KR20180008800A - Laparoscopic Surgical Tissue Extraction Device - Google Patents

Laparoscopic Surgical Tissue Extraction Device Download PDF

Info

Publication number
KR20180008800A
KR20180008800A KR1020177037561A KR20177037561A KR20180008800A KR 20180008800 A KR20180008800 A KR 20180008800A KR 1020177037561 A KR1020177037561 A KR 1020177037561A KR 20177037561 A KR20177037561 A KR 20177037561A KR 20180008800 A KR20180008800 A KR 20180008800A
Authority
KR
South Korea
Prior art keywords
pouch
elastic member
tube
rod
trocar
Prior art date
Application number
KR1020177037561A
Other languages
Korean (ko)
Other versions
KR101893987B1 (en
Inventor
김진성
김현규
Original Assignee
김진성
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by 김진성 filed Critical 김진성
Publication of KR20180008800A publication Critical patent/KR20180008800A/en
Application granted granted Critical
Publication of KR101893987B1 publication Critical patent/KR101893987B1/en

Links

Images

Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031—Gripping instruments, e.g. forceps, for removing or smashing calculi
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22—Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/221—Gripping devices in the form of loops or baskets for gripping calculi or similar types of obstructions
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/50—Instruments, other than pincettes or toothpicks, for removing foreign bodies from the human body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation

Abstract

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a tissue extraction apparatus for laparoscopic surgery, and more particularly, to a structure capable of simultaneously inserting a tissue extraction device and a laparoscopic surgical instrument through a single trocar.

Description

Laparoscopic Surgical Tissue Extraction Device

BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a tissue extraction apparatus for laparoscopic surgery, and more particularly, to a pouch used for extracting a tissue cut out from a laparoscopic surgical procedure and an instrument used for manipulating the pouch in the abdominal cavity.

Laparoscopic Surgery is a surgical procedure in which a surgical instrument is inserted into the abdominal cavity through several small incisions on the human body, minimizing the wound caused by surgery, unlike conventional laparotomy, You can do it fast. Such laparoscopic surgery is also referred to as Minimally Invasive Surgery or Endoscopic Surgery.

Laparoscopic surgery is commonly used in surgery to remove and remove some or all of the tissues or organs in the body. For example, they are used for nephrectomy, cholecystectomy, duodenectomy, jejunectomy, myomectomy, and the like, and the application range is gradually expanding.

In a laparoscopic surgical procedure, a resected human tissue or organ (hereinafter, referred to as "tissue") is contained in a translucent pouch made of a synthetic resin and is extracorporeally extracted through the incision of the human body. Tissue pouches provide the ability to prevent the ablated tissue from infecting or damaging surrounding organs during withdrawal. These pouches are sometimes referred to as "endo-bags" or "lap-bags". These pouches form part of a tissue extraction device with instruments for manipulating them. The tissue extraction device is composed of an elastic member for opening the pouch entrance, a tube for storing the elastic member and the pouch inserted therein, and an operation rod for pushing the pouch out of the tube to unfold the inside of the abdominal cavity do.

Laparoscopic surgery is performed with insertion of a trocar into 3 or 4 incisions. The trocar injects gas (eg, carbon dioxide) into the abdomen to inflate to form a space in which the surgical instruments can move and allows the surgeon to gain visibility. The trocar also provides a passage for inserting various instruments for surgery, such as an endoscopy camera, scissors, forceps, stapler, and the like. In surgery for resection of the human body, at least three trocar must be inserted into the human body so that the endoscope camera, the surgical instrument, and the tissue extraction device can be individually inserted, and three or more incisions must be formed for this purpose. Tracer insertion of a tissue extraction device has been a factor in increasing the number of incisions in the human body since it could not be used to insert other surgical instruments. The incision formed in the human body for insertion of the trocar can leave a wound on the patient, which may increase the recovery period after surgery and increase the risk of infection during surgery. Also, as the number of trocar used increased, the complexity of surgery increased and the number of medical personnel required for surgery increased.

In addition to the above-mentioned problems, the conventional tissue extracting apparatus has a problem in that productivity is low because the time required for curing the adhesive in the assembling process becomes long due to the bonding of the elastic member and the operating rod by the bonding method using the adhesive. Further, there is a problem that the assembly method using an adhesive has a high risk of deformation or breakage due to changes in the physical properties of the material at the bonding site over a long period of time.

SUMMARY OF THE INVENTION The present invention has been made to solve the above-mentioned problems, and it is an object of the present invention to improve the structure of a conventional tissue extraction device and to further insert a surgical instrument into a trocar into which a tissue extraction device is inserted, thereby reducing the number of incisions required for laparoscopic surgery And to provide a laparoscopic surgical tissue extraction apparatus capable of performing laparoscopic surgery.

