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CN102871709B - Inflatable double-opened-blade protection type puncturing device for thoracoscope - Google Patents

Inflatable double-opened-blade protection type puncturing device for thoracoscope Download PDF

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Publication number
CN102871709B
CN102871709B CN201210422884.0A CN201210422884A CN102871709B CN 102871709 B CN102871709 B CN 102871709B CN 201210422884 A CN201210422884 A CN 201210422884A CN 102871709 B CN102871709 B CN 102871709B
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hollow tube
thoracoscope
leaf
long
opened
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CN102871709A (en
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姜超
姜格宁
宋楠
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Shanghai Pulmonary Hospital
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Shanghai Pulmonary Hospital
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Abstract

本发明公开了可充气式双开叶保护型胸腔镜用穿刺器,包括一中空管体,所述中空管体端部设置一绕固定轴转动的一对夹臂及驱动夹臂夹持胸腔镜镜头的气囊机构,所述夹臂由长活叶和短活叶组成,所述长活叶和短活叶内侧面及中空管体端部表面设置有气腔囊,当气腔囊充满气体时,长活叶和短活叶绕固定轴转动至舒张状态,直至与设置于中空管体底的胸腔镜镜头紧密连接。双开活叶很好地引流所在切口的出血,减少对胸腔镜镜头的污染,中空管体端部气囊设计在保护肋间血管神经等免受损伤的同时,对切口本身存在一定的压迫止血作用;其次双开活叶内侧的气囊会形成一个保护垫对腔镜镜头的上翘形成缓冲,避免损伤内侧胸壁。

The invention discloses an inflatable double-leaf protective thoracoscopic puncture device, which includes a hollow tube body, a pair of clamping arms rotating around a fixed axis and a driving clamping arm clamping the chest cavity are arranged at the end of the hollow tube body The airbag mechanism of the mirror lens, the clamp arm is composed of long and short flaps, the inner side of the long and short flaps and the end surface of the hollow tube body are provided with air pockets, when the air pockets are full When the air is inflated, the long and short flaps rotate around the fixed shaft to a relaxed state until they are tightly connected with the thoracoscopic lens arranged at the bottom of the hollow tube body. The double flaps can drain the bleeding of the incision and reduce the pollution of the thoracoscopic lens. The airbag design at the end of the hollow tube protects the intercostal blood vessels and nerves from damage, and at the same time has a certain effect on the incision itself. ;Secondly, the airbags inside the double-opened flaps will form a protective pad to cushion the upturning of the laparoscopic lens and avoid damage to the inner chest wall.

Description

可充气式双开叶保护型胸腔镜用穿刺器Inflatable double-leaf protected thoracoscopic trocar

技术领域technical field

本发明涉及医疗器械,具体涉及可充气式双开叶保护型胸腔镜用穿刺器。The invention relates to a medical device, in particular to an inflatable double-leaf protective thoracoscopic trocar.

背景技术Background technique

穿刺器(Trocar)是腔镜手术中所必需的辅助手术器械,其有利于腔镜在进出切口时不被污染,且减少镜头反复进出切口所致的切口损伤。The trocar (Trocar) is a necessary auxiliary surgical instrument in laparoscopic surgery. It helps the laparoscope not to be polluted when it enters and exits the incision, and reduces the incision damage caused by the lens repeatedly entering and exiting the incision.

但现有胸腔镜手术中用的Trocar均为腹腔镜Trocar的沿用,以至于存在对肋间血管神经等损伤较大,此外现有的Trocar均存在一旦所在切口出血,血液会沿Trocar管壁留下污染镜头,使得手术进程减缓;同时在术中观察远端或较为贴近胸壁时腔镜上翘压迫胸壁组织(尤其是在使用0度镜时),造成术中难以观察及处理的损伤或出血,致使增加二次手术及术后疼痛加重等风险。However, the Trocars used in the existing thoracoscopic surgery are all laparoscopic Trocars, so that there is a large damage to the intercostal blood vessels and nerves. In addition, the existing Trocars all have the problem that once the incision bleeds, the blood will stay along the Trocar wall. Pollution of the lens down will slow down the operation process; at the same time, when the distal end or close to the chest wall is observed during the operation, the endoscope is upwardly warped and compresses the chest wall tissue (especially when using a 0-degree endoscope), resulting in damage or bleeding that is difficult to observe and handle during the operation , resulting in an increased risk of secondary surgery and postoperative pain aggravation.

