CN114903575A - Single-port laparoscopic surgery access platform - Google Patents

Single-port laparoscopic surgery access platform Download PDF

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Publication number
CN114903575A
CN114903575A CN202210615656.9A CN202210615656A CN114903575A CN 114903575 A CN114903575 A CN 114903575A CN 202210615656 A CN202210615656 A CN 202210615656A CN 114903575 A CN114903575 A CN 114903575A
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China
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smoke exhaust
ring
smoke
expansion
platform
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CN202210615656.9A
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Chinese (zh)
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陈井丽
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Zhengzhou No 7 People's Hospital
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Zhengzhou No 7 People's Hospital
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3476Powered trocars, e.g. electrosurgical cutting, lasers, powered knives
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3417Details of tips or shafts, e.g. grooves, expandable, bendable; Multiple coaxial sliding cannulas, e.g. for dilating
    • A61B17/3421Cannulas
    • A61B2017/3445Cannulas used as instrument channel for multiple instruments

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)
  • Endoscopes (AREA)

Abstract

The invention provides a single-port laparoscopic surgery access platform, and belongs to the technical field of medical instruments. The single-port laparoscopic surgery access platform comprises an incision protective sleeve, an operation platform and a smoke exhaust assembly; any two of the incision protective sleeve, the operation platform and the smoke exhaust assembly can be clamped and the clamped part is sealed; the smoke exhaust assembly comprises a connecting ring, a smoke exhaust channel connected to the outer side of the connecting ring, a plurality of miniature smoke exhaust pipes connected to the inner side of the connecting ring, and expansion rings fixedly connected with the tail ends of all the smoke exhaust pipes; the connecting ring is provided with a sealed inner cavity for communicating the smoke exhaust channel with all the smoke exhaust pipes; the expansion ring utilizes the self-expansion performance to pull the smoke exhaust pipe to diffuse outwards. The miniature smoke exhaust pipe has good sealing performance and smoke exhaust performance, can reduce the occupation of a cut channel, reduce the interference on instruments and exhaust smoke in the abdominal cavity, particularly in the deep part of the abdominal cavity.

Description

Single-port laparoscopic surgery access platform
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a single-port laparoscopic surgery access platform.
Background
With the progress of minimally invasive surgery in recent years, single-port laparoscopic surgery has been vigorously developed in the gynecological field due to the advantages of small body surface wound, good cosmetic effect, pain relief and the like, and can be applied to such procedures as ovarian cyst removal, salpingo-oophorectomy, salpingectomy, salpingout ectopic pregnancy, pelvic adhesion, salpingomy, ovarian perforation and even hysteromyoma removal. Only one incision is formed in the single-port laparoscopic surgery, and the incision is small, so that the requirement on an instrument channel of the access platform is higher; and the pneumoperitoneum technology is mostly adopted during the single-port laparoscopic surgery, so the requirement on the air tightness of the access platform is also met.
For example, patent document CN108245205A proposes an access channel of a single-port laparoscope and a manufacturing method thereof, which includes a glove, wherein the end of at least one finger stall on the glove is intersected to form a through hole, an instrument penetration tube is arranged at the through hole, and the instrument penetration tube is used for the sealed penetration of instruments. In the technical document, an instrument penetration tube is arranged in the finger stall in a silk thread binding mode, and the air tightness is poor because the gap between the finger stall and the instrument penetration tube cannot be completely sealed; the instrument penetrating pipe keeps the air tightness with the instrument, and the inner diameter of the instrument penetrating pipe is thin, so that the instrument is inconvenient to pass in and out; and the appliance penetrating pipe is completely communicated when the appliance is not installed, so that a special person is required to seal the appliance penetrating pipe when the appliance is replaced in an operation, otherwise, carbon dioxide in the abdominal cavity can be leaked in time.
