CN105250024A - Channel device applied to robot-assisted single-port laparoscopic surgery - Google Patents

Channel device applied to robot-assisted single-port laparoscopic surgery Download PDF

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Publication number
CN105250024A
CN105250024A CN 201510700532 CN201510700532A CN105250024A CN 105250024 A CN105250024 A CN 105250024A CN 201510700532 CN201510700532 CN 201510700532 CN 201510700532 A CN201510700532 A CN 201510700532A CN 105250024 A CN105250024 A CN 105250024A
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base
ring
laparoscopic surgery
holder
pad
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CN 201510700532
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Chinese (zh)
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王林辉
肖亮
王志军
叶华茂
吕晨
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中国人民解放军第二军医大学
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Abstract

The invention relates to the technical field of medical instruments, in particular to a channel device applied to a robot-assisted single-port laparoscopic surgery. The channel device comprises a sealing gland and a base, wherein the sealing gland comprises an elastomer rubber mat and an elastomer bracket ring; the elastomer rubber mat covers the elastomer bracket ring; clasps are arranged at the upper part of the base, an incision retracting film is arranged in the middle of the base, and a distraction ring is arranged at the bottom of the base; the elastomer bracket ring of the sealing gland is mounted on the clasps of the base. The channel device has the benefits that the surgical effect is definite, the surgical incision number on the body surface can be reduced, the surgery infection risk is reduced, the postoperative recovery time is shortened, and the overall satisfaction of a minimally invasive surgery is greatly improved.

Description

一种应用于机器人辅助单孔腹腔镜手术的通道装置 Passage means is applied to one kind of robot-assisted laparoscopic surgery in the hole

技术领域 FIELD

[0001] 本发明涉及医疗器械技术领域,具体是一种应用于机器人辅助单孔腹腔镜手术的通道装置。 [0001] The present invention relates to the field of medical equipment, particularly applied to a channel means of robot-assisted laparoscopic surgery hole.

背景技术 Background technique

[0002]目前,腹腔镜技术已广泛应用于临床外科手术,如泌尿外科、普外科、胸外科、骨科、妇科、儿外科等。 [0002] Currently, laparoscopic surgery has been widely used in clinical, such as urology, general surgery, thoracic surgery, orthopedics, gynecology, surgery and other children. 常规腹腔镜技术通常需先在腹壁打3〜5个直径为5〜12mm的孔,然后在孔内安置套管(trocar),所述套管分别用于置入内窥镜及各种手术器械以进行手术。 Conventional laparoscopic technique usually takes to play in the abdominal wall 3 ~ 5 5~12mm diameter of pores, disposed within the bore and the sleeve (Trocar), each said sleeve for inserting the endoscope and various surgical instruments for surgery. 这样的手术方式会留下多处分散的瘢痕,影响美观。 This will leave many surgical scar dispersed, affect the appearance.

[0003] 近年来国内外兴起了经脐单孔腹腔镜手术,利用脐部这一天然瘢痕作切口建立手术通道。 [0003] In recent years, the rise of the domestic and foreign transumbilical single port laparoscopic surgery, the natural use of the umbilical scar incision surgery established channels. 目前已证实该手术的效果与常规腹腔镜手术一致,而且除了脐部这一天然瘢痕外,未增加多余切口,美容效果显著,显示出良好的临床应用前景。 It has been proved that the effect of the surgery is consistent with conventional laparoscopic surgery, and in addition to this natural umbilical scar, did not increase the extra cuts, significant cosmetic results, showing a good clinical application.

