CN102204842B - Incision surgical knife - Google Patents
Incision surgical knife Download PDFInfo
- Publication number
- CN102204842B CN102204842B CN2010101654315A CN201010165431A CN102204842B CN 102204842 B CN102204842 B CN 102204842B CN 2010101654315 A CN2010101654315 A CN 2010101654315A CN 201010165431 A CN201010165431 A CN 201010165431A CN 102204842 B CN102204842 B CN 102204842B
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- conduit
- surgical incision
- seal wire
- incision cutter
- mucosa
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Abstract
The invention discloses an incision surgical knife which comprises a guide pipe, an elastic element, an operating handle, a first guide wire and a saccule, wherein the guide pipe is in a hollow structure, is provided with a side hole, a groove, a thread eye and a gas injection water injection hole which are sequentially arranged from the front end to the terminal end; the elastic element is embedded in the groove, and the rear end of the elastic element is fixed with the guide pipe; the operating handle is sheathed outside the guide pipe and can slide along a guide pipe shaft; the first guide wire is arranged in the guide pipe, the front end stretches out from a guide wire hole and is fixed with the front end of the elastic element, and the terminal of the first guide wire is fixed with the operating handle; and the saccule is fixed at the top of the guide pipe in a sealing way, and the side hole is arranged in the saccule. The operation incision knife provided by the embodiment of the invention is designed specially for full resection of mucous membrane in minimally invasive surgery, thus full resection on a large-area mucous membrane can be rapidly and effectively carried out in an operation, viscera except the mucous membrane can be effectively avoided, peripheral viscera cannot be damaged, surgical risk is reduced, and success rate of a surgery can be improved.
Description
Technical field
The application relates to medical instruments field, particularly relates to the surgical incision cutter that a kind of endoscope is suitable for.
Background technology
Minimally Invasive Surgery is meant a kind of new technique of in human body, performing a surgical operation through endoscope, has that wound is little, a light pain, superiority that recovery is fast.Minimally Invasive Surgery has changed the deficiency of open surgery " big otch solves minor issue ", can reach the effect of " little otch solves big problem ".In Minimally Invasive Surgery, how there is the mucosa of tract organ to carry out the emphasis of holostrome excision having become research to organism.
Through to prior art research, the applicant finds, it all is not to the mucosa holostrome excision design that the tract organ is arranged that existing mucosa cuts device, when operation, can not carry out the holostrome excision than the large tracts of land mucosa quickly and effectively.When what is more important, existing device for excising are carried out the excision of mucosa holostrome, can't avoid the outer internal organs of mucosa definitely; The probability that causes the surrounding organ damage is very big, and operation risk is very high, causes severe complications easily; The infringement patients'benefit, even cause unnecessary medical tangle.Therefore, a kind of surgical incision cutter that is exclusively used in biological tissue's mucosa holostrome excision of design highlights necessity.
Summary of the invention
For solving the problems of the technologies described above, the application embodiment provides a kind of surgical incision cutter, in Minimally Invasive Surgery, can not only avoid the outer internal organs of tract organ mucosa effectively, and can also fast and effeciently excise the larger area biological mucosa, and technical scheme is following:
A kind of surgical incision cutter comprises:
Structure is a hollow structure, from the front end to the end, is disposed with side opening, groove, thread eye and gas injection water injection hole, and the conduit that is connected with said gas injection water injection hole of said side opening;
Be embedded in the said groove elastic component that rear end and said conduit fix;
Be set in the said conduit outside, can be along said conduit operating grip in axial sliding;
Be arranged in the said conduit, front end is stretched out by said thread eye and fixes first seal wire that terminal and said operating grip fixes with the front end of said elastic component;
Sealing and fixing is in said catheter tip, and said side opening is placed its inner sacculus.
Preferably, the material of said elastic component is the rubber-like medical plastic.
Preferably, this surgical incision cutter further comprises: be arranged on said supravasal at least two and press teeth groove.
