CN110464387A - Single port (glove port) laparoscopic surgery device - Google Patents

Single port (glove port) laparoscopic surgery device Download PDF

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Publication number
CN110464387A
CN110464387A CN201811596867.2A CN201811596867A CN110464387A CN 110464387 A CN110464387 A CN 110464387A CN 201811596867 A CN201811596867 A CN 201811596867A CN 110464387 A CN110464387 A CN 110464387A
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CN
China
Prior art keywords
tool
main body
fixed
port
apparatus main
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Granted
Application number
CN201811596867.2A
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Chinese (zh)
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CN110464387B (en
Inventor
成光模
周建柱
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Jimei Medical Co Ltd
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Jimei Medical Co Ltd
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Publication of CN110464387A publication Critical patent/CN110464387A/en
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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
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • 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
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3498—Valves therefor, e.g. flapper valves, slide valves
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES 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
    • A61M39/00—Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02—Access sites
    • A61M39/06—Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof
    • 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
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B2017/3419—Sealing means between cannula and body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3439—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable
    • A61B2017/3441—Cannulas with means for changing the inner diameter of the cannula, e.g. expandable with distal sealing means
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B2017/3445—Cannulas used as instrument channel for multiple instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3462—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals
    • A61B2017/3464—Trocars; Puncturing needles with means for changing the diameter or the orientation of the entrance port of the cannula, e.g. for use with different-sized instruments, reduction ports, adapter seals with means acting on inner surface of valve or seal for expanding or protecting, e.g. inner pivoting fingers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3482—Means for supporting the trocar against the body or retaining the trocar inside the body inside
    • A61B2017/3484—Anchoring means, e.g. spreading-out umbrella-like structure
    • A61B2017/3486—Balloon

Abstract

The present invention provides a kind of single port (glove port) laparoscopic surgery device, including apparatus main body, and multiple tool insertion sites on apparatus main body, tool is put by the position, for effectivelying prevent any discharge of gas；The tool insertion site includes managing entering for apparatus main body upper end protrusion certain length, in the enclosed construction that the upper end for entering pipe has control to enter pipe air-tight state；Enclosed construction include into pipe upper end lip shape valve and be mounted on the lip shape valve upper end, for prevent gas be discharged upper end cover board；Upper and lower side is fixed everywhere at the edge for entering pipe upper end, lip shape valve and upper end cover board, which extends certain altitude outward, and is formed in the interior thereof the buffer air bag with buffer strip.The present invention inserts a tool into position and is improved to be made of singlehanded running-on, can prevent the gas discharge accumulated in abdominal wall, while can reduce the collision generated around insertion site or noise (noise) generation.

Description

Single port (glove port) laparoscopic surgery device
Technical field
The present invention is single port (laparoscope) surgical glove mouthpart tool.Specifically, it will need to lure in operation or operation The portion structure for leading tool insertion improves the gas discharge that can prevent accumulating to be made of singlehanded running-on in abdominal wall, simultaneously The collision generated around insertion site can be reduced or noise (noise) generates.
Background technique
Under normal circumstances, abdominal cavity endoscopy surgery (or minimum corrode is performed the operation) has operation compared with traditional abdominal Being open, (notch) is smaller, and postoperation recovery wound is unobvious, and beautiful, surgical pain sense is light, and post-operative recovery is fast, length of patient stay Section, it is postoperative comparatively fast to restore the advantages of daily life.Use scope is wider, also starts to make in Partial tumors operation recently With.
When this laparoscope endoscopy surgery carries out, operation tool is imported using the conduit for throwing pipe needle is called, in patient's abdomen Portion's pinking is inserted into more than one conduit to patient's body, by conduit by various surgical instruments, such as pliers, pulls instrument, Internal organs extract object, conduit, and endoscope etc. is put into intraperitoneal operative site.In cholecystectomy, gall stone enucleation, ponding protrusion Into using in the various common surgical procedures such as resection.
But recently, accelerates post-operative recovery to reduce the scar that patients surgery postabdomen leaves, hardly led using above-mentioned Enter multiple conduits or cuts abdomen operation.Almost preventing from scar only carries out endoscopic surgery in one position opening of navel.In operation A hole is worn at human body navel position, and when patient in the future restores, wound healing will not leave naked eyes visible scar easily.By Postoperative wound is not easy as it can be seen that many people are ready to select this endoscopic surgery for wearing a hole at navel position recently.
Recently when carrying out endoscopic surgery, various surgical instruments are imported into operative site by single opening for safety, Surgical glove port is arranged at operation opening.
