US20180153537A1 - Trocar set - Google Patents

Abstract

A trocar set includes a handle portion, a first sleeve, a second sleeve, a gas tight assembly, and a pull band. A connection part of the handle portion extends from a grip and includes an assembling channel. The first sleeve includes an assembling end, a sleeving end, a first outer sleeve wall, and a fastening component. The assembling end is assembled to the assembling channel, and the fastening component is disposed at the sleeving end and contacts the first outer sleeve wall. A sleeving end of the second sleeve is inserted into the receiving end, and the second inner sleeve wall contacts the fastening component. A gas tight sleeve of the gas tight assembly encloses the receiving end and the blocking component. An outer wall of the gas tight sleeve is provided with a plurality of crossing channels. The pulling band crosses the crossing channel.

Description

CROSS-REFERENCE TO RELATED APPLICATION
• This non-provisional application claims priority under 35 U.S.C. § 119(a) to Patent Application No. 105139683 filed in Taiwan, R.O.C. on Dec. 1, 2016, the entire contents of which are hereby incorporated by reference.
BACKGROUNDTechnical Field
• The instant disclosure relates to an instrument of minimally invasive surgery and, more particularly, to a trocar set.
Related Art
• In modern surgery, a trocar, instead of a surgical knife, can be used to cut an opening on a human body for a doctor to perform an operation such as burning or cutting an internal tissue by medical instruments such as an optical fiber, an endoscope, or a laser. By way of the operations, wounds caused by the operation are smaller, pains patients feel are less, time for patients' lying in bed and rest after operations is shorter, and scars are smaller. Due to the small wounds and quick recoveries, the kind of operations is called minimally invasive surgery.
• A trocar is a combination of a cutlery and a trocar set. The trocar set includes a long tube. The cutlery is fixed in the trocar set along the long tube. After the cutlery is used to cut an opening on a human body, the cutlery is removed from the long tube of the trocar set. Next, surgical instruments such as an optical fiber, an endoscope, or a laser can be inserted into the human body along the long tube to perform operations such as burning or cutting tissues.
• During an operation stage, the length of the trocar set outside the human body is longer than that inside the human body. During either an instrument inserting stage or the operation stage, it is easily happened that the medical professionals have physical contact with the trocar set outside the human body. As a result of the trocar set being contacted, the wound may be enlarged, and patients may have greater pain intensity.
SUMMARY
• To address the issue of prior art, the instant disclosure provides a trocar set. The length of the trocar outside the human body during an operation can be shortened, which is beneficial to perform the operation. The trocar set comprises a handle portion, a first sleeve, a second sleeve, and a gasbag. The handle portion comprises a grip, a connection part, and a first gas valve. The connection part extends from the grip and comprises an assembling channel The first gas valve is connected to the connection part and communicates with the assembling channel. The first sleeve comprises an assembling end and a sleeving end. The assembling end is assembled to the assembling channel and corresponding to the first gas valve. A sleeve wall of the sleeving end is provided with at least one first opening. The second sleeve is retractably connected to the sleeving end of the first sleeve. A sleeve wall of the second sleeve is provided with at least one second opening. The gasbag is connected to an end of the second sleeve away from the first sleeve and corresponds to the second opening. The second sleeve is capable of being retracted relative to the first sleeve such that the first sleeve can be received in the second sleeve, and the total length of the first sleeve and the second sleeve can be shortened.
• In an embodiment, the first sleeve further comprises a first inner sleeve wall and a first outer sleeve wall. The first sleeve defines a first sleeve wall region and a second sleeve wall region. The first outer sleeve wall surrounds an exterior of the first inner sleeve wall in the first sleeve wall region. The first outer sleeve wall does not surround the exterior of the first inner sleeve wall in the second sleeve wall region. The first opening is disposed on the first outer sleeve wall.
• Additionally, the second sleeve further comprises a second inner sleeve wall and a second outer sleeve wall. The second sleeve defines a third sleeve wall region and a fourth sleeve wall region. The second outer sleeve wall surrounds an exterior of the first outer sleeve wall in the third sleeve wall region. The second outer sleeve wall surrounds an exterior of the second inner sleeve wall in the fourth sleeve wall region. The first opening is disposed on the first outer sleeve wall, and the second opening is disposed on the second outer sleeve wall.
• Additionally, a gas flow channel is formed between the first inner sleeve wall and the first outer sleeve wall, between the first opening, the first outer sleeve wall, and the second outer sleeve wall, and between the second outer sleeve wall and the second inner sleeve wall, and communicates with the second opening. After gas flows through the first gas valve, the gas flows along the gas flow channel and enters the gasbag through the second opening to have the gasbag inflated. The trocar set can be fixed to a human body by the gasbag.
