Invention content
The technical problem to be solved by the present invention is in order to overcome drawbacks described above of the existing technology, provide a kind of cooperation abdomenThe tumour destroyer that hysteroscope uses.
The present invention is to solve above-mentioned technical problem by following technical proposals：
A kind of tumour destroyer that cooperation laparoscope uses comprising epitheca is arranged in the interior sheath of epitheca and is arranged inThe pull rod of interior sheath；The front of pull rod is equipped with cutting net；It is equipped with and cutting net can be strutted or can will be cut between pull rod and cutting netNet the first shrapnel shunk；It includes circumferential line and multiple longitudinally cutting lines to cut net；One end of longitudinally cutting line is fixed in circumferential directionThe other end of line, longitudinally cutting line forms closing in portion, and closing in portion is connected with cutter；The both ends of first shrapnel are respectively and fixedly connected in drawingThe front end of bar and circumferential line；The front of interior sheath is equipped with accommodating bag, and the open end of accommodating bag is equipped with and can strut accommodating bag or canThe second shrapnel that accommodating bag is shunk, the both ends of the second shrapnel are fixedly arranged on the front end of interior sheath；Accommodating bag and cutting net quiltWhen strutting, accommodating bag is located at the lower section of cutting net.
This tumour destroyer is in use, epitheca is inserted into abdominal cavity by the circle sheath card notch of patients abdomen.Accommodating bag is from epithecaIt is inside pulled to intraperitoneal；Cutting net from it is interior it is intrathecal be pushed to it is intraperitoneal, the first shrapnel by cut net strut, the second shrapnel will houseBag struts；Accommodating bag is located at the lower section of cutting net.Tumour is positioned in cutting net by surgical instrument, is applied outward to pull rodPower, cutting net are shunk, and cut the cutting of net and cutter realization to tumour.Tumor tissues after being cut are fallen into accommodating bag.After cutting, cutting net is drawn into interior sheath, and the second shrapnel enters outer intrathecal with interior sheath, and the second shrapnel is by the opening of accommodating bagIt tightens at end.Accommodating bag is removed with epitheca from intraperitoneal.This tumour destroyer may be implemented to the uniform, fast of intraperitoneal tumour objectSpeed, the cutting stablized, while can be fallen into avoid tumor tissues intraperitoneal, the speed cut to tumour was not only accelerated, but also be convenient forWhole tumor tissues after cutting are quickly removed from intraperitoneal.
The central part of cutter is equipped with multiple blades to extend outwardly；Each blade is affixed with a longitudinally cutting line；The inner cavity that the cutting edge of blade is netted towards cutting.Blade can cut the tumour in cutting net, to accelerate cutting speedDegree.
The cutting edge of blade extends to the end of longitudinally cutting line from the central part of cutter.The upper surfaces of cutter formed fromThe cutting edge of central part to outer rim is distributed, and is increased cut coverage, is accelerated the cutting speed to tumour.
The quantity of blade is identical with the quantity of longitudinally cutting line.In this way, a blade and a longitudinally cutting line form oneA complete cutting planes, multiple cutting planes are spaced apart, and adjacent cutting planes can cut tumour into strips, realizeStrip cutting to tumour, convenient for being taken out from internal to the tumour after cutting.
Longitudinally cutting line is to have serrate metal wire.Metal wire with sawtooth forms scroll saw, scroll saw can to tumour intoRow quickly cutting, improves cutting speed.
The length of adjacent longitudinally cutting line is identical.In this way, cutter are located at the center of the bottom of cutting net so that cuttingEvenly, prevent that the tumor mass after cutting is oversized or too small and can not be taken out from internal.
The intersection point of longitudinally cutting line and circumferential line is vertical ring intersection point, the length phase of the circumferential line between adjacent vertical ring intersection pointTogether.Circumferentially line is evenly spaced on longitudinally cutting line so that evenly to the cutting of tumour, prevents the tumor mass ruler after cuttingIt is very little excessive or too small and can not be taken out from internal.
First shrapnel is three.Three the first shrapnels form stable structure, can steadily strut cutting net, and can be withSteadily shrink cutting net.
The rear end of pull rod is equipped with pressurizer, and pressurizer is located at the outside of interior sheath；Pressurizer is sheathed on pull rod；Pressurizer and drawingBar is to be threadedly coupled；There are two spanner ends for compression appliance.By spanner end, pressurizer can be easily turned, including making pull rodThe back-and-forth motion of intrathecal stabilization, and can make cutting net and cutter to the cutting of tumour more easily, more rapidly.
