CN102018568A - Laparoscope canula device - Google Patents
Laparoscope canula device Download PDFInfo
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- CN102018568A CN102018568A CN 201010588552 CN201010588552A CN102018568A CN 102018568 A CN102018568 A CN 102018568A CN 201010588552 CN201010588552 CN 201010588552 CN 201010588552 A CN201010588552 A CN 201010588552A CN 102018568 A CN102018568 A CN 102018568A
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- disk
- sleeve pipe
- cannula device
- laparoscopic cannula
- branching rod
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Abstract
The invention relates to a laparoscope canula device, comprising a disk with a first surface and a second surface which are opposite to each other, a plurality of ball-like canulas which are arranged in the disk and enable the first surface and the second surface to be penetrated through, an elastic sealing skirt which is arranged along the outer diameter of the second surface and a plurality of supporting rod structures; and a first end of the supporting rod structure is articulated with the second surface, and a second end of the supporting rod structure is connected with the lower hem of the elastic sealing skirt. The laparoscope canula device is used for medical-treatment operations.
Description
[technical field]
The present invention is about a kind of laparoscopic cannula device, particularly the laparoscopic cannula device about using in a kind of single hole endoscope-assistant surgery.
[background technology]
The Mouret of France in 1987 has finished cholecystectomy under video-laparoscope, indicate the beginning in the invasive operation epoch that are with historically new significance on the SH.
At first, we set forth the technical background of this patent from laparoscopic cholecystectomy.Current, laparoscopic cholecystectomy (three holes or four hole methods) has become the goldstandard of cholecystectomy.And the single-hole laparoscopic cholecystectomy is because of its Wicresoft and have cosmetic result and attempted by a part of surgeon more.But its difficulty is bigger.Now analyze the reason that single hole laparoscopic cholecystectomy operating difficulty produces, comprise the laparoscopic instrument factor.The operation method of general peritoneoscope single hole cholecystectomy is as follows: be about 2.5cm left and right sides otch in the umbilicus lower right, inserting diameter respectively is 10mm, the 5mm trocar.Pass the gallbladder bottom below right side midclavicular line and arcus costarum are had a common boundary on the stomach wall at 1-2cm place after long staight needle thrusts also former inlet stings out usefulness at the bottom of making the tractive gallbladder on every side from stomach wall again with band wire; Thrusting the long staight needle of another one band wire under xiphoid-process passes calot's triangle (near the neck of gallbladder ampulla in order to avoid the damage common bile duct) and knotting back 1-2cm below right anterior axillary line and arcus costarum boundary and stings out stomach wall.From different directions expose calot's triangle to upper left with bottom right tractive neck of gallbladder by this.With separation calot's triangles such as handling tongs, finally isolate gallbladder vascular and cystic duct.Peritoneoscope with diameter 5mm is inserted from the 5mm sleeve pipe, and last titanium folder is inserted from the 10mm sleeve pipe with the pliers that can absorb folder, then clamp corresponding pipeline and cut-out.The final cutting-out and the taking-up gallbladder.The reason that this operating difficulty is big has: 1, two sleeve pipe distances are very near, cause do on one group of plane that operating apparatus constituted when two sleeve pipes are parallel near or away from action substantially can not (chopsticks effect), this group plane is the line (L1) by stomach wall and two sleeve pipe intersection points jointly; And to the apparatus in two sleeve pipes be made in through otch this perpendicular to the operation amplitude maximum on the plane of L1.Other plane is between also transition gradually between the two.A sleeve pipe is put peritoneoscope during single hole method gallbladder removal, puts operating equipment for one.The position of most critical is to dissect calot's triangle during cholecystectomy, cuts off cystic duct and gallbladder vascular.This requirement must be able to see that when carrying out these operations calot's triangle constitutes the both sides on plane (P).Therefore, the most difficult as L1 and P vertical operation, and L1 is the simplest when parallel with P.The individual difference existence causes the plane P difference and is difficult to abundant estimation before the art, just can't adjust in case the traditional surgical approaches sleeve pipe is placed the back, and the relation of L1 and P can't change, and making many times, operation is restricted.2, traditional sleeve pipe (as stryker company) is all long, have more than the 10cm, and near-end expands to have and prevents the device that leaks gas.This has a strong impact on operation.In fact as long as an anti-gas-leak device adds the long sleeve pipe of thickness of abdominal wall.Because individual variation, thickness of abdominal wall can't be predicted, so can only use long sleeve pipe.The present invention reduces operating difficulty in order to improve above shortcoming.
