专利摘要:
Endoscopic camcorder head attached to surgical wound protector, without rigid tube or manual clamping, comprising at least one camcorder (3) with light, focus or zoom movement, power supply means and connection for signal delivery to a unit of control and external display or screens, is configured from a support structure (2) that incorporates the at least one, camcorder (3), power supply means and connection for signal sending, which support (2) is attached to a surgical wound protector (4), being attached to the same subject autonomously and with the possibility of movement to orient the camera at will. The support (2) is provided with coupling means (5) for its annexation to the surgical wound protector (4) in a temporary and removable manner or is attached to the protector (4) in a solidary and permanent way. (Machine-translation by Google Translate, not legally binding)
公开号:ES2730387A1
申请号:ES201830457
申请日:2018-05-09
公开日:2019-11-11
发明作者:Tristan Andres Del Amor Arroyo
申请人:Tristan Andres Del Amor Arroyo;
IPC主号:
专利说明:

[0001]
[0002] ENDOSCOPIC CAMERA HEAD ANNEXABLE TO WOUND PROTECTOR
[0003]
[0004] OBJECT OF THE INVENTION
[0005]
[0006] The invention, as stated in the present specification, refers to an endoscopic camcorder head attached to a surgical wound protector, without rigid tube or manual support, contributing, to the function to which it is intended, advantages and characteristics, which are described in detail below, which represent a remarkable novelty in the current state of the art.
[0007]
[0008] More specifically, the object of the invention is centered on an endoscopic camcorder head that, in an innovative way, is disposed in a support, next to the camera and light power and signal sending means, forming a head specially configured for its annexation, temporary and removable or permanent and integrated, to a surgical wound protector of those used in endoscopic surgery interventions, preferably abdominal, thoracic or cardiac surgery, allowing, among other advantages, to enable visualization of the organic cavities eliminating the need for an assistant surgeon present in the surgical field to handle the camera head with a conventional rigid tube, as it has been happening so far.
[0009]
[0010] FIELD OF APPLICATION OF THE INVENTION
[0011]
[0012] The scope of the present invention is part of the health sector, specifically the industry sector dedicated to the manufacture of medical utensils, devices, devices and accessories, including in particular the scope of endoscopic camcorders and, at the same time, that of surgical wound protectors for minimally invasive surgery on organic cavities.
[0013]
[0014] BACKGROUND OF THE INVENTION
[0015]
[0016] As is known, endoscopy is a minimally invasive surgical procedure. It replaces the major incisions of access to organic cavities by small incisions or ports through which endoscopic rigid tube video cameras or endoscopic instruments are introduced to carry out the same surgical procedures but with less invasion, which results in less pain and postoperative stay of the patient. It takes one or another denomination, depending on the organic cavity on which the procedure is performed, namely: abdomen-laparoscopy; thorax-thoracoscopy; etc.
[0017]
[0018] For its part, the rigid tube camcorder system comprises several components that are generally mounted on a movable metal structure, called a tower. It is composed, at least, of a display screen, cold light unit, camera control unit, cable that joins the camera control unit to the camera head, camera head that joins the cable to the rigid tube.
[0019]
[0020] Thus, in the conventional visualization system consisting of a rigid tube, one end thereof is disposed outside the organic cavity to be explored and is handled through a handle by an assistant surgeon, allowing rotation by hand in 360 ° The central stem of said rigid tube crosses the tissues to internalize in the organic cavity to be explored. And the other end of the rigid tube, which is where the optics are located and where the image is captured, is internalized in the organic cavity to be explored. This tip of the rigid tube can also have different angles.
[0021]
[0022] There are, in addition, other endoscopic instruments that are surgical instruments that have an external handle, which the surgeon manages, and a central stem, which passes through the tissues to access the interior of the organic cavity and a tip with cutting devices, grip, coagulation, etc.
[0023]
[0024] Returning to the camcorder, the signal captured by the optics at the tip of the rigid tube from inside the organic cavity passes through the tube's cable system to the handle and from there to the encoder and to the screen or screens. These screens, whose number and position depend on the positioning of surgeons during surgery, enable the main surgeon and his assistants to view the surgery in real time.
[0025]
[0026] On the other hand, a surgical wound protector, is a device that functions as a retractor and surgical wound protector that arises from the need to gain exposure and protection of the operating area during open surgery procedure or in the ports of endoscopic surgery. It consists of a flexible inner ring, which allows access to the organic cavity to be operated, and another external ring, also flexible, which defines the entrance mouth to said organic cavity, and an equally flexible tubular central body, preferably of plastic, which joins both rings between the inner and outer part of the different layers of the skin or other tissues. Through this protector the endoscopic instruments and / or the rigid tube camcorder are introduced to carry out the intervention.
