Puncture outfit
Technical field
The present invention relates to medicine equipment, more particularly to a kind of puncture outfit.
Background technology
At present, the puncture outfit used in chest, laparoscopic surgery generally includes puncture needle, puncture cannula and epitheca, mainly
Tissue is penetrated using epitheca and sleeve pipe, the puncture cannula of inside is then taken away, it is established that an endoscope and operating theater instruments
Entrance and tissue conveying end.The technology belongs to a part for Minimally Invasive Surgery, and intraoperative hemorrhage is few small to patient effect;Postoperative suture
Region is small, scar is not obvious, it is to avoid situation and open surgery in open surgery more than bleeding are postoperative to suture what is caused
Large area sutures scar.Although puncture outfit of the prior art can be set up in chest, laparoscopic surgery in tissue
The entrance and tissue conveying end of one endoscope and operating theater instruments.But in actual operation, particularly in laparoscopic surgery, because
The injecting carbon dioxide i.e. pneumascos toward in abdominal cavity of patients is needed after insertion puncture outfit, makes abdominal cavity of patients's inwall and internal organ part point
From, it is established that a space for operation.And during pneumoperitoneum is set up, usually there is epitheca and tissue cutting part gas leakage
Phenomenon, cause pneumoperitoneum set up failure;In addition, because needing to enter endoscope and surgical device inside the epitheca of puncture outfit in operation
Tool, and the insertion angle of meeting constantly regulate puncture outfit and reciprocal taking-up the need for the whole surgical procedure traditional Chinese medical science is taken root according to operation
Or insertion operating theater instruments, can equally cause the slippage and gas leakage of puncture outfit;Meanwhile, in puncture process, in order to avoid body
Inner tissue stops puncture needle operation, and the blade for exposing is additionally provided with puncture needle, due to outer all the time with the blade for puncturing cutter head
Dew, readily occurs in after entering into tissue otch, punctures cutter head and accidentally injures human internal organs, accordingly, it would be desirable to medical care people
Member pays special attention to operating force, increases the operation difficulty of medical personnel.From the foregoing, it will be observed that puncture outfit of the prior art is inconvenient
Using and reliability and security are relatively low.
The content of the invention
The technical problems to be solved by the invention are:A kind of puncture outfit is provided, puncture outfit in the prior art is solved inconvenient
Using and reliability and the relatively low defect of security, realization facilitates medical personnel to use puncture outfit, improves the reliability of puncture outfit
And security.
The technical scheme that the present invention is provided is, a kind of puncture outfit, including puncture needle, puncture cannula and epitheca;The puncture
Pin is inserted in the puncture cannula, and the first connecting tube, first connecting tube and institute are provided with the tube wall of the puncture cannula
Puncture cannula connection is stated, link slot is also formed on the tube wall of the puncture cannula, the puncture cannula is inserted in the epitheca, institute
State and interface channel is formed between link slot and the epitheca, the top of the epitheca is provided with the second connecting tube, the epitheca
Bottom is provided with annular air-pocket, and second connecting tube is connected by the interface channel with the annular air-pocket, the epitheca
On be additionally provided with slidable back-up ring, the lock for being locked in the back-up ring on the epitheca is additionally provided with the back-up ring
Button;The puncture needle includes base, block, connecting cylinder, puncture conehead and stab knife;The block is connected on the base,
Installation cavity is formed between the block and the base, mounting hole is offered on the base, the connecting cylinder is slidably arranged in
In the mounting hole, the end that the connecting cylinder is located at the installation cavity sets overcoat, between the overcoat and the connecting cylinder
Shoulder hole is formed, (the first back-moving spring is provided with the shoulder hole, the (the first back-moving spring is also resisted against in the block;
The stab knife includes the blade and knife bar that link together, and being formed in the puncture conehead has for accommodating the blade
Passage, the head of the puncture conehead offers the edge of a knife with the channel connection, and the blade slides are arranged on the passage
In, the cutter head of the blade is inserted in the edge of a knife, and the knife bar is inserted in the connecting cylinder and is fixed in the block, institute
Connecting cylinder is stated to be connected with the puncture conehead.
Further, the upper end of the puncture cannula sets fluted, and the puncture cannula bottom is provided with annular
Groove, the groove and the annular groove are connected by the link slot, and second connecting tube is connected with the groove, institute
State and air inlet be formed with the madial wall of annular air-pocket, the annular air-pocket is wrapped in the outside of the annular groove, it is described enter
Gas port is connected with the annular groove.
