WO2011083927A2

WO2011083927A2 - Organ support holder for endoscopic surgery

Info

Publication number: WO2011083927A2
Application number: PCT/KR2010/009206
Authority: WO
Inventors: 서오남
Original assignee: 배상호
Priority date: 2010-01-08
Filing date: 2010-12-22
Publication date: 2011-07-14
Also published as: WO2011083927A3; KR100960436B1

Abstract

The present invention relates to an organ support holder for endoscopic surgery. The organ support holder of the present invention can hold a body organ more stably than conventional forceps for use in endoscopic surgery so as to easily improve the visibility of the body part being surgically operated upon and enable surgical operations to be smoothly performed. Further, the organ support holder of the present invention enables an operating surgeon to conduct a surgical operation in a convenient manner by eliminating the need for holding the organ support holder with the hands once body organs are being held by the organ support holder. The organ support holder of the present invention uses a trocar through which a ring of a tension wire passes, wherein the trocar has an extremely small diameter to prevent or reduce the scar on a body part of a patient after the surgery.

Description

Long-term support holder for endoscopy

The present invention relates to a long-term support holder for endoscopic surgery, and more particularly, in the laparoscopic surgery using an endoscope, the holding time of the organ efficiently in the procedure of excision, extraction, etc. Significantly reduced to ensure a smooth operation, as well as to a long-term support holder for endoscopic surgery so that scars rarely remain after surgery.

In general, laparoscopic endoscopic surgery is performed to minimize the incision of the skin and to quickly recover the patient, unlike conventional open surgery.

This endoscopic surgery uses a trocar surgical instrument called a trocar, punctures one or more small holes in the abdomen of the patient, and inserts a portion of the trocar through the hole to elongate tongs that are surgical instruments such as endoscopy. Enter the surgical site of the abdominal cavity with a resection instrument, an extraction outlet, an endoscope camera long-term support holder (aka, long-term support tool), and perform various cholecystectomy, biliary stone removal, exudation protrusion, general surgery, etc. have.

That is, such a trocar is a medical surgical instrument used to access a body cavity, and has a sleeve (hereinafter referred to as an 'insertion tube') extending from the trocar housing. The insertion tube is a trocar formed of 10mm and 5mm, respectively, and the trocar is used by inserting at least three or four. The insert tube is a 10mm trocar, and usually an endoscope camera and an extraction outlet equipped with an extraction bag are mainly used in and out. An insertion tube of 5mm trocar is used to enter and use an elongated surgical tool.

From the upper portion of the insertion tube of the trocar, an incision rod (not shown in the drawing) provided with a cutting blade at one end penetrates the abdomen, or penetrates the inside of the trocar and enters the abdominal cavity to cut the extract, Surgical tools such as pick-up and cut-outs, and various other parts can be inserted in and out, and there is a drawout outlet equipped with an extraction bag for processing the corresponding extract, and an endoscope with a light to display the surgical site. The procedure is proceeded while the operator enters and exits the various surgical tools required such as a camera (Telescope).

In the surgical tool as described above, as shown in the accompanying Figure 1, the forceps mechanism 200 is used for resection of the organ portion or to secure the field of view of the corresponding organ.

The forceps device 200 enters the abdominal cavity through the trocar, and serves as an assistant to hold other surgical clips, seals, extraction bags, and the like, including the organ, and use the handle as in a conventional scissors handle. When operating, the tongs 201 provided at the tip is operated to hold the corresponding portion.

The forceps part 201 is connected to the wire (W) therein, and the force of the forceps, the bite is made, and is used as a secondary device as described above.

As described above, the elongated forceps entering through the trocar having a small diameter should be made small in the longitudinal direction and the forceps of the body entering the same.

However, since the angle A that the forceps 201 can be opened in the abdominal cavity is significantly small, it is difficult to hold the organ stably. As a result, it is very difficult to secure the field of surgery of the corresponding organ by holding and lifting the organ using the forceps device 200 as described above, and the surgical assistant has a problem in that the forceps must be held during the operation time.

