WO2017164824A1

WO2017164824A1 - Single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes

Info

Publication number: WO2017164824A1
Application number: PCT/TH2017/000019
Authority: WO
Inventors: Kitti TOOCHINDA
Original assignee: Individual
Current assignee: Individual
Priority date: 2016-03-21
Filing date: 2017-03-15
Publication date: 2017-09-28
Anticipated expiration: 2018-09-21

Abstract

The single-incision video-assisted surgery equipment set with multiple entry-exit ports (21,22,23,24) for medical instruments and gas tubes (14,15) has the following characteristics: the body structure (10) is manufactured of flexible materials; the bottom of the body structure (10) contains Exit Port 1 (1); at the outer rims of the end of Exit Port 1 (1) is a flexible strip (4) that can enlarge the diameter for installation and attachment to Entry-exit Port Device 2 (20); the upper part of the body structure (10) forms into a multiple tube functioning as medical instrument (6) entry ports (11,12,13) and gas entry-exit tubes (14,15) where the medical instruments entry-exit ports (21,22,23) and gas entry-exit ports (24) are permanently installed to the multiple tube.

Description

SINGLE-INCISION VIDEO-ASSISTED SURGERY EQUIPMENT SET WITH MULTIPLE ENTRY- EXIT PORTS FOR MEDICAL INSTRUMENTS AND GAS TUBES

Branch of Science Associated with the Invention

Engineering science related to single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes.

Background of related art or science

Figure 1 shows single-incision video-assisted surgery. In particular, umbilical incisions for surgery such as uterine tumor removals are aimed to minimize pain, accelerate healing and promote aesthetic beauty When the wounds heal, the scars will not be visible because they are hidden in the umbilical depression. At present, the use of rubber gloves as a medical instrument in surgery has been accepted and become a standard form. The Entry-exit Port Device 2 is in the form of a flexible rubber band. It is composed of the upper band and the lower band with equal diameters. The body of the upper band extending to the bottom band narrows into the middle band with a small diameter functioning as the entry-exit port for medical instruments installed on the abdomen around the umbilical area. The upper band is located on the abdomen of the patient, while the bottom band is located inside the patient's abdomen. Both bands together hold the abdominal wall in this position with the Entry-exit Port Device 2 attached to the bottom of the rubber gloves to provide the sealed area for surgery. All five fingers of the gloves point upward in the opposite direction rom the patient's abdomen.

The tips of all five fingers of the rubber gloves are arranged to provide entry for at least one piece of the medical instrument. In particular, medical instruments composed of at least three pieces are set to have different entry points through each finger to access the umbilical entry at the same central position.

The original invention as shown in Figure 1 has drawbacks in that the rubber gloves are implemented such that the index, ring and middle fingers are located closely together during actual usage. Therefore, when three medical instruments are inserted at the index, middle and ring fingers of the rubber gloves, and back and forth movements of the medical instruments are required during surgery, the three medical instruments will come into contact at the top and thereby obstruct surgery. Furthermore, the entry point devices for medical instruments have to be installed to the rubber gloves afterward, which is inconvenient and insecure. Another drawback is that when surgery requires gas to be inserted through the rubber gloves for delivery to the abdomen in order to expand the abdomen to increase space and provide visibility for surgery through the small incision in the abdomen, with the rubber gloves at the little finger and thumb acting as the gas release and refill points, respectively. The gas entry-exit ports are installed at the tips of the little finger and thumb for external gas tube connections. The gas entry-exit ports installed at the tips of the little finger and thumb cannot sufficiently support the gas pressure. In addition, the gas entry-exit ports have to be installed afterward, which is inconvenient and insecure. Additionally, the gas ports are located near the medical instrument ports, which obstructs and causes inconvenience. Furthermore, another drawback is that the bottom band of Entry-exit Port Device 2 in the form of a flexible band composed of the upper band and bottom band has a large diameter during actual usage. The unnecessarily large size of the aforementioned band causes it to be difficult to be pressed and contracted for insertion of the band through the umbilical entry.

The current invention has made corrections for the single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes for each port of the multiport structure to be spaced from one another other to prevent a number of medical instruments inserted into the multiport from hitting the top part during back and forth movements. Furthermore, the entry-exit ports of a number of different forms of medical instruments are installed permanently to the multiport tube to facilitate use.

Moreover, the gas entry and exit ports are situated on the horizontal plane on the opposite direction and not close to the Medical Instrument Entry Ports in order to space the aforementioned apart and provide convenience during surgery without obstructing external gas tube connection. It is not located near the Medical Instrument Entry Ports in order to separate locations and facilitate surgery without obstructions to the upper side. A number of gas entry-exit ports are installed permanently to the multiport tube to provide usage convenience.

Furthermore, Entry-exit Port Device 2 in the form of a flexible band is composed of the upper band and the lower band with unequal diameters. The lower band has a smaller diameter than the upper band to enable shrinkage for easy insertion of the lower band into the small single-incision.