Preferably, this surgical incision cutter further comprises:
Be arranged on the pressure tooth in the said conduit;
Be arranged in the said conduit, front end and said pressure tooth fix, and can said pressure tooth be released second seal wire of said conduit by said pressure teeth groove;
Be arranged on the said operating grip, and can be respectively and change-over switch that second seal wire end fix terminal with first seal wire.
Preferably, said pressure tooth comprises:
First depression bar that one end and second seal wire are connected rotationally;
One end and the said first depression bar other end are rotatably connected second depression bar that the other end and conduit fix.
Preferably, this surgical incision cutter further comprises: be arranged on the positioner on the said operating grip.
Preferably, this surgical incision cutter further comprises: be arranged on the said operating grip attaching plug that links to each other with said first seal wire.
Preferably, this surgical incision cutter further comprises: the retainer ring that is fixed on said tail end of conduit.
The surgical incision cutter that provides among the application embodiment; Be to design for the mucosa holostrome resection operation in the Minimally Invasive Surgery specially; When operation, the working portion of this surgical incision cutter---place first seal wire of outer the connected high-frequency electrical of conduit, become vertical direction with mucomembranous surface across the surgical target mucosa; Thereby utilize the dissection of high-frequency electrical self that mucosa is cut, can fast and effeciently carry out the holostrome excision mucosa.And when operation; Expansible sacculus can make the outer internal organs of mucosa away from mucosa; Like this when carrying out the incision of mucosa holostrome; Just can make the outer internal organs of mucosa avoid having first seal wire of dissection effectively, thereby avoid damaging the postoperative complication of surrounding organ, reduce the risk of operation because of connecting high-frequency electrical.
So the surgical incision cutter that the application embodiment provides not only can fast and effeciently carry out the holostrome excision to the larger area mucosa that the tract organ is arranged; And can avoid effectively because the severe complication that the outer internal organs of damage mucosa possibly cause; Thereby protect patients'benefit conscientiously, avoid unnecessary medical tangle.
During the application implements in addition; This surgical incision cutter matches with sacculus through the pressure tooth that is provided with when operation, can also carry out hemostasis by compression to hemorrhage mucosa; Avoid occurring bleeding profusely even the postoperative complication of hemorrhagic shock, thereby improve success rate of operation effectively.
Description of drawings
In order to be illustrated more clearly in the application embodiment or technical scheme of the prior art; To do to introduce simply to the accompanying drawing of required use in embodiment or the description of the Prior Art below; Obviously, the accompanying drawing in describing below only is some embodiment that put down in writing among the application, for those of ordinary skills; Under the prerequisite of not paying creative work, can also obtain other accompanying drawing according to these accompanying drawings.
The structural representation of a kind of surgical incision cutter when inserting and pass through endoscope's tract that Fig. 1 provides for the application embodiment;
The structural representation of a kind of surgical incision cutter when implementing mucosa holostrome resection operation that Fig. 2 provides for the application embodiment;
The structural representation of another kind of surgical incision cutter when inserting and pass through endoscope's tract that Fig. 3 provides for the application embodiment;
The structural representation of another kind of surgical incision cutter when carrying out hemostasis by compression that Fig. 4 provides for the application embodiment;
The structural representation of the pressure tooth that Fig. 5 provides for the application embodiment;
The structural representation of the third surgical incision cutter that Fig. 6 provides for the application embodiment.
The specific embodiment
In order to make those skilled in the art person understand the technical scheme among the application better; To combine the accompanying drawing among the application embodiment below; Technical scheme among the application embodiment is carried out clear, complete description; Obviously, described embodiment only is the application's part embodiment, rather than whole embodiment.Based on the embodiment among the application, those of ordinary skills are not making the every other embodiment that is obtained under the creative work prerequisite, all should belong to the scope of the application's protection.
Embodiment one:
The structural representation of a kind of surgical incision cutter when inserting and pass through endoscope's tract that Fig. 1 provides for the application embodiment.
The structural representation of a kind of surgical incision cutter when implementing mucosa holostrome resection operation that Fig. 2 provides for the application embodiment.