[summary of the invention]
The object of the present invention is to provide a kind of laparoscopic cannula device, it comprises: the disk with opposite first and second surface; The spherical sleeve pipe of a plurality of classes is arranged in this disk, and described first surface and described second surface are connected; Elastic packing skirt along described second surface external diameter setting; A plurality of branching rod structures, first end of described branching rod structure is hinged on described second surface, and second end of described branching rod structure connects the bottom of described elastic packing skirt.
As optional technical scheme, the spherical sleeve pipe of described class is to link to each other with described disk by the ball pivot form, and it can be certain limit is done at the center in this disk a three-dimensional rotation with the centre of sphere of its spheroid part.
As optional technical scheme, this disk is combined by first disc and second disc.
As optional technical scheme, have closure plate in such spherical sleeve pipe, such spherical sleeve pipe of the unidirectional shutoff of this closure plate blocks by the conducting of this second surface to this first surface direction.
As optional technical scheme, the spherical sleeve pipe of described class has magnetic sections in described first surface side, this closure plate has magnetic, this closure plate is positioned at the spherical telescopic spheroid part of described class under naturalness, and is adsorbed on the joining place of described magnetic sections and the spherical telescopic spheroid part of described class.
As optional technical scheme, described laparoscopic cannula device comprises the sealing ring of the spherical sleeve pipe of the described class of covering in described first surface side entrance.
As optional technical scheme, described laparoscopic cannula device comprises traction component, and described traction component traction is also located described branching rod structure.
As optional technical scheme, described traction component comprises: the screw rod that runs through described disk; One end is wrapped on the described screw rod, and the other end is fixed on the draught line on the described branching rod structure; Described screw rod is locked at nut on the described disk.
As optional technical scheme, described branching rod structure is combined to form by the first bar section and the second bar section.
As optional technical scheme, second end of described branching rod structure has fillet arrow shaped structure, to penetrate and to be fixed on the bottom of described elastic packing skirt.
Benefit of the present invention is, by the relation of the adjustable a whole set of pipe of rotating circular disk with anatomical planes, realizes that affected part the best exposes; Shorten casing length, be beneficial to operation.
[description of drawings]
Fig. 1 is the schematic top plan view of laparoscopic cannula device according to an embodiment of the invention.
Fig. 2 is the profile along AA line among Fig. 1.
Fig. 3 is the cutaway view along BB line among Fig. 1.
[specific embodiment]
See also Fig. 1 to Fig. 3, Fig. 1 is the schematic top plan view of laparoscopic cannula device according to an embodiment of the invention.Fig. 2 is the profile along AA line among Fig. 1.Fig. 3 is the cutaway view along BB line among Fig. 1.The laparoscopic cannula device of present embodiment comprises: the disk 11 with opposite first 115 and second surface 116; The spherical sleeve pipe 12,22 of a plurality of classes is arranged in this disk, and described first surface 115 and described second surface 116 are connected; Elastic packing skirt 16 along described second surface 116 external diameters setting; A plurality of branching rod structures 18, first end of described branching rod structure 18 is hinged on described second surface 116, and second end of described branching rod structure 18 connects the bottom of described elastic packing skirt 16.In the present embodiment, adopt the spherical sleeve pipe of two classes, three branching rod structures, can adjust quantity as required in other embodiments.The present invention opens and seals stomach wall by the elastic packing pannier, so the spherical telescopic length of class can be very short.Comparatively ideal scheme is that elastic packing skirt bottom end is provided with one and expands rubber ring, the strutting of the supplemental support elastic packing more approaching circle of the skirt bottom.
In the present embodiment, elastic packing skirt 16 is being pressed by the magnetic rings 17 that is adsorbed on second surface 116 and is being fixed on second surface 116 all edges.In other embodiments, can adopt modes such as bonding, screw locking to be fixed on second surface.
In the present embodiment, the spherical sleeve pipe the 12, the 22nd of described class links to each other with described disk 11 by the ball pivot form, and making it can be certain limit is done at the center in this disk 11 three-dimensional rotation with the centre of sphere of its spheroid part 121.Make like this and stretch into the spherical telescopic apparatus of class and have bigger movable range.
In the present embodiment, this disk 11 is combined by first disc 111 and second disc 112.Can make things convenient for the spherical sleeve pipe of class to insert in the disk 11 like this.First disc 111 and second disc 112 are by spiral shell 15 lockings.
In the present embodiment, have closure plate 125,225 in such spherical sleeve pipe, such spherical sleeve pipe 12,22 of these closure plate 125,225 unidirectional shutoff blocks by the conducting of this second surface 116 to these first surface 115 directions.When apparatus is stretched into the spherical sleeve pipe of class 12,22 by first surface 115 sides, can push closure plate 125,225 aside.When apparatus takes out rear enclosed sheet 125,225 such the spherical sleeve pipe 12,22 of shutoff that resets, can prevent in the operation process apparatus like this after the spherical sleeve pipe 12,22 of class takes out, Intraabdominal gas leakage.
