TW201102044A - Wound protector - Google Patents

Wound protector Download PDF

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Publication number
TW201102044A
TW201102044A TW98122403A TW98122403A TW201102044A TW 201102044 A TW201102044 A TW 201102044A TW 98122403 A TW98122403 A TW 98122403A TW 98122403 A TW98122403 A TW 98122403A TW 201102044 A TW201102044 A TW 201102044A
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Taiwan
Prior art keywords
ring
block
positioning
receiving
base
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TW98122403A
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Chinese (zh)
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TWI383774B (en
Inventor
Yi-Hui Wen
Wu-Zhou Lin
yao-zhou Cai
guo-xin Chen
yi-ping Hong
Zheng-Xiong Chen
zheng-hong Chen
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Lagis Entpr Co Ltd
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Priority to TW98122403A priority Critical patent/TWI383774B/en
Publication of TW201102044A publication Critical patent/TW201102044A/en
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Publication of TWI383774B publication Critical patent/TWI383774B/en

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Abstract

A wound protector comprises a body part and a first fixed member. The body part comprises a flexible hollow thylakoid formed a chamber, and a bottom positioning body, a top positioning body and a connecting body respectively located outside the hollow thylakoid. The first fixed member presents hard for combining the connecting body and locates outside the hollow thylakoid. It comprises a locating slot for installing the top positioning body.Accordingly, the only requirement is inserting bottom of the hollow thylakoid into a incision of patient's belly and then pulling the hollow thylakoid to the top for making the bottom positioning body stuck in the patient's belly before turnover the top positioning body outward for stucking it in the locating slot. In this way, the invention can be localized at patient's belly for making the invention have characteristics of raising fastness and reducing installation time.

Description

201102044 六、發明說明: 【發明所屬之技術領域】 本發明是有關於一種手術器具,特別是指一種適用於 腹腔鐘:手術的傷口保護器。 【先前技術】 如圖1、2所示,現有一種使用於腹腔鏡手術的傷口保 護器10由可撓性材料製成,具有圍繞一軸線形成一腔室u 的中空囊體12,及分別固定於該中空囊體12的一底定位部 13與一頂定位部14。 使用時,先在一患者腹部2〇做出一切口 21,接著將該 底定位部13.塞入該切口 21,然後將該傷口保護器1〇往頂 端拉出,藉由該患者腹部2〇的組織具有收束性,該底定位 邛13將被卡置在該患者腹部2〇内,之後將該頂定位部μ 朝向底端捲收一直到接近該患者腹部2〇,最後就可將手術 器械(圖未示)伸入通過該腔室u並進入該患者腹部2〇内執 行手術作業。 該傷口保護器10雖然具有上述使用功能,但仍存有下 列缺點: 一、由於每一位患者腹部20的組織肥瘦厚度不一,常 發生該頂定位部14完成捲收後與該患者腹部2〇之間尚留 有一間隙t的狀況’再加上該傷口保護器1〇具有可撓性呈 軟態,所以該底定位部13被往外拉的力量相當小、卡置效 果不佳’導致有該傷口保護器10的牢固性不佳、極可能會 影響手術作業的缺點。 201102044 §頂疋位。卩14的捲收較費時,導致該傷口保護器 1的安裝時間長,不符合手術分秒必爭的要求。 要將該底定位部13塞人該切口 21,操作者必須用 捏住該底^位部13使其變形縮小後再塞人該切α 21,存 ^該傷口保護$ 1G被污染機率較高,導致傷口感染機率較 兩的缺點。 【發明内容】 因此,本發明之目的,即在提供一種可以提高牢固效 果可以縮短女裝時間,及可減少被污染機率 器。. .. 於是’本發明傷口保護器,適用於-腹腔鏡手術,包 含一身件及一第一固定件。 k身件匕括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外環面底部的底定位體, 一位於該^囊體的外環面頂部的歡位體,及—外於該 中空囊體的外環面中部的連接體。 該第-固定件呈硬態,與該連接體結合並位於該中空 囊體外’包括一用以供該頂定位體往外翻摺卡置定位的定 位槽。 藉此’只需將該身件塞入一患者腹部的一切口内,再 將該身件往頂端拉使該底定位體卡置在該患者腹部内,及 將該頂定位體往外翻指卡置定位在該定位槽内,就可以將 本發明安裝疋位於該患者腹部,藉此使本發明具有可以提 高牢固性及可縮短安裝時間的特性。 201102044 【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 的呈現。 Z月足 -在本發明被詳細描述前,要注意的是,在以下的_ 内容中’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。201102044 VI. Description of the Invention: [Technical Field] The present invention relates to a surgical instrument, and more particularly to a wound protector suitable for use in a peritoneal cavity: surgery. [Prior Art] As shown in Figs. 1 and 2, a conventional wound protector 10 for laparoscopic surgery is made of a flexible material, has a hollow capsule 12 forming a chamber u around an axis, and is fixed separately. A bottom positioning portion 13 and a top positioning portion 14 of the hollow capsule 12. In use, firstly make a mouth 21 in a patient's abdomen, then insert the bottom positioning portion 13. into the incision 21, and then pull the wound protector 1 to the top, with the patient's abdomen 2〇 The tissue is convergent, the bottom positioning 邛 13 will be placed in the patient's abdomen 2 ,, after which the top positioning portion μ is rolled toward the bottom end until it approaches the patient's abdomen 2 〇, and finally the operation can be performed An instrument (not shown) extends through the chamber u and into the abdomen of the patient to perform a surgical procedure. Although the wound protector 10 has the above-mentioned functions of use, it still has the following disadvantages: 1. Since the tissue of each patient's abdomen 20 has different thickness and thickness, it often occurs that the top positioning portion 14 completes the retraction and the patient's abdomen 2 There is still a gap t between the crucibles. In addition, the wound protector 1 has a flexible state, so that the bottom positioning portion 13 is pulled outwardly with a relatively small force and the card is not effective. The wound protector 10 is not robust enough and is highly likely to affect the disadvantages of the surgical procedure. 201102044 § Top position. The winding of the crucible 14 is time consuming, resulting in a long installation time of the wound protector 1, which does not meet the requirements of the surgery. To insert the bottom positioning portion 13 into the slit 21, the operator must pinch the bottom portion 13 to reduce the deformation and then plug the person to cut the α 21, and the wound protection $ 1G is contaminated. The disadvantages of wound infection are more than two. SUMMARY OF THE INVENTION Accordingly, it is an object of the present invention to provide a method for improving the firmness of the wearer to shorten the time for women's wear and to reduce the risk of contamination. Thus, the wound protector of the present invention is suitable for use in a laparoscopic surgery comprising a body member and a first fixing member. The body member includes a hollow bladder having a flexible shape and forming a chamber around an axis, a bottom positioning body at the bottom of an outer annulus of the hollow capsule, and a top portion of the outer ring surface of the hollow body a body of joy, and a connector external to the middle of the outer annulus of the hollow capsule. The first fixing member is in a rigid state, and is coupled to the connecting body and located outside the hollow capsule, and includes a positioning groove for positioning the top positioning body outwardly. By this, it is only necessary to insert the body into all the mouths of a patient's abdomen, and then pull the body to the top to place the bottom positioning body in the patient's abdomen, and to turn the top positioning body outward. Positioning in the positioning groove allows the present invention to be mounted on the abdomen of the patient, thereby providing the present invention with characteristics that can improve the firmness and shorten the installation time. The above and other technical contents, features and effects of the present invention will become apparent in the following detailed description of the preferred embodiments of the invention. Z month foot - Before the present invention is described in detail, it should be noted that in the following _ content, the relative positional terms used in the entire specification, such as "top" and "bottom" are shown in the respective figures. The orientation and normal use orientation are the benchmarks.

