CN209450576U - Single-port laparoscope instrument system for V-NOTES operation - Google Patents
Single-port laparoscope instrument system for V-NOTES operation Download PDFInfo
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- CN209450576U CN209450576U CN201821736059.7U CN201821736059U CN209450576U CN 209450576 U CN209450576 U CN 209450576U CN 201821736059 U CN201821736059 U CN 201821736059U CN 209450576 U CN209450576 U CN 209450576U
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- flexible connector
- connecting sleeve
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Abstract
The utility model relates to a kind of single-port laparoscope instrument systems for V-NOTES operation, including flexible connector, air bag, surgical instrument channel and fixing piece；The flexible connector is equipped with tubular elastomeric connector ontology, and flexible connector body proximal end is connected with connecting sleeve；The air bag includes the airbag body and gas tube of oval ring-type；The surgical instrument channel includes channel body and handle；Under use state, the airbag body takes the form of inclined plane positioned at flexible connector body interior, and the gas tube proximal end is stretched out from connecting sleeve and passes through fixing piece fixing seal；The channel body is inserted in connecting sleeve and by fixing piece fixing seal；Support flexible connector ontology is expanded in the airbag body inflation；The flexible connector, which is also inflated, to be expanded.The device system structure of the utility model is simple, at low cost, and fixed, flexible operation, stability is good, creates condition for the raising of V-NOTES surgical effect.
Description
Technical field
The utility model relates to the field of medical instrument technology, specifically, being related to a kind of single hole for V-NOTES operation
Laparoscopic instrument system.
Background technique
Through natural cavity endoscopic surgery (natural orifice transluminal endoscopic surgery,
It NOTES) is an emerging minimally invasive surgery technology, V-NOTES refers to without body surface notch, passes through human body natural hole using scope
Road --- vagina enters body cavity and performs the operation.Compared with traditional abdominal and laparoscope, V-NOTES is damaged with no stomach wall
Wound, without visible surgical scars, reduce intra-abdominal adhesions, operation wound is small, postoperative pain is light, recovery is fast, reaches ideal beauty
The advantages such as effect.And it is related concurrent without infection of incisional wound, incisional hernia caused by incision of abdominal wall point of puncture (through abdomen laparoscope) etc.
Disease.
Patent document CN107510496A, publication date 2017.12.26, according to the use demand of TNOTES operation, innovation is set
A set of dedicated TNOTES operative approach instrument, the i.e. minimally invasive TNOTES operative approach suit of gynaecology, the minimally invasive TNOTES of the gynaecology are counted
Operative approach suit is retracted sealed passage, seal operation platform, leakproof protection pad by vagina and auxiliary instrument is used for multiple times forms.Yin
Road retracts sealed passage and is made of turnup ring, inner seal ring, pipeline and sliding ring, drawing belt, and inner seal ring is equipped with soft
Gasket ring is protected, pipeline is equipped with reinforcing rib.Seal operation platform is by multiple operation sealed passages, common platform and vent line three
Divide and constitutes.Operating walk way is made of lateral and sealed valve.Sealed valve is by shell, crack film, pore membrane and tightens hoop structure
At；Common platform includes common-use tunnel and rotational positioning ring two parts.Common-use tunnel is equipped with channel, channel outer, interior sealed skirt
Side, positioning ring；Rotating ring is equipped with outer ring, inner ring.Common-use tunnel outer and skirt be socketed in respectively rotational positioning ring inner ring and
On the side ring of outer ring, rotational positioning ring inner ring is clamped together in the annular groove of positioning ring, and common platform side is equipped with two gas valves
Pipeline, inner groove sealing chimeric with vagina traction sealed passage turnup ring position.When rotating multichannel seal cap by hand, it is total to
The rotation of rotating ring outer ring is driven with channel, skirt and rotational positioning ring inner ring keep sealing.It is mating that auxiliary instrument is used for multiple times,
Dedicated auxiliary front end is bifurcation shape, and one hook-shaped for arc.The invention has following the utility model has the advantages that 1. comprehensively solve laparoscope TNOTES
Operative approach seal operation problem, is placed in convenient, sealed reliable, and operation instrument is flexible；2. vagina, which retracts sealed passage design, to be had
Sliding ring and inner seal ring protect gasket ring, not only can protect outer fornix but also can prevent the gas leakage outside pipeline；3. seal operation
The design of platform rotating ring keeps common platform not only deformable but also rotatable, and more optimized instrument anti-interference function greatly increases
The flexibility in the operation of pneumoperitoneum air-proof condition menisectomy direction, angle change, increases operation ease in TNOTES art；4. design has
Special-purpose assorted conveyer is implemented convenient for operation.