[0027]
[0028] At present, endoscopic surgery is performed with the patient lying down and with two or three surgeons washed in the surgical field. Usually, an assistant surgeon manages the rigid tube camcorder through a camera head that exists at one of its ends, from where the cable signal goes to the tower camera unit and, from there, to the monitors or screens that emit the image. There is also a main surgeon who handles endoscopic instruments and another or other assistant surgeons who assist him to position the rest of the endoscopic instruments.
[0029]
[0030] Well, the essential objective of the present invention is focused on the development of an innovative endoscopic camcorder head design that replaces the current rigid tube and manual handling and holding cameras, taking advantage of the use of the described wound protectors in this type of endoscopic interventions to carry out the clamping of the same, and therefore allowing to avoid the need for the presence of the assistant surgeon dedicated exclusively to the handling of the camera, which, in turn, supposes a series of additional advantages.
[0031]
[0032] On the other hand, and as a reference to the current state of the art, it should be noted that, at least on the part of the applicant, the existence of no other endoscopic camcorder head, or any other invention of similar application, which has technical characteristics is unknown. , structural and constitutive the same or similar to those presented here claimed.
[0033]
[0034] EXPLANATION OF THE INVENTION
[0035]
[0036] The endoscopic camcorder head attached to a surgical wound protector, without rigid tube or manual support that the invention proposes is therefore configured as a novelty within its field of application, since according to its implementation and in a restrictive way they are achieved satisfactorily the aforementioned objectives, being the characterizing details that make it possible and that distinguish it conveniently set out in the final claims that accompany the present description.
[0037]
[0038] More specifically, what the invention proposes, as noted above, is an endoscopic camcorder head that, in an innovative way, is configured as a support structure that, housing at least one camcorder with light and zoom next to media power supply and signal and motion sending to direct the focus of the optics, presents a configuration specially designed for annexation, either temporarily and removable or permanently and integrated, to a surgical wound protector of those used in the endoscopic surgery interventions themselves in which said chambers are used, said rigid tube head being devoid of incorporating the conventional heads currently existing in the market.
[0039]
[0040] With this, the essential objective of the present invention is to provide an endoscopic camcorder head that, while maintaining the quality and efficiency of existing camcorder systems, offers the following advantages:
[0041]
[0042] - Eliminates the concept of endoscopy with rigid tube camcorder.
[0043]
[0044] - It makes unnecessary the presence of the assistant surgeon who manages the camcorder in the surgical field. The turns and angles of the camcorder requested by the main surgeon during the surgical procedure to obtain a directed visualization of the anatomical structures to be dissected or resected may be required to the internal camcorder from an external electronic device by an assistant surgeon or a nurse.
[0045]
[0046] - It allows to reduce the volume of devices necessary for the visualization of the intracavitary image, as well as the number of necessary display screens.
[0047]
[0048] - It allows to reduce, at least one square centimeter, the area of instrumentation in surgical wound in endoscopic surgery of single or uniportal port (the square centimeter that at least currently uses the rigid tube system). In videothoracoscopic uniportal surgery, for example, where a single 2.5-3 cm incision is used, this free area offers significant instrumentation potential (more instruments or better angles).
[0049] - It offers an alternative to other inventions of the uniportal system (SILS) where the counterposition of forces made by the rigid tube of the optics on the one hand and the endoscopic instruments on the other hand, make it extremely difficult to achieve a comfortable intracavitary endoscopic surgery.
[0050]
[0051] - In uniportal surgery with CO2 insufflation, it is vitally important not to interfere or force instrumentation angles.
[0052]
[0053] The head of the invention is also capable of being used in combination with additional accessory elements such as, for example, vision system in individual glasses, iris movement sensors of the main surgeon for synchronization of camcorder movement according to intention of the main surgeon on screen or viewing glasses, as well as being able to be incorporated in a transportable case, to facilitate minimally invasive procedures to first level hospitals or humanitarian assistance areas (decentralization) without the need for bulky endoscopic video systems.
[0054]
[0055] For all this, the support structure that makes up the head of the invention, inside which, as said, houses at least one camcorder, means for feeding and sending signals and means for angular movement and focusing of the optics, in A first variant embodiment consists of an elongate body that can be detachable, removably, to the inner wall of the surgical wound protector, specifically to the inner and outer rings of the protector so that they act as support for the head, allowing its movement swivel to position the chamber it houses built into the lower end of said body.
