CN101897608A - Surgical tissue closing device with visual function - Google Patents
Surgical tissue closing device with visual function Download PDFInfo
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- CN101897608A CN101897608A CN 201010244670 CN201010244670A CN101897608A CN 101897608 A CN101897608 A CN 101897608A CN 201010244670 CN201010244670 CN 201010244670 CN 201010244670 A CN201010244670 A CN 201010244670A CN 101897608 A CN101897608 A CN 101897608A
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Abstract
The invention relates to a surgical tissue closing device with a visual function, comprising a handhold device and a signal receiving and playing system, wherein the handhold device comprises a drive device used for supplying closure and firing needed power, a tissue closing assembly used for implementing a surgery by making use of the power supplied by the drive device, a micro camera used for collecting video signals, a signal processing device used for converting the video signals collected by the micro camera to digital signals and a signal sending device used for sending the digital signals; and the signal receiving and playing system comprises a signal receiving device used for receiving the digital signals sent by the handhold device, a signal processing device used for converting the received digital signals to video signals and a display terminal used for playing the video signals. The invention obtains the video signals through the micro camera arranged on the handhold device and transfers the video signals to a video receiving and playing system, thereby realizing real-time monitoring in the operation process of the surgery and assisting accurate location.
Description
Technical field
The invention belongs to the surgical operating instrument field, relate to the tissue closing device that uses under the endoscope, particularly, the present invention relates to a kind of surgical tissue closing device that has visual function.
Background technology
Endoscopic surgical instrument is more welcome than traditional open surgery apparatus usually, because its otch is little, post-operative recovery is fast, and complication is few.Therefore by the perforator sleeve pipe far-end executor accurately being placed on the endoscopic surgical instrument that needs operative site develops rapidly, these executors mainly contain two big classes to the realization of joint-cutting, one class is to use mechanical system, for example stitch nail, suture, closed clamp, anastomosis ring etc., the another kind of energy mode that is to use, for example ultrasonic knife, electric knife, laser scalpel etc.The joint-cutting of energy mode mainly is used in no blood vessel or the tissue of little blood vessel is only arranged, and the applicable surface of mechanical system is wider comparatively speaking, can be suitable for institute in a organized way.
Use the Endo-GIA of seam nail mode, be in endoscopic surgery, to use the widest mechanical cutting and stitching device at present, when work, it is general that what adopt is to pull trigger on the hand-held device, provide power to the executor of far-end, nail pushing device promotes the motion of seam nail, and the seam nail is held tissue tightly along the bending of moving of the nail groove of nail supporting base, meanwhile cutter are scratched two groups of titaniums and are followed closely intermediary tissue, allow being organized in of both sides sew up and realize cutting when finishing.If use under endoscope, the executor of far-end then should be able to pass corresponding perforator.As shown in the figure, nail pushing device promotes the motion of nail bin inseam nail under the effect of power, the brake forming of seam nail.
The use of Endo-GIA can be avoided will using different operating theater instruments to operate according to the order of sequence because of sewing up with cutting, and reduce the requirement of doctor to the skilled operation degree, has improved the operation quality.More originally difficult operation that realizes also can realize under endoscope, for the fast quick-recovery of patient's postoperative has been created condition.Yet be subjected to the restriction of condition, in endoscopic surgery, generally only be equipped with an endoscope, thus when the cavity inner tissue of operation more for a long time, or operative space is when narrower and small, the doctor just is difficult to observe position away from endoscope exactly by endoscope.Use Endo-GIA when operation, the doctor might be subjected to the restriction at visual angle and operative site has been made wrong judgement, and is relatively poor to the positioning accuracy at joint-cutting position in other words.And behind the beginning joint-cutting, the doctor can only be undertaken by the operating process of apparatus, the abnormal conditions in can not in time finding to perform the operation, and make corresponding processing, thus cause surgical effect to reduce or operative failure.
