CN103654885B - Single port laparoscopic surgery flexible cannula with adjustable diameter of operative table surface - Google Patents

Single port laparoscopic surgery flexible cannula with adjustable diameter of operative table surface Download PDF

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Publication number
CN103654885B
CN103654885B CN201310684887.6A CN201310684887A CN103654885B CN 103654885 B CN103654885 B CN 103654885B CN 201310684887 A CN201310684887 A CN 201310684887A CN 103654885 B CN103654885 B CN 103654885B
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China
Prior art keywords
table surface
channel
ring
operating
laparoscopic surgery
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CN201310684887.6A
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Chinese (zh)
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CN103654885A (en
Inventor
王栋
嵇振岭
孙义新
吴巍
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Southeast University
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Southeast University
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Priority to CN201310684887.6A priority Critical patent/CN103654885B/en
Publication of CN103654885A publication Critical patent/CN103654885A/en
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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B17/3423Access ports, e.g. toroid shape introducers for instruments or hands
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B2017/3433Cannulas with different outer diameters of the cannula
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B2017/3445Cannulas used as instrument channel for multiple instruments

Abstract

The invention discloses a single port laparoscopic surgery flexible cannula with the adjustable diameter of an operative table surface. The operative table surface (1) is arranged at the upper portion of the flexible cannula, a channel pipe (3) is arranged in the middle, a lower end ring (4) is arranged at the lower portion, and the operative table surface (1) and the channel pipe (3) are connected through a connection ring (2); the operative table surface is corrugated, and one-way valves (1-2) are arranged on the corrugated surface (1-1) of the operative table surface; a hard ring (2-1) is arranged inside the connection ring, is of a structure that the two rings are clamped and combined in one direction and is used for providing a fixed periphery when stretching in the radial direction; the channel pipe is used for opening an abdominal incision and providing an operation channel, the upper portion of the channel pipe is in a corrugated crease shape (3-1), and the lower portion of the channel pipe is in a smooth and flat shape (3-2); the lower end ring is used for providing an inner supporting face for the abdominal cavity, and a bead ring (4-1) is arranged inside the lower end ring. By means of the single port laparoscopic surgery flexible cannula, the area of the operative table surface is changed according to the operation requirements for different surgeries, and the distance between the adjacent one-way valves is changed by changing the area of the operative table surface.

