CN213883328U - Be provided with passageway for laparoscopic surgery of flexible section - Google Patents

Be provided with passageway for laparoscopic surgery of flexible section Download PDF

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Publication number
CN213883328U
CN213883328U CN202022797418.3U CN202022797418U CN213883328U CN 213883328 U CN213883328 U CN 213883328U CN 202022797418 U CN202022797418 U CN 202022797418U CN 213883328 U CN213883328 U CN 213883328U
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passageway
length
channel body
channel
outer end
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CN202022797418.3U
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郑莹
杨帆
周小驰
陈思敬
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West China Second University Hospital of Sichuan University
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West China Second University Hospital of Sichuan University
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Abstract

The utility model relates to a medical surgical instruments technical field especially relates to a be provided with passageway for laparoscopic surgery of flexible section, including the passageway body, the passageway body includes one section at least flexible section, is following on passageway body length direction, the length of flexible section is adjustable. The utility model provides a passageway for laparoscopic surgery, the setting of flexible section, realize the regulation to passageway body length through this section, can improve the practicality of this application passageway by a wide margin, especially to obese patient, when passageway body length is not enough, can make passageway length reach the requirement through increasing the flexible section, be applicable to the abdominal cavity operation that operation position is far away from the stomach wall, for example, operation position is located behind the peritoneum, and further, and when the passageway body is too long-term, shorten through this flexible section and make passageway length reach the requirement, still reduce the fold on the passageway body simultaneously, further do benefit to surgical instruments through the passageway body.

