CN108784805A - A kind of intracavitary multichannel single hole hysteroscope puncture outfit - Google Patents

A kind of intracavitary multichannel single hole hysteroscope puncture outfit Download PDF

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Publication number
CN108784805A
CN108784805A CN201810830995.2A CN201810830995A CN108784805A CN 108784805 A CN108784805 A CN 108784805A CN 201810830995 A CN201810830995 A CN 201810830995A CN 108784805 A CN108784805 A CN 108784805A
Authority
CN
China
Prior art keywords
intracavitary
patient
puncture
channel
single hole
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Withdrawn
Application number
CN201810830995.2A
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Chinese (zh)
Inventor
邱氟
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Individual
Original Assignee
Individual
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Individual filed Critical Individual
Priority to CN201810830995.2A priority Critical patent/CN108784805A/en
Publication of CN108784805A publication Critical patent/CN108784805A/en
Priority to CN201910160711.8A priority patent/CN109662762A/en
Priority to CN201920274236.2U priority patent/CN210056174U/en
Withdrawn legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3419Sealing means between cannula and body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B2017/3433Cannulas with different outer diameters of the cannula
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B2017/3445Cannulas used as instrument channel for multiple instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B2017/348Means for supporting the trocar against the body or retaining the trocar inside the body

Abstract

A kind of intracavitary multichannel single hole hysteroscope puncture outfit, for be fixed on patient incision and puncture cannula that outer wall can be tightly connected with patient incision, be tightly connected with puncture cannula and enter from patient for operation instrument multiple channels of patient's intracavitary in vitro and be arranged and passed through for operation instrument in the Channel front end and operation instrument portions in patient's intracavitary will be set after and the operation instrument partially isolated sealing structure external in patient is set.In the initial state, the channel is arranged in puncture cannula.When puncturing, punctures core and the sealing structure in the channel is passed through to puncture notch.Puncture cannula keeps air-tightness with puncturing core and enter notch again while puncturing core and entering patient's intracavitary, and channel is with puncturing core overturning into intracavitary.The present apparatus substantially increases the scope of activities of operation instrument, avoids interference and collision between instrument, reduces surgical procedure and involved to being fixed on incision puncture cannula, keep the air-tightness of incision puncture cannula.