In the present embodiment, the spherical sleeve pipe 12,22 of described class has magnetic sections 122,222 in described first surface side, this closure plate 125,225 has magnetic, this closure plate 125,225 is positioned at the spheroid part of the spherical sleeve pipe 12,22 of described class under naturalness, and be adsorbed on the joining place of the spheroid part 121,221 of the spherical sleeve pipe 12,22 of described magnetic sections 122,222 and described class, reach the effect of shutoff.In other embodiments, can adopt other unidirectional blocking design of prior art, for example adopt an end to be positioned at the enclosed elastic sheet etc. of the spherical internal surface of sleeve pipe of class.
In the present embodiment, the laparoscopic cannula device comprises the sealing ring 123,223 of the spherical sleeve pipe 12,22 of the described class of covering in described first surface side entrance.Can avoid Intraabdominal gas to spill like this from apparatus and telescopic gap.
In the present embodiment, described laparoscopic cannula device comprises traction component, and described traction component traction is also located described branching rod structure, so that the volume that elastic packing skirt 16 struts is adjustable.Traction component in the present embodiment comprises: the screw rod 143 that runs through described disk 11; One end is wrapped on the described screw rod 143, and the other end is fixed on the draught line 181 on the described branching rod structure 18; Described screw rod 143 is locked at nut 141 on the described disk 11.When the volume that adjusting elastic packing skirt 16 struts, first rotary screw 143 is positioned at the appropriate location with branching rod structure 18 tractions, screws nut 141 then, standing screw 143.In other embodiments, can adopt other structure of prior art to regulate the position of branching rod structure, with the adjustable effect of volume that realizes that the elastic packing pannier leaves.When branching rod structure and screw rod distance is big, take off bob for preventing lax rear haulage line from screw rod, can metallic channel be set on the screw rod or the lead support member is being set between branching rod structure and screw rod, the lead support member can be fixed on the second surface of disk.
In the present embodiment, described branching rod structure 18 is combined to form by screw thread by the first bar section 182 and the second bar section 183.By changing the second bar section 183 of different length, can adapt to different thickness of abdominal wall like this.
In the present embodiment, second end of described branching rod structure has fillet arrow shaped structure 184, to penetrate and to be fixed on the bottom of described elastic packing skirt.Fixing safer for making, can be arranged side by side plural arrow shaped structure at second end of branching rod structure.In other embodiments, also can adopt other existing structure to be connected at second end of branching rod structure with the elastic packing skirt.
Below in conjunction with implementing the laparoscopic cholecystectomy process, the use of laparoscopic cannula device of the present invention is described.Successively enter the abdominal cavity at the otch that is about below the umbilicus about 2.5cm.Select the length (annotate: the second bar section 183 can be produced different length as required) of the second bar section 183 according to thickness of abdominal wall, link to each other with screw thread with the first bar section 182.At this moment, because screw rod 143 rotate or partial rotation only, pull rope 181 relaxes, and three branching rod structures 18 are drawn close mutually.Make branching rod structure 18 enter the abdominal cavity by incision of abdominal wall, and disk 11 is outside otch together with elastic packing skirt 16.Slow rotary screw 143 respectively shortens second end that pull rope 181 makes branching rod structure 18 and lifts on gradually and finally make fillet arrow shaped structure 184 hook the intraperitoneal sidewall, also make simultaneously outside disk and the stomach wall near, screw nut 141 with standing screw 143.Can from the spherical sleeve pipe of the class of the about 1.6cm of diameter, insert the peritoneoscope of 10mm diameter then, from the spherical sleeve pipe of the class of the about 1.0cm of diameter, insert other operating apparatus, undergo surgery.Be handled easily, can rotating circular disk 11, make the centre of sphere line of two class shape ball cover pipes 12,22 substantially parallel with the calot's triangle plane.For convenient rotation, can loosen pull rope 181 by first adjusting screw(rod) 143.After treating that operation is finished, take out the laparoscopic cannula device, simultaneously gallbladder is taken out.Before taking out the laparoscopic cannula device, can become flexible earlier and adjusting screw(rod) 143, make that branching rod structure 18 is drawn close mutually, elastic packing skirt 16 shrinks, so that taking-up.Successively close the abdominal cavity at last, operation finishes.
In operation process, can slowly not charge into CO2 gas to the abdominal cavity by the through hole on the disk 11 (illustrating), set up and keep the intraperitoneal gas pressure and reach about 12-15cmH2O.
Claims (10)
1. laparoscopic cannula device is characterized in that comprising:
Disk with opposite first and second surface;
The spherical sleeve pipe of a plurality of classes is arranged in this disk, and described first surface and described second surface are connected;
Elastic packing skirt along described second surface external diameter setting;
A plurality of branching rod structures, first end of described branching rod structure is hinged on described second surface, and second end of described branching rod structure connects the bottom of described elastic packing skirt.
