CN103961143A - Operation tool guider and protective cover for operation tool guider - Google Patents

Operation tool guider and protective cover for operation tool guider Download PDF

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Publication number
CN103961143A
CN103961143A CN 201310030513 CN201310030513A CN103961143A CN 103961143 A CN103961143 A CN 103961143A CN 201310030513 CN201310030513 CN 201310030513 CN 201310030513 A CN201310030513 A CN 201310030513A CN 103961143 A CN103961143 A CN 103961143A
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CN
China
Prior art keywords
surgical tool
body
ring
guide
tool
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CN 201310030513
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Chinese (zh)
Inventor
徐午男
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徐午男
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Priority to CN 201310030513 priority Critical patent/CN103961143A/en
Publication of CN103961143A publication Critical patent/CN103961143A/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3403Needle locating or guiding means

Abstract

The invention discloses an operation tool guider which is easy to mount and separate, can shorten the operation time and avoid deviation from abdominal wall, and is free from a gas leakage risk to ensure that an operation is done smoothly and stably. The invention further discloses a protective cover for the operation tool guider. Even when the operation tool guider moves in various ways, the protective cover can still move with the operation tool guider according to the operation need to effectively prevent gas leakage, so that the operation is done smoothly, inconvenience caused by second injection of gas during the operation is avoided.

Description

手术工具导引器及用于手术工具导引器的保护盖 Surgical tool guide and protection for a surgical tool guide cover

技术领域 FIELD

[0001] 本发明涉及一种于内视镜手术中用于导引众多手术工具进入腹腔中的手术工具导引器,且特别是一种可保持稳定安装状态并易于安装与分离以确保手术得以顺利进行的手术工具导引器。 [0001] The present invention relates to an endoscopic surgery to guide many surgical tools into the abdominal cavity for the surgical tool guide, and more particularly to a stable mounted state and can be easily separated from the installation procedure is to ensure the smooth progress of the surgical tool guide.

[0002] 本发明还涉及一种用于手术工具导引器的保护盖,且特别是一种安装于手术工具导引器的工具入口,以有效防止气体于手术工具使用时漏泄,进而确保手术得以顺利进行的用于手术工具导引器的保护盖。 [0002] The present invention further relates to a protective cover for a surgical tool guide, and in particular is a tool attached to the surgical tool guide inlet, in order to effectively prevent leakage of the gas used in surgical tools, thus ensuring operation smooth and to protect the surgical tool guide for the cover.

背景技术 Background technique

[0003] 一般而言,腹腔内视镜手术不似现行的剖腹手术,病患被切开的皮肤相当少,使得病患可迅速恢复。 [0003] In general, endoscopic surgery intraperitoneal unlike existing laparotomy, the patient's skin is relatively small incision, such that the patient can be quickly restored.

[0004] 内视镜手术与运用称为套针的插管手术装置于病患腹部穿小洞的方法相同,其中至少一套针插入腹部中,且许多手术装置,诸如:镊子、切割装置、内脏抽取装置、以及内视摄像机透过此套针导入腹部中的手术部分,以执行许多手术,诸如:胆囊切除手术、胆囊结石摘除手术、阑尾切除手术以及一般手术。 [0004] The endoscope apparatus cannula surgical procedures referred to trocar and use of the method of the abdomen through the same hole in the patient, wherein at least a needle is inserted into the abdomen, and the number of surgical devices, such as: forceps cutting device, visceral extraction device, and an inner rearview camera introduced through this portion of the abdomen surgical trocar to perform a number of procedures, such as: cholecystectomy, gallstone removal surgery, appendectomy, and general surgery.

[0005] 同时,近年来,少有疤痕残留的内视镜手术执行于肚脐的部分,且不需运用上述许多套针与切割工具,以设法减少疤痕残留于病患腹部以及使病患快速恢复。 [0005] Meanwhile, in recent years, endoscopic surgery is performed in rare scars remaining part of the navel, and does not require the use of many of the above-described cutting tool and a trocar, to try to reduce scarring in patients remaining in the abdomen and causing rapid recovery of patients .

[0006] 一般而言,倘若手术需要于人体腹部穿孔,目前内视镜腹部手术颇受欢迎,因伤口愈合后不易暴露于外且肉眼不易辨识出此伤口。 [0006] In general, if the human body abdominal surgery requires perforation, endoscopic abdominal surgery is currently popular, because wound healing is not easy to visually exposed to the outside, and this is not easy to identify the wound.

[0007] 为执行此种外科手术,根据手术的类型,在肚脐上穿10至12厘米的手术孔,且用于导引多种手术工具进入腹部中的手术工具导引器安装于此手术孔中以供使用。 [0007] to perform such a surgical operation, according to the type of operation, through the operation hole 10 to 12 cm in the navel, and for guiding a plurality of surgical tools into the abdominal surgical tool guide in mounting holes in this operation in for use.

[0008] 然而,相关技术的手术工具导引器因容易与其腹部的安装位置分离或经常于手术期间漏泄氮气而延长了手术过程。 [0008] However, the related art surgical tool guide due to its easy separation installation position in the abdomen during surgery often leak or nitrogen extended surgical procedure. 因此,本发明人洞悉此问题且发展一种手术工具导引器,以防止导引器分离,进而确保手术进行顺利,此发明已申请于2009年3月27日并获得专利权(韩国专利号:10-915882)。 Accordingly, the present invention insight into this issue and develop a surgical tool guide, guide to prevent separation, thereby ensuring that the surgery goes well, this invention has application in March 27, 2009 and obtained a patent (Korean Patent No. : 10-915882).

[0009] 图1显示本申请人已取得专利权的手术工具导引器。 [0009] FIG. 1 shows the applicant has patented surgical tool guide. 在手术工具导引器I中,使众多手术工具进入的工具入口3提供于本体2的上部,安装于手术孔上部并藉其支撑的具有弹性的安装环4安装于本体2的呈开放状的底面的端点,而位于藉由环绕安装环4的外部而重迭的内部,且经设置以透过手术孔导引腹部,以根据腹壁厚度对应安装环4,进而支撑本体2的支撑环5设置于本体2的外部纵侧。 I surgical tool guide, the tool so that many of the surgical tool into the inlet 3 provided in the upper portion of the body 2, and is attached to the upper portion of the operation hole by supporting the elastic ring 4 is attached to the mounting body 2 form an open shape the bottom end, located around the inner by the outer mounting ring 4 and overlapped, and is set through the operation hole to guide the abdomen, the abdominal wall in accordance with the thickness corresponding to the mounting ring 4, and further supported by the support ring 5 disposed in the main body 2 the outer longitudinal side the body 2.

[0010] 当安装环4如图2与图3所示翻转于外侧且将本体2牢固地拉紧时,相关技术的手术工具导引器I藉由定位位于手术孔上侧的安装环4与根据腹壁厚度且受腹壁阻挡于腹壁上侧的支撑环而安装。 [0010] When the mounting ring 4 in FIG. 2 and FIG. 3 flipped to the outside and the main body 2 is firmly tightened, the related art I surgical tool guide located on the side of the operation hole by positioning and mounting ring 4 in the abdominal wall and the abdominal wall of the barrier on the side of the support ring is mounted in accordance with the thickness of the abdominal wall. 因此,手术工具导引器I不易与手术孔分离,且藉由牢固地维持本体2于支撑环5与安装环4间以最小化手术工具的干扰。 Thus, the surgical tool guide I easily separated from the operation hole, and firmly maintained by the support ring 5 of the body 2 and 4 to minimize the interference of the surgical tool mounting ring.

[0011] 然而,本申请人了解到根据相关技术的手术工具导引器I有安装上的问题,亦即连续翻转安装环4直到安装环4附着于腹部上方的过程是相当麻烦的,且也有分离上的问题,亦即在手术过后,当本体2被坚固地拉紧时,翻转安装环4至相反方向的程序是不容易实行的。 [0011] However, according to the related art of the present applicant is aware of a surgical tool guide I have installation problems, i.e. 4 consecutive inversion process until the mounting ring 4 attached to the mounting ring above the abdomen is rather cumbersome, and also separation problems, i.e. after the surgery, when the body 2 is firmly tightened, the mounting ring 4 flip to the opposite direction of the program is not easy to implement.

[0012] 此外,本申请人亦了解到可导引手术工具进入的工具入口3与腹部的距离过长而在手术当中引起许多问题,且不容易调整此距离使其变短。 [0012] Further, the present applicant has also learned that the surgical tool may be guided into the inlet 3 and the tool too long distance abdominal surgery which cause many problems, it is not easily adjust this distance becomes shorter.

[0013] 同时,图4显示根据相关技术显的手术工具导引器的工具入口3的实施例,以及为了防止气体漏泄而导引手术工具的阀门单元6和7提供于工具入口3上部。 [0013] Meanwhile, FIG. 4 shows an embodiment 3, and valve means for preventing gas leakage and guide the surgical tool to the tool 6 and 7 provide an upper inlet 3 in accordance with the related art significant surgical tool guide tool inlet. 在此,可仅提供阀门单元6和7的其一,且参考标号8标示工具进入孔。 Here, the valve unit may be provided only one of 6 and 7, and denoted by reference numeral 8 the tool into the bore.

