WO2021180044A1 - 手术用医疗装置及其系统 - Google Patents

手术用医疗装置及其系统 Download PDF

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Publication number
WO2021180044A1
WO2021180044A1 PCT/CN2021/079593 CN2021079593W WO2021180044A1 WO 2021180044 A1 WO2021180044 A1 WO 2021180044A1 CN 2021079593 W CN2021079593 W CN 2021079593W WO 2021180044 A1 WO2021180044 A1 WO 2021180044A1
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WO
WIPO (PCT)
Prior art keywords
expansion section
surgical medical
medical device
expansion
surgical
Prior art date
Application number
PCT/CN2021/079593
Other languages
English (en)
French (fr)
Inventor
陈阶晓
Original Assignee
陈阶晓
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
Application filed by 陈阶晓 filed Critical 陈阶晓
Priority to JP2022554239A priority Critical patent/JP2023517323A/ja
Priority to EP21768956.1A priority patent/EP4119093A4/en
Priority to CN202180019677.8A priority patent/CN115605162A/zh
Priority to US17/909,329 priority patent/US20230083110A1/en
Publication of WO2021180044A1 publication Critical patent/WO2021180044A1/zh

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/3209—Incision instruments
    • A61B2017/32096—Incision instruments for slowly cutting through tissue, e.g. stent like temporary implants having sharp edges
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/03—Automatic limiting or abutting means, e.g. for safety
    • A61B2090/033—Abutting means, stops, e.g. abutting on tissue or skin
    • A61B2090/034—Abutting means, stops, e.g. abutting on tissue or skin abutting on parts of the device itself
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/0004—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse
    • A61F2/0022—Closure means for urethra or rectum, i.e. anti-incontinence devices or support slings against pelvic prolapse placed deep in the body opening
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2/042—Urinary bladders
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2/00—Filters implantable into blood vessels; Prostheses, i.e. artificial substitutes or replacements for parts of the body; Appliances for connecting them with the body; Devices providing patency to, or preventing collapsing of, tubular structures of the body, e.g. stents
    • A61F2/02—Prostheses implantable into the body
    • A61F2/04—Hollow or tubular parts of organs, e.g. bladders, tracheae, bronchi or bile ducts
    • A61F2002/047—Urethrae
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2220/00—Fixations or connections for prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2220/0008—Fixation appliances for connecting prostheses to the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0002—Two-dimensional shapes, e.g. cross-sections
    • A61F2230/0004—Rounded shapes, e.g. with rounded corners
    • A61F2230/001—Figure-8-shaped, e.g. hourglass-shaped
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61F—FILTERS IMPLANTABLE INTO BLOOD VESSELS; PROSTHESES; DEVICES PROVIDING PATENCY TO, OR PREVENTING COLLAPSING OF, TUBULAR STRUCTURES OF THE BODY, e.g. STENTS; ORTHOPAEDIC, NURSING OR CONTRACEPTIVE DEVICES; FOMENTATION; TREATMENT OR PROTECTION OF EYES OR EARS; BANDAGES, DRESSINGS OR ABSORBENT PADS; FIRST-AID KITS
    • A61F2230/00—Geometry of prostheses classified in groups A61F2/00 - A61F2/26 or A61F2/82 or A61F9/00 or A61F11/00 or subgroups thereof
    • A61F2230/0063—Three-dimensional shapes
    • A61F2230/0091—Three-dimensional shapes helically-coiled or spirally-coiled, i.e. having a 2-D spiral cross-section

Definitions

  • This application relates to a surgical medical device and its system, in particular to a surgical medical device and its system for prostate surgery or bladder neck incision surgery.
  • an idea of the present application is to provide a surgical medical device and a system thereof that can avoid falling into the bladder due to sliding or sliding to the sphincter muscle and causing the stent muscle to relax.
  • the present application provides a surgical medical device, including: a stent portion, the stent portion has a first expansion section, a second expansion section and located between the first expansion section and the second expansion section A third expansion section between the opening sections; wherein the surgical medical device has a control mechanism, and the surgical medical device uses the control mechanism to expand or contract the first expansion section and the third expansion section And the second stretch section.
  • the bracket portion has at least one arc-shaped end portion at the first expansion section.
  • the bracket portion has at least one folding auxiliary portion at the second expansion section.
  • the bracket portion is composed of a plurality of bracket wires.
  • the bracket part is made of memory alloy; wherein the control mechanism is that the first expansion section, the third expansion section and the second expansion section are lower than one
  • the first temperature is a plastic state, and the first expansion section, the third expansion section, and the second expansion section maintain an expansion state when the temperature is higher than a second temperature.
  • the pressure applied by the third expansion section to a target affected area is between 30 millimeters of mercury (mmHg) and 200 millimeters of mercury (mmHg).
  • the surgical medical device further includes a straight rod part; wherein the bracket part is extended on the straight rod part.
  • the straight rod portion has a straight rod end
  • the bracket portion has a first bracket end
  • the straight rod end is connected to the first bracket end
  • the bracket portion is composed of a plurality of bracket wires; wherein each of the plurality of bracket wires has a bracket spring portion, wherein when the first expansion section and the third expansion section When it is in an expanded state with the second expansion section, the support spring portion provides a force to assist in maintaining a first expansion volume of the first expansion section and/or a second expansion section of the second expansion section.
  • the expansion volume and/or a third expansion volume of the third expansion section is composed of a plurality of bracket wires; wherein each of the plurality of bracket wires has a bracket spring portion, wherein when the first expansion section and the third expansion section When it is in an expanded state with the second expansion section, the support spring portion provides a force to assist in maintaining a first expansion volume of the first expansion section and/or a second expansion section of the second expansion section.
  • the expansion volume and/or a third expansion volume of the third expansion section is composed of a plurality of bracket wires; wherein each of the plurality of bracket wires has a bracket spring portion, wherein when
  • the straight rod portion has a straight rod spring portion, wherein when the first expansion section, the third expansion section, and the second expansion section are in an expanded state,
  • the straight bar spring portion provides a force to assist in maintaining a first expansion volume of the first expansion section and/or a second expansion volume of the second expansion section and/or the third expansion section A third expansion volume.
  • control mechanism is a control part disposed on the straight rod part, and the control part can move relative to the straight rod part; wherein the control part is connected to a first part of the bracket part. Two end parts of the bracket, the control part expands or contracts the first expansion section, the third expansion section and the second expansion section through the movement of the control part relative to the straight rod part.
  • the bracket portion has a spiral structure; the control portion expands or contracts the first expansion section and the third expansion section through a rotational movement relative to the straight rod portion.
  • the bracket part is made of memory alloy; wherein the control mechanism is that the first expansion section, the third expansion section and the second expansion section are lower than one
  • the first temperature is a plastic state, and the first expansion section, the third expansion section, and the second expansion section maintain an expansion state when the temperature is higher than a second temperature.
  • the bracket portion has a second bracket end portion, and the second bracket end portion is connected to the straight rod portion.
  • a surgical medical system which includes the surgical medical device of any one of the above-mentioned embodiments; and an accommodating device having an accommodating passage; In a preparation state, the surgical medical device is at least partially accommodated in the accommodating channel of the accommodating device.
  • the accommodating device when the surgical medical system is in a first activated state, the accommodating device partially pushes out the surgical medical device, so that the first support of the surgical medical device The opening section is pushed out of the accommodating channel; wherein when the surgical medical system is in a second activation state, the accommodating device partially pushes out the surgical medical device, so that the third support of the surgical medical device The opening section is pushed out of the accommodating channel; wherein when the surgical medical system is in a third activated state, the accommodating device pushes out the surgical medical device, so that the second expansion section of the surgical medical device Is pushed out of the containment channel.
  • the accommodating device has a trigger, wherein when the trigger is triggered for the first time, the surgical medical system is in the first activated state; wherein when the trigger is triggered for the second time , The surgical medical system is in the second activated state; wherein when the trigger is triggered for the third time, the surgical medical system is in the third activated state.
  • the accommodating device has an engaging portion, and the straight rod portion has a first engaging portion, a second engaging portion, and a third engaging portion; wherein the accommodating device Through the engagement of the engaging portion with the first engaging portion, the second engaging portion, or the third engaging portion, the surgical medical system is in the first activated state, the second activated state, or The third start state.
  • the surgical medical system further includes: a cystoscope device connected to the receiving device, the cystoscope device obtaining a surgical field through the receiving channel; and an injection device connected to the receiving device A containing device, the injection device passes through the containing channel to inject liquid to a surgical site.
  • the injection device is connected to an adjustment device, and the injection device is used to inject liquids of different temperatures to the surgical site through the adjustment device.