[0056]
[0057] In another variant embodiment, the support structure that forms the head of the invention consists of a circular body that, accommodating one or more chambers, is removably coupled to the inner ring of the surgical wound protector, preferably anchored to pressure by means of tongue and groove fitting of flanges and recesses designed for this purpose in both parts such that said ring acts as a support for the head, allowing the axial rotation of said circular body on said inner ring.
[0058]
[0059] And, in another alternative embodiment, the support structure that forms the head of the invention, also consisting of a circular body that houses one or more chambers, is attached to the surgical wound protector integrated therein, forming the The inner ring of the protector itself, so that the surgical wound protector is both the endoscopic camcorder head / s.
[0060]
[0061] On the other hand, the camera's power supply and the cold light that illuminates the interior of the organic cavity come to it with several options that can be: both by cable from an external camera control unit and cold light into the head support body; both without cable by means of battery attached to the inner ring of the surgical wound protector and wireless transmission communication with the control unit; or both without cables such as camcorders with battery built into the head's own body and wireless transmission.
[0062]
[0063] In summary, the present invention aims to eliminate the endoscopic camcorder system based on a rigid tube head by replacing it with a head attached to the surgical wound protector that allows articulated mobility in it and maintains the endoscopic port useful for surgical instrumentation. It also eliminates the need for an assistant surgeon, a display screen for said assistant and a bulky display device. It aims to provide portability and efficiency to endoscopy.
[0064]
[0065] The described endoscopic camcorder head attached to a surgical wound protector, without a rigid tube or manual clamping, thus represents an innovation of structural and constitutive characteristics unknown until now, reasons that, together with its practical utility, provide it with a sufficient basis to obtain the exclusivity privilege requested.
[0066]
[0067] DESCRIPTION OF THE DRAWINGS
[0068]
[0069] To complement the description that is being made and in order to help a better understanding of the characteristics of the invention, the present specification is attached, as an integral part thereof, of a plane in which with an illustrative and non-limiting nature The following has been represented:
[0070]
[0071] Figure number 1.- Shows a schematic perspective view of an example of a first embodiment of the endoscopic camcorder head attached to a surgical wound protector, without rigid tube or manual clamping, object of the invention, specifically a variant with structure docking support, temporarily and Removable, to the inner wall of the surgical wound protector with rotating movement and with cable connection, which has been represented in the use position coupled to said protector.
[0072]
[0073] Figure number 2.- Shows a perspective view of the example of the variant of the camcorder head of the invention shown in Figure 1, in this case represented without attaching to the wound protector, the main parts and elements comprising it being appreciated, thus as the configuration and arrangement of them.
[0074]
[0075] Figure number 3.- It shows an enlargement of the detail A indicated in figure 2, which shows the rotating end of the head in which the camera optics is incorporated.
[0076]
[0077] Figures number 4-A and 4-B. - They show, in paths in side perspective, different positions of use that allow the head to be adopted, according to the variant of embodiment shown in Figures 1 and 2.
[0078]
[0079] Figure number 5.- Shows a schematic perspective view of an example of another variant of the endoscopic camcorder head, according to the invention, in this case a variant with a temporary and removable support structure that can be attached to the lower ring of the protector of surgical wound, represented without coupling to the head, and which in this example has multiple cameras, battery power and connection without cable.
[0080]
[0081] And figure number 6.- Shows a perspective view of an example of the head of the invention, with a shape very similar to that shown in figure 5, but in a variant thereof that is joined in a solidary and permanent way to the protector of surgical wound forming an integral part of it.
[0082]
[0083] PREFERRED EMBODIMENT OF THE INVENTION
[0084]
[0085] In view of the aforementioned figures, and in accordance with the numbering adopted, several non-limiting embodiments of the endoscopic camcorder head attached to the surgical wound protector of the invention can be observed, which comprises the parts and elements that They are indicated and described in detail below.
[0086]
[0087] Thus, as observed in said figures, the head (1) in question is configured from of a support structure (2) that houses at least one camcorder (3) with light, focus or zoom movement, power supply means and connection for signal transmission to a control unit and screen or external screens (not shown) , which support (2) is attached to a surgical wound protector (4) being attached to the same subject autonomously and with the possibility of movement to orient the camera at will.
