CN209734127U - Access channel of single-port laparoscope - Google Patents

Access channel of single-port laparoscope Download PDF

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Publication number
CN209734127U
CN209734127U CN201920061786.6U CN201920061786U CN209734127U CN 209734127 U CN209734127 U CN 209734127U CN 201920061786 U CN201920061786 U CN 201920061786U CN 209734127 U CN209734127 U CN 209734127U
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CN
China
Prior art keywords
glove
pipe fitting
finger
hole
laparoscope
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Expired - Fee Related
Application number
CN201920061786.6U
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Chinese (zh)
Inventor
李海萍
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Guangdong Maternal and Child Health Hospital
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Individual
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Priority to CN201920061786.6U priority Critical patent/CN209734127U/en
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Publication of CN209734127U publication Critical patent/CN209734127U/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The utility model provides a simple and convenient way access channel of single-port laparoscope, which can ensure enough air tightness and operation flexibility. Comprises a glove-shaped part and a pipe fitting; forming fingers on the glove-shaped member, the fingers being made of a thin-walled, resilient, gas-impermeable material; at least 1 finger of the glove member is intersected to form a through hole; the transected finger, in whole or in part, is tucked into the interior of the glove member and through the lumen of the tube member, the tucked-in portion serves as an instrument channel, and the length of the tucked-in portion exceeds the length of the lumen of the tube member; also included is a tie externally securing the traversed finger to the tube. The access passage of the utility model has the advantages of simple structure, easy manufacture, low cost, natural air tightness, no dragging of appliances, etc.

