CN101791248A - Gallbladder polypus cutter - Google Patents

Gallbladder polypus cutter Download PDF

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Publication number
CN101791248A
CN101791248A CN200910215332A CN200910215332A CN101791248A CN 101791248 A CN101791248 A CN 101791248A CN 200910215332 A CN200910215332 A CN 200910215332A CN 200910215332 A CN200910215332 A CN 200910215332A CN 101791248 A CN101791248 A CN 101791248A
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limiting plate
gallbladder
cylindrical jacket
jacket pipe
clamp
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CN200910215332A
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CN101791248B (en
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杨玉龙
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Dalian Xingweikang Biotechnology Co ltd
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Dalian Xingweikang Biotechnology Co ltd
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Abstract

The invention discloses a gallbladder polypus resectoscope which is characterized by comprising a cylindrical outer sleeve, an operation end, a limiting plate, a metal wire and a V-shaped clamp; the operating end is arranged on the limiting plate; the limiting plate is arranged in a groove at the bottom end of the inner wall of the cylindrical outer sleeve, and can move up and down or rotate in the groove; the metal lead is arranged in the cylindrical outer sleeve, one end of the metal lead is connected with the limiting plate, and the other end of the metal lead is connected with the V-shaped clamp; the V-shaped clamp is arranged on the outer side of the cylindrical outer sleeve, and the bottom end of the V-shaped clamp is connected with a metal wire; the operation end is pulled, and a limiting plate which is arranged in the groove and connected with the operation end moves along with the operation end and drives the metal wire to move; and the metal lead moves at the same time, the V-shaped clamp is driven to retract into the cylindrical outer sleeve. The invention adopts the installation design of the limiting plate, can freely adjust the angle on gallbladder polypus in the obstructed direction, is convenient to clamp and avoids repeated adjustment.

Description

胆囊息肉切除器 gallbladder polypectomy device

技术领域technical field

本发明涉及一种医疗器械,尤其涉及一种用于人体胆囊息肉切除或摘除手术的装置。The invention relates to a medical device, in particular to a device used in human gallbladder polypectomy or extirpation.

背景技术Background technique

胆囊息肉大多为良性,在胆囊切除的标本中的比例腺瘤只有1.1%,而其恶变率为1.5%,被认为胆囊癌的癌前期病变,所以胆囊息肉恶性很少见,而目前在临床上采取的是胆囊切除手术,而对于良性的病变均行胆囊切除是不科学的。出于保护胆囊功能考虑,避免发生胆囊切除术后的远期合并症,对于胆囊息肉的处理也不一定均行胆囊切除术。“内镜微创保胆取息肉”方法,其复发率仅为1%,术中在胆道镜的直视下摘除息内,对于有异议的息肉即刻送冰冻病理活检,若为恶性则行胆囊切除根治,若是良性则保留胆囊,如此避免了绝大部分良性息肉遭受切除胆囊的厄运。此法是根据胆囊息肉的病理性质决定是否切除胆囊,被认为是目前胆道外科临床中最合理、最科学的治疗方法。Most gallbladder polyps are benign, and the proportion of adenomas in cholecystectomy specimens is only 1.1%, while the malignant transformation rate is 1.5%, which is considered to be the precancerous lesion of gallbladder cancer, so gallbladder polyps are rarely malignant, and currently clinically It is unscientific to perform cholecystectomy for benign lesions. For the consideration of protecting gallbladder function and avoiding long-term complications after cholecystectomy, cholecystectomy is not necessarily performed for the treatment of gallbladder polyps. The recurrence rate of "endoscopic minimally invasive gallbladder preservation and polyp extraction" method is only 1%. During the operation, the polyps are removed under the direct vision of the choledochoscope, and the polyps with objections are immediately sent for frozen pathological biopsy. If they are malignant, the gallbladder is performed. Excision is radical, and if the gallbladder is benign, the gallbladder is preserved, which avoids the fate of most benign polyps from gallbladder removal. This method decides whether to remove the gallbladder according to the pathological properties of gallbladder polyps, and is considered to be the most reasonable and scientific treatment method in the clinical practice of biliary tract surgery.

