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CN111938775A - Puncture tube assembly with rotary bolt - Google Patents

Puncture tube assembly with rotary bolt
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Publication number
CN111938775A
CN111938775ACN202010825828.6ACN202010825828ACN111938775ACN 111938775 ACN111938775 ACN 111938775ACN 202010825828 ACN202010825828 ACN 202010825828ACN 111938775 ACN111938775 ACN 111938775A
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China
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tunnel
tube assembly
assembly
pipeline
length
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CN202010825828.6A
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CN111938775B (en
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曾国庆
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8th Medical Center of PLA General Hospital
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Chongqing Chengyi Technology Co ltd
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Abstract

The invention discloses a puncture tube assembly with a rotary bolt, which comprises a hollow tube assembly and a sealing assembly, wherein the near end of the hollow tube assembly is connected with the far end of the sealing assembly to form an airtight seal for the hollow tube assembly of a puncture outfit, and the puncture tube assembly comprises an outer pipeline, an inner pipeline and a rotary bolt; the outer tube including an outer tube proximal end and an outer tube distal end and an outer tube wall extending therebetween, the outer tube wall defining a first hollow channel; the outer pipeline also comprises an axial tunnel arranged along the axial direction of the outer pipeline, the tunnel comprises a first tunnel side wall and a second tunnel side wall which are connected with the outer pipeline into a whole and a tunnel top wall connected with the first tunnel side wall, and the tunnel comprises a tunnel channel communicated with the first hollow channel; the inner conduit includes an inner conduit proximal end and an inner conduit distal end and an inner conduit wall extending therebetween, the inner conduit wall outer surface including an inner conduit outer cylindrical surface, the outer surface of the inner conduit proximal end including an outer bump.

Description

Puncture tube assembly with rotary bolt
Technical Field
The invention relates to a minimally invasive surgical instrument, in particular to a puncture tube assembly with a rotary bolt.
Background
A puncture instrument is a surgical instrument used in minimally invasive surgery (especially hard-tube endoscopic surgery) for establishing an artificial passage into a body cavity. Typically consisting of a spike assembly and a spike. The general clinical use mode is as follows: a small opening is cut on the skin of a patient, the puncture needle penetrates through the puncture tube assembly, and then the puncture needle penetrates through the abdominal wall through the skin opening to enter a body cavity. Once inside the body cavity, the needle is removed, leaving the puncture tube assembly as a passage for instruments into and out of the body cavity.
In the hard tube laparoscopic surgery, a pneumoperitoneum machine is usually adopted to continuously perfuse gas (such as carbon dioxide gas) into the abdominal cavity of a patient and maintain a stable gas pressure (about 13-15 mmHg) so as to obtain a sufficient operation space. The puncture tube assembly typically consists of a hollow tube, a housing, a sealing membrane (also known as an instrument seal) and a zero seal (also known as a self-seal). The puncture tube assembly penetrates from the outside of the body cavity to the inside of the body cavity and is used as a passage for instruments to enter and exit the body cavity. The housing connects the hollow tube, zero seal and sealing membrane into a sealed system. The zero seal generally does not provide a seal for the inserted instrument, but automatically closes and forms a seal when the instrument is removed. The sealing membrane grips the instrument and forms a seal as the instrument is inserted.
When the puncture tube assembly is secured to the abdominal wall of a patient, the hollow tube thereof may be divided into an external body section (length H1), a body wall section (length H2) and an internal body section (length H3). The length H2 of the body wall segment varies, and when applied to different patients, the abdominal wall thickness varies from patient to patient, e.g., the difference between obese patients and the smaller abdominal wall thickness is greater; the wall section H2 varies for different puncture positions and puncture angles even when used with the same patient. The length H1 of the extracorporeal section cannot be reserved too long or too short, which is inconvenient for inserting the instrument, and especially when the puncture tube component is used as a main operation hole and needs to be repeatedly switched, the puncture tube component is too short which is inconvenient for operating the instrument at different inclination angles. The length H3 of the in-vivo section is not changed greatly generally, and is reserved for 20-30 mm. The length of the hollow tube of the puncture tube assembly in the prior art is fixed, and the requirements of different scene in the field cannot be met.
Disclosure of Invention
In one aspect of the present invention, a puncture tube assembly including a rotating plug is provided, comprising a hollow tube assembly including an outer conduit, an inner conduit, and a rotating plug, and a seal assembly. The outer tube including an outer tube proximal end and an outer tube distal end and an outer tube wall extending therebetween, the outer tube wall defining a first hollow channel; the outer pipeline still includes the axial tunnel that sets up along its axis direction, the tunnel contains the tunnel roof of being connected with first tunnel lateral wall and second tunnel lateral wall that links as an organic whole with outer pipe wall and with it, the tunnel contains the tunnel passageway with first cavity passageway UNICOM. The inner conduit comprises an inner conduit proximal end and an inner conduit distal end and an inner conduit wall extending therebetween, the inner conduit wall outer surface comprising an inner conduit outer cylindrical surface, the outer surface of the inner conduit proximal end comprising an outer bump; the inner pipeline is arranged in the outer pipeline, wherein the shape and the size of the outer cylindrical surface of the inner pipeline are matched with those of the first hollow channel, the outer lug is matched with the tunnel channel, the inner pipeline is limited to do rotary motion relative to the outer pipeline, and the inner pipeline can axially move relative to the outer pipeline. The rotary bolt including a rotary bolt body proximal end and a rotary bolt body distal end and a rotary bolt body extending therebetween, the locking teeth extending outwardly from the rotary bolt body; first tunnel lateral wall contains the hoop spout with tunnel passageway UNICOM, and rotatory bolt is installed in the outside of first tunnel lateral wall, and wherein the locking tooth inserts in the hoop spout, rotatory bolt can be in the hoop spout for outer pipeline do the hoop and rotate.
In one scheme, a plurality of lock teeth of the rotating bolt are distributed approximately uniformly along the length direction of the rotating bolt body, and in another scheme of two adjacent locks, the rotating bolt comprises an unlocking state and a locking state; in a locking state, the rotating bolt rotates towards the interior of the tunnel channel so that the locking teeth enter the tunnel channel; in the unlocked state, the rotary bolt is rotated towards the outside of the tunnel passage so that the locking teeth are withdrawn from the tunnel passage and are closed.
