CN105477692B - Hysteroscope pneumoperitoneum not damaged suction aspirator tip end device - Google Patents

Hysteroscope pneumoperitoneum not damaged suction aspirator tip end device Download PDF

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Publication number
CN105477692B
CN105477692B CN201510939612.1A CN201510939612A CN105477692B CN 105477692 B CN105477692 B CN 105477692B CN 201510939612 A CN201510939612 A CN 201510939612A CN 105477692 B CN105477692 B CN 105477692B
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China
Prior art keywords
suction
sponge ball
control
pneumoperitoneum
hysteroscope
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CN201510939612.1A
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Chinese (zh)
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CN105477692A (en
Inventor
卫勃
崔建新
郗洪庆
陈志达
刘国晓
周思欣
陈凛
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Chinese PLA General Hospital
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Chinese PLA General Hospital
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Classifications

    • A61M1/0023
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/74Suction control
    • A61M1/743Suction control by changing the cross-section of the line, e.g. flow regulating valves
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M27/00Drainage appliance for wounds or the like, i.e. wound drains, implanted drains
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M3/00Medical syringes, e.g. enemata; Irrigators
    • A61M3/02Enemata; Irrigators
    • A61M3/0279Cannula; Nozzles; Tips; their connection means

Abstract

The present invention discloses a kind of hysteroscope pneumoperitoneum not damaged suction aspirator tip end device, including:Suction tube, control valve, dip in suction sponge ball and sponge ball controller.Suction tube is intermediate support structure, and rear end is connected with control valve insertion, and suction sponge ball is dipped in the connection of suction tube most head end, and both are screwed up by screw thread, are tightly connected.Dip in and inhale the arc top that sponge ball is constituted including connection web film, the resilient spongy in conical support and the front end Unidirectional water permeable composite cellulosic membrane between outside conical support, conical support, the abdominal cavity liquid one-way flow of attraction is can guarantee that, prevents from dipping in the possibility that imbibition body flows backwards and reduces destruction pneumoperitoneum.Sponge ball controller cover can control to dip in suction sponge ball folding, be easy to that hysteroscope is inserted or taken out from abdomen wall puncture hole with pneumoperitoneum not damaged suction aspirator tip end device mounted in dipping in outside suction sponge ball.The present invention is relatively applied to gas laparoscopy operation.