Another object of the present invention is to provide a tissue extraction apparatus for laparoscopic surgery, which provides a structure that can be assembled without using an adhesive, thereby shortening the assembly time and improving productivity.

It is another object of the present invention to provide a tissue extraction apparatus for laparoscopic surgery that is simple in configuration and easy to use.

Another object of the present invention is to provide a tissue extraction apparatus for laparoscopic surgery in which the risk that a string closing the pouch inlet is pulled into the abdominal cavity is reduced.

To achieve these and other advantages and in accordance with the purpose of the present invention, as embodied and broadly described herein, there is provided a laparoscopic surgical tissue extraction apparatus comprising: a pouch for storing a resected human tissue in a laparoscopic surgical procedure; A hollow tube for retaining the pouch and the elastic member in a folded state before being inserted into the abdominal cavity, and a hollow tube connected to the back of the elastic member, An operating rod for pushing the elastic member and the pouch in a state of being stored and for unfolding in the abdominal cavity; a connecting body for connecting the elastic member and the operating rod; and a ring inserted on the hollow rim of the pouch And extends from the ring portion along the operating rod Having a carrying string and the thickness of the actuating rod so that the actuation rod can be inserted into an additional mechanism for laparoscopic surgery in a state inserted in the trocar has a size of more than half the outer diameter of the tube.

The laparoscopic surgical tissue extraction device further includes a detachable tip portion detachably coupled to a rear end of the operating rod, and a rear end of the extension portion of the string is fixed to the detachable tip portion.

In addition, the thickness of the detachable tip portion is smaller than the inner diameter of the tube so that the tube can be removed while the operation rod is inserted into the trocar in the laparoscopic surgery procedure.

In addition, in the laparoscopic surgical procedure, the string is disposed outside the operation rod so that the operation rod can be easily removed while the string is inserted into the trocar.

In addition, the elastic member and the connection body are manufactured and integrated by an insert injection method, and the connection body and the operation rod are coupled by a mechanical method by a combination.

In addition, the detachable tip portion and the operation rod are coupled by a screw connection, and are coupled by two or less threads to facilitate detachment of the detachable tip portion during an operation.

The outer peripheral surface of the detachable tip portion is provided with a concave / convex portion for providing a frictional force.

Further, when the pouch is stored inside the tube, the lower portion is folded and stored in a form of folding screen.

According to another aspect of the present invention, there is provided a laparoscopic tissue removal device including a pouch, an elastic member for opening an opening of the pouch, a string for pulling the pouch out of the abdominal cavity, A tube for holding the elastic member in a folded state; and an operation rod for pushing the pouch and the elastic member out of the tube, wherein a laparoscopic surgical instrument is added to the trocar in which the operation rod is inserted during laparoscopic surgery The operating rod has a thickness smaller than the inner diameter of the tube.

According to another aspect of the present invention, there is provided a laparoscopic tissue removal device comprising: a pouch; an elastic member for opening an opening of the pouch; a tube for storing the pouch and the elastic member in a folded state; And an operating rod for pushing the pouch and the elastic member out of the tube, the laparoscopic surgical tissue withdrawal device comprising: The thickness is smaller than the inner diameter of the trocar by at least 5 mm.

According to another aspect of the present invention, there is provided a laparoscopic surgical tissue extraction apparatus including: a pouch for storing a resected human tissue in a laparoscopic surgical procedure; A hollow tube for storing therein the pouch and the elastic member in a folded state before being inserted into the abdominal cavity, and a hollow tube coupled to the back of the elastic member, An operation rod for pushing the elastic member and the pouch in a state of being stored in the tube so as to be unfolded in the abdominal cavity; a connection body for connecting the elastic member and the operation rod; Wherein the ring has an annular portion to be inserted, And a detachable tip portion that is detachably coupled to a rear end of the operating rod and to which a rear end of the extending portion of the string is coupled, wherein the operating rod is inserted into the trocar Wherein a thickness of the operation rod is less than 1/2 of an outer diameter of the tube so that a laparoscopic surgical instrument can be additionally inserted, the thickness of the detachable tip portion is smaller than the inner diameter of the tube, And the detachable tip portion is coupled to the operation rod by a screw coupling method.

According to the present invention, since an additional surgical instrument can be inserted through a trocar having a laparoscopic surgical tissue withdrawal device inserted thereinto, the number of incisions required for laparoscopic surgery can be reduced, minimization of invasion to a patient, It is advantageous that it can be recovered quickly.