Description

Be provided with passageway for laparoscopic surgery of flexible section
Technical Field
The utility model relates to the technical field of medical surgical instruments, in particular to a passage for laparoscopic surgery provided with a deformable section.
Background
In the field of minimally invasive surgery, laparoscopic surgery currently has single and multiple port approaches, intraperitoneal and extraperitoneal routes.
The single-port laparoscopic surgery is characterized in that the conventional multi-instrument introduction from 3-4 ports by using a poking card is improved into one-port multi-instrument introduction. The operation type incision instrument is used for opening an incision from the umbilical region of a patient, is placed into a single-hole multi-channel operation platform, can be used for introducing various instruments, not only lightens the wound of the patient, but also can realize the effect of no scar on the incision, and is more and more popular with the patient.
When an operation is performed, a channel is arranged between an abdominal wall and an operation position, so that equipment such as a camera lens and operating forceps can enter an operation position.
In the actual operation process, the inventor finds that the current channel for laparoscopic surgery has the defects that when the operation position is far away from the abdominal wall, for example, is positioned behind the peritoneum, the current channel length is difficult to reach the position, particularly for fat patients, the current channel for single-hole laparoscopic surgery cannot ensure that the outer ring is positioned outside the body when the inner ring is arranged near the operation even if the channel body is completely stretched due to the presence of an excessively thick fat layer.
Therefore, there is a need to design a single-port abdominal cavity surgical channel that can be used at a surgical site that is relatively far from the abdominal wall.
SUMMERY OF THE UTILITY MODEL
The utility model aims to provide a: when the operation position is far away from the abdominal wall, the current channel for laparoscopic surgery is not suitable, and the channel for laparoscopic surgery which is suitable for the operation position far away from the abdominal wall is provided.
In order to achieve the above purpose, the utility model adopts the following technical scheme:
a channel for laparoscopic surgery provided with a deformable section, comprising a channel body, wherein the channel body comprises at least one section of deformable section, and the length of the deformable section is adjustable along the length direction of the channel body.
The utility model provides a passageway for laparoscopic surgery, the setting of flexible section, realize the regulation to passageway body length through this section, can improve the practicality of this application passageway by a wide margin, especially to obese patient, when passageway body length is not enough, can make passageway length reach the requirement through increasing the flexible section, be applicable to the abdominal cavity operation that operation position is far away from the stomach wall, for example, operation position is located behind the peritoneum, and further, and when the passageway body is too long-term, shorten through this flexible section and make passageway length reach the requirement, still reduce the fold on the passageway body simultaneously, further do benefit to surgical instruments through the passageway body.
As a preferable technical scheme, the deformable section is made of elastic materials.
Preferably, the deformable section is a bellows-like structure foldable in length or a multi-layer foldable structure foldable in length.
As a preferable technical scheme, one end of the channel body is an inner end which is used for being placed near a surgical position, the other end of the channel body is an outer end which is positioned outside a patient body or at an abdominal wall incision, and the surgical position is positioned behind peritoneum.
In the scheme of the application, the operation position is positioned behind peritoneum, such as abdominal aorta side lymph node resection, renal vein horizontal resection and the like, when the operation channel is arranged, the inner end of the channel body is arranged near the operation position; outer end of the channel body: when the outer end is positioned at the incision of the abdominal wall of a patient, the outer end is arranged at the incision, when the outer end is positioned outside the patient, the outer end is fixed through other instruments outside the patient, for example, a mounting seat of an operation platform at the incision of the abdominal wall, so that an operation channel is formed, the operation instrument extends into the channel body from the outer end and extends out from the inner end after passing through the operation channel, namely, the operation position is reached, the length of the channel body meets the requirement of single-port laparoscopic retroperitoneal operation, the single-port laparoscopic retroperitoneal operation becomes practical, the operation is greatly facilitated, meanwhile, the operation wound of the patient is also reduced, and further, the fact that the surgical instrument extends out from the channel body nearby the operation position is needed to be explained, and the position of the operation instrument for implementing the operation is convenient, for example, on the retroperitoneum.
Preferably, an inner ring of an annular structure is arranged at the inner end of the channel body, and the inner ring is used for being connected with a posterior peritoneal.
Preferably, the inner ring is detachably connected to the channel body.
As a preferable technical scheme, the channel for laparoscopic surgery further comprises a fixing piece, and the fixing piece is used for fixing the outer end of the channel body outside the body of the patient or on the abdominal wall of the patient.
Preferably, the deformable section is connected to the fixing member.
Preferably, the fixing member is detachably connected to the outer end of the channel body.
Preferably, the fixing member is a ring structure.
Preferably, the fixing member and/or the inner ring are made of deformable medical materials.
As a preferable technical scheme, the fixing piece and/or the inner ring are/is made of medical silica gel materials.
Preferably, a traction rope is further disposed on the fixing member or the outer end.
As a preferred technical solution, the channel body is a film tube body.
In summary, due to the adoption of the technical scheme, the beneficial effects of the application are as follows:
