Abstract:
This invention discloses a method for manufacturing a disposable endoscopic puncture outfit for laparoscopy operations. The manufacturing method comprises the following steps: 1) preparing a camera shooting module; 2) preparing a puncture needle; 3) preparing a positioning puncture casing pipe; 4) mounting the camera shooting module on the puncture needle; 5) inserting the puncture needle in the positioning puncture casing pipe, and making a transparent cover slightly extend out of the positioning puncture casing pipe. This invention also discloses a puncture outfit made with a method for manufacturing a disposable endoscopic puncture outfit for laparoscopy operations. The manufacturing method provided by this invention has a simple process, is easy to implement, and has high production efficiency. The puncture outfit provided by this invention has a reasonable structure, can be used for visible surgical procedures through the camera shooting module, and can effectively improve the safety of the puncture surgery and reduce the medical negligence. Moreover, the operation becomes simple in a visible state, relies less on the skill of a surgeon, and the accuracy and success rate of the surgery can be increased.

Description:
A method for manufacturing disposable endoscopic puncture outfit for laparoscopy operations and a puncture outfit using the method. 
     This invention pertains to the technical field of medical apparatus and particularly to a method for manufacturing a disposable endoscopic puncture outfit for laparoscopy operations and a puncture outfit using the method. 
     The minimally invasive surgery represented by laparoscope has developed rapidly in recent years. The surgery quantity has been more than that of traditional surgery in developed countries. The minimally invasive treatment technologies characterized by minor surgery and minor wound have gradually been recognized by extensive surgeons. Casing pipe puncture outfit is a necessary apparatus to set up surgical and observation channels in laparoscopic surgery. However, the existing casing pipe has no visible function. That is, “blind placement” is adopted. The surgeons carry out the surgery all by their experience. During the puncture process, the artery blood vessels such as retroperitoneal aorta and artery blood vessels of abdominal wall cannot be seen or touched in blind placement. Therefore, it is operated inconveniently. In case of injuries, it usually results in fatal hemorrhoea and surgery incidents. Moreover, the normal tissues of visceral organs are easily injured accidentally such as vascular, intestine and bladder injuries when the casing pipe puncture outfit is inserted in the abdominal cavity. There is a hidden danger for laparoscopic surgery complications, which can hardly guarantee the surgery safety and effectiveness. 
     BRIEF SUMMARY OF THE INVENTION 
     In allusion to the above shortcomings, one of the purposes for this invention is to provide a method for manufacturing a disposable endoscopic puncture outfit for laparoscopy operations that features simple process, easy implementation, high efficiency and effectiveness. 
     The other purpose for this invention is to provide a puncture outfit that features is designed with reasonable structure, can be visible throughout the surgery and is operated conveniently. 
     To realize the above purposes, the technical solutions provided by this invention include: 
     A method for manufacturing a disposable endoscopic puncture outfit for laparoscopy operations, characterized in that it comprises the following steps: 
     (1) Prepare a camera shooting module with light source; 
     (2) Prepare a puncture needle; 
     (3) Prepare a positioning puncture casing pipe that matches with the said puncture needle; 
     (4) Mount the camera shooting module at the head end of the puncture needle. The head end of the said puncture needle is sheathed with a transparent cover that can cover camera shooting module; 
     (5) Insert the puncture needle in the positioning puncture casing pipe, and make a transparent cover at the head end of the said puncture needle slightly extend out of the said positioning puncture casing pipe to manufacture a disposable endoscopic puncture outfit for laparoscopy operations. 
     The said step (2) further comprises the following steps: 
     (2.1) Prepare a needle guard; 
     (2.2) Prepare a handle; 
     (2.3) Prepare a protective rod; 
     (2.4) Prepare a reset spring; 
     (2.5) A sleeve joint part that matches with the needle guard is set on the front side wall of the handle. The tail end of the needle guard is sheathed on the sleeve joint part of the handle to make the head end of the said needle guard form a single bevel blade. The tilting angle of the bevel of the said blade is between 20˜70 degrees. 
