CN104840226A - Incision retracting fixator applicable to single-pore thoracoscopic surgery - Google Patents

Incision retracting fixator applicable to single-pore thoracoscopic surgery Download PDF

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Publication number
CN104840226A
CN104840226A CN 201510284953 CN201510284953A CN104840226A CN 104840226 A CN104840226 A CN 104840226A CN 201510284953 CN201510284953 CN 201510284953 CN 201510284953 A CN201510284953 A CN 201510284953A CN 104840226 A CN104840226 A CN 104840226A
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elastic
circular
pipe
body
pipeline
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CN 201510284953
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Chinese (zh)
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杨雪鹰
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杨雪鹰
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/02Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
    • A61B17/0218Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
    • 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
    • A61B2017/00292Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/0034Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope

Abstract

The invention relates to an incision retracting fixator applicable to single-pore thoracoscopic surgery. The incision retracting fixator has two kinds of structures A and B and comprises an elastic pipeline, an oval elastic pipeline is embedded in the circular elastic pipeline, the oval pipeline and the elastic pipeline are integrated, and two ends of an acute point of the oval elastic pipeline embedded in the circular elastic pipeline are closely embedded with circular elastic the pipeline. The circular elastic pipeline is an elastic waist-drum-shaped cylinder, and the oval elastic pipeline is embedded in the pipeline and is arranged in the middle to form three channels or at the edge to form two channels. During surgical operation, a thoracoscope and an operation instrument can pass the same incision, and compared with conventional thoracoscopic surgery, the single-pore thoracoscopic surgery performed with the incision retracting fixator has the advantages that two incisions can be reduced and surgical operation is more minimally invasive and has the remarkable advantages in reducing postoperative incision pain and paresthesia of the thoracic wall and accelerating postoperative recovery and the like, and for those patients with poor cardio-pulmonary function, operation risk is reduced.

Description

—种适用于单孔胸腔镜手术的切口牵开固定器 - species suitable for thoracoscopic surgery incision hole retractor holder

技术领域 FIELD

[0001] 本发明涉及医疗器械技术领域,是一种特别适用于单孔胸腔镜手术的切口牵开固定器。 [0001] The present invention relates to the technical field of medical instruments, particularly suitable for a hole VATS incision retractor holder.