In yet another aspect, the hollow tube assembly comprises a fixed state and a mobile state; in a fixed state, the rotating bolt is in a locked state, and the outer convex block is limited between two adjacent locking teeth, so that the inner pipeline is limited to move axially relative to the outer pipeline; in the mobile state, the rotating bolt is in the unlocked state and the inner pipe can move axially relative to the outer pipe.
In a further embodiment, the rotary latch comprises m locking teeth, wherein m > 3; the m locking teeth are approximately uniformly distributed along the length direction of the rotating bolt main body, the distance between two adjacent locking teeth is X2, the locking teeth are a first locking tooth, a second locking tooth … … and an mth locking tooth in sequence from the proximal end to the distal end; the length of the hollow tube assembly comprises m-1 length settings; when the outer protrusion is matched with the first and second locking teeth, the length of the hollow tube assembly is Lt1, namely the initial length; when the outer lug is matched with the second third locking tooth, the length of the hollow tube assembly isLt 2; by analogy, when the outer lug is matched with the m-1 th locking tooth and the m-1 th locking tooth, the length of the hollow pipe assembly is Ltm-1. The inner pipeline length is Ltm-1, and the following relation is satisfied:
Ltm-1=Lt1+(m-1)*X2
ltm-1, the length of the hollow tube component when the mth locking tooth is matched with the mth locking tooth; lt1 — length of the hollow tube assembly when the outer tab mates with the first and second locking teeth; m is the serial number of the annular through groove; x2-spacing of two adjacent locking teeth.
In another scheme, the rotary bolt sealing device further comprises a rotary bolt sealing ring, wherein the rotary bolt sealing ring comprises a sealing hole matched with the rotary bolt main body in shape and size; the rotary bolt sealing ring is arranged on the outer side surface of the side wall of the first tunnel, and a sealing hole of the rotary bolt sealing ring is basically aligned with the annular sliding groove; the rotary bolt sealing ring and the rotary bolt main body form air seal, and air in the outer pipeline is prevented from leaking through a fit clearance between the annular sliding groove and the rotary bolt main body.
In another aspect, the medical tube further comprises a tube tail sealing element arranged at the distal end of the outer tube, wherein the tube tail sealing element comprises a proximal elastic ring and a distal elastic ring; the far end of the outer pipe comprises an outer cylindrical surface at the tail of the outer pipe, and the sealing element is fixed outside the outer cylindrical surface at the tail of the outer pipe; the inner pipeline comprises an outer cylindrical surface of the inner pipeline, and the distal end elastic ring is matched with the outer cylindrical surface of the inner pipeline to form a seal.
In yet another aspect, a puncture tube assembly comprises a hollow tube assembly as described in any of the preceding claims, further comprising a sealing assembly, wherein the proximal end of the hollow tube assembly is connected to and forms a gas tight seal with the distal end of the sealing assembly.
In another aspect, a method for adjusting the length of a hollow tube assembly of a puncture tube assembly comprises the steps of:
s1: rotating the rotating bolt in a direction outside the tunnel passage so that the locking teeth exit the tunnel passage, thereby causing the rotating bolt to transition from the locked state to the unlocked state;
s2: pulling the inner sleeve axially along the outer pipe to a desired length;
s3: and rotating the rotating bolt towards the inner direction of the tunnel channel and matching with the inner sleeve to move axially, so that the outer lug is clamped between the locking teeth, and the rotating bolt is converted from an unlocking state to a locking state.
In one aspect of the present invention, an axially retractable puncture tube assembly is presented comprising a seal assembly and a hollow tube assembly, the seal assembly comprising a first seal assembly and a second seal assembly; the second seal comprises a second capsule comprising a proximal capsule end and a distal capsule end and a wall portion extending therebetween. The near end of the hollow pipe component is connected with the far end of the bin body to form sealing. The hollow tube assembly includes an outer tube, an inner tube, and a rotating plug. The outer tube including an outer tube proximal end and an outer tube distal end and an outer tube wall extending therebetween, the outer tube wall defining a first hollow channel; the outer pipeline still includes the axial tunnel that sets up along its axis direction, the tunnel contains the tunnel roof of being connected with first tunnel lateral wall and second tunnel lateral wall that links as an organic whole with outer pipe wall and with it, the tunnel contains the tunnel passageway with first cavity passageway UNICOM. The inner conduit comprises an inner conduit proximal end and an inner conduit distal end and an inner conduit wall extending therebetween, the inner conduit wall outer surface comprising an inner conduit outer cylindrical surface, the outer surface of the inner conduit proximal end comprising an outer bump; the inner pipeline is arranged in the outer pipeline, wherein the shape and the size of the outer cylindrical surface of the inner pipeline are matched with those of the first hollow channel, the outer lug is matched with the tunnel channel, the inner pipeline is limited to do rotary motion relative to the outer pipeline, and the inner pipeline can axially move relative to the outer pipeline. The rotary bolt comprises a rotary bolt main body, and the lock teeth extend outwards from the rotary bolt main body; first tunnel lateral wall contains the hoop incision with tunnel passageway UNICOM, and rotatory bolt is installed in the outside of first tunnel lateral wall, and wherein the locking tooth inserts in the hoop incision, rotatory bolt can be in the hoop incision for outer pipeline do the hoop and rotate.
In one scheme, the circumferential notch comprises a plurality of circumferential through holes, and the plurality of circumferential through holes are uniformly arranged in the side wall of the first tunnel along the axial direction of the outer pipeline; the plurality of locking teeth are approximately uniformly distributed along the length direction of the rotating bolt main body, and two adjacent locking teeth define a locking groove; the shape, size and position relation of the locking teeth are matched with the annular through hole.
In yet another aspect, the rotating bolt includes an unlocked state and a locked state; in a locking state, the rotating bolt rotates towards the interior of the tunnel channel so that the locking teeth enter the tunnel channel; in the unlocked state, the rotary bolt is rotated towards the outside of the tunnel passage so that the locking teeth are withdrawn from the tunnel passage and are closed.
In yet another aspect, the hollow tube assembly comprises a fixed state and a mobile state; in a fixed state, the rotating bolt is in a locked state, and the outer convex block is limited between two adjacent locking teeth, so that the inner pipeline is limited to move axially relative to the outer pipeline; in the mobile state, the rotating bolt is in the unlocked state and the inner pipe can move axially relative to the outer pipe. In another embodiment, the tunnel comprises a tunnel end, the rotating bolt comprises m locking teeth, wherein m is greater than 3, the m locking teeth are substantially uniformly distributed along the length direction of the rotating bolt body from the proximal end to the distal end, and the locking teeth are sequentially a first locking tooth, a second locking tooth … … and an m locking tooth; two adjacent lock teeth define a lock slot having a width dimension X1 along the length of the tumbler body and a spacing X2 between the two adjacent lock teeth; the distance between the mth locking tooth and the end of the tunnel is equal to X1; when the outer convex block is limited between the mth locking tooth and the end of the tunnel, the inner pipeline can be limited to move axially relative to the outer pipeline.
