CN112137685B - High-stability ultrasonic knife handle instrument for surgical endoscopic surgery - Google Patents
High-stability ultrasonic knife handle instrument for surgical endoscopic surgery Download PDFInfo
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- CN112137685B CN112137685B CN202010938060.3A CN202010938060A CN112137685B CN 112137685 B CN112137685 B CN 112137685B CN 202010938060 A CN202010938060 A CN 202010938060A CN 112137685 B CN112137685 B CN 112137685B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
- A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
- A61B2017/320032—Details of the rotating or oscillating shaft, e.g. using a flexible shaft
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/32007—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with suction or vacuum means
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320082—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for incising tissue
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B17/320092—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw
- A61B2017/320093—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with additional movable means for clamping or cutting tissue, e.g. with a pivoting jaw additional movable means performing cutting operation
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Abstract
The invention discloses a high-stability ultrasonic knife handle appliance for surgical endoscopic surgery, which belongs to the technical field of medical instruments and comprises an ultrasonic knife handle, wherein a through ball is sleeved on the inner side of the ultrasonic knife handle, and a connecting cylinder is fixedly connected to one end face, far away from the ultrasonic knife handle, of the through ball. According to the invention, through the mutual matching of the designed through-center ball, the torsion spring, the supporting spring, the elastic bag, the fastening bolt, the threaded hole and the ultrasonic knife telescopic groove, the angle of the ultrasonic knife is reasonably controlled, the orientation of the blade part of the ultrasonic knife is adjusted according to the operation requirement, and the cutter is driven to rotate to the angle required to work, so that the work of medical personnel is more convenient, the efficiency of the surgical operation is improved, the operation of the surgical operation is simplified, the exposed length of the ultrasonic knife is determined, the surgical operation of tissue in a body cavity is facilitated, the pollution of the lens part of monitoring equipment can be avoided, the flowing speed of physiological saline in the abdominal cavity can be promoted, and the heat dissipation rate of the ultrasonic knife can be increased.
Description
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a high-stability ultrasonic knife handle instrument for surgical endoscopic surgery.
Background
Due to the advances in technology, it has become possible to perform surgery through smaller incisions, so that the destruction of the tissue is smaller than in conventional surgery, through a keyhole-sized incision, the surgeon can insert a small light source, a camera and surgical instruments, and the surgeon, through the images transmitted to the monitor, directs the operation of the surgical instruments to perform the surgery, which is called laparoscopic surgery when performed in the abdominal cavity, arthroscopic surgery when performed in the joints, and thoracoscopic surgery when performed in the thoracic cavity.
Laparoscopic surgery causes less damage than traditional surgery, and laparoscopic surgery has many advantages: the time of being in hospital is shorter (most cases), the postoperative is painful still less, can earlier return to the work post, the scar is littleer, however, current ultrasonic knife handle utensil for laparoscopic surgery still has certain weak point at the in-process that uses, its stability is relatively poor, the peritoneoscope suffers the pollution easily, and the radiating effect of ultrasonic knife is not good, need take out ultrasonic knife handle utensil by the patient abdominal cavity after using a period of time, and under the prevailing circumstances, the inclination of ultrasonic knife is uncontrollable, the orientation of ultrasonic knife cutting part is unadjustable, lead to medical personnel when carrying out laparoscopic surgery to the patient, there is more inconvenience, the process that leads to laparoscopic surgery is comparatively complicated, patient's painful sense has been increased, consequently, urgent need for a high stability's ultrasonic knife handle utensil for laparoscopic surgery on the market at present stage to solve above-mentioned problem.
Disclosure of Invention
The invention aims to: in order to solve the problems that the existing ultrasonic knife handle appliance for the endoscopic surgery in the use process still has certain defects, the stability is poor, the laparoscope is easily polluted, the heat dissipation effect of the ultrasonic knife is poor, the ultrasonic knife handle appliance needs to be taken out from the abdominal cavity of a patient after being used for a period of time, in the normal condition, the inclination angle of the ultrasonic knife is not controllable, the orientation of the blade part of the ultrasonic knife is not adjustable, and medical workers are led to have more inconvenience when performing the endoscopic surgery on the patient, the process of the endoscopic surgery is complex, and the pain of the patient is increased, the ultrasonic knife handle appliance for the endoscopic surgery with high stability is provided.
