CN202665588U - Multi-channel soft single-hole enterocoelia minimal invasive surgery invisible endoscope channel - Google Patents

Multi-channel soft single-hole enterocoelia minimal invasive surgery invisible endoscope channel Download PDF

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Publication number
CN202665588U
CN202665588U CN2012201667042U CN201220166704U CN202665588U CN 202665588 U CN202665588 U CN 202665588U CN 2012201667042 U CN2012201667042 U CN 2012201667042U CN 201220166704 U CN201220166704 U CN 201220166704U CN 202665588 U CN202665588 U CN 202665588U
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CN
China
Prior art keywords
channel
operating platform
enterocoelia
abdominal
soft
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Expired - Lifetime
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CN2012201667042U
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Chinese (zh)
Inventor
莫春林
浦峥峻
严航
王迎晖
袁庆
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Innovex Medical Co Ltd
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SHANGHAI INNOVEX MEDICAL CO Ltd
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Priority to CN2012201667042U priority Critical patent/CN202665588U/en
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Abstract

The utility model relates to a multi-channel soft single-hole enterocoelia minimal invasive surgery invisible endoscope channel which comprises a multi-hole operating platform (3) and a soft enterocoelia channel pipe (8), wherein the multi-hole operating platform (3) is arranged on the outer portion of enterocoelia, and the soft enterocoelia channel pipe (8) is connected with the multi-hole operating platform (3) and can be inserted into the enterocoelia. The multi-channel soft single-hole enterocoelia minimal invasive surgery invisible endoscope channel is characterized in that a plurality of surgical instruments channels (1) which are provided with different height are arranged on the multi-hole operating platform (3), at least one air inlet pipe (2) and at least one air outlet pipe (3) are arranged on the multi-hole operating platform (3), a whole shape of the soft enterocoelia channel pipe (8) is a segment of soft thin film channel which is similar to roundness, the upper end of the soft enterocoelia channel pipe (8) is connected with the multi-hole operating platform (3), and the lower end of the soft enterocoelia channel pipe (8) is connected with a rounded turning circle (7). An inner ferrule (6) with a pulling belt (5) is arranged outside the enterocoelia channel pipe which is made of soft thin film, wherein the inner ferrule (6) can achieve free displacement up and down.

