CN109480920A - Porous catheter device with puncture auxiliary structure and use method thereof - Google Patents

Abstract

The invention provides a porous catheter device with a puncture auxiliary structure and a using method thereof. The porous catheter device with the puncture auxiliary structure is used for guiding an endoscope and surgical instruments and comprises a porous channel body and a puncture tip. The multi-channel body includes two body bores, a proximal end and a distal end, the two body bores being independent of each other and extending in different directions from each other. The two body perforations are separated from each other by a perforation pitch, and the perforation pitch gradually changes from the proximal end to the distal end. The two puncture holes of the puncture tip are respectively correspondingly connected with the two body through holes. The endoscope and the surgical instrument respectively penetrate through the corresponding body through hole and the corresponding puncture hole. Therefore, the independent multi-hole channel placement operation equipment is utilized, mutual interference can be avoided, the independent multi-hole channel has a specific direction and comprises central puncture and cross puncture, and medical personnel can select a proper structure according to requirements.

Description

Tool punctures the multiholed catheter device and its application method of supplementary structure

Technical field

The present invention relates to a kind of multiholed catheter device and its application methods, puncture supplementary structure especially with regard to a kind of toolMultiholed catheter device and its application method.

Background technique

Minimally Invasive Surgery has many advantages, such as that wound is small, wound is beautiful, bleeding is few, infection probability is low, recovery is fast, therefore becomes meshThe new trend of preceding surgical operation, such as: arthroscope and laparoscopic surgery.Traditionally when carrying out Minimally Invasive Surgery, surgical doctor mustAn opening first must be punctured in the skin surface of sufferer, then reuse a conduit to strut this opening, to maintain in skinOuter connection, and introscope or surgical instrument are protruded into the skin of sufferer via conduit to perform the operation.And it is such operatingComplete sealing mechanism is generally required in the process of Minimally Invasive Surgery to ensure the isolation situation inside and outside body, therefore the doctor that performs the operationTeacher can achieve the purpose that inside and outside isolation and operation safety using the conduit with sealing effect.

Although Minimally Invasive Surgery have above-mentioned many advantages, it is well known, however, that conduit there are still some serious problems.ExampleSuch as: (such as while operating introscope or surgical instrument) when operating multiple surgical apparatus simultaneously under single duct, be easy to happen phaseThe situation mutually interfered, therefore surgical apparatus can not be successfully moved to desired position very much.In addition, traditional conduit is softOr semi-soft material, it generally requires additional hard puncture supplementary structure and be combined with each other to realize piercing step, and then will leadPipe is pierced into the skin of patient.After conduit is pierced into and is positioned, also by hard puncture supplementary structure detach duct, could again bySurgical apparatus is inserted into duct to execute operation, and such surgical procedure is considerably complicated and operation is extremely inconvenient, be easy to cause operationFailure and the risk and degree of difficulty for significantly increasing operation.Therefore, internal, sealing can be formed directly by lacking currently on the marketProperty it is high, easy to operate, reduce and using multiple surgical apparatus interfere with each other and can cooperate various forms of surgical apparatus demandsConduit, therefore related dealer is seeking its solution.

Summary of the invention

Therefore, the purpose of the present invention is to provide multiholed catheter device and its users that a kind of tool punctures supplementary structureMethod puts introscope, surgical instrument, bath unit, suction unit or other surgical apparatus using independent multi-pore channel, canIt avoids interfering with each other.In addition, these independent multi-pore channels have specific direction, is punctured it includes center and intersect puncture, energyUser is allowed to select structure appropriate according to demand.Furthermore device front end is tip hard, can be used for puncturing skin and need not againIt is additional to arrange in pairs or groups other puncturing structures to assist, therefore can directly be worn behind device puncturing operation position and limit introscope and handArt instrument, and then simplify surgical procedure and increase the convenience of operation, it is led with solving the additional puncturing structure auxiliary of tradition needsThe problem of causing inconvenient and multiple surgical apparatus easily to interfere with each other in single duct.

One embodiment of structure aspect according to the present invention provides a kind of multiholed catheter device of tool puncture supplementary structure,It is to guide an at least introscope and a surgical instrument.The multiholed catheter device that this tool punctures supplementary structure includes a multi-pore channelOntology and a piercing point, wherein multi-pore channel ontology includes that at least two ontology perforation, a proximal end and a distal end, two ontologies are wornHole is independently of one another and the extending direction of two ontologies perforation is different each other.Two ontology perforation are separated by a perforation spacing, perforateSpacing is gradually changed by proximal end towards distal end.In addition, piercing point connection distal end, piercing point include at least two puncturing holesHole, two puncture holes respectively correspond linking two ontologies perforation.Introscope therethrough perforate and corresponding puncture by an ontologyHole, surgical instrument puncture hole with another through the perforation of another ontology.

Whereby, the multiholed catheter device that tool of the invention punctures supplementary structure puts introscope using independent multi-pore channelIt with surgical instrument, not only can avoid interfering with each other, and the operation ease of healthcare givers can be increased.Furthermore these are independentMulti-pore channel has specific direction, and introscope and surgical instrument can be allowed to intersect at operative site, facilitate healthcare givers to manipulate, in turnShorten operating time and increase operation safety, is easily interfered with each other in single duct with solving the multiple surgical apparatus of traditionThe problem of.

The other embodiments of aforementioned embodiments are as follows: aforementioned two ontologies perforation can extend outwardly and be respectively formed two voidQuasi- duct, each ontology perforation are linearly with each virtual duct.Perforation spacing is gradually reduced by proximal end towards distal end.Two voidQuasi- duct intersects at except multi-pore channel ontology and shape has angle, this angle is greater than 0 degree and less than 45 degree.Furthermore previous porousThe outer wall of road ontology can be equipped with multiple horizontal ridges, these horizontal ridges are parallel to each other and spaced set.Previous porous road sheetThe outer wall of body is equipped with a spiral burr, this spiral burr is to reduce resistance when multi-pore channel ontology punctures.In addition, aforementioned proximalIt may include two lugs, this two lugs are located at opposite two sides of proximal end, and two lugs are to rotate multi-pore channel ontologyWith piercing point.In addition, it may include a lid that aforementioned tool, which punctures the multiholed catheter device of supplementary structure, this lid is by soft materialsIt constitutes, lid coats proximal end.Lid includes at least two cap bore, an accommodating space and a caulking groove, and wherein cap bore is rounded and dividesIt Dui Ying not two ontology perforation and two puncture holes.Accommodating space is connected two cap bore.It is then set in lid as caulking grooveSide simultaneously connects accommodating space, and the shape of caulking groove corresponds to the shape of proximal end.Furthermore aforementioned tool punctures the multiholed catheter dress of supplementary structureSetting may include a washer, this washer is made of soft materials, and washer is between lid and proximal end and is set in accommodating space.PadCircle has at least two washer apertures, this two washer apertures are in more valve types and respectively correspond two cap bore, two faces point of washerAn inner top surface of lid and a proximal end top surface of proximal end are not fitted closely.In addition, aforementioned piercing point can be by a rigid material structureAt piercing point is in sharp vertebra shape.One junction of piercing point and distal end is equipped with a ring convex, the piercing point positioned at junctionCross section is greater than the cross section of distal end.In addition, previous porous road ontology may include an interlaced area, this interlaced area is located at porousWithin road ontology and between proximal end and distal end.Each ontology perforation is linearly, and two ontology perforation are interlaced with each other in friendshipWrong region, perforation spacing are gradually reduced by proximal end towards interlaced area, and spacing of perforating gradually is become by interlaced area towards distal endGreatly.

