Whole-course tumor-free defense and auxiliary operation device under single-port laparoscope
The single-port laparoscopic device composed of a protective bag and an outer sheath solves the problems of iatrogenic spread and instrument crowding during tumor removal in single-port laparoscopic surgery, achieving tumor-free protection and convenient operation throughout the entire process.
Patent Information
- Application Number
- CN202511151884.5
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2025-09-09
- Publication Date
- 2025-10-10
AI Technical Summary
There is a risk of iatrogenic tumor spread and metastasis during tumor removal in single-port laparoscopic surgery, and the crowded space occupied by instruments increases the difficulty of operation, making it difficult to achieve tumor-free defense throughout the entire process.
The single-port laparoscopic full-process tumor-free defense and auxiliary surgery device consists of a protective bag, outer sheath, support tube, traction wire, elastic ring, central rod inner core, central rod inner sheath, anti-disconnection hook and sealing plug. The protective bag is used to wrap the tumor and push it away from the surgical field. The outer sheath and support tube reduce instrument congestion, and the traction wire and sealing plug ensure sealing.
It achieves tumor-free defense throughout the entire process of tumor removal and fragmentation in single-port laparoscopic surgery, prevents iatrogenic tumor spread, reduces the space occupied by instruments, and improves operational convenience.
Smart Images
Figure CN120753719A_ABST
Abstract
Description
TECHNICAL FIELD
[0001] The present application relates to a laparoscopic surgery auxiliary device. BACKGROUND
[0002] Single-port laparoscopic surgery is a new minimally invasive treatment method through the umbilical orifice or vaginal incision path to place instruments for observation and cutting operation. Since the surgical instruments are all inserted into the abdominal cavity from a narrow incision, the operation difficulty is significantly increased, especially the abdominal organs such as intestinal tube and omentum often interfere with the surgical field, which further increases the operation difficulty. More seriously, when removing uterine fibroids and ovarian tumors, tumor rupture often occurs, causing iatrogenic tumor dissemination and metastasis, which seriously threatens the patient's life. Therefore, it is of great significance to protect the surgical field of single-port laparoscopic surgery, reduce the interference of adjacent intestinal tube, and prevent iatrogenic tumor metastasis.
[0003] At present, the method of preventing iatrogenic tumor dissemination and metastasis by means of multi-port laparoscopic technology of abdominal wall increases the abdominal wall trauma. The tumor-free defense of single-port laparoscopic surgery is only limited to the tumor fragmentation and removal link, and it is difficult to protect the whole process of tumor removal. The abdominal incision of single-port laparoscopic surgery is small, and since multiple instruments need to pass through the single hole to operate in the abdominal cavity, the instruments in the abdominal incision occupy space, which is not conducive to operation. SUMMARY
[0004] The present application is to avoid the shortcomings of the prior art, and the single-port laparoscopic whole-process tumor-free defense and auxiliary surgery device is composed of a protective bag, an outer sheath, a support tube, a pulling line, an elastic ring, a central rod inner core, a central rod inner sheath, a anti-loosing hook and a sealing plug.
[0005] The present application adopts the following technical solutions to solve the technical problems: 1. A single-port laparoscopic whole-process tumor-free defense and auxiliary surgery device, characterized by being composed of a protective bag (1), an outer sheath (2), a support tube (3), a pulling line (4), an elastic ring (13), a central rod inner core (14), a central rod inner sheath (15), an anti-loosing hook (41) and a sealing plug (43), the protective bag (1) is connected to the central rod inner core (14) by the elastic ring (13) and is installed in the central rod inner sheath (15), the pulling line (4) penetrates through the sealing plug (43) and the support tube (3) and is connected to the central rod inner sheath (15) through the anti-loosing hook (41), and the outer sheath (2) and the support tube (3) are inlaid to form an integral cylindrical operating rod (2232).
