CN108852433B - Single-port laparoscope operation sleeve device - Google Patents
Single-port laparoscope operation sleeve device Download PDFInfo
- Publication number
- CN108852433B CN108852433B CN201810602883.1A CN201810602883A CN108852433B CN 108852433 B CN108852433 B CN 108852433B CN 201810602883 A CN201810602883 A CN 201810602883A CN 108852433 B CN108852433 B CN 108852433B
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- China
- Prior art keywords
- instrument
- sealing
- connecting ring
- incision
- sleeve
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- 238000007789 sealing Methods 0.000 claims abstract description 118
- 230000000149 penetrating effect Effects 0.000 claims abstract description 57
- 210000000683 abdominal cavity Anatomy 0.000 claims description 27
- 238000003780 insertion Methods 0.000 claims description 24
- 230000037431 insertion Effects 0.000 claims description 23
- 238000002513 implantation Methods 0.000 claims description 16
- 210000001015 abdomen Anatomy 0.000 abstract description 6
- CURLTUGMZLYLDI-UHFFFAOYSA-N Carbon dioxide Chemical compound O=C=O CURLTUGMZLYLDI-UHFFFAOYSA-N 0.000 description 6
- 230000008878 coupling Effects 0.000 description 5
- 238000010168 coupling process Methods 0.000 description 5
- 238000005859 coupling reaction Methods 0.000 description 5
- 210000004907 gland Anatomy 0.000 description 5
- 230000003187 abdominal effect Effects 0.000 description 4
- 230000009471 action Effects 0.000 description 3
- 229910002092 carbon dioxide Inorganic materials 0.000 description 3
- 239000001569 carbon dioxide Substances 0.000 description 3
- 230000001681 protective effect Effects 0.000 description 3
- 208000002847 Surgical Wound Diseases 0.000 description 2
- 206010052428 Wound Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000007547 defect Effects 0.000 description 2
- 239000013013 elastic material Substances 0.000 description 2
- 238000002674 endoscopic surgery Methods 0.000 description 2
- 230000035876 healing Effects 0.000 description 2
- 230000006872 improvement Effects 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 230000009467 reduction Effects 0.000 description 2
- 238000000926 separation method Methods 0.000 description 2
- 230000006978 adaptation Effects 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 210000000232 gallbladder Anatomy 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000002357 laparoscopic surgery Methods 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
Abstract
The invention relates to a single-hole laparoscope operation sleeve device which comprises an incision opening sleeve body used for opening an operation incision and an instrument connection sealing sleeve capable of sealing the incision opening sleeve body, wherein the instrument connection sealing sleeve can be sleeved on the incision opening sleeve body, and the instrument connection sealing sleeve is detachably connected with the incision opening sleeve body; the instrument connection sealing sleeve comprises a sealing connector which can be sleeved on the incision opening sleeve body and an instrument penetrating seat which is connected with the sealing connector in an adapting way, and the sealing connector is connected with the incision opening sleeve body in a separable way; the instrument penetrating seat is provided with a plurality of instrument positioning one-way sealing valves allowing the operation instrument to be unidirectionally arranged, and the operation instrument can enter the incision stretching sleeve body after penetrating through the corresponding instrument positioning one-way sealing valve; the invention has compact structure, reduces operation wound, improves the aesthetic degree of the healed abdomen incision, reduces cost, is convenient to use and operate, and is safe and reliable.
Description
Technical Field
The invention relates to an operation sleeve device, in particular to a single-port laparoscope operation sleeve device, and belongs to the technical field of medical appliances.
Background
Minimally invasive surgery has been greatly popularized in clinic due to the characteristics of small trauma, quick recovery and attractive appearance, and has high current popularity and covers most tertiary and secondary hospitals. With further improvement of the requirements of people on operations, the original partial porous cavity mirror operations, such as operations of gall bladder, appendix, appendices and the like, are gradually changed to single-cavity mirror operations.
During single-hole endoscopic surgery, various surgical instruments penetrate out of the navel part, and the technical requirement on operators is higher. The prior single-hole endoscopic surgery cannula has the following defects: the structure is complex, the cost is high, the tightness is insufficient, the air leakage is serious, the space of each instrument is insufficient when the instruments are operated in the abdominal cavity, the instruments are mutually influenced, the operation is smooth, the assembly between the sleeve and the sealing cover is complex, the air leakage is easily caused, the sleeve is inconvenient when being put into and taken out of the incision, and the trouble is brought to doctors.
At present, a single Kong Fuqiang mirror operating sleeve device with low cost and high sealing performance and convenient placement and taking is urgently needed.