In order to achieve the purpose, the invention adopts the following technical scheme:
a high-stability ultrasonic knife handle appliance for surgical endoscopic surgery comprises an ultrasonic knife handle, wherein a through ball is sleeved on the inner side of the ultrasonic knife handle, a connecting cylinder is fixedly connected to one end face, far away from the ultrasonic knife handle, of the through ball, an ultrasonic knife holder is fixedly connected to one end, far away from the through ball, of the connecting cylinder, one end, close to the connecting cylinder, of the ultrasonic knife holder is fixedly connected with the end part of an output shaft of an ultrasonic knife holder adjusting motor, the body of the ultrasonic knife holder adjusting motor is fixedly connected with the inner side wall of the connecting cylinder through a machine base, an ultrasonic knife telescopic groove is formed in one end, far away from the connecting cylinder, of the ultrasonic knife holder, an ultrasonic knife is sleeved in the ultrasonic telescopic groove, a cableway is formed in the wall body of the ultrasonic knife handle, a traction cable penetrates through the cableway, one end of the traction cable is fixedly connected with the surface of the through ball, and the other end of the traction, the end part of the wrench is positioned in a through hole formed in the top of the ultrasonic knife handle, the inner side wall of the through hole is hinged with the end face of the wrench through a pin shaft, and the bottom of the wrench is fixedly connected with the top of the ultrasonic knife handle through a supporting spring.
As a further description of the above technical solution:
the end part of the through ball is fixedly connected with a torsion shaft, the torsion shaft is positioned in a limiting groove formed in the inner side wall of the handle of the ultrasonic scalpel, a torsion spring is sleeved on the surface of the torsion shaft, one end of the torsion spring is fixedly connected to the torsion shaft, and the other end of the torsion spring is fixedly connected with the inner side wall of the limiting groove.
As a further description of the above technical solution:
the surface of the connecting cylinder is sleeved with a flexible sealing sleeve, and the side surface of the flexible sealing sleeve is fixedly connected with one end surface close to the handle of the ultrasonic knife.
As a further description of the above technical solution:
the ultrasonic knife is characterized in that a groove is formed in the surface of the ultrasonic knife holder corresponding to the ultrasonic knife telescopic groove, a threaded hole is formed in the end face of the inner side of the groove, a fastening bolt is connected with the threaded hole in a threaded mode, one end, close to the ultrasonic knife, of the fastening bolt is fixedly connected with an anti-skidding piece, and the anti-skidding piece is connected with one face, close to the ultrasonic knife, of the anti-skidding piece.
As a further description of the above technical solution:
the one end that the connecting cylinder was kept away from to supersound sword blade holder is provided with supervisory equipment, supervisory equipment is formed by camera and the supporting light source combination that uses to the one end that the connecting cylinder was kept away from to supersound sword blade holder joint respectively has negative pressure drainage tube and induction pipe, and the equal joint of induction pipe and negative pressure drainage tube is in supersound sword blade holder, and induction pipe and negative pressure drainage tube are equallyd divide and are do not lie in connecting cylinder, logical heart ball and supersound handle.
As a further description of the above technical solution:
one end of the negative pressure drainage tube, which is far away from the ultrasonic scalpel holder, is provided with a negative pressure drainage bag, and the negative pressure drainage tube is provided with a first flow regulating valve.
As a further description of the above technical solution:
one end of the leading-in pipe, which is far away from the ultrasonic scalpel seat, is communicated with one end, which is close to the elastic bag, of the first check valve pipe, a second flow regulating valve is arranged on the first check valve pipe, the other end of the elastic bag is communicated with one end, which is close to the connecting pipe, of the second single valve pipe, and a physiological saline storage box is arranged at one end, which is far away from the second single valve pipe, of the connecting pipe.
As a further description of the above technical solution:
the first check valve pipe is formed by combining a flexible pipe and a check valve arranged in the flexible pipe, and the second check valve pipe is formed by combining a flexible pipe and a check valve arranged in the flexible pipe.
As a further description of the above technical solution:
the input of supersound sword blade holder accommodate motor passes through the wire and the output electric connection of switch, the input of switch passes through the wire and the output electric connection of power, switch and power all set up the surface at supersound sword handle.
As a further description of the above technical solution:
the cross-sectional shape that the ultrasonic knife telescopic groove looked sideways is the same with the cross-sectional shape that the ultrasonic knife looked sideways, just the length of ultrasonic knife is less than the length of ultrasonic knife telescopic groove.