In addition, the laparoscopic surgical tissue drawing device of the present invention is advantageous in that the operation rod inserted into the tube and the detachable tip portion coupled to the rear end thereof are made smaller than the inner diameter of the tube, thereby facilitating removal of the tube during the surgical procedure.

Further, in the laparoscopic tissue removing apparatus of the present invention, the rear end of the string extending portion is coupled to the detachable tip portion, thereby reducing the risk of the string extending portion being pulled into the abdominal cavity during surgery, There are advantages.

In addition, since the elastic member and the connection body are integrated through the insert injection method, and the connection between the connection body and the operation rod is mechanically coupled without using an adhesive, the assembly is easy, There is an advantage that there is no risk of long time of assembling time, physical property of the adhesive portion material and damage due to long-term storage.

1 is an exploded perspective view of a tissue extraction apparatus for laparoscopic surgery according to a preferred embodiment of the present invention.
FIG. 2 is a perspective view illustrating a part of a tissue extraction apparatus for laparoscopic surgery according to an embodiment of the present invention; FIG.
FIG. 3 is a cross-sectional view illustrating an assembled state of a tissue extraction apparatus for laparoscopic surgery according to a preferred embodiment of the present invention. FIG.
4 is a cross-sectional view taken along line A-A 'in Fig. 3; Fig.
FIG. 5 illustrates a method of using a tissue extraction apparatus for laparoscopic surgery according to a preferred embodiment of the present invention. FIG.
6 is a cross-sectional view taken along the line C-C 'in Fig. 2; Fig.

Hereinafter, various embodiments of the present invention will be described in detail with reference to the drawings. The embodiments described below may be modified in various ways by those skilled in the art. The embodiments described below are not intended to limit the invention to the embodiments. It is to be understood that the invention includes various modifications, substitutions, and equivalents, as well as the following embodiments, within the scope of the technical idea as understood from the entire specification.

It is to be understood that the expressions " comprising, " " comprising, " " having ", and the like, which may be used hereinbelow,

The term " first ... " "," Second ... Quot ;, " first ", " second ", etc. should not be construed as limiting the order or significance of the elements, unless explicitly stated.

It is to be understood that the expressions " coupled, " " connected ", and the like, which may be used herein, unless the context clearly dictates otherwise, do.

It is to be understood that the singular use of the terms below does not exclude a plurality of representations unless explicitly stated to the contrary.

1 to 4, the laparoscopic surgical tissue extracting apparatus according to the present invention includes a pouch 10 for containing a cut tissue inside the human body. The pouch 10 may be made of a biocompatible polymer material, for example, polyurethane, polyethylene, polypropylene, vinyl, latex, or the like. A film made of such a polymer resin may be prepared by superimposing two layers of the film and adhering or fusing the peripheral portion. The pouch 10 is preferably made transparent or semitransparent so that the surgeon can observe the procedure of the tissue. The pouch (10) has an open mouth (11). The tissue contained in the pouch 10 is introduced through the inlet 11. A hollow rim portion (12) is formed around the inlet portion (11). The hollow rim portion 12 defines a passage which is hollow inside along the inlet portion 11, and a string 20 and an elastic member 30 to be described later are inserted into the hollow passage.

The elastic member 30 is inserted into and supported by the hollow rim portion 12 so that the inlet portion 11 of the pouch 10 is kept open. The shape of the inlet portion 11 opened by the elastic member 30 may be circular, oval or the like. The elastic member 30 may be made of an elastically deformable metal having a predetermined rigidity so as to maintain the open state of the inlet portion 11, for example, stainless steel, titanium, nitinol, or the like. Or may be made of such metals as well as synthetic resins.

As shown in Figs. 1 and 2, the elastic member 30 has a shape that horizontally opens the inlet portion 11. As shown in Fig. The elastic member (30) is composed of first and second elastic members (30A, 30B) arranged opposite to each other on both sides. The front side of the elastic member 30 has an arc shape protruding outwardly and the rear end portion extends rearward along the longitudinal direction (front-back direction). The rear end of the elastic member 30 is supported by the connecting body 40. When the elastic member 30 is made of a metal material, it is preferable that the elastic member 30 and the connection body 40 are integrally manufactured by an insert molding method. With this manufacturing method, a separate assembly process for joining the elastic member 30 and the connection body 40 together can be omitted. As shown in the enlarged part of FIG. 1, a punch h is formed at the rear end of the elastic member 30 inserted into the connection body 40. The molten resin forming the connection body 40 in the insert injection process fills the peripheries h and thereby increases the repulsive force against the force acting in the longitudinal direction on the elastic member 30 in the finished product So that the elastic member 30 does not separate from the connection body 40.