如圖3、4、5所示,本發明傷口保護器適用於一腹腔 鏡手術,該較佳實施例包含一身件3〇及一第一固定件4〇。 該身件30包括圍繞一軸線ϊ而形成一腔室3ι的中空囊 體32, 一位於該中空囊體32的一外環面321底部的底二位 體33, 一位於該中空囊體32的外環面321頂部的頂定位體 34, 一自該中空囊體32的外環面321往外侧成型的連接體 35, 及位於該中空囊體32的一内環面322底部的數挾持塊 36 ° 該中空囊體32呈軟態具可撓性,所使用之材質在本發 明中可為矽膠、軟性塑膠,例如TPU(Therm〇PlastiC Polyurethane,熱可塑性聚胺脂彈性體)、PE(p〇lyethlene, 聚乙婦)、PVC(Polyvinylch丨oride,聚氯乙稀)。 較佳地’該底定位體33、該頂定位體34是呈圍繞該中 空囊體32的環圈狀。 關於該底定位體33、該頂定位體34,可以與該中空囊 體32 —體製成,也可以採用先分別將該底定位體33、該頂 定位體34套置在該t空囊體32的外環面321的底部、頂 201102044 :二然:將該底部、該頂部往外捲,使該底定位體33、 該^位體34被包覆在該中空囊體32的底部、該頂部内 ,之後,再對該中空囊體32的底 的底邛端緣、頂部端緣與該中 工囊體32進行熱壓固結,就可以使該底定位體33、該頂定 位體34獲得定位。 这頂疋 32的外環面321往 351的自由端且增厚 該連接體35具有一自該中空囊體 外成型的翼片351,及-成型於該翼片 的固定環352。 該第一固定件4〇以塑膠製成且呈硬態,與該連接體3. 結合並位於該中空囊體32外,具有—定_ 422,用_ 該身件=的頂定位體34往外翻摺拉伸後卡置入該定位槽 422以獲仔定位,此外,守坌 ^ 备φ 卜該第一固定件40還具有可以抵置 在一患者腹部8 0的作用。. 進一步地, 施例中,該第一 體42。 為了方便與該連接體35結合,在該較佳實 固定件如包括一第一底座41及—第^ 該第一底座41為-圍繞該轴線I的環形座體,具有一 本體4U,一成型於該本體4U的頂面的凸環412,一設置 於該凸環412用以容置該固定環352的第-容置槽413,及 自該本體411的外緣朝向底端成型的抵置體414。 該第蓋體42為一圍繞該軸線I的環形蓋體’具有分 別《χ置於底面用以容置該固定環352 1可與該第一容置槽 3對接的第—各置槽421,及位於該第二容置槽似外側 的該定位槽422。 201102044 當將該第-底座41自底端朝向頂端套設在該身件3〇 外,就可以將該固定環352置入該第一容置槽413,接著將 該第一蓋體42蓋置在該第_底|41的凸環412頂端,同 時使該第二容置槽421與該第一容置槽413對接容置該固 定環352 ’再將該第一底座41與該第一蓋體42結合,就可 以使該第一固定件40與該身件3〇產生連結。 關於該第-底座41與該第一蓋體42,在該較佳實施例 中是採用高週波方式使二者溶接。 使用時,如圖5、6所示,當已在該患者腹部8〇做出 切口 81後,操作者將一夾具(圖未示)伸入該身件%的腔 至31,然後夾住其中二挾持塊36使該中空囊體32的底部 口徑變小,就可以方便地將該中空囊體32的底部塞入該切 口 81内,接著抽出該夾具,將該身件3〇朝向頂端拉出, 藉由該患者腹部80的組織具有收束性,該底定位體33將 被卡置在該患者腹部80内,同時呈硬態的該第一固定件 可藉由自重而坐置在該患者腹部8〇上,並對該底定位體33 產生一朝向頂端的拉力,然後將該頂定位體34往外翻摺拉 伸並卡置入該第一固定件4〇的定位槽422内,如此就可以 使該頂定位體34定位,且對該底定位體33再產生一朝向 頂端的拉力,如此,就可以增加該底定位體33的卡置力, 相對可以提高本發明的牢固效果,之後,就可以將手術器 械(圖未示)通過該腔室31進入該患者腹部8〇進行手術作業 (例如採取檢體)。 如圖7、8、9所示,該較佳實施例更包含一頭件5 〇、 201102044 一第二固定件60及數個連接埠70。 該頭件50具彈性,包括一承載塊51,自該承載塊51 朝向底端成型且圍繞該軸線.I的連接筒52,一自該連接筒 52的‘緣往外擴徑成型的肩環53,及沿該軸線I穿設該承 載塊51的數安裝孔54。 該第二固定件60以塑膠製成呈硬態,與該連接筒52. 及該肩環.53結合並套置固定在該第一固定件4〇外,具有 用以套置在該底座42外的套筒614,及一朝向該韩線I 成型用以撐開該患者腹部80的切口 81的撐開環615。 為了方便與該頭件50結合,在該較佳實施例中,該第 二固定件60包括一第二底座61及一第二蓋體62。 該第二底座61具有一圍繞該轴線τ用以供該頭件5〇的 連接筒52套置的定位環611 ’自該定位環611往外擴徑成 ^的置放塊612,一設置於該置放塊612用以容置該肩環 二的第三容置槽613,自該置放塊612的外緣朝向底端成 以置在該第一底座41的抵置體414外的該套筒… 以==環611的内面朝向該軸線1成型且概呈漏斗狀用 …軸615,及設置於該套 内湾面底部的數卡置塊616。 ^ 體, 52 具有一 與該肩 、該第二蓋體62為一圍繞該轴線I的環形蓋 成型在一内環面ia —底而夕門m . 总面之間用以容置該連接筒 環53的第四容置槽621。 ° 位環门W要置在該第二底座61 U外,同時將該肩環53置入該第二底座61_ 201102044 接著將該第二蓋體62蓋置在該第二底座61的置 1端,同時藉由該第四容置槽621容置該肩環631 置槽613,接著 放塊632頂端, ’再將該第二底座61與該第二蓋體62結合,就可以使該 第二固定件60與該頭件5〇產生連結。 關於該第二底座 61與該第一盍體6 2 ’在該較佳實施例 中是採用採用高週波方式使二者熔接。As shown in Figures 3, 4 and 5, the wound protector of the present invention is suitable for a laparoscopic procedure. The preferred embodiment comprises a body member 3''''''''''' The body member 30 includes a hollow capsule 32 forming a chamber 3ι around an axis, a bottom member 33 located at the bottom of an outer annulus 321 of the hollow capsule 32, and a hollow body 32 located at the bottom of the hollow capsule 32. A top positioning body 34 at the top of the outer annular surface 321 , a connecting body 35 formed outward from the outer annular surface 321 of the hollow balloon 32 , and a plurality of clamping blocks 36 at the bottom of an inner annular surface 322 of the hollow balloon 32 . ° The hollow capsule 32 is soft and flexible, and the material used in the present invention may be silicone or soft plastic, such as TPU (Therm〇PlastiC Polyurethane), PE (p〇 Lyethlene, Polyethylene), PVC (Polyvinylch丨oride, polyvinyl chloride). Preferably, the bottom positioning body 33 and the top positioning body 34 are in a loop shape surrounding the hollow capsule 32. The bottom positioning body 33 and the top positioning body 34 may be integrally formed with the hollow capsule 32, or the bottom positioning body 33 and the top positioning body 34 may be respectively placed on the t-empty body. The bottom of the outer annular surface 321 of the 32, the top 201102044: two: the bottom, the top is rolled outward, so that the bottom positioning body 33, the body 34 is wrapped at the bottom of the hollow capsule 32, the top After the inner bottom edge and the top end edge of the bottom portion of the hollow capsule 32 are heat-compressed and consolidated, the bottom positioning body 33 and the top positioning body 34 can be obtained. Positioning. The outer ring surface 321 of the top cymbal 32 extends to the free end of the 351 and is thickened. The connecting body 35 has a fin 351 formed from the outer side of the hollow capsule, and a retaining ring 352 formed on the fin. The first fixing member 4 is made of plastic and is in a rigid state, and is coupled to the connecting body 3. and is located outside the hollow capsule 32, and has a predetermined value of 422, and the top positioning body 34 of the body member is outwardly After the folding is stretched, the card is placed in the positioning groove 422 to be positioned. In addition, the first fixing member 40 has a function of being able to abut against a patient's abdomen 80. Further, in the embodiment, the first body 42. In order to facilitate the combination with the connecting body 35, the preferred fixing member comprises a first base 41 and the first base 41 is an annular seat surrounding the axis I, and has a body 4U, a The convex