CN102319121B - Single-hole operation passage - Google Patents

Single-hole operation passage Download PDF

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Publication number
CN102319121B
CN102319121B CN2011102714182A CN201110271418A CN102319121B CN 102319121 B CN102319121 B CN 102319121B CN 2011102714182 A CN2011102714182 A CN 2011102714182A CN 201110271418 A CN201110271418 A CN 201110271418A CN 102319121 B CN102319121 B CN 102319121B
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China
Prior art keywords
ring
support frame
annular
rotating
wound protection
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CN2011102714182A
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CN102319121A (en
Inventor
孙颖浩
李君�
王林辉
王炳强
肖亮
文世昌
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WEIHAI WEIGAO QIQUAN MEDICAL EQUIPMENT CO Ltd
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WEIHAI WEIGAO QIQUAN MEDICAL EQUIPMENT CO Ltd
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Publication of CN102319121A publication Critical patent/CN102319121A/en
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Abstract

The invention relates to a medical appliance, in particular to a single-hole operation passage, which is characterized by being provided with a wound protection sleeve and a sealing cover cap, wherein one end of the wound protection sleeve is provided with an elastic inner positioning ring, the other end is provided with an outer fixing ring, the sealing cover cap is provided with an annular support frame, the upper end part of the annular support frame is provided with an elastic cover cap, an air inlet pipe and an air outlet pipe which are communicated with the wound protection sleeve are respectively arranged on the annular support frame wall, the lower end part of the annular support frame is connected with the outer fixing ring or is provided with a rotating body, the rotating body consists of an annular chute, a sealing ring and a rotating ring, the annular chute consists of an outer ring, an inner ring and a chute connecting ring, the outer ring and the inner ring are connected through the chute connecting ring, the annular chute and the annular support frame are connected through the chute connecting ring and the support frame connecting ring, the support frame connecting ring is arranged on the inner wall of the annular support frame, the rotating ring and the annular chute are connected through L-shaped reverse buckles, the sealing ring is arranged between the annular chute and the rotating ring, and the outer fixing ring is sheathed with the rotating ring. The invention can realize the insertion of a plurality of operation instruments through a single cut, further, the goal of reducing the number of patient operation cuts is reached, and the single-hole operation passage has the advantages that the operation work is simplified, the operation personnel are reduced, the operation is convenient, the connection is firm and reliable, the patient operation cuts are reduced, and the like. Convenience is provided for the single-hole cavity scope operation.