  • the accommodating device includes a medical device accommodating portion detachably installed at one end of the accommodating device, wherein when the surgical medical system is in the preparation state, The surgical medical device is at least partially accommodated in the medical device accommodating part.
  • the medical device accommodating portion has a side communicating outlet at its top.
  • Fig. 1 is a schematic diagram of a specific embodiment of a surgical medical device according to this application.
  • Fig. 2 is a schematic diagram of a specific embodiment of the surgical medical device according to the present application.
  • Fig. 3 is a schematic diagram of a specific embodiment of the surgical medical device according to the present application.
  • Fig. 4A is a schematic diagram of a specific embodiment of the surgical medical device according to the present application.
  • Fig. 4B is a schematic diagram of a specific embodiment of the surgical medical device according to the present application.
  • Fig. 5 is a schematic diagram of a specific embodiment of the surgical medical device according to the present application.
  • Fig. 6 is a schematic diagram of a specific embodiment of the surgical medical device used in the application during operation.
  • FIG. 7 is a schematic diagram of a specific embodiment of the surgical medical system of this application.
  • FIG. 8A is a schematic diagram of a specific embodiment of the surgical medical system of this application.
  • FIG. 8B is a schematic diagram of a specific embodiment of the surgical medical system of this application.
  • FIG. 8C is a schematic diagram of a specific embodiment of the surgical medical system of this application.
  • Fig. 9 is a schematic diagram of a specific embodiment of the surgical medical device according to the present application.
  • FIG. 10 is a schematic diagram of a specific embodiment of folding the surgical medical device of the present application through the folding device.
  • FIG. 11A is a schematic diagram of a specific embodiment of the surgical medical system of this application.
  • Fig. 11B is a schematic diagram of a specific embodiment of a medical device receiving portion.
  • FIG. 1 illustrates a schematic diagram of a specific embodiment of a surgical medical device according to the present application.
  • the surgical medical device 100 includes a bracket part 110 and a straight rod part 120.
  • the bracket portion 110 is arranged on the straight rod portion 120 along the extension, and the bracket portion 110 has a first expansion section 114, a third expansion section 115 and a second expansion section 116.
  • the third expansion section 115 is located between the first expansion section 114 and the second expansion section 116.
  • the surgical medical device 100 has a control mechanism through which the surgical medical device 100 expands or contracts the first expansion section 114, the third expansion section 115 and the second expansion section 116.
  • the expansion volume of the first expansion section 114 is larger than that of the third expansion section 115.
  • the expansion volume, and the expansion volume of the second expansion section 116 is greater than the expansion volume of the third expansion section 115.
  • the bracket part 110 is made of a memory alloy.
  • the control mechanism of the surgical medical device 100 is that the first expansion section 114, the third expansion section 115, and the second expansion section 116 are in a plastic state when the temperature is lower than the first temperature, and the first expansion section 114 and the second expansion section 114 The three expansion section 115 and the second expansion section 116 are maintained in an expanded state when the temperature is higher than the second temperature.
  • the expansion volume of the first expansion section 114 and the third expansion section 115 are reduced with the external force of the squeezing.
  • the first temperature is 20 degrees and the second temperature is 35 degrees.
  • the first temperature and the second temperature may be set to other temperatures as required.
  • the temperature of the first expansion section 114, the third expansion section 115, and the second expansion section 116 can be controlled in a liquid contact or charging manner, but it is not limited to this.
  • the support portion 110 is composed of support wires 111, 112, and 113.
  • the bracket part is not only composed of three bracket wires, but can have different numbers of bracket wires as required.
  • the bracket part may be composed of two or four bracket wires according to requirements, but it is not limited to this.
  • the straight rod portion 120 has a straight rod end 122
  • the bracket portion has a first bracket end 117
  • the straight rod end 122 is connected to the first bracket end 117.
  • the bracket part further has a second bracket end 118 which is connected to the straight rod part 120.
  • the first bracket end portion 117 may be an arc-shaped end portion in a circular arc shape, so that when the first expansion section 114 is placed on the human body, damage such as puncture to the human body can be avoided.
  • the first expansion section 114, the third expansion section 115, and the second expansion section 116 of the bracket portion 110 may be set to different lengths according to requirements. In this way, the surgeon can determine the size of the surgical medical device to be used based on the medical image before the operation.
  • the ratio of the expansion volume among the first expansion section 114, the third expansion section 115, and the second expansion section 116 to each other is only an example here, and the ratio of the expansion volume among them can be seen.
  • the expansion volume of the third expansion section 115 may be larger than that shown in FIG. 1, or the expansion volume of the first expansion section 114 may be larger than that shown in FIG. 1, but this is not the case. limit.
  • the first expansion section 114 and/or the second expansion section 116 may have a specific shape in the expanded state (for example, an arc-shaped body, a circular body, an elliptical body, etc., but not limited to this).
  • FIG. 2 illustrates a schematic diagram of a specific embodiment of a surgical medical device according to the present application.
  • the surgical medical device 200 includes a bracket part 210, a straight rod part 220, and a control part 230 that can move relative to the straight rod part 220.
  • the control mechanism of the surgical medical device 200 is the control part 230 provided on the straight rod part 220.
  • the bracket part 210 has a second bracket end 218, and the control part 230 is connected to the second bracket end 218.
  • the control portion 230 can expand or contract the first expansion section 214 of the bracket portion 210, the third expansion section 215 of the bracket portion 210, and the second expansion section of the bracket portion 210 through its movement relative to the straight rod portion 220 216.
  • the control part 230 can move in the direction 252 relative to the straight rod part 220 to expand the first expansion section 214, the third expansion section 215, and the second expansion section 216, or the control part 230 may be relative to the straight rod part.
  • 220 moves in the direction 254 to contract the first expansion section 214, the third expansion section 215 and the second expansion section 216.
  • the expansion volume of the first expansion section 214 is larger than that of the third expansion section 215.
  • the expansion volume, and the expansion volume of the second expansion section 216 is greater than the expansion volume of the third expansion section 215.
  • the bracket portion 210 is flexible, so that when the control portion 230 moves relative to the straight rod portion 220, the first expansion section 214 and the second expansion section 216 of the bracket section 210 can be correspondingly expanded. Open or shrink.
  • the straight rod 220 also has flexibility, thereby preventing the straight rod 220 from causing damage to the user.
  • the bracket portion 210 has flexibility, and the straight rod portion 220 has only slight flexibility, or no flexibility. Thereby, the control part 230 can be easily manipulated to move relative to the straight rod part 220. In a specific embodiment, the bracket portion 210 has greater flexibility than the straight rod portion 220.
  • FIG. 3 illustrates a schematic diagram of a specific embodiment of a surgical medical device according to the present application.
  • the surgical medical device 300 includes a bracket part 310, a straight rod part 320, and a control part 330 movable relative to the straight rod part 320.
  • the control mechanism of the surgical medical device 300 is the control part 330 provided on the straight rod part 320.
  • the bracket portion 310 has a second bracket end portion 318, and the control portion 330 is connected to the second bracket end portion 318 in a separable manner (that is, the control portion 330 contacts the second bracket end portion 318), so that the control portion 330 can be easily removed from the body take out.
  • control part 330 is connected to the second bracket end 318 in an inseparable manner.
  • the control portion 330 can expand or contract the first expansion section 314 of the support portion 310, the third expansion portion 315 of the support portion 310, and the support through its movement relative to the straight rod portion.
  • the second expansion section 316 of the part 310 is connected to the second bracket end 318 in an inseparable manner.
  • control portion 330 may push the bracket portion 310 in the direction 352 relative to the straight rod portion 320, thereby expanding the first expansion section 314, the third expansion section 315, and the second expansion section 316, or the control section 330 may oppose each other
  • the straight rod portion 320 moves in the direction 354 to contract the first expansion section 314, the third expansion section 315 and the second expansion section 316.
  • the second bracket end 318 is connected to the straight rod portion 320 in a movable manner relative to the straight rod portion 320.
  • the respective bracket wires of the bracket portion 310 are fixed to each other in an adhesive manner to form the second bracket end portion 318, wherein the adhesive used for bonding loses its fixing force when the temperature is higher than a certain temperature, and The respective bracket wires of the bracket portion 310 are separated from each other.
  • the operator can heat the adhesive in different ways at any time to separate the stent wires of the stent portion 310 from each other, so that the surgical medical device 300 can be easily taken out of the body.
  • the straight rod portion 420A may have a straight rod spring portion 424A disposed between the first bracket end 417A and the second bracket end 418A.
  • the straight spring portion 424A can provide a force to help maintain the first expansion of the first expansion section 414A
  • the straight rod spring portion 424A can be arranged at any position between the first bracket end 417A and the second bracket end 418A as required.