From the point of view of comparing previous surgical glove mouth product, Korean Patent 10-915882, the guidance of endoscopic surgery utensil Device, as shown in Figure 1 (being herein Korean Patent Fig. 1, and non-present invention Fig. 1), when endoscopic surgery, is disposed at navel position Incision devised in a side (102) for the main body (101) of the utensil more for the insertion for guiding various surgical instruments The lip shape valve (V1) of branch.In surgical instrument leader (100), designed in one of branch in above-mentioned position (102) The gas control valve (V2) that nitrogen entrance can be reduced can reduce the generation of abdomen flatulence.Above-mentioned operation tool leader (100) side is equipped with side slot outside the bottom surface of main body (101), becomes the springy attachment for being equipped in slot and can fitting closely surgical hole Ring (110).The external of attachment band (110) wraps up and is fitted in overlapping with inside on the outside of the axis direction of main body (101) part Position is provided with support ring (120), can be according to the difference of the thickness of abdominal wall when surgical instrument at abdominal incision by being inserted into To correspond to each other the main body (101) coincideing to support the utensil with attachment band (110).
But the binding force of previous surgical glove lip shape valve (V1) is weaker, will appear during surgery caducous Problem.
Meanwhile in addition, be subject to stomach wall and the support ring that is bonded up and down and adsorb ring control force and restraining force it is weaker, no The problem of being only easy to fall off in the course of surgery may be because of support ring during removing operation set after operation Drawing leads to patient injury.
Simultaneously because the external part of the waste extraction that generates during surgery is not separately provided out, waste is being taken from vivo When out, it may appear that extract object or tumor mass is again introduced into internal problem, even the part of very little is again introduced into human body, also can There is the security risk of secondary injury.
It is obtained according to comparison, pervious operation running-on there is a problem of various, therefore need researching and designing to go out in a hurry Novel surgical glove mouth.
Summary of the invention
To solve the above problems, the purpose of the present invention is to the gloves used in laparoscopic surgery or other surgical operations Surgical instrument insertion portion on mouth improves, and is designed into single hole glove port, can prevent when importing surgical instrument In the gas discharge of abdominal wall accumulation, while the noise (noise) that the collision generated around insertion site generates can be reduced.
The technical solution adopted by the present invention to solve the technical problems is:
The present invention provides a kind of single port (glove port) laparoscopic surgery device, including following each section: apparatus main body (10)；Multiple tool insertion sites (20) on apparatus main body (10), tool is put by the position, for effectivelying prevent Any discharge of gas；The tool insertion site (20) includes managing entering for apparatus main body (10) upper end protrusion certain length (210), the enclosed construction (220) for thering is control to enter pipe (210) air-tight state in the upper end of entrance pipe (210)；Enclosed construction It (220) include into the lip shape valve (222) for managing (210) upper end and being mounted on lip shape valve (222) upper end, for preventing gas from arranging Upper end cover board (224) out；It is solid everywhere at the edge for entering pipe (210) upper end, lip shape valve (222) and upper end cover board (224) Determine upper and lower side (2264) (2266), which extends certain altitude outward, and is formed in the interior thereof and has The buffer air bag (226) of buffer strip (2262).
As a further improvement of that present invention, on the tool insertion site (20), the upper and lower side of buffer air bag (226) (2264) (2266) are respectively fixed with upper and lower side fixed ring (228) (229).
As a further improvement of that present invention, the lower end of the upper end fixed ring (228) is equipped with the multiple solid of certain length Fixed protrusion (2282), and be equipped with (2292) and be located at the corresponding position of fixed lobe (2282) in above-mentioned fixed ring (229), it uses Stable crystallized ability is able to maintain when guarantee tool is in insertion.
As a further improvement of that present invention, the upper and lower side for entering the upper end, buffer air bag (226) of managing (210) (2264) between (2266), equipped with the fixed section (212) for outwardly protruding certain length, playing fixed function.
As a further improvement of that present invention, the center of the upper end cover board (224) is equipped with the entrance for tool disengaging Hole (2242), and have multiple raised (2244) of certain depth in upper end, it is used for when tool is passed in and out from manhole appendix (2242), it will Contact area reaches minimum, guarantees moving freely for tool.
As a further improvement of that present invention, buffer strip (2262) medial surface is equipped with multiple reinforcing ribs (2268), With the intensity and fast quick-recovery elastic force used in certain reinforcement, while for reinforcing buffering.
As a further improvement of that present invention, the upper end of the upper end cover board (224) is equipped with the slide plate of inducing tool disengaging (227), when for allowing tool to generate friction with upper end cover board (224) when entering, cover board will not be caused to be involved in together, simultaneously Guarantee tool passes in and out more freely.
As a further improvement of that present invention, which is to make when being performed the operation or performed the operation implementation by laparoscope Surgical glove mouth device, in the lower end of apparatus main body (10), design has had the abdominal wall fixed position of fixed function (30)；In abdominal wall fixed position (30) bottom, design has the 1st air for making device be fixed on internal abdominal wall side Bag (310), the Position Design between the 1st air bag (310) and apparatus main body (10) have the 2nd air bag for playing fixed function (320)。
As a further improvement of that present invention, the inside design of the 1st and the 2nd air bag (310) (320) is flexible Ring, the elastic ring are used to adjust the expansion and contraction of air bag, reinforce the fixed function of air bag.
