CN203597984U - Hollow abdominal cavity minimally invasive surgery endoscope channel - Google Patents

Hollow abdominal cavity minimally invasive surgery endoscope channel Download PDF

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Publication number
CN203597984U
CN203597984U CN201320839604.6U CN201320839604U CN203597984U CN 203597984 U CN203597984 U CN 203597984U CN 201320839604 U CN201320839604 U CN 201320839604U CN 203597984 U CN203597984 U CN 203597984U
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China
Prior art keywords
cover body
expansion cover
intramedullary expansion
passage
surgery endoscope
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Withdrawn - After Issue
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CN201320839604.6U
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Chinese (zh)
Inventor
胡海
张凯
陈炳官
蔡景理
黄安华
徐安安
韩寿彭
莫春林
王昱润
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Shanghai East Hospital
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Shanghai East Hospital
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Publication of CN203597984U publication Critical patent/CN203597984U/en
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Abstract

The utility model provides a hollow abdominal cavity minimally invasive surgery endoscope channel which comprises an external combined platform (5) and an internal expansion hood (6). The external combined platform (5) and the internal expansion hood (6) are combined to be of a detachable structure through buckles. The hollow abdominal cavity minimally invasive surgery endoscope channel is characterized in that the internal expansion hood (6) is in a triangular frustum shape, the part, located under the triangular conical face, of the internal expansion hood (6) is a double-layer structure body, horizontal separation reinforcing ribs (7) are arranged between the inner layer and the outer layer of each face of the hood, and an inflation connector (9) arranged on each inner layer so as to form the integrated inflation and deflation structure.