发明内容Contents of the invention

本发明要解决的技术问题是提供可充气式双开叶保护型胸腔镜用穿刺器,很好地引流所在切口的出血,减少对胸腔镜镜头的污染,中空管体端部气囊设计在保护肋间血管神经等免受损伤的同时,对切口本身存在一定的压迫止血作用;其次双开活叶内侧的气囊会形成一个保护垫对腔镜镜头的上翘形成缓冲,避免损伤内侧胸壁。。The technical problem to be solved by the present invention is to provide an inflatable double-leaf protective thoracoscopic puncture device, which can well drain the bleeding of the incision and reduce the pollution of the thoracoscopic lens. While the intervascular nerves are protected from damage, there is a certain compression and hemostasis effect on the incision itself; secondly, the airbags inside the double-opening flaps will form a protective cushion to cushion the upturn of the laparoscopic lens and avoid damage to the inner chest wall. .

为达到上述目的,本发明的技术方案如下:To achieve the above object, the technical scheme of the present invention is as follows:

可充气式双开叶保护型胸腔镜用穿刺器,包括一中空管体,所述中空管体端部设置一绕固定轴转动的一对夹臂及驱动夹臂夹持胸腔镜镜头的气囊机构。An inflatable double-leaf protective trocar for thoracoscopy, including a hollow tube, the end of the hollow tube is provided with a pair of clamping arms that rotate around a fixed axis and an air bag that drives the clamping arms to clamp the lens of the thoracoscope mechanism.

优选的,所述夹臂由长活叶和短活叶组成,所述长活叶和短活叶内侧面及中空管体端部表面设置有气腔囊,当气腔囊充满气体时,长活叶和短活叶绕固定轴转动至舒张状态,直至与设置于中空管体底的胸腔镜镜头紧密连接。Preferably, the clamp arm is composed of a long flap and a short flap, and an air cavity is provided on the inner side of the long flap and the short flap and the end surface of the hollow tube body. When the air cavity is filled with gas, The long flap and the short flap rotate around the fixed shaft to a relaxed state until they are tightly connected with the thoracoscopic lens arranged at the bottom of the hollow tube body.

优选的,所述长活叶和短活叶在舒张状态时,与胸腔镜镜头紧密连接的表面设置有胶体。Preferably, when the long and short flaps are in a relaxed state, colloid is provided on the surface closely connected with the thoracoscopic lens.

优选的,所述长活叶和短活叶的端部侧均设置有一放置控制线的凹槽,控制线控制长活叶和短活叶的收缩与舒张。Preferably, the ends of the long and short flaps are each provided with a groove for placing a control wire, and the control wire controls the contraction and relaxation of the long and short flaps.

优选的,所述短活叶在舒张状态时,与胸腔镜镜头呈45度夹角。Preferably, when the short flap is in a relaxed state, it forms an angle of 45 degrees with the thoracoscopic lens.

优选的,所述长活叶在舒张状态时,与胸腔镜镜头呈30度夹角。Preferably, when the long flap is in a relaxed state, it forms an angle of 30 degrees with the thoracoscopic lens.

优选的,所述气腔囊一侧设置有气体的开闭口,并通过软体管连接一控制气体流向的控制装置及压力检测装置。Preferably, a gas opening and closing port is provided on one side of the air cavity, and a control device for controlling the flow of gas and a pressure detection device are connected through a soft tube.

优选的,中空管体靠近手柄操作侧设置有通过软体管与控制线的凹口。Preferably, the hollow tube body is provided with a notch for passing the soft tube and the control wire near the operating side of the handle.

优选的,所述中空管体顶部设置一旋钮式帽盖。Preferably, a knob-type cap is provided on the top of the hollow tube.

优选的,本发明双开活叶及体部采用不锈钢材质制作,气腔囊为一般医用橡胶材质制作。Preferably, the double flaps and the body of the present invention are made of stainless steel, and the air cavity is made of general medical rubber.

