CN104771209B - Endoscopic treatment within special acupuncture type v - Google Patents

Endoscopic treatment within special acupuncture type v Download PDF

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Publication number
CN104771209B
CN104771209B CN201510173153.0A CN201510173153A CN104771209B CN 104771209 B CN104771209 B CN 104771209B CN 201510173153 A CN201510173153 A CN 201510173153A CN 104771209 B CN104771209 B CN 104771209B
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needle
trocar
provided
shaft
middle
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CN201510173153.0A
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CN104771209A (en
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周正兴
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周正兴
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Abstract

本发明公开了一种特种针灸V型内窥治疗器,包括套管针、间隙设于套管针内的功能针,套管针的前端外圆周设有圆角,在套管针前端后侧的外壁上设有轴向凹槽,在轴向凹槽内设有分离针,分离针在径向小于套管针前端外径,分离针的后端与套管针通过铰轴铰接,在铰轴后侧的套管针外壁固设有两导板,分离针固联一连接板,连接板与套管针外壁通过弹簧相连,连接板与推杆的前端铰接,推杆的后端置于两导板形成的滑槽中,在滑槽后侧的套管针固联有针柄,一螺钉通过螺纹与针柄相联,螺钉的端部与推杆的后端接触,推杆与弹簧位于铰轴的同一侧。 The present invention discloses an endoscopic treatment within the V-A specialty of acupuncture, including a trocar, the gap provided in function of the needle cannula in the needle, the needle tip of the outer circumference of the sleeve is provided with a rounded front end at the rear side of the trocar the outer wall is provided with axial grooves, the axial groove has a separation site in the needle, the needle separated in the radial direction is smaller than the outer diameter of the needle cannula distal end, a rear end and separated needle trocar shaft is hinged by a hinge, the hinge the outer wall of the rear shaft trocar is provided with two fixed guides, fixedly connected to a separate pin link plate, the connection plate is connected by a spring to the outer wall of the trocar, with the web front end of the push rod is hinged, the rear end of the push rod placed between two slide guides formed in the rear side of the chute with a solid trocar needle shaft has a screw threadably associated with the needle shaft, the screw end contact with the rear end of the push rod, the push rod and the hinge spring is located the same side of the shaft. 本发明不仅具有现有特种针灸内窥治疗器的基本功能,还能对各种软组织粘连进行分离,实现一体化治疗,且对病人的损伤小,恢复快,手术安全性好,解决了现有难题。 The invention not only has the basic functions glimpse of existing special treatment is acupuncture, but also on a variety of soft tissue adhesions separation, integration therapy, and less damage to the patient, quicker recovery, surgery safety, to solve the existing problem.

Description

特种针灸V型内窥治疗器 Endoscopic treatment within a V-type special acupuncture

技术领域 FIELD

[0001]本发明属于医疗器械领域,具体的说涉及一种可实现软组织分离的特种针灸内窥治疗器。 [0001] The present invention belongs to the field of medical devices, specifically within special endoscopic therapy acupuncture relates to a soft-tissue separation.

背景技术 Background technique

[0002]目前,用于特种针灸的内窥治疗器,包括套管针,它配合内部不同的功能针,可实现穿刺、引导、注射、留置等功能,但对于软组织粘连、特别是深层的软组织粘连,无法对其分离,其它软组织分离手段,如锐性分割后采用钳夹式分离,也仅适用于浅层的软组织粘连,如用于深层软组织,会造成大量的肌肉分割,对病人的损伤较大,难以恢复。 [0002] Currently, for the endoscopic treatment is of special acupuncture, including a trocar, which fit different internal function hand, can be achieved puncture guide, injection, indwelling and other functions, but soft tissue adhesions, particularly deep soft tissue adhesions, it can not be separated from other soft tissue separation means, such as the use of sharp split clamp separator, also applies only to superficial soft tissue adhesions, such as for deep soft tissue, it will cause a lot of muscle split, damage to the patient large, difficult to restore.

