TWM474472U - Visible trocar - Google Patents

Visible trocar Download PDF

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Publication number
TWM474472U
TWM474472U TW102218739U TW102218739U TWM474472U TW M474472 U TWM474472 U TW M474472U TW 102218739 U TW102218739 U TW 102218739U TW 102218739 U TW102218739 U TW 102218739U TW M474472 U TWM474472 U TW M474472U
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TW
Taiwan
Prior art keywords
puncture
auxiliary lens
inner rod
airtight member
lens according
Prior art date
Application number
TW102218739U
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Chinese (zh)
Inventor
Jia-Hong Shi
Jun-Da Qiu
Yan-Ming Ye
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Prec Machinery Res & Dev Ct
Advanced Medical Design Co Ltd
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Application filed by Prec Machinery Res & Dev Ct, Advanced Medical Design Co Ltd filed Critical Prec Machinery Res & Dev Ct
Priority to TW102218739U priority Critical patent/TWM474472U/en
Publication of TWM474472U publication Critical patent/TWM474472U/en

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  • Surgical Instruments (AREA)

Description

手術用輔助鏡頭可視化穿刺導引套組Surgical auxiliary lens visualization puncture guide set

本發明係關於一種手術用器械有關,特別是一種手術用的輔助鏡頭可視化穿刺導引套組,外管的直管部具有壓抵凸緣的設計且握持部設有環狀凸肋,具有易於施力以及方便操作的效果。The present invention relates to a surgical instrument, and more particularly to an auxiliary lens for surgical visualization of a puncture guide sleeve, wherein the straight tube portion of the outer tube has a design that is pressed against the flange and the grip portion is provided with an annular rib having Easy to apply and easy to operate.

微創手術具有傷口較小而手術後傷口所造成的痛苦較輕微的優點,因此成為當代外科手術的新趨勢。然而微創手術在進行時,例如進行腹腔手術,須先以一穿刺器穿刺腹腔以形成一小開口,手術醫師再藉由此開口來伸入器械至人體內來進行醫療。然而,傳統的穿刺器較難使用,也比較難施力,手術醫師在使用穿刺器時有可能會因為施力不當或一時手滑而不小心刺傷病人的內部器官,因此,穿刺器的設計確實有改善的必要。Minimally invasive surgery has the advantage of less trauma and less pain caused by wounds after surgery, and thus has become a new trend in contemporary surgery. However, during the minimally invasive surgery, for example, for abdominal surgery, the abdominal cavity should be punctured with a puncture device to form a small opening, and the surgeon can use the opening to extend the device into the human body for medical treatment. However, the traditional trocar is difficult to use and it is difficult to apply force. The surgeon may accidentally stab the internal organs of the patient because of improper force or slippery hand when using the trocar. Therefore, the design of the puncturing device does There is a need for improvement.

有鑑於此,本發明之主要目的即是針對上述的疏失作改善,提供一種易於施力且操作方便的穿刺器。In view of this, the main object of the present invention is to improve the above-mentioned negligence, and to provide a puncture device that is easy to apply and easy to operate.

為了達成上述目的,本創作提供了一種手術用輔助鏡頭可視化穿刺導引套組,可供外部的一內視鏡伸入,上述穿刺導引套組包含有一外管、一內桿、一第一氣密元件以及一第二氣密元件。其中外管由上至下依序設有一握持部與一直管部並且握持部與直管部的內部直線相通,握持 部的外周面環設有複數個止滑凸肋,而直管部的外周面環設有一壓抵凸緣與一外螺紋,外管更包含一氣閥。內桿具有一頂部與一穿刺部分別位於內桿的頂端與底端,內桿從頂部的頂面到穿刺部內凹形成一內視鏡通道並且穿刺部呈透明狀,當內桿插設於外管內時,穿刺部凸出直管部。第一氣密元件設於外管內並固接外管,第一氣密元件具有一開孔以供內桿通過。第二氣密元件設於外管內並固接外管,第二氣密元件位於第一氣密元件的下方,並具有一一字形開口以供內桿通過。In order to achieve the above object, the present invention provides a surgical auxiliary lens visualization puncture guide set for an external endoscope to be inserted. The puncture guide set includes an outer tube, an inner rod, and a first a hermetic element and a second hermetic element. The outer tube is provided with a grip portion and a straight tube portion from top to bottom, and the grip portion is in straight line with the inner portion of the straight tube portion, and is held. The outer peripheral surface of the portion is provided with a plurality of anti-slip ribs, and the outer peripheral surface of the straight tube portion is provided with a pressing flange and an external thread, and the outer tube further comprises a gas valve. The inner rod has a top portion and a puncture portion respectively located at the top end and the bottom end of the inner rod. The inner rod is recessed from the top surface of the top portion to the puncture portion to form an endoscope passage and the puncture portion is transparent. When the inner rod is inserted outside When the tube is inside, the puncture portion protrudes from the straight tube portion. The first airtight member is disposed in the outer tube and fixed to the outer tube, and the first airtight member has an opening for the inner rod to pass. The second airtight member is disposed in the outer tube and fixed to the outer tube, and the second airtight member is located below the first airtight member and has an in-line opening for the inner rod to pass.