Still like patent document CN212234619U provides a multichannel haplopore laparoscopic surgery puncture ware, including connector and flexible sealed cowling, the connector includes solid fixed ring of passageway and the solid fixed ring of platform, the bottom cover of flexible sealed cowling is established on solid fixed ring of platform and is connected with solid fixed ring of platform, set up flutedly on the solid fixed ring's of passageway inside wall, install the silica gel sealing washer in the recess, install built-in ring in the flexible sealed cowling, the top fixed mounting of flexible sealed cowling has a plurality of passageway of going into the way, the top fixed mounting of flexible sealed cowling has the gas injection valve. The platform fixing ring and the flexible sealing cover of the operation puncture outfit are fixedly connected, and the silica gel sealing ring is arranged on the channel fixing ring, so that the air tightness is stronger, but the operation puncture outfit is only provided with the air injection valve, smoke in the abdominal cavity can not be effectively discharged in the operation, and the operation smoke is accumulated in the abdominal cavity, particularly at the focus, so that the operation visual field is influenced, and the operation is influenced.
Disclosure of Invention
The invention aims to solve the technical problem of providing a single-port laparoscopic surgery access platform aiming at the defects of the prior art.
In order to solve the technical problems, the technical scheme adopted by the invention is as follows:
a single-port laparoscopic surgery access platform comprises an incision protective sleeve, an operation platform and a smoke exhaust assembly;
any two of the incision protective sleeve, the operation platform and the smoke exhaust assembly can be clamped and the clamped part is sealed;
the smoke exhaust assembly comprises a connecting ring, a smoke exhaust channel connected to the outer side of the connecting ring, a plurality of miniature smoke exhaust pipes connected to the inner side of the connecting ring, and an expansion ring fixedly connected with the tail ends of all the smoke exhaust pipes;
the connecting ring is provided with a sealed inner cavity for communicating the smoke exhaust channel with all the smoke exhaust pipes;
the connection points of the smoke exhaust pipes and the connection rings are uniformly distributed along the circumferential direction of the connection rings, the connection points of the smoke exhaust pipes and the expansion rings are uniformly distributed along the circumferential direction of the expansion rings, and the parts of the smoke exhaust pipes between the connection points and the expansion rings are equal in length;
the expansion ring utilizes the self-expansion performance to pull the smoke exhaust pipe to diffuse outwards;
when the smoke exhaust assembly is clamped with the cut protection sleeve, the smoke exhaust pipe penetrates through the cut protection sleeve.
Furthermore, the tail end of the smoke exhaust pipe is fixedly connected with the expansion ring after penetrating through the expansion ring.
Further, the air hole of the smoke exhaust pipe is positioned at one end close to the expansion ring.
Further, the air holes are arranged in rows on one side, far away from the expansion ring, of the smoke exhaust pipe.
Furthermore, the clamping device also comprises a lock catch used for automatically locking the clamping part.
Furthermore, the operating platform comprises a sealing cover, the sealing cover is soft, and a plurality of instrument channels are fixedly arranged at the upper part of the sealing cover; the instrument channels all have self-sealing properties.
Further, the sealing cover is transparent.
Further, a gas injection channel is further arranged on the sealing cover.
In the single-port laparoscopic surgery, when an energy instrument is applied for electrocoagulation and electrosection, a large amount of smoke and water vapor can be generated, and the smoke and the water vapor are diffused in the abdominal cavity, so that the visual field of the surgery can be influenced, the surgery difficulty is increased, and measures need to be taken to discharge the smoke in the abdominal cavity in time. For example, patent document CN212234619U discloses a single smoke evacuation device for an access platform for single port laparoscopic surgery because it is not possible to evacuate smoke through an air injection valve, but it is not possible to maintain pneumoperitoneum pressure during smoke evacuation, which affects the progress of the surgery, although only the air injection valve is provided, and the problem of smoke evacuation is not considered.
Like patent document CN215534649U etc. set up gas injection valve and discharge valve on operation platform, the gas injection valve can inject carbon dioxide, and discharge valve can discharge smog, but inside discharge valve did not stretch into the abdominal cavity, and be close to the gas injection valve, and the gas of discharge valve exhaust is mostly the carbon dioxide of newly injecting, also can only discharge the smog near incision department, and the smog that is located the abdominal cavity inside can not be discharged.