Description

A kind of hollow type abdominal-cavity minimal-invasion surgery endoscope passage
Technical field
This utility model relates to a kind of abdominal operation assistive device, especially a kind of hollow type abdominal-cavity minimal-invasion surgery endoscope passage.
Background technology
Along with the development of Medical Technology, use the micro-wound surgical operation of laparoscopic technique to be also day by day promoted at home use.The 2-4 hole operation methods that adopt in laparoscopic surgery more, one of them is opened on the navel (or other positions of abdominal part) at human body, avoid staying at position, patient abdominal cavity the scar of strip, after recovery, only leave the wire cicatrix of 1-3 0.5-1 centimetre at position, abdominal cavity, can be described as wound surface little, the operation that pain is little, therefore also someone is referred to as " keyhole " operation.Carrying out of laparoscopic surgery, has alleviated the pain that patient operates on, and make patient's convalescent period shorten simultaneously, and relatively reduced patient's disbursement, be a development in recent years operation project rapidly.
When hospitals more both domestic and external have just started, 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 on the little otch that does 5~12 millimeters of diameters at the different parts of abdominal part must settle an abdominal cavity passage, be convenient to insert pick-up lens and various special operating theater instruments, by the image transmitting that inserts the captured various internal organs of intraperitoneal of Intraabdominal photographic head to telescreen, surgeon, by observing image, has operated operation in vitro by various operating theater instruments.
But, the current usual abdominal cavity passage that passes through the little incision-like of abdominal part carries out Minimally Invasive Surgery and has some obvious defects: after little otch is opened, due to the effect of Intra-abdominal pressure, the influential point of viscera of intracavity device forms extruding to accent, therefore can cause operating theater instruments surprisingly to damage without the appearance of the phenomenon such as tissue and organ of pathological changes.Although also there is being the generation that adopts abdominal cavity channel to prevent these phenomenons at present, but because the abdominal cavity channel using is at present too simple, not only under the effect of human abdomen's muscle, cannot be positioned at more securely in little otch, and cannot adapt to the requirement that multi-pore channel, many apparatuses operate simultaneously.
Therefore, how to solve the little otch expansion of abdominal part and stablize, can adapt to again the demand that many apparatuses enter from same incision, become the problem that needs solution in clinical Minimally Invasive Surgery simultaneously.
In Chinese patent literature, disclosing some is specifically designed to through abdominal part and enters single hole that human abdominal cavity uses or the technical scheme of porous abdominal cavity endoscope passage, but due to the scheme of above-mentioned these technical schemes propositions, all adopt conduct expansion rear chamber cylindrical or that be similar to column type as space in the abdomen of Minimally Invasive Surgery, therefore after entering human abdominal cavity, the following problem of ubiquity: due to the dirty body organ in human abdominal cavity mutually between in tight ordered arrangement state, and in certain scope, can there is each other wriggling, therefore the endoscope passage of column type is after entering human abdominal cavity, because profile is cylinder, lack the effective strong point, so lack stability at intraperitoneal, in operative process, once do, its random phenomenon swinging of suitable displacement is more general, therefore cannot in clinical, promote the use of simultaneously.
Utility model content
The purpose of the present utility model: be intended to propose a kind of Novel hollow type abdominal-cavity minimal-invasion surgery endoscope passage, wish that it can enter abdominal cavity through surface, abdominal cavity aperture easily, after entering abdominal cavity, there is certain critical external compressive resistance function, can utilize again the organ gap in dirty body to be firmly positioned surgery location simultaneously simultaneously.
This hollow type abdominal-cavity minimal-invasion surgery endoscope passage, comprise external combined platform 5 and body intramedullary expansion cover body 6 two parts, combined platform 5 is wherein combined into Demountable with body intramedullary expansion cover body 6 hitch, it is characterized in that: described body intramedullary expansion cover body 6 is triangle frustum, the body intramedullary expansion cover body part that is positioned at the following part of the triangle conical surface is double layer structure, between each mask body inside and outside two-layer, be provided with the partition reinforcement 7 of horizontal distribution, and form by being located at an inflatable interface 9 of internal layer that entirety is filled, deflation structure.
The top of described body intramedullary expansion cover body 6 is that the bottom of described body intramedullary expansion cover body 6 is to extend vertically downward, enclose with three triangle bases the prismatic hollow cylinder that connects formation by three trianglees bullet forming that overlaps.
The length on the base of described body intramedullary expansion cover body 6 is at 3-20cm; The height of described body intramedullary expansion cover body 6 is at 3-20cm.
On described combined platform 5, be at least provided with a gas tube admission passage 1, conduit admission passage and several apparatus admission passages.
This hollow type abdominal-cavity minimal-invasion surgery endoscope passage proposing according to above technical scheme, due to the body intramedullary expansion cover body of endoscope passage is designed to triangular shaped cylinder, and on the cylinder of double-deck cover body, utilize horizontally disposed partition reinforcement to form horizontal strip air bag assembly.Both can utilize leg-of-mutton three seamed edges to play and the position stability effect of intraperitoneal periphery internal organs, also can make full use of the steadiness of the triangle utricule of the horizontal strip air bag formation forming on body intramedullary expansion cover body vertical simultaneously, the lateral pressure of opposing intraperitoneal periphery internal organs, assurance body intramedullary expansion cover body is possessed enough Minimally Invasive Surgery spaces.
Accompanying drawing explanation
Fig. 1 is overall structure schematic diagram of the present utility model;
Fig. 2 is the view after this utility model inflation;
Fig. 3 is expansible cover body released state schematic diagram in porous platform and body.
In figure: in 1-gas tube 2-gas tube admission passage 3-operating theater instruments admission passage 4-guide rod 4.1-conduit admission passage 5-porous platform 6-body, expansible cover body 7-cuts off reinforcement 8-guide rod connector 9-inflatable interface 10-controlled valve a-triangle.
The specific embodiment
