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CN211610039U - A thoracoscopic puncture device - Google Patents

A thoracoscopic puncture device
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Publication number
CN211610039U
CN211610039UCN202020049170.XUCN202020049170UCN211610039UCN 211610039 UCN211610039 UCN 211610039UCN 202020049170 UCN202020049170 UCN 202020049170UCN 211610039 UCN211610039 UCN 211610039U
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air bag
puncture
rod
patient
sheath
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周海榆
许膑
吴少伟
曾繁俊
林炜欢
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Guangdong General Hospital Guangdong Academy of Medical Sciences
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Guangdong General Hospital Guangdong Academy of Medical Sciences
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Abstract

Translated fromChinese

一种胸腔镜穿刺装置,包括鞘杆、穿刺刀和电凝部,所述鞘杆上设有第一气囊和第二气囊,所述电凝部包括握持把手和用于调节电凝钩位置的调节机构,所述调节机构安装握持把手上,且调节机构上设有用于排放烟雾的排气管道;使用所述穿刺刀刺破患者皮肤后,给第一气囊充气,使第一气囊固定在患者体内切口处,同时将第二气囊移动至患者体外切口处,并给第二气囊充气,第一气囊和第二气囊配合使用将鞘杆固定在患者伤口处;然后将穿刺刀取出并将电凝部插入穿刺管道内即可使用电凝钩进行手术。

Figure 202020049170

A thoracoscopic puncture device, comprising a sheath rod, a puncture knife and an electrocoagulation part, the sheath rod is provided with a first airbag and a second airbag, the electrocoagulation part includes a grip handle and a position for adjusting the electrocoagulation hook The adjustment mechanism is installed on the handle, and the adjustment mechanism is provided with an exhaust pipe for discharging smoke; after the puncture knife is used to pierce the patient's skin, the first air bag is inflated to fix the first air bag At the incision in the patient's body, move the second air bag to the incision outside the patient at the same time, and inflate the second air bag. The first air bag and the second air bag are used together to fix the sheath rod at the patient's wound; The coagulation hook can be used for surgery after the coagulation part is inserted into the puncture tube.

Figure 202020049170

Description

Translated fromChinese
一种胸腔镜穿刺装置A thoracoscopic puncture device

技术领域technical field

本实用新型涉及医疗器材技术领域,具体为一种胸腔镜穿刺装置。The utility model relates to the technical field of medical equipment, in particular to a thoracoscopic puncture device.

背景技术Background technique

越来越多的手术可以借助胸腔镜完成,外科医生首先需要使用胸腔镜穿刺器刺穿胸壁建立手术通道,然后才能经通道放入胸腔镜及操作钳完成后续手术。胸腔镜穿刺器主要由穿刺鞘和穿刺针组成。手术医生首先将穿刺针套上穿刺鞘,然后用一定的力度作用于穿刺器尾部,借助于穿刺针锋利的尖端刺破腹壁使整个穿刺器进入腹腔,然后拔出穿刺针留下穿刺鞘成为一个手术通道,但传统穿刺器存在以下问题:More and more operations can be done with the help of thoracoscope. The surgeon first needs to use a thoracoscopic trocar to pierce the chest wall to establish a surgical channel, and then can put the thoracoscope and operating forceps through the channel to complete the follow-up operation. The thoracoscopic trocar is mainly composed of a puncture sheath and a puncture needle. The surgeon first puts the puncture needle on the puncture sheath, and then applies a certain force to the tail of the puncture device. With the help of the sharp tip of the puncture needle, the abdominal wall is punctured to make the whole puncture device enter the abdominal cavity, and then the puncture needle is pulled out and the puncture sheath becomes a Surgical access, but traditional trocars have the following problems:

其一,由于病人皮肤弹性的差异、器械进出穿刺器次数等因素,在使用过程中,穿刺器极易滑脱,对患者造成二次伤害,且器械无法能够顺利地穿过穿刺套管进行手术,外界气体也容易通过切口进入患者皮下。First, due to factors such as the difference in the elasticity of the patient's skin and the number of times the instrument enters and exits the puncture device, the puncture device is very easy to slip off during use, causing secondary damage to the patient, and the instrument cannot smoothly pass through the puncture cannula for surgery. External air can also easily enter the patient's subcutaneous through the incision.

其二,在腹腔分流术操作中常常需要使用到电凝钩,胸腔镜下电凝钩电灼切除部分囊壁以免再次形成包裹性积液,切除除病变组织,并可以达到止血的目的;电凝钩电灼过程会产生烟雾,阻碍医生视野,而传统的穿刺器不具备排放烟雾的功能。Second, electrocoagulation hooks are often used in peritoneal shunt operations. Under thoracoscopy, the electrocoagulation hooks and electrocautery remove part of the cyst wall to avoid the formation of encapsulated effusion again, remove the diseased tissue, and achieve the purpose of hemostasis; Coagulation hook electrocautery will produce smoke, which obstructs the doctor's field of vision, and traditional trocars do not have the function of discharging smoke.