[0004] 随着科学技术的不断发展,医学理念的不断更新,机器人辅助手术系统逐渐进入了外科临床医生的视野中。 [0004] With the continuous development of science and technology, medicine, the concept of constantly updated, robot-assisted surgery system gradually into view clinician surgery. 机器人辅助手术系统除了具有普通腔镜手术的微创、出血少等优点外,还具有以下特点:1、机器人采用高清晰度三维立体成像系统,图像更加清晰,能更好地辨认和保护神经血管束;2、机器人手由多关节组成,灵活自如,可以提供几乎与人手相媲美的旋转、弯曲等动作,且其稳定性是人手无法比拟的,提高了手术的精准性,在复杂性手术方面的优势尤为突出;3、术者不易疲劳,坐位手术可以减轻术者疲劳度,对大型手术有较大帮助;4、直观立体的视触方式明显缩短腔镜手术的学习曲线。 Outside the robot-assisted minimally invasive surgical system in addition to ordinary endoscopic surgery, less bleeding, etc., it has the following characteristics: 1, the robot using high-resolution three-dimensional imaging system, the image clearer, better identify and protect neurovascular beam; 2, a multi-joint composed of a robot hand, flexible and comfortable, provide almost comparable to the human hand of rotation, bending operation, and its stability is unmatched by hand, and the precision of the operation, in terms of the complexity of the surgery the advantage is particularly prominent; 3, surgeon fatigue, sitting surgery can reduce surgeon fatigue, major surgery have more help; 4, intuitive perspective view of a touch manner significantly shorter learning curve for laparoscopic surgery.

[0005]目前尚未有用于机器人辅助手术系统经脐单孔腹腔镜手术的通道装置。 [0005] There is not yet a channel means of robot-assisted surgery system transumbilical single laparoscopic surgery.

发明内容 SUMMARY

[0006] 本发明的目的在于克服现有技术的不足,提供一种操作简便、手术效果确切,能够减少体表手术切口个数、降低手术感染风险的应用于机器人辅助单孔腹腔镜手术,特别是适用于如达芬奇机器人手术系统的单孔手术的通道装置。 [0006] The object of the present invention is to overcome the disadvantages of the prior art by providing a simple, precise effect of surgery, surgery to reduce the number of surface incision, reducing the risk of infection of the surgical hole application in robotic assisted laparoscopic surgery operations, in particular passage means is a hole surgery for applications such as the da Vinci surgical system.

[0007] 为了达到上述目的,本发明提供了一种应用于机器人辅助单孔腹腔镜手术的通道装置,包括密封盖和底座,其中: [0007] To achieve the above object, the present invention provides an apparatus for application in robotic-assisted passage hole laparoscopic surgery, comprising a closure and a base, wherein:

[0008] 所述密封盖包括弹性体胶垫和弹性体支架环,所述弹性体胶垫覆盖所述弹性体支架环; [0008] The closure cap comprises an elastomeric pad and elastomeric ring holder, said elastomeric cushion holder covering the elastomeric ring;

[0009] 所述底座的上部为卡环、中部为切口牵开膜、底部为撑开环; [0009] The upper base of the collar, the central film is slit retractor, distraction bottom ring;

[0010] 所述密封盖的弹性体支架环安装在所述底座的卡环上。 [0010] The closure cap elastomeric ring holder mounted on the base collar. 所述切口牵开膜由柔性硅胶膜材料制成,该切口牵开膜两端的卡环及撑开环将所述切口牵开膜牵拉成“工”字形圆筒状。 The retractor of the slit film is made of a flexible silicone membrane material, both ends of the cut film retractor spreader ring collar and the film is pulled into the incision retractor "" form a cylindrical shape. 将底座下部的撑开环压握成椭圆形并置入到切口内,所述切口牵开膜用于牵拉切口至理想状态,以方便手术器械进出,切口牵开膜上缘的卡环及下缘的撑开环用于将切口牵开膜锚固在切口内壁,起到固定整个系统的作用。 The lower base of the expansion ring crimped into an oval shape and placed into a cutout over the state of the film for a retractor to pull the incision, to facilitate the surgical instrument out of the cut edge of the film, the retractor and the collar softened lower edge of the ring slit for anchoring the retractor film in the inner wall of the incision, the entire system functions as fixed. 所述弹性体胶垫由超弹性体(TPE)或柔软硅胶材料制成,在弹性体支架环上覆盖所述弹性体胶垫后,再将该弹性体支架环安装到卡环上,手术机器人器械臂通过该弹性体胶垫介入到人体胸腹腔内,进行手术。 After the elastomer or rubber pad is made of a superelastic material (TPE) soft silicone material, covering the elastomeric pad holder on the elastomer ring, then the elastomeric ring mounted on the card holder ring, a surgical robot instrument arm involved in human abdominal cavity through the elastomer pad, surgery.

[0011] 优选地,所述弹性体支架环向上伸出胶垫固定件,所述弹性体胶垫包覆在该胶垫固定件上。 [0011] Preferably, the elastomeric ring projecting upwardly pad holder fixing member, the elastomeric pad coated on the pad holder.