Another embodiment of structure aspect according to the present invention provides a kind of multiholed catheter dress of tool puncture supplementary structureIt sets, to guide an introscope, a surgical instrument, a bath unit and a suction unit.This tool punctures the more of supplementary structureHole conduit device includes a multi-pore channel ontology and a piercing point, wherein multi-pore channel ontology include a first noumenon perforate, one theThe perforation of two ontologies, third ontology perforation, the perforation of one the 4th ontology, a proximal end and a distal end, the first noumenon perforation, the second ontologyPerforation, the perforation of third ontology and the perforation of the 4th ontology are independently of one another and extending direction is different each other.The first noumenon perforation and secondOntology perforation is separated by a perforation spacing, and perforation spacing is gradually changed by proximal end towards distal end.In addition, piercing point connection is remoteEnd, piercing point punctures hole comprising one first puncture hole, one second, a third punctures hole and one the 4th punctures hole,First puncture hole, second puncture hole, third puncture hole and the 4th puncture hole respectively correspond linking the first noumenon perforation,The perforation of second ontology, the perforation of third ontology and the perforation of the 4th ontology.Introscope punctures hole with first through the first noumenon perforation,Surgical instrument punctures hole with second through the perforation of the second ontology, and bath unit is through the perforation of third ontology and third puncturing holeHole, suction unit puncture hole with the 4th through the perforation of the 4th ontology.

Whereby, the multiholed catheter device that tool of the invention punctures supplementary structure puts interior view using independent multi-pore channelMirror, surgical instrument, bath unit and suction unit, not only can avoid interfering with each other, and operation is quite convenient, is very suitable toThe use of healthcare givers.In addition, these independent multi-pore channels have specific direction, healthcare givers can be facilitated to manipulate, and then contractedShort operating time simultaneously increases operation safety.

The other embodiments of aforementioned embodiments are as follows: aforementioned the first noumenon perforation, the perforation of the second ontology, third ontology are wornHole and the perforation of the 4th ontology can extend outwardly and to be respectively formed one first virtual duct, one second virtual duct, a third virtualDuct, one the 4th virtual duct.The first noumenon perforation, the perforation of the second ontology, the perforation of third ontology, the perforation of the 4th ontology, firstVirtual duct, the second virtual duct, the virtual duct of third and the 4th virtual duct are linearly.Spacing of perforating is by proximal end directionDistal end is gradually reduced, and the first virtual duct, the second virtual duct, the virtual duct of third and the 4th virtual duct intersect at multi-pore channelExcept ontology.Furthermore the outer wall of previous porous road ontology can be equipped with a plurality of horizontal ridges, these horizontal ridges are parallel to each other and waitSpacing setting.The outer wall of previous porous road ontology can be equipped with a spiral burr, this spiral burr is to reduce when device puncturesResistance.In addition, aforementioned proximal may include two lugs, this two lugs are located at opposite two sides of proximal end, and two lugs are usedTo rotate multi-pore channel ontology and piercing point.In addition, it may include a lid that aforementioned tool, which punctures the multiholed catheter device of supplementary structure,This lid is made of soft materials, and lid coats proximal end.Lid includes the first cap bore, the second cap bore, third cap bore, the 4th lidHole, accommodating space and caulking groove, wherein the rounded and corresponding the first noumenon of the first cap bore perforates and punctures hole with first；Second lidRounded and corresponding second ontology in hole, which is perforated, punctures hole with second；Third cap bore is rounded and corresponding third ontology perforation and theThree puncture hole；Rounded and corresponding 4th ontology of 4th cap bore, which is perforated, punctures hole with the 4th.The first lid of accommodating space linkingHole, the second cap bore, third cap bore and the 4th cap bore.Caulking groove is set to the inside of lid and connects accommodating space, the shape pair of caulking grooveAnswer the shape of proximal end.Furthermore it may include a washer that aforementioned tool, which punctures the multiholed catheter device of supplementary structure, this washer is by soft materialTexture is at washer is between lid and proximal end and is set in accommodating space.There are four washer aperture, this four washers for washer toolAperture is in more valve types and respectively corresponds the first cap bore, the second cap bore, third cap bore and the 4th cap bore.The two faces difference of washer is tightOne inner top surface of closely connected closing lid and a proximal end top surface of proximal end.In addition, aforementioned piercing point can be made of a rigid material, wearPuncture tip portion is in sharp vertebra shape.One junction of piercing point and distal end be equipped with a ring convex, positioned at junction piercing point it is transversalFace is greater than the cross section of distal end.In addition, previous porous road ontology may include an interlaced area, this interlaced area is located at multi-pore channel sheetWithin body and between proximal end and distal end.The first noumenon perforation, the perforation of the second ontology, the perforation of third ontology and the 4th ontology are wornHole is linearly, and the first noumenon perforation and the perforation of the second ontology are interlaced with each other in interlaced area.Spacing of perforating is by proximal end directionInterlaced area is gradually reduced, and spacing of perforating is become larger by interlaced area towards distal end.

One embodiment of method aspect according to the present invention provides a kind of multiholed catheter device of tool puncture supplementary structureApplication method, to guide introscope and surgical instrument, application method includes that a piercing step, an introscope install stepAnd one surgical instrument install step, wherein piercing step is rotation multi-pore channel ontology and piercing point, makes piercing point along oneAxial displacement.And introscope installing step is that introscope is perforated and wherein one by proximal end to one of ontology is distally arranged inA puncture hole.It is then to wear surgical instrument to another ontology is distally arranged in by proximal end as surgical instrument installing stepHole and another puncture hole.

Whereby, application method of the invention puts introscope and surgical instrument using the conduit device of independent multi-pore channel,It not only can avoid interfering with each other, can also increase convenience when healthcare givers's operation.