Description

A kind of single-hole operation passage
Technical field
The present invention relates to technical field of medical instruments, specifically a kind of single-hole operation passage that is used in conjunction with peritoneoscope.
Background technology
Guaranteeing to treat under the prerequisite of safety and effectiveness, reducing as far as possible operation wound is all doctors' pursuit, is also surgery's developing direction.Over nearly 20 years, the laparoscopic surgery development has almost related to all internal organs of intraperitoneal rapidly; The pathological changes of all internal organs of abdominal cavity all can assist to complete operation technique by peritoneoscope.Simultaneously laparoscopic surgery has been obtained the incomparable Wicresoft's effect of abdominal (take laparoscopic cholecystectomy as example, postoperative even can be left hospital the same day on the 1st day), the single-hole laparoscopic technology be peritoneoscope constantly to the product of Wicresoft's future development, be in the NOTES category present stage the most feasible technology.Along with the progress of technology, the maturation of training equipment, on the basis of clinical research, the single hole operation will occupy an important position in the treatment of abdominal cavity benign lesion and infantile tumour.
Single-hole laparoscopic surgery has lot of advantages: surgical environments is relatively aseptic, otch further dwindles or hiding otch, thereby reaches the purpose without the cicatrix operation, has gratifying cosmetic result, simultaneously can alleviate postoperative pain again, thereby reduce in art, the consumption of postoperative anesthesia and analgesic.Patient's post-operative recovery is fast, lowers infection risk, few complication, and the hospital stays is short, and hospitalization cost is corresponding minimizing also.Therefore, single-hole laparoscopic surgery is more and more accepted by the patient.It is reported, at present, the laparoscopic surgery on US and European market is respectively 2,900,000 example and 950,000 examples.Analysis institution estimates, to single-hole laparoscopic surgery in 2012 150000 examples approximately nearly, and 2015 will be near 400,000 examples.
Present single-hole operation passage both domestic and external is initial stage of development and uses, and the ubiquity use is inconvenient, sealing effectiveness is bad, apparatus is fought the problems such as phenomenon is serious.External present representational product has the SILS of Triport, the Tai Ke company of Olympus Corp.Valuable product is used limited.I have invented a kind of " Multi-cavity single-incision surgical channel " with regard to above-mentioned deficiency, and apply for patent of invention on the 10th in December in 2010, and application publication number is CN101999912A.Its deficiency is that the length of tubular air bag can not realize the self adaptation adjusting, and clinical application range is only applicable to umbilical notch cut, and sealing cap can not rotate simultaneously, and is cumbersome when the doctor changes the position operation.
Summary of the invention
The objective of the invention is to overcome above-mentioned the deficiencies in the prior art, provide a kind of easy to operate, use safety, can realize the self adaptation adjustment, can according to the operation needs, enter 1-4 operating theater instruments, also can realize 360 ° of single-hole operation passages that rotate freely according to the thickness of otch.
The present invention can reach by following measure:
A kind of single-hole operation passage; it is characterized in that being provided with Wound protection cover and sealing cap; one end of Wound protection cover is provided with locating ring in elasticity; the other end is provided with outer retainer ring; sealing cap is provided with ring support; the ring support upper end is provided with elasticity block, is respectively equipped with the air inlet pipe, the escape pipe that communicate with the Wound protection cover on the ring support wall, and the ring support bottom is connected with outer retainer ring.
The present invention can be provided with rotary body, rotary body is comprised of annular slide track, sealing ring and rotating ring, annular slide track is comprised of outer shroud, internal ring and slideway connecting ring, outer shroud, internal ring are connected through the slideway connecting ring, annular slide track is connected with the support connecting ring through the slideway connecting ring with ring support, and the support connecting ring is located on the inwall of ring support, and rotating ring is connected through the L-type back-off with annular slide track, be provided with sealing ring between annular slide track and rotating ring, outer retainer ring and rotating ring socket-connect.
Can be provided with clamp device on the outer retainer ring of the present invention, outer retainer ring and ring support bottom or rotating ring are connected firmly, clamp device can adopt fastener, fastener is provided with the arc card, card one end is provided with hinge hole, the other end is provided with handle, the card downside is provided with the binding of the outer retainer ring of chucking, card can be hinged by hinge hole and ring support, ring support is provided with standing block hole, card also can be hinged by hinge hole and rotating ring, and rotary annular is provided with standing block hole
The present invention can be provided with the connection teeth that is connected with the elasticity block on ring support, the reliability that is connected with ring support to increase the elasticity block.
when the present invention uses, the interior locating ring of Wound protection cover is put into the otch that cuts in advance, tension Wound protection cover, stirring outer retainer ring adjusting Wound protection cover length and stomach wall combines closely, do pre-otch according to the operation needs on the elasticity block, insert from pre-otch perforator or and operating theater instruments, then with sealing cap directly or be connected with outer retainer ring through rotating ring, when sealing cap directly is connected with the outer retainer ring of Wound protection cover, sealing cap and Wound protection cover are combined as a whole, both can not relatively rotate, when sealing cap is connected with retainer ring outside the Wound protection cover through rotating ring, sealing cap and Wound protection cover can relatively rotate, strengthen being connected of ring support and rotating ring and outer retainer ring by fastener, exhaustor cuts out, air inlet pipe connects pneumoperitoneum apparatus, set up pneumoperitoneum, the doctor is with peritoneoscope, the operating theater instruments such as operating forceps are by perforator (where applicable), elastomer, in Wound protection cover turnover body, at this moment, elastomer on operation path is with perforator, peritoneoscope, the operating theater instruments such as operating forceps are clamped, prevent that the interior gas underwent operative passage gas leakage of body or extraneous gas are in service aisle enters patient body, demand according to doctor's operation position, the rotatory sealing block is to suitable position.The present invention can realize that an operation window has a plurality of service aisles, different operative sites had the self adaptation regulatory function, and then reach and reduce patient's operative incision quantity, has the simplification surgical work, reduce the advantages such as surgical staff, easy to operate, firm and reliable connection, minimizing patient operative incision, for single-hole laparoscopic surgery is provided convenience.
