Background technology
Laparoscopic surgery (laparoscopic surgery) is quite welcome in recent years a kind of operation method.Being different from traditional surgery need cut open the chest patient to cut open the belly, and laparoscopic surgery only need be opened 3 to 4 (or still less) surgical openings to undergo surgery.Laparoscopic surgery is to send into intraperitoneal and be inflated in the human abdominal cavity by will perform the operation outfit and image detecting instrument (as endoscope) of puncture casing (trocar), observes to undergo surgery by image system.Because laparoscopic surgery only need be opened 3 to 4 surgical openings and undergos surgery, so surgical wound is less, thus can slow down the pain of postoperative, more because surgical wound is less, thus length of stay than lacking and can more early recover orthobiosis, more than all be the advantage of laparoscopic surgery.
When carrying out laparoscopic surgery, need according to circumstances endoscope, light source line, gas tube and various operating theater instruments to be enclosed within the surgical openings place by each puncture casing and send in the human abdominal cavity.If the in-vivo tissue of excision takes out when needing operation, also need use operation and loading packed year this in-vivo tissue and take out.
Stand in patient's position, wound is can few more (and more little) just good more.Generally speaking, performing the operation and load the usefulness that bag only provides the in-vivo tissue that loads excision, is not constantly to operate when performing the operation as need such as endoscope, light source line, gas tube and operating theater instruments.Usually to load bag be to send in the human abdominal cavity by a telescoping tube in operation, therefore need open a surgical openings in patient's abdominal cavity, will perform the operation to load and bag send into human abdominal cavity, the in-vivo tissue that is cut with loading.Therefore if behind the excision in-vivo tissue, bag is loaded in operation and its telescoping tube is separated with being about to, just take out telescoping tube and only stay operation and load bag and place in the human abdominal cavity temporarily, also can continue to utilize same surgical openings, send into human abdominal cavity for operating theater instruments, so can reduce by a surgical openings, and be a big Gospel, and still can realize surgical facilitation patient.
Therefore, the invention provides a kind of separable tissue-fetching bag device that has easy taking-up and convenience concurrently, to reduce surgical openings.
Description of drawings
Fig. 1 is the exploded view of an embodiment of separable tissue-fetching bag device of the present invention.
Fig. 2 A is the action sketch map of the joint sleeve of separable tissue-fetching bag device of the present invention.
Fig. 2 B is the action sketch map of the joint sleeve of separable tissue-fetching bag device of the present invention.
Fig. 2 C is the action sketch map of the joint sleeve of separable tissue-fetching bag device of the present invention.
Fig. 3 tightens sketch map for the thing bag opening of getting of an embodiment of separable tissue-fetching bag device of the present invention.
Fig. 4~Fig. 7 is the preferred embodiment axonometric chart according to separable tissue-fetching bag device of the present invention, has shown its user mode.
Wherein, description of reference numerals is as follows:
Separable tissue-fetching bag device 1 main body 10
Pipe 12 in theouter tube 11
First grip part, 13passages 131
Second grip part, 14 connectingportions 15
The other end 152 of one end, 151 connecting portions of connecting portion
Rope 16retainer rings 17
First sheet metal, 21 firstcurved portions 211
Second sheet metal, 22 secondcurved portions 221
Joint sleeve 23 collapsible tube 23a
Get thing bag 30 sleeve through part 31
32operating forcepies 41 of boring a hole
The specific embodiment
For allowing technology contents of the present invention understand by easier quilt, be described as follows especially exemplified by preferred embodiment.
Below please in the lump with reference to first embodiment of figure 1~Fig. 3 about separable tissue-fetching bag device of the present invention.
Please refer to the exploded view of an embodiment of separable tissue-fetching bag device of the present invention shown in Figure 1.When separable tissue-fetching bag device 1 of the present invention is applied to perform the operation, in order to the in-vivo tissue (figure does not show) that loads excision.Separable tissue-fetching bag device 1 comprises main body 10, first sheet metal 21, second sheet metal 22 and gets thing bag 30.Wherein, first sheet metal 21 and second sheet metal 22 can be aschistic metalwork.
The main body 10 of separable tissue-fetching bag device 1 comprisesouter tube 11 andinterior pipe 12, andinterior pipe 12 is positioned within theouter tube 11, andinterior pipe 12 moves with respect to outer tube 11.First sheet metal 21 comprises that first curved portions, 211, the second sheet metals 22 comprise second curved portions 221.Wherein firstcurved portions 211 and secondcurved portions 221 are connected to each other detachably byjoint sleeve 23, and wherein an end ofjoint sleeve 23 connects firstcurved portions 211 fixedly, and the other end ofjoint sleeve 23 connects secondcurved portions 221 detachably.An end ofpipe 12 in first sheet metal 21 and second sheet metal 22 are connected in.Wheninterior pipe 12 moved with respect toouter tube 11, first sheet metal 21 and second sheet metal 22 also moved with respect to outer tube 11.In one embodiment of this invention, the material of first sheet metal 21, second sheet metal 22 andinterior pipe 12 is a rustless steel.
