CN206630631U - A kit for endoscopic surgery bowel obstruction - Google Patents
A kit for endoscopic surgery bowel obstruction Download PDFInfo
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Abstract
本实用新型涉及一种内镜手术肠阻隔套件,包括:一能够盛放注入液的套管,所述套管上设有一注入口且所述注入口上安装有单向注液阀,所述套管外壁上设有若干棘突部。本实用新型在腹腔镜手术中,既能够有效地阻隔无关肠道涌入手术野以充分暴露手术视野,同时,还能够不占用操作孔位置,非常适用于推广使用。
The utility model relates to an endoscopic operation intestinal barrier kit, comprising: a casing capable of containing injection liquid, an injection port is arranged on the casing, and a one-way liquid injection valve is installed on the injection port. There are several spinous processes on the outer wall of the casing. In laparoscopic surgery, the utility model can effectively block irrelevant intestines from pouring into the operation field to fully expose the operation field of view, and at the same time, not occupy the position of the operation hole, which is very suitable for popularization and use.
Description
技术领域technical field
本实用新型属于医疗辅助器械技术领域,特别是涉及一种内镜手术肠阻隔套件。The utility model belongs to the technical field of medical auxiliary equipment, in particular to an endoscopic operation intestinal barrier set.
背景技术Background technique
腹腔镜手术就是利用腹腔镜及其相关器械进行的手术,使用冷光源提供照明,将腹腔镜镜头(直径为3~10mm)插入腹腔内,运用数字摄像技术使腹腔镜镜头拍摄到的图像通过光导纤维传导至后级信号处理系统,并且实时显示在专用监视器上。医生通过监视器屏幕上所显示患者器官不同角度的图像,对病人的病情进行分析判断,并且运用特殊的腹腔镜器械进行手术。腹腔镜手术多采用2~4孔操作法,其中一个开在人体的肚脐上,避免在病人腹腔部位留下长条状的疤痕,恢复后,仅在腹腔部位留有1~3个0.5~1厘米的线状疤痕,可以说是创面小,痛楚小的手术,因此也有人称之为“钥匙孔”手术。腹腔镜手术的开展,减轻了病人开刀的痛楚,同时使病人的恢复期缩短。Laparoscopic surgery is performed using laparoscopes and related instruments. A cold light source is used to provide illumination, a laparoscopic lens (3-10mm in diameter) is inserted into the abdominal cavity, and digital camera technology is used to make the images captured by the laparoscopic lens pass through the light guide. The fiber is conducted to the post-stage signal processing system and displayed on a dedicated monitor in real time. The doctor analyzes and judges the patient's condition through the images of the patient's organs from different angles displayed on the monitor screen, and uses special laparoscopic instruments to perform the operation. Laparoscopic surgery mostly uses 2 to 4 holes, one of which is opened on the navel of the human body to avoid leaving long strips of scars on the patient's abdominal cavity. After recovery, only 1 to 3 holes of 0.5 to 1 It can be said that the operation with small wounds and little pain, so it is also called "keyhole" operation. The development of laparoscopic surgery reduces the pain of surgery for patients and shortens the recovery period of patients.
但是,在现有的腹腔镜手术手术过程中,为能够保证充分暴露手术视野,医师们往往需要在某个操作孔内伸入一手术器械来阻拦无关肠道涌入手术野中,即2~4孔操作法中的实际操作孔仅1~3个,降低了手术过程中的灵活性,延长手术时长,亟待改进。However, in the existing laparoscopic surgery, in order to ensure sufficient exposure of the surgical field of view, doctors often need to insert a surgical instrument into a certain operation hole to prevent unrelated intestines from pouring into the surgical field, that is, 2 to 4 In the hole operation method, there are only 1 to 3 holes in the actual operation, which reduces the flexibility during the operation and prolongs the operation time, which needs to be improved urgently.
实用新型内容Utility model content
本实用新型为解决公知技术中存在的技术问题而提供一种在腹腔镜手术中,既能够有效地阻隔肠道以充分暴露手术视野,同时,还能够不占用实际操作孔位置的内镜手术阻肠隔套。In order to solve the technical problems in the known technology, the utility model provides an endoscopic surgical barrier that can effectively block the intestinal tract to fully expose the surgical field of view during laparoscopic surgery, and at the same time, not occupy the position of the actual operating hole. Intestinal sleeve.