其三,电凝钩在使用的过程中需要根据需要调节位置,而传统的穿刺器不具备调节电凝钩的功能。Third, the position of the electrocoagulation hook needs to be adjusted according to needs during use, while the traditional trocar does not have the function of adjusting the electrocoagulation hook.

实用新型内容Utility model content

(一)解决的技术问题(1) Technical problems solved

为解决以上问题,本实用新型提供了一种胸腔镜穿刺装置,该装置能增加穿刺器整体的稳定性,使穿刺器不易脱落,且可根据需要调节电凝钩的位置和具备排放电凝钩工作时产生的烟雾的功能。In order to solve the above problems, the present utility model provides a thoracoscopic puncture device, which can increase the overall stability of the puncture device, make the puncture device not easy to fall off, and can adjust the position of the electrocoagulation hook as required and has a discharge electrocoagulation hook. The function of the smoke produced when working.

(二)技术方案(2) Technical solutions

为实现上述目的,本实用新型提供如下技术方案:To achieve the above object, the utility model provides the following technical solutions:

一种胸腔镜穿刺装置,包括鞘杆、穿刺刀和电凝部,所述鞘杆上设有第一气囊和第二气囊,所述第一气囊固定设计在鞘杆第一端,所述第二气囊套设于鞘杆第二端,所述鞘杆第二端上设有充气端头,充气端头用于建立气腹和为第一气囊和第二气囊充气;所述鞘杆内部设有穿刺管道,所述穿刺刀可滑动地设置在穿刺管道内,并可相对于鞘杆拆卸和安装;所述电凝部包括握持把手和用于调节电凝钩位置的调节机构,所述调节机构包括移动杆和调压块,所述调压块与握持把手铰接,所述移动杆第一端穿透调压块的顶端并与调压块远离握持把手的一端抵接,移动杆第二端贯穿握持把手顶部,并可穿插至鞘杆的穿刺管道;通过调压块可控制移动杆沿穿刺管道长度方向移动;所述移动杆上设有排气管道和用于穿插固定电凝钩的操作通道;A thoracoscopic puncture device, comprising a sheath rod, a puncture knife and an electrocoagulation part, a first airbag and a second airbag are arranged on the sheath rod, the first airbag is fixedly designed on the first end of the sheath rod, and the The second airbag is sleeved on the second end of the sheath rod, and the second end of the sheath rod is provided with an inflatable end, which is used for establishing pneumoperitoneum and inflating the first airbag and the second airbag; There is a puncture pipe, the puncture knife is slidably arranged in the puncture pipe, and can be disassembled and installed relative to the sheath rod; the electrocoagulation part includes a grip handle and an adjustment mechanism for adjusting the position of the electrocoagulation hook. The adjustment mechanism includes a moving rod and a pressure regulating block, the pressure regulating block is hinged with the holding handle, the first end of the moving rod penetrates the top of the pressure regulating block and abuts with the end of the pressure regulating block far from the holding handle, and moves The second end of the rod penetrates the top of the handle and can be inserted into the puncture pipe of the sheath rod; the moving rod can be controlled to move along the length of the puncture pipe by the pressure regulating block; the moving rod is provided with an exhaust pipe and is used for insertion and fixing The operation channel of the coagulation hook;

使用所述穿刺刀刺破患者皮肤后,给第一气囊充气,使第一气囊固定在患者腹壁内切口处,再将第二气囊移动至患者腹壁外切口处,并给第二气囊充气,第一气囊和第二气囊配合使用,即可将鞘杆固定在患者腹壁上;然后取出穿刺刀并将移动杆插入穿刺管道内即可使用电凝钩进行手术。After using the puncture knife to puncture the patient's skin, inflate the first air bag, so that the first air bag is fixed at the incision in the patient's abdominal wall, then move the second air bag to the incision outside the patient's abdominal wall, and inflate the second air bag, and the first air bag is inflated. When the first air bag and the second air bag are used together, the sheath rod can be fixed on the abdominal wall of the patient; then the puncture knife is taken out and the moving rod is inserted into the puncture tube to use the electrocoagulation hook for surgery.

优选地,所述充气端头上设有气腹口、第一气口和第二气口,所述气腹口通过鞘杆接通患者体内,用于建立气腹;所述第一气口和第二气口分别为第一气囊和第二气囊提供气源。Preferably, a pneumoperitoneum port, a first air port and a second air port are provided on the inflatable end, and the pneumoperitoneum port is connected to the patient's body through a sheath rod for establishing pneumoperitoneum; the first air port and the second air port are The air ports provide air sources for the first air bag and the second air bag respectively.

优选地,还包括螺旋状导管,所述第二气囊通过螺旋状导管与充气端头连接,进而与第二气口接通,且该导管为弹性塑胶材质。Preferably, it also includes a helical conduit, the second airbag is connected to the inflation end through the helical conduit, and then connected to the second air port, and the conduit is made of elastic plastic material.