Invention Characteristics and Objectives

The single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes with multiport tube structure has each port spaced apart to prevent a number of medical instruments inserted into the multiport tubes from hitting the top part as the medical instruments move back and forth during surgery. The entry-exit ports of a number of different types of medical instruments are permanently installed at the multiport tube in order to facilitate use. Meanwhile, the gas entry and exit ports are installed on a horizontal plane in the opposite direction and not close to the Medical Instrument Entry Ports in order to separate locations and facilitate surgery without obstructions and facilitate external gas tube connection and not close to the Medical Instrument Entry Ports in order to separate locations and facilitate surgery without obstruction to the upper part. A number of gas entry-exit ports are permanently installed at the multiport tube to facilitate such that entry-exit to Port Device 2 in the form of a flexible band composed of the upper and lower bands with unequal diameters where the lower band has a smaller diameter than the upper band to enable shrinkage for easy insertion of the lower band into the small single incision.

The objective of this invention is to provide a single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes specifically for use in single- incision video-assisted surgery, especially with Medical Instrument Entry Ports permanently installed on to the multiport tube to enable convenient use without subsequent installation, protection for a number of medical instruments moving back and forth during surgery from hitting the upper part and gas entry-exit tubes installed on the horizontal plane to enable convenience in external gas tube connection spaced away from Medical Instrument Entry Ports to separate locations and facilitate surgery without obstruction with gas entry-exit ports permanently installed on the multiport tube to provide effective pressure support and usage without requiring subsequent installation.

Full Disclosure of the Invention

Figure 2 shows the components of the single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes with the following characteristics:

The body structure (10) constructed of flexible materials with the bottom of the boy structure containing Exit Port 1 (1 ) where the outer edges of the end of Exit Port 1 (1 ) contain a flexible strip (4) that enables diameter enlargement for installation and attachment to enter-exit Port Device 2 (20).

The upper part of the body structure (10) forms the multiport composed of at least one medical instrument entry port tube and at least one gas entry-exit tubes, specifically composed of Medical Instrument Entry Port 1 (1 1 ), Medical Instrument Entry Port 2 (12), Medical Instrument Entry Port 3 ( 13), Gas Exit Tube (14) and Gas Entry Tube (15). Medical Instrument Entry Port 1 (1 1 ), Medical Instrument Entry Port 2 (12), Medical Instrument Entry Port 3 (13) face the top in the opposite direction as the position of Entry-exit Port Device 2 (20) where Medical Instrument Entry Port 1 (1 1 ), Medical Instrument Entry Port 2 (12), Medical Instrument Entry Port 3 (13) are positioned symmetrically.

The Gas Exit Tube (14) points toward Side 1 and the Gas Entry Tube (15) points toward Side 2 such that the Gas Exit Tube (14) and Gas Entry Tube (15) face opposite directions and in a horizontal plane with Entry-exit Port Device 2 (20) and not close to Medical Instrument Entry Port 1 (1 1 ), Medical Instrument Entry Port 2 (12), Medical Instrument Entry Port 3 (13) to separate locations and facilitate surgery without obstruction while facilitating External Gas Tube (26) connection.

The ends of Medical Instrument Entry Port 1 (1 1), Medical Instrument Entry Port 2 (12) and Medical Instrument Entry Port 3 (13) are installed at the entry-exit port of Medical Instrument 1 (21 ), entry-exit port of Medical Instrument 2 (22) and entry-exit ports of Medical Instrument 3 (23), which are funnel-shaped with a larger diameter tapering down toward the bottom or cylinder-shaped with equal diameters from the top to the bottom where the head with the diameter larger than the cylinder at the centers of the entry-exit port of Medical Instrument 1 (21 ), entry-exit port of Medical Instrument 2 (22), entry-exit port of Medical Instrument 3 (23) are in the form of slots for check valves to prevent gas from leaking out and enable insertions of medical instruments (6) and permanently installed to Medical Instrument Entry Port 1 (1 1 ), Medical Instrument Entry Port 2 (12) and Medical Instrument Entry Port 3 (13), respectively, to facilitate use.

The ends of the Gas Exit Tube (14) and the Gas Entry Tube (15) are installed at the Gas Entry- exit Ports (24) in the form of cylinders with equal diameters from the top to the bottom with the head with a larger diameter than the cylinder tube and containing a lid to prevent gas from leaking out. A part of the Gas Entry-exit Ports (24) contains a Gas Tube Joint (25) for External Gas Tube (26) connection.

Entry-exit Port Device 2 (20) is in the form of a flexible band composed of the Upper Band (2) and Lower Band (3) with unequal diameters where the Lower Band (3) has a smaller diameter than the Upper Band (2) to enable shrinkage for easy insertion of the Lower Band (3) into the small single incision.

Figure 3 shows the upper side of the single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes where Medical Instrument Entry Port 1 (1 1), Medical Instrument Entry Port 2 (12), Medical Instrument Entry Port 3 (13) are facing upward and opposite to the position of Entry-exit Port Device 2 (20) (see Figure 2). Medical Instrument Entry Port 1 ( 1 1 ), Medical Instrument Entry Port 2 (12) and Medical Instrument Entry Port 3 ( 13) are positioned symmetrically. The Gas Exit Tube (14) faces Side 1 , while the Gas Entry Tube ( 15) faces Side 2 such that the Gas Exit Tube ( 14) and the Gas Entry Tube (15) are faced opposite to each other and in the horizontal plane relative to the position of Entry-exit Port Device 2 (20) (see Figure 2). The aforementioned structure characteristics are a result of gas pressure.