In summary, due to the adoption of the technical scheme, the invention has the beneficial effects that:
1. according to the invention, through the mutual matching of the designed through-center ball, the torsion spring, the supporting spring, the elastic bag, the negative pressure drainage tube, the fastening bolt, the threaded hole and the ultrasonic knife telescopic groove, the angle of the ultrasonic knife is reasonably controlled, the orientation of the edge part of the ultrasonic knife is adjusted according to the operation requirement, and the cutter is driven to rotate to the angle required to work, so that the work of medical personnel is more convenient, the efficiency of the surgical operation is improved, the operation of the surgical operation is simplified, the exposed length of the ultrasonic knife is determined, the surgical operation of tissues in a body cavity is facilitated, the pollution to the lens position of monitoring equipment can be avoided, the flowing speed of physiological saline in the abdominal cavity can be promoted, and the heat dissipation rate of the ultrasonic knife can be accelerated.
2. In the invention, through the designed through center ball, torsion shaft, limiting groove, torsion spring, cableway, traction cable, wrench, supporting spring and pin shaft, under the condition that the wrench is not subjected to external force, the supporting spring can balance the torsion spring, the wrench is pressed, the wrench rotates clockwise around the pin shaft as a circle center, one end of the wrench far away from the supporting spring is tilted upwards, in the process, part of the traction cable positioned outside the cableway enters the cableway, the torsion spring performs reset action, the through center ball performs rotation action along the anticlockwise direction, in the process, the ultrasonic knife on the ultrasonic knife seat performs synchronous action under the driving of the connecting cylinder, the thumb pushes the wrench upwards, the wrench rotates anticlockwise around the pin shaft as a circle center, one end of the wrench far away from the supporting spring descends, in the process, the traction cable positioned inside the cableway moves out of the cableway, the torsion spring is deformed under the driving of the torsion shaft, the center-through ball rotates clockwise, and in the process, the ultrasonic knife on the ultrasonic knife holder rotates clockwise under the driving of the connecting cylinder, so that the angle of the ultrasonic knife is reasonably controlled, the work of medical staff is more convenient, the efficiency of a surgical operation is improved, and the operation of the surgical operation is simplified.
3. According to the ultrasonic scalpel, the ultrasonic scalpel base adjusting motor and the base are designed, the operation switch controls the ultrasonic scalpel base adjusting motor to rotate, and the ultrasonic scalpel is driven by the ultrasonic scalpel base to synchronously rotate with the output shaft of the ultrasonic scalpel base adjusting motor, so that the direction of the edge of the ultrasonic scalpel can be adjusted, the scalpel is driven to rotate to a required working angle, and surgical operation work of medical staff is facilitated.
4. According to the ultrasonic scalpel handle, the fastening bolt is twisted to rotate in the threaded hole through the designed ultrasonic scalpel telescopic groove, the threaded hole, the fastening bolt and the anti-slip piece, so that the anti-slip piece is separated from the ultrasonic scalpel, then the ultrasonic scalpel can be replaced or the exposed length of the ultrasonic scalpel in the ultrasonic scalpel telescopic groove can be adjusted, after the ultrasonic scalpel is replaced or the exposed length is adjusted, the fastening bolt is twisted again to ensure the stability of the ultrasonic scalpel by utilizing the friction force between the anti-slip piece and the ultrasonic scalpel, on one hand, the replacement frequency of the ultrasonic scalpel handle can be reduced to a certain extent through the disassembly and replacement of the ultrasonic scalpel, on the other hand, the exposed length of the ultrasonic scalpel can be determined according to the internal structure of an affected part of a patient, and the operation of tissues in a body cavity.
5. According to the invention, by the designed flexible sealing sleeve, the flexible sealing sleeve deforms in the process that the connecting cylinder rotates anticlockwise or clockwise under the drive of the through-center ball, so that the sealing property between the connecting cylinder and the ultrasonic knife handle is ensured.
6. In the invention, through the designed negative pressure drainage tube, the first flow regulating valve and the negative pressure drainage bag, the impurities such as tissue fluid, normal saline, dirty blood and the like in the abdominal cavity can be extracted by utilizing the negative pressure drainage tube and the negative pressure drainage bag, the lens part of the monitoring equipment is prevented from being polluted, the flow speed of the normal saline in the abdominal cavity can be promoted, the heat dissipation rate of the ultrasonic knife can be accelerated, the drainage quantity of the negative pressure drainage tube in unit time can be controlled by operating the first flow regulating valve, the elastic sac is pressed through the designed normal saline storage box, the connecting pipe, the first single valve pipe, the second single valve pipe, the elastic sac and the second flow regulating valve, under the action of pressure, the first one-way valve pipe is in a conducting state, the second single valve pipe is in a closed state, so that the normal saline stored in the elastic sac can be guided into the abdominal cavity of a patient through the guiding pipe, the acting force on the elastic bag is removed, the elastic bag performs the reset action, the first one-way valve tube is in a closed state, and the second one-way valve tube is in a communicated state, so that the physiological saline in the physiological saline storage box can be sucked into the elastic bag.