  • FIG. 4B illustrates a schematic diagram of a specific embodiment of a surgical medical device according to the present application.
  • the stent wire 411B has a stent spring portion 417B
  • the stent wire 412B has a stent spring portion 418B
  • the stent wire 413B has a stent spring portion 419B.
  • the bracket spring portions 417B, 418B, and 419B are all disposed between the first bracket end 462B and the second bracket end 464B.
  • the bracket spring portions 417B, 418B, 419B provide a force to help maintain the first expansion section 414B.
  • the stent wires 411B, 412B, and 413B may be different stent wires, or may be stent wires connected to each other.
  • the bracket spring portions 417B, 418B, and 419B can be arranged at any position between the first bracket end 462B and the second bracket end 464B as required.
  • the straight rod portion 420B has a first tenon portion 426B, a second tenon portion 427B, and a third tenon portion 428B thereon.
  • the first tenon portion 426B and the second tenon portion The functions of the 427B and the third tenon portion 428B will be described below.
  • FIG. 5 illustrates a schematic diagram of a specific embodiment of a surgical medical device according to the present application.
  • the second bracket end 518 of the bracket portion 510 is connected to the control portion 530.
  • the bracket part 510 has a spiral structure.
  • the control portion 530 can expand or contract the first expansion section 514, the third expansion section 515, and the second expansion section 516 through its rotational movement relative to the straight rod portion 520.
  • the control part 530 can move in the direction 552 relative to the straight rod part 520 to expand the first expansion section 514, the third expansion section 515, and the second expansion section 516, or the control part 530 may be relative to the straight rod part.
  • the 520 moves in the direction 554 to contract the first expansion section 514, the third expansion section 515 and the second expansion section 516.
  • FIG. 6 illustrates a schematic diagram of a specific embodiment of a surgical medical device according to the present application in operation.
  • the surgical medical device 600 can enter from the urethra 699 and wait When the surgical medical device 600 enters the proper position, the first expansion section 614, the third expansion section 615, and the second expansion section 616 can be expanded.
  • the first expansion section 614 is located in the bladder 691
  • the third expansion section 615 is located at the bladder neck 693
  • the second expansion section 616 is located in the prostate 695.
  • the bladder neck 693 is gradually expanded (or partially cut) through the third expansion section 615, so that the aperture of the bladder neck 693 is enlarged.
  • the expansion volume of the first expansion section 614 is larger than that of the third expansion section.
  • the expansion volume of the opening section 615, and the expansion volume of the second expansion section 616 is greater than the expansion volume of the third expansion section 615.
  • the pore size of the bladder neck may be larger or smaller, and the size of the bladder or prostate may also be different. Doctors can choose different sizes of surgical medical devices according to the size of the pore size of the patient's bladder neck and/or the length of the bladder neck and/or the size of the bladder and/or the size of the prostate.
  • the pressure exerted by the third expansion section 615 on the bladder neck 693 ranges from 30 millimeters of mercury (mmHg) to 200 millimeters of mercury (mmHg), so that the bladder neck 693 can be compressed by pressing the bladder neck 693.
  • the blood vessels such as microvessels
  • the pressure exerted by the third expansion section 615 on the bladder neck 693 is substantially 30 millimeters of mercury (mmHg), 50 millimeters of mercury (mmHg) or 100 millimeters of mercury (mmHg), but not Limited by this.
  • the bracket portion 610 of the surgical medical device 600 is configured to be flexible, so that the third expansion section 615 of the bracket portion 610 exerts no pressure on the target affected part (for example, the bladder neck).
  • Exceeding a predetermined pressure threshold where the pressure threshold may be set according to requirements, for example, 30 millimeters of mercury (mmHg) or 200 millimeters of mercury (mmHg), but not limited to this.
  • FIG. 7 illustrates a schematic diagram of a specific embodiment of a surgical medical system according to the present application.
  • the surgical medical system 700 includes a surgical medical device 710, a storage device 720, a cystoscope device 730, and an injection device 740.
  • the accommodating device 720 has an accommodating channel for accommodating the surgical medical device 710.
  • the cystoscope device 730 is connected to the receiving device 720, and the cystoscope device 730 obtains the surgical field of vision through the receiving channel.
  • the injection device 740 is connected to the containing device 720, and the injection device 740 passes through the containing channel to inject liquid to the surgical site.
  • the surgical medical device 710 When the surgical medical system 700 is in a ready state, the surgical medical device 710 is at least partially accommodated in the accommodating channel of the accommodating device 720.
  • the receiving device has a trigger 722, and when the trigger 722 is triggered, the surgical medical device 710 is at least partially pushed out of the receiving channel.
  • the stent part of the surgical medical device 710 is made of memory alloy.
  • the first expansion section 714, the third expansion section 715, and the second expansion section 716 of the surgical medical device 710 are in a plastic state when the temperature is lower than the first temperature, while the first expansion section 714 and the third expansion section 714
  • the section 715 and the second expansion section 716 are maintained in an expanded state when the temperature is higher than the second temperature.
  • the injection device 740 is connected to the adjustment device, and the injection device 740 can inject liquids of different temperatures to the surgical site through the adjustment device. In this way, by injecting liquids of different temperatures, the first expansion section 714, the third expansion section 715, and the second expansion section 716 can be in a plastic state or an expanded state.
  • FIGS. 8A to 8C illustrate schematic diagrams illustrating a specific embodiment of a surgical medical system according to the present application.
  • the receiving device 820 has a three-stage trigger mechanism.
  • the trigger 822 is triggered for the first time (see FIG. 8A)
  • the surgical medical system 800 is in the first activation state.
  • the accommodating device 820 partially pushes out the surgical medical device 810, so that the first expansion section 814 of the surgical medical device 810 is pushed out of the accommodating channel.
  • the trigger 822 is triggered for the second time (see FIG. 8B)
  • the surgical medical system 800 is in the second activation state.
  • the accommodating device 820 partially pushes out the surgical medical device 810, so that the third expansion section 815 of the surgical medical device 810 is pushed out of the accommodating channel.
  • the surgical medical system 800 is in the third activation state.
  • the accommodating device 820 pushes out the surgical medical device 810 so that the second expansion section 816 of the surgical medical device 810 is pushed out of the accommodating channel.
  • the accommodating device 820 has an engaging portion in the accommodating channel, and the accommodating device is connected to the first, second, or third engaging portion of the surgical medical 810 through the engaging portion.
  • the arrangement of the first tenon portion, the second tenon portion, or the third tenon portion can be, for example, as shown in FIG. 4B (please refer to the first tenon portion 426B, the second tenon portion 427B, and the Three card tenon part 428B).
  • FIG. 9 illustrates a schematic diagram of a specific embodiment of a surgical medical device according to the present application.
  • the surgical medical device 900 includes a stent portion 910, and the stent portion 910 has a first expansion section 914, a third expansion section 915, and a second expansion section 916.
  • the third expansion section 915 is located between the first expansion section 914 and the second expansion section 916.
  • the surgical medical device 900 has a control mechanism through which the surgical medical device 900 expands or contracts the first expansion section 914, the third expansion section 915 and the second expansion section 916.
  • the expansion volume of the first expansion section 914 is larger than that of the third expansion section 915.
  • the expanded volume, and the expanded volume of the second expanded section 916 is greater than the expanded volume of the third expanded section 915.
  • the first expansion section 914 may have arc-shaped ends 917, 918, 919, so that when the first expansion section 914 is inserted into the human body, it can avoid causing injuries such as puncture to the human body.
  • the second expansion section 916 may have folding auxiliary parts 911, 912, 913, so that the surgical medical device 900 can be folded and moved out of the body through the folding device, and the folding auxiliary parts 911, 912, 913 Will be explained in detail later.
  • the bracket portion 910 may be formed by a single bracket wire according to requirements, or may be formed by a plurality of bracket wires according to requirements.
  • at least two of the ends 917, 918, and 919 of the first expansion section 914 can communicate with each other to form a specific shape (for example, the arc-shaped body shown in the first expansion section 114 of FIG. 1).
  • at least two of the interconnected ends 917, 918, and 919 can not only be configured as arc-shaped bodies, but can be configured in different shapes as required.
  • the first expansion section 914 is located in the bladder
  • the third expansion section 915 is located at the bladder neck
  • the second expansion section 916 is located at the patient. Glands.
  • the bladder neck is gradually expanded (or partially incised) through the third expansion section 915 to expand the bladder neck aperture.
  • the expansion volume of the first expansion section 914, the third expansion section 915, and the second expansion section 916 can be set to be larger or smaller according to requirements, for example, The expansion volume of the first expansion section 914 and the second expansion section 916 can be set larger, or the expansion volume of the third expansion section 915 can be set smaller.