In some operations, only need to turn-off tissue and do not need chorista, endoscopic closer to be used for this occasion just, compare the cutter that it does not have chorista to use with Endo-GIA.When using under scope, it is open inadequately also to look eye, the easy restricted shortcoming in visual angle
Equally, the tissue closing device that under other scope, uses, it is open inadequately all to look eye, the easy restricted shortcoming in visual angle.Therefore be starved of this class device improved, allow it allow the doctor when the operation Endo-GIA for the doctor provides additional visual angle beyond endoscope, can Real Time Observation to manipulation of tissue, accurately the joint-cutting position is positioned.
Summary of the invention
The object of the present invention is to provide a kind of surgical tissue closing device that has visual function, overcome above-mentioned and other defective of prior art, promptly this apparatus can provide additional visual angle for the doctor beyond endoscope, allow the doctor when the operation Endo-GIA, can Real Time Observation to manipulation of tissue, accurately the joint-cutting position is positioned.
In order to reach above purpose, solution of the present invention is:
A kind of surgical tissue closing device, it comprises:
Hand-held device comprises:
Driving device provides closed and the percussion required drive;
The tissue closure assembly, the power that provides by driving device operates in fact;
Minisize pick-up head is positioned at the front end of hand-held device, gathers video signal, by default circuit the surgical environments video signal converted is delivered to signal processing apparatus;
Signal processing apparatus is converted to digital signal with the video signal of minisize pick-up head collection;
Sender unit sends digital signal;
Signal receives Play System, comprising:
Signal receiving device receives the digital signal that hand-held device sends;
Signal processing apparatus is converted to video signal with the digital signal that receives, and exports display terminal to;
Display terminal is play the video signal that receives.
The front end of described hand-held device is rotatable, and rotary apparatus is provided with draw-in groove, prevents excessive rotation.
Described hand-held device and signal receive the transmission of data between the Play System and adopt the mode of wireless mode or data wire to realize.
The drive source of described driving device is manual, electronic or pneumatic.
Described tissue closure assembly is seam nail, closed clamp or ultrasound knife.
Described tissue closure assembly is the seam nail, its driving device and seam nail closing assembly one, and minisize pick-up head and driving device are in same structure, and the nail bin parts are interchangeable.
Described tissue closure assembly is the seam nail, and its driving device is separate with seam nail closing assembly, minisize pick-up head and seam nail closing assembly one, and seam nail closing assembly is interchangeable.
A kind of surgical instruments, it comprises that a signal receives Play System and a hand-held device
Its signal receives Play System and comprises: signal receiving device, signal processing apparatus, display terminal.Signal receiver receives the data signal that hand-held device sends out, and is converted to video signal through signal processing apparatus, outputs to display terminal.
Its hand-held device comprises: driving device, tissue closure assembly, minisize pick-up head, signal processing apparatus and sender unit.Driving device provides closed and the percussion required drive, and driving the source can be operator's grip, also can be to be provided by electronic or pneumatic.When adopting seam nail mode, the tissue closure assembly, it comprises nail supporting base, nail bin parts, nail casket base, cutter etc.The power that the tissue closure assembly provides by driving device will stitch nail and release along the desired trajectory closed moulding, and can cut off the tissue in it.Minisize pick-up head is positioned at the front end of hand-held device, by default circuit the surgical environments video signal converted is delivered to the rear.
For fear of cross infection between the in use different patients of apparatus; the hand-held apparatus part that contacts with the patient usually can be by disposable use design; but in an operation, tend to repeatedly use,, can realize by following dual mode in order to reach this purpose.A kind of mode is a driving device and seam nail closing assembly one, and the nail bin parts are interchangeable, realizes repeatedly use in the operation by the nail bin parts that more renew during use.When using this kind mode, photographic head and driving device transmit signal by preembedded fixed line in same structure.Another kind of mode is that driving device is independently of each other with seam nail closing assembly, realizes repeatedly use in the operation by the seam nail closing assembly that more renews during use.When making in this way, photographic head is an one with seam nail closing assembly, and circuit need be coupled UNICOM by joint.
