TWI635841B - Multi-channel trocar with puncture assisting structure and operating method thereof - Google Patents
Multi-channel trocar with puncture assisting structure and operating method thereof Download PDFInfo
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- 238000011017 operating method Methods 0.000 title 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 33
- 238000011010 flushing procedure Methods 0.000 claims description 31
- 238000000034 method Methods 0.000 claims description 29
- 239000007779 soft material Substances 0.000 claims description 11
- 239000000463 material Substances 0.000 claims description 6
- 238000009434 installation Methods 0.000 description 9
- 238000001356 surgical procedure Methods 0.000 description 7
- 238000004904 shortening Methods 0.000 description 6
- -1 Acryl Chemical group 0.000 description 5
- 238000002324 minimally invasive surgery Methods 0.000 description 4
- 238000010521 absorption reaction Methods 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 238000007789 sealing Methods 0.000 description 3
- 239000004698 Polyethylene Substances 0.000 description 2
- 239000004743 Polypropylene Substances 0.000 description 2
- PPBRXRYQALVLMV-UHFFFAOYSA-N Styrene Chemical compound C=CC1=CC=CC=C1 PPBRXRYQALVLMV-UHFFFAOYSA-N 0.000 description 2
- 206010052428 Wound Diseases 0.000 description 2
- 208000027418 Wounds and injury Diseases 0.000 description 2
- 230000004308 accommodation Effects 0.000 description 2
- 208000015181 infectious disease Diseases 0.000 description 2
- 238000002955 isolation Methods 0.000 description 2
- 239000004033 plastic Substances 0.000 description 2
- 229920003023 plastic Polymers 0.000 description 2
- 229920001707 polybutylene terephthalate Polymers 0.000 description 2
- 229920000573 polyethylene Polymers 0.000 description 2
- 229920000139 polyethylene terephthalate Polymers 0.000 description 2
- 239000005020 polyethylene terephthalate Substances 0.000 description 2
- 229920001155 polypropylene Polymers 0.000 description 2
- 239000004793 Polystyrene Substances 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 238000004891 communication Methods 0.000 description 1
- 238000006073 displacement reaction Methods 0.000 description 1
- 238000004049 embossing Methods 0.000 description 1
- 239000011521 glass Substances 0.000 description 1
- 238000002357 laparoscopic surgery Methods 0.000 description 1
- 239000004417 polycarbonate Substances 0.000 description 1
- 229920000515 polycarbonate Polymers 0.000 description 1
- 239000004800 polyvinyl chloride Substances 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
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Abstract
本發明提供一種具穿刺輔助結構之多孔導管裝置,其用以導引內視鏡與手術器械並包含多孔道本體與穿刺尖部。多孔道本體包含二個本體穿孔、近端及遠端,二個本體穿孔彼此獨立且其延伸方向彼此相異。二個本體穿孔彼此相隔穿孔間距,穿孔間距由近端朝向遠端逐漸改變。穿刺尖部之二個穿刺孔洞分別對應銜接二本體穿孔。內視鏡與手術器械分別貫穿對應的本體穿孔與對應的穿刺孔洞。藉此,利用獨立之多孔道置放手術設備,可避免相互干擾,且獨立多孔道具有特定方向,其包含中心穿刺與交叉穿刺,能讓醫療人員依據需求選擇適當的結構。 The present invention provides a porous catheter device having a puncture-assisted structure for guiding an endoscope and a surgical instrument and including a porous body and a puncture tip. The porous channel body comprises two body perforations, a proximal end and a distal end, the two body perforations being independent of each other and extending in direction different from each other. The two body perforations are spaced apart from each other by a perforation pitch, and the perforation spacing is gradually changed from the proximal end toward the distal end. The two puncture holes of the puncture tip respectively correspond to the two body perforations. The endoscope and the surgical instrument respectively penetrate the corresponding body perforation and the corresponding puncture hole. Thereby, the independent perforating device can be used to avoid mutual interference, and the independent porous channel has a specific direction, which includes central puncture and cross puncture, which allows medical personnel to select an appropriate structure according to requirements.
Description
本發明是關於一種多孔導管裝置及其使用方法,特別是關於一種具穿刺輔助結構之多孔導管裝置及其使用方法。 The present invention relates to a porous catheter device and method of use thereof, and more particularly to a porous catheter device having a puncture-assisted structure and methods of use thereof.
微創手術具有傷口小、傷口美觀、出血少、感染機率低、復原快等優點,因此成為目前外科手術的新趨勢,例如:關節鏡和腹腔鏡手術。傳統上在進行微創手術時,手術醫師必須先在病患的皮膚表面穿刺一個開口,然後再使用一導管來撐開此開口,以便維持皮膚內外之連通,並將內視鏡或手術器械經由導管伸入病患的皮膚內以進行手術。而在操作此種微創手術的過程當中往往需要完整的密封機制來確保身體內外的的隔絕狀況,因此手術醫師會利用具有密封效果的導管來達到內外隔絕以及手術安全之目的。 Minimally invasive surgery has the advantages of small wounds, beautiful wounds, less bleeding, low infection probability, and quick recovery. It has become a new trend in surgical surgery, such as arthroscopy and laparoscopic surgery. Traditionally, during minimally invasive surgery, the surgeon must first puncture an opening in the patient's skin surface and then use a catheter to open the opening to maintain communication between the inside and outside of the skin and to pass the endoscope or surgical instrument via the endoscope or surgical instrument. The catheter extends into the patient's skin for surgery. In the process of operating such minimally invasive surgery, a complete sealing mechanism is often required to ensure the isolation of the inside and outside of the body, so the surgeon will use a catheter with a sealing effect to achieve internal and external isolation and surgical safety.
雖然微創手術具有上述許多優點,然而,習知的導管仍存在一些嚴重的問題。例如:在單一孔道下同時操作多個手術設備時(如同時操作內視鏡或手術器械),容易發生相互干擾的狀況,因此無法很順利地將手術設備移動到想要的位置。此外,傳統的導管為軟性或半軟性材質,其往往需要額外的硬質穿刺輔助結構相互結合以實現穿刺步驟,進而將導管刺入患者的皮膚中。當導管刺入並定位後,還要將硬質穿刺輔助結構抽離孔道,才能再將手術設備插入孔道以執行手術,此種手術流程相當複雜而且操作極為不便,容易造成手術失敗並大幅地增加了手術的風險與困難度。因此,目前市場上缺乏可以直接穿入體內、密封性高、操作簡單、降低使用多個手術設備之相互干擾以及可配合不同形式之手術設備需求的導管,故相關業者正在尋求其解決之道。 Although minimally invasive surgery has many of the above advantages, conventional catheters still present some serious problems. For example, when multiple surgical devices are operated simultaneously under a single tunnel (such as simultaneous operation of an endoscope or a surgical instrument), mutual interference is likely to occur, so that the surgical device cannot be smoothly moved to a desired position. In addition, conventional catheters are soft or semi-soft materials that often require additional rigid puncture aids to be combined with one another to effect the puncture step, thereby piercing the catheter into the patient's skin. After the catheter is inserted and positioned, the hard puncture support structure is also pulled out of the tunnel, and the surgical device can be inserted into the tunnel to perform the operation. This surgical procedure is quite complicated and extremely inconvenient to operate, which easily causes the operation to fail and greatly increases. The risk and difficulty of surgery. Therefore, there is currently a lack of catheters that can be directly penetrated into the body, have high sealing, simple operation, reduced mutual interference using multiple surgical equipments, and can meet the needs of different types of surgical equipment, so the relevant industry is seeking solutions.
因此,本發明之目的在於提供一種具穿刺輔助結構之多孔導管裝置及其使用方法,其利用獨立之多孔道來置放內視鏡、手術器械、沖水單元、吸水單元或其他手術設備,可避免相互干擾。此外,這些獨立之多孔道具有特定的方向,其包含中心穿刺與交叉穿刺,能讓使用者依據需求選擇適當的結構。再者,裝置前端為尖型硬質,可用於穿刺皮膚而無須再額外搭配其他的穿刺結構來輔助,故裝置穿刺手術部位後即可直接穿設並限位內視鏡與手術器 械,進而簡化手術流程並增加操作之便利性,以解決傳統需要額外穿刺結構輔助而導致操作不便以及多個手術設備在單一孔道中易發生相互干擾的問題。 Accordingly, it is an object of the present invention to provide a porous catheter device having a puncture-assisted structure and a method of using the same, which utilizes a separate porous channel for placing an endoscope, a surgical instrument, a flushing unit, a water absorbing unit, or other surgical equipment. Avoid mutual interference. In addition, these separate channels have a specific orientation that includes center piercing and cross-piercing, allowing the user to select the appropriate structure for their needs. In addition, the front end of the device is pointed and hard, which can be used to puncture the skin without additional matching with other puncture structures. Therefore, the device can be directly worn and limited to the endoscope and the surgical device after puncture of the surgical site. The device, in turn, simplifies the surgical procedure and increases the ease of operation to solve the problem of traditionally requiring additional puncture structure assistance resulting in inconvenient operation and multiple surgical devices that are prone to mutual interference in a single channel.
依據本發明的結構態樣之一實施方式提供一種具穿刺輔助結構之多孔導管裝置,其用以導引至少一內視鏡與一手術器械。此具穿刺輔助結構之多孔導管裝置包含一多孔道本體與一穿刺尖部,其中多孔道本體包含至少二個本體穿孔、一近端及一遠端,二個本體穿孔彼此獨立且二本體穿孔之延伸方向彼此相異。二個本體穿孔彼此相隔一穿孔間距,穿孔間距由近端朝向遠端逐漸改變。此外,穿刺尖部連接遠端,穿刺尖部包含至少二個穿刺孔洞,二個穿刺孔洞分別對應銜接二本體穿孔。內視鏡貫穿其中一個本體穿孔與對應之穿刺孔洞,手術器械貫穿另一個本體穿孔與另一個穿刺孔洞。 One embodiment of the structural aspect of the present invention provides a porous catheter device having a puncture-assisted structure for guiding at least one endoscope and a surgical instrument. The porous catheter device with a puncture-assisted structure comprises a porous channel body and a puncture tip, wherein the porous channel body comprises at least two body perforations, a proximal end and a distal end, the two body perforations are independent of each other and the two body perforations The extension directions are different from each other. The two body perforations are spaced apart from each other by a perforation pitch, and the perforation pitch is gradually changed from the proximal end toward the distal end. In addition, the puncture tip is connected to the distal end, and the puncture tip comprises at least two puncture holes, and the two puncture holes respectively correspond to the two body perforations. The endoscope penetrates one of the body perforations and the corresponding puncture hole, and the surgical instrument passes through the other body perforation and the other puncture hole.
藉此,本發明的具穿刺輔助結構之多孔導管裝置利用獨立之多孔道來置放內視鏡與手術器械,不但可避免相互干擾,而且可增加醫療人員之操作便利性。再者,這些獨立之多孔道具有特定的方向,可讓內視鏡與手術器械交會於手術部位,方便醫療人員操控,進而縮短手術時間並增加手術安全性,以解決傳統多個手術設備在單一孔道中易發生相互干擾的問題。 Thereby, the porous catheter device with the puncture-assisted structure of the present invention uses the independent porous channel to place the endoscope and the surgical instrument, thereby avoiding mutual interference and increasing the convenience of operation of the medical staff. Moreover, these independent porous channels have a specific direction, allowing the endoscope to be placed at the surgical site with the surgical instrument, which is convenient for medical personnel to manipulate, thereby shortening the operation time and increasing the safety of the operation, so as to solve the traditional multiple surgical equipment in a single The problem of mutual interference is easy to occur in the tunnel.