In yet another aspect, the length of the hollow tube assembly comprises m length settings, and when the outer protrusion is matched with the first and second locking teeth, the length of the hollow tube assembly is Lt1, which is referred to as the initial length; when the outer lug is matched with the second third locking tooth, the length of the hollow tube assembly isLt 2; by analogy, when the outer lug is matched with the m-1 th locking tooth and the m-1 th locking tooth, the length of the hollow pipe assembly is Ltm-1. The length of the hollow tube assembly is Ltm when the outer projection is matched with the mth locking tooth and the end of the tunnel is matched. The inner pipe length of Ltm satisfies the following relationship:
Ltm=Lt1+m*X2
ltm-length of the hollow tube component when the outer projection matches the mth locking tooth and the tunnel end; lt1 — length of the hollow tube assembly when the outer tab mates with the first and second locking teeth; m is the serial number of the annular through groove; x2-spacing of two adjacent locking teeth.
In another scheme, the rotary bolt sealing device further comprises a rotary bolt sealing gasket, wherein the rotary bolt sealing gasket comprises a rotary bolt sealing sheet body and a locking tooth sealing hole penetrating through the sheet body; the rotary bolt sealing gasket is adhered to the outer part of the top wall of the tunnel, wherein the locking tooth sealing hole is basically aligned with the annular through hole; and air seal is formed between the locking tooth sealing hole and the locking tooth, so that air in the outer pipeline is prevented from leaking through a fit clearance between the annular through hole and the locking tooth.
In yet another aspect, the hollow tube assembly further comprises a tube end seal mounted at the distal end of the outer tube, the tube end seal comprising a proximal elastomeric ring and a distal elastomeric ring; the far end of the outer pipe comprises an outer cylindrical surface at the tail of the outer pipe, and the sealing element is fixed outside the outer cylindrical surface at the tail of the outer pipe; the inner pipeline comprises an outer cylindrical surface of the inner pipeline, and the distal end elastic ring is matched with the outer cylindrical surface of the inner pipeline to form a seal.
In another aspect, the method for adjusting the length of the hollow tube assembly of the puncture tube assembly comprises the following steps:
s1: rotating the rotating bolt in a direction outside the tunnel passage so that the locking teeth exit the tunnel passage, thereby causing the rotating bolt to transition from the locked state to the unlocked state;
s2: pulling the inner sleeve axially along the outer pipe to a desired length;
s3: and rotating the rotating bolt towards the inner direction of the tunnel channel and matching with the inner sleeve to move axially, so that the outer lug is clamped between the locking teeth, and the rotating bolt is converted from an unlocking state to a locking state.
In one aspect of the present invention, a puncture instrument is provided that includes a puncture tube assembly and a puncture needle extending through the puncture tube assembly.
Drawings
For a fuller understanding of the nature of the present invention, reference should be made to the following detailed description taken together with the accompanying figures in which:
FIG. 1 is an exploded view of aseal assembly 2;
FIG. 2 is a cross-sectional view of theseal assembly 2;
FIG. 3 is a cross-sectional view of theseal assembly 2 at 90 from FIG. 2;
FIG. 4 is a perspective view of anouter tube 500;
FIG. 5 is a transverse cross-sectional view of anouter tube 500;
fig. 6 is a schematic perspective view of aninner conduit 600;
FIG. 7 is a perspective view of the turn key 700;
figure 8 is a perspective view ofhollow tube assembly 3;
figure 9 is a side view ofhollow tube assembly 3;
FIG. 10 is a cross-sectional view 10-10 of FIG. 9;
figure 11 is a perspective view of the puncture tube assembly 1;
FIG. 12 is an axial cross-sectional view of the spike assembly 1 a;
FIG. 13 is a perspective view of thesecond capsule 230;
FIG. 14 is an enlarged view 14-14 of FIG. 12;
FIG. 15 is a perspective view of the turn key 700 b;
figure 16 is a side view ofhollow tube assembly 3 b;
FIG. 17 is a cross-sectional view of 17-17 of FIG. 16;
FIG. 18 is a side view of the spike assembly 1 b;
FIG. 19 is a perspective view ofouter tubing 500 c;
FIG. 20 is a perspective view of therotary bolt seal 60 c;
fig. 21 is a side view ofhollow tube assembly 3 c;
FIG. 22 is a cross-sectional view 22-22 of FIG. 21;
the same reference numbers will be used throughout the drawings to refer to identical or similar parts or elements.
Detailed Description
Embodiments of the present invention are disclosed herein, however, it is to be understood that the disclosed embodiments are merely exemplary of the invention, which can be embodied in various forms. Therefore, the disclosure herein is not to be interpreted as limiting, but merely as a basis for the claims and as a basis for teaching one skilled in the art how to employ the present invention. Embodiments of the present disclosure will now be described in detail with reference to the drawings, where for convenience, the party proximal to the operator is defined as the proximal end and the party distal from the operator is defined as the distal end.
Figures 1-13 depict a puncture tube assembly 1 for use in laparoscopic procedures. The spike assembly 1 comprises a sealingassembly 2 and ahollow tube assembly 3. Fig. 1-3 depict the structure and composition of theseal assembly 2. Theseal assembly 2 may be divided into afirst seal assembly 100 and asecond seal assembly 200. Thefirst seal assembly 100 is also referred to as an instrument seal assembly, and when an external instrument is inserted, the central bore of the first seal assembly grips the instrument to form an air tight seal. The second sealing assembly is also called a zero sealing assembly, when an external instrument is not inserted, the zero sealing assembly automatically closes to form sealing, when the external instrument is inserted, the zero sealing assembly opens, and no sealing is formed between the zero sealing assembly and the instrument. The lockinggroove 239 of thecomponent 200 and thelocking hook 112 of thecomponent 100 are fastened in a matching manner. Thehook 112 and theslot 239 can be quickly detached by one hand. The connection between theassembly 100 and theassembly 200 is implemented in a variety of ways. Besides the structure shown in the embodiment, the structure can also adopt a threaded connection, a rotary buckle or other quick locking structures. Alternatively, theassembly 100 and theassembly 200 may be designed in a configuration that is not quickly detachable.
