CN103536359A - Barrier type single-hole laparoscope operation channel - Google Patents
Barrier type single-hole laparoscope operation channel Download PDFInfo
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- CN103536359A CN103536359A CN201210233654.XA CN201210233654A CN103536359A CN 103536359 A CN103536359 A CN 103536359A CN 201210233654 A CN201210233654 A CN 201210233654A CN 103536359 A CN103536359 A CN 103536359A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
- A61B17/3421—Cannulas
- A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/313—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for introducing through surgical openings, e.g. laparoscopes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
- A61B2017/3466—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals for simultaneous sealing of multiple instruments
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Abstract
The invention relates to a medical instrument, in particular to an operation channel used in an single-hole laparoscope operation, and aims at solving the technical problems that an existing single-hole laparoscope operation channel is large is size, operation instruments are hard to swing, instruments and operation channels are interfered with one another, and an application range is narrow. The barrier type single-hole laparoscope operation channel comprises an outer shell, instrument holes, an air inlet path, and an exhaust path and is characterized in that the outer shell is composed of barrel-shaped hard sheath and a soft cap capable of covering the hard sheath, barriers are arranged in the hard sheath and separate an inner cavity of the hard sheath into a plurality of division zones, and the soft cap is provided with a plurality of instrument holes. The operation channel has the advantages that the size of the operation channel is minimized, the structure of a gas leakage preventing device is simplified, larger instrument swing space is provided, instrument collision disturbance is reduced, and the diameter of the operation channel is reduced. The operation channel can be used for various single-hole laparoscopic instruments including pre-bending hard instruments.
Description
Technical field
The present invention relates to a kind of medical apparatus and instruments, the operation path of specifically using in a kind of single-hole laparoscopic surgery.
Background technology
The more traditional porous laparoscopic surgery of single-hole laparoscopic surgery otch still less, more attractive in appearance, is one of developing direction of surgery Minimally Invasive Surgery.Operation path is the crucial apparatus of single-hole laparoscopic surgery.Single-hole laparoscopic surgery need be placed an operation path in unique otch, has a plurality of instrument hole on operation path, places the operating apparatuss such as a plurality of operating forcepies, operating scissors, and for preventing the instrument hole gas leakage on operation path, operation path should have air-leakage preventing device.Current existing single-hole laparoscopic surgery passage has the following disadvantages in operation: one, operation path is positioned at outside abdomen the fulcrum of apparatus, apparatus is with this spot wobble, and the operation path diameter that is positioned at stomach wall section is little, limited the hunting range of operating apparatus, make range of operation narrow and small; Two,, owing to lacking separation, the apparatus end of abdominal cavity inner segment easily crosses one another, and causes and interferes with each other; Three, at present common instrument hole majority needs support and the guiding of tubular structure, makes structural volume large, and easily collision is disturbed, and tubular structure increased the frictional resistance of apparatus, affect apparatus and passes in and out and operation technique; Four, a lot of operation paths need to insert extra leakproof trachea assembly, have strengthened volume, increase operating difficulties, affect operating apparatus and swing and come in and go out; Five, the operation path that adopts monolayer anti-gas-leak structure, obturation effect is poor, large to the viscosity resistance of operating apparatus, affects the fluency of operating theater instruments turnover; Six, some operation path can only be used in conjunction with expensive flimsy bendable laparoscopic instrument, and can not be for simple and reliable pre-bend hard laparoscopic instrument; Seven, operation path complex structure, fragile, and price is high; Eight, the design of some operation paths has difficulties in the exploitativeness of producing and applying.These deficiencies are to affect the unfavorable factor that single-hole laparoscopic is carried out.There is no at present to solve the operation path of above deficiency, this is to affect the main cause that single-hole laparoscopic is carried out simultaneously.