Description

The adjustable single-hole laparoscopic surgery flexible sleeve of a kind of operating surface diameter
Technical field
The present invention is the adjustable single-hole laparoscopic surgery flexible sleeve of a kind of operating surface diameter, belongs to technical field of medical instruments.
Background technology
Along with the development of micro-wound surgical operation, single-hole laparoscopic surgery has become stomach wall without the new study hotspot of cicatrix field of surgery.Current single-hole laparoscopic surgery due to operating difficulty comparatively large, clinical practice is still in the primary stage, and first its reason shows the restriction of single-incision laparoscope sleeve platform.Desirable single-incision laparoscope sleeve needs according to different patient size, different operating difficulties and range of operation adjusting sleeve pipe platform size and adapts to dissimilar special operational apparatus.When patient size's slight of stature, operation technique is simple and range of operation is little, only need less abdominal incision and sleeve pipe platform, insert 2-3 and prop up apparatus and get final product complete operation; Larger patient size, when operation technique is complicated and range of operation is wider, need to set up larger sleeve pipe platform, use 4-5 to prop up apparatus simultaneously, the distance set up between larger abdominal part passage and increase operating apparatus effectively can avoid the collision between apparatus, could complete operation smoothly.When the single-hole laparoscopic surgery operation of some complexity, need to use special apparatus to complete, such as the apparatus of bending kenel, it cannot pass through hard sleeve, and flexible sleeve is then applicable to the apparatus turnover of all kinds of bending kenel very much.
Summary of the invention
Technical problem: the object of the invention is to provide a kind of operating surface diameter adjustable single-hole laparoscopic surgery flexible sleeve.The present invention can change the area of operating table surface according to the operational requirements of difference operation, change the distance between stretching adjacent one-way valve, increase work angle and the range of activity of apparatus, prevent operating theater instruments in the crowded collision of table top by the area of table top; The present invention, at the diameter expanding radial drawing channel while operating table surface, retract otch, increase channel, increases the activity space of apparatus in passage, avoids the too small apparatus that causes of the diameter because of channel to intersect phenomenon of fighting.
Technical scheme: in order to solve these problems of the prior art, the invention provides the adjustable single-hole laparoscopic surgery flexible sleeve of a kind of operating surface diameter, the top of this flexible sleeve is operating table surface, and centre is channel, bottom is lower loop, and operating table surface is connected by connecting ring with channel; Described operating table surface is corrugated, and the corrugated surface of operating table surface is provided with check valve; Described connecting ring inside is provided with hard ring, and hard ring is for providing fixing periphery when the unidirectional snap-in structure of dicyclo is used for radial drawing; Described channel is used for retracting abdominal incision, provides operating walk way, and channel top is ripple fold shape, and bottom is smooth shape; Described lower loop is used for providing intraperitoneal supporting surface, and its inside is provided with wire loop.
Operating table surface, connecting ring, channel, lower loop are that integral molded plastic forms, and material is silica gel, and each several part joint face is and flexibly connects.
Be provided with the hard ring of two 3/4ths circumference in connecting ring, the afterbody at hard ring two ends is provided with sawtooth, and two rings can lock after unidirectional radial drawing.
Described hard ring material is polyethylene.
Lower loop inside is provided with wire loop.
When the present invention uses, lower loop is pinched and flatly to fill in from abdominal incision, channel length presets the thickness being about human body stomach wall, lower loop enters intraperitoneal rear flank and automatically recovers circle and be close to inside abdominal cavity, channel bottom is smooth to be close to incision tissue, and channel upper end fold and incision tissue fit.Radial both sides pull connecting ring, relative two lateral movements of the hard ring in connecting ring, and the afterbody at hard ring two ends is provided with unidirectional sawtooth, when be stretched to require diameter time two unidirectional sawtooth of hard ring be fixed.Now by pulling connecting ring, the area of operating table surface increases, distance between adjacent one-way valve increases, the work angle of apparatus increases.When pulling connecting ring in radial both sides, the channel wrinkled portion be attached thereto is simultaneously by radial drawing, and increase the diameter of operating walk way in channel, after stretching, connecting ring presses in abdominal incision skin surface simultaneously, maintains otch and retracts and air-tightness.
Beneficial effect: relative to scheme of the prior art, advantage of the present invention is:
Flexible sleeve of the present invention can change the area of operating table surface according to the operational requirements of difference operation, the distance between stretching adjacent one-way valve is changed by the area of table top, increase work angle and the range of activity of apparatus, prevent operating theater instruments in the crowded collision of table top; The present invention, at the diameter expanding radial drawing channel while operating table surface, retract otch, increase channel, increases the activity space of apparatus in passage, avoids the too small apparatus that causes of the diameter because of channel to intersect phenomenon of fighting.
Accompanying drawing explanation
Below in conjunction with accompanying drawing, the present invention is further described.
Fig. 1 is operating surface diameter of the present invention adjustable single-hole laparoscopic surgery flexible sleeve structure chart.
Fig. 2 is the top view of Fig. 1.
Fig. 3 is operating surface diameter of the present invention adjustable single-hole laparoscopic surgery flexible sleeve hard ring schematic diagram.
Fig. 4 is operating surface diameter of the present invention adjustable single-hole laparoscopic surgery flexible sleeve hard ring latch engaging schematic diagram.