     (2.6) A mounting rack that matches with the camera shooting module is mounted at the head end of the protective rod. Mounting positions that match with the transparent cover are reserved at the head end of the said mounting rack. 
     (2.7) A boss is set in the middle of the protective rod. The reset spring is sheathed at the tail end of the protective rod, the tail end of the said protective rod is inserted in the needle guard to pass through the sleeve joint part and stretch into the handle. One end of reset spring on the said protective rod presses against the sleeve joint part while the other end presses against the boss. Moreover, a clamping cap is set at the tail end of the protective rod to prevent it from moving out of the handle. A puncture needle is thus manufactured. 
     The said step (2) further comprises the following steps: 
     (2.8) Prepare a protection mechanism; 
     (2.9) The said protection mechanism is set in the handle of the puncture needle and can prevent the transparent cover from withdrawing back into the needle guard when the puncture needle is not used. If the puncture needle is used with the positioning puncture casing pipe, a protection function will be automatically started to prevent the needle guard that stretches into the abdominal cavity from accidentally injuring the visceral organs. 
     The said step (3) further comprises the following steps: 
     (3.1) Prepare a sealing gasket: a buckle is set on the outer edge of the said sealing gasket. The middle part of the sealing gasket has a conical bulge in a side. A through-hole that matches with the said needle guard is set at the central position of the said bulge. The said through-hole has an interference fit with the said needle guard. 
     (3.2) Prepare a check valve made with flexible material. A hook is set on the outer edge of the said check valve. Two anti-pressing plates are set in the middle part of the check valve. The two anti-pressing plates are set oppositely in a closing shape to form an elongated gap that matches with the said needle guard between their two adjacent end faces. A convex rib is set respectively on the inner sides of the two anti-pressing plates to strength their structural strength. When the said needle guard is moved out of the elongated gap, the said convex rib can have the two adjacent end faces of the two anti-pressing plates closely pressed against each other to prevent the high-pressure gas in the abdominal cavity from leaking. 
     (3.3) Prepare a casing pipe sheath made with high polymer material. A cavity that matches with the contour of the said check valve is formed at the tail end of the said casing pipe sheath. The head end of the said casing pipe sheath extends at its axial direction, and its outer side is set with a nodular and conical bulge. The head end of the said casing pipe sheath is in a conical shape. 
     (3.4) Place the said check valve in the cavity of the said casing pipe sheath, and have the hook of the said check valve buckled on the opening of the said cavity. 
     (3.5) Have the sealing gasket set on the opening of the cavity, and have the buckle of the said sealing gasket buckled on the hook of the check valve. 
     (3.6) Prepare an upper cover, have the said upper cover fastened on the opening of the said cavity, and have the said sealing gasket and the check valve positioned in the cavity of the casing pipe sheath. 
     (3.7) Prepare a two-way valve, have the said two-way valve fixed on the said casing pipe sheath, and have the said two-way valve and the cavity of the said casing pipe sheath connected to manufacture a positioning puncture casing pipe. 
     The said transparent cover is a round pipe body whose one end is closed. The closing part of the said round pipe body is in a beveled, spherical, conical or polygonal pyramid shape. When the closing part of the said round pipe body is in a beveled shape, the tilting angle of its bevel is 20˜70 degrees. 
     A puncture outfit made with a method for manufacturing a disposable endoscopic puncture outfit for laparoscopy operations comprises a camera shooting module with light source, a puncture needle and a positioning puncture casing pipe that matches with the said puncture needle. The said camera shooting module is set at the head end of the puncture needle. The head end of the said puncture needle is sheathed with a transparent cover that can cover camera shooting module. The said puncture needle is inserted in the positioning puncture casing pipe to make the transparent cover at the head end of the said puncture needle slightly extend out of the said positioning puncture casing pipe. 
