Summary of the invention
The purpose of the present invention is overcoming the deficiencies in the prior art, a kind of single-hole laparoscopic operation covering device is provided,Its is compact-sized, reduces operation wound, and the aesthetics after improving abdominal incision healing reduces cost, easy to use and operate, safetyReliably.
According to technical solution provided by the invention, the single-hole laparoscopic operates covering device, including cuts for strutting operationThe notch of mouth struts body and can block the instrument connection sealing shroud that notch struts body upper limb, and the instrument connects sealing shroudIt can be nested with and be strutted on body in notch, and instrument connection sealing shroud and notch strut between body using detachably connectable；
Instrument connection sealing shroud include can be nested with notch strut sealed interface on body and with it is described closeThe instrument of envelope connector adaptation connection places seat, and sealed interface struts body using detachably connectable with notch；Instrument placesSeveral instrument positioning one-way seal valves for allowing to operate gas leakage when instrument is placed in and is avoided that operation of setting, operator in seatTool, which passes through corresponding instrument positioning one-way seal valve and can protrude into notch and strut, to be covered in vivo；
Instrument positioning one-way seal valve includes being set to instrument and placing the merging hole on seat and be set to instrument to wearThe instrument angle adjusting cavity in seat is set, merging hole is located at the top at the top of instrument angle adjusting cavity, and is placed in hole and instrument angleAdjusting cavity is connected；The elastic shutter for blocking the corresponding merging hole of closing is also set up in instrument angle adjusting cavity, it is describedOne end of elastic shutter is connect with the inner wall of instrument angle adjusting cavity, and merging hole is located at the top of elastic shutter.
It is placed in instrument and also sets up at least one inflation/deflation connecting leg on seat, sealed interface is nested with to be strutted on body in notchAfterwards, the inner cavity that inflation/deflation connecting leg can strut body with notch is connected to.
It includes strutting clamping ring, with change for connecting the outer of sealing shroud adaptation connection with instrument that the notch, which struts body,Clamping ring is strutted in shape ability and struts clamping ring, the interior connection protection mantle for strutting clamping ring, outer support outside for connectingOpening clamping ring can be connected to by connection protection mantle with the interior clamping ring that struts.
It is described it is interior strut on clamping ring setting for by the interior clamping ring that struts from the intraperitoneal drawing wire body being drawn out, instituteIt states drag wire physical efficiency and is strutted in clamping ring from outside and is pierced by.
It is additionally provided on clamping ring in interior strut for strutting the intraperitoneal auxiliary company in clamping ring merging abdominal cavity in assistingAdapter ring；
Further include the merging auxiliary tool being adapted to auxiliary clamping ring, passes through merging auxiliary tool and auxiliary clamping ring cooperationCan by it is interior strut clamping ring be pushed into through notch it is intraperitoneal.
The merging auxiliary tool includes auxiliary push-rod, penetrates through pushing away for auxiliary push-rod in the head end setting of the auxiliary push-rodRod aperture, the head end of auxiliary push-rod form push rod by push rod pore size distribution and head and the auxiliary that can be adapted to auxiliary clamping ring are protected to push awayHead, auxiliary push-rod can be protruded into auxiliary clamping ring by auxiliary push top and push-rod hole.
Sealed connection setting in vivo passes through connection card with the connection card slot for strutting clamping ring outside and being adapted to, sealed interfaceSlot can be connected to outer strut on clamping ring；The sealed interface is correspondingly connected with setting chucking hook at the card slot mouth of card slot.
The instrument places seat with sealed interface in coaxial distribution, and instrument places seat energy opposing seal connector and turnsIt is dynamic.
The instrument places seat and is connect by elastic telescopic body with sealed interface.
The merging hole, instrument angle adjusting cavity are tapered, and are placed in the vertex of a cone in hole and the cone of instrument angle adjusting cavityIt pushes up mutually adjacent and is aligned.
Advantages of the present invention：Body is strutted using notch to strut the notch of abdomen, opens up the feelings of single notch in abdomenUnder condition, the operation needs of abdominal operation are able to achieve using the cooperation that instrument connection sealing shroud and notch strut body, instrument placesSeat can counteropening strut body rotation, improve the convenience of surgical procedure, reduce operation wound, after improving abdominal incision healingAesthetics, reduce cost, it is easy to use and operate, securely and reliably.
Specific embodiment
Below with reference to specific drawings and examples, the invention will be further described.
