WO2021086122A1 - Seal port for endoscope - Google Patents

Seal port for endoscope Download PDF

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Publication number
WO2021086122A1
WO2021086122A1 PCT/KR2020/015062 KR2020015062W WO2021086122A1 WO 2021086122 A1 WO2021086122 A1 WO 2021086122A1 KR 2020015062 W KR2020015062 W KR 2020015062W WO 2021086122 A1 WO2021086122 A1 WO 2021086122A1
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WO
WIPO (PCT)
Prior art keywords
endoscope
port
sealing port
airtight means
tool
Prior art date
Application number
PCT/KR2020/015062
Other languages
French (fr)
Korean (ko)
Inventor
박명찬
Original Assignee
인제대학교 산학협력단
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Priority claimed from KR1020190138692A external-priority patent/KR20210052987A/en
Priority claimed from KR1020200048039A external-priority patent/KR102373706B1/en
Application filed by 인제대학교 산학협력단 filed Critical 인제대학교 산학협력단
Publication of WO2021086122A1 publication Critical patent/WO2021086122A1/en

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/307Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the urinary organs, e.g. urethroscopes, cystoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61LMETHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L31/00Materials for other surgical articles, e.g. stents, stent-grafts, shunts, surgical drapes, guide wires, materials for adhesion prevention, occluding devices, surgical gloves, tissue fixation devices
    • A61L31/14Materials characterised by their function or physical properties, e.g. injectable or lubricating compositions, shape-memory materials, surface modified materials
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M39/00Tubes, tube connectors, tube couplings, valves, access sites or the like, specially adapted for medical use
    • A61M39/02Access sites
    • A61M39/06Haemostasis valves, i.e. gaskets sealing around a needle, catheter or the like, closing on removal thereof

Definitions

  • the present invention relates to a sealing port for an endoscope, and more particularly, to a sealing port for an endoscope that is applied to the introduction end of an endoscope retracting tool that induces insertion of various endoscopes including a ureteroscope into a human body to maintain an airtight state. .
  • an endoscope is a term that refers to a device that is inserted into the body to observe the inside of the body for medical examination, and depending on the area to be examined, a ureteroscope, a bronchoscope, an esophagus, a gastroscope, a laparoscope, an anusoscope.
  • a back such as seeing with the naked eye, seeing images conveyed by fiberglass, and taking pictures.
  • a ureteroscope is an equipment for surgical treatment such as removal of a ureteral stone or biopsy or removal of a ureteral tumor by entering a narrow ureter.
  • instruments such as laser fibers and stone baskets are introduced into the ureteroscope to perform surgical treatment.
  • the ureteroscope maintains a certain level of hydraulic pressure by continuously introducing a solution (mainly physiological saline) or gas (mainly CO2) when performing surgery.
  • a solution mainly physiological saline
  • gas mainly CO2
  • Korean Patent Publication No. 10-2006-0054199 name: endoscope attachment device; hereinafter referred to as Document 1
  • Korean Patent No. 10-1646080 name: ureteroscope Mechanism; hereinafter referred to as Document 2
  • the document 1 is an exterior device 1 suitable for an endoscope apparatus 2, with an adjacent end 6, a distal opening end 7, and at least one extending longitudinally from the adjacent end to the fluid outlet.
  • An elongated tubular member (4) having a fluid channel (23), an adjacent open end (8) suitable for receiving a first endoscopic instrument (2), a fluid inlet (16) in contact with the fluid channel (23) and ,
  • a flushing unit (5) comprising a fluid outlet (17) and connected to the adjacent end (6) of the tubular member (4), the tubular member and the flushing unit of the first endoscopic instrument (2).
  • first inner guide passage (10) extending longitudinally from the adjacent open end (8) of the flushing unit (5) to the distal open end (7) of the tubular member (4) to cover at least a part, said connection between the tubular member 4 and the flushing unit 5 is a sheathing device that allows axial rotation of the tubular member 4 with respect to the flushing unit 5.
  • the document 2 is a ureteroscope assembly having a coupling support structure for assembly and coupling of the ureteroscope; It includes a ureteroscope inserted into the rear end of the ureteroscope assembly to be assembled and supported, and the ureteroscope assembly is a body that is formed and assembled in two parts, and performs insertion and arrangement and support coupling of the ureteroscope at the rear portion, and the upper portion of the rear portion An insertion coupling part is formed in which a ureteroscope is inserted and exposed opening is formed in the center by an incision, and a through support part is formed in the leading part for through insertion and support of the insertion tube of the ureteroscope, and protruding from one side and the other side, respectively.
  • the ureteroscope apparatus further comprising a separator formed with a tube support protrusion formed and provided in a position and number corresponding to each other, and a support groove for use in supporting the insertion tube of the ureteroscope at the protruding end, wherein the insertion
  • the tube is provided with an outer diameter of 08 ⁇ 20mm, the tip of the separator supports and maintains the bipartite coupling state of the separator, and a tapered cap with a through hole formed in the center to allow penetration of the insertion tube as a tapered body.
  • the insertion and coupling portion of the separator is formed therein and has a concave groove structure, but is sequentially formed so as to be connected continuously, and an assembly ring arrangement groove and a ureter for fitting arrangement of the assembly ring used for assembly of the ureter diameter.
  • a ureteroscope head arranging groove provided in a corresponding shape to support the head portion of the mirror;
  • An assembly ring formed by mounting and protruding a plurality of beads along an inner circumference thereof so as to be inserted into the assembly ring arranging groove and fixedly disposed, and used for support coupling of the ureter diameter; It is a ureteroscope device comprising a.
  • the present invention was created to solve the problems of the prior art as described above, and is applied to the introduction end of an endoscope retraction tool that induces insertion of various endoscopes including a ureteroscope into the human body, and is injected while maintaining a more completely airtight state. It is an object of the present invention to provide a sealing port for an endoscope whose structure is improved to prevent leakage of a solution or gas.
  • the gel in the endoscope introduction part 2 of the endoscope inlet maintenance tool 1 or the port part 11 coupled to the introduction part 2 It is characterized by being provided with a type of airtight means (12; ⁇ ).
  • the retractable guidance tool 1 of the present invention is characterized in that it is a tool that provides a path through which various surgical or surgical tools including an endoscope adapter (Y adapter), a separator or a trocar are inserted, maintained, and withdrawn.
  • Y adapter endoscope adapter
  • separator separator
  • trocar trocar
  • the introduction part 2 or the port part 11 of the present invention is characterized in that an expansion space in which the airtight means 12 is accommodated is formed in the inner diameter of the tip part.
  • the airtight means 12 of the present invention is characterized in that the introduction portion 2 or the port portion 11 is filled in an expansion space formed in the inner diameter of the tip portion.
  • the airtight means 12 of the present invention is characterized in that it is located on the path through which the surgical tool (T) of the introduction portion (2) or the port portion (11) is in/out.
  • the hermetic means 12 of the present invention is characterized in that a sterilization layer 13 containing a sterilizing and antimicrobial material is further provided on an external exposed surface.
  • the penetrating portion is closed by viscosity in the through-open state along the insertion path of the surgical tool (T), and the through portion (12a) that is opened when the surgical tool (T) is inserted is further It is characterized by being provided.
  • the port portion 11 of the present invention is characterized in that 2 to 4 paths are provided, and airtight means 121, 122, 123 are independently provided in each path.
  • the present invention according to the above-described problem solving means provides a gel-type airtight means 12 in the endoscope introduction part 2 of the endoscope inlet maintenance tool 1 or the port part 11 coupled to the introduction part 2
  • a gel-type airtight means 12 in the endoscope introduction part 2 of the endoscope inlet maintenance tool 1 or the port part 11 coupled to the introduction part 2
  • the present invention keeps the inlet portion 2 or the port portion 11 of the endoscope in a completely sealed state as described above, thereby preventing the outflow of the solution or blood in the body, so that the solution or blood is transferred to the body of the operator. It has the effect of preventing the risk of exposure.
  • the present invention allows the introduction part 2 or the port part 11 of the endoscope to be maintained in a completely sealed state as described above, so that high hydraulic pressure and pneumatic pressure can be maintained, thereby ensuring a clear surgical field of view. Get the effect.
  • the present invention maintains the flexibility and durability of the gel-type airtight means 12 provided in the introduction part 2 or the port part 11 compared to a port made of conventional plastic or rubber, so that it can be operated for a long time or several times. The effect of maintaining the sealing property is obtained.
  • the present invention is to ensure the safety and hygiene of surgery by sterilizing and removing bacteria or foreign substances present on the surface of the surgical tool (T) at the area where the surgical tool (T) is brought into the airtight means (12). Get the effect.
  • the present invention is to wipe the solution, blood and tissue of the subject on the surface of the surgical tool (T) at the area where the surgical tool (T) is drawn out from the airtight means (12), It has the effect of preventing the tissue from leaking to the outside.
  • FIG. 1 is a perspective view showing an example of a conventional endoscope retractable guidance tool.
  • Figure 2 is a perspective view showing another example of a conventional endoscope retractable guidance tool.
  • Figure 3 is a perspective view showing the configuration of the present invention in an embodiment.
  • Figure 4 is a perspective view showing an example applied to a separate port in the embodiment of the present invention.
  • Figure 5 is a cross-sectional view showing a longitudinal section of the accompanying drawings Figure 4;
  • FIG. 6 is a perspective view showing an example in which a plurality of airtight means are provided in the port portion of the present invention.
  • FIG. 7 is a cross-sectional view showing a state in which a tool (endoscope) is inserted into the present invention.
  • Figure 8 is a cross-sectional view showing a state in which the tool is withdrawn in the present invention.
  • the sealing port 10 for an endoscope is, in the sealing port 10 for an endoscope, as shown in the accompanying drawings FIGS. 3 to 5, the endoscope introduction part ( 2) Or may be provided by providing a gel-type airtight means (12; ⁇ ) in the port portion 11 coupled to the introduction portion (2).
  • the introduction part 2 provided in the same body in the introduction part 1 or the port part 11 provided separately from the introduction part 1 and fastened to be detachably attached to the introduction part 2 has an inner diameter of the front end It may be that the expansion space in which the airtight means 12 is accommodated is formed.
  • the airtight means 12 may be positioned on a path through which the surgical tools T of the introduction part 2 or the port part 11 are in/out.
  • the airtight means 12 may be the introduction portion 2 or the port portion 11 is filled in the expansion space formed in the inner diameter of the front end.
  • hermetic means 12 may be further provided with a sterilization layer 13 containing a sterilizing and antimicrobial material on the external exposed surface.
  • the airtight means 12 is further provided with a penetrating part 12a that is closed by viscous in the through-open state along the insertion path of the surgical tool T and is opened only when the surgical tool T is retracted. It could be.
  • the port part 11 of the present invention as described above is provided with 2 to 4 paths, as shown in the accompanying drawings FIG. 6, and the airtight means 121, 122, 123 are independently provided in each path. May be.
  • the airtight means 12 of the present invention as described above is not disintegrated by air pressure, is penetrated by the inlet pressure of the surgical tool (T), and has a stability that is restored to its original shape after withdrawal of the surgical tool (T). .
  • the hermetic means 12 may be a hydrogel composition containing a polymer monomer, water-soluble chitosan and salt.
  • the hermetic means 12 may be a hydrogel obtained by crosslinking polymerization of the polymeric monomer and the water-soluble chitosan by irradiation from a hydrogel composition containing a polymeric monomer, a water-soluble chitosan and a salt.