发明内容 SUMMARY

[0003]本发明的目的是针对现有技术存在的上述不足,提供一种特种针灸V型内窥治疗器,它不仅具有现有特种针灸内窥治疗器的基本功能,还能对各种软组织粘连进行分离,实现一体化治疗,且对病人的损伤小,恢复快,手术安全性好,解决了现有难题。 [0003] The present invention is directed to the above-described disadvantages of the prior art, to provide an endoscopic treatment within special acupuncture type V, which not only has the basic function of an endoscopic treatment existing special acupuncture, but also for soft tissue adhesion separation, integration therapy, and less damage to the patient, quicker recovery, surgery safety, to solve the existing problems.

[0004]为达到上述目的,本发明的特种针灸V型内窥治疗器,包括套管针、间隙设于套管针内的功能针,套管针的前端外圆周设有圆角,其特征在于在套管针前端后侧的外壁上设有轴向凹槽,在轴向凹槽内设有分离针,分离针在径向小于套管针前端外径,分离针的后端与套管针通过铰轴铰接,在铰轴后侧的套管针外壁固设有两导板,分离针固联一连接板,连接板与套管针外壁通过弹簧相连,连接板与推杆的前端铰接,推杆的后端置于两导板形成的滑槽中,在滑槽后侧的套管针固联有针柄,一螺钉通过螺纹与针柄相联,螺钉的端部与推杆的后端接触,推杆与弹簧位于铰轴的同一侧; An outer circumference of the distal end [0004] To achieve the above object, the endoscopic treatment within special acupuncture V of the invention, comprising a trocar, the gap provided in function of the needle cannula, trocar is provided with rounded corners, characterized in that the rear side of the front end of the outer wall of the trocar is provided with axial grooves, the axial groove has a separation site in the needle, the needle separated in the radial direction is smaller than the outer diameter of the needle cannula distal end, the rear end of the needle cannula separation a hinge pin through the hinge shaft, the hinge shaft at the rear side of the outer wall of the trocar is provided with two fixed guides, fixedly connected to a separate needle webs, webs connected with the outer wall of the trocar through the spring, and the front end of the push rod hingedly connecting plate, the rear end of the push rod guide plate formed in two placed chute, the chute trocar with solid rear needle shank, a screw threadably associated with the needle shaft, and the rear end portion of the screw plunger contacting the push rod with the spring located on the same side of the hinge shaft;

[0005]本发明在套管针的前端外圆周设有圆角,在刺入的过程中为钝性分离疏通,不易损伤组织和神经等;分离针在径向小于套管针前端外径并置于轴向凹槽,该针不再额外损伤组织和神经等,手术安全性好;套管针内的功能针可进行相应的针灸治疗;当转动螺钉使其后移,连接板及分离针在弹簧的拉动下绕铰轴转动,分离针前端与套管针分离、向外转动,形成V型,对皮下粘连的软组织强力撑开、进行分离,无论深层软组织和浅层软组织,可由套管针刺入的深度控制,分离的精确性可通过转动螺钉及两导板对推杆的导向控制,力度可由弹簧控制,操作方便;反向转动螺钉可使得分离针恢复原来位置,便于实施下次软组织分离操作;本发明通过刺入、在微创情况下实施软组织分离,对病人的损伤小,恢复快,解决了现有难题,具有较高的实用价值。 [0005] The present invention is provided with an outer circumference of the front end of the needle cannula rounded, blunt dissection is clear in the course of puncturing, and not easily damaged nerve tissue; separating the needle in the radial direction is smaller than the outer diameter of the needle cannula and the distal end axial grooves disposed, the needle is no additional damage and nerve tissue, good safety operation; function of the needle cannula within the corresponding needle acupuncture; when turning the screw to shift it, the needle and the separation web Driven by the spring about the hinge axis, the front end of the trocar needle isolated separated outward rotation, a V-type, subcutaneous soft tissue adhesion strength stretched, separated, regardless of shallow and deep soft tissue and soft tissue, by a sleeve needle penetration depth control, separation accuracy can be controlled by turning the screw guide and two guide plates of the plunger, the spring strength may be controlled, easy to operate; screw reverse rotation may be separated so that the needle to its original position, to facilitate the implementation of the next soft tissue separating operation; by puncturing the present invention, the embodiment of soft tissue in minimally invasive isolated cases, damage to the patient, quicker recovery, solves the problem of having a high practical value.