     The said puncture needle comprises a needle guard, a handle, a protective rod and a reset spring. A sleeve joint part that matches with the needle guard is set on the front side wall of the handle. The tail end of the needle guard is sheathed on the sleeve joint part of the handle to make the head end of the said needle guard form a single bevel blade. The tilting angle of the bevel of the said blade is between 20˜70 degrees. A mounting rack that matches with the camera shooting module is mounted at the head end of the protective rod. Mounting positions that match with the transparent cover are reserved at the head end of the said mounting rack. A boss is set in the middle of the protective rod. The tail end of the said protective rod is inserted in the needle guard to pass through the sleeve joint part and stretch into the handle. Moreover, a clamping cap is set at the tail end of the protective rod to prevent it from moving out of the handle. The reset spring is sheathed at the tail end of the protective rod, and one end of the said reset spring presses against the sleeve joint part while the other end presses against the boss. 
     The said puncture needle further comprises a protection mechanism. The said protection mechanism comprises an elastic arm whose head end is fixed in the handle. The middle part of the elastic arm is set with a clamping position that can block the clamping cap to prevent the transparent cover from withdrawing back into the needle guard when the puncture needle is not used. The tail end of the elastic arm extends out from the front side wall of the handle to form a dial piece that presses against the said positioning puncture casing pipe to make the clamping position move out of from the clamping cap when the puncture needle is matched with the positioning puncture casing pipe. 
     The said positioning puncture casing pipe comprises a casing pipe sheath, an upper cover, a sealing gasket, a check valve and a two-way valve. A buckle is set on the outer edge of the said sealing gasket. The middle part of the sealing gasket has a conical bulge in a side. A through-hole that matches with the said needle guard is set at the central position of the said bulge. The said through-hole has an interference fit with the said needle guard. A hook is set on the outer edge of the said check valve. Two anti-pressing plates are set in the middle part of the check valve. The two anti-pressing plates are set oppositely in a closing shape to form an elongated gap that matches with the said needle guard between their two adjacent end faces. A convex rib is set respectively on the inner sides of the two anti-pressing plates to strength their structural strength. A cavity that matches with the contour of the said check valve is formed at the tail end of the said casing pipe sheath. The head end of the said casing pipe sheath extends at its axial direction, and its outer side is set with a nodular and conical bulge. The head end of the said casing pipe sheath is in a conical shape. The said check valve is set in the cavity of the casing pipe sheath, and the hook of the said check valve is buckled on the opening of the said cavity. The said sealing gasket is set on the opening of the cavity, and the buckle of the said sealing gasket is buckled on the hook of the check valve. The said upper cover is fastened on the opening of the said cavity, and the said sealing gasket and the check valve are positioned in the cavity of the casing pipe sheath. The said two-way valve is fixed on the said casing pipe sheath, and the said two-way valve and the cavity of the said casing pipe sheath are connected each other. 
     The said transparent cover is a round pipe body whose one end is closed. The closing part of the said round pipe body is in a beveled, spherical, conical or polygonal pyramid shape. When the closing part of the said round pipe body is in a beveled shape, the tilting angle of its bevel is 20˜70 degrees. 
     Beneficial effects of this invention: The manufacturing method provided by this invention has a simple process, is easy to implement, and has high production efficiency. The puncture outfit provided by this invention is designed smartly, has a reasonable structure and can be used for visible surgical procedures through the camera shooting module, and can prevent the normal tissues or viscera from being accidentally injured in blind sight, effectively improve the safety of the puncture surgery and reduce the medical negligence. Moreover, the operation can be carried out in a visible state, which can greatly shorten the duration of surgery and reduce the pain of patients. It features simple operation and low cost, and lies less on the skill of a surgeon, and the accuracy and success rate of the surgery can be increased. 
