201041557 六、發明說明： 【發明所屬之技術領域】 本發明是有關於一種腹腔鏡手術器具，特別是指—種 只形成單一切口就可進行腹腔鏡手術的單孔腹腔鏡複埠式 . 遮罩裝置。 . 【先前技術】 . 如圖1、2、3所示，現有一種使用於腹腔鏡手術的導 〇 管針10具有一套筒11，一安裝在該套筒η頂端内的止逆 套12, 一安裝固定在該套筒n與該止逆套12頂端的固定 環13 ’及一蓋置在該套筒u與該固定環13頂端的端蓋14 β亥套筒11具有一外摩擦部丨丨i及一沿徑向設置的進氣 管 112。 〇 使用h，先將-穿刺刀15插入該套筒U内，然後將該 套筒U與該穿刺刀15放置在一患者腹部21上，接著用該 穿刺刀15切開該患者腹部21形成一切口 22，同步將該套 筒11插入該切口 22並藉由該外摩擦部lu插置固定於該患 者腹部21，之後抽出該穿刺刀15’將空氣自該進氣管112 灌入使該患者腹部21膨脹以形斜㈣作空間，最後將手 術器械23(例如腹腔鏡、手射 見于術刀、電燒刀）插入該套筒11、 進入該患者腹部21内進行手術。 由於該導管針1 〇僅台匕道2丨 僅此導引一種手術器械23進入該患 者腹部21内，所以每次腹 人腹腔鏡手術都必須在該患者腹部21 插置固定數支導管針 才成將不同手術器械23導入該患 3 201041557 _ p 21内進行腹腔鏡手術，如此不但使得手術時間長， 同時會在⑽者腹部21形成數個切口 22，導致有流血較多 整體傷口恢復較慢的缺點。 【發明内容】 一因此，本發明之目的，即在提供一種只形成單—切口 就可進行腹腔鏡手術，可以縮短手術時間、減少流血量、 傷口恢復較快的單孔腹腔鏡複埠式遮罩裝置。 於疋，本發明單孔腹腔鏡複埠式遮罩裝置，適用於— 腹腔鏡手術，包含一身件及一頭件。 ^該身件包括一具可撓性且圍繞一軸線形成一腔室的中 空囊體’-位於該中空囊體的一底部的底定位部，及一位 於該中空囊體的一頂部的頂定位部。 該頭件包括一具彈性用以套置定位在該頂定位部外的 抓握部，及一連接該抓握部並設置有數個連接埠的承載部 ’每一連接埠分別具有一穿孔。 藉此，只需將該身件塞入一患者腹部的一切口内，再 將該頭件套置固定於該頂定位料，就可以將數支手術器 械分別插入每一連接埠並進入該患者腹部内進行腹腔鏡^ 術，使本發明具有可以縮短手術時間、減少流血量、傷口 恢復較快的特性。 【實施方式】 有關本發明之前述及其他技術内容、特點與功效，在 以下配合參考圖式之較佳實施例的詳細說明中，將可清楚 的呈現。 201041557 • 在本發明被詳細描述前，要注意的是，在以下的說明 内谷中，整篇說明書中所使用的相對位置用語，例如“頂” 、底”是以各圖所示方位暨正常使用方位為基準，此外， _ 纟以下的說明内容中’類似的元件是以相同的標號說明。 • 如圖4、8所示，本發明單孔腹腔鏡複埠式遮罩裝置適 • 用於-腹腔鏡手術，第-較佳實施例包含—身件％及—頭 ^ 件 40 〇 〇 該身件3〇包括圍繞一轴線I而形成一腔室31的中空囊 體32 ’ 一位於該中空囊體32的一底部321外側的底定位部 33 ’ -位於該中空囊體32的一頂部322外側的頂定位部％ ，及一位於該中空囊體32底端的拉帶35。 該中空囊體32具可撓性，所使用之材質在本發明中可 為TPU(Therm〇Plastic P〇lyurethane，熱可塑性聚胺脂彈性 體）、PE(p〇iyethiene，聚乙稀）、PVC(p〇lyvin帅〇他，聚 氣乙烯）。 〇 較佳地，該底定位部33、該頂定位部34是呈圍繞該中 空囊體32的環圈狀。 Λ —關於該底定位部33、該頂定位部34的定位，在該較佳 、 實施例中是制先分別將該底定位部33、該職位部34套 置在該中空囊體32的底部321、頂部322夕卜’缺 …該頂…外捲，使該底定位部二= 部34被包覆在該底部321、該頂部322内，之後，再對該 底部321、該頂部322的端緣與該中空囊體32進行熱壓固 結，就可以使該底定位部33、該頂定位部34獲得定位。 5 201041557 關於該拉帶35,可以自該中空囊體32的底端—體延伸 ，在定位該底定位部33的同時定位該拉帶35。 該頭件40包括一圍繞該軸'線I的抓握部41 ’及_連接 該抓握部41並位於該抓握部41頂端且設置有 43的承載部42。 逆接峰 該抓握部41具彈性’用以套置定位在該身件30的頂 =部34外，該抓握部41的材f在本發明中可為、 稼勝。 較佳地，該抓握部41具有—鈿而兮紅括τ 底緣411。 朝向银線1收束的收束 該承載部42與祕㈣41可^㈣ 立部件設計。 及為一獨 母賴埠43分別具有—自該承載部C朝向頂端延 伸的外筒44，—設置於該外筒Μ的—封閉頂塊* :及—設置在該外筒44内且對應該穿孔45的止逆結構 461，該及止逆具有—成型在該外筒44内的彈性本體 裂又置於该彈性本體461並對準該穿孔C的十字 值得說明的是，右蘭+ M 式中，雖然該穿孔45、該止逆址 構46是成型在外凸的 迚'，。 _ L 卜疴44，但是該連接埠43的概冬 不限於此，亦可是略浮凸於科载部^略内 ㈣ 部42，而省略該外筒44。 、該承载 使用時，如圖5所示’當已在-患者腹部6。做出—切 201041557 口 61後’將該身件3G塞人該切口 Q使該錢位部33位 於4患者腹部60内，但保持該拉帶35與該頂定位部 該患者腹部60外，㈣6所示，接著將該身件 =:卡ττ"°的組織具有收束性，該底定: ?纟該患者腹部6G内，如圖7所示，然後將 该頂疋位部34朝向底端捲收一直到接近該患者腹部60 ’如 Ο ❹ ，8所不’之後將該頭件4〇的抓握部4ι套置在該頂定位 部34外，可以藉由該抓握部41束置在該頂定位部34外、 該收束底緣411束置在該頂定位部34底端而獲得良好定位 ，此時，仍保持該拉帶35位於該患者腹部6()彳，如圖9 所不，然後就可將不同手術器械5〇，例如進氣管&腹腔 鏡52、手術刀53分別插入不同連接淳43的穿孔^，接著 通過該止逆結構46的十字裂槽術、該身件3〇的腔室31 並進入該患者腹部6G内，藉由該進氣管51可以將氣體灌 入衫者腹部60⑽該患輕部6G雜以形成手術操作 藉由該腹腔鏡52配合視訊系統（圖未示）則可看見該 患者腹部60内的狀況，藉由該手術刀53可切除惡性組織 及採樣’藉由該止逆結構46則可防止患者腹部60内的空 ㈣漏，當腹腔鏡手術完成後，依序將前述手術器械％抽 出’將該拉帶35往外拉，就可以將該底定位部33拉出該 切口 61，並使該身件3()與該頭件4()完全脫離該患者腹部 60，最後做為醫療廢棄物處理。 ^如圖1〇、11所示，本發明單孔腹腔鏡複埠式遮罩裝置 第二較佳實施例包含一身件30及一頭件4〇,。 7 201041557 該頭件40,同樣包括一抓握 狴0卩41 ，及一連接該抓握部 41且6又置有數個連接埠43，的承载部42,。 母一連接埠43’分別星右—白咕之业 ΑΛ. ^ ^ 八有自該承栽部42,朝向頂端延 伸的外闾44’，一設置於該外筒 , 「同44的—封閉頂塊441，的穿 孔45 ， 一攻置在該外筒44,内的彈性片〇。 該第二較佳實施例與該第一較佳實施例的差異在於： 該彈性片47未設置裂槽。 