On the other hand, when the forceps of the forceps mechanism 200 manufactured in a small size as described above is applied to the force, there is a problem that frequently breakage of the forceps 201 from the hinge shaft (H).

The present invention has been made to solve the above problems, in the laparoscopic surgery using the endoscope to effectively hold the organ in the procedure, such as excision, extraction of the organ, and by changing the position significantly reducing the operation time in the progress of the operation The purpose is to provide a long-term support holder for endoscopic surgery to ensure a smooth operation, as well as scarring scars after surgery.

According to the present invention for achieving the above object, in the endoscopic surgery long-term support holder to enter the laparoscopic through the trocar intubated from the outside of the abdomen to hold the organ,

The long-term support holder is a tension wire formed with a snare-shaped ring portion for holding the organ at one end, and one end of the tension wire is fixed through the center, the fixing projection is attached to the outer periphery, the one side of the fixing projection Sliders are attached to one side, and a stopper is provided at one end in a cylindrical shape, and the slider is received from one side of the opening, the slide groove is formed in the longitudinal direction to guide the slider back and forth, while the fixing projections on the slide groove in multiple stages Fixing grooves for fixing in the equal intervals are provided, the handle bar is formed with a coupling jaw protruding from the outer end of one end, a compression spring is provided between the slider and the stopper from the inside of the handle bar to give elasticity, and the handle bar Coupling groove for receiving the coupling jaw is formed in the center, the coupling groove is formed HEM is formed with a through hole penetrating through the tension wire, characterized in that provided stone to be added corresponding joining an outer peripheral connection port configured to be detachably installed from the trocar.

The long-term support holder of the present invention can hold the organ stably compared to the forceps device in the conventional endoscopy operation to secure the field of view of the surgical site to facilitate the smooth operation, as well as holding the organ once held by hand Since there is no need for surgery, the trocar penetrating the annulus has a very small diameter, so that scars do not remain after the surgery, thereby reducing the scarring of the patient.

1 is a perspective view showing a conventional endoscopic surgical forceps;

Figure 2 is a longitudinal cross-sectional view showing the present holder for the endoscope surgery organs,

3 is a perspective view showing the main parts of the organ holder according to the present invention separately;

4 is a perspective view illustrating a state in which the assembled organ holder according to the present invention is separated from the trocar,

Figure 5 is a longitudinal cross-sectional view illustrating a step of inserting a trocar into the abdomen using a trocar according to the present invention;

Figure 6 is a longitudinal cross-sectional view illustrating the step of inserting and using the organ holder through the trocar in Figure 5,

Figure 7 is an enlarged partial view showing the action of the tension wire side ring of the organ holder according to the present invention.

Hereinafter, the present invention will be described in more detail with reference to the attached FIGS. 2 to 7.

Attached Figure 2 is a longitudinal sectional view showing the endoscope surgical organ holder according to the present invention, Figure 3 is a perspective view showing the main portion of the separate organ holder according to the present invention, Figure 4 is assembled organ holder according to the present invention Figure 5 is a perspective view showing a state separated from the trocar, Figure 5 is a longitudinal cross-sectional view illustrating a step of inserting the trocar into the abdomen using the trocar according to the present invention, Figure 6 is an organ holder through the trocar in Figure 5 Figure 7 is a longitudinal cross-sectional view illustrating the insertion and use state step by step, Figure 7 is a partially enlarged view showing the action of the tension wire side ring of the organ holder according to the present invention.