优选地,所述握持把手内部设有调节腔和限位腔,所述调节腔和限位腔相互接通,且均联通外界;所述移动杆第一端穿透调压块的顶端并与调压块远离握持把手的一端抵接,移动杆第二端依次贯穿调节腔和限位腔至握持把手外部,通过调压块控制移动杆沿调节腔和限位腔方向移动。Preferably, an adjustment cavity and a limit cavity are arranged inside the handle, and the adjustment cavity and the limit cavity are connected to each other and both communicate with the outside world; the first end of the moving rod penetrates the top end of the pressure regulating block and Abutting with the end of the pressure regulating block away from the holding handle, the second end of the moving rod passes through the adjusting cavity and the limiting cavity to the outside of the holding handle in turn, and the pressure regulating block controls the moving rod to move along the direction of the adjusting cavity and the limiting cavity.

优选地,还包括复位弹簧,所述移动杆上设有转块,所述复位弹簧设置在调节腔内,且复位弹簧一端与调节腔一侧相抵接,另一端与转块相抵接。Preferably, it also includes a return spring, the moving rod is provided with a rotating block, the return spring is arranged in the adjustment cavity, and one end of the return spring is in contact with one side of the adjustment cavity, and the other end is in contact with the rotating block.

优选地,所述限位腔内部圆周侧壁上设有多个限位凸块,所述限位凸块与转块配合相抵,以限制转块的转动速度。Preferably, a plurality of limit bumps are arranged on the inner circumferential side wall of the limit cavity, and the limit bumps cooperate with the rotating block to limit the rotation speed of the rotating block.

优选地,所述移动杆内设有多条操作通道,以用于穿插电凝钩和胸腔镜等手术工具;且所述移动杆第一端还设有固定扣,所述固定扣设置在操作通道开口处,且固定扣可与操作通道开口扣合,以用于固定电凝钩和胸腔镜等手术工具的线体。Preferably, the moving rod is provided with a plurality of operation channels for inserting surgical tools such as electrocoagulation hooks and thoracoscopes; and the first end of the moving rod is also provided with a fixing buckle, and the fixing buckle is arranged on the At the opening of the channel, the fixing buckle can be fastened with the opening of the operation channel, so as to be used for fixing the wire body of the surgical tool such as the electrocoagulation hook and the thoracoscope.

(三)有益效果(3) Beneficial effects

本实用新型提供的一种胸腔镜穿刺装置,该装置通过加入第一气囊和第二气囊以增加穿刺器整体的稳定性,使才穿刺器不易脱落患者切口,且可根据需要调节电凝钩的位置和具备排放电凝钩工作时产生的烟雾的功能。The utility model provides a thoracoscopic puncture device. The device adds a first air bag and a second air bag to increase the overall stability of the puncture device, so that the puncture device is not easy to fall off the patient's incision, and the electric coagulation hook can be adjusted according to needs. location and the function of discharging the fumes generated when the electrocoagulation hook is working.

附图说明Description of drawings

附图用来提供对本实用新型的进一步理解,并且构成说明书的一部分,与本实用新型的实施例一起用于解释本实用新型,并不构成对本实用新型的限制,The accompanying drawings are used to provide a further understanding of the present utility model, and constitute a part of the specification, and are used to explain the present utility model together with the embodiments of the present utility model, and do not constitute a limitation to the present utility model,

在附图中:In the attached image:

图1示出了本实用新型的部分结构示意图一;Fig. 1 shows the partial structure schematic diagram 1 of the present utility model;

图2示出了本实用新型的部分结构示意图二;Fig. 2 shows the partial structure schematic diagram two of the present utility model;

图3示出了本实用新型的电凝部示意图;Fig. 3 shows the schematic diagram of the electrocoagulation part of the present invention;

图4示出了本实用新型的整体结构示意图;Fig. 4 shows the overall structure schematic diagram of the present utility model;

图5示出了本实用新型的剖视图一;Fig. 5 shows the sectional view one of the present utility model;

图6示出了本实用新型的剖视图二;Fig. 6 shows the sectional view two of the present utility model;

图7示出了图6中A处的放大图;Figure 7 shows an enlarged view at A in Figure 6;

图8示出了移动杆结构示意图;Figure 8 shows a schematic diagram of the structure of the moving rod;

图9示出了移动杆的部分结构示意图;Figure 9 shows a schematic diagram of a part of the structure of the moving rod;

图10示出了固定扣的机构示意图。Figure 10 shows a schematic diagram of the mechanism of the fixing buckle.

图中:1鞘杆、10穿刺管道、11第一气囊、12第二气囊、13充气端头、 130气腹口、131第一气口、132第二气口,2穿刺刀、3电凝部、31握持把手、31A调节腔、31B限位腔、31B0限位凸块、32调节机构、321移动杆、321a排气管道、321b转块、321c操作通道、322调压块、S螺旋状导管、Q复位弹簧、 G固定扣。In the figure: 1 sheath rod, 10 puncture pipe, 11 first air bag, 12 second air bag, 13 inflation end, 130 pneumoperitoneum port, 131 first air port, 132 second air port, 2 puncture knife, 3 electrocoagulation part, 31 grip handle, 31A adjustment cavity, 31B limit cavity, 31B0 limit bump, 32 adjustment mechanism, 321 moving rod, 321a exhaust pipe, 321b turning block, 321c operating channel, 322 pressure regulating block, S spiral conduit , Q return spring, G fixed buckle.