在现有用于此类手术的器械中,比较常见的是活检钳,活检钳在使用时和临床的应用上存在着很多不足之处:Among the existing instruments used for this type of operation, biopsy forceps are more common, and there are many deficiencies in the use and clinical application of biopsy forceps:

1、在对胆囊息肉的抓取上,需要反复调整位置,不但影响手术视野,还一定程度上人为增加抓取的难度;1. In the grasping of gallbladder polyps, it is necessary to adjust the position repeatedly, which not only affects the surgical field of view, but also artificially increases the difficulty of grasping to a certain extent;

2、在进行息肉切除的过程中,需要对胆囊息肉部分进行长时间的夹取,在通电后需要等待所夹息肉部分凝血后才松开;2. In the process of polypectomy, the gallbladder polyp needs to be clamped for a long time, and it is necessary to wait for the clamped polyp to coagulate before releasing it after power on;

3、根据使用者体质的不同,在凝血后松开的过程,有的患者会出现二次出血的情况,就需要再进行再止血,增加了手术的时间;3. According to the different physiques of the users, some patients may experience secondary bleeding during the loosening process after coagulation, which requires further hemostasis, which increases the operation time;

发明内容Contents of the invention

本发明针对以上问题的提出,而研制一种新的胆囊息肉切除器,旨在解决现有技术中存在的问题。The present invention aims at the above problems, and develops a new gallbladder polypectomy device, aiming to solve the problems in the prior art.

本发明的技术解决方案是这样实现的:Technical solution of the present invention is realized like this:

一种胆囊息肉切除器,其特征包括圆柱形外套管、操作端、限位板、金属导线,“V”形夹钳;所述操作端安装在限位板上;所述限位板安装在圆柱形外套管内壁底端凹槽内,限位板可在凹槽内上下移动或旋转;所述金属导线安装在圆柱形外套管内,一端与限位板连接,另一端与“V”形夹钳连接;所述“V”形夹钳安装在圆柱形外套管外侧,“V”形夹钳底端与金属导线连接;拉动操作端,安装在凹槽内与操作端连接的限位板,随之运动,并带动金属导线移动;在金属导线运动同时,带动“V”形夹钳收回圆柱形外套管内。A gallbladder polypectomy device is characterized in that it includes a cylindrical outer sleeve, an operating end, a limiting plate, a metal wire, and a "V"-shaped clamp; the operating end is installed on the limiting plate; the limiting plate is installed on the In the groove at the bottom end of the inner wall of the cylindrical outer casing, the limiting plate can move up and down or rotate in the groove; the metal wire is installed in the cylindrical outer casing, one end is connected with the limiting plate, and the other end is connected with the "V"-shaped clip Clamp connection; the "V"-shaped clamp is installed on the outside of the cylindrical outer casing, and the bottom end of the "V"-shaped clamp is connected to the metal wire; pull the operating end, and install the limit plate connected to the operating end in the groove. It moves accordingly, and drives the metal wire to move; while the metal wire moves, it drives the "V"-shaped clamp to retract into the cylindrical outer sleeve.

所述的圆柱形外套管侧壁安装有高频发生器插座,高频发生器插座通过导线与圆柱形外套管内的金属导线连接。A high-frequency generator socket is installed on the side wall of the cylindrical outer casing, and the high-frequency generator socket is connected with the metal wire in the cylindrical outer casing through wires.

所述的圆柱形外套管下端为硬质部分,前端为软质部分。The lower end of the cylindrical outer sleeve is a hard part, and the front end is a soft part.

所述的圆柱形外套管下端硬质部分安装有手柄组件。A handle assembly is installed on the hard part at the lower end of the cylindrical outer sleeve.

所述的“V”形夹钳在操作端收回后,可完全合并收进圆柱形外套管内。The "V"-shaped clamp can be completely merged into the cylindrical outer sleeve after the operating end is retracted.

由于采用了以上技术方案本发明的优点是显而易见的:The advantages of the present invention are evident due to the adoption of the above technical scheme:

1、本发明采用夹钳式设计,在不同的患处使用均可用有效夹取;1. The present invention adopts a clamp-type design, which can be used for effective clamping in different affected areas;

2、本发明采用限位板的安装设计,在解决不通方向的胆囊息肉上可自由调整角度,方便夹取,避免了反复调整;2. The present invention adopts the installation design of the limit plate, and the angle can be adjusted freely on gallbladder polyps that cannot be resolved, which is convenient for clamping and avoiding repeated adjustments;

3、本发明设有外接插口,可与高频电子发生器配合使用,在现在医疗条件下达到更便捷的效果;3. The present invention is equipped with an external socket, which can be used in conjunction with a high-frequency electronic generator to achieve a more convenient effect under current medical conditions;

4、本发明在操作性上利用抽拉式结构,操作上简单,节省手术时间提高工作效率。4. The present invention utilizes a pull-out structure for operability, which is simple in operation, saves operation time and improves work efficiency.

