CN209847332U - Laparoscope puncture sheath - Google Patents
Laparoscope puncture sheath Download PDFInfo
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- CN209847332U CN209847332U CN201920527086.1U CN201920527086U CN209847332U CN 209847332 U CN209847332 U CN 209847332U CN 201920527086 U CN201920527086 U CN 201920527086U CN 209847332 U CN209847332 U CN 209847332U
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- 239000002184 metal Substances 0.000 claims abstract description 9
- 208000005646 Pneumoperitoneum Diseases 0.000 claims description 6
- 238000005452 bending Methods 0.000 claims description 3
- 210000000683 abdominal cavity Anatomy 0.000 abstract description 19
- 210000003815 abdominal wall Anatomy 0.000 description 5
- 238000010586 diagram Methods 0.000 description 4
- 238000000034 method Methods 0.000 description 3
- 210000001015 abdomen Anatomy 0.000 description 2
- 230000003187 abdominal effect Effects 0.000 description 2
- 238000002357 laparoscopic surgery Methods 0.000 description 2
- 239000000463 material Substances 0.000 description 2
- 210000001835 viscera Anatomy 0.000 description 2
- 239000002699 waste material Substances 0.000 description 2
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 206010042344 Subcutaneous emphysema Diseases 0.000 description 1
- 206010042345 Subcutaneous haematoma Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000010247 heart contraction Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 239000012528 membrane Substances 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 210000000056 organ Anatomy 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 238000005086 pumping Methods 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000029058 respiratory gaseous exchange Effects 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
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Abstract
本实用新型公开了一种腹腔镜穿刺鞘,包括鞘体,所述鞘体上套设有第一环形气囊和第二环形气囊,第一环形气囊位于第二环形气囊的下方,鞘体外壁上位于第一环形气囊的位置设有环形凹槽,第一环形气囊套设在环形凹槽内,所述第一环形气囊和第二环形气囊上分别连接有第一充气管和第二充气管;所述鞘体外壁安装有支撑装置,支撑装置包括固定环、支撑脚和锁定环,所述固定环为非闭合的圈状,为具有弹性的金属片,本实用新型可以防止穿刺鞘滑出病人腹腔外,穿刺鞘内安装的气腹管可以在手术过程中气腹下降时向腹腔内充入气体恢复气腹,使手术正常进行,所述鞘体外安装的支撑装置可以在穿刺鞘插入病人腹腔后,将穿刺鞘支撑住,更方便了医生的操作。
The utility model discloses a laparoscopic puncture sheath, which comprises a sheath body, a first annular air bag and a second annular air bag are sheathed on the sheath body, the first annular air bag is located below the second annular air bag, and the outer wall of the sheath is An annular groove is provided at the position of the first annular airbag, the first annular airbag is sleeved in the annular groove, and the first and second annular airbags are respectively connected with a first inflation tube and a second inflation tube; The outer wall of the sheath is equipped with a support device, the support device includes a fixed ring, a support foot and a locking ring, the fixed ring is a non-closed ring, which is an elastic metal sheet, and the utility model can prevent the puncture sheath from slipping out of the patient Outside the abdominal cavity, the insufflation tube installed in the puncture sheath can fill the abdominal cavity with gas to restore the insufflation during the operation, so that the operation can be carried out normally. The support device installed outside the sheath can be inserted into the patient's abdominal cavity in the puncture sheath Finally, the puncture sheath is supported, which is more convenient for the doctor to operate.
Description
技术领域technical field
本实用新型涉及医疗器械技术领域,具体属于一种腹腔镜穿刺鞘。The utility model relates to the technical field of medical instruments, in particular to a laparoscopic puncture sheath.
背景技术Background technique
腹腔镜手术是一种微创手术,由于出血少、创伤小、恢复快,已成为重要的外科手术之一,腹腔镜手术的必备器械即为腹腔镜穿刺器,一般的腹腔镜穿刺器包括穿刺鞘和穿刺针两部分,使用时,将穿刺针插入穿刺鞘中,通过穿刺针实现对腹壁的穿透,在穿透过程中,也将穿刺鞘带入腹腔内,之后穿刺针拔出,穿刺鞘作为手术通道暂时放置在腹腔内,为手术过程提供输送气体、进出内窥镜及手术器械的通道,因此,穿刺鞘的稳固性在手术过程中至关重要。Laparoscopic surgery is a minimally invasive surgery. It has become one of the most important surgical operations due to less bleeding, less trauma, and faster recovery. The necessary equipment for laparoscopic surgery is the laparoscopic trocar. The general laparoscopic trocar includes There are two parts, the puncture sheath and the puncture needle. When in use, insert the puncture needle into the puncture sheath to penetrate the abdominal wall through the puncture needle. During the penetration process, the puncture sheath is also brought into the abdominal cavity, and then the puncture needle is pulled out. The puncture sheath is temporarily placed in the abdominal cavity as a surgical channel to provide a passage for delivering gas, entering and exiting the endoscope and surgical instruments during the operation. Therefore, the stability of the puncture sheath is very important during the operation.