Description

A kind of intracavitary multichannel single hole hysteroscope puncture outfit
Technical field
The present invention relates to laparoscopic medical instrument technical field, especially a kind of intracavitary multichannel single hole hysteroscope puncture outfit.
Technical background
The deficiency of existing single-hole laparoscopic puncture outfit is broadly divided into the peculiar insufficient and laparoscope of single-hole laparoscopic puncture outfit Puncture outfit is generally insufficient, causes operation instrument that cannot form " operation triangle " and poor air-tightness respectively.Existing single-hole laparoscopic Puncture outfit is external channel, i.e., multiple channels are located at the tail end of single-hole laparoscopic puncture outfit.In use, operation instrument leads to successively Cross channel, notch, in vivo, i.e., multiple operation instruments share a small notch as supporting point, cause to operate instrument being mutually parallel, Operation instrument is usually in camera lens on parallel lines, is occurred " chopsticks effect ", serious " the triangle operating principle " for violating laparoscope. The diameter of existing laparoscope puncture outfit is fixed, and size incision is entirely with the experience of operator, thus laparoscope puncture outfit with cut Mouth is difficult to accomplish to exactly match, and causes to be easy gas leakage between laparoscope puncture outfit and notch.In addition, channel and laparoscope puncture outfit Between be fixedly connected, when surgical procedure, involves channel, inevitable to involve puncture outfit simultaneously, leads to air-tightness between puncture outfit and notch Further decline.
Invention content
The present invention solves the deficiencies in the prior art and provides a kind of scope of activities substantially increasing operation instrument, avoids It is interfered between instrument and collision, reduces surgical procedure and involved to being fixed on incision puncture cannula, ensure that incision is worn Pierce the intracavitary multichannel single hole hysteroscope puncture outfit of casing air-tightness.
A kind of intracavitary multichannel single hole hysteroscope puncture outfit, including:For being fixed on patient incision and outer wall can be with patient Cut sealing connection puncture cannula, with puncture cannula be tightly connected and for operation instrument from patient in vitro enter patient's intracavitary Multiple channels and be arranged and passed through for operation instrument in the Channel front end and behaviour in patient's intracavitary will be set after Make instrument portions and the operation instrument partially isolated sealing structure external in patient is set.When original state, the channel is set It sets in puncture cannula.It when puncture, punctures core and the sealing structure in the channel is passed through to puncture patient, worn when puncturing core Puncture cannula enters patient incision's sealing with core is punctured while lunging into patient's intracavitary, and channel is with puncture core overturning Into patient's intracavitary.The present apparatus using when channel be built in patient's intracavitary, i.e., multiple channels extend to patient's intracavitary in operation, In this way so that the operation instrument in each channel has separate channel as supporting point.In addition, supporting point is in patient's chamber It is interior, on the one hand, since all operation instruments are directly entered the multichannel of intracavitary and the activity space of intracavitary substantially exceeds notch The activity space at position substantially increases the scope of activities of operation instrument in this way;On the other hand, channel becomes the branch of operation instrument Support point, supporting point and operating space are located at intracavitary simultaneously, avoid interference and collision between instrument;Reduce surgical procedure to solid It is scheduled on involving for the puncture cannula of incision, ensures the air-tightness of incision puncture cannula.And using the above structure, operator Tool can be formed effective " operation triangle " in intracavitary, it then follows " the triangle operating principle " of laparoscope.
Further, gas tube is equipped in the puncture cannula, the air inlet setting of the gas tube is pre- in puncture cannula If the external part of patient, the part that patient's intracavitary is preset in puncture cannula is arranged in the gas outlet of the gas tube.Laparoscope hand It in art, is connected by the gas outlet of relevant device and gas tube, to establish and maintain pneumoperitoneum.
Further, the front end in the channel, which is equipped with, plays a supportive role to operation instrument, improves operator's operating comfort Supporting layer.Operation instrument is supported by two supporting points of supporting layer and puncture cannula of Channel front end, is being performed the operation in this way In the process, it is ensured that the stability for operating instrument prevents operation instrument involuntary maneuver from causing to damage to patient, while making to go smoothly Operating handle is more comfortable in the course of surgery and operates lighter by patient.
Further, the puncture cannula is reverse frustoconic.Puncture cannula is adapted to different size of notch in this way, protects The card entire notch of puncture cannula overflow reaches fixed effect.
Further, the outer wall of the puncture cannula is equipped with the multi-layer bumps screw thread knot for being tightly connected with patient incision Structure.Outer wall thread shape protrusion can ensure to combine closely between puncture cannula and notch so that puncture cannula is closely pasted with notch It gets togather and is not easy to slip.
Further, the sealing structure is flap valve structure.
Further, the channel is equipped at least two, the internal diameter and sealing structure at least one channel opening with The size that taper punctures core matches.
Further, a diameter of 3~12mm in the channel.
Further, the puncture cannula includes the fixed part being conveniently fixed on patient incision and can be from fixed part Inside overturning extends into the movable part of patient's intracavitary, and the movable part and fixed part are tightly connected, the fixation There is certain degree of hardness may be supported in patient incision for part, and the movable part is constituted for flexible material, the channel and activity Part is tightly connected.The activity and stability of the present apparatus can be greatly improved in this way, and in the production process, the material in channel Matter and the material of movable part can be different, meet various demands.