Another embodiment of method aspect according to the present invention provides a kind of multiholed catheter dress of tool puncture supplementary structureThe application method set, to guide introscope, surgical instrument, bath unit and suction unit.Application method includes a punctureStep, a bath unit installing step, suction unit installing step, introscope installing step and surgical instrument installingStep, wherein piercing step is rotation multi-pore channel ontology and piercing point, makes piercing point along an axial displacement.Unit of washing by water fillsIf step be will wash by water unit be installed in third ontology perforation with third puncture hole.Suction unit installing step is the list that will absorb waterMember is installed in the perforation of the 4th ontology and punctures hole with the 4th.Introscope installing step is by proximal end by introscope to being distally arranged inThe first noumenon perforation punctures hole with first.Surgical instrument installing step is by proximal end by surgical instrument to being distally arranged in secondOntology perforation punctures hole with second.

Whereby, application method of the invention is by the independent multi-pore channel with specific direction, allow introscope, surgical instrument,Bath unit and suction unit intersect at operative site, and healthcare givers is facilitated to manipulate, and then shorten operating time and increase operationSafety.

Detailed description of the invention

Fig. 1 is the stereoscopic schematic diagram for being painted the multiholed catheter device of tool puncture supplementary structure of first embodiment of the invention；

Fig. 2A is to be painted the multiholed catheter device of the tool puncture supplementary structure of Fig. 1 according to the stereogram exploded view of first direction；

Fig. 2 B is to be painted the multiholed catheter device of the tool puncture supplementary structure of Fig. 1 according to the stereogram exploded view of second direction；

Fig. 3 A is the cross-sectional view for being painted the multiholed catheter device of tool puncture supplementary structure of Fig. 1；

Fig. 3 B be painted Fig. 1 tool puncture supplementary structure multiholed catheter device two ontologies perforation extend intersect at deviceThe schematic diagram in outside；

Fig. 4 A is the top view for being painted the multiholed catheter device of tool puncture supplementary structure of Fig. 1；

Fig. 4 B is the perspective view for being painted the multiholed catheter device of tool puncture supplementary structure of Fig. 1；

Fig. 5 is the operation chart for being painted the multiholed catheter device of tool puncture supplementary structure of Fig. 1；

Fig. 6 A is the top view for being painted the multiholed catheter device of tool puncture supplementary structure of second embodiment of the invention；

Fig. 6 B is the exploded perspective view for being painted the multiholed catheter device of tool puncture supplementary structure of Fig. 6 A；

Fig. 7 is the stereoscopic schematic diagram for being painted the multiholed catheter device of tool puncture supplementary structure of third embodiment of the invention；

Fig. 8 A is to be painted the multiholed catheter device of the tool puncture supplementary structure of Fig. 7 according to the stereogram exploded view of first direction；

Fig. 8 B is to be painted the multiholed catheter device of the tool puncture supplementary structure of Fig. 7 according to the stereogram exploded view of second direction；

Fig. 9 A is the top view for being painted the multiholed catheter device of tool puncture supplementary structure of Fig. 7；

Fig. 9 B is the perspective view for being painted the multiholed catheter device of tool puncture supplementary structure of Fig. 7；

Figure 10 is the operation chart for being painted the multiholed catheter device of tool puncture supplementary structure of Fig. 7；

Figure 11 A is the top view for being painted the multiholed catheter device of tool puncture supplementary structure of fourth embodiment of the invention；

Figure 11 B is the exploded perspective view for being painted the multiholed catheter device of tool puncture supplementary structure of Figure 11 A；

Figure 12 A is the outside side view for being painted the horizontal ridges of multi-pore channel ontology of one embodiment of the invention；

Figure 12 B is the outside side view for being painted the spiral burr of multi-pore channel ontology of one embodiment of the invention；

Figure 13 is the stream for being painted the application method of the multiholed catheter device of tool puncture supplementary structure of one embodiment of the inventionJourney schematic diagram；

Figure 14 is the application method for being painted the multiholed catheter device of tool puncture supplementary structure of another embodiment of the present inventionFlow diagram.

Specific embodiment

The following drawings illustrate multiple embodiments of the invention.As clearly stated, the details in many practicesIt will be explained in the following description.It should be appreciated, however, that the details in these practices is not applied to limit the present invention.AlsoIt is to say, in section Example of the present invention, the details in these practices is non-essential.In addition, for the sake of simplifying attached drawing, it is someKnown usual structure will be painted in a manner of simply illustrating in the accompanying drawings with element；And duplicate element will likely use phaseSame number indicates.

Also referring to Fig. 1 to Fig. 5, Fig. 1 be painted first embodiment of the invention tool puncture the porous of supplementary structure leadThe stereoscopic schematic diagram of pipe device 100.Fig. 2A is to be painted the multiholed catheter device 100 of the tool puncture supplementary structure of Fig. 1 according to first partyTo stereogram exploded view.Fig. 2 B is to be painted the multiholed catheter device 100 of the tool puncture supplementary structure of Fig. 1 according to the solid of second directionExploded view.Fig. 3 A is the cross-sectional view for being painted the multiholed catheter device 100 of tool puncture supplementary structure of Fig. 1.Fig. 3 B is painted Fig. 1The two ontologies perforation 210 that tool punctures the multiholed catheter device 100 of supplementary structure extends the schematic diagram intersected on the outside of device.Fig. 4 AIt is the top view for being painted the multiholed catheter device 100 of tool puncture supplementary structure of Fig. 1.Fig. 4 B is the tool puncture auxiliary for being painted Fig. 1The perspective view of the multiholed catheter device 100 of structure.Fig. 5 is the multiholed catheter device for being painted the tool puncture supplementary structure of Fig. 1100 operation chart.As shown, tool punctures the multiholed catheter device 100 of supplementary structure to guide introscope 110 and handArt instrument 120.The multiholed catheter device 100 that this tool punctures supplementary structure includes multi-pore channel ontology 200, piercing point 300, lid400 and washer 500.

Multi-pore channel ontology 200 includes two ontologies perforation 210, proximal end 220, distal end 230 and horizontal ridges 240, and twoOntology perforation 210 is independently of one another and the extending direction of two ontologies perforation 210 is different each other.Two ontology perforation 210 are separated byOne perforation spacing, perforation spacing are gradually changed by proximal end 220 towards distal end 230.In detail, perforation spacing is at proximal end 220For first distance D1, spacing of perforating is second distance D2 at distal end 230.First distance D1 is greater than second distance D2.In addition, twoA ontology perforation 210 extends outwardly and is respectively formed two virtual ducts 212, and each ontology perforation 210 is in each virtual duct 212Linearly.Perforation spacing is gradually reduced by proximal end 220 towards distal end 230, and two virtual ducts 212 intersect at multi-pore channel sheetAn angle theta is formed except body 200, this angle theta is greater than 0 degree and less than 45 degree.Horizontal ridges 240 are set to multi-pore channel ontology 200Outer wall on, the horizontal ridges 240 of the present embodiment have five, parallel to each other and spaced set.Furthermore proximal end 220 includesTwo lugs 222, this two lugs 222 are located at opposite two sides of proximal end 220, and two lugs 222 are more to rotate synchronouslyDuct ontology 200 and piercing point 300.Whereby, the present invention puts introscope 110 and surgical instrument using independent multi-pore channel120, it not only can avoid interfering with each other, and operation is quite convenient, can say healthcare givers to be a big Gospel.In addition, theseIndependent multi-pore channel has specific direction, and introscope 110 and surgical instrument 120 can be allowed to intersect at operative site, facilitate medical treatmentPersonnel's manipulation, and then shorten operating time and increase operation safety, to solve the multiple surgical apparatus of tradition in single ductThe problem of easily interfering with each other.