Summary of the invention
The technical issues that need to address of the present invention are, overcome that the operation path volume that background technology exists is large, operation path inner space is little, operating apparatus swing space is little, apparatus interferes with each other seriously, the narrow deficiency of the scope of application, provide a kind of simple in structure, processing ease, has enough apparatus swing spaces, can reduce apparatus collision and disturb, can, for the operation path of pre-bend hard single-port laparoscope instrument, reduce the difficulty of single-hole laparoscopic surgery.
A passage, comprises shell, instrument hole, air inlet pipe, exhaustor, it is characterized in that: shell consists of the hard sheath of tubular and the overseas cap that can cover on hard sheath.Hard sheath body shape comprises straight-tube shape, eel-like figure tubular, and internal orifice and collar extension all can be flat mouth or angle, and collar extension comprises the brim of a hat shape or bell mouth shape with ring ,Huan limit, limit common shape.In hard sheath main body, there are air inlet pipe and exhaustor.Hard sheath inside, with barrier, is divided into a plurality of subregions by hard sheath inner chamber.Barrier contains a plurality of branches, and branch shape comprises beam shape, tabular or analogous shape, and each branch crosses mutually or be adjacent to each other near the hard sheath cross section center of circle or the center of circle, and barrier shape includes but not limited to Y shape, cross, matrix pattern.Barrier can combine together by global formation with hard sheath inwall, also can to hard sheath, use barrier as assembling parts.Hard sheath and barrier have rigidity, and manufactured materials includes but not limited to polyethylene, thermoplastic polyurethane elastic plastic cement, metal.
Overseas cap is membrane structure, has high-tension and tensility, can arbitrarily change shape, and that common shape comprises is discoideus, cap shape, glove-like.On overseas cap, with a plurality of instrument hole, instrument hole and membrane structure merge, and instrument hole has one deck anti-gas-leak structure at least.Anti-gas-leak structure comprises and inserts the anti-gas-leak structure of apparatus and the anti-gas-leak structure of deployment instrument not from function, from textural crack type, valve type, ring-like, the flap valve type of comprising, from comprising in shape plate-like, UFO-like or taper.Overseas cap has high-tension and tensility, similar balloon and medical rubber glove, and manufactured materials includes but not limited to silica gel, rubber.Overseas cap can cover on collar extension or the internal orifice of hard sheath, and the fixed form of overseas cap and hard sheath comprises that silk thread cerclage, retainer ring fix.
Beneficial effect of the present invention is: adopt barrier to can be apparatus swing fulcrum is provided, be conducive to the conduction of operating theater instruments strength; Barrier does not have tubular structure, contacts with operating theater instruments bar point-like, the friction that can avoid tube-in-tube structure to cause apparatus bar parcel; Adopt barrier that a plurality of apparatuses are separated, avoid apparatus cross winding; Adopt barrier that limitation and restriction that laparoscopic instrument is subject to are reduced, compare the tube-in-tube structure that is enclosed within apparatus bar outside larger apparatus swing space can be provided, reduce apparatus collision and disturb, increase range of operation; Overseas cap is high range of extension membrane structure, can reduce restriction and restriction that apparatus is swung; By the air-leakage preventing device designs simplification on overseas cap, can reduce apparatus collision and disturb; On overseas cap, can avoid using tube-in-tube structure, what reduced that apparatus friction and tube-in-tube structure cause is crowded; There is no the restriction of tube-in-tube structure, therefore can use the various single-port laparoscope instruments that comprise pre-bend hard apparatus, applied range; Retain key structure, eliminate all structures that tie up the structure of inner space and increase apparatus interference simultaneously; Simplified structure, improves reliability, facilitates industrial implementation.The present invention possesses above advantage simultaneously, is the innovation to single-hole laparoscopic surgery passage.
