Patent Grant
12185939
This application is a national stage application of PCT/KR2020/015740 filed on Nov. 11, 2020, which claims priorities of Korean patent application number 10-2019-0144077 filed on Nov. 12, 2019. The disclosure of each of the foregoing applications is incorporated herein by reference in its entirety.
The present disclosure relates to a trocar system for laparoscopic surgery and, more particularly, to a trocar system for laparoscopic surgery that prevents improper suturing caused as a result of the focus of the suture needle being shaken when suturing the peritoneal hole of the peritoneum after completion of laparoscopic surgery.
In general, unlike conventional abdominal laparotomy, laparoscopic surgery is a surgical method in which four to six holes with a diameter of 0.5 to 1.2 cm are incised in the abdomen, a trocar with a diameter of 0.5 to 1.2 cm and a length of 15 to 16 cm is inserted to the hole, a light source and a camera are inserted through the hole of trocar after inserting a trocar, and various surgical instruments are inserted into the other hole to monitor the cutting, sewing, and molding of organs from the outside of the patient.
In order to perform laparoscopic surgery, it is known that a trocar is inserted into the patient's abdomen, a gas such as carbon dioxide gas is injected into the abdominal cavity to secure an intraperitoneal space, and then the operation area is performed while observing the surgical site using endoscopy and surgical instruments through a plurality of trocars.
When the operation is over, a suturing instrument is used to suture the surgical site. This suturing instrument seals the surgical site by holding the needle with fixed forceps inserted into the abdominal cavity through the trocar and stitching the surgical site. After sewing, opposite sides of the thread are pulled out of the body through a trocar to prevent the thread from coming loose, and a knot is made outside the body, and then the knot is pushed with a knot presser to form a knot in the abdominal cavity.
In this regard, patent document 1 discloses providing a trocar for laparoscopic surgery that is mounted through the peritoneum during laparoscopic surgery, has a hollow shape in which a space for guiding a camera or a surgical instrument into the abdominal cavity is formed therein, and a trocar housing that passes through the peritoneum, including: a hole-shaped first opening part formed on opposite sides of the upper end of the trocar housing and into which a suture needle connected with a suture thread is inserted; a second opening part in the shape of a slot formed on opposite sides of the lower end of the trocar housing and through which the suture needle passes along the longitudinal direction of the trocar housing; and a sealing member made of an elastic material to block the first opening part to prevent the leakage of carbon dioxide inside the trocar housing in a state in which the suture needle is inserted, and the lower end of the trocar housing has a structure cut in a diagonal direction.
However, in patent document 1, since the suture needle was not guided and applied in a wide area in the first opening part of the hole shape, there was a concern that the focus of the suture needle could be shaken.
In addition, due to the second opening part having a long length in the longitudinal direction of the slot shape, there was a concern that the focus of the suture needle could be shaken.
That is, when the suture needle passes through too close to the peritoneal hole, the peritoneal hole could be torn.
Accordingly, the present disclosure has been made keeping in mind the above-mentioned problems occurring in the related art, and the present disclosure is intended to propose a trocar system for laparoscopic surgery that prevents improper suturing caused as a result of the focus of the suture needle being shaken when suturing the peritoneal hole of the peritoneum after completion of laparoscopic surgery.
In order to achieve the above objective, the present disclosure provides a trocar system for laparoscopic surgery, including: a suture needle guide member in which through-holes interconnected to each other are formed in the outer surface of through-hole, and a first and second suture needle guide holes are formed to be elongated and inclined long in the longitudinal direction, respectively, at opposite sides of the outer surface on the periphery of the through-holes; a trocar which is detachably coupled to the suture needle guide member passes through the through-holes, has space is formed therein, in which a third and fourth suture needle guide holes facing the first and second suture needle guide holes are formed at one side of the outer surface passing through the through-hole while passing through the space, respectively, and a fifth and sixth suture needle guide holes facing the first and second suture needle guide holes are formed on the opposite side of the outer surface that does not pass through the through-hole, respectively; a trocar unit which is detachably coupled to the suture needle guide member, in which a through-hole passing through the trocar coupled to the suture needle guide member is formed on the outer surface, and the seventh and eighth suture needle guide holes facing the third and fourth suture needle guide holes are formed on one side of the outer surface close to one side of the trocar passing through the through-hole; and a suture needle provided with a suture thread that is guided to the first, third, fifth, seventh suture needle guide hole and the second, fourth, sixth, and eighth suture needle guide hole. Both the trocar coupled to the suture needle guide member and the trocar unit coupled to the suture needle guide member are inserted into the abdominal cavity of a patient to form a peritoneal hole while passing through the peritoneum. When the laparoscopic surgery is completed by the endoscope and surgical instrument inserted into the abdominal cavity of the patient through the through-hole while the trocar is separated from the suture needle guide member, the endoscope and surgical instrument is pulled out of the through-hole, the trocar is coupled to the suture needle guide member, and the peritoneal hole is sutured with a suture thread by guiding the suture needle to the first, third, fifth, and seventh suture needle guide holes and the second, fourth, sixth, and eighth suture needle guide holes.