See Figure 2 and Figure 3 on installation of the single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes. At the outer edge at the end of Exit Port 1 (1 ) contains a flexible strip (4) for installation and attachment to Entry-exit Port Device 2 (20). The Lower Band (3) is pressed to contract for the Lower Band (3) to be inserted into the small single incision and installed in the abdominal wall (5). Two External Gas Tubes (26) are connected to the Gas Tube Joint (25) of the Gas Entry -exit Ports (24) Both the Gas Exit Tube (14) and the Gas Entry Tube ( 15) are shown in the figures only on the part of installation of the Gas Exit Tube (14) as reference only. The aforementioned shape formation as shown in the figure occurs as a result of gas pressure. Gas can be delivered to and released from the Gas Entry-exit Ports (24) according to the abdominal gas pressure as required for surgery. Insert at least one Medical Instrument (6) through the entry-exit port of Medical Instrument 1 (21) or the entry-exit port of Medical Instrument 2 (22) or the entry-exit port of Medical Instrument 3 (23) to perform surgery through the Small Single Incision.

Brief Description of Drawings

Figure 1 shows single-incision surgery, specifically umbilical incision for surgery, according to the original invention.

Figure 2 shows the accompanying images of the single-incisions video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes of this invention.

Figure 3 shows the upper side of the single-incisions video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes of this invention. Best Invention Method

As previously described under the Full Disclosure of the Invention section.

Claims

1. The special features of the single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes are as follows:

The body structure (10) is manufactured from flexible materials. The bottom of the body structure contains Exit Port 1 (1 ). The outer edges of the end of Exit Port 1 (1) contain a flexible strip (4), which can be used to enlarge the diameter for installation and attachment to Entry-exit Port Device 2 (20). The upper side of the body structure (10) forms into the multiport tube that functions as Medical Instrument Entry Ports, gas entry tube, Medical Instrument Entry Ports and gas entry-exit ports, which are permanently installed at the multiport tube.

2. The single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes in Claim 1 is such that the multiport tube consists of at least one Medical Instrument Entry Port, specifically Medical Instrument Entry Port 1 (1 1), Medical Instrument Entry Port 2 ( 12) and Medical Instrument Entry Port 3 (13).

3. The single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes in one of Claims 1-2 is such that the multiport tube consists of at least one gas entry-exit tube, specifically a Gas Exit Tube (14) and Gas Entry Tube (15).

4. The single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes in one of Claims 1-3 is such that Medical Instrument Entry Port 1 (1 1 ), Medical Instrument Entry Port 2 (12) and Medical Instrument Entry Port 3 (13) are faced upward to the opposite direction of Entry-exit Port Device 2 (20).

5. The single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes in any of Claims 1-4 is such that Medical Instrument Entry Port 1 (1 1 ), Medical Instrument Entry Port 2 (12) and Medical Instrument Entry Port 3 (13) are positioned symmetrically.

6. The single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes in any of Claims 1-5 is such that the Gas Exit Tube (14) faces Side 1 , and the Gas Entry Tube (15) faces Side 2 in opposite directions and in the horizontal plane relative to Entry-exit Port Device 2 (20).

7. The single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes in any of Claims 1-6 is such that the ends of Medical Instrument Entry Port 1 (1 1 ), Medical Instrument Entry Port 2 (12) and Medical Instrument Entry Port 3 (13) the entry-exit port of Medical Instrument 1 (21), entry-exit port of Medical Instrument 2 (22) and entry- exit port of Medical Instrument 3 (23) are permanently installed to Medical Instrument Entry Port 1 ( I I ), Medical Instrument Entry Port 2 (12) and Medical Instrument Entry Port 3 (13), respectively.

8. The single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes in any of Claims 1-7 is such that the medical instruments entry- exit ports are funnel-shaped with a larger diameter tapering down toward the bottom or cylinder- shaped with equal diameters from the top to the bottom where the head has a larger diameter than the cylinder and the centers of the medical instruments entry-exit ports are in the form of slots for check valves to prevent gas from leaking out and enable insertions of medical instruments.

9. The single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes in any of Claims 1-8 is such that the ends of the Gas Exit Tube (14) and the Gas Entry Tube (15) are installed the Gas Entry-exit Ports (24) in the form of cylinders with equal diameters from the top to the bottom with the head with a larger diameter than the cylinder tube and containing a lid to prevent gas from leaking out. A part of the Gas Entry-exit Ports (24) contains a Gas Tube Joint (25) for External Gas Tube (26) connection.

10. The single-incision video-assisted surgery equipment set with multiple entry-exit ports for medical instruments and gas tubes in any of Claims 1-9 is such that Enter-exit Port Device 2 (20) in the form of a flexible band consists of the Upper Band (2) and Lower Band (3) with unequal diameters where the Lower Band (3) has a smaller diameter than the Upper Band (2) to enable shrinkage for easy insertion of the Lower Band (3) into the small single incision.