Further, the upper end of the puncture cannula is additionally provided with check valve assembly, and the check valve assembly includes valve
Core, the Single port that the valve element has body, the body is provided with elastic sealing mouthful, and the valve element is fixed on described puncture and covers
Guan Shang, the body is inserted in the puncture cannula;When the check valve assembly is closed, the elastic sealing mouthful
Section be V-structure, the elastic sealing mouthful is internally formed V-groove structure.
Further, the check valve assembly also includes annular bonnet, and the annular bonnet is rotatably coupled to described
On puncture cannula, the annular bonnet is provided with the open spanner being oppositely arranged, and the free end of the open spanner is pyramidal structure,
The open spanner is inserted in the body;When the check valve assembly is closed, the free end of the open spanner
In the V-groove structure;When the check valve assembly is in open mode, the free end of the open spanner is resisted against
On the inwall of the elastic sealing mouthful.
Further, airtight circle is additionally provided with the annular bonnet, the puncture needle is inserted in the airtight circle.
Further, jack is further opened with the base, postive stop baffle, the limiting block is provided with again on the base
Stopper slot is formed with plate, the end of the postive stop baffle is additionally provided with positioning pin;The jack is slided and is provided with pin, institute
State pin and be additionally provided with locating support positioned at the end of the installation cavity, draw-in groove is additionally provided with the locating support, it is described fixed
Second back-moving spring is additionally provided between position support and the block;Outer the putting is provided with limited block and push rod, the top
Bar is located between the locating support and the base;It is described in the state of the cutter head of the blade does not extend out the edge of a knife
Limited block is located in the stopper slot, and the positioning lever is stuck in the draw-in groove;The knife is stretched out in the cutter head of the blade
In the state of mouthful, the push rod is resisted against on the locating support, and the limited block is located at outside the stopper slot, the positioning
Bar is located at outside the draw-in groove.
Further, the locating support is U-shape structure, and the locating support is enclosed within the outside of the connecting cylinder.
Further, it is additionally provided with connecting tube between the connecting cylinder and the puncture conehead.
Further, the puncture conehead is formed with sunk structure perpendicular to the both sides of the edge of a knife.
Further, the mouth of pipe of first connecting tube is provided with switchable valve, is set in second connecting tube
There is check valve.
The puncture outfit that the present invention is provided, by setting back-up ring and annular air-pocket on puncture cannula, by puncture outfit during operation
Insert the cutting part of patient so that annular air-pocket is fully-inserted into the human body, then, by the second connecting tube to annular air-pocket
Middle inflation or water filling so that annular air-pocket inflating clip in vivo, and passes through to slide the back-up ring on human body so that back-up ring abuts in trouble
Back-up ring is locked on epitheca on the skin of person and by lock, under the mating reaction of annular air-pocket and back-up ring so that puncture
The firm fixation of device reduces the possibility for occurring sliding on a patient body, meanwhile, annular air-pocket will effectively can suffer from again
Otch with person is blocked, it is to avoid the phenomenon for leaking air occurs, and is reduced and is occurred slipping the phenomenon with gas leakage;In addition, passing through
(the first back-moving spring is set between connecting cylinder and block, can realize that connecting cylinder is moved back and forth on base, when when puncturing
When puncture conehead is subject to the resistance of tissue, puncturing conehead will promote connecting cylinder to be close to the movement of block direction, so that wearing
The blade of bayonet exposes from the edge of a knife, and the cutter head of blade exposes from the edge of a knife and will cut tissue so that puncture can be smooth
Carrying out, and after the broken tissue of cutting, in the presence of (the first back-moving spring, connecting cylinder will reset rapidly so that blade
Cutter head be quickly punctured conehead and shelter from again, expose the feelings for occurring accidentally injuring human internal organs all the time so as to avoid cutter head
Condition occurs, also, also the operation precision to medical personnel reduces requirement, and realization facilitates medical personnel to use puncture outfit, carries
The reliability of puncture outfit high.
Brief description of the drawings
In order to illustrate more clearly about the embodiment of the present invention or technical scheme of the prior art, below will be to embodiment or existing
The accompanying drawing to be used needed for having technology description is briefly described, it should be apparent that, drawings in the following description are this hairs
Some bright embodiments, for those of ordinary skill in the art, without having to pay creative labor, can be with
Other accompanying drawings are obtained according to these accompanying drawings.
