CN110236646A - Laparoscopic surgery special puncture outfit - Google Patents

Laparoscopic surgery special puncture outfit Download PDF

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Publication number
CN110236646A
CN110236646A CN201910388569.2A CN201910388569A CN110236646A CN 110236646 A CN110236646 A CN 110236646A CN 201910388569 A CN201910388569 A CN 201910388569A CN 110236646 A CN110236646 A CN 110236646A
Authority
CN
China
Prior art keywords
casing
card hole
stamp card
laparoscopic surgery
puncture outfit
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.)
Pending
Application number
CN201910388569.2A
Other languages
Chinese (zh)
Inventor
张斌
金歌
马飞
马奇
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.)
HENAN PROV TUMOUR HOSPITAL
Henan Cancer Hospital
Original Assignee
HENAN PROV TUMOUR HOSPITAL
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 HENAN PROV TUMOUR HOSPITAL filed Critical HENAN PROV TUMOUR HOSPITAL
Priority to CN201910388569.2A priority Critical patent/CN110236646A/en
Publication of CN110236646A publication Critical patent/CN110236646A/en
Pending legal-status Critical Current

Links

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
    • A61B17/3478Endoscopic needles, e.g. for infusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M35/00Devices for applying media, e.g. remedies, on the human 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
    • A61B2017/3419Sealing means between cannula and body

Abstract

The invention discloses a kind of laparoscopic surgery special puncture outfits, including the sheath assembly being made of casing, tube head and the piercing assembly being made of needle handle, needle body and needle point, the needle body is threaded through in described sleeve pipe, is set with the blocking component for blocking stamp card hole close to the cannula tip of the tube head.The invention has the advantages that structure is simple, blocking component is set on casing, stamp card hole can be blocked completely, reduces the chance that tumour cell enters stomach wall stamp card hole, reduces tumour in the probability of stamp card hole Implantation matastasis.It can be reduced the probability of stamp card hole infection to infected patient;It is provided with antibiotic coating or antibiotic cream on blocking component, antibacterial anti-inflammatory can be carried out to stamp card hole surrounding tissue, reduce stamp card hole and infect probability.