     A nodular and conical bulge is set on the casing pipe sheath. It has good fixity and does not slip, which can avoid the common safety incident due to easy slipping. Moreover, the head end of the casing pipe sheath is in a conical shape, which can reduce the resistance during puncturing and further relieve the incision injury. It is operated conveniently and can realize the minimally invasive effect. Moreover, it features simple entire structure, easy implementation, low cost and disposable use. It can avoid cross infection and ensure the safe use. 
     The head end of the said needle guard forms a single bevel blade. The tilting angle of the bevel of the said blade is between 20˜70 degrees. Its blade can be effectively used to incise the tissues. Hole is expanded along the titling angle. It brings minor injury and effectively improves the safety and effectiveness of the puncture surgery. 
     Further explanation for this invention is given through the following figures and embodiments. 
    
    
     
       BRIEF DESCRIPTION OF THE DRAWINGS 
         FIG. 1  is a solid structure diagram of this invention; 
         FIG. 2  is an A-A section structure diagram in  FIG. 1 ; 
         FIG. 3  is an A-A section structure diagram of puncture needle in  FIG. 1 ; 
         FIG. 4  is a B-B section structure diagram of puncture needle in  FIG. 1 ; 
         FIG. 5  is an A-A section structure diagram of positioning puncture casing pipe in  FIG. 1 ; 
         FIG. 6  is a structure diagram of check valve in  FIG. 1 ; 
         FIG. 7  is a state structure diagram during the use of this invention; 
         FIG. 8  is a structure diagram  1  of transparent cover in  FIG. 1 ; 
         FIG. 9  is a structure diagram  2  of transparent cover in  FIG. 1 ; 
         FIG. 10  is a structure diagram  3  of transparent cover in  FIG. 1 ; 
     
    
    
     DETAILED DESCRIPTION OF THE INVENTION 
     Embodiment: Refer to  FIG. 1-6 . This invention embodiment provides a method for manufacturing a disposable endoscopic puncture outfit for laparoscopy operations, characterized in that it comprises the following steps: 
     (1) Prepare a camera shooting module with light source  1 ; 
     (2) Prepare a puncture needle  2 ; 
     (3) Prepare a positioning puncture casing pipe  3  that matches with the said puncture needle  2 ; 
     (4) Mount the camera shooting module  1  at the head end of the puncture needle  2 . The head end of the said puncture needle  2  is sheathed with a transparent cover  4  that can cover camera shooting module  1 ; 
     (5) Insert the puncture needle  2  in the positioning puncture casing pipe  3 , and make a transparent cover  4  at the head end of the said puncture needle  2  slightly extend out of the said positioning puncture casing pipe  3  to manufacture a disposable endoscopic puncture outfit for laparoscopy operations. 
     The said step (2) further comprises the following steps: 
     (2.1) Prepare a needle guard  21 ; 
     (2.2) Prepare a handle  22 ; 
     (2.3) Prepare a protective rod  23 ; 
     (2.4) Prepare a reset spring  24 ; 
     (2.5) A sleeve joint part  221  that matches with the needle guard  21  is set on the front side wall of the handle  22 . The tail end of the needle guard  21  is sheathed on the sleeve joint part  221  of the handle to make the head end of the said needle guard  21  form a single bevel blade  211 . The tilting angle a of the bevel of the said blade  211  is between 20˜70 degrees. 
     (2.6) A mounting rack  231  that matches with the camera shooting module  1  is mounted at the head end of the protective rod  23 . Mounting positions that match with the transparent cover  4  are reserved at the head end of the said mounting rack  231 . 
     (2.7) A boss  232  is set in the middle of the protective rod  23 . The reset spring  24  is sheathed at the tail end of the protective rod  23 , the tail end of the said protective rod  23  is inserted in the needle guard  21  to pass through the sleeve joint part  221  and stretch into the handle  22 . One end of reset spring  24  on the said protective rod  23  presses against the sleeve joint part  221  while the other end presses against the boss  232 . Moreover, a clamping cap  25  is set at the tail end of the protective rod  23  to prevent it from moving out of the handle  22 . A puncture needle  2  is thus manufactured. 