Description

Hysteroscope pneumoperitoneum not damaged suction aspirator tip end device
Technical field
The present invention relates to the technique with the apparatus field of Minimally Invasive Surgery, especially a kind of hysteroscope pneumoperitoneum not damaged attractor head end Device.
Background technology
Endoscope-assistant surgery is a kind of minimally invasive surgical techniques, because the advantage that wound is small in art, post-operative recovery is fast is fast in recent years Speed is risen, and hysteroscope surgery operating technology has been widely used for general surgery, gynemetrics, Urology Surgery, Bones and joints surgery, first shape The specialties such as gland Breast Surgery.During endoscope-assistant surgery, good surgical field of view and operation technique space is to ensure that operation is smoothly entered Capable key, and effective pneumoperitoneum pressure (pneumoperitoneum pressure is maintained by 12mmHg-16mmHg by CO2 pneumoperitoneum apparatus) and cleaning The surgical wound surface of (no oozing of blood) is the important guarantee of endoscope-assistant surgery.In current endoscope-assistant surgery, the bleeding of the cleaning surface of a wound, sepage it is main Method is that attractor attracts and gauze dips in wiping, and the problem of being primarily present is:Attractor attracts to be applied to the more situation of bleeding, attracts While often the gas in pneumoperitoneum is siphoned away in the lump, cause stomach wall to collapse, observation and operating space rapidly disappear, it is necessary to wait It could continue to observe after continuing inflation and setting up pneumoperitoneum space and operate, when can be delayed optimal viewing time point and operation technique Machine;The gauze used during endoscope-assistant surgery is generally small side's yarn, and small side's yarn dips in the less situation of bleeding, sepage that is only applicable to of wiping, and And need repetition replacing operating theater instruments to pick and place gauze during use, longer operating time can be delayed.
Therefore, optimal attractor device in laparoscopic surgery, should be adapted to handle the surface of a wound in art in any case and ooze Blood sepage, and try one's best when attracting and avoid the gas of belly siphoning away destruction pneumoperitoneum in the lump.At present, the dress of correlation is there is no both at home and abroad Put or product meets this clinical demand, need a kind of special medical operating theater instruments badly, can be inhaled suitable for laparoscopic surgery Blood and sepage are drawn, and does not destroy pneumoperitoneum pressure and observation space, and suitable for clinical actual conditions.
The content of the invention
In view of the above-mentioned problems, it is an object of the invention to provide a kind of hysteroscope pneumoperitoneum not damaged suction aspirator tip end device, For fully attracting or dipping abdominal cavity hemorrhage or sepage, and it is actually needed suitable for clinical, is particularly suitable for bleeding Comparatively fast, situation critical in art.Using the inventive structure, sucking-off blood sepage can be more effectively dipped in, pneumoperitoneum is protected, maintain required hand Art operating space, is more beneficial for operation and is normally smoothed out.
To achieve the above object, the embodiment of the present invention proposes a kind of hysteroscope pneumoperitoneum not damaged suction aspirator tip end device, Including suction tube and control valve, in addition to suction sponge ball and sponge ball controller are dipped in, wherein, the suction tube is intermediate support knot Structure, the suction tube connects the control valve, described dip in and inhales sponge ball and the sponge ball controller;The control valve is located at institute State suction tube latter end position and connected with the attraction tube cavity;The suction sponge ball that dips in is located at the suction tube most head end, two The helicitic texture that person inhales sponge ball afterbody by dipping in is screwed up, is tightly connected;The sponge ball controller cover dips in suction sea mounted in described Outside silk tops, suction sponge ball folding is dipped in control.
The suction sponge ball that dips in includes the connection web film between outside conical support, the conical support, the taper branch The arc top that resilient spongy and front end Unidirectional water permeable composite cellulosic membrane in frame are constituted, wherein, the conical support is 8 steel wire structures Into umbrella support, pass through the connection web film in the middle of the conical support and seal;The tapered filling in resilient spongy rear end In the conical support, the resilient spongy front end is curved to fit with the Unidirectional water permeable composite cellulosic membrane;It is described to dip in Inhaling sponge ball includes two states, i.e., using preceding closure state and working condition.
The Unidirectional water permeable composite cellulosic membrane is synthesized using nanometer technology, and the Unidirectional water permeable composite cellulosic membrane is by closely tying Close the composition of two layers of nanostructured fibers film with hydrophilic, hydrophobic difference being seamlessly connected, the Unidirectional water permeable composite cellulosic membrane For Unidirectional water permeable structure.
The sponge ball controller does not block including control ring, control-rod and control-rod, wherein, the control ring is smooth circle Shape stainless steel ring, the control ring welds together with the control-rod, and the control ring surrounds outside the conical support, institute State control ring and slide back and forth the folding dipped in described in manipulation and inhale sponge ball;The control-rod moves under water in the suction tube both sides after installing Parallel groove;The control-rod is not positioned in the control-rod tail end, and the control-rod does not block control that can be with the suction tube The position of the chimeric regulation control ring of groove processed.
The advantage of the embodiment of the present invention is as follows:
