CN105581814A - 用于与手术进入装置联用的附接件 - Google Patents

用于与手术进入装置联用的附接件 Download PDF

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CN105581814A
CN105581814A CN201510776384.0A CN201510776384A CN105581814A CN 105581814 A CN105581814 A CN 105581814A CN 201510776384 A CN201510776384 A CN 201510776384A CN 105581814 A CN105581814 A CN 105581814A
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CN105581814B (zh
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雅罗斯洛娃·T·马尔科夫斯基
凯文·格莱别斯基
克里斯托弗·A·托卡扎
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    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3494—Trocars; Puncturing needles with safety means for protection against accidental cutting or pricking, e.g. limiting insertion depth, pressure sensors
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B17/3417—Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421—Cannulas
    • A61B17/3423—Access ports, e.g. toroid shape introducers for instruments or hands
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00238—Type of minimally invasive operation
    • A61B2017/00265—Hand assisted surgery, i.e. minimally invasive surgery with at least part of an assisting hand inside the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
    • A61B2017/0034—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means adapted to be inserted through a working channel of an endoscope
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34—Trocars; Puncturing needles
    • A61B2017/348—Means for supporting the trocar against the body or retaining the trocar inside the body
    • A61B2017/3492—Means for supporting the trocar against the body or retaining the trocar inside the body against the outside of the body
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B2050/005—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover
    • A61B2050/0051—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover closable by rotation
    • A61B2050/0055—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover closable by rotation about a lateral axis perpendicular to the lid plane
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B2050/005—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover
    • A61B2050/0066—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover with additional sealing means, e.g. O-ring
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B50/00—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers
    • A61B2050/005—Containers, covers, furniture or holders specially adapted for surgical or diagnostic appliances or instruments, e.g. sterile covers with a lid or cover
    • A61B2050/0067—Types of closures or fasteners
    • A61B2050/0083—Snap connection

Abstract

公开了一种用于与手术进入装置联用的手术进入附接件。该手术进入附接件包括环和进入口组件。该环构造成接合手术进入装置的近侧部。该进入口组件包括具有接合结构部的至少一个柔性凸起。该接合结构部构造成选择性地接合该环。该进入口组件构造成固持密封件。该进入口组件构造成：响应于预定量的力施加在至少一个柔性凸起的一个柔性凸起上而与该环分离。

Description

用于与手术进入装置联用的附接件
相关申请的交叉引用
本申请要求于2014年11月12日提交的美国临时专利申请第62/078,479号的权益和优先权，其全部公开通过引用合并于此。
技术领域
本公开涉及用于与手术进入装置联用的附接件的多种实施例。更具体地，本公开包括可拆卸地固定至手术进入装置的近侧部并且允许器械和/或临床医生的手穿过其插入的附接件。
背景技术
微创手术(例如，腹腔镜手术、内窥镜手术和胸腔镜手术)相较于传统的开放式手术具有很多优势。具体地，微创手术消除了对于大切口的需求，从而减少了不适感、恢复时间和与传统的开放式手术相关的很多有害的副作用。
微创手术可以通过患者的皮肤中的小开口来执行。这些开口可以是皮肤中的切口或者可以是自然生成的身体孔口(例如，嘴、肛门或阴道)。另外，还可以执行手进入式手术。通常而言，注入气体可以被用来扩大包围目标手术部位的区域以产生更大、更容易进入的工作区域。
期望维持大致的液密密封，以便抑制注入气体的泄漏以及扩大的手术部位的缩小或塌陷。
发明内容
本公开涉及一种用于与手术进入装置联用的手术进入附接件。该手术进入附接件包括环和进入口组件。该环构造成接合手术进入装置的近侧部。该进入口组件包括具有接合结构部的至少一个柔性凸起。该接合结构部构造成选择性地接合该环。该进入口组件构造成固持密封件。该进入口组件构造成：响应于预定量的力施加在至少一个柔性凸起中的一个柔性凸起上而与该环分离。
在所公开的实施例中，该进入口组件构造成：响应于预定量的近侧指向力(proximally-directedforce)施加在至少一个柔性凸起中的一个柔性凸起上而与所述环分离。
同样公开的是，该手术进入附接件包括布置在进入口组件上的唇缘。该唇缘构造成选择性地接合所述环。进一步公开的是，至少一个柔性凸起由一个柔性凸起构成，并且该唇缘相对于该柔性凸起在180°处布置。另外，所公开的是，进入口组件由构造成可拆卸地接合所述环的两个构型部(feature)构成，这两个构型部包括柔性凸起和唇缘。进一步公开的是，柔性凸起的最远侧部与唇缘的最远侧部共面。还公开的是，所述环包括近侧壁、远侧壁以及将近侧壁与远侧壁互连的中间壁。唇缘和柔性凸起中的每一个均构造成接合所述环的近侧壁的远侧表面。