     (2.8) Prepare a protection mechanism  5 ; 
     (2.9) The said protection mechanism  5  is set in the handle  22  of the puncture needle  2  and can prevent the transparent cover  4  from withdrawing back into the needle guard  21  when the puncture needle  2  is not used. If the puncture needle  2  is used with the positioning puncture casing pipe  3 , a protection function will be automatically started to prevent the needle guard  21  that stretches into the abdominal cavity from accidentally injuring the visceral organs. 
     The said step (3) further comprises the following steps: 
     (3.1) Prepare a sealing gasket  31 : a buckle  311  is set on the outer edge of the said sealing gasket  31 . The middle part of the sealing gasket has a conical bulge  312  in a side. A through-hole  313  that matches with the said needle guard  21  is set at the central position of the said bulge  312 . The said through-hole  313  has an interference fit with the said needle guard  21 . 
     (3.2) Prepare a check valve  32  made with flexible material. A hook  321  is set on the outer edge of the said check valve  32 . Two anti-pressing plates  322  are set in the middle part of the check valve. The two anti-pressing plates  322  are set oppositely in a closing shape to form an elongated gap  324  that matches with the said needle guard  21  between their two adjacent end faces. A convex rib  323  is set respectively on the inner sides of the two anti-pressing plates  322  to strength their structural strength. When the said needle guard  21  is moved out of the elongated gap  324 , the said convex rib  323  can have the two adjacent end faces of the two anti-pressing plates  322  closely pressed against each other to prevent the high-pressure gas in the abdominal cavity from leaking. 
     (3.3) Prepare a casing pipe sheath  33  made with high polymer material. A cavity  331  that matches with the contour of the said check valve  32  is formed at the tail end of the said casing pipe sheath  33 . The head end of the said casing pipe sheath  33  extends at its axial direction, and its outer side is set with a nodular and conical bulge  332 . The head end of the said casing pipe sheath  33  is in a conical shape. 
     (3.4) Place the said check valve  32  in the cavity  331  of the said casing pipe sheath  33 , and have the hook  321  of the said check valve  32  buckled on the opening of the said cavity  331 . 
     (3.5) Have the sealing gasket  31  set on the opening of the cavity  331 , and have the buckle  311  of the said sealing gasket  31  buckled on the hook  321  of the check valve  32 . 
     (3.6) Prepare an upper cover  34 , have the said upper cover  34  fastened on the opening of the said cavity  331 , and have the said sealing gasket  31  and the check valve  32  positioned in the cavity  331  of the casing pipe sheath  33 . 
     (3.7) Prepare a two-way valve  35 , have the said two-way valve  35  fixed on the said casing pipe sheath  33 , and have the said two-way valve  35  and the cavity  331  of the said casing pipe sheath  31  connected to manufacture a positioning puncture casing pipe  3 . 
     The said transparent cover  4  is a round pipe body  41  whose one end is closed. The closing part  42  of the said round pipe body  41  is in a beveled, spherical, conical or polygonal pyramid shape. When the closing part  42  of the said round pipe body  41  is in a beveled shape, the tilting angle b of its bevel is 20˜70 degrees. 
     A puncture outfit made with a method for manufacturing a disposable endoscopic puncture outfit for laparoscopy operations comprises a camera shooting module with light source  1 , a puncture needle  2  and a positioning puncture casing pipe  3  that matches with the said puncture needle  2 . The said camera shooting module  1  is set at the head end of the puncture needle  2 . The head end of the said puncture needle  2  is sheathed with a transparent cover  4  that can cover camera shooting module  1 . The said puncture needle  2  is inserted in the positioning puncture casing pipe  3  to make the transparent cover  4  at the head end of the said puncture needle  2  slightly extend out of the said positioning puncture casing pipe  3 . The said transparent cover  4  is a round pipe body  41  whose one end is closed. The closing part  42  of the said round pipe body  41  is in a beveled, spherical, conical or polygonal pyramid shape. When the closing part  42  of the said round pipe body  41  is in a beveled shape, the tilting angle b of its bevel is 20˜70 degrees. 