Description

A kind of multichannel flexible single hole invisible endoscopic channel for abdominal-cavity minimal-invasion surgery
Technical field
This utility model relates to a kind of abdominal operation assistive device, especially a kind of multichannel flexible single hole invisible endoscopic channel for abdominal-cavity minimal-invasion surgery.
Background technology
Along with the development of Medical Technology, use the micro-wound surgical operation of laparoscopic technique also day by day to be promoted at home use.Hospitals more both domestic and external use single hole or porous laparoscopic technique to implement through umbilicus single hole mirror cholecystectomy, appendectomy, Hepatobiliary cystadenoma Tomography excision etc.In operation process, these are opened and must settle an abdominal cavity passage on the little otch of 5~12 millimeters of abdominal part different parts, diameter, be convenient to insert pick-up lens and various special operating theater instruments, to insert the image transmitting of the captured various internal organs of intraperitoneal of Intraabdominal photographic head to telescreen, the surgeon is by observing image, operates to finish operation with various operating theater instruments external.
But because the abdominal cavity passage that uses at present is often complicated and stiff, be not easy to surgeon's fast and flexible ground operation apparatus, especially be not easy to arrive lateral run-out otch lesions position far away.For this reason, the applicant has proposed the patent No. in 2011 04 year 22 days: " a kind of multi-channel single-hole laparoscopic surgery puncture outfit " of ZL 201120121759.7 only is to utilize the abdominal cavity passage that has been arranged on the operating theater instruments Path Setup that has certain flexibility on the porous platform.Though the patented product has characteristics, but in clinician's practical probation process, from the requirement of the larger operation degree of freedom of hope acquisition, namely depart from the larger requirement of otch distance and also have larger distance.
A plurality of operating theater instruments passages of existing utility model have identical height, in use, cause a plurality of operating theater instruments passages top mutually to collide, disturb, thereby have limited rotational freedom.In order to address this problem, utility model people carries out design improvement, and the height design of a plurality of operating theater instruments passages is become different height, forms height layout straggly.
The utility model content
The purpose of this utility model is intended to: propose on a kind of basis keeping the existing characteristics of ZL 201120121759.7 patents, have a multichannel flexible single hole invisible endoscopic channel for abdominal-cavity minimal-invasion surgery of larger clinical manipulation degree of freedom.
In order to solve the problems of the technologies described above, the technical solution of the utility model is as follows:
This multichannel flexible single hole invisible endoscopic channel for abdominal-cavity minimal-invasion surgery, comprise the porous operating platform that places the outside, abdominal cavity, link to each other with the porous operating platform and can insert the flexible abdominal cavity channel in abdominal cavity, it is characterized in that: described porous operating platform is provided with a plurality of operating theater instruments passages with differing heights.
Establish at least one air inlet pipe and escape pipe on the described porous operating platform.
The global shape of described flexible abdominal cavity channel is the fexible film passage of one section sub-circular, and its upper end connects the porous operating platform, and the lower end connects the circle that turns over of a circle; And outside the abdominal cavity channel that fexible film consists of, be provided with the inside race with lift belt that to realize the easy on and off displacement.
Described operating theater instruments passage is positioned at porous operating platform upper surface or is positioned at porous operating platform lower surface.
This multichannel flexible single hole invisible endoscopic channel for abdominal-cavity minimal-invasion surgery according to above technical scheme proposition, the existing characteristics that not only kept aforementioned patent, row as: have simple in structure, easy to operate characteristics, can effectively fill in fast inside race, after simply turning over several times, (decide according to patient's abdominal part wall thickness), just can set up an operation path, shortened operating time, and about external flexible operation platform provides to the surgeon, front and back and omnibearing freely-movable up and down, especially the operating theater instruments channels designs that will be located on the operating platform becomes height layout designs straggly, more can further increase the degree of freedom of operation Shi doctor operation, expand the distance of apparatus lateral run-out otch when the doctor performs the operation.The surgeon spurred draw ring when operation finished, and pulled out easily inside race.Flexible abdominal cavity micro-invasive operation invisible endoscope channel is except being widely used in through umbilicus single-hole laparoscopic cholecystectomy, appendectomy, stomach fistulation, splenectomy, fully through Total Extraperitoneal Repair, also can be used for prostatectomy, adrenalectomy, orchiopexy, orchiectomy, ureterolithotomy, the nephrectomy, pyeloplasty etc.
Description of drawings
Fig. 1 is the overall structure figure of flexible abdominal cavity micro-invasive operation invisible endoscope channel;
Fig. 2 is the decomposing schematic representation of flexible abdominal cavity micro-invasive operation invisible endoscope channel;
Fig. 3 is the structural representation of double-layer linkage tight mechanism.
Among the figure: 1-instrument channel 2-air inlet pipe 3-porous operating platform 4-draw ring 5-lift belt 6-inside race 7-turns over circle 8-abdominal cavity channel 9-escape pipe 111-pre-drilled cavity sealing cap 112-socket internal ring 113-socket outer shroud 114-check valve.
The specific embodiment
Further describe this utility model below in conjunction with accompanying drawing, and provide embodiment of the present utility model.
This multichannel flexible single hole invisible endoscopic channel for abdominal-cavity minimal-invasion surgery, comprise the porous operating platform 3 that places the outside, abdominal cavity, link to each other with the porous operating platform and can insert the abdominal cavity channel 8 in abdominal cavity, be characterised in that: described porous operating platform 3 is provided with a plurality of operating theater instruments passages 1 with differing heights.
This operating theater instruments passage 1 with differing heights can be taked following two kinds of form layouts:
A, distribute in pairs with the diagonal form, when 4 or 4 above instrument channel 1 are set at porous operating platform 3, two instrument channel 1 on the same diagonal or be both high bit port, or low bit port.Such pairing, the operating theater instruments that not only is conducive to insert the diagonal two ends is convenient to clamping when intracavity intersects, also can realize further enlarging the distance that departs from otch simultaneously.
B, the instrument channel when distributing in pairs with the diagonal form are the alternate form layout of height, when 4 or 4 above instrument channel 1 are set at porous operating platform 3, two instrument channel 1 one ends on the same diagonal are high bit port, and the other end is low bit port.The channels designs of this high level matches with low level makes operating theater instruments make larger extending obliquely to a side at intraperitoneal, more can satisfy the requirement of operation to otch one lateral deviation from larger distance.