As a further improvement of that present invention, the side design of the 1st and the 2nd air bag (310) (320) has the 1st and 2 Air bag is set to inject and be discharged gas by entering pipe by pump installation into pipe (312) (322).
As a further improvement of that present invention, in the side of apparatus main body (10), design has for patient's sufferer in performing the operation The extraction location (40) that the waste at place outwardly extracts, in the side of extraction location (40), design has opening (42), aperture (42) With a certain size, for make waste be easier to be drawn into it is external, the outside of opening (40) be equipped with extend out certain length, One end outwardly open extraction wing (44) has clip in one end design for extracting the wing (44), for facilitating in surgical procedure not It can guarantee the airtightness of device when extracting waste outward.
As a further improvement of that present invention, at the opening (42) design rectangularity, waste can be made more stable to External world's discharge.
As a further improvement of that present invention, the side design of described device main body (10) has gas to pass in and out position (50), For controlling the discharge and injection of gas in laparoscopic surgery, gas disengaging position (50) one end design has dismountable cigarette Cylindrical unit (12), cigarette cylindrical unit (12) are removably mounted on apparatus main body (10).
As a further improvement of that present invention, design has certain thickness reinforcing rib around the cigarette cylindrical unit (12) (14), playing reinforcement effect keeps device stronger, in order to make reinforcing rib (14) that can keep good air-tightness between device, prevents Only gas is arbitrarily discharged, and in one end of gas disengaging position (50), design has lower jaw portion (52).
A kind of single port (glove port) laparoscopic surgery device of the invention, it is generated beneficial to effect compared with prior art Fruit is:
Glove port device is used in laparoscopic surgery, the present invention improve to surgical instrument insertion site and set Meter imports surgical instrument by the device in the course of surgery, the air in abdominal wall can be prevented to be discharged using the present invention, and have The effect of noise for having the collision for preventing utensil insertion site and surrounding position and generating.
In addition, to enable glove port device to be more preferably fixed on abdominal wall, the present invention will synthetic resin structure in the prior art Abdominal wall fixed position improved, be designed to tool there are two air bag structure.It, can to the physical qualification of patient without limitation To play effective fixed function.When fixing and dismantle the device at operation opening will not all injury be generated to patient, it can be with Guarantee the safety used.
Meanwhile the present invention improves the discharger for extracting object, during laparoscopic surgery, utilizes the present invention Extraction object can be made safely to extract outward, make the progress of operation safety.
Detailed description of the invention
Attached drawing 1 is the glove port side view that the 1st implementation example is drawn according to the present invention.
Attached drawing 2 is the sectional view for the glove port that the 1st implementation example is drawn according to the present invention.
Attached drawing 3 is the decomposition side cross-sectional, view for the tool insertion site that the 1st implementation example is drawn according to the present invention.
Attached drawing 4a~4b is the compound section figure for the tool insertion site that the 1st implementation example is drawn according to the present invention.
Attached drawing 5 is the composition figure of abdominal wall fixed position on the 1st apparatus main body that draws of implementation example according to the present invention.
Attached drawing 6a~6f is the usage state diagram for the glove port device that the 1st implementation example is drawn according to the present invention.
Attached drawing 7 is the decomposition side cross-sectional, view for the tool insertion site that the 2nd implementation example is drawn according to the present invention.
Attached drawing 8 is the compound section figure for the tool insertion site that the 2nd implementation example is drawn according to the present invention.
Attached drawing 9 is the glove port device part enlarged side view that the 3rd implementation example is drawn according to the present invention.
Attached drawing 10 is the glove port part amplification sectional view that the 3rd implementation example is drawn according to the present invention.
Respectively label indicates in figure:
1, glove port device, 10, apparatus main body, 110, closure part, 120, prolongation, 130, insertion fixed part,
20, tool insertion site, 210, into pipe, 212, fixed section, the 214, the 1st insertion hole, 216, dented space, 22, Camera port, 220, enclosed construction, 222, lip shape valve, 224, upper end cover board, 2242, access aperture, 2244, protrusion, 2246, the 2 insertion holes, 226, buffer air bag, 2262, buffer strip, 2264, upper end, the 2265, the 3rd insertion hole, 2266, lower end, 2268, reinforcement Muscle, 228, upper end fixed ring, 2282, fixed lobe, 229, lower end fixed ring, the 2292, the 4th insertion hole,
30, abdominal wall fixed position, the 310, the 1st air bag, the 312, the 1st entrance pipe, the 320, the 2nd air bag, 322, second Into pipe, 324, elastic ring,
40, extraction location, 42, opening, 44, the extraction wing, 46, clip,
50, gas passes in and out position, 52, lower jaw portion.
Specific embodiment
1-10 with reference to the accompanying drawing makees in detailed below a kind of single port (glove port) laparoscopic surgery device of the invention Explanation.