[0006]作为本发明的进一步改进,在套管针前部设有一个以上的径向孔,所述功能针为引导针或治疗内芯针或留置针,其前端位于套管针外;在套管针后端设有一个以上的定位槽,功能针固设有一个以上与定位槽对应的定位柱;通过径向孔可实现注射,将定位柱置于定位槽内,可防止功能针转动,解放双手,便于操作; [0006] As a further improvement of the present invention, the front end of the trocar is provided with at least a radial bore, the function hand to guide the needle or core needle or catheter treatment, which is located outside the distal end of the trocar; in the rear end of the trocar is provided with at least one positioning groove, a function is provided above in connection with the needle fixed positioning groove corresponding positioning post; injected through radial bores can be achieved, in the positioning groove of the positioning posts, prevents rotation of the needle functions , hands free, easy to operate;

[0007]作为本发明的进一步改进,在套管针前部设有一个以上的径向孔,所述功能针包括中层套管针和滑动设于中层套管针内的治疗内芯针;中层套管针的前端位于套管针外,中层套管针的前端外圆周设有圆角,套管针外的中层套管针设有径向分流孔,在套管针后端设有一个以上的定位槽,中层套管针固设有一个以上与定位槽对应的定位柱;治疗内芯针的前端位于中层套管针外;该结构不仅可实施两级注射,中层套管针在深层穿刺经过皮下的血管和神经区,其前端的圆角可更好的保护血管和神经,治疗内芯针通过中层套管针可接近骨膜区域,其尖端避免与血管和神经区接触,实施切割等操作,加上软组织分离功能,可实现一体化治疗; [0007] As a further improvement of the present invention, the front end of the trocar is provided with at least a radial bore, the functional pin comprises a middle and a trocar slidably disposed within the middle core needle treatment trocar; middle the front end of the trocar located outside the trocar, the trocar tip of the outer circumference of the middle layer is provided with rounded corners, middle of the outer trocar cannula needle provided with radial vent hole in the rear end of the needle cannula has a more positioning groove, a middle trocar fixedly disposed above the positioning groove corresponding positioning post; core needle distal end positioned within the therapeutic middle outer trocar; embodiment not only the structure of two injectable middle deep puncture needle cannula after subcutaneous blood vessels and neural areas, the tip may be rounded to better protect the nerves and blood vessels, treatment of the core needle through the middle region accessible periosteum trocar tip to avoid contact with the vessel and neural areas, cutting operations such embodiments plus soft tissue separation capabilities that enable the integration of treatment;

[0008]综上所述,本发明不仅具有现有特种针灸内窥治疗器的基本功能,还能对各种软组织粘连进行分离,实现一体化治疗,且对病人的损伤小,恢复快,手术安全性好,解决了现有难题。 [0008] In summary, the present invention is not only the basic function of an endoscopic treatment existing special acupuncture, of soft tissue adhesions can be isolated, integration therapy, and less damage to the patient, quicker recovery, surgery safety, to solve the existing problems.

附图说明 BRIEF DESCRIPTION

[0009]图1为本发明实施例一的不意图。 [0009] The examples are not intended to FIG. 1 one embodiment of the present invention.

[0010]图2为图1的右视图。 [0010] FIG 2 is a right side view of FIG.

[0011 ]图3为本发明实施例对软组织分离时的状态图。 [0011] Figure 3 a state diagram of the soft tissue separation embodiment of the invention.

[0012]图4为本发明实施例二的示意图。 [0012] FIG. 4 is a schematic of a second embodiment of the present invention.

具体实施方式 Detailed ways

[0013]下面结合附图对本发明作进一步详细的说明。 [0013] The following figures present invention will be further described in detail in conjunction.

