CN208808663U - A kind of Wound protector and incision protection device - Google Patents

Abstract

The utility model discloses a kind of Wound protector and the incision protection device including the Wound protector, Wound protector includes support ring and sheath, the affixed support ring in the both ends of sheath, incision protection device further includes a rubber sleeve, the formation opening portion open at one end of rubber sleeve, circumferential direction of the rubber sleeve along opening portion is connected with one first necking elastic ring, rubber sleeve is radially also connected with the second necking elastic ring, first necking elastic ring, the diameter of second necking elastic ring is respectively less than the diameter of support ring, first necking elastic ring, second necking elastic ring and rubber sleeve can form the recessed portion for containing support ring.The recessed portion that can be formed by the first necking elastic ring, the second necking elastic ring; it can not only be firmly socketed with the support ring of Wound protector; rubber sleeve skids off when can prevent from establishing pneumoperitoneum; an operative incision is remained before operation terminates simultaneously; convenient the problem of operating in some cases, avoiding secondary opening operative incision.

Description

A kind of Wound protector and incision protection device

Technical field

The utility model belongs to medical operating articles field more particularly to a kind of Wound protector and applies the incision protection The incision protection device of device.

Background technique

Current Wound protector, which is that two support rings etc. are big, waits circle, and design is to obtain more preferably consistent extroversion Elastic force, but actual conditions when having ignored clinical use.Because of (other position surgery situation classes for abdominal operation Like), it is that require inside support ring that can smoothly be put into intraperitoneal, for the patient of intraperitoneal not adhesion, is put into inside support ring one As there is no difficulties, however for the case where there are adhesions on intraperitoneal especially parietal peritoneum such as abdominal operation patient again, put Enter inside support ring to have difficulties, it, can after the area for obtaining enough suitable inside support ring sizes after adherence Separation need to being separated It is put into inside support ring.However, during actual operation, be only capable of obtaining sometimes area without adhesion region, and separate viscous Process even is very time-consuming.In this case, inside support ring cannot be smoothly put into, then product uses limited；At the same time, it performs the operation The support ring for needing a diameter bigger in the process is just more convenient operation as outer support ring, could so obtain bigger protection Skin ranges, are more effectively isolated moisturizing when deviating from intraperitoneal histoorgan, when peritoneal irrigation, providing bigger prevents extravasation model It encloses, allows to pour into more peritoneal irrigation liquid.In addition to this, sheath is due to using smooth software thin-film material, It is easy to slide out from wound under the action of tension, the significant problem for causing surgical procedure to interrupt.

Meanwhile when doing gastroenteric tumor laparoscopic minimally invasive surgery, when proceed to need to take out lump when, operative doctor meeting Situations such as according to Tumor size, cuts notch that is short as far as possible but can taking out lump, generally 8- on stomach wall suitable position 15cm.And the Wound protector of suitable size can be selected.After lump is smoothly taken out abdominal cavity, this notch need to be closed and establish gas Abdomen continuation opens a notch insertion abdominal cavity puncture outfit in stomach wall other positions and carries out the surgical procedures such as identical.However it takes notch The step of uniting by a seam takes a long time, and influences subsequent step, secondly, needing the case where opening abdomen again if encountered, needs again Open abdomen.In operation, surgeon often takes the mode that a rubber gloves is covered in outer support ring, closes abdominal cavity, convenient Pneumoperitoneum is established, subsequent procedures step is carried out.But using the ineffective of gloves closing outer support ring, one has a level pressure because of pneumoperitoneum Power, and influenced by blood tissues liquid, gloves are easy to fall off, and are generally required the fixed gloves of an assistant and are nonetheless still held It is easy to fall off, seriously affect operation, second, gloves inflation after such as balloon inflation after, volume significantly increases, and influences operating space.

Utility model content

The utility model aim is to provide a convenience, practical Wound protector and incision protection device, from facing The practical angle of bed is set out, and the problem of being likely encountered when in use has been comprehensively considered, and is avoided at the beginning of design.