In the present invention, in the endoscope surgery long-term support holder 100 to enter the inside of the laparoscope through the trocar (1) is inserted from the outside of the abdomen to hold the organ,

The long-term support holder 100, the tension wire 10 is formed with a snare-shaped ring portion 12 for holding the organ at one end side, and one end of the tension wire 10 is fixed through the center, the outside The fixing protrusion 21 is attached to the circumference, and the slider 20 is attached to one side of the fixing protrusion 21, and a stopper 31 is provided at one end in a cylindrical shape. A slide groove 32 is formed to accommodate the slider 20 and guides the slider 20 back and forth in the longitudinal direction, while a fixed groove for fixing the fixing protrusion 21 on the slide groove 32 in a multi-stage position. (33) is provided at equal intervals, and is installed between the slider (20) and the stopper (31) from the inside of the handle 30, the handle 30 and the engaging jaw (34) protruding from the outer end of one end portion; Compression spring 40 to give elasticity and the engaging jaw of the handle (30) Coupling groove (51) for accommodating 34 is formed in the center, the through hole 52 penetrating through the tension wire 10 is formed in the center of the coupling groove 51 is formed, the engaging protrusion 53 on the outer circumference Is provided to correspond to the connector 50 is detachably installed from the trocar (1).

The tension wire 10 is preferably made of a stainless steel material (SUS) harmless to the human body.

For reference, the trocar is manufactured with a fine inner diameter of an outer diameter of 3 to 4 mm, an inner diameter of 2 to 3 mm, and the tension wire is made of a wire having a diameter of 0.8 mm to 1 mm.

One side of the ring portion 12 is easy to penetrate the trocar 1, the insertion tension portion 14 folded in half to maintain the shape of the ring portion 12 is further formed. A predetermined length from the insertion tension portion is to form the ring portion, the ring portion is formed to a diameter of 50mm.

One side of the trocar (1) is provided with a guide groove (1-1) for receiving one end of the connector 50, the guide groove (1-1) for guiding and engaging the coupling protrusion 53 'B' shaped fastening groove (1-2) is formed to correspond to each other.

In the longitudinal direction of the tension wire 10 penetrating the trocar 1, a soft tube 16 for airtightness is coated from the inner diameter of the trocar 1. The flexible tube is made of a harmless component as a urethane-based coating material.

In the drawings, reference numeral 2 denotes an 'insertion mechanism' for intubation of the trocar through the abdominal wall while penetrating through the trocar, and 3 represents the abdomen.

Referring to the operation of the long-term support holder of the present invention configured as described above are as follows.

First, a trocar 1 into which a part of the long-term support holder 100 according to the present invention may enter in addition to the trocar into which the endoscope surgical equipment enters is inserted into the abdomen 3 of the surgical patient as shown in FIG. 5.

In the state where the insertion device 2 is penetrated from the trocar 1, the end portion of the insertion device 2 is inserted into the trocar 1 while the pointed portion penetrates the abdomen 3. After removing the insertion mechanism from the trocar again, as shown in FIG. 6, the tension wire 10 constituting the long-term support holder 100 penetrates the through hole 52 of the connector 50 and the inner diameter of the trocar 1. Insert from.

By inserting the insertion tension portion 14 corresponding to the leading end of the tension wire 10 into the inner diameter of the trocar 1 at the head, the annular portion 12 formed on the tip side is connected to the inner diameter of the trocar 1. The ring portion 12 is extended from the insertion tension portion 14 as in the first ring shape in the state of entering the folded state and passing through the trocar 1 that has previously entered the inside of the abdomen 3. Keep it open.

In the insertion of the tension wire 10, the tube 16 coated on the outer circumference of the tube 16 is to close the inner diameter of the trocar 1 to prevent nitrogen gas from leaking through the trocar in the abdominal surgery.

In the state in which the front end side ring portion 12 of the tension wire 10 enters the abdomen as described above, the coupling protrusion 53 coupled to the handle 30 side is a guide groove of the trocar 1. (1-1) guided to the 'b' shaped fastening groove (1-2) to be mounted integrally with the trocar (1). The coupling protrusion 53 is guided in a straight line, and when the connector is rotated, the coupling protrusion 53 is guided to the fastening groove 1-2 so that the fastening is completed while no further rotation is performed.