[0014] 然而,当使用相关技术的工具入口3时,于手术进行当中,若在手术工具进入后改变手术工具的位置,为了扩张病患腹部而先行注入腹部的气体会逐渐漏泄,此现象将会造成在手术过程当中,必须经常地一再注入气体于腹部内的恼人问题。 [0014] However, when using the related art tools inlet 3, in the operation in progress, if the change in the surgical tool of the surgical tool into the position in order to advance the expansion gas injected patients abdomen the abdomen will gradually leak, this phenomenon will which will result in the procedure must be repeated regularly inject gas in annoying problems within the abdomen.

[0015] 亦即,如图5所示,当使用手术工具T时,过多的开口因手术工具T经常地移动而产生于阀门单元6及7和工具进入孔8,大量的注入气体经由这些开口而漏泄,且在手术过程中,必须一再地注入气体于腹部中的问题也因此而产生。 [0015] That is, as shown, when the surgical tool T, shown in Figure 5 due to excessive opening of the surgical tool T is often generated in the movable valve units 6 and 7 and the tool into the hole 8, a large amount of gas is injected via these opening the leak, and during the procedure, the gas must be injected repeatedly in the abdomen and therefore the problem is generated.

发明内容 SUMMARY

[0016] 本发明致力于解决上述问题,且本发明目的提供一种易于安装与分离的手术工具导引器,以缩减手术时间,且能持续保持手术工具的进入端与腹部在最短距离。 [0016] The present invention addresses the above problems, and an object of the present invention to provide an easy installation and separation of the surgical tool guide, in order to reduce the operation time, and can continue to maintain the shortest distance into the end of the abdominal surgical tool.

[0017] 本发明还提供一种手术工具导引器,其可稳定安装于内视镜手术的手术孔中,以缩减手术时间,且能确保内视镜手术得以稳定进行。 [0017] The present invention also provides a surgical tool guide, which can be stably mounted in endoscopic surgery hole surgery, to reduce the operation time, and can ensure the stabilized for endoscopic surgery.

[0018] 本发明还提供一种用于手术工具导引器的保护盖,当手术工具导引器有各种移动时,其与手术工具导引器一起移动,且依然保持密封状态并有效防止气体漏泄。 [0018] The present invention further provides protection for a surgical tool guide cover when the surgical tool guide has various mobile that moves together with the surgical tool guide, and still remain sealed and prevent gas leak.

[0019] 为了解决以上问题,根据本发明的实施例,提供一种手术工具导引器,其包含:本体,其下端呈开放状且至少一个手术工具入口与其上部连通;支撑环,位于本体的下侧以任意地变形与恢复;保护管,其一端固定于本体以向下延伸,且其另一端通过支撑环朝本体上侧向上延伸且同时容置本体于其中;以及按压环,其契合于向上延伸的保护管,其配置以向下按压本体,使本体较保护管低,且当本体经按压时,选择性地扣紧本体。 [0019] In order to solve the above problem, according to an embodiment of the present invention, there is provided a surgical tool guide comprising: a body, open at its lower end shaped as a surgical tool and at least one upper inlet in communication therewith; a support ring, located in the body optionally lower side of deformation and restoration; protective tube, which extends downwardly at one end fixed to the body, and the other end by a support ring extending laterally toward the body while accommodating therein the body; and a pressing ring, which is fit to the protective tube extends upwardly, that is configured to press down the body, the main body lower than the protective tube, and when pressed by the body, for selectively fastening the body.

[0020] 在此,支撑此按压环的环形周围部可突出于本体的呈开放状的下端。 [0020] Here, the annular peripheral portion supporting the pressing ring-like shape open at the lower end of the body may protrude.

[0021] 阻挡凸块可突出于本体的外表面,且阻挡凸块嵌入于其中的凸块托座可形成按压环的内表面,当阻挡凸块依据按压环的水平旋转嵌入或分离于凸块托座,并且按压环按压于本体时,按压环选择性地扣紧本体。 [0021] the barrier outer surface of the protrusion may protrude in the body, and a stopper protrusion is embedded therein bump holder may be formed in the surface of the pressing ring, when the horizontal stop tab according pressing ring rotation embedded or separate from the bump holder, and the pressing body is pressed against the ring, are selectively fastening the pressing ring body.

[0022] 阻挡凸块穿过其中的通道开口可形成于按压环的下表面上。 [0022] The bump stopper passage opening therethrough may be formed on the lower surface of the pressing ring.

[0023] 根据本发明的另一实施例,提供一种手术工具导引器,其包含:本体,其下端呈开放状且至少一个手术工具入口与其上部连通;支撑环,位于本体的底侧以任意地变形与恢复;保护管,包括固着于本体内部表面且向下延伸的内管,以及连接于内管的外管,透过支撑环向上延伸且固定于本体的外表面;以及气体入口,形成于内管中且配置来导引气体进入内管及外管间的密封空间,以扩张保护管。 [0023] According to another embodiment of the present invention, there is provided a surgical tool guide comprising: a body, open at its lower end shaped as a surgical tool and at least one upper inlet in communication therewith; a support ring, located on the bottom side of the body optionally deformation and restoration; protective tube, comprising a body fixed to the inner surface of the inner tube and extending downwardly, and a connection tube to the outer tube, and extends upwardly through the support ring fixed to the outer surface of the body; and a gas inlet, formed in the inner tube and configured to guide the gas into the sealed space between the inner tube and the outer tube, to expand the protective tube.

[0024] 手术工具导引器可更进一步包含:形成于外管中且具备排放阀门以排放填充于密闭空间内的气体的气体出口。 [0024] The surgical tool guide may further comprise: a gas outlet is formed in the outer tube and includes a discharge valve for discharging the gas filled in the sealed space.

[0025] 手术工具导引器可更进一步包含:连接于支撑环且通过封闭空间与本体向外延伸的支撑环拉线。 [0025] The surgical tool guide may further comprise: a support ring attached to and extending outwardly through the enclosure with the body of the support ring pull.

[0026] 具有低厚度以便折迭的折迭部可形成于支撑环内的预定区域中。 Folded portion [0026] having a low thickness so folded may be formed in a predetermined region within the support ring.

[0027] 根据本发明的另一实施例,提供一种手术工具导引器,安装在内视镜手术中将病患穿孔的手术孔中,以安全地导引众多经导入上部工具入口的手术工具进入腹腔,其中具有用于导入手术工具的工具进入孔的手术工具导引器牢固地安装于工具入口中,且同时密封及围绕于工具入口上端且形成于其上表面的中心,并且手术工具导引器以可任意地变形且回复的具有可挠性的弹性材料制成,使工具进入孔嵌合于手术工具,即使于移动经导入的手术工具时,仍然可附着于手术工具。 Surgery [0027] According to another embodiment of the present invention, there is provided a surgical tool guide, including endoscopic surgery mounting holes in the perforated surgery patients to safely guide a number of upper tool introduced through inlet tool into the abdominal cavity, wherein the surgical tool having a tool guide for introducing a surgical tool access holes is firmly attached to the tool inlet, and simultaneously the sealing and the upper end of the tool about the central inlet and formed on the surface thereof, and the surgical tool the introducer may optionally be made to be deformable and returned elastically material having flexibility, the tool is fitted into the hole in the surgical tool, even when the movement introduced by the surgical tool, still may be attached to the surgical tool.

[0028] 在此,当形成预定边界孔隙于保护盖时,其内表面可与工具入口隔开并环绕此工具入口。 [0028] Here, when the aperture is formed in a predetermined boundary protective cover inner surface spaced from the inlet and surrounding the tool with the tool inlet.

[0029] 具有以工具进入孔为中心而位于预定半径范围内的复数条纹路的压纹部可形成于保护盖的上表面上。 [0029] In the tool into the hole having a center portion located in a plurality of embossed stripes passage within a predetermined radius may be formed on the upper surface of the protective cover.

[0030] 具有以工具进入孔为中心而位于预定半径范围内的具有高厚度区域的高厚度部分可形成于保护盖的上表面上。 [0030] In the tool into the hole having a center portion located high thickness having high thickness of the region within the predetermined radius may be formed on the upper surface of the protective cover.

[0031] 固定构件可一体成型于保护盖的下端,且于嵌入工具入口时,可藉由耦接环耦接及固定。 [0031] The fixing member may be integrally formed with the lower end of the protective cover, and for embedding the tool inlet, which can be accessed by fixed and coupled to the coupling ring.

[0032] 根据本发明的手术工具导引器可简单地通过按压环的按压/松脱操作而相当方便且容易地安装与分离,进而缩短了手术时间。 [0032] The surgical tool guide of the present invention, simply by pressing the pressing ring / release operation is very convenient and easy installation and separation, thereby shortening the operation time. 此外,本体附接于腹部,故可保持手术工具的进入端与腹部间的距离为最短距离。 Furthermore, the body is attached to the abdomen, it can keep the distance between the entry end and abdominal surgery tool is a shortest distance. 此外,当手术工具导引器的内部藉由按压环的按压操作而完全密封时,手术可顺利地实行。 Further, when the inner guide of the surgical tool by the pressing operation of the pressing ring is completely sealed, the operation can be implemented smoothly.

