A kind of Wound protection device of the usefulness of performing the operation
Technical field
This utility model relates to a kind of Wound protection device of the usefulness of performing the operation, and when particularly fingering row opening type is performed the operation, is used for isolating a kind of Wound protection device of patient's wound and casing bit, receives the infection or the injury of casing bit to avoid patient's wound.
Background technology
When carrying out the opening type operation, need the casing bit or the utensil of other operation usefulness are passed patient's wound; Can undergo surgery, and because casing bit or related surgical utensil are metallic article mostly, so when operation is carried out; Be easy to the tissue of wound is damaged, or cause bacterial infection and then derive other complication, therefore; No matter be that the carrying out of operation all need be born very large risk for the patient or the doctor of operation execution.
For this reason, develop and existing Wound protection device (woundretractor), see also Fig. 1; Sketch map for the existing Wound protection device that uses on the abdominal operation opening; Wherein, an existing Wound protection device P10 includes one first annulus P11, a thin film passage P12 and one second annulus P13, wherein; This thin film passage P12 has elasticity and transparent, and its two ends connect this first annulus P11 of same rubber-like and this second annulus P13 respectively; Because the first annulus P11 and the second annulus P13 have elasticity, thus rollable thin film passage P12 to adjust length, generally speaking, than the overweight people, thin film passage P12 length is longer, opposite, the fine person of build, thin film passage P12 length is shorter.
During use, push the second annulus P13 and make its distortion, fill in patient's wound and get in the abdominal part, then, the second annulus P13 can flick and recover shape originally, because the diameter of the second annulus P13 is greater than wound, so can avoid being drawn out of in the operation; Then, again with a casing bit or the utensil (not shown) of operation usefulness inserts thin film passage P12 to undergo surgery.
Wherein, existing Wound protection device has following shortcoming:
(1) diarrhea due to stagnation of QI be prone to take place: because after the casing bit or the utensil of operation usefulness insert the thin film passage in the operation; Not constraint to each other; Therefore and form at least one slit between first annulus; And diarrhea due to stagnation of QI takes place can cause performing the operation the time in this slit, and causes the instability of patient's body internal pressure, and jeopardizes patient's safety.
(2) casing bit or the utensil of operation usefulness is prone to slip into the abdominal cavity: casing bit or the utensil of operation usefulness does not have and is fixed on wound; Be the utensil that armrest art personnel hold operation usefulness fully; Therefore, surgical staff is if there is mishap slightly, and the utensil of operation usefulness will slip into the patient abdominal cavity; And possibly hurt organ, and jeopardize patient's safety.
Therefore,, all have shortcoming,, design the Wound protection device of a kind of usefulness of performing the operation of this utility model finally so the designer of this utility model does one's utmost design with not enough because above-mentioned being somebody's turn to do has the Wound protection device now.
The utility model content
First purpose of this utility model is to provide a kind of Wound protection device of the usefulness of performing the operation, is strapped in closely with casing bit, thereby the diarrhea due to stagnation of QI that takes place in can avoiding performing the operation.
Second purpose of this utility model is to provide a kind of Wound protection device of the usefulness of performing the operation, and must adjust according to the difference of casing bit width, to be fixed on the casing bit, so can avoid casing bit directly to slip into the patient abdominal cavity.
In order to reach the purpose of this utility model, this utility model designer designs a kind of Wound protection device of the usefulness of performing the operation, comprising having: a tubulose protective sleeve, process by a flexible material, and be formed with one first opening and one second opening at corresponding two ends; One retainer ring has elasticity and deformable, connects and struts this first opening, makes first opening be able to keep an annular; One adjustment ring is arranged in this second opening, makes second opening be able to keep an annular, and the bore of collapsible second opening.
Wherein, The action that this retainer ring can turn down, the inner face of feasible retainer ring originally becomes the outside of retainer ring after the action that turns down; Simultaneously; Retainer ring can drive the action that this tubulose protective sleeve turns down, and with the length of adjustment tubulose protective sleeve, and shortens the distance between first opening and second opening.
Wherein, after this working length adjustment was accomplished, the bore that this adjusts ring contraction second opening made the second split ring bundle on this casing bit.
Compared with prior art, the beneficial effect of this utility model is:
(1) avoids diarrhea due to stagnation of QI takes place in the operation: after casing bit is accomplished the location; The adjustment ring shrinks the bore of second opening; Make second opening be able to be strapped on the casing bit closely, so do not have finedraw between the casing bit and second opening, the Intraabdominal gas of patient can not leak into the outside; Pressure is able to stable maintenance, ensures the safety of corrective surgery.
(2) casing bit directly slips into the patient abdominal cavity: second opening is able to be strapped in closely on the casing bit, and is same, also can directly be strapped in operation closely with on the utensil; So; Can avoid the application of force in the operation, cause casing bit or operation to use the utensil displacement, and slip in the abdominal cavity.