本实用新型为解决公知技术中存在的技术问题所采取的技术方案是:The technical scheme that the utility model takes for solving the technical problem existing in the known technology is:
一种内镜手术肠阻隔套件,包括:一能够盛放注入液的套管,所述套管上设有一注入口且所述注入口上安装有单向注液阀,所述套管外壁上设有若干棘突部。An endoscopic surgery intestinal obstruction kit, comprising: a casing capable of containing infusion liquid, an injection port is provided on the casing and a one-way injection valve is installed on the injection port, There are several spinous processes.
本实用新型还可以采用如下技术措施:所述棘突部与所述套管内部相连通。The utility model can also adopt the following technical measures: the spinous process part communicates with the inside of the casing.
本实用新型还可以采用如下技术措施:所述棘突部在所述套管外壁阵列排布。The utility model can also adopt the following technical measures: the spinous processes are arranged in an array on the outer wall of the casing.
本实用新型还可以采用如下技术措施:所述套管为长条状结构。The utility model can also adopt the following technical measures: the sleeve is a strip-shaped structure.
本实用新型还可以采用如下技术措施:当处于充盈状态时,所述棘突部的长度是所述套管直径的0.1‐3倍。The utility model can also adopt the following technical measures: when in a filling state, the length of the spinous process is 0.1-3 times the diameter of the sleeve.
本实用新型还可以采用如下技术措施:所述棘突部的自由端为半球状结构。The utility model can also adopt the following technical measures: the free end of the spinous process is a hemispherical structure.
本实用新型具有的优点和积极效果是:The advantages and positive effects that the utility model has are:
综上所述,本实用新型通过提供一种内镜手术肠阻隔套件,在腹腔镜手术中,既能够有效地阻隔肠道,以充分暴露手术视野,同时,还能够不占用实际操作孔位置,最终能够使得医师的手术过程更为顺畅,最大限度地切除病变组织,最终降低术后局部复发率,还能够一定程度上缩短手术进程。To sum up, the utility model provides an endoscopic surgery intestinal barrier kit, which can effectively block the intestinal tract during laparoscopic surgery to fully expose the surgical field of view, and at the same time, not occupy the position of the actual operation hole, Ultimately, it can make the doctor's operation process smoother, resect the diseased tissue to the maximum extent, reduce the local recurrence rate after operation, and shorten the operation process to a certain extent.
基于上述技术方案的改进,本实用新型中的套管,是本实用新型的关键部件,用于盛放注入的液体,当套管内无液体注入时,套管尺寸较小,非常容易自操作孔内进入腹腔;当套管内充盈有液体时,套管由平面塌陷状态转换为立体充盈状态,能够实现对腹腔内的肠道进行充分的阻隔,且不会损伤腹腔内的器官。套管的注入口处安装有单向注液阀,其用于与外置的注液设备相连,当注液完成后,即使撤去注液设备,套管内的液体也不会回流。为防止套管随着阻隔肠道的蠕动而改变位置,其外壁还设有若干棘突部,当将其置于某一位置以阻隔肠道时,其外壁的棘突部能够提供多方向和足够力度的支撑力,以有效防止其滚动。在手术过程中,还可以通过调整套件位置选择性地阻隔不同肠段。在手术结束或不需要该部件时,可以将套件剪破,放出其内液体,套件塌陷,可以很方便将其取出,放出的液体可以通过吸引器吸出。Based on the improvement of the above-mentioned technical solution, the casing in the utility model is the key component of the utility model, and is used to contain the injected liquid. When there is no liquid injected in the casing, the casing is small in size, and it is very easy to self-operate the hole When the cannula is filled with liquid, the cannula changes from a flat collapsed state to a three-dimensional filling state, which can fully block the intestinal tract in the abdominal cavity without damaging the organs in the abdominal cavity. A one-way liquid injection valve is installed at the injection port of the casing, which is used to connect with the external liquid injection equipment. After the liquid injection is completed, even if the liquid injection equipment is removed, the liquid in the casing will not flow back. In order to prevent the cannula from changing its position along with the peristalsis of blocking the intestinal tract, its outer wall is also provided with several spinous processes. Sufficient support force to effectively prevent it from rolling. During the operation, it is also possible to selectively block different bowel segments by adjusting the position of the kit. At the end of the operation or when the part is not needed, the sleeve can be cut to release the liquid in it, the sleeve collapses, it can be easily taken out, and the released liquid can be sucked out through the suction device.