[0033] 此外,根据本发明,当保护管藉由气体而自动扩张且安装于手术孔内时,由于手术工具导引器不需分离安装程序,其可相当方便且稳定地被安装于手术孔内。 [0033] Further, according to the present invention, when the protective tube is automatically expanded by the gas and attached to the operation hole, since the surgical tool guide installer without separation, which can be relatively easily and stably be attached to the operation hole Inside. 此外,在手术完成后,透过支撑环拉线拉动支撑环,手术工具导引器可更容易地与手术孔分离。 Further, after the operation is completed, the wire is pulled through the support ring the support ring, the surgical tool guide may be more easily separated from the operation hole.

[0034] 此外,用于本发明的手术工具导引器的保护盖即使手术工具因手术需求而以不同方式移动时,保护盖仍可随着手术工具移动,气体漏泄可被有效防止。 [0034] Further, the protective guide for the surgical tool of the present invention even when the surgical tool head moves in a different manner because of the need for surgery, the protective cover can still move with the surgical tool, the gas leakage can be effectively prevented. 因此,手术可顺利执行且并没有在手术期间再注入气体所产生的不便性,而且,手术工具可透过降低手术工具至压纹的摩擦力而轻易地导引及移除。 Thus, the operation can be smoothly performed, and the inconvenience of not re-injected gas generated during operation, moreover, the surgical tool guide can be easily removed and the surgical tool through reduced friction to embossing.

[0035] 此外,除了详细描述的效果,根据本发明的特征构造,其独特效应可轻易地推论且预期,并对应于本发明的效果。 [0035] Further, in addition to the effect described in detail, according to the characteristic configuration of the present invention, unique effects which can be easily inferred and expected, and corresponds to the effect of the present invention.

附图说明 BRIEF DESCRIPTION

[0036] 图1为根据相关技术的手术工具导引器的示意图。 [0036] FIG. 1 is a schematic diagram according to the related art of the surgical tool guide.

[0037] 图2及图3为根据相关技术的手术工具导引器的安装及操作的示意图。 [0037] FIG. 2 and FIG. 3 is a schematic view of the surgical tool guide of the related art installation and operation.

[0038] 图4为根据相关技术的手术工具导引器的工具入口的示意图。 [0038] FIG. 4 is a schematic view of an inlet guide surgical tool The tool of the related art.

[0039] 图5为于移动手术工具时,根据相关技术的工具入孔的状态的示意图。 [0039] FIG. 5 when the movement of the surgical tool, the tool according to the related art into the hole state in Fig.

[0040] 图6为根据本发明的第一实施例的手术工具导引器的分解透视图。 [0040] FIG. 6 is an exploded perspective view of a surgical tool guide to a first embodiment of the present invention.

[0041] 图7为图6的手术工具导引器的组装状态的透视图。 A perspective view [0041] FIG. 7 is a view of a surgical tool guide 6 assembled state.

[0042] 图8为图7的剖视图。 [0042] FIG. 8 is a cross-sectional view of FIG.

[0043] 图9为附接单元的实施例的顶面剖视图。 [0043] FIG. 9 is a sectional view of the top surface of the unit in the embodiment of the attachment. [0044] 图10及图11为根据本发明的第一实施例的手术工具导引器的安装及操作的示意图。 [0044] FIG. 10 and FIG. 11 is a schematic view of the surgical tool guide to a first embodiment of the present invention is installed and operated in accordance with.

[0045] 图12为根据本发明的第二实施例的手术工具导引器的透视图。 [0045] FIG. 12 is a perspective view of a surgical tool guide to a second embodiment of the present invention.

[0046] 图13为图12的手术工具导引器的剖面图。 [0046] FIG. 13 is a cross-sectional view of a surgical tool guide 12 of FIG.

[0047] 图14为支撑环及支撑环拉线的透视图。 [0047] FIG. 14 is a perspective view of the support ring and the support ring pull wire.

[0048] 图15为支撑环的折迭部的平面图。 [0048] FIG. 15 is a plan view of the folding portion of the support ring.

[0049] 图16及第17为根据本发明的第二实施例的手术工具导引器的安装及操作的示意图。 [0049] FIG 16 is a second surgical tool guide 17 of the second embodiment of the present invention is installed and operated in accordance with a schematic diagram.

[0050] 图18为根据本发明的实施例用于手术工具导引器的保护盖的透视图。 [0050] FIG. 18 is a perspective view of the protective cover of the surgical tool guide according to an embodiment of the present invention.

[0051] 图19为图18的保护盖的剖面图。 [0051] FIG. 19 is a cross-sectional view of FIG. 18 protection cover.

[0052] 图20为根据本发明的保护盖安装于工具入口中的状态的示意图。 [0052] FIG. 20 according to the present invention the protection cover is attached to the inlet of the tool in a state of FIG.

[0053] 图21为导入手术工具至于其中安装有保护盖的工具入口的示意图。 [0053] As the tool 21 is introduced into the surgical tool wherein a protective cover is attached to an inlet of a schematic diagram.

[0054] 图22及图23图23为手术工具以不同方式移动时,根据本发明的保护盖的相关移动的示意图。 Surgical tool 23 is moved in a different manner, according to a schematic view of the relevant mobile protective cover of the present invention [0054] FIGS. 22 and 23 in FIG.

具体实施方式 Detailed ways

[0055] 在下文中,本发明的例示性实施例将参考附图而更详细地描述。 [0055] Hereinafter, exemplary embodiments of the present invention will be described in more detail with reference to the accompanying drawings.

[0056] 实施例经提供以更全面地描述本发明予相关领域中具有通常知识者,且应了解的是,图式中各元件的形状及大小可能被夸大,以强调较清楚的说明。 [0056] Example embodiments are provided to more fully describe the present invention to the related art having ordinary knowledge, and it is understood that the drawings shape and size of the elements may be exaggerated to emphasize more clearly described.

[0057] 此外,于实施例的说明中,若已为本发明的相关领域中具有通常知识者所熟知的习知功能及结构可能造成本发明的技术特征不必要地混淆时,将省略其详细说明。 When [0057] Further, in the described embodiment, the present invention Ruoyi related art having ordinary knowledge in the art of the conventional techniques may cause structural and functional features of the present invention unnecessarily obscure will be omitted and a detailed instructions.

[0058] 图6至图11为根据本发明的第一实施例的手术工具导引器100的示意图,且本发明的第一实施例的手术工具导引器100将参考图6至图11说明。 [0058] FIG. 6 to FIG. 11 is a schematic diagram of the first embodiment guide the surgical tool embodiment of the present invention 100 according to, and guide the surgical tool embodiment of the present invention, a first embodiment 100 of FIG. 6 with reference to FIG. 11 described .

[0059] 参阅图式,根据第一实施例的手术工具导引器100包括本体110、支撑环120、保护管130、以及按压环140。 [0059] Referring to FIG formula, according to a first embodiment of the surgical tool guide 100 includes a body 110, a support ring 120, the protective tube 130, and a pressing ring 140.

[0060] 首先,本体110可呈圆柱体状且其下端呈开放状,且环形周围部111由呈开放状的下端沿着其周围突出。 [0060] First, the body 110 may be in the form of cylindrical shape and whose lower end is open shape, and an annular peripheral portion 111 projecting from the lower end was open shape along its periphery. 环形周围部111支撑按压环140,使得上述的按压环140下移时,按压环140按压于本体110。 When the annular peripheral portion 111 supports the pressing ring 140, such that said pressure ring 140 down, the pressing ring 140 is pressed against the body 110.

[0061] 至少一手术工具入口112提供于本体110的上部以连通于本体110。 [0061] at least one surgical tool inlet 112 provided in the upper portion of the body 110 to the body 110 to communicate.

[0062] 手术工具入口112适用于引导多种用于手术的手术工具进入手术工具导引器110,且用于轻易地导引手术工具且同时最大地防止气体漏泄的阀门单元113可提供于其上端。 [0062] The inlet 112 of the surgical tool adapted to guide a variety of surgical tools for surgical access to a surgical tool guide 110, and to easily guide the surgical tool while maximally preventing the leakage of the gas valve unit 113 may be provided thereon the upper end. 在有关本发明的技术中,许多手术工具入口112的结构已被知晓,手术工具入口112可具有许多已知结构,且不限于图式中所示的结构。 In the related art of the present invention, many surgical tools inlet 112 structure has been known, the surgical tool inlet 112 may have a number of known structures, it is not limited to the structure shown in the drawings.

[0063] 除了手术工具入口112外,气体调节阀114可提供于本体110的上部,且气体调节阀114用以控制气体的进入与排出,以便于手术过程中扩张腹部。 [0063] In addition to the surgical tool inlet 112, the gas regulating valve 114 may be provided to the upper body 110, and the gas regulating valve 114 for controlling the entry and discharge gas to the expansion in the abdomen during surgery.