To achieve the above object, it includes one that the utility model discloses Wound protector described in a kind of Wound protector first Similar tubular and the sheath that is fabricated to by flexible material, the both ends of the vertical tube part of the sheath be connected with a support ring with Sheath both ends are respectively formed flare openings structure, and the outer diameter positioned at two support rings at sheath both ends is unequal, and sheath One end is configured for making still being able to the distracted support ring with smaller outer diameter under interior adhesion of abdominal wall serious conditions.Pass through The support ring of Wound protector is arranged to the big structure such as non-up and down, is glued convenient for coping with to exist on intraperitoneal especially parietal peritoneum Even the case where, operative doctor, which does not have to spend again, separates the adhesion time, is directly put into one end of small support ring.

Further, it is evenly equipped with the raised lines for increasing mantle friction on the vertical tube part outer wall of the sheath, passes through Lines is set in outer wall, slide sheath outer wall will not in incision, enhance the connected effect of sheath.

Further, intermediate zone is equipped between the vertical tube part of the sheath and the support ring, along the week of the intermediate zone To outer wall be connected with Auxiliary support ring, and the hardness of Auxiliary support ring is greater than the hardness of sheath material, enhances soft rubber The outside tension of material sheath.

Further, the inside of the support ring is embedded with elastic reinforcement steel ring, by the elastic reinforcement steel ring, is guaranteeing The higher elasticity of support ring, convenient for being put into while, largely improve the outside tension of rubber material support ring, make it After being put into notch, Wound protector is more difficult to be skidded off due to deformation, prevented procedure.

Then, the utility model discloses a kind of incision protection devices, including Wound protector described in above scheme, also Including the rubber sleeve for sealing the Wound protector, the formation opening portion open at one end of the rubber sleeve, the rubber sleeve Circumferential direction along the opening portion is connected with the first necking elastic ring, and the rubber sleeve is radially also connected with the second necking elasticity Ring, the first necking elastic ring, the second necking elastic ring diameter be respectively less than the diameter of the support ring, first necking The recessed portion for containing the support ring can be bonded by being formed between elastic ring, the second necking elastic ring and the rubber sleeve, taken out Lump establishes pneumoperitoneum, and by recessed portion structure, rubber sleeve can be firmly socketed in outside support ring, avoids existing with medical The problem of gloves seal Wound protector, and air pressure can be gone out interruption operation easily.

It further, further include an abdominal cavity puncture outfit, the abdominal cavity puncture outfit includes air inlet pipe portion and cannula portion, the rubber A connecting tube is connected on gum cover, outside in the rubber sleeve is connected to by the connecting tube, and described sleeve pipe portion can be with the connection Removable sealing socket is managed, relatively conventional abdominal cavity puncture outfit needs the other positions puncture procedure in incision, the abdomen of the present apparatus Chamber puncture outfit can use notch and provide operation path for subsequent anastomosis operation, minimally invasive so as to reduce gastroenteric tumor laparoscope Operation one notch of stomach wall, can not only reduce operating time, while can also reduce the pain degree of sufferer.

Further, the end that the connecting tube is located on the outside of the rubber sleeve is provided with external screw thread, in the connecting tube Connection one can connect with the external screw thread, seal the sealing cover of the connecting tube.

Further, the top of the rubber sleeve is also connected with rubber stopper, and the both ends of the rubber stopper are located at described The two sides of rubber sleeve, puncture outfit can be directly inserted into from rubber stopper, and rubber stopper can be with self-sealing, equally can be in pneumoperitoneum condition Lower carry out anastomosis operation.

It further, further include a rubber reinforcing sleeve, both ends are open, and the outer diameter of the rubber reinforcing sleeve is less than described The outer diameter of rubber sleeve, and on the removable outer wall for being socketed in the rubber sleeve of energy, further recessed portion can be made tightly to be coated on Outside the support ring of Wound protector.

Compared with the prior art, the advantages of the utility model are:

1, the recessed portion that can be formed by the first necking elastic ring, the second necking elastic ring and rubber sleeve, can not only consolidate The support ring of ground and Wound protector is adjacent to socket, and rubber sleeve is skidded off or rushed by air pressure when can also prevent from establishing pneumoperitoneum Out, while tradition is also avoided because wound suture causes the secondary opening operative incision bring operating time of doctor is extended to ask Topic.

2, the sheath outer edge of the present apparatus uses raised lines and increases the Auxiliary support ring of support strength, increases shield The frictional force for covering outer, makes Wound protector be less susceptible to skid off, meanwhile, it is arranged using small one and large one support ring, is guaranteeing to hurt On the outside of mouthful while bigger guard space, the problem of can not strutting because of interior abdominal wall adhesion support ring also can avoid.