Description of drawings:
Fig. 1 is a kind of decomposing schematic representation of the present invention.
Fig. 2 is another kind of decomposing schematic representation of the present invention.
Fig. 3 is a kind of decomposing schematic representation of rotary body and sealing cap in the present invention.
Fig. 4 is a kind of structural representation of Elastic block of the present invention.
Fig. 5 is a kind of structural representation of ring support in the present invention.
Fig. 6 is a kind of structural representation of annular slide track in the present invention.
Fig. 7 is a kind of structural representation of rotating ring in the present invention.
Fig. 8 is the schematic diagram when in the present invention, fastener is located at rotating ring.
The specific embodiment.
The invention will be further described below in conjunction with embodiment.
as shown in drawings, a kind of single-hole operation passage, it is characterized in that being provided with Wound protection cover and sealing cap, one end of Wound protection cover is provided with locating ring 1 in elasticity, interior locating ring 1 adopts soft material to make, the other end is provided with outer retainer ring 2, outer retainer ring 2 can adopt soft material to make, also retainer ring 2 is provided with and rigidly fixes circle outside, the cover of Wound protection cover is as Membranes, sealing cap is provided with ring support 3, ring support 3 upper ends are provided with elasticity block 4, the general Shooting Technique that adopts of elasticity block 4 is located on ring support 3, be respectively equipped with the air inlet pipe 5 that communicates with the Wound protection cover on ring support 3 walls, escape pipe 6, air inlet pipe 5, escape pipe 6 is provided with control valve, ring support 3 bottoms are connected with outer retainer ring 2, sealing cap and Wound protection cover are combined as a whole, both can not relatively rotate, in order to facilitate operation technique, need sealing cap and Wound protection cover to relatively rotate, so the present invention can be provided with rotary body, ring support 3 is connected with outer retainer ring 2 through rotary body, rotary body is by annular slide track 7, sealing ring 8 and rotating ring 9 form, annular slide track 7 is by outer shroud 10, internal ring 11 and slideway connecting ring 12 form, outer shroud 10, internal ring 11 is connected through slideway connecting ring 12, annular slide track 7 is connected with support connecting ring 13 through slideway connecting ring 12 with ring support 3, the general rivet 17 that adopts is riveted slideway connecting ring 12 mutually with support connecting ring 13, support connecting ring 13 is located on the inwall of ring support 3, rotating ring 9 is connected through the L-type back-off with annular slide track 7, 9 of annular slide track 7 and rotating rings are provided with sealing ring 8, outer retainer ring 2 socket-connects with rotating ring 9, outer retainer ring 2 is enclosed within on rotating ring 9 and by fixing clamp device, outer retainer ring 2 is connected firmly with rotating ring 9, clamp device can adopt fastener, fastener is provided with arc card 14, card 14 1 ends are provided with hinge hole, the other end is provided with handle 15, card 14 downsides are provided with the binding 16 of the outer retainer ring 2 of chucking, card 1 can be hinged by hinge hole and ring support 2, ring support 2 is provided with standing block hole, sealing cap and Wound protection cover are combined as a whole, both can not relatively rotate, in order to facilitate operation technique, need sealing cap and Wound protection cover to relatively rotate, card 14 also can be hinged by hinge hole and rotating ring 9, rotating ring 9 shapes are provided with standing block hole, in addition, the present invention can be provided with the connection teeth 17 that is connected with the elasticity block on ring support 3, the reliability that is connected with ring support to increase the elasticity block.
when the present invention uses, the interior locating ring of Wound protection cover is put into the otch that cuts in advance, tension Wound protection cover, stirring outer retainer ring adjusting Wound protection cover length and stomach wall combines closely, do pre-otch according to the operation needs on the elasticity block, insert from pre-otch perforator or and operating theater instruments, then with sealing cap directly or be connected with outer retainer ring through rotating ring, when sealing cap directly is connected with the outer retainer ring of Wound protection cover, sealing cap and Wound protection cover are combined as a whole, both can not relatively rotate, when sealing cap is connected with retainer ring outside the Wound protection cover through rotating ring, sealing cap and Wound protection cover can relatively rotate, strengthen being connected of ring support and rotating ring and outer retainer ring by fastener, exhaustor cuts out, air inlet pipe connects pneumoperitoneum apparatus, set up pneumoperitoneum, the doctor is with peritoneoscope, the operating theater instruments such as operating forceps are by perforator (where applicable), elastomer, in Wound protection cover turnover body, at this moment, elastomer on operation path is with perforator, peritoneoscope, the operating theater instruments such as operating forceps are clamped, prevent that the interior gas underwent operative passage gas leakage of body or extraneous gas are in service aisle enters patient body, demand according to doctor's operation position, the rotatory sealing block is to suitable position.The present invention can realize that an operation window has a plurality of service aisles, different operative sites had the self adaptation regulatory function, and then reach and reduce patient's operative incision quantity, has the simplification surgical work, reduce the advantages such as surgical staff, easy to operate, firm and reliable connection, minimizing patient operative incision, for single-hole laparoscopic surgery is provided convenience.