1st, combine attractor attraction and gauze dips in the characteristics of suction is wiped, can complete to dip in and inhale two kinds of functions, reduce surrounding Side opening quantity, it is to avoid the puzzlement of " gas leakage " during attraction, is attracting not destroy pneumoperitoneum simultaneously, is reducing the stand-by period in art;
2nd, hysteroscope pneumoperitoneum not damaged attractor, can continue or repeatedly dip in suction, it is to avoid repeatedly pick and place small side's yarn and more Operating theater instruments is changed, a large amount of operating times can be saved, make surgical procedure more smooth;
3rd, hysteroscope pneumoperitoneum not damaged suction aspirator tip end device has closure state and working condition two states, is easy to from abdomen Insert and take out in wall microtrauma puncture hole;
4th, suction sponge ball front end Unidirectional water permeable composite cellulosic membrane is dipped in, it is ensured that abdominal cavity liquid, which unidirectionally enters, dips in suction sponge ball, Then abdominal cavity is suctioned out through suction tube by vacuum suction, liquid flows back to abdominal cavity during preventing and treating extruding sponge ball;
5th, the precise controlling valve of attractor tail end can effectively control the flow attracted, be adapted to the different bleedings of processing or sepage Used under state;
6th, hysteroscope dips in suction ball easy disassembly with pneumoperitoneum non-invasi attractor head end, can change at any time, can also be Suction ball will be dipped at the end of operation and will be removed and implements pre-washing function;
7th, simple in construction, feasibility is strong, and value for clinical application is higher.
Brief description of the drawings
Fig. 1 is hysteroscope pneumoperitoneum not damaged suction aspirator tip end device overall structure " the work shape of one embodiment of the invention State " schematic diagram;
Fig. 2 is the hysteroscope pneumoperitoneum not damaged suction aspirator tip end device overall structure " closed form of one embodiment of the invention State " schematic diagram;
Fig. 3 a for one embodiment of the invention hysteroscope with dipped in pneumoperitoneum not damaged suction aspirator tip end device inhale sponge chou The perspective diagram of structure;
Fig. 3 b for one embodiment of the invention hysteroscope with dipped in pneumoperitoneum not damaged suction aspirator tip end device inhale sponge chou The diagrammatic cross-section of structure;
Fig. 4 is suction tube and sponge ball in the hysteroscope pneumoperitoneum not damaged suction aspirator tip end device of one embodiment of the invention The partial structural diagram of controller.
Embodiment
Further detailed description is carried out to the present invention with reference to the accompanying drawings and examples.
Following examples are only to illustrate example of the present invention to be clear, and not to embodiments of the present invention Limit.For those of ordinary skill in the field, other multi-forms can also be made on the basis of the following description Change or variation, and these belong to the guarantor of obvious changes or variations that spirit of the invention drawn still in the present invention Protect among scope.
As shown in Figure 1 and Figure 2, hysteroscope proposed by the present invention pneumoperitoneum not damaged suction aspirator tip end device, including following a few portions Point:Suction tube (1), control valve (2), dip in suction sponge ball (3) and sponge ball controller (4).Four parts constitute unification when in use Whole implementation suction function, as shown in Figure 1 and Figure 2, hysteroscope has working condition i.e. with pneumoperitoneum not damaged suction aspirator tip end device Open state and closure state two states, wherein Fig. 1 are the hysteroscope pneumoperitoneum not damaged attractor of one embodiment of the invention Headend apparatus overall structure " working condition " schematic diagram, Fig. 2 attracts for the hysteroscope pneumoperitoneum not damaged of one embodiment of the invention Device headend apparatus overall structure " closure state " schematic diagram, the closure state shown in Fig. 2 is easy to inhale hysteroscope pneumoperitoneum not damaged Lead device headend apparatus inserts abdominal cavity or taking-up by abdomen wall puncture hole.
As shown in Figure 1 and Figure 2, suction tube (1) be intermediate support structure, can for diameter 5mm, long 40cm it is medical stainless Steel pipe, suction tube (1) tail end sets connecting hole (11), and connecting hole (11) has the neck of two layers of projection, is easy to by rubber tube Or plastic tube etc. is connected with negative pressure suction device such as vacuum suction pump seal.As shown in Fig. 3 (a), Fig. 3 (b), suction tube (1) Dipping in suction sponge ball (3) with head end can be connected through a screw thread.As shown in figure 4, there is a pair of parallel relative dive suction tube (1) both sides Capable groove (12), groove (12) tail end has two control flumes (13), and two control flumes (13) are separated by 3cm, and control is accommodated respectively Bar (42) and control-rod do not block (43).Wherein, when hysteroscope is in running order with pneumoperitoneum not damaged suction aspirator tip end device, control Bar processed does not block (43) and is not positioned in caudal control flume (13);When hysteroscope with pneumoperitoneum not damaged suction aspirator tip end device in closed form During state, control-rod does not block (43) and is not positioned in rostral control flume (13).
As shown in Figure 1 and Figure 2, control valve (2) is communicated with suction tube (1) inner chamber, and control valve (2) is located at suction tube latter end position Put, any rotation can be carried out by control valve (2) to adjust the flow and speed of hysteroscope pneumoperitoneum not damaged attractor.The control Valve (2) can use existing accurate three-way control valve, and flush pipe (21) is set in three-way control valve side, at the end of operation, Three-way control valve is connected into flush pipe (21), work can be rinsed while removing head end and dipping in suction sponge ball (3).