Get thing bag 30 and comprise sleeve through part 31, sleeve through part 31 coats first curvedportions 211 and second curved portions 221.In moving, manage 12 and when making first sheet metal 21 and second sheet metal 22 be moved to outside thisouter tube 11, firstcurved portions 211 combines each other with secondcurved portions 221, and the arc by firstcurved portions 211 and secondcurved portions 221 opens gets thing bag 30, to load the in-vivo tissue of excision.In a preferred embodiment, sleeve through part 31 also comprises at least one perforation 32, and perforation 32 is passed through wherein for firstcurved portions 211, secondcurved portions 221, so that sleeve through part 31 coats first curvedportions 211 and secondcurved portions 221.
Pipe 12 in oppositely moving, so that first sheet metal 21 and second sheet metal 22 are when being recovered within theouter tube 11, first curvedportions 211 and secondcurved portions 221 have a restoring force because of oppressed, so that secondcurved portions 221 is separated withjoint sleeve 23, and the mouth of pipe byouter tube 11 forces sleeve through part 31 to break away from firstcurved portions 211 and secondcurved portions 221, so that firstcurved portions 211 and secondcurved portions 221 be separated each other, and first curvedportions 211 and secondcurved portions 221 detach outside the sleeve through part 31.Below will have further and describe in detail.
Please refer to Fig. 2 A~Fig. 2 C, in one embodiment of this invention,joint sleeve 23 is collapsible tube 23a, the end of collapsible tube 23a with the mode of heating heat fixation be connected in firstcurved portions 211, and the other end of collapsible tube 23a is connected in second curved portions 221 (shown in Fig. 2 A) detachably, for example only makes secondcurved portions 221 be incorporated into the other end (shown in Fig. 2 B) of collapsible tube 23a with the frictional force between the collapsible tube 23a and second curved portions 221.With this, firstcurved portions 211 and secondcurved portions 221 are connected to each other detachably, just when external force during greater than this frictional force, and the other end (shown in Fig. 2 C) that can make secondcurved portions 221 break away from collapsible tube 23a.
But the present invention is not as limit, and for instance, firstcurved portions 211 and secondcurved portions 221 can be connected to each other it by structure design (figure does not show) itself detachably.In addition,joint sleeve 23 also can be plastic module (figure do not show), is connected in firstcurved portions 211 an end fixable type of plastic module, the other end of plastic module detachably with engagement connection in secondcurved portions 221, so, still, realize purpose of the present invention.
In one embodiment of this invention, please get back to Fig. 1, main body 10 comprises that also connectingportion 15, the first sheet metals 21 and second sheet metal 22 are connected in an end 151 of connectingportion 15, and the other end 152 of this connectingportion 15 is connected with interior pipe 12.For example utilize pin joint mode (figure does not show) to make first sheet metal 21 and second sheet metal 22 be fixed on connecting portion 15.Therefore wheninterior pipe 12 moved with respect toouter tube 11, first sheet metal 21 and second sheet metal 22 also moved with respect to outer tube 11.Yet the present invention is not as limit, for example first sheet metal 21 and second sheet metal 22 also can by be spirally connected or welding or alternate manner directly be fixed in pipe 12 (figure does not show).
In one embodiment of this invention, separable tissue-fetching bag device 1 also comprisesrope 16 and retainer ring 17.Rope 16 passes fromouter tube 11, and sleeve through part 31 coats rope 16.When sleeve through part 31 after first curvedportions 211 and secondcurved portions 221 break away from,rope 16 can be got the opening ofthing bag 30 in order to deflation.In one embodiment of this invention, sleeve through part 31 is provided with at least one perforation 32, and rope 16 perforation 32 places therein is pre-formed a knot (scheming not label).For example please refer to Fig. 3, can utilizeoperating forceps 41 to clamp and getthing bag 30, pullingcord 16 again, can reach to tighten the purpose of getting thing bag 30 openings.
Please also refer to Fig. 1 and Fig. 4,retainer ring 17 is connected in an end ofrope 16, andretainer ring 17 exposes to the other end (as shown in Figure 4) of interior pipe 12.The two ends ofpipe 12 in theretainer ring 17 and first sheet metal 21 and second sheet metal 22 lay respectively at.In one embodiment of this invention,retainer ring 17 is soft ring.