For convenience the operator uses, and the Front-end Design of hand-held device be for rotating, but because cable portion within it in addition can not be designed to infinitely rotate freely, otherwise may cause cable to tangle, so designed draw-in groove on rotary apparatus, prevents excessive rotation.
Owing to adopted technique scheme, the present invention has following characteristics: operation Shi doctor's the visual field is openr, during operation the para-position of apparatus more accurate, the situation in the use is changed and can react faster, so that the doctor makes timely processing, thereby improve the success rate of operation.
Description of drawings
Fig. 1 is the schematic diagram that has the surgical tissue closing device of visual function.
Fig. 2 is the schematic diagram of the surgical tissue closing device that has visual function of employing wireless transmission method.
Fig. 3 is the schematic diagram of the surgical tissue closing device that has visual function of employing wire transmission mode.
Fig. 4 is a kind of surgical tissue closing device that has visual function that uses the seam nail.
Fig. 5 is a kind of hand-held device that uses the seam nail.
Fig. 6 is a kind of hand-held device that uses pneumatic actuation.
Fig. 7 is a kind of tissue closure assembly assumption diagram that uses the seam nail.
Fig. 8 is a kind of tissue closure assembly fundamental diagram that uses the seam nail.
Fig. 9 is a kind of hand-held device electrical traces figure that uses the seam nail.
Figure 10 is limited rotating mechanism structure and schematic diagram.
Figure 11 is a kind of hand-held device electrical traces figure that uses closed clamp.
Figure 12 is a kind of hand-held device electrical traces figure that uses ultrasound knife.
Figure 13 is the enlarged diagram of A part among Figure 12.
The specific embodiment
The present invention is further illustrated below in conjunction with the accompanying drawing illustrated embodiment.
As shown in Figure 1, the present invention includes a signal and receive Play System and a hand-held device.Signal receives Play System and comprises signal receiving device, signal processing apparatus, display terminal.Hand-held device comprises Power Drive Unit, tissue closure assembly, minisize pick-up head, signal processing apparatus, sender unit.
As shown in Figure 2, the transmission of data can adopt wireless mode to realize between hand-held device and the signal reception Play System.
As shown in Figure 3, hand-held device and signal receive the transmission of data between the Play System and can adopt the mode of data wire to realize, need use adaptor when making in this way.
As shown in Figure 4, a kind of surgical tissue closing device that has visual function of seam nail that uses comprises that a hand-held device 1 and a signal receive Play System 2.Its hand-held device 1 comprises Power Drive Unit as shown in Figure 5, tissue closure assembly, minisize pick-up head, signal processing apparatus, sender unit.Driving device provides closed and the percussion required drive, and it is operator's grip that hand-held device 1 as shown in Figure 5 drives the source, operator's cocking, trigger rotates around fulcrum, drives chaste tree pawl promotion Vitex chinensis Mill. and travels forward, and provides the tissue closure assembly required power.Driving force can be to be provided by electronic or pneumatic, as shown in Figure 6, the power resources of this driving device carry Compressed Gas from apparatus, the operator pulls firing button, and control circuit is received signal, opens the valve of control Compressed Gas, Compressed Gas promotes the piston-advance in the cylinder, piston is promoting the tissue closure assembly motion of front, and jaw is closed, and clamps tissue.If operate wrongly, can press SR, after control circuit receives signal, the control cylinder piston is moved backward, tissue closure assembly jaw opens.If the operator confirms errorless, can press safety button, apparatus will switch to the percussion state for the treatment of, press firing button once more after, control circuit will controlled cylinder piston and move forward, and finish until firing action.Percussion is pressed SR after finishing, and cylinder piston will move backward, drives the tissue closure assembly and resets, and opens jaw.
