CN201642308U - Natural orifice transluminal endoscopic surgical apparatus assembly structure - Google Patents
Natural orifice transluminal endoscopic surgical apparatus assembly structure Download PDFInfo
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- CN201642308U CN201642308U CN2009202702431U CN200920270243U CN201642308U CN 201642308 U CN201642308 U CN 201642308U CN 2009202702431 U CN2009202702431 U CN 2009202702431U CN 200920270243 U CN200920270243 U CN 200920270243U CN 201642308 U CN201642308 U CN 201642308U
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- puncture needle
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- theater instruments
- puncture
- modular construction
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Abstract
The utility model relates to a natural orifice transluminal endoscopic surgical apparatus assembly structure which comprises a puncture needle, a plurality of expanding sleeves and a plurality of working sleeves, wherein the puncture needle comprises a puncture end, and the puncture needle is provided with a convex safety valve in the middle section position; the expanding sleeves are respectively provided with an inserting end and a limiting end; all the expanding sleeves are used for being sequentially sleeved on the puncture needle; the limiting ends are blocked on the safety valve of the puncture needle so that the inserting ends do not exceed the puncture end and form a safe distance with the puncture end; and the working sleeves are sleeved, inserted and used for drawing the expanding sleeves and the puncture needle for forming a surgical space after the expanding sleeves expand for a natural orifice cavity, thereby the utility model can be used for implementing a natural orifice transluminal endoscopic surgery and is convenient and safe for use.
Description
Technical field
This utility model refers to a kind of natural hole intracavity visor operating theater instruments modular construction especially relevant for the Minimally Invasive Surgery device assembly.
Background technology
Early stage operation, must on sufferer, open a big wound as pulmonary surgery, cause serious problems such as postoperative pain, but along with the progress of modern medicine and the progress and development of Medical Instruments, Minimally Invasive Surgery (minimalinvasive surgery) is the trend of current medical science, and along with the progress of medical imaging equipment, endoscopy surgery has become the representative of Minimally Invasive Surgery.Endoscopy surgery not only brings change for medical treatment, also allows sufferer required physiological pain of bearing when accepting autotherapy that the improvement of certain degree is arranged.Even so, even if endoscopy surgery still must be opened several little wounds so that the endoscope apparatus enters the operation that the patient intracavity undergos surgery at present on the sufferer health.Therefore, sufferer still must be in the face of the subsequent treatment of postoperative acute pain and possible wound scar.This quality of the life to sufferer (quality of life) still has influence to a certain degree.
Yet along with the progress of medical imaging equipment, many image systems can enter by health natural vestibule originally and carry out many treatments in the human body.But be subject to operating theater instruments and technology and still have its limitation, feasible no cicatrix operation through natural vestibule is in the imagination stage for a long time.But (the Natural orifice transluminal endoscopic surgery of natural hole intracavity visor operation in recent years, NOTES) fast development, its method is to enter body cavity by endoscope via natural passage (for example oral cavity, colonic lumen, birth canal), finishes various surgical operations.Postoperative pain obviously reduces, and no operative scar does not affect the appearance, and has than present peritoneoscope and thoracoscopic operation and more manys benefit.But operation skill is higher, needs the doctor of skilled endoscope art to carry out significantly promoting success rate of operation and safety.
Natural hole intracavity visor operation idea is to propose in 2004, document mainly is at zooperal successful experience at present, include abdominal part and thoracic cavity and detect the operation of merging liver section, ovary assembling section uterectomy, gastrojejunostomy, tubal ligation, cholecystojejunostomy, cholecystectomy, splenectomy, lymphonodi coeliaci is removed art, hernia repair art and knot proctectomy etc.2005, surgeon adopted NOTES technology row appendectomy at human body first, and other have laparoscopic approach operation and two kinds of operations of cholecystectomy in the completed NOTES operation of human body.
The heat subject of natural hole intracavity visor operation have endoscope to enter the mouth how this selects, the prevention of post-operative infection, the stitching of operation back endoscope inlet, the design of endoscope equipment.Wherein at the operation of natural hole intracavity visor, the design of endoscope equipment and development are the first steps of development.Have only, can use operating theater instruments smoothly, be only the foundation stone of natural hole intracavity visor operation.This shows, design suitable handy operating theater instruments, for the advantage of specific implementation natural hole intracavity visor operation, its necessity is arranged in fact at specific natural vestibule.
Summary of the invention
This utility model purpose is, a kind of natural hole intracavity visor operating theater instruments modular construction is provided, and to solve the problem points of above-mentioned conventional art, with the advantage of effective specific implementation natural hole intracavity visor operation, and uses facility smoothly, easy operating on the structural design.
