CN105852980A - Subcostal self-adaptive incision closing protector and using method thereof - Google Patents
Subcostal self-adaptive incision closing protector and using method thereof Download PDFInfo
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- CN105852980A CN105852980A CN201610176833.2A CN201610176833A CN105852980A CN 105852980 A CN105852980 A CN 105852980A CN 201610176833 A CN201610176833 A CN 201610176833A CN 105852980 A CN105852980 A CN 105852980A
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- self
- port
- inner sleeve
- trocar sheath
- air inlet
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Abstract
The invention discloses a subcostal self-adaptive incision closing protector and a using method thereof. The subcostal self-adaptive incision closing protector comprises a hollow outer sleeve which is made from an elastic material, and two ends of the hollow outer sleeve are opened; the outer sleeve is represented as a double-head trumpet which is in smooth shrinkage from two ends to middle; an outer port and an inner port are formed in two ends of the outer sleeve; around the outer wall of the outer sleeve, the side, close to the inner port, of the outer sleeve, is provided with an airbag; a hollow inner sleeve with two ends opened is fixedly arranged on the part, close to the outer port, of the interior of the outer sleeve; a unidirectional air intake part is arranged at the end, close to the outer port, of the inner sleeve; and by virtue of the unidirectional air intake part, gas in the inner sleeve is prevented from flowing towards the outer port from the unidirectional air intake part. Such problems as air leakage around a subcostal incision, lens contamination due to blood stains of the incision, incision bleeding caused by repeatedly inserting and withdrawing a puncture outfit and the like in the prior art are solved.
Description
Technical field
The invention belongs to technical field of medical instruments, relate under xiphoid-process costal margin the airtight protector of self-adapting type otch and
Its using method.
Background technology
At present, at new-type chamber mirror in the operation process of xiphoid-process costal margin inferior mediastinum pathological changes excision, owing to operation is cut
Mouthful it is positioned under xiphoid-process and under bilateral costal margin, during perforator under inserting bilateral costal margin, it is common that through skin diagonal
To retrosternal space and it needs to guide by finger auxiliary, thus cause xiphoid-process lower cut length and be greater than and wear
The external diameter of thorn device, airtight owing to needing when appearing surgical field of view in art in keeping thoracic cavity, therefore xiphoid-process lower cut is put
After entering perforator, gas leakage around affects the situation of procedure and happens occasionally.Clinical practice we have found that through sword
The perforator inserted under Tu has the defect of following several respects: 1. the most airtight around perforator, there is gas leak phenomenon,
Carbon dioxide malleation effect is dissatisfied maybe cannot set up carbon dioxide malleation, makes surgical field of view diminish, impact operation
Operation；2. it is sem observation hole, chamber under xiphoid-process, owing to maintaining the carbon dioxide hole of breast positive intraluminal pressure to be positioned at puncture
In device, in around perforator, oozing of blood flows into perforator, the most often by carbon dioxide positive airway pressure, bloodstain is blown to
Camera lens is blocked on lens head surface, chamber, has significantly delayed operation progress, has affected procedure；The most repeatedly pass in and out puncture
Device causes around otch hemorrhage.Operation technique all can be caused impact in various degree by above several respects defect, sternly
Fatal risk may be caused during weight.
Summary of the invention
It is an object of the invention to provide the airtight protector of self-adapting type otch under a kind of xiphoid-process costal margin, existing to solve
Leak gas around xiphoid-process lower cut in technology, otch bloodstain pollutes camera lens, and turnover perforator causes otch to go out repeatedly
The problems such as blood.
The technical solution adopted in the present invention is, the airtight protector of self-adapting type otch under xiphoid-process costal margin, including bullet
The hollow sleeve pipe of the both ends open that property material is made, trocar sheath is by the double end loudspeaker of two ends smooth contraction to middle part
Shape, the two ends of trocar sheath are respectively external port and inner port, in the side near inner port around trocar sheath
Outer wall is provided with air bag, and the internal position near external port of trocar sheath is fixedly installed in the hollow of both ends open
Sleeve pipe, inner sleeve is provided with one-way air inlet parts near one end of external port, in one-way air inlet parts are used for stoping
Gas in sleeve pipe flows out through the outside port of one-way air inlet parts.
Further, the outer wall of inner sleeve being provided with the air injection pipe for gas injection in inner sleeve, air injection pipe is even
Lead to and be provided with flexible pipe and extend to outside trocar sheath.
Further, one-way air inlet parts be included box face close arrange catch, catch is provided with use
In inserting the opening of perforator, opening part has reverse taper, reverse taper towards the inside cavity of trocar sheath is extended
Tip be provided with aperture, opening, aperture are coaxially disposed with trocar sheath.