  • the pressure exerted by the third expansion section 915 on the bladder neck is between 30 mmHg (millimeter of mercury, mmHg) to 200 mmHg (mmHg), so that the pressure at the bladder neck can be compressed by Blood vessels (such as capillaries) gradually make the bladder neck stretched (or partially cut).
  • the pressure exerted by the third expansion section 915 on the bladder neck is substantially 30 millimeters of mercury (mmHg), 50 millimeters of mercury (mmHg), or 100 millimeters of mercury (mmHg), but not less than This is limited.
  • the bracket 910 is made of memory alloy.
  • the control mechanism of the surgical medical device 900 is that the first expansion section 914, the third expansion section 915, and the second expansion section 916 are in a plastic state when the temperature is lower than the first temperature, and the first expansion section 914 and the second expansion section 914 The three expansion section 915 and the second expansion section 916 are maintained in an expanded state when the temperature is higher than the second temperature.
  • the expansion volume of the first expansion section 914 and the third expansion section 915 decrease with the squeezing external force.
  • the first temperature is 20 degrees and the second temperature is 35 degrees.
  • the first temperature and the second temperature may be set to other temperatures as required.
  • the temperature of the first expansion section 914, the third expansion section 915, and the second expansion section 916 can be controlled in a liquid contact or charging manner, but it is not limited to this.
  • FIG. 10 illustrates a schematic diagram illustrating a specific embodiment of using the folding device to collapse the surgical medical device of the present application.
  • the surgical medical device 1000 has folding auxiliary parts 1011, 1012, and 1013 at its second expansion section.
  • the folding device 1200 includes a tubular portion 1210 and a plurality of folding brackets 1220, 1230, 1240, and the folding brackets 1220, 1230, 1240 respectively have hooking ends 1222, 1232, 1242 at their ends.
  • the collapsible brackets 1220, 1230, 1240 can be retracted into the tubular portion 1210, or can at least partially extend outside the tubular portion 1210.
  • the folding device 1200 can be first inserted into the body from the urethra. After the folding device 1200 is in position, the folding stents 1220, 1230, 1240 are extended from the tubular portion 1210, and The folding support parts 1011, 1012, and 1013 of the surgical medical device 1000 located in the body are hooked by the hook ends 1222, 1232, and 1242 of the folding brackets 1220, 1230, and 1240, respectively. Then, the folding stents 1220, 1230, and 1240 can be retracted into the tubular part 1210 along the tubular part 1210.
  • the surgical medical device 1000 will also be retracted into the tubular portion 1210.
  • the folding device 1200 can also be directly pulled out of the body, so as to pull the surgical medical device 1000 It is moved out of the body without the need to fold the surgical medical device 1000 into the tubular portion 1210 of the folding device 1200 first.
  • the surgical medical system 1100 includes a storage device 1110 and a surgical medical device (not shown), and the storage device 1110 includes a medical device storage portion 1112.
  • the surgical medical device can be at least partially accommodated in the medical device accommodating portion, and when the surgical medical device is at least partially accommodated in the medical device accommodating portion, the surgical medical device is in a ready state.
  • the medical device accommodating portion 1112 is detachably installed at the end of the accommodating device 1110.
  • the medical device accommodating portion 1112 may also be a part of the accommodating device 1110.
  • the surgical medical system 1100 may further include an endoscopic device (such as a cystoscope device) and/or an injection device.
  • the endoscope device can be connected to the containing device 1110 or can be arranged in the containing channel of the containing device 1110. Wherein, the endoscopic device can obtain the surgical field of vision through the containing channel.
  • the accommodating channel of the accommodating device 1110 and the inside of the medical device accommodating part are connected to each other, and at the same time, the accommodating channel of the accommodating device 1110 extends and leads to the outlet 1114A of the medical device accommodating part 1112.