现有的穿刺鞘穿入腹腔后,病人身体的动作(如呼吸、心脏跳动等)容易导致穿刺鞘滑脱出腹腔外,影响手术进程,同时极易导致病人产生皮下气肿、皮下血肿等并发症,增加了病人的痛苦;在手术前需先建立人工气腹,使腹膜壁与脏器分开,腹腔扩大以利于手术,且避免套针穿刺入腹腔时损伤脏器,手术过程中,手术器械从穿刺器内反复交替穿过容易毁损防漏膜造成气腹下降影响手术野,需要暂停手术再次建立气腹后方能继续手术,影响了手术的进行,降低了手术效率,同时,在手术中,腹腔镜穿刺鞘插入病人腹腔后,需要手术医生一只手扶住穿刺鞘在进行手术操作,这样降低了医生的手术效率。After the existing puncture sheath penetrates into the abdominal cavity, the movement of the patient's body (such as breathing, heart beating, etc.) will easily cause the puncture sheath to slip out of the abdominal cavity, affecting the operation process, and at the same time easily causing complications such as subcutaneous emphysema and subcutaneous hematoma in the patient , which increases the pain of the patient; before the operation, it is necessary to establish an artificial pneumoperitoneum to separate the peritoneal wall from the viscera, expand the abdominal cavity to facilitate the operation, and avoid damage to the viscera when the trocar punctures into the abdominal cavity. The puncture device repeatedly and alternately passes through the leak-proof membrane that is easy to damage, causing the pneumoperitoneum to drop and affect the surgical field. It is necessary to suspend the operation and re-establish the pneumoperitoneum before continuing the operation, which affects the operation and reduces the operation efficiency. At the same time, during the operation, the abdominal cavity After the mirror puncture sheath is inserted into the patient's abdominal cavity, the surgeon needs to hold the puncture sheath with one hand to perform the operation, which reduces the doctor's operation efficiency.
实用新型内容Utility model content
为了解决上述问题,本实用新型设计了一种腹腔镜穿刺鞘,该实用新型可以稳固的固定在病人腹部,防止发生滑脱,该实用新型还可以在气腹下降时向腹腔内充入气体,补充腹腔内气体,使手术正常进行,从而提高手术的效率。In order to solve the above problems, the utility model designs a laparoscopic puncture sheath, which can be firmly fixed on the patient's abdomen to prevent slippage. Gas in the abdominal cavity allows the operation to proceed normally, thereby improving the efficiency of the operation.
为了达到上述技术目的,实现上述技术效果,本实用新型是通过以下技术方案实现的:In order to achieve the above-mentioned technical purpose and realize the above-mentioned technical effect, the utility model is achieved through the following technical solutions:
一种腹腔镜穿刺鞘,包括鞘体,其特征在于:A laparoscopic puncture sheath, comprising a sheath body, is characterized in that:
所述鞘体上套设有第一环形气囊和第二环形气囊,第一环形气囊位于第二环形气囊的下方,鞘体外壁上位于第一环形气囊的位置设有环形凹槽,第一环形气囊套设在环形凹槽内,所述第一环形气囊和第二环形气囊上分别连接有第一充气管和第二充气管;A first annular air bag and a second annular air bag are sleeved on the sheath, the first annular air bag is located below the second annular air bag, and an annular groove is arranged on the outer wall of the sheath at the position of the first annular air bag. The airbag is sleeved in the annular groove, and the first and second annular airbags are respectively connected with a first inflation tube and a second inflation tube;
所述鞘体外壁安装有支撑装置,支撑装置包括固定环、支撑脚和锁定环,所述固定环为非闭合的圈状,为具有弹性的金属片,固定环四周固定连接有至少三根支撑脚,所述支撑脚为金属条下端向外张开,与固定环连接处具有弹性,可向内合拢,所述锁定环套设在固定环外,锁定环使用具有弹性的金属条弯曲而成,两端通过锁定螺栓连接,锁定环可向下滑动将支撑脚合拢在一起;The outer wall of the sheath is equipped with a supporting device, the supporting device includes a fixed ring, a supporting foot and a locking ring, the fixed ring is a non-closed ring, and is an elastic metal sheet, and at least three supporting feet are fixedly connected around the fixed ring , the lower end of the supporting leg is a metal strip that is flared outwards, and the joint with the fixing ring is elastic and can be closed inwardly. The locking ring is set outside the fixing ring, and the locking ring is formed by bending an elastic metal strip. The two ends are connected by locking bolts, and the locking ring can slide down to bring the supporting feet together;
所述鞘体的内表面开设有沿鞘体中轴线方形的条形凹槽,所诉条形凹槽的截面为圆弧,条形凹槽中固定安装有气腹管。The inner surface of the sheath is provided with a square strip-shaped groove along the central axis of the sheath body. The section of the strip-shaped groove is an arc, and an insufflation tube is fixedly installed in the strip-shaped groove.