附图说明Description of drawings

本发明有附图1幅,其中The present invention has 1 piece of accompanying drawing, wherein

图1为本发明的结构图;Fig. 1 is a structural diagram of the present invention;

图中:1、圆柱形外套管,2、操作端,3、限位板,4、金属导线,5、“V”形夹钳,6、高频发生器插座,7、凹槽,8、手柄组件。In the figure: 1. Cylindrical outer sleeve, 2. Operating end, 3. Limiting plate, 4. Metal wire, 5. "V" shaped clamp, 6. High-frequency generator socket, 7. Groove, 8. handle assembly.

具体实施方式Detailed ways

如图1所示的一种胆囊息肉切除器,其特征包括圆柱形外套管1、操作端2、限位板3、金属导线4,“V”形夹钳5;A gallbladder polypectomy device as shown in Figure 1 is characterized in that it includes a cylindrical outer sleeve 1, an operating end 2, a limiting plate 3, a metal wire 4, and a "V" shaped clamp 5;

所述操作端2安装在限位板3上;The operating end 2 is installed on the limit plate 3;

所述限位板3安装在圆柱形外套管1内壁底端凹槽7内,限位板3可在凹槽7内上下移动或旋转;The limiting plate 3 is installed in the groove 7 at the bottom end of the inner wall of the cylindrical outer casing 1, and the limiting plate 3 can move or rotate up and down in the groove 7;

所述金属导线4安装在圆柱形外套管1内,一端与限位板3连接,另一端与“V”形夹钳5连接;The metal wire 4 is installed in the cylindrical outer casing 1, one end is connected to the limit plate 3, and the other end is connected to the "V"-shaped clamp 5;

所述“V”形夹钳5安装在圆柱形外套管1外侧,“V”形夹钳5底端与金属导线4连接;The "V"-shaped clamp 5 is installed on the outside of the cylindrical outer sleeve 1, and the bottom end of the "V"-shaped clamp 5 is connected to the metal wire 4;

拉动操作端2,安装在凹槽7内与操作端2连接的限位板4,随之运动,并带动金属导线4移动;在金属导线4运动同时,带动“V”形夹钳5收回圆柱形外套管1内。Pull the operating end 2, and the limit plate 4 installed in the groove 7 and connected to the operating end 2 moves accordingly, and drives the metal wire 4 to move; while the metal wire 4 moves, it drives the "V" shaped clamp 5 to retract the cylinder In the shape of the outer casing 1.

所述的圆柱形外套管1侧壁安装有高频发生器插座6,高频发生器插座6通过导线与圆柱形外套管1内的金属导线4连接。A high-frequency generator socket 6 is installed on the side wall of the cylindrical outer casing 1, and the high-frequency generator socket 6 is connected with the metal wire 4 in the cylindrical outer casing 1 through a wire.

所述的圆柱形外套管1下端为硬质部分,前端为软质部分。The lower end of the cylindrical outer sleeve 1 is a hard part, and the front end is a soft part.

所述的圆柱形外套管1下端硬质部分安装有手柄组件8。A handle assembly 8 is installed on the hard part at the lower end of the cylindrical outer sleeve 1 .

所述的“V”形夹钳5在操作端2收回后,可完全合并收进圆柱形外套管1内。The "V"-shaped clamp 5 can be completely merged into the cylindrical outer sleeve 1 after the operating end 2 is retracted.

在具体实施方式中:In a specific implementation:

限位板3在圆柱形外套管1的凹槽7内的旋转角度在30°~90°内的任意角度。The rotation angle of the limiting plate 3 in the groove 7 of the cylindrical outer sleeve 1 is any angle within 30°-90°.

首先将高频电子发生器插头插入高频发生器插座6内,将“V”形夹钳5送入胆囊内,在发现胆囊息肉后将“V”形夹钳5送到需要夹取处,使胆囊息肉处于“V”形夹钳5中间,同时打开高频电子发生器的电源,拉动操作端,使“V”形夹钳5的钳口部分收入圆柱形外套管1内,在接触到胆囊息肉时由于高频电子发生器的作用,使胆囊息肉焦化并完成止血过程。First insert the high-frequency electronic generator plug into the high-frequency generator socket 6, send the "V"-shaped clamp 5 into the gallbladder, and send the "V"-shaped clamp 5 to the place where gallbladder polyps are found, Make the gallbladder polyp in the middle of the "V"-shaped clamp 5, turn on the power of the high-frequency electronic generator at the same time, pull the operating end, so that the jaw part of the "V"-shaped clamp 5 is put into the cylindrical outer sleeve 1, and when it touches Gallbladder polyps are coked and hemostasis is completed due to the action of the high-frequency electron generator.