Description of drawings
Fig. 1 is the sketch map of the existing Wound protection device that uses on the abdominal operation opening;
Fig. 2 A is a kind of axonometric chart of Wound protection device of the usefulness of performing the operation of first embodiment of this utility model;
Fig. 2 B is a kind of profile of Wound protection device of the usefulness of performing the operation of first embodiment of this utility model;
Fig. 3 is arranged in the profile of wound for the Wound protection device of a kind of usefulness of performing the operation of this utility model;
Fig. 4 is arranged in the profile of the Wound protection device of operation usefulness for casing bit;
Fig. 5 is arranged in the side view of the Wound protection device of operation usefulness for casing bit;
Fig. 6 A is a view on first embodiment of adjustment ring of this utility model;
Fig. 6 B is the side view of first embodiment of the adjustment ring of this utility model;
Fig. 7 A is first kind of sketch map that wears mode of first embodiment of this utility model;
Fig. 7 B is second kind of sketch map that wears mode of first embodiment of this utility model;
Fig. 7 C is first kind of sketch map that wears mode of second embodiment of this utility model;
Fig. 7 D is second kind of sketch map that wears mode of second embodiment of this utility model; And
Fig. 8 is the axonometric chart of second embodiment of the adjustment ring of this utility model.
[main element symbol description]
P10: existing Wound protection device;
P11: first annulus;
P12: thin film passage;
P13: second annulus;
100: the Wound protection device of operation usefulness;
110: the tubulose protective sleeve;
111: the first openings;
112: the second openings;
113A: perforation;
113B: accommodation space;
120: retainer ring;
130A, 130B: adjustment ring;
131A: buckling groove;
132A: buckling parts;
133A: the first adjustment button;
131B: elastica body;
132B: buckling piece;
133B: the second adjustment button;
200: casing bit;
210: the first;
220: the second;
230: the surgical instrument passage;
240: surgical instrument penetrates cambered surface;
300: patient's wound;
310: the abdominal cavity;
320: patient's epidermis;
400: utensil is used in operation;
410: operation actuating station.
The specific embodiment
Wound protection device for a kind of usefulness of performing the operation that can more clearly describe this utility model and proposed below will cooperate diagram, elaborate the preferred embodiment of this utility model.
At first; Introduce the main element of this utility model earlier; Please consult Fig. 2 A and Fig. 2 B earlier, be respectively the axonometric chart of Wound protection device of a kind of usefulness of performing the operation of this utility model first embodiment, and the profile of the Wound protection device of a kind of usefulness of performing the operation of first embodiment of this utility model; Wherein, The Wound protection device 100 (woundretractor) of a kind of usefulness of performing the operation of this utility model first embodiment includes: a tubulose protective sleeve 110, and process by a flexible material, and be formed with one first opening 111 and one second opening 112 at corresponding two ends; One retainer ring 120 has elasticity and can suitably being out of shape, and connects and struts this first opening 111, makes first opening 111 be able to keep an annular; One adjustment ring 130A is arranged in this second opening 112, makes second opening 112 be able to keep an annular, and the bore of contraction second opening 112 that can be suitable.
See also Fig. 3, for the Wound protection device of a kind of usefulness of performing the operation of this utility model is arranged in the profile of wound, before operation is carried out; Adjust earlier the length of this tubulose protective sleeve 110 according to the fat or thin of patient's stature and operation demand, wherein, the action that this retainer ring 120 can turn down; The inner face of feasible retainer ring 120 originally is after the action that turns down; Become the outside of retainer ring 120, simultaneously, retainer ring 120 can drive the action that this tubulose protective sleeve 110 turns down; With the length of adjustment tubulose protective sleeve 110, and shorten the distance between first opening 111 and second opening 112; After adjusting the length of tubulose protective sleeve 110, push retainer ring 120, make retainer ring 120 distortion; From patient's wound 300, fill in the abdominal cavity 310 again, after this retainer ring 120 is filled in abdominal cavity 310; Retainer ring 120 just recovers the shape before the distortion, and can be stuck in patient's epidermis 320 times, at this moment; This adjustment ring 130A does not shrink as yet, so the bore of second opening 112 is maximum.
Next, see also Fig. 4, be arranged in the profile of the Wound protection device of operation usefulness for casing bit; One casing bit 200 has one first 210 and 1 second 220, and gets into from second opening 112, passes through tubulose protective sleeve 110; Pass from first opening 111; Wherein, this second 220 in abdominal cavity 310, penetrate cambered surface 240 and on this first 210, be formed with an operation utensil that connects a plurality of surgical instrument passages 230; Can see in the drawings, across tubulose protective sleeve 110, avoid the tissue of 200 pairs of patient's wounds 300 of casing bit to damage between this casing bit 200 and the patient's wound 300.
