CN105816238B - A kind of endoscopic inferior mucosa excision lifting cutter - Google Patents
A kind of endoscopic inferior mucosa excision lifting cutter Download PDFInfo
- Publication number
- CN105816238B CN105816238B CN201610141356.6A CN201610141356A CN105816238B CN 105816238 B CN105816238 B CN 105816238B CN 201610141356 A CN201610141356 A CN 201610141356A CN 105816238 B CN105816238 B CN 105816238B
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- Prior art keywords
- electric knife
- jaw
- haulage cable
- bending
- support
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00482—Digestive system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00601—Cutting
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- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Otolaryngology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of endoscopic inferior mucosas to cut off with lifting cutter, it is characterized in that main body spring hose front end is connected with second support, second support is rotatablely connected by pin shaft and hard tube, the hard tube is connect by lifting by crane spring hose with first support, jaw is installed in first support, the hard tube is connect with the first bending haulage cable, the first support is connect with the second bending haulage cable, the jaw is connect with jaw haulage cable, the second support is also equipped with electric knife, and the electric knife is connect with electric knife control steel wire.When use, bending haulage cable control lifting spring hose bending can be passed through, jaw is controlled by jaw haulage cable simultaneously to open, then control jaw closure bites mucous membrane, pass through the bending state of bending haulage cable control lifting spring hose again, to lift mucous membrane, finally stretches out electric knife and cut mucous membrane.The advantage of the invention is that structure is simple, mucous membrane can be lifted, to cut.
Description
Technical field
The present invention relates to a kind of medical instruments, and in particular to a kind of endoscopic inferior mucosa excision lifting cutter.
Background technique
With the endoscope cutting device moved axially and in rotation one kind is disclosed application No. is 200780027241.3
Endo-surgical component comprising elongated interior component and elongated external component, each slender member includes setting
In its proximal end coordinating hub, be placed in the aperture of its distal end and stretch and defined in the inner surface and the outer surface along its length
The chambers of the heart, the internal component are sized to be slidably received in the described intracavitary of the external component, to work as the inside
When wheel shaft and the outer wheels axis connection, the respective apertures of the internal component and the external component with cut off and its
The tissue of contact, the component further include in the internal component and the external component relative rotation automatically transmitting described in
The device of relative axial movement between internal component and the external component.
Application No. is 02261715.9 utility models to be related to a kind of endoscope cutting integrated device, there is endoscope, and feature is
Combination has electric knife, is made of the endoscope cutter of electric knife pipe, endoscope casing tube and flushing suction tube, is equipped in the electric knife pipe
Straight peen electric knife pipe or elbow electric knife pipe are inserted into endoscope lens in the endoscope casing tube, rinse suction tube and are connected to flusher
And vacuum extractor.
It can be seen that existing endoscope cutter is all that knife is cut mucous membrane by direct stretching one, due to that can not extract mucous membrane
So cutting is very inconvenient.
Summary of the invention
The purpose of the present invention is to provide a kind of endoscopic inferior mucosas to cut off with cutter is lifted by crane, and can sling mucous membrane, side
Just cutter is cut.
To achieve the goals above, the technical scheme is that a kind of endoscopic inferior mucosa excision lifting cutter, packet
Include main body spring hose, it is characterised in that main body spring hose front end is connected with second support, and second support passes through pin shaft
It is rotatablely connected with hard tube, the hard tube is connect by lifting by crane spring hose with first support, jaw is equipped in first support, institute
It states hard tube to connect with the first bending haulage cable, the first support is connect with the second bending haulage cable, the jaw
It is connect with jaw haulage cable, the second support is also equipped with electric knife device, and the electric knife device and electric knife control steel wire
Connection.
Preferred embodiment in accordance with the present invention, it is described first bending haulage cable, second bending haulage cable with it is curved
Bent motion action handle connection, the jaw haulage cable are connect with jaw operation handle, the electric knife control steel wire and electricity
The connection of knife regulation handle.Pass through the first bending of flexure operation operation handle operation haulage cable, the second bending haulage cable
Come control lifting spring hose bending state, by jaw operation handle operate jaw haulage cable come control jaw folding
State controls electric knife control steel wire by electric knife regulation handle and is cut to control electric knife device.
Preferred embodiment in accordance with the present invention is provided with lock in the flexure operation operation handle and jaw operation handle
Device is determined, to lock the bending state and jaw folding condition of lifting spring hose.
The first reseting leaf, the hard tube is arranged in preferred embodiment in accordance with the present invention, the lifting spring hose bottom
The second reseting leaf is set with second support junction, is resetted with helping to lift by crane spring hose from bending state.