在所公开的实施例中，所述环的近侧壁构造成定位在手术进入装置的最近侧部的近侧。
在所公开的实施例中，进入口组件包括近侧密封件固持部和远侧密封件固持部。同样公开的是，至少一个柔性凸起从近侧密封件固持部延伸出。进一步公开的是，至少一个柔性凸起从近侧密封件固持部延伸出，并且唇缘从远侧密封件固持部延伸出。另外，公开的是，至少一个柔性凸起从近侧密封件固持部延伸出，并且至少部分地穿过远侧密封件固持部的开口。公开的是，远侧密封件固持部的开口由从远侧密封件固持部的外环径向朝外延伸的C形突起限定。进一步公开的是，近侧密封件固持部包括多个指形件，并且远侧密封件固持部包括多个接合孔。多个指形件中的每个指形件均构造成机械地接合多个孔中的一个接合孔。
在所公开的实施例中，进入口组件构造成以单手的方式与上述环接合和/或分离，例如以非旋转的单手的方式。
附图说明
在此参照附图公开了本公开的多种实施例，其中：
图1是根据本公开的实施例的手术进入附接件的立体图；
图2是包括环、以及具有近侧密封件固持部、密封件和远侧密封件固持部的进入口组件的图1的手术进入附接件的装配图；
图3是图2的进入口组件的远侧密封件固持部的立体图；
图4是沿图1的线4-4所截取的图1的手术进入附接件的剖视图；
图5是图4中所标示的细节区域的放大图；
图6是沿图1的线6-6所截取的图1的手术进入附接件的剖视图；
图7是用于与本公开的手术进入附接件联用的手术进入组件的断面图；
图8A是图7的手术进入组件安装在组织中的、并且示出手术进入组件的近侧部处于凹形定向的剖视图；
图8B是图7的手术进入组件安装在组织中的、并且示出手术进入组件的近侧部处于凸形定向的剖视图；
图9是图1和图2的手术进入附接件的环的立体图；
图10至图12是图示出图1至图6和图9的手术进入附接件与图7至图8B的手术进入装置之间的多个接合步骤的剖视图；
图13是图1至图6和图9的手术进入附接件与图7至图8B的手术进入装置接合的、并且示出器械插入穿过手术进入附接件和手术进入装置的剖视图；
图14是图13中所标示的细节区域的放大图；
图15是与图14类似的、但图示出近侧指向力施加至进入口组件的柔性凸起以及因而产生进入口组件与环之间分离的视图；
图16是包括进入口组件的手术进入附接件的替代实施例的立体图，其中所述进入口组件具有两个柔性凸起；
图17是手术进入附接件的另外的替代实施例的立体图；
图18是包括二次成型组件(overmoldassembly)的图17的手术进入附接件的装配图，其中所述二次成型组件具有密封件、固持组件和环；
图19是图18的固持组件的一部分的放大图；
图20是图示出图17至图18的手术进入附接件的二次成型组件的远侧表面的立体图；
图21是沿图17的线21-21所截取的图17至图18的手术进入附接件的剖视图；以及
图22是图21中所标示的细节区域的放大图。
具体实施方式
在此将参照附图描述本公开的具体实施例。如图中所示且如贯穿以下说明书中所描述的，并且正如当参照对于对象的相对定位时传统的那样，术语“近侧”涉及装置的靠近用户的部分且术语“远侧”涉及装置的远离用户的部分。在以下说明书中，众所周知的功能或构造未详细描述以避免不必要的细节使得本公开模糊。
正如在此限定的，手术部位包括患者中的切口或自然的孔口，可穿过所述切口或自然的孔口来执行手术操作。
最初参照图1和图2，手术进入附接件100根据本公开的实施例示出。手术进入附接件100被构造为用于与手术进入装置300(参见图7和图8)联用来助于穿过组织“T”层进入至手术部位。更具体地，手术进入附接件100或其部分被构造成例如使用单手来选择性地可拆卸地附接至手术进入装置300。即，手术进入附接件100或其部分被构造成以简单的单手的方式来接合手术进入装置300，并且手术进入附接件100或其部分被构造成以简单的单手的方式来与手术进入装置300分离。