Drawings
FIG. 1 is a schematic perspective view of an ultrasonic knife handle tool for high stability surgical endoscopic surgery according to the present invention;
FIG. 2 is a schematic cross-sectional structure view of a top view of an ultrasonic knife handle tool for a high-stability surgical endoscopic surgery, which is provided by the invention;
FIG. 3 is a schematic sectional structure view of a front view of an ultrasonic knife handle tool for a high-stability surgical endoscopic surgery, which is provided by the invention;
FIG. 4 is an enlarged structural schematic view of a position F of the ultrasonic knife handle tool for the high-stability endoscopic surgery in the invention;
FIG. 5 is an enlarged structural schematic view of a position B of the ultrasonic knife handle tool for the high-stability surgical endoscopic surgery, which is provided by the invention;
FIG. 6 is an enlarged structural schematic view of a position C of an ultrasonic knife handle tool for high-stability endoscopic surgery, which is provided by the invention;
FIG. 7 is an enlarged structural schematic view of a position B of the ultrasonic knife handle tool for the high-stability surgical endoscopic surgery, which is provided by the invention;
FIG. 8 is an enlarged structural schematic view of a position A of the ultrasonic knife handle tool for the high-stability surgical endoscopic surgery, which is provided by the invention;
FIG. 9 is a schematic perspective view of the handle of the ultrasonic knife handle of the high-stability ultrasonic knife handle tool for endoscopic surgical operation according to the present invention.
Illustration of the drawings:
1. an ultrasonic blade handle; 2. a heart-through ball; 3. a torsion shaft; 4. a limiting groove; 5. a torsion spring; 6. a connecting cylinder; 7. a flexible sealing sleeve; 8. an ultrasonic knife holder; 9. an ultrasonic knife holder adjusting motor; 10. a machine base; 11. an ultrasonic knife telescopic groove; 12. a groove; 13. a threaded hole; 14. fastening a bolt; 15. anti-slip sheets; 16. an ultrasonic blade; 17. monitoring equipment; 18. a negative pressure drainage tube; 19. a first flow regulating valve; 20. a negative pressure drainage bag; 21. an introducing pipe; 22. a first check valve tube; 23. a second flow regulating valve; 24. an elastic bag; 25. a second single-valve tube; 26. a connecting pipe; 27. a saline storage case; 28. a traction cable; 29. a cableway; 30. a wrench; 31. a through hole; 32. a pin shaft; 33. a support spring; 34. a switch; 35. a power source.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Referring to fig. 1-9, the present invention provides a technical solution: a high-stability ultrasonic knife handle appliance for surgical endoscopic surgery comprises an ultrasonic knife handle 1, wherein a through ball 2 is sleeved on the inner side of the ultrasonic knife handle 1, a connecting cylinder 6 is fixedly connected to one end face, far away from the ultrasonic knife handle 1, of the through ball 2, an ultrasonic knife holder 8 is fixedly connected to one end, far away from the through ball 2, of the connecting cylinder 6, one end, close to the connecting cylinder 6, of the ultrasonic knife holder 8 is fixedly connected with the end part of an output shaft of an ultrasonic knife holder adjusting motor 9, a machine body of the ultrasonic knife holder adjusting motor 9 is fixedly connected with the inner side wall of the connecting cylinder 6 through a machine base 10, through the designed ultrasonic knife holder adjusting motor 9 and the machine base 10, an operating switch 34 controls the ultrasonic knife holder adjusting motor 9 to rotate, an ultrasonic knife 16 and an output shaft of the ultrasonic knife holder adjusting motor 9 to synchronously rotate under the driving of the ultrasonic knife holder 8, so that the direction of the cutting part, drive the cutter and rotate the angle that needs work, make things convenient for medical personnel's surgical operation work, ultrasonic knife blade holder 8 keeps away from the one end of connecting cylinder 6 and has seted up ultrasonic knife flexible groove 11, ultrasonic wave flexible inslot cover is equipped with ultrasonic knife 16, cableway 29 has been seted up on the wall body of ultrasonic knife handle 1, the interlude has haulage cable 28 in the cableway 29, the one end of haulage cable 28 is connected with the fixed surface of through-center ball 2, the one side fixed connection that the other end of haulage cable 28 is close with spanner 30, spanner 30's tip is located the through-hole 31 that ultrasonic knife handle 1 top was seted up, the inside wall of through-hole 31 is articulated through the terminal surface of round pin axle 32 with spanner 30, support spring 33 and ultrasonic knife handle 1's top fixed connection are passed through to spanner 30.