Further, catch and reverse taper are elastic material, and the diameter of aperture is less than the diameter of puncturing lever.
Further, one-way air inlet parts also include the inversed taper platform being arranged in internal canula lumen body, and inversed taper platform is arranged
In the side most advanced and sophisticated near reverse taper, the tip of inversed taper platform offers the elongated slot passed for perforator.
Further, the material of inversed taper platform is elastic material, and elongated slot is the long and narrow thin seam offered at inversed taper platform tip
Structure, long well width is less than the diameter of puncturing lever.
Further, air bag is provided with the air bag air inlet for inflating to air bag.
The second technical scheme that the present invention uses is, the airtight protector of self-adapting type otch under above-mentioned xiphoid-process costal margin
Using method, will stretch at the operative incision of human body skin after the inner port compression of trocar sheath, after stretching into human body,
Inner port can be recovered original size and be stuck in incision；Again by perforator by external port, opening through inner sleeve successively
Mouth, the aperture of reverse taper, the elongated slot of inversed taper platform and inner port stretch into into the human body, then by carbon dioxide gas
Body is in air injection pipe is input to the chamber of inner sleeve and enters in human body.
Further, air bag is placed at operative incision, is inflated to air bag by air bag air inlet, be possible to prevent
Leak gas around otch.
The invention has the beneficial effects as follows, by arranging the trumpet-shaped trocar sheath of double end and air bag, set for perforator
Count a protection device being securable to otch；In human body, inject dioxy by air injection pipe through inner sleeve simultaneously
Change carbon gas, after changing air inlet approach, carbon dioxide can be avoided to be blown by the shank of perforator by bloodstain
Cause the problem that camera lens pollutes to camera lens surface, reduce surgical risks occurrence probability, using effect highly significant.
Accompanying drawing explanation
Fig. 1 is the structural representation of the airtight protector of self-adapting type otch under xiphoid-process costal margin of the present invention；
Fig. 2 is the structural representation of self-adapting type otch airtight protector inner sleeve under xiphoid-process costal margin of the present invention；
Fig. 3 is the use view of the airtight protector of self-adapting type otch under xiphoid-process costal margin of the present invention.
In figure, 1. trocar sheath, 2. inner sleeve, 3. air bag, 4. air injection pipe, 5. air bag air inlet, 6. catch, 7.
Inversed taper platform, 8. opening, 9. reverse taper, 10. aperture, 11. external port, 12. inner port, 13. skins.
Detailed description of the invention
The present invention is described in detail with detailed description of the invention below in conjunction with the accompanying drawings.
The invention provides the airtight protector of self-adapting type otch under a kind of xiphoid-process costal margin, see Fig. 1, including bullet
Property the hollow sleeve pipe 1 of both ends open made of material, trocar sheath 1 is double by two ends smooth contraction to middle part
Horn-like, the two ends of trocar sheath 1 are respectively external port 11 and inner port 12.Two ends due to trocar sheath 1
Mouth size is more than size in the middle part of it, and trocar sheath 1 is made up of elastic material, it is possible to by trocar sheath 1
Inner port 12 compression after stretch at the operative incision of human body skin 13, after stretching into human body, inner port 12 meeting
Recover original size and be stuck in incision.
In the side of close inner port 12, the outer wall around trocar sheath 1 is provided with air bag 3, and air bag 3 is provided with
For the air bag air inlet 5 inflated to air bag.Air bag 3 is placed at operative incision, by air bag air inlet 5
Inflate to air bag, be possible to prevent around otch gas leakage.
The internal position near external port 11 of trocar sheath 1 is fixedly installed the hollow inner sleeve 2 of both ends open,
Inner sleeve 2 is provided with one-way air inlet parts near one end of external port 11, and one-way air inlet parts are used for stoping institute
The gas stated in inner sleeve 2 flows out through the outside port of one-way air inlet parts 11.
See Fig. 2, these one-way air inlet parts be included sleeve pipe 2 end face close arrange catch 6, catch 6
It is provided with the opening 8 for inserting perforator, has towards the inside cavity of trocar sheath 2 is extended at opening 8
Reverse taper 9, the tip of reverse taper 9 is provided with aperture 10, and opening 8, aperture 10 are coaxially disposed with trocar sheath 2.
Catch 6 and reverse taper 9 are elastic material, and the diameter of aperture 10, less than the diameter of puncturing lever, so can be protected
Card puncturing lever, after aperture 10 passes, is lived by aperture 10 tight, it is to avoid produce gas leakage at aperture 10
Phenomenon.