The distal end 230 of 300 integrally connected multi-pore channel ontology 200 of piercing point, piercing point 300 include two puncture holes310 puncture hole 310 and respectively correspond two ontology perforation 210 of linking with ring convex 320, wherein two.Introscope 110 can run through itIn ontology perforation 210 and corresponding punctures hole 310, and surgical instrument 120 can through another ontology perforation 210 and separatelyOne puncture hole 310, as shown in Figure 5.In addition, piercing point 300 is made of a rigid material, and piercing point 300 is in pointVertebra shape.The junction of the distal end 230 of piercing point 300 and multi-pore channel ontology 200 is equipped with ring convex 320.Puncture positioned at junctionThe cross section of tip 300 is greater than the cross section of distal end 230, that is to say, that the cross-sectional area of ring convex 320 is greater than distal end 230Cross-sectional area.Whereby, tool of the invention punctures piercing point of the multiholed catheter device 100 through tip hard of supplementary structure300 additional again need not arrange in pairs or groups other puncturing structures and assist puncturing skin, and making can be straight behind device puncturing operation positionIt connects and wears and limit introscope 110 and surgical instrument 120, and then simplify surgical procedure and increase the convenience of operation, to solveTradition needs additional puncturing structure auxiliary and leads to inconvenient problem.

Lid 400 is made of soft materials, the proximal end 220 of the coated porous road ontology 200 of lid 400.Lid 400 includes twoThe caulking groove 430 of accommodating space 420, one of a cap bore 410, one and an inner top surface 440.Two cap bore 410 it is rounded andRespectively correspond two ontology perforation 210 and two puncture holes 310.Accommodating space 420 is connected two cap bore 410 and is located at lid400 inside.The outer profile of the annular in shape and corresponding lid 400 of caulking groove 430, and caulking groove 430 is set to inside and the connection of lid 400Accommodating space 420, the shape of caulking groove 430 correspond to the shape of proximal end 220.In other words, caulking groove 430 along lid 400 inner edgeRing is set, to be fitted into and coat entire proximal end 220.As for inner top surface 440 then towards accommodating space 420.

Washer 500 is made of soft materials, and washer 500 is between lid 400 and proximal end 220 and is set to accommodating spaceIn 420.Washer 500 has two washer apertures 510, this two washer apertures 510 are in more valve types and respectively correspond lid 400Two cap bore 410.The washer aperture 510 of the present embodiment is surround by three limbs and is formed, when no foreign object is inserted into washer aperture 510When, washer aperture 510 is in closed form, and three limbs is caused to be connected.(such as introscope when there is foreign object to be inserted into washer aperture 510110 or surgical instrument 120), then washer aperture 510 is in open shape, and the surface of three limbs and foreign object is caused to fit closely.Washer500 two faces up and down fit closely the inner top surface 440 of lid 400 and the proximal end top surface 224 of proximal end 220 respectively.In addition, accommodating is emptyBetween 420 top at cap bore 410 have a washer accommodation groove identical with 500 shape of washer, the depth of washer accommodation grooveEqual to the thickness of washer 500, so as to enabling washer 500 and washer accommodation groove seamless combination.Whereby, the present invention utilizes dismountable lid400 collocation washer 500 of son, enables the proximal end 220 of multi-pore channel ontology 200 to generate airtight effect, when tool punctures supplementary structureAfter multiholed catheter device 100 is pierced into skin, it is inside and outside and the risk of surgical site infection is greatly reduced can effectively to completely cut off skin.In additionIt is noted that being respectively used to setting introscope 110 and surgical instrument since the structure of the present embodiment only includes double hole channel120, if healthcare givers need operative site wash by water or absorb water to increase visibility, may be used a suction set component (such as:Endoscope sheath) combine introscope 110 after be sequentially inserted into again corresponding cap bore 410, washer aperture 510, ontology perforation210 and puncture hole 310.Deduced by above-mentioned, cap bore 410, washer aperture 510, ontology perforation 210 and punctures hole 310The aperture that aperture is all larger than the aperture of suction set component, and suctions set component is greater than the aperture of introscope 110, could will so rushIt inhales set component and introscope 110 is freely arranged in tool and punctures in the multiholed catheter device 100 of supplementary structure.

A and Fig. 6 B referring to Figure 6 together, Fig. 6 A are to be painted having for second embodiment of the invention to puncture the porous of supplementary structureThe top view of conduit device 100a.Fig. 6 B is the solid point for being painted the multiholed catheter device 100a of tool puncture supplementary structure of Fig. 6 ASolve perspective view.As shown, the multiholed catheter device 100a that tool punctures supplementary structure includes multi-pore channel ontology 200a, piercing point300a, lid 400a and washer 500a.Multi-pore channel ontology 200a includes two ontologies perforation 210a, proximal end 220a, distal end230a, horizontal ridges 240 and interlaced area R.Interlaced area R be located within multi-pore channel ontology 200a and between proximal end 220a withBetween the 230a of distal end, each ontology perforation 210a is linearly, and two ontologies perforation 210a is interlaced with each other in interlaced area R, hands overWrong region R is a cross section of multi-pore channel ontology 200a, and two ontologies perforation 210a on this interlaced area R is each otherDistance (i.e. perforation spacing) near.In other words, perforation spacing is gradually reduced by proximal end 220a towards interlaced area R, andPerforation spacing is become larger by interlaced area R towards distal end 230a.Furthermore piercing point 300a includes two puncture holes310a, this two puncture hole 310a are connected two ontology perforation 210a respectively.It is real as lid 400a, washer 500a and firstThe difference of the lid 400, washer 500 of applying example is only that cap bore 410,410a and the washer aperture 510 of two embodiments, 510aSet difference, the two cap bore 410a of lid 400a respectively correspond the two washer aperture 510a of washer 500a, multi-pore channel ontology 200aThe two of two ontologies perforation 210a and piercing point 300a puncture hole 310a.Whereby, the present invention penetrate with specific direction andAlternating expression multi-pore channel independent of each other operates come the introscope 110 for realizing different form and orientation and using for surgical instrument 120,It can not only solve the problems, such as that the multiple surgical apparatus of tradition easily interfere with each other in single duct, can also increase healthcare giversThe elasticity that uses and the operation for reducing particular procedure equipment limitation.In addition it is noted that surgical apparatus of the invention is unlimitedIt can be the device of various soft or hard matter strip, to meet different Operative categories in introscope 110 and surgical instrument 120Demand.