Description

Laparoscopic surgery special puncture outfit
Technical field
The present invention relates to medical instruments, more particularly, to a kind of laparoscopic surgery special puncture outfit.
Background technique
Compared with traditional operation, laparoscopic minimally invasive surgery is small, small to damaging surrounding tissue with wound, it is fast to restore, can The advantages that substantially reduced patient's postoperative pain, has obtained extensively in urinary tumor operation (such as gallbladder cancer, cholangiocarcinoma and the carcinoma of the rectum) General application.Laparoscope is a kind of Minimally Invasive Surgery instrument with puncture outfit, establishes mis instruments disengaging abdomen using puncture outfit when operation The operation path of chamber.Puncture outfit includes sheath assembly and piercing assembly, extracts piercing assembly after puncturing successfully, and mis instruments are logical Sheath assembly disengaging is crossed to sew up a wound until extracting sheath assembly after the completion of operation.But the casing group of existing puncture outfit There are gap, abdominal cavity air and tumour cells between part and stamp card hole enters stamp card by casing and the gap between stamp card hole Hole, and then Iatrogenic implantation is caused to be planted, increase patient suffering and medical expense.According to the literature, the minimally invasive gallbladder cancer of laparoscope Postoperative stamp card hole tumor planting incidence is up to 14%~29%, and the stamp card hole tumor planting rate of colorectal cancer is 0.69%~ 3.3%.Therefore, how to design a kind of special puncture outfit that can block stamp card hole and casing gap be those skilled in the art urgently Relations problems to be solved.
Summary of the invention
It is an object of that present invention to provide a kind of laparoscopic surgery special puncture outfit with plugging action.
To achieve the above object, the present invention takes following technical proposals:
Laparoscopic surgery special puncture outfit of the present invention, including the sheath assembly being made of casing, tube head and by needle handle, needle The piercing assembly that body and needle point are constituted, the needle body are threaded through in described sleeve pipe, and the cannula tip close to the tube head is set with For blocking the blocking component of stamp card hole.
The blocking component includes the flexible blockage bag for being sleeved on described sleeve pipe right part, the left bag of the flexible blockage bag Mouth cooperates with shell clearance, and right sack is fixedly connected with casing;It is arranged at intervals with a pair of of perforation on the inside of flexible blockage bag, slides The drawstring one end being threaded through in the perforation is fixedly connected with flexible blockage bag left end, and the other end is pierced by perforation binding outward and is covering On the fixinig plate of pipe right end.
The flexible blockage bag outside spacers are provided with a plurality of support bar extended along its length, and the support bar is Double-layer structure, support bar is interior to be filled with antibiotic cream, and support bar outer layer is provided with the easy tear mark extended along its length.
The blocking component includes the silica gel plugging block for being connected in described sleeve pipe right part, is coated in the silica gel plugging block There is an antibiotic coating, silica gel plugging block is truncated cone-shaped structure left small and right large, the right surface diameter of silica gel plugging block is 13~ 15mm, left surface diameter are 12mm.
The blocking component is the flexible pocket for being connected in described sleeve pipe right part, and the flexible pocket lateral surface is coated with antibiotic The connecting tube of coating, flexible pocket is connected by Joining clasp with casing, and the outer diameter after flexible pocket is full is 12~15mm.
The antibiotic coating is erythromycin ointment coating or mupirocin ointment coating.
The invention has the advantages that structure is simple, blocking component is set on casing, stamp card hole can be blocked completely, is reduced swollen Oncocyte enters the chance of stomach wall stamp card hole, reduces tumour in the probability of stamp card hole Implantation matastasis.Stamp can be reduced to infected patient The probability of card hole infection;Antibiotic coating or antibiotic cream on blocking component can carry out antibacterial to stamp card hole surrounding tissue Anti-inflammatory reduces stamp card hole and infects probability.
Detailed description of the invention
Fig. 1 is structural schematic diagram of the invention.
Fig. 2 is the schematic diagram that blocking component is in stacked state in Fig. 1.
Fig. 3 is another structural schematic diagram of blocking component of the present invention.
Fig. 4 is the third structural schematic diagram of blocking component of the present invention.
Fig. 5 be in Fig. 4 A-A to cutaway view Amplified image.
Specific embodiment
As shown in Figure 1, laparoscopic surgery special puncture outfit of the present invention, including be made of casing 1.1, tube head 1.2 Sheath assembly and the piercing assembly that is made of needle handle 2.1, needle body 2.2 and needle point 2.3, the needle body 2.2 be threaded through the set In pipe 1.1, the blocking component for blocking stamp card hole is housed close to 1.1 end sleeve of casing of the tube head 1.2.
As shown in Figure 1, 2, the blocking component includes the flexible blockage bag 3.1 for being sleeved on 1.1 right part of described sleeve pipe, institute The left sack and 1.1 clearance fit of casing of flexible blockage bag 3.1 are stated, right sack is fixedly connected with casing 1.1;Flexible blockage bag 3.1 inside is arranged at intervals with a pair of of perforation 3.2, and sliding is threaded through 3.3 one end of drawstring and flexible blockage in the perforation 3.2 3.1 left ends of bag are fixedly connected with, and the other end is pierced by 3.2 binding of perforation on the fixinig plate 3.4 of 1.1 right end of casing outward;It is described soft Property 3.1 outside spacers of plugging bag be provided with a plurality of support bar 3.5 extended along its length, the support bar 3.5 is bilayer Structure, support bar 3.5 is interior to be filled with antibiotic cream, and 3.5 outer layer of support bar is provided with the easy tear mark extended along its length 3.6.In use, patient abdomen suitable location is cut a stamp card hole, will be worn then in conjunction with B ultrasound or X-ray according to patient's patient's condition It pierces device and is inserted into human body, stamp card hole is blocked after piercing assembly is extracted, when closure unlocks drawstring 3.3 and pulls out flexible envelope Stifled bag 3.1, flexible blockage bag 3.1 are displaced outwardly along casing 1.1 and are stacked in its fixing end, seal to stamp card hole It is stifled, drawstring 3.3 is bound again, the flexible blockage bag 3.1 of heap poststack is fixed on fixinig plate 3.4;In flexible blockage bag 3.1 be displaced outwardly during support bar 3.5 be squeezed rupture, the antibiotic cream in support bar 3.5 is applied to flexible blockage bag 3.1 outer surfaces reduce infection probability to stamp card hole surrounding tissue anti-inflammatory;After the completion of operation, drawstring 3.3 is unlocked, by casing 1.1 Pull-out, flexible blockage bag 3.1 is displaced outwardly with casing 1.1 when casing 1.1 is displaced outwardly.
As shown in figure 3, blocking component includes the silica gel plugging block 4 for being connected in 1.1 right part of described sleeve pipe, the silica gel envelope Antibiotic coating is coated on sprue 4, antibiotic coating is erythromycin ointment coating or mupirocin ointment coating, and silica gel blocks Block 4 is truncated cone-shaped structure left small and right large, and the right surface diameter of silica gel plugging block 4 is 14mm, and left surface diameter is 12mm;Make Used time is turned up using the elasticity of silica gel plugging block 4, can smoothly enter into silica gel plugging block 4 in stamp card hole, silica gel plugging block 4 Stress automatically resets after disappearing is fixed stamp card hole, after the completion of operation, slightly firmly extracts casing 1.1 outward, silica gel Rubber block stress varus is extracted external with casing 1.1.
As shown in Figure 4,5, blocking component is the flexible pocket 5.1 for being connected in 1.1 right part of described sleeve pipe, the flexible pocket 5.1 lateral surfaces are coated with antibiotic coating, and antibiotic coating is erythromycin ointment coating or mupirocin ointment coating, flexible pocket 5.1 connecting tube 5.2 is connected by Joining clasp 5.3 with casing 1.1, and the right part of connecting tube 5.2 is provided with shut-off valve 5.4, the outer diameter after flexible pocket 5.1 is full is 12~15mm.In use, casing 1.1 is placed in patient's body lumen, make flexible pocket 5.1 are fully located on the inside of stamp card hole, by the nipple insertion connecting tube 5.2 of syringe, are filled by syringe into flexible pocket 5.1 Enter gas or pure water, and close shut-off valve 5.4,5.1 pairs of stamp card holes of flexible pocket after filling block;After the completion of operation, beat Open shut-off valve 5.4, using syringe by flexible pocket 5.1 gas or pure water extraction after extract casing 1.1 again.