  • the sealing port 10 for an endoscope in the first embodiment of the present invention, the endoscope introduction part 2 or the introduction part 2 of the endoscope retraction tool 1 It is a sealing port 10 for an endoscope made by providing a gel-type airtight means 12 in the port portion 11 coupled to the port portion 11.
  • the retractable guidance tool 1 is satisfied as long as it is a support tool that provides a path through which various surgical or surgical tools including an endoscope adapter (Y adapter), a separator, or a trocar are inserted, maintained, and withdrawn.
  • Y adapter endoscope adapter
  • separator separator
  • trocar trocar
  • the introduction part 2 provided in the same body in the introduction part 1 or the port part 11 provided separately from the introduction part 2 and fastened to the introduction part 2 is airtight means 12 at the inner diameter of the tip part. ) It is preferable that the expansion space to be accommodated is formed.
  • the hermetic means 12 which is a semi-solid gel, is supported while stably maintaining the shape at the correct position.
  • the port part 11 is provided with 2 to 4 paths on the upper surface, as shown in the accompanying drawings FIG. 6, and the airtight means 121, 122, 123 are independent in each path. It is also preferable to be provided with.
  • the airtight means 12 is preferably located in the entire or part of the path through which the surgical tool (T) of the introduction part (2) or the port part (11) is drawn in/out.
  • the introduction part 2 or the port part 11 is preferably filled in the expansion space formed in the inner diameter of the tip part.
  • hermetic means 12 is preferably further provided with a sterilization layer 13 containing a sterilizing and antimicrobial material on the external exposed surface.
  • bacteria penetrate into the gap of the airtight means 12 that is opened during the procedure of the surgical tool T being inserted, or bacteria existing on the surface of the surgical tool T It basically blocks and sterilizes infiltration from the entrance of the inlet end.
  • the airtight means 12 is further provided with a penetrating portion 12a that is closed by viscous in a penetrating open state along the insertion path of the surgical tool T and is opened only when the surgical tool T is brought in. It is also desirable.
  • the airtight means 12 of the present invention as described above is not broken by air pressure, is penetrated by the inlet pressure of the surgical tool (T), and is restored to its original shape after withdrawal of the surgical tool (T).
  • the hermetic means 12 is preferably a hydrogel composition comprising a polymer monomer, a water-soluble chitosan and a salt, and in particular, by irradiation from a hydrogel composition comprising a polymer monomer, a water-soluble chitosan and a salt It is more preferable that it is a hydrogel obtained by crosslinking polymerization of the polymeric monomer and water-soluble chitosan.
  • polymeric monomer all polymeric monomers that can be used in the manufacture of a hydrogel can be used, but it is preferable to include acrylic acid and vinylpyrrolidone, and more preferably, polyethylene glycol dimeta in addition to the above. Contains acrylate.
  • the polymeric monomer is preferably included in an amount of 40 to 50% by weight based on the total weight of the hydrogel composition, and specifically, 30 to 40% by weight of vinylpyrrolidone, 5 to 15% by weight of acrylic acid, and 0 to 2% by weight of polar Ethylene glycol dimethacrylate is included.
  • water-soluble chitosan a commercially available chitosan derivative may be used.
  • Chitosan which exists in nature, is insoluble, but becomes water-soluble when it receives protons from acids and becomes a derivative.
  • the present invention it is preferable to include 3 to 10% by weight of water-soluble chitosan based on the total weight of the hydrogel composition.
  • microorganisms In order to secure the biological stability of biomedical materials, it is very important to prevent contamination from microorganisms. When a biomedical material contaminated with microorganisms comes into contact with the human body, it may cause fatal consequences depending on the condition of the patient, especially in the case of a patient undergoing surgery. Microorganisms prefer a state attached to the surface of a biomedical material rather than a state suspended in a liquid, and in the case of a hydrogel adhesive, there is a great risk of being exposed to contamination by microorganisms as described above.
  • Factors involved in the adhesion of microorganisms include the type of microorganism, characteristics of the microorganism such as surface charge, chemical composition of the material, and characteristics of the material surface such as surface charge, hydrophobicity, roughness, and surface energy.
  • Chitosan is useful as a biomedical material because of its excellent biocompatibility, antibacterial properties, and bio-healing properties, and a polymer gel having excellent adhesion can be prepared by crosslinking an aqueous chitosan solution using a radiation crosslinking method.
  • a hydrogel can be prepared by mixing chitosan with synthetic polymers such as polyvinyl lactam, polyvinylpyrrolidone, acrylic acid, acrylamide, etc., and then crosslinking with radiation. Therefore, it is usefully used in overall biomedical materials including artificial organ materials.
  • the present invention as described above is a gel-type airtight provided in the endoscope introduction portion (2) or the port portion (11) coupled to the introduction portion (2) of the endoscope inlet maintenance tool (1).
  • the surgical tool (T) is pulled in through the means (12) so that it is pulled out after the surgery is performed,
  • the present invention provides a gel-type airtight means 12 in the endoscope introduction part 2 of the endoscope inlet maintenance tool 1 or the port part 11 coupled to the introduction part 2, and the introduction part of the endoscope ( 2) Or, by keeping the port part 11 completely sealed, it is possible to completely block the backflow of the solution in the body or outflow of gas.
  • the present invention keeps the inlet portion 2 or the port portion 11 of the endoscope in a completely sealed state as described above, thereby preventing the outflow of the solution or blood in the body, so that the solution or blood is transferred to the body of the operator. It is possible to avoid the risk of being exposed.
  • the present invention allows the introduction part 2 or the port part 11 of the endoscope to be maintained in a completely sealed state as described above, so that high hydraulic pressure and pneumatic pressure can be maintained, thereby ensuring a clear surgical field of view. It is possible.
  • the present invention maintains the flexibility and durability of the gel-type airtight means 12 provided in the introduction part 2 or the port part 11 compared to a port made of conventional plastic or rubber, so that it can be operated for a long time or several times. It is possible to ensure that the sealability is maintained.
  • the present invention is a sterilization and removal of bacteria or foreign substances present on the surface of the surgical tool (T) at a portion where the surgical tool (T) is brought into the airtight means (12) as shown in FIG. By doing so, it is possible to ensure the safety and hygiene of surgery.
  • the surgical tool (T) is drawn out from the airtight means (12) in contact with the solution or blood and tissue of the subject on the surface of the surgical tool (T) By wiping the teeth, it is possible to prevent the solution, blood, and tissue of the subject from leaking to the outside.
  • the sealing port 10 for the endoscope according to the second embodiment of the present invention, the endoscope introduction portion (2) (2') of the endoscope inlet maintenance tool (1) or the above Gel-type airtight means 12 provided in the port portion 11 coupled to the introduction portion 2 (2');
  • a through part (12a) that is closed by viscous in the state of being penetrated along the surgical tool (T) inlet path of the airtight means (12) and is opened only when the surgical tool (T) is inserted;
  • a retracting induction means (12c) provided in the form of a groove at the retracting end of the through portion (12a), providing visibility to the retracting portion of the surgical tool (T), and inducing accurate retraction; It may have been made by preparing.
  • the inlet guide portion (12c) of the invention may be ' ⁇ ' or ' ⁇ ' in the form of grooves.
  • the depth of the lead-in induction part 12c of the present invention may be 10 to 50% of the total length of the through part 12a.
  • the color of the surface of the lead-in induction part 12c of the present invention may be different from the color of the airtight means 12.
  • the surface color of the lead-in induction part 12c of the present invention may be red or white.
  • the present invention induces the insertion of the surgical tool (T) in a state in which the through part (12a) is expanded while being inserted into the through part (12a) of the airtight means (12), as shown in FIG.
  • the tool guiding means 15 may be further provided.
  • the tool guiding means 15 may be a funnel-type penetrating body of the upper gwang-hahyeop.
  • a flange for manipulation may be provided on the outer diameter of the upper end of the tool guiding means 15.
  • the endoscope introduction part 2 (2') or the introduction part (2) (2') of the endoscope retracting tool (1) Gel-type airtight means 12 provided in the port portion 11 to be coupled; A through part (12a) that is closed by viscous in the state of being penetrated along the surgical tool (T) inlet path of the airtight means (12) and is opened only when the surgical tool (T) is inserted; A retraction guide portion 12c provided in the shape of a groove at the retracting end of the through portion 12a to induce accurate retraction while providing visibility to the retracting portion of the surgical tool T; It is a sealing port 10 for an endoscope made by providing.
  • the gel-type airtight means 12 in the port portion 11 coupled to the endoscope introduction portion 2 (2') or the introduction portion (2) (2') of the endoscope lead-in guide (1) To maintain the insertion, withdrawal, and insertion of the tool (T) while the endoscope introduction portion (2) (2') or the port portion (11) is completely sealed, so that the body solution reverse flow or outflow of gas. Block completely.
  • the inlet guide portion (12c) of the present invention are preferably ' ⁇ ' or ' ⁇ ' in the form of grooves.
  • the depth of the induction guide portion 12c of the present invention is 10 to 50% of the total length of the through portion 12a.
  • the surgical tool (T) when the surgical tool (T) is inserted into the airtight means (12), the surgical tool (T) escapes from the penetrating part (12a) and is inserted into the other part of the airtight means (12) to prevent damage to the gel part. It is done.
  • the color of the surface of the lead-in induction part 12c of the present invention is different from the color of the airtight means 12, and at this time, the color of the surface of the induction induction part 12c of the present invention is red or white. It should be.
  • the present invention as shown in the accompanying drawings, the through portion (12a) of the airtight means (12) to induce the insertion of the surgical tool (T) in a state in which the through portion (12a) is expanded. It is preferable that the tool guiding means 15 is further provided.
  • the tool guiding means 15 is a funnel-type penetrating body of upper gwang-hahyup, and a flange for operation is provided at the top outer diameter.
  • the surgical tool (T) it is possible to prevent damage to the hermetic means 12 from the flow including the insertion or withdrawal of the gel-like hermetic means 12, or the angle adjustment for surgery.
  • the present invention as described above, as shown in the accompanying drawings 12 and 13, the endoscope introduction portion (2) (2') of the endoscope inlet maintenance tool (1) or the port portion (11) coupled to the introduction portion (2).
  • the surgical tool (T) is inserted through the gel-type airtight means 12 provided in) to be withdrawn after the operation is performed.
  • a gel-type airtight means 12 is provided in the endoscope introduction part 2 (2') of the endoscope inlet maintenance tool (1) or the port part 11 coupled to the introduction part (2) (2').
  • the present invention is to maintain a completely sealed state of the introduction portion (2) (2') or the port portion (11) of the endoscope, as described above, to prevent leakage of the solution or blood in the body, so that the solution or blood Prevents the risk of exposure to the operator's body.
  • the present invention ensures that the introduction part (2) (2') or the port part (11) of the endoscope is kept completely sealed, so that high hydraulic pressure and pneumatic pressure can be maintained, thereby ensuring a clear surgical field of view. Is done.
  • the present invention is a gel-type airtight means 12 provided in the introduction part 2 (2') or the port part 11 maintains flexibility and durability compared to a port made of conventional plastic or rubber, Keep the sealing properties even after several surgeries.
  • the present invention secures the safety and hygiene of surgery by sterilizing and removing bacteria or foreign substances present on the surface of the surgical tool (T) at the area where the surgical tool (T) is brought into the airtight means (12). It is possible to do.