ring 412 formed on the top surface of the main body 4U is disposed on the convex ring 412 for receiving the first receiving groove 413 of the fixing ring 352, and the yoke formed from the outer edge of the main body 411 toward the bottom end Place 414. The first cover 42 is a ring-shaped cover ′ around the axis I. The first cover 421 is disposed on the bottom surface for receiving the fixing ring 352 1 and the first receiving groove 3 . And the positioning groove 422 located outside the second receiving groove. When the first base 41 is sleeved from the bottom end toward the top end of the body member 3, the fixing ring 352 can be placed in the first receiving groove 413, and then the first cover 42 is placed. At the top of the convex ring 412 of the _ bottom | 41, the second accommodating groove 421 is mated with the first accommodating groove 413 to receive the fixing ring 352 ′ and the first base 41 and the first cover are When the body 42 is combined, the first fixing member 40 and the body member 3 can be coupled. In the preferred embodiment, the first base 41 and the first cover 42 are in a high-frequency manner to fuse the two. In use, as shown in Figures 5 and 6, after the incision 81 has been made in the abdomen of the patient, the operator extends a jig (not shown) into the cavity of the body to 31, and then clamps it. The second holding block 36 makes the bottom diameter of the hollow capsule 32 small, so that the bottom of the hollow capsule 32 can be conveniently inserted into the slit 81, and then the clamp is pulled out, and the body 3〇 is pulled out toward the top end. By the tissue of the patient's abdomen 80 being convergent, the bottom positioning body 33 will be placed in the patient's abdomen 80, while the first fixing member in a hard state can be seated on the patient by its own weight. The bottom of the abdomen 8 ,, and the bottom positioning body 33 generates a pulling force toward the top end, and then the top positioning body 34 is folded outwardly and snapped into the positioning groove 422 of the first fixing member 4〇, thus The top positioning body 34 can be positioned, and a pulling force toward the top end of the bottom positioning body 33 can be generated. Thus, the clamping force of the bottom positioning body 33 can be increased, and the solid effect of the present invention can be relatively improved. It is possible to enter a surgical instrument (not shown) through the chamber 31 into the patient. 8〇 abdominal surgery operations (for example, take the sample). As shown in FIGS. 7, 8, and 9, the preferred embodiment further includes a head piece 5 〇, 201102044, a second fixing member 60, and a plurality of connecting ports 70. The head member 50 is elastic, and includes a carrier block 51. The connecting barrel 52 is formed from the supporting block 51 toward the bottom end and surrounds the axis .I. A shoulder ring 53 is formed from the edge of the connecting barrel 52. And a plurality of mounting holes 54 of the carrier block 51 are bored along the axis I. The second fixing member 60 is made of a plastic material and is combined with the connecting sleeve 52. and the shoulder ring .53 and is sleeved and fixed on the first fixing member 4b. An outer sleeve 614, and a distraction ring 615 shaped toward the Korean thread I for extending the slit 81 of the patient's abdomen 80. In order to facilitate the combination with the head member 50, in the preferred embodiment, the second fixing member 60 includes a second base 61 and a second cover 62. The second base 61 has a positioning ring 611 which is disposed around the axis τ for the connecting sleeve 52 of the head piece 5〇. The mounting block 612 is expanded outward from the positioning ring 611, and is disposed on the second base 61. The accommodating block 612 is configured to receive the third accommodating groove 613 of the shoulder ring 2, and the outer rim of the placing block 612 is disposed at the outer end toward the bottom end to be disposed outside the abutting body 414 of the first base 41. The sleeve is formed by the inner surface of the == ring 611 toward the axis 1 and is substantially funnel-shaped with a shaft 615 and a plurality of card holders 616 disposed at the bottom of the inner surface of the sleeve. The body 52 has a ring-shaped cover with the shoulder and the second cover 62 formed around the axis I. The inner cover is formed between the inner ring ia and the bottom surface to accommodate the connection. The fourth receiving groove 621 of the ring 53. The position of the ring door W is to be placed outside the second base 61 U, and the shoulder ring 53 is placed in the second base 61_ 201102044. Then the second cover 62 is placed on the first end of the second base 61. At the same time, the shoulder 631 is accommodated by the fourth receiving groove 621, and then the top of the block 632 is placed, and the second base 61 is combined with the second cover 62 to make the second The fixing member 60 is coupled to the head member 5A. With respect to the second base 61 and the first body 6 2 ' in the preferred embodiment, the two are welded in a high-frequency manner.