In the present disclosure, since the first and second suture needle guide holes are formed to be elongated and inclined long in the longitudinal directions of the guide part, there is an effect that the suture needle is guided while being applied in a wider area than in the prior art.
In addition, there is an effect that the suture needle is guided while being applied in the third, fourth, fifth, sixth suture needle guide hole of the trocar and the seventh, and eighth suture needle guide hole of the trocar over a wider area than in the prior art.
That is, there is an effect that the suture needle is stably fixed to the suture needle guide member, the trocar, and the trocar unit.
In other words, while preventing the focus of the suture needle from shaking compared to the prior art, the present disclosure has an effect of simultaneously preventing the peritoneal hole from being torn by penetrating too close to the peritoneal hole of the peritoneum.
According to the present disclosure, since the first and second guide parts of the first body are fitted into the first and second guide grooves of the second body, respectively, there is an effect of preventing the second body from shaking in the first body.
That is, the trocar system of the present disclosure has the effect of preventing the focus of the suture needle from shaking.
In addition, there is an effect that the first and second bodies can be easily coupled to each other and uncoupled from each other.
The present disclosure has the effect of preventing, by the stumbling block, the second body from being inserted too deeply into the through-hole of the first body.
That is, there is an effect of preventing a phenomenon in which the second body is not easily removed when the second body is required to be separated from the first body.
The present disclosure has the effect of further preventing the second body from shaking in the first body because the fitting protrusion of the elastic part is inserted into the fitting hole of the first body.
In addition, there is an effect of easily coupling and decoupling the fitting protrusion and the fitting hole due to the elasticity of the elastic part.
In the present disclosure, the fitting protrusion of the trocar is inserted into the fitting hole of the second body, so there is an effect of preventing the trocar from shaking in the sealing needle guide member.
That is, the trocar system of the present disclosure has the effect of preventing the focus of the suture needle from shaking.
In other words, according to the present disclosure, the fitting protrusion of the trocar is inserted into the fitting hole of the protrusion, so there is an effect of preventing the trocar from shaking in the suture needle guide member.
That is, the trocar system of the present disclosure has the effect of preventing the focus of the suture needle from shaking.
In addition, in the trocar system of the present disclosure, the protrusion is configured to protrude from the first body, so it is possible to confirm the coupling between the fitting hole of the protrusion and the fitting protrusion of the trocar from the outside.
That is, the trocar of the present disclosure is advantageous in that it can be confirmed that the trocar and the suture needle guide member are correctly coupled to each other, and at the same time, the centers of the first, third, fifth, and seventh suture needle guide holes and the second, fourth, sixth, and eighth suture needle guide holes coincide to insert the suture needle safely.
c are a cross-sectional views of a trocar system for laparoscopic surgery according to an embodiment of the present disclosure;
Accordingly, an embodiment of the present disclosure as described above will be described in detail with reference to the accompanying drawings.
As shown in
The trocar system 1000 for laparoscopic surgery includes a trocar 200 which is detachably coupled to the suture needle guide member 100 and passes through the through-holes 111 and 121, has a space 210 is formed therein, in which the third and fourth suture needle guide holes 220 and 230 facing the first and second suture needle guide holes 112a and 113a are formed at one side of the outer surface passing through the through-hole 111 and 121 while passing through the space 210, respectively. The fifth and sixth suture needle guide holes 240 and 250 facing the first and second suture needle guide holes 112a and 113a are formed on the opposite side of the outer surface that does not pass through the through-holes 111 and 121, respectively.
The trocar system 1000 for laparoscopic surgery includes a trocar unit 300, which is detachably coupled to the suture needle guide member 100, in which a through-hole 310 passing through a trocar 200 coupled to the suture needle guide member 100 is formed at the outer surface thereof, and the seventh and eighth suture needle guide holes 320 and 330 facing the third and fourth suture needle guide holes 220 and 230 are formed on one side of the outer surface of the trocar unit 300 close to one side of the trocar passing through the through-hole 310.