Although above patent document provides a set of approach instrument for being exclusively used in V-NOTES operation, but the structure of the instrument
Extremely complex, it is simple, at low cost to yet there are no structure for inconvenient for use, higher cost, while can sufficiently meet V-NOTES again
Operation requires and instrument easy to use.
Summary of the invention
The purpose of this utility model is aiming at the shortcomings in the prior art, to provide a kind of single hole for V-NOTES operation
Laparoscopic instrument system.
To realize above-mentioned first purpose, the technical scheme adopted by the utility model is that:
A kind of single-port laparoscope instrument system for V-NOTES operation, including flexible connector, air bag, several hands
Art instrument channel and several fixing pieces；The flexible connector includes flexible connector ontology and several connecting sleeves,
The flexible connector ontology is the tubular structure of distal openings, and the section of proximal end is connected with connecting sleeve；The air bag
Including airbag body and gas tube, the airbag body is the hollow cystic structures of oval ring-type, the proximal end of long axis and inflation
Pipe connection；The surgical instrument channel includes channel body and handle, and the proximal end of the channel body is connect with handle；Make
With under state, the airbag body takes the form of inclined plane positioned at flexible connector body interior, its proximal end of the gas tube is from even
Female connector pipe extends portion and by fixing piece fixing seal；The channel body is inserted in connecting sleeve and passes through fixation
Part fixing seal；Its inside of the airbag body is charged gas by gas tube and expands support flexible connector ontology；
The flexible connector is charged gas inside it and then is in the state of expanding.
As a preference, the channel body is circular tube shaped, and the handle is circular tube shaped or prism-shaped, and hand
The area of handle distal end end face is greater than or equal to the area of channel body proximal face.
As another preference, the side wall of the handle is equipped with smoke exhaust pipe.
Preferably, the smoke exhaust pipe is equipped with valve.
As another preference, the distal end of the channel body is flushed with the distal end of corresponding connecting sleeve.
As another preference, the flexible connector is made of medical elastic material.
As another preference, its proximal end of the connecting sleeve is closure or opens.
As another preference, the flexible connector ontology and connecting sleeve are integrally formed.
As another preference, the fixing piece is the set rolling circle of silk thread or elasticity.
As another preference, the quantity of the connecting sleeve is four or more.
The utility model for V-NOTES operation single-port laparoscope instrument system the advantage is that:
1, it equipped with the flexible connector comprising connecting sleeve, can be inflated to abdominal cavity, after forming pneumoperitoneum, flexible connector is swollen
Swollen to become larger, then each connecting sleeve yet all expansions and spacing becomes larger, enabling each surgical instrument, operation is not interfere with each other apart from larger, and
Movement in surgical instrument human body axial direction may be implemented when patient's operation instrument and radially to the offset of all angles,
Strong flexibility is also convenient for the utility model instrument merging natural cavity or takes out from natural cavity.
2, the oval ring that takes the form of inclined plane equipped with the flexible connector body interior under use state in flexible connector
Air bag can easily be realized the quick fixation of the utility model instrument, and good fixing effect by the method for inflation, be not easy to take off
It falls, there is good leakproofness, be also convenient for controlling cavity size by regulation aeration quantity, to meet different operation demands,
Air bag is not take up excessive cavity space simultaneously, might as well hinder the operation of surgical instrument.
3, it is equipped with surgical instrument channel, surgical instrument passes in and out smooth non-resistance, and can demarcate support surgical instrument, improves hand
The stability and precision of art instrumentation.
4, surgical instrument channel is equipped with smoke exhaust pipe, and the smog to be formed discharge is operated convenient for electrical instrument, remains clear
Surgical field of view.