Specifically, as shown in fig. 8, a torsion shaft 3 is fixedly connected to an end portion of the hollow ball 2, the torsion shaft 3 is located in a limit groove 4 formed in an inner side wall of the ultrasonic scalpel handle 1, a torsion spring 5 is sleeved on a surface of the torsion shaft 3, one end of the torsion spring 5 is fixedly connected to the torsion shaft 3, and the other end of the torsion spring 5 is fixedly connected to an inner side wall of the limit groove 4, the torsion shaft 3, the limit groove 4, the torsion spring 5, the cableway 29, the traction cable 28, the wrench 30, the support spring 33 and the pin shaft 32 are designed, so that the support spring 33 can balance the torsion spring 5, the wrench 30 is pressed, the wrench 30 rotates clockwise around the pin shaft 32, one end of the wrench 30 far from the support spring 33 tilts upwards, during the process, a portion of the traction cable 28 located outside the cableway 29 enters the cableway 29, the torsion spring 5 performs the reset action, the hollow ball 2 performs the rotation action along the counterclockwise direction, in the process, the ultrasonic knife 16 on the ultrasonic knife holder 8 is driven by the connecting cylinder 6 to synchronously move, the wrench 30 is pushed upwards by the thumb, the wrench 30 rotates counterclockwise around the pin shaft 32 as the center of a circle, one end of the wrench 30 far away from the supporting spring 33 moves downwards, in the process, the traction cable 28 inside the cableway 29 is moved out of the cableway 29, the torsion spring 5 is deformed under the drive of the torsion shaft 3, the hollow ball 2 rotates clockwise, in the process, the ultrasonic knife 16 on the ultrasonic knife holder 8 rotates clockwise under the driving of the connecting cylinder 6, so that the angle of the ultrasonic knife 16 is reasonably controlled, the work of medical personnel is more convenient, the efficiency of the surgical operation is improved, and the operation of the surgical operation is simplified.
Specifically, as shown in fig. 1, flexible sealing sleeve 7 has been cup jointed on the surface of connecting cylinder 6 to flexible sealing sleeve 7's side and the close terminal surface fixed connection of supersound sword handle 1, through the flexible sealing sleeve 7 of design, connecting cylinder 6 is along anticlockwise or the in-process of clockwise rotation under the drive of logical heart ball 2, and flexible sealing sleeve 7 takes place deformation, has guaranteed the leakproofness between connecting cylinder 6 and supersound sword handle 1.
Specifically, as shown in fig. 5, a groove 12 is formed in a position of the surface of the ultrasonic blade holder 8 corresponding to the ultrasonic blade telescopic slot 11, a threaded hole 13 is formed in an end surface of the inner side of the groove 12, a fastening bolt 14 is connected in the threaded hole 13, an anti-slip sheet 15 is fixedly connected to one end of the fastening bolt 14 close to the ultrasonic blade 16, the anti-slip sheet 15 is connected to a surface close to the ultrasonic blade 16, the ultrasonic blade telescopic slot 11, the groove 12, the threaded hole 13, the fastening bolt 14 and the anti-slip sheet 15 are designed, the fastening bolt 14 is twisted to rotate in the threaded hole 13 to separate the anti-slip sheet 15 from the ultrasonic blade 16, the ultrasonic blade 16 can be replaced or the exposed length of the ultrasonic blade 16 in the ultrasonic blade telescopic slot 11 can be adjusted, and after the ultrasonic blade 16 is replaced or the exposed length is adjusted, the fastening bolt 14 is twisted again to use the friction force between the, the stability of ultrasonic scalpel 16 has been guaranteed, on the one hand, through the dismantlement and the change of ultrasonic scalpel 16, can reduce the change frequency of ultrasonic scalpel handle 1 to a certain extent, and on the other hand, the accessible is according to the inner structure of patient's sick affected part, confirms that ultrasonic scalpel 16 exposes length, is favorable to the operation of the tissue in the body cavity.