  • the present invention is to wipe the solution or blood and tissue of the subject on the surface of the surgical tool (T) at the area where the surgical tool (T) is drawn out from the airtight means (12), And it is possible to prevent the tissue from leaking to the outside.
  • the surgical tool (T ) Is further provided with a tool guiding means 15 for inducing the insertion of the surgical tool (T) in a state in which the tool guiding means 15 is inserted into the penetrating portion 12a of the airtight means 12 or the insertion guiding portion 12c. ), it is possible to prevent the surgical tool (T) from being damaged from the flow including the insertion or withdrawal of the gel-like airtight means (12), or the angle adjustment for surgery.
  • a tool guiding means 15 for inducing the insertion of the surgical tool (T) in a state in which the tool guiding means 15 is inserted into the penetrating portion 12a of the airtight means 12 or the insertion guiding portion 12c.
  • the tool guiding means 15 is a funnel-type penetrating body of upper gwang-ha narrow, and an operation flange is provided on the upper outer diameter, so that the operator holds the flange by hand and the penetrating portion 12a of the airtight means 12 or the lead-in induction portion ( 12c) should be easily inserted or withdrawn.

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Abstract

The present invention relates to a seal port for an endoscope and, more specifically, to a seal port for an endoscope, which is applied to an introduction end of an endoscope insertion maintenance tool for inducing the human body insertion of various kinds of endoscopes including an ureteroscope, and has a structure improved to prevent the leakage of an injected solution or gas while more perfectly maintaining an airtight state.

Description

내시경용 밀봉 포트Sealing port for endoscope
본 발명은 내시경용 밀봉 포트에 관한 것으로, 더욱 상세하게는 요관경을 포함한 각종 내시경의 인체 삽입을 유도하는 내시경용 인입유지도구의 도입단에 적용되어 기밀상태를 유지시키는 내시경용 밀봉 포트에 관한 것이다.The present invention relates to a sealing port for an endoscope, and more particularly, to a sealing port for an endoscope that is applied to the introduction end of an endoscope retracting tool that induces insertion of various endoscopes including a ureteroscope into a human body to maintain an airtight state. .
일반적으로, 내시경(endoscope)은 인체 내부를 의학적으로 검사하기 위하여, 몸속에 집어넣어 관찰하는 기구를 통틀어 이르는 용어로서, 검사하는 부위에 따라 요관경, 기관지경, 식도경, 위내시경, 복강경, 항문경 등이 있고, 직접 육안으로 보는 것과 유리 섬유에 의해 전달되는 상을 보는 것과 사진 촬영을 하는 것 등이 있다.In general, an endoscope is a term that refers to a device that is inserted into the body to observe the inside of the body for medical examination, and depending on the area to be examined, a ureteroscope, a bronchoscope, an esophagus, a gastroscope, a laparoscope, an anusoscope. There is a back, such as seeing with the naked eye, seeing images conveyed by fiberglass, and taking pictures.
일례로, 요관경은 좁은 요관으로 진입하여 요관결석의 제거 또는 요관종물의 조직검사 또는 제거 등의 수술적 치료를 위한 장비이다. 이 장비의 도입부를 통해 laser fiber, stone basket 등의 기구를 요관경 내로 진입시켜 수술적 치료를 시행하게 된다. For example, a ureteroscope is an equipment for surgical treatment such as removal of a ureteral stone or biopsy or removal of a ureteral tumor by entering a narrow ureter. Through the introduction of this equipment, instruments such as laser fibers and stone baskets are introduced into the ureteroscope to perform surgical treatment.
요관경은 기본적으로 수술을 시행할 때 용액 (주로 생리식염수) 또는 가스(주로 CO2)를 지속적으로 유입시켜 일정 수준의 유압을 유지시키게 된다.The ureteroscope maintains a certain level of hydraulic pressure by continuously introducing a solution (mainly physiological saline) or gas (mainly CO2) when performing surgery.
종래의 플라스틱 및 고무 소재를 이용한 요관경 도입부를 통해 laser fiber 또는 stone basket과 같은 기구를 도입하였을 때, 밀봉 정도가 약하여 도입부와 laser fiber 등의 도입한 기구의 틈을 통해 용액이 역류(backflow)되어 술자의 몸과 눈 등에 묻는 경우가 빈번히 발생하는 문제점이 있다. When a device such as a laser fiber or a stone basket is introduced through the introduction part of the ureteroscope using conventional plastic and rubber materials, the sealing degree is weak, and the solution backflows through the gap between the introduction part and the introduced device such as laser fiber. There is a problem that frequently occurs when it is buried in the body and eyes of the surgeon.
이러한 경우, 술자에게 술기 시행에 방해가 되고 오염된 용액일 경우, 감염의 위험성이 높으며 역류로 인해 유압이 낮아져 수술 시야가 나빠지는 등 여러 문제를 일으키고 있다. 이러한 문제점은 시술을 시행할수록 내구성이 떨어져 더욱 심해지는 양상이 보인다. In this case, it interferes with the operation of the surgeon, and if the solution is contaminated, the risk of infection is high, and the hydraulic pressure is lowered due to reflux, causing various problems, such as deterioration of the surgical field of view. These problems tend to become more severe as the durability decreases as the procedure is performed.
따라서, 세퍼레이터의 도입단(seal port)은 요관경이나 기타 기구의 도입이 원활히 이루어지도록 하면서 용액의 역류를 막는 것이 중요한데, 현재 나와 있는 기구들은 이러한 한계를 가지고 있다.Therefore, it is important that the seal port of the separator prevents the backflow of the solution while allowing the introduction of the ureteroscope or other instruments smoothly, and currently available instruments have such limitations.
참고로, 종래 내시경 세퍼레이터와 관련된 선행기술로는 대한민국 공개특허공보 제10-2006-0054199호(명칭 : 내시경 부착 장치 ; 이하 문헌 1이라 함)와 대한민국 등록특허 제10-1646080호(명칭 : 요관경 기구 ; 이하 문헌 2이라 함)를 예로 들 수 있다.For reference, as prior art related to the conventional endoscope separator, Korean Patent Publication No. 10-2006-0054199 (name: endoscope attachment device; hereinafter referred to as Document 1) and Korean Patent No. 10-1646080 (name: ureteroscope Mechanism; hereinafter referred to as Document 2) is exemplified.
먼저, 상기 문헌 1은 내시경 기구(2)에 적합한 외장 장치(1)이며, 인접 단부(6)와, 말단 개구 단부(7)와, 상기 인접 단부로부터 유체 배출구까지 종방향으로 연장되는 적어도 하나의 유체 채널(23)을 갖는 긴 튜브형 부재(4)와, 제1 내시경 기구(2)를 수용하기에 적합한 인접 개방 단부(8)와, 상기 유체 채널(23)과 접촉하는 유체 입구(16)와, 유체 출구(17)를 포함하며, 튜브형 부재(4)의 상기 인접 단부(6)에 연결되는 플러싱 유닛(5)을 포함하고, 상기 튜브형 부재 및 플러싱 유닛은 상기 제1 내시경 기구(2)의 적어도 일부를 덮기 위해 플러싱 유닛(5)의 인접 개방 단부(8)로부터 튜브형 부재(4)의 말단 개방 단부(7)까지 종방향으로 연장되는 제1 내부 안내 통로(10)를 함께 형성하며, 상기 튜브형 부재(4)와 플러싱 유닛(5) 사이의 연결은 플러싱 유닛(5)에 대하여 튜브형 부재(4)의 축방향 회전을 허용하는 외장 장치이다.First, the document 1 is an exterior device 1 suitable for an endoscope apparatus 2, with an adjacent end 6, a distal opening end 7, and at least one extending longitudinally from the adjacent end to the fluid outlet. An elongated tubular member (4) having a fluid channel (23), an adjacent open end (8) suitable for receiving a first endoscopic instrument (2), a fluid inlet (16) in contact with the fluid channel (23) and , A flushing unit (5) comprising a fluid outlet (17) and connected to the adjacent end (6) of the tubular member (4), the tubular member and the flushing unit of the first endoscopic instrument (2). Together forming a first inner guide passage (10) extending longitudinally from the adjacent open end (8) of the flushing unit (5) to the distal open end (7) of the tubular member (4) to cover at least a part, said The connection between the tubular member 4 and the flushing unit 5 is a sheathing device that allows axial rotation of the tubular member 4 with respect to the flushing unit 5.
한편, 상기 문헌 2는 요관경의 조립 결합을 위한 결합 지지구조를 갖는 요관경결합체; 상기 요관경결합체의 후미에 삽입되어 조립 및 지지 결합되는 요관경을 포함하고, 상기 요관경결합체는, 이분 형성되어 조립되는 몸체로서, 후미부에 요관경의 삽입 배치 및 지지 결합을 수행하고, 후미부의 상부 중심부에 절개에 의해 개방 형성되는 요관경 삽입 및 노출개구가 형성되는 삽입결합부와, 선두부에 요관경이 갖는 삽입튜브의 관통 삽입 및 지지를 위한 관통지지부가 형성되며, 일측과 타측 몸체에 각각 돌출 형성되고 서로 대응하는 위치 및 개수로 구비되며, 돌출단부에 요관경이 갖는 삽입튜브를 지지하는데 사용하기 위한 지지홈이 형성되는 튜브지지돌부가 형성된 세퍼레이터를 더 포함하여 이루어지는 요관경 기구에 있어서, 상기 삽입튜브는 08 ~ 20mm의 외경으로 구비되고, 상기 세퍼레이터의 선단부로는 세퍼레이터의 이분 결합상태를 지지 및 유지되게 하고, 테이퍼 구조의 몸체로서 중심에 삽입튜브의 관통이 가능하도록 관통중공이 형성되는 테이퍼 캡이 더 설치되어 이루어지되, 상기 세퍼레이터의 삽입결합부는, 그 내부에 형성되고 요홈 구조를 갖되 연속적으로 이어지게 순차 형성되는 것으로서, 요관경의 조립에 사용되는 조립링의 끼움 배치를 위한 조립링 배치홈 및 요관경의 선두부 지지를 위해 대응 형상으로 구비되는 요관경 선두 배치홈; 상기 조립링 배치홈에 삽입 끼움되어 고정 배치되며, 요관경의 지지 결합용으로 사용되도록 그 내주면으로 그 둘레를 따라 구슬을 다수 장착하여 돌출 배치하여 이루어진 조립링; 을 포함하는 것을 특징으로 하는 요관경 기구이다.On the other hand, the document 2 is a ureteroscope assembly having a coupling support structure for assembly and coupling of the ureteroscope; It includes a ureteroscope inserted into the rear end of the ureteroscope assembly to be assembled and supported, and the ureteroscope assembly is a body that is formed and assembled in two parts, and performs insertion and arrangement and support coupling of the ureteroscope at the rear portion, and the upper portion of the rear portion An insertion coupling part is formed in which a ureteroscope is inserted and exposed opening is formed in the center by an incision, and a through support part is formed in the leading part for through insertion and support of the insertion tube of the ureteroscope, and protruding from one side and the other side, respectively. In the ureteroscope apparatus further comprising a separator formed with a tube support protrusion formed and provided in a position and number corresponding to each other, and a support groove for use in supporting the insertion tube of the ureteroscope at the protruding end, wherein the insertion The tube is provided with an outer diameter of 08 ~ 20mm, the tip of the separator supports and maintains the bipartite coupling state of the separator, and a tapered cap with a through hole formed in the center to allow penetration of the insertion tube as a tapered body. This is further installed, but the insertion and coupling portion of the separator is formed therein and has a concave groove structure, but is sequentially formed so as to be connected continuously, and an assembly ring arrangement groove and a ureter for fitting arrangement of the assembly ring used for assembly of the ureter diameter. A ureteroscope head arranging groove provided in a corresponding shape to support the head portion of the mirror; An assembly ring formed by mounting and protruding a plurality of beads along an inner circumference thereof so as to be inserted into the assembly ring arranging groove and fixedly disposed, and used for support coupling of the ureter diameter; It is a ureteroscope device comprising a.