前述實施方式之其他實施例如下:前述二個本體穿孔可向外延伸而分別形成二虛擬孔道,各本體穿孔與各虛擬孔道均呈直線狀。穿孔間距由近端朝向遠端逐漸縮 小。二個虛擬孔道相交於多孔道本體之外而形成一夾角,此夾角大於0度且小於45度。再者,前述多孔道本體之外壁可設有複數個水平凸紋,這些水平凸紋彼此平行且等間距設置。前述多孔道本體之外壁設有一螺旋凸紋,此螺旋凸紋用以降低多孔道本體穿刺時的阻力。此外,前述近端可包含二個凸耳,此二個凸耳分別位於近端之相對二側,且二個凸耳用以轉動多孔道本體與穿刺尖部。另外,前述具穿刺輔助結構之多孔導管裝置可包含一蓋子,此蓋子由軟性材質構成,蓋子包覆近端。蓋子包含至少二蓋孔、一容置空間以及一嵌槽,其中蓋孔呈圓形且分別對應二個本體穿孔及二個穿刺孔洞。容置空間銜接二個蓋孔。至於嵌槽則設於蓋子的內側並連接容置空間,嵌槽的形狀對應近端的形狀。再者,前述具穿刺輔助結構之多孔導管裝置可包含一墊圈,此墊圈由軟性材質構成,墊圈位於蓋子與近端之間且設於容置空間中。墊圈具有至少二個墊圈開孔,此二個墊圈開孔呈多瓣型且分別對應二個蓋孔,墊圈之二面分別緊密貼合蓋子之一內頂面與近端之一近端頂面。此外,前述穿刺尖部可由一硬性材質構成,穿刺尖部呈尖椎狀。穿刺尖部與遠端之一交接處設有一環凸,位於交接處之穿刺尖部的橫截面大於遠端的橫截面。另外,前述多孔道本體可包含一交錯區域,此交錯區域位於多孔道本體之內且介於近端與遠端之間。各本體穿孔均呈直線狀,二個本體穿孔彼此交錯於交錯區域,穿孔間距由近端朝向交錯 區域逐漸縮小,且穿孔間距由交錯區域朝向遠端逐漸變大。 Other implementations of the foregoing embodiments include the following: the two body through holes may extend outward to form two virtual holes, and each of the body through holes and each of the virtual holes are linear. The spacing of the perforations is gradually reduced from the proximal end to the distal end small. The two virtual channels intersect outside the body of the porous channel to form an angle which is greater than 0 degrees and less than 45 degrees. Furthermore, the outer wall of the porous passage body may be provided with a plurality of horizontal ridges which are parallel to each other and equally spaced. The outer wall of the porous passage body is provided with a spiral ridge for reducing the resistance when the porous passage body is punctured. In addition, the proximal end may include two lugs, the two lugs are respectively located on opposite sides of the proximal end, and the two lugs are used to rotate the porous path body and the puncture tip. In addition, the porous catheter device having the puncture support structure may include a cover made of a soft material, and the cover covers the proximal end. The cover comprises at least two cover holes, an accommodating space and a recessed groove, wherein the cover holes are circular and respectively correspond to the two body through holes and the two puncture holes. The accommodating space connects two cover holes. The recessed groove is disposed on the inner side of the cover and is connected to the accommodating space, and the shape of the recessed groove corresponds to the shape of the proximal end. Furthermore, the porous catheter device with the puncture aid structure may include a gasket made of a soft material, and the gasket is disposed between the cover and the proximal end and disposed in the accommodating space. The gasket has at least two gasket openings, the two gasket openings are multi-lobed and respectively correspond to the two cover holes, and the two sides of the gasket are closely attached to one of the top surface and the proximal end of the proximal end. . In addition, the puncture tip portion may be made of a rigid material, and the puncture tip portion has a sharp vertex shape. A ring protrusion is provided at the intersection of the puncture tip and the distal end, and the puncture tip at the junction has a cross section larger than the cross section of the distal end. Additionally, the porous body of the plurality of channels may comprise a staggered region located within the body of the porous channel between the proximal end and the distal end. Each of the body perforations is linear, and the two body perforations are interlaced with each other in an interlaced region, and the perforation pitch is staggered from the proximal end. The area is gradually reduced, and the pitch of the perforations gradually becomes larger from the staggered area toward the distal end.
依據本發明的結構態樣之另一實施方式提供一種具穿刺輔助結構之多孔導管裝置,其用以導引一內視鏡、一手術器械、一沖水單元及一吸水單元。此具穿刺輔助結構之多孔導管裝置包含一多孔道本體與一穿刺尖部,其中多孔道本體包含一第一本體穿孔、一第二本體穿孔、一第三本體穿孔、一第四本體穿孔、一近端及一遠端,第一本體穿孔、第二本體穿孔、第三本體穿孔及第四本體穿孔彼此獨立且延伸方向彼此相異。第一本體穿孔與第二本體穿孔彼此相隔一穿孔間距,穿孔間距由近端朝向遠端逐漸改變。此外,穿刺尖部連接遠端,穿刺尖部包含一第一穿刺孔洞、一第二穿刺孔洞、一第三穿刺孔洞及一第四穿刺孔洞,第一穿刺孔洞、第二穿刺孔洞、第三穿刺孔洞及第四穿刺孔洞分別對應銜接第一本體穿孔、第二本體穿孔、第三本體穿孔及第四本體穿孔。內視鏡貫穿第一本體穿孔與第一穿刺孔洞,手術器械貫穿第二本體穿孔與第二穿刺孔洞,沖水單元貫穿第三本體穿孔與第三穿刺孔洞,吸水單元貫穿第四本體穿孔與第四穿刺孔洞。 Another embodiment of the structural aspect of the present invention provides a porous catheter device having a puncture support structure for guiding an endoscope, a surgical instrument, a flushing unit, and a water absorbing unit. The porous catheter device with a puncture aid structure comprises a porous body and a puncture tip, wherein the porous body comprises a first body perforation, a second body perforation, a third body perforation, a fourth body perforation, A proximal end and a distal end, the first body through hole, the second body through hole, the third body through hole and the fourth body through hole are independent of each other and extend in a direction different from each other. The first body perforation and the second body perforation are separated from each other by a perforation pitch, and the perforation pitch is gradually changed from the proximal end toward the distal end. In addition, the puncture tip is connected to the distal end, and the puncture tip includes a first puncture hole, a second puncture hole, a third puncture hole and a fourth puncture hole, the first puncture hole, the second puncture hole, and the third puncture The hole and the fourth puncture hole respectively correspond to the first body through hole, the second body through hole, the third body through hole and the fourth body through hole. The endoscope penetrates the first body through hole and the first puncture hole, the surgical instrument penetrates the second body through hole and the second puncture hole, the flushing unit penetrates the third body through hole and the third puncture hole, and the water absorption unit penetrates the fourth body through hole and the first Four puncture holes.
藉此,本發明的具穿刺輔助結構之多孔導管裝置利用獨立之多孔道來置放內視鏡、手術器械、沖水單元以及吸水單元,不但可避免相互干擾,而且操作相當方便,非常適合醫療人員之使用。此外,這些獨立之多孔道 具有特定的方向,可方便醫療人員操控,進而縮短手術時間並增加手術安全性。 Thereby, the porous catheter device with the puncture-assisted structure of the present invention uses the independent porous channel to place the endoscope, the surgical instrument, the flushing unit and the water absorbing unit, thereby avoiding mutual interference and being convenient to operate, and is very suitable for medical treatment. Use of personnel. In addition, these independent porous channels With a specific orientation, it can be easily manipulated by medical personnel, which shortens the operation time and increases the safety of surgery.
前述實施方式之其他實施例如下:前述第一本體穿孔、第二本體穿孔、第三本體穿孔及第四本體穿孔可向外延伸而分別形成一第一虛擬孔道、一第二虛擬孔道、一第三虛擬孔道、一第四虛擬孔道。第一本體穿孔、第二本體穿孔、第三本體穿孔、第四本體穿孔、第一虛擬孔道、第二虛擬孔道、第三虛擬孔道及第四虛擬孔道均呈直線狀。穿孔間距由近端朝向遠端逐漸縮小,第一虛擬孔道、第二虛擬孔道、第三虛擬孔道及第四虛擬孔道相交於多孔道本體之外。再者,前述多孔道本體之外壁可設有複數條水平凸紋,這些水平凸紋彼此平行且等間距設置。前述多孔道本體之外壁可設有一螺旋凸紋,此螺旋凸紋用以降低裝置穿刺時的阻力。此外,前述近端可包含二個凸耳,此二個凸耳分別位於近端之相對二側,二個凸耳用以轉動多孔道本體與穿刺尖部。另外,前述具穿刺輔助結構之多孔導管裝置可包含一蓋子,此蓋子由軟性材質構成,蓋子包覆近端。蓋子包含第一蓋孔、第二蓋孔、第三蓋孔、第四蓋孔、容置空間以及嵌槽,其中第一蓋孔呈圓形且對應第一本體穿孔與第一穿刺孔洞;第二蓋孔呈圓形且對應第二本體穿孔與第二穿刺孔洞;第三蓋孔呈圓形且對應第三本體穿孔與第三穿刺孔洞;第四蓋孔呈圓形且對應第四本體穿孔與第四穿刺孔洞。容置空間銜接第一蓋孔、第二蓋孔、第三蓋孔及第四蓋孔。嵌槽設於蓋子的內側並 連接容置空間,嵌槽的形狀對應近端的形狀。再者,前述具穿刺輔助結構之多孔導管裝置可包含一墊圈,此墊圈由軟性材質構成,墊圈位於蓋子與近端之間且設於容置空間中。墊圈具有四個墊圈開孔,此四個墊圈開孔均呈多瓣型且分別對應第一蓋孔、第二蓋孔、第三蓋孔及第四蓋孔。墊圈之二面分別緊密貼合蓋子之一內頂面與近端之一近端頂面。此外,前述穿刺尖部可由一硬性材質構成,穿刺尖部呈尖椎狀。穿刺尖部與遠端之一交接處設有一環凸,位於交接處之穿刺尖部的橫截面大於遠端的橫截面。另外,前述多孔道本體可包含一交錯區域,此交錯區域位於多孔道本體之內且介於近端與遠端之間。第一本體穿孔、第二本體穿孔、第三本體穿孔及第四本體穿孔均呈直線狀,第一本體穿孔與第二本體穿孔彼此交錯於交錯區域。穿孔間距由近端朝向交錯區域逐漸縮小,且穿孔間距由交錯區域朝向遠端逐漸變大。 Other embodiments of the foregoing embodiments include: the first body through hole, the second body through hole, the third body through hole, and the fourth body through hole extending outward to form a first virtual hole, a second virtual hole, and a first Three virtual holes, a fourth virtual hole. The first body through hole, the second body through hole, the third body through hole, the fourth body through hole, the first virtual hole, the second virtual hole, the third virtual hole and the fourth virtual hole are linear. The pitch of the perforations is gradually reduced from the proximal end toward the distal end, and the first virtual tunnel, the second virtual tunnel, the third virtual tunnel, and the fourth virtual tunnel intersect outside the porous body. Furthermore, the outer wall of the porous passage body may be provided with a plurality of horizontal ridges which are parallel to each other and equally spaced. The outer wall of the porous passage body may be provided with a spiral ridge for reducing the resistance when the device is punctured. In addition, the proximal end may include two lugs, which are respectively located on opposite sides of the proximal end, and the two lugs are used to rotate the porous body and the puncture tip. In addition, the porous catheter device having the puncture support structure may include a cover made of a soft material, and the cover covers the proximal end. The cover includes a first cover hole, a second cover hole, a third cover hole, a fourth cover hole, an accommodation space, and a recessed groove, wherein the first cover hole is circular and corresponds to the first body through hole and the first piercing hole; the second cover The hole is circular and corresponds to the second body through hole and the second piercing hole; the third cover hole is circular and corresponds to the third body through hole and the third piercing hole; the fourth cover hole is circular and corresponds to the fourth body through hole and the fourth puncture hole. The accommodating space is connected to the first cover hole, the second cover hole, the third cover hole and the fourth cover hole. The slot is provided on the inside of the cover and The accommodating space is connected, and the shape of the groove corresponds to the shape of the proximal end. Furthermore, the porous catheter device with the puncture aid structure may include a gasket made of a soft material, and the gasket is disposed between the cover and the proximal end and disposed in the accommodating space. The washer has four washer openings, and the four washer openings are multi-lobed and respectively correspond to the first cover hole, the second cover hole, the third cover hole and the fourth cover hole. The two sides of the gasket closely fit the top surface of one of the top surface and the proximal end surface of the proximal end. In addition, the puncture tip portion may be made of a rigid material, and the puncture tip portion has a sharp vertex shape. A ring protrusion is provided at the intersection of the puncture tip and the distal end, and the puncture tip at the junction has a cross section larger than the cross section of the distal end. Additionally, the porous body of the plurality of channels may comprise a staggered region located within the body of the porous channel between the proximal end and the distal end. The first body through hole, the second body through hole, the third body through hole and the fourth body through hole are linear, and the first body through hole and the second body through hole are mutually staggered in the staggered region. The pitch of the perforations is gradually reduced from the proximal end toward the staggered region, and the pitch of the perforations is gradually increased from the staggered region toward the distal end.