藉此,止滑凸肋幫助使用者穩固地握住本穿刺套管,壓抵凸緣則可供使用者以手指抵壓而向下施力。此外,前述直管部的外螺紋提供了穿刺套管與患者手術傷口之間的摩擦力,讓穿刺導引套組更穩定在患者的傷口位置,同時利用內視鏡回傳的患者傷口內部影像,以判別刺入的深度與情況,讓使用者可以輕易操作並輕鬆掌握患者的傷口情況,避免施力不當所造成刺傷患者內部器官的問題。Thereby, the anti-slip rib helps the user to firmly hold the puncture sleeve, and the flange is pressed to allow the user to press downward with the finger. In addition, the external thread of the straight tube portion provides friction between the puncture cannula and the patient's surgical wound, so that the puncture guide set is more stable in the patient's wound position, and the internal image of the patient's wound is returned by using the endoscope. In order to determine the depth and condition of the penetration, the user can easily and easily grasp the patient's wound condition, and avoid the problem of stabbing the internal organs of the patient caused by improper force application.

更佳地,內桿的材質為塑膠。More preferably, the inner rod is made of plastic.

更佳地,第一氣密元件與第二氣密元件的材質為矽膠,能達到良好的氣密效果。More preferably, the first airtight member and the second airtight member are made of silicone, which can achieve a good airtight effect.

10‧‧‧外管10‧‧‧External management

11‧‧‧握持部11‧‧‧ grip

12‧‧‧直管部12‧‧‧ Straight Tube Department

13‧‧‧氣閥13‧‧‧ gas valve

14‧‧‧止滑凸肋14‧‧‧Sliding ribs

15‧‧‧外螺紋15‧‧‧ external thread

16‧‧‧開關16‧‧‧ switch

17‧‧‧壓抵凸緣17‧‧‧Focus against the flange

20‧‧‧內桿20‧‧‧ inner rod

21‧‧‧頂部21‧‧‧ top

22‧‧‧穿刺部22‧‧‧Puncture Department

23‧‧‧內視鏡通道23‧‧‧Endoscope channel

24‧‧‧刀刃部24‧‧‧Knife

30‧‧‧第一氣密元件30‧‧‧First airtight component

40‧‧‧第二氣密元件40‧‧‧Second airtight components

T‧‧‧內視鏡T‧‧‧ endoscope

第1圖為本創作較佳實施例手術用輔助鏡頭可視化穿刺導引套組之立體圖。1 is a perspective view of a surgical auxiliary lens visualization puncture guide set according to a preferred embodiment of the present invention.

第2圖為本創作較佳實施例手術用輔助鏡頭可視化穿刺導引套組之側視圖,說明本創作應用內視鏡的情形。2 is a side view of the surgical auxiliary lens visualization puncture guide set according to the preferred embodiment of the present invention, illustrating the case where the endoscope is applied in the creation.

第3圖為第1圖沿3-3剖視線之剖視圖。Figure 3 is a cross-sectional view taken along line 3-3 of Figure 1.