[0006] 2. A single-port laparoscopic whole-process tumor-free defense and auxiliary surgery device, characterized in that the protective bag (1) is a soft barrel structure, one end of the bag opening is a ring-shaped sealing ring (11), and the other end of the bag opening is folded to form a protective tube (121) wrapping the elastic ring (13), and the bag opening can slide along the elastic ring (13).
[0007] 3. A single-port laparoscopic, full-length tumor-free defense and auxiliary surgical device, characterized in that the elastic ring is a circular ring structure, with a metal elastic ring (131) inside, a lubricating buffer elastic sleeve (132) on the outer periphery, and is wrapped by a surrounding protective tube (121) of a soft protective bag (1), and the barb of the metal elastic ring (131) is stuck in the L-shaped groove (142) of the inner core (14) of the central rod.
[0008] 4. A single-port laparoscopic full-course tumor-free defense and auxiliary surgical device, characterized in that the central rod inner core (14) is a short columnar structure, the column is provided with an inner core jack (143), the central rod inner core (14) can be inserted from the hollow end (154) of the central rod inner sheath, the metal plug-in is embedded in the inner core jack (143) through the inner sheath jack (153) of the central rod inner sheath, and the central core (14) and the inner sheath (155) are connected and fixed firmly, L-shaped grooves (142) are provided on both sides of the central rod inner core (14) column, and the barbs (1311) of the metal elastic ring (131) of the elastic ring (13) are embedded. One end of the rod inner sheath (155) is a hollow tubular structure, and a strip rail (151) is longitudinally arranged on the surface of the central rod inner sheath (15) tube body. The rail (151) of the central rod inner sheath (15) tube body matches the rail groove (211) in the push tube (21) of the outer sheath (2) and the rail groove (311) in the sheath tube portion (31) of the support tube (3). The central rod inner sheath (155) slides along the rail groove (211) in the push tube (213) of the outer sheath. The other end of the central rod inner sheath (155) is actually provided with a bolt hole (152) to connect the anti-detachment hook (41) of the pulling wire (4).
[0009] 5. A single-port laparoscopic, full-length tumor-free defense and auxiliary surgical device, characterized in that the pulling wire (4) is a long linear structure, one end of the pulling wire is connected to the anti-slip hook (41) and connected to the tether hole (152), the middle passes through the lumen (322) of the support tube (3) and the inner tube of the sealing plug (43), and the other end is connected to the anti-slip ball (44).
[0010] 6. A single-port laparoscopic, full-length tumor-free defense and auxiliary surgical device, characterized in that one end of the support tube (3) is a handle portion (34) with a cylindrical hollow structure, and the other end is a sheath portion (31) with a semi-cylindrical hollow structure, the inner side of the sheath portion (31) of the support tube is provided with a rail groove (311) which can be embedded in the rail (151) of the inner sheath (15) of the central rod, the outside of the support tube (3) is provided with a support tube outer groove (313), the support tube outer groove (313) and the plate body (221) of the outer sheath (2) are inlaid to form an overall cylindrical structure, a soft sealing plug (43) is provided in the tube cavity at the connection between the handle portion (34) of the support tube and the sheath portion (31) of the support tube, and the pulling line passes through the hollow internal pipe (322) of the support tube and the sealing plug (43).
[0011] 7. A single-port laparoscopic, full-length tumor-free defense and auxiliary surgical device, characterized in that the sealing plug (43) is a soft columnar structure, a small inner tube is provided inside the sealing plug, and the pulling wire passes through the inner tube of the sealing plug and the entire length through the hollow inner tube of the support tube.