依據本發明的方法態樣之一實施方式提供一種具穿刺輔助結構之多孔導管裝置的使用方法,其用以導引內視鏡與手術器械,使用方法包含一穿刺步驟、一內視鏡裝設步驟以及一手術器械裝設步驟,其中穿刺步驟係轉動多孔道本體與穿刺尖部,使穿刺尖部沿一軸向位移。而內視鏡裝設步驟係將內視鏡由近端至遠端穿設於其中一個本體穿孔與其中一個穿刺孔洞。至於手術器械裝設步驟則是係將手術器械由近端至遠端穿設於另一個本體穿孔與另一個穿刺孔洞。 An embodiment of a method according to the present invention provides a method of using a porous catheter device with a puncture-assisted structure for guiding an endoscope and a surgical instrument, the method of use comprising a puncture step and an endoscope installation And a surgical instrument mounting step, wherein the puncture step rotates the porous body and the puncture tip to displace the puncture tip in an axial direction. The endoscope mounting step is to pass the endoscope from the proximal end to the distal end of one of the body perforations and one of the puncture holes. As for the surgical instrument installation step, the surgical instrument is inserted from the proximal end to the distal end of the other body through the other perforation hole.
藉此,本發明之使用方法利用獨立多孔道的導管裝置來置放內視鏡與手術器械,不但可避免相互干擾,還可增加醫療人員操作時的便利性。 Thereby, the method of use of the present invention utilizes a catheter device of an independent porous channel to place the endoscope and the surgical instrument, thereby avoiding mutual interference and increasing the convenience of the medical personnel during operation.
依據本發明的方法態樣之另一實施方式提供一種具穿刺輔助結構之多孔導管裝置的使用方法,其用以導引內視鏡、手術器械、沖水單元及吸水單元。使用方法包含一穿刺步驟、一沖水單元裝設步驟、一吸水單元裝設步驟、一內視鏡裝設步驟以及一手術器械裝設步驟,其中穿刺步驟係轉動多孔道本體與穿刺尖部,使穿刺尖部沿一軸向位移。沖水單元裝設步驟係將沖水單元裝設於第三本體穿孔與第三穿刺孔洞。吸水單元裝設步驟係將吸水單元裝設於第四本體穿孔與第四穿刺孔洞。內視鏡裝設步驟係將內視鏡由近端至遠端穿設於第一本體穿孔與第一穿刺孔洞。手術器械裝設步驟係將手術器械由近端至遠端穿設於第二本體穿孔與第二穿刺孔洞。 Another embodiment of the method aspect of the present invention provides a method of using a porous catheter device having a puncture-assisted structure for guiding an endoscope, a surgical instrument, a flushing unit, and a water absorbing unit. The method includes a puncture step, a flushing unit mounting step, a water suction unit mounting step, an endoscope mounting step, and a surgical instrument mounting step, wherein the puncture step is to rotate the porous body and the puncture tip. The piercing tip is displaced in an axial direction. The flushing unit installation step is to install the flushing unit on the third body through hole and the third piercing hole. The water absorbing unit mounting step is to install the water absorbing unit on the fourth body through hole and the fourth puncture hole. The endoscope mounting step is to pass the endoscope from the proximal end to the distal end of the first body through hole and the first puncture hole. The surgical instrument mounting step is to thread the surgical instrument from the proximal end to the distal end of the second body through hole and the second puncture hole.
藉此,本發明之使用方法藉由具有特定方向之獨立多孔道,讓內視鏡、手術器械、沖水單元及吸水單元交會於手術部位,方便醫療人員操控,進而縮短手術時間並增加手術安全性。 Thereby, the method of the present invention allows the endoscope, the surgical instrument, the flushing unit and the water absorbing unit to meet at the surgical site by means of independent porous channels having a specific direction, thereby facilitating manipulation by medical personnel, thereby shortening the operation time and increasing the safety of the operation. Sex.
100、100a、100b、100c‧‧‧具穿刺輔助結構之多孔導管裝置 100, 100a, 100b, 100c‧‧‧porous catheter device with puncture aid structure
110‧‧‧內視鏡 110‧‧‧Endoscope
120‧‧‧手術器械 120‧‧‧Surgical instruments
130‧‧‧沖水單元 130‧‧‧ flushing unit
140‧‧‧吸水單元 140‧‧‧Water absorption unit
200、200a、200b、200c、4108、4108c‧‧‧第四蓋孔 200, 200a, 200b, 200c, 4108, 4108c‧‧‧ fourth cover hole
400、400a、400b、400c‧‧‧蓋子 400, 400a, 400b, 400c‧‧‧ covers
410、410a‧‧‧蓋孔 410, 410a‧‧‧ Coverhole
4102、4102c‧‧‧第一蓋孔 4102, 4102c‧‧‧ first cover hole
4104、4104c‧‧‧第二蓋孔 4104, 4104c‧‧‧Second cover hole
4106、4106c‧‧‧第三蓋孔 4106, 4106c‧‧‧ third cover hole
200d‧‧‧多孔道本體 200d‧‧‧Body Road Body
210、210a‧‧‧本體穿孔 210, 210a‧‧‧ body piercing
2102、2102c‧‧‧第一本體穿孔 2102, 2102c‧‧‧ first body perforation
2104、2104c‧‧‧第二本體穿孔 2104, 2104c‧‧‧Second body perforation
2106、2106c‧‧‧第三本體穿孔 2106, 2106c‧‧‧ third body perforation
2108、2108c‧‧‧第四本體穿孔 2108, 2108c‧‧‧4th body perforation
212‧‧‧虛擬孔道 212‧‧‧Virtual tunnel
220、220a、220b、220c‧‧‧近端 220, 220a, 220b, 220c‧‧‧ proximal end
222‧‧‧凸耳 222‧‧‧ lugs
224‧‧‧近端頂面 224‧‧‧ proximal top surface
230、230a、230b、230c‧‧‧遠端 230, 230a, 230b, 230c‧‧‧ remote
240‧‧‧水平凸紋 240‧‧‧ horizontal embossing
240d‧‧‧螺旋凸紋 240d‧‧‧Spiral ridge
300、300a、300b、300c‧‧‧穿刺尖部 300, 300a, 300b, 300c‧‧‧ puncture tip
310、310a‧‧‧穿刺孔洞 310, 310a‧‧‧ puncture holes
3102、3102c‧‧‧第一穿刺孔洞 3102, 3102c‧‧‧ first puncture hole
3104、3104c‧‧‧第二穿刺孔洞 3104, 3104c‧‧‧ second puncture hole
3106、3106c‧‧‧第三穿刺孔洞 3106, 3106c‧‧‧ third puncture hole
3108、3108c‧‧‧第四穿刺孔洞 3108, 3108c‧‧‧4th puncture hole
320‧‧‧環凸 320‧‧‧ ring convex
420‧‧‧容置空間 420‧‧‧ accommodating space
430‧‧‧嵌槽 430‧‧‧ slotted
440‧‧‧內頂面 440‧‧‧ inside top
500、500a、500b、500c‧‧‧墊圈 500, 500a, 500b, 500c‧‧‧ washers
510、510a‧‧‧墊圈開孔 510, 510a‧‧‧ gasket opening
5102、5102c‧‧‧第一墊圈開孔 5102, 5102c‧‧‧ first gasket opening
5104、5104c‧‧‧第二墊圈開孔 5104, 5104c‧‧‧Second washer opening
5106、5106c‧‧‧第三墊圈開孔 5106, 5106c‧‧‧ third washer opening
5108、5108c‧‧‧第四墊圈開孔 5108, 5108c‧‧‧4th gasket opening
600、700‧‧‧使用方法 600, 700‧‧‧How to use
S12、S21‧‧‧穿刺步驟 S12, S21‧‧‧ puncture steps
S14、S24‧‧‧內視鏡裝設步驟 S14, S24‧‧‧Endoscope installation steps
S16、S25‧‧‧手術器械裝設步驟 S16, S25‧‧‧ Surgical instrument installation steps
S22‧‧‧沖水單元裝設步驟 S22‧‧‧ flushing unit installation steps
S23‧‧‧吸水單元裝設步驟 S23‧‧‧Water absorption unit installation steps
D1‧‧‧第一距離 D1‧‧‧First distance
D2‧‧‧第二距離 D2‧‧‧Second distance
θ‧‧‧夾角 Θ‧‧‧ angle
R‧‧‧交錯區域 R‧‧‧Interlaced area
第1圖係繪示本發明第一實施例的具穿刺輔助結構之多孔導管裝置的立體示意圖。 Fig. 1 is a perspective view showing a porous catheter device having a puncture support structure according to a first embodiment of the present invention.
第2A圖係繪示第1圖之具穿刺輔助結構之多孔導管裝置依第一方向的立體分解圖。 Fig. 2A is an exploded perspective view showing the porous catheter device with a puncture support structure according to Fig. 1 in a first direction.