Fig. 5 is that the adjustable single-hole laparoscopic surgery flexible sleeve of operating surface diameter of the present invention uses schematic diagram.
Comprising: operating table surface 1, connecting ring 2, channel 3, lower loop 4; Corrugated surface 1-1, check valve 1-2; , hard ring 2-1, sawtooth 2-2, ripple fold shape 3-1, smooth shape 3-2; Lower loop 4, wire loop 4-1.
F1 is the pulling force that radial both sides pull connecting ring 2.
F2 is the pulling force pulling channel upper end fold 3-1 produced by F1.
F3 is that lower loop 4 enters rear flank in abdominal part and automatically recovers circle and be close to inside abdominal cavity, upwards pulls the pressure of generation.
Detailed description of the invention
The invention discloses the adjustable single-hole laparoscopic surgery flexible sleeve of a kind of operating surface diameter, the adjustable single-hole laparoscopic surgery flexible sleeve of this operating surface diameter is made up of operating table surface, connecting ring, channel, lower loop.Described operating table surface is corrugated, and corrugated surface is provided with check valve; Described connecting ring is used for attended operation table top and channel, and connecting ring inside is provided with hard ring, and hard ring is for providing fixing periphery when the unidirectional snap-in structure of dicyclo is used for radial drawing; Described channel is used for retracting abdominal incision, provides operating walk way, and channel top is ripple fold shape, and bottom is smooth shape; Described lower loop is used for providing intraperitoneal supporting surface, and its inside is provided with wire loop.
The adjustable single-hole laparoscopic surgery flexible sleeve of a kind of operating surface of the present invention diameter can change the area of operating table surface according to the operational requirements of difference operation, the distance between stretching adjacent one-way valve is changed by the area of table top, increase work angle and the range of activity of apparatus, prevent operating theater instruments in the crowded collision of table top; The present invention, at the diameter expanding radial drawing channel while operating table surface, retract otch, increase channel, increases the activity space of apparatus in passage, avoids the too small apparatus that causes of the diameter because of channel to intersect phenomenon of fighting.
Preferably, described operating table surface is flexible corrugation face, and corrugated surface is provided with check valve, and check valve number is 4, and check valve diameter is 25 millimeters, 2 10 millimeters.
Preferably, described connecting ring inside is provided with certain space for placing hard ring.
Preferably, the hard ring in described connecting ring is the hard ring of 3/4ths circumference of two polythene materials, and the afterbody at hard ring two ends is provided with sawtooth, and two rings can lock after unidirectional radial drawing.
Preferably, described channel top is set to fold-type, and for tensile deformation, bottom is that shiny surface is for being close to skin seal.
Preferably, described lower loop inside is provided with wire loop.
Preferably, the operating table surface of the described adjustable single-hole laparoscopic surgery flexible sleeve of a kind of operating surface diameter, connecting ring, channel, lower loop are that integral molded plastic forms, and material is silica gel, and each several part joint face is and flexibly connects.
Below in conjunction with specific embodiment, such scheme is described further.Should be understood that these embodiments are not limited to for illustration of the present invention limit the scope of the invention.The implementation condition adopted in embodiment can do further adjustment according to the condition of concrete producer, and not marked implementation condition is generally the condition in normal experiment.
As shown in Figure 1, single-hole laparoscopic surgery flexible sleeve of the present invention is made up of operating table surface 1, connecting ring 2, channel 3, lower loop 4 embodiment 1.It is characterized in that described operating table surface is corrugated, corrugated surface 1-1 is provided with check valve 1-2; Described connecting ring 2 is for attended operation table top 1 and channel 3, and connecting ring 2 inside is provided with hard ring 2-1, and hard ring 2-1 is for providing fixing periphery when the unidirectional snap-in structure of dicyclo is used for radial drawing; Described channel 3, for retracting abdominal incision, provides operating walk way, and channel 3 top is ripple fold shape 3-1, and bottom is smooth shape 3-2; Described lower loop 4 is for providing intraperitoneal supporting surface, and its inside is provided with wire loop 4-1.
Embodiment 2 as shown in Figure 3, Figure 4, hard ring 2-1 is for providing fixing periphery when the unidirectional snap-in structure of dicyclo is used for radial drawing, hard ring 2-1 is the hard ring 2-1 of 3/4ths circumference of two polythene materials, the afterbody at hard ring two ends is provided with sawtooth 2-2, two rings rely on sawtooth 2-2 engaging, and two rings can lock after unidirectional radial drawing.
Embodiment 3 as shown in Figure 5, during use, lower loop 4 is pinched and flatly to fill in from abdominal incision, channel 3 length presets the thickness being about human body stomach wall, lower loop 4 enters rear flank in abdominal part and automatically recovers circle and be close to inside abdominal cavity, upwards pull and produce pressure F3, make lower loop 4 be close to inside abdominal part, ensure sealing.The smooth 3-2 in channel 3 bottom and incision tissue are close to, and channel 3 upper end fold 3-1 and incision tissue fit in advance.Radial both sides F1 pulls connecting ring 2, produce tensile force f 2 simultaneously and pull channel upper end fold 3-1, relative two lateral movements of hard ring 2-1 in F1 stretching connecting ring 2, the afterbody at hard ring 2-1 two ends is provided with unidirectional sawtooth 2-2, when be stretched to require diameter time two unidirectional sawtooth 2-2 of hard ring 2-1 be fixed.Now by pulling connecting ring 2, the area of operating table surface 1 increases, distance between adjacent one-way valve 1-2 increases, the work angle of apparatus increases, pull the channel wrinkled portion 3-1 be attached thereto during connecting ring 2 simultaneously by radial drawing in radial both sides simultaneously, increase the diameter of operating walk way in channel 3, after stretching, connecting ring 2 presses in abdominal incision skin surface, maintains otch and retracts.

