CN109549702A - Single-hole laparoscopic enters paths and production method - Google Patents
Single-hole laparoscopic enters paths and production method Download PDFInfo
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- CN109549702A CN109549702A CN201910031038.8A CN201910031038A CN109549702A CN 109549702 A CN109549702 A CN 109549702A CN 201910031038 A CN201910031038 A CN 201910031038A CN 109549702 A CN109549702 A CN 109549702A
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- pipe fitting
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- 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
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- 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
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/0034—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
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- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
- Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
- Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change
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- Heart & Thoracic Surgery (AREA)
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- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
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- Surgical Instruments (AREA)
Abstract
The present invention provides a kind of simple for production, both can ensure that enough air-tightness, in turn, ensure that the single-hole laparoscopic of operating flexibility enters paths.Including gloves-shaped part and pipe fitting；It is formed with finger portion on gloves-shaped part, refers to that portion is made of air-locked material of the elasticity of thin-walled；At least one of gloves-shaped part refers to that portion is formed with through-hole by cross-section；This by cross-section its whole or part of finger portion be the inside ploughed under to gloves-shaped part and pass through pipe fitting inner cavity, the position ploughed under be as utensil channel, and the length at the position ploughed under be more than pipe fitting inner cavity length；It further include bundled piece, this is fixed together by cross-section finger portion with pipe fitting by bundled piece from outside.The paths that enter of the invention have many advantages, such as that structure is simple, are easy to make, are low in cost, naturally airtight, not pulling utensil.The present invention also provides the method for more than production entering paths, this method has many advantages, such as that step is simple, success rate is high, of less demanding to personnel's production technique.
Description
Technical field
Enter paths and preparation method thereof the present invention relates to a kind of single-hole laparoscopic, belongs to the field of medical instrument technology.
Background technique
Single-hole laparoscopic technology is one kind of Minimally Invasive Surgery, is a kind of emerging Minimally Invasive Surgery, minimally invasive theory is better than biography
The laparoscopic surgery of system.It is placed in multichannel laparoscopic instrument by a small notch (2-3cm) and performs the operation.
Single-hole laparoscopic technology need it is special enter paths, however it is both domestic and external enter paths finished product it is expensive, and
Expense high in this way will finally be married again with sufferer personnel, this will result in their economically biggish burdens.
The Chinese utility model patent of entitled " a kind of self-control laparoscope single-hole multi-channel device ", the applying date: in July, 2016
25 days, Authorization Notice No. CN206303875U, disclose a kind of single-hole laparoscopic entered paths, and which employs finished product laparoscopes
Puncture outfit, therefore cost is still very high.
The Chinese invention patent application of entitled " the entering paths and preparation method thereof of single-hole laparoscopic ", the applying date: 2018
In on January 22, application publication number CN108245205A in, the paths that enter of another single-hole laparoscopic are disclosed, are not used
Finished product laparoscope puncture outfit, but pipe (3) is penetrated to replace using homemade instrument, therefore cost is further dropped
It is low.But the technical solution disclosed in it still has shortcoming, shows that air-tightness is bad.During implementing abdominal operation
Doctor can be filled with the gas of certain pressure in order to observe and operate instrument, at this time since the inside of gloves is to the abdominal cavity of patient
It is communicated with the abdominal cavity of patient, then there is also certain gas pressures inside gloves, although allow to be filled with during operation
The small amount of leakage of duration occurs for gas, but if leakage can then cause trouble fastly very much to operation or even jeopardize patients ' lives peace
Entirely.And the disclosed technical solution is relatively high to the skill requirement of producer in practice, is otherwise easy to appear gas leakage
Too fast problem but if surgical instrument and instrument penetrate pipe (3) and cooperate too closely, and can make surgical instrument move
Dragging during dynamic by gloves, then medical staff is difficult this product to hold and make in fact.
Therefore need to it is existing enter paths structure and production method improve.
Summary of the invention
The present invention provides a kind of simple for production, both can ensure that enough air-tightness, and had in turn, ensured that the single hole abdomen of operating flexibility
Hysteroscope enters paths.
The following technical solution is employed:
Single-hole laparoscopic enters paths, including gloves-shaped part and pipe fitting；Finger portion, institute are formed on the gloves-shaped part
Finger portion is stated to be made of air-locked material of the elasticity of thin-walled；At least one of the gloves-shaped part refers to that portion is formed by cross-section
There is through-hole；Particularly, this is the inside ploughed under to gloves-shaped part by cross-section its whole or part of finger portion and passes through the pipe
The inner cavity of part, the position ploughed under be as utensil channel, and the length at the position ploughed under be more than pipe fitting in
The length of chamber；It further include bundled piece, this is fixed together by cross-section finger portion with the pipe fitting by the bundled piece from outside.