[0088]
[0089] To do this, preferably, said configuration of said support (2) comprises means for coupling (5) to the surgical wound protector (4) in a temporary and removable manner (Figures 1 to 5), although, optionally, the configuration of the support ( 2) contemplates its annexation to the protector (4) in a solidary and permanent way, forming an integral part of the structure of the protector (4) (figure 6).
[0090]
[0091] Thus, in a first embodiment variant, such as that shown in Figures 1 to 4, the support (2) of the head (1) consists of a hollow and elongated body attachable, removably, to the inner wall of the protector (4 ) of surgical wound, specifically to the inner (4a) and outer (4b) rings of the protector by means of respective holes provided as the coupling means (5), allowing its rotational movement around the axial axis (e) of the protector (4) to place the chamber (3) that houses incorporated in the lower end of said support body (2) in the position of interest.
[0092]
[0093] Preferably, to handle the head (1) and make said rotation, the body of the support (2) has an upper extension defining a driving tab (6).
[0094]
[0095] In this variant, preferably, the power supply and connection for sending the signal to the control unit and external display or screens are made through cables (7) inserted in the support (2), without this implying a limitation, since which can also be done through batteries (8) and wireless communication module that can be housed inside the support (2) or connected externally to it fixed on the surgical wound protector (4).
[0096]
[0097] In figure 1 and in figures 4-A and 4-B this variant of the head (1) is shown with the elongated body of the support (2) incorporated in the protector (4) fixed in working position, that is, with their respective inner (4a) and outer (4b) rings subject to both inner and outer parts of the skin (p).
[0098] In addition, as seen in Figure 3, in this variant embodiment the camcorder (3) located at the lower end of the elongated body of the support (2), has a battery (8) and has rotational movement.
[0099]
[0100] In another variant embodiment, such as that shown in Figure 5, the support (2) that forms the head (1), is a hollow body of circular configuration that is removably coupled on the inner ring (4a) of the surgical wound protector (4), for example under pressure by means of tongue and groove engagement of flanges and recesses provided as coupling means (5) in both parts, allowing the axial rotation of said circular body of the support (2) on said inner ring (4th).
[0101]
[0102] In this variant, preferably, the circular body of the support (2) houses several chambers (3), distributed radially inside. And, also preferably, the power supply and connection for signal transmission to the control unit and external displays are carried out through batteries (8) and wireless communication.
[0103]
[0104] And, in another alternative embodiment, such as that shown in Figure 6, where the support (2) of the head (1) is also a circular body that houses one or more chambers (3) similar to that shown in Figure 5, instead of being coupled to the inner ring (4a) of the surgical wound protector (4), it constitutes the inner ring (4a) of said protector (4), forming an integral part thereof.
[0105]
[0106] In this variant, the support (2) also, preferably, houses several cameras (3), distributed radially in its interior and the power supply and connection for sending the signal to the control unit and external screens are made through batteries ( 8) and wireless communication, it being understood that, both in this variant and in the one shown in figure 5, the inclusion of batteries (8) and wireless communication does not imply a limitation since, although it has not been represented, it could also be connected by cable (7).
[0107]
[0108] Describing sufficiently the nature of the present invention, as well as the way of putting it into practice, it is not considered necessary to make its explanation more extensive so that any person skilled in the art understands its scope and the advantages that derive from it, stating that, within its essentiality, it may be carried out in other embodiments that differ in detail from that indicated by way of example, and to which It will also achieve the protection that is sought as long as it does not alter, change or modify its fundamental principle.
权利要求:
Claims (11)
[1]
1. - ENDOSCOPIC CAMERA HEAD ANNEXABLE TO SURGICAL WOUND PROTECTOR, WITHOUT RIGID TUBE OR MANUAL HOLDING which, comprising at least one camcorder (3) with light, focus or zoom movement, power supply means and connection for signal sending to a control unit and external display or screens, is characterized by being configured from a support structure (2) that incorporates the at least one, camcorder (3), power supply means and connection for signal sending, which support (2) is attached to a surgical wound protector (4), being attached to the same subject autonomously and with the possibility of movement to orient the camera at will.
[2]
2. - ENDOSCOPIC VIDEO CAMERA HEAD ANNEXABLE TO SURGICAL WOUND PROTECTOR, WITHOUT RIGID TUBE OR MANUAL HOLDING, according to claim 1, characterized in that the support (2) is provided with coupling means (5) for attachment to the protector (4) of temporary and removable surgical wound.