As shown in Figure 1：In order to can be reduced operation wound, the aesthetics after improving abdominal incision healing reduces cost, improvesUsing the convenience of operation, the present invention includes strutting body and capable of blocking notch for strutting the notch of operative incision to strut setThe instrument of body upper limb connects sealing shroud, and the instrument connection sealing shroud can be nested with to be strutted on body in notch, and instrument connection is closeBig envelope and notch strut between body using detachably connectable；
Instrument connection sealing shroud include can be nested with notch strut sealed interface 5 on body and with it is described closeThe instrument of the envelope adaptation connection of connector 5 places seat 10, and sealed interface 5 struts body using detachably connectable with notch；InstrumentSeveral instrument positioning one-way seal valves for allowing to operate gas leakage when instrument is placed in and is avoided that operation of setting in seat 10 are placed,Operation instrument, which passes through corresponding instrument positioning one-way seal valve and can protrude into notch and strut, to be covered in vivo；
The instrument positioning one-way seal valve includes being set to instrument to place the merging hole 6 on seat 10 and be set to instrumentThe instrument angle adjusting cavity 11 in seat 10 is placed, instrument angle adjusting cavity 11 is tapered, and merging hole 6 is located at instrument angle adjusting cavityThe top at 11 tops, and be placed in hole 6 and be connected with instrument angle adjusting cavity 11；It also sets up and is used in instrument angle adjusting cavity 11Block the elastic shutter 12 in the corresponding merging hole 6 of closing, one end of the elasticity shutter 12 and instrument angle adjusting cavity 11Inner wall connection, merging hole 6 are located at the top of elastic shutter 12.
Specifically, notch struts body, instrument connection sealing shroud is all made of and meets the material of medical standard and be made, and is carrying outWhen abdominal operation, is strutted in body merging notch using notch and realization struts notch, to provide behaviour for surgical instrumentMake space.The upper end that notch struts body can be closed by connecting sealing shroud by instrument, i.e., connect sealing shroud and notch by instrumentThe operating space of relative closure can be provided by strutting set cooperation, and surgical instrument can enter notch across instrument connection sealing shroud and strut setIt is interior, then can enter it is intraperitoneal, by instrument connect sealing shroud make enter intraperitoneal surgical instrument can only be in a certain rangeInterior swing flexible equal operates.Instrument connection sealing shroud and notch strut between body using detachably connectable, can improve entirelyUse the convenience of operation.
In the embodiment of the present invention, can be nested with by sealed interface 5 and be strutted on body in notch, instrument place seat 10 with it is closeThe adaptation connection of connector 5 is sealed, is strutted by sealed interface 5 and notch detachably connectable between body, is able to achieve entire deviceTool connects sealing shroud and struts the detachably connectable of body with notch.Instrument, which places, is arranged one or more instrument positioning lists on seat 10To sealing valve, instrument positioning one-way seal valve only allows the one-way operation of surgical instrument, i.e., only surgical instrument is allowed to pass through instrumentEnter notch after positioning one-way seal valve and strut set in vivo, enters intraperitoneal prepare to be subsequent.When it is implemented, single hole is specificRefer to and only need to open up an incision hole intraperitoneal, multiple instruments on seat 10 are placed by instrument and position one-way seal valve energyNeeds are operated while meeting multiple instruments.
When it is implemented, each instrument positioning one-way seal valve includes being set to instrument to place merging hole 6 on seat 10, setEnter hole 6 and be located at instrument to place the upper surface of seat 10 or place the top in seat 10 positioned at instrument, instrument angle adjusting cavity 11 is located atInstrument places in seat 10, instrument angle adjusting cavity 11 and merging hole 6 in correspond, and instrument angle adjusting cavity 11 and merging hole6, which place the position in seat 10 in instrument, also corresponds to, and instrument angle adjusting cavity 11 is located at instrument and places lower part in seat 10.It is placed in hole6 are connected with just corresponding instrument angle adjusting cavity 11, form tapered form between instrument angle adjusting cavity 11 and merging hole 6,Surgical instrument penetrates instrument by merging hole 6 and places in seat 10, and the internal diameter of instrument angle adjusting cavity 11 is much larger than the hole for being placed in hole 6Diameter can provide the motion space of surgical instrument by instrument angle adjusting cavity 11, and the work angle that can allow to operate instrument is adjusted.