The string 20 is inserted into the hollow rim portion 12 of the pouch 10 and used to pull out the pouch 10 from the outside of the human body. The string 20 may be made of a material such as cotton, nylon, silk or synthetic resin. The string 20 has an annular portion 21 inserted into and along the hollow rim portion 12 of the pouch 10 and an extension portion 21 having a front end connected to the ring portion 21 and extending rearward therefrom 22).

The elastic member 30 and the ring portion 21 of the string 20 are inserted into the hollow rim portion 12 of the pouch 10 as shown in Fig. The elastic member 30 is gathered at the center as indicated by a dotted line so that the pouch 10 is inserted into the tube 50 and the pouch 10 has a predetermined width while rising from the lower end thereof, Is folded up. That is, the lower part is folded into an accordion-fold form. This is to allow the pouch 10 to spread out in a state of being inserted into the abdominal cavity. If the pouch 10 is curled in only one direction, there may be a problem that the lower end is not unfolded. Referring again to FIGS. 3 and 4, the pouch 10 is stored in a folded state in a hollow tube 50 having a predetermined length, and is used in a state in which the pouch 10 is exposed out of the tube 50 during the operation procedure . The tube 50 is inserted into the trocar in the surgical procedure to guide the pouch 10 into the abdominal cavity. The tube 50 has a length of about 30 cm in length, but may be longer or shorter depending on the application. Since the tissue extraction apparatus for laparoscopic surgery is usually used together with a 10 mm trocar, it is preferable that the outer diameter Da of the tube 50 has a size of 10 mm corresponding to the trocar size. The tube 50 is preferably made of a biocompatible material and may be made of a metal or a plastic resin, with the part of its front end being inserted into the abdominal cavity during the surgical procedure. As the metal, stainless steel, aluminum alloy and the like can be used. As the plastic resin, polycarbonate, ABS resin, or the like can be used. 3, the elastic member 30 is elastically deformed along the longitudinal direction so as to be inserted into the tube 50, and is stored in a folded state. The pouch 10 is also inserted into the tube 50 It is folded in the form of folding screen as possible. The connection body 40 integrally coupled to the elastic member 30 is also inserted into the tube 50 and stored. It is preferable that the outer diameter Dd of the connecting body 40 is slightly smaller than the inner diameter Db of the tube 50, for example, about 0.2 to 0.5 mm. The extension body 22 of the string 20 is interposed between the connection body 40 and the tube 50 as shown in Figure 4 so that the connection body 40 does not slide in the tube 50, .

An operation rod 60 for pushing the pouch 10 toward the front of the tube 50 and injecting the pouch 10 into the abdominal cavity is coupled to the rear of the connection body 40 in the surgical procedure. The actuating rod 60 may have a hollow pipe shape or a bar shape filled with an interior. The working rod 60 preferably has a longer length than the tube 50 and may be made, for example, 10 to 15 cm longer. The surgeon can grasp the rear end of the operating rod 60, which is long exposed to the rear of the tube 50, with the other hand while grasping the outer circumferential surface of the tube 50 with one hand. Since the pouch 10 is coupled to the front end of the operation rod 60, the surgeon can move the pouch 10 to a desired position by holding the rear end of the operation rod 60 during the operation. It is preferable that the operating rod 60 has a predetermined rigidity and elasticity so that the pouch 10 can be supported by a sufficient force. The operation rod 60 is preferably made of a material having such characteristics, and may be made of, for example, a metal material such as stainless steel, an aluminum alloy, or a synthetic resin material.

In addition, the operating rod 60 has a thickness sufficiently smaller than the inside diameter of the trocar (the cross-section of the operating rod 60 is smaller than the inside diameter of the trocar 60) so that the operating rod 60 is inserted into the trocar and an additional surgical instrument can be inserted through the same trocar And when it is circular, it means its outer diameter) Dc. For example, in the operation of inserting a laparoscopic surgical tissue extraction device using a 10 mm trocar, the thickness Dc of the operation rod 60 is preferably 5 mm or less. Generally, in the laparoscopic surgical instruments, since the diameter of the rod portion inserted into the trocar is usually about 3 to 5 mm, when the operation rod 60 of the present invention is inserted through the 10 mm trocar, another surgical instrument is inserted . Therefore, in the present invention, unlike a conventional one in which a trocar is dedicated to insertion of a tissue extraction device, it is possible to further insert a surgical instrument in a state where the operation rod 60 of the tissue extraction device is inserted into one trocar This has the advantage of reducing the number of incisions in the abdomen of the patient. Of course, it can also be used in a similar manner in surgery with trocar of larger size than 10mm trocar. Therefore, in the laparoscopic surgical tissue extractor of the present invention, the outer diameter Da of the tube 50 is the same as the trocar size (inner diameter), and the thickness Dc of the operation rod 60 is 1 / 2 or less. In other words, it is preferable that the thickness Dc of the operation rod 60 is smaller than the inner diameter of the trocar by 5 mm or more so that the laparoscopic surgical instrument can be inserted into the trocar in which the operation rod 60 is inserted.