  • the surgical medical device when the surgical medical device is in a collapsed state (or called a contracted state), the surgical medical device can be at least partially placed in the medical device accommodating portion 1112 (for example, it can be self-located in the medical device
  • the exit 1114A at the top of the accommodating portion 1112 places the surgical medical device in the medical device accommodating portion 1112).
  • the surgical medical device when the surgical medical device is in a moldable state, the surgical medical device can be first squeezed to reduce its volume, and then the surgical medical device can be at least partially placed in the medical device accommodating portion 1112.
  • the outlet of the medical device accommodating portion may be a lateral communication outlet
  • the lateral communication outlet is a kind of outlet that communicates with the top outlet and the side outlet, such as the lateral communication outlet 1114B as shown in FIG. 11B.
  • Such a lateral communication outlet can avoid unnecessary displacement of the surgical medical device during the process of moving out of the medical device accommodating part. More specifically, because the surgical medical device is gradually moved out of the medical device accommodating part and gradually expanded, the surgical medical device may quickly slide out from the exit or slide into the medical device housing due to the force of the expansion. Therefore, it is difficult to position the surgical medical device to the correct position. Therefore, in some embodiments, the outlet may be configured as a laterally communicating outlet to avoid such unnecessary rapid displacement.

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  • Engineering & Computer Science (AREA)
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  • Heart & Thoracic Surgery (AREA)
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  • Prostheses (AREA)

Abstract

一种手术用医疗装置，包含：一直杆部（120，220，320，420A，420B，520）；以及一支架部（110，210，310，510，610），沿伸设置于该直杆部（120，220，320，420A，420B，520）上；该支架部（110，210，310，510，610）具有一第一撑开段（114，214，314，414A，414B，514，614，714，814，914）、一第二撑开段（116，216，316，416A，416B，516，616，716，816，916）与位于该第一撑开段（114，214，314，414A，414B，514，614，714，814，914）与该第二撑开段（116，216，316，416A，416B，516，616，716，816，916）之间的一第三撑开段（115，215，315，415A，415B，515，615，715，815，915）；其中该手术用医疗装置具有一控制机制（230，330，530），该手术用医疗装置通过该控制机制（230，330，530）以撑开或收缩该第一撑开段（114，214，314，414A，414B，514，614，714，814，914）、该第三撑开段（115，215，315，415A，415B，515，615，715，815，915）与该第二撑开段（116，216，316，416A，416B，516，616，716，816，916）。

Description

手术用医疗装置及其系统 技术领域
本申请关于一种手术用医疗装置及其系统，特别是关于一种用于摄护腺手术或膀胱颈切开手术的手术用医疗装置及其系统。
背景技术
目前传统用于摄护腺手术或膀胱颈切开手术的医疗装置虽可改善摄护腺肥大的问题，但在此医疗装置放置于摄护腺内的期间(一般为数天)，具有因医疗装置滑动，而掉入膀胱内或滑动至扩约肌导致扩约肌松弛(扩约肌松弛将导致患者日后有漏尿的后遗症)的风险。有鉴于此，需要一种在放置期间可避免因滑动而掉入膀胱内或滑动至扩约肌导致扩约肌松弛的手术用医疗装置及其系统。
发明内容
为了解决上述问题，本申请的一构想在于提供一种可避免因滑动而掉入膀胱内或滑动至扩约肌导致扩约肌松弛的手术用医疗装置及其系统。
基于上述构想，本申请提供一种手术用医疗装置，包含：一支架部，该支架部具有一第一撑开段、一第二撑开段与位于该第一撑开段与该第二撑开段之间的一第三撑开段；其中该手术用医疗装置具有一控制机制，该手术用医疗装置通过该控制机制以撑开或收缩该第一撑开段、该第三撑开段与该第二撑开段。
于本申请的一较佳实施例中，该支架部于该第一撑开段处具有至少一弧形端部。
于本申请的一较佳实施例中，该支架部于该第二撑开段处具有至少一收合辅助部。
于本申请的一较佳实施例中，该支架部由多个支架导线所构成。
于本申请的一较佳实施例中，该支架部以记忆合金所制成；其中该控制 机制为该第一撑开段、该第三撑开段与该第二撑开段在低于一第一温度时呈一可塑型状态，而该第一撑开段、该第三撑开段与该第二撑开段在高于一第二温度时维持在一撑开状态。
于本申请的一较佳实施例中，该第三撑开段对一目标患部施加的一压力介于30毫米汞柱(mmHg)至200毫米汞柱(mmHg)。
于本申请的一较佳实施例中，该手术用医疗装置进一步包含一直杆部；其中该支架部沿伸设置于该直杆部上。
于本申请的一较佳实施例中，该直杆部具有一直杆端部，该支架部具有一第一支架端部，该直杆端部与该第一支架端部相连接。
于本申请的一较佳实施例中，该支架部由多个支架导线所构成；其中该多个支架导线各自具有一支架弹簧部，其中当该第一撑开段、该第三撑开段与该第二撑开段处于一撑开状态时，该支架弹簧部提供一张力以协助维持该第一撑开段的一第一撑开体积及/或该第二撑开段的一第二撑开体积及/或该第三撑开段的一第三撑开体积。
于本申请的一较佳实施例中，该直杆部具有一直杆弹簧部，其中当该第一撑开段、该第三撑开段与该第二撑开段处于一撑开状态时，该直杆弹簧部提供一张力以协助维持该第一撑开段的一第一撑开体积及/或该第二撑开段的一第二撑开体积及/或该第三撑开段的一第三撑开体积。
于本申请的一较佳实施例中，该控制机制为设置于该直杆部上的一控制部，该控制部可相对于该直杆部运动；其中该控制部连接该支架部的一第二支架端部，该控制部通过其相对于该直杆部的运动以撑开或收缩该第一撑开段、该第三撑开段与该第二撑开段。
于本申请的一较佳实施例中，该支架部具有一螺旋结构；该控制部通过其相对于该直杆部的一旋转运动以撑开或收缩该第一撑开段、该第三撑开段与该第二撑开段。
于本申请的一较佳实施例中，该支架部以记忆合金所制成；其中该控制机制为该第一撑开段、该第三撑开段与该第二撑开段在低于一第一温度时呈 一可塑型状态，而该第一撑开段、该第三撑开段与该第二撑开段在高于一第二温度时维持在一撑开状态。
于本申请的一较佳实施例中，该支架部具有一第二支架端部，该第二支架端部连接于该直杆部上。
根据本申请的目的，再提供一种手术用医疗系统，其包含以上所述实施例中任一种的手术用医疗装置；以及一容纳装置，具有一容纳通道；其中当该手术用医疗系统处于一准备状态时，该手术用医疗装置至少部分容置于该容纳装置的该容纳通道内。
于本申请的一较佳实施例中，当该手术用医疗系统处于一第一启动状态时，该容纳装置将该手术用医疗装置部份推出，以使该手术用医疗装置的该第一撑开段被推出于该容纳通道外；其中当该手术用医疗系统处于一第二启动状态时，该容纳装置将该手术用医疗装置部份推出，以使该手术用医疗装置的该第三撑开段被推出于该容纳通道外；其中当该手术用医疗系统处于一第三启动状态时，该容纳装置将该手术用医疗装置推出，以使该手术用医疗装置的该第二撑开段被推出于该容纳通道外。
于本申请的一较佳实施例中，该容纳装置具有一触发器，其中当首次触发该触发器时，该手术用医疗系统处于该第一启动状态；其中当第二次触发该触发器时，该手术用医疗系统处于该第二启动状态；其中当第三次触发该触发器时，该手术用医疗系统处于该第三启动状态。
