CN104207838A - Per-vagina endoscope surgery combination device - Google Patents

Abstract

The invention provides a per-vagina endoscope surgery combination device which comprises an expander, a vessel clamp, surgical scissors and a visual combination probe. The visual combination probe comprises a flexible sleeve pipe capable of stretching into the uterus cavity and a tubular visual probe body, and the tubular visual probe body is arranged in a hollow cavity of the sleeve pipe, can be pulled out freely and is composed of a micro camera, a flexible printed board and a signal output end. The visual probe body is connected with a development system through a leading-out guide wire of the signal output end, the visual probe body formed by the micro camera, the flexible printed board and the signal output end and the external flexible sleeve pipe are fixedly connected as a whole, and the visual combination probe is formed. The surgical view field is enlarged, the finger operating range of an operator is widened, the noninvasive aim is achieved truly, imaging can be achieved clearly through the probe, time is saved, and precision is improved.

Description

A kind of transvaginal endoscope-assistant surgery combination unit

Technical field

The present invention relates to a kind of medical apparatus and instruments, particularly the operating theater instruments of Wicresoft's medical domain such as a kind of department of obstetrics and gynecology, surgery and diagnostics.

Background technology

At present, in women's abdominopelvic cavity, Operative approch comprises three kinds: abdominal, through abdomen punching laparoscopic surgery and transvaginal operation.Wherein, abdominal is traditional operation approach, along with social progress and economic development, has manifested many drawbacks: 1, open abdomen and cause wound; 2, postoperative pain is obvious; 3, postoperative intestinal and every life entity recondition slow; 4, the hospital stays is long; 5, scar after the operation is obvious, affects attractive in appearance, brings very large misery, especially for women to patient.Therefore, abdominal can not adapt to the requirement of Modern patient, is necessary to find other Wicresofts or non-invasive procedures.Being beat several holes at stomach wall through abdomen punching laparoscopic surgery, by laparoscopic instrument under peritoneoscope, is the representative of current Minimally Invasive Surgery.But this operation also exists shortcoming: 1, stomach wall still needs punching, has certain wound, affects attractive in appearance; 2, operation needs C0 ₂deng inflation abdomen, cause soda acid in patient circulatory system, electrolyte balance disorder; 3, nearly tabula pressed by pneumoperitoneum, causes cardiopulmonary to circulate and is obstructed, increase operation risk.Transvaginal operation refers to that namely vagina is performed the operation by women's natural hole, although this Operative approch wound is little, is still subject to a lot of restriction: 1, surgical field of view is little, greatly restricts the scope being entered hands operation by this approach; 2, vagina is deep, patient's operating difficulties, and also the scope of performing the operation is carried out in serious restriction by this approach.3, perusal is more difficult, bad control of performing the operation.

Summary of the invention

Object of the present invention just provides a kind of and utilizes vagina and expand the finger manipulation scope of operator, carries out Real Time Observation by visual combination probe simultaneously, coordinates operation precision, really reaches the Transvaginal endoscope operative instrument of non-invasive procedures.

Object of the present invention realizes by following scheme: a kind of Transvaginal endoscope operative instrument, is made up of dilator, vascular forceps, operating scissors.Described dilator comprises a scissor body, a shell fragment is respectively provided with in the one side of two haircuts of scissor body, one end and the haircut of shell fragment are affixed, the other end is provided with profile of tooth draw-in groove, this draw-in groove and the card convex be located on haircut support the use, shell fragment can be made to upspring in arcuation by regulating the mated position of draw-in groove and card convex, abdominal cavity can be expanded forward and strut the organ in abdominal cavity, abdominal cavity can be expanded in left and right when haircut opens simultaneously, and the organ strutted in abdominal cavity, between two haircut tops, be provided with gear intestinal net, operation can be made to carry out in reasonable space by this dilator.Described vascular forceps, for a kind of direct handling type handle vascular forceps, be divided into square toothed vessel forceps and square vessel smooth forceps two kinds, formed by straight handle, operation bar and vascular forceps head combination, operation bar and vascular forceps head combine as a whole, with straight handle grafting, described operation club head is arcuation.Described operating scissors is a kind of direct handling type operating scissors, and combined by straight handle, operation bar and scissors bit, its anterior scissors bit shape is divided into staight scissors and curved scissors two kinds, and described operation club head is arcuation.Described visual combination probe comprises a flexible sleeve that can stretch into intrauterine cavity and is located in sleeve pipe hollow cavity, can arbitrarily extracts out and the tubulose visible probe main body (A) be made up of minisize pick-up head, flexible printed circuit and signal output part; Described visible probe main body (A) is connected with imaging system through the extraction wire of signal output part, the visible probe main body (A) be made up of minisize pick-up head, flexible printed circuit and signal output part and external flexible sleeve are consolidated into one, composition visual combination probe B, observes described operation process and lesion locations by imaging system.

The present invention has the following advantages: one is utilize transvaginal chamber mirror, is exaggerated surgical field of view, fully exposes women's abdominopelvic cavity, can carry out hands art to corresponding disease; Two is the finger manipulation scopes extending operator, can carry out various delicate procedure, utilize this natural hole of vagina, really reach noinvasive in female pelvic cavity, turn avoid all drawbacks brought by peritoneoscope inflation abdomen simultaneously.Three is carry out Real Time Observation by visual combination probe, coordinates operation precision, saves time, complete the task that naked eyes have been difficult to.