第2B圖係繪示第1圖之具穿刺輔助結構之多孔導管裝置依第二方向的立體分解圖。 Fig. 2B is an exploded perspective view showing the porous catheter device with the puncture support structure of Fig. 1 in the second direction.
第3A圖係繪示第1圖之具穿刺輔助結構之多孔導管裝置的剖視圖。 Fig. 3A is a cross-sectional view showing the porous catheter device with the puncture support structure of Fig. 1.
第3B圖係繪示第1圖之具穿刺輔助結構之多孔導管裝置的二本體穿孔延伸相交於裝置外側的示意圖。 Fig. 3B is a schematic view showing the two body perforation extensions of the porous catheter device with the puncture aid structure of Fig. 1 intersecting the outside of the device.
第4A圖係繪示第1圖之具穿刺輔助結構之多孔導管裝置的俯視圖。 Fig. 4A is a plan view showing the porous catheter device with the puncture support structure of Fig. 1.
第4B圖係繪示第1圖之具穿刺輔助結構之多孔導管裝置的立體透視圖。 Fig. 4B is a perspective perspective view showing the porous catheter device of Fig. 1 with a puncture support structure.
第5圖係繪示第1圖之具穿刺輔助結構之多孔導管裝置的操作示意圖。 Fig. 5 is a schematic view showing the operation of the porous catheter device with the puncture support structure of Fig. 1.
第6A圖係繪示本發明第二實施例的具穿刺輔助結構之多孔導管裝置的俯視圖。 Fig. 6A is a plan view showing a porous catheter device having a puncture support structure according to a second embodiment of the present invention.
第6B圖係繪示第6A圖之具穿刺輔助結構之多孔導管裝置的立體分解透視圖。 Figure 6B is a perspective exploded perspective view of the porous catheter device with the puncture aid structure of Figure 6A.
第7圖係繪示本發明第三實施例的具穿刺輔助結構之多孔導管裝置的立體示意圖。 Fig. 7 is a perspective view showing a porous catheter device with a puncture aid structure according to a third embodiment of the present invention.
第8A圖係繪示第7圖之具穿刺輔助結構之多孔導管裝置依第一方向的立體分解圖。 Figure 8A is a perspective exploded view of the porous catheter device with the puncture-assisted structure of Figure 7 in a first direction.
第8B圖係繪示第7圖之具穿刺輔助結構之多孔導管裝置依第二方向的立體分解圖。 Figure 8B is a perspective exploded view of the porous catheter device with the puncture-assisted structure of Figure 7 in a second direction.
第9A圖係繪示第7圖之具穿刺輔助結構之多孔導管裝置的俯視圖。 Fig. 9A is a plan view showing the porous catheter device with the puncture aid structure of Fig. 7.
第9B圖係繪示第7圖之具穿刺輔助結構之多孔導管裝置的立體透視圖。 Figure 9B is a perspective perspective view of the porous catheter device with the puncture aid structure of Figure 7.
第10圖係繪示第7圖之具穿刺輔助結構之多孔導管裝置的操作示意圖。 Figure 10 is a schematic view showing the operation of the porous catheter device with the puncture aid structure of Figure 7.
第11A圖係繪示本發明第四實施例的具穿刺輔助結構之多孔導管裝置的俯視圖。 Fig. 11A is a plan view showing a porous catheter device having a puncture support structure according to a fourth embodiment of the present invention.
第11B圖係繪示第11A圖之具穿刺輔助結構之多孔導管裝置的立體分解透視圖。 Figure 11B is a perspective exploded perspective view of the porous catheter device with the puncture aid structure of Figure 11A.
第12A圖係繪示本發明一實施例的多孔道本體之水平凸紋的外觀側視圖。 Fig. 12A is a side elevational view showing the horizontal ridge of the porous land body according to an embodiment of the present invention.
第12B圖係繪示本發明一實施例的多孔道本體之螺旋凸紋的外觀側視圖。 Fig. 12B is a side view showing the appearance of a spiral ridge of a porous land body according to an embodiment of the present invention.
第13圖係繪示本發明一實施例的具穿刺輔助結構之多孔導管裝置的使用方法之流程示意圖。 Figure 13 is a flow chart showing a method of using a porous catheter device with a puncture-assisted structure according to an embodiment of the present invention.
第14圖係繪示本發明另一實施例的具穿刺輔助結構之多孔導管裝置的使用方法之流程示意圖。 Figure 14 is a flow chart showing a method of using a porous catheter device with a puncture aid structure according to another embodiment of the present invention.
以下將參照圖式說明本發明之複數個實施例。為明確說明起見,許多實務上的細節將在以下敘述中一併說明。然而,應瞭解到,這些實務上的細節不應用以限制本發明。也就是說,在本發明部分實施例中,這些實務上的細節 是非必要的。此外,為簡化圖式起見,一些習知慣用的結構與元件在圖式中將以簡單示意的方式繪示之;並且重複之元件將可能使用相同的編號表示之。 Hereinafter, a plurality of embodiments of the present invention will be described with reference to the drawings. For the sake of clarity, many practical details will be explained in the following description. However, it should be understood that these practical details are not intended to limit the invention. That is, in some embodiments of the invention, these practical details It is not necessary. In addition, some of the conventional structures and elements are illustrated in the drawings in a simplified schematic manner, and the repeated elements may be represented by the same reference numerals.
請一併參閱第1至5圖,第1圖係繪示本發明第一實施例的具穿刺輔助結構之多孔導管裝置100的立體示意圖。第2A圖係繪示第1圖之具穿刺輔助結構之多孔導管裝置100依第一方向的立體分解圖。第2B圖係繪示第1圖之具穿刺輔助結構之多孔導管裝置100依第二方向的立體分解圖。第3A圖係繪示第1圖之具穿刺輔助結構之多孔導管裝置100的剖視圖。第3B圖係繪示第1圖之具穿刺輔助結構之多孔導管裝置100的二本體穿孔210延伸相交於裝置外側的示意圖。第4A圖係繪示第1圖之具穿刺輔助結構之多孔導管裝置100的俯視圖。第4B圖係繪示第1圖之具穿刺輔助結構之多孔導管裝置100的立體透視圖。第5圖係繪示第1圖之具穿刺輔助結構之多孔導管裝置100的操作示意圖。如圖所示,具穿刺輔助結構之多孔導管裝置100用以導引內視鏡110與手術器械120。此具穿刺輔助結構之多孔導管裝置100包含多孔道本體200、穿刺尖部300、蓋子400以及墊圈500。 Referring to FIGS. 1 to 5 together, FIG. 1 is a perspective view showing a porous catheter device 100 having a puncture support structure according to a first embodiment of the present invention. Fig. 2A is an exploded perspective view showing the porous catheter device 100 having the puncture support structure of Fig. 1 in the first direction. Fig. 2B is an exploded perspective view of the porous catheter device 100 with the puncture support structure of Fig. 1 in the second direction. Fig. 3A is a cross-sectional view showing the porous catheter device 100 having the puncture support structure of Fig. 1. FIG. 3B is a schematic view showing the two body through-holes 210 of the porous catheter device 100 with the puncture-assisted structure of FIG. 1 extending across the outside of the device. Fig. 4A is a plan view showing the porous catheter device 100 having the puncture support structure of Fig. 1. Fig. 4B is a perspective perspective view of the porous catheter device 100 having the puncture support structure of Fig. 1. Fig. 5 is a schematic view showing the operation of the porous catheter device 100 having the puncture support structure of Fig. 1. As shown, a multi-hole catheter device 100 with a puncture aid structure is used to guide the endoscope 110 and the surgical instrument 120. The porous catheter device 100 with the puncture aid structure includes a porous channel body 200, a puncture tip 300, a cover 400, and a gasket 500.
多孔道本體200包含二個本體穿孔210、近端220、遠端230以及水平凸紋240,二個本體穿孔210彼此獨立且二本體穿孔210之延伸方向彼此相異。二個本體穿孔210彼此相隔一穿孔間距,穿孔間距由近端220朝向遠端230逐漸改變。詳細地說,穿孔間距於近端220處 為第一距離D1,穿孔間距於遠端230處為第二距離D2。第一距離D1大於第二距離D2。此外,二個本體穿孔210向外延伸而分別形成二虛擬孔道212,各本體穿孔210與各虛擬孔道212均呈直線狀。穿孔間距由近端220朝向遠端230逐漸縮小,而且二個虛擬孔道212相交於多孔道本體200之外而形成一夾角θ,此夾角θ大於0度且小於45度。水平凸紋240設於多孔道本體200之外壁上,本實施例的水平凸紋240有五條,其彼此平行且等間距設置。再者,近端220包含二個凸耳222,此二個凸耳222分別位於近端220之相對二側,二個凸耳222用以同步轉動多孔道本體200與穿刺尖部300。藉此,本發明利用獨立之多孔道來置放內視鏡110與手術器械120,不但可避免相互干擾,而且操作相當方便,對於醫療人員可說是一大福音。此外,這些獨立之多孔道具有特定的方向,可讓內視鏡110與手術器械120交會於手術部位,方便醫療人員操控,進而縮短手術時間並增加手術安全性,以解決傳統多個手術設備在單一孔道中易發生相互干擾的問題。 The porous channel body 200 includes two body through holes 210, a proximal end 220, a distal end 230, and a horizontal relief 240. The two body through holes 210 are independent of each other and the extending directions of the two body through holes 210 are different from each other. The two body perforations 210 are spaced apart from one another by a perforation spacing that gradually changes from the proximal end 220 toward the distal end 230. In detail, the spacing of the perforations is at the proximal end 220 For a first distance D1, the pitch of the perforations is a second distance D2 at the distal end 230. The first distance D1 is greater than the second distance D2. In addition, the two body through holes 210 extend outward to form two virtual holes 212, and each of the body through holes 210 and each of the virtual holes 212 are linear. The spacing of the perforations is gradually reduced from the proximal end 220 toward the distal end 230, and the two virtual channels 212 intersect outside the porous channel body 200 to form an included angle θ greater than 0 degrees and less than 45 degrees. The horizontal relief 240 is disposed on the outer wall of the porous track body 200. The horizontal relief 240 of the present embodiment has five strips which are disposed parallel to each other and equally spaced. Furthermore, the proximal end 220 includes two lugs 222 respectively located on opposite sides of the proximal end 220. The two lugs 222 are used to synchronously rotate the multi-channel body 200 and the puncture tip 300. Therefore, the present invention utilizes a separate porous channel to place the endoscope 110 and the surgical instrument 120, which not only avoids mutual interference, but also is quite convenient to operate, which is a great boon for medical personnel. In addition, these independent porous channels have a specific direction, allowing the endoscope 110 to intersect with the surgical instrument 120 at the surgical site, facilitating manipulation by medical personnel, thereby shortening the operation time and increasing the safety of the operation, so as to solve the conventional multiple surgical equipment. The problem of mutual interference is easy in a single channel.