Fig. 1-3 depict the composition and assembled relationship of thefirst seal assembly 100. Theseal membrane assembly 180 is sandwiched between thefirst seal housing 110 and thefirst seal cartridge 190. Theproximal end 132 of theseal membrane assembly 180 is secured between theinner ring 116 of thefirst seal housing 110 and the inner ring 196 of thefirst seal cartridge 190. The fixing mode between thefirst sealing bin 190 and the first sealingseat 110 is various, and can adopt the modes of interference fit, ultrasonic welding, gluing, fastening and the like. Thehousing wall 191 of thefirst seal cartridge 190 and thehousing wall 111 of thefirst seal housing 110 are fixed by ultrasonic welding. This securement places theproximal end 132 of the sealingmembrane assembly 180 in compression.
Fig. 1-3 depict the composition and assembly of the sealingmembrane assembly 180. The sealingmembrane assembly 180 includes alower fixing ring 120, a sealingmembrane 130, aprotector 160, and anupper fixing ring 170. The sealingmembrane 130 and theprotector 160 are sandwiched between thelower fixing ring 120 and theupper fixing ring 170. And theposts 121 of thelower retaining ring 120 are aligned with corresponding holes in the other components of theassembly 180. Thepost 121 is an interference fit with thehole 171 of theupper retaining ring 170 so that the entiresealing membrane assembly 180 is in a compressed state. Theprotector 160 comprises 4 sequentially overlappingprotector sheets 163 for protecting the central seal of the sealingmembrane 130 from perforation or tearing by the sharp edges of an inserted surgical instrument. The sealingmembrane 130 includes aproximal end 132, adistal sealing lip 134, and a sealing wall extending proximally from the distal end, the sealing wall having a proximal face and a distal face. The sealinglip 134 is adapted to receive an inserted instrument and form an air seal. The sealingmembrane 130 further includes aflange 136; the sealingwall 135 is connected at one end to the sealinglip 134 and at the other end to theflange 136; the floatingportion 137 is connected at one end to theflange 136 and at the other end to theproximal end 132. Theflange 136 is used to mount theguard 160. The floatingportion 137 contains one or more radial (transverse) folds, thereby enabling the entiresealing membrane assembly 180 to float in theassembly 200.
Fig. 3-4 depict the composition and assembled relationship of thesecond seal assembly 200. Thesecond capsule 230 comprises a proximalcartridge body end 232 and a distalcartridge body end 234 and awall portion 235 extending therebetween. Thesecond capsule 230 also has aninner wall 236 supporting the duckbill seal and an airvalve mounting hole 237 communicating with the inner wall. Theinner wall 236 defines a central through-hole 233 extending through theproximal end 232 and thedistal end 234. Thevalve spool 280 is mounted in thevalve body 270 and together in the mountinghole 237. Theflange 256 of theduckbill seal 250 is sandwiched between theinner wall 236 and thesecond seal seat 260. The fixed mode betweensecond seal receptacle 260 and the second sealedstorehouse 230 has the multiple, can adopt interference fit, ultrasonic bonding, bonds, modes such as buckle fixed. The 4 mountingposts 268 of thesecond seal carrier 260 in this embodiment have an interference fit with the 4 mountingholes 238 of thesecond seal cartridge 230, which interference fit places theduckbill seal 250 in a compressed state. In this embodiment, theduckbill seal 250 is a single slit, but other types of closure valves, including flapper-type valves, multi-slit duckbill valves, may be used. Theduckbill 253 can open when an external instrument is passed through theduckbill seal 250, but it typically does not provide a complete seal against the instrument. Theduckbill 253 automatically closes when the instrument is removed.
Fig. 4-11 depict the structure and composition of ahollow tube assembly 3, saidhollow tube assembly 3 comprising anouter tubing 500, aninner tubing 600 and aswivel bolt 700. Fig. 4-5 depict the structure and composition of theouter tubing 500. Theouter tube 500 includes an outer tubeproximal end 510 and an outer tubedistal end 530 and anouter tube wall 520 extending therebetween. Theouter tube wall 520 defines a firsthollow channel 521. The outer tubedistal end 530 includes an outer tubecylindrical tail surface 540. Theouter pipe 500 further comprises anaxial tunnel 550 arranged in the axial direction thereof, thetunnel 550 comprising a firsttunnel side wall 551 and a secondtunnel side wall 552 integral with theouter pipe wall 520, and atunnel top wall 553 connecting thetunnel side walls 551, 552. Thetunnel side walls 551, 552 and thetunnel top wall 553 define atunnel passage 555 communicating with the firsthollow passage 521. In this example, the cross-section of thetunnel 550 is approximately U-shaped, but may be V-shaped, T-shaped, polygonal, or other non-closed wall patterns including openings. Thetunnel 550 defines atunnel entrance 557 at the outer tubeproximal end 510, and thetunnel 550 extends axially to the vicinity of the outer tubedistal end 530 to define a walled-offtunnel end 559. The firsttunnel side wall 551 includescircumferential runners 561 extending therethrough. In an alternative embodiment, the outer surface of the outer tubedistal end 530 includes arotational track 570. In this example, therotation rail 570 includes atransverse rotation wall 571 integrally connected with theouter pipe wall 520 and alongitudinal rotation wall 573 connected therewith, and thetransverse rotation wall 571 and thelongitudinal rotation wall 573 constitute an approximately L-shaped rotation rail.
As shown in fig. 6, theinner conduit 600 includes an inner conduitproximal end 610 and an inner conduitdistal end 630 with aninner conduit wall 620 extending therebetween. The inner surface of the inner conduit wall defines a secondhollow channel 621 while the outer surface comprises an outercylindrical surface 670 of the inner conduit having a diameter Dw 1. The inner tubedistal end 630 defines anopen tube lip 631. The outer surface of the inner tubeproximal end 610 includesouter nubs 640.
Referring to fig. 7, therotary bolt 700 includes arotary bolt body 710 and alatch 720 coupled thereto. Thelatch 720 includes a latchproximal end 721 and a latchdistal end 727. Therotation bolt body 710 includes arotation bolt lever 715 extending laterally outward.