     The said puncture needle  2  comprises a needle guard  21 , a handle  22 , a protective rod  23  and a reset spring  24 . A sleeve joint part  221  that matches with the needle guard  21  is set on the front side wall of the handle  22 . The tail end of the needle guard  21  is sheathed on the sleeve joint part  221  of the handle  22  to make the head end of the said needle guard  21  form a single bevel blade  211 \hat matches with the camera shooting module  1  is mounted at the head end of the protective rod  23 . Mounting positions that match with the transparent cover  4  are reserved at the head end of the said mounting rack  231 . A boss  232  is set in the middle of the protective rod  23 . The tail end of the said protective rod  23  is inserted in the needle guard  21  to pass through the sleeve joint part  221  and stretch into the handle  22 . Moreover, a clamping cap  25  is set at the tail end of the protective rod  23  to prevent it from moving out of the handle  22 . The reset spring  24  is sheathed at the tail end of the protective rod  23 , and one end of the said reset spring  24  presses against the sleeve joint part  221  while the other end presses against the boss  232 . The head end of the said needle guard  21  forms a single bevel blade  211 . The tilting angle of the bevel of the said blade  211  is between 20˜70 degrees. Its blade  211  can be effectively used to incise the tissues. Hole is expanded along the titling angle. It brings minor injury and effectively improves the safety and effectiveness of the puncture surgery. 
     The said puncture needle  2  further comprises a protection mechanism  5 . The said protection mechanism  5  comprises an elastic arm  51  whose head end is fixed in the handle  22 . The middle part of the elastic arm is set with a clamping position that can block the clamping cap  25  to prevent the transparent cover  4  from withdrawing back into the needle guard  21  when the puncture needle  2  is not used. The tail end of the elastic arm extends out from the front side wall of the handle  22  to form a dial piece that presses against the said positioning puncture casing pipe  3  to make the clamping position move out of from the clamping cap  25  when the puncture needle  2  is matched with the positioning puncture casing pipe  3 . 
     The said positioning puncture casing pipe  3  comprises a casing pipe sheath  33 , an upper cover  34 , a sealing gasket  31 , a check valve  32  and a two-way valve  35 . A buckle  311  is set on the outer edge of the said sealing gasket  31 . The middle part of the sealing gasket has a conical bulge  312  in a side. A through-hole  313  that matches with the said needle guard  21  is set at the central position of the said bulge  312 . The said through-hole  313  has an interference fit with the said needle guard  21 . A hook  321  is set on the outer edge of the said check valve  32 . Two anti-pressing plates  322  are set in the middle part of the check valve. The two anti-pressing plates  322  are set oppositely in a closing shape to form an elongated gap  324  that matches with the said needle guard  21  between their two adjacent end faces. A convex rib  323  is set respectively on the inner sides of the two anti-pressing plates  322  to strength their structural strength. A cavity  331  that matches with the contour of the said check valve  32  is formed at the tail end of the said casing pipe sheath  33 . The head end of the said casing pipe sheath  33  extends at its axial direction, and its outer side is set with a nodular and conical bulge  332 . The head end of the said casing pipe sheath  33  is in a conical shape. The said check valve  32  is set in the cavity  331  of the casing pipe sheath  33 , and the hook  321  of the said check valve  32  is buckled on the opening of the said cavity  331 . The said sealing gasket  31  is set on the opening of the cavity  331 , and the buckle  311  of the said sealing gasket  31  is buckled on the hook  321  of the check valve  32 . The said upper cover  4  is fastened on the opening of the said cavity  331 , and the said sealing gasket  31  and the check valve  32  are positioned in the cavity  331  of the casing pipe sheath  33 . The said two-way valve  35  is fixed on the said casing pipe sheath  33 , and the said two-way valve  35  and the cavity  331  of the said casing pipe sheath  33  are connected each other. 