Description

Access channel of single-port laparoscope
Technical Field
The utility model relates to an access channel of a single-port laparoscope, which belongs to the field of medical instruments.
background
The single-port laparoscopic technique is one of minimally invasive surgeries, is an emerging minimally invasive surgery, and has a minimally invasive concept superior to that of the traditional laparoscopic surgery. It is operated by inserting a multi-way laparoscopic instrument through a small incision (2-3 cm).
The single-port laparoscope technology needs a special access channel, but the access channel finished products at home and abroad are expensive, and the high cost is finally transferred to patients, which causes great economic burden on the patients.
The utility model discloses a chinese utility model patent of "a self-control peritoneoscope haplopore multichannel device", application date: 2016, 7, 25 and CN206303875U, discloses an access channel of a single port laparoscope, which adopts a finished laparoscope puncture device, so that the manufacturing cost is still high.
The application of the patent of the Chinese utility model entitled "access channel of single-port laparoscope and manufacturing method thereof", application date: on 22.1.2018, application publication No. CN108245205A, another access channel of a single-port laparoscope is disclosed, which is not replaced by a finished laparoscope puncture outfit but by a self-made instrument penetration tube (3), so that the manufacturing cost is further reduced. But the technical proposal disclosed by the utility model has the defects of poor air tightness. During the abdominal surgery, a doctor inflates the abdominal cavity of a patient with gas under a certain pressure to facilitate observation and operation of instruments, and at this time, since the inside of the glove is communicated with the abdominal cavity of the patient, a certain gas pressure is also present inside the glove, and although a continuous small leakage of the inflated gas is allowed during the surgery, if the leakage is too fast, the surgery is troublesome and even the life safety of the patient is compromised. The technical scheme disclosed has higher requirements on experience of a maker in practice, otherwise, the problem of too fast gas leakage is easy to occur, but if the surgical instrument is too tightly matched with the instrument penetrating pipe (3), the surgical instrument is dragged by the gloves in the moving process, so that the medical staff is difficult to grasp and make the product.
There is therefore a need for improvements in the structure and method of making existing access channels.
Disclosure of Invention
The utility model provides a simple and convenient way access channel of single-port laparoscope, which can ensure enough air tightness and operation flexibility.
The following technical scheme is adopted:
the access channel of the haplopore laparoscope comprises a glove-shaped piece and a pipe fitting; forming fingers on the glove-shaped member, the fingers being made of a thin-walled, resilient, gas-impermeable material; at least 1 finger of the glove member is intersected with a through hole; in particular, the transected finger, in whole or in part, is tucked inside the glove and through the lumen of the tube, the tucked portion being used as a tool channel and the length of the tucked portion exceeding the length of the lumen of the tube; also included is a tie externally securing the traversed finger with the tube.
The utility model discloses a theory of operation is: the tube ensures that the whole or part of the transected finger is always inside the glove-shaped member, which corresponds to the passage formed by the finger in the lumen of the tube for the surgical instrument, i.e. the instrument passage. The surgical instrument may extend through the instrument channel into the interior of the glove member and into the abdominal cavity of the patient. After the abdominal cavity of the patient is filled with a gas under pressure, the finger portion is made of a thin-walled elastic material, so that the finger portion is expanded outward, and the expansion causes the inner diameter of the instrument channel in the inner cavity of the tube member to become smaller until the instrument channel is closed and airtight. Then under the condition that does not have the surgical instruments to inject the utensil passageway, the utility model discloses an approach passageway has natural airtight effect, and injects the surgical instruments behind the utensil passageway, then the utensil passageway also can hug closely the surface of surgical instruments under the effect of atmospheric pressure all the time, prevents that gas from leaking from the gap between the surface of utensil passageway and surgical instruments, even the relative utensil channel motion of surgical instruments can not a large amount of gas leakage yet. The biggest difference from the prior art is that: the scheme of prior art is that gas leakage is more severe under the higher circumstances of atmospheric pressure, and the technical scheme of the utility model the gas tightness is better on the contrary under the higher circumstances of atmospheric pressure.
The inner cavity of the pipe fitting is preferably a cylindrical cavity with the diameter of 6 mm-15 mm. The length of the pipe is preferably 1cm to 3 cm.
The pipe fitting can be made of hard materials or soft materials. However, the tube should not be made of too soft material, otherwise the tube deforms with a certain hand force, which may affect the air-tight effect or generate a large dragging force on the surgical instrument.
The finger portion formed with the through hole is preferably 6mm to 15mm in diameter, the through hole is preferably 5mm to 14mm in diameter, and the length of the portion thereof turned inside the glove member is preferably 1.5cm to 7 cm.
As an improvement, the opening of the through hole can be turned back to partially cover the pipe fitting, the turned-back part of the opening of the through hole is fixed with the pipe fitting through another binding piece, and a gas passing hole is formed in the pipe fitting and used for enabling a channel expansion cavity to be communicated with a gas path of the glove piece, wherein the channel expansion cavity is a space between the instrument channel and the wall body of the inner cavity of the pipe fitting. Through such technical scheme, can reduce the probability that the utensil passageway is taken out the pipe fitting inner chamber by surgical instruments on the one hand, on the other hand is under the condition that keeps the airtight characteristic of nature, reducible utensil passageway and the contact surface between the surgical instruments to reduce the power of dragging to surgical instruments, let surgical instruments's execution more nimble convenient. In this case, it is preferable that a flange portion for preventing the reversed portion of the opening of the through hole from coming loose is further formed at a side of the pipe member adjacent to the through hole.
The binding piece can be a silk thread or an elastic ring piece.
the utility model also provides a way passageway preparation method of haplopore peritoneoscope for make the way passageway that has the nature sealed characteristic portably swiftly.
The following scheme is adopted:
A method for manufacturing an access channel of a single-port laparoscope comprises a glove-shaped piece, a pipe fitting and a binding piece; the glove-shaped member is made of a thin-walled, resilient, air-impermeable material; the method comprises the steps of penetrating 1 finger part of a glove-shaped part through an inner cavity of a pipe fitting, transversely cutting the tail end of the finger part to form a through hole, turning the glove-shaped part inside and outside, and fixing the transversely cut finger part and the pipe fitting together from the outside by using a binding piece.
Compared with the prior art, the manufacturing method has simpler manufacturing steps but more ideal effect.
