WO2016200142A1 - Device for separating uterus and intestine in uterine surgery - Google Patents

Device for separating uterus and intestine in uterine surgery Download PDF

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Publication number
WO2016200142A1
WO2016200142A1 PCT/KR2016/006059 KR2016006059W WO2016200142A1 WO 2016200142 A1 WO2016200142 A1 WO 2016200142A1 KR 2016006059 W KR2016006059 W KR 2016006059W WO 2016200142 A1 WO2016200142 A1 WO 2016200142A1
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tube body
intestine
uterus
surgery
abdominal cavity
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PCT/KR2016/006059
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French (fr)
Korean (ko)
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노지현
구호석
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인제대학교 산학협력단
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Publication of WO2016200142A1 publication Critical patent/WO2016200142A1/en

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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/42—Gynaecological or obstetrical instruments or methods

Definitions

  • the present invention relates to a separation device for blocking the bowel from falling down to the uterine during surgery, in order to prevent the intestine in close contact with the uterus to move with the uterus during uterine surgery to separate between the uterus and the intestine before uterine surgery
  • the present invention relates to a separation device of the uterus and the intestine which is fixed and prevents the organ from descending during the operation of the uterus to make the operation safe and easy.
  • the surgical assistant uses a device to separate the organs around the surgical site from the surgical site so that the organs are not moved.
  • the "abdominal surgical retractor" that can mechanically lift the organs around the surgical site Proposed as 10-1999-019325.
  • the registered "organic traction hemostatic device having an embossing structure” is located in the surgical site as shown in Figure 7 to support the body organs, absorbing member 200 surrounding the support member to absorb blood or body fluids 200 And a protective film member 300 surrounding the absorbent member and in contact with the body organs, wherein the absorbent member has an embossed structure.
  • the support member located on the surgical site to support the body organs, surrounding the support member and the absorbing member and absorbing member for absorbing blood or body fluids due to surgery It includes a protective film member in contact with the body organs, the absorbing member is to produce a long-term traction hemostatic device having an embossed structure, to secure a surgical space without the help of surgery assistants, the support member does not directly touch the body organs of the body organs
  • the absorbent member effectively absorbs blood or body fluid leaked from the body organs during surgery, and the absorbent member has an embossed structure to minimize the area of contact with the body organs. Due to coagulation of blood and cohesion with body organs, It can reduce the risk.
  • the protective film member as a material that can be detected by the X-ray, it is possible to simply and conveniently confirm whether the device in the human body remains.
  • the registered "long-term traction hemostasis device having an embossed structure” is characterized in that it is inflated by injecting air, but has a disadvantage in that it is very inconvenient to inject air, in order to ensure excellent visibility during surgery Since the support member that lifts and supports the body around the surgical site is a heterogeneous material with the absorbent member and the shield member, and the material is high in strength, when the peripheral organ is unexpectedly escaped to the outside of the shield member during the lifting, the organs of the body are injured. There is this.
  • the present invention has been proposed to solve the above problems included in the proposed methods, it is interposed with a tube body that is expanded between the uterus and the intestine by air injection during uterine surgery to ensure the position of the intestine during surgery The purpose is to ensure sufficient space.
  • the present invention is intended to facilitate the handling and storage when the structure of the tube body for separating and fixing between the uterus and the intestine is expanded and contracted depending on the injection of air.
  • the present invention enters between the uterus and the intestine in the abdominal cavity of the patient, the partition member for separating the intestine and the uterus into a tube body in which the air is expanded by injection;
  • a pillar portion positioned at both ends of the tube body to be in close contact with both side walls of the abdominal cavity when inflated to block the lowering of the intestine;
  • the object is sufficiently achieved by providing a configuration that maintains the inflation thickness during expansion of the tube body and includes a support that protrudes forward to prevent the tube body from bending.
  • the pillar portion of the partition member is formed integrally at both ends of the tube body, it is expanded to a wider width than the expansion thickness of the tube body to the both ends Characterized in that the cross section is formed to form a "tt" shape.
  • the support of the partition member is formed in a position transverse to the center of the front surface of the tube body when the tube body is inflated to the front of the tube body during air injection
  • the expansion is formed so as to form, characterized in that the both ends of the support is formed to be connected to the pillar portion.
  • the tube body, the inner surface is filled with air by one or more heat-sealed portion formed in the transverse direction or longitudinal direction on the outer surface of the tube body on which the support is formed
  • This thermal bonding is characterized in that the tube body to be expanded is expanded to a uniform thickness by the thermal bonding state.
  • the tube body of the partition member is formed on the thickness surface of the tube body on which the induction pipe is installed, the indicator for checking the inflated state in the abdominal cavity It is characterized by one.
  • the induction pipe pressurizing the outer surface of the induction pipe with a fixed piece and a locking piece installed in the intermediate position of the induction pipe and the air outflow by the combination of the projection and the through hole Opening and closing clip is further characterized in that it is provided.
  • the partition member blocks the intestinal position to provide the operator with a space for the operation of the uterus and the surgery due to the secured space It is provided with the advantage of easily proceeding, and the advantage that the post-operative treatment is also desired.
  • the partition member of the present invention is made of a tube shape that expands when the air is injected, shrinks when the air is discharged, there is no inconvenience for storage before or after use, the material of the tube body is free of wrinkles and unfolding synthetic resin It is made of a vinyl paper or rubber, silicone, or the like, and thus the advantages of convenience of handling and rejection of body tissues are provided.
  • FIG. 1 is an exploded perspective view of a partition device to which the present invention is applied.
  • Figure 2 is a perspective view of the contracted state of the partition device applying the present invention.
  • Figure 3 is a cross-sectional view of the state before closing the injection tube of the present invention.
  • Figure 4 is a cross-sectional structural view of the state in which the injection tube is closed.
  • Figure 5 is a state diagram installed between the uterus and intestine partition wall applying the present invention.
  • Figure 6 is a side view of the installation state of FIG.
  • FIG. 7 is a cross-sectional view of a conventional surgical instrument retractor.