Accompanying drawing explanation
Fig. 1 is the hard sheath axonometric chart of the embodiment of the present invention 1;
Fig. 2 is the hard sheath profile of the embodiment of the present invention 1;
Fig. 3 is the barrier schematic diagram of the embodiment of the present invention 1;
Fig. 4 is the overseas cap axonometric chart of the embodiment of the present invention 1;
Fig. 5 is the overseas cap profile of the embodiment of the present invention 1;
Fig. 6 is the retainer ring schematic diagram of the embodiment of the present invention 1;
Fig. 7 is the working state schematic representation of the embodiment of the present invention 1;
Fig. 8 is the duty profile of the embodiment of the present invention 1;
Fig. 9 is the hard sheath axonometric chart of the embodiment of the present invention 2;
Figure 10 is the hard sheath profile of the embodiment of the present invention 2;
Figure 11 is the barrier schematic diagram of the embodiment of the present invention 2;
Figure 12 is the overseas cap profile of the embodiment of the present invention 2;
Figure 13 is the overseas cap front elevation of the embodiment of the present invention 2;
Figure 14 is the duty profile of the embodiment of the present invention 2;
Figure 15 is the hard sheath axonometric chart of the embodiment of the present invention 3;
Figure 16 is the barrier schematic diagram of the embodiment of the present invention 3;
Figure 17 is the overseas cap axonometric chart of the embodiment of the present invention 3;
Figure 18 is the overseas cap profile of the embodiment of the present invention 3;
Figure 19 is the duty profile of the embodiment of the present invention 3;
Figure 20 is the hard sheath axonometric chart of the embodiment of the present invention 4;
Figure 21 is the barrier schematic diagram of the embodiment of the present invention 4.
Label declaration in figure: 1. hard sheath, the hard sheath main body of 1.1., 1.2. collar extension, 1.3. internal orifice, 2. overseas cap, 3. bell mouth shape ring limit, 4. the brim of a hat shape ring limit, 5. air inlet pipe, 6. exhaustor, 7. barrier, 8. branch, 9. thin film, 10. instrument hole, 11. anti-gas-leak structures, the ring-like anti-gas-leak structure of 11.1. .11.2. valve type anti-gas-leak structure, 12. elastic rings, 13. retainer rings, 14. grapples, 15. grooves.
The specific embodiment
Below in conjunction with drawings and Examples, the present invention is further described.
Embodiment 1: as shown in Figure 1, Figure 2, shown in Fig. 3, Fig. 7, Fig. 8, a kind of single-hole laparoscopic surgery passage, comprises shell, instrument hole, air inlet pipe, exhaustor, it is characterized in that: shell consists of the hard sheath of tubular (1) and the overseas cap (2) that can cover on hard sheath.Hard sheath main body (1.1) is shaped as eel-like figure tubular, and collar extension (1.2) has bell mouth shape ring limit (3).On hard sheath (1), there are air inlet pipe (5) and exhaustor (6).The inner stage casing of hard sheath (1), with barrier (7), is divided into a plurality of subregions by hard sheath (1) inner chamber.Barrier (7) contains Si Ge branch (8), and branch (8) is beam shape, and each branch (8) crosses mutually near hard sheath (1) the cross section center of circle, and barrier (7) shape is class cross or matrix pattern.Barrier (7) is integrated with hard sheath (1) inwall global formation.Hard sheath (1) and barrier (7) have rigidity, and manufactured materials is metal.
As shown in Fig. 4 to Fig. 8, overseas cap (2) main body is thin film (9) structure, has high-tension and tensility, can arbitrarily change shape, and static in shape is glove-like.Overseas cap (2) is upper with a plurality of instrument hole (10), instrument hole (10) and thin film (9) structure fusion, instrument hole (10) is with anti-gas-leak structure (11), comprise the ring-like anti-gas-leak structure (11.1) while inserting apparatus, form plate-like monolayer anti-gas-leak structure (11.1), also the valve type anti-gas-leak structure (11.2) in the time of can comprising deployment instrument not, forms the depressed structure of taper double-layered anti-leakage (11.2).Overseas cap (2) has high-tension and tensility, similar balloon and medical rubber glove, and manufactured materials is rubber.Overseas cap (2) can cover on the bell mouth shape ring limit (3) of hard sheath (1) collar extension (1.2), can overseas cap (2) be fixed on bell mouth shape ring limit (3) by retainer ring (13).Retainer ring (13) size is suitable with bell mouth shape ring limit (3), can fit to bell mouth shape ring limit (3), on retainer ring, with four grapples (14), can fasten bell mouth shape ring limit (3).