Preferred embodiment in accordance with the present invention, the electric knife device include rotating wheel and the electricity that is mounted on rotating wheel
Knife, the rotating wheel are mounted in second support by compression spring, and the rotating wheel is connect with electric knife control steel wire, by electric knife
Control steel wire controls its rotation, and the electric knife can follow rotating wheel to rotate, to realize the movement of electric knife cutting mucous membrane.
In use, by main body spring hose, lifting spring under main body spring hose and lifting spring hose straight configuration
Hose and jaw, which protrude into, needs cutting part in vivo, then by bending haulage cable control lifting spring hose bending, together
When jaw controlled by jaw haulage cable open, then control jaw closure and bite mucous membrane, then pass through operation bending traction
The bending state of wirerope control lifting spring hose finally stretches out electric knife and cuts mucous membrane to lift mucous membrane.Of the invention is excellent
Point is that structure is simple, can lift mucous membrane, to cut.
Detailed description of the invention
Fig. 1 is first state schematic diagram of the invention.
Fig. 2 is the second status diagram of the invention.
Fig. 3 is third state schematic diagram of the invention.
Fig. 4 is the 4th status diagram of the invention.
Fig. 5 is the structural schematic diagram of operation handle of the invention.
Fig. 6 is the structural schematic diagram of electric knife device of the invention.
Fig. 7 is the driving schematic diagram of electric knife device of the invention.
Specific embodiment
The invention will be further described with reference to the accompanying drawings and examples.
It include: main body spring hose 1, second support 2, hard tube 3, lifting spring hose 4, first support 5, tooth form pincers in figure
Mouth 6, the first bending haulage cable 7, the second bending haulage cable 8, jaw haulage cable 9, electric knife 10, electric knife control steel
Silk 11, the first reseting leaf 12, the second reseting leaf 13, rotating wheel 14, torque spring 15, handle mobile jib 16, flexure operation behaviour
Make handle 17, jaw operation handle 18, electric knife regulation handle 19, electric knife high-frequency electronic interface 20, locking wheel 21, PTFE insulation sleeve
22, washer 23, laser welding 24, driving wheel 25.
As shown, a kind of endoscopic inferior mucosa excision is with lifting cutter, the main body spring hose 1 including scope is special
Sign is that 1 front end of main body spring hose is connected with second support 2, and second support 2 is rotatablely connected by pin shaft and hard tube 3,
The hard tube 3 is connect with the rear end of lifting spring hose 4, and the front end of the lifting spring hose 4 is connect with first support 5, the
Tooth form jaw 6 is installed on one bracket 5, a bending haulage cable is respectively arranged in the both ends of the lifting spring hose 4, wherein
First bending haulage cable 7 is connect with the rear end of hard tube 3, and the rear end of the second bending haulage cable 8 and first support 5 connects
It connects, the tooth form jaw 6 is connect with jaw haulage cable 9, and the second support 2 is also equipped with electric knife device, the electric knife
Device is connect with electric knife control steel wire 11.
The first reseting leaf 12 is arranged in 4 bottom of lifting spring hose, and the hard tube 3 is set with 2 junction of second support
The second reseting leaf 13 is set, is resetted with helping to lift by crane spring hose from bending state.
Fig. 1 is that endoscopic inferior mucosa excision lifting cutter of the invention enters the state before pincers road, i.e., the first bending is led
Drawing wirerope 7, second to be bent haulage cable 8 is relaxation state, therefore lifts by crane spring hose 4 and main body spring hose 1
Straight configuration is kept, tooth form jaw 6 is closed.
Fig. 2 is that endoscopic inferior mucosa excision lifting cutter of the invention enters the state behind pincers road, tightens first at this time
It is bent haulage cable 7, second and is bent haulage cable 8, so that lifting spring hose 4 is in bending state, and operates jaw and lead
Draw wirerope 9 and makes 6 open configuration of tooth form jaw.Due to tightening first bending haulage cable 7 so that hard tube 3 be inconjunction with
It lifts by crane spring hose 4 to rotate around pin shaft, the angle between hard tube 3 and second support 2 changes, and tightens the second bending traction
Wirerope 8 shortens the distance between first support and second support, so that lifting spring hose 4 is in bending
State.Therefore the first bending of tightening simultaneously haulage cable 7, second, which is bent haulage cable 8, may make hard tube 3 to be upturned, and rise
Spring hose 4 is hung in bending state.
