CN108143448A - There is the Wound protector of chest compression - Google Patents
There is the Wound protector of chest compression Download PDFInfo
- Publication number
- CN108143448A CN108143448A CN201611105717.8A CN201611105717A CN108143448A CN 108143448 A CN108143448 A CN 108143448A CN 201611105717 A CN201611105717 A CN 201611105717A CN 108143448 A CN108143448 A CN 108143448A
- Authority
- CN
- China
- Prior art keywords
- locating ring
- end cap
- chest compression
- thoracic cavity
- wound protector
- Prior art date
- Legal status (The legal status 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 status listed.)
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- 230000006835 compression Effects 0.000 title claims abstract description 80
- 238000007906 compression Methods 0.000 title claims abstract description 80
- 230000001012 protector Effects 0.000 title claims abstract description 50
- 210000000115 thoracic cavity Anatomy 0.000 claims abstract description 93
- 210000000038 chest Anatomy 0.000 claims abstract description 67
- 239000000779 smoke Substances 0.000 claims abstract description 57
- 230000001681 protective effect Effects 0.000 claims abstract description 37
- 238000003825 pressing Methods 0.000 claims abstract description 11
- 210000004072 lung Anatomy 0.000 claims abstract description 10
- 238000005273 aeration Methods 0.000 claims abstract description 7
- 238000007789 sealing Methods 0.000 claims description 76
- 230000000916 dilatatory effect Effects 0.000 claims description 7
- 239000013013 elastic material Substances 0.000 claims description 5
- 230000015572 biosynthetic process Effects 0.000 claims description 3
- 235000019504 cigarettes Nutrition 0.000 claims description 3
- 230000013011 mating Effects 0.000 claims description 2
- 238000000034 method Methods 0.000 abstract description 12
- 239000007789 gas Substances 0.000 description 37
- 208000027418 Wounds and injury Diseases 0.000 description 34
- 238000001356 surgical procedure Methods 0.000 description 16
- 239000000463 material Substances 0.000 description 11
- 239000004698 Polyethylene Substances 0.000 description 7
- 238000010586 diagram Methods 0.000 description 7
- 229920000573 polyethylene Polymers 0.000 description 7
- VYPSYNLAJGMNEJ-UHFFFAOYSA-N Silicium dioxide Chemical compound O=[Si]=O VYPSYNLAJGMNEJ-UHFFFAOYSA-N 0.000 description 5
- 230000006378 damage Effects 0.000 description 5
- 239000000741 silica gel Substances 0.000 description 5
- 229910002027 silica gel Inorganic materials 0.000 description 5
- 238000005520 cutting process Methods 0.000 description 4
- 230000000694 effects Effects 0.000 description 4
- 208000014674 injury Diseases 0.000 description 4
- 238000005516 engineering process Methods 0.000 description 3
- 239000002360 explosive Substances 0.000 description 3
- -1 polyethylene Polymers 0.000 description 3
- 239000004814 polyurethane Substances 0.000 description 3
- 230000000007 visual effect Effects 0.000 description 3
- 229910001069 Ti alloy Inorganic materials 0.000 description 2
- 238000006243 chemical reaction Methods 0.000 description 2
- 239000002131 composite material Substances 0.000 description 2
- 230000008602 contraction Effects 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 238000000338 in vitro Methods 0.000 description 2
- 230000033001 locomotion Effects 0.000 description 2
- 239000012528 membrane Substances 0.000 description 2
- 230000002085 persistent effect Effects 0.000 description 2
- 229920002635 polyurethane Polymers 0.000 description 2
- 239000000565 sealant Substances 0.000 description 2
- 239000010935 stainless steel Substances 0.000 description 2
- 229910001220 stainless steel Inorganic materials 0.000 description 2
- 208000019693 Lung disease Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 208000012059 diaphragm disease Diseases 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000009510 drug design Methods 0.000 description 1
- 208000028299 esophageal disease Diseases 0.000 description 1
- 239000003517 fume Substances 0.000 description 1
- 238000003384 imaging method Methods 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000007769 metal material Substances 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 239000003595 mist Substances 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000001151 other effect Effects 0.000 description 1
- 239000012994 photoredox catalyst Substances 0.000 description 1
- 208000024356 pleural disease Diseases 0.000 description 1
- 239000004417 polycarbonate Substances 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000007363 ring formation reaction Methods 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery
Landscapes
- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The Wound protector with chest compression of the present invention contains upper locating ring, lower locating ring, protective film and chest compression system.Chest compression system contains end cap and pressing mechanism；End cap is equipped with instrumentation hole；Pressing mechanism contains inflating port, filling channel and pressurized gas source attachment device；Inflating port is connected with thoracic cavity；End cap is connected with upper locating ring, and thoracic cavity is sealed, and the pressurized air source attachment device of gas-pressurized, which enters after filling channel, carries out pneumatic compression to thoracic cavity by inflating port, and the tissues such as positive pressure, the compression lobe of the lung are formed in thoracic cavity, expand surgical field of view.The Wound protector with chest compression of the present invention is additionally provided with smoke evacuation system, and the capacity of smoke evacuation system is less than the aeration quantity of chest compression system, the cycle of Thoracic gas had both been kept to substitute, and excludes smog, and maintain the positive pressure in thoracic cavity.The Wound protector with chest compression of the present invention causes thoracoscopic operation operating process more conveniently, safely.
Description
Technical field
The present invention relates to a kind of Wound protectors, have the function of chest compression more particularly to what is used in surgical operation
Wound protector.