Embodiment 2: as shown in Fig. 9, Figure 10, Figure 11, Figure 14, a kind of single-hole laparoscopic surgery passage, comprise shell, instrument hole, air inlet pipe, exhaustor, it is characterized in that: shell is by the hard sheath of tubular (1) and can cover on overseas cap (2) formation on hard sheath (1).Hard sheath main body (1.1) is shaped as straight-tube shape, and collar extension (1.2), with the brim of a hat shape ring limit (4), encircles limit periphery fluted (15).On hard sheath (1), there are air inlet pipe (5) and exhaustor (6).The inner stage casing of hard sheath (1) is with barrier (7), barrier (7) contains San Ge branch (8), and branch (8) is tabular, and each branch (8) crosses mutually near hard sheath (1) the cross section center of circle, shape is Y-shaped, and hard sheath (1) inner chamber is divided into a plurality of subregions.Barrier (7) combines together with hard sheath (1) inwall global formation.Hard sheath (1) and barrier (7) have rigidity, and manufactured materials is polyethylene.
As shown in Figure 12 to Figure 14, overseas cap (2) main body is thin film (9) structure, has high-tension and tensility, can arbitrarily change shape, and static in shape is thin rounded flakes, and periphery thickens and forms elastic ring (12).Overseas cap (2) is upper with a plurality of instrument hole (10), instrument hole (10) and thin film (9) structure fusion, instrument hole (10) has the depressed structure of UFO-like double-layered anti-leakage (11), comprises ring-like anti-gas-leak structure (11.1) while inserting apparatus and the valve type anti-gas-leak structure (11.2) during deployment instrument not.Overseas cap (2) has high-tension and tensility, similar balloon and medical rubber glove, and manufactured materials is transparent silica gel.Overseas cap (2) can cover on the brim of a hat shape ring limit (4) of the collar extension (1.2) of hard sheath (1) and go up, and can overseas cap (2) be tightened and is fixed on the groove (15) on the brim of a hat shape ring limit (4) by silk thread.
Embodiment 3: as shown in Figure 15, Figure 16, Figure 19, a kind of single-hole laparoscopic surgery passage, comprises shell, instrument hole, air inlet pipe, exhaustor, it is characterized in that: shell is by the hard sheath of tubular (1) and can cover on overseas cap (2) formation on hard sheath (1).Hard sheath main body (1.1) is shaped as straight-tube shape, and collar extension (1.2), with the brim of a hat shape ring limit (4), encircles limit periphery fluted (15).On hard sheath (1), there are air inlet pipe (5) and exhaustor (6).The inner outer section of hard sheath (1) is with barrier (7), barrier (7) contains San Ge branch (8), and branch (8) is tabular, and each branch (8) crosses mutually near hard sheath (1) the cross section center of circle, shape is Y-shaped, and hard sheath (1) inner chamber is divided into three subregions.Barrier (7) arrives (mounting structure slightly) on hard sheath (1) inwall as assembling parts.Hard sheath (1) and barrier (7) have rigidity, and manufactured materials is thermoplastic polyurethane elastic plastic cement.
As shown in Figures 17 to 19, overseas cap (2) main body is thin film (9) structure, has high-tension and tensility, can arbitrarily change shape, and static in shape is hat, and periphery thickens and forms elastic ring (12).Overseas cap (2) is upper with a plurality of instrument hole (10), instrument hole (10) and thin film (9) structure fusion, instrument hole (10) has the depressed structure of UFO-like double-layered anti-leakage (11), comprises ring-like anti-gas-leak structure (11.1) while inserting apparatus and the valve type anti-gas-leak structure (11.2) during deployment instrument not.Overseas cap (2) has high-tension and tensility, similar balloon and medical rubber glove, and manufactured materials is transparent silica gel.Overseas cap (2) can cover on the brim of a hat shape ring limit (4) of the collar extension (1.2) of hard sheath (1) and go up, and can overseas cap (2) be tightened and is fixed on the groove (15) on hard sheath (1) the brim of a hat shape ring limit (4) by silk thread.