Disclosure of Invention
The invention aims to overcome the defects in the prior art and provide a single-port laparoscope operation sleeve device which has the advantages of compact structure, reduction of operation wounds, improvement of the aesthetic degree after the healing of abdominal incisions, reduction of cost, convenience in use and operation, safety and reliability.
According to the technical scheme provided by the invention, the single-port laparoscope operation sleeve device comprises an incision opening sleeve body for opening an operation incision and an instrument connection sealing sleeve capable of sealing the upper edge of the incision opening sleeve body, wherein the instrument connection sealing sleeve can be sleeved on the incision opening sleeve body, and the instrument connection sealing sleeve is detachably connected with the incision opening sleeve body;
the instrument connection sealing sleeve comprises a sealing connector which can be sleeved on the incision opening sleeve body and an instrument penetrating seat which is connected with the sealing connector in an adapting way, and the sealing connector is connected with the incision opening sleeve body in a separable way; a plurality of instrument positioning one-way sealing valves which allow the operation instruments to be placed in and can avoid gas leakage during operation are arranged in the instrument penetrating seat, and the operation instruments can extend into the incision supporting sleeve body after passing through the corresponding instrument positioning one-way sealing valves;
the instrument positioning one-way sealing valve comprises an imbedding hole arranged on the instrument penetrating seat and an instrument angle adjusting cavity arranged in the instrument penetrating seat, wherein the imbedding hole is positioned above the top of the instrument angle adjusting cavity and is communicated with the instrument angle adjusting cavity; an elastic shielding plate for shielding and sealing the corresponding implantation hole is further arranged in the instrument angle adjusting cavity, one end of the elastic shielding plate is connected with the inner wall of the instrument angle adjusting cavity, and the implantation hole is positioned above the elastic shielding plate.
At least one inflation and deflation connecting pipe is arranged on the instrument penetrating seat, and the inflation and deflation connecting pipe can be communicated with the inner cavity of the incision opening sleeve body after the sealing connecting body is sleeved on the incision opening sleeve body.
The incision struts the cover body including be used for with the apparatus connect the seal cover adaptation be connected outer struts the go-between, have deformability interior struts the go-between, be used for connecting outer struts the go-between, interior connection protection cover membrane that struts the go-between, outer struts the go-between and can strut the go-between intercommunication through connecting the protection cover membrane with interior.
The inner opening connecting ring is provided with a traction wire body used for pulling the inner opening connecting ring out of the abdominal cavity, and the traction wire body can penetrate out of the outer opening connecting ring.
The inner opening connecting ring is also provided with an auxiliary connecting ring for assisting the inner opening connecting ring to be placed in the abdominal cavity;
the device also comprises an imbedding auxiliary tool matched with the auxiliary connecting ring, and the imbedding auxiliary tool is matched with the auxiliary connecting ring to push the inner opening connecting ring into the abdominal cavity through the incision.
The auxiliary tool comprises an auxiliary push rod, wherein a push rod hole penetrating through the auxiliary push rod is formed in the head end of the auxiliary push rod, a push rod protection head and an auxiliary push head which can be matched with the auxiliary connecting ring are distributed in the head end of the auxiliary push rod through the push rod hole, and the auxiliary push rod can extend into the auxiliary connecting ring through the auxiliary push head and the push rod hole.
A connecting clamping groove matched with the outer stretching connecting ring is formed in the sealing connecting body, and the sealing connecting body can be clamped on the outer stretching connecting ring through the connecting clamping groove; and a clamping hook is arranged at the clamping notch of the sealing connector corresponding to the connecting clamping groove.
The instrument penetrating seat and the sealing connector are coaxially distributed, and the instrument penetrating seat can rotate relative to the sealing connector.
The instrument penetrating seat is connected with the sealing connector through an elastic telescopic body.
The insertion hole and the instrument angle adjusting cavity are tapered, and the cone top of the insertion hole and the cone top of the instrument angle adjusting cavity are adjacent to each other and aligned.
The invention has the advantages that: the incision of the abdomen is propped up by the incision propping up sleeve body, under the condition that a single incision is formed in the abdomen, the operation requirement of the abdominal operation can be realized by utilizing the cooperation of the instrument connection sealing sleeve and the incision propping up sleeve body, the instrument penetrating seat can rotate relative to the incision propping up sleeve body, the convenience of operation is improved, the operation wound is reduced, the aesthetic degree of the healed abdomen incision is improved, the cost is reduced, and the operation is convenient, safe and reliable.
Drawings
Fig. 1 is a schematic structural view of the present invention.
Fig. 2 is a schematic structural view of the incision opening sleeve body of the present invention.