该第-較佳實施例可適用於現有導管針7〇，該導管針 與習用導管針10相同，具有—套筒71、—止逆套一 固定環、一端蓋74，及一穿刺刀75。 使用時，先將該穿刺刀75插入該套筒71，然後施力將 4穿刺刀75 H套筒71 —起插人該連接槔43,的穿孔45, ，在通過該彈性片47時，就可藉由該穿刺刀75刺破該彈 性片47’同時使該彈性片〇 f貼在該套筒71外而產生防 止氣體洩漏的效果。 歸納上述，本發明單孔腹腔鏡複埠式遮罩裝置具有如 下所述之功效及優點，故確實能達成發明目的： 因為本發明只須形成單一切口 61就可以進行腹腔 鏡手術，所以具有可以縮短手術時間的功效及優點。 一、因為本發明只須單—切口 6丨就可以進行腹腔鏡手 術，所以具有可以減少流血量、使傷口恢復較快的功效及 優點。 惟以上所述者’僅為本發明之較佳實施例而已，當不 能以此限定本發明實施之範圍，即大凡依本發明申請專利 201041557 _ 範圍及發明說明内容所作之簡單的等效變化與修飾，皆仍 屬本發明專利涵蓋之範圍内。 【圖式簡單說明】 ® 1疋-現有用於腹腔鏡手術之導管針的使用示意圖 圖2是該現有導管針的一使用剖視圖，說明—套 入一患者腹部的狀態； Q 圖3是該現有導管針的一使用剖視圖，說明在該患者 腹部插置數支導管針以進行腹腔鏡手術的狀態； 圖4是本發明單孔腹腔鏡複埠式遮罩裝置第—較佳實 施例的分解立體暨局部剖視圖； 圖5是該第一較佳實施例的一使用示意圖，說明將— 身件塞入一患者腹部的狀態； 圖6是一類似圖5的視圖，說明將該身件往頂端拉使 一底定位部卡置在該患者腹部内的狀態； ◎ 圖7是一類似圖6的視圖，說明將一頂定位部朝向底 端捲收的狀態； 圖8是一類似圖7的視圖，說明將一頭件套置結合於 該身件外的狀態； 圖9是該第一較佳實施例的一使用示意圖，說明將數 支手術器械導入該患者腹部内進行腹腔鏡手術的狀態； 圖10是一類似圖8的視圖’說明本發明單孔腹腔鏡複 埠式遮罩裝置第二較佳實施例；及 圖11是該第二較佳實施例的一使用示意圖》 9 201041557 【主要元件符號說明】 30.... .身件 51... .進氣管 31.... .腔室 52... .腹腔鏡 32..., .中空囊體 53... .手術刀 321.. •底部 60... .患者腹部 322.. .頂部 61... •切口 3 3____ .底定位部 40’.·.頭件 34... .頂定位部 4Γ.. .抓握部 35... .拉帶 42,.. .承載部 40... .頭件 43\. .連接埠 41... .抓握部 44\. .外筒 411 ·_ .收束底緣 44Γ ...頂塊 42... .承載部 45，._ .穿孔 43... .連接埠 47... 彈性片 44... .外筒 70... .導管針 441 · ..頂塊 71... .套筒 45... •穿孔 74... .端蓋 46... .止逆結構 75... .穿刺刀 461·. ..彈性本體 I..... .軸線 462·. ..十字裂槽 50... .手術器械 10201041557 VI. Description of the Invention: [Technical Field] The present invention relates to a laparoscopic surgical instrument, in particular to a single-port laparoscopic laparoscopic laparoscopic surgery in which only a single incision is formed. Device. [Prior Art] As shown in Figures 1, 2, and 3, a conventional guide needle 10 for laparoscopic surgery has a sleeve 11, a check sleeve 12 mounted in the top end of the sleeve n, A fixing ring 13' fixed to the sleeve n and the top end of the check sleeve 12 and an end cover 14 which is disposed at the top end of the sleeve u and the fixing ring 13 have an outer friction portion.丨i and a radially disposed intake pipe 112. 〇 Using h, the puncture knife 15 is first inserted into the sleeve U, and then the sleeve U and the puncture knife 15 are placed on the patient's abdomen 21, and then the puncture knife 15 is used to cut the patient's abdomen 21 to form a mouth. 22, the sleeve 11 is synchronously inserted into the slit 22 and fixed to the patient's abdomen 21 by the external friction portion lu, and then the puncture knife 15' is withdrawn to inject air from the air inlet tube 112 to the patient's abdomen. 21 expands to form a space (4), and finally inserts a surgical instrument 23 (for example, a laparoscope, a hand shot, a knife, an electric knife) into the sleeve 11, and enters the patient's abdomen 21 for surgery. Since the catheter needle 1 only guides a surgical instrument 23 into the patient's abdomen 21, each abdominal abdomen surgery must insert a plurality of catheter needles in the patient's abdomen 21 Laparoscopic surgery is performed by introducing different surgical instruments 23 into the patient 3 201041557 _ p 21, which