• In an embodiment, the trocar set further comprises a gas tight assembly. The gas tight assembly is disposed on a part of the first outer sleeve wall and the second outer sleeve wall and seals a portion where the first sleeve is connected to the second sleeve. In other words, the gas is restricted in the first sleeve and the second sleeve by the gas tight assembly to prevent a gas leak. Particularly, the gas inflated through the first gas valve can be restricted in the gas flow channel
• Additionally, the gas tight assembly further comprises a blocking component and a gas tight sleeve. The blocking component is assembled to the first sleeve and is adjacent to the sleeving end. The gas tight sleeve is connected to a portion where the first sleeve is connected to the second sleeve. The gas tight sleeve encloses the blocking component. As a result, the second sleeve moves away from the handle portion when the second sleeve is stretched, and a maximum stretching length is met when the second sleeve is stretched to contact the blocking component. It can be ensured that when the second sleeve is stretched, the gas won't leak based upon the gas tight ability of the gas tight sleeve.
• Additionally, the trocar set further comprises a gas tight ring. The gas tight ring is connected to a part of the first sleeve and contacts a surface of the blocking component. The gas tight ring is enclosed by the gas tight sleeve to meet the gas tight ability.
• Additionally, the gas tight assembly further comprises a fastening component. The fastening component is assembled to the sleeving end of the first sleeve and contacts an interior of the second sleeve. As a result, the first sleeve and the second sleeve are stably connected to each other and are hard to slide so as to prevent the first sleeve and the second sleeve from disengagement.
• Additionally, when the second sleeve is retracted, the second sleeve moves towards the handle portion, the first sleeve is retracted in the second sleeve until the gas tight assembly contacts the connection part.
• In an embodiment, the grip comprises an opening. The opening communicates with the assembling channel, the first sleeve, and the second sleeve. A cutlery or another surgical instrument can be put in the trocar set through the opening and can be further fixed in the first sleeve and the second sleeve.
• In an embodiment, the trocar set further comprises a second gas valve. The second gas valve is connected to the connection part and communicates with the first sleeve. Specifically, the second gas valve provides greater amount of gas and has the gas flow into a human body to make a portion of an internal space of a human body inflated, which is beneficial of observing by an endoscope and performing an operation.
• In another embodiment, a trocar set comprises a handle portion, a second sleeve, and a gas tight assembly. The handle portion comprises a grip, a connection part, and a second gas valve. The connection part extends from the grip and comprises an assembling channel. The second gas valve is connected to the connection part and communicates with the assembling channel. The first sleeve comprises an assembling end and a sleeving end.
• The assembling end is assembled to the assembling channel. The second sleeve is retractably connected to the sleeving end of the first sleeve such that the second gas valve, the assembling channel, the first sleeve, and the second sleeve communicate with one another. The second sleeve can be retracted relative to the first sleeve such that the first sleeve can be received in the second sleeve, and the total length of the first sleeve and the second sleeve can be shortened. The gas tight assembly further comprises a blocking component and a gas tight sleeve. The blocking component is assembled to the first sleeve and is adjacent to the sleeving end. The gas tight sleeve is connected to a portion where the first sleeve is connected to the second sleeve. The gas tight sleeve encloses the blocking component.
• In yet another embodiment, a trocar set comprises a handle portion, a first sleeve, a second sleeve, a gas tight assembly, and a pulling band. The handle portion comprises a grip, a connection part, and a second gas valve. The connection part extends from the grip and comprises an assembling channel. The second gas valve is connected to the connection part and communicates with the assembling channel. The first sleeve comprises an assembling end and a sleeving end. The assembling end is assembled to the assembling channel. The second sleeve is retractably connected to the sleeving end of the first sleeve such that the second gas valve, the assembling channel, the first sleeve, and the second sleeve communicate with one another. The second sleeve can be retracted relative to the first sleeve such that the first sleeve can be received in the second sleeve, and the total length of the first sleeve and the second sleeve can be shortened. The gas tight assembly comprises a fastening component and a gas tight sleeve. The fastening component is assembled to the sleeving end of the first sleeve and contacts an interior of the second sleeve. The gas tight sleeve is disposed on a part of the first sleeve and the second sleeve and seals a portion where the first sleeve is connected to the second sleeve.