基于上述优选技术方案的改进,本实用新型的技术方案得以进一步地完善,一方面,优化了棘突部与套管之间的连接关系,以能够增强棘突的承载强度;一方面,优化了棘突部在套管外壁的分布方式,以能够进一步地防止处于充盈状态的套管滚动;最后,还具体地优化了棘突部与套管的尺寸关系以及结构设计,能够进一步地强化上述有益效果。Based on the improvement of the above-mentioned optimal technical solution, the technical solution of the present utility model is further improved. On the one hand, the connection relationship between the spinous process and the cannula is optimized to enhance the bearing strength of the spinous process; on the one hand, the optimized The distribution of the spinous process on the outer wall of the cannula can further prevent the cannula in the filling state from rolling; finally, the dimensional relationship and structural design between the spinous process and the cannula can be specifically optimized to further strengthen the above-mentioned beneficial effects. Effect.
附图说明Description of drawings
图1是本实用新型的结构示意图(未注液状态);Fig. 1 is the structural representation of the present utility model (non-injection state);
图2是本实用新型的结构示意图(注液状态)。Fig. 2 is a schematic structural view of the utility model (liquid injection state).
图中:1、套管;2、注入口;3、单向注液阀;4、棘突部。In the figure: 1. casing; 2. injection port; 3. one-way injection valve; 4. spinous process.
具体实施方式detailed description
下面结合附图对本实用新型的具体实施方式作进一步说明。在此需要说明的是,对于这些实施方式的说明用于帮助理解本实用新型,但并不构成对本实用新型的限定。此外,下面所描述的本实用新型各个实施方式中涉及到的技术特征只要彼此之间未构成冲突就可以相互组合。Below in conjunction with accompanying drawing, the specific embodiment of the present utility model will be further described. It should be noted here that the descriptions of these implementations are used to help understand the utility model, but are not intended to limit the utility model. In addition, the technical features involved in the various embodiments of the present invention described below can be combined with each other as long as they do not constitute conflicts with each other.
实施例一:Embodiment one:
请参阅图1,本实施例中具体地公开了一种内镜手术肠阻隔套件。Please refer to FIG. 1 , this embodiment specifically discloses an endoscopic surgery intestinal obstruction kit.
所述肠阻隔套件包括:套管1,是本实用新型的关键部件,用于盛放注入的液体,当套管内无液体注入时,套管尺寸较小,非常容易自操作孔内进入腹腔;当套管内充盈有液体时,套管由平面塌陷状态转换为立体柱式充盈状态,能够实现对腹腔内的肠道进行充分的阻隔,且不会损伤腹腔内的器官。The intestinal barrier kit includes: sleeve 1, which is a key component of the present invention, and is used to contain the injected liquid. When there is no liquid injected into the sleeve, the size of the sleeve is small, and it is very easy to enter the abdominal cavity from the operation hole; When the cannula is filled with liquid, the cannula changes from a flat collapsed state to a three-dimensional columnar filled state, which can fully block the intestinal tract in the abdominal cavity without damaging the organs in the abdominal cavity.
所述套管1,其上设有方便液体进入的注入口2,所述注入口2上安装有单向注液阀3,其用于与外置的注液设备相连,当注液完成后,即使撤去注液设备,套管内的液体也不会回流。The casing 1 is provided with an injection port 2 to facilitate liquid entry, and a one-way liquid injection valve 3 is installed on the injection port 2, which is used to connect with an external liquid injection device. When the liquid injection is completed, , even if the liquid injection device is removed, the liquid in the sleeve will not flow back.
所述套管1,其外壁上设有若干棘突部4,当将处于充盈状态的套管置于腹腔内某一位置以阻隔肠道时,所述棘突部能够提供多方向和足够力度的支撑力,可实现有效防止套管滚动。The cannula 1 has several spinous processes 4 on its outer wall, and when the cannula in a filling state is placed at a certain position in the abdominal cavity to block the intestinal tract, the spinous processes can provide multi-directional and sufficient strength. The supporting force can effectively prevent the casing from rolling.