Claims (2)

1. single-hole operation passage, it is characterized in that being provided with Wound protection cover and sealing cap, one end of Wound protection cover is provided with locating ring in elasticity, the other end is provided with outer retainer ring, sealing cap is provided with ring support, the ring support upper end is provided with the elasticity block, be respectively equipped with the air inlet pipe that communicates with the Wound protection cover on the ring support wall, escape pipe, the ring support bottom is connected with outer retainer ring through rotary body, rotary body is by annular slide track, sealing ring and rotating ring form, annular slide track is by outer shroud, internal ring and slideway connecting ring form, outer shroud, internal ring is connected through the slideway connecting ring, annular slide track is connected with the support connecting ring through the slideway connecting ring with ring support, the support connecting ring is located on the inwall of ring support, rotating ring is connected through the L-type back-off with annular slide track, be provided with sealing ring between annular slide track and rotating ring, outer retainer ring and rotating ring socket-connect.
2. a kind of single-hole operation passage according to claim 1 is characterized in that outer Fixing shrink ring on rotating ring and fastening by clamp device.
CN2011102714182A 2011-07-07 2011-09-14 Single-hole operation passage Active CN102319121B (en)

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Application Number Priority Date Filing Date Title
CN2011102714182A CN102319121B (en) 2011-07-07 2011-09-14 Single-hole operation passage

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CN201110189074.0 2011-07-07
CN2011101890740A CN102228384A (en) 2011-07-07 2011-07-07 Single-port operation channel
CN2011102714182A CN102319121B (en) 2011-07-07 2011-09-14 Single-hole operation passage

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CN102319121B true CN102319121B (en) 2013-05-08

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CN103800078B (en) * 2014-02-28 2016-01-06 无锡市舒康医疗器械有限公司 Disposable incision protective sleeve
CN104306062B (en) * 2014-10-23 2017-02-01 安徽奥弗医疗设备科技股份有限公司 Single-hole multichannel operating platform
CN107510496A (en) * 2016-06-17 2017-12-26 助医维康(北京)科技发展有限公司 The minimally invasive TNOTES operative approaches suit of gynaecology
CN106236210B (en) * 2016-08-31 2020-01-07 南方医科大学南方医院 Multi-channel single-hole endoscope puncture outfit
CN107320139B (en) * 2017-08-04 2023-06-09 重庆医科大学 Single-hole multichannel rotatable operation device of laparoscope
CN209004079U (en) * 2018-05-10 2019-06-21 苏州法兰克曼医疗器械有限公司 A kind of lane device for per anum Minimally Invasive Surgery
CN109124742A (en) * 2018-10-08 2019-01-04 欣瑞德(江苏)医疗科技有限公司 Multi-passage puncture outfit connection structure
CN113397893B (en) * 2021-05-20 2023-05-16 温州医科大学附属第二医院(温州医科大学附属育英儿童医院) Surgical wound debridement and suturing protection device

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CN202223273U (en) * 2011-07-07 2012-05-23 威海威高齐全医疗设备有限公司 Single-hole surgical channel

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CN1642486A (en) * 2002-03-14 2005-07-20 苹果医药公司 Abdominal retractor
CN201676007U (en) * 2010-01-28 2010-12-22 孙颖浩 Single-hole multi-channel minimally invasive surgery sheath
CN202223273U (en) * 2011-07-07 2012-05-23 威海威高齐全医疗设备有限公司 Single-hole surgical channel

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