穿刺尖部300一體連接多孔道本體200的遠端230,穿刺尖部300包含二個穿刺孔洞310與環凸320,其中二個穿刺孔洞310分別對應銜接二個本體穿孔210。內視鏡110可貫穿其中一個本體穿孔210與對應之穿刺孔洞310,而手術器械120可貫穿另一個本體穿孔210與另一個穿刺孔洞310,如圖5所示。另外,穿刺尖部300由一硬性材質構成,且穿刺尖部300呈尖椎狀。穿 刺尖部300與多孔道本體200的遠端230之交接處設有環凸320。位於交接處之穿刺尖部300的橫截面大於遠端230的橫截面,也就是說,環凸320的橫截面面積大於遠端230的橫截面面積。藉此,本發明之具穿刺輔助結構之多孔導管裝置100透過尖型硬質的穿刺尖部300來穿刺皮膚而無須再額外搭配其他的穿刺結構來輔助,使裝置穿刺手術部位後即可直接穿設並限位內視鏡110與手術器械120,進而簡化手術流程並增加操作之便利性,以解決傳統需要額外穿刺結構輔助而導致操作不便的問題。 The puncture tip 300 is integrally connected to the distal end 230 of the multi-channel body 200. The puncture tip 300 includes two puncture holes 310 and a ring protrusion 320. Two puncture holes 310 respectively engage the two body perforations 210. The endoscope 110 can extend through one of the body perforations 210 and the corresponding puncture hole 310, and the surgical instrument 120 can extend through the other body perforation 210 and the other puncture hole 310, as shown in FIG. Further, the puncture tip 300 is made of a rigid material, and the puncture tip 300 has a sharp vertex shape. wear An annular projection 320 is provided at the intersection of the spiking tip 300 and the distal end 230 of the porous channel body 200. The cross-section of the piercing tip 300 at the junction is larger than the cross-section of the distal end 230, that is, the cross-sectional area of the ring-shaped projection 320 is greater than the cross-sectional area of the distal end 230. Thereby, the porous catheter device 100 of the puncture-assisted structure of the present invention penetrates the skin through the pointed hard puncture tip 300 without additional matching with other puncture structures, so that the device can be directly worn after puncture of the surgical site. The endoscope 110 and the surgical instrument 120 are limited, thereby simplifying the surgical procedure and increasing the convenience of operation, so as to solve the problem that the conventional puncture structure assistance is required to cause inconvenience in operation.
蓋子400由軟性材質構成,蓋子400包覆多孔道本體200的近端220。蓋子400包含二個蓋孔410、一個容置空間420、一個嵌槽430以及一個內頂面440。二個蓋孔410均呈圓形且分別對應二個本體穿孔210及二個穿刺孔洞310。容置空間420銜接二個蓋孔410且位於蓋子400的內部。嵌槽430呈環狀且對應蓋子400的外輪廓,且嵌槽430設於蓋子400的內側並連接容置空間420,嵌槽430的形狀對應近端220的形狀。換句話說,嵌槽430沿著蓋子400的內緣環設,以嵌合並包覆整個近端220。至於內頂面440則朝向容置空間420。 The cover 400 is constructed of a soft material and the cover 400 covers the proximal end 220 of the porous track body 200. The cover 400 includes two cover holes 410, an accommodation space 420, a recess 430, and an inner top surface 440. The two cover holes 410 are all circular and respectively correspond to the two body through holes 210 and the two puncture holes 310. The accommodating space 420 is connected to the two cover holes 410 and is located inside the cover 400. The slot 430 is annular and corresponds to the outer contour of the cover 400. The slot 430 is disposed on the inner side of the cover 400 and is connected to the accommodating space 420. The shape of the slot 430 corresponds to the shape of the proximal end 220. In other words, the slot 430 is looped along the inner edge of the cover 400 to fit and wrap the entire proximal end 220. The inner top surface 440 faces the accommodating space 420.
墊圈500由軟性材質構成,墊圈500位於蓋子400與近端220之間且設於容置空間420中。墊圈500具有二個墊圈開孔510,此二個墊圈開孔510呈多瓣型且分別對應蓋子400的二個蓋孔410。本實施例之墊圈開孔510由三個瓣片環繞而成,當無外物插入墊圈開孔510 時,墊圈開孔510呈閉合狀,致使三個瓣片相連接。當有外物插入墊圈開孔510時(如內視鏡110或手術器械120),則墊圈開孔510呈開放狀,致使三瓣片與外物的表面緊密貼合。墊圈500之上下二面分別緊密貼合蓋子400之內頂面440與近端220之近端頂面224。此外,容置空間420的上方鄰近蓋孔410處具有一與墊圈500形狀相同的墊圈容置槽,墊圈容置槽的深度等於墊圈500的厚度,藉以令墊圈500與墊圈容置槽無縫接合。藉此,本發明利用可拆卸之蓋子400搭配墊圈500,使多孔道本體200的近端220能夠產生氣密功效,當具穿刺輔助結構之多孔導管裝置100刺入皮膚後,可有效隔絕皮膚內外而大幅降低手術部位感染之風險。另外值得一提的是,由於本實施例的結構僅包含雙孔道,其分別用於設置內視鏡110與手術器械120,若醫療人員需要在手術部位沖水或吸水以增加可視度,則可使用一沖吸套組件(如:endoscope sheath)結合內視鏡110後再依序插入對應之蓋孔410、墊圈開孔510、本體穿孔210及穿刺孔洞310。由上述可推知,蓋孔410、墊圈開孔510、本體穿孔210及穿刺孔洞310的孔徑均大於沖吸套組件的孔徑,且沖吸套組件的孔徑大於內視鏡110的孔徑,如此才能將沖吸套組件與內視鏡110自由地穿設於具穿刺輔助結構之多孔導管裝置100中。 The gasket 500 is made of a soft material, and the gasket 500 is located between the cover 400 and the proximal end 220 and disposed in the accommodating space 420. The washer 500 has two washer openings 510 that are multi-lobed and correspond to the two cover holes 410 of the cover 400, respectively. The gasket opening 510 of the embodiment is formed by three flaps, and when no foreign object is inserted into the gasket opening 510 At the same time, the gasket opening 510 is closed, causing the three flaps to be joined. When a foreign object is inserted into the gasket opening 510 (such as the endoscope 110 or the surgical instrument 120), the gasket opening 510 is open, so that the three flaps are in close contact with the surface of the foreign object. The upper and lower sides of the gasket 500 closely fit the inner top surface 440 of the cover 400 and the proximal top surface 224 of the proximal end 220, respectively. In addition, the upper portion of the accommodating space 420 has a gasket accommodating groove having the same shape as the gasket 500 adjacent to the cover hole 410. The depth of the gasket accommodating groove is equal to the thickness of the gasket 500, so that the gasket 500 is seamlessly engaged with the gasket accommodating groove. . Therefore, the present invention utilizes the detachable cover 400 and the gasket 500 to enable the proximal end 220 of the porous passage body 200 to produce a gas-tight effect. When the porous catheter device 100 having the puncture-assisted structure penetrates into the skin, it can effectively isolate the inside and outside of the skin. And significantly reduce the risk of infection at the surgical site. In addition, it is worth mentioning that, since the structure of the embodiment only includes two holes, which are respectively used for setting the endoscope 110 and the surgical instrument 120, if the medical staff needs to flush or absorb water at the surgical site to increase the visibility, After the endoscope 110 is combined with the endoscope 110, a corresponding suction hole assembly (such as an endoscope sheath) is used to sequentially insert the corresponding cover hole 410, the gasket opening 510, the body through hole 210, and the puncture hole 310. It can be inferred from the above that the apertures of the cover hole 410, the gasket opening 510, the body through hole 210 and the puncture hole 310 are larger than the aperture of the suction sleeve assembly, and the aperture of the suction sleeve assembly is larger than the aperture of the endoscope 110, so that The suction sleeve assembly and the endoscope 110 are freely threaded into the porous catheter device 100 having the puncture aid structure.
請一併參閱第6A圖與第6B圖,第6A圖係繪示本發明第二實施例的具穿刺輔助結構之多孔導管裝置100a的俯視圖。第6B圖係繪示第6A圖之具穿刺輔助結 構之多孔導管裝置100a的立體分解透視圖。如圖所示,具穿刺輔助結構之多孔導管裝置100a包含多孔道本體200a、穿刺尖部300a、蓋子400a以及墊圈500a。多孔道本體200a包含二個本體穿孔210a、近端220a、遠端230a、水平凸紋240以及交錯區域R。交錯區域R位於多孔道本體200a之內且介於近端220a與遠端230a之間,各本體穿孔210a均呈直線狀,且二本體穿孔210a彼此交錯於交錯區域R,交錯區域R為多孔道本體200a的一個橫截面區域,在此交錯區域R上的二個本體穿孔210a彼此之距離(即穿孔間距)最靠近。換句話說,穿孔間距由近端220a朝向交錯區域R逐漸縮小,且穿孔間距由交錯區域R朝向遠端230a逐漸變大。再者,穿刺尖部300a包含二個穿刺孔洞310a,此二個穿刺孔洞310a分別銜接二個本體穿孔210a。至於蓋子400a、墊圈500a與第一實施例的蓋子400、墊圈500之差異僅在於兩個實施例之蓋孔410、410a及墊圈開孔510、510a位置不同,蓋子400a的二蓋孔410a分別對應墊圈500a的二墊圈開孔510a、多孔道本體200a的二本體穿孔210a以及穿刺尖部300a的二穿刺孔洞310a。藉此,本發明透過具有特定方向且彼此獨立之交錯式多孔道來實現不同形式及方位的內視鏡110與手術器械120之運用操作,其不但可解決傳統多個手術設備在單一孔道中易發生相互干擾的問題,還可增加醫療人員使用的彈性並降低特定手術設備的操作限制。另外值得一提的是,本發明之手術設備不限於 內視鏡110與手術器械120,其可為各式軟硬質條狀的設備或裝置,以符合不同手術類別之需求。 Referring to FIGS. 6A and 6B, FIG. 6A is a plan view showing a porous catheter device 100a having a puncture support structure according to a second embodiment of the present invention. Figure 6B shows the puncture-assisted junction of Figure 6A An exploded perspective view of the porous catheter device 100a. As shown, the porous catheter device 100a having a puncture support structure includes a porous channel body 200a, a puncture tip 300a, a cover 400a, and a gasket 500a. The porous track body 200a includes two body perforations 210a, a proximal end 220a, a distal end 230a, a horizontal relief 240, and a staggered region R. The staggered region R is located in the porous channel body 200a and is between the proximal end 220a and the distal end 230a. Each of the body through holes 210a is linear, and the two body through holes 210a are staggered with each other in the staggered region R, and the staggered region R is a porous channel. A cross-sectional area of the body 200a, the two body through-holes 210a on the staggered area R are closest to each other (i.e., the pitch of the perforations). In other words, the pitch of the perforations is gradually reduced from the proximal end 220a toward the staggered region R, and the perforation pitch is gradually increased from the staggered region R toward the distal end 230a. Furthermore, the puncture tip 300a includes two puncture holes 310a, and the two puncture holes 310a respectively engage the two body through holes 210a. The cover 400a and the washer 500a are different from the cover 400 and the washer 500 of the first embodiment only in that the cover holes 410 and 410a and the washer openings 510 and 510a of the two embodiments are different in position, and the two cover holes 410a of the cover 400a correspond to the two. Two washer openings 510a of the washer 500a, two body through holes 210a of the porous track body 200a, and two puncture holes 310a of the puncture tip portion 300a. Thereby, the present invention realizes the operation operation of the endoscope 110 and the surgical instrument 120 in different forms and orientations through the interlaced porous passages having specific directions and independent of each other, which can not only solve the traditional multiple surgical equipments in a single tunnel. Mutual interference can also increase the flexibility of medical personnel and reduce the operational limitations of specific surgical equipment. It is also worth mentioning that the surgical device of the present invention is not limited to The endoscope 110 and the surgical instrument 120 can be a variety of soft and rigid strip devices or devices to meet the needs of different surgical categories.