See also Fig. 5, for casing bit is arranged in the side view of Wound protection device of operation usefulness, after casing bit 200 is accomplished the location; Adjustment ring 130A shrinks the bore of second opening 112; Make second opening 112 be able to be strapped in closely on the casing bit 200, then, an operation penetrates from first 210 with utensil 400; Pass from second 220 again, an operation actuating station 410 can be undergone surgery in abdominal cavity 310.Shown in Fig. 5 is in the situation that casing bit 200 is arranged; It should be noted that; This utility model is not limited thereto, and as not using casing bit 200 because of the operation demand, directly uses operation with utensil 400; The adjustment ring 130A of this utility model also can do contraction with the difference of utensil 400 width according to operation, and the same can being strapped in closely performed the operation with on the utensil 400.
For the constraint mode of this utility model is described, below just introduce first embodiment of this utility model adjustment ring, see also Fig. 6 A and Fig. 6 B; Be respectively the top view of first embodiment of the adjustment ring of this utility model, and the side view of first embodiment of the adjustment ring of this utility model, wherein; On this adjustment ring 130A, be formed with a plurality of buckling groove 131A, and form a buckling parts 132A, and the end of this buckling parts 132A can pass through buckling parts 132A relatively in the one of which end; Buckling parts 132A and at least one buckling groove 131A are fastened; Form an annular, and, change the size of this annular bore through the combining of buckling parts 132A and buckling groove 131A.In addition, adjustment ring 130A also has one first adjustment button 133A, is used to control the fastening of buckling parts 132A; During operation; Push this first adjustment button 133A earlier, the end of this buckling parts 132A can expeditely pass through buckling parts 132A relatively, after waiting to be contracted to the size of predetermined bore; Loosen the first adjustment button 133A again, make buckling parts 132A and buckling groove 131A stably fastening.
The designer provides two kinds of adjustment to encircle the embodiment that 130A is arranged in tubulose protective sleeve 110, sees also Fig. 7 A and Fig. 7 B, is respectively first kind of sketch map that wears mode of first embodiment of this utility model; And second kind of sketch map that wears mode of first embodiment of this utility model; Wherein, first kind wears mode, shown in Fig. 7 A; End at this tubulose protective sleeve 110 is formed with a plurality of perforation 113A; This end lets this adjustment ring 130A can wear this each perforation 113A corresponding to this second opening 112, makes second opening 112 be able to keep an annular.First kind of advantage that wears mode is that when adjustment ring 130A shrank, tubulose protective sleeve 110 can average shrinkage.
And second kind wear mode, shown in Fig. 7 B, with an end of this tubulose protective sleeve 110 toward turning up; This end is corresponding to this second opening 112; And form a cyclic accommodation space 113B, and this adjustment ring 130A can be arranged in wherein, make second opening 112 be able to keep an annular.Second kind of advantage that wears mode is not cracky of tubulose protective sleeve 110, and adjustment ring 130A wears easily.
At last, the designer also provides second embodiment of adjustment ring, sees also Fig. 8; The axonometric chart of second embodiment of this utility model adjustment ring, wherein, this adjustment ring 130B has an elastica body 131B and a buckling piece 132B; This buckling piece 132B can be passed through in the two ends of this elastica body 131B, and is fixed by buckling piece 132B, to form an annular; The two ends of passing through adjustment elastica body 131B are again changed the size of this annular bore by the position that buckling piece 132B fastens.In addition; Adjustment ring 130B also has one second adjustment button 133B, is used to control the fastening of buckling piece 132B, during operation; Push this second adjustment button 133B; After the two ends of elastica body 131B can expeditely be passed through buckling piece 132B and wait to be contracted to the size of predetermined bore, loosen the second adjustment button 133B again, make the two ends that buckling piece 132B can stably fastening elastica body 131B.
Two kinds of equally can be applicable to this utility model and provided of second embodiment of this utility model wear mode, see also Fig. 7 C and Fig. 7 D, are respectively first kind of sketch map that wears mode of second embodiment of this utility model; And second kind of sketch map that wears mode of second embodiment of this utility model, wherein, as shown in the figure; Second embodiment of this utility model is applied to two kinds and wears mode; Identical with first embodiment, first kind of mode that wears equally has a plurality of perforation 113A and supplies adjustment ring 130B to wear, and second kind of mode that wears also has an accommodation space 113B with before the same; Supply adjustment ring 130B to wear, it is used fully and can adjust according to demand.
Above embodiment is merely the exemplary embodiment of this utility model, is not used in restriction this utility model, and the protection domain of this utility model is defined by the claims.Those skilled in the art can make various modifications or be equal to replacement this utility model in the essence and protection domain of this utility model, this modification or be equal to replacement and also should be regarded as dropping in the protection domain of this utility model.