背景技术 Background technique

[0002] 微创化是外科发展的方向,其目的是减少痛苦和提高患者的生活质量。 [0002] Minimally invasive surgery is the direction of development, which aims to reduce pain and improve quality of life for patients. 传统3切口电视胸腔镜(VATS)应用于胸部疾病的治疗效果已达成共识,且已成为胸外科医师的必备技术。 3 cutout conventional VATS (VATS) is applied to the treatment of chest diseases consensus, and has become an essential technology of Thoracic Surgeons. 目前技术上日新月异的进步促使胸外科手术更“微创化”,术后恢复更“快速”。 The current rapid technological progress to promote more thoracic surgery "minimally invasive" and postoperative recovery more "quick." 单孔胸腔镜手术无疑是更“微创化”的探索,是微创胸外科新的方向。 Hole-assisted thoracic surgery is undoubtedly more "minimally invasive" exploration, minimally invasive thoracic surgery is a new direction. 单孔胸腔镜手术,指的是仅采用一个约3.0-4.0cm的切口,观察镜及手术器械均通过同一个手术切口。 Hole thoracoscopic surgery, refers to the use of only a slit of about 3.0-4.0cm, observation and surgical instruments through a single incision are. 这样的手术一般仅需要两位医生,减少了一位助手,对于胸外科医生、病人而言充分体现了微创的理念,节省了手术成本,其优势正在充分展示。 Such surgery usually requires only two doctors, reducing an assistant for thoracic surgeons, minimally invasive for the patient fully embodies the concept of cost-saving surgery, its advantages are fully displayed. 单孔胸腔镜手术的临床效果与传统3切口胸腔镜微创手术相当,但是减少了两个切口,手术更加微创化。 Clinical effect VATS hole 3 and the conventional minimally invasive surgical incision thoracoscopic relatively, but reduces the two incisions, more minimally invasive surgery. 从几何学角度上更有利于手术操作,“视角-操作”在同一投射面,保留视觉的纵深性,更易于判断操作距离。 From geometrically more favorable operator "Perspective - Operation" in the same projection surface, the depth of the retained visual, distance judgment operation easier. 在降低术后切口疼痛和胸壁感觉异常、加快术后康复等方面有明显优势,特别是对于心肺功能相对差的患者,更降低了手术风险。 Paresthesia in reducing postoperative wound pain and chest wall, speed up recovery after surgery and so there are obvious advantages, especially for patients with heart and lung function is relatively poor, but also reduces the risk of surgery. 同时对于患者术后心理安慰、切口美容及手术满意度等方面有明显改善。 At the same time the psychological comfort of patients after surgery, cosmetic and surgical incision aspects of satisfaction has improved significantly. 目前,单孔胸腔镜手术已经逐步开始广泛应用于包括肺癌肺叶切除术在内的胸外科各种手术中。 At present, the hole-assisted thoracic surgery has gradually been widely used in a variety of thoracic surgery, lung surgery, including lobectomy, including in. 单孔胸腔镜手术自身也存在一定缺点,现有胸腔镜相关设备不适合于单孔胸腔镜操作:一个操作孔,所有操作器械均由此口进出,存在器械之间的相互干扰,经常存在一个器械进去之后,另外的器械无法进入或无法运动的情况;电刀或电凝产生的烟雾无法顺利排出(因为操作时无法再放入吸引器,而只能暂停手术,排出烟雾);另外,胸腔镜手术器械自身比较硬,器械直径大,操作过程中反复从肋间进出,加重了对肋间神经损伤,导致术后患者不适感加重且持续时间长。 Thoracoscopy hole itself also has some drawbacks, the prior device is not suitable for thoracoscopic related to hole thoracoscopic procedure: an operation hole, whereby all the operation of the instrument are out of the mouth, the presence of mutual interference between devices, there is often a after the instrument into the case of the additional instrument can not enter or not moving; smoke electric knife or coagulation smooth discharge can not be generated (because there is no longer attracted into operation, while operation can only be suspended, exhale smoke); in addition, chest surgical instruments mirror itself relatively stiff, large diameter instrument, repeatedly during operation from the intercostal and out, adding to the intercostal nerve damage, leading to postoperative discomfort worse and lasted longer.

发明内容 SUMMARY

[0003] 本发明的目的是提供一种适用于单孔胸腔镜手术的切口牵开固定器,能够实现单孔下胸腔镜操作,能够在胸部操作口形成3个或2个独立的操作通道,其中一个用来进胸腔镜光源,另外的进操作器械。 [0003] The object of the present invention is to provide a suitable hole thoracoscopic surgical incision retractor holder can be realized thoracoscopic operation hole can be formed by three or two separate working channel opening operation in the chest, wherein a light source for feeding thoracoscopy, further into the operation of the instrument.

[0004] 本发明的目的是依靠以下技术方案来实现的,包括弹性管道体,其特征在于,圆形弹性管道体内嵌连一弹性椭圆管道体,所述的弹性椭圆管道体及圆形弹性管道体为一体结构,圆形弹性管道体内嵌连的弹性椭圆管道体锐点两端与圆形弹性管道体圆形弹性紧密嵌接。 [0004] The object of the present invention relies on the following technical solution to achieve, comprising an elastic body conduit, characterized in that the elastic circular duct is connected an elastic element embedded elliptical pipe body, said elastomeric body and oval duct elastic circular the conduit body as an integral structure, the elastic circular element embedded conduit pipe connected elliptical elastic body elastically sharp points at both ends of the circular pipe member tightly round the resilient engagement. 圆形弹性管道体是一个具有弹性的腰鼓形状圆柱体。 The elastic member is a circular pipe having a cylindrical shape elastic drum. 圆形弹性管道体内嵌连的弹性椭圆管道体设置在中间形成三个通道,或设置在边缘形成二个通道。 Flexible duct element embedded even circular elastic member disposed intermediate conduit elliptical form three channels, two channels are formed or disposed at an edge. 圆形弹性管道体内径 Flexible pipe diameter circular body