As depicted in figs. 1 and 2, this surgical incision cutter comprises: conduit 1, elastic component 6, operating grip 7, first seal wire 8 and sacculus 9.Wherein: conduit 1 is the medical plastic flexible pipe that the hollow structure of certain degree of hardness is arranged; When being used to perform the operation through inserting the inner endoscope's tract of organism in advance; Arrive surgical target internal organs intracavity; Front end at conduit 1 is disposed with side opening 2, groove 3 and thread eye 4 and gas injection water injection hole 5 to end, and side opening 2 can be connected through pipeline with gas injection water injection hole 5.Sacculus 9 sealing and fixing are on the top of conduit 1, and side opening 2 is positioned at the inside of sacculus 9, before operation; Can the gas in the sacculus 9 be extracted out through gas injection water injection hole 5; Sacculus 9 is fitted on the conduit, makes things convenient for conduit 1 in the insertion of endoscope's tract and pass through, as shown in Figure 1.When operation, can also sacculus 9 be expanded through injecting gas or liquid in gas injection water injection hole 5, as shown in Figure 2.
Operating grip 7 is set in the end of conduit 1, is connected through the chute that is complementary between the two, and operating grip 7 can be slided along conduit 1 front and back.In addition, on operating grip 7, can also be provided with positioner, the finger with the patient when being used to perform the operation blocks; The patient is slided control operation handle 7 front and back easily; Positioner can be screens boss or screens ring, and it is two screens rings 10 that positioner is set on the operating grip 7 in the application embodiment, in operation; The patient can insert two screens rings 10, control operation handle 7 respectively with forefinger and middle finger.
First seal wire 8 is the tinsel that can conduct electricity, and like stainless steel silk, is arranged on the inside of conduit 1, and front end stretches out and fixes with the front end of elastic component 6 from thread eye 4, and is terminal fixing with operating grip 7.And it is exposed for one section that first seal wire 8 is positioned at conduit 1 outside, helps when being communicated with high frequency electric, organism internal organs mucosa being produced dissection; First seal wire 8 is positioned at inner one section of conduit 1 then with wrapped with insulation, to prevent that first seal wire 8 produces heat effects when being communicated with high frequency electric conduit 1 is caused damage.Under the normal condition, first seal wire 8 is relaxed state, and is as shown in Figure 1.With 8 tensions of first seal wire, stretching out will be exceptionally straight at first seal wire 8 of thread eye 4 outsides, can spur the front end of elastic component 6 simultaneously through control operation handle 7; Make elastic component 6 leave groove 3, and side stretch out conduit 1, as shown in Figure 2; Provide high frequency electric to first seal wire 8 this moment; Then, place the conduit 1 outer first exceptionally straight seal wire 8 just to be equivalent to leader's art incision knife, can like a cork the mucosa holostrome be cut because high frequency electric self has dissection to biological tissue's mucosa.When unclamping first seal wire 8, elastic component 6 can be got back in the groove 3 again under self elastic reaction automatically.
Before Minimally Invasive Surgery; Need the gas in the sacculus 9 be found time through gas injection water injection hole 5, sacculus 9 is fitted on the conduit 1, and be totally released first seal wire 8; Elastic component 6 is adjacent in groove 3; As shown in Figure 1, make things convenient for conduit 1 entering and, reach the surgery location of target internal organs through endoscope's tract.
When carrying out Minimally Invasive Surgery, at first conduit 1 front end is inserted and insert the pliers passage in the endoscope in the organism tissue lumen in advance, push conduit 1 and make its front end arrive the resection operation target mucosa place of having beaten via hole in the tissue lumen in advance by related device.Through endoscope's adjustment angle, and push the hole that conduit 1 is got its front end insertion in advance, and make first seal wire 8 that places outside the conduit 1 just in time across mucosa.Through injecting gas or liquid in gas injection water injection hole 5, sacculus 9 is expanded then, just that mucosa is the outer internal organs of expansible sacculus 9 push away mucosa.Again through screens ring 10 control operation handles 7 tensions first seal wire 8; Being about to elastic component 6 draws back; And side stretches out conduit 1, to first seal wire 8 high frequency electric is provided again, makes to place the conduit 1 outer first exceptionally straight seal wire 8 just to be equivalent to leader's art incision knife; Last patient is close to the surgical target mucosa through one blocking mechanism and push-and-pull steering nozzle 1 to control first seal wire 8, and mucosa is carried out accurate holostrome excision.