본 발명은 상기와 같은 종래 기술의 문제점을 해결하고자 창출된 것으로, 요관경을 포함한 각종 내시경의 인체 삽입을 유도하는 내시경용 인입유지도구의 도입단에 적용되어, 보다 완벽히 기밀상태를 유지하면서 주입되는 용액 또는 가스가 유출되는 것을 방지하도록 구조개선된 내시경용 밀봉 포트를 제공하는 것에 목적을 두고 있다.The present invention was created to solve the problems of the prior art as described above, and is applied to the introduction end of an endoscope retraction tool that induces insertion of various endoscopes including a ureteroscope into the human body, and is injected while maintaining a more completely airtight state. It is an object of the present invention to provide a sealing port for an endoscope whose structure is improved to prevent leakage of a solution or gas.
상기와 같은 목적 달성을 위한 본 발명은 내시경용 밀봉포트(10)에 있어서, 내시경용 인입유지도구(1)의 내시경 도입부(2) 또는 상기 도입부(2)에 결합되는 포트부(11)에 겔 타입의 기밀수단(12 ; 氣密)을 마련하여서 됨을 특징으로 한다.In the present invention for achieving the above object, in the sealing port 10 for an endoscope, the gel in the endoscope introduction part 2 of the endoscope inlet maintenance tool 1 or the port part 11 coupled to the introduction part 2 It is characterized by being provided with a type of airtight means (12; 氣密).
본 발명의 상기 인입유지도구(1)는 내시경용 어댑터(Y 어댑터), 세퍼레이터 또는 트로카를 포함한 각종 수술 내지 시술 도구가 인입, 유지, 인출되는 경로를 제공하는 도구인 것을 특징으로 한다.The retractable guidance tool 1 of the present invention is characterized in that it is a tool that provides a path through which various surgical or surgical tools including an endoscope adapter (Y adapter), a separator or a trocar are inserted, maintained, and withdrawn.
본 발명의 상기 도입부(2) 또는 포트부(11)는 선단부 내경에 기밀수단(12)이 수용되는 확장공간이 형성된 것을 특징으로 한다.The introduction part 2 or the port part 11 of the present invention is characterized in that an expansion space in which the airtight means 12 is accommodated is formed in the inner diameter of the tip part.
본 발명의 상기 기밀수단(12)은 도입부(2) 또는 포트부(11)는 선단부 내경에 형성된 확장공간에 채워진 것을 특징으로 한다.The airtight means 12 of the present invention is characterized in that the introduction portion 2 or the port portion 11 is filled in an expansion space formed in the inner diameter of the tip portion.
본 발명의 상기 기밀수단(12)은 도입부(2) 또는 포트부(11)의 수술도구(T)가 인입/인출되는 경로 상에 위치하는 것을 특징으로 한다.The airtight means 12 of the present invention is characterized in that it is located on the path through which the surgical tool (T) of the introduction portion (2) or the port portion (11) is in/out.
본 발명의 상기 기밀수단(12)은 외부 노출면에 살균 및 항균성 물질이 포함된 살균층(13)이 더 마련된 것을 특징으로 한다.The hermetic means 12 of the present invention is characterized in that a sterilization layer 13 containing a sterilizing and antimicrobial material is further provided on an external exposed surface.
본 발명의 상기 기밀수단(12)은 수술도구(T)의 인입 경로를 따라 관통 개방상태에서 점성에 의해 관통부위가 폐쇄되고, 수술도구(T)의 인입시 개방되는 관통부(12a)가 더 마련된 것을 특징으로 한다.In the airtight means 12 of the present invention, the penetrating portion is closed by viscosity in the through-open state along the insertion path of the surgical tool (T), and the through portion (12a) that is opened when the surgical tool (T) is inserted is further It is characterized by being provided.
본 발명의 포트부(11)는 2~4개의 경로가 마련되고, 각 경로에 기밀수단(121)(122)(123)이 독립적으로 마련된 것을 특징으로 한다.The port portion 11 of the present invention is characterized in that 2 to 4 paths are provided, and airtight means 121, 122, 123 are independently provided in each path.
상기와 같은 과제해결수단에 의한 본 발명은 내시경용 인입유지도구(1)의 내시경 도입부(2) 또는 상기 도입부(2)에 결합되는 포트부(11)에 겔 타입의 기밀수단(12)을 마련하여, 상기 내시경의 도입부(2) 또는 포트부(11)가 완벽하게 밀봉된 상태를 유지하도록 함으로써, 체내 용액 역류 또는 가스 유출을 완벽히 차단하는 효과를 얻는다.The present invention according to the above-described problem solving means provides a gel-type airtight means 12 in the endoscope introduction part 2 of the endoscope inlet maintenance tool 1 or the port part 11 coupled to the introduction part 2 Thus, by maintaining a completely sealed state of the introduction portion 2 or the port portion 11 of the endoscope, it is possible to obtain an effect of completely blocking the backflow of the solution or outflow of gas in the body.
또한, 본 발명은 상기와 같이 상기 내시경의 도입부(2) 또는 포트부(11)가 완벽하게 밀봉된 상태를 유지하도록 하여, 체내 용액 또는 혈액의 유출을 방지함으로써, 용액 또는 혈액이 술자의 몸에 노출되는 위험을 방지하는 효과를 얻는다.In addition, the present invention keeps the inlet portion 2 or the port portion 11 of the endoscope in a completely sealed state as described above, thereby preventing the outflow of the solution or blood in the body, so that the solution or blood is transferred to the body of the operator. It has the effect of preventing the risk of exposure.
또한, 본 발명은 상기와 같이 상기 내시경의 도입부(2) 또는 포트부(11)가 완벽하게 밀봉된 상태를 유지하도록 하여, 높은 유압 및 공기압을 유지할 수 있도록 함으로써, 명확한 수술 시야 확보가 이루어지도록 하는 효과를 얻는다.In addition, the present invention allows the introduction part 2 or the port part 11 of the endoscope to be maintained in a completely sealed state as described above, so that high hydraulic pressure and pneumatic pressure can be maintained, thereby ensuring a clear surgical field of view. Get the effect.
또한, 본 발명은 상기 도입부(2) 또는 포트부(11)에 마련되는 겔 타입의 기밀수단(12)이 기존 플라스틱 또는 고무로 이루어진 포트에 비해 유연성과 내구성을 유지함으로써, 장시간 또는 수차례 수술에도 밀봉성이 유지되도록 하는 효과를 얻는다.In addition, the present invention maintains the flexibility and durability of the gel-type airtight means 12 provided in the introduction part 2 or the port part 11 compared to a port made of conventional plastic or rubber, so that it can be operated for a long time or several times. The effect of maintaining the sealing property is obtained.
또한, 본 발명은 수술도구(T)가 기밀수단(12)으로 인입되면서 접하는 부위에서 상기 수술도구(T) 표면에 존재하는 세균이나 이물질이 살균 및 제거되도록 함으로써, 수술의 안전성 및 위생성을 확보하는 효과를 얻는다.In addition, the present invention is to ensure the safety and hygiene of surgery by sterilizing and removing bacteria or foreign substances present on the surface of the surgical tool (T) at the area where the surgical tool (T) is brought into the airtight means (12). Get the effect.
또한, 본 발명은 수술도구(T)가 기밀수단(12)으로부터 인출되면서 접하는 부위에서 상기 수술도구(T)의 표면에 묻은 피술자의 용액이나 혈액 및 조직이 닦이도록 함으로써, 피술자의 용액이나 혈액 및 조직이 외부로 유출되는 것을 방지하는 효과를 얻는다. In addition, the present invention is to wipe the solution, blood and tissue of the subject on the surface of the surgical tool (T) at the area where the surgical tool (T) is drawn out from the airtight means (12), It has the effect of preventing the tissue from leaking to the outside.
도 1은 종래 내시경용 인입유지도구의 일 예를 도시한 사시도.1 is a perspective view showing an example of a conventional endoscope retractable guidance tool.
도 2는 종래 내시경용 인입유지도구의 다른 예를 도시한 사시도.Figure 2 is a perspective view showing another example of a conventional endoscope retractable guidance tool.
도 3은 본 발명의 구성을 실시예적으로 도시한 사시도.Figure 3 is a perspective view showing the configuration of the present invention in an embodiment.
도 4는 본 발명의 실시예 중 별도의 포트에 적용된 예를 도시한 사시도. Figure 4 is a perspective view showing an example applied to a separate port in the embodiment of the present invention.
도 5는 첨부 도면 도 4의 종단면을 도시한 단면도. Figure 5 is a cross-sectional view showing a longitudinal section of the accompanying drawings Figure 4;
도 6은 본 발명의 포트부에 다수의 기밀수단이 마련된 예를 도시한 사시도.6 is a perspective view showing an example in which a plurality of airtight means are provided in the port portion of the present invention.
도 7은 본 발명에 도구(내시경)가 인입되는 상태를 도시한 단면도.7 is a cross-sectional view showing a state in which a tool (endoscope) is inserted into the present invention.
도 8은 본 발명에서 도구가 인출되는 상태를 도시한 단면도.Figure 8 is a cross-sectional view showing a state in which the tool is withdrawn in the present invention.
이와 같이 제시하는 첨부 도면을 참고로 본 발명을 설명하면 다음과 같다.The present invention will be described with reference to the accompanying drawings presented as described above.
본 발명의 제1실시예인 내시경용 밀봉포트(10)는 첨부 도면 도 3 내지 도 5에 도시된 바와 같이, 내시경용 밀봉포트(10)에 있어서, 내시경용 인입유지도구(1)의 내시경 도입부(2) 또는 상기 도입부(2)에 결합되는 포트부(11)에 겔 타입의 기밀수단(12 ; 氣密)을 마련하여서 된 것일 수 있다.The sealing port 10 for an endoscope according to the first embodiment of the present invention is, in the sealing port 10 for an endoscope, as shown in the accompanying drawings FIGS. 3 to 5, the endoscope introduction part ( 2) Or may be provided by providing a gel-type airtight means (12; 氣密) in the port portion 11 coupled to the introduction portion (2).
여기서, 본 발명 중 상기 인입유지도구(1)에 동일체로 마련되는 도입부(2) 또는 상기 인입유지도구(1)와 별도로 마련되어 도입부(2)에 착탈 가능하도록 체결되는 포트부(11)는 선단부 내경에 기밀수단(12)이 수용되는 확장공간이 형성된 것일 수 있다.Here, in the present invention, the introduction part 2 provided in the same body in the introduction part 1 or the port part 11 provided separately from the introduction part 1 and fastened to be detachably attached to the introduction part 2 has an inner diameter of the front end It may be that the expansion space in which the airtight means 12 is accommodated is formed.
