision stretches into the abdominal cavity, utilize this crude the left-hand thread of the ring-type sacculus after the inflation to take off tightly, prevent contraction close incisions because of otch muscle at abdominal cavity otch inner peripheral edge.
Described umbrella cover body 20 is a ring-type cover body, and it and ring-type sacculus 12 are consolidated into one.These umbrella cover body 20 inner chambers are provided with a umbrella support.It by the interior stand 21 of being close to the cover body inwall and with this in the telescoping shoring column 22 of stand coupling form.This umbrella support is similar to the support or the Os Draconis of umbrella.When direction in body promoted, the umbrella support was opened, thereby strutted umbrella cover, formed a protective cover; Otherwise when when external direction spurs, the umbrella support draws in, thereby tightens up umbrella cover, and protective cover dwindles, and is convenient to be withdrawn into external.
During practical application: the cover body surface that described spiral is gradually opened protective cover scribbles hydrophilic coating, and hydrophilic coating can reduce stealthy Inner mirror passage running resistance in operative incision.Structure of the present invention is small and exquisite, and is easy to operate, and a treatment passage is set up in the cover body of the Shou Suoing inflation or expansion of upspringing certainly after little otch enters in the human body in advance, and it has the characteristics of through focus.
Described spiral is gradually opened protective cover and can be shunk in advance during use, and is expansion-molded after the underwent operative mini-incision enters the abdominal part of human body, struts into a tubulose service aisle, this passage lesions position that goes directly.The doctor inserts medical apparatus and instruments by the passage on the porous platform, and for example: peritoneoscope, nipper, separation are cut or the like, carry out abdominal surgery.
Described umbrella cover body 20 outer surfaces are coated with hydrophilic coating, and described hydrophilic coating is a kind of in polyvinylpyrrolidone, polyethylene glycol oxide, Polyethylene Glycol, polypropylene glycol, polyacrylamide, the polyacrylic acid or their complex.
Described ring-type sacculus 12 be thin film or fabric or non-woven fabrics or their complex.
The case of described umbrella cover body 20 is thin film or fabric or non-woven fabrics or their complex.
The umbrella support of described umbrella cover body 20 is plastics, metal, plastics with the alloy of metal or mixes use.
Described frustum cover body 20, its internal diameter size scope is 30 ~ 100mm, altitude range is 10 ~ 100mm.
This being used for through umbilicus single-hole laparoscopic cholecystectomy, appendectomy, stomach fistulation, splenectomy, sticking patch implantation, prostatectomy, adrenalectomy, orchiopexy, orchiectomy, ureterolithotomy, the nephrectomy, pyeloplasty or the like outside peritoneum fully.

Claims (7)

1. the stealthy Inner mirror of a umbrella safety cover type locker abdominal cavity Minimally Invasive Surgery passage comprises external combined platform and body intramedullary expansion cover body two parts, it is characterized in that:
A, described external combined platform are made up of porous platform (19), a pair of combination type outer collar (16) and the inside race (17) be located in the outer collar, described porous platform (19) is plugged in the inside race, and porous platform (19) face is provided with a plurality of tubular conduits (18);
B, described body intramedullary expansion cover body comprise abdominal cavity channel (13) and umbrella cover body (20), the bottom of abdominal cavity channel (13) outer ring wherein is provided with ring-type sacculus (12), described ring-type sacculus (12) is communicated with extraneous source of the gas by being located at the gas tube (14) that communicates with ring-type sacculus (12) inner chamber in the abdominal cavity channel (13), described umbrella cover body (20) is to assign big ring-type cover body on one for a short time, and it and ring-type sacculus (12) are consolidated into one.
2. the stealthy Inner mirror of a kind of umbrella safety cover type locker as claimed in claim 1 abdominal cavity Minimally Invasive Surgery passage, it is characterized in that: described umbrella cover body (20) inner chamber is provided with a umbrella support, this umbrella support by the interior stand (21) of being close to the cover body inwall and with this in the telescoping shoring column (22) of stand coupling form.
3. the stealthy Inner mirror of a kind of umbrella safety cover type locker as claimed in claim 1 abdominal cavity Minimally Invasive Surgery passage, it is characterized in that: described umbrella cover body (20) outer surface is coated with hydrophilic coating, and described hydrophilic coating is a kind of in polyvinylpyrrolidone, polyethylene glycol oxide, Polyethylene Glycol, polypropylene glycol, polyacrylamide, the polyacrylic acid or their complex.
4. the stealthy Inner mirror of a kind of umbrella safety cover type locker as claimed in claim 1 abdominal cavity Minimally Invasive Surgery passage is characterized in that: described ring-type sacculus (12) be thin film or fabric or non-woven fabrics or their complex.
5. the stealthy Inner mirror of a kind of umbrella safety cover type locker as claimed in claim 1 abdominal cavity Minimally Invasive Surgery passage, it is characterized in that: the case of described umbrella cover body (20) is thin film or fabric or non-woven fabrics or their complex.
6. the stealthy Inner mirror of a kind of umbrella safety cover type locker as claimed in claim 1 abdominal cavity Minimally Invasive Surgery passage is characterized in that: the cover umbrella support of described umbrella cover body (20) is plastics, metal, plastics with the alloy of metal or mixes use.
7. the stealthy Inner mirror of a kind of umbrella safety cover type locker as claimed in claim 1 abdominal cavity Minimally Invasive Surgery passage is characterized in that: described umbrella cover body (20), and its internal diameter size scope is 30 ~ 100mm, altitude range is 10 ~ 100mm.
CN2010105561216A 2010-11-24 2010-11-24 Umbrella-like protective cover type invisible endoscopic channel for abdominal minimally invasive surgery Pending CN102008354A (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103654888A (en) * 2012-09-21 2014-03-26 杭州山友医疗器械有限公司 Dilating device for minimally invasive operations
CN106388882A (en) * 2015-08-03 2017-02-15 上海市东方医院 Built-in pneumoperitoneum-free surgical field forming device
CN109480744A (en) * 2018-10-31 2019-03-19 重庆市肿瘤研究所 The device of fixed lens is used in endoscope-assistant surgery
CN111887910A (en) * 2020-07-13 2020-11-06 杭州山友医疗器械有限公司 Abdominal cavity dilator