In the embodiment of the present invention, elastic shutter 12 has certain elasticity, and one end of elastic shield 12 passes through baffleThe shapes such as connector 13 and the inner wall of instrument angle adjusting cavity 11 are fixed, and elastic shutter 12 can be rounded, fan-shaped, elasticity hideBaffle 12 is adapted to instrument angle adjusting cavity 11, and merging hole 6 is located at the surface of elastic shutter 12.Utilize elastic shutter 12With merging hole 6 cooperation so that surgical instrument can only from elastic shutter 12, be placed in hole 6 direction place access instrumentsPlace seat 10, i.e., first pass through behind merging hole 6 could be in access instruments angular adjustment chamber 11 for surgical instrument needs.When surgical instrument notWhen being placed in seat 10 by being placed in 6 access instruments of hole, merging hole 6 can be closed using elastic shutter 12, that is, is avoided that gas etc.Out of merging hole 6 situations such as evolution, discharge.When surgical instrument passes through in merging 6 access instruments angular adjustment chamber 11 of hole, operationInstrument can push elastic shutter 12, after pushing elastic shutter 12, will not influence surgical instrument and adjust by instrument angleChamber 11 into notch strut body with it is intraperitoneal, the normal operating of surgical instrument will not be influenced.
In addition, using elastic baffle body 12 and surgical instrument, be placed in the cooperation in hole 6, be avoided that intraperitoneal gas etc. fromIt is placed in hole 6 to be discharged, still can guarantee the leakproofness at 6, that is, guarantee leakproofness and safety in entire laparoscopic procedures.
Further, it is placed in instrument and also sets up at least one inflation/deflation connecting leg 8 on seat 10, sealed interface 5 is nested withAfter notch struts on body, inflation/deflation connecting leg 8 can strut body with notch and be connected to.
In the embodiment of the present invention, hose coupler 9 is arranged in the end of inflation/deflation connecting leg 8, and inflation/deflation connecting leg 8 passes through hose coupler9 can connect with external inflation/deflation equipment, place seat 10 by inflation/deflation connecting leg 8, instrument and notch struts set physical efficiency to abdomenIntracavitary injection carbon dioxide gas, or intraperitoneal co2 carbon dioxide gas is extracted out.Generally, connect in inflation/deflationIt also needs that charge and discharge air cock is arranged on pipe 8, the connected state of inflation/deflation connecting leg 8 is controlled using charge and discharge air cock, avoid accidentally fillingGas, the operation for misplacing gas, guarantee the stability of intraperitoneal carbon dioxide gas.It can be between charge and discharge air cock and inflation/deflation connecting leg 8It is realized using the common technological means of the art, specifically can according to need and selected, details are not described herein again.
As shown in Fig. 2, it includes the outer company of strutting for connecting sealing shroud adaptation connection with instrument that the notch, which struts body,Adapter ring 4, with strutting clamping ring 2 in deformability and strut clamping ring 4, the interior company for strutting clamping ring 2 outside for connectingProtection mantle 1 is connect, strutting clamping ring 4 outside can be connected to by connection protection mantle 1 with the interior clamping ring 2 that struts.
It in the embodiment of the present invention, inside struts clamping ring 2 and is made of elastic material, strut clamping ring 4 outside using hardMaterial is made, and connection protection mantle 1 can be made of transparent membrane, struts clamping ring 4 outside, the interior clamping ring 2 that struts is distributed positionIn connection protection mantle 1 both ends, strut outside clamping ring 4 by with connect protection mantle 1, it is interior strut clamping ring 2 cooperation energy shapeAt tubulose or tubular structure.
It is described it is interior strut on clamping ring 2 setting for by the interior clamping ring 2 that struts from the intraperitoneal drawing wire body being drawn out7, the drawing wire body 7 can be strutted from outside to be pierced by clamping ring 4.In the embodiment of the present invention, the end of drawing wire body 7 is located at outer supportIt opens outside clamping ring 4, can be facilitated by pulling wire body 7 and strut clamping ring 2 by interior and be drawn out from intraperitoneal.
Further, it is additionally provided on clamping ring 2 in interior strut for strutting the merging of clamping ring 2 abdominal cavity abdominal cavity in assistingInterior auxiliary clamping ring 3；
Further include the merging auxiliary tool being adapted to auxiliary clamping ring 3, is matched by merging auxiliary tool and auxiliary clamping ring 3Close can by it is interior strut clamping ring 2 be pushed into through notch it is intraperitoneal.
In the embodiment of the present invention, auxiliary clamping ring 3 setting inside struts on clamping ring 2, by merging auxiliary tool with it is auxiliaryHelp the cooperation of clamping ring 3, can by it is interior strut clamping ring 2 through abdomen notch merging it is intraperitoneal.