In order to discharge smoke from the inside of the abdominal cavity, particularly from the deep inside of the abdominal cavity, for example, patent document CN113598970A discloses puncturing a veress needle on the abdominal wall to discharge smoke, but this method has disadvantages that it is difficult to fix the needle, the needle is liable to accidentally injure organs in the abdominal cavity, and the needle is liable to be clogged. Therefore, there is a prior art that proposes a smoke exhaust tube capable of extending into the deep inside of the abdominal cavity, for example, CN113662679A discloses a separate smoke exhaust tube, which is pulled by a magnet to be introduced into the edge of the abdominal cavity and fixed, but this method is not suitable for patients with excessive abdominal wall thickness, and when adjusting the smoke exhaust position during operation, the smoke exhaust tube may be entangled with the apparatus. Patent documents CN210130808U also include L-shaped suction pipes, and patent documents CN214907418U and CN209966582U propose plastic smoke discharge pipes which can be inserted into the deep part of the abdominal cavity and can be adjusted in angle to discharge smoke at different positions. However, the independently arranged smoke exhaust pipes extend into the abdominal cavity through the incision channels, and because the incisions are small, the smoke exhaust pipes, particularly the hard smoke exhaust pipes, can invade the access channels of the instruments, so that the moving range of the instruments is influenced; and in order to extract the smoke at different positions, the angle of the smoke exhaust pipe needs to be adjusted or the smoke exhaust pipe needs to be rotated, which in turn disturbs the apparatus. Therefore, a separate smoke evacuation tube provided through the incision tract may adversely affect the procedure.
Compared with the prior art, the invention has the following beneficial effects:
the invention is provided with a plurality of miniature smoke exhaust pipes, the smoke exhaust pipes cling to the inner wall of the incision protective sleeve to enter the abdominal cavity, the miniature smoke exhaust pipes can reduce the occupation of the internal channel of the incision protective sleeve, and the miniature smoke exhaust pipes can provide the largest possible access channel for instruments; and the smoke exhaust pipes are tightly attached to the inner wall of the incision protection sleeve, so that the interference on instruments in the incision protection sleeve can be avoided. The smoke exhaust pipe in the abdominal cavity can extend to the periphery of the incision under the traction of the expansion ring and is close to the abdominal wall, so that the smoke exhaust pipe in the abdominal cavity cannot interfere with the operation of the instrument, the smoke exhaust pipe which is diffused to the periphery can provide a larger coverage range, and smoke around the incision can be extracted simultaneously; meanwhile, the air holes of the smoke exhaust pipe are all arranged at one end close to the expansion ring, so that the smoke extracted by the smoke exhaust pipe is closer to the deep part of the abdominal cavity, and the smoke exhaust pipe can simultaneously exhaust the smoke in the abdominal cavity, particularly the deep part of the abdominal cavity.
The smoke exhaust assembly and the incision protective sleeve, the operating platform and the smoke exhaust assembly and the operating platform and the incision protective sleeve are all in the same clamping structure, so that when smoke exhaust is not needed in an operation, the smoke exhaust assembly can be omitted, and the operating platform can be directly installed on the incision protective sleeve. The clamping structure adopted among the operating platform, the smoke exhaust assembly and the incision protective sleeve can realize quick installation, and clamping can be completed only by inserting and slightly rotating; meanwhile, the invention is also provided with a lock catch for automatically locking the clamping part and preventing the clamping part from slipping.
The operating platform is provided with a plurality of instrument channels, and the instrument channels have at least two specifications and can be suitable for various minimally invasive surgical instruments such as a laparoscope lens, a suction apparatus, a separating clamp and the like. The sealing cover on the operation platform is made of soft materials, so that the inclination angle of the instrument channel can be adjusted, the moving range of the instrument can be increased, the angle of the instrument can be adjusted by a doctor according to needs when the instrument is operated, the use of the instrument is facilitated, and the operation efficiency can be improved; meanwhile, the sealing cover and the flexible film are made of transparent materials, so that a doctor can observe the internal condition of the access channel in time and observe the incision condition.