具体实施方式Detailed ways

下面将结合本实用新型实施例中的附图,对本实用新型实施例中的技术方案进行清楚、完整地描述,显然,所描述的实施例仅仅是本实用新型一部分实施例,而不是全部的实施例。基于本实用新型中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例,都属于本实用新型保护的范围。The technical solutions in the embodiments of the present utility model will be clearly and completely described below with reference to the accompanying drawings in the embodiments of the present utility model. Obviously, the described embodiments are only a part of the embodiments of the present utility model, rather than all the implementations. example. Based on the embodiments of the present invention, all other embodiments obtained by those of ordinary skill in the art without creative work fall within the protection scope of the present invention.

参阅附图1-附图10,一种胸腔镜穿刺装置,包括鞘杆、穿刺刀2和电凝部 3,鞘杆1上设有第一气囊11和第二气囊12,第一气囊11固定设计在鞘杆1第一端,第二气囊12套设于鞘杆1第二端,鞘杆1第二端上设有充气端头13,充气端头13用于建立气腹和为第一气囊11和第二气囊12充气;鞘杆1内部设有穿刺管道10,穿刺刀2可滑动地设置在穿刺管道10内,并可相对于鞘杆1拆卸和安装;电凝部3包括握持把手31和用于调节电凝钩位置的调节机构32,调节机构32包括移动杆321和调压块322,调压块322与握持把手31铰接,移动杆第一端穿透调压块322的顶端并与调压块322远离握持把手31的一端抵接,移动杆321第二端贯穿握持把手31顶部,并可穿插至鞘杆1的穿刺管道10;通过调压块322可控制移动杆321沿穿刺管道10长度方向移动;移动杆321上设有排气管道321a和用于穿插固定电凝钩的操作通道321c;Referring to Figures 1 to 10, a thoracoscopic puncture device includes a sheath rod, a puncture knife 2 and anelectrocoagulation part 3. Thesheath rod 1 is provided with afirst air bag 11 and asecond air bag 12, and thefirst air bag 11 is fixed It is designed at the first end of thesheath rod 1, thesecond air bag 12 is sleeved on the second end of thesheath rod 1, and the second end of thesheath rod 1 is provided with aninflatable end 13, and theinflatable end 13 is used to establish a pneumoperitoneum and is the first Theairbag 11 and thesecond airbag 12 are inflated; thesheath rod 1 is provided with apuncture pipe 10, and the puncture knife 2 is slidably arranged in thepuncture pipe 10, and can be disassembled and installed relative to thesheath rod 1; Thehandle 31 and theadjustment mechanism 32 for adjusting the position of the electrocoagulation hook, theadjustment mechanism 32 includes a movingrod 321 and apressure regulating block 322, thepressure regulating block 322 is hinged with thegrip handle 31, and the first end of the moving rod penetrates thepressure regulating block 322 The top end of the movingrod 321 is in contact with the end of thepressure regulating block 322 away from theholding handle 31. The second end of the movingrod 321 penetrates the top of theholding handle 31 and can be inserted into thepuncture pipe 10 of thesheath rod 1; thepressure regulating block 322 can control the The movingrod 321 moves along the length of thepuncture pipe 10; the movingrod 321 is provided with anexhaust pipe 321a and anoperation channel 321c for inserting and fixing the electrocoagulation hook;

使用穿刺刀2刺破患者皮肤后,给第一气囊11充气,使第一气囊11固定在患者腹壁内切口处,再将第二气囊12移动至患者腹壁外切口处,并给第二气囊12充气,第一气囊11和第二气囊12配合使用,即可将鞘杆固定在患者腹壁上;然后取出穿刺刀2并将移动杆321插入穿刺管道10内即可使用电凝钩进行手术。After using the puncture knife 2 to puncture the patient's skin, inflate thefirst air bag 11 so that thefirst air bag 11 is fixed at the incision in the patient's abdominal wall, and then move thesecond air bag 12 to the incision outside the patient's abdominal wall, and give thesecond air bag 12 After inflation, thefirst air bag 11 and thesecond air bag 12 are used together to fix the sheath rod on the abdominal wall of the patient; then take out the trocar 2 and insert the movingrod 321 into thepuncture tube 10 to use the coagulation hook for surgery.