the passage for laparoscopic surgery is provided with the deformable section, the length of the passage body can be adjusted through the deformable section, the practicability of the passage can be greatly improved, particularly for obese patients, when the length of the passage body is insufficient, the length of the passage can meet the requirement by increasing the length of the deformable section, and the passage is suitable for abdominal surgery with an operation position far away from an abdominal wall, for example, the operation position is positioned behind the peritoneum and is further, when the passage body is too long, the length of the passage can meet the requirement by shortening the deformable section, and meanwhile, folds on the passage body are reduced, so that surgical instruments can pass through the passage body;
according to the scheme, when the operation position is located behind the peritoneum, the surgical instrument extends into the channel body from the outer end and extends out from the inner end after passing through the operation channel, namely, the surgical position is reached, the length of the channel body meets the requirement of the single-port laparoscope retroperitoneal operation, the single-port laparoscope retroperitoneal operation is realized, the operation is greatly facilitated, and meanwhile, the operation wound of a patient is reduced;
the inner ring is detachably connected with the channel body, so that more choices of operation modes can be provided for an operator, and the operator can conveniently set the channel or take the channel out according to the actual operation condition;
the fixing piece is detachably connected with the outer end of the channel body, when the channel is arranged, the channel body connected with the inner ring can be conveniently conveyed into a patient body by the embedding device in an outer ring separation state, and after the inner ring reaches a preset position, the embedding device is withdrawn, and the outer end is pulled out of the notch to be connected with the fixing piece;
the length of the channel body can be adjusted by adopting an elastic material, and particularly, when the deformable section is elongated to enable the channel body to be elongated to meet the surgical requirements, the deformable section also provides a certain resilience force, and folds of the channel body, particularly the film channel body, can be greatly reduced under the action of the resilience force, so that surgical instruments can enter and exit the channel body conveniently, and the risk of scratching the channel body when the surgical instruments pass through the channel body is reduced;
when the flexible section is located the outer end department, when the outer end is fixed, because its elastic existence, can improve fixed stability by a wide margin, for example cover on operation platform or operation platform's mount pad after through stretch-draw, or, it is convoluteed through the mounting after elasticity stretch-draw, then fix the mounting on operation platform or operation platform's mount pad, under elastic deformation, the mounting of adaptation different shape structures that can be more convenient, and after fixed, under the elastic force effect, can also reduce the fold and the folding of fixed department, avoid causing the hindrance to other surgical instruments.
Drawings
FIG. 1 is a schematic structural diagram of one embodiment of the present application;
FIG. 2 is a schematic structural diagram of an embodiment of the present application when the deformable section is an elastic material;
FIG. 3 is a schematic structural view of one embodiment of the present application in the configuration of a pull-cord;
FIG. 4 is a schematic view of one embodiment of the present application where the deformable section is bellows-shaped;
FIG. 5 is a schematic view of one embodiment of a surgical access port of the present application positioned in an insertion device;
figure 6 is a schematic view of a portion of a deformable section of the present application in a foldable multi-layer accordion configuration,
in the figure: 1-a channel body; 2-inner end; 3-outer end; 4-a fixing piece; 5-a deformable section; 6-a placement device; 7-a traction rope and 8-an inner ring.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments.
Example, as shown in fig. 1-6:
a channel for laparoscopic surgery provided with a deformable section comprises a channel body 1, wherein the channel body 1 comprises at least one deformable section 5, and the length of the deformable section 5 is adjustable along the length direction of the channel body 1.
The utility model provides a peritoneoscope is passageway for operation, the setting of flexible section 5, realize the regulation to passageway body 1 length through this section, can improve the practicality of this application passageway by a wide margin, especially to obese patient, when passageway body 1 length is not enough, can make passageway length reach the requirement through increasing flexible section 5, be applicable to the abdominal cavity operation that the operation position is far away from the stomach wall, for example the operation position is located behind the peritoneum, and further, and when passageway body 1 is too long, shorten through this flexible section 5 and make passageway length reach the requirement, still reduce the fold on the passageway body 1 simultaneously, further do benefit to surgical instruments through passageway body 1.
In a preferred embodiment, based on the above manner, the deformable section 5 is further made of an elastic material. Adopt elastic material, can realize the adjustment to 1 length of passageway body, moreover, it is unusual, when the flexible section 5 is elongated makes passageway body 1 increase and reach the operation requirement, it still provides certain resilience force, under this resilience force effect, can reduce the fold of passageway body 1 by a wide margin, especially to membrane passageway body 1, so, make things convenient for surgical instruments to get into and withdraw from passageway body 1 by a wide margin to when reducing surgical instruments through passageway body 1, fish tail passageway body 1's risk.
As a preferred embodiment, on the basis of the above, further, the deformable section 5 is located at the outer end 3. In this mode, when flexible section 5 is located outer end 3 department, when fixing outer end 3, because its elastic existence, can improve fixed stability by a wide margin, for example cover on operation platform or operation platform's mount pad after through stretch-draw, or, roll up through mounting 4 after elasticity stretch-draw, then fix mounting 4 on operation platform or operation platform's mount pad, under elastic deformation, can be more convenient adaptation mounting 4 of different shape structures, and after fixing, under the elastic force effect, can also reduce the fold and the folding of fixed department, avoid causing the hindrance to other surgical instruments.