• The pulling band crosses and is fixed to a portion connected to an exterior of the gas tight sleeve. The pulling band is adjacent to the fastening component.
• According to embodiments of the trocar set of the instant disclosure, the trocar set is retractable by the connection of the first sleeve and the second sleeve. When a cutlery is removed, the length of the trocar set outside the humane body can be significantly shortened so as to avoid the trocar set outside the human body being contacted by the medical professionals. The trocar set outside the human body being contacted may make a wound enlarged. Consequently, it is benefit to medical professionals to perform operations.
BRIEF DESCRIPTION OF THE DRAWINGS
• FIG. 1 illustrates a stereoscopic diagram of a trocar set in a stretched state according to a first embodiment;
• FIG. 2 illustrates an exploded view of the trocar set according to the first embodiment;
• FIG. 3 illustrates a cross-sectional view of the trocar set in the stretched state according to the first embodiment;
• FIG. 4 illustrates a partial, cross-sectional view of the trocar set in the stretched state according to the first embodiment;
• FIG. 5 illustrates a stereoscopic diagram of the trocar set in the stretched state in use according to the first embodiment;
• FIG. 6 illustrates a cross-sectional view of the trocar set in the stretched state according to the first embodiment;
• FIG. 7 illustrates a partial, cross-sectional view of the trocar set in a retracted state in use according to the first embodiment;
• FIG. 8 illustrates a partial, cross-sectional view of the trocar set in the retracted state in use according to the first embodiment;
• FIG. 9 illustrates a stereoscopic diagram of the trocar set in the retracted state according to the first embodiment;
• FIG. 10 illustrates a stereoscopic diagram of a trocar set in the retracted state according to a second embodiment; and
• FIG. 11 illustrates a stereoscopic diagram of the trocar set in the stretched state according to the second embodiment.
DETAILED DESCRIPTION
• Please refer toFIG. 1 toFIG. 4, which are respectively a stereoscopic diagram of a trocar set in a stretched state according to a first embodiment, an exploded view of the trocar set according to the first embodiment, a cross-sectional view of the trocar set in the stretched state according to the first embodiment, and a partial, cross-sectional view of the trocar set in the stretched state according to the first embodiment. As shown inFIG. 1 toFIG. 4, the trocar set1 comprises ahandle portion10, afirst sleeve20, asecond sleeve30, agasbag40, and a gastight assembly50. Thehandle portion10 comprises agrip11, aconnection part13, afirst gas valve15, and asecond gas valve17. Thegrip11 may be, but not limited to, a semicircular shell structure of which an interior is hollow. Theconnection part13 extends from thegrip11 and is a column structure. Theconnection part13 comprises an assemblingchannel131. Theassembly channel131 is formed in a manner of penetrating through theconnection part13. The assemblingchannel131 communicates with the interior of thegrip11. Thefirst gas valve15 and thesecond gas valve17 may be assembled to theconnection part13. Thefirst gas valve15, thesecond gas valve17, and theconnection part13 may be formed in one piece, alternatively. In addition, gas flow channels of thefirst gas valve15 and thesecond gas valve17 communicate with the assemblingchannel131.
• Thefirst sleeve20 comprises an assemblingend201 and asleeving end203. The assemblingend201 is assembled to the assemblingchannel131 of theconnection part13. Thefirst sleeve20 extends from the assemblingend201 along a direction of a central axis of the assemblingchannel131 and protrudes from theconnection part13. Thefirst sleeve20 may be a double layer sleeve which comprises a firstinner sleeve wall21 and a firstouter sleeve wall23. Specifically, thefirst sleeve20 defines a firstsleeve wall region211 and a secondsleeve wall region213. The firstouter sleeve wall23 surrounds an exterior of the firstinner sleeve wall21 in the firstsleeve wall region211. The firstouter sleeve wall23 does not surround the exterior of the firstinner sleeve wall21 in the secondsleeve wall region213. The secondsleeve wall region213 is in the assemblingchannel131 and corresponds to thefirst gas valve15. In addition, the firstouter sleeve wall23 of thesleeving end203 is provided with at least onefirst opening231. In other words, gas introduced from thefirst gas valve15 enters the firstgas flow channel25 through a region where the firstouter sleeve wall23 does not surround the firstinner sleeve wall21 and leaves the firstgas flow channel25 from thefirst opening231.
• Thesecond sleeve30 comprises a receivingend32. Thesleeving end203 of thefirst sleeve20 is inserted into the receivingend32 of thesecond sleeve30 such that thesecond sleeve30 is retractably connected to an end of thefirst sleeve20 away from thehandle portion10. Thesecond sleeve30 may be a double layer sleeve which comprises a secondinner sleeve wall31 and a secondouter sleeve wall33. Thesecond sleeve30 defines a thirdsleeve wall region311, a fourthsleeve wall region313, and a fifthsleeve wall region315. The secondouter sleeve wall33, corresponding to thesleeving end203, surrounds an exterior of the firstouter sleeve wall23 in the thirdsleeve wall region311. The secondouter sleeve wall33 surrounds an exterior of the secondinner sleeve wall31 in the fourthsleeve wall region313. The secondouter sleeve wall33 does not surround the secondinner sleeve wall31 in the fifthsleeve wall region315. A secondgas flow channel35 is formed between the secondouter sleeve wall33 and the secondinner sleeve wall31. A region of the secondouter sleeve wall33 away from thesleeving end203 is provided with at least onesecond opening331. Specifically, an end of the secondgas flow channel35 corresponds to thefirst opening231. Gas from thefirst gas valve15 is introduced through thefirst opening231 and enters the secondgas flow channel35, and then leaves the secondgas flow channel35 from thesecond opening331.