Establish at least one air inlet pipe 2 and escape pipe 9 on the described porous operating platform 3;
Described abdominal cavity channel 8 is the fexible film passage of one section sub-circular, and its upper end connects porous operating platform 3, and the lower end connects turning over of a circle and encloses 7; And outside the abdominal cavity channel that fexible film consists of, be provided with the inside race 4 with lift belt 5 that to realize the easy on and off displacement.
Simultaneously, described operating theater instruments passage 1 is positioned at porous operating platform 3 upper surfaces, namely height value be on the occasion of; Perhaps being positioned at porous operating platform 3 lower surface height values is negative value.
During use: described porous operating platform 3 and a plurality of independent instrument channel 1 consist of the outer body of flexible micro-invasive operation invisible endoscope channel.This porous operating platform 3 and a plurality of independent instrument channel 1 all have soft characteristic.When the surgeon operated the operating theater instruments such as endoscope, soft porous operating platform 3 and a plurality of independent and highly different instrument channel 1 limited the omnibearing motion of apparatus hardly.
Also have an air inlet pipe 2 on the porous operating platform 3 of described multichannel flexible single hole invisible endoscopic channel for abdominal-cavity minimal-invasion surgery, its upper end is installed a female Luer and is connected with external air source; And an escape pipe 9, an air vent has been cut on its surface.Rely on the resilient characteristic of escape pipe material self, this air vent keeps the normally closed state that closes, and has the normally closed feature of closing.Only when operation needs, manually pull open otch by the surgeon, realize degassing function.
The a plurality of independent instrument channel 1 of described multichannel flexible single hole invisible endoscopic channel for abdominal-cavity minimal-invasion surgery has the double-layer linkage airtight construction, and the double-deck tight mechanism of the interlock in each independent instrument channel comprises pre-drilled cavity sealing cap 111, socket internal ring 112, socket outer shroud 113 and check valve 114.In original state, rely on the self-closing architectural feature of check valve 114, keep pneumoperitoneum pressure; When apparatus inserts pre-drilled cavity sealing cap 111, rely on the elastic packaging of material of pre-drilled cavity sealing cap 111 own to live apparatus, keep pneumoperitoneum pressure, this moment, check valve 114 also was in closure state, kept simultaneously pneumoperitoneum pressure; When apparatus further is inserted into check valve 114, although check valve 114 has lost closure feature, rely on the material elastic packaging of pre-drilled cavity sealing cap 111 to live the feature of apparatus, continue to keep pneumoperitoneum pressure.Here the check valve 114 that adopts both can adopt the single valve chip architecture, many valve structures that also can adopt the multi-disc valve block to form.
The body of the abdominal cavity channel 8 that probes into the intraperitoneal part of described multichannel flexible single hole invisible endoscopic channel for abdominal-cavity minimal-invasion surgery is nested with an elastic inside race 6 outward, because inside race 6 has good elastic characteristic.After crimp, fill in first the abdominal cavity, then rely on the elasticity of self material, inside race recovers original shape, realizes the left-hand thread function.Be fixed on lift belt 5 on the inside race 6 and a draw ring 4 by design simultaneously.When operation finished, gently draw ring 4, and pulling force is delivered on the inside race 6 by lift belt 5, and inside race 6 stress deformations skid off external from otch.
Described flexible micro-invasive operation invisible endoscope channel comprises that also one section barrel-shaped flexible abdominal cavity channel 8 of approximate circle couples together part in outer body and the body.These abdominal cavity channel 8 upper ends link to each other with flexible porous operating platform 3, and the lower end connects turning over of a circle and encloses 7.These abdominal cavity channel 8 bottoms outwards turn down once, and the inside race 6 that will enter in the body is inserted in the section of turning over.Set up in the pneumoperitoneum pressure situation, this flexible film-like abdominal cavity channel 8 is pressed in abdominal incision tissue all around tightly.
During practical application, the abdominal cavity channel 8 of described flexible micro-invasive operation invisible endoscope channel scribbles hydrophilic coating, and hydrophilic coating can reduce abdominal cavity passage running resistance in operative incision.This utility model structure is small and exquisite, and is easy to operate, and it has the characteristics of flexible and double-layer linkage tight mechanism.
During use, the surgeon inserts medical apparatus and instruments by the passage on the porous platform, for example: peritoneoscope, nipper, separating scissors etc., the omnibearing movable that the obstruction power that does not almost have invisible endoscopic channel to produce affects apparatus carries out abdominal surgery easily and quickly.When operation finished, draw ring 4 just can be pulled out inside race 6 easily, then pulls out abdominal cavity channel 8, sews up the incision at last, has shortened whole operating time.
Described abdominal cavity channel 8 outer surfaces are coated with hydrophilic coating or greasing substance, and described hydrophilic coating is a kind of in polyvinylpyrrolidone, polyethylene glycol oxide, Polyethylene Glycol, polypropylene glycol, polyacrylamide, the polyacrylic acid or their complex.Greasing substance is Medical silicone oil, medical ventolin, etc.
The material of described flexible and hidden endoscope passage is silica gel, Polyurethane, poly-ternary rubber, polrvinyl chloride, medical grade rubber, other flexible materials, and two or more compound of above-mentioned material forms.
This multichannel flexible single hole invisible endoscopic channel for abdominal-cavity minimal-invasion surgery, by using a kind of flexible abdominal cavity passage with the double-layer linkage airtight construction, after patient's umbilical part or little otch of nearly umbilical part incision, elastic inside race is extruded by abdominal cavity otch passage and is pushed in the abdominal part body, then thereby the inside race automatic rebounding struts the left-hand thread cover that forms a sub-circular, left-hand thread is lived otch in vivo, draw and turn down then enclose to tubular conduit to correct position, just set up the tubular conduit of the through lesions position of a sub-circular.The surgeon inserts its tool such as electric knife, endoscope and elastic separating plier in the independent instrument channel hole of staying on the external porous operating platform, just can implement to have performed the operation.Because the sealing cap by a check valve and pre-drilled cavity in each independent instrument channel hole has formed the double-deck tight mechanism of interlock, so guaranteed that operation process is air tight, keep a constant pneumoperitoneum pressure.Can be widely used in also can be used for the fields such as prostatectomy, adrenalectomy, orchiopexy, orchiectomy, ureterolithotomy, the nephrectomy, pyeloplasty through umbilicus single-hole laparoscopic cholecystectomy, appendectomy, stomach fistulation, splenectomy, fully outside Total Extraperitoneal Repair.