Fig. 3 is the state that mucous membrane is bitten in endoscopic inferior mucosa excision of the invention with lifting cutter, operates jaw at this time and leads
Drawing wirerope 9 makes the closure of tooth form jaw 6 bite mucous membrane, and then the first bending of tightening bending of haulage cable 7, second is led again
Draw wirerope 8, so that tooth form jaw 6 lifts the mucous membrane bitten.
Fig. 4 is the state of endoscopic inferior mucosa excision lifting cutter cuts mucous membrane of the invention, operates electric knife control at this time
Steel wire 11 processed stretches out electric knife, cuts mucous membrane, and the mucous membrane cut down stays on tooth form jaw 6.Due to according to the present invention excellent
Embodiment is selected, the electric knife is mounted on rotating wheel, and it can rotate and be cut along the horizontal plane, the scope sheet in this way in cutting process
Body does not need to move, and can be convenient cutting process.
After completing cutting, electric knife is withdrawn, while loosening the first bending haulage cable 7, second bending haulage cable 8,
Under the action of the first reseting leaf 12 and the second reseting leaf 13, hard tube 3, lifting spring hose 4 reset, tooth form jaw 6
Then continue to be closed.Endoscopic inferior mucosa can thus be cut off and be taken out out of pincers road with lifting cutter.
Fig. 5 is the structural schematic diagram of operation handle of the invention.As shown, the operation handle includes handle mobile jib 16,
Flexure operation operation handle 17, jaw operation handle 18 and electric knife regulation handle 19, flexure operation are installed on handle mobile jib 16
Operation handle 17 and jaw operation handle 18 are slidably connected with handle mobile jib 16, the first bending haulage cable 7, second
Bending haulage cable 8 is connect with flexure operation operation handle 17, and the jaw haulage cable 9 connects with jaw operation handle 18
It connects, the electric knife control steel wire 11 is connect with electric knife regulation handle 19.Make the first bending by flexure operation operation handle behaviour 17
Haulage cable 7, second is bent haulage cable 8 to control the bending state of lifting spring hose 4, passes through jaw operation handle
Behaviour 18 makees jaw haulage cable 9 to control jaw folding condition, controls electric knife by electric knife regulation handle 19 and controls steel wire 11
It is cut to control electric knife device.
Locking wheel 21, flexure operation manipulator are also set up in the flexure operation operation handle 17, jaw operation handle 18
Handle 17 and jaw operation handle 18 can be slided along handle mobile jib 16, lock position using locking wheel 21 after movement in place.
Electric knife high-frequency electronic interface 20 is additionally provided in electric knife regulation handle 19.
Fig. 6 is the structural schematic diagram of electric knife device of the invention.The electric knife device includes rotating wheel 14 and is mounted on
Electric knife 10 on rotating wheel 14, the rotating wheel 14 are mounted in second support 2, and a short axle is arranged in the rotating wheel bottom, should
Short axle passes through after the shaft hole in second support 2 with a washer 23 through laser welding 24, and rotating wheel 14 and second support 2 it
Between be additionally provided with a torque spring 15, the rotating wheel 14 connect with electric knife control steel wire 11, is controlled steel wire 11 by electric knife and is controlled
It is rotated, and the electric knife 10 can follow rotating wheel 14 to rotate, to realize that electric knife 10 cuts the movement of mucous membrane.The electric knife is by electricity
Knife stainless steel wire is made, in electric knife stainless steel wire outsourcing PTFE insulation sleeve 22.Insulation sleeve is wrapped in the root of electric knife stainless steel wire
, front end is exposed.
Fig. 7 is the connection schematic diagram of electric knife regulation handle 19 and rotating wheel 14.19 bottom of electric knife regulation handle setting one is driven
Driving wheel 25, driving wheel 25 and the setting electric knife control steel wire 11 between rotating wheel 14, in the side of rotating wheel 14 and driving wheel 25
Annular recess is circumferentially offered respectively, and it is a cyclic structure that electric knife, which controls steel wire 11, and both ends are wound around rotating wheel 14 respectively
In the annular recess of driving wheel 25, and the upper and lower sides of the annular recess are respectively provided with mutual cooperation detent projection, the electric knife
Control steel wire 11 is embedded between the detent projection of the cooperation.Rotating wheel 14 can be driven by rotating electric knife regulation handle 19 in this way
Rotation is cut so that the electric knife being arranged on rotating wheel 14 be driven to rotate along the horizontal plane.