以上所述,仅为本发明较佳的具体实施方式,但本发明的保护范围并不局限于此,任何熟悉本技术领域的技术人员在本发明揭露的技术范围内,根据本发明的技术方案及其发明构思加以等同替换或改变,都应涵盖在本发明的保护范围之内。The above is only a preferred embodiment of the present invention, but the scope of protection of the present invention is not limited thereto, any person familiar with the technical field within the technical scope disclosed in the present invention, according to the technical solution of the present invention Any equivalent replacement or change of the inventive concepts thereof shall fall within the protection scope of the present invention.

Claims (5)

1. gallbladder polypus cutter, its feature comprises cylindrical jacket pipe (1), operating side (2), limiting plate (3), plain conductor (4), " V " clamp (5);
Described operating side (2) is installed on the limiting plate (3);
Described limiting plate (3) is installed in cylindrical jacket pipe (1) the inwall bottom groove (7), and limiting plate (3) can move up and down in groove (7) or rotate;
Described plain conductor (4) is installed in the cylindrical jacket pipe (1), and an end is connected with limiting plate (3), and the other end is connected with " V " clamp (5);
Described " V " clamp (5) is installed in cylindrical jacket pipe (1) outside, and " V " clamp (5) bottom is connected with plain conductor (4);
Pull operation end (2) is installed in the limiting plate (3) that is connected with operating side (2) in the groove (7), movement therewith, and it is mobile to drive plain conductor (4); In plain conductor (4) motion simultaneously, driving " V " clamp (5) regains in the cylindrical jacket pipe (1).
2. gallbladder polypus cutter according to claim 1, it is characterized in that described cylindrical jacket pipe (1) sidewall is equipped with high frequency generator socket (6), high frequency generator socket (6) is connected by the interior plain conductor (4) of lead and cylindrical jacket pipe (1).
3. gallbladder polypus cutter according to claim 2 is characterized in that described cylindrical jacket pipe (1) lower end is the hard part, and front end is a soft section.
4. gallbladder polypus cutter according to claim 3 is characterized in that described cylindrical jacket pipe (1) lower end hard partly is equipped with Handleset (8).
5. gallbladder polypus cutter according to claim 1 is characterized in that described " V " clamp (5) after regain operating side (2), can be completely integrated and take in the cylindrical jacket pipe (1).
CN2009102153320A 2009-09-25 2009-12-23 gallbladder polypectomy device Expired - Fee Related CN101791248B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN2009102153320A CN101791248B (en) 2009-09-25 2009-12-23 gallbladder polypectomy device

Applications Claiming Priority (3)

Application Number Priority Date Filing Date Title
CN200910187627.1 2009-09-25
CN200910187627 2009-09-25
CN2009102153320A CN101791248B (en) 2009-09-25 2009-12-23 gallbladder polypectomy device

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CN101791248A true CN101791248A (en) 2010-08-04
CN101791248B CN101791248B (en) 2011-04-27

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102631233A (en) * 2012-03-29 2012-08-15 上海市东方医院 Puncture cannula for gall bladder puncture

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
DE4341061C1 (en) * 1993-12-02 1995-06-14 Wolf Gmbh Richard Medical instrument with coupled working insert
DE4440035C2 (en) * 1994-11-10 1998-08-06 Wolf Gmbh Richard Morcellating instrument
JP3417778B2 (en) * 1997-01-17 2003-06-16 ペンタックス株式会社 Endoscope treatment tool
CN2405558Y (en) * 2000-01-24 2000-11-15 中国人民解放军第二军医大学 Extirpator for polyp in rear nasal cavity
CN2549922Y (en) * 2002-04-15 2003-05-14 上海第二医科大学附属仁济医院 Double electrode electrocoagulation microscope shears
CN2730327Y (en) * 2004-06-29 2005-10-05 申屠裕华 Dissembling and insulation type celiac delamination forceps
CN2868225Y (en) * 2005-10-24 2007-02-14 钟李宽 Bipolar electrocoagulating forceps

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN102631233A (en) * 2012-03-29 2012-08-15 上海市东方医院 Puncture cannula for gall bladder puncture

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