Background technology
Thoracoscopic operation is the representative operation of thoracoscopic surgery, is performed the operation using advance TV photography technology and high-tech
Instrument is equipped, and the minimally invasive surgery new technology that thoracic dorsal is responsible for operation is completed under wall of the chest casing or miniature incision.In operation, Yi Sheng
Under the guide of camera system, diseased region is carried out accurately to position and treat, the tissue for cutting off needs is directly imaging
It is cut off under the display of system.Thoracoscopic operation is widely used to pleural diseases, pulmonary disease, esophagus disease, indulges at present
The operative treatment of a variety of diseases such as diaphragm disease.Wound protector is the important auxiliary instrument used in thoracoscopic operation, can be with
Play the role of protecting incision tissue, expansion surgical field of view etc. a variety of.
Wound protector is the important auxiliary instrument used in thoracoscopic operation, can play and expand surgical field of view, protects
Shield incision tissue prevents infection of incisional wound, reduces a variety of effects such as notch bleeding.The hand that surgical instrument is formed by Wound protector
Art channel passes in and out thoracic cavity, and the tissue cut off using surgical instruments such as electric knifes to needs is cut, removed.Existing thoracoscope hand
Since the operation path of Wound protector is direct and extraneous unicom in art, and there are various tissues, organ in thoracic cavity, operation is empty
Between it is narrow.Electric knife generates smog when surgical instruments cut tissue particularly in surgical procedure, can not only influence surgical field of view, and
And harm is generated to medical staff, it is therefore desirable to which the Wound protector of the prior art is improved.Applicant cuts to existing
Mouth protector is improved, and enables to carry out pneumatic compression to thoracic cavity, and the groups such as positive pressure, the compression lobe of the lung are formed in thoracic cavity
It knits, expands surgical field of view, and smog is discharged in time.
Invention content
The Wound protector with chest compression of the present invention, can be to thoracic cavity by the design of chest compression system
It carries out pneumatic compression, positive pressure is formed in thoracic cavity, and compress the tissues such as the lobe of the lung, expand surgical field of view, facilitate the progress of operation；It is auxiliary
The smoke evacuation system of design is helped both to maintain the cycle replacement of Thoracic gas, excludes smog, it can further through the rational design of flow
Thoracic cavity is maintained to be in continuous positive pressure, surgical procedure is more convenient.
The Wound protector 100 for having the function of chest compression contains upper locating ring 1, lower locating ring 2, protective film 3 and chest
Chamber compression system 5；It is characterized in that：
A. the upper locating ring 1 and the lower locating ring 2 are linked together by the protective film 3；The protective film 3 exists
Operative incision is strutted to form operation path 31 under the dilating effect of the upper locating ring 1 and the lower locating ring 2；
B. the chest compression system 5 contains end cap 51 and pressing mechanism 52；The end cap 51 is equipped with instrumentation hole 51-
1；52 52-1 containing inflating port of pressing mechanism, filling channel 52-2 and pressurized gas source attachment device 52-3；The inflating port 52-
1 is connected with thoracic cavity；
C. the end cap 51 and the upper locating ring 1 connect, and thoracic cavity are sealed, gas-pressurized is through the pressurized gas source
Attachment device 52-3 carries out pneumatic compression to thoracic cavity by the inflating port 52-1 after entering the filling channel 52-2, in thoracic cavity
The tissues such as interior formation positive pressure, the compression lobe of the lung, expand surgical field of view.
Sealing ring 51-4 is provided in the instrumentation hole 51-1, when surgical instrument passes through the instrumentation hole 51-1
When being operated, the sealing ring 51-4 can play sealing function, to prevent instrument from causing the leakage of gas-pressurized when passing in and out,
The continuous positive pressure in thoracic cavity is effectively ensured.
In Clinical practice, since the inflating port 52-1 is connected with thoracic cavity, gas-pressurized is through the pressurized gas source
Attachment device 52-3 enters after the filling channel 52-2 and enters thoracic cavity by the inflating port 52-1, in the close of the end cap 51
Under envelope effect, gas-pressurized can form positive pressure in thoracic cavity, and so as to compress the tissues such as the lobe of the lung, increase surgical procedure space is expanded
The major operation visual field.
The lower locating ring 2 and the protective film 3 are made of medical elastic material.The lower locating ring 2 uses medical bullet
Property material, such as silica gel, polyurethane, polyethylene (PE), are manufactured, elastic change can occur for the lower locating ring 2 under external force
Shape facilitates and the lower locating ring 2 is placed in small operative incision, into thoracic cavity in after, the lower locating ring 2 is in elastic reaction
Lower recovery shape, is fitted in thoracic cavity inner wall, and dilating effect is formed to the protective film 3.The protective film 3 uses the doctor of high intensity
It is made of elastic material (such as silica gel, TPU membrane), in film-form.The protective film 3 locating ring 1 and described lower fixed on described
Under the dilating effect of position ring 2, incision tissue is bonded, and incision tissue is expanded outwardly, the operation for forming instrument disengaging is led to
Road 31.
The end cap 51 can form dismountable sealing structure 6 with the upper locating ring 1.Due to the end cap 51 and described
What is formed between upper locating ring 1 is dismountable sealing structure 6, and therefore, during use, doctor can be needed according to operation in need
The end cap 51 is covered again when carrying out pneumatic compression to thoracic cavity, thoracic cavity is formed and is sealed, when not needing to that thoracic cavity is filled
When gas pressurizes, the end cap 51 can be removed, be directly operated by the operation path 31.