The surgical incision cutter that provides among the application embodiment; Be to design for the mucosa holostrome resection operation in the Minimally Invasive Surgery specially; When operation, the working portion of this surgical incision cutter---place first seal wire of outer the connected high-frequency electrical of conduit, become vertical direction with mucomembranous surface across the surgical target mucosa; Thereby the dissection of utilizing high-frequency electrical to produce is cut mucosa, can fast and effeciently carry out holostrome to mucosa and cut.And when operation; Expansible sacculus can make the outer internal organs of mucosa away from mucosa; Like this when carrying out the incision of mucosa holostrome; Just can make the outer internal organs of mucosa avoid having first seal wire of dissection effectively, thereby avoid damaging the postoperative complication that surrounding organ causes, reduce the risk of operation because of connecting high-frequency electrical.
So the surgical incision cutter that the application embodiment provides not only can fast and effeciently carry out the holostrome excision to the larger area mucosa that the tract organ is arranged; And can avoid effectively because the severe complication that the outer internal organs of damage mucosa possibly cause; Thereby protect patients'benefit conscientiously, avoid unnecessary medical tangle.
Embodiment two:
In above-mentioned Minimally Invasive Surgery, to there being tract organ mucosa to carry out holostrome when excision, usually mucosal bleeding can take place, as not taking to stop blooding timely and effectively measure, patient can cause hemorrhagic shock because of massive blood loss, even the entail dangers to patient's life.Therefore, on the basis of the application embodiment one, the application embodiment two also provides another kind of surgical incision cutter, not only can carry out the holostrome excision to mucosa quickly and efficiently, but also can carry out hemostasis by compression to hemorrhage mucosa.
The structural representation of another kind of surgical incision cutter when inserting and pass through endoscope's tract that Fig. 3 provides for the application embodiment.
The structural representation of another kind of surgical incision cutter when carrying out hemostasis by compression that Fig. 4 provides for the application embodiment.
Like Fig. 3 and shown in Figure 4, the surgical incision cutter that the application embodiment provides also comprises: press teeth groove 11, press tooth 12, second seal wire 13 and change-over switch 14.Press teeth groove 11 to be arranged on the conduit 1, the position presses the number of teeth groove 11 to be at least two between groove 3 and sacculus 9; Can also in the application embodiment, press the number of teeth groove 11 to be preferably designed for 4 for a plurality of; Be evenly distributed on conduit 1 around, likewise, press the number of tooth 12 to be at least two; Can also in the application embodiment, press the number of tooth 12 also to be preferably 4 for a plurality of.The hardness of second seal wire 13 is big and unsuitable crooked, promotes when being used to operate to press tooth 12, and among the application embodiment, second seal wire is preferably tinsel.
Press tooth 12 to be embedded in and press in the teeth groove 11; As shown in Figure 5; Press tooth 12 to comprise first depression bar 121 and second depression bar 122; Wherein: an end of first depression bar 121 is connected with second seal wire 13 rotationally, and the other end is connected with an end of second depression bar 122 rotationally, and the other end of second depression bar 122 is connected with conduit 1 equally rotationally.During normal condition, first depression bar 121 and second depression bar 122 are straight line, and are hidden in together in the conduit 1, make things convenient for conduit 1 in the insertion of endoscope's tract and pass through.During use, promote second seal wire 13, just can first depression bar 121 and second depression bar 122 be released conduits 1 by pressure teeth groove 11, as shown in Figure 4.Press tooth 12 to release the distance between back and the expansion back sacculus 9, generally should reach the purpose of hemostasis by compression with extruding mucosal bleeding position less than the average thickness (being about 4 millimeters) of bio-tissue mucosa.
