The endoscopic vessel acquisition systemTechnical field
This utility model belongs to the surgical operating instrument technical field, particularly a kind of endoscopic vessel acquisition system.
Background technology
The history that endoscopic system is applied in medical industry is longer, and along with the continuous progress of Medical Technology and perfect, the related scope of its clinical practice is extensive day by day, progressively develops into a kind of very important medical apparatus and instruments at present.
The acquisition method of early stage blood vessel adopts all to cut from the internal malleolus to the thigh root and wins, this method is big to patient's wound, the generation that otch often has redness, oozes out phenomenon has all appearred in the postoperative overwhelming majority, infection of incisional wound appears in serious meeting, increase patient's misery, destroy patient's knee joint in addition, influenced patient's action.For this reason, the someone has improved acquisition method, adopts segmentation to win, though significantly reduced infringement, but be difficult to fundamentally stop, and segmentation wins, owing to appear difficulty, the specification requirement height is easy to cause the damage of tearing of blood vessel as misoperation, causes blood vessel to use.
The utility model content
In order to solve the existing defective that vascular surgery exists of gathering, the purpose of this utility model provides that a kind of to win the blood vessel otch little, damage for a short time, easily recovers the endoscopic vessel acquisition system of effectiveness and safety and easy operating in the increase operation process.
To achieve these goals, the technical scheme that this utility model adopted is: the endoscopic vessel acquisition system is made up ofendoscope 2, collection sleeve pipe, bipolar shears, radial artery sleeve pipe,short muzzle bobbin 11.
The telescopic structure of described collection is: be provided with the annular through-hole 7 and endoscope's through hole 8 and scavenge pipe through hole 9 and the C shape ring through hole 10 that are arranged in parallel in thesleeve pipe 1; Conical head connecting rod 39 inserts annular through-hole 7, and the front end of conical head connecting rod 39 is equipped withconical head 3; Be inserted withendoscope 2 in endoscope's through hole 8; Scavenge pipe through hole 9 is inserted withscavenge pipe 6, and an end ofscavenge pipe 6 is provided with the camera lens washer, and the other end connects cleanoutfluid injection port 15; C shape ring connecting rod 40 inserts C shape ring through hole 10, and C shape ring connecting rod 40 front ends are provided withC shape ring 5;Sleeve pipe 1 is fixed on thehandle 12 bybindiny mechanism 14, and slidingbutton 13 andlens bracket 4 are installed on thehandle 12;Nut 16locking endoscopies 2,short muzzle bobbin 11 is enclosed within on thesleeve pipe 1.
The structure of described bipolar shears is: rivet 24 is fixed onelectrode blade 17 on theelectrode hub 18, andbrace 25 links to each other withelectrode cable 19 byelectrode hub 18, theelectrode cable 19 outerinsulated sleeve 20 of wrapping up in;Handle fan 21 is fixed togetherelectrode cable 19 andscissors handle 22; Oneend connecting pin 26 of electrode cable extendedline 23, the other end links to each other withelectrode cable 19 by thewire guide 27 on thescissors handle 22.
The telescopic structure of described radial artery is: an end oftitanium pipe 29 is fixed on the radial arterysleeve pipe handle 30, other end fixed radial tremulous pulseconical head 31, and thetitanium pipe 29 outerprotective layers 28 of wrapping up in,endoscope 2 inserts in thetitanium pipe 29, andshort muzzle bobbin 11 is enclosed within on thetitanium pipe 29.
The structure of describedshort muzzle bobbin 11 is:body shell 35 is provided with that annular air-pocket 36,main body seal 32, annular air-pocket inflation inlet 33 and carbondioxide pipe port 41, annular air-pocket 36 outerwrapping silicone rubber 37, one end ofcarbon dioxide pipe 38 is provided withsyringe ports 34, and the other end inserts carbondioxide pipe port 41.
Be communicated with up and down between described annular through-hole 7 and the endoscope's through hole 8.
Described conical head connecting rod 39 can exchange in annular through-hole 7 with bipolar shears.
The material of describedelectrode hub 18 is a pottery, overcoat pyrocondensation insulation tube.