3, by largely improving the outside tension of rubber ring in support ring built-in elastic reinforcement steel ring, Being put into after bell-mouth structure of air after notch struts is more difficult to skid off, simultaneously because support ring will not be easily deformed, so that rubber sleeve can be more It is securely socketed in support ring, will not be gone out due to establishing the pressure of pneumoperitoneum.

4, by the way that the removable connection of rubber sleeve and abdominal cavity puncture outfit to be arranged, doctor simultaneously can be by taking lump notch to input Gas establishes pneumoperitoneum, then can carry out the surgical procedure that such as coincide, relatively conventional abdominal cavity puncture outfit by the abdominal cavity puncture outfit The other positions puncture procedure in incision is needed, it is the subsequent hand that such as coincide that the abdominal cavity puncture outfit of the present apparatus, which can use notch, Art provides operation path, so as to reduce one notch of stomach wall.

Below with reference to accompanying drawings, the utility model is described in further detail.

Detailed description of the invention

The attached drawing constituted part of this application is used to provide a further understanding of the present invention, the utility model Illustrative embodiments and their description are not constituteed improper limits to the present invention for explaining the utility model.In attached drawing In:

Fig. 1 is Wound protector structural schematic diagram disclosed in the utility model embodiment one；

Fig. 2 is incision protection apparatus structure schematic diagram disclosed in the utility model embodiment one；

Fig. 3 is the axonometric schematic diagram of abdominal cavity puncture outfit disclosed in the utility model embodiment one；

Fig. 4 is the structural schematic diagram of rubber reinforcing sleeve disclosed in the utility model embodiment one；

Fig. 5 is the rubber sleeve structural schematic diagram of incision protection device disclosed in the utility model embodiment two.

Marginal data:

1, rubber sleeve；11, opening portion；12, the first necking elastic ring；13, the second necking elastic ring；14, recessed portion；15, Connecting tube；151, external screw thread；16, sealing cover；17, rubber stopper；2, Wound protector；21, support ring；211, elastic reinforcement steel Circle；22, sheath；221, vertical tube part；222, intermediate zone；23, Auxiliary support ring；24, raised lines；3, abdominal cavity puncture outfit；31, into Tracheae portion；32, cannula portion；321, the first threaded hole；4, rubber reinforcing sleeve.

Specific embodiment

The embodiments of the present invention are described in detail below in conjunction with attached drawing, but the utility model can be by right It is required that the multitude of different ways for limiting and covering is implemented.

Embodiment one:

As Figure 1-Figure 4, the utility model discloses a kind of Wound protector 2 and using the Wound protector 2 Incision protection device, the incision protection device include Wound protector 2 and for seal Wound protector 2 have it is elastomeric Rubber sleeve 1, wherein Wound protector 2 include support ring 21 and sheath 22, wherein sheath 22 similar to tubular and by flexible material Material is fabricated to, and the both ends of the vertical tube part 221 of sheath 22 are connected with a support ring 21 to be respectively formed loudspeaker at 22 both ends of sheath Shaped opening structure, the outer diameter positioned at two support rings 21 at 22 both ends of sheath is unequal, and one end of sheath 22 is configured to use In making still to be able to the distracted support ring 21 with smaller outer diameter under interior adhesion of abdominal wall serious conditions.It opens one end of rubber sleeve 1 Mouth forms opening portion 11, and circumferential direction of the rubber sleeve 1 along opening portion 11 is connected with one first necking elastic ring 12, and conventional gather can be used Urethane bonding agent is adhesively fixed on rubber sleeve 1, and rubber sleeve 1 is radially also connected with the second necking elastic ring 13, equally may be used It is adhesively fixed on rubber sleeve 1 using conventional polyurethane adhesive, the first necking elastic ring 12, the second necking elastic ring 13 It is all made of elastomeric rubber material production, diameter is respectively less than the diameter of the support ring 21 of Wound protector 2, the first necking bullet Property ring 12, the second necking elastic ring 13 can form the recessed portion 14 for containing support ring 21, pass through the first necking elastic ring 12, second The recessed portion 14 that the wall surface of necking elastic ring 13 and rubber sleeve 1 can be formed, support ring that can not only firmly with Wound protector 2 21 sockets, rubber sleeve 1 is skidded off or is gone out by air pressure when can prevent from establishing pneumoperitoneum, while also avoiding tradition because of wound suture The problem of causing the secondary opening operative incision bring operating time of doctor to extend.