Change-over switch 14 is arranged on the operating grip 7, and the end with first seal wire 8 and second seal wire 13 is connected respectively, can control first seal wire 8 and second seal wire 13 respectively through the position of stirring change-over switch 14.
The surgical incision cutter that the application's enforcement provides; When having tract organ mucosa to carry out the holostrome resection operation,, at first cut off the power supply of first seal wire 8 if mucosal bleeding takes place; Change-over switch 14 is switched to second seal wire 13 by first seal wire 8, and elastic component 6 can be got back in the groove 3 automatically; Extract conduit 1 out one section then, make and press teeth groove 11 to be positioned at the mucosa inboard, and make expansible sacculus 9 be close to the mucosa lateral wall; Promote operating grip 7 then, make second seal wire 13 will press tooth 12 to release by pressing in the teeth groove 11, open like this pressure tooth 12 is positioned at the mucosa medial wall; Expansible sacculus 9 is positioned at the lateral wall of mucosa; Both mutual extrusion are about to hemorrhage mucosa extruding and live, and reach the purpose of hemostasis by compression.
Therefore during the application implements; This surgical incision cutter matched with sacculus through the pressure tooth that is provided with in when operation, and mucosa that can also adversary's intraoperative hemorrhage carries out hemostasis by compression; Avoid occurring bleeding profusely even the postoperative complication of hemorrhagic shock, thereby improve success rate of operation effectively.
Embodiment three:
The structural representation of the third surgical incision cutter that Fig. 6 provides for the application embodiment.
As shown in Figure 6, this surgical incision cutter also comprises: attaching plug 15 and retainer ring 16, wherein:
Attaching plug 15 is arranged on the said operating grip 7, links to each other with said first seal wire 8, is used for to first seal wire 8 high frequency electric being provided;
The surgical incision cutter that provides among the application embodiment; Be to design for the mucosa holostrome resection operation in the Minimally Invasive Surgery specially; When operation, the working portion of this surgical incision cutter---place first seal wire of outer the connected high-frequency electrical of conduit, become vertical direction with mucomembranous surface across the surgical target mucosa; Thereby utilize the dissection of high-frequency electrical that mucosa is cut, can fast and effeciently carry out the holostrome excision mucosa.And when operation; Expansible sacculus can make the outer internal organs of mucosa away from mucosa; Like this when carrying out the excision of mucosa holostrome; Just can make the outer internal organs of mucosa avoid having first seal wire of dissection effectively, thereby avoid damaging the postoperative complication that surrounding organ causes, reduce the risk of operation because of connecting high-frequency electrical.
So the surgical incision cutter that the application embodiment provides not only can fast and effeciently carry out the holostrome excision to the larger area mucosa that the tract organ is arranged; And can avoid effectively because the severe complication that the outer internal organs of damage mucosa possibly cause; Thereby protect patients'benefit conscientiously, avoid unnecessary medical tangle.
During the application implements in addition; This surgical incision cutter matches with sacculus through the pressure tooth that is provided with when operation, can also carry out hemostasis by compression to hemorrhage mucosa; Avoid occurring bleeding profusely even the complication of hemorrhagic shock, thereby improve success rate of operation effectively.
The above only is the application's a preferred implementation, makes those skilled in the art can understand or realize the application.Multiple modification to these embodiment will be conspicuous to one skilled in the art, and defined General Principle can realize under the situation of spirit that does not break away from the application or scope in other embodiments among this paper.Therefore, the application will can not be restricted to these embodiment shown in this paper, but will meet and principle disclosed herein and features of novelty the wideest corresponding to scope.
Claims (8)
1. a surgical incision cutter is characterized in that, comprising:
Structure is a hollow structure, from the front end to the end, is disposed with side opening, groove, thread eye and gas injection water injection hole, and the conduit that is connected with said gas injection water injection hole of said side opening;
Be embedded in the said groove elastic component that rear end and said conduit fix;
Be set in the said conduit outside, can be along said conduit operating grip in axial sliding;
Be arranged in the said conduit, front end is stretched out by said thread eye and fixes first seal wire that terminal and said operating grip fixes with the front end of said elastic component;
Sealing and fixing is in said catheter tip, and said side opening is placed its inner sacculus.