Specifically, as shown in fig. 1, a monitoring device 17 is disposed at one end of the ultrasonic scalpel base 8 away from the connecting cylinder 6, the monitoring device 17 is composed of a camera and a light source which is used in combination, a negative pressure drainage tube 18 and an introduction tube 21 are respectively clamped at one end of the ultrasonic scalpel base 8 away from the connecting cylinder 6, the introduction tube 21 and the negative pressure drainage tube 18 are both clamped in the ultrasonic scalpel base 8, the introduction tube 21 and the negative pressure drainage tube 18 are respectively located in the connecting cylinder 6, the hollow ball 2 and the ultrasonic scalpel handle 1, through the designed negative pressure drainage tube 18, the first flow regulating valve 19 and the negative pressure drainage bag 20, the negative pressure drainage tube 18 and the negative pressure drainage bag 20 can be used for extracting impurities such as interstitial fluid, physiological saline, blood and the like in the abdominal cavity, thereby avoiding the lens portion of the monitoring device 17 from being polluted, and being capable of promoting the flow speed of physiological saline in the abdominal cavity, and accelerating the heat dissipation rate of the, the drainage quantity of the negative pressure drainage tube 18 in unit time can also be controlled by operating the first flow regulating valve 19.
Specifically, as shown in fig. 1, one end of the negative pressure drainage tube 18 away from the ultrasonic scalpel base 8 is provided with a negative pressure drainage bag 20, and the negative pressure drainage tube 18 is provided with a first flow regulating valve 19.
Specifically, as shown in fig. 1, one end of the introducing tube 21 away from the ultrasonic scalpel base 8 is communicated with one end of the elastic bag 24 through a first one-way valve tube 22, and a second flow regulating valve 23 is disposed on the first one-way valve tube 22, the other end of the elastic bag 24 is communicated with one end of the connecting tube 26 through a second one-way valve tube 25, one end of the connecting tube 26 away from the second one-way valve tube 25 is provided with a saline storage box 27, and by means of the designed saline storage box 27, the connecting tube 26, the first one-way valve tube, the second one-way valve tube 25, the elastic bag 24 and the second flow regulating valve 23, the elastic bag 24 is pressed, so that the first one-way valve tube 22 is in a conducting state and the second one-way valve tube 25 is in a closed state, the saline stored in the elastic bag 24 can be introduced into the abdominal cavity of the patient through the introducing tube 21, and the acting force on the elastic bag 24 is removed, the elastic bag 24 is reset, the first check valve tube 22 is closed, and the second check valve tube 25 is opened, so that the saline in the saline storage box 27 can be sucked into the elastic bag 24.
Specifically, as shown in fig. 1, the first check valve pipe 22 is formed by combining a flexible pipe and a check valve disposed inside the flexible pipe, and the second check valve pipe 25 is formed by combining a flexible pipe and a check valve disposed inside the flexible pipe.
Specifically, as shown in fig. 1, the input end of the ultrasonic scalpel base adjusting motor 9 is electrically connected to the output end of the switch 34 through a wire, the input end of the switch 34 is electrically connected to the output end of the power source 35 through a wire, and both the switch 34 and the power source 35 are disposed on the surface of the ultrasonic scalpel handle 1.
Specifically, as shown in fig. 2, the ultrasonic-blade expansion/contraction groove 11 has the same side cross-sectional shape as the ultrasonic blade 16, and the length of the ultrasonic blade 16 is smaller than the length of the ultrasonic-blade expansion/contraction groove 11.