Embodiment 4: as shown in Figure 20, Figure 21, a kind of single-hole laparoscopic surgery passage, comprises shell, instrument hole, air inlet pipe, exhaustor, it is characterized in that: shell is by the hard sheath of tubular (1) and can cover on overseas cap (2) formation on hard sheath (1).Hard sheath main body (1.1) is shaped as eel-like figure tubular, and internal orifice (1.3) is angle, and collar extension (1.2) is flat mouth, and collar extension (1.2) is with bell mouth shape ring limit (3).On hard sheath (1), there are air inlet pipe (5) and exhaustor (6).The inner outer section of hard sheath (1) is with barrier (7), and barrier (7) contains San Ge branch (8), and branch (8) is beam shape, and each branch (8) is adjacent to each other near hard sheath (1) the cross section center of circle, and hard sheath (1) inner chamber is divided into three subregions.Barrier (7) arrives on hard sheath (1) inwall as assembling parts.Hard sheath (1) and barrier (7) have rigidity, and manufactured materials is rustless steel.
As shown in Figure 4, overseas cap (2) embodiment and identical with embodiment 1 with the mounting means of hard sheath, no longer repeats at this.
Claims (12)
1. a single-hole laparoscopic surgery passage, comprise shell, instrument hole, air inlet pipe, exhaustor, it is characterized in that: shell consists of the hard sheath of tubular and the overseas cap that can cover on hard sheath, hard sheath inside is with barrier, hard sheath inner chamber is divided into a plurality of subregions, on overseas cap with a plurality of instrument hole.
2. single-hole laparoscopic surgery passage according to claim 1, it is characterized in that: described hard sheath shape comprises straight-tube shape, eel-like figure tubular, internal orifice and collar extension all can be flat mouth or angle, and collar extension comprises the brim of a hat shape or bell mouth shape with ring ,Huan limit, limit common shape.
3. single-hole laparoscopic surgery passage according to claim 1, it is characterized in that: described barrier contains a plurality of branches, branch shape comprises beam shape, tabular or analogous shape, each branch crosses mutually or is adjacent to each other near the hard sheath cross section center of circle or the center of circle, and barrier shape includes but not limited to Y shape, cross, matrix pattern.
4. single-hole laparoscopic surgery passage according to claim 1, is characterized in that: described barrier can combine together by global formation with hard sheath inwall, in the time of also can using as parts respectively, is assembled into one.
5. single-hole laparoscopic surgery passage according to claim 1, is characterized in that: described overseas cap has high-tension and tensility, can arbitrarily change shape, and that common shape comprises is discoideus, cap shape, glove-like.
6. single-hole laparoscopic surgery passage according to claim 1, is characterized in that: described overseas cap can cover on collar extension or the internal orifice of hard sheath, and the fixed form of overseas cap and hard sheath comprises that silk thread cerclage, retainer ring fix.
7. single-hole laparoscopic surgery passage according to claim 1, is characterized in that: described instrument hole and membrane structure merge, and instrument hole has one deck anti-gas-leak structure at least.
8. single-hole laparoscopic surgery passage according to claim 1, it is characterized in that: described hard sheath and barrier have rigidity, manufactured materials includes but not limited to polyethylene, thermoplastic polyurethane elastic plastic cement, metal, overseas cap has height tensility, similar medical rubber glove, manufactured materials includes but not limited to silica gel, rubber.
9. a hard sheath assembly for single-hole laparoscopic surgery passage, is tubular, it is characterized in that: hard sheath inside is with barrier, and barrier contains a plurality of branches, and branch shape comprises beam shape, tabular and analogous shape, and hard sheath inner chamber is divided into a plurality of subregions.