not only makes the operation time long, but also forms several incisions 22 in the abdomen 21 of the (10), resulting in more bleeding and overall wound recovery. Shortcomings. SUMMARY OF THE INVENTION Accordingly, it is an object of the present invention to provide a single-port laparoscopic retracement that can perform laparoscopic surgery only by forming a single-incision, which can shorten the operation time, reduce the amount of bleeding, and restore the wound faster. Cover device. Yu Yu, the single-hole laparoscopic retanning mask device of the present invention is suitable for laparoscopic surgery, including a body piece and a head piece. ^ The body comprises a hollow bladder that is flexible and forms a chamber about an axis - a bottom positioning portion at a bottom of the hollow bladder, and a top positioning at a top of the hollow bladder unit. The head member includes a grip portion that is elastically disposed to be positioned outside the top positioning portion, and a bearing portion that connects the grip portion and is provided with a plurality of connecting jaws. Each of the connecting jaws has a perforation. In this way, the body piece can be inserted into each mouth of a patient's abdomen, and then the head piece is sleeved and fixed to the top positioning material, and several surgical instruments can be inserted into each connection port and enter the patient's abdomen. Laparoscopic surgery is performed to make the invention have the characteristics of shortening the operation time, reducing the amount of bleeding, and recovering the wound faster. The above and other technical contents, features, and advantages of the present invention will be apparent from the following detailed description of the preferred embodiments of the invention. 201041557 • Before the present invention is described in detail, it should be noted that in the following description, the relative positional terms used in the entire specification, such as "top" and "bottom", are used in the orientation shown in the respective figures. The orientation is based on the reference, and in addition, _ 纟 in the following description of the 'similar elements are denoted by the same reference numerals. · As shown in Figures 4 and 8, the single-hole laparoscopic retanning mask device of the present invention is suitable for use - Laparoscopic surgery, the first preferred embodiment includes a body member and a head member 40. The body member 3 includes a hollow capsule 32' that defines a chamber 31 around an axis I. A bottom positioning portion 33' outside the bottom portion 321 of the capsule 32 is a top positioning portion % located outside a top portion 322 of the hollow capsule 32, and a drawing tape 35 located at a bottom end of the hollow capsule 32. The hollow capsule 32 flexible, the material used in the present invention can be TPU (Therm〇Plastic P〇lyurethane, thermoplastic polyurethane elastomer), PE (p〇iyethiene, polyethylene), PVC (p〇lyvin Handsome, he gathers ethylene.) 