4.0-4.5cm,管道长度2.5cm,圆形弹性管道体内嵌连的弹性椭圆形管道体宽外径1.2cm左右,长外径4.0-4.5cm,管道壁厚0.6 — lcm。 4.0-4.5cm, pipe length 2.5cm, wide circular outer diameter of the elastic element embedded conduit connected body around the elastic conduit oval 1.2cm, length of the outer diameter of 4.0-4.5cm, pipe wall thickness 0.6 - lcm. 形成三个通道时,弹性椭圆管道体(2)外侧操作通道外径分别为0.8cm、l.2cm和2.0-2.5cm,形成二个通道时,弹性椭圆管道体(2)通道外侧操作通道外径分别为1.2cm或1.5cm和2.8-3.3cm或2.5-3.0cm。 When three channels are formed, (2) operating outside the outer diameter of the elastic channel member are oval duct 0.8cm, l.2cm and 2.0-2.5cm, two channels are formed, the elastic elliptical pipe body (2) outside the operating channel outer channel diameter respectively and 2.8-3.3cm 2.5-3.0cm 1.2cm or 1.5cm or. 所述的圆形弹性管道体内形成的通道内壁涂有油性物质。 The inner wall forms a passage of circular elastic body is coated with an oily substance conduit.

[0005] 本发明在单孔胸腔镜手术中的优点是:1)便于固定胸腔镜镜头,形成稳定的胸腔镜光源;2)在狭小空间内方便使用胸腔镜器械进行手术操作,避免相互干扰。 Advantage [0005] In the present invention, a single hole is thoracoscopic surgery: 1) facilitate the fixing thoracoscopic camera, a light source to form a stable thoracoscopic; 2) facilitate the use of thoracoscopic instruments in a small space for the surgical procedure, to avoid mutual interference. 胸腔镜光源和操作器械可以灵活互换通道,便于手术中取得最佳的角度和操作位置;3)顺利排出电刀或电凝产生的烟雾,保持手术视野清晰;4)不需要戳卡和肋骨开张器,保护胸部操作口,避免损伤肋骨、肋间神经和肋间血管。 Thoracoscopic light source and operation of the instrument channel can be flexibly interchanged, to facilitate surgery to achieve the best angle and the operating position; 3) or knife smooth discharge of fumes generated by electric coagulation, to maintain a clear operative field; 4) and ribs need not stamp card opened, a chest-through protection to prevent damage to the ribs, intercostal intercostal nerves and blood vessels.

附图说明 BRIEF DESCRIPTION

[0006] 图1是本发明的A型结构示意图。 [0006] FIG 1 A is a schematic structure of the present invention.

[0007] 图2是图1的左视图。 [0007] FIG. 2 is a left side view of FIG.

[0008] 图3本发明的B型结构示意图。 [0008] B-type structure of FIG. 3 is a schematic view of the present invention.

[0009] 图4是本发明A型结构使用状态示意图。 [0009] FIG. 4 is a schematic diagram used state A structure of the present invention.

[0010] 图5是本发明B型结构使用状态示意图。 [0010] FIG. 5 is a schematic view of a B-type structure of the present invention to use state.

具体实施方式 detailed description

[0011]圆形弹性管道体I所用材料为具有弹性及张力的软质地材料。 [0011] circular pipe body I elastomeric material used is a soft texture and a material having an elastic tension. 所述切口牵开器经胸部切口放入,因所述牵开器的弹性使切口牵开,同时,弹性椭圆管道体2经挤压形成圆形,便于手术者在该孔道使用内窥镜3。 The incision retractor through the incision into the chest, because the retractor's opening so that the notch elastic retractor, while the elastic elliptical pipe body 2 is formed by pressing a circular shape, to facilitate the operator using the endoscope in the duct 3 . 其他两个孔道可做为操作孔,通过器械4。 The other two channels can be used as the operation hole, the instrument through 4.