The sealing structure 6 be seal with screwed joint structure, embossed card mating connection sealing structure, interference fit connection it is close
Seal structure etc..Here, applicant only lists the sealing structure of above-mentioned three kinds of connection modes, those skilled in the art can be with
It is designed to the sealing structure of other various connection modes all without departing from the protection domain of the application the sealing structure 6.
The sealing structure 6 is seal with screwed joint structure；The sealing structure 6 is containing internal thread 61, external screw thread 62 and close
Sealing 63；Rotating the internal thread 61 and external screw thread 62 can compress to form sealing by the sealing element 63.Thread connecting mode is
A kind of mode of operation being most accustomed to during doctor's clinical manipulation at present, by rotating screw thread, doctor can be to sealing structure
Seal degree obtain it is specific perceive, operating process is safer, conveniently.
The internal thread 61 is located at the inside of the upper locating ring 1, and the external screw thread 62 is located at the outside of the end cap 51,
The sealing element 63 is located between the upper locating ring 1 and the end cap 51；The end cap 51 is rotated, the sealing element 63 is pressed
Tightly, you can form sealing structure 6.Especially when the upper locating ring 1 is by medical rigid material, it is selected from：Medical macromolecular materials,
Such as PC, PE；Medical metal material, such as stainless steel, titanium alloy etc materials or other composite materials.Due to material firm in itself
Property, after the Wound protector with chest compression of the present invention is placed in notch, even if the upper locating ring 1 is in the guarantor
Original-shape can be also kept under the deformation force effect of cuticula 3, will not be deformed.The internal thread 61 can be set up directly on institute
The inside of locating ring 1 is stated, rotates the end cap 51, is placed on described close between the upper locating ring 1 and the end cap 51
Sealing 63, which compresses, to form excellent sealing to thoracic cavity.
Retainer ring 64 is additionally provided in the sealing structure 6；64 64-1 containing locating slot of retainer ring, the upper locating ring 1
It can be embedded in the locating slot 64-1；The internal thread 61 is located at the inside of the retainer ring 64, and the external screw thread 62 is located at
The outside of the end cap 51, the sealing element 63 are located in the retainer ring 64, positioned at the upper locating ring 1 and the end cap 51
Between；The end cap 51 is rotated, the sealing element 63 is compressed, you can forms sealing structure 6.
This kind of sealing structure is particularly suitable for using medical elastic material when the upper locating ring 1, as silica gel, polyurethane,
Polyethylene (PE) is when materials are made.At this point, by the 100 implantation surgery notch of Wound protector with chest compression
When, due to the concentric contraction power of operative incision perienchyma, the upper locating ring 1 can generate certain flexible deformation, if directly
Connect and fix the mode that the upper locating ring 1 and the end cap are connected through a screw thread, it may occur that the upper locating ring 1 due to
Deformation connect unstable phenomenon with the end cap 51.By the design of the retainer ring 64, the upper locating ring 1 is embedded in
Then the end cap 51 is passed through the internal thread 61 and the screw thread of the external screw thread 62 by the locating slot 64-1 of the retainer ring 64
Connection mode is fixed in the retainer ring 64, it is possible to prevente effectively from the upper locating ring 1 connects due to deforming with the end cap 51
Connect unstable risk.Meanwhile the elastic upper locating ring 1 plays the role of the sealing element 63, in the end cap 51
It deforms under pressure effect, forms sealant, sealed so as to be formed to thoracic cavity.
The retainer ring 64 can be integrally manufactured, and can also be designed to the semi-loop that can be opened, close up.
Edge downlinks of the filling channel 52-2 along the upper locating ring 1, the edge for being bonded the protective film 3 arrive at institute
State lower locating ring 2；The inflating port 52-1 is located on the lower locating ring 2 or is located near the lower locating ring 2.It is described to fill
The edge downlink that gas channel 52-2 can directly fit the protective film 3 is arrived near the lower locating ring 2, directly in thoracic cavity
It is inflated, pressurizes.Especially when the filling channel 52-2 be designed to be fitted in the protective film 3 outside connection thoracic cavity and
During pressurized gas source, the filling channel 52-2 will not occupy the operation path 31, therefore, will not be to instrument during operation
Disengaging generates interference, influences surgical procedure.
The end cap 51 is equipped with air admission hole 51-2；The filling channel 52-2 is connected to institute by the air admission hole 51-1
It states on end cap 51；The downside that the inflating port 52-1 may be provided on the end cap 51 or be located at the end cap 51 enters the protection
In the operation path 31 that film 3 is formed.The filling channel 52-2 can also be connected directly between described by the air admission hole 51-1
On end cap 51, and according to the operating habit of doctor, the inflating port 52-1 is set up directly on the end cap 51 or by described in
Filling channel 52-2, which is extended into, to be arranged in thoracic cavity in the operation path 31 or even directly by the inflating port 52-1 to chest
Chamber is directly inflated, pressurizes, more flexible using process.
The Wound protector 100 for having the function of chest compression also contains smoke evacuation system 4；The smoke evacuation system 4 contains into cigarette
Mouth 41, discharge flue 42 and negative pressure connectivity port 43；The smoke inlet 41 is connected with thoracic cavity；The smog generated in operation is through institute
It states smoke inlet 41 and enters the smoke evacuation system 4, be pumped out in vitro along the discharge flue 42 from the negative pressure connectivity port 43.