The working principle of the invention is: pipe fitting can ensure that the whole or part by cross-section finger portion is in gloves-shaped always
The inside of part is the equal of intracavitary in pipe fitting foring the channel entered for surgical instrument, i.e. device by finger portion at this time
Has channel.Surgical instrument can extend into the inside of gloves-shaped part by utensil channel and then enter the abdominal cavity of patient.To patient
Abdominal cavity be filled with the gas of certain pressure after, as finger portion be made of the elastic material of thin-walled, can be outwardly in the portion of referring to
Expansion, and such expansion can enable the internal diameter in the above-mentioned utensil channel being in tube intracavity become smaller and smaller until device
Have channel enclosed and it is airtight.Then in the case where no surgical instrument injects utensil channel, the paths that enter of the invention have certainly
So airtight effect, and after surgical instrument is injected utensil channel, then utensil channel can be also close to always under the influence of air pressure
The outer surface of surgical instrument prevents slot leakage of the gas between utensil channel and the outer surface of surgical instrument, even if operation
Utensil will not a large amount of gas leakage with respect to the movement of utensil channel.And maximum with the prior art be not both: the scheme of the prior art exists
Gas leakage is more severe in the case that air pressure is higher, and air-tightness is instead in the case where air pressure is higher for technical solution of the present invention
Better.
The inner cavity of the pipe fitting is preferably the cylindrical cavity that diameter is 6mm~15mm.The length of the pipe fitting be preferably 1cm~
3cm。
The pipe fitting can be made of hard material, can also be made of soft material.But pipe fitting should not be by excessively soft material
Material is made, and otherwise deformation occurs therewith for pipe fitting under the action of by certain hand-held power, it is likely that influence airtight effect or
Biggish drag force is generated to surgical instrument.
Described its diameter of finger portion that through-hole is formed with by cross-section is preferably 6mm~15mm, and the diameter of through-hole is best
It is 5mm~14mm, ploughs under the length at the position inside gloves-shaped part preferably in 1.5cm~7cm.
As an improvement, the oral area of the through-hole can envelope the pipe fitting with returning and partly, and pass through another bundle
It ties up part and the position of the returning of through-hole oral area is fixed together with pipe fitting, and be formed with air passing hole on pipe fitting, it is described to cross gas
For enabling channel expansion chamber communicate with gloves-shaped part gas circuit, the channel expansion chamber refers to the inner cavity of utensil channel and pipe fitting in hole
Space between wall body.On the one hand technical solution in this way can reduce utensil channel and be taken out of in pipe fitting by surgical instrument
The probability of chamber can reduce connecing between utensil channel and surgical instrument on the other hand in the case where retaining nature hermetic properties
Contacting surface makes the execution of surgical instrument more flexible and convenient to reduce the drag force to surgical instrument.Pipe fitting at this time it is close
One of the through-hole has preferably also formed flange part, and the flange part is used to prevent the position of the returning of through-hole oral area to produce
Life loosens.
The bundled piece can be silk thread, be also possible to elastic collar member.
Enter paths production method the present invention also provides a kind of single-hole laparoscopic, has certainly for being quickly and easily made
Right sealing characteristics enter paths.
Using scheme below:
A kind of single-hole laparoscopic enters paths production method, including gloves-shaped part, pipe fitting and bundled piece；The gloves-shaped
Part is made of air-locked material of the elasticity of thin-walled；1 finger portion of gloves-shaped part is run through to the inner cavity of the pipe fitting, and right
It is cross-section to form a through-hole that this refers to that the end in portion carries out, and gloves-shaped part is carried out inside and outside overturning, then uses bundled piece from outside
This is fixed together by cross-section finger portion with the pipe fitting.
Compared with prior art, making step is more simple for such production method, but effect is even more ideal.
Enter paths production method, including gloves-shaped part, pipe fitting and the present invention also provides another single-hole laparoscopic
One bundled piece and the second bundled piece；The gloves-shaped part is made of air-locked material of the elasticity of thin-walled；In the wall of pipe fitting
At least one air passing hole is got on body；1 finger portion of gloves-shaped part is run through to the inner cavity of the pipe fitting, and refers to the end in portion to this
It carries out cross-section to form a through-hole, the outside returning of through-hole oral area is partly enveloped to the pipe fitting and cannot will be all
The air passing hole covers, and the position of the returning of through-hole oral area is fixed together with pipe fitting with the second bundled piece, by gloves
Shape part carries out inside and outside overturning, and then this is fixed together by cross-section finger portion with the pipe fitting from outside with the first bundled piece.