414的底面的數卡置槽416。 每一連接埠70分別包括一外筒71及一帽蓋72 6 該外筒71具有一用以插置入該安裝孔511的插腳7ΐι ,一成型於該插腳711的底端外緣用以方便插入該安裝孔 511且不易脫離該安裝孔511的倒勾塊712,一自該插腳 1的頂端擴徑成型的杯體713,及一設置於該杯體的 外杯面的嵌結段714。 該帽蓋72具有一頂塊721,自該頂塊721的外緣朝向 底端成;i用以與該喪結段714相互嵌置結合的嵌結環722, 一設置於該頂塊721的插孔723,及一相對應於該插孔723 的止逆結構724。 該止逆結構724可為該頂塊721設置該插孔723後所 留下的薄膜,也可為自該頂塊721朝向底端成型且位於該 杯體713内並預先切開有一裂溝的彈性片,呈後者設計時 ’該插孔723是貫穿該頂塊721。 值得說明的是’在圖式中,雖然該插孔723、該止逆結 201102044 構724.是成型在外接的該帽蓋72,但是該連接埠7〇.的概念 不限於此’亦可是略浮凸於該承載塊51或略内凹於該承載 塊51 ’而省略該外筒7丨與該帽蓋72。 使用時,如圖6、7、8、9所示’當已將該身件3〇及 該第一固定件40固定於該患者腹部80,接著將該第二底座 61的卡置塊616對準該第一底座41的缺口 415,並將該第 二底座όΐ推向該第一底座41直到碰觸該第一蓋體42,然 後轉動該第二底座61,使所述卡置塊616分別進入所述卡 置槽416,就可以使該第二底座61與該第一底座41相互卡 置結合,同時該撐開環615貼靠在該中空囊體32的内環面 322,可以防止該患者腹部8〇的組織收束而可撐開該切口 81,如圖10所示,然後就可將不同手術器械9〇,例如進氣 管91或腹腔鏡92插入該連接埠70的插孔723並通過止逆 結構724(彈性片)、該腔室31而進入該患者腹部8〇内,可 以藉由該彈性片緊貼該進氣f 91、該腹腔鏡92以防止灌入 該患者腹部8G内的氣體茂漏,將手術刀%插人其他連接 埠70的插孔723並劃破該止逆結構724(薄膜)、通過該腔室 31而進入該患者腹部80 β ’可以藉由該薄膜緊貼該手術刀 93以防止氣體茂漏,藉由將氣體灌人該患者腹部80内使該 患者腹部80膨脹就可以形成手術操作空間,藉由腹腔鏡% 配合視訊系統(圖未示)則可看見該患者腹部6〇㈣狀況, 藉由該手術刀93可㈣惡性組織及採樣,當腹腔鏡手術完 成後,依序將前述手術㈣9G抽出,將該身件則主外拉 ’就可以將本發明傷口保護器拉出該切口 81,最後做為醫 10 201102044 療廢棄物處理。 歸納上述’本發明傷口保護器具有如下所述之功效及 優點,故確實能達成發明目的: 一、 因為本發明可以藉由該底定位體33卡置在該患者 腹部80内’且可藉由呈硬態的該第一固定件4〇藉由自重 坐置在該患者腹部80上而對該底定位體33產生一外拉力 ’及藉由將該身件30的頂定位體34往外翻摺拉伸卡置在 該第一固定件40的定位槽422内,對該底定位體33產生 另一外拉力’再加上該第一固定件4〇與該患者腹部8〇之 間不會留有間隙,使本發明具有可以提高牢固效果以利手 術進行的功效及優點》 二、 因為本發明並不需要捲收該中空囊體32,相較於 習用傷口保護器1 〇,本發明具有可以縮短安裝時間以符合 手術分秒必爭要求的功效及優點。 二、因為本發明可藉由將夾具伸入該腔室31内並夾住 其中二挾持塊36後,再將該中空囊體32的底部塞入該切 口 81内’具有可以減少本發明受外物碰觸而被污染、可以 減少傷口被感染機率的功效及優點。 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 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】 圖1是一現有用於腹腔鏡手術之傷口保護器的組合剖 201102044 視圖; 圖2是該現有傷口保護器的一使用剖視圖; 圖3是本發明傷口保護器一較佳實施例的一仰視分解 立體圖; • _ . · 圖4是該較佳實施例的一俯視分解立體圖; 圖5是該較佳實施例的一組合剖視圖; 圖6是一類似圖5的視圖,說明將該較佳實施例安裝 固定於一患者腹部的狀態; 圖7是該較佳實施例的另一仰視分解立體圖; 圖8是該較佳實施例的另一俯視分解立體圖; 圖9是該較佳實施例的另一組合刮視圖;及 圖10是該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。 12 201102044The number of cards on the bottom surface of 414 is slotted 416. Each of the connecting rods 70 includes an outer tube 71 and a cap 72 6 . The outer tube 71 has a pin 7 ΐ 插 inserted into the mounting hole 511 , and is formed on the outer edge of the bottom end of the pin 711 for convenient use. An inverted block 712 that is inserted into the mounting hole 511 and is not easily separated from the mounting hole 511, a cup body 713 that is formed by expanding the tip end of the pin 1, and an inserting section 714 provided on the outer cup surface of the cup. The cap 72 has a top block 721, and is formed from the outer edge of the top block 721 toward the bottom end; an inlay ring 722 for inserting and engaging with the knot portion 714, and a top ring 721 is disposed on the top block 721. The jack 723 has a check structure 724 corresponding to the jack 723. The anti-reverse structure 724 may be a film left after the jack 723 is disposed on the top block 721, or may be formed from the top block 721 toward the bottom end and located in the cup 713 and pre-cut a crack. The chip, in the latter design, is the socket 723 that runs through the top block 721. It should be noted that, in the drawing, although the jack 723 and the anti-reverse junction 201102044 structure 724 are formed by the external cap 72, the concept of the connection 不限7〇. is not limited to this. The outer block 7丨 and the cap 72 are omitted from the carrier block 51 or slightly recessed in the carrier block 51'. In use, as shown in FIGS. 6, 7, 8, and 9 'when the body member 3 and the first fixing member 40 have been fixed to the patient's abdomen 80, the pair of the locking blocks 616 of the second base 61 are then paired. The notch 415 of the first base 41 is pushed, and the second base is pushed toward the first base 41 until the first cover 42 is touched, and then the second base 61 is rotated, so that the locking block 616 is respectively When the card slot 416 is inserted, the second base 61 and the first base 41 can be coupled to each other, and the opening ring 615 abuts against the inner ring surface 322 of the hollow capsule 