In the present embodiment, which further includes an abdominal cavity puncture outfit 3, the main body knot of the abdominal cavity puncture outfit 3 Structure is identical as conventional Medical puncture instrument (Trocar), also includes that air inlet pipe portion 31 (is built by the interior breather check valve input gas that sets Vertical pneumoperitoneum) and cannula portion 32, be connected with a connecting tube 15 on rubber sleeve 1, by the aperture on rubber sleeve 1 then it is be bonded with its and At outside in rubber sleeve 1 is connected to by connecting tube 15, and cannula portion 32 and the removable sealing of connecting tube 15 are socketed.In the present embodiment Abdominal cavity puncture outfit 3 relative to conventional puncture outfit, the difference in structure is that the end of cannula portion 32 is provided with the first screw thread Hole 321, while the setting as short as possible of cannula portion 32, wherein the end that connecting tube 15 is located at the outside of rubber sleeve 1 is provided with can be with The external screw thread 151 that first threaded hole 321 is threadedly coupled.By the way that rubber sleeve 1 and the removable connection of abdominal cavity puncture outfit 3 are arranged, doctor It is raw to establish pneumoperitoneum by taking lump notch to input gas simultaneously, then it can carry out such as coincideing by the abdominal cavity puncture outfit 3 Surgical procedure, relatively conventional puncture outfit need the other positions puncture procedure in incision, and the abdominal cavity puncture outfit 3 of the present apparatus can be with Operation path is provided for follow-up procedures using notch, so as to reduce one wound of stomach wall, (one is cut by three original notch Mouth puts endoscope, and a notch puts puncture outfit and carries out anastomosis operation, and a notch takes tumour) two notch are reduced to, abdomen subtracts The recovery of a few wound and thus bring scar, this is very important for sufferer.

In the present embodiment, it is also connected with one in connecting tube 15 can be connect with external screw thread 151, the sealing cover of sealed joint pipe 15 16, it is used to seal established pneumoperitoneum when not needing abdominal cavity puncture outfit 3.

In the present embodiment, in order to prevent in surgical procedure, due to support ring 21 because surgical procedure deforms, support ring 21 can not firmly be nested in recessed portion 14, which also sets up a rubber reinforcing sleeve 4, which reinforces 4 its both ends of set are open and have stronger elastic telescopic performance, and the outer diameter of rubber reinforcing sleeve 4 is less than the outer diameter 1 of rubber sleeve, After completing the socket of rubber sleeve 1 and support ring 21, then rubber reinforcing sleeve 4 is socketed on the outer wall of rubber sleeve 1 and (is especially paid attention to Wrap up the junction of rubber sleeve 1 and support ring 21).

In the present embodiment, in order to increase by the frictional force of 22 outer of sheath, it is less susceptible to Wound protector 2 sliding from wound Out, raised lines 24 is used in 22 outer edge of sheath and increase the Auxiliary support ring 23 of support strength, in vertical tube part 221 and branch Intermediate zone 222 is provided between pushing out ring 21, Auxiliary support ring 23 is just adhesively fixed on the outer wall of intermediate zone 222.Raised lines 24 and Auxiliary support ring 23 using hardness be greater than sheath 22 silica gel material, by being bonded and fixed on the outer wall of sheath, wherein Raised lines 24 is evenly arranged on the outer wall of sheath 22, and Auxiliary support ring 23 then along it circumferentially, meanwhile, using small one and large one Support ring 21 be arranged, while guaranteeing bigger guard space on the outside of wound, also can avoid supporting because of interior abdominal wall adhesion The problem of ring 21 can not strut.

In the present embodiment, support ring 21 is built-in with elastic reinforcement steel ring 211, and material is the spring steel of higher elasticity, While largely improving the outside tension of rubber ring 21, also ensures the elasticity of support ring 21, make operative doctor It is put into notch convenient for being flattened, since the elasticity tension of support ring 21 increases, bell-mouth structure of air is more difficult after so that it is put into notch It skids off.Simultaneously as the elasticity tension of support ring 21 increases, and after 14 sets of recessed portion of rubber sleeve 1 are in support ring 21, support ring 21 will not be easily deformed, so that rubber sleeve 1 can be more securely socketed in support ring 21, will not incite somebody to action due to establishing the pressure of pneumoperitoneum It is gone out.