The trocar system 1000 for laparoscopic surgery includes a suture needle 400 equipped with a suture thread 410 guided to the first, third, fifth, and seventh suture needle guide holes 112a, 220, 240, and 320, and the second, fourth, sixth, and eighth suture needle guide holes 113a, 230, 250, and 330.
Here, a traction part for pulling and releasing the suture thread 410 is formed at the end of the suture needle 400.
In addition, the suture needle guide member 100 includes a first body 110 which is detachably coupled to trocar unit 300, in which a through-hole 111 is formed in the center of the outer surface, and the first and second guide parts 112 and 113 are formed to protrude in longitudinal directions on opposite sides of the inner surface of the through-hole 111, respectively. The first and second suture needle guide holes 112a and 113a are formed to be elongated and inclined in the longitudinal directions on the outer surface of the first and second guide parts 112 and 113.
Here, a stumbling block 114 is formed on the inner surface of the through-hole 111.
In addition, at least one fitting hole 115 connected to the through-hole 111 is formed on the outer surface of the first body 110.
Here, the fitting hole 115 is formed on opposite sides of the through-hole 111, respectively.
In addition, a protrusion 116 having a fitting hole 116a around the first and second suture needle guide holes 112a and 113a is formed to protrude on one side of the first body 110 to which the trocar 200 is blocked.
In addition, at least one fastening part 117 is formed to protrude from one outer surface of the first body 110 inserted into the through-hole 310 of the trocar unit 300.
The suture needle guide member 100 includes a second body 120 to which the trocar 200 is detachably coupled, in which the suture needle guide member 100 is inserted into the through-hole 111, the through-hole 121 connected to the through-hole 111 is formed in the center of the outer surface, and the first and second guide grooves 122 and 123 into which the first and second guide parts 112 and 113 are inserted while being guided to the first and second guide parts 112 and 113 are formed on opposite outer surfaces of the through-hole 121, respectively.
Here, a space 124 is formed between the first and second guide grooves 122 and 123 by opening one side of the second body 120 around the through-hole 121 on one side of the second body 120 in which the through-hole 121 is formed.
In addition, at least one elastic part 125 is formed on the outer surface of the second body 120 by cutting a part of the open inlet of the space 124.
Here, the elastic parts 125 are respectively formed on opposite sides of the through-hole 121.
In addition, a fitting protrusion 125a to be fitted into the fitting hole 115 is formed to protrude from the outer surface of the elastic part 125.
Here, the elastic part 125 has elasticity as a part of the open inlet of the space 124 is cut to opposite sides of the fitting protrusion 125a.
In addition, at least one fitting hole 126 is formed around the through-hole 121 at one side of the second body 120 to which the trocar 200 is blocked.
Here, the fitting hole 126 is formed on opposite sides of the through-hole 121 in a direction perpendicular to the first and second guide grooves 122 and 123.
In addition, the second body 120 is inserted into the through-hole 111 and is blocked by the stumbling block 114.
A fitting protrusion 260 fitted into the fitting hole 126 is formed to protrude from the outer surface of the trocar 200, and a fitting protrusion 270 fitted into the fitting hole 116a is formed to protrude.
In addition, the trocar 200 has a space 210, and the third and fourth suture needle guide holes 220 and 230 are formed therein, includes a through part 201 passing through the peritoneum 1; and a handle part 202 formed on one side of the through part 201, in which a fitting protrusion 260 and 270 are formed on an outer surface thereof, and a protrusion and a hole are formed on an inner surface thereof.
Here, the hole is formed passing through the handle part 202.
In addition, the trocar 200 includes a protrusion of the handle part 202 and a handle cover 203 in which a hole and a protrusion to which the hole is fitted are formed on the outer surface.
Here, the fifth and sixth suture needle guide holes 240 and 250 are formed passing through the protrusion of the handle cover 203.
Furthermore, the trocar unit 300, in which a through-hole 310 and the seventh and eighth suture needle guide holes 320 and 330 are formed, includes a through part 301 passing through the peritoneum 1; and a handle part 302 formed on one side of the through part 301, in which a through-hole 310 is formed in the center, and a protrusion and a hole are formed around the through-hole 310.
In addition, the trocar unit 300 includes a handle cover 303 in which a through-hole 310 is formed in the center, and a protrusion of the handle part 302 and a hole and a protrusion fitted into the hole are formed on the outer surface around the through-hole 310.