[0064] 接着,支撑环120为位于本体110下侧的轮状环,在通过病患的手术孔后,藉由腹腔内的腹壁阻挡。 [0064] Next, the support ring 120 is located in the lower annular ring 110 side of the body, after passing through the hole surgery patient, the abdominal wall by intraperitoneal barrier.

[0065] 因此,支撑环120由可任意变形的具可挠性的材料形成,亦即,在通过病患的手术孔之时与之后,其可折迭或压缩以轻易地阻挡,倘若外力移除时,其可直接地恢复成原状。 [0065] Thus, a 120 optionally having a deformable flexible material forming the support ring, i.e., after the time of surgery and the patient through the hole, which can easily be folded or compressed to block, if the shift force when in addition, it can be directly restored to the original state. [0066] 接着,保护管130的一端固着于本体110以向下延伸,且通过位于本体110下侧的支撑环120再向上延伸。 [0066] Next, the protective tube 130 is fixed to one end of the body 110 to extend downwardly, and then extends upwardly through 120 located on the lower side of the body 110 of the support ring. (亦即,在通过支撑环120后,保护管130环绕支撑环120的外侧向上延伸,且保护管130由本体110与支撑环120形成且具有一定厚度)。 (I.e., after the ring 120 is supported by the protective tube 130 extends upwardly around the outer side of the support ring 120, and the protective tube 130 from the body 110 and the support ring 120 is formed having a constant thickness).

[0067] 当再次容置本体110于其中时,保护管130向上延伸的另一端延伸至本体110的上侧。 [0067] When the main body 110 again accommodated therein, the other end of the protective tube 130 extends to the upper side of the upwardly extending body 110.

[0068] 保护管130可由具有绝佳弹性的氨基甲酸乙脂片材制成。 [0068] The protective tube 130 urethane sheet having excellent flexibility can be formed.

[0069] 接着,按压环140契合于上述向上延伸的保护管130。 [0069] Subsequently, the pressing ring 140 is fit in the protective tube 130 extends upwardly above.

[0070] 当按压环140沿着保护管130向下时,按压环140用以按压本体110向下,若按压契合于保护管130的按压环140且同时按压环140柑紧向上延伸的保护管130时,本体110经按压向下,且同时按压环140藉由本体110的环形周围部111支撑,且据此,当本体110相对于保护管130向下移动时,介于本体110与下方支撑环120间的间距更为缩小。 [0070] When ring 140 is pressed downward, the pressing ring 140 along the protective tube 130 to the body 110 is pressed down, when the pressing ring is pressed fit in the protective tube 130, 140 and 140 while pressing ring orange tight protective tube extending upwardly 130, the body 110 is pressed downward, while the pressing ring 111 and the support 140 by an annular portion around the body 110, and accordingly, when the body 110 is moved downward relative to the protective tube 130, the body 110 between and below the support spacing ring 120 is more narrow.

[0071] 当按压本体110时,按压环140可选择性地扣紧于本体110以保持按压状态。 [0071] When the pressing body 110 presses the ring 140 may be selectively locked to the main body 110 to maintain the pressed state.

[0072] 最后,用于选择性地拉紧按压环140与本体110的附接单元150可提供于按压环140与本体110间。 [0072] Finally, for selectively tightening the pressing ring 140 and the body 110 of the attachment unit 150 may be provided in the pressing ring 140 and the body 110.

[0073] 许多结构可考虑为附接单元150,图9显示此附接单元150的一个实施例。 [0073] Many structures can be considered as attaching unit 150, FIG. 9 shows an attachment unit 150 of this embodiment.

[0074] 如图所示,阻挡凸块151由本体110的外表面凸出,且阻挡凸块151可嵌入其中的凸块托座152形成于按压环140的内表面上。 [0074] As shown, the stop tab 151 projecting from the outer surface of the body 110, and the stopper protrusion 151 embedded therein bump holder 152 is formed on the inner surface of the pressing ring 140.

[0075] 据此,在按压环140按压本体110的状态中,若按压环140以图9A及图9B所示的一方向水平旋转,阻挡凸块151嵌入于凸块托座152中,使得按压环140与本体110彼此紧扣以保持按压状态,且若此按压环140以相反方向水平旋转,阻挡凸块151则分离于凸块托座152,以解除此按压状态。 [0075] Accordingly, in the state of the pressing ring 140 presses the body 110, when the ring is pressed in a horizontal direction in FIG. 9A and FIG. 9B 140 is rotated, the blocking protrusion 151 fitted in the socket 152 in the bumps, so that the pressing ring 140 and the body 110 to keep it pressed closely to each other, and if this pressing ring 140 in opposite directions horizontal rotation stopper protrusion 151 is separate from the cradle bump 152 to release this pressing state.

[0076] 阻挡凸块151与其相对应的凸块托座152的数量可有许多选择。 [0076] The number of the socket 152 bump stopper protrusion 151 corresponding thereto may have many options. 例如,两对阻挡凸块151与凸块托座152可形成于180度的角度,三对阻挡凸块151与凸块托座152可形成于120度的角度,而四对阻挡凸块151与凸块托座152可形成于90度的角度。 For example, two pairs of stopper projections 151 and the projection holder 152 may be formed at an angle of 180 degrees, three pairs of stopper projections 151 and the projection holder 152 may be formed at an angle of 120 degrees, while the four pairs of stop tab 151 and bumps 152 may be formed in the holder an angle of 90 degrees. 阻挡凸块151与凸块托座152的形状亦不限于图式中所示的形状,且可包含多种能够选择性地阻挡或解除的形状。 Bump stopper 151 and socket 152 shaped bump nor limited to the shape shown in the drawings, and may comprise a variety of shapes possible to selectively block or release.

[0077] 阻挡凸块151穿过其中的通道开口141切割于按压环140的下表面,使得按压环140下滑且接近本体110时,按压环140的移动不会受本体110外表面突出的阻挡凸块151阻碍。 [0077] The bump stopper 151 through which the passage opening 141 cut in the lower surface 140 of the pressing ring, so that the pressing ring 140 and declining close body 110, the pressing ring 140 is not affected by movement of the outer surface of the body 110 of the stopper projection projecting block 151 obstacles. 在此,较佳地,通道开141以隔开形成于其内表面上的凸块托座152的角度形成,使得穿过通道开口141且经导入于按压环140内的阻挡凸块151可依据按压环140的旋转直接地嵌入凸块托座152。 Here, preferably, the channel 141 is spaced apart an angle bracket 152 formed thereon bumps formed on an inner surface, such that after passing through the passage opening 141 and is introduced into the stopper protrusion 151 presses the inner ring 140 can be based on the rotating the pressing ring 140 is directly fitted socket 152 bump.

[0078] 同时,形成通道开口141于按压环140内的实施例对应于按压环140完全与本体110分离而上升的实施例,且在安装按压环140于按压环140自初始阶段容纳于阻挡凸块151内的状态的实施例,使得按压环140受本体110限制时,按压环140移动短距离,以执行按压/松脱操作亦为可能的,且在稍后的实施例当中,可知通道开141可不必形成。 [0078] Meanwhile, a channel is formed an opening 141 in the embodiments within 140 pressing ring corresponding to 140 completely separated from the main body 110 rises embodiment of the pressing ring, and housed in barrier ribs 140 from the initial stage of mounting the pressing ring on the pressing ring 140 Example state in the block 151, so that the pressing ring 140 is restricted by the main body 110, the pressing ring 140 is moved a short distance, to perform the pressing / releasing operation are also possible, and in later examples which, seen open channel 141 may not necessarily be formed.

[0079] 在下文中,利用上述结构的手术工具导引器100的外科手术将参考图10及图11说明。 [0079] Hereinafter, with reference to a surgical procedure 100 in FIG. 10 and FIG. 11 described above using a surgical tool guide structure.

[0080] 首先,用于内视镜手术的手术孔经穿孔于病患的肚脐后,根据本发明的手术工具导引器100的部分经导入此手术孔中安装。 After navel [0080] First, holes for endoscopic surgical procedures perforated in patients, surgical tool according to the present invention, the guide portion 100 through the introduction holes on the operation of this apparatus. [0081] 更详细地说,由本体110向下延伸的保护管130于透过位于下侧的支撑环120向上延伸且同时容置本体Iio于其中,且当按压环140嵌合于保护管130时,手术工具导引器100经提供于向上延伸的保护管130内。 [0081] In more detail, the protective tube 110 extends downwardly from the main body 130 through the ring 120 extends upwardly located on the lower side of the support body while accommodating therein Iio, and when the pressing ring 140 is fitted in the protective tube 130 , the surgical tool guide 100 is provided within the protective tube 130 extends upwardly. 接着,介于本体110与支撑环120间的垂直分离区间可能变大。 Subsequently, the support ring between the body 110 perpendicular to the separation section 120 may become large.