請一併參閱第7至10圖,第7圖係繪示本發明第三實施例的具穿刺輔助結構之多孔導管裝置100b的立體示意圖。第8A圖係繪示第7圖之具穿刺輔助結構之多孔導管裝置100b依第一方向的立體分解圖。第8B圖係繪示第7圖之具穿刺輔助結構之多孔導管裝置100b依第二方向的立體分解圖。第9A圖係繪示第7圖之具穿刺輔助結構之多孔導管裝置100b的俯視圖。第9B圖係繪示第7圖之具穿刺輔助結構之多孔導管裝置100b的立體透視圖。第10圖係繪示第7圖之具穿刺輔助結構之多孔導管裝置100b的操作示意圖。如圖所示,具穿刺輔助結構之多孔導管裝置100b用以導引內視鏡110、手術器械120、沖水單元130以及吸水單元140,且具穿刺輔助結構之多孔導管裝置100b包含多孔道本體200b、穿刺尖部300b、蓋子400b以及墊圈500b。 Referring to FIGS. 7 to 10 together, FIG. 7 is a perspective view showing a porous catheter device 100b having a puncture support structure according to a third embodiment of the present invention. Fig. 8A is an exploded perspective view showing the porous catheter device 100b having the puncture support structure of Fig. 7 in the first direction. Fig. 8B is an exploded perspective view showing the porous catheter device 100b having the puncture support structure of Fig. 7 in the second direction. Fig. 9A is a plan view showing the porous catheter device 100b having the puncture support structure of Fig. 7. Fig. 9B is a perspective perspective view showing the porous catheter device 100b having the puncture support structure of Fig. 7. Fig. 10 is a schematic view showing the operation of the porous catheter device 100b having the puncture support structure of Fig. 7. As shown in the figure, a porous catheter device 100b having a puncture-assisted structure is used to guide the endoscope 110, the surgical instrument 120, the flushing unit 130, and the water absorbing unit 140, and the porous catheter device 100b having the puncturing auxiliary structure includes a porous body. 200b, piercing tip 300b, cover 400b, and washer 500b.
多孔道本體200b包含第一本體穿孔2102、第二本體穿孔2104、第三本體穿孔2106、第四本體穿孔2108、近端220b、遠端230b以及水平凸紋240,其中第一本體穿孔2102、第二本體穿孔2104、第三本體穿孔2106及第四本體穿孔2108彼此獨立且延伸方向彼此相異。第一本體穿孔2102與第二本體穿孔2104彼此相隔一穿孔間距,穿孔間距由近端220b朝向遠端230b逐漸變小。 The porous body 200b includes a first body through hole 2102, a second body through hole 2104, a third body through hole 2106, a fourth body through hole 2108, a proximal end 220b, a distal end 230b, and a horizontal ridge 240, wherein the first body through hole 2102 The two body through holes 2104, the third body through holes 2106, and the fourth body through holes 2108 are independent of each other and extend in directions different from each other. The first body through hole 2102 and the second body through hole 2104 are spaced apart from each other by a perforation pitch, and the perforation pitch is gradually reduced from the proximal end 220b toward the distal end 230b.
穿刺尖部300b連接遠端230b,且穿刺尖部300b包含第一穿刺孔洞3102、第二穿刺孔洞3104、第三穿刺孔洞3106及第四穿刺孔洞3108。第一穿刺孔洞3102、第二穿刺孔洞3104、第三穿刺孔洞3106以及第四穿刺孔洞3108分別對應銜接第一本體穿孔2102、第二本體穿孔2104、第三本體穿孔2106及第四本體穿孔2108。內視鏡110貫穿第一本體穿孔2102與第一穿刺孔洞3102;手術器械120貫穿第二本體穿孔2104與第二穿刺孔洞3104;沖水單元130貫穿第三本體穿孔2106與第三穿刺孔洞3106;吸水單元140貫穿第四本體穿孔2108與第四穿刺孔洞3108。此外,第一本體穿孔2102、第二本體穿孔2104、第三本體穿孔2106及第四本體穿孔2108向外延伸而分別形成第一虛擬孔道、第二虛擬孔道、第三虛擬孔道、第四虛擬孔道,而且第一本體穿孔2102、第二本體穿孔2104、第三本體穿孔2106、第四本體穿孔2108、第一虛擬孔道、第二虛擬孔道、第三虛擬孔道以及第四虛擬孔道均呈直線圓柱狀。穿孔間距由近端220b朝向遠端230b逐漸縮小,而第一虛擬孔道、第二虛擬孔道、第三虛擬孔道及第四虛擬孔道相交於多孔道本體200b之外。換句話說,在手術過程中,第一虛擬孔道、第二虛擬孔道、第三虛擬孔道及第四虛擬孔道相交於患者的手術部位,致使穿入其內的內視鏡110、手術器械120、沖水單元130以及吸水單元140亦相交於患者的手術部位,進而讓醫療人員能夠透過具穿刺輔助結構之多孔導管裝置 100b有效地操作內視鏡110、手術器械120、沖水單元130以及吸水單元140。 The puncture tip 300b is connected to the distal end 230b, and the puncture tip 300b includes a first puncture hole 3102, a second puncture hole 3104, a third puncture hole 3106, and a fourth puncture hole 3108. The first puncture hole 3102, the second puncture hole 3104, the third puncture hole 3106, and the fourth puncture hole 3108 respectively engage the first body through hole 2102, the second body through hole 2104, the third body through hole 2106, and the fourth body through hole 2108. The endoscope 110 penetrates the first body through hole 2102 and the first puncture hole 3102; the surgical instrument 120 penetrates the second body through hole 2104 and the second puncture hole 3104; the flushing unit 130 penetrates the third body through hole 2106 and the third puncture hole 3106; The water absorbing unit 140 penetrates the fourth body through hole 2108 and the fourth puncture hole 3108. In addition, the first body through hole 2102, the second body through hole 2104, the third body through hole 2106, and the fourth body through hole 2108 extend outward to form a first virtual hole, a second virtual hole, a third virtual hole, and a fourth virtual hole, respectively. And the first body through hole 2102, the second body through hole 2104, the third body through hole 2106, the fourth body through hole 2108, the first virtual hole, the second virtual hole, the third virtual hole, and the fourth virtual hole are linear cylindrical . The perforation spacing is gradually reduced from the proximal end 220b toward the distal end 230b, and the first virtual aperture, the second virtual aperture, the third virtual aperture, and the fourth virtual aperture intersect outside of the porous track body 200b. In other words, during the operation, the first virtual tunnel, the second virtual tunnel, the third virtual tunnel, and the fourth virtual tunnel intersect at the surgical site of the patient, causing the endoscope 110, the surgical instrument 120, The flushing unit 130 and the water absorbing unit 140 also intersect at the surgical site of the patient, thereby enabling the medical personnel to pass through the porous catheter device with the puncture aid structure. 100b effectively operates the endoscope 110, the surgical instrument 120, the flush unit 130, and the water absorbing unit 140.
蓋子400b與第2A、2B圖之第一實施例的蓋子400之差異僅在於蓋子400b更包含第一蓋孔4102、第二蓋孔4104、第三蓋孔4106及第四蓋孔4108,此第一蓋孔4102、第二蓋孔4104、第三蓋孔4106及第四蓋孔4108均呈圓形。第一蓋孔4102對應第一本體穿孔2102與第一穿刺孔洞3102;第二蓋孔4104對應第二本體穿孔2104與第二穿刺孔洞3104;第三蓋孔4106對應第三本體穿孔2106與第三穿刺孔洞3106;第四蓋孔4108對應第四本體穿孔2108與第四穿刺孔洞3108。容置空間420銜接第一蓋孔4102、第二蓋孔4104、第三蓋孔4106及第四蓋孔4108。至於其餘結構則與蓋子400相同,故不再贅述。 The cover 400b differs from the cover 400 of the first embodiment of FIGS. 2A and 2B only in that the cover 400b further includes a first cover hole 4102, a second cover hole 4104, a third cover hole 4106, and a fourth cover hole 4108. A cover hole 4102, a second cover hole 4104, a third cover hole 4106, and a fourth cover hole 4108 are all circular. The first cover hole 4102 corresponds to the first body through hole 2102 and the first puncture hole 3102; the second cover hole 4104 corresponds to the second body through hole 2104 and the second puncture hole 3104; the third cover hole 4106 corresponds to the third body through hole 2106 and the third The fourth cover hole 4108 corresponds to the fourth body through hole 2108 and the fourth puncture hole 3108. The accommodating space 420 is connected to the first cover hole 4102, the second cover hole 4104, the third cover hole 4106, and the fourth cover hole 4108. As for the rest of the structure, it is the same as the cover 400, and therefore will not be described again.
墊圈500b與第2A、2B圖之第一實施例的墊圈500之差異僅在於墊圈500b更包含第一墊圈開孔5102、第二墊圈開孔5104、第三墊圈開孔5106及第四墊圈開孔5108,此第一墊圈開孔5102、第二墊圈開孔5104、第三墊圈開孔5106及第四墊圈開孔5108均呈多瓣型且分別對應第一蓋孔4102、第二蓋孔4104、第三蓋孔4106及第四蓋孔4108。至於其餘結構則與墊圈500相同,故不再贅述。藉此,本發明的具穿刺輔助結構之多孔導管裝置100b利用獨立之多孔道來置放內視鏡110、手術器械120、沖水單元130以及吸水單元140,不但可避免 相互干擾,而且操作相當方便,對於醫療人員可說是一大福音。此外,這些獨立之多孔道具有特定的方向,可讓內視鏡110、手術器械120、沖水單元130以及吸水單元140交會於手術部位,方便醫療人員操控,進而縮短手術時間並增加手術安全性,以解決傳統多個手術設備在單一孔道中易發生相互干擾以及內視鏡110須額外結合沖吸套組件(endoscope sheath)所產生不易操作的問題。 The gasket 500b differs from the gasket 500 of the first embodiment of FIGS. 2A and 2B only in that the gasket 500b further includes a first gasket opening 5102, a second gasket opening 5104, a third gasket opening 5106, and a fourth gasket opening. 5108, the first washer opening 5102, the second washer opening 5104, the third washer opening 5106, and the fourth washer opening 5108 are all multi-lobed and respectively correspond to the first cover hole 4102, the second cover hole 4104, The third cover hole 4106 and the fourth cover hole 4108. As for the rest of the structure, it is the same as the gasket 500, and therefore will not be described again. Thereby, the porous catheter device 100b with the puncture-assisted structure of the present invention uses the independent porous channel to place the endoscope 110, the surgical instrument 120, the flushing unit 130, and the water absorbing unit 140, which can be avoided Mutual interference, and the operation is quite convenient, it is a great boon for medical personnel. In addition, these independent porous channels have a specific direction, allowing the endoscope 110, the surgical instrument 120, the flushing unit 130, and the water absorbing unit 140 to meet at the surgical site, facilitating manipulation by medical personnel, thereby shortening the operation time and increasing the safety of the operation. In order to solve the problem that the conventional multiple surgical equipment is prone to mutual interference in a single tunnel and the endoscope 110 has to be additionally combined with an endoscope sheath.