Compared with prior art, making step is still aobvious simple for such production method, and can allow the execution of surgical instrument
It is more flexible and convenient.
After making paths, by the circle mouth of gloves-shaped part cover incision protective sleeve upper circle and by the rwo one
It rises and carries out turnup, then gloves-shaped part can realize the connection of air-tightness with incision protective sleeve.
Of the invention enters paths are simple with structure, are easy to make, are low in cost, naturally airtight, not pulling utensil etc.
Advantage.The production method for entering paths of the invention has that step is simple, success rate is high, of less demanding to personnel's production technique etc.
Advantage.
Detailed description of the invention:
Fig. 1 is the structural schematic diagram of the gloves-shaped part of embodiment 1；
Fig. 2 is the structural schematic diagram of embodiment 1；
Fig. 3 is the a-quadrant enlarged drawing of Fig. 2；
Fig. 4 is the operation principle schematic diagram of embodiment 1；
Fig. 5 is the B area enlarged drawing of Fig. 4；
Fig. 6 is the structural schematic diagram of embodiment 2；
Fig. 7 is the C regional enlarged drawing of Fig. 6；
Fig. 8 is the operation principle schematic diagram of embodiment 2；
Fig. 9 is the D regional enlarged drawing of Fig. 8；
Figure 10 is the structural schematic diagram of embodiment 3；
Figure 11 is the E regional enlarged drawing of Figure 10.
Description of symbols: 11- gloves-shaped part；12- pipe fitting；13- bundled piece；14- through-hole；15- utensil channel；16- hand
Art utensil；111,112,113,114,115- refers to portion；
22- pipe fitting；25- utensil channel；26- surgical instrument；The second bundled piece of 27-；28- channel expansion chamber；221- crosses gas
Hole；
32- pipe fitting；321- flange part.
Specific embodiment
The content of present invention is described further below with reference to embodiment.
Embodiment 1
As shown in Figures 1 to 5, the paths that enter of the single-hole laparoscopic of the present embodiment include: gloves-shaped part 11,12 and of pipe fitting
Bundled piece 13.
Wherein, for gloves-shaped part 11 using surgical glove, whole is all by air-locked material of the elasticity of thin-walled
It is made；Pipe fitting 12 is an adapter piece on medical diversion pipe；Bundled piece 13 is medical suture.
It, as needed can be with as shown in Figure 1, be formed with 5 finger portions 111,112,113,114,115 on gloves-shaped part 11
It selects one or more to be transformed and utensil channel is made.The present embodiment is using centrally located finger portion 113 as changing
The object made.
As shown in Figure 1, Figure 2, Figure 3 shows, this is referred to that portion 113 is laterally cut from the position close to finger tip and it is enabled to form through-hole
14, it then enables this by about the 3/4 of cross-section finger portion plough under inside to gloves-shaped part 11 as utensil channel 15, and enables
The inner cavity of pipe fitting 12 is run through in the part ploughed under, and pipe fitting 12 is the inside for being in gloves-shaped part 11 at this time.And this is by cross-section
Finger portion remaining about 1/4 is the outside for staying in gloves-shaped part 11, on the position in finger portion with bundled piece 13 by the position with
12 bundled fixed of pipe fitting is together.
As shown in Figure 4, Figure 5, after entering to be full of the gas of certain pressure in paths and after inserting surgical instrument 16, device
Tool channel 15 will become outer surface that is more and more narrower, and being finally tightly attached to surgical instrument 16, and air pressure under the influence of air pressure
It is more high more be close to.In use, some medical lubricants can also be smeared on surgical instrument 16 to reduce surgical instrument 16 and device
Has the friction between channel 15.
Embodiment 2
As shown in Figure 6, Figure 7, the present embodiment the difference from embodiment 1 is that: the oral area returning of through-hole and partly coat
Firmly pipe fitting 22, and the position of the returning of through-hole oral area and pipe fitting 22 are fixed together by the second bundled piece 27, and
Air passing hole 221 is formed on pipe fitting 22.Second bundled piece 27 is also medical suture.