Fig. 1 is the stereogram of puncture outfit embodiment of the present invention;
Fig. 2 is the sectional view of puncture outfit embodiment of the present invention;
Fig. 3 is the close-up schematic view of a-quadrant in Fig. 2;
Fig. 4 is the close-up schematic view in B regions in Fig. 2;
Fig. 5 is the assembling explosive view of puncture cannula and check valve assembly in puncture outfit embodiment of the present invention;
Fig. 6 is the structural representation of valve element in puncture outfit embodiment of the present invention;
Fig. 7 be Fig. 6 in C-C to sectional view;
Fig. 8 is the structural representation of annular bonnet in puncture outfit embodiment of the present invention;
Fig. 9 be Fig. 8 in D-D to sectional view;
Figure 10 is the front view that puncture outfit embodiment of the present invention is in state one;
Figure 11 is the front view that puncture outfit embodiment of the present invention is in state two;
Figure 12 has the structural representation of the puncture needle embodiment of cutter head for the utility model;
Figure 13 has the explosive view of the puncture needle embodiment of cutter head for the utility model;
Figure 14 has the partial perspective cutaway view of the puncture needle embodiment of cutter head for the utility model;
Figure 15 has the partial perspective view of the puncture needle embodiment of cutter head for the utility model.
Specific embodiment
To make the purpose, technical scheme and advantage of the embodiment of the present invention clearer, below in conjunction with the embodiment of the present invention
In accompanying drawing, the technical scheme in the embodiment of the present invention is clearly and completely described, it is clear that described embodiment is
A part of embodiment of the present invention, rather than whole embodiments.Based on the embodiment in the present invention, those of ordinary skill in the art
The every other embodiment obtained under the premise of creative work is not made, belongs to the scope of protection of the invention.
As shown in Fig. 1-Figure 15, the present embodiment puncture outfit, including:Puncture needle 1, puncture cannula 2 and epitheca 3;The puncture
Pin 1 is inserted in the puncture cannula 2, and the first connecting tube 21, first connecting tube are provided with the tube wall of the puncture cannula 2
21 are connected with the puncture cannula 2, and link slot 22 is also formed on the tube wall of the puncture cannula 2, and the puncture cannula 2 is inserted in institute
State in epitheca 3, interface channel is formed between the link slot 22 and the epitheca 3, the top of the epitheca 3 is provided with the second company
Adapter 31, the bottom of the epitheca 3 is provided with annular air-pocket 4, second connecting tube 31 by the interface channel with it is described
Annular air-pocket 4 is connected, and slidable back-up ring 5 is additionally provided with the epitheca 3, is additionally provided with the back-up ring 5 for by described in
Back-up ring 5 is locked in the lock 51 on the epitheca 3.Puncture needle 1 includes:Base 12, block 13, connecting cylinder 14, puncture conehead 11
With stab knife 15;The block 13 is connected on the base 12, and installation cavity is formed between the block 13 and the base 12
100, mounting hole 121 is offered on the base 12, the connecting cylinder 14 is slidably arranged in the mounting hole 121, the company
Connect cylinder 14 and overcoat 141 is set positioned at the end of the installation cavity 100, rank is formed between the overcoat 141 and the connecting cylinder 14
Terraced hole(It is not shown), (the first back-moving spring 161 is provided with the shoulder hole, the (the first back-moving spring 161 is also resisted against institute
State in block 13, the bore of the external diameter more than mounting hole 121 of the overcoat 141;The stab knife 15 includes what is linked together
Blade 151 and knife bar 152, the passage having for accommodating the blade 151 is formed in the puncture conehead 11(It is not shown), institute
State and puncture the head of conehead 11 and offer the edge of a knife 111 with the channel connection, the blade 151 is slidably arranged in the passage
In, the cutter head of the blade 151 is inserted in the edge of a knife 111, and the knife bar 152 is inserted in the connecting cylinder 14 and is fixed on institute
State in block 13, the connecting cylinder 14 is connected with the puncture conehead 11, punctures conehead 11 and is exposed at outside puncture cannula 2.