Figure 3 is a schematic view of an embodiment of the instrument coupling gland of the present invention.
Figure 4 is a top view of the instrument coupling gland of the present invention.
Figure 5 is a schematic view of a second embodiment of the instrument coupling gland of the present invention.
Figure 6 is a schematic view of a third embodiment of the instrument coupling gland of the present invention.
FIG. 7 is a schematic view showing the cooperation of the insertion aid and the incision opening sleeve according to the present invention.
Figure 8 is a schematic view of a third embodiment of the instrument coupling gland of the present invention.
Reference numerals illustrate: 1-connection protection sleeve film, 2-internal opening connecting ring, 3-auxiliary connecting ring, 4-external opening connecting ring, 5-sealing connector, 6-insertion hole, 7-traction wire body, 8-inflation and deflation connecting pipe, 9-connecting pipe joint, 10-appliance penetrating seat, 11-appliance angle adjusting cavity, 12-elastic shielding plate, 13-baffle connector, 14-connection clamping groove, 15-rotation connecting groove, 16-rotation connecting ring, 17-clamping hook, 18-clamping notch, 19-elastic telescopic body, 20-auxiliary push rod, 21-push rod handle, 22-push rod hole, 23-auxiliary push head, 24-push rod protection head and 25-clamping groove connector.
Detailed Description
The invention will be further described with reference to the following specific drawings and examples.
As shown in fig. 1: in order to reduce surgical wounds, improve the aesthetic degree after healing of an abdominal incision, reduce the cost and improve the convenience of use and operation, the invention comprises an incision opening sleeve body for opening the surgical incision and an instrument connection sealing sleeve capable of sealing the upper edge of the incision opening sleeve body, wherein the instrument connection sealing sleeve can be sleeved on the incision opening sleeve body, and the instrument connection sealing sleeve and the incision opening sleeve body are connected in a separable way;
the instrument connection sealing sleeve comprises a sealing connector 5 which can be sleeved on the incision opening sleeve body and an instrument penetrating seat 10 which is connected with the sealing connector 5 in an adapting way, and the sealing connector 5 is connected with the incision opening sleeve body in a separable way; a plurality of instrument positioning one-way sealing valves which allow the operation instruments to be placed in and can avoid gas leakage during operation are arranged in the instrument penetrating seat 10, and the operation instruments can extend into the incision supporting sleeve body after penetrating through the corresponding instrument positioning one-way sealing valves;
the instrument positioning one-way sealing valve comprises an imbedding hole 6 arranged on an instrument penetrating seat 10 and an instrument angle adjusting cavity 11 arranged in the instrument penetrating seat 10, wherein the instrument angle adjusting cavity 11 is conical, the imbedding hole 6 is positioned above the top of the instrument angle adjusting cavity 11, and the imbedding hole 6 is communicated with the instrument angle adjusting cavity 11; an elastic shielding plate 12 for shielding and closing the corresponding implantation hole 6 is further arranged in the instrument angle adjusting cavity 11, one end of the elastic shielding plate 12 is connected with the inner wall of the instrument angle adjusting cavity 11, and the implantation hole 6 is positioned above the elastic shielding plate 12.
Specifically, the incision expanding sleeve body and the instrument connecting sealing sleeve are made of materials meeting medical standards, and when the abdominal operation is performed, the incision expanding sleeve body is placed into the incision to realize the incision expanding, so that an operation space is provided for the surgical instrument. The upper end of the incision opening sleeve body can be closed through the instrument connection sealing sleeve, namely, a relatively closed operation space can be provided through the cooperation of the instrument connection sealing sleeve and the incision opening sleeve, a surgical instrument can enter the incision opening sleeve through the instrument connection sealing sleeve and then can enter the abdominal cavity, and the surgical instrument entering the abdominal cavity can only swing or stretch in a certain range through the instrument connection sealing sleeve. The instrument connection sealing sleeve and the incision opening sleeve body are connected in a separable way, so that the convenience of the whole use operation can be improved.
In the embodiment of the invention, the sealing connector 5 can be sleeved on the incision opening sleeve body, the instrument penetrating seat 10 is connected with the sealing connector 5 in an adapting way, and the whole instrument connecting sealing sleeve and the incision opening sleeve body can be connected in a separable way through the separable connection between the sealing connector 5 and the incision opening sleeve body. The instrument penetrating seat 10 is provided with one or more instrument positioning one-way sealing valves, and the instrument positioning one-way sealing valves only allow one-way operation of the surgical instrument, namely only allow the surgical instrument to enter the incision supporting sleeve body after penetrating through the instrument positioning one-way sealing valves so as to prepare for subsequent entry into the abdominal cavity. In specific implementation, the single hole means that only one incision hole is needed to be formed in the abdominal cavity, and the simultaneous operation requirement of a plurality of instruments can be met through a plurality of instrument positioning one-way sealing valves on the instrument penetrating seat 10.