Due to often tissue being cut off or be handled using surgical instruments such as electric knifes in thoracoscopic operation, it is easy in surgical procedure
The gases such as smog are generated, not only influence the visual effect of thoracoscope, influence surgical field of view, and generated gas is also easily right
Patient and doctor generate unexpected injury.The design of the smoke evacuation system 4, can in time by surgical procedure due to tissue cutting etc.
The gases such as the smog that process generates excrete in time, ensure continuing clearly for surgical field of view, and it is possible to prevente effectively from formed
The gases such as smog unexpected injury is generated to doctor and patient.
The capacity of the smoke evacuation system 4 is less than the aeration quantity of the chest compression system 5, has both kept following for Thoracic gas
Ring substitutes, and excludes smog, and maintain the positive pressure in thoracic cavity.It is described to keep persistent pressure of the chest compression system 5 to thoracic cavity
The capacity of smoke evacuation system 4 should be less than the aeration quantity of the chest compression system 5 so that the positive pressure of appropriateness is kept in thoracic cavity.
Edge downlink of the discharge flue 42 of the smoke evacuation system 4 along the upper locating ring 1, is bonded the protective film 3
Edge arrives at the lower locating ring 2；The smoke inlet 41 is located on the lower locating ring 2 or is located at the attached of the lower locating ring 2
Closely.The discharge flue 42 is bonded the downlink and arrives near the lower locating ring 2, described by the suction function of negative pressure source
Smoke evacuation system 4 directly excretes the gases such as the smog generated in thoracic cavity.Especially when the discharge flue 42 is designed to paste
It closes at the outside of the protective film 3 connection thoracic cavity and negative pressure air source, the discharge flue 42 will not occupy the operation path
31, therefore, interference will not be generated to the disengaging of instrument during operation, be conducive to the operation of operation.
The end cap 51 is equipped with gas vent 51-3；The discharge flue 42 is connected to described by the gas vent 51-3
On end cap 51；The smoke inlet 41 be may be provided on the end cap 51 or be located in the operation path 31 or is located in thoracic cavity.
The discharge flue 42 can also be connected directly between by the gas vent 51-3 on the end cap 51, and according to the operation of doctor
Custom, the smoke inlet 41 is set up directly on the end cap 51 or the discharge flue 42 is extended into the operation
In channel 31 or even directly the smoke inlet 41 is arranged in thoracic cavity and directly discharged fume to thoracic cavity, it is cleverer using process
It is living.
The Wound protector with chest compression of the present invention contains upper locating ring 1, lower locating ring 2, protective film 3 and chest
Chamber compression system 5.The chest compression system 5 contains end cap 51 and pressing mechanism 52；The end cap 51 is equipped with instrumentation hole
51-1；52 52-1 containing inflating port of pressing mechanism, filling channel 52-2 and pressurized gas source attachment device 52-3；The inflating port
52-1 is connected with thoracic cavity；The end cap 51 and the upper locating ring 1 connect, and thoracic cavity is sealed, described in gas-pressurized warp
Pressurized gas source attachment device 52-3 enter after the filling channel 52-2 thoracic cavity is inflated by the inflating port 52-1 plus
Pressure forms the tissues such as positive pressure, the compression lobe of the lung in thoracic cavity, expands surgical field of view.The present invention's has the function of cutting for chest compression
Mouth protector is additionally provided with the smoke evacuation system 4, and the capacity of the smoke evacuation system 4 is less than the inflation of the chest compression system 5
Amount, had both kept the cycle of Thoracic gas to substitute, and excluded smog, and maintain the positive pressure in thoracic cavity.The present invention's has chest compression work(
The Wound protector of energy causes thoracoscopic operation operating process more conveniently, safely.
Description of the drawings
Fig. 1 is the structural representation with the Wound protector of chest compression of the present invention of semi-loop retainer ring
Figure.
Fig. 1-1 is the sectional view of Fig. 1.
Fig. 1-2 is enlarged drawing at the A of Fig. 1-1.
Fig. 1-3 is structure diagram when end cap is released from retainer ring.
Fig. 1-4 is enlarged drawing at the B of Fig. 1-3.
Fig. 1-5 is the explosive view of Fig. 1.
Fig. 2 is the structural representation with the Wound protector of chest compression of the present invention of whole manufacture retainer ring
Figure.
Fig. 2-1 is the vertical view of Fig. 2.
The a-a sectional views of Fig. 2 of Fig. 2-2.
Fig. 2-3 is the C areas enlarged drawing of Fig. 2-2.
Fig. 2-4 is structure diagram when end cap is released from retainer ring.
Fig. 2-5 is the b-b sectional views of Fig. 2-4.
Fig. 2-6 is the D areas enlarged drawing of Fig. 2-5.
Fig. 2-7 is the explosive view of Fig. 2.
Fig. 3 is the structure diagram with the Wound protector of chest compression for the present invention being directly threadedly coupled.
Fig. 3-1 is the vertical view of Fig. 3.
The c-c sectional views of Fig. 3-1 of Fig. 3-2.
Fig. 3-3 is the E areas enlarged drawing of Fig. 3-2.
Fig. 3-4 is structure diagram when end cap is released from retainer ring.
Fig. 3-5 is the d-d sectional views of Fig. 3-4.
Fig. 3-6 is the F areas enlarged drawing of Fig. 3-5.
Fig. 3-7 is the explosive view of Fig. 3.