进一步的,所述鞘体的下端为斜口结构。Further, the lower end of the sheath has an oblique structure.
进一步的,所诉条形凹槽截面的圆弧所对应的圆心角大于180度。Further, the central angle corresponding to the circular arc of the section of the bar-shaped groove is larger than 180 degrees.
本实用新型的有益效果是:本实用新型通过第一环形气囊和第二环形气囊分别安装在腹壁的内外两侧,将腹壁夹住,从而固定腹腔镜穿刺鞘,防止穿刺鞘滑出病人腹腔外,穿刺鞘内安装的气腹管可以在手术过程中气腹下降时向腹腔内充入气体恢复气腹,使手术正常进行,避免了停止手术再次恢复气腹造成的时间浪费,提高了手术效率,所述鞘体外安装的支撑装置可以在穿刺鞘插入病人腹腔后,将穿刺鞘支撑住,代替了医生使用手人为扶住穿刺鞘,更方便了医生的操作。The beneficial effects of the utility model are: the utility model installs the first annular airbag and the second annular airbag on the inner and outer sides of the abdominal wall respectively, clamps the abdominal wall, thereby fixes the laparoscopic puncture sheath, and prevents the puncture sheath from slipping out of the patient's abdominal cavity , the insufflation tube installed in the puncture sheath can inflate gas into the abdominal cavity to restore the insufflation during the operation, so that the operation can proceed normally, avoiding the time waste caused by stopping the operation and restoring the insufflation, and improving the operation efficiency The supporting device installed outside the sheath can support the puncture sheath after the puncture sheath is inserted into the patient's abdominal cavity, instead of the doctor using hands to manually hold the puncture sheath, which is more convenient for the doctor to operate.
附图说明Description of drawings
为了更清楚地说明本实用新型实施例的技术方案,下面将对实施例描述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实用新型的一些实施例,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 of the embodiments of the present invention, the following will briefly introduce the accompanying drawings required for the description of the embodiments. Obviously, the accompanying drawings in the following description are only some embodiments of the present invention. For those skilled in the art, other drawings can also be obtained based on these drawings without creative effort.
图1是该实用新型的立体结构示意图。Fig. 1 is the three-dimensional structure schematic diagram of this utility model.
图2是所述鞘体的剖面结构示意图。Fig. 2 is a schematic cross-sectional structure diagram of the sheath body.
图3是所述支撑装置的结构示意图。Fig. 3 is a structural schematic diagram of the supporting device.
图4是所述的锁定环的结构示意图。Fig. 4 is a structural schematic diagram of the locking ring.
附图中,各标号所代表的部件名称列表如下:In the accompanying drawings, the names of the parts represented by each label are listed as follows:
1-鞘体,2-第一环形气囊,3-第二环形气囊,4-第一充气管,5-第二充气管,6-支撑装置,7-气腹管,8-条形凹槽,9-环形凹槽,10-固定环,11-支撑脚,12-锁定环,13-锁定螺栓。1-Sheath body, 2-First annular airbag, 3-Second annular airbag, 4-First inflatable tube, 5-Second inflatable tube, 6-Support device, 7-Insufflation tube, 8-Strip groove , 9-ring groove, 10-fixing ring, 11-supporting foot, 12-locking ring, 13-locking bolt.
具体实施方式Detailed ways
下面将结合本实用新型实施例中的附图,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本实用新型一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,本领域普通技术人员在没有作出创造性劳动前提下所获得的所有其它实施例,都属于本实用新型保护的范围。The technical solutions in the embodiments of the present invention will be clearly and completely described below in conjunction with the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of them. example. Based on the embodiments of the present utility model, all other embodiments obtained by persons of ordinary skill in the art without creative efforts belong to the scope of protection of the present utility model.