5, the quantity of connecting sleeve, surgical instrument channel and fixing piece is transformable, and patient can select according to demand, spirit
It is living multi-purpose.
6, overall structure is simple, easy to use, at low cost, is convenient for clinical expansion.
Detailed description of the invention
Attached drawing 1 is the single-port laparoscope instrument system composition schematic diagram that the utility model is used for V-NOTES operation.
Attached drawing 2 is flexible connector structural schematic diagram.
Attached drawing 3 is airbag structure schematic diagram.
Attached drawing 4 is surgical instrument channel design schematic diagram.
Attached drawing 5 is anchor structure schematic diagram.
Attached drawing 6 is the utility model for the single-port laparoscope instrument System Utilization Procedure of V-NOTES operation and uses shape
State schematic diagram.
Attached drawing 7 is another flexible connector structural schematic diagram.
Attached drawing 8 is another surgical instrument channel design schematic diagram.
Specific embodiment
It elaborates with reference to the accompanying drawing to specific embodiment provided by the utility model.
Appended drawing reference involved in attached drawing and component part are as follows:
1. flexible connector, 11. flexible connector ontologies, 12. connecting sleeves
2. air bag, 21. airbag bodies, 22. gas tubes
3. surgical instrument channel, 31. channel bodies, 32. handles, 321. surgical instrument feeder connections, 322. smoke exhaust pipes,
323. valve
4. fixing piece
5. carbon dioxide air injection pipe
6. natural cavity
Embodiment 1
Referring to Figure 1, Fig. 1 is single-port laparoscope instrument system composition signal of the utility model for V-NOTES operation
Figure.The single-port laparoscope instrument system for V-NOTES operation includes: flexible connector 1, air bag 2, several operations
Instrument channel 3 and several fixing pieces 4.
Fig. 2 is referred to, Fig. 2 is flexible connector structural schematic diagram.The flexible connector 1 includes flexible connector sheet
Body 11 and five connecting sleeves 12.Flexible connector ontology 11 under unaerated state is buckle condition, the bullet under inflated condition
Property connector ontology 11 be tubular structure, distal end is opening, and the section of proximal end is connected to and in communication with five connecting sleeves 12.
The proximal end of the connecting sleeve 12 is closure.Flexible connector 1 generally distal openings, the closed structure in proximal end.Elasticity
Connector ontology 11 and five connecting sleeves 12 are integrally formed.Flexible connector 1 is made of medical elastic material, such as soft
The thin silicon glue (i.e. the materials of medical silica-gel gloves) etc. of property.
Fig. 3 is referred to, Fig. 3 is airbag structure schematic diagram.The air bag 2 includes airbag body 21 and gas tube 22.Institute
The airbag body 21 stated is the hollow cystic structures of oval ring-type, and the proximal end of long axis is connect with gas tube 22.21 He of airbag body
The inside of gas tube 22 is connected.Airbag body 21 and gas tube 22 be it is integrally formed, be made of medical macromolecular materials, such as
Polyethylene etc..
Fig. 4 is referred to, Fig. 4 is surgical instrument channel design schematic diagram.The surgical instrument channel 3 includes channel body
31 and handle 32.The channel body 31 is circular tube shaped, and proximal end is connect with handle 32.The handle 32 is also circular tube shaped,
Interior diameter is greater than the interior diameter of channel body 31.The proximal face center of handle 32 is equipped with surgical instrument feeder connection 321, side wall
Equipped with smoke exhaust pipe 322, the smoke exhaust pipe 322 is equipped with valve 323.The surgical instrument channel 3 be it is integrally formed, be
Hard, it can be made of transparent medical macromolecular materials, such as the sealing sheath in laparoscopic instrument Trocar.
Fig. 5 is referred to, Fig. 5 is anchor structure schematic diagram.The fixing piece 4 is silk thread.Fixing piece 4 can be by medical height
Molecular material is made, such as nylon, silica gel, rubber.