2. surgical incision cutter according to claim 1 is characterized in that, the material of said elastic component is the rubber-like medical plastic.
3. surgical incision cutter according to claim 1 is characterized in that, further comprises: be arranged on said supravasal at least two and press teeth groove.
4. surgical incision cutter according to claim 3 is characterized in that, further comprises:
Be arranged on the pressure tooth in the said conduit;
Be arranged in the said conduit, front end and said pressure tooth fix, and can said pressure tooth be released second seal wire of said conduit by said pressure teeth groove;
Be arranged on the said operating grip, and can be respectively and change-over switch that second seal wire end fix terminal with first seal wire.
5. surgical incision cutter according to claim 4 is characterized in that, said pressure tooth comprises:
First depression bar that one end and second seal wire are connected rotationally;
One end and the said first depression bar other end are rotatably connected second depression bar that the other end and conduit fix.
6. surgical incision cutter according to claim 1 is characterized in that, further comprises: be arranged on the positioner on the said operating grip.
7. surgical incision cutter according to claim 1 is characterized in that, further comprises: be arranged on the said operating grip attaching plug that links to each other with said first seal wire.
8. surgical incision cutter according to claim 1 is characterized in that, further comprises: the retainer ring that is fixed on said tail end of conduit.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010101654315A CN102204842B (en) | 2010-05-05 | 2010-05-05 | Incision surgical knife |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2010101654315A CN102204842B (en) | 2010-05-05 | 2010-05-05 | Incision surgical knife |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102204842A CN102204842A (en) | 2011-10-05 |
| CN102204842B true CN102204842B (en) | 2012-11-21 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2010101654315A Expired - Fee Related CN102204842B (en) | 2010-05-05 | 2010-05-05 | Incision surgical knife |
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| CN (1) | CN102204842B (en) |
Families Citing this family (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN105852963B (en) * | 2016-05-16 | 2018-08-24 | 南京科医思医疗科技有限公司 | A kind of multidirectional adjustable electric knife |
| CN106943176A (en) * | 2017-04-28 | 2017-07-14 | 卞晓明 | Double-jacket tube knife Harvesting of Great Saphenous Vein device |
| CN112842515B (en) * | 2021-02-17 | 2022-02-08 | 苏州法兰克曼医疗器械有限公司 | Duodenum incision knife with controllable angle function |
| CN112971925B (en) * | 2021-02-23 | 2022-09-16 | 河南昆仑精准医疗科技有限公司 | Catheter suitable for dissolving and crushing thrombus in iliofemoral deep vein |
| CN113647897B (en) * | 2021-09-24 | 2023-07-25 | 苏州法兰克曼医疗器械有限公司 | Gastroscope tube with changeable hardness |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6579300B2 (en) * | 2001-01-18 | 2003-06-17 | Scimed Life Systems, Inc. | Steerable sphincterotome and methods for cannulation, papillotomy and sphincterotomy |
| CN2645618Y (en) * | 2003-10-27 | 2004-10-06 | 程定超 | Trachea for separating conglutination of uterine cavity |
| CN201668502U (en) * | 2010-05-05 | 2010-12-15 | 柏峻峰 | Surgical cutting knife |
-
2010
- 2010-05-05 CN CN2010101654315A patent/CN102204842B/en not_active Expired - Fee Related
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6579300B2 (en) * | 2001-01-18 | 2003-06-17 | Scimed Life Systems, Inc. | Steerable sphincterotome and methods for cannulation, papillotomy and sphincterotomy |
| CN2645618Y (en) * | 2003-10-27 | 2004-10-06 | 程定超 | Trachea for separating conglutination of uterine cavity |
| CN201668502U (en) * | 2010-05-05 | 2010-12-15 | 柏峻峰 | Surgical cutting knife |
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| CN102204842A (en) | 2011-10-05 |
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