The actuating rod 60 is associated with the connecting body 40 at its front end. The coupling between the actuating rod 60 and the connecting body 40 is preferably a mechanical coupling which does not require the use of an adhesive, for example a screw connection. A female thread 60a is formed at the front end of the operating rod 60 and a male thread 40a is formed at the rear of the connecting body 40 to cooperate with the female thread 60a See section). The operation rod 60 and the connection body 40 can be assembled through such a screw connection, so that the assembly speed is faster than that of the conventional assembly method using an adhesive, and durability and harmfulness due to the use of a bonding agent can be solved. Further, not only this screw coupling but also other coupling methods using a mechanical coupling structure may be used, and for example, a snap fit, an interference fit, or the like may be used.

The extension 22 of the string 20 described above extends long rearward along the actuating rod 60. A detachable tip portion 70 is detachably coupled to the rear end of the operation rod 60 and a rear end portion of the extension portion 22 is coupled to the detachable tip portion 70. The detachable tip portion 70 can be made of a plastic extrudate having a length of 1 to 2 cm (centimeter). The separable tip portion 70 is formed with a through hole 70a penetrating in the width direction (see the enlarged portion in FIG. 2). The end portion of the extension portion 22 is supported around the through hole 70a by a knot formed at the end portion thereof in a state of being inserted into the through hole 70a. The detachable tip portion (70) is coupled to the rear end of the operating rod (60). Like the connection body 40 described above, the detachable tip portion 70 is also mechanically coupled to the actuating rod 60 and can be, for example, a screw connection. A female screw portion 60b is formed at the rear end of the operation rod 60 and a male screw portion 70b is formed at the front of the separate tip portion 70 to be engaged with the female screw portion 60b. The detachable tip portion 70 is an element that separates from the operating rod 60 during surgery. Therefore, it is preferable that the length of the male screw portion 70b is short to 2 to 3 mm (millimeter) so that the separation is easy, and the number of threads is as small as about 1.5 to 2. Under such a configuration, the doctor can separate the detachable tip portion 70 by holding the outer circumferential surface of the detachable tip portion 70 and separating the detachable tip portion 70 by rotating it 1.5 to 2 times. Or the detachable tip portion 70 can be easily forcibly separated by an external force applied in the lateral direction since the length of the male screw portion 70b is short. The outer peripheral surface of the detachable tip portion 70 is provided with a recessed portion 70c to provide a function of increasing frictional force when the user rotates the holding portion. The extension 22 extends along the actuating rod 60 outside the actuating rod 60 and is fixed at its end to the detachable tip 70. In this state, the operating rod 60 and the string 20 are inserted and stored in the tube 50 described above. The extension 22 is not disposed along the inside of the actuating rod 60 and is disposed outside the actuating rod 60, i.e., between the actuating rod 60 and the tube 50, Only the actuating rod 60 can be easily removed with the retainer 20 retained.

