Disclosure of utility model
Aiming at the defects in the prior art, the utility model provides a laparoscope incision sealing device with a puncture outfit sleeve, which aims to solve the problem of closing an abdominal wall incision in laparoscopic auxiliary abdominal wall small incision operation.
In order to achieve the above purpose, the present utility model adopts the following technical scheme:
The laparoscopic incision sealing device with the puncture outfit sleeve is characterized by comprising a sleeve assembly, an air injection valve assembly and an incision sealing sleeve, wherein a unidirectional channel for an instrument to be inserted from top to bottom is arranged in the sleeve assembly, the lower end of the sleeve assembly is connected with the incision sealing sleeve, the lower end of the incision sealing sleeve is provided with an opening, the opening can be used for the incision sealing sleeve to be sleeved on an incision protector for sealing connection, the unidirectional channel of the sleeve assembly is communicated with the opening at the lower end of the incision sealing sleeve, and the side wall of the sleeve assembly is connected with the air injection valve assembly.
In order to optimize the technical scheme, the specific measures adopted further comprise:
Further, the incision seal sleeve comprises a telescopic silica gel film, the telescopic silica gel film is of an annular structure with a '冂' type side section, the upper end of the telescopic silica gel film is connected with the sleeve assembly, and the lower end of the telescopic silica gel film is provided with an annular opening.
Further, the notch sealing sleeve further comprises an elastic fixing ring, and a circle of elastic fixing ring is arranged at the annular opening at the lower end of the telescopic silica gel film.
Further, the sleeve assembly comprises a connecting sleeve, a sleeve base and an air blocking valve body, wherein the lower end of the connecting sleeve is connected with the notch sealing sleeve, the lower end of the sleeve base is provided with a funnel-shaped necking, the funnel-shaped necking of the sleeve base is inserted from the upper end of the connecting sleeve and connected with the connecting sleeve, the upper end of the sleeve base can be used for inserting an instrument, the necking can be used for allowing the instrument to pass through, the air blocking valve body is arranged in the sleeve base, and the air injection valve assembly is connected to the side wall of the connecting sleeve.
Further, the choke valve body comprises a choke valve outer ring and an elastic choke sealing piece, the choke valve outer ring is attached to the inner wall of the sleeve base, the lower end of the choke valve outer ring is connected with the elastic choke sealing piece in a sealing mode, and a cross-shaped notch is formed in the elastic choke sealing piece.
Further, the sleeve assembly further comprises a guide cover and a sealing cap, the sealing cap is arranged on the inner wall of the outer ring of the choke valve, the sealing cap is located above the elastic choke sealing piece, the lower end of the sealing cap is provided with a shrinkage opening, the shrinkage opening of the sealing cap can be used for inserting an instrument, and the upper end of the sealing cap is fixedly connected with the upper end of the sleeve base through the guide cover.
Further, the inner side of the guide cover is a guide channel communicated with the inner side of the sealing cap, and the upper end of the guide channel is provided with an upward flaring shape.
Further, the inner wall of sealing cap rotates and is provided with the several backing plate, and the several the backing plate all possesses upwards pivoted trend, and keeps the state of laminating conflict each other between the backing plate, and the backing plate can rotate downwards under the exogenic action.
Further, sealing strips are arranged at the lower ends of the side edges of the plurality of supporting pieces, which are in contact with each other.
Further, the gas injection valve assembly comprises a gas injection joint, a gas injection switch and a gas injection sleeve, the side wall of the sleeve assembly is connected with one end of the gas injection sleeve, the gas injection sleeve is provided with the gas injection switch, and the other end of the gas injection sleeve is provided with the gas injection joint for externally connecting a gas source.
The beneficial effects of the utility model are as follows:
The utility model can be matched with the incision protector for use in laparoscopic auxiliary abdominal wall small incision operation through the arrangement of the incision sealing sleeve, and when in use, the incision sealing sleeve is sleeved on the incision protector for sealing connection so as to ensure the tightness of the abdominal cavity when the pneumoperitoneum is built again, prevent the carbon dioxide gas injected into the abdominal cavity through the gas injection valve assembly from leaking out, and provide a unidirectional passage for laparoscopic placement through the sleeve assembly.
Detailed Description
The present utility model will be described in detail with reference to the accompanying drawings.