[0012] 优选地,所述的胶垫固定件上开设开孔。 [0012] Preferably, the openings defines the pad holder. 所述胶垫固定件用于为弹性体胶垫提供稳固的攀附结构,在该胶垫固定件上开设开孔能够更好地满足所述胶垫固定件在使用过程中对于牵拉强度、气密性等方面的要求。 The pad fixing member for providing a solid structure to cling elastomer pad, the pad defines openings in the fixing member to better meet the pad holder during use for pull strength, gas aspect of the tightness requirements.

[0013] 优选地,所述弹性体支架环的外侧均布卡边; [0013] Preferably, the elastomeric outer ring are dibucaine side bracket;

[0014] 所述的卡环上均布与所述卡边相对应的卡扣; [0014] the uniform clasp of the buckle corresponding to the card edge;

[0015] 所述卡边卡接在所述卡扣上进行配合连接。 [0015] The card edge card connected to the card connector mating buckle performed. 所述卡边用于与卡扣相互配合,以实现密封盖与底座之间的稳固连接。 The card edge for cooperating with the catch, in order to achieve a firm connection between the cover and the base.

[0016] 优选地,所述的弹性体支架环向下伸出密封圈槽,该密封圈槽外覆设密封胶圈。 [0016] Preferably, the elastomeric ring bracket downwardly projecting ring groove, the outer covering gasket ring groove. 所述密封胶圈槽内可嵌入密封胶圈,以更好地实现对密封盖与底座之间安装气密性的要求。 The gasket groove can be embedded in the sealing ring, in order to better achieve the installed between the cover and the base of airtightness requirements.

[0017] 优选地,所述的卡边的个数3个; [0017] Preferably, the number of the card edge 3;

[0018] 所述的卡扣的个数3个。 Number [0018] of the three snap.

[0019] 本发明的有益效果是,相对于传统机器人腹腔镜手术需要多孔手术,单孔操作通道具有较少地体表切口个数、切口相对减小且手术创伤美观,降低病人痛苦,减轻疼痛及可能加快术后恢复时间、缩短住院时间、减少切口愈合过程中的并发症及缩短住院周期、减少医疗开支等潜在优势。 [0019] Advantageous effects of the present invention is that, compared to traditional robotic laparoscopic surgical procedures require porous, single-hole passage having a number less operation surface incision, and the incision is relatively decreased aesthetic surgical trauma, reduced patient suffering, reducing pain and may accelerate postoperative recovery time, shorter hospital stays, reduce complications in the process of wound healing and shorten hospital stay and reduce the potential advantages of medical expenses. 本发明使用操作简便、手术效果确切,能够减少体表手术切口个数,降低手术感染风险以及加速术后恢复时间,大大改善微创手术综合满意度。 The present invention is easy to use operation, the exact effect of surgery, can reduce the number of surface incision surgery, surgery to reduce the risk of infection and accelerate recovery time after surgery, greatly improving the overall satisfaction of minimally invasive surgery.

附图说明 BRIEF DESCRIPTION

[0020] 图1为本发明的结构示意图; [0020] FIG. 1 is a schematic view of the structure of the present invention;

[0021] 图2为密封盖的结构示意图; [0021] FIG. 2 is a schematic view of the sealing cap;

[0022] 图3为密封盖的立体分解图; [0022] FIG. 3 is a perspective exploded view of the sealing cap;

[0023] 图4为密封盖的主视图; [0023] FIG. 4 is a front view of the sealing cap;

[0024] 图5为底座的结构不意图。 [0024] FIG. 5 is a chassis structure is not intended.

[0025]其中: [0025] wherein:

[0026] 1-密封盖 2-底座 3-弹性体胶垫 [0026] 1- 3- elastomeric sealing cap base pad 2-

[0027] 4-弹性体支架环41-胶垫固定件411-开孔 [0027] 4- elastomeric pad carrier ring 41- 411- fastener openings

[0028] 42-卡边 43-密封圈槽5_密封胶圈 [0028] 42- 5_ card edge gasket ring groove 43

[0029] 6-卡环 61-卡扣 7-切口牵开膜 [0029] 6- snap shackle 61- incision retractor film 7-

[0030] 8-撑开环 [0030] 8- spreader ring

具体实施方式 detailed description

[0031] 以下结合附图和具体实施例,对本发明做进一步说明。 [0031] The following embodiments in conjunction with accompanying drawings and specific embodiments, the present invention will be further described.

