TWI852777B - Cannula device with deformable balloon and cannula device assembly - Google Patents
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- 210000003815 abdominal wall Anatomy 0.000 description 5
- 238000010586 diagram Methods 0.000 description 3
- 230000000694 effects Effects 0.000 description 3
- 210000001015 abdomen Anatomy 0.000 description 2
- 238000000034 method Methods 0.000 description 2
- 238000002324 minimally invasive surgery Methods 0.000 description 2
- 208000004550 Postoperative Pain Diseases 0.000 description 1
- 210000000683 abdominal cavity Anatomy 0.000 description 1
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- 238000002357 laparoscopic surgery Methods 0.000 description 1
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Abstract
一種具可變形球囊的套管裝置,包含沿一軸線依序設置的一上套管、一氣囊件及一下套管,該氣囊件為可撓性材質,且於未受外力時呈現一外徑大於該下套管的氣囊狀態,並於受到沿該軸線之方向的拉伸力時,呈現一拉伸狀態,於該拉伸狀態時,該氣囊件之外徑小於在該氣囊狀態時之外徑,且沿該軸線之方向上的長度大於在該氣囊狀態時之長度。藉此,將該氣囊件穿入人體後,僅需移除施力,該氣囊件即會自動回復該氣囊狀態,故不需進行打氣,也不需要設置氣體流道,並且,該下套管可相對於該氣囊件擺動,而可提升器械在手術時的最大工作角度。A cannula device with a deformable balloon comprises an upper cannula, an airbag component and a lower cannula arranged in sequence along an axis. The airbag component is made of a flexible material and presents a cannula state with an outer diameter larger than that of the lower cannula when no external force is applied, and presents a stretched state when subjected to a stretching force in the direction of the axis. In the stretched state, the outer diameter of the cannula is smaller than that in the cannula state, and the length in the direction of the axis is greater than that in the cannula state. Thus, after the cannula is inserted into the human body, the cannula automatically returns to the cannula state by simply removing the applied force, so there is no need to inflate or set up a gas flow channel. In addition, the lower cannula can swing relative to the cannula to increase the maximum working angle of the instrument during surgery.
Description
本發明是有關於一種套管裝置及套管裝置組,特別是指一種具可變形球囊的套管裝置及套管裝置組。The present invention relates to a cannula device and a cannula device set, and in particular to a cannula device and a cannula device set with a deformable balloon.
套管(Trocar)是一種醫療器械,通常用於外科手術,特別是微創手術(也稱為腹腔鏡手術,英文為Laparoscopic surgery)。套管主要用於在病人的身體中建立一個或多個器械進出通道,以便外科醫生能夠進行微創手術。A trocar is a medical device that is commonly used in surgery, especially minimally invasive surgery (also known as laparoscopic surgery). Trocars are primarily used to create one or more instrument access channels in the patient's body so that surgeons can perform minimally invasive surgery.
其使用方式為,外科醫生在病患腹部劃一小切口,通過小切口將套管插入病人的腹部,然後通過套管將內視鏡(endoscope)或其他手術器械引導入腹腔。這種手術方式由於傷口較小,因此具有術後疼痛較少、復原時間短等優勢。The method of use is that the surgeon makes a small incision in the patient's abdomen, inserts a cannula through the small incision, and then guides an endoscope or other surgical instruments into the abdominal cavity through the cannula. This surgical method has the advantages of less postoperative pain and shorter recovery time due to the smaller incision.
習知一種套管例如為美國Applied Medical公司所申請的歐洲專利第EP2001377B1號所示,其套管遠端(指手術時,離醫生較遠的一端)有一可充氣的球囊,當套管插入人體後,可以外接針筒對該球囊打氣,使該球囊膨脹而能抵靠在人體腹壁內側,進而使套管不會在手術時被誤拉出人體外。One known cannula is shown in European Patent No. EP2001377B1 applied for by Applied Medical of the United States. The cannula has an inflatable balloon at the distal end (the end farther from the doctor during surgery). After the cannula is inserted into the human body, an external syringe can be used to inflate the balloon so that the balloon expands and can rest against the inner side of the abdominal wall of the human body, thereby preventing the cannula from being accidentally pulled out of the human body during surgery.
然而,習知套管仍具有以下缺失:However, the conventional sleeve still has the following deficiencies:
一、該球囊需要充氣膨脹的時間:套管要進入人體時,該球囊必須是消氣狀態才不會卡在腹部外側。套管進入人體後,再用針筒對該球囊打氣使其膨脹,但打氣會增加手術時間,手術時間延長則會增加手術風險。1. The time it takes for the balloon to inflate: When the cannula is inserted into the human body, the balloon must be deflated so that it does not get stuck on the outside of the abdomen. After the cannula enters the human body, the balloon is inflated with a syringe to inflate it, but inflating it will increase the time of the operation, and a longer operation time will increase the risk of the operation.