Claims (5)

1. the adjustable single-hole laparoscopic surgery flexible sleeve of operating surface diameter, it is characterized in that the top of flexible sleeve is operating table surface (1), centre is channel (3), bottom is lower loop (4), and operating table surface (1) is connected by connecting ring (2) with channel (3); Described operating table surface (1), for corrugated, the corrugated surface (1-1) of operating table surface (1) is provided with check valve (1-2); Described connecting ring (2) inside is provided with hard ring (2-1), and hard ring is for providing fixing periphery when the unidirectional snap-in structure of dicyclo is used for radial drawing; Described channel (3), for retracting abdominal incision, provides operating walk way, and channel (3) top is ripple fold shape (3-1), and bottom is smooth shape (3-2); Described lower loop (4) is for providing intraperitoneal supporting surface, and its inside is provided with wire loop (4-1).
2. the adjustable single-hole laparoscopic surgery flexible sleeve of a kind of operating surface diameter according to claim 1, it is characterized in that operating table surface (1), connecting ring (2), channel (3), lower loop (4) form for integral molded plastic, material is silica gel, and each several part joint face is and flexibly connects.
3. the adjustable single-hole laparoscopic surgery flexible sleeve of a kind of operating surface diameter according to claim 1, it is characterized in that the hard ring (2-1) being provided with two 3/4ths circumference in connecting ring (2), the afterbody at hard ring (2-1) two ends is provided with sawtooth (2-2), and connecting ring (2) and hard ring (2-1) can lock after unidirectional radial drawing.
4. the adjustable single-hole laparoscopic surgery flexible sleeve of a kind of operating surface diameter according to claim 3, is characterized in that described hard ring (2-1) material is polyethylene.
5. the adjustable single-hole laparoscopic surgery flexible sleeve of a kind of operating surface diameter according to claim 1, is characterized in that lower loop (4) inside is provided with wire loop.
CN201310684887.6A 2013-12-13 2013-12-13 Single port laparoscopic surgery flexible cannula with adjustable diameter of operative table surface Active CN103654885B (en)

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CN107661131A (en) * 2017-08-22 2018-02-06 佛山市优特医疗科技有限公司 A kind of surgical incision retractor
CN108852433B (en) * 2018-06-12 2024-03-22 无锡圣诺亚科技有限公司 Single-port laparoscope operation sleeve device
CN108888359A (en) * 2018-08-20 2018-11-27 苏州法兰克曼医疗器械有限公司 A kind of operation path device of adjustable-angle
CN109199552A (en) * 2018-10-29 2019-01-15 浙江格宜医疗器械有限公司 Sacculus circle operation puncturing device
CN113729798B (en) * 2021-08-31 2023-01-10 重庆西山科技股份有限公司 Operation device, composite operation channel and multi-degree-of-freedom positioning structure
CN116849728A (en) * 2023-06-21 2023-10-10 南方医科大学南方医院 Multichannel single-hole pleuroperitoneal cavity sleeve device

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EP2609879A1 (en) * 2011-12-29 2013-07-03 Covidien LP Surgical access assembly and method of use therefor
CN202568433U (en) * 2012-05-18 2012-12-05 何海荣 Dilator for single-orifice laparoscope

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