CN101999939A - Protective cover type invisible endoscope passage for celiac minimally invasive surgery - Google Patents

Protective cover type invisible endoscope passage for celiac minimally invasive surgery Download PDF

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Publication number
CN101999939A
CN101999939A CN2010105560694A CN201010556069A CN101999939A CN 101999939 A CN101999939 A CN 101999939A CN 2010105560694 A CN2010105560694 A CN 2010105560694A CN 201010556069 A CN201010556069 A CN 201010556069A CN 101999939 A CN101999939 A CN 101999939A
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China
Prior art keywords
sacculus
type
cover body
vertical bar
abdominal cavity
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Pending
Application number
CN2010105560694A
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Chinese (zh)
Inventor
浦峥峻
胡海
莫春林
姚佳陈
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SHANGHAI INNOVEX MEDICAL CO Ltd
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SHANGHAI INNOVEX MEDICAL CO Ltd
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Application filed by SHANGHAI INNOVEX MEDICAL CO Ltd filed Critical SHANGHAI INNOVEX MEDICAL CO Ltd
Priority to CN2010105560694A priority Critical patent/CN101999939A/en
Publication of CN101999939A publication Critical patent/CN101999939A/en
Pending legal-status Critical Current

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Abstract

The invention relates to a protective cover type invisible endoscope passage for a celiac minimally invasive surgery. The passage comprises two parts, namely an in-vitro combination platform and an in-vivo expansion cover, and is characterized in that: the in-vitro combination platform consists of a porous platform (19), a pair of combined outer ferrules (16), and an inner ferrule (17) which is arranged in the outer ferrules; the porous platform (19) is inserted into the inner ferrule; a plurality of tubular passages (18) are formed on the porous platform (19); the in-vivo expansion cover comprises a celiac passage tube (13) and a straight ball-shaped cover (20); an annular ball (12) is arranged at the bottom of the outer ring of the celiac passage tube (13) and communicated with an external air source through an inflating tube (14) which is arranged in the celiac passage tube (13) and communicated with the cavity of the annular ball (12); and the straight ball-shaped cover (20) is one with small top and large bottom and fixedly connected with the annular ball (12) into a whole.