  • FIG. 1 is an exploded perspective view of a septum device to which the present invention is applied, the present invention for separating between the uterus and the intestine during surgery, the tube body 110 is expanded by injecting the outside air, the abdominal cavity of the patient
  • the partition member 100 is provided to separate the uterus from the intestine by the thickness of the tube body 110 that enters and expands between the uterus and the intestine.
  • the partition member 100 is provided with a pillar portion 130 that is inflated by the air injecting the tube body 110 is in close contact with both side walls in the abdominal cavity to prevent the bowel from descending.
  • the support part 133 protrudes toward the front of the tube body 110 so that the expansion strength is improved. It is equipped with a configuration connected to the pillar portion 133.
  • the pillar portion 130 formed at both ends of the partition member 100 has a width greater than the thickness of the tube body 110 in order to place the adhesive force with the inner wall of the abdominal cavity when inflated by air injection in the abdominal cavity of the patient. It is formed to form a cross section "tt", and the widened cross-section makes a stable contact with the inner wall of the abdominal cavity.
  • the support portion 133 protruding to the front surface of the partition member 100, the tube body (110) when the tube body 110 is expanded ( Transversely transversely centered the front center of the front 110, the support portion 133 is configured to be connected to the column portion 130 of both ends.
  • the tube body 110 when the thickness of the tube body 110 is supported at the position of the support part 133 to support the bowel in the form of a diaphragm, the tube body 110 can be prevented from being bent.
  • a fusion portion 140 is formed on several surfaces of the tube body 110.
  • the inner surface of the tube body 110 filled with air is bonded.
  • the portion that is thermally fused by the fusion unit 140 in the state in which the tube body 110 is expanded in a diaphragm form is not expanded, so that the peripheral portion is expanded. Pulled to be in a state in which the expanded thickness of the tube body 110 becomes uniform, and the state of expansion in a diaphragm shape is maintained in a stable state, and the expansion strength is increased to prevent the phenomenon of bending.
  • FIG. 5 is a state in which the partition device according to the present invention is installed between the uterus and the intestine, the tube body 110 of the partition member 100 is inserted in a state in which it is rolled in the abdominal cavity, and air is introduced into the induction pipe 300. Injecting through the) expands like a diaphragm as it expands, so it is necessary to check whether the tube body 110 is unfolded like a diaphragm in the abdominal cavity after an air injection process or air injection, and when the unfolding of the tube body 110 is confirmed
  • the unfolded state of the tube body 110 is determined by looking at the unfolded state of the display unit 200 in a color visible to the upper thickness surface of the tube body 110 positioned near the inlet.
  • the tube body 110 in the abdominal cavity is also unfolded as well as the karaoke. It can be judged as an unfolded ecology.
  • Tube body 110 of the partition member 100, the induction pipe 200 to guide the inflow or discharge of air into the interior of the tube body 110 is formed in the central position of the upper thickness surface of the tube body 110 And a stopper 340 is formed at the inlet of the induction pipe 300 to prevent the injected air from flowing out.
  • a stopper 340 is formed at the inlet of the induction pipe 300 to prevent the injected air from flowing out.
  • the outer surface of the induction pipe 300 is bent to pressurize the air outflow. Opening and closing clip 400 is formed to block.
  • the opening and closing clip 400 has a structure in which the fixing piece 420 and the opening and closing piece 430 are integrated, the through hole 423 coupled to the fixing piece 420 on one side, and the opening and closing piece 430 on the other side.
  • Is formed in the locking projection 435 forming a locking state in the middle between the fixing piece 420 and the opening and closing piece 430 has a structure that forms a hinge role in the form of tongs facing the inner surface at the time of locking and pressurizing the structure.
  • Figure 6 is a side view of the installation state of Figure 5, the partition member 100 of the present invention is inserted between the uterus and the intestine unfolded as a diaphragm during uterine surgery of the patient is a pillar of the tube body 110 is expanded by air injection
  • the inside of the abdominal cavity, i.e., the intestinal position can be prevented from being moved to the space where the intestinal uterus is located. You can proceed safely.
  • the present invention not only has the advantage of proceeding the operation easily due to the space secured during uterine surgery, the advantage that the post-treatment process is also desired, and there is no inconvenience for storage before or after use, as well as convenience of handling With the advantage of not giving a sense of rejection to the body tissue, it is possible to use and manufacture as a medical device suitable for one of the gynecological surgical equipment.

Abstract

The present invention relates to a separating device for preventing an intestine brought close to a uterus from moving downward to the position of the uterus in uterine surgery, the separating device comprising: a partition wall member that enters between the uterus and the intestine within the abdominal cavity of the surgical patient to separate the intestine and the uterus from each other, wherein the partition wall member is a tube body that expands by air injected thereinto; columns located on opposite ends of the tube body, wherein when the tube expands, the columns are brought close to opposite walls within the abdominal cavity to prevent the intestine from moving downward; and a support part protruding forward from the tube body, wherein the support part maintains the expansion thickness of the tube body and prevents the tube body from being curved when the tube body expands. Thus, there are provided the following advantages: the uterus and the intestine can be separated from each other by the expanding partition wall member before the uterine surgery; the partition wall member can block the position of the intestine to provide a space for the uterine surgery to an operating surgeon; the surgery can be easily conducted thanks to the ensured space; and a treatment after the surgery can also be facilitated.

Description

자궁수술 시 자궁과 장의 분리장치Separation device between uterus and intestine during uterine surgery
본 발명은 자궁 수술 시 장이 자궁 측으로 내려오는 것을 차단하기 위한 분리장치에 관한 것으로서, 자궁과 밀착된 상태의 장이 자궁 수술시 자궁과 함께 이동되는 것을 방지하기 위하여 자궁 수술 전에 자궁과 장 사이를 분리시키고 고정되게 하여 자궁 수술 시 장기가 하부로 내려오는 것을 방지하여 수술을 안전하고 용이하게 하도록 하는 자궁과 장의 분리장치에 관한 것이다.The present invention relates to a separation device for blocking the bowel from falling down to the uterine during surgery, in order to prevent the intestine in close contact with the uterus to move with the uterus during uterine surgery to separate between the uterus and the intestine before uterine surgery The present invention relates to a separation device of the uterus and the intestine which is fixed and prevents the organ from descending during the operation of the uterus to make the operation safe and easy.