On the other hand, through the ring portion 12 entered in the abdomen 3 in the above state guides the organ or part of the organ to be treated, and then the slider 20 installed therein from the handle 30 When the slider 20 is positioned rearward (upward in the figure) by using the pushing piece 22 coupled to the) side, as shown in FIG. 7, the ring part 12 is like a noose. Gradually tighten, holding the organ.

The push piece 22 is fixed by positioning the engaging projection 21 of the slider 20 in the corresponding fixing groove 33 of the plurality of fixing grooves 33 provided from the slide groove 32 on the handle 30 side. Do it.

Such a state is to hold the organ as a state of holding the organ, and to hold the organ to hold the organ to secure the field of view of the surgical site.

The state as described above is holding the site where the trocar (1) and the connector 50 is coupled with one hand, and rotate the handle 30 from the connector 50 with the other hand, the coupling of the handle 30 The jaw 34 is rotated from the coupling groove 51 of the connector 50, and at the same time, the slider 20 supporting the tension wire 10 is also simultaneously rotated, thereby acting to twist the ring portion 12. It is possible to lift or lower the holding organs in a state where the surgery is easy.

On the other hand, when the operation is completed, the holding device of the tension wire side ring portion 12 is released from the organ in the reverse order to the holding method of the organ, and then the long term support holder is released together with the release of the connector 50 from the trocar 1. 100 can be separated.

As a result, by using the long-term support holder 100, the organ can be stably held in comparison with the forceps in the conventional endoscopy, so that the field of surgery can be secured and the surgical procedure can be performed smoothly. Since the surgery does not have to be held by hand one by one, the hassle of surgery is less, and the trocar through the ring portion uses a very small diameter, so that no scars remain after the surgery, thereby reducing the scar area of the patient.

Claims

In the endoscope surgery long-term support holder 100 to enter the inside of the laparoscopy through the trocar (1) is inserted from the outside of the abdomen to hold the organ,

The long term support holder 100,

A tension wire 10 formed with a snare-shaped ring portion 12 for holding an organ at one end thereof,

One end of the tension wire 10 is fixed through the center, the fixing protrusion 21 is attached to the outer periphery, the fixed protrusion 21, one side of the slider 20 is attached to the push piece 22,

A stopper 31 is provided at one end in a cylindrical shape, and receives the slider 20 from an opened side, and a slide groove 32 is formed in the longitudinal direction to guide the slider 20 back and forth, while the slide groove 32 is formed. A handle groove 30 for equally spaced fixing grooves 33 for fixing the fixing protrusion 21 at a multi-stage position, and a protruding jaw 34 protruding from one end of the outer circumference thereof;

Compression spring 40 is provided between the slider 20 and the stopper 31 from the inside of the handle 30 to give elasticity,

Coupling groove 51 for accommodating the engaging jaw 34 of the handle 30 is formed in the center, the through-hole 52 penetrating the tension wire 10 is formed in the center of the coupling groove 51 is formed Is provided with a coupling protrusion 53 corresponding to the outer circumference, the long-term support holder for endoscopy, characterized in that consisting of the connector 50 is detachably installed from the trocar (1).
According to claim 1, One side of the ring portion 12 is easy to penetrate the trocar (1), characterized in that the insertion tension portion 14 folded in half so as to maintain the shape of the ring portion 12 is further formed Long-term support holder for endoscopy.
According to claim 1, One side of the trocar (1) is provided with a guide groove (1-1) for receiving one end of the connector 50, the guide groove (1-1) is provided with the engaging projection (53) Long-term support holder for endoscopic surgery, characterized in that the 'b' shaped fastening groove (1-2) for fastening to guide to each other formed to correspond to each other.
The organ for endoscopic surgery according to claim 1, wherein in the longitudinal direction of the tension wire (10) penetrating the trocar (1), a soft tube (16) for airtightness is coated from the internal diameter of the trocar (1). Support holder.