Referring to Figure 7 together to Figure 10, Fig. 7 be painted third embodiment of the invention tool puncture the porous of supplementary structure leadThe stereoscopic schematic diagram of pipe device 100b.Fig. 8 A is to be painted the multiholed catheter device 100b of the tool puncture supplementary structure of Fig. 7 according to firstThe stereogram exploded view in direction.Fig. 8 B is to be painted the multiholed catheter device 100b of the tool puncture supplementary structure of Fig. 7 according to second directionStereogram exploded view.Fig. 9 A is the top view for being painted the multiholed catheter device 100b of tool puncture supplementary structure of Fig. 7.Fig. 9 B is to be paintedThe tool of Fig. 7 punctures the perspective view of the multiholed catheter device 100b of supplementary structure.Figure 10 is the tool puncture auxiliary knot for being painted Fig. 7The operation chart of the multiholed catheter device 100b of structure.As shown, the multiholed catheter device 100b that tool punctures supplementary structure is usedTo guide introscope 110, surgical instrument 120, bath unit 130 and suction unit 140, and has and puncture the porous of supplementary structureConduit device 100b includes multi-pore channel ontology 200b, piercing point 300b, lid 400b and washer 500b.

Multi-pore channel ontology 200b include the first noumenon perforate the 2102, second ontology perforation 2104, third ontology perforation 2106,4th ontology perforation 2108, proximal end 220b, distal end 230b and horizontal ridges 240, wherein the first noumenon is perforated 2102, secondBody perforation 2104, the perforation 2106 of third ontology and the 4th ontology perforation 2108 are independently of one another and extending direction is different each other.FirstOntology perforation 2102 and the second ontology perforation 2104 are separated by a perforation spacing, and perforation spacing is by proximal end 220b towards distally230b gradually becomes smaller.

Piercing point 300b connection distal end 230b, and piercing point 300b includes that the first puncture hole 3102, second puncturesHole 3104, third puncture hole 3106 and the 4th puncture hole 3108.First, which punctures hole 3102, second, punctures hole3104, third punctures hole 3106 and the 4th puncture hole 3108 respectively corresponds linking the first noumenon and perforates 2102, secondBody perforation 2104, the perforation 2106 of third ontology and the 4th ontology perforation 2108.Introscope 110 through the first noumenon perforation 2102 withFirst punctures hole 3102；Surgical instrument 120 punctures hole 3104 through the second ontology perforation 2104 and second；Bath unit130 puncture hole 3106 with third through third ontology perforation 2106；Suction unit 140 is through the 4th ontology perforation 2108 and theFour puncture hole 3108.The 2102, second ontology perforation 2104, third ontology perforation 2106 and the 4th in addition, the first noumenon is perforatedOntology perforation 2108 extends outwardly and is respectively formed the first virtual duct, the second virtual duct, the virtual duct of third, the 4th virtuallyDuct, and the first noumenon perforate the 2102, second ontology perforation 2104, third ontology perforate the 2106, the 4th ontology perforation 2108,First virtual duct, the second virtual duct, the virtual duct of third and the 4th virtual duct are linearly cylindric.Perforation spacingIt is gradually reduced by proximal end 220b towards distal end 230b, and the first virtual duct, the second virtual duct, the virtual duct of third and the 4thVirtual duct intersects at except multi-pore channel ontology 200b.In other words, in the course of surgery, the first virtual duct, second virtualDuct, the virtual duct of third and the 4th virtual duct intersect at the operative site of patient, cause to penetrate introscope 110 in it,Surgical instrument 120, bath unit 130 and suction unit 140 also intersect at the operative site of patient, and then allow healthcare givers's energyThe multiholed catheter device 100b for enough puncturing supplementary structure through tool effectively operates introscope 110, surgical instrument 120, bath listMember 130 and suction unit 140.

The difference of the lid 400 of the first embodiment of lid 400b and Fig. 2A, Fig. 2 B is only that lid 400b also and includes theOne cap bore 4102, the second cap bore 4104, third cap bore 4106 and the 4th cap bore 4108, this first cap bore 4102, the second cap bore4104, third cap bore 4106 and the 4th cap bore 4108 are rounded.The corresponding the first noumenon perforation 2102 of first cap bore 4102 and theOne punctures hole 3102；The corresponding second ontology perforation 2104 and second of second cap bore 4104 punctures hole 3104；Third cap bore4106 corresponding third ontology perforation 2106 puncture hole 3106 with third；The corresponding 4th ontology perforation 2108 of 4th cap bore 4108 with4th punctures hole 3108.Accommodating space 420 is connected the first cap bore 4102, the second cap bore 4104, third cap bore 4106 and the 4thCap bore 4108.Then identical as lid 400 as remaining structure, so it will not be repeated.

The difference of the washer 500 of the first embodiment of washer 500b and Fig. 2A, Fig. 2 B is only that washer 500b also and includes theOne washer aperture 5102, second packing ring aperture 5104, the aperture 5106 of third washer and the 4th washer aperture 5108, this first washerAperture 5102, second packing ring aperture 5104, the aperture 5106 of third washer and the 4th washer aperture 5108 are in more valve types and differenceCorresponding first cap bore 4102, the second cap bore 4104, third cap bore 4106 and the 4th cap bore 4108.As for remaining structure then with washer500 is identical, and so it will not be repeated.Whereby, the multiholed catheter device 100b that tool of the invention punctures supplementary structure utilizes independent moreIntroscope 110, surgical instrument 120, bath unit 130 and suction unit 140 are put in duct, not only can avoid mutually dryIt disturbs, and operation is quite convenient, can say it is a big Gospel for healthcare givers.In addition, these independent multi-pore channels are with specificDirection, can allow introscope 110, surgical instrument 120, bath unit 130 and suction unit 140 intersect at operative site, sideJust healthcare givers manipulates, and then shortens operating time and increase operation safety, to solve the multiple surgical apparatus of tradition singleIt is easily interfered with each other in duct and 110 palpus additional knot syzygies of introscope is inhaled produced by set component (endoscope sheath)Problem not easy to operate.

Also referring to Figure 11 A and Figure 11 B, Figure 11 A is the tool puncture supplementary structure for being painted fourth embodiment of the inventionThe top view of multiholed catheter device 100c.Figure 11 B is the multiholed catheter device 100c for being painted the tool puncture supplementary structure of Figure 11 AExploded perspective view.As shown, the multiholed catheter device 100c that tool punctures supplementary structure includes multi-pore channel ontology 200c, wearsPuncture tip portion 300c, lid 400c and washer 500c.