32, thereby preventing the The tissue of the patient's abdomen 8 收 can be bundled to open the incision 81, as shown in FIG. 10, and then different surgical instruments 9 such as the air inlet tube 91 or the laparoscope 92 can be inserted into the insertion hole 723 of the connection port 70. And entering the patient's abdomen 8〇 through the anti-reverse structure 724 (elastic piece) and the chamber 31, the elastic piece can be closely attached to the air inlet f 91, the laparoscope 92 to prevent the patient's abdomen 8G from being poured. The inside of the gas leaks, the scalpel is inserted into the socket 723 of the other connection port 70 and the check structure 724 (film) is cut through the chamber. 31, entering the patient's abdomen 80 β ' can be adhered to the scalpel 93 by the film to prevent gas leakage, and the surgical operation space can be formed by injecting gas into the abdomen 80 of the patient to expand the patient's abdomen 80. By using the laparoscopic % with the video system (not shown), the patient's abdomen can be seen in the 6th (4th) condition. The scalpel 93 can (4) malignant tissue and sampling. When the laparoscopic surgery is completed, the aforementioned surgery (4) 9G is sequentially performed. The wound protector of the present invention can be pulled out of the incision 81 and finally treated as a medical waste. In summary, the above-described wound protector of the present invention has the following advantages and advantages, and indeed achieves the object of the invention: 1. Since the present invention can be placed in the abdomen 80 of the patient by the bottom positioning body 33, The first fixing member 4 that is in a hard state generates an external pulling force on the bottom positioning body 33 by the self-weight sitting on the patient's abdomen 80 and folds the top positioning body 34 of the body member 30 outward. The tensioning card is disposed in the positioning groove 422 of the first fixing member 40, and generates another external pulling force on the bottom positioning body 33. Further, the first fixing member 4〇 does not remain between the first fixing member 4〇 and the patient's abdomen 8〇. There is a gap, so that the present invention has the effect and advantages of improving the firming effect for the operation. Second, because the present invention does not need to retract the hollow capsule 32, the present invention has the same function as the conventional wound protector 1 Shorten the installation time to meet the efficacy and advantages of the surgery. 2. Since the present invention can be inserted into the chamber 31 and sandwich the two holding blocks 36, and then insert the bottom of the hollow capsule 32 into the slit 81, the invention can be reduced. The object is contaminated and can reduce the effectiveness and advantages of wound infection. The above is only the preferred embodiment of the present invention, and the scope of the invention is not limited thereto, that is, the simple equivalent changes and modifications made by the scope of the invention and the description of the invention are All remain within the scope of the invention patent. BRIEF DESCRIPTION OF THE DRAWINGS FIG. 1 is a sectional view of a conventional wound protector for laparoscopic surgery; FIG. 2 is a cross-sectional view of the prior art wound protector; FIG. 3 is a perspective view of a wound protector of the present invention. Figure 4 is a top exploded perspective view of the preferred embodiment; Figure 5 is a cross-sectional view of the preferred embodiment; Figure 6 is a view similar to Figure 5, illustrating FIG. 7 is another bottom exploded perspective view of the preferred embodiment; FIG. 8 is another exploded perspective view of the preferred embodiment; FIG. Another combined view of the preferred embodiment; and Figure 10 is a schematic illustration of the use of the preferred embodiment to introduce a plurality of surgical instruments into the abdomen of the patient for laparoscopic surgery. 12 201102044