Here, a fastening part 303a for fastening with the fastening part 117 of the first body 110 is formed to protrude on the inner surface of the through-hole 310.
In addition, the fastening part 303a is formed longer in the circumferential direction than the fastening part 117 of the first body 110, and a guide surface 303a′ is formed on one side of the outer surface that comes into contact at first when the fastening part 117 is fastened. A fitting groove 303a″ into which the fastening part 117 guided to the guide surface 303a′ is fitted and fixed is formed on one side opposite the outer surface.
Furthermore, the trocar unit 300 includes a check valve 340 that is installed between the handle part 302 and the handle cover 303 and prevents the gas inside the abdominal cavity from flowing out through the through-hole 310 to the outside.
Here, the check valve 340 is passed through by the suture needle 400.
The trocar unit 300 is formed with a handle part 302, in which a gas supply/discharge part 350 having a valve for injecting and discharging medical gas into the abdominal cavity is connected to the through-hole 310.
The operation of the present disclosure configured as described above is as follows.
As shown in
In more detail, the first and second guide parts 112 and 113 of the first body 110 are guided to the first and second guide grooves 122 and 123 of the second body 120 are fitted obliquely.
Here, the elastic part 125 of the second body 120 is bent and elastically deformed into the space 124 while the fitting protrusion 125a is applied on the inner surface of the through-hole 111. When the elastic part 125 is reached to the fitting hole 115 of the first body 110, the fitting protrusion 125a is returned to its original state by elasticity, and the fitting protrusion 125a is fitted into the fitting hole 115.
In addition, the second body 120 is fitted into the through-hole 111 while being blocked on the stumbling block 114 of the first body 110.
Then, after coupling the suture needle guide member 100 to the trocar unit 300, the trocar 200 is coupled to the suture needle guide member 100.
Here, the fitting protrusion 260 of the trocar 200 is fitted into the fitting hole 126 of the suture needle guide member 100.
In addition, the fitting protrusion 270 of the trocar 200 is fitted into the fitting hole 116a of the suture needle guide member 100.
In addition, the first, third, fifth, and seventh suture needle guide holes 112a, 220, 240, and 320 are aligned with the centers in the diagonal direction, and the second, fourth, sixth, and eighth suture needle guide holes 113a. 230, 250, and 330 are also aligned with the centers in the diagonal direction opposite to the diagonal direction.
That is, the trocar 200 is stably fixed to the trocar unit 300 through the suture needle guide member 100 and passes through the through-holes 111 and 121 of the suture needle guide member 100, and the through-hole 310 of the trocar 310.
Then, the trocar unit 300 and the trocar 200 are inserted into the abdominal cavity through the incision in which the skin of a patient is cut in advance to pass through the peritoneum 1.
Here, a peritoneal hole 1a is formed at the peritoneum 1.
Then, after separating the trocar 200 from the suture needle guide member 100, the endoscope and surgical instrument 2 is inserted into the abdominal cavity through the through-holes 111, 121, and 310 of the suture needle guide member 100 and the trocar unit 300 to start laparoscopic surgery.
Here, the inside of the abdominal cavity is expanded due to the medical gas supplied through the gas supply/discharge unit 350 of the trocar unit 300 to form an operating space.
In addition, the trocar unit 300 fitted into the peritoneal hole 1a maintains the shape of the peritoneal hole 1a.
After the laparoscopic surgery is completed, the endoscope and the surgical instrument 2 is taken out from the inside of the abdominal cavity.
Then, the trocar 200 is coupled to the suture needle guide member 100.
Then, the first, third, fifth, and seventh suture needle guide holes 112a, 220, 240, and 320 are aligned with the centers in the diagonal direction, and the second, fourth, sixth, and eighth suture needle guide holes 113a. 230, 250, and 330 are also aligned with the centers in the diagonal direction opposite to the diagonal direction.
Then, after moving the seventh and eighth suture needle guide holes 320 and 330 of the trocar unit 300 to a position for suturing the peritoneal hole 1a, the suture needle 400 provided with a suture thread 410 is guided to the first, third, fifth, and seventh suture needle guide holes 112a, 220, 240, and 320 to pass through the periphery of the peritoneal hole 1a.
Here, since the first suture needle guide hole 112a is formed to be elongated and inclined long in the longitudinal direction of the first guide part 112, the suture needle 400 is guided while being applied in a wide area.
In addition, since the suture needle 400 is guided to the third and fifth suture needle guide holes 220 and 240 of the trocar 200 and the seventh suture needle guide hole 320 of the trocar unit 300, the suture needle 400 is more efficiently guided by applying over a wide area.