Description

The stealthy scope passage of a kind of safety cover type locker abdominal cavity Minimally Invasive Surgery
Technical field
The present invention relates to a kind of abdominal operation assistive device, the stealthy Inner mirror of especially a kind of safety cover type locker abdominal cavity Minimally Invasive Surgery passage.
Background technology
Along with the development of Medical Technology, the micro-wound surgical operation of utilization laparoscopic technique is also promoted the use of at home day by day.The 2-4 hole operation methods that adopt in laparoscopic surgery more, one of them is opened on the navel (perhaps other positions of abdominal part) at human body, avoid staying the scar of strip at position, patient abdominal cavity, after the recovery, only leave 1-3 0.5-1 centimetre wire cicatrix at the position, abdominal cavity, it is little to can be described as wound surface, the operation that pain is little, and therefore also the someone is referred to as " keyhole " operation.Carrying out of laparoscopic surgery alleviated the pain that patient operates on, and patient recovery is shortened, and reduced patient's disbursement relatively, be development in recent years operation project rapidly.
When hospitals more both domestic and external have just begun, use single hole or porous laparoscopic technique to implement through umbilicus single hole mirror cholecystectomy, appendectomy, stones in intrahepatic bile duct cystadenoma excision etc.In operation process, these are opened on the little otch of doing 5~12 millimeters of diameters at the different parts of abdominal part must settle an abdominal operation passage, be convenient to insert pick-up lens and various special operating theater instruments, the image that inserts the captured various internal organs of intraperitoneal of Intraabdominal photographic head is transferred on the telescreen, the surgeon finishes operation with various operating theater instruments external the operation by observing image.
But, the habitual at present abdominal cavity passage that passes through the little incision-like of abdominal part carries out Minimally Invasive Surgery and has some obvious defects: after little otch is opened, because the intrinsic pressure effect in abdominal cavity, the influential point of viscera of intracavity device forms extruding to accent, therefore can cause the damage appearance of phenomenons such as the tissue of no pathological changes and organ of operating theater instruments accident.Though the generation of adopting the abdominal cavity channel to prevent these phenomenons is also being arranged at present, but because the abdominal cavity channel that uses is too simple at present, not only under the effect of human abdomen's muscle, can't be positioned at more securely in the little otch, and can't adapt to the requirement that porous road, many apparatuses are operated simultaneously.
Therefore, how to solve the expansion of the little otch of abdominal part stable, can adapt to the demand of many apparatuses again simultaneously from entering with a kerf, having become needs the problem that solves in the clinical Minimally Invasive Surgery.
Summary of the invention
Purpose of the present invention is intended to: realize the abdominal operation passage by using a kind of stealthy Inner mirror passage with vertical bar sacculus protective cover; after patient's umbilical part or little otch of nearly umbilical part incision; the abdominal operation passage of the vertical bar sacculus protective cover of Shou Suoing is in pusher is pushed to the abdominal part body in advance; then behind inflation or the topping up; protective cover expands and struts; last trombone slide shape passage has just been set up the tubular conduit of the through lesions position of a myopia circle to correct position.Because protective cover restriction operating theater instruments is only operated at lesions position, so can eliminate the thunder bolt that some cause because of maloperation.
In order to solve the problems of the technologies described above, technical scheme of the present invention is as follows:
Minimally Invasive Surgery special-purpose abdominal operation passage in this safety cover type locker abdominal cavity comprises external combined platform and body intramedullary expansion cover body two parts, it is characterized in that:
A, described external combined platform is by porous platform 19, a pair of combination type outer collar 16 and establish
Inside race 17 in outer collar is formed, and described porous platform 19 is plugged in the inside race, and 19 on porous platform is provided with a plurality of tubular conduits 18;
B, described body intramedullary expansion cover body comprise abdominal cavity channel 13 and vertical bar sacculus shape cover body 20,
Wherein the bottom of abdominal cavity channel 13 outer rings is provided with ring-type sacculus 12, and described ring-type sacculus 12 passes through
Be located at the gas tube 14 that communicates with ring-type sacculus 12 inner chambers in the abdominal cavity channel 13 and be communicated with extraneous source of the gas, described vertical bar sacculus shape cover body 20 is a up-small and down-big ring-type vertical bar sacculus shape cover body, and it and ring-type sacculus 12 are consolidated into one.
The upper surface of described ring-type sacculus 12 is the matsurface that is provided with projection.
Described vertical bar sacculus shape cover body is an endless loop by top, and the bottom is that the train of dress shape vertical bar sacculus that is connected with endless loop constitutes, and both are inflatable cavity, and perhaps the bottom is solid vertical bar rubber bodies.