The instrument channel has self-sealing performance, is in a sealing state when the instrument is not installed, automatically seals a gap between the instrument channel and the instrument when the instrument is inserted, and automatically seals when the instrument is pulled out; the clamping part of the invention is provided with the sealing washer, so that the gap at the clamping part can be blocked to avoid internal gas leakage. The invention has good sealing performance, can avoid the influence of carbon dioxide leakage in the abdominal cavity on pneumoperitoneum pressure, and can also avoid the influence of carbon dioxide leakage in an operating room on air quality of the operating room.
The smoke exhaust device is also provided with a filter for filtering and absorbing carbon dioxide and smoke exhausted by the smoke exhaust component, so that the influence of the carbon dioxide on the air quality of an operating room due to the direct emission of the carbon dioxide into the operating room can be avoided, and the influence of the strong carcinogenic smoke on the health of personnel due to the direct emission of the strong carcinogenic smoke into the operating room can also be avoided.
Drawings
The present invention will be described in further detail with reference to the accompanying drawings.
FIG. 1: the invention relates to a section view of an incision protection sleeve;
FIG. 2 is a schematic diagram: the invention discloses an installation schematic diagram of an operation platform;
FIG. 3: one of the structural schematic diagrams of the invention;
FIG. 4: a cross-sectional view of another embodiment of an incision protection cover of the present invention;
FIG. 5: the structure schematic diagram of the smoke exhaust component of the invention;
FIG. 6: the installation schematic diagram of the smoke exhaust component of the invention;
FIG. 7: the second structure of the present invention;
FIG. 8: bottom view of the present invention;
wherein: 1-incision protective sleeve, 11-flexible film, 12-external fixed ring, 121-clamping groove, 122-auxiliary handle, 123-lock catch, 124-lock column, 125-coating layer, 13-built-in fixed ring, 14-adjusting ring, 2-operation platform, 21-sealing cover, 22-clamping ring, 221-clamping block, 222-chute, 223-locking hole, 23-instrument channel, 24-gas injection channel, 241-gas injection valve, 3-smoke exhaust component, 31-connecting ring, 32-smoke exhaust channel, 321-smoke exhaust valve, 33-expansion ring, 34-smoke exhaust pipe, 341-air hole and 4-sealing gasket.
Detailed Description
For a better understanding of the invention, the following description is given in conjunction with the examples and the accompanying drawings, but the invention is not limited to the examples. In the following description, numerous specific details are set forth in order to provide a more thorough understanding of the present invention. It will be apparent, however, to one skilled in the art, that the present invention may be practiced without one or more of these specific details.
Referring to fig. 1 to 8, the single-port laparoscopic surgery access platform provided by the present embodiment includes an incision protection sleeve 1, an operation platform 2 and a smoke evacuation assembly 3, wherein the incision protection sleeve 1 is used for protecting an incision, the operation platform 2 is used for providing an operation channel for instruments, and the smoke evacuation assembly 3 is used for evacuating smoke in an abdominal cavity.
As shown in fig. 1, the incision protection sleeve 1 comprises an embedding fixing ring 13 located at the lower part, an outer fixing ring 12 located at the upper part and a flexible film 11 located at the middle part, the flexible film 11 is in a cylindrical shape, the upper end of the flexible film is fixedly connected with the outer fixing ring 12, the lower end of the flexible film is fixedly connected with the embedding fixing ring 13, a channel penetrating through the middle of the three is an incision channel, and the operation is performed through the incision channel. The flexible film 11 is made of soft materials, and is integrally formed with the built-in fixing ring 13 and the outer fixing ring 12 or fixed together in a heat seal mode or other modes, and the flexible film 11 is attached to the wall of the incision, so that the incision can be protected, and gas in the abdominal cavity can be prevented from leaking from the outside. After the incision is completed, the doctor rolls the insertion fixing ring 13, and rolls the flexible film 11 to wrap the insertion fixing ring 13, so as to adjust the length of the flexible film 11 to be suitable for the thickness of the abdominal cavity wall of the patient. The placing fixing ring 13 has elasticity, can be flatly fed into the incision by the operation forceps, and the placing fixing ring 13 can be restored into a ring shape by the elasticity of the placing fixing ring, so that the stability of the incision protection sleeve 1 in the incision can be ensured. The outer fixing ring 12 is made of a hard material and is used for mounting the operation platform 2 or the smoke evacuation assembly 3.