通过上述技术方案,本发明的有益效果是:Through above-mentioned technical scheme, beneficial effect of the present invention is:

1.采用双开叶设计可以很好地对所在切口的出血进行引流,减少对胸腔镜镜头的污染,使手术进程更为顺畅;1. The double-leaf design can well drain the bleeding from the incision, reduce the pollution of the thoracoscopic lens, and make the operation process smoother;

2.一体式充气气囊设计在双开叶的依托下对手术切口形成了一个全方位的保护,即Trocar体部气囊设计在保护肋间血管神经等免受损伤的同时,对切口本身存在一定的压迫止血作用;其次双开叶内侧的气囊会形成一个保护垫对腔镜镜头的上翘形成缓冲,避免损伤;2. The integrated inflatable airbag design forms an all-round protection for the surgical incision under the support of the double leaf, that is, the Trocar body airbag design protects the intercostal blood vessels and nerves from damage, and at the same time, there is a certain pressure on the incision itself Hemostasis; secondly, the airbag inside the double leaf will form a protective pad to cushion the upturn of the laparoscopic lens and avoid damage;

3.针对胸腔镜手术的特点,合理地设计了前大后小的双叶设计,有效地增加了前部的保护面积;同时双叶设计有效防止Trocar在术中脱出,避免反复进出造成切口损伤;3. According to the characteristics of thoracoscopic surgery, the double-leaf design with large front and small rear is reasonably designed, which effectively increases the protection area of the front; at the same time, the double-leaf design effectively prevents Trocar from protruding during the operation and avoids incision damage caused by repeated entry and exit ;

4.本专利的内径设计适用于国内几乎所有的腔镜镜头,可全面适用于全国各地;此外,Trocar的套管具有旋钮式帽盖设计使气囊安装、拆卸、更换便捷,无需繁琐培训,有利于全面普及;4. The inner diameter design of this patent is suitable for almost all endoscopic lenses in China, and can be fully applied to all parts of the country; in addition, the Trocar sleeve has a knob-type cap design, which makes the installation, disassembly and replacement of the airbag easy, without cumbersome training, and has conducive to universal access;

5.本专利设计的双开叶夹角前方仰角30°,对于现行30°胸腔镜而言可以全视角观察前部且进一步避免腔镜上抬对胸壁的压迫,此外后方仰角45°设计足以腔镜观察下方。5. The front elevation angle of the double-leaf leaf included in this patent design is 30°. Compared with the current 30° thoracoscope, it can observe the front from a full angle and further avoid the compression of the chest wall by the lifting of the endoscope. In addition, the design of the rear elevation angle of 45° is sufficient for endoscopy. Watch below.

6.本专利设计的双开叶体部为不锈钢材质可,反复使用;气囊设计为一般医用硅胶,每次使用仅需更换气囊即可,较现行一次性Trocar明显便宜。6. The double-leaf body of this patent design is made of stainless steel and can be used repeatedly; the airbag is designed as a general medical silicone, which only needs to be replaced every time it is used, which is significantly cheaper than the current disposable Trocar.

附图说明Description of drawings

为了更清楚地说明本发明实施例或现有技术中的技术方案,下面将对实施例或现有技术描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to more clearly illustrate the technical solutions in the embodiments of the present invention or the prior art, the following will briefly introduce the drawings that need to be used in the description of the embodiments or the prior art. Obviously, the accompanying drawings in the following description are only These are some embodiments of the present invention. Those skilled in the art can also obtain other drawings based on these drawings without creative work.

图1为本发明的收放状态示意图。Fig. 1 is a schematic diagram of the retractable state of the present invention.

图2为本发明的舒张状态示意图。Fig. 2 is a schematic diagram of the relaxation state of the present invention.

图3为本发明的局部放大图。Fig. 3 is a partially enlarged view of the present invention.

图4为本发明的俯视图。Fig. 4 is a top view of the present invention.

具体实施方式Detailed ways

为了使本发明实现的技术手段、创作特征、达成目的与功效易于明白了解,下面结合具体图示,进一步阐述本发明。In order to make the technical means, creative features, goals and effects achieved by the present invention easy to understand, the present invention will be further described below in conjunction with specific illustrations.

参照图1-图4,可充气式双开叶保护型胸腔镜用穿刺器,包括一中空管体1,所述中空管体1端部设置一绕固定轴转动的一对夹臂2及驱动夹臂夹持胸腔镜镜头的气囊机构3,With reference to Fig. 1-Fig. 4, inflatable double-leaf protective type thoracoscopic trocar comprises a hollow tube 1, and a pair of clamping arms 2 which rotate around a fixed axis and The air bag mechanism 3 that drives the clip arm to clamp the thoracoscopic lens,

所述夹臂2由长活叶2a和短活叶2b组成,所述长活叶2a和短活叶2b内侧面及中空管体1端部表面设置有气腔囊3a,当气腔囊3a充满气体时,长活叶2a和短活叶2b绕固定轴转动至舒张状态,直至与设置于中空管体1底端的胸腔镜镜头4紧密连接。Described clamping arm 2 is made up of long hinged leaf 2a and short hinged leaf 2b, and described long hinged leaf 2a and short hinged leaf 2b inner surface and hollow pipe body 1 end surface are provided with air cavity bag 3a, when air cavity bag When 3a is filled with gas, the long flap 2a and the short flap 2b rotate around the fixed axis to a relaxed state until they are tightly connected with the thoracoscopic lens 4 arranged at the bottom of the hollow tube 1 .