1st implements example
As shown in Fig. 1 to Fig. 5, the 1st exemplary single hole surgical glove mouth device of implementation includes glove port apparatus main body 10, Tool insertion site 20, abdominal wall fixed position 30, extraction location 40 and gas pass in and out position 50.
Above-mentioned apparatus main body 10 is made of the tubular structure of one end closure, is broadly divided into three parts: i.e. by above-mentioned dress The closure part 110 of an end closure in main body 10 is set, external prolongation 120 is extended at closure part 110, and pass through hand It can guarantee that stablizing fixed insertion fixed part 130 in abdominal wall forms after the insertion of art mouth.
In this case, being equipped with tool insertion site 20 in above-mentioned closure part 110, above-mentioned prolongation 120 is equipped with Extraction location 40 is equipped with abdominal wall fixed position 30 on above-mentioned insertion fixed part 130.
In addition, above-mentioned apparatus main body 10 is made of harmless soft synthetic resin film.
In addition, closure part 110 and prolongation 120 and insertion fixed part 130 are carried out one by above-mentioned apparatus main body 10 The design of body formula, or after closure part 110 is fabricated separately, the upper end for being connected to prolongation 120 forms entirety.
Above-mentioned tool insertion site 20, be arranged in the closure part 110 of apparatus main body 10 it is multiple, during operation will operation Utensil is inserted into abdominal cavity, can prevent the air injected in abdominal cavity from arbitrarily discharging with enclosed construction.
As shown in Figure 3 and Figure 4, above-mentioned tool insertion site 20 includes entering pipe 210 and enclosed construction 220.
The above-mentioned side for being located at closure part 110 into pipe 210, one end are fixed, by the protrusion knot with certain length Structure is constituted, and ensured operation tool etc. enters space.
In this case, into the size of pipe 210, for example, the length of protrusion part, diameter, it is contemplated that the kind of operation Different length and diameters is made in class difference or the difference of tool kind, can also have various sizes inside a glove port 1 Enter pipe 210.
In addition, the above-mentioned upper end into pipe 210 extends certain length out outward, and design guaranteed and enclosed construction 220 Between the fixed section 212 that is connected and fixed.
Meanwhile can be more constant more firm between enclosed construction 220 to ensure, on above-mentioned fixed section 212, devise at least More than one 1st insertion hole 214.
Above-mentioned 1st insertion hole 214 is formed according to above-mentioned enclosed construction 220 and the connection relationship entered between pipe 210, It can be omitted according to above-mentioned enclosed construction 220 and the marriage relation for entering pipe 210.
Meanwhile in the above-mentioned upper part into pipe 210, i.e., inside design has certain depth below fixed section 212 The dented space 216 being sunken.
When enclosed construction 220 is fixed in the upper end for entering pipe 210, entering the outside of pipe 210, enclosed construction 220 Outside does not protrude outward to form space in the case where, above-mentioned dented space 216 can be omitted.
Meanwhile it is above-mentioned can be made of one into pipe 210 in the closure part 110 of manufacturing device main body 10, or individually It is combined together with into pipe 210 and closure part 110 again after production.
The above-mentioned design of enclosed construction 220 is put surgical instrument to patient by entering pipe 210 in the upper end for entering pipe 210 It is intraperitoneal when being performed the operation, the gas of injection can be prevented arbitrarily to be discharged, sealing ability is provided.
As shown in Figure 3,4, above-mentioned enclosed construction 220 include lip shape valve 222, upper end cover board 224, buffer air bag 226, on End, lower end fixed ring 228,229.
Above-mentioned lip shape valve 222 forms the frame of certain amplitude in upper end, forms the inclined center portion centered on lower section, Though upper center portion has the incision state of certain length, according to from body elasticity, cut out portion maintenance fits closely state, even if By above-mentioned center portion entering tool, can also be made by the elasticity maintenance and the closely coupled state of tool extension of itself Gas discharge minimizes.
In addition, 212 upper end of fixed section of apparatus main body 10 is arranged in the frame of above-mentioned lip shape valve 222, with upper and lower fixed ring 228,229 is fixed, in the corresponding position setting insertion hole in the 1st insertion hole 214 of fixed section 212.
It is to be appreciated that above-mentioned lip shape valve 222 is the common technique in glove port device, it is not described in detail here.
The upper end of lip shape valve 222 is arranged in above-mentioned upper end cover board 224, and can play when tool insertion will be discharged gas The minimized closed effect of body.
Access aperture 2242 is devised on above-mentioned upper end cover board 224, tool is facilitated to be inserted into from center.
Above-mentioned access aperture 2242, it is unified or slightly smaller with the diameter of tool.When above-mentioned tool is inserted into, guarantee the extension of tool Close contact, enhances sealability, and the size of access aperture 2242 should ensure that tool will not interfere hand when being inserted and removed from The progress of art.
Simultaneously above-mentioned upper end cover board 224 upper end face, provided with certain depth multiple raised 2244.Protrusion 2244 When tool can be made to be inserted by access aperture 2242, guarantees that contact area is minimum, guarantee freely to enter, it according to circumstances can be with It omits.