参阅图1-4所示,一种腹腔镜穿刺鞘,包括鞘体1,其特征在于:Referring to Figures 1-4, a laparoscopic puncture sheath includes a sheath body 1, and is characterized in that:
所述鞘体1上套设有第一环形气囊2和第二环形气囊3,第一环形气囊2位于第二环形气囊3的下方,鞘体1外壁上位于第一环形气囊2的位置设有环形凹槽9,第一环形气囊2套设在环形凹槽9内,所述第一环形气囊2和第二环形气囊3上分别连接有第一充气管4和第二充气管5;The first annular airbag 2 and the second annular airbag 3 are sleeved on the sheath body 1, the first annular airbag 2 is located below the second annular airbag 3, and the outer wall of the sheath body 1 is located at the position of the first annular airbag 2. An annular groove 9, the first annular airbag 2 is sleeved in the annular groove 9, and the first annular airbag 2 and the second annular airbag 3 are respectively connected with a first inflation tube 4 and a second inflation tube 5;
所述鞘体1外壁安装有支撑装置6,支撑装置6包括固定环10、支撑脚11和锁定环12,所述固定环10为非闭合的圈状,为具有弹性的金属片,固定环10四周固定连接有至少三根支撑脚11,所述支撑脚11为金属条下端向外张开,与固定环10连接处具有弹性,可向内合拢,所述锁定环12套设在固定环10外,锁定环12使用具有弹性的金属条弯曲而成,两端通过锁定螺栓13连接,锁定环12可向下滑动将支撑脚11合拢在一起;The outer wall of the sheath body 1 is equipped with a support device 6, the support device 6 includes a fixed ring 10, a support foot 11 and a locking ring 12, the fixed ring 10 is a non-closed ring, and is an elastic metal sheet, the fixed ring 10 There are at least three supporting feet 11 fixedly connected around it, the lower ends of the supporting feet 11 are metal strips that open outwards, and the connection with the fixing ring 10 is elastic and can be closed inwards, and the locking ring 12 is sleeved outside the fixing ring 10 , the locking ring 12 is formed by bending an elastic metal strip, the two ends are connected by locking bolts 13, the locking ring 12 can slide downwards to close the supporting feet 11 together;
所述鞘体1的内表面开设有沿鞘体1中轴线方形的条形凹槽8,所诉条形凹槽8的截面为圆弧,条形凹槽8中固定安装有气腹管7。The inner surface of the sheath body 1 is provided with a square strip groove 8 along the central axis of the sheath body 1, the section of the strip groove 8 is an arc, and the gas abdomen tube 7 is fixedly installed in the strip groove 8 .
进一步的,所述鞘体1的下端为斜口结构。Further, the lower end of the sheath body 1 is a slanted structure.
进一步的,所诉条形凹槽8截面的圆弧所对应的圆心角大于180度。Further, the central angle corresponding to the circular arc of the section of the strip-shaped groove 8 is larger than 180 degrees.
该实用新型的具体实施例为:使用时,在病人的腹腔上开设开口,鞘体1下端为斜口结构,方便于穿刺鞘的插入,穿刺前首先通过第二充气管5往第二环形气囊3内充入气体,可使用注射器或其他打气装置进行充气,使第二环形气囊3充气膨胀固定在鞘体1外壁,穿刺时,第二环形气囊3可起到限位作用,防止穿刺过深误伤到腹腔内的器官或组织,穿刺前,所述的第一环形气囊2处于收缩状态位于鞘体1外壁的环形凹槽9中,使第一环形气囊2不影响穿刺鞘的穿刺,第一环形气囊2进入腹腔中后,通过第一充气管4向第一环形气囊2中充入气体,第一环形气囊2充气膨胀卡在腹腔壁内部,所述第二环形气囊3可移动位置,从而使腹壁位于第一环形气囊2和第二环形气囊3之间,将穿刺鞘位置固定,防止穿刺鞘滑出病人体外。The specific embodiment of this utility model is: when in use, an opening is opened on the patient's abdominal cavity, and the lower end of the sheath body 1 is an oblique structure, which is convenient for the insertion of the puncture sheath. 3 is filled with gas, which can be inflated with a syringe or other pumping device, so that the second annular airbag 3 is inflated and fixed on the outer wall of the sheath body 1. When puncturing, the second annular airbag 3 can play a position-limiting role to prevent the puncture from being too deep Accidentally injure an organ or tissue in the abdominal cavity. Before the puncture, the first annular airbag 2 is in a contracted state and is located in the annular groove 9 on the outer wall of the sheath body 1, so that the first annular airbag 2 does not affect the puncture of the puncture sheath. After the annular airbag 2 enters the abdominal cavity, gas is filled into the first annular airbag 2 through the first inflation tube 4, and the first annular airbag 2 is inflated and stuck inside the abdominal wall, and the second annular airbag 3 can be moved, so that The abdominal wall is positioned between the first annular air bag 2 and the second annular air bag 3, the position of the puncture sheath is fixed, and the puncture sheath is prevented from slipping out of the patient's body.