     Refer to  FIG. 7 : Before puncturing, the power socket of video connecting cable  6  is plugged into power socket of power supply system. One end of the video connecting cable  6  is connected with the camera shooting module  1  on the puncture needle  2  while the other end of the video connecting cable is connected to the input port of display unit  7 . The puncture needle  2  is inserted in the said positioning puncture casing pipe  3  to make the puncture needle  2  match with the positioning puncture casing pipe  3 . At this moment, the dial piece on the elastic arm  51  rotates at a certain angle with axis of the joint between the elastic arm  51  and the handle  22  under the pressure of the upper cover  34  of the positioning puncture casing pipe  3 . The clamping position of elastic arm  51  moves out of the movement direction of the protective rod  23  from the clamping cap  25 , and then the clamping cap  25  of the protective rod  23  can move towards one side of the handle  22 . 
     During puncturing, the transparent cover  4  of the puncture needle  2  overcomes the elastic force of the reset spring  24  and retracts in the needle guard  21  under the resistance from the skin, then the blade  211  of the needle guard  21  exposes. At this moment, the said blade  211  is used to incise the skin tissues to make the puncture needle  2  enter the tissues slowly. Under the lighting of light source, the camera shooting module  1  can deliver the images for the real-time process of puncturing the tissues and entering the abdominal cavity to the display unit  7  through the video connecting cable. The artery blood vessels such as retroperitoneal aorta and artery blood vessels of abdominal wall cannot be seen effectively. It is operated conveniently and avoids the surgery incidents, which effectively improves the safety and effectiveness of the puncture surgery. 
     During puncturing, the transparent cover  4  will reset itself under the spring force of the reset spring  24  as the resistance of the transparent cover  4  disappears. The state that the transparent cover  4  slightly extends out of the positioning puncture casing pipe is recovered to act as a protection function. At this moment, even though the puncturing of abdominal cavity is continued due to misoperation, it can prevent the blade  211  of the needle guard  21  from injuring the visceral organs under the function of the transparent cover  4 . This has greatly improves the safety and effectiveness of the puncture surgery. Meanwhile, the nodular and conical bulge  332  of the casing pipe sheath  33  enters the abdominal cavity to have the casing pipe sheath  33  firmly fixed on the abdominal wall under the combined function of contractility formed between the nodular and conical bulge  332  and the incision expansion. The gas can be delivered into the abdominal cavity by connecting the two-way valve  35  and the pneumoperitoneum apparatus so as to maintain the air pressure of abdomen during surgery. Moreover, the principal part of puncture outfit is made with high polymer material. Its disposable use can avoid cross infection and ensure the safe use. 
     In this embodiment, the said transparent cover  4  is a round pipe body  41  whose one end is closed. When the closing part  42  of the said round pipe body  41  is in a beveled shape, the tilting angle of its bevel is 20˜70 degrees. It has the functions of puncturing and protection. In other embodiments, referring to  FIG. 8-9 , the closing part  42  of the said round pipe body  41  is in a conical or polygonal pyramid shape and can replace the blade  211  of the needle guard  21  and be directly used for puncturing. Referring to  FIG. 10 , the closing part  42  of the said round pipe body  41  can be set as a spherical shape. This can effectively prevent extremely easy injuries against the normal tissues of visceral organs when the puncture outfit is inserted in the abdominal cavity, avoid laparoscopic surgery complications such as vascular, intestine and bladder injuries and guarantee the surgery safety and effectiveness. 
     As described in the above embodiments for this invention, other puncture outfits and their manufacturing methods by the adoption of the same or similar structures are within the protective scope of this invention.