치료를 목적으로 신체의 복강을 절개하여 그 내부의 환부를 치료 및 절단과정을 진행할 때 수술부위에 대한 시야를 확보해야 하며 연결된 주변의 장기에 대한 시야도 확보해 한다. 이러한 수술 시야를 확보하기 위해서는 수술 보조자가 기구를 이용하여 수술부위 주변의 장기가 수술부위에서 분리되게 하여 장기가 이동되지 않도록 하였다.For the purpose of treatment, when the abdominal cavity of the body is incised and the affected area is treated and cut, the vision of the surgical site should be secured, and the vision of the surrounding organs should be secured. In order to secure such a surgical field of view, the surgical assistant uses a device to separate the organs around the surgical site from the surgical site so that the organs are not moved.
그러나, 수술보조자가 주변의 장기를 수술시간 동안 고정시키는 동작을 취하는 것은 매우 힘이 들고, 또한, 수술자의 수술행위에 불편함을 주는 원인이 되었던 것이다.However, it is very difficult for the surgical assistant to take action to fix the surrounding organs during the operation time and cause inconvenience to the surgical operation of the operator.
이처럼 복강 내부의 장기 수술시 수술위치 주변의 장기가 수술위치로 이동하지 못하도록 인위적으로 고정하는 불편함을 해결하기 위하여 기구적으로 수술부위 주변 장기를 들어 올릴 수 있는 "복부 수술용 견인기"가 특허공개 10-1999-019325호로 제안된 바 있다.In order to solve the inconvenience of artificially fixing the organs around the surgical position to prevent the movement of the organs around the surgical position in the abdominal cavity in the abdominal cavity as described above, the "abdominal surgical retractor" that can mechanically lift the organs around the surgical site Proposed as 10-1999-019325.
상기 공개된 "복부 수술용 견인기"(특허공개10-1999-019325호)에 따르면 수술 보조 인원 없이 견인기를 사용함으로 수술시야를 확보할 수가 있게 되었다.According to the published "abdominal surgery retractor" (Patent Publication No. 10-1999-019325) it is possible to secure the operation field by using a retractor without the operation assistant.
그러나. 상기 복부수술용 견인기는 금속으로 제작되므로 사용상에 있어서는 상처를 발생시킬 위험과, 무게에 다른 조작성의 불편함을 감수해야만 하는 문제점이 있었다.But. Since the abdominal surgery retractor is made of metal, there is a problem in that a risk of causing a wound in use and a discomfort in operating weight are different.
상기 공개된 "복부 수술용 견인기"의 불편함을 해결하기 위하여 금속소재를 사용하지 않고 공기를 주입하면 팽창되는 재질로 된 "엠보싱 구조를 갖는 장기 견인 지혈장치"가 등록특허10-1156229호로 제안된 바 있다.In order to solve the inconvenience of the above-mentioned "abdominal surgical retractor" is proposed a "long-term traction hemostatic device having an embossed structure" made of a material that is expanded when air is injected without using a metal material There is a bar.
상기 등록 공개된 "엠보싱 구조를 갖는 장기 견인 지혈장치"는 도 7과 같이 수술부위에 위치하여 신체 장기를 지지하는 지지부재(100), 상기 지지부재를 둘러싸고 혈액 또는 체액을 흡수하는 흡수 부재(200), 및 상기 흡수부재를 둘러싸고 상기 신체 장기와 접촉하는 보호막 부재(300)를 포함하며, 상기 흡수부재는 엠보싱 구조를 갖는 것이다.The registered "organic traction hemostatic device having an embossing structure" is located in the surgical site as shown in Figure 7 to support the body organs, absorbing member 200 surrounding the support member to absorb blood or body fluids 200 And a protective film member 300 surrounding the absorbent member and in contact with the body organs, wherein the absorbent member has an embossed structure.
상기 등록 공개된 "엠보싱 구조를 갖는 장기 견인 지혈장치"에 따르면, 수술부위에 위치하여 신체 장기를 지지하는 지지부재, 지지부재를 둘러싸고 수술로 인한 혈액 또는 체액을 흡수하는 흡수부재 및 흡수부재를 둘러싸고 신체 장기와 접촉하는 보호막부재를 포함하며, 흡수부재는 엠보싱 구조를 갖는 장기 견인 지혈장치를 제작함으로써, 수술 보조인원의 도움 없이 수술공간을 확보하고, 지지부재가 직접 신체 장기에 닿지 않아 신체 장기의 손상을 방지함과 동시에 흡수부재로 인해 수술 중 신체 장기에서 누출되는 혈액 또는 체액의 흡수가 효과적으로 이루어지며, 흡수부재가 엠보싱 구조를 가짐으로 신체 장기에 접촉하는 면적을 최소화하여 수술 후 장치의 제거 시 혈액의 응고에 따른 신체 장기와의 유착으로 인하여 인체 내 장치의 잔존으로 인한 위험성을 줄일 수 있다.According to the registered "long-term traction hemostatic device having an embossed structure," the support member, located on the surgical site to support the body organs, surrounding the support member and the absorbing member and absorbing member for absorbing blood or body fluids due to surgery It includes a protective film member in contact with the body organs, the absorbing member is to produce a long-term traction hemostatic device having an embossed structure, to secure a surgical space without the help of surgery assistants, the support member does not directly touch the body organs of the body organs In addition to preventing damage, the absorbent member effectively absorbs blood or body fluid leaked from the body organs during surgery, and the absorbent member has an embossed structure to minimize the area of contact with the body organs. Due to coagulation of blood and cohesion with body organs, It can reduce the risk.