If energy instruments are not needed during operation, smoke cannot be generated in the abdominal cavity, the smoke exhaust component 3 can not be installed, and the operation platform 2 is directly installed on the outer fixing ring 12. As shown in fig. 2, a snap ring 22 capable of being connected with the outer fixing ring 12 is disposed at the lower portion of the operation platform 2, and the snap ring 22 and the outer fixing ring 12 are snapped in a snap groove manner. As shown in fig. 1 and 2, a recessed locking groove 121 is disposed on the inner side of the outer fixing ring 12, the locking groove 121 extends along the circumferential direction of the outer fixing ring 12, and the upper wall of the locking groove 121 is inclined; correspondingly, the outer side of the clamping ring 22 is provided with a convex clamping block 221 matched with the clamping groove 121, the clamping block 221 can be clamped into the clamping groove 121 and can slide along the upper wall of the clamping groove 121, and in the sliding process, the distance between the upper end surface of the outer fixing ring 12 and the operating platform 2 can be increased or decreased. In order to allow the latch 221 to be latched into the latch groove 121, an opening is formed at one end of the latch groove 121, and the opening communicates with an upper end surface of the outer fixing ring 12. When the operation platform 2 is installed, the opening of the clamping block 221 and the clamping groove 121 are aligned, the clamping ring 22 is inserted into the outer fixing ring 12, and then the operation platform 2 is rotated clockwise, so that the clamping ring 22 and the outer fixing ring 12 can be clamped firmly.
In order to prevent the outer fixing ring 12 from being driven to rotate when the operating platform 2 is rotated and to influence the clamping between the outer fixing ring 12 and also to prevent the outer fixing ring 12 from rotating and to influence the protection effect of the incision protection sleeve 1 on the incision, a plurality of auxiliary handles 122 are circumferentially arranged on the outer side of the outer fixing ring 12, and the outer fixing ring 12 can be prevented from rotating by holding the fixing ring 12 and the auxiliary handles 122 with hands when the clamping ring 22 is installed.
In order to ensure the sealing performance of the clamping position, a plane opposite to the lower end face of the clamping ring 22 is arranged in the outer fixing ring 12, an annular sealing gasket 4 is arranged on the plane, the sealing gasket 4 is arranged between the outer fixing ring 12 and the clamping ring 22, the gap between the outer fixing ring 12 and the clamping ring 22 can be sealed, and the internal gas leakage is avoided.
In order to ensure the fastening degree of the clamping between the outer fixing ring 12 and the clamping ring 22, when the clamping device is implemented, the clamping grooves 121 and the clamping blocks 221 are arranged in a plurality of numbers, the number of the clamping grooves 121 and the number of the clamping blocks 221 are consistent, the clamping grooves 121 are uniformly distributed along the inner circumferential direction of the outer fixing ring 12, and the clamping blocks 221 are uniformly distributed along the outer circumferential direction of the clamping ring 22. Fig. 3 is a schematic view showing the operation platform 2 and the incision protection cover 1 after being clamped.
In a modified embodiment, the outer fixing ring 12 is further provided with a lock catch 123, and the lock catch 123 can automatically lock the snap ring 22 to prevent the snap ring from rotating and slipping. The middle part of hasp 123 and the outside fixed connection of outer fixed ring 12, one end perk, the other end is fixed and is provided with lock post 124, and the free end of lock post 124 is towards the axis of outer fixed ring 12, and stretches into in outer fixed ring 12 after running through outer fixed ring 12. When the tilted end of the lock catch 123 is pressed, the other end is lifted, and the free end of the lock cylinder 124 is driven to retract into the annular wall of the outer fixing ring 12. Correspondingly, the outer side of the snap ring 22 is provided with a lock hole 223, the specification of the lock hole 223 is matched with the lock column 124, and the lock hole 223 does not penetrate through the ring wall of the snap ring 22. The lock holes 223 are equal in number to the lock blocks 221 and are uniformly distributed along the outer circumferential direction of the snap ring 22. Meanwhile, a chute 222 is disposed beside each lock hole 223, and the chute 222 can press the end of the lock cylinder 124 to be contracted. When the clamping ring 22 is installed, the lock column 124 is aligned with the inclined groove 222, the clamping block 221 is also aligned with the opening of the clamping groove 121, when the clamping ring 22 is inserted into the outer fixing ring 12, the lock column 124 is pressed to automatically contract, then the operating platform 2 is rotated clockwise, when the clamping ring 22 and the outer fixing ring 12 are clamped, the lock column 124 is coaxial with the locking hole 223, the lock column 124 is also automatically popped out to extend into the locking hole 223, and the locking clamping ring 22 prevents the locking clamping ring from loosening. When the snap ring 22 needs to be removed, the snap 123 is only pressed to unlock the snap ring, and then the snap ring 22 is rotated in the opposite direction.