為了能更瞭解本創作的特點所在,本創作手術用輔助鏡頭可視化穿刺導引套組提供了一較佳實施例並配合圖示說明如下,請參考第1至3圖。本實施例係以腹腔微創手術為例,上述的穿刺導引套組係可供外部的一內視鏡T伸入,其主要元件包含有一外管10、一內桿20、一第一氣密元件30以及一第二氣密元件40,各元件的結構以及相互間的關係詳述如下:請首先參考第1圖與第2圖,外管10由上到下依序設有一握持部11以及一直管部12,而握持部11與直管部12的內部直線相通。握持部11的外周面間隔環設有12個止滑凸肋14,直管部12的外周面凸伸形成一壓抵凸緣17並環設有一外螺紋15,外螺紋15由上往下看係呈順時針螺旋狀下降。外管10更包含一氣閥13,氣閥13連通外管10的內部並可連通一自動充氣裝置(圖中未繪示),氣閥13具有一開關16以控制自動充氣裝置內的氣體是否能流通至外管10的內部。In order to better understand the characteristics of the present creation, the present invention provides a preferred embodiment of the auxiliary lens visualization puncture guide set and is illustrated as follows, please refer to Figures 1 to 3. In this embodiment, the minimally invasive operation of the abdominal cavity is taken as an example. The above-mentioned puncture guide sleeve set is for an external endoscope T to extend, and the main components thereof include an outer tube 10, an inner rod 20, and a first gas. The structure of the components and the relationship between the components of the second airtight component 30 and the second airtight component 40 are as follows: First, referring to FIG. 1 and FIG. 2, the outer tube 10 is sequentially provided with a holding portion from top to bottom. 11 and the tube portion 12, and the grip portion 11 is in straight line communication with the inside of the straight tube portion 12. The outer peripheral surface of the grip portion 11 is provided with 12 anti-slip ribs 14 . The outer peripheral surface of the straight tube portion 12 protrudes to form a pressing flange 17 and is provided with an external thread 15 . The external thread 15 is from top to bottom. The system is spiraled down clockwise. The outer tube 10 further includes a gas valve 13 that communicates with the interior of the outer tube 10 and is connected to an automatic inflator (not shown). The gas valve 13 has a switch 16 to control whether the gas in the automatic inflator can be controlled. It flows to the inside of the outer tube 10.

請配合參考第3圖,內桿20具有一頂部21與一穿刺部22分別位於內桿20的頂端與底端。。握持部11從頂面的中央到穿刺部22內凹形成一內視鏡通道23,以供內視鏡T通過。而當內桿20插設於外管10時,穿刺部22凸出直管部12的底端,並且穿刺部22呈透明狀,使內視鏡T所發出的光線能夠穿透穿刺部22並接收影像。Referring to FIG. 3, the inner rod 20 has a top portion 21 and a piercing portion 22 at the top and bottom ends of the inner rod 20, respectively. . The grip portion 11 is recessed from the center of the top surface into the puncture portion 22 to form an endoscope passage 23 for the endoscope T to pass. When the inner rod 20 is inserted into the outer tube 10, the puncture portion 22 protrudes from the bottom end of the straight tube portion 12, and the puncture portion 22 is transparent, so that the light emitted by the endoscope T can penetrate the puncture portion 22 and Receive images.

第一氣密元件30設於外管10內並且固接外管10,第一氣密元件30具有一開孔以供內桿20通過。本實施例中,第一氣密元件30為一萬向閥且第一氣密元件30的材質為矽膠。The first airtight member 30 is disposed in the outer tube 10 and is fixed to the outer tube 10. The first airtight member 30 has an opening for the inner rod 20 to pass therethrough. In this embodiment, the first airtight component 30 is a universal valve and the first airtight component 30 is made of silicone.

第二氣密元件40設於外管10內並且固接外管10,第二氣密元 件40位於第一元件的下方並具有一一字型開口以供內桿20通過。本實施例中,第二氣密元件40為一一字閥且第二氣密元件40的材質為矽膠。而第一氣密元件30與第二氣密元件40在內桿20離開外管10的時候能夠自動閉合,達到氣密的效果。The second airtight member 40 is disposed in the outer tube 10 and fixed to the outer tube 10, and the second airtight element The member 40 is located below the first member and has a flat opening for the inner rod 20 to pass. In this embodiment, the second airtight component 40 is a one-word valve and the second airtight component 40 is made of silicone. The first airtight member 30 and the second airtight member 40 can be automatically closed when the inner rod 20 leaves the outer tube 10, achieving an airtight effect.