The technical characterstic of dealing with problems: a kind of natural hole intracavity visor operating theater instruments modular construction is provided, it is characterized in that, comprising:
One enters the puncture needle of an inner tubal wall in order to puncture, and this puncture needle comprises a cutting tip, and this position, puncture needle stage casing is provided with a relief valve of convex shape;
Several expanded casings, this is counted expanded casing and has several cumulative first bores of thickness respectively, and also have an insertion end and a positive stop end, each expanded casing is sheathed on this puncture needle in regular turn, this positive stop end block is on this relief valve of this puncture needle, and this insertion end does not exceed this cutting tip and forms a safe spacing with this cutting tip; And,
This is counted expanded casing and forms the nature vestibule and extract this out and count expanded casing and this puncture needle to form the spatial working column of an operation in order to sheathed insertion for several, have several cumulative second bores of thickness respectively, this of this working column second bore correspondence is greater than this first bore of this expanded casing.
Wherein, this natural hole intracavity visor operating theater instruments modular construction comprises that more one cuts off draw point.
Wherein, this cut-out draw point has a sharp bevel, and this sharp bevel is arranged with the groove that a usefulness embeds and cut off for proficiency art line.
Wherein, the section of this groove roughly is in the shape of the letter V.
Wherein, this puncture needle has one first length, and this first length is about 70cm.
Wherein, this expanded casing has one second length, and this second length can be 33cm, and this safe spacing can be 2cm.
Wherein, these several first bore can be respectively 5mm, 7mm, 9mm and 11mm.
Wherein, these several second bore can be respectively 7mm, 9mm, 11mm, 13mm.
The effect of contrast prior art:
One, this utility model embodiment is by providing the natural hole intracavity visor operating theater instruments modular construction via for example trachea, the effective advantage of specific implementation natural hole intracavity visor operation, use facility and easy operating smoothly on the structural design, can effectively reach the postoperative pain mouth obviously reduces, no operative scar, multiple efficacies such as do not affect the appearance.
Two, this puncture needle in this utility model more convexes with a relief valve in the middle section position place, can be so that this expanded casing can be avoided unnecessary damage blocking from this needle tip 2cm place.
Description of drawings
Fig. 1: the puncture needle three-dimensional appearance sketch map of this utility model possible embodiments.
Fig. 2: the expanded casing three-dimensional appearance sketch map of this utility model possible embodiments.
Fig. 3: the working column three-dimensional appearance sketch map of this utility model possible embodiments.
Fig. 4: the cut-out draw point sectional perspective schematic appearance of this utility model possible embodiments.
Fig. 5: the puncture needle of this utility model possible embodiments is in conjunction with the expanded casing schematic side view.
The specific embodiment
See also Fig. 1 to shown in Figure 5, this utility model provides a kind of natural hole intracavity visor operating theater instruments modular construction, comprising: a puncture needle 10, several expanded casings 20 and several working columns 30.Wherein, this puncture needle 10 comprises a cutting tip 11, this puncture needle 10 is provided with a relief valve 12 (safety stud) of convex shape on the middle section position place, this puncture needle 10 enters an inner tubal wall in order to puncture, this inner tubal wall can be the inner tubal wall of a tracheal wall or other natural vestibules, and this utility model system describes as possible embodiments to be applied to tracheal wall; These expanded casings 20 have several first bores of thickness cumulative (a series of continuous thicknesses) respectively and have an insertion end 21 and a positive stop end 22, each expanded casing 20 is in order to be sheathed in regular turn on this puncture needle 10, this positive stop end 22, is made this insertion end 21 not exceed this cutting tip 11 and forms a safe spacing with this cutting tip on this relief valve 12 of this puncture needle 10 by block; These working columns 30 have several second bores of thickness cumulative (a series of continuous thicknesses) respectively, this second bore system of this working column 30 is used for this first bore that correspondence is slightly larger than this expanded casing 20, this working column 30 is in order to after treating these expanded casing 20 expansions one natural vestibules, the sheathed again insertion of this working column 30 is also extracted these expanded casings 20 and this puncture needle 10 out, only stays this working column 30 and uses the space in order to form an operation.This working column 30 can connect a respiratory organ when using.
Wherein, this natural hole intracavity visor operating theater instruments structure comprises that more one cuts off draw point 40.
Wherein, this cut-out draw point 40 has a sharp bevel, and this sharp bevel is arranged with a groove 41, and these groove 41 usefulness embed and cut off for line.
Wherein, the roughly V-shaped shape of the section of this groove 41.
Wherein, this puncture needle 10 has one first length, and this first length is about 70cm.
Wherein, this expanded casing 20 has one second length, and this second length can be 33cm, and this safe spacing can be 2cm.
Wherein, these several first bore can be respectively 5mm, 7mm, 9mm and 11mm, promptly refers to have in regular turn the expanded casing 20 of 5mm, 7mm, 9mm, 11mm, can use the hole that will pass to enlarge continuously.
Wherein, these several second bore can be respectively 7mm, 9mm, 11mm, 13mm, refers to that promptly these several working columns 30 can be the working column 30 of 7m m, 9m m, 11m m, 13m m, the unobstructed property of this working column 30 hole when keeping work.
Generally speaking, the process of the carrying out system of operation enters from trachea, utilize rigid (or soft) bronchoscope to undergo surgery, then utilize this puncture needle 10 to insert from trachea, see through several expanded casings 20 again and carry out the hole expansion, the unobstructed property of hole when keeping work through a working column 30 again, utilize rigid bronchoscope apparatus undergo surgery (rigid bronchoscope apparatus use clinical use at present rigid bronchoscope apparatus get final product) again, cut off draw point 40 by this again surgical thread is cut off, finish operation.