[3]
3. - ENDOSCOPIC CAMERA HEAD ANNEXABLE TO SURGICAL WOUND PROTECTOR, WITHOUT RIGID TUBE OR MANUAL HOLDING, according to claim 2, characterized in that the support (2) consists of a hollow and elongated body attachable, removably, to the inner wall of the surgical wound protector (4), with rotational movement around the axial axis (e) of the protector (4) to place the chamber (3) housed incorporated in the lower end of said support body (2) in the position that interest
[4]
4. - ENDOSCOPIC VIDEO CHAMBER HEAD ANNEXABLE TO SURGICAL WOUND PROTECTOR, WITHOUT RIGID TUBE OR MANUAL HOLDING, according to claim 3, characterized in that the support body (2) has both recessed as coupling means (5) to the inner rings (4a) and external (4b) of the protector (4).
[5]
5. - ENDOSCOPIC VIDEO CAMERA HEAD ANNEXABLE TO SURGICAL WOUND PROTECTOR, WITHOUT RIGID TUBE OR MANUAL HOLDING, according to claim 3 or 4, characterized in that the support body (2) has an upper extension defining a flange (6) of operation to make its turn around the protector (4).
[6]
6. - ENDOSCOPIC VIDEO CAMERA HEAD ANNEXABLE TO SURGICAL WOUND PROTECTOR, WITHOUT RIGID TUBE OR MANUAL HOLDING, according to claim 2, characterized in that the support (2) is a hollow body of circular configuration that houses one or more cameras (3) distributed radially inside and that engages on the inner ring (4a) of the surgical wound protector (4), allowing the axial rotation of said circular body of the support (2) over said inner ring (4a).
[7]
7. - ENDOSCOPIC VIDEO CAMERA HEAD ANNEXABLE TO SURGICAL WOUND PROTECTOR, WITHOUT RIGID TUBE OR MANUAL HOLDING, according to claim 1, characterized in that the support (2) is attached to the protector (4) in a solidary and permanent way, forming an integral part of The structure itself.
[8]
8. - ENDOSCOPIC VIDEO CAMERA HEAD ANNEXABLE TO SURGICAL WOUND PROTECTOR, WITHOUT RIGID TUBE OR MANUAL HOLDING, according to claim 7, characterized in that the support (2) is a hollow body of circular configuration that houses one or more cameras (3) distributed radially inside and constituting the inner ring (4a) of the surgical wound protector (4), forming an integral part thereof.
[9]
9. - ENDOSCOPIC VIDEO CAMERA HEAD ANNEXABLE TO SURGICAL WOUND PROTECTOR, WITHOUT RIGID TUBE OR MANUAL HOLDING, according to any of claims 1 to 8, characterized in that the support (2) incorporates cables inserted therein for the power supply and connection for sending signal to the control unit and external display or screens.
[10]
10. - ENDOSCOPIC CAMERA HEAD ANNEXABLE TO SURGICAL WOUND PROTECTOR, WITHOUT RIGID TUBE OR MANUAL HOLDING, according to any of claims 1 to 8, characterized in that the support (2) incorporates batteries (8) and wireless communication module housed in its interior for the power supply and connection for sending signal to the control unit and external display or screens.
[11]
11. - ENDOSCOPIC VIDEO CAMERA HEAD ANNEXABLE TO SURGICAL WOUND PROTECTOR, WITHOUT RIGID TUBE OR MANUAL HOLDING, according to any of claims 1 to 8, characterized in that the support (2) incorporates batteries (8) and Wireless communication module housed externally to it, fixed on the surgical wound protector (4) for the power supply and connection for sending signal to the control unit and external display or screens.
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引用文献:
公开号 | 申请日 | 公开日 | 申请人 | 专利标题
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法律状态:
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优先权:
申请号 | 申请日 | 专利标题
ES201830457A|ES2730387B2|2018-05-09|2018-05-09|ENDOSCOPIC CAMERA HEAD ATTACHED TO SURGICAL WOUND PROTECTOR, WITHOUT RIGID TUBE OR MANUAL RESTRAINT|ES201830457A| ES2730387B2|2018-05-09|2018-05-09|ENDOSCOPIC CAMERA HEAD ATTACHED TO SURGICAL WOUND PROTECTOR, WITHOUT RIGID TUBE OR MANUAL RESTRAINT|
EP18917753.8A| EP3827770A1|2018-05-09|2018-11-06|Endoscope video camera head which can be attached to a surgical wound protector, without a rigid tube or manual support|
PCT/ES2018/070714| WO2019215354A1|2018-05-09|2018-11-06|Endoscope video camera head which can be attached to a surgical wound protector, without a rigid tube or manual support|
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