The outer surface of interior sheath is equipped with the first finger ring portion being inserted into for finger；The outer surface of epitheca is equipped with inserts for fingerThe the second finger ring portion entered.When using this destroyer, by the first finger ring portion and the second finger ring portion, doctor is convenient for holding instrument, withSteadily tumour is cut.
The positive effect of the present invention is that：The tumour destroyer that the cooperation laparoscope of the present invention uses can be to abdominal cavityInterior tumour object is uniformly cut, and cutting speed is fast, and cutting process is stablized, and cutting while can also avoid tumor tissues from falling intoIt is intraperitoneal, the speed cut to tumour was not only accelerated, but also convenient for rapidly taking whole tumor tissues after cutting from intraperitonealGo out.
Specific implementation mode
A preferred embodiment is named, and completely illustrates the present invention in conjunction with attached drawing to become apparent from.
As shown in Figure 1, Figure 2, shown in Fig. 3, Fig. 4, Fig. 5 and Fig. 6, a kind of tumour destroyer that cooperation laparoscope uses comprisingEpitheca 100, the interior sheath 10 for being arranged in epitheca 100 and the pull rod 20 for being arranged in interior sheath 10.
The rear end of pull rod 20 is arranged with pressurizer 21, and pressurizer 21 is to be threadedly coupled with pull rod 20.The front of pull rod 20 is setThere is cutting net 30.
Pressurizer 21 is located at the outside of interior sheath 10.It is two that pressurizer 21, which has spanner end 22, spanner end 22,.Pass through spannerEnd, can easily turn pressurizer, make the back-and-forth motion of intrathecal stabilization including pull rod, and can make cutting net and cutter pairThe cutting of tumour is more easily, more rapidly.
The outer surface of interior sheath 10 is equipped with the first finger ring portion 11 being inserted into for finger；The outer surface of epitheca 100 is equipped with and is used forThe second finger ring portion 101 that finger is inserted into.When using this destroyer, by the first finger ring portion and the second finger ring portion, doctor is convenient for holdingHolder tool, steadily to be cut to tumour.First finger ring portion and the second finger ring portion are two, so that doctor holdsIt is more convenient.
The first shrapnel 40 that can be strutted or cutting net can be shunk by net is cut is equipped between pull rod 20 and cutting net 30.WhenWhen cutting net is pushed to epitheca, the first shrapnel can strut cutting.When cutting net is located inside interior sheath, the first bulletPiece can shrink cutting net.
It includes circumferential line 31 and multiple longitudinally cutting lines 32 to cut net 30.Longitudinally cutting line 32 is to have serrate metalLine.Metal wire with sawtooth forms scroll saw, and scroll saw can quickly cut tumour, improve cutting speed.
One end of longitudinally cutting line 32 is fixed in circumferential line 31, and the other end of longitudinally cutting line 32 forms closing in portion, closes upPortion is connected with cutter 50.
The both ends of first shrapnel 40 are respectively and fixedly connected in the front end of pull rod 20 and circumferential line 31.
First shrapnel 40 can be multiple, preferably, the first shrapnel 40 is three.If first shrapnel is too many, influence to swellTumor is put into the open end of cutting net；If first shrapnel is very little, the stability of cutting net can be influenced.
The front of interior sheath 10 is equipped with accommodating bag 60, and the open end of accommodating bag is equipped with and can strut accommodating bag or can be by accommodating bagThe second shrapnel 70 shunk, the both ends of the second shrapnel are fixedly arranged on the front end of interior sheath.Specifically, the open end of accommodating bag hasThe mounting hole of the second shrapnel can be worn, which is formed by accommodating bag ontology after opening end position folds and fixes.SecondShrapnel is arranged in the mounting hole, and the both ends of the second shrapnel are respectively and fixedly connected with after mounting hole stretching in the front end of interior sheath.
Before this tumour destroyer stretches into abdominal cavity, the first shrapnel, cutting net and pull rod are located at interior intrathecal, interior sheath, the second shrapnelIt is located at accommodating bag outer intrathecal.Structure at this time is as shown in Figure 5.
The epitheca of this tumour destroyer is inserted into abdominal cavity by the circle sheath card notch of patients abdomen.