The utility model also provides another method for manufacturing the access channel of the single-port laparoscope, which comprises a glove-shaped part, a pipe fitting, a first binding piece and a second binding piece; the glove-shaped member is made of a thin-walled, resilient, air-impermeable material; punching at least 1 air passing hole on the wall body of the pipe fitting; the method comprises the steps of penetrating 1 finger part of a glove-shaped part through an inner cavity of a pipe, transversely cutting the tail end of the finger part to form a through hole, turning back the opening part of the through hole outwards to partially cover the pipe and prevent all air passing holes from being covered, fixing the turned-back part of the opening part of the through hole and the pipe together by using a second binding piece, turning the glove-shaped part inwards and outwards, and fixing the transversely cut finger part and the pipe together by using a first binding piece from the outside.
Compared with the prior art, the manufacturing method has simple manufacturing steps and can ensure that the operation of the surgical instrument is more flexible and convenient.
after the access passage is manufactured, the ring opening of the glove-shaped part is sleeved on the upper ring of the incision protection sleeve and the upper ring and the incision protection sleeve are rolled together, and then the glove-shaped part and the incision protection sleeve can be connected in an airtight mode.
The access passage of the utility model has the advantages of simple structure, easy manufacture, low cost, natural air tightness, no dragging of appliances, etc. The utility model discloses a manufacturing method of access passage has that the step is simple, the success rate is high, does not have high grade advantage to personnel's preparation level requirement.
Description of the drawings:
FIG. 1 is a schematic structural view of the glove member of example 1;
FIG. 2 is a schematic structural view of embodiment 1;
FIG. 3 is an enlarged view of area A of FIG. 2;
FIG. 4 is a schematic view of the working principle of embodiment 1;
FIG. 5 is an enlarged view of area B of FIG. 4;
FIG. 6 is a schematic structural view of embodiment 2;
FIG. 7 is an enlarged view of area C of FIG. 6;
FIG. 8 is a schematic view of the working principle of embodiment 2;
FIG. 9 is an enlarged view of area D of FIG. 8;
FIG. 10 is a schematic structural view of embodiment 3;
fig. 11 is an enlarged view of the region E of fig. 10.
Description of reference numerals: 11-a glove-shaped piece; 12-a pipe piece; 13-a binding; 14-a through hole; 15-an instrument channel; 16-a surgical instrument; 111. 112, 113, 114, 115-fingers;
22-a pipe fitting; 25-an instrument channel; 26-surgical instruments; 27-a second binding; 28-channel expansion chamber; 221-air passing holes;
32-a pipe fitting; 321-flange portion.
Detailed Description
The present invention will be further described with reference to the following examples.
Example 1
As shown in fig. 1 to 5, the access passage of the single port laparoscope of the present embodiment includes: a glove 11, a tube 12 and a binding 13.
Wherein, the glove-shaped member 11 is an operating glove, and the whole glove-shaped member is made of thin-wall elastic airtight material; the tube 12 is a fitting on a medical delivery tube; the binding 13 is a medical suture.
As shown in fig. 1, 5 fingers 111, 112, 113, 114, 115 are formed on the glove member 11, one or more of which may be optionally modified to form a tool channel as desired. The present embodiment is to be modified by the finger 113 located at the center.
as shown in fig. 1, 2 and 3, the finger 113 is cut transversely from the finger tip to form a through hole 14, and then about 3/4 of the transversely cut finger is turned inside the glove 11 to form the instrument channel 15, and the turned-in portion is passed through the lumen of the tube 12, which is now inside the glove 11. The remaining approximately 1/4 of the transected finger remains on the outside of the glove 11, at the location of the finger, which is secured to the tube 12 by the binding 13.
As shown in fig. 4 and 5, when the access passage is filled with gas under a certain pressure and the surgical instrument 16 is inserted, the instrument passage 15 becomes narrower and narrower by the gas pressure, and finally comes into close contact with the outer surface of the surgical instrument 16, and the higher the gas pressure is, the closer the instrument passage is. In use, surgical instrument 16 may also be coated with a medical lubricant to reduce friction between surgical instrument 16 and instrument channel 15.
Example 2
As shown in fig. 6 and 7, the present embodiment is different from embodiment 1 in that: the opening of the through hole is turned back to partially cover the pipe 22, the turned back portion of the opening of the through hole is fixed to the pipe 22 by the second binding member 27, and the air passing hole 221 is formed in the pipe 22. The second binding 27 is also a medical suture.
As shown in fig. 8 and 9, when gas is injected into the inlet passage, the gas passes through the gas holes 221 and enters a space between the tool passage 25 and the inner wall of the tube 22, which is referred to as a passage expansion chamber 28. As the gas pressure increases, the volume of the channel expansion chamber 28 increases and the instrument channel 25 becomes narrower until it is hermetically sealed. After the surgical tool 26 is inserted into the tool passage 25, the tool passage 25 is always closely attached to the outer surface of the surgical tool 26 to prevent the gas in the glove member from leaking to the outside.
This structure reduces the drag force on the surgical instrument 26 compared to the structure of example 1, and makes the operation of the surgical instrument 26 more flexible and convenient.
Example 3
as shown in fig. 10 and 11, the present embodiment differs from embodiment 2 in that: a flange 321 is also formed at one end of the pipe member 32 near the through hole. The flange 321 prevents the reversed part of the opening of the through hole from being loosened.
Example 4
this embodiment is a method for manufacturing an access channel of the single port laparoscope of embodiment 1.
the method comprises the steps of penetrating 1 finger part of a glove-shaped part through an inner cavity of a pipe fitting, transversely cutting the tail end of the finger part to form a through hole, turning the glove-shaped part inside and outside, and fixing the transversely cut finger part and the pipe fitting together from the outside by using a binding piece.
The manufacturing method can simply manufacture the access channel with better effect than the existing access channel.
Example 5
this example is a method for manufacturing the access channel of the single port laparoscope of example 2 and example 3.
Punching at least 1 air passing hole on the wall body of the pipe fitting; the method comprises the steps of enabling 1 finger part of a glove-shaped part to penetrate through an inner cavity of a pipe fitting, enabling the tail end of the finger part to be transverse to form a through hole, enabling the opening part of the through hole to be turned back outwards to partially cover the pipe fitting and prevent all air passing holes from being covered, fixing the turned-back part of the opening part of the through hole and the pipe fitting together through a second binding part, turning the glove-shaped part inside and outside, and fixing the transverse finger part and the pipe fitting together through a first binding part from the outside.
The manufacturing method can simply manufacture the access channel with better effect than the existing access channel.
the preferred embodiment of the present invention is only listed in the present specification, and all the technical changes equivalent to those made under the working principle and thought of the present invention are considered as the protection scope of the present invention.