手术进入附接件100包括进入口组件110和环200。进入口组件110包括近侧密封件固持部120、远侧密封件固持部160和密封件190。通常而言，近侧密封件固持部120和远侧密封件固持部160构造成彼此机械地接合(例如，经由搭扣配合接合)并且将密封件190容纳在其间。环200构造成选择性地、机械地接合手术进入装置300的近侧部310。包括近侧密封件固持部120、远侧密封件固持部160和密封件190的进入口组件110构造成通过可释放地接合与手术进入装置300接合的环200来接合手术进入装置300。
密封件190构造成并且定尺寸成装配在近侧密封件固持部120和远侧密封件固持部160之间。密封件190构造成允许手术器械“I”(图13)和/或临床医生的手以密封关系插入穿过。正如所能想到的，多种类型的密封件能够同本公开一起使用。在共有的于2014年7月22日提交的美国专利申请第14/337,430号和于2014年7月7日提交的美国专利申请第62/021,298号中描述了若干种类型的密封件的实例，通过引用它们的全部内容而合并于此。
参照图2、图4和图5，近侧密封件固持部120包括凸缘(rim)122、多个指形件128和柔性凸起130。凸缘122包括大致L形截面、径向外表面124和径向内表面126。多个指形件128中的每个指形件均从凸缘122的远侧表面123朝远侧下垂。在图4和图5中所图示的实施例中，例如，多个指形件128中的每个指形件均与凸缘122一体地形成。另外，多个指形件128中的每个指形件的一部分均构造成机械地接合下面更为详细地论述的远侧密封件固持部160的一部分。
参照图2和图6，柔性凸起130从凸缘122径向地向外延伸，并且包括近侧部132、支腿134、接合部136和活动铰链部138。活动铰链部138将近侧部132和支腿134互连，并且使得支腿134相对于近侧部132能够弯曲。接合部136从支腿134径向地向外延伸并且构造为用于通过用户接合以助于支腿134相对于近侧部132弯曲。另外，支腿134包括布置在其远侧端上的接合结构部139，接合结构部139构造成机械地接合下面更为详细地论述的环200的一部分。
参照图2至图6，远侧密封件固持部160包括主体162、近侧边缘164、近侧搁板状部166、远侧搁板状部168、多个接合孔170、外环180和唇缘184(参见图3和图6)。近侧边缘164构造成至少部分地径向包围近侧密封件固持部120的凸缘122的远侧部。近侧搁板状部166构造成抵接凸缘122的远侧表面123。远侧搁板状部168构造成接合密封件190的远侧表面192。
多个指形件128中的每个指形件均构造成接合多个接合孔170中的一个接合孔。更具体地，并且参照图5，每个指形件128的主体129构造成接合接合孔170的第一部分172，并且每个指形件128的唇缘131构造成接合接合孔170的第二部分174。而且，每个指形件128是柔韧的，使得唇缘131能够移入和移出与限定接合孔170的第二部分174的壁174a的接合，以助于指形件128与接合孔170之间的接合。另外，正如所能想到的，指形件128的倾斜表面128a、以及邻近接合孔170的第一部分172的倾斜表面172a也助于指形件128与接合孔170之间的接合。
可以预想到的是，每个指形件128和每个接合孔170均能够通过使唇缘131相对于接合孔170径向地朝内移动而彼此分离。更具体地，可以预想到的是，能够将工具插入穿过接合孔170的第二部分174，接触指形件128的唇缘131以使唇缘131朝壁174a内侧径向地移动，因此能够实现近侧密封件固持部120(至少是其与已经从相应的接合孔170分离的指形件128相邻的那部分)相对于远侧密封件固持部160向近侧的移动。
尽管所图示的实施例图示出了具体数量的指形件128和接合孔170，但本公开包括：具有比所示的量多或少的指形件128和/或接合孔170的实施例。另外，尽管所图示的实施例示出了等量的指形件128和接合孔170，但可以预想到的是，存在比指形件128多的接合孔170。例如，可以预想到的是，存在两倍于指形件128的接合孔170。这种实施例使得近侧密封件固持部120和远侧密封件固持部160能够在两倍的旋转位置中彼此接合，这可以例如在接合孔170受损时是有帮助的。在此，可以预想到的是，远侧密封件固持部160包括第二C形突起181(下面关于图16中所示的实施例进一步详细描述)。另外，指形件128和接合孔170的圆周间隔可以不同于所图示的间隔。
具体参照图2、图14和图15，远侧密封件固持部160的外环180包括从其向外径向地延伸的大致C形突起181。C形突起181在其中限定开口182，其构造成允许柔性凸起130的一部分(例如，接合结构部139和支腿134的远侧部)延伸穿过。