〇 better, the bottom The portion 33 and the top positioning portion 34 are in a loop shape surrounding the hollow capsule 32. The positioning of the bottom positioning portion 33 and the top positioning portion 34 is preferably in the preferred embodiment. The bottom positioning portion 33 and the position portion 34 are sleeved on the bottom portion 321 and the top portion 322 of the hollow capsule 32. The top portion is externally wound, so that the bottom positioning portion 2 = portion 34 is covered. The bottom portion 321 , the top portion 322 , and then the bottom edge 321 and the end edge of the top portion 322 and the hollow capsule 32 are heat-pressed and consolidated, so that the bottom positioning portion 33 and the top positioning portion 34 can be positioned. 5 201041557 With respect to the strap 35, the bottom end of the hollow capsule 32 can extend from the bottom end of the hollow capsule 32, and the pull strip 35 is positioned while positioning the bottom positioning portion 33. The head member 40 includes a line around the axis The grip portion 41' and the carrier portion 42 that is connected to the grip portion 41 and located at the top end of the grip portion 41 and provided with 43. The reverse connection peak portion of the grip portion 41 has elasticity 'for positioning on the body member In addition to the top portion 34 of the portion 34, the material f of the grip portion 41 can be a win in the present invention. Preferably, the grip portion 41 has a 钿 钿 兮The bottom edge 411 of the τ. The converging portion of the carrying portion 42 and the secret (four) 41 can be formed toward the silver wire 1 and the design of the vertical member is respectively extended from the carrier portion C toward the top end. a cylinder 44, a closed top block* disposed in the outer cylinder: and a check structure 461 disposed in the outer cylinder 44 and corresponding to the through hole 45, and the non-reversal has been formed in the outer cylinder 44 The elastic body split is placed on the elastic body 461 and aligned with the cross of the through hole C. It is worth noting that in the right blue + M type, although the through hole 45 and the stop structure 46 are formed in the convex shape, . _ L 疴 44, but the winter of the port 43 is not limited thereto, and may be slightly embossed in the section (4) of the section, and the outer cylinder 44 is omitted. When the carrier is used, as shown in Fig. 5, 'when already in the patient's abdomen 6. Make-cut 201041557 after the mouth 61 'the body 3G stoppers the incision Q so that the money position 33 is located in the 4 patient's abdomen 60, but keep the pull belt 35 and the top positioning portion of the patient's abdomen 60, (4) 6 As shown, the tissue of the body =: card ττ " ° is then convergent, the bottom: 纟 within the patient's abdomen 6G, as shown in Figure 7, then the top squat portion 34 is toward the bottom end The gripping portion 4 of the head piece 4 is placed outside the top positioning portion 