The material of describedprotective layer 28 is PVC.
The beneficial effects of the utility model are endoscope and conical head (bipolar shears) to be combined in gather among the sleeve pipe, because endoscope and bipolar shears are arranged in parallel, therefore both positions are changeless, make bipolar shears be controlled in all the time within the visual field of endoscope lens, solved admirably thus appear the difficulty and to the demanding disadvantage of operating technology.It is little that this utility model is won the blood vessel otch, damage little, easily recover, increase effectiveness and safety and easy operating in the operation process, be applicable to Minimally Invasive Surgery, mainly be applicable to the patient who collects blood vessel through endoscopic surgery, be applicable to that also carrying out Wicresoft through the 2-3cm otch gets blood vessel operation, common surgical procedures, cardiac thoracic surgery, comprise cutting and organizing in Wicresoft's direct-view coronary artery bypass grafting (MIDCAB) and lower limb, the thoracoscopic operation and stopping blooding.
Description of drawings
Fig. 1 gathers the sleeve structure sketch map.
Fig. 2 is the A-A profile of Fig. 1.
Fig. 3 is the B-B profile of Fig. 1.
Fig. 4 is bipolar scissor construction sketch map.
Fig. 5 is a radial artery sleeve structure sketch map.
Fig. 6 is short muzzle bobbin structural representation.
Fig. 7 gathers sleeve pipe and bipolar shears combinative structure sketch map.
Among the figure: 1, sleeve pipe; 2, endoscope; 3, conical head; 4, lens bracket; 5, C shape ring; 6, scavenge pipe; 7, annular through-hole; 8, endoscope's through hole; 9, scavenge pipe through hole; 10, C shape ring through hole; 11, lack the muzzle bobbin; 12, hands handle; 13, sliding button; 14, bindiny mechanism; 15, cleanout fluid injection port; 16, nut; 17, electrode blade; 18, electrode hub; 19, electrode cable; 20, insulated sleeve; 21, handle fan; 22, scissors handle; 23, electrode cable extended line; 24, rivet; 25, brace; 26, plug; 27, wire guide; 28, protective layer; 29, titanium pipe; 30, radial artery sleeve pipe hands handle; 31, radial artery conical head; 32, main body is sealed; 33, annular air-pocket inflation inlet; 34, syringe ports; 35, body shell; 36, annular air-pocket; 37, silicone rubber; 38, carbon dioxide pipe; 39, conical head connecting rod; 40, C shape ring connecting rod; 41, carbon dioxide pipe port.
The specific embodiment
This utility model provides a kind of endoscopic vessel acquisition system of being made up ofendoscope 2, collection sleeve pipe, bipolar shears, radial artery sleeve pipe,short muzzle bobbin 11.
In Fig. 1, Fig. 2 and collection sleeve structure sketch map shown in Figure 3, be provided with the annular through-hole 7 and endoscope's through hole 8 and scavenge pipe through hole 9 and the C shape ring through hole 10 that are arranged in parallel in thesleeve pipe 1; Be communicated with up and down between annular through-hole 7 and the endoscope's through hole 8; Conical head connecting rod 39 inserts annular through-hole 7, and the front end of conical head connecting rod 39 is equipped withconical head 3, and conical head connecting rod 39 can exchange use with bipolar shears in annular through-hole 7; Be inserted withendoscope 2 in endoscope's through hole 8; Scavenge pipe through hole 9 is inserted withscavenge pipe 6, and an end ofscavenge pipe 6 is provided with camera lens washer (not shown), and the other end connects cleanoutfluid injection port 15; C shape ring connecting rod 40 inserts C shape ring through hole 10, and C shape ring connecting rod 40 front ends are provided withC shape ring 5;Sleeve pipe 1 is fixed on thehandle 12 bybindiny mechanism 14, and slidingbutton 13 andlens bracket 4 are installed on thehandle 12;Nut 16locking endoscopies 2,short muzzle bobbin 11 is enclosed within on thesleeve pipe 1.