二、需要設置氣體流道:由於打氣時需要有氣體流道連通針筒與該球囊,因此,需搭配於套管上設置氣體流道,導致套管架構複雜。2. A gas flow channel needs to be provided: Since a gas flow channel is required to connect the syringe and the balloon when inflating, a gas flow channel needs to be provided on the sleeve, resulting in a complicated sleeve structure.
三、器械移動角度受限:請參閱圖1,套管11一般是設計成直線型,因此器械12進入套管11後,在套管11維持直立不動的情況下,器械12只能在管壁內徑範圍內移動,導致工作角度會受限制,圖1中實線之器械12與假想線之器械12之夾角即為器械12的最大工作角度。3. The movement angle of the instrument is limited: Please refer to Figure 1. The
因此,本發明之目的,即在提供一種可改善上述問題的具可變形球囊的套管裝置。Therefore, the object of the present invention is to provide a cannula device with a deformable balloon that can improve the above-mentioned problems.
於是,本發明具可變形球囊的套管裝置,適用於與一刺針裝置可脫離地組裝,並包含沿一軸線依序設置的一上套管、一氣囊件及一下套管。Therefore, the sleeve device with a deformable balloon of the present invention is suitable for being detachably assembled with a needle device, and comprises an upper sleeve, a balloon component and a lower sleeve sequentially arranged along an axis.
該上套管、該氣囊件與該下套管共同界定一適用於供該刺針裝置穿設的器械通道,該氣囊件為可撓性材質,且於未受外力時呈現一外徑大於該下套管的氣囊狀態,並於受到沿該軸線之方向的拉伸力時,呈現一拉伸狀態,於該拉伸狀態時,該氣囊件之外徑小於在該氣囊狀態時之外徑,且沿該軸線之方向上的長度大於在該氣囊狀態時之長度。The upper sleeve, the airbag component and the lower sleeve jointly define an instrument channel suitable for the puncture device to penetrate. The airbag component is made of a flexible material and presents an airbag state with an outer diameter larger than that of the lower sleeve when no external force is applied. When subjected to a tensile force along the axis, it presents a stretched state. In the stretched state, the outer diameter of the airbag component is smaller than the outer diameter in the airbag state, and the length in the direction of the axis is greater than the length in the airbag state.
因此,本發明之目的,即在提供一種可改善上述問題的具可變形球囊的套管裝置組。Therefore, the object of the present invention is to provide a cannula device assembly with a deformable balloon that can improve the above-mentioned problems.
於是,本發明具可變形球囊的套管裝置組包含一刺針裝置及一套管裝置。Therefore, the sleeve device set with a deformable balloon of the present invention includes a needle device and a sleeve device.
該刺針裝置沿一軸線延伸。The lancet device extends along an axis.
該套管裝置包括沿該軸線依序設置的一上套管、一氣囊件及一下套管,該上套管、該氣囊件與該下套管共同界定一用於供該刺針裝置穿設的器械通道,該氣囊件為可撓性材質,且於未受外力時呈現一外徑大於該下套管的氣囊狀態,於該刺針裝置穿入該器械通道並抵靠該下套管而施加沿該軸線之方向的拉伸力時,該氣囊件被該下套管沿該軸線之方向拉伸而呈現一拉伸狀態,於該拉伸狀態時,該氣囊件之外徑小於在該氣囊狀態時之外徑,且沿該軸線之方向上的長度大於在該氣囊狀態時之長度。The sleeve device includes an upper sleeve, an airbag component and a lower sleeve arranged in sequence along the axis. The upper sleeve, the airbag component and the lower sleeve jointly define an instrument channel for the puncture device to pass through. The airbag component is made of a flexible material and presents an airbag state with an outer diameter larger than that of the lower sleeve when not subjected to external force. When the puncture needle device penetrates the instrument channel and abuts against the lower sleeve to apply a tensile force along the axis, the airbag component is stretched by the lower sleeve along the axis and presents a stretched state. In the stretched state, the outer diameter of the airbag component is smaller than the outer diameter in the airbag state, and the length in the direction of the axis is greater than the length in the airbag state.
