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WO2018066869A1 - Évacuateur de gaz chirurgical détachable pour dispositif de chirurgie laparoscopique - Google Patents

Évacuateur de gaz chirurgical détachable pour dispositif de chirurgie laparoscopique Download PDF

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Publication number
WO2018066869A1
WO2018066869A1 PCT/KR2017/010668 KR2017010668W WO2018066869A1 WO 2018066869 A1 WO2018066869 A1 WO 2018066869A1 KR 2017010668 W KR2017010668 W KR 2017010668W WO 2018066869 A1 WO2018066869 A1 WO 2018066869A1
Authority
WO
WIPO (PCT)
Prior art keywords
suction
laparoscopic
removable
hose
head portion
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Ceased
Application number
PCT/KR2017/010668
Other languages
English (en)
Korean (ko)
Inventor
노지현
구호석
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Industry Academic Cooperation Foundation of Inje University
Original Assignee
Industry Academic Cooperation Foundation of Inje University
Priority date (The priority date is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the date listed.)
Filing date
Publication date
Application filed by Industry Academic Cooperation Foundation of Inje University filed Critical Industry Academic Cooperation Foundation of Inje University
Publication of WO2018066869A1 publication Critical patent/WO2018066869A1/fr
Anticipated expiration legal-status Critical
Ceased legal-status Critical Current

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/32—Surgical cutting instruments
    • A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/08—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by means of electrically-heated probes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08—Accessories or related features not otherwise provided for
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30—Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00—Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/84—Drainage tubes; Aspiration tips
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods
    • A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
    • A61B2017/00353—Surgical instruments, devices or methods for minimally invasive surgery one mechanical instrument performing multiple functions, e.g. cutting and grasping
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577—Ablation
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00595—Cauterization
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601—Cutting
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2217/00—General characteristics of surgical instruments
    • A61B2217/002—Auxiliary appliance
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007—Aspiration
    • A61B2218/008—Aspiration for smoke evacuation