Claims (4)

1. multichannel flexible single hole invisible endoscopic channel for abdominal-cavity minimal-invasion surgery, comprise the porous operating platform (3) that places the outside, abdominal cavity, link to each other with the porous operating platform and can insert the flexible abdominal cavity channel (8) in abdominal cavity, it is characterized in that: described porous operating platform (3) is provided with a plurality of operating theater instruments passages (1) with differing heights.
2. a kind of multichannel flexible single hole invisible endoscopic channel for abdominal-cavity minimal-invasion surgery as claimed in claim 1 is characterized in that: establish at least one air inlet pipe (2) and escape pipe (9) on the described porous operating platform (3).
3. a kind of multichannel flexible single hole invisible endoscopic channel for abdominal-cavity minimal-invasion surgery as claimed in claim 1, it is characterized in that: the global shape of described flexible abdominal cavity channel (8) is the fexible film passage of one section sub-circular, its upper end connects porous operating platform (3), and what the lower end connected a circle turns over circle (7); And outside the abdominal cavity channel that fexible film consists of, be provided with the inside race with lift belt (5) (6) that to realize the easy on and off displacement.
4. a kind of multichannel flexible single hole invisible endoscopic channel for abdominal-cavity minimal-invasion surgery as claimed in claim 1, it is characterized in that: described operating theater instruments passage (1) is positioned at porous operating platform (3) upper surface, perhaps is positioned at porous operating platform (3) lower surface.
CN2012201667042U 2012-04-18 2012-04-18 Multi-channel soft single-hole enterocoelia minimal invasive surgery invisible endoscope channel Expired - Lifetime CN202665588U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102613996A (en) * 2012-04-18 2012-08-01 上海英诺伟微创医疗器械有限公司 Invisible endoscopic channel for multichannel flexible single-hole abdominal cavity minimally invasive surgery
CN103654887A (en) * 2013-12-18 2014-03-26 上海市东方医院 Hollow enterocoelia minimally invasive surgery endoscope channel
CN106236210A (en) * 2016-08-31 2016-12-21 李国新 A kind of novel multi-channel single hole chamber mirror perforator

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102613996A (en) * 2012-04-18 2012-08-01 上海英诺伟微创医疗器械有限公司 Invisible endoscopic channel for multichannel flexible single-hole abdominal cavity minimally invasive surgery
CN103654887A (en) * 2013-12-18 2014-03-26 上海市东方医院 Hollow enterocoelia minimally invasive surgery endoscope channel
CN103654887B (en) * 2013-12-18 2016-03-23 上海市东方医院 Hollow type abdominal-cavity minimal-invasion surgery endoscope passage
CN106236210A (en) * 2016-08-31 2016-12-21 李国新 A kind of novel multi-channel single hole chamber mirror perforator

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Date Code Title Description
C14 Grant of patent or utility model
GR01 Patent grant
TR01 Transfer of patent right

Effective date of registration: 20180209

Address after: 201210 Shanghai city Pudong New Area No. 150 7 Cailun Road, building 1 floor and the 2 floor of the East

Patentee after: Shanghai Yingnuowei Medical Apparatus Co., Ltd.

Address before: 201203, room 330, 101-1 Edison Road, Zhangjiang hi tech garden, Shanghai, Pudong New Area

Patentee before: Shanghai Innovex Medical Co., Ltd.

TR01 Transfer of patent right
CX01 Expiry of patent term

Granted publication date: 20130116

CX01 Expiry of patent term