As shown in Figure 1, in one embodiment of this invention, main body 10 also comprisesfirst grip part 13 and second grip part 14.First grip part 13 comprises thatpassage 131, thefirst grip parts 13 are connected withouter tube 11, andinterior pipe 12 is positioned withinpassage 131 and theouter tube 11, andinterior pipe 12 moves with respect topassage 131 and outer tube 11.The other end ofinterior pipe 12 is connected with second grip part 14.First grip part 13 and second grip part, 14 persons of being easy to use (for example surgical doctor or nurse) grip, and user only needs both hands are grippedfirst grip part 13 andsecond grip part 14 respectively, and telescopic moving can make inpipe 12 move with respect toouter tube 11.
Retainer ring 17 exposes and is placed on an end ofsecond grip part 14 in fact.When first curvedportions 211 and secondcurved portions 221 when sleeve through part 31 detaches,pipe 12 in continuing to move and make first sheet metal 21 and second sheet metal 22 passouter tube 11 to be moved out to outside theouter tube 11, rope 16 separates withsecond grip part 14 with retainer ring 17.Below detailed description will be arranged.
Below with reference to the micromotion figure of Fig. 4~Fig. 7, can more clearly how to use separable tissue-fetching bag device of the present invention.
Please refer to Fig. 4, it shows the original state of separable tissue-fetching bag device 1, this moment first sheet metal 21, second sheet metal 22,joint sleeve 23 and getthing bag 30 and be accommodated in theouter tube 11,retainer ring 17 exposes and is placed on an end ofsecond grip part 14 in fact.
As shown in Figure 5, when separable tissue-fetching bag device 1 passes puncture casing and enters human body (figure does not show), user (for example surgical doctor or nurse) movesecond grip part 14 tofirst grip part 13, so that when first sheet metal 21 and second sheet metal 22 move to outside theouter tube 11, firstcurved portions 211 and secondcurved portions 221 combine each other (shown in Fig. 2 B), for instance, frictional force between thejoint sleeve 23 and secondcurved portions 221 makes secondcurved portions 221 be incorporated into the other end of collapsible tube 23a, and getsthing bag 30 by the arc of first curvedportions 211 and secondcurved portions 221 to open.
As shown in Figure 6, after getting the in-vivo tissue that thing bag 30 loaded cutting, desire is separated when gettingthing bag 30, the end that elder generation breaks away fromsecond grip part 14 withretainer ring 17, user only needssecond grip part 14 is moved to first grip part, 13 rightabouts, so that first sheet metal 21 and second sheet metal 22 are retracted within theouter tube 11.
As mentioned above, in the time will regaining first sheet metal 21 and second sheet metal 22, first curvedportions 211 and secondcurved portions 221 are because of being had restoring force by the compressing of the mouth of pipe ofouter tube 11, thejoint sleeve 23 and second curvedportions 221 make secondcurved portions 221 break away fromjoint sleeves 23 because of restoring force greater than frictional force (frictional force between the aforesaidjoint sleeve 23 and second curved portions 221), and then make firstcurved portions 211 and secondcurved portions 221 be separated each other (shown in Fig. 2 C).With this, when user continues oppositely to movesecond grip part 14, the mouth of pipe byouter tube 11 can force the sleeve through part 31 of gettingthing bag 30 to break away from from firstcurved portions 211 and secondcurved portions 221, just because the mouth of pipe ofouter tube 11 is less, getthing bag 30 and prop up, thereby first curvedportions 211 and secondcurved portions 221 are detached outside the sleeve through part 31 32 from boring a hole.Second grip part 14 is continued to move to first grip part, 13 rightabouts,second grip part 14 can be extracted out outsideouter tube 11 together with main body 10, first sheet metal 21 and second sheet metal 22.
Againretainer ring 17 is passedpassage 131 andouter tube 11 at last.Please refer to Fig. 7,first grip part 13 andouter tube 11 break away from puncture casing (figure does not show), keep somewhere in human abdominal cavity and will get thing bag 30, andrope 16 are still stayed puncture casing (figure does not show) with 17 of retainer rings.Therefore, puncture casing only staysrope 16 andretainer ring 17, so still have unnecessary space to utilize this puncture casing for other operating theater instruments, after finishing operation, pull out before the puncture casing, utilize the thing bag 30 of getting thatrope 16 will be equipped with the excision in-vivo tissue to pull out human abdominal cavity and get final product again, but the present invention is not as limit.For example, whenretainer ring 17 is a plastic hoop, can directly cut offrope 16 andretainer ring 17, also can achieve the goal.
Can be understood by above-mentioned explanation, the present invention can will get the thing bag and its main body is separated, and reaches the purpose that reduces surgical openings with this.Moreover, since of the present invention simple in structure, the purpose that assembling is easy and reduce production costs therefore can be reached.
In sum, the present invention is purpose, means and effect no matter, has all that it is totally different in the feature of prior art.Only it should be noted that above-mentioned many embodiment only give an example for convenience of explanation, the protection domain that the present invention advocated should be as the criterion so that claims are described, but not only limits to the foregoing description.