综上所述,进行手术时,有如下两个步骤:In summary, when performing surgery, there are two steps as follows:

第一步,穿刺患者皮肤和建立气腹,将穿刺刀2安装在鞘杆1内,医生握持鞘杆1一端,将穿刺刀2对准患者皮肤,推动鞘杆1使穿刺刀2刺破患者皮肤,继续推动鞘杆1到合适的位置,通过充气端头13给鞘杆1上的第一气囊11 充气,使第一气囊11固定在患者体内切口处,防止鞘杆1向外滑动而脱离患者皮肤;以此同时,将鞘杆1上的第二气囊12移动至患者体外切口处,并给第二气囊12充气,第二气囊12膨胀即可堵住患者体外切口,且可防止鞘杆1继续插入患者体内,第一气囊11和第二气囊12配合使用,可保证鞘杆1稳定地固定在患者切口处;鞘杆1固定后,通过充气端头13往患者体内充气,建立气腹。The first step is to puncture the patient's skin and establish pneumoperitoneum. Install the puncture knife 2 in thesheath rod 1. The doctor holds one end of thesheath rod 1, aligns the puncture knife 2 with the patient's skin, and pushes thesheath rod 1 to pierce the puncture knife 2. On the skin of the patient, continue to push thesheath rod 1 to an appropriate position, and inflate thefirst air bag 11 on thesheath rod 1 through theinflation end 13, so that thefirst air bag 11 is fixed at the incision in the patient's body, preventing thesheath rod 1 from sliding outwards and causing damage. At the same time, thesecond air bag 12 on thesheath rod 1 is moved to the incision outside the patient's body, and thesecond air bag 12 is inflated. The expansion of thesecond air bag 12 can block the incision outside the patient's body, and can prevent the sheath Therod 1 continues to be inserted into the patient's body, and thefirst airbag 11 and thesecond airbag 12 are used together to ensure that thesheath rod 1 is stably fixed at the incision of the patient; after thesheath rod 1 is fixed, it is inflated into the patient's body through theinflatable end 13 to establish air belly.

第二步,气腹建立完毕后,将穿刺刀2从鞘杆1的穿刺管道10内拔出,将移动杆321从穿刺管道10插入,将电凝钩插入操作通道321c内,通过控制调压块322来调节移动杆321的位置,即可调节电凝钩的位置,将排气管道321a 与抽气设备连接,电凝钩工作时产生的烟雾将经排气管道321a从患者体内抽离。In the second step, after the pneumoperitoneum is established, pull out the puncture knife 2 from thepuncture pipe 10 of thesheath rod 1, insert the movingrod 321 from thepuncture pipe 10, insert the electrocoagulation hook into theoperation channel 321c, and adjust the pressure by controllingBlock 322 to adjust the position of the movingrod 321, the position of the electrocoagulation hook can be adjusted, and theexhaust pipe 321a is connected to the air extraction device.

所以该装置通过加入第一气囊和第二气囊以增加穿刺器整体的稳定性,使才穿刺器不易脱落患者切口,且可根据需要调节电凝钩的位置和具备排放电凝钩工作时产生的烟雾的功能。Therefore, the device increases the overall stability of the trocar by adding the first airbag and the second airbag, so that the trocar is not easy to fall off the patient's incision, and the position of the electrocoagulation hook can be adjusted according to the needs and the discharge of the electrocoagulation hook generated when working function of smoke.

参阅附图1-附图4,充气端头13上设有气腹口130、第一气口131和第二气口132,气腹口130通过鞘杆1接通患者体内,用于建立气腹;第一气口131 和第二气口132分别为第一气囊11和第二气囊12提供气源。Referring to the accompanying drawings 1-4, theinflatable end 13 is provided with apneumoperitoneum port 130, afirst air port 131 and asecond air port 132, and thepneumoperitoneum port 130 is connected to the patient's body through thesheath rod 1 for establishing pneumoperitoneum; Thefirst air port 131 and thesecond air port 132 provide air sources for thefirst air bag 11 and thesecond air bag 12 respectively.

综上所述,第一气囊11具备收缩的第一状态和充气扩张的第二状态,鞘杆 1插入患者体内后,通过第一气口131为第一气囊11提供气源,使第一气囊11 处于第二状态,以防止鞘杆1掉出患者体外;第二气囊12也具备收缩的第一状态和充气扩张的第二状态,鞘杆1插入患者体内后,移动第二气囊12至鞘杆1 插入口处,通过第二气口132为第二气囊12提供气源,使第二气囊12处于第二状态,以防止鞘杆1继续插入患者体内,避免鞘杆1伤害到患者。To sum up, thefirst airbag 11 has a first state of contraction and a second state of inflation and expansion. After thesheath rod 1 is inserted into the patient, thefirst airbag 11 provides an air source through thefirst air port 131 to make thefirst airbag 11 It is in the second state to prevent thesheath rod 1 from falling out of the patient; thesecond air bag 12 also has a first state of contraction and a second state of inflation and expansion. After thesheath rod 1 is inserted into the patient, thesecond air bag 12 is moved to the sheath rod. 1. At the insertion port, an air source is provided for thesecond air bag 12 through thesecond air port 132, so that thesecond air bag 12 is in the second state, so as to prevent thesheath rod 1 from being continuously inserted into the patient, and prevent thesheath rod 1 from hurting the patient.