In addition, the corresponding position that fixed section 212 and the 1st is inserted into hole 2242 is set in the extension of above-mentioned upper end cover board 224 Set the second insertion hole 2246.
Above-mentioned 2nd insertion hole 2246 can be omitted according to the fixing situation difference of upper and lower end fixed ring 228,229.
In addition, above-mentioned upper end cover board 224 is designed to plate, it is also not limited to plate, positioned at the upper of above-mentioned lip shape valve 222 End, it is ensured that tool can reduce gas discharge in insertion as far as possible, guarantee that the tool of various shape and structure uses.
The outermost of tool insertion site 20 is arranged in above-mentioned buffer air bag 226, can will be with 20 phase of tool insertion site The noise generated when mutual contact-impact is preferably minimized, prevented also from moving the position of tool insertion site 20 arbitrarily It is dynamic, there is buffer function.
In the inside of above-mentioned buffer air bag 226, there is the buffer strip 2262 with a certain size that can produce certain space, In inside one end of buffer strip 2262, there is the upper and lower side 2264,2266 with certain length protruded inwardly.
Above-mentioned buffer strip 2262 forms certain space in inside, forms certain buffer area.Buffer strip 2262 is by having The material of natural resiliency forms, and there is no need to the complicated processes such as in addition inflate, can voluntarily form cushion space.
In addition, being clashed with adjacent tool insertion site 20 or the feelings of tools direct collision to reduce to the greatest extent Condition, buffer strip 2262 have certain height, i.e. the design of buffer strip 2262 is at away from 224 certain altitude of upper end cover board.
In addition, more than one reinforcing rib 2268 is at least arranged in the inside of above-mentioned buffer strip 2262 in order to reinforce intensity.
Above-mentioned reinforcing rib 2268 can reinforce the intensity of buffer strip 2262, when being tool 20 contact-impact of insertion site, Can fast quick-recovery elasticity, while reducing tearing equivalent damage to the greatest extent.
Above-mentioned upper and lower end 2264,2266 forms the protrusion of certain length in buffer strip interior side, solid by upper end, lower end It is fixed to determine ring 228,229, meanwhile, the 3rd insertion hole 2265 is set on upper and lower end 2264,2266.
Between the above-mentioned upper and lower end 2264,2266, extension and upper end cover board 224 of the fixed section 212 in lip shape valve 222 Outer end, in upper and lower side each section setting upper and lower end fixed ring 228,229 with guarantee can be stable fixation.
Above-mentioned top and bottom fixed ring 228,229 is by be combineding with each other, into the closing of the upper part of pipe 210 setting The more stable combination of 220 energy of structure.
In addition, above-mentioned buffer air bag 226 is as shown in Figure 4 b, lower end fixed ring 229 is placed in the lower section of buffer air bag 226, tool There is certain thickness buffer air bag 226 that can reduce the generation of noise when colliding with the tool insertion site 20 closed on, And reduce interference.Fixed ring can ensure the intensity of buffer air bag 226, but position is also not certain as shown in Figure 4, can also be with The lower half of buffer air bag 226 is set to same thickness.
Above-mentioned upper end fixed ring 228 is cyclic structure, and multiple fixations of certain altitude are arranged at its bottom surface certain intervals Protrusion 2282.
Above-mentioned lower end fixed ring 229 is cyclic structure, is arranged in the corresponding site of above-mentioned fixed lobe 2282, and designs the 4 insertion holes 2292 guarantee to play certain fixed function when fixed lobe 2282 is in insertion.
Above-mentioned fixed lobe 2282 and the 1st to the 4th is inserted into hole 214,2246,2265,2292 and is all disposed within same position, Realize good be combined with each other and crystallized ability.
Meanwhile the 4th insertion hole 2292 of the fixed lobe 2282 and lower end fixed ring 229 of above-mentioned upper end fixed ring 228 Constituent relation can be replaced mutually.
As depicted in figs. 1 and 2, one of above-mentioned multiple tool insertion sites 20 are more than other tool insertion sites 20 It is long, and it is provided with camera port 22, camera can be allowed to enter abdominal cavity.
Abdominal wall fixed position 30 is arranged on the insertion fixed part 130 of apparatus main body 10.Pass through apparatus main body 10 Stable stationary state can be kept when operation mouth insertion.
As shown in figure 5, above-mentioned abdominal wall fixed position 30 by be located at apparatus main body 10 the 1st air bag 310 of the lowermost, It is constituted with the 2nd air bag 320 of 310 certain intervals of the 1st air bag of distance.2nd air bag 320 is located in the abdominal wall of patient Side, the position according to the 1st air bag 310 of outside are fixed, and apparatus main body 10 can be allowed to exist full of air inside the 1st and the 2nd air bag Good stationary state is maintained in abdominal wall.