As shown in figure 1, the laparoscopic incision sealing device with the puncture outfit sleeve comprises a sleeve assembly 1, an air injection valve assembly 2 and an incision sealing sleeve 3, wherein a unidirectional channel for an instrument to be inserted from top to bottom is arranged in the sleeve assembly 1, the lower end of the sleeve assembly 1 is connected with the incision sealing sleeve 3, the lower end of the incision sealing sleeve 3 is provided with an opening, the opening can be used for the incision sealing sleeve 3 to be sleeved on an incision protector for sealing connection, the unidirectional channel of the sleeve assembly 1 is communicated with the opening at the lower end of the incision sealing sleeve 3, the side wall of the sleeve assembly 1 is connected with the air injection valve assembly 2, and the air injection valve assembly 2 can be externally connected with an air source to inject air into the unidirectional channel of the sleeve assembly 1.
The utility model can be matched with an incision protector for use in laparoscopic auxiliary abdominal wall small incision operation through the arrangement of the incision sealing sleeve 3, and when in use, the incision sealing sleeve 3 is sleeved on the incision protector for sealing connection so as to ensure the tightness of the abdominal cavity when the pneumoperitoneum is built again, prevent the carbon dioxide gas injected into the abdominal cavity through the gas injection valve assembly 2 from leaking out, and provide a unidirectional passage for laparoscopic placement through the sleeve assembly 1.
In another embodiment, as shown in fig. 5, the notch sealing sleeve 3 comprises a stretchable silica gel film 3-2, the stretchable silica gel film 3-2 is of an annular structure with a '冂' shaped side section, the upper end of the stretchable silica gel film 3-2 is connected with the sleeve assembly 1, and the lower end of the stretchable silica gel film 3-2 is of an annular opening. Therefore, the fitting and fixing of the device and the incision protector are ensured through the telescopic silica gel film 3-2.
The notch sealing sleeve 3 further comprises an elastic fixing ring 3-1, and a circle of elastic fixing ring 3-1 is arranged at the annular opening at the lower end of the telescopic silica gel film 3-2. In the embodiment, the incision sealing sleeve 3 consists of a telescopic silica gel film 3-2 and an elastic fixing ring 3-1, and is integrally formed with the sleeve assembly 1, and meanwhile, the elastic fixing ring 3-1 is more beneficial to being matched with an outer ring of the incision protector for installation, so that the abdominal cavity tightness during pneumoperitoneum establishment is ensured. In this embodiment, the allowable telescopic diameter range of the elastic fixing ring 3-1 may be 6cm to 10cm, so that the elastic fixing ring can be used in cooperation with a conventional auxiliary small incision protector, the tightness of the abdominal cavity is ensured, the leakage of carbon dioxide gas is prevented, and the elastic fixing ring can be taken down from the incision protector after the operation is finished.
As shown in fig. 2 and fig. 3, in another embodiment, the sleeve assembly 1 includes a connecting sleeve, a sleeve base 1-5 and an air-blocking valve body 1-4, the lower end of the connecting sleeve is connected with a notch sealing sleeve 3, the lower end of the sleeve base 1-5 is a funnel-shaped shrinkage mouth, the funnel-shaped shrinkage mouth of the sleeve base 1-5 is inserted from the upper end of the connecting sleeve and connected with the connecting sleeve, the upper end of the sleeve base 1-5 can be used for inserting an instrument, the shrinkage mouth can be used for allowing the instrument to pass through, the air-blocking valve body 1-4 is arranged in the sleeve base 1-5, and the air-injection valve assembly 2 is connected to the side wall of the connecting sleeve. Therefore, a one-way channel is formed through the arrangement of the air blocking valve body 1-4, and the inserted instrument is conveniently guided through the arrangement of the funnel-shaped necking at the lower end of the sleeve base 1-5. In this embodiment, the inner core of the connection sleeve may be 10mm in diameter and 5cm in length. In this embodiment, a circle of gripping grooves are arranged on the outer side of the sleeve base 1-5, so that the sleeve base is convenient for a medical staff to grip when in use.
The air blocking valve body 1-4 comprises an air blocking valve outer ring and an elastic air blocking sealing piece, the air blocking valve outer ring is attached to the inner wall of the sleeve base 1-5, the lower end of the air blocking valve outer ring is connected with the elastic air blocking sealing piece in a sealing mode, and a cross-shaped notch is formed in the elastic air blocking sealing piece. Therefore, the cross-shaped incision of the elastic air-blocking sealing piece can be used for inserting the instrument, and meanwhile, the instrument can be naturally restored to be sealed to a certain degree after being withdrawn.