【主要元件符號說明】 30....身件 50, 31....腔室 51.·.. 32.…中空囊體 511.. 321...外環面 52, 322…内環面 53, 33....底定位體 60." 34....頂定位體 61…, 35....連接體 611·. 351…翼片 612·. 352…固定環 613" 3 6....挾持塊 614" 361...挾持孔 615.. 40....第一固定件 616" 41 —第一底座 62... 411...本體 621.. 412...凸環 70... 413…第一容置槽 71..., 414...抵置體 711.. 41 5 "·缺口 712.. 416...卡置槽 713.. 42....第一蓋體 714.· 421...第二容置槽 72... 422...定位槽 721.. .頭件 .承載塊 .安裝孔 .連接筒 .肩環 .第二固定件 .第二底座 .定位環 .置放塊 .第三容置槽 .套筒 .撐開環 .卡置塊 .第二蓋體 .第四容置槽 .連接埠 .外筒 .插腳 .倒勾塊 .杯體 .嵌結段 帽蓋 .頂塊 13 201102044 722.. .嵌結環 723…插孑L 724…止逆結構 80.. ...5者腹部 8 1.…切口 90.. ..手術器械 91.. ..進氣管 92….手術刀 I......軸線[Description of main component symbols] 30....body 50, 31....chamber 51.·.. 32....hollow capsule 511..321...outer annulus 52, 322...inner annulus 53, 33.... bottom positioning body 60. " 34.... top positioning body 61..., 35.... connector 611·. 351... wing 612·. 352... fixed ring 613" 3 6 .... holding block 614" 361... holding hole 615.. 40.... first fixing member 616" 41 - first base 62... 411... body 621.. 412... convex Ring 70... 413... first receiving groove 71..., 414... resisting body 711.. 41 5 "·notch 712.. 416... card slot 713.. 42... The first cover 714.· 421...the second accommodating groove 72... 422...the positioning groove 721.. head piece.bearing block.mounting hole.connecting barrel.shoulder ring.second fixing piece Second base. Positioning ring. Placement block. Third accommodating groove. Sleeve. Open ring. Card block. Second cover. Fourth accommodating groove. Connection 外. Outer tube. Pin. Block. Cup body. Inlaid segment cap. Top block 13 201102044 722.. . Inlay ring 723... Insert L 724... Reversing structure 80.. 5 Abdomen 8 1.... Incision 90.. Surgical instruments 91... Intake tube 92.... surgery I ...... axis