Fig. 8-10 depict the assembled relationship of thehollow tube assembly 3. Theinner conduit 600 is mounted inside theouter conduit 500 with the outercylindrical surface 670 of the inner conduit shaped and dimensioned to fit the firsthollow channel 521 and theouter protrusion 640 to fit thetunnel channel 555 to limit rotational movement of theinner conduit 600 relative to theouter conduit 500, theinner conduit 600 being axially movable relative to theouter conduit 500. Therotation bolt 700 is installed at the outside of the firsttunnel side wall 551 with a latch inserted into thecircumferential slide groove 561, thelatch 720 having a shape and size corresponding to thecircumferential slide groove 561, therotation bolt body 710 having a shape and size corresponding to therotation rail 570, and therotation bolt 700 being rotatable in the circumferential direction of thecircumferential slide groove 561 with respect to theouter pipe 500.
As shown in fig. 10, thehollow tube assembly 3 further includes aproximal plug 50 which is shaped and dimensioned to mate with thetunnel passageway 555, the proximal plug being mounted at the proximal end of thetunnel 550. The fixing mode includes but is not limited to interference connection, glue bonding, ultrasonic welding and heating welding. Thehollow tube assembly 3 further includes alatch seal 60 comprising a sealing aperture shaped and dimensioned to mate with the latch; thelatch sealing ring 60 is mounted (bonded) on the outer side surface of the first tunnel side wall, and the sealing hole of the latch sealing ring is basically aligned with the annular sliding groove; and an air seal is formed between the latch sealing ring and the latch, so that the air in the outer pipeline is prevented from leaking through a fit clearance between the annular sliding groove and the latch.
Referring now to fig. 9-10, therotating bolt 700 includes an unlocked state and a locked state. In the locked state, therotary bolt 700 is rotated towards the inside of thetunnel passage 555 so that thelatch 720 enters the tunnel passage; in the unlocked state, therotating bolt 700 is rotated towards the outside of thetunnel passage 555 so that thelatch 720 exits the tunnel passage.
Thehollow tube assembly 3 comprises a proximal fixed state, a mobile state and a distal fixed state. Figure 10 depictshollow tube assembly 3 in a proximally secured position with therotating bolt 700 in a locked position and theouter protrusion 640 captured betweenproximal plug 50 and latchproximal end 721 to thereby limit axial movement of the inner conduit relative to the outer conduit. In a proximally fixed state, thehollow tube assembly 3 comprises a shortest length Lmin. In the distal fixed position, therotating bolt 700 is in the locked position and theouter protrusion 640 is trapped between thetunnel end 559 and the latchdistal end 727, thereby restricting axial movement of the inner conduit relative to the outer conduit. In the distal fixation state, thehollow tube assembly 3 comprises a maximum length Lmax. In the moving state, therotating bolt 700 is in the unlocked state, and the inner pipe is axially movable relative to the outer pipe.
As shown in fig. 9-10,hollow tube assembly 3 further comprises atube end seal 800 mounted on the distal end of the outer tube, saidtube end seal 800 comprising a proximalelastomeric ring 810 having an inner diameter Dt1 and a distalelastomeric ring 830 having aninner diameter Dt 3. Theseal 800 is mounted on the outside of the outercylindrical surface 540, wherein the proximalelastic ring 810 mates with the outercylindrical surface 540 to form a hermetic seal, and the distalelastic ring 830 mates with the outercylindrical surface 670 of the inner conduit to form a hermetic seal. In one embodiment, the proximalelastic ring 810 and the outer tube tailcylindrical surface 540 are fixed by glue.
As shown in fig. 11, the puncture tube assembly 1 comprises a sealingassembly 2 and ahollow tube assembly 3, and the proximal end of thehollow tube assembly 3 is connected to the distal end of the sealingassembly 2 and forms an airtight seal. Thesecond seal cartridge 230 has a cartridge bodydistal end 234 that is shaped and dimensioned to mate with the outer tubeproximal end 510, and the cartridge bodydistal end 234 is connected to and forms an airtight seal with the outer tubeproximal end 510. In one scheme, thefar end 234 of the bin body is firmly connected with thenear end 510 of the outer tube by adopting a glue bonding method to form air seal; another method employs an interference fit to securely couple and form an air tight seal between the cartridge bodydistal end 234 and the outer tubeproximal end 510. The method of connecting the sealingmember 2 and thehollow tube member 3 includes various ways in addition to the above-listed methods. For example, a sealing ring is added to the outside of the tip of theouter tube 500, and the outer tube tip and the distal end of the cartridge body are firmly connected and hermetically sealed by a conventional snap-fit connection or a threaded connection. As shown in fig. 11, the cartridge bodydistal end 234 of thesecond capsule 230 in this example includes anextension conduit 2343 and anextension baffle 2347 extending distally. Theextension tubing 2343 is shaped and dimensioned to fit within the outer tubeproximal end 510, and theextension tubing 2343 is coupled to the outer tubeproximal end 510 and forms an airtight seal. Theextension bezel 2347 mates with the outer surface of the outer conduit, theextension bezel 2347 sized and positioned to prevent the rotation peg 700 from disengaging from thecircumferential runner 561.
It will be appreciated by those skilled in the art that the hollow tube assembly of the puncture tube assembly 1 comprises two lengths, the shortest length Lmin and the longest length Lmax, and when the puncture tube assembly 1 is used in laparoscopic surgery, the surgeon can switch the length of the hollow tube assembly of the puncture tube assembly 1 between Lmin and Lmax according to the thickness of the abdominal wall of the patient, the position and puncture angle of the puncture tube assembly, the personal operation habit and the like, and the length switching method comprises the following steps:
s1: pushing the rotary bolt operating rod towards the outer rotation direction of the tunnel channel to enable the lock bolt to exit the tunnel channel, so that the rotary bolt is converted from the locking state to the unlocking state;
s2: pulling the inner sleeve along the axial direction of the outer pipeline, and moving from the near end to the far end or from the far end to the near end;
s3: the rotary bolt operating lever is pushed toward the inside of the tunnel passage so that the latch bolt enters the tunnel passage to thereby convert the rotary bolt from the unlocked state to the locked state.
Fig. 12-14 depict yet another improved spike assembly 1a, said spike assembly 1a comprising a sealingassembly 2 and ahollow tube assembly 3 a. Thehollow tube assembly 3a includes anouter tube 500, aninner tube 600, arotary bolt 700, alatch seal ring 60 and atube end seal 800, and the matching relationship between the components is the same as that in thehollow tube assembly 3, and will not be described herein again. Thehollow tube assembly 3a is substantially identical in construction and composition to hollowtube assembly 3 except thathollow tube assembly 3a does not includeproximal plug 50.