Fig. 4 is the structure diagram with the Wound protector of chest compression of the present invention containing smoke evacuation system.
Fig. 4-1 is the f-f sectional views of Fig. 4.
Fig. 4-2 is structure diagram when retainer ring is opened.
Fig. 5 is smoke evacuation system and structure diagram when chest compression system is all connected on end cap.
In above-mentioned figure：
100 have the function of the Wound protector of chest compression for the present invention.
1 is upper locating ring, and 2 be lower locating ring, and 3 be protective film, and 4 be smoke evacuation system, and 5 be chest compression system, and 6 be sealing
Structure.
11 be sealing element mounting groove.
31 operation paths formed for protective film.
41 be smoke inlet, and 42 exhaust passages, 43 be negative pressure connectivity port, and 44 be exhaust valve.
51 be end cap, and 52 be pressing mechanism.
51-1 is instrumentation hole, and 51-2 is air admission hole, and 51-3 is gas vent, and 51-4 is instrumentation hole sealing ring, 51-
5 be end cap.
52-1 is inflating port, and 52-2 is filling channel, and 52-3 is pressurized gas source attachment device, and 52-4 is controlled valve.
61 be internal thread, and 62 be external screw thread, and 63 be sealing element, and 64 be retainer ring；64-1 is locating slot, and 64-2 is left half
Ring, 64-3 are right semi-ring, and 64-4 is hinge, and 64-5 is buckle.
Specific embodiment
Embodiment 1：The present invention's has the function of the Wound protector of chest compression
Referring to figs. 1 to Fig. 1-5, in the present embodiment, the Wound protector with chest compression of the present invention is containing upper fixed
Position ring 1, lower locating ring 2, protective film 3 and chest compression system 5.
The upper locating ring 1 and the lower locating ring 2 are linked together by the protective film 3；The protective film 3 is in institute
It states and struts operative incision to form operation path 31 under the dilating effect of locating ring 1 and the lower locating ring 2.
The chest compression system 5 contains end cap 51 and pressing mechanism 52；The end cap 51 is equipped with instrumentation hole 51-1；
52 52-1 containing inflating port of pressing mechanism, filling channel 52-2 and pressurized gas source attachment device 52-3；The inflating port 52-1
It is connected with thoracic cavity.
The end cap 51 and the upper locating ring 1 connect, and thoracic cavity are sealed, gas-pressurized connects through the pressurized gas source
Connection device 52-3 carries out pneumatic compression to thoracic cavity by the inflating port 52-1 after entering the filling channel 52-2, in thoracic cavity
The tissues such as positive pressure, the compression lobe of the lung are formed, expand surgical field of view.
Sealing ring 51-4 is provided in the instrumentation hole 51-1, when surgical instrument passes through the instrumentation hole 51-1
When being operated, the sealing ring 51-4 can play sealing function, to prevent instrument from causing the leakage of gas-pressurized when passing in and out,
The continuous positive pressure in thoracic cavity is effectively ensured.To keep the cleaning of stabilization and the sealing ring 51-4 when surgical instrument passes in and out, in institute
End cap 51-5 can be installed by stating on sealing ring 51-4, referring to figs. 2 and 3.
In the present embodiment, the upper locating ring 1, the lower locating ring 2 and the protective film 3 use medical elastic material,
Such as silica gel, polyurethane (PU), polyethylene (PE) material are made.Flexible deformation can occur for the lower locating ring 2 under external force, side
Just the lower locating ring 2 is placed in small operative incision, into thoracic cavity in after, the lower locating ring 2 is extensive under elastic reaction
Complex shape is fitted in thoracic cavity inner wall, and dilating effect is formed to the protective film 3.The protective film 3 uses the medical bullet of high intensity
Property material (such as silica gel, TPU membrane) is made, in film-form.The protective film 3 locating ring 1 and lower locating ring 2 on described
Dilating effect under, be bonded incision tissue, and incision tissue expanded outwardly, form the operation path 31 of instrument disengaging.
The end cap 51 can form dismountable sealing structure 6 with the upper locating ring 1.Due to the end cap 51 and described
What is formed between upper locating ring 1 is dismountable sealing structure 6, and therefore, during use, doctor can be needed according to operation in need
The end cap 51 is covered again when carrying out pneumatic compression to thoracic cavity, thoracic cavity is formed and is sealed, when not needing to that thoracic cavity is filled
When gas pressurizes, the end cap 51 can be removed, be directly operated by the operation path 31.
With reference to figure 1-1, in the present embodiment, the sealing structure 6 is seal with screwed joint structure.Thread connecting mode is mesh
A kind of mode of operation being most accustomed to during preceding doctor's clinical manipulation, by rotating screw thread, doctor can be to the close of sealing structure
Envelope degree obtain it is specific perceive, operating process is safer, conveniently.The sealing structure 6 can also be that embossed card is connected
Sealing structure, interference fit connection sealing structure etc..Certainly, those skilled in the art can also set the sealing structure 6
The sealing structure of other various connection modes is counted into all without departing from the protection domain of the application.
The sealing structure 6 contains internal thread 61, external screw thread 62 and sealing element 63；Rotate the internal thread 61 and external screw thread 62
The sealing element 63 can be compressed to form sealing.