所述长活叶2a和短活叶2b在舒张状态时,与胸腔镜镜头4紧密连接的表面设置有胶体5。When the long flaps 2a and the short flaps 2b are in a relaxed state, colloid 5 is provided on the surface closely connected with the thoracoscopic lens 4 .

所述长活叶2a和短活叶2b的端部侧均设置有一放置控制线的凹槽6,控制线控制长活叶2a和短活叶2b的收缩与舒张。The end sides of the long flap 2a and the short flap 2b are provided with a groove 6 for placing a control wire, and the control wire controls the contraction and relaxation of the long flap 2a and the short flap 2b.

所述短活叶2b在舒张状态时,与胸腔镜镜头4呈45度夹角,方便引流的同时,也为胸腔镜对后方的观察提供足够的空间。When the short flap 2b is in a diastolic state, it forms an angle of 45 degrees with the thoracoscope lens 4, which is convenient for drainage and provides enough space for the thoracoscope to observe the rear.

所述长活叶2a在舒张状态时,与内窥镜4呈30度夹角,在加长活叶可有效地增加了前部的保护面积的同时,此设计对于现行30°胸腔镜而言可以全视角观察前部且进一步避免腔镜上抬对胸壁的压迫。When the long flap 2a is in a relaxed state, it forms an angle of 30 degrees with the endoscope 4. While lengthening the flap can effectively increase the protection area of the front part, this design can be used for the current 30° thoracoscope. Observing the front from all angles and further avoiding compression of the chest wall by laparoscopic lifting.

所述气腔囊3a一侧设置有气体的开闭口7,并通过软体管8连接一控制气体流向的控制装置及压力检测装置。One side of the air cavity bag 3a is provided with a gas opening and closing port 7, and is connected to a control device and a pressure detection device for controlling the flow of gas through a soft tube 8.

所述中空管体1靠近手柄操作侧设置有通过软体管8与控制线的凹口9。The hollow tube body 1 is provided with a notch 9 for passing the soft tube 8 and the control wire near the handle operation side.

所述中空管体1顶端具有旋钮式帽盖10,使气囊安装、拆卸、更换便捷The top of the hollow tube body 1 has a knob-type cap 10, which makes the installation, disassembly and replacement of the airbag convenient

所述双开活叶及体部为不锈钢材质,可反复使用;气囊设计为一般医用橡胶,每次使用仅需更换气囊即可。The double-opening flaps and the body are made of stainless steel, which can be used repeatedly; the airbag is designed as general medical rubber, and only needs to be replaced every time it is used.

本发明的使用如下:The use of the present invention is as follows:

1.采用双开叶设计可以很好地对所在切口的出血进行引流,减少对胸腔镜镜头的污染,使手术进程更为顺畅;1. The double-leaf design can well drain the bleeding from the incision, reduce the pollution of the thoracoscopic lens, and make the operation process smoother;

2.一体式充气气囊设计在双开叶的依托下对手术切口形成了一个全方位的保护,即Trocar体部气囊设计在保护肋间血管神经等免受损伤的同时,对切口本身存在一定的压迫止血作用;其次双开叶内侧的气囊会形成一个保护垫对腔镜镜头的上翘形成缓冲,避免损伤;2. The integrated inflatable airbag design forms an all-round protection for the surgical incision under the support of the double leaf, that is, the Trocar body airbag design protects the intercostal blood vessels and nerves from damage, and at the same time, there is a certain pressure on the incision itself Hemostasis; secondly, the airbag inside the double leaf will form a protective pad to cushion the upturn of the laparoscopic lens and avoid damage;

3.针对胸腔镜手术的特点,合理地设计了前大后小的双叶设计,有效地增加了前部的保护面积;同时双叶设计有效防止Trocar在术中脱出,避免反复进出造成切口损伤;3. According to the characteristics of thoracoscopic surgery, the double-leaf design with large front and small rear is reasonably designed, which effectively increases the protection area of the front; at the same time, the double-leaf design effectively prevents Trocar from protruding during the operation and avoids incision damage caused by repeated entry and exit ;