Fig. 6 is referred to, Fig. 6 is the single-port laparoscope instrument System Utilization Procedure that the utility model is used for V-NOTES operation
And use state diagram.In use, the proximal end of a connecting sleeve 12 is cut off first, then by air bag 2.By flexible connector
11 distal openings of ontology are put into the inside of flexible connector ontology 11, enable the airbag body 21 in flexible connector ontology
It takes the form of inclined plane in 11, then the proximal end of gas tube 22 is taken out by the proximal openings of one of connecting sleeve 12 and passes through fixing piece
4 is fixed, and the outside of connecting sleeve 12 is such as wrapped in using silk thread.Then according to surgical instrument to be used quantity, cut off
Accordingly the proximal end of the preferable connecting sleeve 12 of (such as three) quantity and position, the proximal end group for the connecting sleeve 12 each cut off are loaded onto
One channel body 31.Specifically, channel body 31 is inserted into connecting sleeve 12 to 31 distal end of channel body and connecting sleeve 12
Distal end flushes, and then using the fixed channel body 31 of fixing piece 4 and connecting sleeve 12, is such as wrapped in connecting sleeve 12 using silk thread
Outside.After assembling, flexible connector ontology 11 is placed in natural cavity 6 first to appropriate depth, by gas tube 22
Proximal end connects the inflation of gas injection machine, then inflates and expands inside airbag body 21, supports flexible connector ontology 11, strut vaginal wall,
Compressing flexible connector ontology 11 simultaneously enables the utility model instrument fix, and forms closed single hole state.Carbon dioxide gas injection
Pipe 5 is connected to the smoke exhaust pipe 322 in one of surgical instrument channel 3, while the compression of flexible connector 1 is expanded.One thereto
Surgical instrument channel 3 is placed in laparoscope light source camera lens.It is set respectively by surgical instrument feeder connection in other surgical instrument channels 3
Enter surgical manipulator tool such as elastic separating plier, needle holder, ultrasound knife etc., because the smog that electrical instrument operation generates can pass through in surgical procedure
Valve 323 is opened, is discharged by smoke exhaust pipe 322, to guarantee clearly surgical field of view.That is, in a state of use, the air bag 2
Airbag body 21 take the form of inclined plane inside the flexible connector ontology 11 of flexible connector 1, the gas tube 22 of air bag 2 it is close
End is extended portion and by 4 fixing seal of fixing piece by a connecting sleeve 12；The channel sheet in the surgical instrument channel 3
Body 31 is inserted in other connecting sleeves 12, and 31 distal end of channel body is flushed with corresponding 12 distal end of connecting sleeve, and is passed through
4 fixing seal of fixing piece；The airbag body 21 of air bag 2 expands state in inflation, and the flexible connector ontology 11 is by air bag
Ontology 21 is pressed abd fixed on vaginal wall；Flexible connector 1 increases in state of expanding, the spacing of each connecting sleeve 12；Valve 323 is in
Open state is for discharging fume.
It should be noted that herein, " proximal end " refers to apart from the closer one end of patient in surgical procedure, conversely,
" distal end " refers in surgical procedure apart from the farther away one end of patient.
The flexible connector 1 has elasticity, therefore has the advantages that multiple: first, it is inflating to form pneumoperitoneum to abdominal cavity
Afterwards, the flexible connector 1 expansion becomes larger, then each connecting sleeve 12 also all expands, and the spacing of each connecting sleeve 12 becomes larger,
The operation of surgical instrument each in this way is not interfere with each other；Second, it is axial that surgical instrument human body may be implemented in when patient's operation instrument
On movement and radially to the offset of all angles, strong flexibility；Third, can deformation, convenient for merging and take out.It is each
Connecting sleeve 12 is unlimited in the spread pattern and spacing of 11 proximal section of flexible connector ontology, can be and is arranged in a row,
It can be two rows of or other spread patterns.The proximal end of connecting sleeve 12 is designed to closure, selects as needed convenient for patient
The connecting sleeve for cutting off suitable position and quantity is selected, without influencing whole leakproofness.The quantity of connecting sleeve 12 is preferably four
It is a or four or more, to meet the needs of V-NOTES operation.