In a further improved embodiment, as shown in fig. 4, a split structure is adopted between the outer fixing ring 12 and the flexible thin film 11, an adjusting ring 14 is fixedly arranged at the upper end of the flexible thin film 11, the adjusting ring 14 has elasticity, and when the adjusting ring 14 is turned over, the flexible thin film 11 can be wrapped on the ring body, so that the length of the flexible thin film 11 can be adjusted, and the flexible thin film 11 can more conveniently prop up the incision. Meanwhile, an annular groove for mounting the adjusting ring 14 is provided at a lower portion of the outer fixing ring 12, an opening of the groove is located at a lower portion, the opening is smaller, and when the adjusting ring 14 is snapped into the groove, connection of the outer fixing ring 12 and the adjusting ring 14 is achieved. To facilitate the snap-fit of the adjustment ring 14 into the groove, the inner sidewall of the groove is a soft coating 125, and the coating 125 can be opened to enlarge the opening of the groove. The upper part of the coating layer 125 is the sealing washer 4, when the operation platform 2 is clamped on the outer fixing ring 12, the pressure of the sealing washer 4 on the clamping ring 22 can be transmitted to the coating layer 125, the coating layer 125 can wrap the adjusting ring 14 more tightly, and air leakage at the joint can be avoided. Meanwhile, the protective sleeve formed by the adjusting ring 14, the flexible film 11 and the implanting fixing ring 13 is consistent with a conventional protective sleeve, so that the existing protective sleeve product can be selected during operation, and only the outer fixing ring 12 needs to be clamped.
The upper portion of operation platform 2 is sealed cowling 21, and the bottom of sealed cowling 21 is cyclic annular, and with joint ring 22 fixed connection, the upper portion is fixed and is provided with apparatus passageway 23 and gas injection passageway 24. The instrument channels 23 are located at the top end of the sealing cover 21, are used for instruments to enter and exit, are provided in a plurality of numbers, have at least two specifications (thickness and height), and can be suitable for various minimally invasive surgical instruments such as a laparoscope lens, a suction apparatus, a separating clamp and the like. The instrument channel 23 has self-sealing properties and is in a sealed state when the instrument is not installed, and automatically seals a gap between the instrument channel and the instrument when the instrument is inserted and automatically seals the gap when the instrument is pulled out. Gas injection passageway 24 and sealed cowling 21 intercommunication, end connection pneumoperitoneum machine for to injecting carbon dioxide in the abdominal cavity, be provided with gas injection valve 241 on the passageway, gas injection valve 241 can seal gas injection passageway 24, also can adjust gas flow size. When the procedure is completed, the intra-abdominal gases can also be removed through the insufflation channel 24.
In an improved embodiment, the sealing cover 21 is made of soft material, so that the inclination angle of the instrument channel 23 can be adjusted, so that a doctor can adjust the angle of the instrument as required when operating the instrument, the range of motion of the instrument can be increased, the use of the instrument is facilitated, and the operation efficiency is improved. Meanwhile, the gas injection channel 24 is a soft pipeline, so that the direction of the channel is convenient to adjust, and the tearing of the joint of the gas injection channel and the sealing cover 21 caused by overlarge stress can be avoided.