The working principle is as follows: when the wrench 30 is used, under the condition that no external force is applied to the wrench 30, the supporting spring 33 can balance the torsion spring 5, the wrench 30 is pressed, the wrench 30 rotates clockwise around the pin shaft 32 as a center, one end of the wrench 30 far from the supporting spring 33 tilts upwards, in the process, a part of the traction cable 28 outside the cableway 29 enters the cableway 29, the torsion spring 5 returns to the original position, the hollow ball 2 rotates anticlockwise, in the process, the ultrasonic knife 16 on the ultrasonic knife holder 8 synchronously moves under the driving of the connecting cylinder 6, the wrench 30 is pushed upwards by the thumb, the wrench 30 rotates anticlockwise around the pin shaft 32 as a center, one end of the wrench 30 far from the supporting spring 33 descends, in the process, the traction cable 28 inside the cableway 29 moves out of the cableway 29, the torsion spring 5 deforms under the driving of the torsion shaft 3, the hollow ball 2 rotates clockwise, in the process, the ultrasonic knife 16 on the ultrasonic knife seat 8 rotates clockwise under the driving of the connecting cylinder 6, the angle of the ultrasonic knife 16 is reasonably controlled, the work of medical personnel is more convenient, the efficiency of the surgical operation is improved, the operation of the surgical operation is simplified, the operation switch 34 controls the ultrasonic knife seat adjusting motor 9 to rotate, the ultrasonic knife 16 and the output shaft of the ultrasonic knife seat adjusting motor 9 rotate synchronously under the driving of the ultrasonic knife seat 8, so that the orientation of the cutting part of the ultrasonic knife 16 can be adjusted, the knife is driven to rotate to the angle required to work, the surgical operation of the medical personnel is facilitated, the fastening bolt 14 is twisted to rotate in the threaded hole 13, the anti-skid sheet 15 is separated from the ultrasonic knife 16, then, the ultrasonic knife 16 can be replaced or the exposed length of the ultrasonic knife 16 in the ultrasonic knife telescopic groove 11 can be adjusted, after the ultrasonic scalpel 16 is replaced or the exposed length is adjusted, the fastening bolt 14 is twisted again to ensure the stability of the ultrasonic scalpel 16 by using the friction force between the anti-slip sheet 15 and the ultrasonic scalpel 16, on one hand, the replacement frequency of the ultrasonic scalpel handle 1 can be reduced to a certain extent by detaching and replacing the ultrasonic scalpel 16, on the other hand, the exposed length of the ultrasonic scalpel 16 can be determined according to the internal structure of the diseased part of a patient, thereby being beneficial to the operation of tissues in a body cavity, in the process, the negative pressure drainage tube 18 and the negative pressure drainage bag 20 can be used for extracting impurities such as tissue fluid, normal saline, dirty blood and the like in the abdominal cavity, avoiding the lens part of the monitoring equipment 17 from being polluted, promoting the flowing speed of the normal saline in the abdominal cavity, accelerating the heat dissipation rate of the ultrasonic scalpel 16, and controlling the drainage quantity of the negative pressure drainage tube 18 in unit time by operating the first flow regulating valve 19, under the action of the pressure, the first check valve tube 22 is in a conducting state, the second single-item valve tube 25 is in a closed state, so that the normal saline stored in the elastic bag 24 can be introduced into the abdominal cavity of the patient through the introducing tube 21, the acting force on the elastic bag 24 is removed, the elastic bag 24 performs a resetting action, the first check valve tube 22 is in a closed state, and the second single-item valve tube 25 is in a conducting state, so that the normal saline in the normal saline storage box 27 can be sucked into the elastic bag 24.
The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art should be able to cover the technical scope of the present invention and the equivalent alternatives or modifications according to the technical solution and the inventive concept of the present invention within the technical scope of the present invention.
Claims (4)
1. A high-stability ultrasonic knife handle appliance for endoscopic surgery comprises an ultrasonic knife handle (1) and is characterized in that a through ball (2) is sleeved on the inner side of the ultrasonic knife handle (1), a connecting cylinder (6) is fixedly connected to one end face, far away from the ultrasonic knife handle (1), of the through ball (2), an ultrasonic knife seat (8) is fixedly connected to one end, far away from the through ball (2), of the connecting cylinder (6), the connecting cylinder (6) can swing for a certain angle relative to the ultrasonic knife handle (1), one end, close to the connecting cylinder (6), of the ultrasonic knife seat (8) is fixedly connected with the end of an output shaft of an ultrasonic knife seat adjusting motor (9), a machine body of the ultrasonic knife seat adjusting motor (9) is fixedly connected with the inner side wall of the connecting cylinder (6) through a machine base (10), and an ultrasonic knife telescopic groove (11) is formed in one end, far away from the connecting cylinder (6), of the ultrasonic knife seat (8), an ultrasonic knife (16) is sleeved in the