Referring to fig. 12-14, the cartridge bodydistal end 234 of thesecond capsule 230 includes adistal flange 2341, and anextension duct 2343 and anextension cantilever 2345 extending distally from thedistal flange 2341, theextension duct 2343 further including anextension baffle 2347 extending distally. As shown in fig. 12 and 14, the puncture tube assembly 1a comprises a sealingassembly 2 and ahollow tube assembly 3a, and the proximal end of thehollow tube assembly 3a is connected to the distal end of the sealingassembly 2 and forms a hermetic seal. In this example, theextension conduit 2343 of thesecond capsule 230 is shaped and dimensioned to mate with the outer tubeproximal end 510, and theextension conduit 2343 is coupled to the outer tubeproximal end 510 and forms an airtight seal. In one approach, theextension conduit 2343 is securely attached to the outer tubeproximal end 510 by glue bonding and forms a hermetic seal; another method of interference fitting is to securely connect theextension conduit 2343 to the outer tubeproximal end 510 and form a gas tight seal. Theextended cantilever 2345 is shaped and sized to match the proximal end of the tunnel.
Therotating bolt 700 in the spike assembly 1a comprises an unlocked state and a locked state. In the locked state, therotary bolt 700 moves toward the axial center of theouter pipe 500 so that thelatch 720 enters the tunnel passage; in the unlocked state, therotating bolt 700 is moved away from the axial center of theouter pipe 500 such that thelatch 720 exits the tunnel passage. The spike assembly 1a comprises a proximal, stationary state, a mobile state and a distal, stationary state. Fig. 12 and 14 depict the penetration tube assembly 1a in a proximally fixed state. In the proximally secured state, therotating bolt 700 is in the latched state and theouter protrusion 640 is restrained between theextended cantilever 2345 and the latchproximal end 721, thereby limiting axial movement of the inner conduit relative to the outer conduit. In a proximally fixed state, the hollow tube assembly of the spike assembly 1a includes a shortest length Lmin. In the distal fixed position, therotating bolt 700 is in the locked position and theouter protrusion 640 is trapped between thetunnel end 559 and the latchdistal end 727, thereby restricting axial movement of the inner conduit relative to the outer conduit. In the distally secured state, the hollow tube assembly of the spike assembly 1a comprises a longest length Lmax. In the mobile state, therotation bolt 700 is in the unlocked state, and the inner pipe can move axially relative to the outer pipe. Theextension bezel 2347 is sized and positioned to prevent therotation pin 700 from disengaging from thecircumferential slide slot 561.
Fig. 15-17 depict the structure and composition of yet another modifiedhollow tube assembly 3b, saidhollow tube assembly 3b comprising anouter tube 500, aninner tube 600, arotating plug 700b and arotating plug seal 60. Thehollow tube assembly 3b is similar to thehollow tube assembly 3a except for the provision of a rotating plug. As shown in fig. 15, the turn key 700b includes a turn key bodyproximal end 711 and a turn key bodydistal end 719 with a turnkey body 710 extending therebetween. Theteeth 720b extend outwardly from thebody 710, and a plurality ofteeth 720b are substantially evenly distributed along the length of thebody 710, with twoadjacent teeth 720b defining alocking slot 730 b. The width of the lockinggroove 730b along the length of therotary bolt body 710 is X1, and the distance between two adjacent locking teeth is X2 (obtained by measuring the distance between the geometric centers of two adjacent locking teeth).
Figures 16-17 depict the assembled relationship of thehollow tube assembly 3 b. Theinner conduit 600 is mounted inside the outer conduit 500b, wherein the inner conduit has an outercylindrical surface 670 shaped and dimensioned to fit the firsthollow channel 521, and wherein theouter protrusion 640 fits into thetunnel channel 555 to limit rotational movement of theinner conduit 600 relative to the outer conduit 500b, and wherein theinner conduit 600 is axially movable relative to the outer conduit 500 b. Thelatch sealing ring 60 is mounted (bonded) on the outer side surface of the first tunnel side wall, and the sealing hole of the latch sealing ring is basically aligned with the annular sliding groove; and an air seal is formed between the latch sealing ring and the latch, so that the air in the outer pipeline is prevented from leaking through a fit clearance between the annular sliding groove and the latch. Therotation pin 700b is installed at the outside of the firsttunnel side wall 551 with the locking teeth inserted into thecircumferential slide groove 561, therotation pin body 710 is shaped and sized to match therotation rail 570, and therotation pin 700b can rotate in thecircumferential slide groove 561 in the circumferential direction with respect to theouter pipe 500.
Similarly, therotating bolt 700b includes an unlocked state and a locked state. In the locked state, therotating bolt 700b is rotated toward the inside of thetunnel passage 555 so that the lockingteeth 720b enter the tunnel passage; in the unlocked state, therotating bolt 700 is rotated towards the outside of thetunnel passage 555 so that the lockingteeth 720b exit the tunnel passage.
Thehollow tube assembly 3b includes a fixed state and a movable state. Figure 17 depictshollow tube assembly 3b in a secured state. In the fixed state, therotating bolt 700b is in the locked state, and theouter protrusion 640 is restricted between twoadjacent locking teeth 720b, so as to restrict the inner pipe from moving axially relative to the outer pipe. In the moving state, therotating bolt 700b is in the unlocked state, and the inner pipe is axially movable relative to the outer pipe.
As in fig. 17, thehollow tube assembly 3b further comprises atube end seal 800 mounted on the distal end of the outer tube, saidseal 800 being mounted on the outside of the outer tubecylindrical surface 540, wherein the proximalelastic ring 810 mates with the outer tubecylindrical surface 540 to form an airtight seal, and the distalelastic ring 830 mates with the inner tubecylindrical surface 670 to form an airtight seal.
In one embodiment, therotating pin 700b includes m (m ≧ 3) lockingteeth 720b, them locking teeth 720b are substantially uniformly distributed along the length of therotating pin body 710, and the spacing between two adjacent locking teeth is X2. From the proximal end to the distal end, the lockingtooth 720b is a first, a second … …, and anmth locking tooth 720b in sequence. The length of the hollow tube assembly comprises m-1 length settings; when the outer protrusion is matched with the first and second locking teeth, the length of the hollow tube assembly is Lt1, namely the initial length; when the outer lug is matched with the second third locking tooth, the length of the hollow tube assembly isLt 2; by analogy, when the outer lug is matched with the (m-1) th locking tooth, the length of the hollow pipe assembly is Ltm-1. The length of the inner pipeline is Ltm-1The following relationship is satisfied:
Ltm-1=Lt1+(m-1)*X2
wherein, Lt ism-1-length of the hollow tube assembly when the mth locking tooth is mated; lt1 — length of the hollow tube assembly when the outer tab mates with the first and second locking teeth; m is the serial number of the annular through groove; x2-spacing of two adjacent locking teeth.