Further set forth this utility model below in conjunction with Figure of description, and provide embodiment of the present utility model.
This hollow type abdominal-cavity minimal-invasion surgery endoscope passage as shown in Figure 1-2, it is to having used at present or not yet having come into operation but disclose a kind of inventive improvements of the various abdominal-cavity minimal-invasion surgery endoscope passages of technical scheme.
This hollow type abdominal-cavity minimal-invasion surgery endoscope passage, comprise external combined platform 5 and body intramedullary expansion cover body 6 two parts, combined platform 5 is wherein combined into Demountable with body intramedullary expansion cover body 6 hitch, it is characterized in that: described body intramedullary expansion cover body 6 is triangle frustum, the body intramedullary expansion cover body part that is positioned at the following part of the triangle conical surface is double layer structure, between each mask body inside and outside two-layer, be provided with the partition reinforcement 7 of horizontal distribution, and form by being located at an inflatable interface 9 of internal layer that entirety is filled, deflation structure.
The top of described body intramedullary expansion cover body 6 is that the bottom of described body intramedullary expansion cover body 6 is to extend vertically downward, enclose with three triangle bases the triangular prism-shaped hollow cylinder that connects formation by three trianglees bullet forming that overlaps.
The base of described body intramedullary expansion cover body 6, the length on its each limit is at 3-20cm; The height of described body intramedullary expansion cover body 6 is at 3-20cm.Can select according to the requirement of different operative sites the body intramedullary expansion cover body of differing heights, enter into that the degree of depth can just reach operative site and the requirement in the operation visual field that creates to adapt to operation control device.
On described combined platform 5, be at least provided with a gas tube admission passage 2, conduit admission passage and several apparatus admission passages 3.
In described gas tube admission passage 2, be provided with a gas tube 1, described gas tube 1 is that an external diameter is the hollow pipe of 2mm, its lower end is stretched in body intramedullary expansion cover body 6, and is connected with an inflatable interface 9 being located at body intramedullary expansion cover body 6 internal layers, and described gas tube 1 outer end is provided with a control valve 10; Its major function is that inflation, the expansion of exempting from pneumoperitoneum device body intramedullary expansion cover body 6 for single hole are shaped, and the recovery of getter after perform the operation is withdrawn from body.
In described conduit admission passage 4.1, be provided with a conduit 4, described conduit 4 forms detachable connection with the guide rod connector 8 that the base of body intramedullary expansion cover body 6 is provided with.The Main Function of this conduit 4 is responsible for helping the body intramedullary expansion cover body 6 of rolling to enter in the aperture of opening abdominal part, and the body intramedullary expansion cover body 6 entering behind abdominal cavity is sent to Intraabdominal operative site, plays and draws function; Also can be used for withdrawing after assisting operation simultaneously.In actual applications, can multiple conduit mechanisms be set according to the requirement of operation.
In addition, this hollow type abdominal-cavity minimal-invasion surgery endoscope passage the utility model proposes, its porous platform is appeared on the stage the passage arranging on 5 can be according to the requirement setting of difference operation, conventionally 5 be can arrange at an upper portion thereof and a 10mm, two 5mm and two 2mm circular hole compositions are respectively, 5 circular holes are mainly used in the turnover that enters and fall bar of the entering of operation technique apparatus, gas tube, between 5 holes, there is certain gap, be mainly and prevent in operation process, the interlaced operation technique that affects patient of apparatus.
When practical application: described body intramedullary expansion cover body 6 outer membrane faces scribble hydrophilic coating, described body intramedullary expansion cover body 6 outer surfaces are coated with hydrophilic coating, and described hydrophilic coating is a kind of in polyvinylpyrrolidone, polyethylene glycol oxide, Polyethylene Glycol, polypropylene glycol, polyacrylamide, polyacrylic acid or their complex; Utilize hydrophilic coating can reduce abdominal cavity passage running resistance in operative incision.
This hollow type abdominal-cavity minimal-invasion surgery endoscope passage the utility model proposes, has structure small and exquisite, easy to operate, and the cover body inflation after little otch enters in human body shrinking is in advance set up a treatment passage, and it has the feature of through focus.
Body intramedullary expansion cover body 6 described in when use can shrink in advance, and underwent operative mini-incision enters after the abdominal part of human body, and inflation is shaped, and struts into the service aisle of a hollow, this passage lesions position that goes directly.The profile contract of the triangle column body that the body intramedullary expansion cover 6 after utilization inflation forms enters the dirty binding site of the each adjacent device of intraperitoneal, guarantees the stability that it is overall.Utilize on the body intramedullary expansion cover 6 after inflation by the flat-shaped distribution of multilayer water, the triangle air bag that forms simultaneously, make the periphery of the body intramedullary expansion cover 6 after whole inflation there is corresponding anti-extrusion function.Guarantee that the inside being formed by the body intramedullary expansion cover 6 after inflation has enough spaces.Insert medical apparatus and instruments doctor by five openings of the pipe in porous afterbody platform part, and can multiple apparatuses operate simultaneously and interact not quite, determine mainly due to the distance between the each hole of afterbody platform part.For example: peritoneoscope, nipper, separating scissors, electric knife, super cutter etc., carry out abdominal surgery.
When Minimally Invasive Surgery clinical manipulation, once need to take out the related organization of cutting in operation, just porous platform 5 and body intramedullary expansion cover body 6 can be taken apart, make it the state in Fig. 3.Passing through body intramedullary expansion cover body 6 upper openings with related surgical apparatus takes out.When operation need to be proceeded, porous platform 5 is being installed to body intramedullary expansion cover body 6.
This hollow type abdominal-cavity minimal-invasion surgery endoscope passage, can be widely used in through umbilicus single-hole laparoscopic cholecystectomy, appendectomy, stomach fistulation, splenectomy, completely through total Extraperitoneal Repair, prostatectomy, adrenalectomy, orchiopexy, orchiectomy, ureterolithotomy, the nephrectomy, pyeloplasty etc.