现在参照图3和图6，示出了远侧密封件固持部160的唇缘184。在所图示的实施例中，唇缘184在与C形突起181相反(即，180°)的位置处从外环180朝内径向地延伸。如图6中所示，唇缘184构造成接合环200的近侧壁210的远侧表面212。
具体参照图9至图15，示出了环200。环200包括近侧壁210、远侧壁220以及将近侧壁210和远侧壁220互连的中间壁230。正如上面所指出的，环200构造成机械地接合手术进入装置300的近侧部310。而且，环200构造成：当近侧部310处于凹形定向时(图8A)或者当近侧部310处于凸形定向时(图8B)，环200机械地接合手术进入装置300的近侧部310。另外，环200包括位于其中的间断部(discontinuity)240，该间断部240构造成助于环200与手术进入装置300的近侧部310之间的可拆卸接合。当与手术进入装置300的近侧部310接合时(如图10至图15中所示)，环200的中间壁230布置在手术进入装置300的近侧部310(例如，近侧唇缘)的径向内侧。另外，近侧壁210的远侧表面212定位在手术进入装置300的最近侧表面的近侧。
在使用中，并且参照图4至图6，当近侧密封件固持部120和远侧密封件固持部160接近时，近侧边缘164的内表面165接合凸缘122的外表面125，近侧搁板状部166接合凸缘122的远侧表面123，并且多个指形件128中的至少一个指形件机械地接合多个接合孔170中的接合孔，以将近侧密封件固持部120与远侧密封件固持部160机械地联接。
另外，并且参照图10至图15，为将进入口组件110与环200机械地接合(例如，在环200与手术进入装置300接合后)，远侧密封件固持部160的唇缘184移动到与环200的近侧壁210接合(例如，唇缘184朝近侧壁210的远侧表面212的远侧移动)(参见图10和图11中的箭头“A”和“B”)。进入口组件110的相反部(例如，进入口组件110的包括柔性凸起130的部分)然后大体朝远侧移动(参见图12和图13中的箭头“C”和“D”)，并且使得柔性凸起130的接合结构部139朝环200的近侧壁210的远侧移动(参见图13和图14)。具体参照图14，在柔性凸起130的接合结构部139上的倾斜表面137助于柔性凸起130径向朝外的运动，以使接合结构部139能够适当地定位。可以想到的是，柔性凸起130被径向地向内偏置，使得在进入口组件110相对于环200已经充分地朝远侧移动后，所述柔性凸起的接合结构部139朝向其偏置位置移动从而进入与环200的近侧壁210的远侧表面212的接合。可以进一步想到的是，用户能够沿着图12和图13中的箭头“C”和“D”的大体方向对接合部136施加远侧力，以帮助接合结构部139径向朝内移动从而进入与环200的近侧壁210的远侧表面212的接合。
正如能够想到的是，能够单手地完成进入口组件110与环200之间的接合，因此例如，允许临床医生在手术操作期间、之前和之后有更多的自由。更具体地，可以想到的是，临床医生能够使用单个手柄快速且有效地将进入口组件110与环200接合，而无需例如旋转任何部件。
具体参照图15，为使进入口组件110从环200分离，用户对接合部136施加大体近侧力(参见图15中的箭头“E”)。预定量的力引起柔性凸起130的支腿134相对于近侧部132弯曲足够的量，以引起接合结构部139径向朝外移动并且移出与环200的近侧壁210的远侧表面212的接合，从而容许进入口组件110的包括柔性凸起130的那部分相对于环200向近侧移动(例如，沿着与图12和图13中的箭头“C”和“D”相反的方向)，这样随后允许远侧密封件固持部160的唇缘184移出与环200的近侧壁210的接合(例如，沿着与图10和图11中的箭头“A”和“B”相反的方向)，并且允许进入口组件110和环200之间的完全分离。
正如能够想到的，能够单手地完成进入口组件110和环200之间的分离，因此允许临床医生例如在手术操作期间、之前和之后有更多的自由。更具体地，可以想到的是，临床医生能够使用单个手指朝近侧或朝上按压柔性凸起130以快速完成这种分离，而无需例如旋转或旋拧任意部件。