As shown in fig. 7, the merging auxiliary tool includes auxiliary push-rod 20, passed through in the head end setting of the auxiliary push-rod 20The push-rod hole 22 of logical auxiliary push-rod 20, the head end of auxiliary push-rod 20 form push rod by the distribution of push-rod hole 22 and protect head 24 and energyThe auxiliary push top 23 being adapted to auxiliary clamping ring 3, auxiliary push-rod 20 can protrude into auxiliary by auxiliary push top 23 and push-rod hole 22In clamping ring 3.
In the embodiment of the present invention, push-rod handle 21 is arranged in the tail end of auxiliary push-rod 20, and auxiliary push-rod 20 is in the shape of a rod, push-rod hole 22Positioned at the head of auxiliary push-rod 20, push-rod hole 22 penetrates through auxiliary push-rod 20.Push-rod hole 22 is L-shaped, can be made by push-rod hole 22The head end of auxiliary push-rod 20 is divided to form auxiliary push top 23 and push rod protection head 24, and push rod protection head 24 is located at auxiliary push top 23Front, when auxiliary push top 23 insertion auxiliary auxiliary clamping rings 3 in when, using push rod protection head 24 be able to achieve protection, avoidAuxiliary push-rod 20 damages intraperitoneal organ-tissue.Certainly, head 24 and push-rod hole 22 are protected using push rod, can also improves auxiliaryThe Stability and dependability of cooperation is connected between push top 23 and auxiliary clamping ring 3.
When specifically used, when needing the notch to abdomen to strut, 23 insertion of auxiliary push top of auxiliary push-rod 20 is assistedIn clamping ring 3, under the active force effect of auxiliary push-rod 20, the interior clamping ring 2 that struts can be made to generate deformation and eventually enter into abdomenIt is intracavitary.When it is interior strut clamping ring 2 enter it is intraperitoneal after, auxiliary push-rod 20 is separated with the interior clamping ring 2 that struts, at this point, stir outsideStrut clamping ring 4 so that connection protection mantle 1 be constantly wrapped in it is outer strut on clamping ring 4, with strutting turning over for clamping ring 4 outsideIt is dynamic, connection protection mantle 1 can be made to be in tensioning state, since the interior lower part for strutting clamping ring 2 and connection protection mantle 1 is equalPositioned at intraperitoneal, notch is strutted to be able to achieve.After strutting to notch, sealed interface 5 is strutted into clamping ring 4 with outerConnection struts on body so that instrument connection sealing shroud is installed on notch.After the completion of operation, by instrument connection sealing shroud withThe separation of connector sleeve 4 is strutted outside, and to be wrapped in and strutted connection protection mantle 1 on clamping ring 4 outside and gradually connect with strutting outside4 separation of circle can be reduced and strut to notch when connection protection mantle 1 is in relaxed state, at this point, passing through drawing 2 energy of wire bodyFacilitate and struts clamping ring 2 by interior and be drawn out from intraperitoneal.
Further, setting and the connection card slot 14 for strutting clamping ring 4 outside and be adapted to, the company of sealing in the sealed interface 5Junctor 5 can be connected to outer strut on clamping ring 4 by connecting card slot 14.
In the embodiment of the present invention, the shape of sealed interface 5 and the shape adaptation for strutting clamping ring 4 outside, sealed interface 5Cylindrical, the setting connection card slot 14 in sealed interface 5, sealed interface 5 is connected to outer strut by connecting card slot 14On clamping ring 4, after sealed interface 5 struts the clamping of clamping ring 4 by connection card slot 14 and outside, realization sealed interface can be facilitated5 and outside strut it is detachably connectable between clamping ring 4.Connect card slot 14 in sealed interface 5 in a ring, the sealed connectionBody 5 is correspondingly connected with setting chucking hook 17 at the card slot mouth 18 of card slot 14.Using chucking hook 17 and the cooperation for outside strutting clamping ring 4,Under intraperitoneal positive pressure, chucking hook 17 can be made to be tightly attached to and strutted on clamping ring 17 outside, so as to improve sealed interface 5With strut the Stability and dependability connected between clamping ring 4 outside.
Further, the instrument places seat 10 with sealed interface 5 in coaxial distribution, and instrument places 10 energy of seat relativelySealed interface 5 rotates.