As another preferred embodiment, the deformable section 5 is a bellows-like structure foldable in length or a multi-layer foldable structure foldable. The length is more practically needed, and the length can be adjusted by stretching the part.
As a further preferred embodiment, based on the above manner, further, one end of the channel body 1 is an inner end 2 for being placed near the operation position, and the other end is an outer end 3 located outside the patient body or at the incision of the abdominal wall, and the operation position is located behind the peritoneum.
In the solution of the present application, when the operation site is located behind the peritoneum, such as a paraspinal lymph node resection and a renal vein horizontal resection, etc., the inner end 2 of the channel body 1 is disposed near the operation site when the operation channel is disposed; outer end 3 of channel body 1: when the outer end 3 is positioned at the incision of the abdominal wall of the patient, the outer end 3 is arranged at the incision, when the outer end 3 is positioned outside the patient, the outer end 3 is fixed by other instruments outside the patient, for example, the mounting seat of the operating platform at the incision of the abdominal wall, thus forming an operation channel, the surgical instrument extends into the channel body 1 from the outer end 3 and extends from the inner end 2 after passing through the operation channel, namely, the channel body 1 reaches the operation position, so that the length of the channel body 1 meets the requirement of the single-port laparoscope retroperitoneal operation, the single-port laparoscope retroperitoneal operation becomes practical, the operation is greatly facilitated, meanwhile, the operation wound of a patient is reduced, and further, the description is needed, the position near the operation position is the position where the surgical instrument extends out of the channel body 1 and is convenient for the surgical instrument to carry out operation, such as the posterior peritoneum, and further, in the present version, the abdominal wall is the anterior abdominal wall.
In a preferred embodiment, in addition to the above, an inner ring 8 having a ring structure is further provided at the inner end 2 of the channel body 1, and the inner ring 8 is used for connecting with the retroperitoneum.
In a preferred embodiment, in addition to the above, the inner ring 8 and the channel body 1 are detachably connected. The inner ring 8 is detachably connected with the channel body 1, so that more operation modes can be selected for an operator, and the operator can set up the channel or take out the channel in a convenient mode according to the actual operation condition.
As a preferred embodiment, on the basis of any one of the above embodiments, further, the channel for laparoscopic surgery further comprises a fixing member 4, and the fixing member 4 is used for fixing the outer end 3 of the channel body 1 outside the patient body or at the abdominal wall of the patient. The arrangement of the fixing part 4 can conveniently and controllably fix the outer end 3 of the channel body 1, for example, the outer end 3 is fixed on the incision operation platform or the mounting seat of the operation platform through the fixing part 4, and the reliability of channel establishment is ensured.
In a preferred embodiment, based on the above manner, further, the deformable section 5 is connected to the fixing member 4.
In a preferred embodiment, in addition to the above, the fixing member 4 is detachably connected to the outer end 3 of the channel body 1. Separable connection between mounting 4 and the 1 outer end 3 of passageway body, when the passageway was established, under the outer loop detached state, can be convenient adopt to put into device 6 will be connected with the passageway body 1 of inner ring 8 and send to the patient internal, after inner ring 8 arrived preset position, put into device 6 and withdraw from, pull out the incision with outer end 3 again and be connected with mounting 4, such mode has simplified the structure of putting into device 6 by a wide margin, has also avoided because of mounting 4 is bulky can't placing the problem in putting into device 6.
In a preferred embodiment, in addition to the above-described aspect, the fixing member 4 has a ring-shaped structure. The fixing piece 4 is annular, can be connected with the channel body 1 in a winding mode, and can also adjust the length of the channel body 1 in a winding overlong mode, so that the obstruction caused by overlong of the channel body 1 in the body is avoided.
In a preferred embodiment, based on any of the above embodiments, further, the fixing member 4 and/or the inner ring 8 are made of a deformable medical material. So, the structure of device 6 is put into in simplification that can be further, is favorable to reducing and puts into device 6 size, and it is internal with passageway body 1 and inner ring 8 send into the patient to be convenient for put into device 6, when mounting 4 is deformable material, can put into passageway body 1 under the compressed state, after inner ring 8 reachd the setting position, takes out mounting 4 again.
In a preferred embodiment, based on the above manner, further, the fixing member 4 and/or the inner ring 8 are made of medical silica gel material.
In a preferred embodiment, in addition to the above-described embodiment, a pulling rope 7 is further provided on the anchor 4 or the outer end 3. The insertion device 6 sends the channel body 1 and the inner ring 8 into the patient, and after the inner ring 8 reaches the set position, the outer end 3 or the fixing piece 4 is pulled to the set position through the traction rope 7.
In the scheme of this application, put into device 6 and can be a barrel, has in it and holds the chamber, and when the entering channel set up, passageway body 1 and inner ring 8 were placed and are holding the intracavity, also can put into holding the intracavity with mounting 4 compression back together, and put into device 6 and can deliver to inner ring 8 through the stomach wall incision and predetermine the department to inner ring 8.
As a preferred technical solution, the channel body 1 is a film tube body.
The above embodiments are only used for illustrating the invention and not for limiting the technical solutions described in the invention, and although the present invention has been described in detail in the present specification with reference to the above embodiments, the present invention is not limited to the above embodiments, and therefore, any modification or equivalent replacement of the present invention is made; all such modifications and variations are intended to be included herein within the scope of this disclosure and the appended claims.