Further, the movable part is movably connected on fixed part so that movable part can be around fixed part 360 Degree rotation.So in the course of surgery, it may be convenient to replace each operation instrument in the position relationship of intracavitary, prevent operator Phenomena such as tool knots further improves the mobility of operation instrument.
In conclusion the present invention is built-in channel, i.e., multiple channel positions extend to patient's intracavitary in operation.Operator Tool passes sequentially through notch, channel, intracavitary, and each instrument that operates has separate channel as supporting point, operates the work of instrument It is dynamic unrestricted.All operation instruments are directly entered the multichannel of intracavitary, and multichannel becomes the supporting point of operation instrument, support Point and operating space are located at intracavitary simultaneously, avoid interference and collision between instrument.Operation instrument can form effective " operation three Angle ", it then follows " the triangle operating principle " of laparoscope.Puncture cannula improvement is shape reverse frustoconic and outer wall thread shape protrusion, is twisted Tight puncture cannula makes the entire notch of puncture cannula overflow reach fixed effect, and journey is tightened according to size incision adjusting puncture cannula Degree, reaches puncture outfit and is fitted closely with notch and be not easy to slip.In addition, channel and puncture outfit are located in intracavitary and notch, Not in same plane, and elastic connection between channel and puncture outfit, when surgical procedure, does not involve puncture outfit, does not also just influence to puncture The air-tightness of device and notch.
Description of the drawings
Fig. 1 is the structural schematic diagram of one embodiment of the present invention original state.
Fig. 2 is structural schematic diagram when Fig. 1 is used.
Fig. 3 is the structural schematic diagram of another embodiment of the present invention original state.
Fig. 4 is structural schematic diagram when Fig. 2 is used.
In attached drawing, 1, puncture cannula, 11, gas tube, 12, fixed part, 13, movable part, 14, raised thread structure, 2, body wall, 3, channel, 31, sealing structure.
Specific implementation mode
The invention will be further described with embodiment below in conjunction with the accompanying drawings:
Embodiment one:
As shown in Fig. 1 to 2, a kind of intracavitary multichannel single hole hysteroscope puncture outfit, for being fixed on patient incision and outer wall Can be tightly connected with 2 upper cut of the patient's body wall, puncture cannula 1 of reverse frustoconic, be connect with close 1 envelope of puncture cannula and for grasping Make instrument passed through for operation instrument in 3 front end of the channel through the three of intracavitary channels 3 and setting in vitro from patient and By be arranged after patient's intracavitary operation instrument portions and be arranged the external operation instrument portions of patient seal against each other every From sealing structure 31, in this example, the sealing structure is flap valve structure, such as:Y type flap valves etc., there are three the channel is set, three The diameter in a channel is respectively 12mm, 6mm and 6mm, and the outer wall of the puncture cannula 1 is equipped with for being sealed with patient incision The multi-layer bumps helicitic texture 14 of connection, in the initial state, the channel 3 are arranged in puncture cannula 1, when puncturing, wear Thorn core passes through the sealing structure in the channel 3 to puncture patient, when puncture core is worn while puncturing into patient's intracavitary Thorn casing 1 follows puncture core to enter patient incision's sealing, and channel 3 is rotated into from puncture cannula varus into patient's intracavitary.
Gas tube 11 is equipped in the puncture cannula 1, the air inlet of the gas tube 11 is arranged in puncture cannula patient's body The gas outlet of outer part, the gas tube 11 is arranged in the part of puncture cannula patient's intracavitary.The front end in the channel 3 is equipped with It plays a supportive role, improve the supporting layer of surgical operation comfort to operation instrument.
Embodiment two:
As shown in Figure 3,4, what is different from the first embodiment is that the puncture cannula 1 includes conveniently being fixed on patient incision Fixed part 12 and the movable part 13 of patient's intracavitary can be extended into from the overturning of the inside of fixed part 12, the movable part Divide 13 and the sealed connection of fixed part 12, the fixed part 12 that there is certain degree of hardness may be supported in patient incision, the work Dynamic part 13 is constituted for flexible material, and the channel 3 is tightly connected with movable part 13.
As another embodiment, the movable part 13 is movably connected on fixed part 12 so that movable part 13 can be around fixed part 360 degree rotation.
Specifically used mode is as follows:
Routine establishes pneumoperitoneum.Before puncture, core will be punctured and penetrate puncture cannula 1 successively and channel 3 is pierced by from flap valve structure.It wears When thorn, puncture core together with puncture cannula puncture incision, when be punctured with it is apparent fall through sense when, hold puncture cannula 1 and keep solid It is fixed, it extracts and punctures core, hand-held puncture cannula 1 is rotated to intraperitoneal direction to be tightened, until puncture cannula 1 and notch fit closely. After pneumoperitoneum pipe is connect with the air-filled pore of puncture cannula gas tube 11, Unscrew charge valve starts to intraperitoneal inflation.At it In a channel 3 be built into laparoscope, other channels 3 are placed under laparoscope monitoring intraperitoneal, start to perform the operation.
After operation, operation instrument is removed one by one.Hand-held puncture cannula 1 is rotated to external direction to be unscrewed, until puncturing Casing 1 is detached with notch, and puncture cannula 1 can be extracted directly, then conventional to sew up the incision.
Above-mentioned is the preferred embodiment of the present invention, but those skilled in the art should be understood that appended by not departing from In the spirit and scope of the present invention defined by claims, the various changes in form and details to made by the present invention Change, belongs to protection scope of the present invention.