In specific implementation, each instrument positioning one-way sealing valve comprises an imbedding hole 6 arranged on an instrument wearing seat 10, the imbedding hole 6 is positioned on the upper surface of the instrument wearing seat 10 or positioned on the upper part in the instrument wearing seat 10, an instrument angle adjusting cavity 11 is positioned in the instrument wearing seat 10, the instrument angle adjusting cavities 11 are in one-to-one correspondence with the imbedding holes 6, the positions of the instrument angle adjusting cavities 11 and the imbedding holes 6 in the instrument wearing seat 10 are also corresponding, and the instrument angle adjusting cavity 11 is positioned on the lower part in the instrument wearing seat 10. The implantation hole 6 is communicated with a corresponding instrument angle adjusting cavity 11, a conical shape is formed between the instrument angle adjusting cavity 11 and the implantation hole 6, a surgical instrument penetrates into the instrument penetrating seat 10 through the implantation hole 6, the inner diameter of the instrument angle adjusting cavity 11 is far greater than the aperture of the implantation hole 6, an action space of the surgical instrument can be provided through the instrument angle adjusting cavity 11, and the operation angle adjustment of the surgical instrument can be allowed.
In the embodiment of the invention, the elastic shielding plate 12 has certain elasticity, one end of the elastic shielding body 12 is fixed with the inner wall of the instrument angle adjusting cavity 11 through the shielding plate connector 13, the elastic shielding plate 12 can be in a round shape, a fan shape and the like, the elastic shielding plate 12 is matched with the instrument angle adjusting cavity 11, and the placement hole 6 is positioned right above the elastic shielding plate 12. By utilizing the cooperation of the elastic shielding plate 12 and the placement hole 6, the surgical instrument can only be placed in the instrument penetrating seat 10 from the directions of the elastic shielding plate 12 and the placement hole 6, namely, the surgical instrument can enter the instrument angle adjusting cavity 11 after passing through the placement hole 6. When the surgical instrument does not enter the instrument penetrating seat 10 through the implantation hole 6, the elastic shielding plate 12 can be used for sealing the implantation hole 6, so that the conditions of escape, discharge and the like of gas and the like from the implantation hole 6 can be avoided. When the surgical instrument passes through the implantation hole 6 and enters the instrument angle adjusting cavity 11, the surgical instrument can push the elastic shielding plate 12, after pushing the elastic shielding plate 12, the surgical instrument can not be influenced to enter the incision expanding sleeve body and the abdominal cavity through the instrument angle adjusting cavity 11, and the normal operation of the surgical instrument can not be influenced.
In addition, by utilizing the cooperation of the elastic baffle body 12 with the surgical instrument and the implantation hole 6, the gas and the like in the abdominal cavity can be prevented from being discharged from the implantation hole 6, and the tightness of the 6 position can still be ensured, namely, the tightness and the safety in the whole laparoscopic surgery process are ensured.
Further, at least one inflation and deflation connecting pipe 8 is further arranged on the instrument penetrating seat 10, and after the sealing connector 5 is sleeved on the incision opening sleeve body, the inflation and deflation connecting pipe 8 can be communicated with the incision opening sleeve body.
In the embodiment of the invention, the end part of the inflation and deflation connecting pipe 8 is provided with the connecting pipe joint 9, the inflation and deflation connecting pipe 8 can be connected with external inflation and deflation equipment through the connecting pipe joint 9, and carbon dioxide gas can be injected into the abdominal cavity or the carbon dioxide gas in the abdominal cavity can be pumped out through the inflation and deflation connecting pipe 8, the instrument penetrating seat 10 and the incision stretching sleeve body. Generally, an inflation/deflation switch is further required to be arranged on the inflation/deflation connecting pipe 8, the communication state of the inflation/deflation connecting pipe 8 is controlled by the inflation/deflation switch, the operations of mistaken inflation and mistaken deflation are avoided, and the stability of carbon dioxide gas in the abdominal cavity is ensured. The inflation/deflation switch and the inflation/deflation connecting pipe 8 can be realized by adopting common technical means in the technical field, and can be specifically selected according to the needs, and the details are not repeated here.