[0014] 实施例一 [0014] Example a

[0015]如图1、图2所示,该特种针灸V型内窥治疗器,包括套管针1、间隙设于套管针I内的中层套管针2、滑动设于中层套管针2内的治疗内芯针3,中层套管针2的前端位于套管针I夕卜,套管针I和中层套管针2的前端外圆周均设有圆角Ia或2a,在套管针I前部设有数个径向孔5,套管针I外的中层套管针2设有径向分流孔6,在套管针I后端设有定位槽,中层套管针2固设有与定位槽对应的定位柱7;治疗内芯针3的前端位于中层套管针2外;在套管针I前端后侧的外壁上设有轴向凹槽8,在轴向凹槽8内设有分离针9,分离针9在径向小于套管针I的前端外径,分离针9的后端与套管针I通过套管针I外壁上固设的铰座10和铰轴11铰接,在铰轴11后侧的套管针I外壁固设有两导板12,分离针9固联一连接板13,连接板13设有挂孔,套管针I外壁固设有挂钩15,弹簧16的两端分别套于挂钩15上和勾 [0015] As shown in FIG 1, as shown, within the V-shaped special acupuncture treatment endoscope 2, comprising a trocar, the gap provided in the middle trocar trocar I 2, slidably disposed in the middle of the trocar treatment of the inner core 23 within the needle tip is located in the middle of the trocar 2 Bu Xi I trocar, the trocar tip of the outer circumference of the middle of the trocar and I 2 are provided with rounded Ia or 2a, the sleeve the middle portion is provided with needle I of the front outer trocar several radial bores 5, the cannula 2 is provided with a radial pin I branch hole 6, a positioning groove in the rear end of I the trocar, the trocar 2 is fixed middle there positioning groove 7 corresponding positioning post; treating distal inner core needle 3 is positioned outside the middle of the trocar 2; in the rear wall of the outer needle I of the front end of the cannula is provided with axial grooves 8, 8 in the axial groove hinge base 10 and are equipped with separate hinge shaft pin 9, pin 9 is separated radially smaller than the outer diameter of the distal end of the trocar I, separated from the rear end of the trocar needle 9 I-I through the outer wall of the needle cannula is fixed 11 hinged at the rear side of the trocar 11 fixed to the outer wall of the hinge shaft I with two guides 12, is fixedly connected a needle 9 separating web 13, web 13 has a hanging hole, the trocar is provided with a solid outer wall hooks 15 I , ends of the spring 16 are set to the hook 15 and the hook 挂孔,使得连接板13与套管针I外壁通过弹簧16相连,连接板13与推杆17的前端通过铰轴18铰接,推杆17的后端置于两导板12形成的滑槽中,在滑槽后侧的套管针I固联有针柄19,一螺钉20通过螺纹与针柄19相联,螺钉20的端部与推杆17的后端接触,推杆17与弹簧16位于铰轴11的同一侧; Hanging hole, so that the connecting plate 13 is connected to the outer wall of the trocar I by the spring 16, the front end of the push rod 17 and the connecting plate 13 by a hinge 18 hinge shaft, the rear end of the push rod 17 is placed two sliding guides 12 formed, in the rear chute I trocar needle handle 19 is fixedly connected, by a screw 20 in contact with the rear end portion of the push rod threaded shank 19 associated with the needle, the screw 20 is 17, the push rod 17 and spring 16 located the same side of the hinge shaft 11;