2. laparoscopic cannula device according to claim 1 is characterized in that: the spherical sleeve pipe of described class is to link to each other with described disk by the ball pivot form, and it can be certain limit is done at the center in this disk a three-dimensional rotation with the centre of sphere of its spheroid part.
3. laparoscopic cannula device according to claim 1 is characterized in that: this disk is combined by first disc and second disc.
4. laparoscopic cannula device according to claim 1 is characterized in that: have closure plate in such spherical sleeve pipe, such spherical sleeve pipe of the unidirectional shutoff of this closure plate blocks by the conducting of this second surface to this first surface direction.
5. laparoscopic cannula device according to claim 4, it is characterized in that: the spherical sleeve pipe of described class has magnetic sections in described first surface side, this closure plate has magnetic, this closure plate is positioned at the spherical telescopic spheroid part of described class under naturalness, and is adsorbed on the joining place of described magnetic sections and the spherical telescopic spheroid part of described class.
6. laparoscopic cannula device according to claim 1 is characterized in that comprising the sealing ring of the spherical sleeve pipe of the described class of covering in described first surface side entrance.
7. laparoscopic cannula device according to claim 1 is characterized in that comprising traction component, and described traction component traction is also located described branching rod structure.
8. laparoscopic cannula device according to claim 7 is characterized in that described traction component comprises: the screw rod that runs through described disk;
One end is wrapped on the described screw rod, and the other end is fixed on the draught line on the described branching rod structure;
Described screw rod is locked at nut on the described disk.
9. laparoscopic cannula device according to claim 1 is characterized in that: described branching rod structure is combined to form by the first bar section and the second bar section.
10. rotary type laparoscopic cannula composite set according to claim 1 is characterized in that: second end of described branching rod structure has fillet arrow shaped structure, to penetrate and to be fixed on the bottom of described elastic packing skirt.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201010588552 CN102018568B (en) | 2010-12-03 | 2010-12-03 | Laparoscope canula device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201010588552 CN102018568B (en) | 2010-12-03 | 2010-12-03 | Laparoscope canula device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102018568A true CN102018568A (en) | 2011-04-20 |
| CN102018568B CN102018568B (en) | 2013-05-08 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN 201010588552 Expired - Fee Related CN102018568B (en) | 2010-12-03 | 2010-12-03 | Laparoscope canula device |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9439639B2 (en) | 2012-01-25 | 2016-09-13 | Sumitomo Bakelite Co., Ltd. | Medical treatment tool |
| CN110916761A (en) * | 2019-12-12 | 2020-03-27 | 毕建耀 | Be used for department of general surgery to handle and use tweezers |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN101617932A (en) * | 2008-07-03 | 2010-01-06 | 王军 | Multi-channel soft abdominal wall working window |
| US20100113886A1 (en) * | 2004-07-21 | 2010-05-06 | Gregory Piskun | Surgical port assembly |
| CN101711687A (en) * | 2008-09-30 | 2010-05-26 | 伊西康内外科公司 | Surgical access device |
| CN101822554A (en) * | 2009-03-06 | 2010-09-08 | 伊西康内外科公司 | The surgical access devices and the method that in predefined paths, provide sealing to move |
| US20100249694A1 (en) * | 2009-03-31 | 2010-09-30 | Seung Wook Choi | Trocar for a single port surgery |
-
2010
- 2010-12-03 CN CN 201010588552 patent/CN102018568B/en not_active Expired - Fee Related
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20100113886A1 (en) * | 2004-07-21 | 2010-05-06 | Gregory Piskun | Surgical port assembly |
| CN101617932A (en) * | 2008-07-03 | 2010-01-06 | 王军 | Multi-channel soft abdominal wall working window |
| CN101711687A (en) * | 2008-09-30 | 2010-05-26 | 伊西康内外科公司 | Surgical access device |
| CN101822554A (en) * | 2009-03-06 | 2010-09-08 | 伊西康内外科公司 | The surgical access devices and the method that in predefined paths, provide sealing to move |
| US20100249694A1 (en) * | 2009-03-31 | 2010-09-30 | Seung Wook Choi | Trocar for a single port surgery |
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US9439639B2 (en) | 2012-01-25 | 2016-09-13 | Sumitomo Bakelite Co., Ltd. | Medical treatment tool |
| CN110916761A (en) * | 2019-12-12 | 2020-03-27 | 毕建耀 | Be used for department of general surgery to handle and use tweezers |
Also Published As
| Publication number | Publication date |
|---|---|
| CN102018568B (en) | 2013-05-08 |
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