Next, a method of using the tissue extraction apparatus for laparoscopic surgery according to the present invention will be described with reference to FIG. The laparoscopic surgical tissue extracting apparatus of the present invention is used for extracting a human tissue excised in the abdominal cavity into the pouch 10 and extracorporeally. The laparoscopic tissue extracting apparatus includes a pouch 10, a string 20, an elastic member 30, a connecting body 40, an operating rod 60, and the like, (See FIG. 3). If necessary, the front end is inserted into the abdominal cavity through the trocar 80 as shown in FIG. 5 (a). When the operator pushes the operation rod 60 forward with the other hand while holding the outer peripheral surface of the rear portion of the tube 50 exposed by the outside of the trocar 80 with one hand, (30) is exposed to the front of the tube (50). The exposed elastic member 30 is laterally expanded by the restoring force, thereby opening the inlet portion 11 of the pouch 10. [ Such a state is shown in Fig. 5 (b). As described above, an additional surgical instrument can be inserted into the trocar 80 inserted with the laparoscopic surgical tissue extracting apparatus of the present invention. To this end, the operation rod 60 is inserted into the trocar 80 Only the tube 50 can be removed from the trocar 80 in the state of FIG. Since the thickness Dc of the operating rod 60 and the thickness De of the separable tip portion 70 are smaller than the inner diameter Db of the tube 50, the tube 50 can easily fall backward. For this, the thickness De of the detachable tip portion 70 is preferably equal to the thickness Dc of the actuating rod 60. The state in which the tube 50 is removed is shown in Fig. 5 (c). In this state, the laparoscopic surgical instrument 90 can be further inserted into the trocar 80, as shown in Fig. 5 (d). The surgeon can perform desired operations such as ablation and suturing using the inserted laparoscopic surgical instrument (90). The operation rod 60 and the elastic member 30 coupled thereto may be drawn out before the pouch 10 containing the cut tissue is taken out to the outside. This state is shown in Fig. 5 (e). To do this, the physician separates the separable tip portion 70 coupled to the rear end of the operating rod 60 by one or two turns or forcibly separates by applying a force in the lateral direction, and then pulls the operating rod 60 backward Only the pouch 10, the string 20 and the detachable tip portion 70 are left, and the operation rod 60, the connecting body 40 and the elastic member 30 can escape rearward. Care must be taken to prevent the extension portion 22 of the string 20 from flowing into the abdominal cavity in the course of pulling out the operation rod 60 and the elastic member 30 coupled thereto. In the laparoscopic surgical extraction apparatus according to the present invention, since the detachable tip portion 70 is coupled to the end portion of the extended portion 22 and functions as a weight for providing weight, the risk that the extended portion 22 enters the abdominal cavity Can be reduced. The detachable tip portion 70 also provides a handle function when pulling the extension 22 to pull out the pouch 10. When the surgeon pulls on the elongated threaded portion 22, the physician may experience difficulty slipping in the hand. The detachable tip portion 70, which is coupled to the end of the elongate portion 22, prevents this slip, .

As described above in detail, according to the present invention, an additional surgical instrument can be inserted through a trocar having a laparoscopic surgical tissue withdrawal device, thereby reducing the number of incisions required for laparoscopic surgery, Can be minimized, and the postoperative recovery can be speeded up.

In addition, the laparoscopic tissue removal device of the present invention is advantageous in that the thickness of the operation rod inserted into the tube 50 and the detachable tip portion coupled to the rear end thereof is made smaller than the inner diameter of the tube, .

Further, in the laparoscopic tissue removing apparatus of the present invention, the rear end of the string extending portion is coupled to the detachable tip portion, thereby reducing the risk of the string extending portion being pulled into the abdominal cavity during surgery, There are advantages.

In addition, since the elastic member and the connection body are integrated through the insert injection method, and the connection between the connection body and the operation rod is mechanically coupled without using an adhesive, the assembly is easy, There is an advantage that there is no risk of long time of assembling time, physical property of the adhesive portion material and damage due to long-term storage.

The apparatus for extracting a tissue for laparoscopic surgery according to the present invention can be widely used in the medical industry related to laparoscopic surgery.

Claims (11)