Specifically, the present embodiment puncture outfit is inserted into the cutting part of patient when in use, and annular air-pocket 4 is complete
It is placed in otch, then, by the second connecting tube 31 to filling gas or liquid in annular air-pocket 4 so that annular air-pocket 4 expands
And be close in otch, at this moment, lock 51 is unclamped and slides back-up ring 5 to the epidermis of patient and will latch 51 and is locked, in ring
Under the mating reaction of shape air bag 4 and back-up ring 5 so that the present embodiment puncture outfit is solid and reliable to be fixed in the otch of patient.Such as
It is the unswollen state of annular air-pocket 4 shown in Figure 10, and is that annular air-pocket 4 is in swelling state shown in Figure 11.Wherein, set is punctured
The upper end of pipe 2 sets fluted 24, and the bottom of the puncture cannula 2 is provided with annular groove 23, the groove 24 and described
Annular groove 23 is connected by the link slot 22, and second connecting tube 31 is relative with the groove 23 and connects, the ring
Air inlet is formed with the madial wall of shape air bag 4(It is not shown), the annular air-pocket 4 is wrapped in the outer of the annular groove 23
Portion, the air inlet is connected with the annular groove 23, and the second connecting tube 31 passes sequentially through groove 24, link slot 22 and the ring
Connected in star 23 is realized being connected with annular air-pocket 4.In addition, the mouth of pipe of the first connecting tube 21 is provided with switchable valve 211, it is described
Check valve 311 is provided with second connecting tube 31.And puncture needle 1 is provided with the connecting cylinder 14 that can be slided on base 12, and
It is provided with (the first back-moving spring 161 between connecting cylinder 14 and block 13 to be resetted for connecting cylinder 14, the connection puncture awl of connecting cylinder 14
First 11, and stab knife 15 is fixedly connected and is inserted in connecting cylinder 14 with block 13, the blade 151 of stab knife 15 is located at and punctures conehead
In 11, and the cutter head of blade 151 is inserted in the edge of a knife 111.In use, hindered when puncture conehead 11 runs into tissue
When, puncture conehead 11 connecting cylinder 14 will be promoted to overcome the elastic force of (the first back-moving spring 161 to examine and be close to block 13 and move, so that
The cutter head of blade 151 exposes tissue cutting is broken from the edge of a knife 111, is smoothly carried out with ensuring to puncture.And in human body group
Knit cutting it is broken after, connecting cylinder 14 resets in the presence of (the first back-moving spring 161 so that puncture conehead 11 wraps knife again
Piece 151, is under non-stress conehead 11 is punctured, the cutter head of blade 151 is located at the inner side of the edge of a knife 111, it is to avoid blade 151
All the time expose and loss human internal organs occur.
Further, in order to be avoided outside the CO2 injected in patient's body when endoscope in operation and operating theater instruments are extracted
Let out, the upper end of the puncture cannula 2 is additionally provided with check valve assembly, and the check valve assembly includes valve element 61, the valve element
61 Single ports with body 611, the body 611 are provided with elastic sealing mouthful 612, and the valve element 61 is fixed on the puncture
On sleeve pipe 2, the body 611 is inserted in the puncture cannula 2;When the check valve assembly is closed, the bullet
Property closed mouth 612 section be V-structure, the elastic sealing mouthful 612 is internally formed V-groove structure so that elastic sealing
Mouth 612 constitutes yi word patterns closing causes for gossip and now seals.Specifically, when endoscope and operating theater instruments are pulled out from puncture cannula 2, bullet
Property closed mouth 612 is automatically switched off by natural resiliency, to avoid the CO2 in patient's body from leaking.Wherein, it is easy to endoscope and surgical device
Tool is entered into patient's body through elastic sealing mouthful 612, and check valve assembly also includes annular bonnet 62, and the annular bonnet 62 can
What is rotated is connected on the puncture cannula 2, and the annular bonnet 62 is provided with the open spanner 621 being oppositely arranged, the opening
621 free end is pulled for pyramidal structure, the open spanner 621 is inserted in the body 611;When the check valve assembly is in
During closed mode, the free end of the open spanner 621 is located in the V-groove structure;Beaten when the check valve assembly is in
During open state, the free end of the open spanner 621 is resisted against on the inwall of the elastic sealing mouthful 612 so that it is elastic close
Remain silent 612 openings.Preferably, airtight circle 63 is additionally provided with annular bonnet 62, airtight circle 63 is fixed on ring by fixed lid 631
In in shape bonnet 62, the puncture needle 1 is inserted in the airtight circle 63.Specifically, being extracted from puncture cannula 2 by puncture needle 1
When, airtight circle 63 and the cooperation of elastic sealing mouthful 612 can preferably play the function of avoiding CO2 from leaking, likewise, in endoscope
CO2 can also be avoided to leak when being passed in and out with operating theater instruments.