1414

Claims (1)

201102044 七、申請專利範圍·· 1.一種傷口保護器,包含: 身件包括一具可撓性且圍繞一轴線形成一腔室的 中二囊體 位於該中空囊體的一外環面底部的底定位體 位於該中空囊體的外環面頂部的頂定位體,及一外於 該中空囊體的外環面中部的連接體;及 . 一第一固定件,呈硬態,與該連接體連結並位於該中 空囊體外’包括—用以供該頂定位體往外翻指卡置定位的 攀.定位槽。 2·依據申請專利範圍第1項所述之傷口保護ϋ,其中’該身 件更包括位於該中空囊體的内環面底部的數挾持塊。 3.依據中請專利範圍第丨項所述之傷口保護器,其中,該連 接U自該中空囊體的外環面中部往外成型的翼片, 及一成型於該翼片的自由端並增厚的固定環; 該第-固定件包括相互結合的一第一底座及一第一蓋 體’該第-底座具有一用以容置該連接體的固定環的第一 谷置槽,該第一蓋體具有一用以容置該固定環並與該第一 容置槽對接的第二容置槽,及位於該第二容置槽外側的該 定位槽。 項所述之傷口保護器,更包含一頭 第二固定件,及設置於該頭部的一 4.依據申請專利範圍第1 件,一與該頭件連結的 承載塊的數連接槔; 該頭件具有彈性,包括, 匕祜该承載塊,一自該承載塊朝向 底端成型的連接筒,及一白綠 自該連接琦的底緣往外擴徑成型 15 201102044 的肩環; 該第二固定件呈硬態,包括一套置在該第一固定件外 的套筒’及一朝向該軸線成型的撐開環; 每一連接埠分別具有一沿該軸線設置的插孔。 5.依據申請專利範圍第4項所述之傷口保護器,其中,該第 二固定件包括相互結合的一第二底座及一第二蓋體; 該第二底座具有一圍繞該軸線用以供該頭件的連接筒 套置的定位環,一自該定位環往外擴徑成型的置放塊,一 設置於該置放塊用以容置該肩環的第三容置槽,自該置放 塊的外緣朝向底端成型的該套筒,及自該定位環的内面朝 向該軸線成型的該撐開環; 該第二蓋體蓋置在該置放塊頂端,具有一用以容置該 肩環的第四容置槽。 6.依據申請專利範圍第5項所述之傷口保護器,其中,每一 連接埠分別包括一外筒及一帽蓋;201102044 VII. Patent Application Range 1. A wound protector comprising: a body member comprising a flexible middle and two capsules forming a chamber around an axis at an outer torus bottom of the hollow capsule The bottom positioning body is located at a top positioning body at the top of the outer annular surface of the hollow capsule, and a connecting body outside the outer annular surface of the hollow capsule; and a first fixing member is in a hard state, and The connecting body is connected to and located outside the hollow capsule, and includes a positioning slot for positioning the top positioning body outwardly. 2. The wound protection device of claim 1, wherein the body further comprises a plurality of blocks held at the bottom of the inner annulus of the hollow capsule. 3. The wound protector according to the above-mentioned patent scope, wherein the connection U is formed from the outer portion of the outer annular surface of the hollow capsule, and a free end formed at the free end of the flap a first fixing base comprising a first base and a first cover body; the first base has a first valley groove for receiving a fixing ring of the connecting body, the first A cover body has a second receiving groove for receiving the fixing ring and abutting the first receiving groove, and the positioning groove located outside the second receiving groove. The wound protector of the present invention further includes a second fixing member, and a portion disposed on the head. According to the first part of the patent application, a number of supporting blocks connected to the head member; The piece has elasticity, including: the carrier block, a connecting barrel formed from the carrying block toward the bottom end, and a white green from the bottom edge of the connecting ring to expand outwardly to form a shoulder ring of 15 201102044; the second fixing The piece is in a rigid state, including a sleeve disposed outside the first fixing member and a opening ring formed toward the axis; each connecting jaw has a receiving hole disposed along the axis. 5. The wound protector of claim 4, wherein the second fixing member comprises a second base and a second cover coupled to each other; the second base has a surrounding axis for a positioning ring for the connecting sleeve of the head piece, a placing block formed by expanding the outer diameter of the positioning ring, and a third receiving groove for receiving the shoulder ring of the placing block, a sleeve formed by the outer edge of the release block toward the bottom end, and the expansion ring formed from the inner surface of the positioning ring toward the axis; the second cover is disposed at the top end of the placement block, and has a capacity for receiving The fourth receiving groove of the shoulder ring is disposed. 