한편, 본 발명 중 상기 기밀수단(12)은 도입부(2) 또는 포트부(11)의 수술도구(T)가 인입/인출되는 경로 상에 위치하는 것일 수 있다.On the other hand, in the present invention, the airtight means 12 may be positioned on a path through which the surgical tools T of the introduction part 2 or the port part 11 are in/out.
또한, 상기 기밀수단(12)은 도입부(2) 또는 포트부(11)는 선단부 내경에 형성된 확장공간에 채워진 것일 수 있다.In addition, the airtight means 12 may be the introduction portion 2 or the port portion 11 is filled in the expansion space formed in the inner diameter of the front end.
또한, 상기 기밀수단(12)은 외부 노출면에 살균 및 항균성 물질이 포함된 살균층(13)이 더 마련될 수도 있다.In addition, the hermetic means 12 may be further provided with a sterilization layer 13 containing a sterilizing and antimicrobial material on the external exposed surface.
또한, 상기 기밀수단(12)은 수술도구(T)의 인입 경로를 따라 관통 개방상태에서 점성에 의해 관통부위가 폐쇄되고 수술도구(T)의 인입시에만 개방되는 관통부(12a)가 더 마련될 수도 있다.In addition, the airtight means 12 is further provided with a penetrating part 12a that is closed by viscous in the through-open state along the insertion path of the surgical tool T and is opened only when the surgical tool T is retracted. It could be.
상기와 같은 본 발명의 포트부(11)는 첨부 도면 도 6에 도시된 바와 같이, 2~4개의 경로가 마련되고, 각 경로에 기밀수단(121)(122)(123)이 독립적으로 마련된 것일 수도 있다.The port part 11 of the present invention as described above is provided with 2 to 4 paths, as shown in the accompanying drawings FIG. 6, and the airtight means 121, 122, 123 are independently provided in each path. May be.
상기와 같은 본 발명의 기밀수단(12)은 기압에 의해 형체가 와해되지 않고, 수술도구(T)의 인입 압력에 의해 관통되고 수술도구(T)의 인출 후 원형 복원되는 안정성을 갖는 것일 수 있다.The airtight means 12 of the present invention as described above is not disintegrated by air pressure, is penetrated by the inlet pressure of the surgical tool (T), and has a stability that is restored to its original shape after withdrawal of the surgical tool (T). .
이때, 상기 기밀수단(12)은 고분자 단량체, 수용성 키토산 및 염을 포함하는 하이드로겔 조성물인 것일 수 있다.At this time, the hermetic means 12 may be a hydrogel composition containing a polymer monomer, water-soluble chitosan and salt.
또한, 상기 기밀수단(12)은 고분자 단량체, 수용성 키토산 및 염을 포함하는 하이드로겔 조성물로부터 방사선 조사에 의하여 상기 고분자 단량체 및 수용성 키토산을 가교 중합하여 수득한 하이드로겔인 것일 수 있다.In addition, the hermetic means 12 may be a hydrogel obtained by crosslinking polymerization of the polymeric monomer and the water-soluble chitosan by irradiation from a hydrogel composition containing a polymeric monomer, a water-soluble chitosan and a salt.
이와 같이 되는 본 발명의 작용을 설명하면 다음과 같다.The operation of the present invention will be described as follows.
본 발명의 제1실시예는 첨부 도면 3 내지 도 5에 도시된 바와 같이, 내시경용 밀봉포트(10)에 있어서, 내시경용 인입유지도구(1)의 내시경 도입부(2) 또는 상기 도입부(2)에 결합되는 포트부(11)에 겔 타입의 기밀수단(12 ; 氣密)을 마련하여서 된 내시경용 밀봉포트(10)이다.In the first embodiment of the present invention, as shown in the accompanying drawings 3 to 5, in the sealing port 10 for an endoscope, the endoscope introduction part 2 or the introduction part 2 of the endoscope retraction tool 1 It is a sealing port 10 for an endoscope made by providing a gel-type airtight means 12 in the port portion 11 coupled to the port portion 11.
여기서, 본 발명 중 상기 인입유지도구(1)는 내시경용 어댑터(Y 어댑터), 세퍼레이터 또는 트로카를 포함한 각종 수술 내지 시술 도구가 인입, 유지, 인출되는 경로를 제공하는 지지 도구이면 만족한다.Here, in the present invention, the retractable guidance tool 1 is satisfied as long as it is a support tool that provides a path through which various surgical or surgical tools including an endoscope adapter (Y adapter), a separator, or a trocar are inserted, maintained, and withdrawn.
상기 인입유지도구(1)에 동일체로 마련되는 도입부(2) 또는 상기 인입유지도구(1)와 별도로 마련되어 도입부(2)에 착탈 가능하도록 체결되는 포트부(11)는 선단부 내경에 기밀수단(12)이 수용되는 확장공간이 형성되는 것이 바람직하다.The introduction part 2 provided in the same body in the introduction part 1 or the port part 11 provided separately from the introduction part 2 and fastened to the introduction part 2 is airtight means 12 at the inner diameter of the tip part. ) It is preferable that the expansion space to be accommodated is formed.
이와 같이 확장공간이 형성되어야만, 반 고체 상태의 겔인 기밀수단(12)이 정확한 위치에서 안정적으로 형체를 유지하면서 지지된다.Only when the expansion space is formed in this way, the hermetic means 12, which is a semi-solid gel, is supported while stably maintaining the shape at the correct position.
한편, 본 발명 중 상기 포트부(11)는 첨부 도면 도 6에 도시된 바와 같이, 상부면에 2~4개의 경로가 마련되고, 각 경로에 기밀수단(121)(122)(123)이 독립적으로 마련되는 것도 바람직하다.On the other hand, in the present invention, the port part 11 is provided with 2 to 4 paths on the upper surface, as shown in the accompanying drawings FIG. 6, and the airtight means 121, 122, 123 are independent in each path. It is also preferable to be provided with.
이와 같이 단일의 포트부(11)에 다수의 기밀수단(121)(122)(123)이 독립적으로 마련될 경우, 특정 부위에 조밀하면서도 집중적으로 다수의 수술도구(T)를 인입시켜 수술하게 되는 상황에서 각각 인입되는 수술도구(T)들의 조작이 상호 간섭없이 이루어지도록 하는 것이 가능하다. In this way, when a plurality of airtight means 121, 122, 123 are independently provided in a single port part 11, a plurality of surgical tools (T) are densely and intensively inserted into a specific area to perform surgery. In the situation, it is possible to make the operation of each of the surgical instruments (T) that are introduced without mutual interference.
또 한편, 본 발명 중 상기 기밀수단(12)은 도입부(2) 또는 포트부(11)의 수술도구(T)가 인입/인출되는 경로 전체 또는 일부분에 위치하는 것이 바람직하며, 예시적으로, 앞서 언급한 바와 같이 상기 도입부(2) 또는 포트부(11)는 선단부 내경에 형성된 확장공간에 채워지는 것이 바람직하다.On the other hand, in the present invention, the airtight means 12 is preferably located in the entire or part of the path through which the surgical tool (T) of the introduction part (2) or the port part (11) is drawn in/out. As mentioned, the introduction part 2 or the port part 11 is preferably filled in the expansion space formed in the inner diameter of the tip part.
또한, 상기 기밀수단(12)은 외부 노출면에 살균 및 항균성 물질이 포함된 살균층(13)이 더 마련되는 것이 바람직하다.In addition, the hermetic means 12 is preferably further provided with a sterilization layer 13 containing a sterilizing and antimicrobial material on the external exposed surface.
이와 같이 살균층(13)이 더 마련될 경우, 상기 수술도구(T)가 인입되는 과정에서 개방되는 기밀수단(12) 틈으로 세균이 침투하거나, 상기 수술도구(T) 표면에 존재하는 세균이 침투하는 것을 인입단 초입에서 부터 원천적으로 차단 살균하게 된다. When the sterilization layer 13 is further provided in this way, bacteria penetrate into the gap of the airtight means 12 that is opened during the procedure of the surgical tool T being inserted, or bacteria existing on the surface of the surgical tool T It basically blocks and sterilizes infiltration from the entrance of the inlet end.
또한, 상기 기밀수단(12)은 수술도구(T)의 인입 경로를 따라 관통 개방상태에서 점성에 의해 관통부위가 폐쇄되고 수술도구(T)의 인입시에만 개방되는 관통부(12a)가 더 마련된 것도 바람직하다.In addition, the airtight means 12 is further provided with a penetrating portion 12a that is closed by viscous in a penetrating open state along the insertion path of the surgical tool T and is opened only when the surgical tool T is brought in. It is also desirable.
이와 같이 관통부(12a)가 더 마련될 경우, 상기 수술도구(T)가 정확한 위치와 각도로 인입되도록 유도하는 것이 가능하다.When the through part 12a is further provided as described above, it is possible to induce the surgical tool T to be inserted at an accurate position and angle.
상기와 같은 본 발명의 기밀수단(12)은 기압에 의해 형체가 와해되지 않고, 수술도구(T)의 인입 압력에 의해 관통되고 수술도구(T)의 인출 후 원형 복원되는 안정성을 갖는 것이 바람직한데, 그 실시예적으로, 상기 기밀수단(12)은 고분자 단량체, 수용성 키토산 및 염을 포함하는 하이드로겔 조성물인 것이 바람직하며, 특히 고분자 단량체, 수용성 키토산 및 염을 포함하는 하이드로겔 조성물로부터 방사선 조사에 의하여 상기 고분자 단량체 및 수용성 키토산을 가교 중합하여 수득한 하이드로겔인 것이 더 바람직하다.It is preferable that the airtight means 12 of the present invention as described above is not broken by air pressure, is penetrated by the inlet pressure of the surgical tool (T), and is restored to its original shape after withdrawal of the surgical tool (T). , In the embodiment, the hermetic means 12 is preferably a hydrogel composition comprising a polymer monomer, a water-soluble chitosan and a salt, and in particular, by irradiation from a hydrogel composition comprising a polymer monomer, a water-soluble chitosan and a salt It is more preferable that it is a hydrogel obtained by crosslinking polymerization of the polymeric monomer and water-soluble chitosan.
참고로, 상기 고분자 단량체로는 통상적으로 하이드로겔의 제조에 사용될 수 있는 고분자 단량체는 모두 사용될 수 있으나, 아크릴산 및 비닐피롤리돈을 포함하는 것이 바람직하고, 더욱 바람직하게는 상기에 더하여 폴리에틸렌글리콜디메타크릴레이트를 포함한다.For reference, as the polymeric monomer, all polymeric monomers that can be used in the manufacture of a hydrogel can be used, but it is preferable to include acrylic acid and vinylpyrrolidone, and more preferably, polyethylene glycol dimeta in addition to the above. Contains acrylate.
고분자 단량체는 하이드로겔 조성물 총중량에 대하여 40 내지 50 중량%로 포함하는 것이 바람직하고, 구체적으로는 30 내지 40 중량%의 비닐피롤리돈, 5 내지 15중량%의 아크릴산 및 0 내지 2 중량%의 폴레에틸렌글리콜디메타크릴레이트를 포함한다.The polymeric monomer is preferably included in an amount of 40 to 50% by weight based on the total weight of the hydrogel composition, and specifically, 30 to 40% by weight of vinylpyrrolidone, 5 to 15% by weight of acrylic acid, and 0 to 2% by weight of polar Ethylene glycol dimethacrylate is included.
상기 수용성 키토산은 시판되는 키토산 유도체를 사용할 수 있다.As the water-soluble chitosan, a commercially available chitosan derivative may be used.