Moreover, using method that this utility model is detailed and step, details are as follows respectively,
A. earlier set up stable air flue with rigid bronchoscope;
B. select suitable puncture position;
C. pass trachea from the sidewall of trachea with the operation cover group that passes the nature vestibule in about 3cm place, trachea carina (carina) top;
C1. earlier with puncture needle 10 puncture escape pipe sidewalls;
C2. pass in regular turn along this puncture needle 10 with the expanded casing 20 (dilator sheath) of the continuous thickness of series again and set up opening;
C3. because of the design of relief valve 12 is arranged, make this expanded casing 20 to avoid unnecessary damage blocking from puncture needle 10 sharp 2cm places;
C4. again opening is expanded in regular turn finish after, this expanded casing 20 is withdrawn into little No. one sleeve pipe of the working column put than desire 30 in regular turn;
C5. again working column 30 is passed opening through puncture needle 10 and enter the pleura chamber;
D. set up after the service pipe, can utilize present rigid bronchoscope apparatus to undergo surgery;
When d1. undergoing surgery, take a breath by the working column 30 of rigid bronchoscope;
D2. during operation is carried out, sleeve pipe can not be extracted;
E. before pulling out working column 30, should allow the oxygenate degree of sufferer or laboratory animal reach 100% earlier;
F. after stopping ventilation, the removable working column 30 of;
G. after removing working column 30, should carry out the storing of trachea bracket immediately;
G1. the selection of trachea bracket: based on silicone stent (easily removing), the 3D CT of its size before by art does assessment;
G2. cover the opening of trachea, avoid pneumothorax to produce;
G3. should carry out endoscopy again after putting and determine backing positions;
(if wound is less than 1/3rd of trachea outer perimeter, and trachea can heal voluntarily)
H. postoperative carries out rigid bronchoscopy again, if the incision healing is good, then carries out support and removes operation.Generally speaking, trachea bracket will cover the wound hole, treats after two weeks, and wound is pulled out trachea bracket after recovering naturally again.
Sum up, at first, the natural hole intracavity visor operating theater instruments modular construction that this utility model provides via trachea, the effective advantage of specific implementation natural hole intracavity visor operation, use facility and easy operating smoothly on the structural design, can effectively reach the postoperative pain mouth and obviously reduce, no operative scar, multiple efficacies such as do not affect the appearance.Moreover this puncture needle in this utility model more convexes with a relief valve in the middle section position place, can be so that this expanded casing can be avoided unnecessary damage blocking from this needle tip 2cm place.
Claims (4)
1. a natural hole intracavity visor operating theater instruments modular construction is characterized in that, comprising:
One enters the puncture needle of an inner tubal wall in order to puncture, and this puncture needle comprises a cutting tip, and this position, puncture needle stage casing is provided with a relief valve of convex shape;
Several expanded casings, this is counted expanded casing and has several cumulative first bores of thickness respectively, and also have an insertion end and a positive stop end, each expanded casing is sheathed on this puncture needle in regular turn, this positive stop end block is on this relief valve of this puncture needle, and this insertion end does not exceed this cutting tip and forms a safe spacing with this cutting tip; And,
This is counted expanded casing and forms the nature vestibule and extract this out and count expanded casing and this puncture needle to form the spatial working column of an operation in order to sheathed insertion for several, have several cumulative second bores of thickness respectively, this of this working column second bore correspondence is greater than this first bore of this expanded casing.
2. natural hole intracavity visor operating theater instruments modular construction as claimed in claim 1 is characterized in that, this natural hole intracavity visor operating theater instruments modular construction comprises that more one cuts off draw point.
3. natural hole intracavity visor operating theater instruments modular construction as claimed in claim 2 is characterized in that this cut-out draw point has a sharp bevel, and this sharp bevel is arranged with the groove that a usefulness embeds and cut off for proficiency art line.
4. natural hole intracavity visor operating theater instruments modular construction as claimed in claim 3 is characterized in that the section of this groove roughly is in the shape of the letter V.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2009202702431U CN201642308U (en) | 2009-11-27 | 2009-11-27 | Natural orifice transluminal endoscopic surgical apparatus assembly structure |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2009202702431U CN201642308U (en) | 2009-11-27 | 2009-11-27 | Natural orifice transluminal endoscopic surgical apparatus assembly structure |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN201642308U true CN201642308U (en) | 2010-11-24 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2009202702431U Expired - Fee Related CN201642308U (en) | 2009-11-27 | 2009-11-27 | Natural orifice transluminal endoscopic surgical apparatus assembly structure |
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| Country | Link |
|---|---|
| CN (1) | CN201642308U (en) |
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2009
- 2009-11-27 CN CN2009202702431U patent/CN201642308U/en not_active Expired - Fee Related
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| C14 | Grant of patent or utility model | ||
| GR01 | Patent grant | ||
| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20101124 Termination date: 20161127 |
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| CF01 | Termination of patent right due to non-payment of annual fee |