A pouch for storing the resected human tissue during laparoscopic surgery,
An elastic member having a shape expanded in both lateral directions to open an inlet of the pouch and inserted into a hollow rim formed around the pouch inlet,
A hollow tube for storing the pouch and the elastic member in a folded state before the pouch is injected into the abdominal cavity,
An operating rod coupled to the elastic member for pushing the elastic member and the pouch in a state of being stored in the tube and unfolding in the abdominal cavity,
A connection body connecting the elastic member and the operation rod,
A string having an annulus inserted into the hollow rim of the pouch and having an extension extending from the annulus along the actuating rod;
Wherein the operating rod has a thickness that is less than or equal to a half of an outer diameter of the tube so that the laparoscopic surgical instrument can be further inserted while the operating rod is inserted into the trocar. The method according to claim 1,
Wherein the laparoscopic surgical tissue drawing device further comprises a detachable tip portion that is detachably coupled to a rear end of the operating rod,
Wherein a rear end of the extension of the string is secured to the detachable tip. 3. The method of claim 2,
Wherein a thickness of the detachable tip portion is smaller than an inner diameter of the tube so that the tube can be removed while the operation rod is inserted into the trocar in a laparoscopic surgical procedure. The method according to claim 1,
Wherein the string is disposed on the outside of the operating rod to facilitate removal of the operating rod while the string is inserted into the trocar in a laparoscopic surgical procedure. The method according to claim 1,
Wherein the elastic member and the connection body are manufactured and integrated by an insert injection method,
Wherein the connection body and the actuating rod are coupled by mechanical means by a mating mechanism. The method according to claim 1,
The detachable tip portion and the operation rod are coupled by screwing,
A laparoscopic surgical tissue withdrawal device coupled by less than two threads to facilitate separation of the detachable tip portion during a surgical procedure. The method according to claim 6,
Wherein the detachable tip portion has a concave portion for providing frictional force on an outer circumferential surface thereof. The method according to claim 1,
Wherein the lower portion of the pouch is folded and folded in a form of folded screen when the pouch is stored inside the tube. The pouch,
An elastic member for opening the inlet portion of the pouch,
A string for pulling the pouch out of the abdominal cavity,
A tube for storing the pouch and the elastic member in a folded state,
And an operating rod for pushing the pouch and the elastic member out of the tube,
Wherein the operating rod has a thickness less than the inner diameter of the tube so that the laparoscopic surgical instrument can be further inserted into the trocar in which the operative rod is inserted during laparoscopic surgery. A laparoscope including a pouch, an elastic member for opening an opening of the pouch, a tube for storing the pouch and the elastic member in a folded state, and an operation rod for pushing the pouch and the elastic member out of the tube. A surgical tissue extraction device comprising:
Wherein the operating rod has a thickness of 5 mm or more smaller than the inner diameter of the trocar so that the laparoscopic surgical instrument can be inserted into the trocar in which the operation rod is inserted. A pouch for storing the resected human tissue during laparoscopic surgery,
An elastic member having a shape expanded in both lateral directions to open an inlet of the pouch and inserted into a hollow rim formed around the pouch inlet,
A hollow tube for storing the pouch and the elastic member in a folded state before the pouch is injected into the abdominal cavity,
An operating rod coupled to the elastic member for pushing the elastic member and the pouch in a state of being stored in the tube and unfolding in the abdominal cavity,
A connection body connecting the elastic member and the operation rod,
A string having an annulus inserted into the hollow rim portion of the pouch and having an extension extending from the annulus along the operating rod to be disposed outwardly therefrom;
And a detachable tip portion detachably coupled to a rear end of the operation rod and coupled to a rear end of the extension portion of the string,
Wherein a thickness of the operation rod is less than 1/2 of an outer diameter of the tube so that the laparoscopic surgical instrument can be further inserted while the operation rod is inserted into the trocar,
Wherein a thickness of the detachable tip portion is smaller than an inner diameter of the tube,
Wherein the connection body and the detachable tip portion are coupled to the operation rod by a screw coupling method.
KR1020177037561A 2016-06-20 2017-06-19 Laparoscopic Surgical Tissue Extraction Device KR101893987B1 (en)

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
KR1020160076349 2016-06-20
KR20160076349 2016-06-20
PCT/KR2017/006423 WO2017222262A1 (en) 2016-06-20 2017-06-19 Tissue extraction device for laparoscopic surgery

Related Child Applications (1)

Application Number Title Priority Date Filing Date
KR1020187023839A Division KR20190010528A (en) 2016-06-20 2017-06-19 A laparoscopic surgery retrieval pouch

Publications (2)

Publication Number Publication Date
KR20180008800A true KR20180008800A (en) 2018-01-24
KR101893987B1 KR101893987B1 (en) 2018-08-31

Family

ID=60784887

Family Applications (2)

Application Number Title Priority Date Filing Date
KR1020177037561A KR101893987B1 (en) 2016-06-20 2017-06-19 Laparoscopic Surgical Tissue Extraction Device
KR1020187023839A KR20190010528A (en) 2016-06-20 2017-06-19 A laparoscopic surgery retrieval pouch

Family Applications After (1)

Application Number Title Priority Date Filing Date
KR1020187023839A KR20190010528A (en) 2016-06-20 2017-06-19 A laparoscopic surgery retrieval pouch

Country Status (2)

Country Link
KR (2) KR101893987B1 (en)
WO (1) WO2017222262A1 (en)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101968479B1 (en) * 2018-12-19 2019-08-13 김진성 Tissue Retrieval Device
KR20210157152A (en) * 2020-06-19 2021-12-28 주식회사 킴스바이오 Ureter Access Sheath with Length-adjustable structure

Families Citing this family (11)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108542437B (en) * 2018-05-31 2023-12-15 上海市东方医院 Laparoscope suite for taking out transrectal specimen
CN108498148B (en) * 2018-06-22 2024-02-13 广东弘和医疗器械制造有限公司 Abdominal cavity tumor crushing and sucking device and method matched with small-sized containing bag
KR102489460B1 (en) * 2019-04-03 2023-01-17 서지윤 An endoscope surgical operation resection part withdrawal bag
KR102243813B1 (en) * 2019-04-03 2021-04-23 서지윤 An endoscope surgical operation resection part withdrawal bag
CN111407327B (en) * 2020-03-20 2021-03-19 上海长海医院 Foreign matter takes out claw under digestion scope
CN111419340B (en) * 2020-04-22 2023-04-14 复旦大学附属中山医院 Handle assembly
EP4251073A1 (en) * 2020-11-30 2023-10-04 Ege Universitesi Device for endoscopic tissue cutting and extraction from the abdomen
CN112754602A (en) * 2020-12-31 2021-05-07 至善介入消融技术研究院(南京)有限公司 Grabber for foreign matters in human body cavity
KR20230027646A (en) 2021-08-19 2023-02-28 오동환 A laparoscopic surgery retrieval pouch
CN114098850B (en) * 2021-11-25 2022-11-22 常州市第二人民医院 Prevent protection nipper that gynaecology's tumour spills over in art
CN114601529B (en) * 2022-04-16 2024-04-12 苏州大学附属第二医院 Laparoscopic auxiliary forceps and laparoscopic surgical instrument