本發明之功效在於:藉由上述設置,將該氣囊件穿入人體後,僅需移除對其施加的施力,該氣囊件即會自動回復該氣囊狀態,故不需進行打氣、不需要額外的打氣時間,也不需要設置氣體流道,不會增加架構複雜性。再者,由於該氣囊件為可撓性材質,該下套管可相對於該氣囊件擺動,而可提升器械在手術時的最大工作角度。The effect of the present invention is that: through the above arrangement, after the airbag is inserted into the human body, the airbag will automatically return to the airbag state by simply removing the force applied to it, so there is no need to inflate it, no extra inflating time is required, and no gas flow channel is required, which will not increase the complexity of the structure. Furthermore, since the airbag is made of a flexible material, the lower sleeve can swing relative to the airbag, thereby increasing the maximum working angle of the instrument during surgery.
參閱圖2、圖3與圖4,本發明具可變形球囊的套管裝置組之一實施例,包含一刺針裝置2及一套管裝置3。2 , 3 and 4 , an embodiment of the cannula device set with a deformable balloon of the present invention comprises a
該刺針裝置2沿一軸線L延伸,包括沿該軸線L依序設置的一安裝座21、一刺針段22及一針頭段23。該安裝座21具有二卡扣件211。該刺針段22連接該安裝座21且沿該軸線L延伸。該針頭段23連接該刺針段22且於末端(圖2下方)呈外徑漸縮的針尖狀。The
該套管裝置3包括一套管模組4,且可選地還包括一阻隔模組5(見圖7)。The
該套管模組4具有沿該軸線L依序設置的一上套管41、一氣囊件42及一下套管43,該上套管41、該氣囊件42與該下套管43共同界定一用於供該刺針裝置2穿設的器械通道44。The
參閱圖2及圖5,該上套管41具有二分別對應於該等卡扣件211的卡扣部411。於該刺針裝置2組裝於該套管模組4時,該等卡扣件211卡扣於該等卡扣部411而使該刺針裝置2固定於該套管模組4。而當要取出該刺針裝置2時,僅需按壓該刺針裝置2之該等卡扣件211,使該等卡扣件211向內移動而脫離該等卡扣部411,即可將該刺針裝置2向上抽離該套管模組4。Referring to FIG. 2 and FIG. 5 , the
參閱圖2、圖3與圖4,該氣囊件42為可撓性材質,例如,為矽膠及人工橡膠等材質。該氣囊件42於未受外力時呈現一外徑大於該下套管43的氣囊狀態(如圖3),此時,該氣囊件42沿該軸線L之方向上的兩端相互靠近,而使該氣囊件42形成外徑大於沿該軸線L之方向上的長度的扁球囊狀。於該刺針裝置2穿入該器械通道44並抵靠該下套管43而施加沿該軸線L之方向的拉伸力時,該氣囊件42被該下套管43沿該軸線L之方向拉伸而呈現一拉伸狀態(如圖4),於該拉伸狀態時,該氣囊件42之外徑小於在該氣囊狀態時之外徑,而約略相同於該上套管41或該下套管43的外徑,且該氣囊件42沿該軸線L之方向上的長度大於在該氣囊狀態時之長度。Referring to FIG. 2 , FIG. 3 and FIG. 4 , the
該氣囊件42具有沿該軸線L依序設置的一上管段421、一氣囊段422及一下管段423,該上管段421套接該上套管41,該下管段423套接該下套管43,該氣囊段422兩端分別連接該上管段421相反於該上套管41之一端、與該下管段423相反於該下套管43之一端,於該氣囊狀態時,該氣囊段422之外徑大於該上管段421與該下管段423,此時,該氣囊段422沿該軸線L之方向上的兩端相互靠近,而使該氣囊段422形成外徑大於沿該軸線L之方向上的長度的扁球囊狀。於該拉伸狀態時,該氣囊段422之外徑小於在該氣囊狀態時之外徑,而約略相同於該上管段421或該下管段423的外徑,且沿該軸線L之方向上的長度大於在該氣囊狀態時之長度。The