According to the special-purpose abdominal operation passage of this safety cover type locker abdominal cavity Minimally Invasive Surgery of above technical scheme proposition, it is small and exquisite not only to have structure, convenience operation, at contraction-like vertical bar sacculus shape cover body in advance after the little otch of abdominal part enters in the human body, the operation path of a through focal zone is set up in the inflation or the expansion of upspringing certainly.After can preventing that effectively abdominal incision from forming, because the intrinsic pressure squeezing action that causes in abdominal cavity, provide technical support for the accidental injury of eliminating no focus organ in preventing to perform the operation to incision.Can be widely used in through umbilicus single-hole laparoscopic cholecystectomy, appendectomy, stomach fistulation, splenectomy, sticking patch implantation, prostatectomy, adrenalectomy, orchiopexy, orchiectomy, ureterolithotomy, the nephrectomy, pyeloplasty or the like outside peritoneum fully.
Description of drawings
Fig. 1. the overall structure figure of the stealthy Inner mirror of vertical bar sacculus shape protective cover passage;
Fig. 2. the decomposing schematic representation of the stealthy Inner mirror of vertical bar sacculus shape protective cover passage;
Fig. 3. the cutaway view of vertical bar sacculus shape cover body.
Among the figure: 12-matsurface, 13-tubular conduit, 14-gas tube, 15-female Luer, 16-outer collar, 17-inside race, 18-tubular conduit, 19-porous platform, 20-vertical bar sacculus shape cover body.
The specific embodiment
Further describe the present invention below in conjunction with accompanying drawing, and give embodiments of the invention.
The stealthy Inner mirror of this safety cover type locker abdominal cavity Minimally Invasive Surgery passage comprises external combined platform and body intramedullary expansion cover body two parts, it is characterized in that:
Described external combined platform is made up of porous platform 19, a pair of combination type outer collar 16 and the inside race 17 be located in the outer collar, and described porous platform 19 is plugged in the inside race, and 19 on porous platform is provided with a plurality of tubular conduits 18.
Described body intramedullary expansion cover body comprises abdominal cavity channel 13 and vertical bar sacculus shape cover body 20, wherein the bottom of abdominal cavity channel 13 outer rings is provided with ring-type sacculus 12, described ring-type sacculus 12 is communicated with extraneous source of the gas by being located at the gas tube 14 that communicates with ring-type sacculus 12 inner chambers in the abdominal cavity channel 13, described vertical bar sacculus shape cover body 20 is a up-small and down-big ring-type vertical bar sacculus shape cover body, and it and ring-type sacculus 12 are consolidated into one.
Simultaneously, the upper surface of ring-type sacculus is designed to have the structure (as surface design being become to be furnished with the prominent convex shape of point-like etc.) of certain matsurface, utilize these point-like projectioies to make this tubular conduit 13 when the insertion abdominal incision stretches into the abdominal cavity, utilize this crude the left-hand thread of the ring-type sacculus after the inflation to take off tightly, prevent contraction close incisions because of otch muscle at abdominal cavity otch inner peripheral edge.
Described vertical bar sacculus shape cover body 20 is a ring-type vertical bar sacculus shape cover body, and it and ring-type sacculus 12 are consolidated into one.The concrete structure of this vertical bar sacculus shape cover body 20 can be taked two kinds of forms:
One is an endless loop by top, and the bottom is that the train of dress shape vertical bar sacculus that is connected with endless loop constitutes, and both are inflatable cavity, and it is communicated with the ring-type sacculus, form same inflation utricule.
Its two, be an endless loop by top, the bottom is that the train of dress shape vertical bar sacculus that is connected with endless loop constitutes both solid rubber bodies.
This vertical bar sacculus shape cover body 20 is made the independent cover body of being made by solid rubber, then utilize adhesive technology that vertical bar sacculus shape cover body 20 and annular channel 13 are consolidated into one, form the cover body structure.
During practical application: the cover body surface of described vertical bar sacculus protective cover scribbles hydrophilic coating, and hydrophilic coating can reduce abdominal operation passage running resistance in operative incision.Structure of the present invention is small and exquisite, and is easy to operate, and a treatment passage is set up in the cover body of the Shou Suoing inflation or expansion of upspringing certainly after little otch enters in the human body in advance, and it has the characteristics of through focus.
Described vertical bar sacculus protective cover can shrink in advance during use, and is expansion-molded after the underwent operative mini-incision enters the abdominal part of human body, struts into a tubulose service aisle, this passage lesions position that goes directly.The doctor inserts medical apparatus and instruments by the passage on the porous platform, and for example: peritoneoscope, nipper, separation are cut or the like, carry out abdominal surgery.
Described vertical bar sacculus shape cover body 20 outer surfaces are coated with hydrophilic coating, and described hydrophilic coating is a kind of in polyvinylpyrrolidone, polyethylene glycol oxide, Polyethylene Glycol, polypropylene glycol, polyacrylamide, the polyacrylic acid or their complex.
Described ring-type sacculus 12 be thin film or fabric or non-woven fabrics or their complex.
Described vertical bar sacculus shape cover body 20 materials are silica gel, Polyurethane, poly-ternary rubber, or two or more compound of elasticity medical metal silk and above-mentioned material is formed.
Described vertical bar sacculus shape cover body 20, its internal diameter size scope is 30 ~ 100mm, altitude range is 10 ~ 100mm.
This being used for through umbilicus single-hole laparoscopic cholecystectomy, appendectomy, stomach fistulation, splenectomy, sticking patch implantation, prostatectomy, adrenalectomy, orchiopexy, orchiectomy, ureterolithotomy, the nephrectomy, pyeloplasty or the like outside peritoneum fully.