34 after being wound up to the front of the patient's abdomen 60', such as Ο ❹ 8 8 8 , , , , , , , , 41 41 Outside the top positioning portion 34, the converging bottom edge 411 is placed at the bottom end of the top positioning portion 34 to obtain a good positioning. At this time, the pulling belt 35 is still located at the patient's abdomen 6 (), as shown in FIG. No, then different surgical instruments 5, such as the air intake tube & laparoscopic 52, scalpel 53 can be inserted into the perforations of the different ports 43, respectively, followed by the cross-cracking of the anti-reverse structure 46, The chamber 31 of the body 3 is inserted into the abdomen 6G of the patient, and the air inlet tube 51 can be used to inject gas into the abdomen of the wearer 60 (10). By forming a surgical operation, the laparoscopic 52 cooperates with a video system (not shown) to see the condition in the patient's abdomen 60. The scalpel 53 can remove malignant tissue and sample 'by the anti-reverse structure 46. The air (four) leakage in the abdomen 60 of the patient can be prevented. When the laparoscopic surgery is completed, the surgical instrument is sequentially pulled out to pull the pull belt 35 outward, and the bottom positioning portion 33 can be pulled out of the slit 61, and The body 3 () and the head piece 4 () are completely separated from the patient's abdomen 60 and finally treated as medical waste. As shown in Figures 1 and 11, the second preferred embodiment of the single-hole laparoscopic retanning mask device of the present invention comprises a body member 30 and a head member 4''. 7 201041557 The head piece 40 also includes a grip 狴0卩41, and a carrying portion 42 that connects the grip portion 41 and has a plurality of connecting ports 43, The mother-connected 埠43' respectively, the star-right-white 咕 ΑΛ. ^ ^ 八有从承承部42, the outer raft 44' extending toward the top, one set in the outer cylinder, "the same 44 - closed top The perforation 45 of the block 441, an elastic piece that is tapped in the outer tube 44. The difference between the second preferred embodiment and the first preferred embodiment is that the elastic piece 47 is not provided with a slit. The first preferred embodiment is applicable to the existing catheter needle 7'', which has the same sleeve as the conventional catheter needle 10, and has a sleeve 71, a check sleeve, a retaining ring, an end cap 74, and a puncture knife 75. In use, the puncture knife 75 is first inserted into the sleeve 71, and then the 4 puncture knife 75 H sleeve 71 is inserted into the perforation 45 of the connection port 43, when passing through the elastic piece 47, The elastic piece 47' can be pierced by the puncture knife 75 while the elastic piece 〇f is attached to the outside of the sleeve 71 to produce an effect of preventing gas leakage. In summary, the single-hole laparoscope retanning mask of the present invention is as described above. The device has the following advantages and advantages, and