參閱圖6及圖8,該下套管43沿該軸線L之方向上的其中一端連接該氣囊件42,其中另一端(即,遠離該氣囊件42的一端)可藉由該氣囊件42的可撓性特性而相對於該氣囊件42擺動。該下套管43遠離該氣囊件42之一端的內徑,沿該軸線L之方向漸遠漸縮。該下套管43之最小內徑配合於該針頭段23的最大外徑,而使該針頭段23可脫離地卡合於該下套管43。也就是,藉由加大該下套管43的拔模角而與該針頭段23干涉,使該下套管43與該針頭段23可以暫時卡住,並在施加一定量的施力後即可脫離。Referring to FIG. 6 and FIG. 8 , one end of the
參閱圖2及圖4,該上套管41鄰近該氣囊件42之一端的外周面沿該軸線L之截面呈鋸齒狀,該下套管43鄰近該氣囊件42之一端的外周面沿該軸線L之截面呈鋸齒狀。例如,可設計該上套管41鄰近該氣囊件42之一端與該下套管43鄰近該氣囊件42之一端皆為塔接接頭。如此,可增加該氣囊件42兩端套接於該上套管41與該下套管43的穩固性。Referring to FIG. 2 and FIG. 4 , the outer circumference of one end of the
參閱圖7,該阻隔模組5呈環狀套設於該套管模組4,且可沿該軸線L上下調整設置位置。該阻隔模組5可為哈森(Hasson),或為環狀的可撓性材質,例如熱塑性橡膠。由於哈森之架構為此業界所熟悉的內容,在此不贅述。Referring to FIG. 7 , the
參閱圖3、圖4及圖7,以實際應用情況進行說明:Refer to Figures 3, 4 and 7 for an illustration of actual application:
當該套管模組4未受外力時,該氣囊件42會呈現膨脹的該氣囊狀態(如圖3),而當該刺針裝置2穿入該器械通道44,該針頭段23之外周面會卡合於該下套管43之內周面,並隨著向下運動而拉動該下套管43連動該氣囊件42,使該氣囊件42被拉伸而呈現如圖4所示的該拉伸狀態。接著,使用該針頭段23刺穿人體(例如,腹壁8),並於該套管模組4沒入人體預定深度後,拆除該刺針裝置2。當該刺針裝置2向上抽出而使該針頭段23脫離與該下套管43的卡合後,該下套管43所受的向下抵頂的施力即消失,是以,該氣囊件42所受的向下拉伸力也隨之消失,而使該氣囊件42回復至未受外力時的該氣囊狀態,而可抵頂於該腹壁8內側,避免手術操作過程中,該套管模組4會向上位移。接著,將該阻隔模組5往下調整位置,而使該阻隔模組5與該氣囊件42上下夾持該腹壁8,如此,可使該套管模組4位置固定而不會於手術中有上下位移的情況。When the
參閱圖8,當外科醫生使用一器械9穿入該套管模組4進行手術時,由於該氣囊件42為可撓性材質,因此,該下套管43可以隨著該器械9之移動而相對於該氣囊件42擺動,如此,可以提升該器械9在手術時的最大工作角度。Referring to FIG. 8 , when a surgeon uses an instrument 9 to penetrate the
參閱圖4及圖7,當手術結束,需要拆除該套管模組4時,先將該刺針裝置2穿入該器械通道44,而使該氣囊件42被拉伸而呈圖4所示的該拉伸狀態後,即可將整支該套管模組4抽出。4 and 7 , when the operation is completed and the
參閱圖2、圖3及圖4,經由以上的說明,本實施例的功效如下:Referring to FIG. 2 , FIG. 3 and FIG. 4 , through the above description, the effects of this embodiment are as follows:
藉由使用可撓性材質製作該氣囊件42,並將該氣囊件42設置為於未受外力時會呈現該氣囊狀態,於被拉伸時會呈現該拉伸狀態,可以在該拉伸狀態時輕易地穿入人體,並於該氣囊狀態時良好地抵靠固定在人體內側,避免進行手術操作時使該套管模組4產生位移,甚或是將該套管模組4拉出人體外。By using a flexible material to make the
並且,由於該氣囊件42在未受外力時即會自動回復該氣囊狀態,因此,將該氣囊件42穿入人體後,僅需移除對其施加的施力,該氣囊件42即會自動回復該氣囊狀態,而不需如習知技術中需要進行打氣,也就不需要額外的打氣時間,不會導致額外的手術風險,也不需要設置氣體流道,而不會增加該套管模組4的架構複雜性。Furthermore, since the
再者,由於該氣囊件42為可撓性材質,因此,該下套管43可相對於該氣囊件42擺動,如此,可提升該器械9(見圖8)在手術時的最大工作角度。Furthermore, since the
綜上所述,本發明具可變形球囊的套管裝置及套管裝置組,確實能達成本發明的目的。In summary, the cannula device and cannula device assembly with a deformable balloon of the present invention can indeed achieve the purpose of the present invention.