Multi-pore channel ontology 200c includes the first noumenon perforation 2102c, the second ontology perforation 2104c, the perforation of third ontology2106c, the 4th ontology perforation 2108c, proximal end 220c, distal end 230c, horizontal ridges 240 and interlaced area R.Interlaced area RWithin multi-pore channel ontology 200c and between proximal end 220c and distal end 230c, the first noumenon perforation 2102c, the second ontologyPerforation 2104c, third ontology perforation 2106c, the 4th ontology perforation 2108c are linearly.The first noumenon is perforated 2102c and theTwo ontologies are perforated, and 2104c is interlaced with each other in interlaced area R, this interlaced area R is a cross-sectional area of multi-pore channel ontology 200cDomain, and on this interlaced area R the first noumenon perforation 2102c and the second ontology perforate the mutual distance of 2104c near.It changesSentence is talked about, and perforation spacing is gradually reduced by proximal end 220c towards interlaced area R, and spacing of perforating is by interlaced area R direction distal end230c becomes larger.Above-mentioned interlaced area R is identical as the position interlaced area R of Fig. 6 B.

Piercing point 300c includes the first puncture hole 3102c, the second puncture hole 3104c, third puncture hole 3106cAnd the 4th puncture hole 3108c.First puncture hole 3102c, second puncture hole 3104c, third puncture hole 3106c withAnd the 4th puncture hole 3108c respectively correspond linking the first noumenon perforation 2102c, the second ontology perforation 2104c, third ontology are wornHole 2106c and the 4th ontology perforation 2108c.Introscope 110 punctures hole 3102c through the first noumenon perforation 2102c and first；Surgical instrument 120 punctures hole 3104c through the second ontology perforation 2104c and second；Bath unit 130 is worn through third ontologyHole 2106c and third puncture hole 3106c；Suction unit 140 punctures hole through the 4th ontology perforation 2108c and the 4th3108c。

Two are only that as the lid 400b of lid 400c, washer 500c and 3rd embodiment, the difference of washer 500bThe cap bore of embodiment and the position of washer aperture are different, the first cap bore 4102c, the second cap bore 4104c, third lid of lid 400cHole 4106c, the 4th cap bore 4108c respectively correspond the first washer aperture 5102c of washer 500a, second packing ring aperture 5104c,The first noumenon the perforation 2102c, the second ontology of three washer aperture 5106c, the 4th washer aperture 5108c, multi-pore channel ontology 200cThe first puncture hole of perforation 2104c, third ontology perforation 2106c, the 4th ontology perforation 2108c and piercing point 300c3102c, second puncture hole 3104c, third puncture hole 3106c, the 4th puncture hole 3108c.Whereby, the present invention is through toolThere are specific direction and alternating expression multi-pore channel independent of each other to realize different form and the introscope 110 in orientation, surgical instrument120, bath unit 130 and using for suction unit 140 operate, and can both solve the multiple surgical apparatus of tradition in single ductIn the problem of easily interfering with each other, can also increase the elasticity that healthcare givers uses and reduce the operation limit of particular procedure equipmentSystem.

Previous porous road ontology 200,200a, 200b, 200c and piercing point 300,300a, 300b, 300c can be by curingTreatment is made of hard material, such as: acrylonitrile-butadiene-styrene (ABS) polymer (Acryl Buadiene StyrenePlastic；ABS plastic), polycarbonate (PC), polypropylene (PP), polyethylene (PE), polystyrene (PS), polyvinyl chloride(PVC), polyethylene terephthalate (PET) or polybutylene terephthalate (PBT) (PBT) etc..

Also referring to Figure 12 A and Figure 12 B, Figure 12 A be the multi-pore channel ontology 200 for being painted one embodiment of the invention, 200a,The outside side view of the horizontal ridges 240 of 200b, 200c.Figure 12 B is the multi-pore channel ontology 200d for being painted one embodiment of the inventionSpiral burr 240d outside side view.As shown, the outer wall of previous porous road ontology 200,200a, 200b, 200c is setThere are five horizontal ridges 240, these horizontal ridges 240 are parallel to each other and spaced set, as illustrated in fig. 12.Certainly, also may be usedAs shown in Figure 12 B, the outer wall of multi-pore channel ontology 200d can be equipped with spiral burr 240d, this spiral burr 240d is used in combination in the shape of a spiralTo reduce resistance when multi-pore channel ontology 200d is punctured.During puncture, healthcare givers utilizes hand force rotary lobe222, enable piercing point 300,300a, 300b, 300c and multi-pore channel ontology 200,200a, 200b, 200c, 200d penetrate patient'sSkin.Either horizontal ridges 240 either spiral burr 240d, can reduce multi-pore channel ontology 200,200a, 200b,Displacement frictional force between the outer wall and skin of 200c, 200d, so as to enabling healthcare givers that can successfully puncture patient skin.

It is the tool puncture supplementary structure for being painted one embodiment of the invention also referring to FIG. 1 to FIG. 6 B and Figure 13, Figure 13The flow diagram of the application method 600 of multiholed catheter device 100,100a.As shown, this application method 600 includes to punctureStep S12, introscope installing step S14 and surgical instrument install step S16.Wherein piercing step S12 is to rotate and pushMulti-pore channel ontology 200,200a and piercing point 300,300a make multi-pore channel ontology 200,200a and piercing point 300, the edge 300aOne axial displacement.Introscope installing step S14 is that introscope 110 is arranged in it by proximal end 220,220a to distal end 230,230aIn a cap bore 410,410a, one of washer aperture 510,510a, one of ontology perforation 210,210a and whereinOne puncture hole 310,310a.And surgical instrument installing step S16 is by surgical instrument 120 by proximal end 220,220a to distal end230,230a be arranged in another cap bore 410,410a, another washer aperture 510,510a, another ontology perforation 210,210a and another puncture hole 310,310a.In addition, the step of application method 600 of Figure 13 execution sequence is piercing stepS12, introscope installing step S14 and surgical instrument install step S16, and in general surgical procedure, step executes suitableSequence also can install step S16 for piercing step S12, surgical instrument and introscope installs step S14.In other words, step is puncturedRapid S12 is bound to first carry out, then can be according to healthcare givers as introscope installing step S14 and surgical instrument installing step S16Demand and application determine execute sequence.Whereby, application method 600 of the invention punctures the porous of supplementary structure using tool and leadsPipe device 100,100a put introscope 110 and surgical instrument 120, not only can avoid interfering with each other, and can increase medical treatmentThe operation ease of personnel.Furthermore above-mentioned independent multi-pore channel has specific direction, can allow introscope 110 and surgical instrument120 intersect at operative site, and healthcare givers is facilitated to manipulate, and then shorten operating time and increase operation safety, to solve to passThe problem of multiple surgical apparatus of uniting easily interfere with each other in single duct.