于本申请的一较佳实施例中，该容纳装置具有一卡合部，该直杆部具有一第一卡榫部、一第二卡榫部以及一第三卡榫部；其中该容纳装置通过该卡合部与该第一卡榫部、该第二卡榫部或该第三卡榫部的卡合，以使该手术用医疗系统处于该第一启动状态、该第二启动状态或该第三启动状态。
于本申请的一较佳实施例中，该手术用医疗系统进一步包含：一膀胱镜装置，连接该容纳装置，该膀胱镜装置经由该容纳通道以获得一手术视野；以及一注射装置，连接该容纳装置，该注射装置通过该容纳通道以注射液体至一手术部位。
于本申请的一较佳实施例中，该注射装置连接一调节装置，该注射装置通过该调节装置以注射不同温度的液体至该手术部位。
于本申请的一较佳实施例中，该容纳装置包含以可拆卸的方式装设于该容纳装置的一端部处的一医疗装置容纳部，其中当该手术用医疗系统处于该准备状态时，该手术用医疗装置至少部分容置于该医疗装置容纳部内。
于本申请的一较佳实施例中，该医疗装置容纳部于其顶部处具有一侧向连通出口。
本申请上述各方面及其它方面依据下述的非限制性具体实施例详细说明以及参照附随的说明书附图将更趋于明了。
附图说明
图1为本申请手术用医疗装置一具体实施例的示意图。
图2为本申请手术用医疗装置一具体实施例的示意图。
图3为本申请手术用医疗装置一具体实施例的示意图。
图4A为本申请手术用医疗装置一具体实施例的示意图。
图4B为本申请手术用医疗装置一具体实施例的示意图。
图5为本申请手术用医疗装置一具体实施例的示意图。
图6为本申请手术用医疗装置一具体实施例在手术中的使用示意图。
图7为本申请手术用医疗系统一具体实施例的示意图。
图8A为本申请手术用医疗系统一具体实施例的示意图。
图8B为本申请手术用医疗系统一具体实施例的示意图。
图8C为本申请手术用医疗系统一具体实施例的示意图。
图9为本申请手术用医疗装置一具体实施例的示意图。
图10为通过收合装置以将本申请手术用医疗装置收合的一具体实施例的示意图。
图11A为本申请手术用医疗系统一具体实施例的示意图。
图11B为医疗装置容纳部一具体实施例的示意图。
其中，附图标记：
100     手术用医疗装置
110     支架部
111～113    支架导线
114     第一撑开段
115     第三撑开段
116     第二撑开段
117     第一支架端部
118     第二支架端部
120     直杆部
122     直杆端部
200     手术用医疗装置
210     支架部
214     第一撑开段
216     第二撑开段
218     第二支架端部
220     直杆部
230     控制部
252     方向
254     方向
300     手术用医疗装置
310     支架部
314     第一撑开段
315     第三撑开段
316     第二撑开段
318     第二支架端部
320     直杆部
330     控制部
352     方向
354     方向
411B    支架导线
412B    支架导线
413B    支架导线
414A    第一撑开段
414B    第一撑开段
415A    第三撑开段
415B    第三撑开段
416A    第二撑开段
416B    第二撑开段
417A    第一支架端部
417B    支架弹簧部
418A    第二支架端部
418B    支架弹簧部
419B    支架弹簧部
420A    直杆部
420B    直杆部
424A    直杆弹簧部
426B    第一卡榫部
427B    第二卡榫部
428B    第三卡榫部
462B    第一支架端部
464B    第二支架端部
510     支架部
514     第一撑开段
515     第三撑开段
516     第二撑开段
518     第二支架端部
520     直杆部
530     控制部
552     方向
554     方向
600     手术用医疗装置
610     支架部
614     第一撑开段
615     第三撑开段
616     第二撑开段
691     膀胱
693     膀胱颈
695     摄护腺
697     括约肌
699     尿道
700     手术用医疗系统
710     手术用医疗装置
714     第一撑开段
715     第三撑开段
716     第二撑开段
720     容纳装置
722     触发器
730     膀胱镜装置
740     注射装置
800     手术用医疗系统
810        手术用医疗装置
814        第一撑开段
815        第三撑开段
816        第二撑开段
820        容纳装置
822        触发器
900        手术用医疗装置
910        支架部910
911～913   收合辅助部
914        第一撑开段
915        第三撑开段
916        第二撑开段
917～919   弧形端部
1000       手术用医疗装置
1011～1013 收合辅助部
1100       手术用医疗系统
1110       容纳装置
1112       医疗装置容纳部
1114A      出口
1114B      出口
1200       收合装置
1210       管状部
1220       收合支架
1222       勾合端部
1230       收合支架
1232       勾合端部
1240       收合支架
1242    勾合端部
具体实施方式
请参阅图1，其例示说明了根据本申请手术用医疗装置一具体实施例的示意图。如图1所示实施例，手术用医疗装置100包含支架部110以及直杆部120。支架部110沿伸设置于直杆部120上，且支架部110具有第一撑开段114、第三撑开段115以及第二撑开段116。其中第三撑开段115位于第一撑开段114与第二撑开段116之间。手术用医疗装置100具有一控制机制，手术用医疗装置100通过此控制机制以撑开或收缩第一撑开段114、第三撑开段115与第二撑开段116。较佳地，当第一撑开段114、第三撑开段115与第二撑开段116处于撑开状态时，第一撑开段114的撑开体积大于第三撑开段115的撑开体积，且第二撑开段116的撑开体积大于第三撑开段115的撑开体积。在一具体实施例中，支架部110以记忆合金所制成。手术用医疗装置100的控制机制为第一撑开段114、第三撑开段115与第二撑开段116在低于第一温度时呈可塑型状态，而第一撑开段114、第三撑开段115与第二撑开段116在高于第二温度时维持在撑开状态。其中当第一撑开段114、第三撑开段115与第二撑开段116呈可塑型状态并受到挤压外力时，第一撑开段114的撑开体积、第三撑开段115的撑开体积与第二撑开段116的撑开体积随着该挤压外力而缩小。在一具体实施例中，第一温度为20度，第二温度35度。然应了解，在不同具体实施例中，也可视需求而将第一温度与第二温度设置为其他温度。另外，在不同具体实施例中，可以液体接触或充电的方式控制第一撑开段114、第三撑开段115与第二撑开段116的温度，但不以此为限。
在图1所示实施例中，支架部110由支架导线111、112、113所构成。然应了解，支架部并非仅可由三个支架导线所构成，而可视需求具有不同数量的支架导线。例如支架部可视需求而由二或四个支架导线所构成，但不以此为限。在图1所示实施例中，直杆部120具有直杆端部122，支架部具有第一支架端部117，直杆端部122与第一支架端部117相连接。支架部另具有第二支架端 部118，其连接于直杆部120上。在一具体实施例中，第一支架端部117可为呈圆弧形的弧形端部，如此当第一撑开段114被置放于人体时，可避免对人体造成诸如穿刺等伤害。应了解，在不同具体实施例中，支架部110的第一撑开段114、第三撑开段115以及第二撑开段116均可视需求而分别设置为不同的长度。如此，手术医师可于术前根据医学影像判断应使用何种尺寸的手术用医疗装置。应当了解的是，第一撑开段114、第三撑开段115以及第二撑开段116彼此间的撑开体积的比例在此仅为例示，其彼此间的撑开体积的比例可视需求而另行调整或设定。例如第三撑开段115的撑开体积可较图1中所显示的更大，或是第一撑开段114的撑开体积可较图1中所显示的更大，但不以此为限。此外，第一撑开段114及/或第二撑开段116在撑开状态下可呈一特定形体(例如弧形体、圆形体、椭圆形体等，但不以此为限)。
请参阅图2，其例示说明了根据本申请手术用医疗装置一具体实施例的示意图。如图2所示实施例，手术用医疗装置200包含支架部210、直杆部220以及可相对于直杆部220运动的控制部230。手术用医疗装置200的控制机制为设置于直杆部220上的控制部230。支架部210具有第二支架端部218，控制部230连接第二支架端部218。控制部230可通过其相对于直杆部220的运动以撑开或收缩支架部210的第一撑开段214、支架部210的第三撑开段215与支架部210的第二撑开段216。例如控制部230可相对于直杆部220在方向252上运动以撑开第一撑开段214、第三撑开段215与第二撑开段216，或控制部230可相对于直杆部220在方向254上运动以收缩第一撑开段214、第三撑开段215与第二撑开段216。较佳地，当第一撑开段214、第三撑开段215与第二撑开段216处于撑开状态时，第一撑开段214的撑开体积大于第三撑开段215的撑开体积，且第二撑开段216的撑开体积大于第三撑开段215的撑开体积。在一具体实施例中，支架部210具有可挠性，如此当控制部230相对于直杆部220运动时，支架部210的第一撑开段214与第二撑开段216可对应的撑开或收缩。此外，直杆部220也具有可挠性，藉此可避免直杆部220对使用者造成损伤。在不同具体实施例中，支架部210具有可挠性，而直杆部220仅具有些微的可挠性，或不具 可挠性。藉此可容易操控控制部230以相对于直杆部220运动。在一具体实施例中，支架部210相较于直杆部220具有较大的可挠性。