請一併參閱第11A圖與第11B圖,第11A圖係繪示本發明第四實施例的具穿刺輔助結構之多孔導管裝置100c的俯視圖。第11B圖係繪示第11A圖之具穿刺輔助結構之多孔導管裝置100c的立體分解透視圖。如圖所示,具穿刺輔助結構之多孔導管裝置100c包含多孔道本體200c、穿刺尖部300c、蓋子400c以及墊圈500c。 Referring to FIG. 11A and FIG. 11B together, FIG. 11A is a plan view showing a porous catheter device 100c having a puncture support structure according to a fourth embodiment of the present invention. Fig. 11B is a perspective exploded perspective view showing the porous catheter device 100c having the puncture support structure of Fig. 11A. As shown, the porous catheter device 100c having a puncture support structure includes a porous channel body 200c, a puncture tip 300c, a cover 400c, and a gasket 500c.
多孔道本體200c包含第一本體穿孔2102c、第二本體穿孔2104c、第三本體穿孔2106c、第四本體穿孔2108c、近端220c、遠端230c、水平凸紋240以及交錯區域R。交錯區域R位於多孔道本體200c之內且介於近端220c與遠端230c之間,第一本體穿孔2102c、第二本體穿孔2104c、第三本體穿孔2106c、第四本體穿孔2108c均呈直線狀。第一本體穿孔2102c與第二本體穿孔2104c彼此交錯於交錯區域R,此交錯區域R為多孔道本體200c的一個橫截面區域,且在此交錯區域R上的第一本體穿孔2102c與第二本體穿孔2104c彼此之距離最靠近。換句話說,穿孔間距由近端220c朝向交錯區域R逐 漸縮小,且穿孔間距由交錯區域R朝向遠端230c逐漸變大。上述交錯區域R與第6B圖之交錯區域R位置相同。 The porous track body 200c includes a first body perforation 2102c, a second body perforation 2104c, a third body perforation 2106c, a fourth body perforation 2108c, a proximal end 220c, a distal end 230c, a horizontal relief 240, and a staggered region R. The staggered region R is located within the porous body 200c and between the proximal end 220c and the distal end 230c. The first body through hole 2102c, the second body through hole 2104c, the third body through hole 2106c, and the fourth body through hole 2108c are linear. . The first body through hole 2102c and the second body through hole 2104c are staggered with each other in the staggered region R, which is a cross-sectional area of the porous track body 200c, and the first body through hole 2102c and the second body on the staggered region R The perforations 2104c are closest to each other. In other words, the pitch of the perforations is from the proximal end 220c toward the interlaced area R. The tapering is gradually reduced, and the pitch of the perforations is gradually increased from the staggered region R toward the distal end 230c. The interleaved region R is the same as the interlaced region R of the sixth drawing.
穿刺尖部300c包含第一穿刺孔洞3102c、第二穿刺孔洞3104c、第三穿刺孔洞3106c以及第四穿刺孔洞3108c。第一穿刺孔洞3102c、第二穿刺孔洞3104c、第三穿刺孔洞3106c以及第四穿刺孔洞3108c分別對應銜接第一本體穿孔2102c、第二本體穿孔2104c、第三本體穿孔2106c及第四本體穿孔2108c。內視鏡110貫穿第一本體穿孔2102c與第一穿刺孔洞3102c;手術器械120貫穿第二本體穿孔2104c與第二穿刺孔洞3104c;沖水單元130貫穿第三本體穿孔2106c與第三穿刺孔洞3106c;吸水單元140貫穿第四本體穿孔2108c與第四穿刺孔洞3108c。 The puncture tip 300c includes a first puncture hole 3102c, a second puncture hole 3104c, a third puncture hole 3106c, and a fourth puncture hole 3108c. The first puncture hole 3102c, the second puncture hole 3104c, the third puncture hole 3106c and the fourth puncture hole 3108c respectively engage the first body through hole 2102c, the second body through hole 2104c, the third body through hole 2106c and the fourth body through hole 2108c. The endoscope 110 penetrates the first body through hole 2102c and the first puncture hole 3102c; the surgical instrument 120 penetrates the second body through hole 2104c and the second puncture hole 3104c; the flushing unit 130 penetrates the third body through hole 2106c and the third puncture hole 3106c; The water absorbing unit 140 penetrates the fourth body through hole 2108c and the fourth puncture hole 3108c.
至於蓋子400c、墊圈500c與第三實施例的蓋子400b、墊圈500b之差異僅在於兩個實施例之蓋孔及墊圈開孔的位置不同,蓋子400c的第一蓋孔4102c、第二蓋孔4104c、第三蓋孔4106c、第四蓋孔4108c分別對應墊圈500a的第一墊圈開孔5102c、第二墊圈開孔5104c、第三墊圈開孔5106c、第四墊圈開孔5108c、多孔道本體200c的第一本體穿孔2102c、第二本體穿孔2104c、第三本體穿孔2106c、第四本體穿孔2108c以及穿刺尖部300c的第一穿刺孔洞3102c、第二穿刺孔洞3104c、第三穿刺孔洞3106c、第四穿刺孔洞3108c。藉此,本發明透過具有特定方向且彼此獨立之交錯式多孔道 來實現不同形式及方位的內視鏡110、手術器械120、沖水單元130以及吸水單元140之運用操作,其既可解決傳統多個手術設備在單一孔道中易發生相互干擾的問題,亦可增加醫療人員使用的彈性並降低特定手術設備的操作限制。 The difference between the cover 400c and the washer 500c and the cover 400b and the washer 500b of the third embodiment differs only in the positions of the cover hole and the washer opening of the two embodiments, and the first cover hole 4102c and the second cover hole 4104c of the cover 400c are different. The third cover hole 4106c and the fourth cover hole 4108c respectively correspond to the first washer opening 5102c, the second washer opening 5104c, the third washer opening 5106c, the fourth washer opening 5108c, and the porous track body 200c of the washer 500a. The first body through hole 2102c, the second body through hole 2104c, the third body through hole 2106c, the fourth body through hole 2108c, and the first puncture hole 3102c of the puncture tip portion 300c, the second puncture hole 3104c, the third puncture hole 3106c, and the fourth puncture Hole 3108c. Thereby, the present invention penetrates the interlaced porous channels having specific directions and independent of each other. To realize the operation of the endoscope 110, the surgical instrument 120, the flushing unit 130 and the water absorbing unit 140 in different forms and orientations, which can solve the problem that the plurality of surgical equipments are easy to interfere with each other in a single tunnel, or Increase the flexibility of medical personnel use and reduce the operational limitations of specific surgical equipment.
前述多孔道本體200、200a、200b、200c以及穿刺尖部300、300a、300b、300c可由醫療用硬質材料製成,例如:丙烯腈-丁二烯-苯乙烯聚合物(Acryl Buadiene Styrene Plastic;ABS塑膠)、聚碳酸酯(PC)、聚丙烯(PP)、聚乙烯(PE)、聚苯乙烯(PS)、聚氯乙烯(PVC)、聚對苯二甲酸乙二醇酯(PET)或聚對苯二甲酸丁二醇酯(PBT)等。 The porous body bodies 200, 200a, 200b, 200c and the piercing tips 300, 300a, 300b, 300c may be made of a medical hard material such as Acryl Buadiene Styrene Plastic (ABS). Plastic), polycarbonate (PC), polypropylene (PP), polyethylene (PE), polystyrene (PS), polyvinyl chloride (PVC), polyethylene terephthalate (PET) or poly Butylene terephthalate (PBT) and the like.
請一併參閱第12A圖與第12B圖,第12A圖係繪示本發明一實施例的多孔道本體200、200a、200b、200c之水平凸紋240的外觀側視圖。第12B圖係繪示本發明一實施例的多孔道本體200d之螺旋凸紋240d的外觀側視圖。如圖所示,前述多孔道本體200、200a、200b、200c之外壁設有五條水平凸紋240,這些水平凸紋240彼此平行且等間距設置,如第12A圖所示。當然,其亦可如第12B圖所示,多孔道本體200d之外壁可設有螺旋凸紋240d,此螺旋凸紋240d呈螺旋狀並用以降低多孔道本體200d穿刺時的阻力。在穿刺的過程中,醫療人員利用手施力旋轉凸耳222,令穿刺尖部300、300a、300b、300c與多孔道本體200、200a、200b、200c、200d穿 入患者的皮膚。無論是水平凸紋240或者是螺旋凸紋240d,均可降低多孔道本體200、200a、200b、200c、200d的外壁與皮膚之間的位移摩擦力,藉以令醫療人員能順利地穿刺患者皮膚。 Referring to FIG. 12A and FIG. 12B together, FIG. 12A is a side view showing the appearance of the horizontal relief 240 of the porous passage body 200, 200a, 200b, and 200c according to an embodiment of the present invention. Fig. 12B is a side view showing the appearance of a spiral ridge 240d of the porous land body 200d according to an embodiment of the present invention. As shown, the outer walls of the plurality of porous passage bodies 200, 200a, 200b, 200c are provided with five horizontal ridges 240 which are parallel to each other and equally spaced as shown in Fig. 12A. Of course, as shown in FIG. 12B, the outer wall of the porous passage body 200d may be provided with a spiral ridge 240d which is spiral and serves to reduce the resistance when the porous passage body 200d is punctured. During the puncture, the medical staff uses the hand to apply the force to rotate the lug 222 to wear the puncture tip 300, 300a, 300b, 300c and the multi-channel body 200, 200a, 200b, 200c, 200d. Into the patient's skin. Whether it is the horizontal relief 240 or the spiral relief 240d, the displacement friction between the outer wall of the porous body bodies 200, 200a, 200b, 200c, 200d and the skin can be reduced, so that the medical staff can smoothly puncture the patient's skin.