2 one side of air bag keeps its not easily to fall off for effectively fixed flexible connector 1 in the deflated condition, and shape
At good sealed environment, pneumoperitoneum is maintained, on the other hand convenient for controlling cavity size by regulation aeration quantity, to meet
Different operation demands.Air bag 2 is designed as taking the form of inclined plane in flexible connector 1 when in use, so in the axial direction of cavity
On can fix the flexible connectors 1 of larger lengths, fixed effect is more preferable, and and be not take up excessive cavity space, no
Interfere the operation of surgical instrument.It is preferable to use the materials for having certain degree of hardness for air bag 2, in order to be placed in.
The channel body 31 provides surgical instrument operation channel, passes in and out smooth non-resistance, and play certain direction
Calibration effect, convenient for finely tuning the angle of surgical instrument.The handle 32 facilitates patient's another hand to hold, and provides surgical instrument
The fulcrum of operation improves the stability and precision of surgical instrument operation.32 interior diameter of handle is greater than channel body 31
Interior diameter, and side wall is equipped with smoke exhaust pipe 322, and intraperitoneal electrical instrument can in time and efficiently be discharged and operate the smog to be formed, and begins
Clearly surgical field of view is kept eventually.
The fixing piece 4 is for fixed connecting sleeve 12 and gas tube 22 or fixed connecting sleeve 12 and channel body
31, to guarantee the leakproofness inside cavity.Fixing piece 4 is not limited only to silk thread, is also possible to flexible set rolling circle etc..
The quantity of the connecting sleeve 12, surgical instrument channel 3 and fixing piece 4 is not limited only to the present embodiment, Ke Yigen
Be configured according to demand, but with the present embodiment be it is best, be able to satisfy clinical V-NOTES operation abdominal cavity inflation and conventional surgical instrument
Operation.
Single-port laparoscope instrument system the Nomenclature Composition and Structure of Complexes of the utility model for V-NOTES operation is simple, is all conventional
Medical macromolecular materials, it is at low cost, it can be according to actual operation demand come individualized selection surgical instrument channel, in use process
It is not easily to fall off, it is convenient for the flexible change location of surgical instrument, best orientation can be found in different operating positions, instrument can be improved
The precision and stability of operation, the raising gone on smoothly with surgical effect for V-NOTES operation create condition.
Embodiment 2
The single-port laparoscope instrument system for V-NOTES operation of the present embodiment is used for V- with described in embodiment 1
The single-port laparoscope instrument system of NOTES operation is identical, the difference is that only the structure of flexible connector.
Fig. 7 is referred to, Fig. 7 is another flexible connector structural schematic diagram.The flexible connector 1 includes that elasticity connects
Fitting ontology 11 and five connecting sleeves 12.Flexible connector ontology 11 under inflated condition is tubular structure, is distally opening
, the section of proximal end is connected to and in communication with five connecting sleeves 12.The proximal end of the connecting sleeve 12 is opening.Elasticity is even
The structure that fitting 1 is generally proximally and distally open.Flexible connector ontology 11 and five connecting sleeves 12 can be integrated into
Type.Flexible connector 1 is made of medical elastic material, such as soft silica gel.
That is, the connecting sleeve 12 can also be preprogrammed to proximal openings, compared with Example 1, the present embodiment exists
It does not need to cut off the proximal end of connecting sleeve 12 in art, but needs to use fixing piece fixing seal to the connecting sleeve 12 not used.
Embodiment 3
The single-port laparoscope instrument system for V-NOTES operation of the present embodiment is used for V- with described in embodiment 1
The single-port laparoscope instrument system of NOTES operation is identical, the difference is that only the structure in surgical instrument channel.
Fig. 8 is referred to, Fig. 8 is another surgical instrument channel design schematic diagram.The surgical instrument channel 3 includes logical
Road ontology 31 and handle 32.The channel body 31 is circular tube shaped, and proximal end is connect with handle 32.The handle 32 is section
The prism-shaped of square, side length are greater than the interior diameter of channel body 31.The proximal face center of handle 32 is logical equipped with surgical instrument
Road entrance 321, side wall are equipped with smoke exhaust pipe 322, and the smoke exhaust pipe 322 is equipped with valve 323.The surgical instrument channel 3
It can be integrally formed, be hard, can be made of transparent medical macromolecular materials.