As shown in fig. 2, the incision expansion sleeve body comprises an outer expansion connecting ring 4, an inner expansion connecting ring 2 and a connection protection sleeve film 1, wherein the outer expansion connecting ring 4 is used for being connected with an instrument connection sealing sleeve in an adapting mode, the inner expansion connecting ring 2 is provided with deformability, the connection protection sleeve film 1 is used for connecting the outer expansion connecting ring 4 and the inner expansion connecting ring 2, and the outer expansion connecting ring 4 can be communicated with the inner expansion connecting ring 2 through the connection protection sleeve film 1.
In the embodiment of the invention, the inner stretching connecting ring 2 is made of elastic material, the outer stretching connecting ring 4 is made of hard material, the connecting protective sleeve film 1 can be made of transparent film, the outer stretching connecting ring 4 and the inner stretching connecting ring 2 are distributed at two ends of the connecting protective sleeve film 1, and the outer stretching connecting ring 4 can form a tubular or cylindrical structure by being matched with the connecting protective sleeve film 1 and the inner stretching connecting ring 2.
The inner opening connecting ring 2 is provided with a traction wire body 7 for pulling the inner opening connecting ring 2 out of the abdominal cavity, and the traction wire body 7 can penetrate out of the outer opening connecting ring 4. In the embodiment of the invention, the end part of the traction wire body 7 is positioned outside the outer stretching connecting ring 4, and the inner stretching connecting ring 2 can be conveniently pulled out from the abdominal cavity through the traction wire body 7.
Further, an auxiliary connecting ring 3 for assisting the inner opening connecting ring 2 to be placed in the abdominal cavity is also arranged on the inner opening connecting ring 2;
the device also comprises an imbedding auxiliary tool matched with the auxiliary connecting ring 3, and the imbedding auxiliary tool is matched with the auxiliary connecting ring 3 to push the inner opening connecting ring 2 into the abdominal cavity through the incision.
In the embodiment of the invention, the auxiliary connecting ring 3 is arranged on the inner opening connecting ring 2, and the inner opening connecting ring 2 can be placed into the abdominal cavity through the incision of the abdomen by matching the placement auxiliary tool with the auxiliary connecting ring 3.
As shown in fig. 7, the placement auxiliary tool includes an auxiliary push rod 20, a push rod hole 22 penetrating the auxiliary push rod 20 is provided at the head end of the auxiliary push rod 20, the head end of the auxiliary push rod 20 is distributed through the push rod hole 22 to form a push rod protecting head 24 and an auxiliary push head 23 capable of being matched with the auxiliary connecting ring 3, and the auxiliary push rod 20 can extend into the auxiliary connecting ring 3 through the auxiliary push head 23 and the push rod hole 22.
In the embodiment of the present invention, the tail end of the auxiliary push rod 20 is provided with a push rod handle 21, the auxiliary push rod 20 is in a rod shape, a push rod hole 22 is positioned at the head of the auxiliary push rod 20, and the push rod hole 22 penetrates through the auxiliary push rod 20. The push rod hole 22 is L-shaped, the head end of the auxiliary push rod 20 can be divided into an auxiliary push head 23 and a push rod protecting head 24 through the push rod hole 22, the push rod protecting head 24 is positioned right in front of the auxiliary push head 23, and when the auxiliary push head 23 is inserted into the auxiliary connecting ring 3, the protection can be realized by using the push rod protecting head 24, so that the auxiliary push rod 20 is prevented from damaging organ tissues in the abdominal cavity. Of course, the stability and reliability of the connection between the auxiliary push head 23 and the auxiliary connection ring 3 can also be improved by using the push rod protection head 24 and the push rod hole 22.
When the abdomen incision is required to be opened, the auxiliary push head 23 of the auxiliary push rod 20 is inserted into the auxiliary connecting ring 3, and the inner opening connecting ring 2 can deform and finally enter the abdominal cavity under the action of the acting force of the auxiliary push rod 20. After the inner opening connecting ring 2 enters the abdominal cavity, the auxiliary push rod 20 is separated from the inner opening connecting ring 2, at the moment, the outer opening connecting ring 4 is turned over, so that the connecting protection sleeve film 1 is continuously wrapped on the outer opening connecting ring 4, and the connecting protection sleeve film 1 can be in a tensioning state along with the turning of the outer opening connecting ring 4, and the lower parts of the inner opening connecting ring 2 and the connecting protection sleeve film 1 are located in the abdominal cavity, so that the incision opening can be realized. When the incision is opened, the sealing connector 5 is connected with the outer opening connecting ring 4, so that the instrument connecting sealing sleeve is arranged on the incision opening sleeve body. After the operation is finished, the instrument connection sealing sleeve is separated from the outer stretching connecting sleeve 4, the connection protection sleeve film 1 wrapped on the outer stretching connecting ring 4 is gradually separated from the outer stretching connecting ring 4, when the connection protection sleeve film 1 is in a loose state, the stretching of an incision can be reduced, and at the moment, the inner stretching connecting ring 2 can be conveniently pulled out from the abdominal cavity through the pulling wire body 2.