indeed achieves the object of the invention: since the invention only needs to form a single slit 61 Laparoscopic surgery can be performed, so it has the effect and advantages of shortening the operation time. 1. Because the invention can only perform laparoscopic surgery with only a single incision, it can reduce the amount of bleeding and restore the wound faster. And the above is only a preferred embodiment of the present invention, and is not intended to limit the scope of the present invention, that is, the simple scope of the invention and the scope of the invention. The effect changes and modifications are still within the scope of the present invention. [Simplified Schematic] ® 1疋 - Schematic diagram of the use of catheter needles for laparoscopic surgery. FIG. 2 is a cross-sectional view of the prior art catheter needle. Description - a state in which a patient's abdomen is inserted; Q is a cross-sectional view of the prior art catheter showing a state in which a plurality of catheter needles are inserted into the abdomen of the patient for laparoscopic surgery; and FIG. 4 is a single-hole abdominal cavity of the present invention. An exploded perspective view and a partial cross-sectional view of a preferred embodiment of the mirror reticle type masking device; FIG. 5 is a schematic view of the use of the first preferred embodiment Fig. 6 is a view similar to Fig. 5, showing a state in which the body member is pulled to the top to position a bottom positioning portion in the abdomen of the patient; ◎ Fig. 7 It is a view similar to that of Fig. 6, illustrating a state in which a top positioning portion is wound toward the bottom end; Fig. 8 is a view similar to Fig. 7, illustrating a state in which a head piece is coupled to the outside of the body member; A schematic diagram of the use of the first preferred embodiment illustrates a state in which a plurality of surgical instruments are introduced into the abdomen of the patient for laparoscopic surgery; FIG. 10 is a view similar to FIG. 8 illustrating the single-hole laparoscopic retracement of the present invention. A second preferred embodiment of the mask device; and FIG. 11 is a schematic view of the use of the second preferred embodiment. 9 201041557 [Explanation of main component symbols] 30.... body member 51... intake pipe 31.... Chamber 52.... Laparoscope 32..., Hollow capsule 53.... Scalpel 321.. • Bottom 60... Patient abdomen 322.. Top 61. .. • Incision 3 3____. Bottom positioning part 40'.. Head piece 34... Top positioning part 4Γ.. Grip part 35... Pulling belt 42, .... 40....Head piece 43\..Connecting 埠41....Clip portion 44\..Outer tube 411 ·_. Converging bottom edge 44Γ...Top block 42.... Carrying portion 45, ._.Perforation 43....Connecting 埠47... Elastic piece 44....Outer tube 70....Tube needle 441 ·..Top piece 71....Sleeve 45... •Perforation 74... .End cap 46....Retraction structure 75.... Puncture knife 461·... Elastic body I...... Axis 462·...Cross slit 50... Surgical instrument 10