In the embodiment of the present invention, instrument places seat 10 with sealed interface 5 in coaxial distribution, and instrument places seat 10 can be oppositeWhen sealed interface 5 rotates, instrument, which places the positioning one-way seal valve of the instrument on seat 10, can follow rotation, can ensure that surgical procedureMiddle surgical instrument can find desired position, improve the convenience of operation.
In Fig. 3 and Fig. 4, instrument places seat 10 and is located in sealed interface 5, and instrument places upper surface and the sealing of seat 10The upper surface of connector 5 is in concordant state.The thickness that instrument places seat 10 is less than the thickness of sealed interface 5, connects card slot14, which are located at instrument, places the outer ring of seat 10, and in Fig. 3 and Fig. 4, instrument places seat 10 and sealed interface 5 uses integral type or fixationConnection.
It is located in sealed interface 5 as shown in figure 5, instrument places seat 10, instrument places seat 10 can opposing seal connector 5Rotation.Specifically, setting rotation connection slot 15 in sealed interface 5, it is suitable that instrument places setting and rotation connection slot 15 on seat 10The rotation connection ring 16 matched, rotation connection ring 16 can be in rotation connection slots 15, rotation connection ring 16 and rotation connection slot15 clearance fits, instrument places seat 10 can be rotated by being rotatablely connected ring 16 in sealed interface 5.Certainly, it is being embodiedWhen, rotation connection slot 15 can also be located at instrument and place on seat 10, the setting rotation connection ring 16 in sealed interface 5, orInstrument places and is able to achieve the connection fit form of relative rotation using other between seat 10 and sealed interface 5, specifically can rootAccording to being selected, details are not described herein again.
As shown in fig. 6, instrument places, seat 10 is arc-shaped, and instrument places the top for being integrally located at sealed interface 5 of seat 10,Instrument places the type of attachment also cooperated using rotation connection ring 16 and rotation connection slot 15 between seat 10 and sealed interface 5,I.e. instrument place seat 10 still can opposing seal connector 5 rotate.In addition, the instrument, which places seat 10, passes through elastic telescopic body 19It is connect with sealed interface 5.Elastic telescopic body 19 can be made of flexible bellows or other elastic materials, be passed throughElastic telescopic body 19 can make instrument place 10 opposing seal connector 5 of seat in addition to being able to rotate, moreover it is possible to carry out flexible or horizontal fortuneIt is dynamic, further increase convenience when instrumentation.
As shown in figure 8, the merging hole 6, instrument angle adjusting cavity 11 are tapered, and it is placed in the vertex of a cone and instrument in hole 6The vertex of a cone of angular adjustment chamber 11 is mutually adjacent and is aligned.In the embodiment of the present invention, merging hole 6, instrument angle adjusting cavity 11 are inTaper, the vertex of a cone in merging hole 6 is directed toward neighbouring instrument angle adjusting cavity 11, and the vertex of a cone of instrument angle adjusting cavity 11 is also adjacent to mergingHole 6, to place in seat 10 in instrument, the vertex of a cone in formation merging hole 6 and the vertex of a cone of instrument angle adjusting cavity 11 are close to each other, setEnter hole 6 and instrument angle adjusting cavity 11 gap is placed in seat 10 by instrument and is connected to instrument angle adjusting cavity 11, merging hole 6Cone bottom is located at the outer surface that instrument places seat 10, and the outer diameter that bottom is bored in merging hole 6 is less than the outer diameter that instrument angle adjusting cavity 11 bores bottom.When being placed in hole 6 and instrument angle adjusting cavity 11 is all made of taper, can improve steady when operation instrument places seat 10 across instrumentIt is qualitative, and will not influence the normal operating of operation instrument, it will not influence to operate instrument and instrument places the separation of seat 10.WhenSo, in the specific implementation, instrument angle adjusting cavity 11 can also be using shapes similar with taper such as hemisphericals, specifically can rootAccording to being selected, details are not described herein again.
In addition, in order to improve sealed interface 5 and strut the reliability connected between clamping ring 4 outside, in connection card slot 14Card slot connector 25 is also set up, card slot connector 25 can specifically can according to need and be selected with the shapes such as wavy.WhenSo, the structure or shape that setting is adapted to card slot connector 25 on clamping ring 4 can also be strutted outside, when sealed interface 5 fillsAfter being strutted on clamping ring 4 outside, using card slot connector 25 be avoided that sealed interface 5 with strutted after connector sleeve 4 connect outsideRandom separation, for operation in instrumentation reliable guarantee is provided.