[0082] 在此预备状态中,当位于本体110下侧的支撑环120缩小或折迭成窄小尺寸后,此支撑环120穿过手术孔而导引入腹腔内。 [0082] In this ready state, when the rear side of the body 110 of the support ring 120 folded into a narrow or reduced dimensions, the support ring 120 through this operation hole and guided into the abdominal cavity.

[0083] 接着,在完全通过手术孔后,此经导引的支撑环120藉由其弹性而恢复至原状(亦即轮形状态),且据此,当支撑环120因腹壁自然阻挡时,支撑环120藉由其弹性恢复力在腹部内扩大。 [0083] Next, after the operation hole completely through this guided by the support ring 120 by its elasticity, returns to its original state (i.e., wheel-state), and accordingly, the support ring 120 when the natural barrier abdominal wall, the support ring 120 by its elastic restoring force to expand in the stomach.

[0084] 如图10所示,若支撑环120以此方式导引及安装时,一手施力于按压环140,以向下推按压环140,同时以另一手紧握向上延伸的保护管130的另一端。 [0084] As shown in FIG 10, if the support and guide ring 120 in this embodiment is mounted, the pressing force on the ring 140 in one hand to push down the pressing ring 140, while the other hand gripping the protective tube 130 extending upwardly at the other end. 接着,当按压环140与本体110 —起向下移动时,按压环140按压于本体110,且据此,介于阻挡于腹腔的支撑环120与本体110间的间距变窄,且保护管130变得更紧。 Next, when the pressing ring 140 and the body 110 - When moved downward from the pressing ring 140 is pressed against the main body 110, and accordingly, the spacing between the barrier between the abdominal cavity of the support ring 120 and the body 110 is narrowed, and the protective tube 130 become tighter.

[0085] 按压环140向下移动,直到本体110的环形周围部111接触于腹部上表面,且若本体Iio完全接触到腹部上表面,按压环140轻微地水平旋转以保持此按压状态,使得阻挡凸块151嵌入凸块托座152中,以扣紧按压环140与本体110。 [0085] The retaining ring 140 is moved downwardly until the annular body 110 around the portions 111 in contact with the upper surface of the abdomen, and if full access to the upper body Iio abdominal surface, the pressing ring 140 is slightly rotated to maintain this level of the pressing state, so that the barrier protrusion 151 fitted in the socket 152 bump, to fastening the pressing ring 140 and the body 110.

[0086] 如图11所示,若以此方式安装完成,保护管130经紧密地拉紧,且本体110与腹部的内部维持完全密闭。 [0086] As shown in FIG. 11, when the installation is completed in this manner, the protective tube 130 is tightly stretched, and the body 110 to maintain a completely sealed inside the abdomen.

[0087] 当气体导入提供于本体110中的气体调节阀114时,以此方式安装的手术工具导引器100确保手术空间,且许多手术工具(未显示)经导入手术工具入口112中,以施行手术。 [0087] When gas is introduced into the body 110 to provide a gas regulating valve 114 installed in this way to ensure that the surgical tool guide 100 operative space, and many surgical tool (not shown) of surgical tool 112 is introduced into the inlet to an operation.

[0088] 此外,手术过后,以相反方向稍微旋转按压环140以松脱按压环140与本体110的紧扣,且按压环140沿着保护管130拉高以解除此按压状态。 [0088] Further, after the operation, is slightly rotated in the opposite direction to the pressing ring 140 releasably fastening the pressing ring 140 and the body 110, and the pressing ring 140 is pulled down to release the protective tube 130 is pressed in this state. 因此,手术工具导引器100可藉由执行相反于安装程序的程序而轻易地分离。 Thus, the surgical tool guide 100 may be easily separated by the program executed in the reverse of the installation procedure.

[0089] 如上所述,由于根据本发明的手术工具导引器100藉由按压环安装,它可相当方便地安装与分离,透过调整按压环140的按压,可轻易地安装在具有各种厚度的腹壁内。 [0089] As described above, since the mounting ring 100 by pressing the surgical tool guide according to the present invention, it may be relatively easily mounted and separated, the pressing ring 140 by adjusting the pressing, can be easily mounted in a variety of the thickness of the abdominal wall. 此外,由于可稳定地保持于密闭状态,内视镜手术可安全地实行而无漏泄氮气。 Further, since stably maintained in a closed state, endoscopic procedures can be safely implemented without leakage of nitrogen.

[0090] 图12至图17图17为根据本发明的第二实施例的手术工具导引器200的示意图,且根据本发明的第二实施例的手术工具导引器将参考图12至图17图17说明。 [0090] FIGS. 12 to 17 FIG 17 is a schematic view of the surgical tool guide 200 according to the second embodiment of the present invention, and a surgical tool guide to a second embodiment of the present invention with reference to FIGS. 12 to FIG. 17 FIG 17 FIG.

[0091] 请参阅图式,根据本发明的第二实施例的手术工具导引器200包括本体210、支撑环220、以及保护管230。 [0091] See figures, the surgical tool guide according to the second embodiment of the present invention 200 includes a body 210, a support ring 220, and the protection tube 230.

[0092] 首先,本体210可具有实质地圆柱状,且其下端呈开放状。 [0092] First, the body 210 may have a substantially cylindrical shape and is open at its lower end shaped form. 至少一手术工具入口211形成于本体210的上部以连通于本体210。 At least one surgical tool inlet 211 formed in the upper body 210 to the body 210 to communicate.

[0093] 手术工具入口211用以引导众多用于手术的手术工具进入本发明的手术工具导引器200内,且用于轻易地导引手术工具且同时防止气体泄漏的阀门单元212可提供于其上部。 [0093] The inlet 211 of the surgical tool to guide the surgical tool used in many surgical surgical tool 200 into the guide of the present invention, and for guiding the surgical tool and easily while preventing the leakage of the gas valve unit 212 may be provided in an upper portion thereof. 用于手术工具入口211的多种结构为本发明相关领域所熟知的技术,且手术工具入口211可具有多种已知结构,可不限制于图式中所示的结构。 Various structures for surgical tools inlet 211 known in the art related art of the present disclosure, a surgical tool and the inlet 211 may have a variety of known structures, without being restricted by the structure shown in the drawings.

[0094]除了手术工具入口211,气体调节阀213可提供于本体210的上部,且气体调节阀213用以控制于手术过程中扩张腹部的气体的进入与排出。 [0094] In addition to the surgical tool inlet 211 of the gas regulating valve 213 may be provided to the upper body 210, and the gas regulating valve 213 to control the discharge into the expansion during abdominal surgery in the gas. [0095] 接着,图14与图15为支撑环220的示意图,其中该支撑环220为位于本体210下侧的轮状环,在通过病患的手术孔后,受腹腔内的腹壁所阻挡。 [0095] Next, FIG. 14 and FIG. 15 is a schematic view of a support ring 220, wherein the support ring 220 of the body 210 side of the annular ring, the hole in the patient after surgery, the abdominal wall by intraperitoneal blocked. 因此,支撑环220由可任意地变形的弹性材料形成,亦即,在通过手术孔之时与之后,其可折迭或压缩以便被轻易地阻挡,倘若外力移除时,其可直接地恢复成原状。 Thus, the support ring 220 is formed of an elastic deformable material, optionally, i.e., at the time of surgery after the hole, which can be folded or compressed so as to be easily blocked, while if the external force is removed, it can be directly recovered to the status quo ante.

[0096] 如图15所示,折迭部221可形成于支撑环220的预定区域内,折迭部221的厚度t2较其余部分的厚度tl小,故支撑环220可被折迭的更为窄小。 [0096] 15, the folded portion 221 may be formed within a predetermined region of the support ring 220, the folded portion 221 of a thickness T2 smaller than the thickness tl of the rest, so that the support ring 220 may be folded more narrow.

[0097] 据此,当支撑环220经导引进入手术孔时,支撑环220可藉由折迭部221而折迭得更为窄小,使得支撑环220可轻易地导入手术孔中。 [0097] Accordingly, when the support ring 220 is directed into the operation hole, the support ring 220 may be folded by the folded portion 221 is even more narrow, so that the support ring 220 can be easily introduced into the operation hole. 此外,由于支撑环220仅有预定区域的厚度被缩减,因此可维持相同的支撑力。 Further, since the thickness of the support ring 220 only a predetermined region is reduced, thereby maintaining the same supporting force.

[0098] 接着,保护管230由具有绝佳弹性的氨基甲酸乙脂片材制成,且包括内管231与外管232。 [0098] Next, the protective tube 230 is made of urethane sheet having excellent elasticity, and includes an inner tube 231 and outer tube 232.

[0099] 内管231固着于本体210的内表面以向下延伸,且外管232透过支撑环220连接于内管231以向上延伸并固着于本体210的外表面。 Tube 231 [0099] fixed to the downwardly extending surface of the inner body 210, and is connected to the inner tube 232 through 231 extend upwardly and fixed to the outer surface of the body 210 of the support ring 220 of the outer tube.