Definitions

  • the present invention relates to a removable noxious gas aspirator for laparoscopic surgery instruments, and more particularly in laparoscopic surgery to be performed without cutting the abdomen, it is used to discharge the noxious gas in the abdominal cavity to the body in a state mounted on the surgical instrument,
  • the present invention relates to a removable noxious gas aspirator for laparoscopic surgical instruments that can be easily mounted / removed.
  • Laparoscopic surgery refers to microsurgery performed using a laparoscope and a video monitor attached to a special camera without cutting the abdomen.
  • the surgical smoke obstructs the operator's field of vision by removing the lesion tissue (tumor, etc.) with an ultrasonic cutting machine (ultrasound incision coagulation device, etc.) and burning the affected area with an electrocautery.
  • an ultrasonic cutting machine ultrasound incision coagulation device, etc.
  • FIG. 1 is a view showing a medical surgical instrument according to the prior art.
  • the medical surgical instrument includes a handle assembly 910; A light source unit 920 forming a light source in a state of being connected to one end of the handle assembly 910; A shaft 930 extending from the other end of the handle assembly 910; And a clip assembly 940 mounted at an end of the shaft 930 to grip a lesion.
  • the lesion portion is gripped by the clip assembly 940, the light source emitted to the front of the device through the shaft 930 in that state irradiates and treats the lesion and at the same time secures the user's field of view Is to make it possible.
  • the irradiation of the light source as described above can only brighten the lesions and can not achieve the removal of harmful smoke (extracorporation), the operation time caused by the difficulty of observing the surgical site caused by the stagnation of harmful smoke in the abdominal cavity
  • An object of the present invention is to solve the above problems, by removing (inhalation) harmful gas in the abdominal cavity in addition to the surgical instrument attached to the surgical instrument by emitting light in front of the surgical instrument by illuminating
  • the present invention provides a removable noxious gas aspirator for laparoscopic surgery instruments to facilitate the intraperitoneal field of view including the surgical site.
  • Another object of the present invention is a removable toxic gas aspirator for laparoscopic surgical instruments that can increase the compatibility to be mounted and used in a variety of surgical instruments regardless of specifications through the configuration of the instrument using a flexible soft material In providing.
  • Removable noxious gas aspirator for laparoscopic surgical instruments is introduced.
  • the present invention for the inhalation of harmful gas generated in the process of burning or cutting the lesion tissue from the affected part, the head portion is attached to the front end of the surgical instrument, the flow of the movement of the harmful gas sucked through the head portion
  • the hose portion is formed to extend a predetermined length from the rear end of the head portion and coupled to a separate suction device, and the flow rate is provided on one side of the hose portion to enable the suction amount control of the harmful gas by the user directly It includes a control valve.
  • It is characterized in that it further comprises one or more of a plurality of light source body for illuminating in the state provided in the head portion, illuminating the inner space of the abdomen to enable the identification of the surgical site.
  • the head portion is made of a tubular structure formed through the center through the longitudinal direction of the binding hole that can be inserted through the surgical tool, having the characteristics of shape change and shape restoration to be able to correspond to the various surgical instruments irrespective of the specification It is characterized by being a flexible soft material.
  • the flow control valve is a tube holder which is assembled and connected to a predetermined portion of the hose portion, and in the state provided inside the tube holder, the rotational operation for varying the degree of opening of the passage formed along the longitudinal direction inside the hose portion
  • a damper for adjusting the suction force and the suction amount of the harmful gas, and provided at one side of the tube holder for rotational operation of the damper by a user operation, and integrally with the damper by a hinge shaft penetrating the one side of the tube holder. It is characterized by consisting of a control wheel connected.
  • the light source body is coupled to the front end of the head portion to expose the light emitting portion
  • a plurality of suction passages are formed parallel to each other along the longitudinal direction with respect to the binding hole, and any one suction passage and the remaining suction passage leading to the hose portion meet each other at an arbitrary point to establish a single path. Characterized in that led to the hose in this state.
  • the suction passage inner wall surface characterized in that the reinforcing member made of a harder material than the head portion to reinforce the reinforcement to prevent clogging the hole when the shape of the head portion.
  • the present invention through the continuous suction (removal) of the harmful gas generated during the laparoscopy procedure, it is possible to solve the problem that it is difficult to secure the field of view due to the stagnation of the harmful gas in the abdominal cavity at once, thereby improving the surgical environment. It is effective to provide.
  • the light is radiated to the front of the surgical instrument to brighten the abdominal internal space is effective to ensure a clearer view of the intraperitoneal treatment site.
  • FIG. 1 is a configuration example showing a medical surgical instrument according to the prior art.
  • Figure 2 is a perspective view showing the configuration of the removable toxic gas suction for laparoscopic surgical instruments according to the present invention.
  • Figure 3a and Figure 3b is a side cross-sectional view and front view showing the internal and external structure of the head portion in the removable toxic gas suction device for laparoscopic surgery instruments according to the present invention.
  • Figure 4 is a use state diagram showing an embodiment of the removable toxic gas suction for laparoscopic surgical instruments according to the present invention.
  • FIG. 2 is a perspective view showing the configuration of the removable toxic gas aspirator for laparoscopic surgery instruments according to the present invention
  • Figures 3a and 3b is the inner part of the head in the removable toxic gas aspirator for laparoscopic surgery instruments according to the present invention
  • Figure 4 is a state diagram showing an embodiment of the removable toxic gas suction for laparoscopic surgical instruments according to the present invention.