请参阅图3，其例示说明了根据本申请手术用医疗装置一具体实施例的示意图。如图3所示实施例，手术用医疗装置300包含支架部310、直杆部320以及可相对于直杆部320运动的控制部330。手术用医疗装置300的控制机制为设置于直杆部320上的控制部330。支架部310具有第二支架端部318，控制部330以可分开的方式连接第二支架端部318(即控制部330接触第二支架端部318)，如此可方便将控制部330自人体内取出。在另一具体实施例中，控制部330则以不可分开的方式连接第二支架端部318。在图3所示实施例中，控制部330可通过其相对于直杆部的运动以撑开或收缩支架部310的第一撑开段314、支架部310的第三撑开段315与支架部310的第二撑开段316。例如控制部330可相对于直杆部320在方向352上推动支架部310，藉以撑开第一撑开段314、第三撑开段315与第二撑开段316，或控制部330可相对于直杆部320在方向354上运动以收缩第一撑开段314、第三撑开段315与第二撑开段316。在一具体实施例中，第二支架端部318以可相对于直杆部320运动的方式连接于直杆部320上。在一具体实施例中，支架部310的各个支架导线以粘合方式相互固定以构成第二支架端部318，其中用于粘合的粘合物在高于一特定温度时失去固定力，而使支架部310的各个支架导线相互分开。通过此机制，操作者可随时通过不同方式加热粘合物以使支架部310的各个支架导线相互分开，如此可方便将手术用医疗装置300自体内取出。
请参阅图4A，其例示说明了根据本申请手术用医疗装置一具体实施例的示意图。如图4A所示实施例，直杆部420A上可具有直杆弹簧部424A，其设置于第一支架端部417A与第二支架端部418A之间。当第一撑开段414A、第三撑开段415A与第二撑开段416A处于撑开状态时，直杆弹簧部424A可提供一张力，以协助维持第一撑开段414A的第一撑开体积及/或第二撑开段416A的第二撑开体积及/或第三撑开段415A的第三撑开体积。在不同具体实施例中，直杆弹簧部424A可视需求而设置在第一支架端部417A与第二支架端部 418A之间的任何位置。
请参阅图4B，其例示说明了根据本申请手术用医疗装置一具体实施例的示意图。如图4B所示实施例，支架导线411B具有支架弹簧部417B，支架导线412B具有支架弹簧部418B，支架导线413B具有支架弹簧部419B。支架弹簧部417B、418B、419B皆设置在第一支架端部462B与第二支架端部464B之间。当第一撑开段414B、第三撑开段415B与第二撑开段416B处于撑开状态时，支架弹簧部417B、418B、419B提供一张力以协助维持第一撑开段414B的第一撑开体积及/或第二撑开段416B的第二撑开体积及/或第三撑开段415B的第三撑开体积。在不同具体实施例中，支架导线411B、412B、413B可为不同的支架导线，或可为彼此相连的支架导线。在不同具体实施例中，支架弹簧部417B、418B、419B可视需求而设置在第一支架端部462B与第二支架端部464B之间的任何位置。在图4B所示实施例中，直杆部420B其上并具有第一卡榫部426B、第二卡榫部427B以及第三卡榫部428B，第一卡榫部426B、第二卡榫部427B以及第三卡榫部428B的作用将于下说明。
请参阅图5，其例示说明了根据本申请手术用医疗装置一具体实施例的示意图。如图5所示实施例，支架部510的第二支架端部518连接控制部530。支架部510具有螺旋结构。如此，控制部530可通过其相对于直杆部520的旋转运动以撑开或收缩第一撑开段514、第三撑开段515与第二撑开段516。例如控制部530可相对于直杆部520在方向552上运动以撑开第一撑开段514、第三撑开段515与第二撑开段516，或控制部530可相对于直杆部520在方向554上运动以收缩第一撑开段514、第三撑开段515与第二撑开段516。
请参阅图6，其例示说明了根据本申请手术用医疗装置一具体实施例在手术中的使用示意图。如图6所示实施例，当支架部610的第一撑开段614、第三撑开段615与第二撑开段616处于收缩状态时，手术用医疗装置600可自尿道699进入，待手术用医疗装置600进入至适当位置时，即可将第一撑开段614、第三撑开段615与第二撑开段616撑开。此时第一撑开段614位于膀胱691内，第三撑开段615位于膀胱颈693处，而第二撑开段616位于摄护腺695内。如此， 即可在手术用医疗装置600置于体内的期间，通过第三撑开段615逐渐地将膀胱颈693撑开(或部分切开)，以使膀胱颈693的孔径扩大。在图6所示实施例中，当第一撑开段614、第三撑开段615与第二撑开段616处于撑开状态时，第一撑开段614的撑开体积大于第三撑开段615的撑开体积，且第二撑开段616的撑开体积大于第三撑开段615的撑开体积。如此，在手术用医疗装置600置于体内的期间，当支架部610向尿道699的方向滑动或支架部610受到朝向尿道699的方向的力时，位于膀胱691内的第一撑开段614将抵住膀胱691，如此即可避免第二撑开段616接触并撑开括约肌697。而当支架部610向膀胱691的方向滑动或支架部610受到朝向膀胱691的方向的力时，位于摄护腺695内的第二撑开段616将抵住摄护腺695，如此即可避免支架部610朝向膀胱691的方向滑动至错误的位置。应了解，图6在此仅为例示，在实际手术中，膀胱颈的孔径可能更大或更小，且膀胱或摄护腺的大小也可能有所不同。医师可依据患者的膀胱颈的孔径大小及/或膀胱颈的长度及/或膀胱的大小及/或摄护腺的大小以选择不同尺寸的手术用医疗装置。
在一具体实施例中，第三撑开段615对膀胱颈693施加的压力介于30毫米汞柱(millimeter of mercury，mmHg)至200毫米汞柱(mmHg)，如此即可通过压迫膀胱颈693处的血管(例如微血管)而逐渐使膀胱颈693被撑开(或部分切开)。在不同具体实施例中，第三撑开段615对膀胱颈693所施加的压力实质上为30毫米汞柱(mmHg)或50毫米汞柱(mmHg)或100毫米汞柱(mmHg)，但不以此为限。在一具体实施例中，手术用医疗装置600的支架部610被设置为具有可挠性，因而支架部610的第三撑开段615对目标患部(例如膀胱颈)所施加的压力将不会超出一预定的压力临界值，其中该压力临界值可视需求而设定，例如可为30毫米汞柱(mmHg)或200毫米汞柱(mmHg)，但不以此为限。
请参阅图7，其例示说明了根据本申请手术用医疗系统一具体实施例的示意图。如图7所示实施例，手术用医疗系统700包含手术用医疗装置710、容纳装置720、膀胱镜装置730以及注射装置740。容纳装置720具有容纳通道可容 置手术用医疗装置710。膀胱镜装置730连接容纳装置720，膀胱镜装置730经由容纳通道以获得手术视野。注射装置740连接容纳装置720，注射装置740通过容纳通道以注射液体至手术部位。其中当手术用医疗系统700处于准备状态时，手术用医疗装置710至少部分容置于容纳装置720的容纳通道内。容纳装置具有触发器722，当触发器722被触发时，手术用医疗装置710至少部分地被推出于容纳通道外。在一具体实施例中，手术用医疗装置710的支架部以记忆合金所制成。手术用医疗装置710的第一撑开段714、第三撑开段715与第二撑开段716在低于第一温度时呈可塑型状态，而第一撑开段714、第三撑开段715与第二撑开段716在高于第二温度时维持在撑开状态。注射装置740连接调节装置，注射装置740通过调节装置以注射不同温度的液体至手术部位。如此，即可通过注射不同温度的液体，以使第一撑开段714、第三撑开段715与第二撑开段716呈可塑型状态或撑开状态。
请参阅图8A至图8C，其例示说明了根据本申请手术用医疗系统一具体实施例的示意图。如图8A至图8C所示实施例，容纳装置820具有三段式的触发机制。当首次触发触发器822时(请参见图8A)，手术用医疗系统800处于第一启动状态。此时容纳装置820将手术用医疗装置810部份推出，以使手术用医疗装置810的第一撑开段814被推出于容纳通道外。当第二次触发触发器822时(请参见图8B)，手术用医疗系统800处于第二启动状态。此时容纳装置820将手术用医疗装置810部份推出，以使手术用医疗装置810的第三撑开段815被推出于容纳通道外。当第三次触发触发器822时(请参见图8C)，手术用医疗系统800处于第三启动状态。此时容纳装置820将手术用医疗装置810推出，以使手术用医疗装置810的第二撑开段816被推出于该容纳通道外。在一具体实施例中，容纳装置820于容纳通道内具有卡合部，容纳装置分别通过卡合部与手术用医疗810的第一卡榫部、第二卡榫部或第三卡榫部的卡合，以使手术用医疗系统800处于第一启动状态、第二启动状态或第三启动状态。其中第一卡榫部、第二卡榫部或第三卡榫部的设置方式可例如图4B中所示(请参见图4B中的第一卡榫部426B、第二卡榫部427B以及第三卡榫部428B)。
请参阅图9，其例示说明了根据本申请手术用医疗装置一具体实施例的示意图。如图9所示实施例，手术用医疗装置900包含支架部910，支架部910具有第一撑开段914、第三撑开段915以及第二撑开段916。其中第三撑开段915位于第一撑开段914与第二撑开段916之间。手术用医疗装置900具有一控制机制，手术用医疗装置900通过此控制机制以撑开或收缩第一撑开段914、第三撑开段915与第二撑开段916。较佳地，当第一撑开段914、第三撑开段915与第二撑开段916处于撑开状态时，第一撑开段914的撑开体积大于第三撑开段915的撑开体积，且第二撑开段916的撑开体积大于第三撑开段915的撑开体积。较佳地，第一撑开段914可具有弧形端部917、918、919，如此当第一撑开段914被置入人体内时，可避免对人体造成诸如穿刺等伤害。较佳地，第二撑开段916可具有收合辅助部911、912、913，如此即可通过收合装置以将手术用医疗装置900收合并移出体外，收合辅助部911、912、913将于后详细说明。应了解，支架部910可视需求而由单一个支架导线所构成，或可视需求而由多个支架导线所构成。此外，第一撑开段914的端部917、918、919至少其中两者可互相连通，而构成一特定形体(例如图1的第一撑开段114所示的弧形体)。应了解，其中至少两者互相连通的端部917、918、919并非仅可设置为弧形体，而可视需求设置为不同的形状。
在一具体实施例中，当手术用医疗装置900被置入人体时，第一撑开段914位于膀胱内，第三撑开段915位于膀胱颈处，而第二撑开段916位于摄护腺内。如此，即可在手术用医疗装置900被置于体内的期间，通过第三撑开段915逐渐地将膀胱颈撑开(或部分切开)，以使膀胱颈的孔径扩大。同时，在手术用医疗装置900置于体内的期间，当支架部910向尿道的方向滑动或支架部910受到朝向尿道的方向的力时，位于膀胱内的第一撑开段914将抵住膀胱，如此即可避免第二撑开段916接触并撑开括约肌。而当支架部910向膀胱的方向滑动或支架部910受到朝向膀胱的方向的力时，位于摄护腺内的第二撑开段916将抵住摄护腺，如此即可避免支架部910朝向膀胱的方向滑动至错误的位置。应了解，图9在此仅为例示，第一撑开段914、第三撑开段915、第二撑开段916 的撑开体积均可依需求而设置成更大或更小，例如第一撑开段914以及第二撑开段916的撑开体积可设置的更大，或第三撑开段915的撑开体积可设置的更小。