[0100] 亦即,保护管230具有双重结构,使保护管230的一端向下延伸且同时固着于本体210的内表面,且在通过支撑环220内部后,再向上延伸且同时环绕于支撑环220的外侧,使其另一端固着于本体210的外表面,且突出管230的内部为内管231,且其外部为外管232。 [0100] That is, the protective tube 230 has a double structure, one end of the protective tube 230 extends downward and at the same time the inner surface of the fixed body 210, and the inner ring 220 in the support, and then extend upwardly while the support ring surrounds the outside of 220, its other end fixed to an outer surface of the body 210, and the projection 230 inside the tube is an inner tube 231 and outer tube 232 which is external.

[0101] 藉此,当突出管230穿过下部支撑管220时,由于保护管230的两端固着于本体210的内部与外部表面,密封空间233形成于内管231与外管232间。 [0101] Accordingly, when the tube 230 protrudes through the lower support tube 220, both ends of the protective tube 230 fixed to the outer surface of the inner body 210, the sealed space 233 formed in the inner tube 231 and outer tube 232.

[0102] 气体入口234形成于内管231中。 [0102] a gas inlet 234 formed in the inner tube 231.

[0103] 气体入口234连通内管231的内部空间与密封空间233以导引气体流入内管231的内部空间而进入密封空间233。 Within the internal space communicates with the sealed space [0103] 234 231 a gas inlet 233 to direct the gas flows into the interior space of the inner tube 231 into sealed space 233.

[0104] 复数个气体入口234可沿着内管231的周围形成。 [0104] a plurality of gas inlets 234 may be formed along the periphery of the inner tube 231.

[0105] 本实施例的手术工具导引器200可进一步包括气体出口240,且此气体出口240设置有形成于外管232中的排放阀门,排放阀门经开启及关闭以排放填充于密封空间233内的气体,以及中断气体的排放。 [0105] guide the surgical tool of the present embodiment may further comprise a gas outlet 200 240, and this gas outlet 240 is provided with a discharge valve formed in the outer tube 232, by opening and closing the discharge valve to discharge in a sealed space 233 gas, and the gas discharge to be interrupted.

[0106] 本实施例的手术工具导引器200可进一步包括支撑环拉线250。 [0106] guide the surgical tool of the present embodiment may further include a support ring 200 cable 250.

[0107] 支撑环拉线250用以拉出垂吊于腹壁内侧的支撑环220,且在手术过后轻易地由手术孔抽出支撑环220,并且可安装成与支撑环220连结,以透过密封空间233及本体210延伸至外侧。 [0107] The support ring 250 to the wire is pulled out to the inside of the abdominal wall hanging support ring 220 and support ring 220 easily withdrawn from the hole after the surgical operation, may be mounted and connected to the support ring 220 to seal the space through 233 and 210 extend to the outside of the body.

[0108] 使用者可用手夹持的拉环251提供于支撑环拉线250的一端。 [0108] The user may manually pull the clamping ring 251 provided on the support ring 250 at one end of the wire.

[0109] 在下文中,利用上述结构的手术工具导引器200的外科手术将参考图16及图17图17说明。 [0109] Hereinafter, using the above-described configuration surgical tool guide 200 of surgical reference to FIG 16 and FIG 17 FIG 17 FIG.

[0110] 首先,当用于内视镜手术的手术孔经穿孔于病患的肚脐后,本发明的一部分的手术工具导引器200经导入此手术孔安装。 [0110] First, when the hole for the navel surgery is endoscopic surgery in patients perforated, the surgical tool guide portion of the present invention, this operation hole 200 is introduced into the installation.

[0111] 更详细地说,在位于本体210下侧的支撑环220经缩小或折迭成窄小尺寸后,其穿过手术孔而导入腹腔内。 [0111] More specifically, the lower body 210 in the rear side of the support ring 220 is folded into a narrow or reduced dimensions which is introduced into the operation hole through the abdominal cavity. 接着,如上所述,倘若支撑环220的折迭部221经折迭,支撑环220可更简单地导入手术孔内。 Subsequently, as described above, if the folded portion 220 of the support ring 221 by folding the support ring 220 may be more easily introduced into the surgical aperture.

[0112] 接着,如图16所示,在完全通过手术孔后,此经导引的支撑环220藉由其弹力而恢复成原状(亦即,轮形状态),且据此,支撑环220以其恢复力而在腹部内扩大,以自然地维持腹壁的阻挡状态。 [0112] Next, as shown in FIG. 16, after the operation hole completely through the support ring 220 is guided by this by the elastic force restored to its original state (i.e., wheel-state), and accordingly, the support ring 220 and in the abdomen expand its resilience to naturally maintain the blocking state of the abdominal wall.

[0113] 倘若支撑环220以此方式导引且由腹壁阻挡时,气体G透过本体210提供的气体调节阀213而导入腹部使其扩张。 [0113] When the support ring 220 provided in this way guided and blocked by the abdominal wall, the gas G through the gas regulating valve 213 provided in the body 210 is introduced into the abdomen to expand it.

[0114] 接着,经导引的气体G沿着内管231的内部空间填充入腹部以扩张腹部,且同时透过形成于内管231中的气体入口234导入保护管230的密闭空间233。 [0114] Next, the gas G is guided along the inner space of the inner tube 231 is filled into the abdomen to expand the abdomen, while the inner tube is formed through the gas inlet 231 234 230 introducing the protective tube 233 is sealed space.

[0115] 此外,当气体G不断地导入密闭空间233时,密闭空间233的体积因气体压力而增加以扩张保护管230,且据此,当保护管230被紧密地拉紧时,其稳定地安装于手术孔中。 [0115] Further, when the gas G is continuously introduced into the closed space 233, the volume of the closed space 233 to increase gas pressure to expand the protection tube 230, and accordingly, when the protective tube 230 is tensioned tightly, stably surgical mounting hole. 亦即,如图17图17所示,当支撑环220受腹壁内部阻挡,并且保护管230保持在扩张拉紧状态时,其可牢固地固着而不会引发偏离手术孔问题。 That is, as shown in FIG. 17 in FIG. 17, when the support ring 220 is blocked by the internal abdominal wall, and the protective tube 230 is held in the expanded stretched state, it can be firmly fixed without departing from the operation hole caused problems.

[0116] 当腹部透过气体导引而扩张,且于保护管230扩张的同时完整设置手术工具导引器200时,若可确保手术空间,在气体调节阀门213关闭后,透过手术工具入口,可导引许多手术工具(未显示)进入腹部以施行内视镜手术。 [0116] When the gas permeable guiding and abdominal expansion, and the expansion of the protective tubes 230, while the complete surgical tool guide 200 is provided, to ensure that when the operative space, the gas regulating valve 213 closed, the surgical tool through an inlet , many surgical tools may be directed (not shown) into the abdomen to the purposes of endoscopic surgery. 同时,在手术过后,手术工具导引器200可利用支撑环拉线250与手术孔分离。 Meanwhile, after the surgery, the surgical tool guide wire 200 may utilize the support ring 250 and the operation hole separation. 亦即,当夹持拉环251而拉出支撑环拉线250时,拉力施加于支撑环220的一侧,使支撑环220容易受此力而变形,且据此,可更加容易地从手术孔中抽出此支撑环220。 That is, when the tab 250 when clamp ring 251 is pulled out the support cable, tension applied to the side of the support ring 220, the support ring 220 is easily deformed by this force, and accordingly, can be more easily removed from the operation hole this supporting ring 220 is withdrawn.

[0117] 此外,较佳地,藉由首先开启气体出口240的排放阀门以及排放填充于密闭空间233中的气体,便可解除保护管230的拉紧状态,以于抽出支撑环220前,透过支撑环拉线250简单地分离手术工具导引器200。 [0117] Further, preferably, by first opening the gas discharge valve and a discharge outlet 240 of the gas filled in the sealed space 233, the protective tube can be released tensioned state 230 to the support ring 220 prior to the withdrawal, through the support ring 250 through the wire easily separated surgical tool guide 200.

[0118] 如上所述,若仅导引支撑环220进入手术孔,当保护管230藉由经导引且用于扩张腹部的气体而扩张时,即可自动安装手术工具导引器200,手术工具导引器200可相当便利地安装,即使在手术过后,可透过支撑环拉线250而更简易地分离。 [0118] As described above, when only the operation hole 220 into the guide support ring, when the protective tube 230 and is guided by a gas expansion through the abdomen to dilate, to automatically install the surgical tool guide 200, the operation tool guide 200 may be relatively easy to install, even after surgery, the wire loop 250 can be supported through the separation easier.

[0119] 图18至图23图23为用于本发明的实施例的手术工具导引器的保护盖300的示意图,以下将参考图18至图23图23说明保护盖300。 [0119] FIGS. 18 to 23 in FIG. 23 for the protection of an embodiment of the present invention is a surgical tool guide 300 is a schematic view of the cover, below with reference to FIGS. 18 to 23] Figure 23 illustrates the protective cover 300.

[0120] 如图所示,本发明的实施例的保护盖300固定地安装于手术工具导引器(未显示)上端所提供的工具入口400。 [0120] As shown, the embodiment of the present invention, the protective cover 300 is fixedly attached to the surgical tool guide (not shown) provided in the upper end of the tool inlet 400. 在此,应了解的是手术工具导引器的结构并不限定为特殊结构,手术工具导引器可具有不同的结构。 Here, it should be appreciated that the structure of the surgical tool guide is not limited to a special structure, the surgical tool guide may have a different structure.