Further, a connection clamping groove 14 matched with the outer stretching connection ring 4 is arranged in the sealing connection body 5, and the sealing connection body 5 can be clamped on the outer stretching connection ring 4 through the connection clamping groove 14.
In the embodiment of the invention, the shape of the sealing connector 5 is matched with the shape of the outer stretching connecting ring 4, the sealing connector 5 is cylindrical, the sealing connector 5 is internally provided with the connecting clamping groove 14, the sealing connector 5 is clamped on the outer stretching connecting ring 4 through the connecting clamping groove 14, and the sealing connector 5 can conveniently realize the separable connection between the sealing connector 5 and the outer stretching connecting ring 4 after being clamped with the outer stretching connecting ring 4 through the connecting clamping groove 14. The connecting clamping groove 14 is annular in the sealing connecting body 5, and a clamping hook 17 is arranged at a clamping notch 18 of the sealing connecting body 5 corresponding to the connecting clamping groove 14. By utilizing the matching of the clamping hooks 17 and the outer stretching connecting ring 4, the clamping hooks 17 can be tightly attached to the outer stretching connecting ring 17 under the action of positive pressure in the abdominal cavity, so that the stability and the reliability of the connection between the sealing connecting body 5 and the outer stretching connecting ring 4 can be improved.
Further, the tool penetrating seat 10 and the sealing connector 5 are coaxially distributed, and the tool penetrating seat 10 can rotate relative to the sealing connector 5.
In the embodiment of the invention, the instrument penetrating seat 10 and the sealing connector 5 are coaxially distributed, and when the instrument penetrating seat 10 can rotate relative to the sealing connector 5, the instrument positioning one-way sealing valve on the instrument penetrating seat 10 can rotate along with the rotation, so that the surgical instrument can find the required position in the surgical process, and the convenience of the surgery is improved.
As shown in fig. 3 and 4, the instrument insertion seat 10 is located in the sealing connector 5, and the upper surface of the instrument insertion seat 10 is in a flush state with the upper surface of the sealing connector 5. The thickness of the instrument penetrating seat 10 is smaller than that of the sealing connector 5, the connecting clamping groove 14 is located on the outer ring of the instrument penetrating seat 10, and in fig. 3 and 4, the instrument penetrating seat 10 and the sealing connector 5 are integrally or fixedly connected.
As shown in fig. 5, the instrument insertion seat 10 is located in the sealing connection body 5, and the instrument insertion seat 10 can rotate relative to the sealing connection body 5. Specifically, a rotary connecting groove 15 is formed in the sealing connecting body 5, a rotary connecting ring 16 matched with the rotary connecting groove 15 is arranged on the instrument penetrating seat 10, the rotary connecting ring 16 can be embedded in the rotary connecting groove 15, the rotary connecting ring 16 is in clearance fit with the rotary connecting groove 15, and the instrument penetrating seat 10 can rotate in the sealing connecting body 5 through the rotary connecting ring 16. Of course, in specific implementation, the rotating connection groove 15 may also be located on the instrument penetrating seat 10, and the rotating connection ring 16 is disposed on the sealing connection body 5, or other connection coordination forms capable of realizing relative rotation are adopted between the instrument penetrating seat 10 and the sealing connection body 5, which may be specifically selected according to needs, and will not be described herein.
As shown in fig. 6, the tool penetrating seat 10 is arc-shaped, the whole tool penetrating seat 10 is located above the sealing connector 5, and a connection mode that the rotating connection ring 16 is matched with the rotating connection groove 15 is adopted between the tool penetrating seat 10 and the sealing connector 5, namely, the tool penetrating seat 10 can still rotate relative to the sealing connector 5. Furthermore, the instrument insertion seat 10 is connected to the sealing connection body 5 via an elastic expansion body 19. The elastic telescopic body 19 can be made of elastic corrugated pipes or other elastic materials, and the elastic telescopic body 19 can enable the instrument penetrating seat 10 to rotate relative to the sealing connecting body 5, and can also stretch or horizontally move, so that the convenience of operation of the instrument is further improved.