The sleeve assembly 1 further comprises a guide cover 1-1 and a sealing cap 1-2, the sealing cap 1-2 is mounted on the inner wall of the outer ring of the choke valve, the sealing cap 1-2 is located above the elastic choke sealing piece, the lower end of the sealing cap 1-2 is provided with a shrinkage opening, the shrinkage opening of the sealing cap 1-2 can be used for inserting an instrument, and the upper end of the sealing cap 1-2 is fixedly connected with the upper end of the sleeve base 1-5 through the guide cover 1-1. In this way, by providing the sealing cap 1-2, the carbon dioxide gas injected into the abdominal cavity can be further sealed, and the provision of the constriction at the lower end of the sealing cap 1-2 can help guide the inserted instrument.
Wherein, the inner side of the guide cover 1-1 is provided with a guide channel communicated with the inner side of the sealing cap 1-2, and the upper end of the guide channel is provided with an upward flaring shape. In this way, the guiding of the inserted instrument is further facilitated by the flaring of the upper end of the guiding channel.
In this embodiment, the inner wall of the sealing cap 1-2 is rotatably provided with a plurality of supporting pieces 1-3, the plurality of supporting pieces 1-3 have upward rotation tendency, the supporting pieces 1-3 keep a mutually abutting and abutting state, and the supporting pieces 1-3 can rotate downwards under the action of external force. Therefore, when the multifunctional medical instrument is used, the supporting pieces 1-3 with upward rotation trend are mutually abutted and attached to form a complete shielding surface, so that further sealing of carbon dioxide gas injected into the abdominal cavity is realized, and meanwhile, when the medical personnel inserts the instrument from top to bottom, the supporting pieces 1-3 are downwards rotated and separated under the action of external force, so that a channel for the instrument to be continuously inserted is opened, and normal use of the instrument is ensured.
Wherein, the lower ends of the side edges of the plurality of supporting sheets 1-3 which are contacted with each other are respectively provided with a sealing strip. Therefore, when the sealing strip is used, the sealing performance of the plurality of supporting pieces 1-3 in the mutually attached and abutted state can be further ensured through the arrangement of the sealing strip.
As shown in FIG. 4, in another embodiment, the gas injection valve assembly 2 comprises a gas injection joint 2-1, a gas injection switch 2-2 and a gas injection sleeve 2-3, wherein the side wall of the sleeve assembly 1 is connected with one end of the gas injection sleeve 2-3, the gas injection sleeve 2-3 is provided with the gas injection switch 2-2, the other end of the gas injection sleeve 2-3 is provided with the gas injection joint 2-1 for externally connecting a gas source, and the end part of the gas injection joint 2-1 can be provided with threads. In this embodiment, the sleeve assembly 1 and the gas injection valve assembly 2 may be formed by one-time injection molding of hard plastic.
The device provided by the utility model has the advantages that the unidirectional sleeve component 1 and the incision sealing sleeve 3 are integrally formed, the corresponding gas injection passage and the switch are arranged, the normal use of the device is ensured, meanwhile, the device can be matched with an incision protector for use through the elastic expansion of the telescopic silica gel film 3-2 and the elastic fixing ring 3-1, the device is convenient to install and take down, and the device provides powerful guarantee for the simplicity, convenience, stability and reliability of operation in operation.
In laparoscopic assisted abdominal wall small incision surgery, incision protectors are often used in order to effectively distract and reasonably protect the abdominal wall incision. The existing incision protector widely applied to surgical operation comprises an inner clamping ring, an outer clamping ring and an elastic pipeline, wherein the inner clamping ring and the outer clamping ring are respectively arranged at two ends of the elastic pipeline. When the external operation part is completed and the pneumoperitoneum is required to be built again and the laparoscope is placed in, the incision sealing sleeve 3 of the device is sleeved on the outer clamping ring of the incision protector, so that the tightness of the abdominal cavity during the pneumoperitoneum building again can be well ensured, the carbon dioxide gas injected into the abdominal cavity is prevented from leaking out, and a channel for placing the laparoscope can be provided through the unidirectional sleeve component 1. Compared with the prior art that the towel forceps and the rubber glove are used for temporarily closing the abdomen, the device has the advantages of simple operation, stability, reliability and the like, provides a good guarantee effect for the rapid operation, has the advantages of simple and reliable structure and convenient operation, and well solves the existing problems.
It should be noted that the terms like "upper", "lower", "left", "right", "front", "rear", and the like are also used for descriptive purposes only and are not intended to limit the scope of the utility model in which the utility model may be practiced, but rather the relative relationship of the terms may be altered or modified without materially altering the teachings of the utility model.
The above is only a preferred embodiment of the present utility model, and the protection scope of the present utility model is not limited to the above examples, and all technical solutions belonging to the concept of the present utility model belong to the protection scope of the present utility model. It should be noted that modifications and adaptations to the utility model without departing from the principles thereof are intended to be within the scope of the utility model as set forth in the following claims.