As shown in figure 1, dipping in suction sponge ball (3) is located at suction tube (1) most head end, both inhale sponge ball (3) afterbody by dipping in Helicitic texture screw up, be tightly connected with suction tube (1), be easy to disassembling, assembling and replacing.As shown in Fig. 3 (a), suction sponge ball (3) is dipped in outside Week/outside, which has, connects web film (32) between conical support (31) and conical support (31).Wherein, conical support (31) is by many examples Such as elastic wire composition of 8 length for 3cm, the angle that centrum opens can be 60 degree, and connection web film (32) can be plastics Sealed in the middle of film, each elastic wire by connecting web film (32), dip in and umbrella-shaped structure is constituted around suction sponge ball (3).
As shown in Fig. 3 (b), dip in and inhale the front end arc sphere of sponge ball (3) for Unidirectional water permeable composite cellulosic membrane (34), unidirectionally Permeable composite cellulosic membrane (34) is synthesized using nanometer technology, and Unidirectional water permeable composite cellulosic membrane (34) is by with hydrophilic, hydrophobic difference Two layers of nanostructured fibers film composition, two layers of nanostructured fibers film combine closely seamless connection, Unidirectional water permeable composite fibre Film (34) is Unidirectional water permeable structure, can prevent from dipping in the watery blood of suction drip back abdominal cavity again.Dip in the elastic force sea inhaled and used in sponge ball (3) Continuous (33) are strong water absorption function sponges, and elasticity is preferable, high adsorption capacity.Resilient spongy (33) rear end is tapered to be packed in conical support (31) in, front end is curved to fit with front end Unidirectional water permeable composite cellulosic membrane (34).When absorbability is close to saturation, pass through Tail end negative pressure suction device such as vacuum suction pump is attracted, and watery blood is siphoned away;Can also by lever for adjusting oil (42) and Control ring (41) extrudes sponge, and watery blood is discharged into posterior segment suction tube (1).
The working condition for dipping in suction sponge ball (3) includes two states, is closed before open state and closure state such as use In conjunction state, art attract when be in cone-shaped open state, using it is preceding or using finishing after, dip in suction sponge ball (3) return again Cylinder state is closure state, is easy to hysteroscope integrally to be inserted or taken from puncturing hole with pneumoperitoneum not damaged suction aspirator tip end device Go out.The conversion of two states relies on the sponge ball controller (4) of conical support (31) outside, and sponge ball controller (4), which is sleeved on, to be dipped in Inhale sponge ball (3) outside, sponge ball controller (4) does not block (43) including control ring (41), control-rod (42) and control-rod.Wherein, Control ring (41) is held in conical support (31) outside and can smoothly slided, control ring be smooth circular stainless steel ring, control ring with Control-rod welds together, and control ring surrounds outside conical support, and control ring slides back and forth inhales opening for sponge ball (3) to manipulate to dip in Close.Control-rod (42) moves under water in the parallel groove (12) of suction tube (1) both sides after installing, and does not block (43) and control by control-rod The position of the relative position of groove (13) processed/chimeric control control ring (41), the folding condition for inhaling sponge ball (3), control are dipped in manipulate Bar processed does not block (43) positioned at control-rod (42) tail end.
When attracting end of operation, open control valve (2), at the same before push away control-rod (42), exhaust remaining blood, withdraw taper and dip in suction Sponge ball (3), hysteroscope is taken out with pneumoperitoneum not damaged attractor.When operation terminates if desired further to be rinsed, it can tear open Lower head end dips in suction sponge ball (3), and the flushing hole saline injection that sponge ball (3) is inhaled by dipping in is rinsed, and suction sea is dipped in front end Silk tops (3) can also be designed as medical disposable material, and operation every time can only change front end and dip in suction sponge ball (3).
The advantage of the embodiment of the present invention is as follows:
1st, combine attractor attraction and gauze dips in the characteristics of suction is wiped, can complete to dip in and inhale two kinds of functions, reduce surrounding Side opening quantity, it is to avoid the puzzlement of " gas leakage " during attraction, is attracting not destroy pneumoperitoneum simultaneously, is reducing the stand-by period in art;
2nd, hysteroscope pneumoperitoneum not damaged attractor, can continue or repeatedly dip in suction, it is to avoid repeatedly pick and place small side's yarn and more Operating theater instruments is changed, a large amount of operating times can be saved, make surgical procedure more smooth;
3rd, hysteroscope pneumoperitoneum not damaged suction aspirator tip end device has closure state and working condition two states, is easy to from abdomen Insert and take out in wall microtrauma puncture hole;
4th, suction sponge ball front end Unidirectional water permeable composite cellulosic membrane is dipped in, it is ensured that abdominal cavity liquid, which unidirectionally enters, dips in suction sponge ball, Then abdominal cavity is suctioned out through suction tube by vacuum suction, liquid flows back to abdominal cavity during preventing and treating extruding sponge ball;
5th, the precise controlling valve of attractor tail end can effectively control the flow attracted, be adapted to the different bleedings of processing or sepage Used under state;
6th, hysteroscope dips in suction ball easy disassembly with pneumoperitoneum non-invasi attractor head end, can change at any time, can also be Suction ball will be dipped at the end of operation and will be removed and implements pre-washing function;
7th, simple in construction, feasibility is strong, and value for clinical application is higher.