参阅附图1-附图4,本实用新型实施例还包括螺旋状导管S,第二气囊12 通过螺旋状导管S与充气端头13连接,进而与第二气口132接通,且该螺旋状导管S为弹性塑胶材质;该导管螺旋状设计,使管体不易发生对折,而螺旋状导管S为弹性塑胶材质,在不使用第二气囊12时,导管本体可收缩在一起,节省空间。Referring to Figures 1 to 4, the embodiment of the present invention further includes a helical conduit S, and thesecond balloon 12 is connected to theinflation end 13 through the helical conduit S, and then connected to thesecond air port 132, and the helical The catheter S is made of elastic plastic material; the helical design of the catheter makes the pipe body not easily folded in half, and the helical catheter S is made of elastic plastic material. When thesecond balloon 12 is not used, the catheter body can be retracted together to save space.

参阅附图1-附图6,握持把手31内部设有调节腔31A和限位腔31B,调节腔31A和限位腔31B相互接通,且均联通外界;移动杆第一端穿透调压块322 的顶端并与调压块322远离握持把手31的一端抵接,移动杆321第二端依次贯穿调节腔31A和限位腔31B至握持把手31外部,通过调压块322控制移动杆321 沿调节腔31A和限位腔31B方向移动。Referring to Figures 1 to 6, the grip handle 31 is provided with anadjustment cavity 31A and alimit cavity 31B, theadjustment cavity 31A and thelimit cavity 31B are connected to each other, and both are connected to the outside world; the first end of the moving rod penetrates the adjustment The top end of thepressure block 322 is in contact with the end of thepressure regulating block 322 away from the holdinghandle 31 . The movingrod 321 moves along the direction of theadjustment cavity 31A and thelimit cavity 31B.

综上所述,使用电凝部3时,先将电凝钩和胸腔镜穿插至移动杆321的内,手持握持把手31,并捏合调压块322,使移动杆321处于静止状态;进一步地,将握持把手31一端的移动杆321从鞘杆1的穿刺管道10内插入,根据需要松动调压块322,即可控制移动杆321沿穿刺管道10方向移动,进而调整电凝钩在患者体内的位置。To sum up, when using thecoagulation part 3, first insert the coagulation hook and the thoracoscope into the movingrod 321, hold thehandle 31 by hand, and pinch thepressure regulating block 322, so that the movingrod 321 is in a static state; further Then, insert the movingrod 321 holding one end of thehandle 31 into thepuncture pipe 10 of thesheath rod 1, loosen thepressure regulating block 322 as required, and then control the movingrod 321 to move in the direction of thepuncture pipe 10, and then adjust the electrocoagulation hook in the direction of thepuncture pipe 10. location in the patient's body.

参阅附图1-附图6,还包括复位弹簧Q,移动杆321上设有转块321b,复位弹簧Q设置在调节腔31A内,且复位弹簧Q一端与调节腔31A一侧相抵接,另一端与转块321b相抵接;使用者捏合调压块322时,移动杆321上的转块321b 挤压复位弹簧Q蓄能,当使用者松动调压块322时,复位弹簧Q释能逐渐恢复初始状态,并推动转块321b以带动移动杆321移动。Referring to Figures 1 to 6, it also includes a return spring Q, arotating block 321b is provided on the movingrod 321, the return spring Q is arranged in theadjustment cavity 31A, and one end of the return spring Q is in contact with one side of theadjustment cavity 31A, and the other One end is in contact with therotating block 321b; when the user squeezes thepressure regulating block 322, therotating block 321b on the movingrod 321 squeezes the reset spring Q to store energy, and when the user loosens thepressure regulating block 322, the reset spring Q releases energy and gradually recovers In the initial state, therotating block 321b is pushed to drive the movingrod 321 to move.

参阅附图4-附图7,限位腔31B内部圆周侧壁上设有多个限位凸块31B0,限位凸块31B0与转块321b配合相抵,与限制转块321b的转动速度;使用电凝钩的过程中,有时候需要调节电凝钩的角度以适应不同的情况,此时将电凝钩固定在移动杆321上,通过转动移动杆321即可调节电凝钩的角度;若是直接转动移动杆321,难以调节电凝钩的转动角度大小,而限位凸块31B0与转块321b 配合使用,可限制转块321b的转动速度,从而限制移动杆321的转动速度,使手术更精确。Referring to Figures 4 to 7, a plurality of limit bumps 31B0 are provided on the inner circumferential side wall of thelimit cavity 31B, and the limit bumps 31B0 cooperate with therotating block 321b to counteract, and limit the rotation speed of therotating block 321b; use In the process of the electrocoagulation hook, sometimes it is necessary to adjust the angle of the electrocoagulation hook to adapt to different situations. At this time, the electrocoagulation hook is fixed on the movingrod 321, and the angle of the electrocoagulation hook can be adjusted by rotating the movingrod 321; It is difficult to adjust the rotation angle of the electrocoagulation hook by directly rotating the movingrod 321, and the limit bump 31B0 is used in conjunction with therotating block 321b to limit the rotating speed of therotating block 321b, thereby limiting the rotating speed of the movingrod 321, and making the operation easier. accurate.