As shown in fig. 18, the puncture tube assembly 1b comprises a sealingassembly 2 and ahollow tube assembly 3b, wherein the proximal end of thehollow tube assembly 3b is connected to the distal end of the sealingassembly 2 and forms an airtight seal. In this example, thesecond capsule 230 has a distalcartridge body end 234 that is shaped and dimensioned to mate with the outer tubeproximal end 510, and the distalcartridge body end 234 is joined to and hermetically seals with the outer tubeproximal end 510. In one scheme, thefar end 234 of the bin body is firmly connected with thenear end 510 of the outer tube by adopting a glue bonding method to form air seal; another method employs an interference fit to securely couple and form an air tight seal between the cartridge bodydistal end 234 and the outer tubeproximal end 510.
It will be appreciated by those skilled in the art that when the puncture tube assembly 1b is used in laparoscopic surgery, the surgeon can change the overall length of the hollow tube assembly of the puncture tube assembly and adjust the fixed depth of the puncture tube assembly in the abdominal wall according to the thickness of the abdominal wall of the patient, the position and puncture angle of the puncture tube assembly, and the personal operation habit, etc., so that the desired arrangement of the external section (length H1), the internal section (length H2) and the internal section (length H3) of the puncture tube assembly is achieved. The method of adjusting the length of the hollow tube of the puncture tube assembly 1b comprises the steps of:
s1: rotating the rotating bolt in a direction outside the tunnel passage so that the locking teeth exit the tunnel passage, thereby causing the rotating bolt to transition from the locked state to the unlocked state;
s2: pulling the inner sleeve axially along the outer pipe to a desired length;
s3: and rotating the rotating bolt towards the inner direction of the tunnel channel and matching with the inner sleeve to move axially, so that the outer lug is clamped between the locking teeth, and the rotating bolt is converted from an unlocking state to a locking state.
Fig. 19-22 depict the structure and composition of yet another modifiedhollow tube assembly 3c, which hollowtube assembly 3c includes anouter conduit 500c, aninner conduit 600, arotating plug 700b and arotating plug seal 60 c. Thehollow tube assembly 3c is similar to thehollow tube assembly 3b, except for the provision of the outer conduit and the rotating plug gasket. Fig. 19 depicts the structure of theouter tubing 500c, whichouter tubing 500c is similar to theouter tubing 500. Theouter tube 500c includes an outer tubeproximal end 510 and an outer tubedistal end 530 and anouter tube wall 520 extending therebetween. Theouter tube wall 520 defines a firsthollow channel 521. The outer tubedistal end 530 includes an outer tubecylindrical tail surface 540. Theouter pipe 500 further comprises anaxial tunnel 550c arranged in the axial direction thereof, thetunnel 550c comprising a firsttunnel side wall 551c and a secondtunnel side wall 552 integral with theouter pipe wall 520, and atunnel top wall 553 connecting thetunnel side walls 551c, 552. Thetunnel side walls 551c, 552 and thetunnel top wall 553 define atunnel passage 555 communicating with the firsthollow passage 521. Thetunnel 550c defines atunnel entrance 557 at the outer tubeproximal end 510, and thetunnel 550c extends axially to the vicinity of the outer tubedistal end 530 to define aclosed tunnel end 559. The outer surface of the outer tubedistal end 530 includes arotation track 570, therotation track 570 includes atransverse rotation wall 571 integrally connected with theouter tube wall 520 and alongitudinal rotation wall 573 connected thereto, and thetransverse rotation wall 571 and thelongitudinal rotation wall 573 constitute an approximately L-shaped rotation track.
The firsttunnel side wall 551c comprisescircumferential slits 580 therethrough, in one version thecircumferential slits 580 comprise a plurality of circumferential throughholes 581, the plurality of circumferential throughholes 581 are evenly arranged in the firsttunnel side wall 551c along the axial direction of the outer pipe, two adjacent circumferential throughholes 581 define onering beam 583. The circumferential throughholes 581 have a width dimension P1 in the axial direction, and the distance between two adjacent circumferential throughholes 581 is P2 (obtained by measuring the distance between the geometric centers of two adjacent circumferential through holes 581). Fig. 20 depicts the structure and composition of arotary plug seal 60c, therotary plug seal 60c comprising a rotaryplug seal body 61c and a plurality of locking tooth seal holes 63c extending through the body, the plurality of locking tooth seal holes 63c being evenly distributed along the length of the rotary plug seal body.
Fig. 21-22 depict the assembled relationship of thehollow tube assembly 3 c. Theinner conduit 600 is mounted within theouter conduit 500c with the inner conduit outercylindrical surface 670 shaped and dimensioned to fit the firsthollow channel 521 and theouter tab 640 to fit thetunnel channel 555 to limit rotational movement of theinner conduit 600 relative to theouter conduit 500c, theinner conduit 600 being axially movable relative to theouter conduit 500 c. Therotary plug seal 60c is mounted externally of the firsttunnel side wall 551c with the latch tooth seal bore 63c generally aligned with the circumferential throughbore 581. In one implementation, therotating plug seal 60c is bonded to the exterior of the firsttunnel side wall 551 c. Arotation bolt 700b is mounted on the outside of the firsttunnel side wall 551, wherein the shape, size and positional relationship (pitch) of the lockingteeth 720b match the circumferential throughhole 581, saidrotation bolt 700b being rotatable in the circumferential direction of the circumferential throughhole 581 relative to theouter pipe 500 c. The lockingtooth sealing hole 63c and the lockingtooth 720b form a hermetic seal therebetween, preventing gas in the outer pipe from leaking through a fitting gap between the annular throughhole 581 and the locking tooth.
Therotating bolt 700b includes an unlocked state and a locked state. In the locked state, therotating bolt 700b is rotated toward the inside of thetunnel passage 555 so that the lockingteeth 720b enter the tunnel passage; in the unlocked state, therotating bolt 700 is rotated towards the outside of thetunnel passage 555 so that the lockingteeth 720b exit the tunnel passage.
Thehollow tube assembly 3c includes a fixed state and a movable state. In the fixed state, therotating bolt 700b is in the locked state, and theouter protrusion 640 is restricted between twoadjacent locking teeth 720b, so as to restrict the inner pipe from moving axially relative to the outer pipe. In the moving state, therotating bolt 700b is in the unlocked state, and the inner pipe is axially movable relative to the outer pipe.