It can be inflated from outside into the above-mentioned 1st, the 2nd air bag 310,320 to ensure, be respectively provided with the 1st and the 2nd in one side Into pipe 312,322.
In the case, it can be obtained well to guarantee to pass through the 1st and the 2nd into the air of pipe 312,322 inlet and outlets Control, its tail end be equipped with valve.The valve to from the 1st, the 2nd enter 312,322 pairs of pipe no matter the air of inlet and outlet There is good control action.
Air is injected in addition, can also manually or automatically pump and enter pipe 312,322 to the 1st and the 2nd, which has used often The technical principle seen, not described in detail herein.
In the case, it the above-mentioned 2nd can not only be infused into pipe 322 into the 2nd air bag 320 being located inside abdominal wall Enter air, the left and right of handle can also be played after operation when taking down the 2nd air bag 320.
It is equipped with flexible elastic ring 324 in the inside of above-mentioned 2nd air bag 320, it is empty which is located at the 2nd The inside of airbag 320, when the 2nd air bag 320 is put into inside abdominal cavity of patients, the elastic force for relying on elastic ring 324 can make the 2nd sky Airbag 320 is expanded in abdominal wall in abdominal cavity, maintains good stationary state.
Above-mentioned extraction location 40 is located on the prolongation 120 of apparatus main body 10, and generation in surgical procedure can be made to pacify Full extraction is external, prevents from extracting the generation that object causes patient secondary injury.
Above-mentioned extraction location 40 includes forming a certain size opening 42 in the side of apparatus main body 10, in the opening 42 Periphery is equipped with the extraction wing 44 of certain length extended away, and extracts the composition of clip 46 of 44 side of the wing.
The opening 42 is located at the side of apparatus main body 10, can provide access for the waste being discharged in surgical procedure, more preferably Extracted to external.The extraction that object can be stable is collected in the size guarantee of opening 42.
In addition, the opening 42 can be ellipse, right angled triangle and square.It can be easier to take out to guarantee to extract object Out, to the shape of opening, there is no limit.
The above-mentioned extraction wing 44 is located at the outer rim of opening, has certain length, can when extraction object does not extract outward Sealing state is kept, prevents gas from arbitrarily discharging from opening 42.
Meanwhile one end of the above-mentioned extraction wing 44 is in that extraneous open state can be extracted object by the opening 42 and is easier It discharges.
It after the above-mentioned extraction wing 44 is fabricated separately, is attached thereto in the side of apparatus main body 10, or fixed, it can also be direct It is made of one with apparatus main body 10.
The above-mentioned control of clip 46 can prevent gas by 42 places of opening to discharge outward in the side for extracting the wing 44.
Above-mentioned opening 42 goes up vertically and shines as shown in Fig. 2, on the basis of the camera port 22 in tool insertion site 20 On the basis of the center line of camera port 22, it is arranged on apparatus main body 10, operator can will be taken a picture by camera port 22 Machine is put into, by camera determine extract object, when extract object be easier to from 42 openings be discharged.
In the case, above-mentioned opening 42 is located at the front of camera port 22, between the lower section of the upper end of apparatus main body 10 At 40~80mm.
As shown in Figure 1, more than one is arranged on apparatus main body 10 in above-mentioned gas disengaging position, dress can be passed the gas through Setting main body 10, preferably injection can be discharged, to carry out laparoscopic surgery.
In the case, above-mentioned gas disengaging position 50 is divided to for two parts of gas inlet and outlet, but be not it is certain, The inlet and outlet of gas can also be allowed all to pass in and out position 50 by gas while carrying out.
Meanwhile above-mentioned gas disengaging position 50 can make integrally with apparatus main body 10, install after can also being fabricated separately Completely.
In addition, above-mentioned gas disengaging position 50 composition to it is as before or similar, detailed description is omitted, if structure At that smoothly can inject and be vented, any structure or shape can be used.
As described above, to the use state of operation glove port, referring to 6a to 6f,
Firstly, the abdominal wall fixed position 30 of 130 side of insertion fixed part of apparatus main body 10 is put into operation mouth.
In the case, as shown in Figure 6 a, after the lower section abdominal wall fixed position 30 of apparatus main body 10 installs, such as scheme Shown in 6b, the lower end for being inserted into fixed part 130 is raised outward, the 1st air bag of above-mentioned abdominal wall fixed position 30 is put In top, the 2nd air bag is placed in lower part, and tool is made to stablize setting.
At this moment, the 1st and the 2nd on the 1st and the 2nd air bag 310,320 is placed in upper outside into pipe 312,322.
Next, as fig. 6 c, it will be put into operation mouth after the 2nd air bag 320 recess for being located at lower part, after putting well, Inwardly being inflated using the own resilient of the elastic ring 324 inside the 2nd air bag 320 makes its expansion.
Next, as shown in fig 6d, the 2nd air bag 320 of the expansion state inside abdominal cavity of patients is by the 1st air bag 310, which turn up, is put in outside abdominal wall.