参阅附图8-附图10,移动杆321上的操作通道321c设有多条,以用于穿插电凝钩和胸腔镜等手术工具,排气管道321a也设置在移动杆321上,排气管道321a位于患者体内的一端管口处设有滤网,滤网的设计可在排走电凝钩工作时产生的烟雾的同时,避免患者体内的血液和组织器官被同时排出至体外;移动杆321靠近调压块322的一端还设有固定扣G,固定扣G设置在操作通道321c 开口处,且固定扣G可与操作通道321c开口扣合,以用于固定电凝钩和胸腔镜等手术工具的线体,具体地,固定扣G为塑胶材质,手术过程中,医生可根据需要将手术工具的线体穿过固定扣G,然后将固定扣G的扣头卡入操作通道321c 开口内,使手术工具的线体固定,避免在使用调节把手时,因线体随意晃动而影响手术的进行。Referring to Figures 8 to 10, there aremultiple operation channels 321c on the movingrod 321 for inserting surgical tools such as electrocoagulation hooks and thoracoscopes. One end of thepipe 321a located in the patient's body is provided with a filter screen. The design of the filter screen can prevent the blood and tissues and organs in the patient's body from being discharged to the body at the same time while removing the smoke generated by the electrocoagulation hook; moving the rod The end of 321 close to thepressure regulating block 322 is also provided with a fixing buckle G, which is arranged at the opening of theoperation channel 321c, and the fixing buckle G can be buckled with the opening of theoperation channel 321c to fix the electrocoagulation hook and the thoracoscope, etc. The wire body of the surgical tool, specifically, the fixing buckle G is made of plastic material. During the operation, the doctor can pass the wire body of the surgical tool through the fixing buckle G as required, and then snap the head of the fixing buckle G into the opening of theoperation channel 321c. Inside, the wire body of the surgical tool is fixed, so as to avoid the influence of the operation due to the random shaking of the wire body when using the adjustment handle.

需要注意的是,这里所使用的术语仅是为了描述具体实施方式,而非意图限制根据本申请的示例性实施方式。如在这里所使用的,除非上下文另外明确指出,否则单数形式也意图包括复数形式,此外,还应当理解的是,当在本说明书中使用术语“包含”和/或“包括”时,其指明存在特征、步骤、操作、器件、组件和/或它们的组合。It should be noted that the terminology used herein is for the purpose of describing specific embodiments only, and is not intended to limit the exemplary embodiments according to the present application. As used herein, unless the context clearly dictates otherwise, the singular is intended to include the plural as well, furthermore, it is to be understood that when the terms "comprising" and/or "including" are used in this specification, it indicates that There are features, steps, operations, devices, components and/or combinations thereof.

除非另外具体说明,否则在这些实施例中阐述的部件和步骤的相对布置、数字表达式和数值不限制本申请的范围。同时,应当明白,为了便于描述,附图中所示出的各个部分的尺寸并不是按照实际的比例关系绘制的。对于相关领域普通技术人员已知的技术、方法和设备可能不作详细讨论,但在适当情况下,所述技术、方法和设备应当被视为授权说明书的一部分。在这里示出和讨论的所有示例中,任何具体值应被解释为仅仅是示例性的,而不是作为限制。因此,示例性实施例的其它示例可以具有不同的值。应注意到:相似的标号和字母在下面的附图中表示类似项,因此,一旦某一项在一个附图中被定义,则在随后的附图中不需要对其进行进一步讨论。The relative arrangement of the components and steps, the numerical expressions and numerical values set forth in these embodiments do not limit the scope of the present application unless specifically stated otherwise. Meanwhile, it should be understood that, for the convenience of description, the dimensions of various parts shown in the accompanying drawings are not drawn in an actual proportional relationship. Techniques, methods, and devices known to those of ordinary skill in the relevant art may not be discussed in detail, but where appropriate, such techniques, methods, and devices should be considered part of the authorized description. In all examples shown and discussed herein, any specific value should be construed as illustrative only and not as limiting. Accordingly, other examples of exemplary embodiments may have different values. It should be noted that like numerals and letters refer to like items in the following figures, so once an item is defined in one figure, it does not require further discussion in subsequent figures.

在本申请的描述中,需要理解的是,方位词如“前、后、上、下、左、右”、“横向、竖向、垂直、水平”和“顶、底”等所指示的方位或位置关系通常是基于附图所示的方位或位置关系,仅是为了便于描述本申请和简化描述,在未作相反说明的情况下,这些方位词并不指示和暗示所指的装置或元件必须具有特定的方位或者以特定的方位构造和操作,因此不能理解为对本申请保护范围的限制;方位词“内、外”是指相对于各部件本身的轮廓的内外。In the description of this application, it should be understood that the orientations indicated by the orientation words such as "front, rear, top, bottom, left, right", "horizontal, vertical, vertical, horizontal" and "top, bottom" etc. Or the positional relationship is usually based on the orientation or positional relationship shown in the drawings, which is only for the convenience of describing the present application and simplifying the description, and these orientations do not indicate or imply the indicated device or element unless otherwise stated. It must have a specific orientation or be constructed and operated in a specific orientation, so it cannot be construed as a limitation on the protection scope of the application; the orientation words "inside and outside" refer to the inside and outside relative to the contour of each component itself.