• Thegasbag40 is connected to an end of thesecond sleeve30 away from thefirst sleeve20. Particularly, thegasbag40 is connected to a part of the secondsleeve wall region213 and connected to the thirdsleeve wall region311. Theair cell40 corresponds to thesecond opening331. In other words, the region where the firstouter sleeve wall23 does not surround the firstinner sleeve wall31, the firstgas flow channel25, thefirst opening231, the secondgas flow channel35, and thesecond opening331 communicate with one another to form a gas flow channel capable of inflating thegasbag40. Gas introduced by thefirst gas valve15 enters thegasbag40 through the aforementioned gas flow channel to have thegasbag40 inflated.
• Please refer toFIG. 5 andFIG. 6, which are respectively a stereoscopic diagram of the trocar set in the stretched state in use according to the first embodiment and a partial, cross-sectional view of the trocar set in the stretched state in use according to the first embodiment. As shown inFIG. 1 toFIG. 6, the trocar set1 in practical use is installed with acutlery200. Thecutlery200 is inserted into anopening19 in a rear end of thehandle portion10 and is installed to thegrip11, theconnection part13, thefirst sleeve20, and thesecond sleeve30. Thecutlery200 protrudes from thesecond sleeve30 and is fixed to thehandle portion10 by arear cover210. Additionally, thegrip11 further comprises afirst sealing component117 and asecond sealing component119. Thecutlery200 being installed may be assembled to and contact thefirst sealing component117 and thesecond sealing component119. Thefirst sealing component117 and thesecond sealing component119 can seal the gas flow channel such that thecutlery200 having been fixed to thegrip11, thefirst sleeve20, and thesecond sleeve30 can prevent the gas from leaking to meet the gas tight ability.
• As shown inFIG. 5 andFIG. 6, after the trocar set1 in the stretched state is used to cut an opening on ahuman body500, gas introduced from thefirst gas valve15 may flow through the firstgas flow channel25, thefirst opening231, the secondgas flow channel35, and thesecond opening331 and then enter thegasbag40. When the gasbag is inflated, the trocar set1 can be fixed in thehuman body500. Further, thefirst gas valve15 may be a pressing type valve, which can inflate thegasbag40 by pressing.
• Please refer toFIG. 7,FIG. 8, andFIG. 9, which are respectively a partial, cross-sectional view of the trocar set in a retracted state in use according to the first embodiment, a cross-sectional view of the trocar set in the retracted state according to the first embodiment, and a stereoscopic diagram of the trocar set in the retracted state according to the first embodiment. As shown inFIG. 7, thecutlery200 can be removed from the trocar set1 after the trocar set1 is fixed to thehuman body500 by thegasbag40. The trocar set1 can be pushed forward by thehandle portion10 to have thesecond sleeve30 moved towards thehandle portion10 relative to thefirst sleeve20, such that thefirst sleeve20 can be retracted in thesecond sleeve30 to be in the retracted state. Therefore, the length of the trocar set1 outside of thehuman body500 can be significantly shortened. Additionally, when the trocar set1 is in the retracted stated, medical professionals may conveniently put medical instruments such as an endoscope, an optical fiber, or a laser into the human body along thefirst sleeve20 and thesecond sleeve30 and avoid contacting the trocar set1. Additionally, thegrip11 comprises abutting block113 capable of fixing medical instruments such as an endoscope, an optical fiber, or a laser.
• Specifically, after thecutlery200 is removed, gas can be inflated into the human body from thesecond gas valve17 through thefirst sleeve20 and thesecond sleeve30 to have a human tissue expanded partially, which is beneficial of inserting medical instruments such as an endoscope, an optical fiber, or a laser, observing, and performing an operation. Specifically, thesecond gas valve17 can be a switch of gas which may be connected to an external inflating device for inflation. Additionally, after an operation is accomplished, thefirst gas valve15 can be turned on to havegasbag40 deflated such that the trocar set1 can be removed from the human body, as shown inFIG. 8, andFIG. 9.
• As shown inFIG. 1 toFIG. 4., the gastight assembly50 of the trocar set1 is disposed on a portion where thefirst sleeve20 and thesecond sleeve30 are connected to each other; therefore, the portion where thefirst sleeve20 and thesecond sleeve30 are connected to each other can be sealed to prevent a gas leak. Specifically, the gastight assembly50 further comprises ablocking component51 and a gastight sleeve53. The blockingcomponent51 is assembled to an exterior of thefirst sleeve20 and is adjacent to thesleeving end203. The blockingcomponent51 is enclosed by the gastight sleeve53 to prevent thefirst sleeve20 from being disengaged from thesecond sleeve30. In an embodiment, the gastight sleeve53 is a two piece combination. Specifically, when the trocar set1 is in the stretched state, thefirst opening231 is between the secondouter sleeve wall33 and the blockingcomponent51.