在一具体实施例中，第三撑开段915对膀胱颈施加的压力介于30毫米汞柱(millimeter of mercury，mmHg)至200毫米汞柱(mmHg)，如此即可通过压迫膀胱颈处的血管(例如微血管)而逐渐使膀胱颈被撑开(或部分切开)。在不同具体实施例中，第三撑开段915对膀胱颈所施加的压力实质上为30毫米汞柱(mmHg)或50毫米汞柱(mmHg)或100毫米汞柱(mmHg)，但不以此为限。
在一具体实施例中，支架部910以记忆合金所制成。手术用医疗装置900的控制机制为第一撑开段914、第三撑开段915与第二撑开段916在低于第一温度时呈可塑型状态，而第一撑开段914、第三撑开段915与第二撑开段916在高于第二温度时维持在撑开状态。其中当第一撑开段914、第三撑开段915与第二撑开段916呈可塑型状态并受到挤压外力时，第一撑开段914的撑开体积、第三撑开段915的撑开体积与第二撑开段916的撑开体积随着该挤压外力而缩小。在一具体实施例中，第一温度为20度，第二温度35度。然应了解，在不同具体实施例中，也可视需求而将第一温度与第二温度设置为其他温度。另外，在不同具体实施例中，可以液体接触或充电的方式控制第一撑开段914、第三撑开段915与第二撑开段916的温度，但不以此为限。
请参阅图10，其例示说明了通过收合装置以将本申请手术用医疗装置收合的一具体实施例的示意图。如图10所示实施例，手术用医疗装置1000于其第二撑开段处具有收合辅助部1011、1012、1013。收合装置1200包含管状部1210以及多个收合支架1220、1230、1240，收合支架1220、1230、1240于其端部处各自具有勾合端部1222、1232、1242。收合支架1220、1230、1240可收进管状部1210内，或可至少部分伸出于管状部1210外。
在手术用医疗装置1000的收合过程中，可先将收合装置1200自尿道进入体内，待收合装置1200到达定位后，将收合支架1220、1230、1240自管状部 1210伸出，并以收合支架1220、1230、1240的勾合端部1222、1232、1242分别勾住位于体内的手术用医疗装置1000的收合辅助部1011、1012、1013。接着，可沿着管状部1210将收合支架1220、1230、1240收回管状部1210内，此时由于勾合端部1222、1232、1242分别勾住收合辅助部1011、1012、1013，因此在将收合支架1220、1230、1240收进管状部1210内的过程中，手术用医疗装置1000也会被收合进管状部1210内。在一具体实施例中，在勾合端部1222、1232、1242分别勾住收合辅助部1011、1012、1013后，也可直接将收合装置1200向体外拉动，藉以将手术用医疗装置1000移出体外，而无需先将手术用医疗装置1000收合至收合装置1200的管状部1210内。
请参阅图11A，其例示说明了本申请手术用医疗系统一具体实施例的示意图。如图11A所示实施例，手术用医疗系统1100包含容纳装置1110以及手术用医疗装置(图未示)，容纳装置1110包含医疗装置容纳部1112。手术用医疗装置可至少部分容置于该医疗装置容纳部内，且当手术用医疗装置至少部分容置于该医疗装置容纳部内时，手术用医疗装置处于准备状态。较佳地，医疗装置容纳部1112以可拆卸的方式装设于容纳装置1110的端部处。或者，医疗装置容纳部1112也可为容纳装置1110的一部分。在一具体实施例中，手术用医疗系统1100可进一步包含内视镜装置(例如膀胱镜装置)及/或注射装置。该内视镜装置可连接于容纳装置1110，或可设置于容纳装置1110的容纳通道内。其中，该内视镜装置可经由容纳通道以获得手术视野。较佳地，容纳装置1110的容纳通道与医疗装置容纳部的内部互相导通，同时，容纳装置1110的容纳通道延伸并导通至医疗装置容纳部1112的出口1114A。
在图11A所示实施例中，可于手术用医疗装置呈收合状态(或称收缩状态)时，将手术用医疗装置至少部分置放进医疗装置容纳部1112中(例如可自位于医疗装置容纳部1112的顶部处的出口1114A将手术用医疗装置置放进医疗装置容纳部1112中)。例如可于手术用医疗装置呈可塑型状态时，先挤压手术用医疗装置以使其体积缩小后，再将手术用医疗装置至少部分置放进医疗装置容纳部1112中。在一具体实施例中，医疗装置容纳部的出口可为侧 向连通出口，该侧向连通出口为顶部出口与侧部出口相互连通的一种出口，如图11B所示的侧向连通出口1114B。此种侧向连通出口可避免手术用医疗装置在移出医疗装置容纳部的过程中产生不必要的位移。更明确而言，由于手术用医疗装置在逐渐移出医疗装置容纳部并逐渐撑开的过程中，可能会因撑开的力量而使手术用医疗装置自出口处快速滑出或滑入医疗装置容纳部，进而致使手术用医疗装置较难定位至正确位置，因此，在某些实施方式中，可通过将出口设置为侧向连通出口以避免此种不必要的快速位移产生。
至此，本申请的手术用医疗装置及其系统已经由上述说明及说明书附图加以说明。然应了解，本申请的各个具体实施例仅是做为说明之用，在不脱离本申请权利要求书与精神下可进行各种改变，且均应包含于本申请的专利范围中。因此，本说明书所描述的各具体实施例并非用以限制本申请，本申请的真实范围与精神揭示于以下权利要求书。

Claims (22)

  1. 一种手术用医疗装置，包含：
    一支架部，该支架部具有一第一撑开段、一第二撑开段与位于该第一撑开段与该第二撑开段之间的一第三撑开段；
    其中该手术用医疗装置具有一控制机制，该手术用医疗装置通过该控制机制以撑开或收缩该第一撑开段、该第三撑开段与该第二撑开段。
  2. 如权利要求1所述的手术用医疗装置，其中该支架部于该第一撑开段处具有至少一弧形端部。
  3. 如权利要求1所述的手术用医疗装置，其中该支架部于该第二撑开段处具有至少一收合辅助部。
  4. 如权利要求1所述的手术用医疗装置，其中该支架部由多个支架导线所构成。
  5. 如权利要求1所述的手术用医疗装置，其中该支架部以记忆合金所制成；其中该控制机制为该第一撑开段、该第三撑开段与该第二撑开段在低于一第一温度时呈一可塑型状态，而该第一撑开段、该第三撑开段与该第二撑开段在高于一第二温度时维持在一撑开状态。
  6. 如权利要求1所述的手术用医疗装置，其中该第三撑开段对一目标患部施加的一压力介于30毫米汞柱(mmHg)至200毫米汞柱(mmHg)。
  7. 如权利要求1所述的手术用医疗装置，进一步包含一直杆部；其中该支架部沿伸设置于该直杆部上。
  8. 如权利要求7所述的手术用医疗装置，其中该直杆部具有一直杆端部，该支架部具有一第一支架端部，该直杆端部与该第一支架端部相连接。
  9. 如权利要求7所述的手术用医疗装置，其中该支架部由多个支架导线所构成；其中该多个支架导线各自具有一支架弹簧部，其中当该第一撑开段、该第三撑开段与该第二撑开段处于一撑开状态时，该支架弹簧部提供一张力以协助维持该第一撑开段的一第一撑开体积及/或该第二撑开段的一第二撑开体积及/或该第三撑开段的一第三撑开体积。
  10. 如权利要求7所述的手术用医疗装置，其中该直杆部具有一直杆弹簧部，其中当该第一撑开段、该第三撑开段与该第二撑开段处于一撑开状态时，该直杆弹簧部提供一张力以协助维持该第一撑开段的一第一撑开体积及/或该第二撑开段的一第二撑开体积及/或该第三撑开段的一第三撑开体积。
  11. 如权利要求7所述的手术用医疗装置，其中该控制机制为设置于该直杆部上的一控制部，该控制部可相对于该直杆部运动；其中该控制部连接该支架部的一第二支架端部，该控制部通过其相对于该直杆部的运动以撑开或收缩该第一撑开段、该第三撑开段与该第二撑开段。
  12. 如权利要求11所述的手术用医疗装置，其中该支架部具有一螺旋结构；该控制部通过其相对于该直杆部的一旋转运动以撑开或收缩该第一撑开段、该第三撑开段与该第二撑开段。
  13. 如权利要求7所述的手术用医疗装置，其中该支架部以记忆合金所制成；其中该控制机制为该第一撑开段、该第三撑开段与该第二撑开段在低于一第一温度时呈一可塑型状态，而该第一撑开段、该第三撑开段与该第二撑开段在高于一第二温度时维持在一撑开状态。
  14. 如权利要求13所述的手术用医疗装置，其中该支架部具有一第二支架端部，该第二支架端部连接于该直杆部上。
  15. 一种手术用医疗系统，包含权利要求1至14项中任一项的手术用医疗装置，其中该手术用医疗系统进一步包含：
    一容纳装置，具有一容纳通道；
    其中当该手术用医疗系统处于一准备状态时，该手术用医疗装置至少部分容置于该容纳装置的该容纳通道内。
  16. 如权利要求15所述的手术用医疗系统，其中当该手术用医疗系统处于一第一启动状态时，该容纳装置将该手术用医疗装置部份推出，以使该手术用医疗装置的该第一撑开段被推出于该容纳通道外；其中当该手术用医疗系统处于一第二启动状态时，该容纳装置将该手术用医疗装置部份推出，以使该手术用医疗装置的该第三撑开段被推出于该容纳通道外；其中当该手术用 医疗系统处于一第三启动状态时，该容纳装置将该手术用医疗装置推出，以使该手术用医疗装置的该第二撑开段被推出于该容纳通道外。
  17. 如权利要求16所述的手术用医疗系统，其中该容纳装置具有一触发器，其中当首次触发该触发器时，该手术用医疗系统处于该第一启动状态；其中当第二次触发该触发器时，该手术用医疗系统处于该第二启动状态；其中当第三次触发该触发器时，该手术用医疗系统处于该第三启动状态。
  18. 如权利要求15所述的手术用医疗系统，其中该容纳装置具有一卡合部，该直杆部具有一第一卡榫部、一第二卡榫部以及一第三卡榫部；其中该容纳装置通过该卡合部与该第一卡榫部、该第二卡榫部或该第三卡榫部的卡合，以使该手术用医疗系统处于该第一启动状态、该第二启动状态或该第三启动状态。
  19. 如权利要求15所述的手术用医疗系统，进一步包含：
    一膀胱镜装置，连接该容纳装置，该膀胱镜装置经由该容纳通道以获得一手术视野；以及
    一注射装置，连接该容纳装置，该注射装置通过该容纳通道以注射液体至一手术部位。
  20. 如权利要求19所述的手术用医疗系统，其中该注射装置连接一调节装置，该注射装置通过该调节装置以注射不同温度的液体至该手术部位。
  21. 如权利要求15所述的手术用医疗系统，其中该容纳装置包含以可拆卸的方式装设于该容纳装置的一端部处的一医疗装置容纳部，其中当该手术用医疗系统处于该准备状态时，该手术用医疗装置至少部分容置于该医疗装置容纳部内。
  22. 如权利要求21所述的手术用医疗系统，其中该医疗装置容纳部于其顶部处具有一侧向连通出口。
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