  • the removable noxious gas aspirator (A) for laparoscopic surgery instruments according to the present invention, harmful gases (and harmful gas generated in the process of burning or cutting off the lesion tissue from the disseased spot ( ⁇ )
  • the head part 1 attached to the distal end of the surgical instrument for the suction of the material, and the head part (1) for continuing the flow of the moving collection of harmful gas sucked through the head part 1.
  • the hose portion 2 is formed to extend a predetermined length from the rear end of 1) and is connected to a separate suction device (not shown), and the suction portion of the harmful gas by the user is provided by being provided at one side of the hose portion 2. It is composed of a flow control valve (3) to enable this directly.
  • the apparatus further includes one or more light source bodies 4 which emit light in a state provided in the head part 1 and brightly illuminate the abdominal internal space (abdominal cavity) so that the treatment site can be identified. do.
  • the head portion 1 is mounted to the distal end of the surgical instrument as close as possible to the surgical site to improve the suction and suction power of the harmful gas generated during the laparoscopic surgery.
  • the through-insertable binding hole (1a) of the surgical tool forms a tube-type structure of the through-form formed in the center along the longitudinal direction.
  • silicone silicone
  • a plurality of suction paths 1b are formed parallel to each other along the longitudinal direction around the binding hole 1a to improve the harmful gas suction capacity.
  • any one of the suction passages 1b and the remaining suction passages 1b leading to the hose portion 2 are connected to the hose portion 2 in a state where they meet each other at any point and form a single path.
  • a reinforcing member 11 made of a relatively hard material is padded on the inner wall of the suction passage 1b. It is preferable to.
  • the hose part 2 is a connecting tube that connects the moving flow of harmful gas initially sucked into the suction path 1b of the head part 1 by the suction device operation to the suction device.
  • the suction passage 1b is formed integrally and continuously from the rear end of the head portion 1, and the passage 2a leading to the suction passage 1b is a flexible suction tube formed therein along the longitudinal direction.
  • the flow control valve 3 is a means for adjusting the suction force of the noxious gas which is first sucked through the suction path 1b and subsequently moved to the suction device along the passage 2a.
  • the degree of opening of the passage 2a is provided in the state of being provided in the tube holder 31 and the tube holder 31 which are assembled and connected to a predetermined portion of the hose part 2.
  • Damper 32 to adjust the suction force and the suction amount of the harmful gas according to the different rotation operation, and the operation wheel provided on one side of the tube holder 31 for the rotation operation of the damper 32 by a user operation ( 33).
  • the damper 32 and the operation wheel 33 is integrally connected to each other by a hinge shaft 34 passing through the tube holder 31.
  • the light source body 4 is an illuminating means for illuminating the inside of the abdominal cavity to facilitate identification of the surgical site by irradiating light toward the front of the head unit 1.
  • the light emitting part is exposed to the front end of the head part 1 and is a light emitting diode (LED) for directly converting a current supplied from outside into light.
  • LED light emitting diode
  • Unexplained symbol (L) is any one of the laparoscopic surgical instruments, and is an electrocautery machine mainly used for hemostasis to burn the affected area where the lesion tissue is excised to prevent bleeding.
  • surgical instruments used for laparoscopic surgery include trocars for making small holes in the abdomen, trocar tubes for securing holes for inserting surgical instruments into the abdominal cavity, and intraperitoneal.
  • Laparoscopy used to examine the surgical site, forceps used for gripping lesion tissue, ultrasound cutter used to remove (tear and separate) the lesion tissue by converting electrical energy into ultrasonic vibrations, and the lesion tissue removed.
  • an electrocautery machine used to burn hemostatics.
  • a plurality of holes are made in the abdomen of the patient using the trocar, and the trocar tube is inserted in the hole to secure a space for inserting the surgical instruments to be used later in the abdominal cavity.
  • the laparoscope with the special camera is inserted into any one of the trocar tubes to visually diagnose the surgical site through a separate monitor connected to the laparoscope, and then use the ultrasound cutting machine and the electrocautery to detect the lesion tissue. Excision and hemostatically affected lesion tissue are excised.
  • the ultrasonic cutting machine and the electrocauterizer for resecting lesion tissue and hemostasis are based on the method of burning the affected area with ultrasonic energy and thermal energy, and the field of view is secured due to harmful gases (and harmful substances) generated in the process. Difficulty can be solved by using a removable noxious gas aspirator (A) for laparoscopic surgical instruments of the present invention.
  • the head portion 1 of the inhaler A is attached to the tip end portion of the electric cauterizer L, and the hose portion 2 connected to the rear end portion of the head portion 1.
  • the suction device Is connected to a separate suction device, it is possible to operate the suction device to remove and remove the harmful gas stayed in the abdominal cavity through the inhaler (A) of the present invention.
  • the harmful gas generated in the process of inserting the inhaler A to which the inhaler A is attached is inserted into the abdominal cavity and burning the affected area where the lesion tissue is excised to the hemostasis of the head part 1 to the intake passage 1b.
  • the harmful gas in the abdominal cavity is removed, thereby enabling the field of vision to be secured.
  • the operator directly operates the operation wheel 33 of the flow control valve 3 so that the damper 32 provided in the tube holder 31 rotates in the same direction along the operation wheel 33.
  • the removable toxic gas aspirator (A) for laparoscopic surgery instruments according to the present invention, by immediately and continuously inhaling the harmful gas generated during the laparoscopic surgery to discharge the harmful gas containing harmful substances from the inside of the abdominal cavity immediately
  • the illumination of the inner space of the abdomen by the light emission it is possible to solve the difficulty of securing the field of view due to the stagnation of harmful gas in the abdominal cavity.
  • the inhaler (A) of the present invention can be mounted on all the surgical instruments regardless of the standard.