Next, enter pipe 312,322 to injecting air inside the 1st and the 2nd air bag 312,320 by the 1st and the 2nd, It after air bag bulges, is put at the abdominal wall of patient, relying on expanded air bag can make apparatus main body 10 be in stabilization Stationary state.
In addition, if with the 1st and second air bag 310,320 come fixer body 10, although according to the body of patient Condition is different, and thickness of abdominal wall is different, and the air bag of expansion can play buffer function, and the stomach wall of patient will not think there is beam It ties up, injury will not be generated, be kept fixed state.
Next, as shown in fig 6e, it, can be by device master after operation running-on 1 is set on the stomach wall of patient Operation tool is inserted by the upper tool insertion site 20 of body 10, is performed the operation.
Above-mentioned tool can reach patient's interior abdominal wall by the upper end cover board 224 and lip shape valve 222 of tool insertion site 20.
At this point, tool from the access aperture 2242 of upper end cover board 224 enter, access aperture 2242 it is smaller than the diameter of tool or it is poor not Much small certifiable tools and outer circumference are with friction, or rely on the natural resiliency maintenance tool of lip shape valve 222 and rubbing for outer rim Wiping state will not cause air arbitrarily to discharge from tool insertion site tool is mobile.
Meanwhile it is above-mentioned to generate certain buffer function in tool insertion site 20, there is buffer strip 2262 in interior design Buffer air bag 226, the noise generated when tool insertion site 20 and surrounding collision rub, and the generation of interference can be prevented.
Simultaneously as shown in 6f, generated at patient when taking the waste to be extracted, it is available in apparatus main body 10 1 The opening 42 of side discharges.
Will outside opening 42 collecting with certain length can will be extracted after the fixed clip 46 in 44 side of the wing is removed object to Outer discharge.
After completing operation through the above steps, it can will be located at the 1st and the 2nd of abdominal wall fixed position 30 and enter on pipe Valve open, allow gas by be connected with the 1st and 2 air bags the 1st and the 2nd entrance pipe discharge.
Then, fixed force is lost using the 1st and the 2nd air bag of air fixation, grasp apparatus main body 10 can incite somebody to action easily Abdominal wall fixed position 30 is unloaded from abdominal cavity wall site.
The step of being omitted in explanation to intraperitoneal injection air, is injected with previous mode, can pass through gas The step for disengaging position 50 is inwardly inflated or is vented outwards, and can also be completed with other tools.
2nd implements example
Structure identical with the 1st implementation example, uses identical label, omits the detailed description to this.
As shown in Figure 7 and Figure 8, the 2nd implements in example, and upper end cover board 224 is arranged in above-mentioned 20 upper end of tool insertion site, By upper end cover board 224, friction when reducing tool disengaging devises induction work to make tool more freely enter and take out Has the slide plate 227 of disengaging.
The slide plate 227 be combined with each other power by between upper end, lower end fixed ring 228,229 to fix, and fixes to ensure Ability provides the induction wing 2272 of certain length in the extended portion of fixed section 212.
As shown in figure 8, design is in upward end casing 224 when the above-mentioned induction wing 2272 is mounted on the upper end of upper end cover board 224 The shape of inclined downward, it is ensured that tool is inserted into freely freely.
The above-mentioned induction wing 2272 is multi-disc, and the multi-disc induction wing 2272 is in incision state and keeps certain interval, is located at The upper end of upper end cover board 224, it is in overlapped state that multi-disc, which induces the wing 2272, prevents tool insertion Shi Yinxiang rubs mutually from causing Upper end cover board 224 is involved in.
Meanwhile above-mentioned slide plate 227 is constituted with the material slimmer and more graceful than upper end cover board 224, for example the materials such as PP, PE are made.
3rd implements example
Implement exemplary identical structure with the 1st and the 2nd, using identical label, and omits the detailed description to this.
As shown in Figures 9 and 10, the 3rd implements the side detachable structure that exemplary gas disengaging position 50 is apparatus main body 10.
The cigarette cylindrical unit 12 that can be attached thereto is designed in gas disengaging 50 one end of position of the side of the apparatus main body 10, Certain thickness is arranged around cigarette cylindrical unit 12 can ensure that the disassembly at gas disengaging position 50 can carry out freely and enhance steady Determine the reinforcing rib 14 of intensity.
To keep the above-mentioned cigarette cylindrical unit 12 of 50 one end of gas inlet and outlet part detachable, freely the combination of finishing device and Separation, devises lower jaw portion 52.
The lower jaw portion 52 designs at 10 cigarette cylindrical unit of apparatus main body, 12 surrounding certain intervals, devises reinforcing rib 14, It ensure that stable Frotteurism in certain thickness interval, certain size and interval guarantee airtight conditions.
In addition, lower jaw part 52 is made of the soft material with retractility, after being inserted into above-mentioned cigarette tubular construction 12, can maintain With the airtight conditions between reinforcing rib 14, the gas of injection is prevented arbitrarily to be discharged.