• Additionally, as shown inFIG. 7,FIG. 8, andFIG. 9, when the trocar set1 is retracted, thesecond sleeve30 moves towards thehandle portion10 relative to thefirst sleeve20 until the gastight assembly50 contacts theconnection part13.
• Additionally, the gastight assembly50 further comprises a gastight ring55 and afastening component57. The gastight ring55 is connected to the exterior of thefirst sleeve20. In an embodiment, the gastight sleeve55 presses the gastight ring55 to have the gastight ring55 tightly attach to thefirst sleeve20 to meet the gas tight ability. In an embodiment, the gastight ring53 contacts a surface of the blockingcomponent51 and is enclosed by the gastight sleeve53. As shown in the drawing, the gastight ring55 is, for example, on a surface of the blockingcomponent51 opposing the secondouter sleeve wall33. The gastight ring55 may also be disposed on a surface of the blockingcomponent51 facing the secondouter sleeve wall33. Alternatively, the gas tight ring(s)55 may be disposed on both of the two surfaces of the blockingcomponent51. Thefastening component57 is disposed on thesleeving end203 of thefirst sleeve20. Particularly, thefastening component57 encloses thesleeving end203; therefore, the height of thesleeving end203 is slightly greater than that of other regions of thefirst sleeve20. Thefastening component57 contacts the secondinner sleeve wall31 of thesecond sleeve30. Due to thefastening component57, thesecond sleeve30 may slide relative to thefirst sleeve20 so as to stretch or to retract only when thesecond sleeve30 is forced. As a result, thefirst sleeve20 and thesecond sleeve30 are steady after being stretched or retracted and are hard to slide so as to prevent thefirst sleeve20 and thesecond sleeve30 from disengagement.
• Please refer toFIG. 10 andFIG. 11, which are stereoscopic diagrams of a trocar set in the retracted state and in the stretched state respectively according to a second embodiment. As shown inFIG. 10 andFIG. 11, a difference between the first embodiment and the second embodiment is that the trocar set1 does not have thegasbag40 and thefirst gas valve15. Although the trocar set1 cannot be fixed to a human body by the gasbag, the trocar set1 can be stably set by a stand or other measures after penetrating and allow instruments to be inserted there through. In order to prevent a gas leak, it is merely required that the gastight assembly50 is connected to a portion where thefirst sleeve20 and thesecond sleeve30 are connected to each other. As a result, there may be no need of the structure of the double layer sleeve, and, consequently, the cost may be lower. The gastight assembly50 may comprise the blockingcomponent51 and the gastight sleeve53 and may further comprise the gastight ring55 and thefastening component57.
• Additionally, as shown inFIG. 1,FIG. 5,FIG. 9, andFIG. 11, the trocar set1 further comprises at least one pullingband60. The pullingband60 is at an exterior of the gastight assembly50 and is adjacent to thefastening component57. An outer wall of the gastight sleeve53 is provided with two crossingchannels531, which do not penetrate through the gastight sleeve53. The pullingband60 crosses the crossingchannels531 to form a closed loop structure. When thefirst sleeve20 is forced to be retracted in thesecond sleeve30, and the pullingband60 is accordingly forced towards outside, an inward force and an outward force can be balanced and then the position of thesecond sleeve30 can be stably fixed. In an embodiment, a pulling band set comprising two pulling bands symmetric to each other may be adopted. For example, the pullingband60 may be, but not limited to, fixed to theconnection part13. In a state as shown inFIG. 5, the pullingband60 can be pulled after thegasbag40 is inflated to make sure that the trocar set1 is fixed to a human body. Or, the pullingband60 may be pulled after the surgery to assist in removing the trocar set1 from the human body. Additionally, in the first embodiment, the gasbag has to be deflated in advance such that the trocar set can be removed by the pullingband60 after a surgery.
• According to embodiments of the trocar set of the instant disclosure, the trocar set is retractable by the connection of the first sleeve and the second sleeve. When the cutlery is removed from the trocar set, the first sleeve can be retracted in the second sleeve; therefore, the length of the trocar set outside of a humane body can be significantly shortened so as to avoid the trocar set being unintentionally contacted by medical professionals. A trocar set outside of the humane body being contacted may cause pain and make a wound enlarged. Consequently, it is benefit to medical professionals to insert instruments and perform operations.
• While the instant disclosure has been described by way of example and in terms of the preferred embodiments, it is to be understood that the instant disclosure needs not be limited to the disclosed embodiments. For anyone skilled in the art, various modifications and improvements within the spirit of the instant disclosure are covered under the scope of the instant disclosure. The covered scope of the instant disclosure is based on the appended claims.