[0032] 实施例1: [0032] Example 1:

[0033] 如图1〜图3所示的一种应用于机器人辅助单孔腹腔镜手术的通道装置,包括密封盖1和底座2,其中: [0033] As shown in FIG. 1 ~ 3 is applied to the one shown in robotic-assisted laparoscopic surgery hole passage means, comprising a sealing cover and a base 2, wherein:

[0034] 所述密封盖1包括弹性体胶垫3和弹性体支架环4,所述弹性体胶垫3覆盖所述弹性体支架环4 ; [0034] The closure cap comprises an elastomer pad 3 and the elastic body holder ring 4, the elastic body 3 covering the elastomeric cushion ring holder 4;

[0035] 所述底座2的上部为卡环6、中部为切口牵开膜7、底部为撑开环8 ; An upper [0035] The base 2 of the retaining ring 6, the central notch of the retractor film 7, the bottom 8 of the expansion ring;

[0036] 所述密封盖1的弹性体支架环4安装在所述底座2的卡环6上。 [0036] The closure cap 1 elastomeric ring holder 4 is mounted on the base 6 of the collar 2. 所述切口牵开膜7由柔性硅胶膜材料制成,该切口牵开膜7两端的卡环6及撑开环8将所述切口牵开膜7牵拉成“工”字形圆筒状。 The incision retractor silicone film 7 made of a flexible film material, the cut ends 7 of the retractor film shackle 6 and ring 8 to the expansion of the incision retractor film 7 is pulled into a "" form a cylindrical shape. 将底座2下部的撑开环8压握成椭圆形并置入到切口内,所述切口牵开膜7用于牵拉切口至理想状态,以方便手术器械进出,切口牵开膜7上缘的卡环6及下缘的撑开环8用于将切口牵开膜7锚固在切口内壁,起到固定整个系统的作用。 The lower portion of the base 2 the expansion crimped ring 8 into the elliptical shape and inserted into a cutout of the retractor 7 for pulling the film over the incision to a state to facilitate the surgical instrument out of the cut edge of the retractor film 7 the clasp 6 and the lower edge of the spreader ring 8 for incision retractor film 7 is anchored in the inner wall of the cutout, play a role in fixing the whole system. 所述弹性体胶垫3由超弹性体(TPE)或柔软硅胶材料制成,在弹性体支架环4上覆盖所述弹性体胶垫3后,再将该弹性体支架环4安装到卡环6上,手术机器人器械臂通过该弹性体胶垫3介入到人体胸腹腔内,进行手术。 Or the elastomeric pad 3 made of a superelastic material (TPE) soft silicone material, after the elastomeric pad holder covering the elastic body 3 on the ring 4, and then the elastomeric ring holder 4 is mounted to the collar 6, surgical instrument robotic arm 3 by the elastomer pad involved in human abdominal cavity surgery.

[0037] 所述弹性体支架环4向上伸出胶垫固定件41,所述弹性体胶垫3包覆在该胶垫固定件41上。 The [0037] elastomeric ring 4 projecting upwardly pad holder fixing member 41, the elastomeric pad 3 coated on the pad holder 41.

[0038] 所述的胶垫固定件41上开设开孔411。 [0038] 411 defines an opening 41 on the pad holder. 所述胶垫固定件41用于为弹性体胶垫3提供稳固的攀附结构,在该胶垫固定件41上开设开孔411能够更好地满足所述胶垫固定件41在使用过程中对于牵拉强度、气密性等方面的要求。 The pad holder 41 is used to provide an elastomer pad 3 cling stable structure, which defines an opening in the fixing member 41411 pad to better meet the pad member 41 is fixed in use to aspect pull strength, air-tightness requirements.

[0039] 所述弹性体支架环4的外侧均布卡边42 ; [0039] The elastomeric outer ring 4 are dibucaine holder 42 side;

[0040] 所述的卡环6上均布与所述卡边42相对应的卡扣61 ; [0040] 6 of the snap ring 61 with snap-uniform edge 42 of the card corresponding to;

[0041] 所述卡边42卡接在所述卡扣61上进行配合连接。 The [0041] 42 is locked to the card edge on the snap-fit ​​connection 61. 所述卡边42用于与卡扣61相互配合,以实现密封盖1与底座2之间的稳固连接。 The card edge 42 for cooperating with the catch 61, and a sealing cap in order to achieve stable connection between the base 2.