As shown in fig. 8, the insertion hole 6 and the instrument angle adjusting cavity 11 are tapered, and the cone top of the insertion hole 6 and the cone top of the instrument angle adjusting cavity 11 are adjacent to each other and aligned. In the embodiment of the invention, the insertion hole 6 and the instrument angle adjusting cavity 11 are both tapered, the cone top of the insertion hole 6 points to the adjacent instrument angle adjusting cavity 11, and the cone top of the instrument angle adjusting cavity 11 is also adjacent to the insertion hole 6, so that the cone top of the insertion hole 6 and the cone top of the instrument angle adjusting cavity 11 are formed in the instrument insertion seat 10 and are close to each other, the insertion hole 6 and the instrument angle adjusting cavity 11 are communicated with the instrument angle adjusting cavity 11 through a gap in the instrument insertion seat 10, the cone bottom of the insertion hole 6 is positioned on the outer surface of the instrument insertion seat 10, and the outer diameter of the cone bottom of the insertion hole 6 is smaller than the outer diameter of the cone bottom of the instrument angle adjusting cavity 11. When the insertion hole 6 and the instrument angle adjusting cavity 11 are both in conical shapes, the stability of the operation instrument passing through the instrument penetrating seat 10 can be improved, the normal operation of the operation instrument can not be influenced, and the separation of the operation instrument and the instrument penetrating seat 10 can not be influenced. Of course, in implementation, the instrument angle adjusting cavity 11 may also have a shape similar to a cone, such as a hemispherical shape, and may be specifically selected according to needs, which will not be described herein.
In addition, in order to improve the reliability of connection between the sealing connector 5 and the outer opening connecting ring 4, a clamping groove connector 25 is further provided in the connecting clamping groove 14, and the clamping groove connector 25 may have a wave shape or the like, and may be specifically selected as required. Of course, the structure or shape matched with the clamping groove connecting body 25 can also be arranged on the outer stretching connecting ring 4, when the sealing connecting body 5 is assembled on the outer stretching connecting ring 4, the clamping groove connecting body 25 can be used for avoiding random separation after the sealing connecting body 5 is connected with the outer stretching connecting sleeve 4, and reliable guarantee is provided for the operation of instruments in operation.
Claims (4)
1. A single port laparoscopic operating sheath device, characterized by: the device comprises an incision opening sleeve body for opening an operation incision and an instrument connection sealing sleeve capable of sealing the upper edge of the incision opening sleeve body, wherein the instrument connection sealing sleeve can be sleeved on the incision opening sleeve body, and the instrument connection sealing sleeve is detachably connected with the incision opening sleeve body;
the instrument connection sealing sleeve comprises a sealing connector (5) which can be sleeved on the incision opening sleeve body, an instrument penetrating seat (10) which is connected with the sealing connector (5) in an adapting way, and the sealing connector (5) and the incision opening sleeve body are connected in a separable way; a plurality of instrument positioning one-way sealing valves which allow the operation instruments to be placed in and can avoid gas leakage during operation are arranged in the instrument penetrating seat (10), and the operation instruments pass through the corresponding instrument positioning one-way sealing valves and can extend into the incision supporting sleeve body;
the instrument positioning one-way sealing valve comprises an imbedding hole (6) arranged on an instrument penetrating seat (10) and an instrument angle adjusting cavity (11) arranged in the instrument penetrating seat (10), wherein the imbedding hole (6) is positioned above the top of the instrument angle adjusting cavity (11), and the imbedding hole (6) is communicated with the instrument angle adjusting cavity (11); an elastic shielding plate (12) for shielding and closing the corresponding implantation hole (6) is further arranged in the instrument angle adjusting cavity (11), one end of the elastic shielding plate (12) is connected with the inner wall of the instrument angle adjusting cavity (11), and the implantation hole (6) is positioned above the elastic shielding plate (12);
at least one inflation and deflation connecting pipe (8) is further arranged on the instrument penetrating seat (10), and after the sealing connecting body (5) is sleeved on the incision stretching sleeve body, the inflation and deflation connecting pipe (8) can be communicated with the inner cavity of the incision stretching sleeve body;
the incision expanding sleeve body comprises an outer expanding connecting ring (4) which is used for being connected with the appliance connecting sealing sleeve in an adapting way, an inner expanding connecting ring (2) with deformability and a connecting protection sleeve film (1) which is used for connecting the outer expanding connecting ring (4) and the inner expanding connecting ring (2), and the outer expanding connecting ring (4) can be communicated with the inner expanding connecting ring (2) through the connecting protection sleeve film (1);
a traction wire body (7) for pulling the inner opening connecting ring (2) out of the abdominal cavity is arranged on the inner opening connecting ring (2), and the traction wire body (7) can penetrate out of the outer opening connecting ring (4);
an auxiliary connecting ring (3) for assisting the inner opening connecting ring (2) to be placed into the abdominal cavity is also arranged on the inner opening connecting ring (2);
the device also comprises an imbedding auxiliary tool matched with the auxiliary connecting ring (3), and the imbedding auxiliary tool is matched with the auxiliary connecting ring (3) to push the inner opening connecting ring (2) into the abdominal cavity through the incision;
the auxiliary tool comprises an auxiliary push rod (20), wherein a push rod hole (22) penetrating through the auxiliary push rod (20) is formed in the head end of the auxiliary push rod (20), a push rod protection head (24) and an auxiliary push head (23) which can be matched with the auxiliary connecting ring (3) are formed in the head end of the auxiliary push rod (20) through the push rod hole (22), and the auxiliary push rod (20) can extend into the auxiliary connecting ring (3) through the auxiliary push head (23) and the push rod hole (22);
a connecting clamping groove (14) matched with the outer supporting connecting ring (4) is formed in the sealing connecting body (5), and the sealing connecting body (5) can be clamped on the outer supporting connecting ring (4) through the connecting clamping groove (14); clamping hooks (17) are arranged at the clamping notch (18) of the sealing connector (5) corresponding to the connecting clamping groove (14).