现在参照图16，示出手术进入附接件的另一实施例并且以参考标记100a指代。手术进入附接件100a类似于图1的手术进入附接件100，但是手术进入附接件100a包括两个柔性凸起130a1和130a2。在此，第二柔性凸起130a2有效地取代手术进入附接件100的远侧密封件固持部160的唇缘184。更具体地，第二柔性凸起130a2的接合结构部(未在图16中明确地示出；类似于手术进入附接件100的接合结构部139)取代唇缘184。(同样参见图21，其图示出了包括一对柔性凸起1280的手术进入附接件1000)。另外，手术进入附接件100a的远侧密封件固持部160a包括第一C形突起181a1和第二C形突起181a2，第一C形突起181a1和第二C形突起181a2均限定位于其中的相应的开口182a1和182a2。
在此，正如所能想到的，进入口组件110a和环200a之间的接合和分离与进入口组件110和环200之间的接合和分离相似地完成，正如上面所讨论的。
现在参照图17至图22，示出手术进入附接件的另一实施例并且以参考标记1000指代。手术进入附接件1000构造为与手术进入装置300(参见图7和图8)联用而用于助于进入到手术部位。更具体地，手术进入附接件1000或其部分构造成例如使用单手选择性地、可拆卸地附接至手术进入装置300。即，手术进入附接件1000或其部分构造成以简单的单手方式来接合手术进入装置300，并且手术进入附接件1000或其部分构造成以简单的单手方式来与手术进入装置300分离。
具体参照图18，手术进入附接件1000包括密封件组件1100、主体部1200和环1300。密封件组件1100包括密封件1120和密封件固持构件1140，这两者二次成型在一起。正如上文关于密封件190的论述，密封件1120能够是任意合适类型的密封件。密封件组件1100构造成机械地接合主体部1200，并且主体部1200构造成选择性地、可拆卸地附接至环1300，正如下面进一步详细论述的。
具体参照图19和图20，示出了密封件组件1100和主体部1200之间的接合。密封件固持构件1140的远侧表面1142包括从其朝远侧延伸的多个销1150(参见图20)，并且主体部1200的近侧表面1202包括在其中的多个孔1210(图19)。密封件固持构件1140的每个销1150构造成摩擦地接合主体部1200的多个孔1210中的一个孔，以固定(例如，可拆卸地固定)密封件组件1100和主体部1200。正如所能想到的，多个孔1210中的孔的数量帮助确定：相对于主体部1200，密封件组件1100的可能的径向定向的数量。尽管所图示的实施例示出了确定数量的销1150和孔1210，但可以包括更多或更少的销1150和/或孔1210。另外，主体部1200可以包括与销1150相同数量的孔1210，或者主体部1200可以包括比销1150多的孔1210，而不偏离本公开的范围。此外，孔1210和销1150的定向和/或间隔可以不同于所图示的定向和间隔。
现在参照图21和图22，示出了主体部1200与环1300之间的接合。主体部1200包括近侧带形部(band)1220、中间带形部1240、远侧带形部1260和一对柔性凸起1280。近侧带形部1220包括具有多个孔1210的近侧表面1202。中间带形部1240将近侧带形部1220与远侧带形部1260互连。远侧带形部1260包括第一C形突起1262和第二C形突起1266，第一C形突起1262限定位于其中的开口1264，第二C形突起1266限定位于其中的开口1268(参见图18和图22)。
继续参照图22，每个柔性凸起1280均从近侧带形部1220朝远侧下垂，并且包括支腿1282、接合部1284以及活动铰链部1286。活动铰链部1286将支腿1282与近侧带形部1220互连，并且使得支腿1282相对于近侧带形部1220弯曲。接合部1284从支腿1282径向朝外延伸并且构造为用于由用户接合以助于支腿1282相对于近侧带形部1220弯曲(例如，使主体部1200与环1300分离)。每个柔性凸起1280的支腿1282的远侧部1288延伸穿过相应的C形突起1262、1266的开口1264、1268。另外，支腿1282包括布置在其远侧端上的接合结构部1290，该接合结构部1290构造成机械地接合环1300的一部分。环1300类似于正如上面所论述的手术进入附接件100的环200。
主体部1200与环1300之间的可拆卸的附接的另外的细节类似于上文论述关于进入口组件110与环200之间的可拆卸的附接的那些细节。
本公开还涉及使用在此描述的装置的方法。例如，本公开包括将手术进入附接件(包括与其关联的密封件组件)与手术进入装置单手地接合和分离的方法。
