CN101791248A - Gallbladder polypus cutter - Google Patents
Gallbladder polypus cutter Download PDFInfo
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- 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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- 210000000232 gallbladder Anatomy 0.000 title claims abstract description 20
- 239000004020 conductor Substances 0.000 claims 6
- 239000002184 metal Substances 0.000 abstract description 20
- 238000009434 installation Methods 0.000 abstract description 2
- 206010049704 Gallbladder polyp Diseases 0.000 description 10
- 208000013976 polyp of gallbladder Diseases 0.000 description 10
- 238000000034 method Methods 0.000 description 6
- 208000037062 Polyps Diseases 0.000 description 5
- 238000002192 cholecystectomy Methods 0.000 description 4
- 238000001574 biopsy Methods 0.000 description 3
- 230000023597 hemostasis Effects 0.000 description 2
- 230000003902 lesion Effects 0.000 description 2
- 230000003211 malignant effect Effects 0.000 description 2
- 230000001575 pathological effect Effects 0.000 description 2
- 230000008569 process Effects 0.000 description 2
- 208000003200 Adenoma Diseases 0.000 description 1
- 208000022072 Gallbladder Neoplasms Diseases 0.000 description 1
- 208000032843 Hemorrhage Diseases 0.000 description 1
- 206010064912 Malignant transformation Diseases 0.000 description 1
- 230000009471 action Effects 0.000 description 1
- 210000003445 biliary tract Anatomy 0.000 description 1
- 208000034158 bleeding Diseases 0.000 description 1
- 230000000740 bleeding effect Effects 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000015271 coagulation Effects 0.000 description 1
- 238000005345 coagulation Methods 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 201000010175 gallbladder cancer Diseases 0.000 description 1
- 230000007774 longterm Effects 0.000 description 1
- 230000036212 malign transformation Effects 0.000 description 1
- 238000004321 preservation Methods 0.000 description 1
- 238000001356 surgical procedure Methods 0.000 description 1
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Abstract
Description
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
所述操作端2安装在限位板3上;The operating end 2 is installed on the
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
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
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
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
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
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
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)
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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| Publication Number | Publication Date |
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| CN101791248A true CN101791248A (en) | 2010-08-04 |
| CN101791248B CN101791248B (en) | 2011-04-27 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN2009102153320A Expired - Fee Related CN101791248B (en) | 2009-09-25 | 2009-12-23 | gallbladder polypectomy device |
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Cited By (1)
| 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 |
Family Cites Families (7)
| 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 |
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- 2009-12-23 CN CN2009102153320A patent/CN101791248B/en not_active Expired - Fee Related
Cited By (1)
| 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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| CN101791248B (en) | 2011-04-27 |
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Granted publication date: 20110427 Termination date: 20121223 |