[0012] 8. A single-port laparoscopic, full-course tumor-free defense and auxiliary surgical device, characterized in that the outer sheath (2) is composed of a push tube (21) and a plate body (22), one end of the outer sheath is the push tube (21), the push tube is a tubular structure, a rail groove (211) is provided inside the tube, the rail (151) on the outside of the inner sheath (15) of the central rod matches the rail groove (211) on the inside of the push tube (21) of the outer sheath (2), and the inner sheath (15) of the central rod is in the push tube of the outer sheath (2). (21) slides along the inner rail (151), and the push tube (21) continues to extend to the other end, retaining only a portion of the sheath wall to form a plate body (22) of the outer sheath. One end of the plate body (22) is connected to the push tube (21), and the other end is a handrail (2223). The wall of the handrail (2223) is provided with an anti-slip groove (23), the end of the handrail is provided with a slope buckle (24), a wire clamping channel (241) is provided longitudinally, and winding grooves (242) are provided horizontally on both sides of the handrail.
[0013] Compared with the existing technology, the beneficial effects of the present invention are embodied in: Single-port laparoscopic surgery achieves tumor-free defense throughout the entire process of tumor removal and fragmentation, comprehensively and effectively preventing iatrogenic tumor spread and metastasis, and ensuring the safety of patients. This technology uses a narrow abdominal wall incision to transform a thick support tube into a thin outer sheath plate, which helps reduce the space occupied by instruments in the incision and facilitates the entry of other instruments into the abdominal cavity for operation. The tumor removal and fragmentation procedures are performed in a protective bag. The inflated protective bag pushes adjacent intestinal tract, omentum and other intra-abdominal organs to the outside and away from the surgical field, avoiding interference of these organs with the surgical field. BRIEF DESCRIPTION OF THE DRAWINGS
[0014] Figure 1 Schematic diagram of intraperitoneal ligation of an ovarian tumor with a protective bag.
[0015] Figure 2 Schematic diagram of the structure of the single-port laparoscopic full-course tumor-free defense and auxiliary surgery device.
[0016] Figure 3 Schematic diagram of the use of full-course tumor-free defense under single-port laparoscopy.
[0017] Figure 4 Schematic diagram of the outer sheath structure.
[0018] Figure 5 Schematic diagram of the support tube structure.
[0019] Figure 6 Schematic diagram of the inner core structure of the central rod.
[0020] Figure 7 Schematic diagram of the inner sheath structure of the central rod.
[0021] Figure 8 Schematic diagram of the metal elastic ring structure.
[0022] Figure 9 Schematic diagram of the protective bag ring structure.
[0023] Figure 10 Schematic diagram of the joystick structure. DETAILED DESCRIPTION
[0024] Holding the handle portion (34) of the support tube (3), the operating rod (2232) is passed through the channel (512) of the porous cover (5), the anti-drop hook (41) of the pulling wire (4) is hooked on the bolt hole (152) of the inner sheath (15) of the central rod, and the anti-drop ball (44) is pulled to tighten the pulling wire (4), so that the stop rail (151) of the inner sheath tube body of the central rod is matched with the stop rail groove (211) in the push tube (21) of the outer sheath (2), and the stop rail (151) of the inner sheath (15) of the central rod can slide along the stop rail groove (211) in the push tube (213) of the outer sheath (2); the stop rail (151) of the inner sheath tube body of the central rod is matched with the stop rail groove (311) in the sheath tube portion (31) of the support tube (3), and the end of the stop rail groove (311) of the sheath tube portion (31) of the support tube (3) limits the support tube (3) from sliding forward.
[0025] The protective bag (1), the elastic ring (13), the central rod inner core (14), and the central rod inner sheath (15) are assembled into a protective bag ring body (12345).
[0026] The single-port surgical incision (6) is placed in an incision protective cover (52), and the protective bag ring (12345) is placed into the abdominal cavity through the incision protective cover (52) under direct vision. The incision protective cover (52) is connected to the porous cover (5) and inflated to establish pneumoperitoneum. The joystick (2232) is held externally, and an endoscope and other instruments are inserted through the channel to assist. The elastic ring (13) is manipulated to insert the ovarian tumor (8) into the abdominal cavity, and the support tube (3) is pulled outward outside the abdominal cavity. The plate (22) of the outer sheath (2) is pushed inward, so that the push tube (21) of the outer sheath (2) slides over the inner sheath (15) of the central rod and contracts the elastic ring (13), and the protective bag opening (121) is pushed to tighten the pedicle of the ovarian tumor.