또한, 등록 공개된 "엠보싱 구조를 갖는 장기 견인 지혈장치"에 따르면, 보호막 부재를 X선이 탐지할 수 있는 소재로 함으로써 인체 내 장치의 잔존 여부를 간단하고 편리하게 확인할 수 있다.Further, according to the registered "long-term traction hemostatic device having an embossing structure", by using the protective film member as a material that can be detected by the X-ray, it is possible to simply and conveniently confirm whether the device in the human body remains.
그러나, 이러한 등록된 "엠보싱 구조를 갖는 장기 견인 지혈장치"는 공기를 주입하여 팽창되게 하는 것에 특징이 있으나, 공기를 주입하기가 매우 불편한 구조로 된 단점이 있고, 수술 중 우수한 시야를 확보하기 위하여 수술부위 주변의 신체를 들어올려 지지하는 지지부재가 흡수부재 및 보호막부재와 이질적인 재료이며 강도가 큰 소재이므로 주변 장기를 들어올리는 중에 예기치 못하게 보호막부재 외부로 빠져나오면 신체의 장기에 상처를 입히게 되는 문제점이 있다. However, the registered "long-term traction hemostasis device having an embossed structure" is characterized in that it is inflated by injecting air, but has a disadvantage in that it is very inconvenient to inject air, in order to ensure excellent visibility during surgery Since the support member that lifts and supports the body around the surgical site is a heterogeneous material with the absorbent member and the shield member, and the material is high in strength, when the peripheral organ is unexpectedly escaped to the outside of the shield member during the lifting, the organs of the body are injured. There is this.
본 발명은 기존에 제안된 방법들에 포함된 상기와 같은 문제점들을 해결하기 위해 제안된 것으로서, 자궁 수술시 자궁과 장 사이를 공기 주입으로 팽창되는 튜브체로 가로막아 장의 위치가 수술시간 동안 고정되게 하여 수술공간을 충분히 확보하게 함을 목적으로 한다.The present invention has been proposed to solve the above problems included in the proposed methods, it is interposed with a tube body that is expanded between the uterus and the intestine by air injection during uterine surgery to ensure the position of the intestine during surgery The purpose is to ensure sufficient space.
또한, 본 발명은 자궁과 장 사이를 분리 고정하는 튜브체의 구조가 공기의 주입 여부에 따라 팽창과 수축하는 구조로 되어 보관시 취급과 보관이 용이하도록 함을 목적으로 한다.In addition, the present invention is intended to facilitate the handling and storage when the structure of the tube body for separating and fixing between the uterus and the intestine is expanded and contracted depending on the injection of air.
상기와 같은 목적을 달성하기 위하여 본 발명은, 환자의 복강 내의 자궁과 장 사이로 진입되며, 공기가 주입에 의해 팽창되는 튜브체로 상기 장과 자궁 사이를 분리시키는 격벽부재; 상기 튜브체의 양 측단에 위치하여 팽창 시 복강 내의 양측벽에 밀착되어 장의 하강을 가로막는 기둥부; 상기 튜브체의 팽창 시 팽창두께를 유지하며, 튜브체가 휘어지지 않게 전면으로 돌출 형성되는 지지부를 포함하는 구성을 제공함에 의하여 그 목적이 충분히 달성된다.In order to achieve the above object, the present invention, enters between the uterus and the intestine in the abdominal cavity of the patient, the partition member for separating the intestine and the uterus into a tube body in which the air is expanded by injection; A pillar portion positioned at both ends of the tube body to be in close contact with both side walls of the abdominal cavity when inflated to block the lowering of the intestine; The object is sufficiently achieved by providing a configuration that maintains the inflation thickness during expansion of the tube body and includes a support that protrudes forward to prevent the tube body from bending.
본 발명의 목적이 달성되는 구성으로 이루어진 장기 분리장치에서, 상기 격벽부재의 기둥부는, 상기 튜브체의 양측단에 일체로 형성되며, 상기 튜브체의 팽창 두께보다 더 넓은 폭으로 팽창되어 상기 양측단에서 단면이 "ㅜ"형상을 이루도록 형성함을 특징으로 한다.In the long-term separation device made of a configuration that the object of the present invention is achieved, the pillar portion of the partition member is formed integrally at both ends of the tube body, it is expanded to a wider width than the expansion thickness of the tube body to the both ends Characterized in that the cross section is formed to form a "tt" shape.
본 발명의 목적이 달성되는 구성으로 이루어진 장기 분리장치에서, 상기 격벽부재의 지지부는, 상기 튜브체의 팽창시 튜브체의 전면 중앙을 횡방향으로 가로지르는 위치에 형성되어 공기 주입시 튜브체의 전면으로 덧살이 형성되게 팽창하며, 상기 지지부의 양측단이 기둥부와 연결되게 형성하는 것을 특징으로 한다.In the long-term separation device made of a configuration that the object of the present invention is achieved, the support of the partition member is formed in a position transverse to the center of the front surface of the tube body when the tube body is inflated to the front of the tube body during air injection The expansion is formed so as to form, characterized in that the both ends of the support is formed to be connected to the pillar portion.
본 발명의 목적이 달성되는 구성으로 이루어진 장기 분리장치에서, 상기 튜브체는, 상기 지지부가 형성되는 튜브체의 외면에 횡방향 또는 종방향으로 형성하는 하나 이상의 열융착부에 의해 공기가 충진되는 내면이 열접착되게 하여 팽창되는 튜브체가 열접착 상태에 의해 균일한 두께로 팽창되게 하는 것을 특징으로 한다.In the long-term separation device made of a configuration that the object of the present invention is achieved, the tube body, the inner surface is filled with air by one or more heat-sealed portion formed in the transverse direction or longitudinal direction on the outer surface of the tube body on which the support is formed This thermal bonding is characterized in that the tube body to be expanded is expanded to a uniform thickness by the thermal bonding state.
본 발명의 목적이 달성되는 구성으로 이루어진 장기 분리장치에서, 상기 격벽부재의 튜브체는, 상기 복강내에서 팽창된 상태를 확인하기 위한 표시대를 상기 유도관이 설치되는 튜브체의 두께면에 형성한 것을 특징으로 한다.In the long-term separation device made of a configuration in which the object of the present invention is achieved, the tube body of the partition member is formed on the thickness surface of the tube body on which the induction pipe is installed, the indicator for checking the inflated state in the abdominal cavity It is characterized by one.