請一併參閱第1~6B圖及第13圖,第13圖係繪示本發明一實施例的具穿刺輔助結構之多孔導管裝置100、100a的使用方法600之流程示意圖。如圖所示,此使用方法600包含穿刺步驟S12、內視鏡裝設步驟S14以及手術器械裝設步驟S16。其中穿刺步驟S12係轉動並推壓多孔道本體200、200a與穿刺尖部300、300a,使多孔道本體200、200a與穿刺尖部300、300a沿一軸向位移。內視鏡裝設步驟S14係將內視鏡110由近端220、220a至遠端230、230a穿設於其中一個蓋孔410、410a、其中一個墊圈開孔510、510a、其中一個本體穿孔210、210a以及其中一個穿刺孔洞310、310a。而手術器械裝設步驟S16係將手術器械120由近端220、220a至遠端230、230a穿設於另一個蓋孔410、410a、另一個墊圈開孔510、510a、另一個本體穿孔210、210a以及另一個穿刺孔洞310、310a。另外,第13圖之使用方法600的步驟執行順序為穿刺步驟S12、內視鏡裝設步驟S14及手術器械裝設步驟S16,而在一般的手術操作中,其步驟執行順序亦可為穿刺步驟S12、手術器械裝設步驟S16以及內視鏡裝設步驟S14。換句話說,穿刺步驟S12一定會先執行,至於內視鏡裝設步驟S14與手術器械裝設步驟 S16則可依據醫療人員的需求與應用決定執行的順序。藉此,本發明之使用方法600利用具穿刺輔助結構之多孔導管裝置100、100a來置放內視鏡110與手術器械120,不但可避免相互干擾,而且可增加醫療人員之操作便利性。再者,上述獨立之多孔道具有特定的方向,可讓內視鏡110與手術器械120交會於手術部位,方便醫療人員操控,進而縮短手術時間並增加手術安全性,以解決傳統多個手術設備在單一孔道中易發生相互干擾的問題。 Referring to FIGS. 1 to 6B and FIG. 13 together, FIG. 13 is a flow chart showing a method 600 of using the porous catheter device 100, 100a with a puncture support structure according to an embodiment of the present invention. As shown, the method 600 includes a puncture step S12, an endoscope mounting step S14, and a surgical instrument mounting step S16. The puncture step S12 rotates and pushes the perforated body 200, 200a and the puncture tip 300, 300a to displace the perforated body 200, 200a and the puncture tip 300, 300a in one axial direction. The endoscope mounting step S14 is to pass the endoscope 110 from the proximal end 220, 220a to the distal end 230, 230a through one of the cover holes 410, 410a, one of the washer openings 510, 510a, and one of the body through holes 210. , 210a and one of the puncture holes 310, 310a. The surgical instrument mounting step S16 is to pass the surgical instrument 120 from the proximal end 220, 220a to the distal end 230, 230a through the other cover hole 410, 410a, the other washer opening 510, 510a, another body through hole 210, 210a and another puncture hole 310, 310a. In addition, the step execution sequence of the method 600 for use in FIG. 13 is the puncture step S12, the endoscope mounting step S14, and the surgical instrument mounting step S16, and in a general surgical operation, the step execution sequence may also be a puncture step. S12, surgical instrument mounting step S16, and endoscope mounting step S14. In other words, the puncture step S12 must be performed first, as for the endoscope mounting step S14 and the surgical instrument mounting step S16 can determine the order of execution based on the needs and applications of medical personnel. Accordingly, the method 600 of the present invention uses the porous catheter device 100, 100a having the puncture support structure to house the endoscope 110 and the surgical instrument 120, thereby avoiding mutual interference and increasing the convenience of operation of medical personnel. Furthermore, the independent porous channel has a specific direction, allowing the endoscope 110 to intersect with the surgical instrument 120 at the surgical site, facilitating manipulation by medical personnel, thereby shortening the operation time and increasing the safety of the operation, so as to solve the conventional multiple surgical equipment. The problem of mutual interference is easy to occur in a single channel.
請一併參閱第7~11B圖及第14圖,第14圖係繪示本發明另一實施例的具穿刺輔助結構之多孔導管裝置100b、100c的使用方法700之流程示意圖。如圖所示,此使用方法700包含穿刺步驟S21、沖水單元裝設步驟S22、吸水單元裝設步驟S23、內視鏡裝設步驟S24以及手術器械裝設步驟S25。其中穿刺步驟S21係轉動並推壓多孔道本體200b、200c與穿刺尖部300b、300c,使多孔道本體200b、200c與穿刺尖部300b、300c沿一軸向位移。再者,沖水單元裝設步驟S22係將沖水單元130由近端220b、220c至遠端230b、230c裝設於第三蓋孔4106、4106c、第三墊圈開孔5106、5106c、第三本體穿孔2106、2106c以及第三穿刺孔洞3106、3106c。吸水單元裝設步驟S23係將吸水單元140由近端220b、220c至遠端230b、230c裝設於第四蓋孔4108、4108c、第四墊圈開孔5108、5108c、第四本體穿孔2108、2108c以及第四穿刺孔洞3108、3108c。另外,內視鏡裝設步驟 S24係將內視鏡110由近端220b、220c至遠端230b、230c穿設於第一蓋孔4102、4102c、第一墊圈開孔5102、5102c、第一本體穿孔2102、2102c以及第一穿刺孔洞3102、3102c。而手術器械裝設步驟S25係將手術器械120由近端220b、220c至遠端230b、230c穿設於第二蓋孔4104、4104c、第二墊圈開孔5104、5104c、第二本體穿孔2104、2104c以及第二穿刺孔洞3104、3104c。此外,第14圖之使用方法700的步驟執行順序為穿刺步驟S21、沖水單元裝設步驟S22、吸水單元裝設步驟S23、內視鏡裝設步驟S24以及手術器械裝設步驟S25,而在一般的手術操作中,穿刺步驟S21一定會先執行,至於其他手術設備的裝設則可依據醫療人員的需求與應用決定執行的順序,亦即順序可依需求變換。藉此,本發明的使用方法700透過具有特定方向且彼此獨立之交錯式多孔道來實現不同形式及方位的內視鏡110、手術器械120、沖水單元130以及吸水單元140之運用操作,在互不干擾的條件下,可增加醫療人員使用的彈性並降低特定手術設備的操作限制。 Referring to FIGS. 7-11B and FIG. 14, FIG. 14 is a flow chart showing a method 700 of using the porous catheter device 100b, 100c with a puncture assisting structure according to another embodiment of the present invention. As shown, the method 700 includes a puncture step S21, a flushing unit mounting step S22, a water absorbing unit mounting step S23, an endoscope mounting step S24, and a surgical instrument mounting step S25. The puncture step S21 rotates and pushes the porous path bodies 200b and 200c and the puncture tips 300b and 300c to displace the porous path bodies 200b and 200c and the puncture tips 300b and 300c in one axial direction. Furthermore, the flushing unit mounting step S22 is to install the flushing unit 130 from the proximal ends 220b, 220c to the distal ends 230b, 230c in the third cover holes 4106, 4106c, the third washer openings 5106, 5106c, and the third. Body through holes 2106, 2106c and third puncture holes 3106, 3106c. The water absorbing unit mounting step S23 is to install the water absorbing unit 140 from the proximal ends 220b, 220c to the distal ends 230b, 230c to the fourth cover holes 4108, 4108c, the fourth gasket openings 5108, 5108c, and the fourth body through holes 2108, 2108c. And fourth puncture holes 3108, 3108c. In addition, the endoscope installation steps The S24 is configured to pass the endoscope 110 from the proximal ends 220b, 220c to the distal ends 230b, 230c through the first cover holes 4102, 4102c, the first gasket openings 5102, 5102c, the first body through holes 2102, 2102c, and the first puncture. Holes 3102, 3102c. The surgical instrument mounting step S25 extends the surgical instrument 120 from the proximal ends 220b, 220c to the distal ends 230b, 230c through the second cover holes 4104, 4104c, the second washer openings 5104, 5104c, the second body through holes 2104, 2104c and second puncture holes 3104, 3104c. In addition, the step execution sequence of the method 700 of FIG. 14 is the puncture step S21, the flushing unit mounting step S22, the water absorbing unit mounting step S23, the endoscope mounting step S24, and the surgical instrument mounting step S25. In the general surgical operation, the puncture step S21 must be performed first. As for the installation of other surgical equipment, the order of execution can be determined according to the needs and applications of the medical personnel, that is, the order can be changed according to requirements. Thereby, the method 700 of the present invention realizes the operation operations of the endoscope 110, the surgical instrument 120, the flushing unit 130, and the water absorbing unit 140 in different forms and orientations through the interlaced porous passages having specific directions and independent of each other. Uninterrupted conditions increase the flexibility of medical personnel and reduce the operational limitations of specific surgical equipment.
由上述實施方式可知,本發明具有下列優點:其一,利用獨立之多孔道來置放內視鏡、手術器械、沖水單元、吸水單元或其他手術設備,可避免相互干擾。其二,這些獨立之多孔道具有特定的方向,其可分為中心穿刺與交叉穿刺,能讓醫療人員依據需求選擇適當的結構。其三,中心穿刺係藉由具有特定方向之獨立多孔道,讓內 視鏡、手術器械、沖水單元及吸水單元交會於手術部位,方便醫療人員操控,進而縮短手術時間並增加手術安全性。其四,交叉穿刺係透過具有特定方向且彼此獨立之交錯式多孔道來實現不同形式及方位的內視鏡、手術器械、沖水單元以及吸水單元之運用操作,在互不干擾的條件下,可增加醫療人員使用的彈性並降低特定手術設備的操作限制。其五,裝置前端為尖型硬質,可用於穿刺皮膚而無須再額外搭配其他的穿刺結構來輔助,故裝置穿刺手術部位後即可直接穿設並限位內視鏡與手術器械,進而簡化手術流程並增加操作之便利性,以解決傳統需要額外穿刺結構輔助而導致操作不便的問題。 It can be seen from the above embodiments that the present invention has the following advantages: First, the use of independent porous channels for placing endoscopes, surgical instruments, flushing units, water absorbing units or other surgical equipment can avoid mutual interference. Second, these independent porous channels have a specific direction, which can be divided into central puncture and cross puncture, which allows medical personnel to select the appropriate structure according to their needs. Third, the central puncture system is made up of independent porous channels with specific directions. The sight glass, surgical instrument, flushing unit and water absorbing unit meet at the surgical site, which is convenient for medical personnel to control, thereby shortening the operation time and increasing the safety of the operation. Fourth, the cross-puncture system realizes the operation of the endoscope, the surgical instrument, the flushing unit and the water absorbing unit of different forms and orientations through the interlaced porous passages having specific directions and independent of each other, without mutual interference. It increases the flexibility of medical personnel use and reduces the operational limitations of specific surgical equipment. Fifth, the front end of the device is pointed and hard, which can be used to puncture the skin without additional matching with other puncture structures. Therefore, the device can directly penetrate and limit the endoscope and surgical instruments after puncture the surgical site, thereby simplifying the operation. The process and the convenience of the operation are added to solve the problem that the conventional need for additional puncture structure assistance leads to inconvenience in operation.
雖然本發明已以實施方式揭露如上,然其並非用以限定本發明,任何熟習此技藝者,在不脫離本發明之精神和範圍內,當可作各種之更動與潤飾,因此本發明之保護範圍當視後附之申請專利範圍所界定者為準。 Although the present invention has been disclosed in the above embodiments, it is not intended to limit the present invention, and the present invention can be modified and modified without departing from the spirit and scope of the present invention. The scope is subject to the definition of the scope of the patent application attached.
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EP2725988B1 (en) * | 2011-06-30 | 2017-08-16 | Siegfried Riek | Trocar system |
JP6167181B2 (en) * | 2013-09-03 | 2017-07-19 | 富士フイルム株式会社 | Endoscopic surgical apparatus and mantle tube |
US20170238963A1 (en) * | 2014-11-08 | 2017-08-24 | Guangzhou T.K Medical Instrument Co., Ltd. | Trocar comprising silencer |
US20170252061A1 (en) * | 2015-02-07 | 2017-09-07 | Guangzhou T. K. Medical Instrument Co., Ltd. | Anti-reverse apparatus for trocar and trocar |
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