Referring to Figure 7 together~Figure 11 B and Figure 14, Figure 14 is the tool puncture supplementary structure for being painted another embodiment of the present inventionMultiholed catheter device 100b, 100c application method 700 flow diagram.As shown, this application method 700 includes to wearPierce step S21, bath unit installing step S22, suction unit installing step S23, introscope installing step S24 and surgical deviceTool installs step S25.Wherein piercing step S21 be rotate and push multi-pore channel ontology 200b, 200c and piercing point 300b,300c makes multi-pore channel ontology 200b, 200c and piercing point 300b, 300c along an axial displacement.Furthermore unit installing step of washing by waterRapid S22 is that the unit 130 that will wash by water by proximal end 220b, 220c to distal end 230b, 230c is installed in third cap bore 4106,4106c, theThree washer apertures 5106,5106c, third ontology perforation 2106,2106c and third puncture hole 3106,3106c.Water suction is singleMember installing step S23 be by suction unit 140 by proximal end 220b, 220c to distal end 230b, 230c be installed in the 4th cap bore 4108,4108c, the 4th washer aperture 5108,5108c, the 4th ontology perforation 2108,2108c and the 4th puncture hole 3108,3108c.In addition, introscope installing step S24 is to be arranged in introscope 110 by proximal end 220b, 220c to distal end 230b, 230cFirst cap bore 4102,4102c, the first washer aperture 5102,5102c, the first noumenon perforation 2102,2102c and first are puncturedHole 3102,3102c.And surgical instrument installing step S25 be by surgical instrument 120 by proximal end 220b, 220c to distal end 230b,230c be arranged in the second cap bore 4104,4104c, second packing ring aperture 5104,5104c, the second ontology perforation 2104,2104c withAnd second puncture hole 3104,3104c.In addition, the step of application method 700 of Figure 14 execution sequence is piercing step S21, punchingWater unit installs step S22, suction unit installing step S23, introscope installing step S24 and surgical instrument and installs stepS25, and in general surgical procedure, piercing step S21 is bound to first carry out, and the installing as other surgical apparatus then can be according toThe sequence executed is determined according to the demand and application of healthcare givers, that is, sequence can convert on demand.Whereby, user of the inventionMethod 700 realized through having specific direction and alternating expression multi-pore channel independent of each other different form and orientation introscope 110,Surgical instrument 120, bath unit 130 and using for suction unit 140 operate, and under conditions of not interfereing with each other, can increase doctorElasticity that treatment personnel use and the operation limitation for reducing particular procedure equipment.

By above embodiment it is found that the present invention is had the advantage that first, being put interior view using independent multi-pore channelMirror, surgical instrument, bath unit, suction unit or other surgical apparatus, can avoid interfering with each other.Second, these are independent moreDuct has specific direction, can be divided into center and puncture and intersect puncture, healthcare givers can be allowed to select according to demand appropriateStructure.Third, center puncture be by the independent multi-pore channel with specific direction, allow introscope, surgical instrument, bath unit andSuction unit intersects at operative site, and healthcare givers is facilitated to manipulate, and then shortens operating time and increase operation safety.ItsFour, intersect that puncture be through with specific direction and alternating expression multi-pore channel independent of each other realizes the interior of different form and orientationVisor, surgical instrument, bath unit and using for suction unit operate, and under conditions of not interfereing with each other, can increase medical peopleThe elasticity that uses of member and the operation limitation for reducing particular procedure equipment.Fifth, device front end is tip hard, can be used for puncturing skinSkin and additional again need not arrange in pairs or groups other puncturing structures to assist, therefore directly can wear and limit behind device puncturing operation positionIntroscope and surgical instrument, and then simplify surgical procedure and increase the convenience of operation, it needs additionally to puncture knot to solve traditionStructure assists and leads to inconvenient problem.

Although the present invention is disclosed above with embodiment, however, it is not to limit the invention, any to be familiar with this skillPerson, without departing from the spirit and scope of the present invention, when can be used for a variety of modifications and variations, therefore protection scope of the present invention is worked asSubject to the scope of which is defined in the appended claims.

Claims (20)

1. a kind of tool punctures the multiholed catheter device of supplementary structure, special to guide an at least introscope and a surgical instrumentSign is that the multiholed catheter device that the tool punctures supplementary structure includes:

One multi-pore channel ontology, comprising at least two ontologies perforation, a proximal end and one distal end, two ontology perforation independently of one another and this twoThe extending direction of ontology perforation is different each other, and two ontology perforation is separated by a perforation spacing, and the perforation spacing is by the proximal endIt is distally gradually changed towards this；And

One piercing point connects the distal end, which includes at least two puncture holes, which respectively corresponds rankConnect two ontology perforation；

Wherein, the introscope therethrough the ontology perforation with the corresponding one puncture hole, the surgical instrument run through it is anotherOntology perforation and another puncture hole.

2. the multiholed catheter device that tool according to claim 1 punctures supplementary structure, which is characterized in that two ontology perforationExtend outwardly and be respectively formed two virtual ducts, respectively ontology perforation, perforation spacing linearly with the respectively virtual ductIt is distally gradually reduced by the proximal end towards this, which intersects at except the multi-pore channel ontology and shape has angle, shouldAngle is greater than 0 degree and less than 45 degree.

3. the multiholed catheter device that tool according to claim 1 punctures supplementary structure, which is characterized in that the multi-pore channel ontologyOuter wall be equipped with a plurality of horizontal ridges, a plurality of horizontal ridges are parallel to each other and spaced set.

4. the multiholed catheter device that tool according to claim 1 punctures supplementary structure, which is characterized in that the multi-pore channel ontologyOuter wall be equipped with a spiral burr, the spiral burr to reduce the multi-pore channel ontology puncture when resistance.

5. the multiholed catheter device that tool according to claim 1 punctures supplementary structure, which is characterized in that the proximal end includes:

Two lugs are located at opposite two sides of the proximal end, and two lug is to rotate the multi-pore channel ontology and the piercing point.

6. the multiholed catheter device that tool according to claim 1 punctures supplementary structure, which is characterized in that also include:

One lid, is made of soft materials, which coats the proximal end, which includes:

At least two cap bore, two cap bore is rounded and respectively corresponds two ontology perforation and the two punctures hole；

One accommodating space is connected two cap bore；And

One caulking groove, set on the lid inside and connect the accommodating space, the shape of the caulking groove corresponds to the shape of the proximal end.

7. the multiholed catheter device that tool according to claim 6 punctures supplementary structure, which is characterized in that also include:

One washer, is made of soft materials, which is located between the lid and the proximal end and is set in the accommodating space, the padCircle has at least two washer apertures, and the two washers aperture is in more valve types and respectively corresponds two cap bore, and the two faces difference of the washer is tightOne proximal end top surface of the closely connected inner top surface for closing the lid and the proximal end.