为了便于描述,在这里可以使用空间相对术语,如“在……之上”、“在……上方”、“在……上表面”、“上面的”等,用来描述如在图中所示的一个器件或特征与其他器件或特征的空间位置关系。应当理解的是,空间相对术语旨在包含除了器件在图中所描述的方位之外的在使用或操作中的不同方位。例如,如果附图中的器件被倒置,则描述为“在其他器件或构造上方”或“在其他器件或构造之上”的器件之后将被定位为“在其他器件或构造下方”或“在其他器件或构造之下”。因而,示例性术语“在……上方”可以包括“在……上方”和“在……下方”两种方位。该器件也可以其他不同方式定位(旋转90度或处于其他方位),并且对这里所使用的空间相对描述作出相应解释。For ease of description, spatially relative terms, such as "on", "over", "on the surface", "above", etc., may be used herein to describe what is shown in the figures. The spatial positional relationship of one device or feature shown to other devices or features. It should be understood that spatially relative terms are intended to encompass different orientations of the device in use or operation in addition to the orientation depicted in the figures. For example, if the device in the figures is turned over, elements described as "above" or "over" other devices or features would then be oriented "below" or "over" the other devices or features under other devices or constructions". Thus, the exemplary term "above" can encompass both an orientation of "above" and "below." The device may also be otherwise oriented (rotated 90 degrees or at other orientations) and the spatially relative descriptions used herein interpreted accordingly.

此外,需要说明的是,使用“第一”、“第二”等词语来限定零部件,仅仅是为了便于对相应零部件进行区别,如没有另行声明,上述词语并没有特殊含义,因此不能理解为对本申请保护范围的限制。In addition, it should be noted that the use of words such as "first" and "second" to define components is only for the convenience of distinguishing corresponding components. Unless otherwise stated, the above words have no special meaning and therefore cannot be understood to limit the scope of protection of this application.

尽管已经示出和描述了本实用新型的实施例,对于本领域的普通技术人员而言,可以理解在不脱离本实用新型的原理和精神的情况下可以对这些实施例进行多种变化、修改、替换和变型,本实用新型的范围由所附权利要求及其等同物限定。Although the embodiments of the present invention have been shown and described, it will be understood by those skilled in the art that various changes and modifications can be made to these embodiments without departing from the principles and spirit of the present invention , alternatives and modifications, the scope of the present invention is defined by the appended claims and their equivalents.

Claims (7)

the electrocoagulation portion (3), the electrocoagulation portion (3) includes holding handle (31) and adjustment mechanism (32) that are used for adjusting electrocoagulation hook position, adjustment mechanism (32) include carriage release lever (321) and pressure regulating piece (322), pressure regulating piece (322) are articulated with holding handle (31), the first end of carriage release lever pierces through the top of pressure regulating piece (322) and with pressure regulating piece (322) keep away from the one end butt of holding handle (31), carriage release lever (321) second end runs through holding handle (31) top to can wear to insert puncture pipeline (10) to sheath pole (1); the movable rod (321) can be controlled to move along the length direction of the puncture pipeline (10) through the pressure regulating block (322); the movable rod (321) is provided with an exhaust pipeline (321a) and an operation channel (321c) for inserting and fixing the electrocoagulation hook;
4. A thoracoscope puncture device according to claim 1, wherein the holding handle (31) is internally provided with an adjusting cavity (31A) and a limiting cavity (31B), the adjusting cavity (31A) and the limiting cavity (31B) are communicated with each other and are communicated with the outside; the first end of the movable rod penetrates through the top end of the pressure regulating block (322) and is abutted to one end, far away from the holding handle (31), of the pressure regulating block (322), the second end of the movable rod (321) penetrates through the adjusting cavity (31A) and the limiting cavity (31B) to the outside of the holding handle (31) in sequence, and the movable rod (321) is controlled to move along the directions of the adjusting cavity (31A) and the limiting cavity (31B) through the pressure regulating block (322).
CN202020049170.XU2020-01-102020-01-10 A thoracoscopic puncture deviceExpired - Fee RelatedCN211610039U (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
CN113303887A (en)*2021-06-032021-08-27江苏人冠医疗科技有限公司Eccentric puncture outfit

Cited By (1)

* Cited by examiner, † Cited by third party
Publication numberPriority datePublication dateAssigneeTitle
CN113303887A (en)*2021-06-032021-08-27江苏人冠医疗科技有限公司Eccentric puncture outfit

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