[0027] The gas in the abdominal cavity is evacuated, the porous cover (5) is separated from the incision protection sleeve (52), and the porous cover (5) is further pulled outward along the operating rod (2232).
[0028] The handle portion (34) of the support tube (3) is located outside the abdominal cavity, the pulling wire (4) is cut, and the thick support tube (3) is removed from the surgical incision.
[0029] The annular sealing ring (11) of the protective bag (1) in the abdominal cavity is pulled out of the body from the incision protective cover (52), and the porous cover (5) is connected to the annular sealing ring (11). The bag is inflated to establish a single-hole pneumoperitoneum operation space. The endoscope is placed into the protective bag (1) to observe and remove the ovarian tumor (8). If the tumor ruptures, the tumor contents are confined to the protective bag (1). The plate (22) of the outer sheath (2) is located between the incision protective cover (52) and the protective bag (1). The traction line (4) is pulled out of the abdominal cavity, and the plate (22) of the outer sheath (2) is pushed into the abdominal cavity, thereby locking the pedicle of the ovarian tumor.
[0030] After the ovarian tumor is removed, the pulling wire (4) is loosened, and the elastic ring (13) of the instrument in the protective bag (1) is expanded to release the clean and normal ovarian cortex after the tumor is removed from the protective bag (1) into the abdominal cavity. The pulling wire (4) in the support tube is pulled outward again to tighten. The pulling wire (4) after being pulled outward and tightened can be clamped in the longitudinal clamping channel (241) of the outer sheath (2), and is wound several times along the horizontal winding grooves (242) on both sides of the handrail (2223) and then clamped into the longitudinal clamping channel (241) for fixation.
[0031] Push the plate (22) of the outer sheath (2) downward into the abdominal cavity, close the opening of the elastic ring (13) with the push tube (21), and exhaust the gas in the protective bag (1). Hold the plate (22) of the outer sheath (2), and remove the protective bag ring (12345) and the tumor tissue (8) specimen in the bag through the single-hole incision (6).
[0032] The above embodiments are only descriptions of preferred implementation modes of the present invention and are not intended to limit the scope of the present invention. Without departing from the spirit and essence of the design of the present invention, any equivalent changes or modifications made to the present invention should be included in the scope of protection of the present invention.
Claims
1. Single-port laparoscopic full-course tumor-free defense and auxiliary surgery device, which is characterized by The protective bag (1), the outer sheath (2), the support tube (3), the pulling wire (4), the elastic ring (13), the central rod inner core (14), the central rod inner sheath (15), the anti-detachment hook (41) and the sealing plug (43) are composed. The protective bag (1) is connected to the central rod inner core (14) by the elastic ring (13) and is installed in the central rod inner sheath (15). The pulling wire (4) passes through the sealing plug (43) and the support tube (3) and is connected to the central rod inner sheath (15) through the anti-detachment hook (41). The outer sheath (2) and the support tube (3) are inlaid to form an integral cylindrical operating rod (2232).
2. The single-port laparoscopic full-course tumor-free defense and auxiliary surgery device according to claim 1 is characterized by The protective bag (1) is a soft barrel structure, with a bag opening at one end being a ring-shaped sealing ring (11), and an edge of the bag opening at the other end being folded to form an elastic ring (13) wrapped around the protective tube (121), and the bag opening can slide along the elastic ring (13).
3. The single-port laparoscopic full-course tumor-free defense and auxiliary surgery device according to claim 1 is characterized by The elastic ring is a circular ring structure, with a metal elastic ring (131) inside and a lubricating buffer elastic sleeve (132) on the outer periphery. The elastic ring is wrapped by the surrounding protective tube (121) of the soft protective bag (1), and the barb of the metal elastic ring (131) is inserted into the L-shaped groove (142) of the central rod inner core (14).