2. The single port laparoscopic operating sleeve device according to claim 1, wherein: the instrument penetrating seat (10) and the sealing connector (5) are coaxially distributed, and the instrument penetrating seat (10) can rotate relative to the sealing connector (5).
3. The single port laparoscopic operating sleeve device according to claim 1 or 2, characterized in that: the instrument penetrating seat (10) is connected with the sealing connector (5) through an elastic telescopic body (19).
4. The single port laparoscopic operating sleeve device according to claim 1, wherein: the insertion hole (6) and the instrument angle adjusting cavity (11) are tapered, and the cone top of the insertion hole (6) and the cone top of the instrument angle adjusting cavity (11) are adjacent to each other and aligned.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810602883.1A CN108852433B (en) | 2018-06-12 | 2018-06-12 | Single-port laparoscope operation sleeve device |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810602883.1A CN108852433B (en) | 2018-06-12 | 2018-06-12 | Single-port laparoscope operation sleeve device |
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| Publication Number | Publication Date |
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| CN108852433A CN108852433A (en) | 2018-11-23 |
| CN108852433B true CN108852433B (en) | 2024-03-22 |
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| CN201810602883.1A Active CN108852433B (en) | 2018-06-12 | 2018-06-12 | Single-port laparoscope operation sleeve device |
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| CN101999912A (en) * | 2010-12-11 | 2011-04-06 | 威海威高齐全医疗设备有限公司 | Multi-cavity single-hole operation channel |
| WO2011162491A2 (en) * | 2010-06-21 | 2011-12-29 | 주식회사 세종메디칼 | Trocar for single port surgery |
| CN103654885A (en) * | 2013-12-13 | 2014-03-26 | 东南大学 | Single port laparoscopic surgery flexible cannula with adjustable diameter of operative table surface |
| KR101714765B1 (en) * | 2015-11-12 | 2017-03-09 | 연세대학교 산학협력단 | Single port laparoscopy entry device and medical instrument for laparoscopy containing the same |
| CN209032463U (en) * | 2018-06-12 | 2019-06-28 | 无锡圣诺亚科技有限公司 | Single-hole laparoscopic operates covering device |
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| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| HU229773B1 (en) * | 2009-09-02 | 2014-06-30 | A tool for surgical intervention | |
| US9393003B2 (en) * | 2012-01-12 | 2016-07-19 | Xiaojun Wang | Device for sealing single incision from laparoscopic surgery |
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Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| WO2011162491A2 (en) * | 2010-06-21 | 2011-12-29 | 주식회사 세종메디칼 | Trocar for single port surgery |
| CN101999912A (en) * | 2010-12-11 | 2011-04-06 | 威海威高齐全医疗设备有限公司 | Multi-cavity single-hole operation channel |
| CN103654885A (en) * | 2013-12-13 | 2014-03-26 | 东南大学 | Single port laparoscopic surgery flexible cannula with adjustable diameter of operative table surface |
| KR101714765B1 (en) * | 2015-11-12 | 2017-03-09 | 연세대학교 산학협력단 | Single port laparoscopy entry device and medical instrument for laparoscopy containing the same |
| CN209032463U (en) * | 2018-06-12 | 2019-06-28 | 无锡圣诺亚科技有限公司 | Single-hole laparoscopic operates covering device |
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| CN108852433A (en) | 2018-11-23 |
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