As shown in Figure 8, Figure 9, to entering to inject gas in paths, it is logical that gas can enter utensil by air passing hole 221
Space between road 25 and the inner cavity wall body of pipe fitting 22, the space are known as channel expansion chamber 28.As gas pressure is increasing,
The volume of channel expansion chamber 28 becomes larger therewith, and utensil channel 25 then becomes more and more narrow until closing airtight.To utensil channel
After 25 insertion surgical instruments 26, the outer surface that utensil channel 25 can be tightly attached to surgical instrument 26 always prevents the gas in gloves-shaped part
Body leaks out.
The structure of such Structure Comparison embodiment 1 can reduce the drag force to surgical instrument 26, allow surgical instrument 26
It implements more flexible and convenient.
Embodiment 3
As shown in Figure 10, Figure 11, the present embodiment the difference from example 2 is that: one of the close through-hole of pipe fitting 32 is also
It is formed with flange part 321.Flange part 321 is used to prevent the position generation of the returning of through-hole oral area to loosen.
Embodiment 4
The present embodiment is a kind of production method for entering paths of single-hole laparoscopic for making embodiment 1.
1 finger portion of gloves-shaped part is run through to the inner cavity of pipe fitting, and the end progress in portion is cross-section to form one to be referred to this
Gloves-shaped part is carried out inside and outside overturning by through-hole, this is then fixed on one by cross-section finger portion and pipe fitting from outside with bundled piece
It rises.
The production method, which is very simply just made, preferably enters paths than existing approach channels result.
Embodiment 5
The present embodiment is a kind of production method for entering paths of single-hole laparoscopic for making embodiment 2 and embodiment 3.
At least one air passing hole is got on the wall body of pipe fitting；1 finger portion of gloves-shaped part is run through to the inner cavity of pipe fitting, and
To this, to refer to that the end in portion carries out cross-section to form a through-hole, and the outside returning of through-hole oral area is partly enveloped to pipe fitting and not
All air passing holes can be covered, the position of the returning of through-hole oral area is fixed together with pipe fitting with the second bundled piece,
Gloves-shaped part is subjected to inside and outside overturning, this is then fixed on one by cross-section finger portion and pipe fitting from outside with the first bundled piece
It rises.
The production method, which is very simply just made, preferably enters paths than existing approach channels result.
What this specification was enumerated is only better embodiment of the invention, all institutes under the working principle and thinking of the invention
The equivalent technologies transformation done, is accordingly to be regarded as protection scope of the present invention.
Claims (9)
1. single-hole laparoscopic enters paths, including gloves-shaped part and pipe fitting；Finger portion is formed on the gloves-shaped part, it is described
Finger portion is made of air-locked material of the elasticity of thin-walled；At least one of the gloves-shaped part refers to that portion is formed with by cross-section
Through-hole；It is characterized in that: this is the inside ploughed under to gloves-shaped part by cross-section its whole or part of finger portion and passes through the pipe
The inner cavity of part, the position ploughed under be as utensil channel, and the length at the position ploughed under be more than pipe fitting in
The length of chamber；It further include bundled piece, this is fixed together by cross-section finger portion with the pipe fitting by the bundled piece from outside.
2. single-hole laparoscopic as described in claim 1 enters paths, it is characterized in that: the inner cavity of the pipe fitting is that diameter is
The cylindrical cavity of 6mm~15mm.
3. single-hole laparoscopic as described in claim 1 enters paths, it is characterized in that: the length of the pipe fitting be 1cm~
3cm。
4. single-hole laparoscopic as described in claim 1 enters paths, it is characterized in that: described be formed with through-hole by cross-section
Its diameter of finger portion is for 6mm~15mm, and the diameter of through-hole is 5mm~14mm.
5. single-hole laparoscopic as described in claim 1 enters paths, it is characterized in that: described be formed with through-hole by cross-section
Its length for ploughing under the position inside gloves-shaped part of finger portion is in 1.5cm~7cm.
6. single-hole laparoscopic as described in claim 1 enters paths, it is characterized in that: the oral area of the through-hole also returning and portion
It envelopes the pipe fitting with dividing, and the position of the returning of through-hole oral area is fixed together with pipe fitting by another bundled piece,
And air passing hole is formed on pipe fitting, the air passing hole is for enabling channel expansion chamber communicate with gloves-shaped part gas circuit, the channel
Expansion chamber refers to the space between the wall body of the inner cavity of utensil channel and pipe fitting.