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6409773B1 (en) 2000-12-14 2002-06-25 Clairol Incorporated Coupler for use in oxidative hair dyeing
KR20140035157A (en) 2012-09-13 2014-03-21 주식회사 무한기업 Endo-bag for a surgery
KR20150109179A (en) * 2014-03-19 2015-10-01 권병수 An endopautch for laparoscopic surgery and endopautch assembly for single port laparoscopic surgery
US20150359526A1 (en) * 2010-02-03 2015-12-17 Covidien Lp Surgical retrieval apparatus

Family Cites Families (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8986321B2 (en) * 2010-01-26 2015-03-24 Ethicon Endo-Surgery, Inc. Method of fitting pouch in tissue retrieval device
KR101170520B1 (en) * 2011-12-28 2012-08-01 김진성 Endo loop including screwed rear part
KR101649279B1 (en) * 2014-05-28 2016-08-19 옵티메디주식회사 Endoscope medical instrument for polyp remove

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6409773B1 (en) 2000-12-14 2002-06-25 Clairol Incorporated Coupler for use in oxidative hair dyeing
US20150359526A1 (en) * 2010-02-03 2015-12-17 Covidien Lp Surgical retrieval apparatus
KR20140035157A (en) 2012-09-13 2014-03-21 주식회사 무한기업 Endo-bag for a surgery
KR20150109179A (en) * 2014-03-19 2015-10-01 권병수 An endopautch for laparoscopic surgery and endopautch assembly for single port laparoscopic surgery

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
KR101968479B1 (en) * 2018-12-19 2019-08-13 김진성 Tissue Retrieval Device
WO2020130551A1 (en) * 2018-12-19 2020-06-25 김진성 Tissue extraction apparatus
KR20210157152A (en) * 2020-06-19 2021-12-28 주식회사 킴스바이오 Ureter Access Sheath with Length-adjustable structure

Also Published As

Publication number Publication date
WO2017222262A1 (en) 2017-12-28
KR20190010528A (en) 2019-01-30
KR101893987B1 (en) 2018-08-31

Similar Documents

Publication Publication Date Title
KR101893987B1 (en) Laparoscopic Surgical Tissue Extraction Device
EP3113698B1 (en) Single incision specimen retrieval assembly
JP5028556B2 (en) Multi-clip device
US9737332B2 (en) Methods and devices for laparoscopic surgery
KR101716520B1 (en) Surgical device and method
US8425533B2 (en) Tissue retrieval device with pouch stretching arm
EP3560429B1 (en) Specimen retrieval device
US8157725B1 (en) Port extraction kit for trans-organ surgery
US9226772B2 (en) Surgical device
EP2816963B1 (en) Expandable endoscopic hoods
JP7048861B2 (en) Intraluminal minimally invasive treatment system
US20100010303A1 (en) Inflatable access device
CN105592809B (en) Exchanger surgical access port component and application method
US11832850B2 (en) Devices, systems, and methods for large tissue specimen removal
JP6518784B2 (en) Apparatus for generating a local vacuum at the distal end of a sampling device
CA2649518A1 (en) Suction dome for atraumatically grasping or manipulating tissue
US20080242940A1 (en) Method of manipulating tissue
US11805999B2 (en) Specimen retrieval device
US20180132838A1 (en) Surgical instrument including side-activation mechanism, layered specimen retrieval bag, method of use and kit
US11191559B2 (en) Specimen retrieval device
KR101968479B1 (en) Tissue Retrieval Device
US20080243164A1 (en) Tissue Moving Surgical Device
US20180280013A1 (en) Surgical support device and methods of use
US20190254647A1 (en) Specimen retrieval device
US20060241674A1 (en) Medical insert device and associated method

Legal Events

Date Code Title Description
A201 Request for examination
A302 Request for accelerated examination
E902 Notification of reason for refusal
E701 Decision to grant or registration of patent right
GRNT Written decision to grant