본 발명의 목적이 달성되는 구성으로 이루어진 장기 분리장치에서, 상기 유도관에는, 상기 유도관의 중간 위치에 설치되는 고정편과 계폐편으로 유도관의 외면을 가압하며 돌기와 통공의 결합으로 공기 유출이 차단되는 개폐클립이 더 구비되는 것을 특징으로 한다.In the long-term separation device made of a configuration that the object of the present invention is achieved, the induction pipe, pressurizing the outer surface of the induction pipe with a fixed piece and a locking piece installed in the intermediate position of the induction pipe and the air outflow by the combination of the projection and the through hole Opening and closing clip is further characterized in that it is provided.
본 발명은 자궁 수술 시, 자궁과 장 사이를 팽창된 격벽부재로 분리시키며, 격벽부재가 장 위치를 가로막도록 하여 자궁을 수술하기 위한 공간을 수술자에게 제공하게 되는 이점과, 확보되는 공간으로 인하여 수술을 용이하게 진행하게 되는 이점과, 수술 후 처리도 원할해지는 이점이 제공된다.In the present invention, during the uterine surgery, the separation between the uterus and the intestine by the inflated partition member, the partition member blocks the intestinal position to provide the operator with a space for the operation of the uterus and the surgery due to the secured space It is provided with the advantage of easily proceeding, and the advantage that the post-operative treatment is also desired.
또한, 본 발명의 격벽부재는 공기가 주입되면 팽창되고, 공기를 배출시키면 수축되는 튜브형상으로 이루어지는 것이므로, 사용 전 또는 사용 후 보관에 대한 불편이 없으며, 튜브체의 재질이 구겨짐과 펼쳐짐이 자유로운 합성수지제의 비닐지 또는 고무 및 실리콘 등으로 이루어진 것이어서 취급의 편리함과, 신체조직에 거부감을 주지 않는등의 이점이 제공된다.In addition, the partition member of the present invention is made of a tube shape that expands when the air is injected, shrinks when the air is discharged, there is no inconvenience for storage before or after use, the material of the tube body is free of wrinkles and unfolding synthetic resin It is made of a vinyl paper or rubber, silicone, or the like, and thus the advantages of convenience of handling and rejection of body tissues are provided.
도 1은 본 발명을 적용하는 격벽장치에 대한 팽창상태 사시도.1 is an exploded perspective view of a partition device to which the present invention is applied.
도 2는 본 발명을 적용하는 격벽장치에 대한 수축상태 사시도.Figure 2 is a perspective view of the contracted state of the partition device applying the present invention.
도 3은 본 발명 중 주입관의 폐쇄전 상태의 단면구조도.Figure 3 is a cross-sectional view of the state before closing the injection tube of the present invention.
도 4는 본 발명 중 주입관을 폐쇄한 상태의 단면 구조도.Figure 4 is a cross-sectional structural view of the state in which the injection tube is closed.
도 5는 본 발명을 적용한 격벽장치를 자궁과 장 사이에 설치하는 상태도.Figure 5 is a state diagram installed between the uterus and intestine partition wall applying the present invention.
도 6은 도 5의 설치상태에 대한 측면상태도.Figure 6 is a side view of the installation state of FIG.
도 7은 종래의 수술기구 견인기에 대한 단면도.7 is a cross-sectional view of a conventional surgical instrument retractor.
본 발명이 실시될 수 있는 특정 실시 예는 예시하는 첨부 도면을 참조하여 설명하면 다음과 같다.Specific embodiments in which the present invention may be practiced are described below with reference to the accompanying drawings.
이들 실시 예는 당업자가 본 발명을 실시할 수 있기에 충분하도록 상세히 설명될뿐만 아니라, 본 발명의 다양한 실시 예는 서로 다르지만 상호 배타적일 필요는 없음이 이해되어야 한다.These embodiments are not only described in sufficient detail to enable those skilled in the art to practice the present invention, but it should be understood that the various embodiments of the present invention are different from one another, but need not be mutually exclusive.
예를 들어, 여기에 기재되어 있는 특정 형상, 구조 및 특성은 일 실시 예에 관련하여 본 발명의 정신 및 범위를 벗어나지 않으면서 다른 실시 예로 구현될 수 있다. 또한, 각각의 개시된 실시 예 내의 개별 구성요소의 위치 또는 배치는 본 발명의 정신 및 범위를 벗어나지 않으면서 변경될 수 있음이 이해되어야 한다.For example, certain shapes, structures, and characteristics described herein may be embodied in other embodiments without departing from the spirit and scope of the invention with respect to one embodiment. In addition, it is to be understood that the location or arrangement of individual components within each disclosed embodiment may be changed without departing from the spirit and scope of the invention.
따라서, 후술하는 상세한 설명은 한정적인 의미로서 취하려는 것이 아니며, 본 발명의 범위는, 적절하게 설명된다면, 그 청구항들이 주장하는 것과 균등한 모든 범위와 더불어 첨부된 청구항에 의해서만 한정된다. 도면에서 유사한 참조부호는 여러 측면에 걸쳐서 동일하거나 유사한 기능을 지칭하며, 길이 및 면적, 두께 등과 그 형태는 편의를 위하여 과장되어 표현될 수도 있다.The following detailed description, therefore, is not to be taken in a limiting sense, and the scope of the present invention, if properly described, is defined only by the appended claims, along with the full range of equivalents to which such claims are entitled. In the drawings, like reference numerals refer to the same or similar functions throughout the several aspects, and length, area, thickness, and the like may be exaggerated for convenience.
이하에서는, 본 발명이 속하는 기술분야에서 통상의 지식을 가진 자가 본 발명을 용이하게 실시할 수 있도록 하기 위하여, 본 발명의 바람직한 실시 예들에 관하여 첨부된 도면을 참조하여 상세히 설명하기로 한다.DETAILED DESCRIPTION Hereinafter, exemplary embodiments of the present invention will be described in detail with reference to the accompanying drawings so that those skilled in the art can easily implement the present invention.