8. it is according to claim 1 tool puncture supplementary structure multiholed catheter device, which is characterized in that the piercing point byOne rigid material is constituted, which is in sharp vertebra shape, and the piercing point and a junction of the distal end are equipped with a ring convex, are located atThe cross section of the piercing point of the junction is greater than the cross section of the distal end.

9. the multiholed catheter device that tool according to claim 1 punctures supplementary structure, which is characterized in that the multi-pore channel ontologyIt also include an interlaced area, which is located within the multi-pore channel ontology and between the proximal end and the distal end, respectively shouldOntology perforation is linearly, and two ontology perforation is interlaced with each other in the interlaced area, which should by proximal end directionInterlaced area is gradually reduced, and the perforation spacing is distally become larger by the interlaced area towards this.

10. a kind of tool punctures the multiholed catheter device of supplementary structure, to guide an introscope, a surgical instrument, a bath listMember and a suction unit, which is characterized in that the multiholed catheter device that the tool punctures supplementary structure includes:

One multi-pore channel ontology includes the first noumenon perforation, the perforation of one second ontology, third ontology perforation, one the 4th ontologyPerforation, a proximal end and a distal end, the first noumenon perforation, second ontology perforation, third ontology perforation and the 4th ontologyPerforation is independently of one another and extending direction is different each other, and the first noumenon perforation and second ontology perforation are separated by between a perforationAway from the perforation spacing is distally gradually changed by the proximal end towards this；And

One piercing point connects the distal end, which includes one first puncture hole, one second puncture hole, a thirdHole and one the 4th puncture hole are punctured, the first puncture hole, the second puncture hole, the third puncture hole and the 4thIt punctures hole and respectively corresponds and be connected the first noumenon perforation, second ontology perforation, third ontology perforation and the 4th ontologyPerforation；

Wherein, which runs through second ontology through the first noumenon perforation and the first puncture hole, the surgical instrumentPerforation punctures hole, the suction unit with the third through third ontology perforation with the second puncture hole, the bath unitHole is punctured with the 4th through the perforation of the 4th ontology.

11. the multiholed catheter device that tool according to claim 10 punctures supplementary structure, which is characterized in that the first noumenonPerforation, second ontology perforation, third ontology perforation and the perforation of the 4th ontology extend outwardly and are respectively formed one first voidQuasi- duct, one second virtual duct, the virtual duct of a third, one the 4th virtual duct, the first noumenon perforation, second ontologyPerforation, third ontology perforation, the perforation of the 4th ontology, the first virtual duct, the second virtual duct, the third virtual apertureRoad and the 4th virtual duct are linearly, which is distally gradually reduced by the proximal end towards this, this is first virtualDuct, the second virtual duct, the virtual duct of the third and the 4th virtual duct intersect at except the multi-pore channel ontology.

12. the multiholed catheter device that tool according to claim 10 punctures supplementary structure, which is characterized in that the multi-pore channel sheetThe outer wall of body is equipped with a plurality of horizontal ridges, and a plurality of horizontal ridges are parallel to each other and spaced set.

13. the multiholed catheter device that tool according to claim 10 punctures supplementary structure, which is characterized in that the multi-pore channel sheetThe outer wall of body is equipped with a spiral burr, and the spiral burr is to reduce resistance when device punctures.

14. the multiholed catheter device that tool according to claim 10 punctures supplementary structure, which is characterized in that proximal end packetContain:

Two lugs are located at opposite two sides of the proximal end, and two lug is to rotate the multi-pore channel ontology and the piercing point.

15. the multiholed catheter device that tool according to claim 10 punctures supplementary structure, which is characterized in that also include:

One lid, is made of soft materials, which coats the proximal end, which includes:

One first cap bore, rounded and corresponding the first noumenon perforation and the first puncture hole；

One second cap bore, rounded and corresponding second ontology perforation and the second puncture hole；

One third cap bore, rounded and corresponding third ontology perforation puncture hole with the third；

One the 4th cap bore, rounded and corresponding 4th ontology perforation puncture hole with the 4th；

One accommodating space is connected first cap bore, second cap bore, the third cap bore and the 4th cap bore；And

One caulking groove, set on the lid inside and connect the accommodating space, the shape of the caulking groove corresponds to the shape of the proximal end.

16. the multiholed catheter device that tool according to claim 15 punctures supplementary structure, which is characterized in that also include:

One washer, is made of soft materials, which is located between the lid and the proximal end and is set in the accommodating space, the padCircle has four washer apertures, which is in more valve types and respectively corresponds first cap bore, second cap bore, the thirdCap bore and the 4th cap bore, two faces of the washer fit closely an inner top surface of the lid respectively and a proximal end of the proximal end is pushed upFace.

17. the multiholed catheter device that tool according to claim 10 punctures supplementary structure, which is characterized in that the piercing pointIt is made of a rigid material, which is in sharp vertebra shape, and the piercing point and a junction of the distal end are equipped with a ring convex, positionIt is greater than the cross section of the distal end in the cross section of the piercing point of the junction.

18. the multiholed catheter device that tool according to claim 10 punctures supplementary structure, which is characterized in that the multi-pore channel sheetBody also includes an interlaced area, which is located within the multi-pore channel ontology and between the proximal end and the distal end, shouldThe first noumenon perforation, second ontology perforation, third ontology perforation and linearly, the first of the 4th ontology perforationBody perforation and second ontology perforation are interlaced with each other in the interlaced area, the perforation spacing by the proximal end towards the interlaced area byIt is tapered small, and the perforation spacing is distally become larger by the interlaced area towards this.

19. a kind of application method for the multiholed catheter device for puncturing supplementary structure applied to tool described in claim 1, to leadDraw the introscope and the surgical instrument, which is characterized in that the application method includes:

One piercing step is to rotate the multi-pore channel ontology and the piercing point, makes the piercing point along an axial displacement；

One introscope install step, be the introscope is distally arranged in by the proximal end to this wherein the ontology perforation with whereinThe one puncture hole；And

One surgical instrument installs step, be the surgical instrument is distally arranged in by the proximal end to this perforation of another ontology with it is anotherThe one puncture hole.

20. a kind of application method for the multiholed catheter device that supplementary structure is punctured applied to tool described in any one of claim 10, toGuide the introscope, the surgical instrument, the bath unit and the suction unit, which is characterized in that the application method includes:

One piercing step is to rotate the multi-pore channel ontology and the piercing point, makes the piercing point along an axial displacement；

One bath unit installs step, is that the bath unit is installed in third ontology perforation to puncture hole with the third；

One suction unit installs step, is that the suction unit is installed in the perforation of the 4th ontology to puncture hole with the 4th；

One introscope install step, be the introscope is distally arranged in by the proximal end to this first noumenon perforation with this firstPuncture hole；And

One surgical instrument installs step, is that the surgical instrument is distally arranged in by the proximal end to this to second ontology perforation and is somebody's turn to doSecond punctures hole.