Claims (8)

1. the stealthy Inner mirror of a safety cover type locker abdominal cavity Minimally Invasive Surgery passage comprises external combined platform and body intramedullary expansion cover body two parts, it is characterized in that:
A, described external combined platform are made up of porous platform (19), a pair of combination type outer collar (16) and the inside race (17) be located in the outer collar, described porous platform (19) is plugged in the inside race (17), and porous platform (19) face is provided with a plurality of tubular conduits (18);
B, described body intramedullary expansion cover body comprise abdominal cavity channel (13) and vertical bar sacculus shape cover body (20), wherein the bottom of abdominal cavity channel (13) outer ring is provided with ring-type sacculus (12), described ring-type sacculus (12) is communicated with extraneous source of the gas by being located at the gas tube (14) that communicates with ring-type sacculus (12) inner chamber in the abdominal cavity channel (13), described vertical bar sacculus shape cover body (20) is a up-small and down-big ring-type vertical bar sacculus shape cover body, and it and ring-type sacculus (12) are consolidated into one.
2. the stealthy Inner mirror of a kind of safety cover type locker as claimed in claim 1 abdominal cavity Minimally Invasive Surgery passage is characterized in that: the upper surface of described ring-type sacculus (12) is the matsurface that is provided with projection.
3. the stealthy Inner mirror of a kind of safety cover type locker as claimed in claim 1 abdominal cavity Minimally Invasive Surgery passage, it is characterized in that: described vertical bar sacculus shape cover body (20) is a hollow up-small and down-big ring-type vertical bar sacculus shape cover body, and it and ring-type sacculus (12) are consolidated into one.
4. the stealthy Inner mirror of a kind of safety cover type locker as claimed in claim 1 abdominal cavity Minimally Invasive Surgery passage, it is characterized in that: described vertical bar sacculus shape cover body (20) is the vertical bar sacculus shape cover body that a solid sebific duct typing surrounds, its top and ring-type sacculus are affixed, constitute integrated capsule cover body.
5. the stealthy Inner mirror of a kind of safety cover type locker as claimed in claim 1 abdominal cavity Minimally Invasive Surgery passage, it is characterized in that: described vertical bar sacculus shape cover body (20) outer surface is coated with hydrophilic coating, and described hydrophilic coating is a kind of in polyvinylpyrrolidone, polyethylene glycol oxide, Polyethylene Glycol, polypropylene glycol, polyacrylamide, the polyacrylic acid or their complex.
6. the stealthy Inner mirror of a kind of safety cover type locker as claimed in claim 1 abdominal cavity Minimally Invasive Surgery passage is characterized in that: described ring-type sacculus (12) be thin film or fabric or non-woven fabrics or their complex.
7. the stealthy Inner mirror of a kind of safety cover type locker as claimed in claim 1 abdominal cavity Minimally Invasive Surgery passage, it is characterized in that: described vertical bar sacculus shape cover body (20) material is silica gel, Polyurethane, poly-ternary rubber, or two or more compound of elasticity medical metal silk and above-mentioned material is formed.
8. the stealthy Inner mirror of a kind of safety cover type locker as claimed in claim 1 abdominal cavity Minimally Invasive Surgery passage is characterized in that: described vertical bar sacculus shape cover body (20), and its internal diameter size scope is 30 ~ 100mm, altitude range is 10 ~ 100mm.
CN2010105560694A 2010-11-24 2010-11-24 Protective cover type invisible endoscope passage for celiac minimally invasive surgery Pending CN101999939A (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104856766A (en) * 2015-06-01 2015-08-26 宁波胜杰康生物科技有限公司 Novel minimally-invasive-surgery operating platform
CN107348998A (en) * 2017-07-14 2017-11-17 苏州朗特斯医疗科技有限公司 A kind of fish-eye type single-hole multi-passage puncture outfit

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101401742A (en) * 2007-10-05 2009-04-08 Tyco医疗健康集团 Seal anchor for use in surgical procedures
US20090221966A1 (en) * 2008-03-03 2009-09-03 Tyco Helathcare Group Lp Single port device with multi-lumen cap
WO2010000047A1 (en) * 2008-06-30 2010-01-07 Imbros Administração E Participação Ltda Laparoscopic access device
CN201422860Y (en) * 2008-07-03 2010-03-17 王军 Multichannel flexible abdominal wall working window
CN101797148A (en) * 2010-02-23 2010-08-11 上海祥秀医药科技有限公司 Semicircular working sleeve for single-hole laparoscope
US20100261975A1 (en) * 2009-03-06 2010-10-14 Ethicon Endo-Surgery, Inc. Methods and devices for accessing a body cavity
CN201949128U (en) * 2010-11-24 2011-08-31 上海英诺伟微创医疗器械有限公司 Shield type invisible endoscopy channel for minimally invasive surgery of abdominal cavity

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101401742A (en) * 2007-10-05 2009-04-08 Tyco医疗健康集团 Seal anchor for use in surgical procedures
US20090221966A1 (en) * 2008-03-03 2009-09-03 Tyco Helathcare Group Lp Single port device with multi-lumen cap
WO2010000047A1 (en) * 2008-06-30 2010-01-07 Imbros Administração E Participação Ltda Laparoscopic access device
CN201422860Y (en) * 2008-07-03 2010-03-17 王军 Multichannel flexible abdominal wall working window
US20100261975A1 (en) * 2009-03-06 2010-10-14 Ethicon Endo-Surgery, Inc. Methods and devices for accessing a body cavity
CN101797148A (en) * 2010-02-23 2010-08-11 上海祥秀医药科技有限公司 Semicircular working sleeve for single-hole laparoscope
CN201949128U (en) * 2010-11-24 2011-08-31 上海英诺伟微创医疗器械有限公司 Shield type invisible endoscopy channel for minimally invasive surgery of abdominal cavity

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN104856766A (en) * 2015-06-01 2015-08-26 宁波胜杰康生物科技有限公司 Novel minimally-invasive-surgery operating platform
CN107348998A (en) * 2017-07-14 2017-11-17 苏州朗特斯医疗科技有限公司 A kind of fish-eye type single-hole multi-passage puncture outfit

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Application publication date: 20110406