[0121] 当保护盖300根据手术工具的移动而任意地变形或恢复原状时,为使其可随着手术工具移动,根据本发明的实施例的保护盖300于俯视观点可整体呈圆形并且由具有可挠性的弹性材料制成,举例而言,如硅或氨基甲酸乙脂。 [0121] When arbitrarily 300 or deformed The mobile cover restitution surgical tool, such that it can move with the surgical tool, according to an embodiment of the present invention, the protective cover 300 in a top view of a circular shape and may be integrally made of elastic material having flexibility, for example, such as silicon or urethane.

[0122] 用于进入与退出许多手术工具的工具进入孔310形成于保护盖300上表面的中心,且向下延伸预定距离的固定装置320与其下端一体成型。 Means [0122] for a number of entry and exit of the surgical tool into the hole 310 formed in the center of the upper surface 300 of the protective cover, the fixing device 320 and extends downwardly with its lower end is integrally formed a predetermined distance.

[0123] 如实施例,具有以工具进入孔310为中心的预定半径范围内的复数条纹路的压纹部330,形成于保护盖300的上表面。 An upper surface [0123] The embodiment has a plurality of tool access holes 310 for the passage of stripes in a predetermined radius of the center of the embossed portion 330 is formed in the protective cover 300. 当手术工具经导入工具进入孔310时,压纹部330具有复数条纹路,以形成与手术工具的点接触而非面接触,进而减少摩擦力。 When the surgical tool through the tool introduced into the hole 310, the embossed portion 330 has a plurality of road stripes, to form a contact surface with the surgical tool, rather than contact, thereby reducing friction.

[0124] 如实施例,具有以工具进入孔310为中心的预定半径范围内的高厚度区域的高厚度部分340形成于保护盖300的上表面上。 [0124] As an embodiment, the tool into the hole 310 has a high portion of high thickness of the thickness of the region within the predetermined radius of the center of the protective cover 340 is formed on the upper surface 300.

[0125] 高厚度部分340具有大于其余部分的厚度,而因此具有高于其余部分的强度(亦即,保护盖300的外围部分340'),且据此,当移动经导入工具进入孔310的手术工具时,具有工具进入孔310的较厚部分340可藉由仿佛与手术工具一体成型的柔软的外围部分340'的任意变形而更容易地移动。 [0125] high thickness portion 340 has a thickness greater than the rest, and thus having a higher strength than the remaining portion (i.e., the peripheral portion of the protective cover 300, 340 '), and whereby, when the tool moves through the introduction into the hole 310 when surgical tool, having a tool access hole 310 of the thick portion 340 can be moved more easily by any modification if with a peripheral flexible surgical tool portion 340 integrally formed apos.

[0126] 如实施例,相较于高厚度部分340的其余部分,具有增加厚度的支撑增强部341可进一步形成于高厚度部分340内,以于紧密的半径范围内增加手术工具的支撑力。 [0126] As an embodiment, a high thickness as compared to the remainder portion 340, a support 341 to increase the thickness reinforcing portion may be further formed in the high thickness portion 340, to increase the support force in the surgical tool within tight radius.

[0127] 如图20所示,保护盖300牢固地安装于工具入口400,且当耦接环350耦接于固定装置外侧,并且位于保护盖300下端的固定装置320由工具入口400的顶端嵌入时,保护盖300可牢固地嵌入工具入口400内。 [0127] As shown in FIG. 20, the protective cover 300 is securely mounted to the tool inlet 400, and when the coupling ring 350 is coupled to the outer fixing device, the fixing device 320 and the protective cover 300 to the top 400 of the lower end of the insert tool from the inlet when the protective cover 300 may be securely embedded within the tool inlet 400.

[0128] 然而,保护盖300藉由耦接环350的固定方式可于实施例的设计修改范围内以不同方法修改,且在图20中所示的工具入口400的结构乃是为了便于显示实施例。 Design modifications within the scope of the [0128] However, the protective cover 300 by ring 350 fixedly coupled to the embodiments may be modified in different ways, and the structure of the tool 400 shown in FIG. 20 shows an embodiment in order to facilitate entry but example. 因此,应了解保护盖300安装于其中的工具入口400的结构并不限于此。 Thus, it is understood the protection cover 300 which is attached to the tool inlet structure 400 is not limited thereto.

[0129] 倘若保护盖300固着于工具入口400,保护盖300环绕且封闭工具入口400的上端,且接着保护盖300的内部表面以预定区间隔开工具入口400,以形成预定的边界空间S于保护盖300中。 [0129] If the protective cover 300 is fixed to the tool inlet 400, the protective cover 300 surrounds and encloses the tool inlet upper end 400, and then the inside surface 300 of the protective cover at the predetermined interval spaced tool inlet 400, to form a predetermined boundary space S in protective cover 300. 此边界空间S可做为用于保护盖300的任意变形的空间。 This space S can be used as any boundary deformable space for the protective cover 300.

[0130] 图21至23图为根据本发明的保护盖的操作状态的例示性示意图,且根据本发明安装于工具入口400内的保护盖300的操作将描述于下。 [0130] FIGS. 21 to 23 according to the embodiment of the protection according to the present invention, Photo cover schematic diagram illustrating an operation state, will be described under the protective cover 400 and the inlet 300 of the operation according to the present invention is mounted on the tool.

[0131] 首先,倘若手术工具导引器(未显示)完整地安装于病患的手术孔内,许多手术工具T经导入工具入口400,且接着在穿过工具进入孔310后,首先将手术工具T导引至保护盖300的上表面上。 After [0131] First, if the surgical tool guide (not shown) mounted to complete the operation hole patient, many surgical tools T by the import tool inlet 400, and then passing through the tool access hole 310, the first operation tool T is guided to the upper surface of the protective cover 300.

[0132] 在此,当手术工具T经导引时,手术工具T与保护盖300的上表面彼此接触,且由于手术工具T藉由形成于工具进入孔310的周围的压纹部330而点接触于保护盖300的上表面,摩擦力因此减小且手术工具T可更容易地导引。 [0132] Here, when the surgical tool T by the guide, the surgical tool T and the upper surface of the protective cover 300 in contact with each other, since the surgical tool and the tool T is formed by the hole 310 into the surrounding portion 330 embossed points contacting the upper surface of the protective cover 300, thus reducing the frictional force and the surgical tool T can be more easily guided.

[0133] 图21显示完全导引手术工具T的状态。 [0133] FIG. 21 shows a complete surgical tool guide T state.

[0134] 此外,图22与图23图23显示根据手术过程导引的手术工具T许多移动状态,如图所示的经导引的手术工具T于手术期间朝许多方向移动。 [0134] Further, FIG 22 and FIG 23 FIG 23 shows the movement state in accordance with many surgical procedures guided surgical tool T, guided by the surgical tool T as shown in operation during movement toward many directions.

[0135] 接着,当如图22与图23图23所示移动手术工具时,由于保护盖300亦移动,且同时受移动手术工具T时产生的力量而产生形变,工具进入孔310即使于移动手术工具T时仍不产生缝隙,并且仍然附接于手术工具T,且据此,在腹部的气体可免于漏泄。 When [0135] Next, as shown in FIG. 22 and FIG. 23 when the surgical tool 23 is moved as shown, the protective cover 300 also moves, and at the same time to be distorted by force generated when moving the surgical tool T, the tool access hole 310 even when the mobile when surgical tool T is still a gap, and still attached to the surgical tool T, and when a result, the gas leakage from the abdomen may be.

[0136] 亦即,若手术工具T移动时,此相同外力转移至包含围绕于手术工具T的工具进入孔310的高厚度部分340,且具有低厚度的保护盖300的外围部分340'容易受此施加的外力变形,使得包含工具进入孔310的高厚度部分340宛如与手术工具T为一体成形而移动。 [0136] That is, if the peripheral 300 when surgical tool T moves, this force was transferred to the same about a surgical tool comprising a tool T into the bore 310 of the high thickness portion 340, and has a low thickness protective cap portion 340 'vulnerable an external force is applied to this deformation, so that the tool comprises a high thickness into the hole 310 and the portion 340 like a surgical tool T is moved integrally molded. 因此,即使当手术工具T因手术需要而任意地且以不同方式移动时,手术工具T及围绕于手术工具T的工具进入孔310持续地保持互相贴合,且同时避免气体泄漏。 Thus, even when the need for a surgical tool T due to surgery and arbitrarily move in a different manner, the surgical tools around a surgical tool T and the tool T into the holding hole 310 is continuously bonded to each other, while avoiding gas leakage.

[0137] 据此方式,由于根据本发明的保护盖300可有效地防止腹部中的气体漏泄,在手术实行过程当中,直接补充及注入气体的不便问题可获得解决,进而确保更为顺利地进行手术。 [0137] According to this embodiment, since the cover 300 can effectively prevent the leakage of gas in the abdomen, a problem in which the surgical practice inconvenient procedure, and direct replenishment of the injected gas can be resolved in accordance with the present invention is protected, thereby ensuring more smoothly surgery.