在实际的手术过程中,医师先将肠阻隔套件的单向注液阀与一外置注液设备相连接,然后将未注液的肠阻隔套件,请参阅图1,自任一操作孔内置入腹腔,然后,开启注液设备向肠阻隔套件内注入液体,直至其呈现足够充盈的状态,请参阅图2,此时,撤去注液设备即可。In the actual operation process, the doctor first connects the one-way injection valve of the intestinal obstruction set with an external liquid injection device, and then inserts the unfilled intestinal obstruction set, see Figure 1, into any operation hole Abdominal cavity, and then, turn on the liquid injection device to inject liquid into the intestinal barrier kit until it is fully filled, please refer to Figure 2, at this time, just remove the liquid injection device.
之后,医师可以根据手术的进程不断调整腹腔内的已注液的肠阻隔套件,即能够对腹腔内的肠道进行充分的阻隔作用,以充分暴露腹腔内的操作视野。Afterwards, the doctor can continuously adjust the fluid-injected bowel blocking set in the abdominal cavity according to the progress of the operation, that is, it can fully block the intestinal tract in the abdominal cavity, so as to fully expose the operating field of view in the abdominal cavity.
此外,鉴于在注液完毕之后,注液设备即撤去,故用于置入肠阻隔套件的操作孔即处于空闲状态,能够方便医师使用另外的器械,大大地提高了医师操作的灵活性,缩短了手术进程,减轻了患者痛苦。In addition, since the liquid injection device is removed after the liquid injection is completed, the operation hole for placing the intestinal barrier kit is in an idle state, which can facilitate the doctor to use other instruments, greatly improving the doctor's operating flexibility and shortening the time. The operation process is improved, and the patient's pain is relieved.
最后,确认手术完毕之后,医师通过刺破肠阻隔套件,即可将其取出,操作程序简单易行,非常适用于推广使用。Finally, after confirming the completion of the operation, the doctor can take out the intestinal barrier kit by puncturing it. The operation procedure is simple and easy, and it is very suitable for promotion and use.
在任一优选的实施例中,所述棘突部4与所述套管1内部相连通。基于此设计,当注液设备向套管内注入液体时,会同时将棘突部注满,此时,处于充盈状态的棘突部能够更加有效地防止套管滚动。In any preferred embodiment, the spinous process 4 communicates with the inside of the cannula 1 . Based on this design, when the liquid injection device injects liquid into the cannula, the spinous process will be filled at the same time. At this time, the spinous process in the filled state can more effectively prevent the cannula from rolling.
在任一优选的实施例中,所述棘突部4在所述套管1外壁阵列排布。基于此设计,有规律排布的棘突部能够更加有效地防止处于充盈状态的套管在腹腔内滚动。In any preferred embodiment, the spinous processes 4 are arranged in arrays on the outer wall of the cannula 1 . Based on this design, the regularly arranged spinous processes can more effectively prevent the cannula in a filling state from rolling in the abdominal cavity.
在任一优选的实施例中,所述套管1为长条状结构。基于此设计,单根套管所阻隔的肠道的面积能够更大,实际上,医师能够在一次手术中向腹腔内置入多个套管,以对各个方位的肠道进行充分的阻隔。In any preferred embodiment, the sleeve 1 is a long strip structure. Based on this design, the area of the intestinal tract blocked by a single sleeve can be larger. In fact, doctors can insert multiple sleeves into the abdominal cavity in one operation to fully block the intestinal tract in all directions.
在任一优选的实施例中,当处于充盈状态时,所述棘突部4的长度是所述套管1直径的0.1‐3倍。In any preferred embodiment, when in a filling state, the length of the spinous process 4 is 0.1-3 times the diameter of the cannula 1 .
在任一优选的实施例中,所述棘突部4的自由端为半球状结构。基于此设计,能够有效地防止棘突部的端头划伤腹腔内的其他器官。In any preferred embodiment, the free end of the spinous process 4 is a hemispherical structure. Based on this design, it can effectively prevent the end of the spinous process from scratching other organs in the abdominal cavity.
以上仅为本实用新型的优选实施方式,应当指出,对于本技术领域的普通技术人员来说,在不脱离本实用新型技术原理的前提下,还可以做出若干改进和润饰,这些改进和润饰也应视为本实用新型的保护范围。The above are only preferred embodiments of the present utility model, and it should be pointed out that for those of ordinary skill in the art, some improvements and modifications can also be made without departing from the technical principles of the present utility model. It should also be regarded as the protection scope of the present utility model.
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