In yet another embodiment, therotating bolt 700b includes m (m ≧ 3) lockingteeth 720b, them locking teeth 720b are substantially uniformly distributed along the length of therotating bolt body 710 from the proximal end to the distal end, and the lockingteeth 720b are the first, second … …, andmth locking tooth 720b in sequence. Two adjacent teeth define aslot 730b having a width dimension X1 along the length of thetumbler body 710 and a spacing X2. In figure 22, the spacing between the mth locking tooth and thetunnel end 559 of thehollow tube assembly 3c is equal to X1, and the inner conduit is restricted from axial movement relative to the outer conduit when theouter protrusion 640 is restricted between the mth locking tooth and thetunnel end 559. The length of the hollow tube assembly comprises m length settings; when the outer protrusion is matched with the first and second locking teeth, the length of the hollow tube assembly is Lt1, namely the initial length; when the outer lug is matched with the second third locking tooth, the length of the hollow tube assembly isLt 2; by analogy, when the outer lug is matched with the (m-1) th locking tooth, the length of the hollow pipe assembly is Ltm-1. The length of the hollow tube assembly when the outer protrusion is mated with the mth locking tooth,tunnel end 559, is Ltm. The inner pipe length of Ltm satisfies the following relationship:
Ltm=Lt1+m*X2
ltm-length of the hollow tube component when the outer projection matches the mth locking tooth and the tunnel end; lt1 — length of the hollow tube assembly when the outer tab mates with the first and second locking teeth; m is the serial number of the annular through groove; x2-spacing of two adjacent locking teeth.
Thehollow tube assembly 3c further comprises atube end seal 800 mounted on the distal end of the outer tube, saidseal 800 being mounted on the outside of the outer tubecylindrical tail surface 540, wherein the proximalelastic ring 810 mates with the outer tubecylindrical tail surface 540 to form a gas tight seal and the distalelastic ring 830 mates with the inner tube cylindricalouter surface 670 to form a gas tight seal.
Replacement of thehollow tube assembly 3b in the puncture tube assembly 1b with thehollow tube assembly 3c results in a new puncture tube assembly 1c (not shown in the figure). Similarly, when the puncture tube assembly 1c is used in laparoscopic surgery, the operator can change the total length of the hollow tube assembly of the puncture tube assembly according to the thickness of the abdominal wall of the patient, the position and puncture angle of the puncture tube assembly, and the personal operation habit, etc., and further adjust the fixed depth of the puncture tube assembly on the abdominal wall, so that the external section (length H1), the body wall section (length H2) and the internal section (length H3) of the puncture tube assembly can be set ideally. The method of adjusting the length of the hollow tube assembly of the puncture tube assembly 1c is substantially the same as the aforementioned method of adjusting the length of the hollow tube assembly of the puncture tube assembly 1 c. Compared with thehollow pipe component 3b, thehollow pipe component 3c has better strength of the outer pipeline, the lockingteeth 720b are more precise to match with the annular throughhole 581, and the state switching is more convenient.
Those skilled in the art will readily appreciate that the spike assembly also requires a mating spike. The puncture needle penetrates through the puncture tube assembly to form a puncture outfit, then the puncture outfit and the puncture outfit penetrate through the abdominal wall through an incision arranged on the abdominal wall of a patient in advance to enter the body cavity, and then the puncture needle is taken away, and the inner pipeline is used as a passage for instruments to enter and exit the body cavity. The introducer needle generally includes a handle portion, a shaft portion and a distal portion. For example, CN201611125444.3 entitled "improved bladeless visual puncture needle" is incorporated herein by reference, which is the puncture needle disclosed in the chinese invention application filed on 12/9/2016. The puncture tube component formed by the telescopic bottom shell component can be contracted into the shortest length at the initial position, and then is matched with the improved knife-free visual puncture needle to form the puncture device for penetrating through the abdominal wall, and the outer pipeline and the inner pipeline are rotated relatively after the puncture needle is taken away, so that the fixed depth of the puncture tube component on the abdominal wall is adjusted, and the external section (length H1), the body wall section (length H2) and the internal section (length H3) of the puncture tube component are ideally arranged. A retractable puncture needle can also be designed to match the retractable puncture tube assembly.
Many different embodiments and examples of the invention have been shown and described. The individual embodiments each contain typically different distinguishing features, which can be interchanged or superimposed on one another. One of ordinary skill in the art can adapt the methods and apparatus described herein by making appropriate modifications without departing from the scope of the invention. Several modifications have been mentioned, and other modifications will occur to those skilled in the art. The scope of the invention should, therefore, be determined with reference to the appended claims, and not be construed as limited to the details of structure, materials, or acts shown and described in the specification and drawings.

Claims (8)

5. The spike assembly of claim 4, wherein: the rotary bolt comprises m lock teeth, wherein m is more than 3; m lock teethThe locking teeth are distributed approximately uniformly along the length direction of the rotating bolt main body, the distance between two adjacent locking teeth is X2, the locking teeth are a first locking tooth, a second locking tooth … … and an m-th locking tooth from the proximal end to the distal end in sequence; the length of the hollow tube assembly comprises m-1 length settings; when the outer protrusion is matched with the first and second locking teeth, the length of the hollow tube assembly is Lt1, namely the initial length; when the outer lug is matched with the second third locking tooth, the length of the hollow tube assembly is Lt 2; by analogy, when the outer lug is matched with the (m-1) th locking tooth, the length of the hollow pipe assembly is Ltm-1. The length of the inner pipeline is Ltm-1The following relationship is satisfied:
CN202010825828.6A2020-08-172020-08-17Puncture tube assembly with rotary boltActiveCN111938775B (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
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WO2017091635A1 (en)*2015-11-252017-06-01Bayer Healthcare LlcSyringe and connector system
CN207870944U (en)*2017-07-062018-09-18河南驼人医疗器械集团有限公司A kind of combined spinal-epidural paracentesis trocar with latch functions
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US5882344A (en)*1995-10-181999-03-16Stouder, Jr.; Albert E.Adjustable length cannula and trocar
US20060200186A1 (en)*2005-03-042006-09-07Marchek Connie PAdjustable access device for surgical procedures
CN203153893U (en)*2013-03-292013-08-28复旦大学附属上海市第五人民医院Thoracic-puncture needle with jacket
WO2017091635A1 (en)*2015-11-252017-06-01Bayer Healthcare LlcSyringe and connector system
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