Claims (6)

1. a hollow type abdominal-cavity minimal-invasion surgery endoscope passage, comprise external combined platform (5) and body intramedullary expansion cover body (6) two parts, combined platform (5) is wherein combined into Demountable with body intramedullary expansion cover body (6) hitch, it is characterized in that: described body intramedullary expansion cover body (6) is triangle frustum, the body intramedullary expansion cover body part that is positioned at the following part of the triangle conical surface is double layer structure, between each mask body inside and outside two-layer, be provided with the partition reinforcement (7) of horizontal distribution, and fill by an inflatable interface (9) the formation entirety of being located at internal layer, deflation structure.
2. a kind of hollow type abdominal-cavity minimal-invasion surgery endoscope passage as claimed in claim 1, it is characterized in that: the top of described body intramedullary expansion cover body (6) is that the bottom of described body intramedullary expansion cover body (6) is to extend vertically downward, enclose with three triangle bases the triangular prism-shaped hollow cylinder that connects formation by the triangle bullet forming that overlaps.
3. a kind of hollow type abdominal-cavity minimal-invasion surgery endoscope passage as claimed in claim 1, is characterized in that: the length on described each base of body intramedullary expansion cover body (6) is at 3-20cm; The height of described body intramedullary expansion cover body (6) is at 3-20cm.
4. a kind of hollow type abdominal-cavity minimal-invasion surgery endoscope passage as claimed in claim 1, is characterized in that: on described combined platform (5), be at least provided with a gas tube admission passage (1), conduit admission passage and several apparatus admission passages.
5. a kind of hollow type abdominal-cavity minimal-invasion surgery endoscope passage as claimed in claim 4, it is characterized in that: in described gas tube admission passage (1), be provided with a gas tube (1), the inner of described gas tube (1) is stretched in body intramedullary expansion cover body (6), and be connected with an inflatable interface (9) of being located at body intramedullary expansion cover body (6) internal layer, described gas tube (1) outer end is provided with a control valve (10).
6. a kind of hollow type abdominal-cavity minimal-invasion surgery endoscope passage as claimed in claim 4, it is characterized in that: in described conduit admission passage (4.1), be provided with a conduit (4), the guide rod connector (8) that described conduit (4) is provided with the base of body intramedullary expansion cover body (6) forms detachable connection.
CN201320839604.6U 2013-12-18 2013-12-18 Hollow abdominal cavity minimally invasive surgery endoscope channel Withdrawn - After Issue CN203597984U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201320839604.6U CN203597984U (en) 2013-12-18 2013-12-18 Hollow abdominal cavity minimally invasive surgery endoscope channel

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201320839604.6U CN203597984U (en) 2013-12-18 2013-12-18 Hollow abdominal cavity minimally invasive surgery endoscope channel

Publications (1)

Publication Number Publication Date
CN203597984U true CN203597984U (en) 2014-05-21

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Country Status (1)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103654887A (en) * 2013-12-18 2014-03-26 上海市东方医院 Hollow enterocoelia minimally invasive surgery endoscope channel

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103654887A (en) * 2013-12-18 2014-03-26 上海市东方医院 Hollow enterocoelia minimally invasive surgery endoscope channel
WO2015090169A1 (en) * 2013-12-18 2015-06-25 上海市东方医院 Hollow celiac minimally invasive surgery endoscopic 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
US10143492B2 (en) 2013-12-18 2018-12-04 Shanghai East Hospital Hollow celiac minimally invasive surgery endoscopic channel

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C14 Grant of patent or utility model
GR01 Patent grant
AV01 Patent right actively abandoned

Granted publication date: 20140521

Effective date of abandoning: 20160323

C25 Abandonment of patent right or utility model to avoid double patenting