Accompanying drawing explanation

Fig. 1 is dilator structural representation of the present invention.Fig. 2 is vascular forceps structural representation of the present invention.Fig. 2 A is vascular forceps head is straight shape toothed forceps structural representation.Fig. 2 B is vascular forceps head is straight shape smooth forceps structural representation.Fig. 2 C is vascular forceps head is bending toothed forceps structural representation.Fig. 2 D is vascular forceps head is bending smooth forceps structural representation.Fig. 2 E is vascular forceps head is square toothed forceps structural representation.Fig. 2 F is vascular forceps head is square smooth forceps structural representation.Fig. 3 is operating scissors structural representation of the present invention.Fig. 3 A is operating scissors head is staight scissors structural representation.Fig. 3 B is operating scissors head is curved scissors structural representation.Fig. 4 is structural representation of the present invention (being with replaceable sleeve pipe); Fig. 5 is structural representation of the present invention (integral with casing cement); Fig. 6 is structural representation of the present invention (probe is oppositely arranged); Fig. 7 is the structural representation of visible probe A.

detailed description of the invention

Fig. 1-7 is known in contrast, and the present invention is made up of dilator, vascular forceps, operating scissors.Described dilator comprises a scissor body 1, a shell fragment 2 is respectively provided with in the one side of two haircuts of scissor body 1, one end and the haircut of shell fragment 2 are affixed, the other end is provided with profile of tooth draw-in groove 3, this draw-in groove and the card convex 4 be located on haircut support the use, shell fragment can be made to upspring in arcuation by regulating the mated position of draw-in groove and card convex, abdominal cavity can be expanded forward and strut the organ in abdominal cavity, abdominal cavity can be expanded in left and right when haircut opens simultaneously, and the organ strutted in abdominal cavity, gear intestinal net 26 is provided with between two haircut tops, operation can be made to carry out in reasonable space by this dilator.Described vascular forceps is a kind of direct handling type handle vascular forceps, and formed by straight handle 5, operation bar 6 and vascular forceps head combination, operation bar 6 and vascular forceps head combine as a whole, and with the grafting of straight handle 5, described operation club head is arcuation.According to the needs of operation, choose different vascular forceps heads.As shown in Figure 2 A, vascular forceps head is straight shape toothed forceps 13 structure; Shown in Fig. 2 B, vascular forceps head is straight shape smooth forceps 14 structure; Shown in Fig. 2 C, vascular forceps head is bending toothed forceps 15 structure; Shown in Fig. 2 D, vascular forceps head is bending smooth forceps 16 structure; Shown in Fig. 2 E, vascular forceps head is square toothed forceps 17 structure; Shown in Fig. 2 F, vascular forceps head is square smooth forceps 18 structure; Described operating scissors is a kind of direct handling type operating scissors, and combined by straight handle 35, operation bar 36 and scissors bit, its anterior scissors bit shape is divided into staight scissors and curved scissors two kinds, and described operation club head is arcuation.According to the needs of operation, choose different scissors bits.As shown in Figure 3A, operating scissors cutter head is staight scissors 19 structures; Shown in Fig. 3 B, operating scissors cutter head is curved scissors 20 structure.Visual combination probe, it comprises a sleeve pipe 21 that can stretch into intrauterine cavity and is located in sleeve pipe hollow cavity, arbitrarily can extracts replacing out and the visual tubular probe main body A be made up of minisize pick-up head 22, flexible printed circuit 23 and signal output part 24; And be connected with imaging system through the lead-out wire 27 of signal output part, the end of described flexible sleeve 24 is provided with an oval aperture 25 mated with minisize pick-up head 22, flexible sleeve in accompanying drawing 4,7 is divided into three joints, the main body of its head is flexible sleeve 1 body, its rear portion one joint reinforces handpiece 21-2, its afterbody is that a joint fixes leading-out piece 21-3, is provided with an aperture 21-1 stretched out for visible probe A at its sidepiece.

Claims (2)

1. a transvaginal endoscope-assistant surgery combination unit, comprise dilator, vascular forceps, operating scissors, visual combination probe, it is characterized in that: described dilator comprises a scissor body (1), a shell fragment (2) is respectively provided with in the one side of two haircuts of scissor body (1), one end and the haircut of shell fragment (2) are affixed, the other end is provided with profile of tooth draw-in groove (3), and this draw-in groove and the card convex (4) be located on haircut support the use, and is provided with gear intestinal net (26) between two haircut tops;

Described vascular forceps is a kind of direct handling type handle vascular forceps, and formed by straight handle (5), operation bar (6) and vascular forceps head combination, operation bar (6) and vascular forceps head combine as a whole, and with straight handle (5) grafting, described operation club head is arcuation;

Described operating scissors is a kind of direct handling type operating scissors, and combined by straight handle (35), operation bar (36) and scissors bit, its anterior scissors bit shape is divided into staight scissors and curved scissors two kinds, and described operation club head is arcuation;

Described visual combination probe comprises a flexible sleeve (21) that can stretch into intrauterine cavity and is located in sleeve pipe hollow cavity, can arbitrarily extracts out and the tubulose visible probe main body (A) be made up of minisize pick-up head (22), flexible printed circuit (23) and signal output part (24);

Described visible probe main body (A) is connected with imaging system through the extraction wire (27) of signal output part, the visible probe main body (A) be made up of minisize pick-up head (22), flexible printed circuit (23) and signal output part (24) and external flexible sleeve (21) are consolidated into one, composition visual combination probe (B).

2. transvaginal endoscope-assistant surgery combination unit according to claim 1, it is characterized in that described vascular forceps head is straight shape toothed forceps (13), or be straight shape smooth forceps (14), or be bending toothed forceps (15), or be bending smooth forceps (16), or be square toothed forceps (17), or be square smooth forceps (18).