[0042] 所述的弹性体支架环4向下伸出密封圈槽43,该密封圈槽43外覆设密封胶圈5。 [0042] The elastomeric ring holder 4 projecting downwardly ring groove 43, the outer ring groove 43 covering gasket 5. 所述密封胶圈槽43内可嵌入密封胶圈5,以更好地实现对密封盖1与底座2之间安装气密性的要求。 The gasket groove 43 may be embedded within the sealing gasket 5, in order to achieve better sealing cap 1 and the mounting base of airtightness between the two requirements.

[0043] 所述的卡边42的个数3个; [0043] The number of the card edge 42, 3;

[0044] 所述的卡扣61的个数3个。 [0044] The number of the snap 61 3.

[0045] 实际使用例: [0045] Example practical use:

[0046] 行机器人辅助单孔腹腔镜下肾脏部分切除术,预先建立经脐部约5cm长手术切口,先取底座2,用手将底座2下部的撑开环8压握成椭圆形并置入到切口内,撑开环8自行撑开在切口内使得整个底座2固定在切口处,底座2安装完毕。 [0046] Kidney portion row robotic-assisted laparoscopic surgery under the hole, the pre-established surgical incision was about 5cm long umbilical, first take the base 2, a lower base 2 by hand spreader ring 8 crimped and placed into an oval into the incision, the expansion in the expansion ring 8 itself so that the entire base of the notch 2 is fixed at the cuts, the base 2 installed. 然后将密封盖1安装在底座2上,将卡边42扣在卡扣61上,密封盖1安装完毕。 The sealing cap 1 is then mounted on the base 2, the card edge 42 on the snap fastener 61, a sealing cap installed. 此时可根据需要在密封盖1上建立内窥镜及手术器械通道。 At this time, endoscopic and surgical instruments may be necessary to establish the channel 1 on the sealing cover.

[0047] 手术完毕后,先打开底座2的卡扣61,将卡边42从卡扣61处进行释放并从底座2上取下密封盖1,再用手经底座2的切口牵开膜7伸入腹腔,拉住撑开环8,将底座2整体从切口中取出即可。 After the [0047] operation is completed, to open the snap 61 of the base 2, the card edge 42 is released from the buckle 61 and the sealing cap 1 is removed from the base 2, the base 2 and then the incision retractor hand film 7 It extends into the abdominal cavity, pulling the expansion ring 8, the base 2 as a whole can be removed from the incision.

[0048] 以上已对本发明创造的较佳实施例进行了具体说明,但本发明创造并不限于所述的实施例,熟悉本领域的技术人员在不违背本发明创造精神的前提下还可以作出种种的等同的变型或替换,这些等同变型或替换均包含在本申请权利要求所限定的范围内。 [0048] The invention has been created above preferred embodiments have been specifically described, but the present invention is not limited to the creation of embodiments, those skilled in the art without departing from the spirit of the premise of the present invention may also be made to create various modifications or equivalent replacement such equivalent variations or substitutions are included in the present application within the scope defined by the claims.

Claims (6)