固定好穿刺鞘位置后,使用支撑装置6将穿刺鞘支撑住,移动固定环10在穿刺鞘上的位置,使支撑脚11支撑在病人腹部皮肤上,锁定环12套在固定环10外侧,通过旋转锁定螺栓13,锁定环12向内收缩加紧固定环10,固定环10压紧在穿刺鞘外壁,从而锁定支撑装置6的位置,支撑脚11将穿刺鞘支撑住,可以使医生不用手人为的扶住穿刺鞘进行手术操作,从而使医生多出一只手可以进行其他操作,提高了手术效率,手术结束时,可以将锁定环12松开,向下滑动将支撑脚11向内合拢然后锁定,减少了占用体积,便于放置。After fixing the position of the puncture sheath, use the support device 6 to support the puncture sheath, move the position of the fixing ring 10 on the puncture sheath, so that the supporting foot 11 is supported on the patient's abdominal skin, and the locking ring 12 is set on the outside of the fixing ring 10, and pass Rotate the locking bolt 13, the locking ring 12 shrinks inwards and tightens the fixing ring 10, the fixing ring 10 is pressed against the outer wall of the puncture sheath, thereby locking the position of the support device 6, and the supporting feet 11 support the puncture sheath, so that the doctor does not need to artificially Hold the puncture sheath for surgical operation, so that the doctor can perform other operations with one more hand, which improves the efficiency of the operation. At the end of the operation, the locking ring 12 can be released, slide down to close the supporting feet 11 inward and then lock , which reduces the occupied volume and is easy to place.
由于手术中,手术器械的反复进出穿刺鞘,会使腹腔内气腹下降,影响手术的操作,该实用新型设置的气腹管7可用于手术中向腹腔内充入气体恢复气腹,使手术正常进行,避免了停止手术再次恢复气腹造成的时间浪费,从而提高了手术效率,气腹管安装在条形凹槽中,条形凹槽截面圆弧对应的圆心角大于180度,使气腹管稳固固定在条形凹槽中,防止脱落。Because during the operation, the repeated entry and exit of surgical instruments into and out of the puncture sheath will cause the pneumoperitoneum in the abdominal cavity to drop, which will affect the operation of the operation. It is carried out normally, avoiding the waste of time caused by stopping the operation and resuming the pneumoperitoneum, thereby improving the efficiency of the operation. The abdominal tube is firmly fixed in the bar groove to prevent falling off.
在本说明书的描述中,参考术语“一个实施例”、“示例”、“具体示例”等的描述意指结合该实施例或示例描述的具体特征、结构、材料或者特点包含于本实用新型的至少一个实施例或示例中。在本说明书中,对上述术语的示意性表述不一定指的是相同的实施例或示例。而且,描述的具体特征、结构、材料或者特点可以在任何的一个或多个实施例或示例中以合适的方式结合。In the description of this specification, descriptions referring to the terms "one embodiment", "example", "specific example" and the like mean that the specific features, structures, materials or characteristics described in conjunction with the embodiment or example are included in the description of the present invention. In at least one embodiment or example. In this specification, schematic representations of the above terms do not necessarily refer to the same embodiment or example. Furthermore, the specific features, structures, materials or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
以上公开的本实用新型优选实施例只是用于帮助阐述本实用新型。优选实施例并没有详尽叙述所有的细节,也不限制该实用新型仅为所述的具体实施方式。显然,根据本说明书的内容,可作很多的修改和变化。The preferred embodiments of the present invention disclosed above are only used to help explain the present invention. The preferred embodiments do not exhaust all details, nor do they limit the utility model to the specific implementations described. Obviously, many modifications and variations can be made based on the contents of this specification.
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CN116492576A (en) * | 2023-04-20 | 2023-07-28 | 广州君霖医疗科技有限公司 | Medical pressurized aerosol chemotherapy catheter module |
CN118633900A (en) * | 2024-06-05 | 2024-09-13 | 首都医科大学附属北京潞河医院 | Arthroscopic sheath |
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CN116492576A (en) * | 2023-04-20 | 2023-07-28 | 广州君霖医疗科技有限公司 | Medical pressurized aerosol chemotherapy catheter module |
CN118633900A (en) * | 2024-06-05 | 2024-09-13 | 首都医科大学附属北京潞河医院 | Arthroscopic sheath |
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