惟以上所述者,僅為本發明之實施例而已,當不能以此限定本發明實施之範圍,凡是依本發明申請專利範圍及專利說明書內容所作之簡單的等效變化與修飾,皆仍屬本發明專利涵蓋之範圍內。However, the above is only an example of the implementation of the present invention, and it cannot be used to limit the scope of the implementation of the present invention. All simple equivalent changes and modifications made according to the scope of the patent application of the present invention and the content of the patent specification are still within the scope of the patent of the present invention.
2:刺針裝置 21:安裝座 211:卡扣件 22:刺針段 23:針頭段 3:套管裝置 4:套管模組 41:上套管 411:卡扣部 42:氣囊件 421:上管段 422:氣囊段 423:下管段 43:下套管 44:器械通道 5:阻隔模組 8:腹壁 9:器械 L:軸線 2: needle device 21: mounting seat 211: buckle 22: needle section 23: needle section 3: cannula device 4: cannula module 41: upper cannula 411: buckle part 42: airbag part 421: upper tube section 422: airbag section 423: lower tube section 43: lower cannula 44: instrument channel 5: barrier module 8: abdominal wall 9: instrument L: axis
本發明之其他的特徵及功效,將於參照圖式的實施方式中清楚地呈現,其中: 圖1是一示意圖,說明習知一種套管裝置設置一器械時,該器械的最大工作角度; 圖2是本發明具可變形球囊的套管裝置組的一實施例的一立體分解圖; 圖3是該實施例的一套管模組的一立體組合圖; 圖4是該實施例的一組合圖; 圖5是圖4的一局部放大剖面圖; 圖6是圖4的另一局部放大剖面圖; 圖7是該實施例穿入人體後的一示意圖;及 圖8是一示意圖,說明該實施例的該套管模組中設置一器械時,該器械的最大工作角度。 Other features and effects of the present invention will be clearly presented in the embodiments with reference to the drawings, wherein: FIG. 1 is a schematic diagram illustrating the maximum working angle of a device when a known sleeve device is provided with a device; FIG. 2 is a three-dimensional exploded view of an embodiment of a sleeve device assembly with a deformable balloon of the present invention; FIG. 3 is a three-dimensional assembly view of a sleeve module of the embodiment; FIG. 4 is an assembly view of the embodiment; FIG. 5 is a partial enlarged cross-sectional view of FIG. 4; FIG. 6 is another partial enlarged cross-sectional view of FIG. 4; FIG. 7 is a schematic diagram of the embodiment after being inserted into the human body; and FIG. 8 is a schematic diagram illustrating the maximum working angle of the device when a device is provided in the sleeve module of the embodiment.
2:刺針裝置 2: Needle device
21:安裝座 21: Mounting seat
211:卡扣件 211: Fasteners
22:刺針段 22: Needle section
23:針頭段 23: Needle segment
3:套管裝置 3: Casing device
4:套管模組 4: Casing module
41:上套管 41: Put on the casing
411:卡扣部 411: Buckle part
42:氣囊件 42: Airbag parts
421:上管段 421: Upper pipe section
422:氣囊段 422: Airbag section
423:下管段 423: Lower pipe section
43:下套管 43: Casing installation
Claims (10)
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TW112136127A TWI852777B (en) | 2023-09-21 | 2023-09-21 | Cannula device with deformable balloon and cannula device assembly |
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TW112136127A TWI852777B (en) | 2023-09-21 | 2023-09-21 | Cannula device with deformable balloon and cannula device assembly |
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TWI852777B true TWI852777B (en) | 2024-08-11 |
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Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20010039430A1 (en) * | 1993-03-05 | 2001-11-08 | Dubrul William R. | Trocar system having expandable port |
CN107137131A (en) * | 2017-06-03 | 2017-09-08 | 成都五义医疗科技有限公司 | A kind of thimble assembly of the expanding distortion body containing rotation |
CN218979137U (en) * | 2022-12-06 | 2023-05-09 | 河南省洛阳正骨医院(河南省骨科医院) | Waist-penetrating trocar for suturing thin wire-guided absorbable wire of torn meniscus |
-
2023
- 2023-09-21 TW TW112136127A patent/TWI852777B/en active
Patent Citations (3)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
US20010039430A1 (en) * | 1993-03-05 | 2001-11-08 | Dubrul William R. | Trocar system having expandable port |
CN107137131A (en) * | 2017-06-03 | 2017-09-08 | 成都五义医疗科技有限公司 | A kind of thimble assembly of the expanding distortion body containing rotation |
CN218979137U (en) * | 2022-12-06 | 2023-05-09 | 河南省洛阳正骨医院(河南省骨科医院) | Waist-penetrating trocar for suturing thin wire-guided absorbable wire of torn meniscus |
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