With reference to figure 1-1 and Fig. 4-2, in the present embodiment, the sealing structure 6 is equipped with retainer ring 64.The retainer ring 64
64-1 containing locating slot, the upper locating ring 1 can be embedded in the locating slot 64-1；The internal thread 61 is located at the retainer ring
64 inside, the external screw thread 62 are located at the outside of the end cap 51.In the present embodiment, the retainer ring 64 is two and half cyclizations
The opening and closing type structure held together, the left semi-ring 64-2 of the retainer ring 64 and right semi-ring 64-3 around hinge 64-4 rotary motions realization are beaten
The movement opened and closed up.The left semi-ring 64-2 and right semi-ring 64-3 can be buckled 64-5 by embossed card cooperation in a manner of into
Row connection is fixed.Certainly, the left semi-ring 64-2 and right semi-ring 64-3 can also connect etc. other by interference fit, pin
Various methods are attached, fix, all without departing from the protection domain of the application.
In use, there is chest compression by described 100 implantation surgery notch of Wound protector when, since operation is cut
The concentric contraction power of mouth perienchyma, the upper locating ring 1 can generate certain flexible deformation, if directly by the upper positioning
The mode that ring 1 and the end cap are connected through a screw thread is fixed, it may occur that the upper locating ring 1 is due to deformation and the end cap
The 51 unstable phenomenons of connection.By the design of the retainer ring 64, the upper locating ring 1 can be embedded in the retainer ring
Then 64 locating slot 64-1 is consolidated the end cap 51 by the thread connecting mode of the internal thread 61 and the external screw thread 62
Be scheduled in the retainer ring 64, it is possible to prevente effectively from the upper locating ring 1 due to deform connect with the end cap 51 it is unstable
Risk.Meanwhile the elastic upper locating ring 1 plays the role of the sealing element 63, under the pressure of the end cap 51
It deforms, forms sealant, sealed so as to be formed to thoracic cavity, with reference to figure 1-1 to Fig. 1-4.
Controlled valve 52-4 can also be set on the filling channel 52-2, by opening or closing the controlled valve
52-4 can be started or stoped to intrathoracic inflating pressure.
In addition, the retainer ring 64 can also be integrally manufactured, referring to figs. 2 to Fig. 2-7.By the upper positioning during installation
Ring 1 is directly embedded in the fixing groove 64-1, rotates the end cap 51, and the end cap 51 and the retainer ring 64 are connected to
Together, sealing is formed by oppressing the upper locating ring 1 of elasticity.
With reference to figure 3 to Fig. 3-7, the sealing structure 6 can also be realized in the following ways：The internal thread 61 is located at institute
The inside of locating ring 1 is stated, the external screw thread 62 is located at the outside of the end cap 51, and the sealing element 63 is located at the upper positioning
Between ring 1 and the end cap 51；The end cap 51 is rotated, the sealing element 63 is compressed, you can forms sealing structure 6.Especially
Be when the upper locating ring 1 is by medical rigid material, when being made such as PC, stainless steel, titanium alloy etc materials and its composite material, by
In the rigidity of material in itself, after the Wound protector with chest compression of the present invention is placed in notch, the upper positioning
Original-shape can be kept ring 1 is even if under the centripetence in the protective film 3, will not be deformed.At this point, by the interior spiral shell
Line 61 is set up directly on the inside of the upper locating ring 1, rotates the end cap 51, is placed on the upper locating ring 1 and the end
The sealing element 63 between lid 51, which compresses, to form excellent sealing to thoracic cavity.
In the present embodiment, edge downlinks of the filling channel 52-2 along the upper locating ring 1 is bonded the protective film 3
Edge arrive at the lower locating ring 2；The inflating port 52-1 is located on the lower locating ring 2 or is located at the lower locating ring 2
Near.The edge downlink arrival lower locating ring 2 that the filling channel 52-2 can directly fit the protective film 3 is attached
Closely, directly to being inflated, pressurizeing in thoracic cavity.Especially when the filling channel 52-2 is designed to be fitted in the protective film 3
Outside connection thoracic cavity and during pressurized gas source, the filling channel 52-2 will not occupy the operation path 31, therefore, will not be right
The disengaging of instrument generates interference in surgical procedure, surgical procedure is influenced, with reference to figure 1 and Fig. 1-1.
Further, it is also possible to air admission hole 51-2 is set on the end cap 51.By the filling channel 52-2 by it is described into
Stomata 51-1 is connected on the end cap 51；The inflating port 52-1 may be provided on the end cap 51 or be located at the end cap 51
Downside enters in the operation path 31 that the protective film 3 is formed.The filling channel 52-2 can also pass through the air admission hole 51-
1 is connected directly between on the end cap 51, and according to the operating habit of doctor, the inflating port 52-1 is set up directly on the end
It is extended on lid 51 or by the filling channel 52-2 in the operation path 31 or even directly by the inflating port 52-1
It is arranged in thoracic cavity and thoracic cavity is directly inflated, is pressurizeed, it is more flexible using process, with reference to figure 3.
During Clinical practice, the lower locating ring 2 is placed in thoracic cavity, the upper locating ring 1 is placed in wall of the chest surface, by institute
It states locating ring 1 to be embedded in the fixing groove 64-1 of the retainer ring 64, rotates the end cap 51, compress the sealing element 63,
Realize the sealing to thoracic cavity.During surgical procedure, doctor opens or closes the controlled valve 52-4, to open according to operation needs
Inflation, pressurization of the dynamic or stopping to thoracic cavity.
The Wound protector with chest compression of the present invention, can be to thoracic cavity by the design of chest compression system
It carries out pneumatic compression, positive pressure is formed in thoracic cavity, and compress the tissues such as the lobe of the lung, expand surgical field of view, greatly facilitate thoracic cavity
The operation of videoendoscopic surgery.