Use the hand-held device of seam nail mode, its tissue closure assembly comprises suturing nail, nail bin, nail pushing device, nail supporting base, ejector pin slide block as shown in Figure 7.During work, as shown in Figure 8, driving device promotes the ejector pin slide block by drive mechanism and moves forward at the inner face of nail casket base, the inclined-plane of ejector pin slide block cooperates with the inclined-plane of nail pushing device bottom, because nail pushing device is installed in the nail bin, can only slide up and down, be subjected to the thrust of ejector pin slide block after, nail pushing device is up along the inclined-plane of ejector pin slide block, is oppressing the nail Slot shaping of titanium nail along nail supporting base.
As shown in Figure 9, a kind of hand-held device that uses the seam nail, it can be divided into two big units, and one is disposable binding unit, and another is a reusable rifle body in an operation, will be referred to as split type hand-held device below this structure.Split type hand-held device, its binding unit has comprised tissue closure assembly and photographic head.Signal processing apparatus, driving device and sender unit then are included in the rifle body.Photographic head generally is positioned at the unitary front end of binding, and the data signal of collection is delivered to embedded metal contact on the periphery of the nail casket shell afterbody that the binding unit cooperates with the rifle body by the cable that is embedded in inside, binding unit.The corresponding metal clips that on gun barrel inner core inwall, also is embedded with correspondence, during use, the unitary nail casket of binding shell will insert in the gun barrel inner core of rifle body, can not deviate from by the rotation finger lock, and metal contact and metal clips snug fit are guaranteed circuit turn-on simultaneously.The cable that metal clips on the gun barrel inner core is derived is connected to control circuit, and the signal processing apparatus in the control circuit is handled the back to signal and is delivered to signal reception Play System by sender unit in wireless or wired mode.
The relative rear end of hand-held device front end preferably can relatively rotate, use with the handled easily person, if unconfinedly freely rotate but do, then might cause inner cable to take place to twine goes wrong, therefore in the design of rotation, consider to adopt conditional turning to, promptly can begin to rotate respectively counterclockwise clockwise near 180 degree from the reference position.As shown in figure 10, on the groove of shell, be provided with the spline muscle, on the swivel head of corresponding 180 degree, also be provided with the spline sheet, when the spline muscle is run in the swivel head rotation, will stop operating.
The mode of tissue closure is not only the mode of using the seam nail, otherwise all the present invention can be applied to wherein as closed clamp, ultrasound knife etc.As shown in figure 11, a kind of hand-held device that uses closed clamp, it comprises Power Drive Unit, the tissue closure assembly, minisize pick-up head, signal processing apparatus, sender unit, wherein minisize pick-up head is positioned at the front end of device.Shown in Figure 12,13, a kind of hand-held device that uses ultrasound knife, it comprises Power Drive Unit equally, the tissue closure assembly, minisize pick-up head, signal processing apparatus, sender unit, different is, and its Power Drive Unit will only provide the closing motion of jaw, realize that really the required energy of tissue closure will be provided by external transducer.
The above-mentioned description to embodiment is can understand and use the present invention for ease of those skilled in the art.The person skilled in the art obviously can easily make various modifications to these embodiment, and needn't pass through performing creative labour being applied in the General Principle of this explanation among other embodiment.Therefore, the invention is not restricted to the foregoing description, those skilled in the art should be within protection scope of the present invention for improvement and modification that invention is made according to announcement of the present invention.
Claims (7)
1. surgical tissue closing device, it is characterized in that: it comprises:
Hand-held device comprises:
Driving device provides closed and the percussion required drive;
The tissue closure assembly, the power that provides by driving device operates in fact;
Minisize pick-up head is positioned at the front end of hand-held device, gathers video signal, by default circuit the surgical environments video signal converted is delivered to signal processing apparatus;
Signal processing apparatus is converted to digital signal with the video signal of minisize pick-up head collection;
Sender unit sends digital signal;
Signal receives Play System, comprising:
Signal receiving device receives the digital signal that hand-held device sends;
Signal processing apparatus is converted to video signal with the digital signal that receives, and exports display terminal to;
Display terminal is play the video signal that receives.
2. surgical tissue closing device as claimed in claim 1 is characterized in that: the front end of described hand-held device is rotatable, and rotary apparatus is provided with draw-in groove, prevents excessive rotation.