4.本专利的内径设计适用于国内几乎所有的腔镜镜头,可全面适用于全国各地;此外,Trocar的套管具有旋钮式帽盖设计使气囊安装、拆卸、更换便捷,无需繁琐培训,有利于全面普及;4. The inner diameter design of this patent is suitable for almost all endoscopic lenses in China, and can be fully applied to all parts of the country; in addition, the Trocar sleeve has a knob-type cap design, which makes the installation, disassembly and replacement of the airbag easy, without cumbersome training, and has conducive to universal access;

5.本专利设计的双开叶夹角前方仰角30°,对于现行30°胸腔镜而言可以全视角观察前部且进一步避免腔镜上抬对胸壁的压迫,此外后方仰角45°设计足以腔镜观察下方。5. The front elevation angle of the double-leaf leaf included in this patent design is 30°. Compared with the current 30° thoracoscope, it can observe the front from a full angle and further avoid the compression of the chest wall by the lifting of the endoscope. In addition, the design of the rear elevation angle of 45° is sufficient for endoscopy. Watch below.

6.本专利设计的双开叶体部为不锈钢材质可,反复使用;气囊设计为一般医用硅胶,每次使用仅需更换气囊即可,较现行一次性Trocar明显便宜。6. The double-leaf body of this patent design is made of stainless steel and can be used repeatedly; the airbag is designed as a general medical silicone, which only needs to be replaced every time it is used, which is significantly cheaper than the current disposable Trocar.

以上显示和描述了本发明的基本原理和主要特征和本发明的优点。本行业的技术人员应该了解,本发明不受上述实施例的限制,上述实施例和说明书中描述的只是说明本发明的原理,在不脱离本发明精神和范围的前提下,本发明还会有各种变化和改进,这些变化和改进都落入要求保护的本发明范围内。本发明要求保护范围由所附的权利要求书及其等效物界定。The basic principles and main features of the present invention and the advantages of the present invention have been shown and described above. Those skilled in the industry should understand that the present invention is not limited by the above-mentioned embodiments. What are described in the above-mentioned embodiments and the description only illustrate the principle of the present invention. Without departing from the spirit and scope of the present invention, the present invention will also have Variations and improvements are possible, which fall within the scope of the claimed invention. The protection scope of the present invention is defined by the appended claims and their equivalents.

Claims (6)

1. Inflatable double-opened-blade protection type thoracoscope perforator, comprises a hollow tube, and described hollow tube end arranges one around a pair jig arm of fixed axis rotation and the air bag mechanism of driving jig arm clamping thoracoscope camera lens;
Described jig arm is made up of long-term job leaf and short flap, described long-term job leaf and short flap medial surface and hollow tube end surface are provided with air cavity capsule, when air cavity capsule gassy, long-term job leaf and short flap turn to diastole state around fixed axis, until with the thoracoscope camera lens compact siro spinning technology be arranged at the bottom of hollow tube;
Described long-term job leaf and short flap, when diastole state, are provided with colloid with the close-connected surface of thoracoscope camera lens;
The end side of described long-term job leaf and short flap is provided with the groove of a placement control line, and control line controls contraction and the diastole of long-term job leaf and short flap.
2. Inflatable double-opened-blade protection type thoracoscope perforator according to claim 1, is characterized in that, described short flap, when diastole state, is 45 degree of angles with thoracoscope camera lens.
3. Inflatable double-opened-blade protection type thoracoscope perforator according to claim 1, is characterized in that, described long-term job leaf, when diastole state, is 30 degree of angles with thoracoscope camera lens.
4. Inflatable double-opened-blade protection type thoracoscope perforator according to claim 1, it is characterized in that, hollow tube is provided with the recess of flexible pipe and control line near lever operated side.
5. Inflatable double-opened-blade protection type thoracoscope perforator according to claim 1, it is characterized in that, described hollow tube top arranges a knob cap.
6. the Inflatable double-opened-blade protection type thoracoscope perforator according to the arbitrary claim of claim 1-5, is characterized in that, described hollow tube, long-term job leaf and short flap adopt stainless steel to make, and air cavity capsule is that medical grade rubber material makes.
CN201210422884.0A 2012-10-29 2012-10-29 Inflatable double-opened-blade protection type puncturing device for thoracoscope Expired - Fee Related CN102871709B (en)

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CN111803730B (en) * 2020-08-21 2022-10-21 徐定远 Suction device for throat, neck and oral and maxillofacial surgery and use method thereof

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