[0012] 实施例1 [0012] Example 1

如图3所示,圆形弹性管道体I内嵌连一弹性椭圆管道体2,所述弹性的椭圆管道体2及圆形弹性管道体I为一体结构,圆形弹性管道体I内嵌连的弹性椭圆管道体2锐点两端与圆形弹性管道体I紧密嵌接。 3, the elastic circular conduit body I inline oval pipe is connected an elastic body 2, the elastic pipe 2 and the elliptical pipe body I is a circular elastomeric integral structure, the elastic circular pipe member connected inline I 2 sharp points at both ends of the circular pipe member elastically resilient oval pipe I into close engagement. 圆形弹性管道体I是一个具有弹性的腰鼓形状圆柱体。 Elastic Cylindrical pipe body I is a drum having a resilient cylindrical shape. 圆形弹性管道体I内嵌连的弹性椭圆管道体2设置在中间形成三个通道,或设置在边缘形成二个通道。 Flexible pipe body I embedded circular elastic even elliptical pipe body 2 is provided is formed in the middle of the three channels, two channels are formed or disposed at an edge. 管道内径4.0-4.5cm,管道长度2.5cm,管道内嵌连的椭圆形管道宽外径1.2cm左右,长外径4.0-4.5cm,管道壁厚0.6 — lcm。 Pipe diameter 4.0-4.5cm, pipe length 2.5cm, even inline oval duct pipe width approximately the outer diameter of 1.2cm, length of the outer diameter of 4.0-4.5cm, pipe wall thickness 0.6 - lcm. 形成三个通道时,弹性椭圆管道体2通道外侧操作通道外径分别外0.8cm、1.2cm和2.0-2.5cm,形成二个通道时,弹性椭圆管道体2通道外侧操作通道外径分别为1.2cm或1.5cm和2.8-3.3cm或2.5-3.0cm。 Forming three channels, 2-channel operation outside the outer diameter of the elastic channel member are oval outer pipes 0.8cm, 1.2cm and 2.0-2.5cm, forming two channels, the elastic oval channel outer pipe 2, respectively, an outer diameter of 1.2 channel operation cm, or 1.5cm or 2.8-3.3cm and 2.5-3.0cm. 所述的三个通道内壁涂有油性物质。 The three channel wall coated with an oily substance. 所形成的三个通道中中间的通道通过胸腔镜光源,其他两个通道分别通过操作器械。 The three channels formed in the intermediate passage through thoracoscopy source, the other two channels through operation of the instrument, respectively.

[0013] 实施例2 [0013] Example 2

参见图4,圆形弹性管道体I内嵌连的弹性椭圆管道体2设置在边缘形成二个通道。 Referring to Figure 4, the elastic circular conduit body I embedded even elliptical elastic body conduit 2 provided at an edge form two channels. 形成二个通道时,弹性椭圆管道体2通道形成的操作通道外径分别为1.2cm或1.5cm和2.8-3.3cm或2.5-3.0cm。 When two channels are formed, the elastic member elliptical pipe outer diameter of the working channel formed in the channel 2, respectively, and 2.8-3.3cm 2.5-3.0cm 1.2cm or 1.5cm or. 二个通道中一个通道通过胸腔镜光源,另外的通道通过操作器械。 Two channels a light channel through thoracoscopy, other channels through operation of the instrument.