자연계에 존재하는 키토산은 불용성이지만, 산(acids)으로부터 양성자를 받아 유도체가 되면 수용성이 된다.Chitosan, which exists in nature, is insoluble, but becomes water-soluble when it receives protons from acids and becomes a derivative.
구체적으로 본 고안에서는 하이드로겔 조성물 총중량에 대하여 3 내지 10 중량%의 수용성 키토산을 포함하는 것이 바람직하다.Specifically, in the present invention, it is preferable to include 3 to 10% by weight of water-soluble chitosan based on the total weight of the hydrogel composition.
생체의료용 재료(biomedical materials)의 생물학적 안정성을 확보하기 위해서는 미생물로부터의 오염방지 관리가 매우 중요하다. 미생물에 오염된 생체의료용 재료가 인체와 접촉하였을 때 환자의 상태에 따라서, 특히 수술이 진행되는 환자의 경우에는 치명적인 결과를 초래할 수 있다. 미생물은 액체안에서 부유해 있는 상태보다 생체의료용 재료표면에 부착되어 있는 상태를 선호하며 하이드로겔 점착제의 경우 상기와 같은 미생물의 오염에 노출될 염려가 매우 크다. 미생물의 유착에 관여하는 요소들로는 미생물의 종류, 표면 전하와 같은 미생물의 특성과 재료의 화학적 조성, 그리고 표면 전하, 소수성(Hydrophobicity), 거칠기, 표면 에너지 등과 같은 재료 표면의 특성이 있다.In order to secure the biological stability of biomedical materials, it is very important to prevent contamination from microorganisms. When a biomedical material contaminated with microorganisms comes into contact with the human body, it may cause fatal consequences depending on the condition of the patient, especially in the case of a patient undergoing surgery. Microorganisms prefer a state attached to the surface of a biomedical material rather than a state suspended in a liquid, and in the case of a hydrogel adhesive, there is a great risk of being exposed to contamination by microorganisms as described above. Factors involved in the adhesion of microorganisms include the type of microorganism, characteristics of the microorganism such as surface charge, chemical composition of the material, and characteristics of the material surface such as surface charge, hydrophobicity, roughness, and surface energy.
키토산은 생체적합성, 항균성, 생체치유성 등이 우수하여 생체의료용 재료로 유용하며 키토산 수용액을 방사선 가교 방법을 이용하여 가교화시키면 점착성이 우수한 고분자젤을 제조할 수 있다. 또한 키토산을 폴리비닐락탐, 폴리비닐피롤리돈, 아크릴산, 아크릴아마이드 등의 합성 고분자와 혼합한 다음 방사선 가교시켜 하이드로겔을 제조할 수 있으며, 상기 방법의 경우 점착성, 기계적 성질, 함수성 등이 우수하여 인공장기 재료를 포함한 생체의료용 재료 전반에 유용하게 이용되고 있다.Chitosan is useful as a biomedical material because of its excellent biocompatibility, antibacterial properties, and bio-healing properties, and a polymer gel having excellent adhesion can be prepared by crosslinking an aqueous chitosan solution using a radiation crosslinking method. In addition, a hydrogel can be prepared by mixing chitosan with synthetic polymers such as polyvinyl lactam, polyvinylpyrrolidone, acrylic acid, acrylamide, etc., and then crosslinking with radiation. Therefore, it is usefully used in overall biomedical materials including artificial organ materials.
상기와 같은 본 발명은 첨부 도면 도 5에 도시된 바와 같이, 내시경용 인입유지도구(1)의 내시경 도입부(2) 또는 상기 도입부(2)에 결합되는 포트부(11)에 마련된 겔 타입의 기밀수단(12)을 통해 상기 수술도구(T)가 인입되어 수술이 이루어진 후 인출되도록 한다,As shown in the accompanying drawings Figure 5, the present invention as described above is a gel-type airtight provided in the endoscope introduction portion (2) or the port portion (11) coupled to the introduction portion (2) of the endoscope inlet maintenance tool (1). The surgical tool (T) is pulled in through the means (12) so that it is pulled out after the surgery is performed,
이러한 본 발명은 내시경용 인입유지도구(1)의 내시경 도입부(2) 또는 상기 도입부(2)에 결합되는 포트부(11)에 겔 타입의 기밀수단(12)을 마련하여, 상기 내시경의 도입부(2) 또는 포트부(11)가 완벽하게 밀봉된 상태를 유지하도록 함으로써, 체내 용액 역류 또는 가스 유출을 완벽히 차단하는 것이 가능하다.The present invention provides a gel-type airtight means 12 in the endoscope introduction part 2 of the endoscope inlet maintenance tool 1 or the port part 11 coupled to the introduction part 2, and the introduction part of the endoscope ( 2) Or, by keeping the port part 11 completely sealed, it is possible to completely block the backflow of the solution in the body or outflow of gas.
또한, 본 발명은 상기와 같이 상기 내시경의 도입부(2) 또는 포트부(11)가 완벽하게 밀봉된 상태를 유지하도록 하여, 체내 용액 또는 혈액의 유출을 방지함으로써, 용액 또는 혈액이 술자의 몸에 노출되는 위험을 방지하는 것이 가능하다.In addition, the present invention keeps the inlet portion 2 or the port portion 11 of the endoscope in a completely sealed state as described above, thereby preventing the outflow of the solution or blood in the body, so that the solution or blood is transferred to the body of the operator. It is possible to avoid the risk of being exposed.
또한, 본 발명은 상기와 같이 상기 내시경의 도입부(2) 또는 포트부(11)가 완벽하게 밀봉된 상태를 유지하도록 하여, 높은 유압 및 공기압을 유지할 수 있도록 함으로써, 명확한 수술 시야 확보가 이루어지도록 하는 것이 가능하다.In addition, the present invention allows the introduction part 2 or the port part 11 of the endoscope to be maintained in a completely sealed state as described above, so that high hydraulic pressure and pneumatic pressure can be maintained, thereby ensuring a clear surgical field of view. It is possible.
또한, 본 발명은 상기 도입부(2) 또는 포트부(11)에 마련되는 겔 타입의 기밀수단(12)이 기존 플라스틱 또는 고무로 이루어진 포트에 비해 유연성과 내구성을 유지함으로써, 장시간 또는 수차례 수술에도 밀봉성이 유지되도록 하는 것이 가능하다.In addition, the present invention maintains the flexibility and durability of the gel-type airtight means 12 provided in the introduction part 2 or the port part 11 compared to a port made of conventional plastic or rubber, so that it can be operated for a long time or several times. It is possible to ensure that the sealability is maintained.
또한, 본 발명은 첨부 도면 도 7에 도시된 바와 같이, 상기 수술도구(T)가 기밀수단(12)으로 인입되면서 접하는 부위에서 상기 수술도구(T) 표면에 존재하는 세균이나 이물질이 살균 및 제거되도록 함으로써, 수술의 안전성 및 위생성을 확보하는 것이 가능하다.In addition, the present invention is a sterilization and removal of bacteria or foreign substances present on the surface of the surgical tool (T) at a portion where the surgical tool (T) is brought into the airtight means (12) as shown in FIG. By doing so, it is possible to ensure the safety and hygiene of surgery.
또한, 본 발명은 첨부 도면 도 8에 도시된 바와 같이, 상기 수술도구(T)가 기밀수단(12)으로부터 인출되면서 접하는 부위에서 상기 수술도구(T)의 표면에 묻은 피술자의 용액이나 혈액 및 조직이 닦이도록 함으로써, 피술자의 용액이나 혈액 및 조직이 외부로 유출되는 것을 방지하는 것이 가능하다. In addition, the present invention, as shown in the accompanying drawings Figure 8, the surgical tool (T) is drawn out from the airtight means (12) in contact with the solution or blood and tissue of the subject on the surface of the surgical tool (T) By wiping the teeth, it is possible to prevent the solution, blood, and tissue of the subject from leaking to the outside.
그리고, 본 발명의 제2실시예인 내시경용 밀봉포트(10)는 첨부 도면 도 9 및 도 10에 도시된 바와 같이, 내시경용 인입유지도구(1)의 내시경 도입부(2)(2') 또는 상기 도입부(2)(2')에 결합되는 포트부(11) 내에 마련되는 겔 타입의 기밀수단(12); 상기 기밀수단(12)의 수술도구(T) 인입 경로를 따라 관통된 상태에서 점성에 의해 폐쇄되고 수술도구(T)의 인입시에만 개방되는 관통부(12a); 상기 관통부(12a)의 인입 단부에 홈 형태로 마련되어, 수술도구(T)의 인입 부위에 대한 시인성을 제공하면서 정확한 인입을 유도하는 인입유도수단(12c); 을 마련하여서 된 것일 수 있다.And, as shown in the accompanying drawings 9 and 10, the sealing port 10 for the endoscope according to the second embodiment of the present invention, the endoscope introduction portion (2) (2') of the endoscope inlet maintenance tool (1) or the above Gel-type airtight means 12 provided in the port portion 11 coupled to the introduction portion 2 (2'); A through part (12a) that is closed by viscous in the state of being penetrated along the surgical tool (T) inlet path of the airtight means (12) and is opened only when the surgical tool (T) is inserted; A retracting induction means (12c) provided in the form of a groove at the retracting end of the through portion (12a), providing visibility to the retracting portion of the surgical tool (T), and inducing accurate retraction; It may have been made by preparing.
여기서, 본 발명 중 상기 인입유도부(12c)는 ' ' 또는 ' ' 형태의 홈인 것일 수 있다.Here, the inlet guide portion (12c) of the invention may be '∨' or '∪' in the form of grooves.
이때, 본 발명의 상기 인입유도부(12c)의 깊이는 관통부(12a)의 전체 길이 중 10~50% 인 것일 수 있다.In this case, the depth of the lead-in induction part 12c of the present invention may be 10 to 50% of the total length of the through part 12a.
또한, 본 발명의 상기 인입유도부(12c)의 표면 색상은 기밀수단(12)의 색상과 상이한 것일 수 있다.In addition, the color of the surface of the lead-in induction part 12c of the present invention may be different from the color of the airtight means 12.
이때, 본 발명의 상기 인입유도부(12c)의 표면 색상은 적색 또는 백색인 것일 수 있다.In this case, the surface color of the lead-in induction part 12c of the present invention may be red or white.
이에 더하여, 본 발명은 첨부 도면 도 11에 도시된 바와 같이, 상기 기밀수단(12)의 관통부(12a)에 인입되면서 관통부(12a)를 확장시킨 상태에서 수술도구(T)의 인입을 유도하는 도구유도수단(15)이 더 마련될 수 있다.In addition, the present invention induces the insertion of the surgical tool (T) in a state in which the through part (12a) is expanded while being inserted into the through part (12a) of the airtight means (12), as shown in FIG. The tool guiding means 15 may be further provided.
상기 도구유도수단(15)은 상광하협의 깔대기 타입의 관통체일 수 있다.The tool guiding means 15 may be a funnel-type penetrating body of the upper gwang-hahyeop.
이때, 상기 도구유도수단(15)의 상단 외경에는 조작용 플랜지가 마련될 수 있다.At this time, a flange for manipulation may be provided on the outer diameter of the upper end of the tool guiding means 15.
이와 같이 되는 본 발명의 작용을 설명하면 다음과 같다.The operation of the present invention will be described as follows.