3. surgical tissue closing device as claimed in claim 1 is characterized in that: described hand-held device and signal receive the transmission of data between the Play System and adopt the mode of wireless mode or data wire to realize.
4. surgical tissue closing device as claimed in claim 1 is characterized in that: the drive source of described driving device is manual, electronic or pneumatic.
5. surgical tissue closing device as claimed in claim 1 is characterized in that: described tissue closure assembly is seam nail, closed clamp or ultrasound knife.
6. surgical tissue closing device as claimed in claim 5 is characterized in that: described tissue closure assembly is the seam nail, its driving device and seam nail closing assembly one, and minisize pick-up head and driving device are in same structure, and the nail bin parts are interchangeable.
7. surgical tissue closing device as claimed in claim 5 is characterized in that: described tissue closure assembly is the seam nail, and its driving device is separate with seam nail closing assembly, minisize pick-up head and seam nail closing assembly one, and seam nail closing assembly is interchangeable.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201010244670 CN101897608A (en) | 2010-08-03 | 2010-08-03 | Surgical tissue closing device with visual function |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN 201010244670 CN101897608A (en) | 2010-08-03 | 2010-08-03 | Surgical tissue closing device with visual function |
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| CN101897608A true CN101897608A (en) | 2010-12-01 |
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| CN 201010244670 Pending CN101897608A (en) | 2010-08-03 | 2010-08-03 | Surgical tissue closing device with visual function |
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Cited By (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104173092A (en) * | 2014-09-12 | 2014-12-03 | 李爱军 | Device for removing tissue |
| CN105640680A (en) * | 2014-11-29 | 2016-06-08 | 朝日英达科株式会社 | Stent delivery system |
| CN106901787A (en) * | 2015-12-22 | 2017-06-30 | 苏州天臣国际医疗科技有限公司 | Tissue closing device, tissue closure component and the medicine equipment equipped with the tissue closing device |
| CN109223111A (en) * | 2018-11-15 | 2019-01-18 | 刘侃 | A kind of surgical forceps for abdominoscope |
| CN109965928A (en) * | 2019-04-27 | 2019-07-05 | 江苏凯尔特医疗科技有限公司 | Previous anastomotic with visual function checks patcher |
| CN113143371A (en) * | 2021-04-22 | 2021-07-23 | 武汉工程大学 | Electric endoscope anastomat with image transmission structure |
| CN113892989A (en) * | 2021-10-09 | 2022-01-07 | 安徽国泰国瑞医疗科技有限公司 | Disposable electric endoscope linear cutting anastomat |
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Cited By (9)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN104173092A (en) * | 2014-09-12 | 2014-12-03 | 李爱军 | Device for removing tissue |
| CN105640680A (en) * | 2014-11-29 | 2016-06-08 | 朝日英达科株式会社 | Stent delivery system |
| CN106901787A (en) * | 2015-12-22 | 2017-06-30 | 苏州天臣国际医疗科技有限公司 | Tissue closing device, tissue closure component and the medicine equipment equipped with the tissue closing device |
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| CN109223111A (en) * | 2018-11-15 | 2019-01-18 | 刘侃 | A kind of surgical forceps for abdominoscope |
| CN109965928A (en) * | 2019-04-27 | 2019-07-05 | 江苏凯尔特医疗科技有限公司 | Previous anastomotic with visual function checks patcher |
| CN109965928B (en) * | 2019-04-27 | 2024-04-09 | 江苏凯尔特医疗科技有限公司 | Anastomotic stoma inspection repairing device with visual function |
| CN113143371A (en) * | 2021-04-22 | 2021-07-23 | 武汉工程大学 | Electric endoscope anastomat with image transmission structure |
| CN113892989A (en) * | 2021-10-09 | 2022-01-07 | 安徽国泰国瑞医疗科技有限公司 | Disposable electric endoscope linear cutting anastomat |
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Application publication date: 20101201 |