One-way air inlet parts also include the inversed taper platform 7 being arranged in inner sleeve 2 cavity, and the material of inversed taper platform 7 is
Elastic material, inversed taper platform 7 is disposed in proximity to the side at reverse taper 9 tip, and the tip of inversed taper platform 7 offers use
In the elongated slot that perforator passes, elongated slot is the long and narrow thin crack structure offered at inversed taper platform 7 tip, and long well width is little
In the diameter of puncturing lever, so arrange and can ensure that puncturing lever, after elongated slot passes, is lived by elongated slot tight,
Avoid producing gas leak phenomenon at elongated slot.
Being provided with the air injection pipe 4 for gas injection in inner sleeve 2 on the outer wall of this inner sleeve 2, air injection pipe 4 is even
Lead to and be provided with flexible pipe and extend to trocar sheath 1 outside.In human body, two are injected through inner sleeve 2 by air injection pipe 4
Carbon oxide gas, will not be blown to camera lens surface by bloodstain by the shank of perforator, will not pollute camera lens.
Under xiphoid-process costal margin of the present invention, the using method of the airtight protector of self-adapting type otch is: see Fig. 3, will outward
Stretch at the operative incision of human body skin 13 after inner port 12 compression of sleeve pipe 1, after stretching into human body, inner port
12 can recover original size and be stuck in incision.Just air bag 3 is placed at operative incision simultaneously, is entered by air bag
QI KOU 5 is inflated to air bag, is possible to prevent around otch gas leakage.
By perforator by external port 11, successively through the opening 8 of inner sleeve 2, the aperture 10 of reverse taper 9, back taper
Elongated slot and the inner port 12 of platform 7 stretch into into the human body, are then inputted through air injection pipe 4 by carbon dioxide
In the chamber of inner sleeve 2 and enter in human body, after perforator uses, by under the xiphoid-process costal margin of the present invention
The airtight protector of self-adapting type otch takes out from skin incisions.
In use, the air inlet approach of carbon dioxide injects human body typically by perforator to existing perforator,
As around perforator, oozing of blood flows in perforator, the most often by carbon dioxide positive airway pressure, bloodstain blown to chamber mirror mirror
Head surface blocks camera lens, has significantly delayed operation progress, has affected procedure.Under the xiphoid-process costal margin of the present invention certainly
The airtight protector of adaptive type otch, is changed through inner sleeve 2 injecting carbon dioxide gas in human body by air injection pipe 4
After having become air inlet approach, can avoid carbon dioxide that by the shank of perforator, bloodstain is blown to camera lens surface and
The problem that camera lens is polluted, using effect highly significant.One-way air inlet device art can be changed at any time simultaneously,
Guarantee that the gas in inner sleeve 2 will not flow to external port 11 from inner sleeve 2.
Claims (9)
1. the airtight protector of self-adapting type otch under xiphoid-process costal margin, it is characterised in that include what elastic material was made
The hollow sleeve pipe (1) of both ends open, described trocar sheath (1) be by two ends to middle part the double end of smooth contraction
Horn-like, the two ends of described trocar sheath (1) are respectively external port (11) and inner port (12), close
The side of inner port (12) is provided with air bag (3), described trocar sheath around the outer wall of described trocar sheath (1)
(1) the internal position near external port (11) is fixedly installed the hollow inner sleeve (2) of both ends open,
Described inner sleeve (2) is provided with one-way air inlet parts, described one-way air inlet near one end of external port (11)
The gas that parts are used for stoping in described inner sleeve (2) flows out through the outside port of one-way air inlet parts (11).
2. the airtight protector of self-adapting type otch under xiphoid-process costal margin as claimed in claim 1, it is characterised in that
The air injection pipe (4) for gas injection in described inner sleeve (2) it is provided with on the outer wall of described inner sleeve (2),
Described air injection pipe (4) is provided with and communicated with flexible pipe and extends to trocar sheath (1) outside.
3. the airtight protector of self-adapting type otch under xiphoid-process costal margin as claimed in claim 1 or 2, its feature exists
In, described one-way air inlet parts are included in described inner sleeve (2) end face and close the catch (6) arranged, described
Catch (6) is provided with the opening (8) for inserting perforator, and described opening (8) place is towards trocar sheath (2)
Inside cavity extended have reverse taper (9), the tip of described reverse taper (9) is provided with aperture (10),
Described opening (8), aperture (10) are coaxially disposed with trocar sheath (2).
4. the airtight protector of self-adapting type otch under xiphoid-process costal margin as claimed in claim 3, it is characterised in that
Described catch (6) and reverse taper (9) are elastic material, and the diameter of described aperture (10) is less than puncturing lever
Diameter.
5. the airtight protector of self-adapting type otch under xiphoid-process costal margin as claimed in claim 3, it is characterised in that
Described one-way air inlet parts also include the inversed taper platform (7) being arranged in described inner sleeve (2) cavity, described
Inversed taper platform (7) is disposed in proximity to the side that described reverse taper (9) is most advanced and sophisticated, the point of described inversed taper platform (7)
End offers the elongated slot passed for perforator.