Claims (6)

1. a kind of laparoscopic surgery special puncture outfit, including the sheath assembly being made of casing (1.1), tube head (1.2) and by needle The piercing assembly that handle (2.1), needle body (2.2) and needle point (2.3) are constituted, the needle body (2.2) are threaded through described sleeve pipe (1.1) It is interior, it is characterised in that: casing (1.1) end sleeve close to the tube head (1.2) is equipped with the blocking component for blocking stamp card hole.
2. laparoscopic surgery special puncture outfit according to claim 1, it is characterised in that: the blocking component includes suit Flexible blockage bag (3.1) in described sleeve pipe (1.1) right part, left sack and casing (1.1) of the flexible blockage bag (3.1) Clearance fit, right sack are fixedly connected with casing (1.1);Flexible blockage bag is arranged at intervals with a pair of of perforation on the inside of (3.1) (3.2), drawstring (3.3) one end that sliding is threaded through in the perforation (3.2) is fixedly connected with flexible blockage bag (3.1) left end, The other end is pierced by perforation (3.2) binding on the fixinig plate (3.4) of casing (1.1) right end outward.
3. laparoscopic surgery special puncture outfit according to claim 2, it is characterised in that: the flexible blockage bag (3.1) Outside spacers are provided with a plurality of support bar (3.5) extended along its length, and the support bar (3.5) is double-layer structure, branch Antibiotic cream is filled in stay (3.5), support bar (3.5) outer layer is provided with the easy tear mark (3.6) extended along its length.
4. laparoscopic surgery special puncture outfit according to claim 1, it is characterised in that: the blocking component includes being connected Silica gel plugging block (4) in described sleeve pipe (1.1) right part is coated with antibiotic coating, silica gel on the silica gel plugging block (4) Plugging block (4) is truncated cone-shaped structure left small and right large, and the right surface diameter of silica gel plugging block (4) is 13~15mm, left surface Diameter is 12mm.
5. laparoscopic surgery special puncture outfit according to claim 1, it is characterised in that: the blocking component is to be connected in The flexible pocket (5.1) of described sleeve pipe (1.1) right part, flexible pocket (5.1) lateral surface are coated with antibiotic coating, flexible pocket (5.1) connecting tube (5.2) is connected by Joining clasp (5.3) with casing (1.1), and connecting tube (5.2) end, which is provided with, to be cut Only valve (5.4), the outer diameter after flexible pocket (5.1) is full are 12~15mm.
6. laparoscopic surgery special puncture outfit according to claim 4 or 5, it is characterised in that: the antibiotic coating is Erythromycin ointment coating or mupirocin ointment coating.
CN201910388569.2A 2019-05-10 2019-05-10 Laparoscopic surgery special puncture outfit Pending CN110236646A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201910388569.2A CN110236646A (en) 2019-05-10 2019-05-10 Laparoscopic surgery special puncture outfit

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201910388569.2A CN110236646A (en) 2019-05-10 2019-05-10 Laparoscopic surgery special puncture outfit

Publications (1)

Publication Number Publication Date
CN110236646A true CN110236646A (en) 2019-09-17

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Family Applications (1)

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CN201910388569.2A Pending CN110236646A (en) 2019-05-10 2019-05-10 Laparoscopic surgery special puncture outfit

Country Status (1)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110772305A (en) * 2019-11-22 2020-02-11 温州医科大学附属第一医院 Puncture outfit for laparoscopic surgery