본 발명의 제2실시예는 첨부 도면 도 9 및 도 10에 도시된 바와 같이, 내시경용 인입유지도구(1)의 내시경 도입부(2)(2') 또는 상기 도입부(2)(2')에 결합되는 포트부(11) 내에 마련되는 겔 타입의 기밀수단(12); 상기 기밀수단(12)의 수술도구(T) 인입 경로를 따라 관통된 상태에서 점성에 의해 폐쇄되고 수술도구(T)의 인입시에만 개방되는 관통부(12a); 상기 관통부(12a)의 인입 단부에 홈 형태로 마련되어, 수술도구(T)의 인입 부위에 대한 시인성을 제공하면서 정확한 인입을 유도하는 인입유도부(12c); 를 마련하여서 된 내시경용 밀봉포트(10)이다.In the second embodiment of the present invention, as shown in the accompanying drawings FIGS. 9 and 10, the endoscope introduction part 2 (2') or the introduction part (2) (2') of the endoscope retracting tool (1). Gel-type airtight means 12 provided in the port portion 11 to be coupled; A through part (12a) that is closed by viscous in the state of being penetrated along the surgical tool (T) inlet path of the airtight means (12) and is opened only when the surgical tool (T) is inserted; A retraction guide portion 12c provided in the shape of a groove at the retracting end of the through portion 12a to induce accurate retraction while providing visibility to the retracting portion of the surgical tool T; It is a sealing port 10 for an endoscope made by providing.
이와 같이 된 본 발명은 내시경용 인입유지도구(1)의 내시경 도입부(2)(2') 또는 상기 도입부(2)(2')에 결합되는 포트부(11)에 겔 타입의 기밀수단(12)을 마련하여, 상기 내시경 도입부(2)(2') 또는 포트부(11)가 완벽하게 밀봉된 상태에서 도구(T)의 삽입과 인출 및 삽입 상태를 유지하도록 함으로써, 체내 용액 역류 또는 가스 유출을 완벽히 차단한다.In the present invention as described above, the gel-type airtight means 12 in the port portion 11 coupled to the endoscope introduction portion 2 (2') or the introduction portion (2) (2') of the endoscope lead-in guide (1). ) To maintain the insertion, withdrawal, and insertion of the tool (T) while the endoscope introduction portion (2) (2') or the port portion (11) is completely sealed, so that the body solution reverse flow or outflow of gas. Block completely.
여기서, 본 발명 중 상기 인입유도부(12c)는 ' ' 또는 ' ' 형태의 홈인 것이 바람직하다.Here, the inlet guide portion (12c) of the present invention are preferably '∨' or '∪' in the form of grooves.
이와 같이 되면, 수술도구(T)를 기밀수단(12)에 삽입할 때 정확한 위치를 쉽게 파악하고 정확하게 삽입 가능하도록 한다.In this way, when inserting the surgical tool (T) into the airtight means (12), the exact position can be easily grasped and accurately inserted.
또한, 본 발명의 상기 인입유도부(12c)의 깊이는 관통부(12a)의 전체 길이 중 10~50%인 것이 바람직하다.In addition, it is preferable that the depth of the induction guide portion 12c of the present invention is 10 to 50% of the total length of the through portion 12a.
이와 같이 되면, 수술도구(T)를 기밀수단(12)에 삽입할 때 수술도구(T)가 관통부(12a)를 벗어나서 기밀수단(12)의 다른 부위로 삽입되면서 겔 부분이 훼손되는 것을 방지하게 된다.In this way, when the surgical tool (T) is inserted into the airtight means (12), the surgical tool (T) escapes from the penetrating part (12a) and is inserted into the other part of the airtight means (12) to prevent damage to the gel part. It is done.
또한, 본 발명의 상기 인입유도부(12c)의 표면 색상은 기밀수단(12)의 색상과 상이한 것이 바람직하며, 이때, 본 발명의 상기 인입유도부(12c)의 표면 색상은 적색 또는 백색인 것을 실시예로 한다.In addition, it is preferable that the color of the surface of the lead-in induction part 12c of the present invention is different from the color of the airtight means 12, and at this time, the color of the surface of the induction induction part 12c of the present invention is red or white. It should be.
이와 같이 되면, 수술도구(T)를 기밀수단(12)에 삽입할 때 인입유도부(12c)의 정확한 위치를 쉽게 파악하고 정확하게 삽입이 이루어지도록 한다.In this way, when inserting the surgical tool (T) into the airtight means (12), it is easy to grasp the exact position of the induction guide portion (12c) and to be accurately inserted.
그리고, 본 발명은 첨부 도면 도 11에 도시된 바와 같이, 상기 기밀수단(12)의 관통부(12a)에 인입되면서 관통부(12a)를 확장시킨 상태에서 수술도구(T)의 인입을 유도하는 도구유도수단(15)이 더 마련되는 것이 바람직하다.And, the present invention, as shown in the accompanying drawings, the through portion (12a) of the airtight means (12) to induce the insertion of the surgical tool (T) in a state in which the through portion (12a) is expanded. It is preferable that the tool guiding means 15 is further provided.
상기 도구유도수단(15)은 상광하협의 깔대기 타입의 관통체인 것을 실시예로 하며, 상단 외경에는 조작용 플랜지가 마련된다.The tool guiding means 15 is a funnel-type penetrating body of upper gwang-hahyup, and a flange for operation is provided at the top outer diameter.
이와 같이 되면, 상기 기밀수단(12)의 관통부(12a) 또는 인입유도부(12c)에 도구유도수단(15)을 삽입한 상태에서 수술도구(T)를 삽입할 수 있도록 함으로써, 수술도구(T)를 겔 상태의 기밀수단(12)에 삽입 또는 인출하거나, 수술을 위한 각도조절을 포함한 유동으로부터 기밀수단(12)이 훼손되는 것을 방지하는 것이 가능하다. In this way, by allowing the surgical tool (T) to be inserted in the state where the tool guide means (15) is inserted into the penetrating portion (12a) or the retracting guide section (12c) of the airtight means (12), the surgical tool (T ) It is possible to prevent damage to the hermetic means 12 from the flow including the insertion or withdrawal of the gel-like hermetic means 12, or the angle adjustment for surgery.
상기와 같은 본 발명은 첨부 도면 도 12 및 도 13에 도시된 바와 같이, 내시경용 인입유지도구(1)의 내시경 도입부(2)(2') 또는 상기 도입부(2)에 결합되는 포트부(11)에 마련된 겔 타입의 기밀수단(12)을 통해 상기 수술도구(T)가 인입되어 수술이 이루어진 후 인출되도록 한다.The present invention as described above, as shown in the accompanying drawings 12 and 13, the endoscope introduction portion (2) (2') of the endoscope inlet maintenance tool (1) or the port portion (11) coupled to the introduction portion (2). The surgical tool (T) is inserted through the gel-type airtight means 12 provided in) to be withdrawn after the operation is performed.
이러한 본 발명은 내시경용 인입유지도구(1)의 내시경 도입부(2)(2') 또는 상기 도입부(2)(2')에 결합되는 포트부(11)에 겔 타입의 기밀수단(12)을 마련하여, 상기 내시경의 도입부(2) 또는 포트부(11)가 완벽하게 밀봉된 상태를 유지하도록 함으로써, 체내 용액 역류 또는 가스 유출을 완벽히 차단하는 것이 가능하다.In this invention, a gel-type airtight means 12 is provided in the endoscope introduction part 2 (2') of the endoscope inlet maintenance tool (1) or the port part 11 coupled to the introduction part (2) (2'). By providing, it is possible to completely block the backflow of the solution or outflow of gas in the body by keeping the introduction part 2 or the port part 11 of the endoscope in a completely sealed state.
또한, 본 발명은 상기와 같이 상기 내시경의 도입부(2)(2') 또는 포트부(11)가 완벽하게 밀봉된 상태를 유지하도록 하여, 체내 용액 또는 혈액의 유출을 방지함으로써, 용액 또는 혈액이 술자의 몸에 노출되는 위험을 방지한다.In addition, the present invention is to maintain a completely sealed state of the introduction portion (2) (2') or the port portion (11) of the endoscope, as described above, to prevent leakage of the solution or blood in the body, so that the solution or blood Prevents the risk of exposure to the operator's body.
또한, 본 발명은 상기와 같이 상기 내시경의 도입부(2)(2') 또는 포트부(11)가 완벽하게 밀봉된 상태를 유지하도록 하여, 높은 유압 및 공기압을 유지할 수 있도록 함으로써, 명확한 수술 시야 확보가 이루어지도록 한다.In addition, the present invention ensures that the introduction part (2) (2') or the port part (11) of the endoscope is kept completely sealed, so that high hydraulic pressure and pneumatic pressure can be maintained, thereby ensuring a clear surgical field of view. Is done.
또한, 본 발명은 상기 도입부(2)(2') 또는 포트부(11)에 마련되는 겔 타입의 기밀수단(12)이 기존 플라스틱 또는 고무로 이루어진 포트에 비해 유연성과 내구성을 유지함으로써, 장시간 또는 수차례 수술에도 밀봉성이 유지되도록 한다.In addition, the present invention is a gel-type airtight means 12 provided in the introduction part 2 (2') or the port part 11 maintains flexibility and durability compared to a port made of conventional plastic or rubber, Keep the sealing properties even after several surgeries.
또한, 본 발명은 상기 수술도구(T)가 기밀수단(12)으로 인입되면서 접하는 부위에서 상기 수술도구(T) 표면에 존재하는 세균이나 이물질이 살균 및 제거되도록 함으로써, 수술의 안전성 및 위생성을 확보하는 것이 가능하다.In addition, the present invention secures the safety and hygiene of surgery by sterilizing and removing bacteria or foreign substances present on the surface of the surgical tool (T) at the area where the surgical tool (T) is brought into the airtight means (12). It is possible to do.
또한, 본 발명은 상기 수술도구(T)가 기밀수단(12)으로부터 인출되면서 접하는 부위에서 상기 수술도구(T)의 표면에 묻은 피술자의 용액이나 혈액 및 조직이 닦이도록 함으로써, 피술자의 용액이나 혈액 및 조직이 외부로 유출되는 것을 방지하는 것이 가능하다. In addition, the present invention is to wipe the solution or blood and tissue of the subject on the surface of the surgical tool (T) at the area where the surgical tool (T) is drawn out from the airtight means (12), And it is possible to prevent the tissue from leaking to the outside.
또한, 상기와 같은 본 발명은 첨부 도면 도 14 및 도 15에 도시된 바와 같이, 상기 기밀수단(12)의 관통부(12a)에 인입되면서 관통부(12a)를 확장시킨 상태에서 수술도구(T)의 인입을 유도하는 도구유도수단(15)이 더 마련되어, 상기 기밀수단(12)의 관통부(12a) 또는 인입유도부(12c)에 도구유도수단(15)을 삽입한 상태에서 수술도구(T)를 삽입할 수 있도록 함으로써, 수술도구(T)를 겔 상태의 기밀수단(12)에 삽입 또는 인출하거나, 수술을 위한 각도조절을 포함한 유동으로부터 기밀수단(12)이 훼손되는 것을 방지하는 것이 가능하다.In addition, the present invention as described above, as shown in the accompanying drawings 14 and 15, the surgical tool (T ) Is further provided with a tool guiding means 15 for inducing the insertion of the surgical tool (T) in a state in which the tool guiding means 15 is inserted into the penetrating portion 12a of the airtight means 12 or the insertion guiding portion 12c. ), it is possible to prevent the surgical tool (T) from being damaged from the flow including the insertion or withdrawal of the gel-like airtight means (12), or the angle adjustment for surgery. Do.