도 1은 본 발명을 적용하는 격벽장치에 대한 팽창상태 사시도로서, 수술시 자궁과 장 사이를 분리시키기 위한 본 발명은, 외부의 공기가 주입는 것에 의해 팽창되는 튜브체(110)로서, 환자의 복강 내의 자궁과 장 사이로 진입되어 팽창되는 튜브체(110)의 두께로 상기 자궁과 장 사이가 분리되게 하는 격벽부재(100)가 구비된다.1 is an exploded perspective view of a septum device to which the present invention is applied, the present invention for separating between the uterus and the intestine during surgery, the tube body 110 is expanded by injecting the outside air, the abdominal cavity of the patient The partition member 100 is provided to separate the uterus from the intestine by the thickness of the tube body 110 that enters and expands between the uterus and the intestine.
상기 격벽부재(100)는 공기주입으로 팽창되는 튜브체(110)가 복강내의 양측벽에 밀착되어 장이 내려오는 것을 가로막는 기둥부(130)가 구비된다.The partition member 100 is provided with a pillar portion 130 that is inflated by the air injecting the tube body 110 is in close contact with both side walls in the abdominal cavity to prevent the bowel from descending.
상기 튜브체(110)의 팽창 시 팽창두께를 유지하며, 튜브체(110)가 장과 접촉될때 휘어지지 않게 팽창강도가 향상되도록 튜브체(110)의 전면으로 지지부(133)가 돌출되어 양측의 기둥부(133)와 연결되는 구성을 갖추게 된다.When the tube body 110 is expanded, the expansion thickness is maintained, and when the tube body 110 is in contact with the bowel, the support part 133 protrudes toward the front of the tube body 110 so that the expansion strength is improved. It is equipped with a configuration connected to the pillar portion 133.
상기 격벽부재(100)의 양측단에 형성되는 기둥부(130)는, 환자의 복강내에서 공기 주입으로 팽창될 때 복강 내벽면과 밀착력을 놓이기 위하여 상기 튜브체(110) 두께 폭 보다 더 큰 폭으로 형성하여 그 단면이 "ㅜ"을 이루게 하고, 그 넓어진 단면으로 복강 내벽면과 안정된 접촉을 이루게 된다.The pillar portion 130 formed at both ends of the partition member 100 has a width greater than the thickness of the tube body 110 in order to place the adhesive force with the inner wall of the abdominal cavity when inflated by air injection in the abdominal cavity of the patient. It is formed to form a cross section "tt", and the widened cross-section makes a stable contact with the inner wall of the abdominal cavity.
본 발명의 격벽부재(100)에 대한 구성을 좀더 상세하게 설명하면, 먼저 상기 격벽부재(100)의 전면으로 돌출형성되는 지지부(133)는, 상기 튜브체(110)가 팽창될 때 튜브체(110)의 전면 중앙을 횡방향으로 가로지르며 덧살처럼 팽창되게 구비되고, 상기 지지부(133)는 양측단의 기둥부(130)와 연결되는 구성으로 된다.Referring to the configuration of the partition member 100 of the present invention in more detail, first, the support portion 133 protruding to the front surface of the partition member 100, the tube body (110) when the tube body 110 is expanded ( Transversely transversely centered the front center of the front 110, the support portion 133 is configured to be connected to the column portion 130 of both ends.
따라서 튜브체(110)의 상기 지지부(133)위치에서 그 두께가 두꺼워져 가로막 형태로 장을 받쳐들고 있을 때, 튜브체(110)가 휘어지게 되는 것을 예방할 수 있게 된다.Therefore, when the thickness of the tube body 110 is supported at the position of the support part 133 to support the bowel in the form of a diaphragm, the tube body 110 can be prevented from being bent.
또한, 상기 튜브체(110)가 휘어지게 되는 것을 예방하기 위하여 튜브체(110)의 표면 몇 군데에 융착부(140)를 형성한다.In addition, in order to prevent the tube body 110 from being bent, a fusion portion 140 is formed on several surfaces of the tube body 110.
상기 고주파 열처리 장치로 튜브체(110)의 전면 몇 군데가 융착되면 공기가 충진되는 튜브체 (110)의 내부 면이 접착되는 상태가 된다.When several places of the front surface of the tube body 110 are fused by the high frequency heat treatment apparatus, the inner surface of the tube body 110 filled with air is bonded.
공기 주입시 팽창되는 튜브체(110)의 내부 몇 군데가 접착되면 튜브체(110)가 가로막 형태로 팽창되는 상태에서 융착부(140)에 의해 열융착된 부분은 팽창되지 않으므로 팽창되는 주변부위가 당겨지게 되어 튜브체(110)의 팽창되는 두께가 균일해지는 상태로 되어 가로막형태로 팽창되는 상태가 안정되게 유지됨과 동시에, 팽창강도가 증가되어 휘어지는 현상을 예방할 수 있게 된다. When a portion of the inside of the tube body 110 that is expanded during air injection is adhered, the portion that is thermally fused by the fusion unit 140 in the state in which the tube body 110 is expanded in a diaphragm form is not expanded, so that the peripheral portion is expanded. Pulled to be in a state in which the expanded thickness of the tube body 110 becomes uniform, and the state of expansion in a diaphragm shape is maintained in a stable state, and the expansion strength is increased to prevent the phenomenon of bending.