Above simply to illustrate that with one embodiment of gloves port when implementing operation, on which is not limited in State examples of implementation.Belonging in the field of the invention, with the field common sense it will be understood that not departing from main idea of the present invention, It can carry out the change and trial of multiplicity.

Claims (10)

  1. Single port 1. (glove port) laparoscopic surgery device, which is characterized in that including following each section: apparatus main body (10), position In multiple tool insertion sites (20) on apparatus main body (10), tool is put by the position, for effectivelying prevent gas Any discharge；The tool insertion site (20) includes entering for apparatus main body (10) upper end protrusion certain length managing (210), at this The enclosed construction (220) for thering is control to enter pipe (210) air-tight state into the upper end of pipe (210)；Enclosed construction (220) include into Enter the lip shape valve (222) of pipe (210) upper end and is mounted on lip shape valve (222) upper end, the upper end cover for preventing gas to be discharged Plate (224)；Upper and lower side is fixed everywhere at the edge for entering pipe (210) upper end, lip shape valve (222) and upper end cover board (224) (2264) (2266), which extends certain altitude outward, and is formed in the interior thereof with buffer strip (2262) buffer air bag (226).
  2. 2. single port (glove port) laparoscopic surgery device according to claim 1, which is characterized in that the tool insertion On position (20), the upper and lower side (2264) (2266) of buffer air bag (226) be respectively fixed with upper and lower side fixed ring (228) (229).
  3. 3. single port (glove port) laparoscopic surgery device according to claim 2, which is characterized in that the upper end is fixed The lower end of ring (228) is equipped with multiple fixed lobes (2282) of certain length, and is equipped with (2292) and is located at above-mentioned fixed ring (229) On the corresponding position of fixed lobe (2282), for guarantee tool insertion when be able to maintain stable crystallized ability.
  4. 4. single port (glove port) laparoscopic surgery device according to claim 1,2 or 3, which is characterized in that it is described into Enter between the upper end of pipe (210), the upper and lower side (2264) (2266) of buffer air bag (226), equipped with outwardly protrude certain length, rise The fixed section (212) of fixed function.
  5. 5. single port (glove port) laparoscopic surgery device according to claim 1,2 or 3, which is characterized in that on described The center of end casing (224) is equipped with the access aperture (2242) for tool disengaging, and has multiple protrusions of certain depth in upper end (2244), for contact area being reached minimum, guarantees the shifting freely of tool when tool being passed in and out from manhole appendix (2242) It is dynamic.
  6. 6. single port (glove port) laparoscopic surgery device according to claim 1,2 or 3, which is characterized in that on described The upper end of end casing (224) is equipped with the slide plate (227) of inducing tool disengaging, for allowing tool when entering and upper end cover board (224) when generating friction, cover board will not be caused to be involved in together, while guaranteeing that tool passes in and out more freely.
  7. 7. single port (glove port) laparoscopic surgery device according to claim 1,2 or 3, which is characterized in that the operation Device is the surgical glove mouth device used when implementing of being performed the operation or performed the operation by laparoscope, in apparatus main body (10) Design the abdominal wall fixed position (30) for having had fixed function in lower end；It is designed in abdominal wall fixed position (30) bottom useful In the 1st air bag (310) for making device be fixed on internal abdominal wall side, between the 1st air bag (310) and apparatus main body (10) Position Design have play fixed function the 2nd air bag (320).
  8. 8. single port (glove port) laparoscopic surgery device according to claim 1,2 or 3, which is characterized in that in device The side design of main body (10) has the extraction location (40) for outwardly extracting the waste in disease affected part in operation, is taking out Taking the side at position (40) to design has opening (42), and aperture (42) has a certain size, for making waste be easier to be drawn into body Outside, it is equipped in the outside of opening (40) and extends certain length, one end outwardly open extractions wing (44) out, in the extraction wing (44) one end design has clip, can guarantee the airtightness of device when not extracting waste in surgical procedure outward for facilitating.
  9. 9. single port (glove port) laparoscopic surgery device according to claim 1,2 or 3, which is characterized in that the dress The side design for setting main body (10) has gas to pass in and out position (50), for controlling discharge and the note of gas in laparoscopic surgery Enter, gas disengaging position (50) one end design has dismountable cigarette cylindrical unit (12), and cigarette cylindrical unit (12) is detachably pacified On apparatus main body (10).
  10. 10. single port (glove port) laparoscopic surgery device according to claim 9, which is characterized in that the chimney shape Design has certain thickness reinforcing rib (14) around device (12), and playing reinforcement effect keeps device stronger, in order to make to reinforce Muscle (14) can keep good air-tightness between device, and gas is prevented arbitrarily to be discharged, the one of gas disengaging position (50) End design has lower jaw portion (52).
CN201811596867.2A 2018-05-09 2018-12-26 Glove port laparoscopic surgery device Active CN110464387B (en)

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