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
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  • Heart & Thoracic Surgery (AREA)
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Abstract

Un évacuateur de gaz chirurgical détachable pour un dispositif de chirurgie laparoscopique est présenté. A cet effet, la présente invention comprend : une partie tête, montée en outre sur une partie pointe d'un dispositif de chirurgie, pour aspirer un gaz chirurgical généré pendant la combustion et la découpe d'un tissu de lésion à partir d'une partie affectée ou pendant l'arrêt du saignement ; une partie tuyau formée pour s'étendre à une longueur prédéterminée à partir d'une partie extrémité arrière de la partie tête et reliée et couplée à un dispositif d'aspiration séparé afin de permettre le mouvement et l'écoulement de collecte du gaz chirurgical aspiré à travers la partie tête de continuer ; et une valve de commande d'écoulement disposée sur un côté de la partie tuyau de telle sorte qu'un utilisateur peut régler directement la quantité d'aspiration du gaz chirurgical.
PCT/KR2017/010668 2016-10-06 2017-09-27 Évacuateur de gaz chirurgical détachable pour dispositif de chirurgie laparoscopique Ceased WO2018066869A1 (fr)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
KR10-2016-0128836 2016-10-06
KR1020160128836A KR101821893B1 (ko) 2016-10-06 2016-10-06 복강경 수술기구용 착탈식 유해가스 흡인기

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WO2018066869A1 true WO2018066869A1 (fr) 2018-04-12

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PCT/KR2017/010668 Ceased WO2018066869A1 (fr) 2016-10-06 2017-09-27 Évacuateur de gaz chirurgical détachable pour dispositif de chirurgie laparoscopique

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WO (1) WO2018066869A1 (fr)

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109568683A (zh) * 2018-11-21 2019-04-05 中国医学科学院阜外医院 手术用多通道吸引器操作柄
CN112263300A (zh) * 2020-10-13 2021-01-26 常州安康医疗器械有限公司 一种一次性钛夹钳同步异向操作装置

Families Citing this family (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109602463B (zh) * 2019-01-30 2024-02-09 常州安克医疗科技有限公司 一种单孔多通道的手术装置
IL299507A (en) * 2020-07-01 2023-02-01 Pathy Medical Llc Lighting device for handheld surgical instrument with smoke evacuation system
CN112603469B (zh) * 2020-12-28 2023-12-08 浙江绿维医疗器械有限公司 一种具有废气处理功能的超声刀及废气处理方法
KR102584613B1 (ko) * 2023-01-12 2023-10-05 서울대학교병원 액체 및 기체 흡입타입 소작기

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5674219A (en) * 1994-10-06 1997-10-07 Donaldson Company, Inc. Electrosurgical smoke evacuator
KR20010021717A (ko) * 1997-07-14 2001-03-15 찰스 더블유 프란즈 배출 시스템을 구비한 공압식 조직 해부기구
KR20090113214A (ko) * 2008-04-25 2009-10-29 에디컨 엔도-서저리 인코포레이티드 투관침에서의 가스 분사 유체 제거
KR20150012647A (ko) * 2013-07-26 2015-02-04 주식회사 앤트테크놀로지 의료용 연기흡입장치
KR20150095799A (ko) * 2012-12-12 2015-08-21 인뷰이티, 인코포레이티드 조명 장착된 흡입 장치

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5674219A (en) * 1994-10-06 1997-10-07 Donaldson Company, Inc. Electrosurgical smoke evacuator
KR20010021717A (ko) * 1997-07-14 2001-03-15 찰스 더블유 프란즈 배출 시스템을 구비한 공압식 조직 해부기구
KR20090113214A (ko) * 2008-04-25 2009-10-29 에디컨 엔도-서저리 인코포레이티드 투관침에서의 가스 분사 유체 제거
KR20150095799A (ko) * 2012-12-12 2015-08-21 인뷰이티, 인코포레이티드 조명 장착된 흡입 장치
KR20150012647A (ko) * 2013-07-26 2015-02-04 주식회사 앤트테크놀로지 의료용 연기흡입장치

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109568683A (zh) * 2018-11-21 2019-04-05 中国医学科学院阜外医院 手术用多通道吸引器操作柄
CN112263300A (zh) * 2020-10-13 2021-01-26 常州安康医疗器械有限公司 一种一次性钛夹钳同步异向操作装置

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