Further, cause that blade 151 reveals because frictional force is excessive in order to avoid in puncture process, puncturing conehead 11
Go out, jack 122 is further opened with base 12, postive stop baffle 19, shape on the postive stop baffle 19 are provided with again on the base 12
Into limited location groove 191, the end of the postive stop baffle 19 is additionally provided with positioning pin 192;The jack 122 is slided and is provided with post
Pin 182, the end that the pin 182 is located at the installation cavity 100 is additionally provided with locating support 18, on the locating support 18 also
Draw-in groove 182 is provided with, second back-moving spring 162 is additionally provided between the locating support 18 and the block 13;The overcoat
Limited block 142 and push rod 143 are provided with 141, the push rod 143 is located between the locating support 18 and the base 12;
In the state of the cutter head of the blade 151 does not extend out the edge of a knife 111, the limited block 142 is located at the stopper slot 191
In, the positioning lever 192 is stuck in the draw-in groove 182;The state of the edge of a knife 111 is stretched out in the cutter head of the blade 151
Under, the push rod 143 is resisted against on the locating support 18, and the limited block 142 is located at outside the stopper slot 191, described fixed
Position lever 192 is located at outside the draw-in groove 182.Specifically, by setting locating support 18 and postive stop baffle 19 on base 12,
When not needing blade 151 to stretch out, positioning lever 192 will be stuck in the draw-in groove 182 of locating support 18, so that locating support 18
Maintain static, locating support 18 moves up the push rod 143 below limitation, so that it is guaranteed that blade 151 can not be exposed at the edge of a knife
Outside 111, realization carries out locking to blade 111, it is ensured that when puncturing, and puncturing conehead 11 will not cause blade because frictional force is excessive
151 expose, and are more beneficial for improving security;And when needing blade 151 to be cut, medical personnel apply by block 13
Pressure, pin 182 will be resisted against on fixed lid 631, so that positioning lever 192 is separated from draw-in groove 182, and now, it is fixed
Position support 18 will apply pressure to postive stop baffle 19 simultaneously so that postive stop baffle 19 bends, so that limited block 142 is from spacing
Groove 191 is detached, and is punctured conehead 11 and is moved drive connecting cylinder 14 by after resistance so that blade 151 stretches out the edge of a knife 111.Wherein,
Locating support 18 can be U-shape structure, and the locating support 18 is enclosed within the outside of the connecting cylinder 14, in order to overall package.
Further, for the ease of assembly and disassembly, also set up between the connecting cylinder 14 and the puncture conehead 11
There is connecting tube 17.Specifically, connecting tube 17 is fastened with the connecting cylinder 14 and the puncture conehead 11 respectively, in assembling
During with dismounting, operating personnel are facilitated to carry out quick assembly and disassembly.And it is preferred, in order to sufficiently expose the knife of blade 151
Head, punctures conehead 11 and is formed with sunk structure 112 perpendicular to the both sides of the edge of a knife 111, and sunk structure 112 can be more effective
The cutter head of blade 151 is sufficiently exposed and is cut.
The present embodiment puncture outfit, by setting back-up ring and annular air-pocket on puncture cannula, inserts puncture outfit during operation
The cutting part of patient so that annular air-pocket is fully-inserted into the human body, then, by the second connecting tube to being filled in annular air-pocket
Gas or water filling so that annular air-pocket inflating clip in vivo, and passes through to slide the back-up ring on human body so that back-up ring abuts in patient's
Back-up ring is locked on epitheca on skin and by lock, under the mating reaction of annular air-pocket and back-up ring so that puncture outfit jail
The fixation leaned on reduces the possibility for occurring sliding on a patient body, meanwhile, annular air-pocket again can effectively by patient's body
On otch block, it is to avoid the phenomenon that leaks air occurs, reduce occur slipping and gas leakage phenomenon;In addition, by even
Connect and (the first back-moving spring is set between cylinder and block, can realize that connecting cylinder is moved back and forth on base, when the puncture when puncturing
When conehead is subject to the resistance of tissue, puncturing conehead will promote connecting cylinder to be close to the movement of block direction, so that stab knife
Blade expose from the edge of a knife, the cutter head of blade exposes from the edge of a knife and will cut tissue so that puncture can smoothly enter
OK, and after the broken tissue of cutting, in the presence of (the first back-moving spring, connecting cylinder will reset rapidly so that the knife of blade
Head is quickly punctured conehead and shelters from again, the situation hair for accidentally injuring human internal organs occurs so as to avoid cutter head and expose all the time
It is raw, also, also the operation precision to medical personnel reduces requirement, and realization facilitates medical personnel to use puncture outfit, and raising is worn
Pierce the reliability of device.
Finally it should be noted that:The above embodiments are merely illustrative of the technical solutions of the present invention, rather than its limitations;Although
The present invention has been described in detail with reference to the foregoing embodiments, it will be understood by those within the art that:It still may be used
Modified with to the technical scheme described in foregoing embodiments, or equivalent is carried out to which part technical characteristic;
And these modification or replace, do not make appropriate technical solution essence depart from various embodiments of the present invention technical scheme spirit and
Scope.