In a further improved embodiment, the sealing cover 21 and the flexible film 11 are made of transparent materials, so that a doctor can observe the internal condition of the access platform and the incision condition in time.
If an energy instrument is used in the operation, the energy instrument can generate a large amount of smoke and water vapor in the electrocoagulation and electrosection processes, and further influences the operation visual field, so that the smoke exhaust assembly 3 is required to be installed for exhausting smoke in the abdominal cavity. As shown in fig. 5, which is a schematic structural view of the smoke evacuation assembly 3, the smoke evacuation assembly 3 includes a connection ring 31, a smoke evacuation channel 32, a smoke evacuation pipe 34 and an expansion ring 33. The appearance of go-between 31 lower part is unanimous with the appearance of joint ring 22 joint structure, and the appearance of upper portion is unanimous with the appearance of outer solid fixed ring 12 joint structure and is provided with hasp 123 and seal ring 4 equally, therefore the lower part of go-between 31 can the joint on the outer solid fixed ring 12 of incision protective sheath 1, and operation platform 2's joint ring 22 also can the joint on go-between 31 upper portion. In order to exhaust smoke in the abdominal cavity, a sealed annular cavity is arranged inside the connecting ring 31, a smoke exhaust channel 32 is arranged on the outer side, a smoke exhaust pipe 34 is arranged on the inner side, and the smoke exhaust channel 32 and the smoke exhaust pipe 34 are both communicated with the inner cavity of the connecting ring 31. The end of the smoke exhaust channel 32 is connected with an air extractor for extracting smoke in the abdominal cavity, the smoke exhaust valve 321 is arranged on the channel, and the smoke exhaust valve 321 can seal the smoke exhaust channel 32 and can adjust the gas flow. The smoke evacuation channel 32 is made of soft pipe, which is convenient for adjusting the channel direction and can avoid tearing at the connection part with the connection ring 31 caused by over-large stress. The smoke evacuation tube 34 is flexible, miniature, and has a small diameter for drawing smoke from the abdominal cavity and exhausting the smoke from the smoke evacuation passageway 32 through the lumen of the connection ring 31.
A plurality of smoke exhaust pipes 34 are arranged in the real-time mode, the upper ends of the smoke exhaust pipes 34 are circumferentially and uniformly connected with the inner side of the connecting ring 31 and are communicated with the inner cavity of the connecting ring 31, the lower ends of the smoke exhaust pipes penetrate through the expansion ring 33 and are fixedly connected with the expansion ring 33, and air holes are formed in the lower ends of the smoke exhaust pipes. The connection points of the smoke exhaust pipes 34 and the expansion ring 33 are uniformly distributed along the circumferential direction of the expansion ring 33, the parts of the smoke exhaust pipes 34 located between the expansion ring 33 and the connection ring 31 are equal in length, and the expansion ring 33 is coaxial with the connection ring 31 after being pulled by the smoke exhaust pipes 34 with equal length. The expansion ring 33 has elasticity and a diameter larger than that of the insertion fixing ring 13 in a natural state.
As shown in fig. 6 and 7, which are schematic installation views of the smoke evacuation assembly 3, the expansion ring 33 is pinched flat and then placed into the abdominal cavity from the incision protection sleeve 1, the expansion ring 33 entering the abdominal cavity automatically returns to a ring shape and expands, but at this time, the smoke evacuation pipe 34 is blocked by the incision protection sleeve 1, and pulls the expansion of the expansion ring 33, so that the expansion ring 33 is expanded to the maximum state and approaches the abdominal wall under the pulling of the smoke evacuation pipe 34.
As shown in figure 8, which is a bottom view of the invention, smoke exhaust pipe 34 will cling to the inner wall of incision protective sleeve 1 under the traction of expansion ring 33, and smoke exhaust pipe 34 is a miniature pipe with a small diameter, so smoke exhaust pipe 34 occupies the inner channel of incision protective sleeve 1 as little as possible, and can provide the largest possible access channel for instruments and avoid interference to the operation of the instruments. The end of the smoke exhaust pipe 34 close to the expansion ring 33 is provided with rows of air holes 341, the air holes 341 are positioned on one side (positioned at the lower part) far away from the expansion ring 33, and the air exhausting and smoke exhausting effect cannot be influenced even if the upper part of the smoke exhaust pipe 34 is tightly attached to the abdominal wall. Meanwhile, the smoke exhaust pipe 34 is extended and diffused to the periphery under the traction of the expansion ring 33, so that the smoke exhaust range of the smoke exhaust pipe 34 is larger, and the smoke around the cut can be extracted simultaneously.