6. the airtight protector of self-adapting type otch under xiphoid-process costal margin as claimed in claim 5, it is characterised in that
The material of described inversed taper platform (7) is elastic material, and described elongated slot is for offer at described inversed taper platform (7) tip
Long and narrow thin crack structure, described long well width is less than the diameter of puncturing lever.
7. the airtight protector of self-adapting type otch under xiphoid-process costal margin as claimed in claim 1 or 2, its feature exists
In, described air bag (3) is provided with the air bag air inlet (5) for inflating to air bag.
8. the airtight protector of self-adapting type otch under xiphoid-process costal margin as described in any one in claim 1 to 7
Using method, it is characterised in that stretch into human body skin after the inner port (12) of trocar sheath (1) being compressed
(13), at operative incision, after stretching into human body, inner port (12) can be recovered original size and be stuck in incision；
Again by perforator by external port (11), successively through the opening (8) of inner sleeve (2), reverse taper (9) little
Hole (10), the elongated slot of inversed taper platform (7) and inner port (12) stretch into into the human body, then by carbon dioxide
Gas is in air injection pipe (4) is input to the chamber of inner sleeve (2) and enters in human body.
9. using method as claimed in claim 8, it is characterised in that air bag (3) is placed in operative incision
Place, is inflated to air bag by air bag air inlet (5), is possible to prevent around otch gas leakage.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610176833.2A CN105852980A (en) | 2016-03-25 | 2016-03-25 | Subcostal self-adaptive incision closing protector and using method thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610176833.2A CN105852980A (en) | 2016-03-25 | 2016-03-25 | Subcostal self-adaptive incision closing protector and using method thereof |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN105852980A true CN105852980A (en) | 2016-08-17 |
Family
ID=56625840
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610176833.2A Pending CN105852980A (en) | 2016-03-25 | 2016-03-25 | Subcostal self-adaptive incision closing protector and using method thereof |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN105852980A (en) |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102210598A (en) * | 2010-04-12 | 2011-10-12 | Tyco医疗健康集团 | Surgical access method and assembly including sleeve and port |
| CN202489983U (en) * | 2012-03-13 | 2012-10-17 | 广州军区广州总医院 | Air-bag-type minimally invasive cut distraction protector |
| CN103300897A (en) * | 2013-06-06 | 2013-09-18 | 中国人民解放军南京军区南京总医院 | Multi-channel fixing bracket for peritoneoscope with vent valve |
| US20140257375A1 (en) * | 2013-03-11 | 2014-09-11 | St. Jude Medical Puerto Rico Llc | Active securement detachable sealing tip for extra-vascular closure device and methods |
| CN205494030U (en) * | 2016-03-25 | 2016-08-24 | 中国人民解放军第四军医大学 | Airtight protector of self -adaptation formula incision under abrupt costal margin of sword |
-
2016
- 2016-03-25 CN CN201610176833.2A patent/CN105852980A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN102210598A (en) * | 2010-04-12 | 2011-10-12 | Tyco医疗健康集团 | Surgical access method and assembly including sleeve and port |
| CN202489983U (en) * | 2012-03-13 | 2012-10-17 | 广州军区广州总医院 | Air-bag-type minimally invasive cut distraction protector |
| US20140257375A1 (en) * | 2013-03-11 | 2014-09-11 | St. Jude Medical Puerto Rico Llc | Active securement detachable sealing tip for extra-vascular closure device and methods |
| CN103300897A (en) * | 2013-06-06 | 2013-09-18 | 中国人民解放军南京军区南京总医院 | Multi-channel fixing bracket for peritoneoscope with vent valve |
| CN205494030U (en) * | 2016-03-25 | 2016-08-24 | 中国人民解放军第四军医大学 | Airtight protector of self -adaptation formula incision under abrupt costal margin of sword |
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| C06 | Publication | ||
| PB01 | Publication | ||
| C10 | Entry into substantive examination | ||
| SE01 | Entry into force of request for substantive examination | ||
| CB03 | Change of inventor or designer information |
Inventor after: Lu Qiang Inventor after: Chen Zhao Inventor after: Wang Juzheng Inventor after: Li Xiaofei Inventor after: Zhou Yongan Inventor after: Zhang Xinyu Inventor before: Lu Qiang Inventor before: Chen Zhao Inventor before: Wang Juzheng Inventor before: Li Xiaofei Inventor before: Zhou Yongan |
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| CB03 | Change of inventor or designer information | ||
| RJ01 | Rejection of invention patent application after publication |
Application publication date: 20160817 |
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| RJ01 | Rejection of invention patent application after publication |