Claims (7)

1. The access channel of the haplopore laparoscope comprises a glove-shaped piece and a pipe fitting; forming fingers on the glove-shaped member, the fingers being made of a thin-walled, resilient, gas-impermeable material; at least 1 finger of the glove member is intersected with a through hole; the method is characterized in that: the transected finger, in whole or in part, is tucked into the interior of the glove member and through the lumen of the tube, the tucked portion being used as a tool channel and the length of the tucked portion exceeding the length of the lumen of the tube; also included is a tie externally securing the traversed finger with the tube.
2. The access port of a single port laparoscope as recited in claim 1, further comprising: the inner cavity of the pipe fitting is a cylindrical cavity with the diameter of 6-15 mm.
3. The access port of a single port laparoscope as recited in claim 1, further comprising: the length of the pipe fitting is 1 cm-3 cm.
4. The access port of a single port laparoscope as recited in claim 1, further comprising: the finger parts formed with the through holes are 6mm to 15mm in diameter, and the through holes are 5mm to 14mm in diameter.
5. the access port of a single port laparoscope as recited in claim 1, further comprising: the length of the finger part which is transversely provided with the through hole and turns into the glove-shaped part is 1.5 cm-7 cm.
6. The access port of a single port laparoscope as recited in claim 1, further comprising: the mouth of the through hole is turned back to partially cover the pipe fitting, the turned-back part of the mouth of the through hole is fixed with the pipe fitting through another binding piece, a gas passing hole is formed in the pipe fitting and used for enabling a channel expansion cavity to be communicated with a gas path of the glove-shaped piece, and the channel expansion cavity is a space between an appliance channel and a wall body of an inner cavity of the pipe fitting.
7. The port laparoscopic access port of claim 6, wherein: and a flange part is also formed at one end of the pipe fitting close to the through hole and is used for preventing the turned-back part of the opening part of the through hole from loosening.
CN201920061786.6U 2019-01-15 2019-01-15 Access channel of single-port laparoscope Expired - Fee Related CN209734127U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201920061786.6U CN209734127U (en) 2019-01-15 2019-01-15 Access channel of single-port laparoscope

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201920061786.6U CN209734127U (en) 2019-01-15 2019-01-15 Access channel of single-port laparoscope

Publications (1)

Publication Number Publication Date
CN209734127U true CN209734127U (en) 2019-12-06

Family

ID=68705821

Family Applications (1)

Application Number Title Priority Date Filing Date
CN201920061786.6U Expired - Fee Related CN209734127U (en) 2019-01-15 2019-01-15 Access channel of single-port laparoscope

Country Status (1)

Country Link
CN (1) CN209734127U (en)

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GR01 Patent grant
GR01 Patent grant
TR01 Transfer of patent right

Effective date of registration: 20220628

Address after: No.13, Guangyuan West Road, Guangzhou, Guangdong 510000

Patentee after: GUANGDONG WOMEN AND CHILDREN Hospital

Address before: 510000, Guangdong, Guangzhou Tianhe District Tianhe straight street, No. 69, on the third floor

Patentee before: Li Haiping

TR01 Transfer of patent right
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20191206

CF01 Termination of patent right due to non-payment of annual fee