도 5는 본 발명을 적용한 격벽장치를 자궁과 장 사이에 설치하는 상태인데, 상기 격벽부재(100)의 튜브체(110)는, 상기 복강 내에 말려진 상태로 삽입되고, 공기가 유도관(300)을 통해 주입되면 팽창되면서 가로막처럼 펼쳐져야 되므로 공기 주입 과정 또는 공기 주입 후 복강 속에서 튜브체(110)가 가로막처럼 펼쳐졌는지를 확인해야 하며, 이러한 튜브체(110)의 펼침 확인 시 절개된 복강입구 부근에 위치하는 튜브체(110)의 상측 두께면에 눈에 잘 보이는 색상으로 된 표시부(200)의 펼쳐진 상태를 보고 튜브체 (110)의 펼쳐진 상태를 판단하게 된다.5 is a state in which the partition device according to the present invention is installed between the uterus and the intestine, the tube body 110 of the partition member 100 is inserted in a state in which it is rolled in the abdominal cavity, and air is introduced into the induction pipe 300. Injecting through the) expands like a diaphragm as it expands, so it is necessary to check whether the tube body 110 is unfolded like a diaphragm in the abdominal cavity after an air injection process or air injection, and when the unfolding of the tube body 110 is confirmed The unfolded state of the tube body 110 is determined by looking at the unfolded state of the display unit 200 in a color visible to the upper thickness surface of the tube body 110 positioned near the inlet.
즉, 표시부(200)가 잘 펼쳐진 상태로 확인되면 복강 속의 튜브체(110)도 가람막처럼 잘 펼쳐진 상태이고, 표시부(200)가 왼전하게 펼쳐져 있지 않은 상태로 확인되면 튜브체(200)가 잘 펼쳐지지 않은 생태로 판단할 수 있게 된다. In other words, when the display unit 200 is confirmed to be well unfolded, the tube body 110 in the abdominal cavity is also unfolded as well as the karaoke. It can be judged as an unfolded ecology.
상기 격벽부재(100)의 튜브체(110)는, 상기 튜브체(110)의 내부로 공기의 유입 또는 배출을 유도하는 유도관(200)이 튜브체(110)의 상측 두께면 중앙 위치에 형성되며 유도관(300)의 입구에는 주입된 공기가 유출되는 것을 막기 위한 마개(340)가 형성되 며, 상기 유도관(300)의 중간 위치에는 유도관(300)의 외면을 구부려 가압하여 공기 유출을 차단하는 개폐클립(400)이 형성된다. Tube body 110 of the partition member 100, the induction pipe 200 to guide the inflow or discharge of air into the interior of the tube body 110 is formed in the central position of the upper thickness surface of the tube body 110 And a stopper 340 is formed at the inlet of the induction pipe 300 to prevent the injected air from flowing out. At the intermediate position of the induction pipe 300, the outer surface of the induction pipe 300 is bent to pressurize the air outflow. Opening and closing clip 400 is formed to block.
특히, 이러한 개폐클립(400)은 고정편(420)과 개폐편(430)이 일체로 된 구조로 되고, 일측의 고정편(420)에 결합되는 통공(423)과, 타측의 개폐편(430)에는 잠금상태를 이루는 돌기(435)가 형성되고, 고정편(420)과 개폐편(430)사이의 중간에는 경첩역할을 이루는 구조를 갖는 집게 형태로서 잠금 시 내면에 마주 접촉되어 가압하는 구조를 갖추어 도 3 및 도 4처럼 통공(423)과 돌기(435)가 결합될 때 유도관(300)이 눌려 튜브체(110)에 충진 된 공기의 유출을 차단하게 되며, 유도관(300)을 접은 도 5의 상태에서 개폐클립(400)으로 유도관(300)이 눌리게 되면 공기 유출차단 상태가 자궁 수술 이 끝나는 시간 동안 지속되게 된다.In particular, the opening and closing clip 400 has a structure in which the fixing piece 420 and the opening and closing piece 430 are integrated, the through hole 423 coupled to the fixing piece 420 on one side, and the opening and closing piece 430 on the other side. ) Is formed in the locking projection 435 forming a locking state, in the middle between the fixing piece 420 and the opening and closing piece 430 has a structure that forms a hinge role in the form of tongs facing the inner surface at the time of locking and pressurizing the structure. Equipped with a through hole 423 and the projection 435 as shown in Figures 3 and 4 when the induction pipe 300 is pressed to block the outflow of air filled in the tube body 110, folded the induction pipe 300 When the guide tube 300 is pressed by the opening and closing clip 400 in the state of FIG. 5, the air leakage blocking state is continued for the time when the uterine surgery is finished.
도 6은 도 5의 설치상태에 대한 측면상태도로서, 환자의 자궁 수술시 자궁과 장 사이로 삽입되어 가로막 처럼 펼쳐지는 본 발명의 격벽부재(100)는 공기 주입으로 팽창되는 튜브체(110)의 기둥부(130)및 지지부(133)에 의해 복강 내부 즉 장 위치를 가로막아 장 자궁이 위치한 공간으로 이동되는 것을 막을 수 있게 되고, 장의 이동을 막음으로 복강 속에 형성되는 공간으로 인하여 수술자가 수술을 원할하고 안전되게 진행할 수 된다.Figure 6 is a side view of the installation state of Figure 5, the partition member 100 of the present invention is inserted between the uterus and the intestine unfolded as a diaphragm during uterine surgery of the patient is a pillar of the tube body 110 is expanded by air injection By the part 130 and the support 133, the inside of the abdominal cavity, i.e., the intestinal position can be prevented from being moved to the space where the intestinal uterus is located. You can proceed safely.
이상 첨부된 도면을 참조하여 본 발명의 실시 예들을 설명하였으나, 본 발명은 상기 실시 예들에 한정되는 것이 아니라 서로 다른 다양한 형태로 제조될 수 있으며, 본 발명이 속하는 기술분야에서 통상의 지식을 가진 자는 본 발명의 기술적 사상이나 필수적인 특징을 변경하지 않고서 다른 구체적인 형태로 실시될 수 있다는 것을 이해할 수 있을 것이다. 그러므로 이상에서 기술한 실시 예들은 모든 면에서 예시적인 것이며 한정적이 아닌 것으로 이해해야만 한다.Although the embodiments of the present invention have been described above with reference to the accompanying drawings, the present invention is not limited to the above embodiments and can be manufactured in various forms, and a person of ordinary skill in the art to which the present invention belongs. It will be appreciated that the present invention may be embodied in other specific forms without changing the technical spirit or essential features of the present invention. Therefore, it should be understood that the embodiments described above are exemplary in all respects and not restrictive.