Embodiment 2：The present invention's containing smoke evacuation system has the function of the Wound protector of chest compression
With reference to figure 4 to Fig. 5, difference lies in described to have chest compression in the present embodiment with embodiment 1 for the present embodiment
The Wound protector 100 of function also has smoke evacuation system 4.
The smoke evacuation system 4 contains smoke inlet 41, discharge flue 42 and negative pressure connectivity port 43；The smog warp generated in operation
The smoke inlet 41 enters the smoke evacuation system 4, and body is pumped out along the discharge flue 42 from the negative pressure connectivity port 43
Outside.
Due to often tissue being cut off or be handled using surgical instruments such as electric knifes in thoracoscopic operation, surgical procedure
In be easy to generate the gases such as smog, not only influence the visual effect of thoracoscope, influence surgical field of view, and generated gas
Also unexpected injury easily is generated to patient and doctor.The design of the smoke evacuation system 4, can in time by surgical procedure due to group
It knits the gases such as the smog that the processes such as cutting generate to excrete in time, ensures continuing clearly, and can be effective for surgical field of view
The gases such as the smog avoided the formation of generate unexpected injury to doctor and patient.
The capacity of the smoke evacuation system 4 is less than the aeration quantity of the chest compression system 5, has both kept following for Thoracic gas
Ring substitutes, and excludes smog, and maintain the positive pressure in thoracic cavity.It is described to keep persistent pressure of the chest compression system 5 to thoracic cavity
The capacity of smoke evacuation system 4 should be less than the aeration quantity of the chest compression system 5 so that thoracic cavity interior energy is maintaining appropriateness just
Pressure.In this way, the appropriate positive pressure maintained in thoracic cavity, can compress the tissues such as the lobe of the lung, expand operative space；Intrathoracic gas simultaneously
There is good cycle again, in time discharge harmful smog.
In actual use, exhaust valve 44 can be also set on the smoke evacuation system 4.By opening or closing the smoke evacuation
Valve 44, to start or stop the smoke evacuation behavior of the smoke evacuation system 4.
With reference to figure 4 to Fig. 4-2, in the present embodiment, the discharge flue 42 of the smoke evacuation system 4 is along the upper locating ring 1
Edge downlink, the edge for being bonded the protective film 3 arrive at the lower locating ring 2；The smoke inlet 41 is located at the lower locating ring 2
Above or it is located near the lower locating ring 2.The discharge flue 42 is bonded the downlink and arrives near the lower locating ring 2,
By the suction function of negative pressure source, the smoke evacuation system 4 directly excretes the gases such as the smog generated in thoracic cavity.Especially
When the discharge flue 42 is designed to be fitted in the outside connection thoracic cavity of the protective film 3 and negative pressure air source, the smoke evacuation is logical
Road 42 will not occupy the operation path 31, therefore, will not generate interference to the disengaging of instrument during operation, be conducive to perform the operation
Operation.
Further, it is also possible to gas vent 51-3 is set on the end cap 51, with reference to figure 5.The discharge flue 42 passes through institute
Gas vent 51-3 is stated to be connected on the end cap 51；The smoke inlet 41 may be provided on the end cap 51 or be located at the operation
In channel 31 or it is located in thoracic cavity.The discharge flue 42 can also be connected directly between the end by the gas vent 51-3
On lid 51, and according to the operating habit of doctor, the smoke inlet 41 is set up directly on the end cap 51 or by the smoke evacuation
Channel 42 extend into the operation path 31 in addition directly by the smoke inlet 41 be arranged in thoracic cavity to thoracic cavity directly into
Row smoke evacuation, it is more flexible using process.
It, can since the Wound protector 100 with chest compression also has smoke evacuation system 4 in the present embodiment
In time to pump out the gases such as the smog generated in surgical procedure in vitro in time, by the exhaust for designing the smoke evacuation system 4
Balance between amount and the aeration quantity of the chest compression system 5, can both keep the cycle of Thoracic gas to substitute, and exclude cigarette
Mist, and the appropriate positive pressure in thoracic cavity is maintained, compared with Example 1, the thoracic cavity with the smoke evacuation system 4 adds in the present embodiment
The Wound protector 100 of pressure function can cause thoracoscopic operation operating process more conveniently, safely.
It should be noted that structure disclosed and illustrated herein can be replaced, while this hair with the identical structure of other effects
Bright introduced embodiment is not to realize the exclusive architecture of the present invention.Although the preferred embodiments of the present invention give herein
It introduces and illustrates, but those skilled in the art are aware that and know that these embodiments are only to illustrate, this field
Interior technical staff can make countless variations, improvement and replacement, therefore, should be according to the present invention without departing from the present invention
The spirit and scope of appended claims limit protection scope of the present invention.
Claims (13)
1. having the function of the Wound protector of chest compression, the Wound protector (100) with chest compression is containing upper
Locating ring (1), lower locating ring (2), protective film (3) and chest compression system (5)；It is characterized in that：
A. the upper locating ring (1) and the lower locating ring (2) are linked together by the protective film (3)；The protective film
(3) operative incision is strutted to form operation path under the dilating effect of locating ring (1) and the lower locating ring (2) on described
(31)；
B. the chest compression system (5) is containing end cap (51) and pressing mechanism (52)；The end cap (51) is equipped with instrumentation
Hole (51-1)；The pressing mechanism (52) is containing inflating port (52-1), filling channel (52-2) and pressurized gas source attachment device (52-
3)；The inflating port (52-1) is connected with thoracic cavity；
C. the end cap (51) and the upper locating ring (1) connection, are sealed thoracic cavity, gas-pressurized is through the pressurized gas source
Attachment device (52-3) carries out pneumatic compression to thoracic cavity by the inflating port (52-1) after entering the filling channel (52-2),
The tissues such as positive pressure, the compression lobe of the lung are formed in thoracic cavity, expand surgical field of view.