In a modified embodiment, a filter is further arranged between the smoke exhaust channel 32 and the tail end air extractor, and the filter can absorb and filter carbon dioxide and smoke, can prevent the carbon dioxide from being directly discharged into an operating room to influence the air quality of the operating room, and can also prevent the smoke (the smoke generated in the operation is a strong carcinogen) from being directly discharged into the operating room to influence the physical health of people.
Finally, the above embodiments are only used for illustrating the technical solutions of the present invention and not for limiting, and other modifications or equivalent substitutions made by the technical solutions of the present invention by those of ordinary skill in the art should be covered within the scope of the claims of the present invention as long as they do not depart from the spirit and scope of the technical solutions of the present invention.

Claims (8)

1. The utility model provides a platform is visited in haplopore laparoscopic surgery which characterized in that: the device comprises an incision protective sleeve, an operation platform and a smoke exhaust assembly;
any two of the incision protective sleeve, the operation platform and the smoke exhaust assembly can be clamped and the clamped part is sealed;
the smoke exhaust assembly comprises a connecting ring, a smoke exhaust channel connected to the outer side of the connecting ring, a plurality of miniature smoke exhaust pipes connected to the inner side of the connecting ring, and an expansion ring fixedly connected with the tail ends of all the smoke exhaust pipes;
the connecting ring is provided with a sealed inner cavity for communicating the smoke exhaust channel with all the smoke exhaust pipes;
the connection points of the smoke exhaust pipes and the connection rings are uniformly distributed along the circumferential direction of the connection rings, the connection points of the smoke exhaust pipes and the expansion rings are uniformly distributed along the circumferential direction of the expansion rings, and the parts of the smoke exhaust pipes between the connection points and the expansion rings are equal in length;
the expansion ring utilizes the self-expansion performance to pull the smoke exhaust pipe to diffuse outwards;
when the smoke exhaust assembly is clamped with the cut protection sleeve, the smoke exhaust pipe penetrates through the cut protection sleeve.
2. The single port laparoscopic surgical access platform of claim 1, wherein: the tail end of the smoke exhaust pipe penetrates through the expansion ring and then is fixedly connected with the expansion ring.
3. The single port laparoscopic surgical access platform of claim 1, wherein: and the air hole of the smoke exhaust pipe is positioned at one end close to the expansion ring.
4. The single port laparoscopic surgical access platform of claim 3, wherein: the air holes are arranged in rows on one side, far away from the expansion ring, of the smoke exhaust pipe.
5. The single port laparoscopic surgical access platform of claim 1, wherein: the clamping device also comprises a lock catch used for automatically locking the clamping part.
6. The single port laparoscopic surgical access platform of claim 1, wherein: the operating platform comprises a sealing cover, the sealing cover is soft, and a plurality of instrument channels are fixedly arranged at the upper part of the sealing cover; the instrument channels all have self-sealing properties.
7. The single port laparoscopic surgical access platform of claim 6, wherein: the sealing cover is transparent.
8. The single port laparoscopic surgical access platform of claim 7, wherein: and the sealing cover is also provided with a gas injection channel.
CN202210615656.9A 2022-05-31 2022-05-31 Single-port laparoscopic surgery access platform Withdrawn CN114903575A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116035632A (en) * 2023-03-03 2023-05-02 上海市静安区闸北中心医院 Access channel for single-port laparoscopic surgery

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116035632A (en) * 2023-03-03 2023-05-02 上海市静安区闸北中心医院 Access channel for single-port laparoscopic surgery
CN116035632B (en) * 2023-03-03 2023-08-25 上海市静安区闸北中心医院 Access channel for single-port laparoscopic surgery

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Application publication date: 20220816