Claims (5)
1. a kind of endoscopic inferior mucosa excision lifting cutter, including main body spring hose, it is characterised in that the main body spring
Hose front end is connected with second support, and second support is rotatablely connected by pin shaft and hard tube, and the hard tube is soft by lifting spring
Pipe is connect with first support, is equipped with jaw in first support, and the hard tube is bent haulage cable with first and connect, and described the
One bracket is connect with the second bending haulage cable, and the jaw is connect with jaw haulage cable, and the second support is also pacified
Equipped with electric knife device, the electric knife device is controlled by electric knife control steel wire.
2. a kind of endoscopic inferior mucosa excision lifting cutter as described in claim 1, it is characterised in that first bending
Haulage cable, the second bending haulage cable are connect with flexure operation operation handle, the jaw haulage cable and jaw
Operation handle connection, the electric knife control steel wire are connect with electric knife regulation handle, pass through flexure operation operation handle operation first
Bending haulage cable, second are bent haulage cable to control the bending state of lifting spring hose, pass through jaw manipulator
Handle operates jaw haulage cable to control jaw folding condition, controls electric knife control steel wire by electric knife regulation handle to control
Electric knife device is cut.
3. a kind of endoscopic inferior mucosa excision lifting cutter as claimed in claim 2, it is characterised in that the flexure operation
It is provided with locking device in operation handle and jaw operation handle, to lock the bending state and pincers of lifting spring hose
Mouth folding condition.
4. a kind of endoscopic inferior mucosa excision lifting cutter as claimed in claim 2, which is characterized in that the lifting spring
The first reseting leaf is arranged in hose bottom, and the second reseting leaf is arranged in the hard tube and second support junction.
5. a kind of endoscopic inferior mucosa excision lifting cutter as described in claim 1, which is characterized in that the electric knife device
Including rotating wheel and the electric knife being mounted on rotating wheel, the rotating wheel is mounted in second support by compression spring, institute
It states rotating wheel to connect with electric knife control steel wire, its rotation is controlled by electric knife control steel wire, the electric knife can follow rotating wheel to rotate,
To realize the movement of electric knife cutting mucous membrane.
Applications Claiming Priority (2)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN2015109857109 | 2015-12-25 | ||
| CN201510985710 | 2015-12-25 |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105816238A CN105816238A (en) | 2016-08-03 |
| CN105816238B true CN105816238B (en) | 2019-08-23 |
Family
ID=56987235
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610141356.6A Expired - Fee Related CN105816238B (en) | 2015-12-25 | 2016-03-14 | A kind of endoscopic inferior mucosa excision lifting cutter |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN105816238B (en) |
Families Citing this family (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN110537957A (en) * | 2019-09-24 | 2019-12-06 | 浙江量子医疗器械有限公司 | Controllable grasping forceps for orthopedics department |
| CN111904472B (en) * | 2020-07-06 | 2024-05-28 | 张重医 | Single type uterine cavity electric cutter |
| CN113616149A (en) * | 2021-07-23 | 2021-11-09 | 山东第一医科大学附属省立医院(山东省立医院) | Enteroscope and using method thereof |
Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5860995A (en) * | 1995-09-22 | 1999-01-19 | Misener Medical Co. Inc. | Laparoscopic endoscopic surgical instrument |
| CN101909526A (en) * | 2007-12-31 | 2010-12-08 | 坎布里奇内窥镜设备有限公司 | Surgical instrument |
| CN203042429U (en) * | 2012-12-31 | 2013-07-10 | 上海安通医疗科技有限公司 | Controllable type radio frequency catheter electrode device |
| CN103877663A (en) * | 2012-12-20 | 2014-06-25 | 上海微创电生理医疗科技有限公司 | Bending control device for catheter and catheter comprising same |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US8105350B2 (en) * | 2006-05-23 | 2012-01-31 | Cambridge Endoscopic Devices, Inc. | Surgical instrument |
-
2016
- 2016-03-14 CN CN201610141356.6A patent/CN105816238B/en not_active Expired - Fee Related
Patent Citations (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5860995A (en) * | 1995-09-22 | 1999-01-19 | Misener Medical Co. Inc. | Laparoscopic endoscopic surgical instrument |
| CN101909526A (en) * | 2007-12-31 | 2010-12-08 | 坎布里奇内窥镜设备有限公司 | Surgical instrument |
| CN103877663A (en) * | 2012-12-20 | 2014-06-25 | 上海微创电生理医疗科技有限公司 | Bending control device for catheter and catheter comprising same |
| CN203042429U (en) * | 2012-12-31 | 2013-07-10 | 上海安通医疗科技有限公司 | Controllable type radio frequency catheter electrode device |
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| Publication number | Publication date |
|---|---|
| CN105816238A (en) | 2016-08-03 |
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Granted publication date: 20190823 Termination date: 20200314 |