Citations (15)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5147316A (en) * 1990-11-19 1992-09-15 Castillenti Thomas A Laparoscopic trocar with self-locking port sleeve
CN1136965A (en) * 1995-05-26 1996-12-04 佐佐木宽 Puncture method and puncture system
US5951588A (en) * 1996-02-29 1999-09-14 Moenning; Stephen P. Apparatus and method for protecting a port site opening in the wall of a body cavity
US5984948A (en) * 1997-04-14 1999-11-16 Hasson; Harrith M. Device for closing an opening in tissue and method of closing a tissue opening using the device
KR100786728B1 (en) * 2006-09-01 2007-12-17 정현국 Trocar
DE102008004131A1 (en) * 2008-01-11 2009-07-23 Olympus Winter & Ibe Gmbh Laparoscopic trocar sheath for e.g. surgical operation in human intraabdominal space, has shield sealably attached around sheath, and changed from very large distance to very small distance of outer edge of shield to sheath
WO2010082722A1 (en) * 2009-01-16 2010-07-22 (주)다림써지넷 Multi-channel trocar with an attachable/detachable sealing member
CN202843729U (en) * 2012-09-03 2013-04-03 郑春宁 Anti-dropping anti-pneumoderm laparoscopic puncturing device
CN104095672A (en) * 2013-04-15 2014-10-15 广州迪克医疗器械有限公司 Universal sealing ring and puncture device
US20150216514A1 (en) * 2013-09-17 2015-08-06 Gordian Surgical Ltd. Trocar and wound closure device
KR20160064678A (en) * 2014-11-28 2016-06-08 (주)지 메디 Trocar for laparoscope
CN206007294U (en) * 2016-07-06 2017-03-15 高宏 Sleeve pipe dilating sacculus stamp card
CN109938812A (en) * 2019-04-15 2019-06-28 王利明 One kind can closed fixable stamp card
CN209074809U (en) * 2018-07-10 2019-07-09 天津市儿童医院 The anti-gas-leak air bag of fixed laparoscope puncture casing
CN210130903U (en) * 2019-05-10 2020-03-10 河南省肿瘤医院 Puncture outfit special for laparoscopic surgery

Patent Citations (16)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5147316A (en) * 1990-11-19 1992-09-15 Castillenti Thomas A Laparoscopic trocar with self-locking port sleeve
CN1136965A (en) * 1995-05-26 1996-12-04 佐佐木宽 Puncture method and puncture system
US5853399A (en) * 1995-05-26 1998-12-29 Sasaki; Hiroshi Medical instruments and systems for puncturing an organ
US5951588A (en) * 1996-02-29 1999-09-14 Moenning; Stephen P. Apparatus and method for protecting a port site opening in the wall of a body cavity
US5984948A (en) * 1997-04-14 1999-11-16 Hasson; Harrith M. Device for closing an opening in tissue and method of closing a tissue opening using the device
KR100786728B1 (en) * 2006-09-01 2007-12-17 정현국 Trocar
DE102008004131A1 (en) * 2008-01-11 2009-07-23 Olympus Winter & Ibe Gmbh Laparoscopic trocar sheath for e.g. surgical operation in human intraabdominal space, has shield sealably attached around sheath, and changed from very large distance to very small distance of outer edge of shield to sheath
WO2010082722A1 (en) * 2009-01-16 2010-07-22 (주)다림써지넷 Multi-channel trocar with an attachable/detachable sealing member
CN202843729U (en) * 2012-09-03 2013-04-03 郑春宁 Anti-dropping anti-pneumoderm laparoscopic puncturing device
CN104095672A (en) * 2013-04-15 2014-10-15 广州迪克医疗器械有限公司 Universal sealing ring and puncture device
US20150216514A1 (en) * 2013-09-17 2015-08-06 Gordian Surgical Ltd. Trocar and wound closure device
KR20160064678A (en) * 2014-11-28 2016-06-08 (주)지 메디 Trocar for laparoscope
CN206007294U (en) * 2016-07-06 2017-03-15 高宏 Sleeve pipe dilating sacculus stamp card
CN209074809U (en) * 2018-07-10 2019-07-09 天津市儿童医院 The anti-gas-leak air bag of fixed laparoscope puncture casing
CN109938812A (en) * 2019-04-15 2019-06-28 王利明 One kind can closed fixable stamp card
CN210130903U (en) * 2019-05-10 2020-03-10 河南省肿瘤医院 Puncture outfit special for laparoscopic surgery

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN110772305A (en) * 2019-11-22 2020-02-11 温州医科大学附属第一医院 Puncture outfit for laparoscopic surgery

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