2. there is the Wound protector of chest compression according to claim 1, it is characterised in that：The lower locating ring
(2) it is made with the protective film (3) of medical elastic material.
3. there is the Wound protector of chest compression according to claim 1, it is characterised in that：The end cap (51) with
The upper locating ring (1) can form dismountable sealing structure (6).
4. there is the Wound protector of chest compression according to claim 3, it is characterised in that：The sealing structure
(6) it is seal with screwed joint structure, embossed card mating connection sealing structure, interference fit connection sealing etc..
5. there is the Wound protector of chest compression according to claim 4, it is characterised in that：The sealing structure
(6) it is seal with screwed joint structure；The sealing structure (6) is containing internal thread (61), external screw thread (62) and sealing element (63)；Rotation
The internal thread (61) and external screw thread (62), which can compress the sealing element (63), forms sealing.
6. there is the Wound protector of chest compression according to claim 5, it is characterised in that：The internal thread (61)
The inside of the upper locating ring (1) is located at, the external screw thread (62) is located at the outside of the end cap (51), the sealing element (63)
It is located between the upper locating ring (1) and the end cap (51)；The end cap (51) is rotated, the sealing element (63) is compressed,
Sealing structure (6) can be formed.
7. there is the Wound protector of chest compression according to claim 5, it is characterised in that：The sealing structure
(6) retainer ring (64) is additionally provided on；The retainer ring (64) can be embedded in institute containing locating slot (64-1), the upper locating ring (1)
It states in locating slot (64-1)；The internal thread (61) is located at the inside of the retainer ring (64), and the external screw thread (62) is located at institute
State the outside of end cap (51), the sealing element (63) is located in the retainer ring (64), positioned at the upper locating ring (1) and described
Between end cap (51)；The end cap (51) is rotated, the sealing element (63) is compressed, you can forms sealing structure (6).
8. there is the Wound protector of chest compression according to claim 1, it is characterised in that：The filling channel
The edge downlink of (52-2) along the upper locating ring (1), the edge for being bonded the protective film (3) arrive at the lower locating ring (2)；
The inflating port (52-1) is located on the lower locating ring (2) or is located near the lower locating ring (2).
9. there is the Wound protector of chest compression according to claim 1, it is characterised in that：On the end cap (51)
Equipped with air admission hole (51-2)；The filling channel (52-2) is connected to by the air admission hole (51-1) on the end cap (51)；
The downside that the inflating port (52-1) may be provided on the end cap (51) or be located at the end cap (51) enters the protective film (3)
In the operation path (31) of formation.
10. there is the Wound protector of chest compression according to claim 1, it is characterised in that：It is described that there is thoracic cavity
The Wound protector (100) of pressurization function also (4) containing smoke evacuation system；The smoke evacuation system (4) is containing smoke inlet (41), discharge flue
(42) and negative pressure connectivity port (43)；The smoke inlet (41) is connected with thoracic cavity；The smog generated in operation is through described into cigarette
Mouth (41) enters the smoke evacuation system (4), and body is pumped out along the discharge flue (42) from the negative pressure connectivity port (43)
Outside.
11. there is the Wound protector of chest compression according to claim 10, it is characterised in that：The smoke evacuation system
(4) capacity is less than the aeration quantity of the chest compression system (5), and the cycle of Thoracic gas had both been kept to substitute, and excludes smog,
The positive pressure in thoracic cavity is maintained again.
12. there is the Wound protector of chest compression according to claim 10, it is characterised in that：The smoke evacuation system
(4) edge downlink of the discharge flue (42) along the upper locating ring (1) is bonded described in the edge arrival of the protective film (3)
Lower locating ring (2)；The smoke inlet (41) is located on the lower locating ring (2) or is located near the lower locating ring (2).
13. there is the Wound protector of chest compression according to claim 10, it is characterised in that：The end cap (51)
It is equipped with gas vent (51-3)；The discharge flue (42) is connected to by the gas vent (51-3) on the end cap (51)；
The smoke inlet (41) be may be provided on the end cap (51) or be located in the operation path (31) or is located in thoracic cavity.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611105717.8A CN108143448A (en) | 2016-12-05 | 2016-12-05 | There is the Wound protector of chest compression |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201611105717.8A CN108143448A (en) | 2016-12-05 | 2016-12-05 | There is the Wound protector of chest compression |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108143448A true CN108143448A (en) | 2018-06-12 |
Family
ID=62471104
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201611105717.8A Pending CN108143448A (en) | 2016-12-05 | 2016-12-05 | There is the Wound protector of chest compression |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN108143448A (en) |
Cited By (2)
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|---|---|---|---|---|
| CN111134857A (en) * | 2020-01-10 | 2020-05-12 | 武汉大学 | An opening and closing type incision partition stabilizer that can be fixed to a endoscopic incision protective sleeve |
| CN111685806A (en) * | 2019-03-12 | 2020-09-22 | 刘永春 | Control device |
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