Claims (4)

1. a kind of hysteroscope pneumoperitoneum not damaged suction aspirator tip end device, including suction tube and control valve, it is characterised in that also include Suction sponge ball and sponge ball controller are dipped in, wherein,
The suction tube connects the control valve, described dip in and inhales sponge ball and the sponge ball controller;
The control valve is located at the suction tube latter end position and connected with the attraction tube cavity;
It is described dip in suction sponge ball be located at the suction tube most head end, both by dip in inhale sponge ball afterbody helicitic texture screw up, It is tightly connected;The suction sponge ball that dips in includes the connection web film between outside conical support, the conical support, the taper branch The arc top that resilient spongy and front end Unidirectional water permeable composite cellulosic membrane in frame are constituted;
The sponge ball controller cover is dipped in outside suction sponge ball mounted in described, and suction sponge ball folding is dipped in control.
2. hysteroscope according to claim 1 pneumoperitoneum not damaged suction aspirator tip end device, it is characterised in that
The conical support is by the connection web film sealing in the middle of the umbrella support that 8 steel wires are constituted, the conical support;
The resilient spongy rear end is tapered to be packed in the conical support, and the resilient spongy front end is curved with the list Fitted to permeable composite cellulosic membrane;
The suction sponge ball that dips in includes two states, i.e., using preceding closure state and working condition.
3. hysteroscope according to claim 2 pneumoperitoneum not damaged suction aspirator tip end device, it is characterised in that described unidirectional saturating Water composite cellulosic membrane is synthesized using nanometer technology, and the Unidirectional water permeable composite cellulosic membrane has parent by seamless connection of combining closely Two layers of nanostructured fibers film composition of water, hydrophobic difference, the Unidirectional water permeable composite cellulosic membrane is Unidirectional water permeable structure.
4. hysteroscope pneumoperitoneum not damaged suction aspirator tip end device according to claim 2, it is characterised in that the sponge ball control Device processed does not block including control ring, control-rod and control-rod, wherein,
The control ring is smooth circular stainless steel ring, and the control ring welds together with the control-rod, the control ring Surround outside the conical support, the control ring slides back and forth the folding dipped in described in manipulation and inhale sponge ball;
The control-rod moves under water in the parallel groove of the suction tube both sides after installing;
The control-rod is not positioned in the control-rod tail end, and the control-rod does not block can be chimeric with the control flume of the suction tube Adjust the position of the control ring.
CN201510939612.1A 2015-12-15 2015-12-15 Hysteroscope pneumoperitoneum not damaged suction aspirator tip end device Active CN105477692B (en)

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CN107198558A (en) * 2017-07-10 2017-09-26 西南医科大学附属中医医院 Operation on joint attracts grabber

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CN201409996Y (en) * 2009-06-15 2010-02-24 吉林科罗纳多医疗器械有限公司 Artery incision sealing device
CN102038528A (en) * 2009-10-23 2011-05-04 李弘� Vascular-intervention wound plugging device
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