Embodiment two:

In the present embodiment, as shown in figure 5, not needing to improve conventional puncture outfit, only by the rubber sleeve of above scheme 1 Connecting tube 15 replace with a rubber stopper 17, the both ends of rubber stopper 17 are located at the two sides of rubber sleeve 1, same solid by bonding It is scheduled on rubber sleeve 1.The elasticity with higher of rubber stopper 17, when needing using puncture outfit, with puncture needle in rubber stopper 17 Upper aperture is inserted into the cannula portion 32 of puncture outfit, is tightly attached to cannula portion 32 since the high elastic rubber of rubber stopper 17 can squeeze Outer wall on, to play the effect of automatic-sealed, can equally facilitate and establish pneumoperitoneum.

The above descriptions are merely preferred embodiments of the present invention, is not intended to limit the utility model, for this For the technical staff in field, various modifications and changes may be made to the present invention.It is all in the spirit and principles of the utility model Within, any modification, equivalent replacement, improvement and so on should be included within the scope of protection of this utility model.

Claims (9)

1. a kind of Wound protector (2), which is characterized in that the Wound protector (2) include one similar to tubular sheath (22), The both ends of the vertical tube part (221) of the sheath (22) are connected with a support ring (21) to be respectively formed loudspeaker at sheath (22) both ends Shaped opening structure, the outer diameter for being located at two support rings (21) at sheath (22) both ends is unequal, and one end quilt of sheath (22) It is disposed for making still to be able to distracted support ring (21) under interior adhesion of abdominal wall serious conditions.

2. Wound protector (2) according to claim 1, which is characterized in that the vertical tube part (221) of the sheath (22) is outside The raised lines (24) for increasing mantle friction is evenly equipped on wall.

3. Wound protector (2) according to claim 1, which is characterized in that the vertical tube part (221) of the sheath (22) with Intermediate zone (222) are equipped between the support ring (21), the circumferential outer wall along the intermediate zone (222) is connected with Auxiliary support Ring (23).

4. Wound protector (2) according to claim 1, which is characterized in that the inside of the support ring (21) is embedded with Elastic reinforcement steel ring (211).

5. a kind of incision protection device, including any Wound protector (2) of the claims 1-4, which is characterized in that It further include the formation opening portion open at one end of the rubber sleeve (1) for sealing the rubber sleeve of the Wound protector (2) (1) (11), circumferential direction of the rubber sleeve (1) along the opening portion (11) is connected with the first necking elastic ring (12), the rubber sleeve (1) the second necking elastic ring (13), the first necking elastic ring (12), the second necking elastic ring are radially also connected with (13) diameter is respectively less than the diameter of the support ring (21), the first necking elastic ring (12), the second necking elastic ring (13) recessed portion (14) for containing the support ring (21) can be bonded by being formed between the rubber sleeve (1).

6. incision protection device according to claim 5, which is characterized in that further include an abdominal cavity puncture outfit (3), the abdomen Chamber puncture outfit (3) includes air inlet pipe portion (31) and cannula portion (32), is connected with a connecting tube (15), institute on the rubber sleeve (1) Connecting tube (15) is stated by outside connection in the rubber sleeve (1), described sleeve pipe portion (32) can be removable with the connecting tube (15) Sealing socket.

7. incision protection device according to claim 6, which is characterized in that the connecting tube (15) is located at the rubber sleeve (1) end on the outside of is provided with external screw thread (151), connected on the connecting tube (15) one can be connect with the external screw thread (151), Seal the sealing cover (16) of the connecting tube (15).

8. incision protection device according to claim 5, which is characterized in that the top of the rubber sleeve (1) is also connected with The both ends of rubber stopper (17), the rubber stopper (17) are located at the two sides of the rubber sleeve (1).

9. according to any incision protection device of claim 5-8, which is characterized in that it further include a rubber reinforcing sleeve (4), Its both ends is open, and the outer diameter of the rubber reinforcing sleeve (4) is less than the outer diameter of the rubber sleeve (1), and removable can be socketed in On the outer wall of the rubber sleeve (1).