6. The wound protector of claim 5, wherein each of the ports comprises an outer tube and a cap; 該外筒具有一沿該軸線插置於該承載塊的插腳,及 一自該插腳的頂端擴徑成型的杯體; 體頂 具有一頂塊,沿該 軸線設置於該頂塊的該插孔,及一相對應於該插孔的止逆 結構。 7.依據申請專利範圍第6項所述之傷口保護器,其中,該帽 蓋的止逆結構為該頂塊設置該插孔後所留下的薄膜。 8.依據申請專利範圍第6項所述之傷口保護器,其中,該帽 蓋的插孔貫穿該頂塊,該止逆結構為自該項塊朝向底端: 16 201102044 型並位於該杯體内的彈性片。 9.依據申請專利範圍第6項所述之傷口保護器,其中,該外 筒更具有一成型於該插腳的底端外緣的倒勾塊,及一設置 於該杯體的外杯面的嵌結段,該帽蓋更具有一自該頂塊朝 向底端成型用以與該嵌結段嵌置結合的嵌結環。 丨〇.依據申請專利範圍第5項所述之傷口保護器,其中,該 第二底座更具有設置於該套筒的筒面底部的數卡置塊,該 鲁該第一固定件包括相互結合的一第一底座及一第一蓋體; 該第一底座具有一本體,一成型於該本體的頂面的凸 環,一設置於該凸環用以容置該連接體的第一容置槽,— 自該本體的外緣朝向底端成型的抵置體,沿該軸線設置在 該本體與該抵置體之間用以供所述卡置塊通過的數缺口’ 及叹置於該抵置體的底面用以供所述卡置塊置入的數卡置 槽; 該第一蓋體具有一用以容置該連接體並與該第一容置 槽對接的第二容置槽,及位於該第二容置槽外側的該定位 槽。 17The outer cylinder has a pin inserted along the axis of the carrier block, and a cup body formed by expanding the diameter of the pin; the top of the body has a top block disposed along the axis of the jack of the top block And a non-return structure corresponding to the jack. 7. The wound protector of claim 6, wherein the backing structure of the cap is a film left after the jack is disposed on the top block. 8. The wound protector of claim 6, wherein the cap of the cap extends through the top block, the check structure is from the block toward the bottom end: 16 201102044 type and located in the cup Elastic piece inside. 9. The wound protector of claim 6, wherein the outer tube further has an inverted block formed on an outer edge of the bottom end of the pin, and an outer cup surface disposed on the outer surface of the cup. In the inserting section, the cap further has an inserting ring formed from the top block toward the bottom end for inserting and engaging with the inserting section. The wound protector of claim 5, wherein the second base further has a plurality of card holders disposed at a bottom of the cylinder surface of the sleeve, the first fixing members comprising the same a first base and a first cover; the first base has a body, a convex ring formed on the top surface of the body, and a first ring disposed on the convex ring for receiving the first receiving body of the connecting body a groove, an abutting body formed from an outer edge of the body toward the bottom end, and a number of gaps between the body and the abutting body for passing the card block along the axis The bottom surface of the abutting body is provided for the plurality of card slots in which the card block is placed; the first cover body has a second receiving groove for receiving the connecting body and docking with the first receiving groove And the positioning groove located outside the second receiving groove. 17
TW98122403A 2009-07-02 2009-07-02 Wound protector TWI383774B (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE202012102878U1 (en) 2012-07-31 2012-08-22 Lagis Enterprise Co., Ltd. Surgical access device
TWI455703B (en) * 2012-02-01 2014-10-11
US9439639B2 (en) 2012-01-25 2016-09-13 Sumitomo Bakelite Co., Ltd. Medical treatment tool

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TW529926B (en) * 2000-07-18 2003-05-01 Sumitomo Bakelite Co Medical treating instrument

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9439639B2 (en) 2012-01-25 2016-09-13 Sumitomo Bakelite Co., Ltd. Medical treatment tool
TWI455703B (en) * 2012-02-01 2014-10-11
DE202012102878U1 (en) 2012-07-31 2012-08-22 Lagis Enterprise Co., Ltd. Surgical access device

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