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101401742A (en) * 2007-10-05 2009-04-08 Tyco医疗健康集团 Seal anchor for use in surgical procedures
US20090221966A1 (en) * 2008-03-03 2009-09-03 Tyco Helathcare Group Lp Single port device with multi-lumen cap
WO2010000047A1 (en) * 2008-06-30 2010-01-07 Imbros Administração E Participação Ltda Laparoscopic access device
CN201422860Y (en) * 2008-07-03 2010-03-17 王军 Multichannel flexible abdominal wall working window
CN101797148A (en) * 2010-02-23 2010-08-11 上海祥秀医药科技有限公司 Semicircular working sleeve for single-hole laparoscope
US20100261975A1 (en) * 2009-03-06 2010-10-14 Ethicon Endo-Surgery, Inc. Methods and devices for accessing a body cavity
CN201939488U (en) * 2010-11-24 2011-08-24 上海英诺伟微创医疗器械有限公司 Umbrella-shaped hood type adelomorphic endoscope channel for enterocoelia minimally invasive surgery

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101401742A (en) * 2007-10-05 2009-04-08 Tyco医疗健康集团 Seal anchor for use in surgical procedures
US20090221966A1 (en) * 2008-03-03 2009-09-03 Tyco Helathcare Group Lp Single port device with multi-lumen cap
WO2010000047A1 (en) * 2008-06-30 2010-01-07 Imbros Administração E Participação Ltda Laparoscopic access device
CN201422860Y (en) * 2008-07-03 2010-03-17 王军 Multichannel flexible abdominal wall working window
US20100261975A1 (en) * 2009-03-06 2010-10-14 Ethicon Endo-Surgery, Inc. Methods and devices for accessing a body cavity
CN101797148A (en) * 2010-02-23 2010-08-11 上海祥秀医药科技有限公司 Semicircular working sleeve for single-hole laparoscope
CN201939488U (en) * 2010-11-24 2011-08-24 上海英诺伟微创医疗器械有限公司 Umbrella-shaped hood type adelomorphic endoscope channel for enterocoelia minimally invasive surgery

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103654888A (en) * 2012-09-21 2014-03-26 杭州山友医疗器械有限公司 Dilating device for minimally invasive operations
CN106388882A (en) * 2015-08-03 2017-02-15 上海市东方医院 Built-in pneumoperitoneum-free surgical field forming device
CN106388882B (en) * 2015-08-03 2020-12-04 上海市东方医院 Built-in pneumoperitoneum-free surgical field forming device
CN109480744A (en) * 2018-10-31 2019-03-19 重庆市肿瘤研究所 The device of fixed lens is used in endoscope-assistant surgery
CN109480744B (en) * 2018-10-31 2021-03-23 重庆市肿瘤研究所 Device for fixing lens in endoscopic surgery
CN111887910A (en) * 2020-07-13 2020-11-06 杭州山友医疗器械有限公司 Abdominal cavity dilator

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Application publication date: 20110413