After this tumour destroyer stretches into abdominal cavity, apply forward power in the first finger ring portion on interior sheath surface, interior sheath is forwardShifting, accommodating bag and the second shrapnel are pushed to the outside of epitheca, and the second shrapnel struts accommodating bag.It exerts a force on pull rod, pull rod is pastForward, cuts net and the first shrapnel is pushed to the outside of epitheca, and the first shrapnel is strutted net is cut.
When accommodating bag and cutting net are softened, accommodating bag is located at the lower section of cutting net.Structure at this time is as shown in Figure 6.Cutting net is located in the open end of accommodating bag, accommodating bag will cut net be contained in it is interior.
It is used cooperatively with laparoscope, after intraperitoneal tumour is put into cutting net by surgical instrument, interior sheath and epitheca are temporaryKeep origin-location.
When the tumor tissues in cutting net are easily cutting tissue, direct pull pull rod, longitudinally cutting line and blade can be withTumour in cutting net net is cut.
When the tumor tissues in cutting net are more difficult cutting, the harder tissue of quality, direct pull pull rod can encounter brightAobvious resistance, at this point, turning pressurizer, under the power-assisted of pressurizer, longitudinally cutting line and blade can be to swollen in cutting net netTumor is cut.
It is fallen, and falls into accommodating bag on the net from cutting by the tumor tissues after cutting net cutting.
The first shrapnel fully enters outer intrathecal under being driven in pull rod, the shrinkage band rotating ring shape linear shrinkage of the first shrapnel.It is pastSheath in outer drawing, the second shrapnel with interior sheath enter it is outer intrathecal, the second shrapnel simultaneously tightens the open end of accommodating bag.After cuttingTumor group fabric is placed in accommodating bag, without falling into abdominal cavity, can prevent tumour spread in this way.
Accommodating bag is drawn out abdominal cavity with epitheca.Since isolation protection film is equipped at abdominal incision between epitheca, holdBagging will not cause tumour cell to be planted at abdominal incision when being drawn outside toward abdomen.
The central part of cutter 50 is equipped with multiple blades 51 to extend outwardly；Each blade 51 with a longitudinally cutting line32 is affixed；The inner cavity of the cutting edge direction cutting net 30 of blade 51.Blade can cut the tumour in cutting net, to addFast cutting speed.
The cutting edge of blade 51 extends to the end of longitudinally cutting line 32 from the central part of cutter 50.The upper surface of cutterThe cutting edge distribution from central part to outer rim is formed, cut coverage is increased, accelerates the cutting speed to tumour.
The quantity of blade 51 is identical with the quantity of longitudinally cutting line 32.One blade and a longitudinally cutting line form oneComplete cutting planes, multiple cutting planes are spaced apart, and adjacent cutting planes can cut tumour into strips, realization pairThe strip of tumour is cut, convenient for being taken out from internal to the tumour after cutting.
The length of adjacent longitudinally cutting line 32 is identical.The intersection point of longitudinally cutting line 32 and circumferential line 31 is vertical ring intersection point33, the length of the circumferential line between adjacent vertical ring intersection point 33 is identical.
Cutter are located at the center of the bottom of cutting net, and circumferentially line is evenly spaced on longitudinally cutting line so as to swollenThe cutting of tumor evenly, prevents the tumor mass after cutting oversized or too small and can not be taken out from internal.
Between pull rod 20 and the first shrapnel 40, between the first shrapnel 40 and circumferential line 31, circumferential line 31 and longitudinally cutting lineBetween 32, between longitudinally cutting line 32 and cutter 50 be to be welded to connect.By being welded to connect so that structure is more secured.
The tumour destroyer that the cooperation laparoscope of the present invention uses can uniformly cut intraperitoneal tumour object, cutSpeed is fast, and cutting process is stablized, and it is intraperitoneal that cutting while can also avoid tumor tissues from falling into, and had both accelerated and has been cut to tumourSpeed, and can be by whole tumor tissues after cutting rapidly from intraperitoneal taking-up.
Although specific embodiments of the present invention have been described above, it will be appreciated by those of skill in the art that this is onlyFor example, protection scope of the present invention is to be defined by the appended claims.Those skilled in the art without departing substantially fromUnder the premise of the principle and substance of the present invention, many changes and modifications may be made, but these change andModification each falls within protection scope of the present invention.