본 발명은, 자궁 수술 시 확보되는 공간으로 인하여 수술을 용이하게 진행하게 되는 이점과, 수술 후 처리도 원할해지는 이점이 있을 뿐만 아니라 사용 전 또는 사용 후 보관에 대한 불편이 없으며, 취급의 편리함은 물론 신체조직에 거부감을 주지 않는 등의 이점으로, 산부인과적 수술 장비 중 하나에 적합한 의료기기로서의 사용 및 제작이 가능하다.The present invention, not only has the advantage of proceeding the operation easily due to the space secured during uterine surgery, the advantage that the post-treatment process is also desired, and there is no inconvenience for storage before or after use, as well as convenience of handling With the advantage of not giving a sense of rejection to the body tissue, it is possible to use and manufacture as a medical device suitable for one of the gynecological surgical equipment.

Claims (6)

  1. 환자의 복강 내의 자궁과 장 사이로 진입되며, 공기 주입에 의해 팽창되는 튜브체(110)로 되어 상기 장과 자궁 사이를 분리시키는 격벽부재(100);A partition member 100 that enters between the uterus and the intestine in the abdominal cavity of the patient and becomes a tube body 110 that is expanded by air injection to separate the intestine from the uterus;
    상기 튜브체(110)의 양 측단에 위치하여 팽창 시 복강 내의 양측벽에 밀착되어 장의 하강을 가로막는 기둥부(130);A pillar portion 130 positioned at both side ends of the tube body 110 to be in close contact with both side walls of the abdominal cavity when inflated to block the lowering of the intestine;
    상기 튜브체(110)의 팽창 시 팽창두께를 유지하며, 상기 장의 접촉력으로 튜브체(110)가 휘어지지 않게 전면 외부로 돌출되는 지지부(133)를 포함하여 이루어진 자궁 수술 시 자궁과 장의 분리장치.Separating device of the uterus and intestine during the uterine surgery to maintain the inflation thickness during expansion of the tube body 110, comprising a support portion 133 protruding outward in front of the tube body 110 is not bent by the contact force of the intestine.
  2. 제1항에 있어서,The method of claim 1,
    상기 격벽부재(100)의 기둥부(130)는,The pillar portion 130 of the partition member 100,
    상기 튜브체(110)의 양측단에 일체로 형성되며, 상기 튜브체(110)의 팽창 두께보다 더 넓은 폭으로 팽창되어 상기 양측단에서 단면이 "ㅜ"형상을 이루도록 형성함을 특징으로 하는 자궁 수술 시 자궁과 장의 분리장치.The uterus is formed integrally at both ends of the tube body 110, and is expanded to a wider width than the expansion thickness of the tube body 110 to form a cross section at the two ends. Separation device between uterus and intestine during surgery.
  3. 제2항에 있어서, The method of claim 2,
    상기 격벽부재(100)의 지지부(133)는,Support portion 133 of the partition member 100,
    상기 튜브체(110)의 팽창시 튜브체(110)의 전면 중앙을 횡방향으로 가로지르는 위치에 형성되어 공기 주입시 튜브체(110)의 전면으로 덧살이 반구형으로 형성되게 팽창하며, 상기 지지부(133)의 양측단이 기둥부(130)와 연결되게 형성하는 것을 특징으로 하는 자궁 수술 시 자궁과 장의 분리장치.When the tube body 110 is expanded, it is formed at a position transverse to the center of the front surface of the tube body 110 inflated to form a hemispherical to the front of the tube body 110 in the air injection, the support portion ( Separation device of the uterus and intestine during uterine surgery, characterized in that the both ends of the 133 is formed to be connected to the pillar portion 130.
  4. 제3항에 있어서,The method of claim 3,
    상기 튜브체(110)는,The tube body 110,
    상기 지지부(133)가 형성되는 튜브체의 전면의 횡방향 또는 종방향으로 하나 이상의 열융착부(140)가 형성성되게 하고, 상기 열융착부(140)에 의해 공기가 충진되는 내면이 열접착되게 하여 튜브체(110)의 팽창시 열융착부(140)의 접착면으로 당겨지면서 팽창되게 하는 것을 특징으로 하는 자궁수술 시 자궁과 장의 분리장치.At least one heat seal part 140 is formed in a transverse direction or a longitudinal direction of the front surface of the tube body on which the support part 133 is formed, and an inner surface of which the air is filled by the heat seal part 140 is heat bonded. Separating device of the uterus and intestine during uterine surgery, characterized in that the expansion is pulled by the adhesive surface of the heat-sealed portion 140 during the expansion of the tube body (110).
  5. 제4항에 있어서,The method of claim 4, wherein
    상기 격벽부재(100)의 튜브체(110)는,Tube body 110 of the partition member 100,
    상기 복강내에서 팽창된 상태를 확인하기 위한 표시대(200)를 상기 유도관 (300)이 설치되는 튜브체(110)의 두께면에 형성한 것을 특징으로 하는 자궁수술 시 자궁과 장의 분리장치.Separating device of the uterus and intestine during uterine surgery, characterized in that the display stand for confirming the inflated state in the abdominal cavity 200 is formed on the thickness of the tube body 110 is installed.
  6. 제1항에 있어서,The method of claim 1,
    상기 유도관(300)에는,In the induction pipe 300,
    상기 유도관(300)의 중간 위치에 설치되는 고정편(420)과 개폐편(430)으로 유도관(300)의 외면을 가압하며 돌기(435)와 통공(423)의 결합으로 공기 유출이 차단되는 개폐클립(400)이 더 구비되는 것을 특징으로 하는 자궁수술 시 자궁과 장의 분리장치.Pressing the outer surface of the induction pipe 300 by the fixing piece 420 and the opening and closing piece 430 installed in the intermediate position of the induction pipe 300, the air flow is blocked by the combination of the projection 435 and the through hole 423. Separation device of the uterus and intestine during uterine surgery, characterized in that the opening and closing clip 400 is further provided.
PCT/KR2016/006059 2015-06-08 2016-06-08 Device for separating uterus and intestine in uterine surgery WO2016200142A1 (en)

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