상기 도구유도수단(15)은 상광하협의 깔대기 타입의 관통체로서, 상단 외경에는 조작용 플랜지가 마련되어 있어, 술자가 플랜지를 손으로 잡고 기밀수단(12)의 관통부(12a) 또는 인입유도부(12c)에 대해 삽입 또는 인출이 용이하게 이루어지도록 한다.The tool guiding means 15 is a funnel-type penetrating body of upper gwang-ha narrow, and an operation flange is provided on the upper outer diameter, so that the operator holds the flange by hand and the penetrating portion 12a of the airtight means 12 or the lead-in induction portion ( 12c) should be easily inserted or withdrawn.
이상, 본 발명을 본 발명의 원리를 예시하기 위한 바람직한 실시예와 관련하여 설명하고 도시하였지만, 본 발명은 그와 같이 도시되고 설명된 그대로의 구성 및 작용으로 한정되는 것이 아니다. As described above, the present invention has been described and illustrated in connection with a preferred embodiment for illustrating the principle of the present invention, but the present invention is not limited to the configuration and operation as illustrated and described as such.
그 밖에도, 첨부된 청구범위의 사상 및 범주를 일탈함이 없이 본 발명에 대한 다수의 변경 및 수정이 가능함을 당업자들은 잘 이해할 수 있을 것이다. In addition, it will be well understood by those skilled in the art that many changes and modifications can be made to the present invention without departing from the spirit and scope of the appended claims.
따라서, 그러한 모든 적절한 변경 및 수정과 균등물들도 본 발명의 범위에 속하는 것으로 간주되어야 할 것이다.Accordingly, all such appropriate changes and modifications and equivalents should be considered to be within the scope of the present invention.

Claims (17)

  1. 내시경용 밀봉포트(10)에 있어서, In the endoscope sealing port 10,
    내시경용 인입유지도구(1)의 내시경 도입부(2) 또는 상기 도입부(2)에 결합되는 포트부(11)에 겔 타입의 기밀수단(12)을 마련하여서 된 것,A gel-type airtight means 12 is provided in the endoscope introduction part 2 of the endoscope inlet guide tool 1 or the port part 11 coupled to the introduction part 2,
    을 특징으로 하는 내시경용 밀봉포트.Sealing port for an endoscope, characterized in that.
  2. 청구항 1에 있어서,The method according to claim 1,
    상기 인입유지도구(1)는 내시경용 어댑터, 세퍼레이터 또는 트로카를 포함한 수술 내지 시술 도구가 인입, 유지, 인출되는 경로를 제공하는 도구인 것을 특징으로 하는 내시경용 밀봉포트.The retraction maintenance guidance tool (1) is a sealing port for an endoscope, characterized in that it is a tool that provides a path through which surgical or surgical tools including an endoscope adapter, a separator, or a trocar are retracted, maintained, and withdrawn.
  3. 청구항 1에 있어서,The method according to claim 1,
    상기 도입부(2) 또는 포트부(11)는 선단부 내경에 기밀수단(12)이 수용되는 확장공간이 형성된 것,The introduction part (2) or the port part (11) is formed with an expansion space in which the airtight means (12) is accommodated in the inner diameter of the tip part,
    을 특징으로 하는 내시경용 밀봉포트.Sealing port for an endoscope, characterized in that.
  4. 청구항 1에 있어서,The method according to claim 1,
    상기 기밀수단(12)은 도입부(2) 또는 포트부(11)는 선단부 내경에 형성된 확장공간에 채워진 것,The airtight means (12) is the introduction portion (2) or the port portion (11) is filled in the expansion space formed in the inner diameter of the tip,
    을 특징으로 하는 내시경용 밀봉포트.Sealing port for an endoscope, characterized in that.
  5. 청구항 1에 있어서,The method according to claim 1,
    상기 기밀수단(12)은 도입부(2) 또는 포트부(11)의 수술도구(T)가 인입/인출되는 경로 상에 위치하는 것,The airtight means 12 is located on the path through which the surgical tools (T) of the introduction part 2 or the port part 11 are in/out,
    을 특징으로 하는 내시경용 밀봉포트.Sealing port for an endoscope, characterized in that.
  6. 청구항 1에 있어서,The method according to claim 1,
    상기 기밀수단(12)은 외부 노출면에 살균 및 항균성 물질이 포함된 살균층(13)이 더 마련된 것,The airtight means 12 is further provided with a sterilization layer 13 containing a sterilizing and antimicrobial material on the external exposed surface,
    을 특징으로 하는 내시경용 밀봉포트.Sealing port for an endoscope, characterized in that.
  7. 청구항 1에 있어서,The method according to claim 1,
    상기 기밀수단(12)은 수술도구(T)의 인입 경로를 따라 관통 개방상태에서 점성에 의해 관통부위가 폐쇄되고, 수술도구(T)의 인입시 개방되는 관통부(12a)가 더 마련된 것,The airtight means 12 is provided with a through portion 12a that is closed by viscous in a through-open state along the insertion path of the surgical tool T, and a through part 12a that is opened when the surgical tool T is retracted,
    을 특징으로 하는 내시경용 밀봉포트.Sealing port for an endoscope, characterized in that.
  8. 청구항 1에 있어서,The method according to claim 1,
    상기 포트부(11)는 2~4개의 경로가 마련되고, 각 경로에 기밀수단(121)(122)(123)이 독립적으로 마련된 것,The port part 11 is provided with 2 to 4 paths, and airtight means 121, 122, 123 are independently provided in each path,
    을 특징으로 하는 내시경용 밀봉포트.Sealing port for an endoscope, characterized in that.
  9. 청구항 1에 있어서,The method according to claim 1,
    상기 기밀수단(12)은 기압에 의해 형체가 와해되지 않고, 수술도구(T)의 인입 압력에 의해 관통되고 수술도구(T)의 인출 후 원형 복원되는 안정성을 갖는 것,The airtight means 12 is not disintegrated by air pressure, is penetrated by the inlet pressure of the surgical tool (T) and has a stability that is restored to its original shape after the surgical tool (T) is withdrawn,
    을 특징으로 하는 내시경용 밀봉포트.Sealing port for an endoscope, characterized in that.
  10. 청구항 1에 있어서,The method according to claim 1,
    상기 기밀수단(12)은 고분자 단량체, 수용성 키토산 및 염을 포함하는 하이드로겔 조성물인 것,The hermetic means 12 is a hydrogel composition containing a polymeric monomer, a water-soluble chitosan and a salt,
    을 특징으로 하는 내시경용 밀봉포트.Sealing port for an endoscope, characterized in that.
  11. 청구항 1에 있어서,The method according to claim 1,
    상기 기밀수단(12)은 고분자 단량체, 수용성 키토산 및 염을 포함하는 하이드로겔 조성물로부터 방사선 조사에 의하여 상기 고분자 단량체 및 수용성 키토산을 가교 중합하여 수득한 하이드로겔인 것,The hermetic means 12 is a hydrogel obtained by crosslinking polymerization of the polymeric monomer and the water-soluble chitosan by irradiation from a hydrogel composition containing a polymeric monomer, a water-soluble chitosan and a salt,
    을 특징으로 하는 내시경용 밀봉포트.Sealing port for an endoscope, characterized in that.
  12. 내시경용 인입유지도구(1)의 내시경 도입부(2)(2') 또는 상기 도입부(2)(2')에 결합되는 포트부(11) 내에 마련되는 겔 타입의 기밀수단(12); A gel-type airtight means (12) provided in the endoscope introduction portion (2) (2') of the endoscope retracting guide (1) or the port portion (11) coupled to the introduction portion (2) (2');
    상기 기밀수단(12)의 수술도구(T) 인입 경로를 따라 관통된 상태에서 점성에 의해 폐쇄되고 수술도구(T)의 인입시에만 개방되는 관통부(12a); A through part (12a) that is closed by viscous in the state of being penetrated along the surgical tool (T) inlet path of the airtight means (12) and is opened only when the surgical tool (T) is inserted;
    상기 관통부(12a)의 인입 단부에 홈 형태로 마련되어, 수술도구(T)의 인입 부위에 대한 시인성을 제공하면서 정확한 인입을 유도하는 인입유도수단(12c); 을 마련하여서 된 것,A retracting induction means (12c) provided in the form of a groove at the retracting end of the through portion (12a), providing visibility to the retracting portion of the surgical tool (T), and inducing accurate retraction; By preparing
    을 특징으로 하는 내시경용 밀봉포트.Sealing port for an endoscope, characterized in that.
  13. 청구항 12에 있어서,The method of claim 12,
    상기 인입유도부(12c)는,The induction induction part 12c,
    ' ' 또는 ' ' 형태의 홈인 것,Will groove of '∨' or '∪' shape,
    을 특징으로 하는 내시경용 밀봉포트.Sealing port for an endoscope, characterized in that.
  14. 청구항 12에 있어서,The method of claim 12,
    상기 인입유도부(12c)의 깊이는,The depth of the induction guide portion 12c,
    관통부(12a)의 전체 길이 중 10~50%인 것,10 to 50% of the total length of the through portion 12a,
    을 특징으로 하는 내시경용 밀봉포트.Sealing port for an endoscope, characterized in that.
  15. 청구항 12에 있어서,The method of claim 12,
    상기 인입유도부(12c)의 표면 색상은,The surface color of the lead-in induction part 12c,
    기밀수단(12)의 색상과 상이한 것,Different from the color of the airtight means 12,
    을 특징으로 하는 내시경용 밀봉포트.Sealing port for an endoscope, characterized in that.
  16. 청구항 12에 있어서,The method of claim 12,
    상기 기밀수단(12)의 관통부(12a)에 인입되면서 관통부(12a)를 확장시킨 상태에서 수술도구(T)의 인입을 유도하는 도구유도수단(15)이 더 마련된 것,A tool guiding means 15 for inducing the insertion of the surgical tool T in the state where the through part 12a is expanded while being inserted into the through part 12a of the airtight means 12 is further provided,
    을 특징으로 하는 내시경용 밀봉포트.Sealing port for an endoscope, characterized in that.
  17. 청구항 16에 있어서,The method of claim 16,
    상기 도구유도수단(15)은,The tool guiding means 15,
    상광하협의 깔대기 타입의 관통체인 것,A funnel-type penetrating chain in the upper and lower side,
    을 특징으로 하는 내시경용 밀봉포트.Sealing port for an endoscope, characterized in that.
PCT/KR2020/015062 2019-11-01 2020-10-30 Seal port for endoscope WO2021086122A1 (en)

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KR1020190138692A KR20210052987A (en) 2019-11-01 2019-11-01 Seal port for endoscope
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KR1020200048039A KR102373706B1 (en) 2020-04-21 2020-04-21 Seal port for endoscope
KR10-2020-0048039 2020-04-21

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JP2006061688A (en) * 2004-08-25 2006-03-09 Tyco Healthcare Group Lp Gel seal for surgical trocar apparatus
KR20080112316A (en) * 2006-04-28 2008-12-24 킴벌리-클라크 월드와이드, 인크. Percutaneous dilation apparatus
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JP2019509138A (en) * 2016-03-22 2019-04-04 プレジデント アンド フェローズ オブ ハーバード カレッジ Biocompatible adhesive and method of use thereof

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