使用上,執行手術的手術醫師可以先將內視鏡T插入內視鏡通道23到達穿刺部22,再用其手指抓握止滑凸肋14,同時用手指抵住壓抵凸緣17而向下施力,以順勢朝向想要刺穿的皮層與脂肪層的部位施力,再以旋轉外管10的方式慢慢螺旋向下刺穿皮層與脂肪層,並且手術醫師可配合使用內視鏡T所回傳的影像而判斷是否已經刺穿脂肪層。In use, the surgeon performing the operation may first insert the endoscope T into the endoscope channel 23 to reach the puncture portion 22, and then grasp the anti-slip rib 14 with the finger while simultaneously pressing the finger against the flange 17 Applying force downwards, applying force to the part of the cortex and fat layer to be pierced, and then slowly spiraling down the cortex and fat layer by rotating the outer tube 10, and the surgeon can use the endoscope together The image returned by T determines whether the fat layer has been pierced.

待穿刺部22刺穿脂肪層並穩定插設於病患腹部後,手術醫師將內視鏡T與內桿20依序取出,再將自動充氣裝置連接至氣閥13,並且打開氣閥13上的開關16使自動充氣裝置內的氣體(二氧化碳)藉由直管部12充填至腹腔內來撐開腹腔,以建立氣腹,使手術醫師有操作器械的空間以進行醫療。而氣體流經外管10的內部時,因為第一氣密元件30與第二氣密元件40閉合的氣密效果,防止氣體外洩。After the puncture portion 22 pierces the fat layer and is stably inserted into the patient's abdomen, the surgeon takes out the endoscope T and the inner rod 20 in sequence, connects the automatic inflator to the air valve 13, and opens the air valve 13 The switch 16 allows the gas (carbon dioxide) in the automatic inflator to be filled into the abdominal cavity by the straight tube portion 12 to open the abdominal cavity to establish a pneumoperitoneum, so that the surgeon has room to operate the instrument for medical treatment. When the gas flows through the inside of the outer tube 10, the gas is prevented from leaking due to the airtight effect of the closing of the first airtight member 30 and the second airtight member 40.

須說明的是,因為握持部11的外周面環設有許多止滑凸肋14的關係,因此手術醫師在使用本穿刺導引套組時,比較不容易發生手滑的情況。另外因為直管部12的外周面環設有外螺紋15的關係,使得手術醫師將穿刺導引套組插設於開口時,外螺紋15提供了較高的摩擦力使穿刺套管1能更穩固地插設於開口。It should be noted that since the outer peripheral surface of the grip portion 11 is provided with a plurality of anti-slip ribs 14, the surgeon is less prone to hand slip when using the puncture guide set. In addition, because the outer peripheral surface of the straight tube portion 12 is provided with the external thread 15, so that the surgeon inserts the puncture guide sleeve into the opening, the external thread 15 provides a higher friction force to enable the puncture cannula 1 to be more Firmly inserted into the opening.

此外,為了幫助穿刺導引套組能順利的刺穿人體的皮層以及脂肪層,本創作可以另外在穿刺部22的外周面設置了二刀刃部24。而穿刺 部22更可設計成空心錐狀俾使內視鏡T能進一步延伸至穿刺部22內,並且穿刺部22可為塑膠製成。In addition, in order to help the puncture guide set to pierce the skin layer and the fat layer of the human body smoothly, the present invention may additionally provide a second blade portion 24 on the outer peripheral surface of the puncture portion 22. Puncture The portion 22 can be designed as a hollow cone to allow the endoscope T to extend further into the puncture portion 22, and the puncture portion 22 can be made of plastic.

最後,必須再次說明的是,本創作於前述實施例中所揭露的構成元件僅為舉例說明,並非用來限制本案之範圍,舉凡其他易於思及的結構變化,或與其他等效元件的替代變化,亦應為本案之申請專利範圍所涵蓋。Finally, it must be re-arranged that the constituent elements disclosed in the foregoing embodiments are merely illustrative and are not intended to limit the scope of the present invention, and other structural changes that are easily conceivable, or alternatives to other equivalent elements. Changes should also be covered by the scope of the patent application for this case.