尽管已经在附图中示出了本公开的几个实施例，但并不意味着本公开局限于此，而是意味着本公开在范围上与本领域将允许的一样宽并且类似地解读说明书。因此，上面的描述不应该解释为限制，而是仅仅作为具体实施例的范例。本领域的技术人员将想到在所附的权利要求书的范围和精神内的其他修改。
本领域的技术人员应当理解，在此描述且在附图中示出的多种设备及其对应的使用方法构成本公开的非限制性的示例性实施例，并且附加的部件和特征可以添加到上文在此论述的任意实施例，而不偏离本公开的范围。
另外，本领域的技术人员将要理解的是，在不偏离本公开的范围的情况下，关于一个示例性实施例示出或描述的元件和特征可以与另一个实施例的元件和特征结合，并且基于上文描述的实施例和权利要求书将想到当前公开的主题的进一步的特征和优势。因此，本公开并不局限于已经具体示出和描述的。
尽管出于清楚或理解的目的，已经通过图示和实例的方式相当详细地描述了前面的公开，但是显而易见的是，某些变化和修改可以在所附的权利要求书的范围内实践。

Claims (18)

1.一种用于与手术进入装置联用的手术进入附接件，所述手术进入附接件包括：
环，其构造成接合手术进入装置的近侧部；
进入口组件，其包括具有接合结构部的至少一个柔性凸起，所述接合结构部构造成选择性地接合所述环，所述进入口组件构造成固持密封件；
其中，所述进入口组件构造成：响应于预定量的力施加在所述至少一个柔性凸起中的一个柔性凸起上而与所述环分离。
2.根据权利要求1所述的手术进入附接件，其中，所述进入口组件构造成：响应于预定量的近侧指向力施加在所述至少一个柔性凸起中的所述一个柔性凸起上而与所述环分离。
3.根据权利要求1所述的手术进入附接件，进一步包括布置在所述进入口组件上的唇缘，所述唇缘构造成选择性地接合所述环。
4.根据权利要求3所述的手术进入附接件，其中，所述至少一个柔性凸起由一个柔性凸起构成，并且其中所述唇缘相对于所述柔性凸起在180°处布置。
5.根据权利要求4所述的手术进入附接件，其中，所述进入口组件由构造成可拆卸地接合所述环的两个构型部构成，所述两个构型部包括所述柔性凸起和所述唇缘。
6.根据权利要求4所述的手术进入附接件，其中，所述柔性凸起的最远侧部与所述唇缘的最远侧部共面。
7.根据权利要求4所述的手术进入附接件，其中，所述环包括近侧壁、远侧壁以及将所述近侧壁与所述远侧壁互连的中间壁，并且其中所述唇缘和所述柔性凸起中的每一个构造成接合所述环的所述近侧壁的远侧表面。
8.根据权利要求1所述的手术进入附接件，其中，所述环包括近侧壁、远侧壁以及将所述近侧壁与所述远侧壁互连的中间壁，并且其中所述环的所述近侧壁构造成定位在手术进入装置的最近侧部的近侧。
9.根据权利要求1所述的手术进入附接件，其中，所述进入口组件包括近侧密封件固持部和远侧密封件固持部。
10.根据权利要求9所述的手术进入附接件，其中，所述至少一个柔性凸起从所述近侧密封件固持部延伸出。
11.根据权利要求9所述的手术进入附接件，进一步包括布置在所述进入口组件上的唇缘，所述唇缘构造成选择性地接合所述环，其中所述至少一个柔性凸起从所述近侧密封件固持部延伸出，并且其中所述唇缘从所述远侧密封件固持部延伸出。
12.根据权利要求9所述的手术进入附接件，其中，所述至少一个柔性凸起从所述近侧密封件固持部延伸出并且至少部分地穿过所述远侧密封件固持部的开口。
13.根据权利要求12所述的手术进入附接件，其中，所述远侧密封件固持部的所述开口由从所述远侧密封件固持部的外环径向朝外延伸的C形突起限定。
14.根据权利要求9所述的手术进入附接件，其中，所述近侧密封件固持部包括多个指形件，并且其中所述远侧密封件固持部包括多个接合孔，所述多个指形件中的每个指形件构造成机械地接合所述多个孔中的一个接合孔。
15.根据权利要求1所述的手术进入附接件，其中，所述进入口组件构造成以单手的方式接合所述环。
16.根据权利要求15所述的手术进入附接件，其中，所述进入口组件构造成以单手的方式与所述环分离。
17.根据权利要求1所述的手术进入附接件，其中，所述进入口组件构造成以单手的方式非旋转地接合所述环。
18.根据权利要求17所述的手术进入附接件，其中，所述进入口组件构造成以单手的方式非旋转地与所述环分离。
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