Claims (3)

What is claimed is:

1. A trocar set, comprising:

a handle portion comprising a grip, a connection part, and a second gas valve, wherein the connection part extends from the grip and comprises an assembling channel, and the second gas valve is connected to the connection part and communicates with the assembling channel;

a first sleeve comprising an assembling end, a sleeving end, a first outer sleeve wall, and a fastening component, wherein the assembling end is assembled to the assembling channel, and the fastening component is disposed at the sleeving end and contacts the first outer sleeve wall;

a second sleeve comprising a receiving end and a second inner sleeve wall, wherein the sleeving end is inserted into the receiving end, and the second inner sleeve wall contacts the fastening component;

a gas tight assembly comprising a gas tight sleeve and a blocking component, wherein the gas tight sleeve is fixed to the second sleeve and encloses the receiving end and the blocking component, the blocking component restricts an axial displacement of the fastening component such that the first sleeve cannot be disengaged from the second sleeve, and an outer wall of the gas tight sleeve is provided with a plurality of crossing channels and the crossing channels are not in a through-hole type; and

a pulling band crossing the crossing channel.

2. The trocar set ofclaim 1, wherein the pulling band is forced towards outside to fix the second sleeve while the first sleeve is forced to be retracted in the second sleeve.

3. The trocar set ofclaim 2, further comprising a gas tight ring, the gas tight ring being connected to a part of the first sleeve and being adjacent to the blocking component.

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