Claims (10)

1. A laparoscopic surgical tunnel provided with a deformable section, characterized in that: the channel body comprises at least one deformable section, and the length of the deformable section is adjustable along the length direction of the channel body.
2. The laparoscopic surgical tunnel of claim 1, wherein: the deformable section is made of an elastic material.
3. The laparoscopic surgical tunnel of claim 1, wherein: the deformable section is a bellows-like structure foldable in length or a foldable multi-layer foldable structure.
4. The laparoscopic surgical tunnel according to any one of claims 1 to 3, wherein: one end of the channel body is an inner end which is used for being arranged near an operation position, the other end of the channel body is an outer end which is positioned outside a patient body or at an abdominal wall incision, and the operation position is positioned behind peritoneum.
5. The laparoscopic surgical tunnel according to claim 4, wherein: an inner ring of an annular structure is arranged at the inner end of the channel body and is used for being connected with a posterior peritoneal.
6. The laparoscopic surgical tunnel according to claim 5, wherein: the fixing piece is used for fixing the outer end of the channel body outside the patient body or on the abdominal wall of the patient.
7. The laparoscopic surgical tunnel according to claim 6, wherein: the fixing piece is detachably connected with the outer end of the channel body.
8. The laparoscopic surgical tunnel of claim 7, wherein: the fixing piece is of a ring structure.
9. The laparoscopic surgical tunnel of claim 7, wherein: the fixing piece and/or the inner ring are made of deformable medical materials.
10. The laparoscopic surgical tunnel of claim 7, wherein: and a traction rope is also arranged on the fixing piece or the outer end.
CN202022797418.3U 2020-11-27 2020-11-27 Be provided with passageway for laparoscopic surgery of flexible section Active CN213883328U (en)

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CN202022797418.3U CN213883328U (en) 2020-11-27 2020-11-27 Be provided with passageway for laparoscopic surgery of flexible section

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202022797418.3U CN213883328U (en) 2020-11-27 2020-11-27 Be provided with passageway for laparoscopic surgery of flexible section

Publications (1)

Publication Number Publication Date
CN213883328U true CN213883328U (en) 2021-08-06

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