10. an overseas cap assembly for single-hole laparoscopic surgery passage, above has a plurality of instrument hole, it is characterized in that: overseas cap main body is flexible film structure, has high-tension and tensility, and membrane structure and instrument hole merge, and instrument hole is with anti-gas-leak structure.
The overseas cap assembly of 11. single-hole laparoscopic surgery passages according to claim 10, is characterized in that: described overseas cap can arbitrarily change shape, and common shape comprises plain film shape, cap shape, glove-like.
The overseas cap assembly of 12. single-hole laparoscopic surgery passages according to claim 10, is characterized in that: described instrument hole anti-gas-leak structure is from textural crack type, valve type, ring-like, the flap valve type of comprising, from comprising in shape plate-like, UFO-like or taper.
Priority Applications (2)
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CN201210233654.XA CN103536359A (en) | 2012-07-08 | 2012-07-08 | Barrier type single-hole laparoscope operation channel |
PCT/CN2012/086709 WO2014008745A1 (en) | 2012-07-08 | 2012-12-15 | Barrier type single-hole laparoscope surgical channel |
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CN201210233654.XA CN103536359A (en) | 2012-07-08 | 2012-07-08 | Barrier type single-hole laparoscope operation channel |
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CN201210233654.XA Pending CN103536359A (en) | 2012-07-08 | 2012-07-08 | Barrier type single-hole laparoscope operation channel |
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Cited By (4)
Publication number | Priority date | Publication date | Assignee | Title |
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CN104840226A (en) * | 2015-05-29 | 2015-08-19 | 杨雪鹰 | Incision retracting fixator applicable to single-pore thoracoscopic surgery |
CN105726070A (en) * | 2014-12-12 | 2016-07-06 | 吴进锋 | Single-site multichannel laparoscopic surgery sheath |
CN110179505A (en) * | 2019-06-29 | 2019-08-30 | 薄文 | High flexibility concentrated single-hole multi-channel operation puncturing device |
CN113397666A (en) * | 2021-07-20 | 2021-09-17 | 王倩青 | Single-port multi-channel operation sheath for transumbilical single-port laparoscopic surgery |
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CN107320147B (en) * | 2017-06-19 | 2024-06-21 | 杭州市第一人民医院 | Curable deformable tube sleeve for transnasal neuroendoscopic surgery |
CN108577904B (en) * | 2018-06-22 | 2024-06-11 | 西安交通大学医学院第一附属医院 | Double-forceps-channel single-hole bendable laparoscope system |
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- 2012-12-15 WO PCT/CN2012/086709 patent/WO2014008745A1/en active Application Filing
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US20080255519A1 (en) * | 2007-03-30 | 2008-10-16 | Pnavel Systems, Inc. | Laparoscopic port assembly |
CN101836874A (en) * | 2009-03-20 | 2010-09-22 | Tyco医疗健康集团 | Flexible port seal |
CN101919727A (en) * | 2009-03-31 | 2010-12-22 | 来宝株式会社 | Trocar for a single port surgery |
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Cited By (5)
Publication number | Priority date | Publication date | Assignee | Title |
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CN105726070A (en) * | 2014-12-12 | 2016-07-06 | 吴进锋 | Single-site multichannel laparoscopic surgery sheath |
CN104840226A (en) * | 2015-05-29 | 2015-08-19 | 杨雪鹰 | Incision retracting fixator applicable to single-pore thoracoscopic surgery |
CN110179505A (en) * | 2019-06-29 | 2019-08-30 | 薄文 | High flexibility concentrated single-hole multi-channel operation puncturing device |
CN113397666A (en) * | 2021-07-20 | 2021-09-17 | 王倩青 | Single-port multi-channel operation sheath for transumbilical single-port laparoscopic surgery |
CN113397666B (en) * | 2021-07-20 | 2022-06-07 | 王倩青 | Single-port multi-channel operation sheath for transumbilical single-port laparoscopic surgery |
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Application publication date: 20140129 |