[0138] 虽然本发明的例示性实施例已描述于此,本发明的范畴并不限于实施例及图式的内容,而应包含本发明的范畴中相关领域的具有通常知识者所修改或变更的均等结构。 [0138] Although the modified or exemplary embodiments of the present invention have been described herein, the scope of the present invention is not limited to the embodiments and drawings of the contents of embodiment, but should be included in the scope of the invention is generally related art having knowledge of changes are equalization structure.

Claims (13)

1.一种手术工具导引器,其特征在于,包含: 本体,该本体的下端呈开放状且具有与至少一个手术工具入口连通的上部; 支撑环,位于该本体下侧以任意地变形与恢复; 保护管,该保护管的一端固着于该本体以向下延伸,且该保护管的另一端通过该支撑环朝该本体上侧向上延伸并且容置该本体于其中;以及按压环,嵌合于向上延伸的该保护管,该按压环经配置以向下按压该本体,使该本体相对于该保护管下降,当按压该本体时,该按压环选择性地扣紧于该本体。 1. A surgical tool guide, characterized in that, comprising: a body, an open lower end of the body-shaped form and having at least one upper inlet communicating with the surgical tool; a support ring, located on the lower side of the body to deform and optionally recovery; protective tube, one end of the protective tube is fixed to extend downwardly to the body and the other end of the protective tube of the support ring extending toward the upper of the body side and receiving the body therein by; and a pressing ring, fitted bonded to the protective tube extending upwardly, the ring configured to press the body pressed down so that the protective body relative to the drop tube, when the main body is pressed, the pressing ring is selectively fastened to the main body.
2.如权利要求1所述的手术工具导引器,其特征在于,支撑该按压环的环形周围部由该本体的呈开放状的该下端突出。 2. The surgical tool guide according to claim 1, characterized in that the annular peripheral portion of the support ring is pressed by the protruding lower end of the open form of the shaped body.
3.如权利要求1所述的手术工具导引器,其特征在于,阻挡凸块自该本体的外表面突出,且该阻挡凸块嵌入于其中的凸块托座形成于该按压环的内表面上,使得当该按压环按压该本体,且该阻挡凸块根据该按压环的水平旋转而嵌入或分离自该凸块托座时,该按压环选择性地扣紧该本体。 3. The surgical tool guide according to claim 1, wherein the stopper protrusion from the outer surface of the body of the projection and the stopper protrusion is embedded therein bump formed in the pressing holder ring in on the surface, such that when the pressing body presses the ring, and the rotation stopper protrusion is embedded in accordance with the horizontal or the retaining ring from separating when the socket protrusion, which is selectively fastening the pressing ring body.
4.如权利要求3所述的手术工具导引器,其特征在于,该阻挡凸块穿过于其中的通道开口形成于该按压环的下表面上。 4. The surgical tool guide according to claim 3, wherein the stopper protrusion therein through a passage opening is formed on the lower surface of the pressing ring.
5.一种手术工具导引器,其特征在于,包含: 本体,该本体的下端呈开放状且具有与至少一个手术工具入口连通的上部; 支撑环,位于该本体的下侧以任意地变形与恢复; 保护管,包括固着于该本体的内表面以向下延伸的内管,以及连接于该内管的外管,该外管穿过该支撑环向上延伸且固定于该本体的外表面;以及气体入口,形成于该内管内且经配置以导引气体进入介于该内管与该外管间的密封空间,以扩大该保护管。 A surgical tool guide, characterized in that, comprising: a body, the lower end of the body and having the form of an open shape with at least one upper inlet surgical tool communication; support ring, located on a lower side of the body to be arbitrarily modified and recovery; protective tube, comprising an inner surface of the fixed body extending downwardly to the inner tube, the outer tube and connected to the inner tube, the outer tube extending upwardly through the support ring and fixed to the outer surface of the body ; and a gas inlet formed within the inner tube and configured to guide gas into the sealed space interposed between the inner tube and the outer tube, to expand the protective tube.
6.如权利要求5所述的手术工具导引器,其特征在于,该手术工具导引器还包含气体出口,形成于该外管中且设置有排放阀门,以排放填充于该密封空间内的该气体。 6. The surgical tool guide according to claim 5, wherein the surgical tool guide further comprises a gas outlet formed in the outer tube and is provided with a discharge valve, to discharge in the sealed space is filled of the gas.
7.如权利要求5所述的手术工具导引器,其特征在于,该手术工具导引器还包含支撑环拉线,连接于该支撑环且通过该密封空间与该本体而向外延伸。 7. The surgical tool guide according to claim 5, wherein the surgical tool guide wire further comprises a support ring connected to the support ring and extends outwardly of the body through the sealed space.
8.如权利要求5所述的手术工具导引器,其特征在于,具有低厚度以便折迭的折迭部形成于该支撑环的预定区域内。 Guide surgical tool as claimed in claim 5, characterized in that the folded portion having a predetermined area is folded so as to form a low thickness to the support ring.
9.一种手术工具导引器,其特征在于,安装在内视镜手术期间穿孔于病患的手术孔中,以安全地导引多种手术工具经由上部的工具入口进入腹腔中,其中该手术工具导引器牢固地安装于该工具入口中且同时密封及围绕该工具入口的上端,以及用于导入各该手术工具的工具进入孔形成于该手术工具导引器的上表面的中心,而且该手术工具导引器由可任意地变形与回复的具有可挠性的弹性材料制成,使得于移动经导引的手术工具时,该工具进入孔卡合各该手术工具且同时附着于各该手术工具。 A surgical tool guide, wherein the perforations in the surgical patient during the installation hole inner endoscopic surgery, in order to safely guide a variety of surgical tools through the upper inlet of the tool into the abdominal cavity, where the surgical tool guide securely mounted to the tool inlet and simultaneously seal the upper end of the tool and around the inlet, each of the surgical tool and a tool for introducing into the hole formed in the center of the upper surface of the guide of the surgical tool, the surgical tool guide and by a deformable and optionally a reply having flexibility made of an elastic material, such that when the movement is guided by the surgical tool, the tool access hole engages each of the surgical tool while attached to each of the surgical tool.
10.如权利要求9所述的手术工具导引器,其特征在于,当形成预定边界孔隙于该保护盖时,该保护盖的内表面隔开于该工具入口,以环绕该工具入口。 10. The surgical tool guide according to claim 9, wherein, when a predetermined boundary is formed in the pores of the protective cover, the protective cover inner surface spaced from the inlet to the tool, the tool to surround the inlet.
11.如权利要求9所述的手术工具导引器,其特征在于,该保护盖形成于该手术工具导引器上表面,该保护盖具有设置于以该工具进入孔为中心的预定半径范围内的复数条纹路的压纹部。 11. The surgical tool guide according to claim 9, wherein the protective cover is formed on the surface of the surgical tool guide, the protective cap having a predetermined radius is provided on the tool into the hole in the center of a plurality of striped path in the embossed portion.
12.如权利要求9所述的手术工具导引器,其特征在于,该保护盖形成于该手术工具导引器的上表面,该保护盖具有设置于以该工具进入孔为中心的预定半径范围内的高厚度区域的高厚度部分。 12. The surgical tool guide according to claim 9, characterized in that the upper surface of the cover formed on the guide of the surgical tool protection, the protective cap having a predetermined radius is provided on the tool into the hole in the center of high thickness portion of the high range of the thickness of the region.
13.如权利要求9所述的手术工具导引器,其特征在于,固定构件是一体成形于该保护盖的下端,且该固定构件藉由耦接环嵌入及固定于该工具入口中。 13. The surgical tool guide according to claim 9, wherein the fixing member is integrally formed in the lower end of the protective cover, and the fixing member are coupled by the ring fitted and fixed to the tool inlet.
CN 201310030513 2013-01-25 2013-01-25 Operation tool guider and protective cover for operation tool guider CN103961143A (en)

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060247498A1 (en) * 1998-12-01 2006-11-02 Frank Bonadio Instrument access device
US20070088241A1 (en) * 2005-10-14 2007-04-19 Applied Medical Resources Corporation Hand access laparoscopic device
WO2011145798A1 (en) * 2010-05-19 2011-11-24 Seo O Nam Surgical instrument guide and protection cap for such a surgical instrument guide
WO2012033358A2 (en) * 2010-09-10 2012-03-15 Seo O-Nam Endoscopy instrument guider port

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20060247498A1 (en) * 1998-12-01 2006-11-02 Frank Bonadio Instrument access device
US20070088241A1 (en) * 2005-10-14 2007-04-19 Applied Medical Resources Corporation Hand access laparoscopic device
WO2011145798A1 (en) * 2010-05-19 2011-11-24 Seo O Nam Surgical instrument guide and protection cap for such a surgical instrument guide
WO2012033358A2 (en) * 2010-09-10 2012-03-15 Seo O-Nam Endoscopy instrument guider port

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