In bipolar scissor construction sketch map shown in Figure 4, rivet 24 is fixed oncrescent electrode blade 17 on theelectrode hub 18, and the material ofelectrode hub 18 is a pottery, overcoat pyrocondensation insulation tube.Brace 25 links to each other withelectrode cable 19 byelectrode hub 18, theelectrode cable 19 outer insulatedsleeve 20 of wrapping up in;Handle fan 21 is fixed together twoelectrode cables 19 and scissors handle 22 by injection moulding; Oneend connecting pin 26 of electrode cable extendedline 23, the other end links to each other withelectrode cable 19 by thewire guide 27 on the scissors handle 22.Bipolar shears is used for ligation, separating blood vessel branch.
In radial artery sleeve structure sketch map shown in Figure 5; one end oftitanium pipe 29 is fixed on the radial arterysleeve pipe handle 30, other end fixed radial tremulous pulseconical head 31, thetitanium pipe 29 outer PVCprotective layers 28 of wrapping up in;endoscope 2 inserts in thetitanium pipe 29, andshort muzzle bobbin 11 is enclosed within on thetitanium pipe 29.
Inshort muzzle bobbin 11 structural representations shown in Figure 6,body shell 35 is provided with that annular air-pocket 36,main body seal 32, annular air-pocket inflation inlet 33 and carbon dioxide pipe port 41 (as shown in Figure 7), annular air-pocket 36 outerwrapping silicone rubber 37 are inflated by 33 pairs of annular air-pockets 36 of annular air-pocket inflation inlet with syringe.Convertiblemain body seals 32, to be used for different apparatuses.One end ofcarbon dioxide pipe 38 is provided withsyringe ports 34, and the other end inserts carbon dioxide pipe port 41.Short muzzle bobbin 11 is set up the path passage for gathering sleeve pipe and radial artery sleeve pipe insertion incision site.
In collection sleeve pipe shown in Figure 7 and bipolar shears combinative structure sketch map,conical head 3, conical head connecting rod 39 andlens bracket 4 are disassembled, and bipolar shears is inserted from annular through-hole 7.Endoscope 2 and bipolar shears are arranged in parallel within to be gathered in the sleeve pipe, therefore both positions are changeless, make bipolar shears be controlled in all the time within the visual field of endoscope's 2 camera lenses, solved admirably thus appear the difficulty and to the demanding disadvantage of operating technology.
Operation instruction
One,earlier endoscope 2 is inserted in endoscope's through hole 8, then conical head connecting rod 39 is inserted annular through-hole 7, installlens bracket 4 andconical head 3.
Two, will lackmuzzle bobbin 11 and be enclosed within on thesleeve pipe 1, aftershort muzzle bobbin 11 inserts operative site withconical head 3, advance to the target location.
Three, afterconical head 3 arrives surgery location, take outsleeve pipe 1, dismountingconical head 3 andlens bracket 4 insert bipolar shears from annular through-hole 7.
If the camera lens of four endoscopies, 2 far-ends is fuzzy by blood or fat, advanceC type ring 5 to place the camera lens irrigator, cleanoutfluid injection port 15 connects the syringe of dress 5cc normal saline, and pushing syringe sprays normal saline to clean camera lens.
Five, under the observation ofendoscope 2, pushC type ring 5 to destination organization, can regain the blood vessel trunk so that expose its branch better withC type ring 5 when needing around endoscope's 2revoling tubes 1 to placeC type ring 5.
Six, advance bipolar shears to target site, electricity coagulates and cutting vessel branch.
Seven,, cut bipolar the cutting of lock control by bipolar on the scissors handle 22 simultaneously and carry out slow TURP at last by the foot-operated surgery electric system that activates.
Eight, after operation finishes, close the surgery electric system, take outsleeve pipe 1 and bipolar shears.
When using the radial artery sleeve pipe,endoscope 2 need be insertedtitanium pipe 29 aftershort muzzle bobbin 11 enters operative site, advance the radial artery sleeve pipe to target site then, treat to take out after the radial artery sleeve pipe arrives operative site, use the collection sleeve pipe that addsendoscope 2 and bipolar shears to enter operative site at last, repeat above-mentioned four, five, six, seven, eight steps.