Claims (10)

1. a kind of intracavitary multichannel single hole hysteroscope puncture outfit, which is characterized in that including:
For being fixed on patient incision and puncture cannula that outer wall can be tightly connected with patient incision, sealing with puncture cannula Multiple channels that are connecting and entering intracavitary in vitro from patient for operation instrument are with setting in the Channel front end for operator Tool pass through and by be arranged after patient's intracavitary operation instrument portions and the operation instrument portions external in patient are set The sealing structure of seal isolation, in the initial state, the channel are arranged in puncture cannula;When puncturing, punctures core and pass through The sealing structure in the channel punctures patient, when puncture core puncture enter patient's intracavitary while, puncture cannula companion Enter patient incision's sealing with core is punctured, and channel enters patient's intracavitary with core overturning is punctured.
2. intracavitary multichannel single hole hysteroscope puncture outfit according to claim 1, it is characterised in that:It is set in the puncture cannula There are gas tube, the air inlet of the gas tube that the part external in puncture cannula patient is set, the gas outlet of the gas tube is set It sets in the part of puncture cannula patient's intracavitary.
3. intracavitary multichannel single hole hysteroscope puncture outfit according to claim 2, it is characterised in that:The front end in the channel is set There is the supporting layer for surgical operation comfort that operation instrument is played a supportive role, improved.
4. intracavitary multichannel single hole hysteroscope puncture outfit according to claim 2, it is characterised in that:The puncture cannula is to fall Truncated cone-shaped.
5. intracavitary multichannel single hole hysteroscope puncture outfit according to claim 4, it is characterised in that:Outside the puncture cannula Wall is equipped with the multi-layer bumps helicitic texture for being tightly connected with patient incision.
6. intracavitary multichannel single hole hysteroscope puncture outfit according to claim 1, it is characterised in that:The sealing structure is to live Valve structure.
7. intracavitary multichannel single hole hysteroscope puncture outfit according to claim 1, it is characterised in that:The channel is equipped at least Two, internal diameter and the sealing structure opening and the size of taper puncture core at least one channel match.
8. intracavitary multichannel single hole hysteroscope puncture outfit according to claim 7, it is characterised in that:The channel is equipped with 2~4 It is a, a diameter of 3~12mm in the channel.
9. the intracavitary multichannel single hole hysteroscope puncture outfit according to one of claim 1 to 8, it is characterised in that:The puncture Casing includes the fixed part being conveniently fixed on patient incision and overturning can extend into patient's chamber inside fixed part Interior movable part, the movable part and fixed part are tightly connected, and the fixed part may be supported on certain degree of hardness In patient incision, the movable part is constituted for flexible material, and the channel is tightly connected with movable part.
10. intracavitary multichannel single hole hysteroscope puncture outfit according to claim 9, it is characterised in that:The movable part is lived It is dynamic to be connected on fixed part so that movable part can be around fixed part 360 degree rotation.
CN201810830995.2A 2018-07-26 2018-07-26 A kind of intracavitary multichannel single hole hysteroscope puncture outfit Withdrawn CN108784805A (en)

Priority Applications (3)

Application Number Priority Date Filing Date Title
CN201810830995.2A CN108784805A (en) 2018-07-26 2018-07-26 A kind of intracavitary multichannel single hole hysteroscope puncture outfit
CN201910160711.8A CN109662762A (en) 2018-07-26 2019-03-04 A kind of intracavitary multichannel single hole hysteroscope puncture outfit
CN201920274236.2U CN210056174U (en) 2018-07-26 2019-03-04 Intracavity multichannel haplopore chamber mirror puncture ware

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201810830995.2A CN108784805A (en) 2018-07-26 2018-07-26 A kind of intracavitary multichannel single hole hysteroscope puncture outfit

Publications (1)

Publication Number Publication Date
CN108784805A true CN108784805A (en) 2018-11-13

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Family Applications (3)

Application Number Title Priority Date Filing Date
CN201810830995.2A Withdrawn CN108784805A (en) 2018-07-26 2018-07-26 A kind of intracavitary multichannel single hole hysteroscope puncture outfit
CN201920274236.2U Expired - Fee Related CN210056174U (en) 2018-07-26 2019-03-04 Intracavity multichannel haplopore chamber mirror puncture ware
CN201910160711.8A Pending CN109662762A (en) 2018-07-26 2019-03-04 A kind of intracavitary multichannel single hole hysteroscope puncture outfit

Family Applications After (2)

Application Number Title Priority Date Filing Date
CN201920274236.2U Expired - Fee Related CN210056174U (en) 2018-07-26 2019-03-04 Intracavity multichannel haplopore chamber mirror puncture ware
CN201910160711.8A Pending CN109662762A (en) 2018-07-26 2019-03-04 A kind of intracavitary multichannel single hole hysteroscope puncture outfit

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CN (3) CN108784805A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109730630A (en) * 2019-03-11 2019-05-10 康世荣 Single hole thoracoscopic operation instrumentation platform under a kind of xiphoid-process

Families Citing this family (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108784805A (en) * 2018-07-26 2018-11-13 邱氟 A kind of intracavitary multichannel single hole hysteroscope puncture outfit

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2000032119A1 (en) * 1998-12-01 2000-06-08 Atropos Limited A medical device comprising an evertable sleeve
AU2008233166B2 (en) * 2007-03-30 2013-05-16 Covidien Lp Laparoscopic port assembly
CN108784805A (en) * 2018-07-26 2018-11-13 邱氟 A kind of intracavitary multichannel single hole hysteroscope puncture outfit

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109730630A (en) * 2019-03-11 2019-05-10 康世荣 Single hole thoracoscopic operation instrumentation platform under a kind of xiphoid-process

Also Published As

Publication number Publication date
CN109662762A (en) 2019-04-23
CN210056174U (en) 2020-02-14

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Application publication date: 20181113

WW01 Invention patent application withdrawn after publication