Claims (6)

  1. 1.一种适用于单孔胸腔镜手术的切口牵开固定器,包括弹性管道体,其特征在于,圆形弹性管道体内(I)嵌连一弹性椭圆管道体(2),所述的弹性椭圆管道体(2)及圆形弹性管道体为(I)一体结构,圆形弹性管道体内(I)嵌连的弹性椭圆管道体(2)锐点两端与圆形弹性管道体圆形弹性紧密嵌接。 A suitable hole thoracoscopic surgical incision retractor holder includes an elastic body conduit, characterized in that the circular body of resilient conduit (I) a resilient flexible coupling fitted elliptical pipe body (2), the elliptical pipe body (2) and the circular body of resilient conduit (I) a unitary structure, the elastic circular pipe body (I) are fitted to the elliptical elastic body conduit (2) and the sharp point at both ends a circular resilient elastomeric circular pipe member close engagement.
  2. 2.如权利要求1所述的切口牵开固定器,其特征在于:圆形弹性管道体(I)是一个具有弹性的腰鼓形状圆柱体。 2. The cutout according to claim 1 retractor fixing device, comprising: an elastic circular conduit body (I) is a drum having a resilient cylindrical shape.
  3. 3.如权利要求1所述的切口牵开固定器,其特征在于:圆形弹性管道体(I)内嵌连的弹性椭圆管道体(2 )设置在中间形成三个通道,或设置在边缘形成二个通道。 The elastic edge of the circular duct is provided (I) is embedded in an elastic even elliptical pipe body (2) is provided in the middle three channels are formed, or: as claimed in claim 1 incision retractor fixing device, characterized in that forming two channels.
  4. 4.如权利要求1所述的切口牵开固定器,其特征在于:圆形弹性管道体(I)内径4.0-4.5cm,管道长度2.5cm,圆形弹性管道体(I)内嵌连的弹性椭圆形管道体(2)宽外径1.2cm左右,长外径4.0-4.5cm,管道壁厚0.6一Icm0 4. The cutout according to claim 1 retractor fixing device, comprising: an elastic circular pipe (I) is an inner diameter of 4.0-4.5cm, pipe length 2.5cm, the elastic circular pipe member (I) connected inline Flexible elliptical pipe body about 1.2cm (2) width outer diameter, an outer diameter length 4.0-4.5cm, a pipe wall thickness 0.6 Icm0
  5. 5.如权利要求1所述的切口牵开固定器,其特征在于:形成三个通道时,弹性椭圆管道体(2)外侧操作通道外径分别为0.8cm、l.2cm和2.0-2.5cm,形成二个通道时,弹性椭圆管道体(2)通道外侧操作通道外径分别为1.2cm或1.5cm和2.8-3.3cm或2.5-3.0cm。 5. The cutout of the retractor of claim 1 holder, wherein: forming the three channels, (2) operating outside the outer diameter of the elastic channel member are oval duct 2.0-2.5cm was 0.8cm, l.2cm and when two channels are formed, the elastic elliptical pipe body (2) outer diameter of the operative channel outer channel, respectively, and 2.8-3.3cm 2.5-3.0cm 1.2cm or 1.5cm or.
  6. 6.如权利要求1-4所述的切口牵开固定器,所述的圆形弹性管道体(I)内形成的通道内壁涂有油性物质。 6. The notch 1-4 retractor as claimed in claim holder, the inner channel wall formed in said circular elastic pipe (I) is coated with an oily substance.
CN 201510284953 2015-05-29 2015-05-29 Incision retracting fixator applicable to single-pore thoracoscopic surgery CN104840226A (en)

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US20120157779A1 (en) * 2010-12-21 2012-06-21 Greg Fischvogt Access assembly including inflatable seal member
CN103536359A (en) * 2012-07-08 2014-01-29 钱庆鹏 Barrier type single-hole laparoscope operation channel
CN203001132U (en) * 2013-01-21 2013-06-19 杨学宁 Cut protective casing
CN203598038U (en) * 2013-11-12 2014-05-21 李美荣 Deformable multiple-channel device of single-incision laparoscope
CN203790040U (en) * 2014-03-24 2014-08-27 苏州大学附属第一医院 Incision protective jacket
CN204274658U (en) * 2014-11-24 2015-04-22 江苏芸迪医疗科技发展有限公司 Incision fixator
CN204765758U (en) * 2015-05-29 2015-11-18 杨雪鹰 Incision leads out fixer suitable for haplopore chest laparoscopic surgery

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106236158A (en) * 2016-05-16 2016-12-21 杨雪鹰 Single-port thoracoscope incision separation fixator

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