Then, in the traction part of the suture needle 400 located inside the abdominal cavity, the suture thread 410 is grabbed with forceps of another auxiliary trocar system to release the traction, and then the suture thread 410 is moved from the position where the suture thread 410 was located to the opposite position.
Then, the suture needle 400 from which the suture thread 410 is separated is withdrawn from the first, third, fifth, and seventh suture needle guide holes 112a, 220, 240, and 320.
Here, the suture thread 410 remains inserted into the first, third, fifth, and seventh suture needle guide holes 112a, 220, 240, and 320.
Then, the suture needle 400 is guided to the second, fourth, sixth, and eighth suture needle guide holes 113a, 230, 250, and 330 to pass through the periphery of the peritoneal hole 1a.
Here, since the second suture needle guide hole 113a is formed to be elongated and inclined long in the longitudinal direction of the second guide part 113, the suture needle 400 is guided while being applied in a wide area.
In addition, since the suture needle 400 is guided to the fourth and sixth suture needle guide holes 230 and 250 of the trocar 200 and the eighth suture needle guide hole 330 of the trocar unit 300, the suture needle 400 is more efficiently guided while being applied in a wide area.
Then, the suture thread 410 is pulled while fixing the suture thread 410 with the traction part of the suture needle 400 and discharged to the outside through the second, fourth, sixth, and eighth suture needle guide holes 113a, 230, 250, and 330.
Here, the suture thread 410 remains inserted into the first, second, third, fourth, fifth, sixth, seventh, and eighth needle guide holes 112a, 113a, 220, 230, 240, 250, 320, and 330.
Then, while pulling out the trocar unit 300 from the peritoneal hole 1a, the suture thread 410 is removed from the first, second, third, fourth, fifth, sixth, seventh, and eighth needle guide holes 112a, 113a, 220, 230, 240, 250, 320, and 330, and then the peritoneal hole 1a of the peritoneum 1 is sutured with the suture thread 410 knot.
Here, the medical gas in the abdominal cavity is discharged through the gas supply/discharge unit 350 of the trocar unit 300.
On the other hand, after releasing the coupling between the fitting hole 115 and the fitting protrusion 125a by elastically deforming the elastic part 125 with an external force, the coupling of the first and second bodies 110 and 120 may be released by pulling the first and second guide parts 112 and 113 out from the first and second grooves 122 and 123.
In the above, although an exemplary embodiment of the present disclosure has been described for illustrative purposes, those skilled in the art will appreciate that various modifications, additions and substitutions are possible, without departing from the scope and spirit of the disclosure as disclosed in the accompanying claims.
| Number | Date | Country | Kind |
|---|---|---|---|
| 10-2019-0144077 | Nov 2019 | KR | national |
| Filing Document | Filing Date | Country | Kind |
|---|---|---|---|
| PCT/KR2020/015740 | 11/11/2020 | WO |
| Publishing Document | Publishing Date | Country | Kind |
|---|---|---|---|
| WO2021/096207 | 5/20/2021 | WO | A |
| Number | Name | Date | Kind |
|---|---|---|---|
| 4553543 | Amarasinghe | Nov 1985 | A |
| 5176691 | Pierce | Jan 1993 | A |
| 6258106 | Leonard | Jul 2001 | B1 |
| 6599297 | Carlsson | Jul 2003 | B1 |
| 6755844 | Furusawa | Jun 2004 | B2 |
| 8579807 | Moreno, Jr. | Nov 2013 | B2 |
| 10105161 | Hendershot, III | Oct 2018 | B2 |
| 10327761 | Ho | Jun 2019 | B2 |
| 10639068 | Parihar | May 2020 | B2 |
| 11065033 | Kalhorn | Jul 2021 | B2 |
| 20120035623 | Bagaoisan | Feb 2012 | A1 |
| 20140163323 | Mohajer-Shojaee | Jun 2014 | A1 |
| 20150038793 | Prior | Feb 2015 | A1 |
| 20150038996 | Malkowski | Feb 2015 | A1 |
| 20170079639 | Mohajer-Shojaee | Mar 2017 | A1 |
| 20190000496 | Shelton, IV | Jan 2019 | A1 |
| 20190142454 | Kim | May 2019 | A1 |
| Number | Date | Country |
|---|---|---|
| 20190017382 | Feb 2019 | KR |
| Number | Date | Country | |
|---|---|---|---|
| 20220225977 A1 | Jul 2022 | US |