ultrasonic telescopic groove, a cableway (29) is formed in the wall body of the ultrasonic knife handle (1), a traction cable (28) is inserted in the cableway (29), one end of the traction cable (28) is fixedly connected with the surface of the through ball (2), the other end of the traction cable (28) is fixedly connected with one end, close to a wrench (30), of the wrench (30), the end part, connected with the traction cable (28), of the wrench (30) is located in a through hole (31) formed in the top of the ultrasonic knife handle (1), the inner side wall of the through hole (31) is hinged to the end face of the wrench (30) through a pin shaft (32), and the bottom of the wrench (30) is fixedly connected with the top of the ultrasonic knife handle (1) through a supporting spring (33); the end part of the through ball (2) is fixedly connected with a torsion shaft (3), the torsion shaft (3) is positioned in a limiting groove (4) formed in the inner side wall of the ultrasonic scalpel handle (1), a torsion spring (5) is sleeved on the surface of the torsion shaft (3), one end of the torsion spring (5) is fixedly connected to the torsion shaft (3), the other end of the torsion spring (5) is fixedly connected with the inner side wall of the limiting groove (4), and the torsion shaft (3) can swing in the limiting groove (4) to a certain degree; the surface of the connecting cylinder (6) is sleeved with a flexible sealing sleeve (7), and the side surface of the flexible sealing sleeve (7) is fixedly connected with one end surface close to the ultrasonic knife handle (1); a groove (12) is formed in the surface of the ultrasonic knife holder (8) corresponding to the ultrasonic knife telescopic groove (11), a threaded hole (13) is formed in the end surface of the inner side of the groove (12), a fastening bolt (14) is connected to the threaded hole (13) in an internal thread mode, an anti-skid sheet (15) is fixedly connected to one end, close to the ultrasonic knife (16), of the fastening bolt (14), and the anti-skid sheet (15) is connected with one surface, close to the ultrasonic knife (16), of the anti-skid sheet; one end, far away from the connecting cylinder (6), of the ultrasonic scalpel base (8) is provided with monitoring equipment (17), the monitoring equipment (17) is formed by combining a camera and a light source which is matched with the camera, one end, far away from the connecting cylinder (6), of the ultrasonic scalpel base (8) is respectively connected with a negative pressure drainage tube (18) and a lead-in tube (21) in a clamping mode, the lead-in tube (21) and the negative pressure drainage tube (18) are respectively connected in the ultrasonic scalpel base (8) in a clamping mode, and the lead-in tube (21) and the negative pressure drainage tube (18) are respectively located in the connecting cylinder (6), the hollow ball (2) and the ultrasonic scalpel handle (1); the input end of the ultrasonic knife holder adjusting motor (9) is electrically connected with the output end of a switch (34) through a lead, the input end of the switch (34) is electrically connected with the output end of a power supply (35) through a lead, and the switch (34) and the power supply (35) are both arranged on the surface of the ultrasonic knife handle (1); the side-view cross-sectional shape of the ultrasonic blade telescopic groove (11) is the same as the side-view cross-sectional shape of the ultrasonic blade (16), and the length of the ultrasonic blade (16) is smaller than that of the ultrasonic blade telescopic groove (11).
2. The ultrasonic knife handle tool for the high-stability surgical endoscopic surgery is characterized in that one end, far away from the ultrasonic knife holder (8), of the negative pressure drainage tube (18) is provided with a negative pressure drainage bag (20), and the negative pressure drainage tube (18) is provided with a first flow regulating valve (19).
3. The ultrasonic knife handle device for the endoscopic surgical operation with high stability according to claim 1, wherein one end of the lead-in tube (21) far away from the ultrasonic knife holder (8) is communicated with one end of the elastic bag (24) close to the elastic bag through a first one-way valve tube (22), a second flow regulating valve (23) is arranged on the first one-way valve tube (22), the other end of the elastic bag (24) is communicated with one end of the connecting tube (26) close to the elastic bag through a second one-way valve tube (25), and one end of the connecting tube (26) far away from the second one-way valve tube (25) is provided with a physiological saline storage box (27).
4. The ultrasonic knife handle device for the high-stability endoscopic surgical operation according to claim 3, wherein the first check valve tube (22) is formed by combining a flexible tube and a check valve arranged inside the flexible tube, and the second check valve tube (25) is formed by combining a flexible tube and a check valve arranged inside the flexible tube.
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| CN114393539B (en) * | 2021-12-16 | 2024-02-20 | 芜湖锐进医疗设备有限公司 | Torsion spanner with preset torsion value |
| CN114271890B (en) * | 2021-12-23 | 2024-04-05 | 苏州优脉瑞医疗科技有限公司 | High-precision auxiliary lighting structure for anorectal stapler |
| CN116728105B (en) * | 2023-08-10 | 2023-10-13 | 中国机械总院集团江苏分院有限公司 | Quick-change ultrasonic knife handle and working method thereof |
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