  1. 1.一种应用于机器人辅助单孔腹腔镜手术的通道装置,其特征在于,包括密封盖(1)和底座(2),其中: 所述密封盖(1)包括弹性体胶垫(3)和弹性体支架环(4),所述弹性体胶垫(3)覆盖所述弹性体支架环(4); 所述底座(2)的上部为卡环¢)、中部为切口牵开膜(7)、底部为撑开环(8); 所述密封盖(1)的弹性体支架环(4)安装在所述底座(2)的卡环(6)上。 An application in robotic assisted laparoscopic surgery passage hole means, characterized in that it comprises a sealing cap (1) and the base (2), wherein: the closure (1) comprises an elastomeric pad (3) and the elastomeric ring holder (4), the elastomeric pad (3) covering the elastomeric ring holder (4); an upper portion of the base (2) is a snap ring ¢), the middle of the incision retractor film ( 7), the bottom of the expansion ring (8); said sealing cover (1) of the elastomeric ring holder (4) is mounted on the base (2) of the collar (6).
  2. 2.根据权利要求1所述的应用于机器人辅助单孔腹腔镜手术的通道装置,其特征在于,所述的弹性体支架环(4)向上伸出胶垫固定件(41),所述弹性体胶垫(3)包覆在该胶垫固定件(41)上。 The applied robot according to claim 1, the auxiliary passage hole laparoscopic surgery apparatus, characterized in that said elastomeric ring holder (4) projecting upwardly pad holder (41), said elastic pad body (3) coated on the pad holder (41).
  3. 3.根据权利要求2所述的应用于机器人辅助单孔腹腔镜手术的通道装置,其特征在于,所述的胶垫固定件(41)上开设开孔(411)。 3 applied to a robot according to claim 2 auxiliary passage hole laparoscopic surgery apparatus, wherein said pad holder (41) defines an opening (411) on.
  4. 4.根据权利要求1所述的应用于机器人辅助单孔腹腔镜手术的通道装置,其特征在于,所述弹性体支架环(4)的外侧均布卡边(42); 所述的卡环(6)上均布与所述卡边(42)相对应的卡扣(61); 所述卡边(42)卡接在所述卡扣(61)上进行配合连接。 The applied robot according to claim 1, the auxiliary passage hole laparoscopic surgery apparatus, characterized in that the outer elastomeric ring holder (4) are dibucaine edge (42); said collar (6) uniform with the card edge (42) corresponding to a snap (61); said card edge (42) on the snap buckle (61) for a mating connector.
  5. 5.根据权利要求1所述的应用于机器人辅助单孔腹腔镜手术的通道装置,其特征在于,所述的弹性体支架环(4)向下伸出密封圈槽(43),该密封圈槽(43)外覆设密封胶圈(5)。 The applied robot according to claim 1 auxiliary passage hole laparoscopic surgery apparatus, characterized in that said elastomeric ring holder (4) projecting downwardly ring groove (43), the ring grooves (43) covering an outer sealing gasket (5).
  6. 6.根据权利要求1所述的应用于机器人辅助单孔腹腔镜手术的通道装置,其特征在于,所述的卡边(42)的个数3个; 所述的卡扣(61)的个数3个。 The applied robot according to claim 1, the auxiliary passage hole laparoscopic surgery apparatus, wherein the number of the card edge (42) of claim 3; said snap (61) of a number three.
CN 201510700532 2015-10-26 2015-10-26 Channel device applied to robot-assisted single-port laparoscopic surgery CN105250024A (en)

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Cited By (1)

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Publication number Priority date Publication date Assignee Title
CN106308893A (en) * 2016-05-16 2017-01-11 杨雪鹰 Single-hole thoracoscope surgery operation device applicable to artificial pneumothorax

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US20140135586A1 (en) * 2005-10-14 2014-05-15 Applied Medical Resources Corporation Hand Access Laparoscopic Device
US20140249375A1 (en) * 2011-08-12 2014-09-04 Covidien Lp Surgical Access System Including Surgical Portal Apparatus and Adhesive Patch
CN204092191U (en) * 2014-08-08 2015-01-14 李国新 Operation platform for single-incision and natural orifice transluminal laparoscopic surgery
CN205286525U (en) * 2015-10-26 2016-06-08 中国人民解放军第二军医大学 Be applied to supplementary haplopore laparoscopic surgery's of robot channel device

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US20140135586A1 (en) * 2005-10-14 2014-05-15 Applied Medical Resources Corporation Hand Access Laparoscopic Device
US20140249375A1 (en) * 2011-08-12 2014-09-04 Covidien Lp Surgical Access System Including Surgical Portal Apparatus and Adhesive Patch
CN204092191U (en) * 2014-08-08 2015-01-14 李国新 Operation platform for single-incision and natural orifice transluminal laparoscopic surgery
CN205286525U (en) * 2015-10-26 2016-06-08 中国人民解放军第二军医大学 Be applied to supplementary haplopore laparoscopic surgery's of robot channel device

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* Cited by examiner, † Cited by third party
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CN106308893A (en) * 2016-05-16 2017-01-11 杨雪鹰 Single-hole thoracoscope surgery operation device applicable to artificial pneumothorax

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