That is, 32 shape of handle is not limited only to cylinder, it is also possible to other shapes such as prism-shaped, as long as guaranteeing hand
The area of 32 distal end end face of handle is greater than the area of 31 proximal face of channel body, to guarantee that handle 32 has compared with major lumen, is convenient for
The discharge of smog.But handle 32 be still with cylinder it is best, most convenient for patient hold.
The above is only the preferred embodiment of the utility model, it is noted that for the common skill of the art
Art personnel can also make several improvement and supplement under the premise of not departing from the utility model method, these are improved and supplement
Also it should be regarded as the protection scope of the utility model.
Claims (10)
1. it is a kind of for V-NOTES operation single-port laparoscope instrument system, which is characterized in that including flexible connector, air bag,
Several surgical instrument channels and several fixing pieces；The flexible connector includes flexible connector ontology and several companies
Female connector pipe, the flexible connector ontology are the tubular structures of distal openings, and the section of proximal end is connected with connecting sleeve；It is described
Air bag include airbag body and gas tube, the airbag body is the hollow cystic structures of oval ring-type, the proximal end of long axis
It is connect with gas tube；The surgical instrument channel includes channel body and handle, the proximal end of the channel body and handle
Connection；Under use state, the airbag body takes the form of inclined plane positioned at flexible connector body interior, it is close for the gas tube
End extends portion and by fixing piece fixing seal from connecting sleeve；The channel body is inserted in connecting sleeve and leads to
Cross fixing piece fixing seal；Its inside of the airbag body is charged gas by gas tube and expands support flexible connector
Ontology；The flexible connector is charged gas inside it and then is in the state of expanding.
2. the single-port laparoscope instrument system according to claim 1 for V-NOTES operation, which is characterized in that described
Channel body be circular tube shaped, the handle is circular tube shaped or prism-shaped, and the area of distal handle end face is greater than or equal to
The area of channel body proximal face.
3. the single-port laparoscope instrument system according to claim 1 for V-NOTES operation, which is characterized in that described
Handle side wall be equipped with smoke exhaust pipe.
4. the single-port laparoscope instrument system according to claim 3 for V-NOTES operation, which is characterized in that described
Smoke exhaust pipe be equipped with valve.
5. the single-port laparoscope instrument system according to claim 1 for V-NOTES operation, which is characterized in that use
Under state, the distal end of the channel body is flushed with the distal end of corresponding connecting sleeve.
6. the single-port laparoscope instrument system according to claim 1 for V-NOTES operation, which is characterized in that described
Flexible connector be made of medical elastic material.
7. the single-port laparoscope instrument system according to claim 1 for V-NOTES operation, which is characterized in that described
Its proximal end of connecting sleeve be closure or open.
8. the single-port laparoscope instrument system according to claim 1 for V-NOTES operation, which is characterized in that described
Flexible connector ontology and connecting sleeve be integrally formed.
9. the single-port laparoscope instrument system according to claim 1 for V-NOTES operation, which is characterized in that described
Fixing piece be silk thread or elasticity set rolling circle.
10. the single-port laparoscope instrument system according to claim 1 for V-NOTES operation, which is characterized in that described
Connecting sleeve quantity be four or more.
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| Application Number | Priority Date | Filing Date | Title |
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| CN201821736059.7U CN209450576U (en) | 2018-10-25 | 2018-10-25 | Single-port laparoscope instrument system for V-NOTES operation |
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| CN201821736059.7U CN209450576U (en) | 2018-10-25 | 2018-10-25 | Single-port laparoscope instrument system for V-NOTES operation |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109171839A (en) * | 2018-10-25 | 2019-01-11 | 上海市第妇婴保健院 | A kind of single-port laparoscope instrument system for V-NOTES operation |
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2018
- 2018-10-25 CN CN201821736059.7U patent/CN209450576U/en active Active
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109171839A (en) * | 2018-10-25 | 2019-01-11 | 上海市第妇婴保健院 | A kind of single-port laparoscope instrument system for V-NOTES operation |
| CN109171839B (en) * | 2018-10-25 | 2024-04-23 | 上海市第一妇婴保健院 | Single-port laparoscope instrument system for V-NOTES operation |
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