7. single-hole laparoscopic as claimed in claim 6 enters paths, it is characterized in that: one close to the through-hole of pipe fitting
It is also formed with flange part, the flange part is used to prevent the position generation of the returning of through-hole oral area to loosen.
8. a kind of single-hole laparoscopic enters paths production method, including gloves-shaped part, pipe fitting and bundled piece；The gloves-shaped part
It is made of air-locked material of the elasticity of thin-walled；It is characterized in that: by 1 finger portion of gloves-shaped part in the pipe fitting
Chamber, and the end progress in portion is cross-section to form a through-hole to be referred to this, gloves-shaped part is subjected to inside and outside overturning, then uses bundled piece
It is fixed together by cross-section finger portion with the pipe fitting from outside by this.
9. a kind of single-hole laparoscopic enters paths production method, including gloves-shaped part, pipe fitting and the first bundled piece and the second bundle
Tie up part；The gloves-shaped part is made of air-locked material of the elasticity of thin-walled；It is characterized in that: being got on the wall body of pipe fitting
At least one air passing hole；1 finger portion of gloves-shaped part is run through to the inner cavity of the pipe fitting, and the end progress in portion is cross-section to be referred to this
To form a through-hole, the outside returning of through-hole oral area is partly enveloped to the pipe fitting and described cannot cross gas for all
Hole covers, and the position of the returning of through-hole oral area is fixed together with pipe fitting with the second bundled piece, gloves-shaped part is carried out
Then this is fixed together by cross-section finger portion with the pipe fitting with the first bundled piece from outside by inside and outside overturning.
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910031038.8A CN109549702B (en) | 2019-01-15 | 2019-01-15 | Access channel of single-port laparoscope and manufacturing method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910031038.8A CN109549702B (en) | 2019-01-15 | 2019-01-15 | Access channel of single-port laparoscope and manufacturing method |
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| Publication Number | Publication Date |
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| CN109549702A true CN109549702A (en) | 2019-04-02 |
| CN109549702B CN109549702B (en) | 2023-08-15 |
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| CN201910031038.8A Active CN109549702B (en) | 2019-01-15 | 2019-01-15 | Access channel of single-port laparoscope and manufacturing method |
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Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6187020B1 (en) * | 1998-04-17 | 2001-02-13 | Laboratoire Perouse Implant | Connecting device for anastomosis, device for fitting fasteners and implant including them |
| US20020068923A1 (en) * | 1999-07-30 | 2002-06-06 | Applied Medical Resources Corporation | Hand access port device |
| KR100915882B1 (en) * | 2009-03-27 | 2009-09-07 | 서오남 | Guider for endoscopy surgery instrument |
| CN201642131U (en) * | 2010-04-10 | 2010-11-24 | 何明彦 | Gas leakage prevention device for HALS |
| CN206303875U (en) * | 2016-07-25 | 2017-07-07 | 泰州市人民医院 | One kind self-control laparoscope single-hole multi-channel device |
| CN108245205A (en) * | 2018-01-22 | 2018-07-06 | 重庆医科大学 | Single-hole laparoscopic enters paths and preparation method thereof |
-
2019
- 2019-01-15 CN CN201910031038.8A patent/CN109549702B/en active Active
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6187020B1 (en) * | 1998-04-17 | 2001-02-13 | Laboratoire Perouse Implant | Connecting device for anastomosis, device for fitting fasteners and implant including them |
| US20020068923A1 (en) * | 1999-07-30 | 2002-06-06 | Applied Medical Resources Corporation | Hand access port device |
| KR100915882B1 (en) * | 2009-03-27 | 2009-09-07 | 서오남 | Guider for endoscopy surgery instrument |
| CN201642131U (en) * | 2010-04-10 | 2010-11-24 | 何明彦 | Gas leakage prevention device for HALS |
| CN206303875U (en) * | 2016-07-25 | 2017-07-07 | 泰州市人民医院 | One kind self-control laparoscope single-hole multi-channel device |
| CN108245205A (en) * | 2018-01-22 | 2018-07-06 | 重庆医科大学 | Single-hole laparoscopic enters paths and preparation method thereof |
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| Publication number | Publication date |
|---|---|
| CN109549702B (en) | 2023-08-15 |
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Effective date of registration: 20220622 Address after: No.13, Guangyuan West Road, Guangzhou, Guangdong 510000 Applicant after: GUANGDONG WOMEN AND CHILDREN Hospital Address before: 510000, Guangdong, Guangzhou Tianhe District Tianhe straight street, No. 69, on the third floor Applicant before: Li Haiping |
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