4. The single-port laparoscopic full-course tumor-free defense and auxiliary surgery device according to claim 1 is characterized by The inner core (14) of the central rod is a short columnar structure, and the column is provided with an inner core jack (143). The inner core (14) of the central rod can be inserted from the hollow end (154) of the inner sheath of the central rod, and the metal plug is embedded in the inner core jack (143) through the inner sheath jack (153) of the inner sheath of the central rod, and the central core (14) and the inner sheath (155) are connected firmly. L-shaped grooves (142) are provided on both sides of the column of the central rod inner core (14), and the barbs (1311) of the metal elastic ring (131) of the elastic ring (13) are embedded. One end of the inner sheath (155) of the central rod is hollow. The tubular structure comprises a strip-shaped rail (151) provided longitudinally on the surface of the inner sheath (15) of the central rod, the rail (151) of the inner sheath (15) of the central rod matches the rail groove (211) in the push tube (21) of the outer sheath (2) and the rail groove (311) in the sheath portion (31) of the support tube (3), the inner sheath (155) of the central rod slides along the rail groove (211) in the push tube (213) of the outer sheath, and the other end of the inner sheath (155) of the central rod is provided with a bolt hole (152) for connecting the anti-detachment hook (41) of the pulling wire (4).
5. The single-port laparoscopic full-course tumor-free defense and auxiliary surgery device according to claim 1 is characterized by The pulling wire (4) is a long linear structure, one end of which is connected to the anti-drop hook (41) and the bolt hole (152), and the middle part passes through the lumen (322) of the support tube (3) and the inner tube of the sealing plug (43), and the other end is connected to the anti-drop ball (44).
6. The single-port laparoscopic full-course tumor-free defense and auxiliary surgery device according to claim 1 is characterized by: One end of the support tube (3) is a handle portion (34) with a cylindrical hollow structure, and the other end is a sheath portion (31) with a semi-cylindrical hollow structure. The sheath portion (31) of the support tube is provided with a rail groove (311) on the inner side thereof, which can be embedded in the rail (151) of the inner sheath (15) of the central rod. The outside of the support tube (3) is provided with a support tube outer groove (313). The support tube outer groove (313) and the plate body (221) of the outer sheath (2) are inlaid to form an overall cylindrical structure. A soft sealing plug (43) is provided in the tube cavity at the connection between the handle portion (34) of the support tube and the sheath portion (31) of the support tube, and the pulling wire passes through the hollow internal pipe (322) of the support tube and the sealing plug (43).
7. The single-port laparoscopic full-course tumor-free defense and auxiliary surgery device according to claim 1 is characterized by: The sealing plug (43) is a soft columnar structure. A thin inner tube is provided inside the sealing plug. The pulling wire passes through the inner tube of the sealing plug and passes through the hollow inner pipe of the support tube.
8. The single-port laparoscopic full-course tumor-free defense and auxiliary surgery device according to claim 1 is characterized by: The outer sheath (2) is composed of a push tube (21) and a plate body (22). One end of the outer sheath is the push tube (21), which is a tubular structure. A rail groove (211) is provided in the tube. The rail (151) on the outside of the inner sheath (15) of the central rod matches the rail groove (211) on the inside of the push tube (21) of the outer sheath (2). The inner sheath (15) of the central rod slides along the rail (151) in the push tube (21) of the outer sheath (2). The push tube (21) continues to extend to the other end, retaining only a portion of the sheath wall to form the plate body (22) of the outer sheath. One end of the plate body (22) is connected to the push tube (21), and the other end is a handrail (2223). The wall of the handrail (2223) is provided with an anti-slip groove (23). The end of the handrail is provided with a slope buckle (24). A wire clamping channel (241) is provided longitudinally, and winding grooves (242) are provided transversely on both sides of the handrail.