10‧‧‧外管10‧‧‧External management

11‧‧‧握持部11‧‧‧ grip

12‧‧‧直管部12‧‧‧ Straight Tube Department

13‧‧‧氣閥13‧‧‧ gas valve

14‧‧‧止滑凸肋14‧‧‧Sliding ribs

15‧‧‧外螺紋15‧‧‧ external thread

16‧‧‧開關16‧‧‧ switch

17‧‧‧壓抵凸緣17‧‧‧Focus against the flange

20‧‧‧內桿20‧‧‧ inner rod

21‧‧‧頂部21‧‧‧ top

22‧‧‧穿刺部22‧‧‧Puncture Department

23‧‧‧內視鏡通道23‧‧‧Endoscope channel

24‧‧‧刀刃部24‧‧‧Knife

Claims (7)

一種手術用輔助鏡頭可視化穿刺導引套組,可供一內視鏡伸入,該手術用輔助鏡頭可視化穿刺導引套組包含:一外管,由上至下依序設有一握持部與一直管部,且該握持部與該直管部內部直線相通,該握持部之外周面環設有複數個止滑凸肋,該直管部之外周面凸伸形成一壓抵凸緣並環設有一外螺紋,該外管更包含一氣閥;一內桿,具有頂部與一穿刺部分別位於該內桿之頂端與底端,該內桿從該頂部之頂面至該穿刺部內凹形成一內視鏡通道且該穿刺部呈透明狀,當該內桿插設於該外管時,該穿刺部凸出該直管部;一第一氣密元件,設於該外管內且具有一開孔以供該內桿通過;一第二氣密元件,設於該外管內並位於該第一氣密元件之下方。The utility model relates to a surgical auxiliary lens visualized puncture guiding set, which can be inserted into an endoscope, and the auxiliary lens for visualizing the puncture guiding set comprises: an outer tube, which is provided with a holding part from top to bottom. The tube portion is in a straight line, and the grip portion is in straight line with the inner portion of the straight tube portion. The outer peripheral surface of the grip portion is provided with a plurality of anti-slip ribs, and the outer peripheral surface of the straight tube portion protrudes to form a pressing flange. The outer ring further comprises an air valve, the inner tube further comprises a top portion and a puncture portion respectively located at a top end and a bottom end of the inner rod, the inner rod being concave from the top surface of the top portion to the puncture portion Forming an endoscope channel and the puncture portion is transparent. When the inner rod is inserted into the outer tube, the puncture portion protrudes from the straight tube portion; a first airtight member is disposed in the outer tube and An opening is provided for the inner rod to pass through; a second airtight member is disposed in the outer tube and located below the first airtight member. 如請求項1所述之手術用輔助鏡頭可視化穿刺導引套組,其中該穿刺部呈空心錐狀。The surgical auxiliary lens according to claim 1 is characterized in that the puncture guide sleeve is formed in a hollow cone shape. 如請求項1或2所述之手術用輔助鏡頭可視化穿刺導引套組,其中內桿更包含二刀刃部相對設置於該穿刺部之外周面。The surgical auxiliary lens according to claim 1 or 2, wherein the inner rod further comprises two blade portions disposed opposite to the outer peripheral surface of the puncture portion. 如請求項3所述之手術用輔助鏡頭可視化穿刺導引套組,其中該內桿之材質為塑膠。The surgical auxiliary lens according to claim 3 is characterized in that the puncture guide set is made of plastic. 如請求項1所述之手術用輔助鏡頭可視化穿刺導引套組,其中該第一氣密元件為一萬向閥。The surgical auxiliary lens according to claim 1 is characterized in that the first airtight component is a universal valve. 如請求項1或5所述之手術用輔助鏡頭可視化穿刺導引套組,其中該第二氣密元件為一一字閥。The surgical auxiliary lens according to claim 1 or 5, wherein the second airtight member is a one-word valve. 如請求項6所述之手術用輔助鏡頭可視化穿刺導引套組,其中該第一氣密元件與該第二氣密元件之材質為矽膠。The surgical auxiliary lens according to claim 6, wherein the first airtight member and the second airtight member are made of silicone.
TW102218739U 2013-10-07 2013-10-07 Visible trocar TWM474472U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI630899B (en) * 2016-12-01 2018-08-01 英濟股份有限公司 Trocar housing

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
TWI630899B (en) * 2016-12-01 2018-08-01 英濟股份有限公司 Trocar housing

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