[0016]本发明在套管针I和中层套管针2的前端外圆周均设有圆角Ia或2a以及径向孔5或径向分流孔6,该结构不仅可实施两级注射,在穿刺的过程中为钝性分离疏通,在经过皮下的血管和神经区,其前端的圆角可更好的保护血管和神经,治疗内芯针3通过中层套管针2可接近骨膜区域,其尖端避免与血管和神经区接触,实施切割等操作,不易损伤组织和神经等,加上分离针9置于轴向凹槽8内并在径向小于套管针I前端外径,该针9不再额外损伤组织和神经等,提高了手术的安全性;定位柱7置于定位槽内,可防止中层套管针2转动,解放双手,便于操作;当转动螺钉19使其后移,连接板13及分离针9在弹簧16的拉动下绕铰轴11转动,分离针9前端与套管针I分离、向外转动,形成V型,如图3所示,对皮下粘连的软组织强力撑开、进行分离,无论深层软组织和浅层软组织,可 [0016] In the present invention, the outer circumference of the distal end of the trocar cannula middle and I 2 are provided with a needle Ia or 2a and the rounded radial holes or radial porthole 5 6, this structure may be implemented not only two injections, at puncturing process for blunt dissection to clear, after subcutaneous blood vessels and neural areas, the tip may be rounded to better protect the nerves and blood vessels, treatment of the core needle through the middle of the trocar 2 3 periosteum accessible area, which avoid contact with the vessel and the tip of neural areas, performing cutting and other operations, and not easily damaged nerve tissue, the needle 9 is placed together separated axial grooves 8 in the radial direction and an outer diameter less than the needle I of the front end of the cannula, the needle 9 no additional damage and nerve tissue, to improve the safety of operation; positioning post in the positioning groove 7, prevents rotation of the middle of the trocar 2, hands free, easy to operate; when the screw 19 is rotated to shift it, connected 9 and the separation plate 13 about the pin 16 under the pull of the spring hinge shaft 11 is rotated, the tip of the needle 9 separate trocar I was separated, rotated outward, forming a V-shaped, as shown in FIG. 3, the soft tissue of the skin adhesion strength stays open, separation, both shallow and deep soft tissue soft tissue, may 套管针I刺入的深度控制,分离的精确性可通过转动螺钉19及两导板12对推杆17的导向控制,力度可由弹簧16控制,可实现精确分离和深度分离,操作方便;反向转动螺钉19使其推动推杆17前移,可使得分离针9恢复原来位置,便于实施下次软组织分离操作;本发明通过刺入、在微创情况下实施软组织分离,对病人的损伤小,恢复快,解决了现有难题,具有较高的实用价值。 I trocar penetration depth control, the separation accuracy can be controlled by turning the screw guide 19 and the two guide plates 12 pairs of the push rod 17, the intensity of the control spring 16 may be, for precise separation and the separation depth, easy to operate; Reverse 19 so that rotation of the screw pushes the push rod 17 forward, so that the separation of the needle 9 can return to the original position, the next embodiment to facilitate separation of soft tissue; by puncturing the present invention, the embodiment of soft tissue in minimally invasive isolated cases, damage to the patient, quick recovery, to solve the existing problems, with high practical value.

[0017]实施例二 [0017] Second Embodiment

[0018]如图4所示,本实施例与实施例一的区别仅在于:在套管针I内间隙设置的功能针为空心的留置针21,分离针9及其结构均与实施例一相同,可实现不同的治疗功能。 [0018] As shown in FIG 4, the present embodiment differs from that of Embodiment 1 only: function within the trocar needle disposed hollow space I indwelling needle 21, the needle 9 and the structures were separated with an embodiment Example the same, can achieve different therapeutic functions.

[0019]本发明不限于上述实施方式,如套管针内可设置不同的功能针,但只要采用本专利权利要求1描述的结构,均落入本专利的保护范围。 [0019] The present invention is not limited to the above-described embodiments, different functions may be provided as a needle trocar, but as long as the structure of the present patent described in claim 1, fall within the scope of this patent.

Claims (3)

1.一种特种针灸V型内窥治疗器,包括套管针、间隙设于套管针内的功能针,套管针的前端外圆周设有圆角,其特征在于在套管针前端后侧的外壁上设有轴向凹槽,在轴向凹槽内设有分离针,分离针在径向小于套管针前端外径,分离针的后端与套管针通过铰轴铰接,在铰轴后侧的套管针外壁固设有两导板,分离针固联一连接板,连接板与套管针外壁通过弹簧相连,连接板与推杆的前端铰接,推杆的后端置于两导板形成的滑槽中,在滑槽后侧的套管针固联有针柄,一螺钉通过螺纹与针柄相联,螺钉的端部与推杆的后端接触,推杆与弹簧位于铰轴的同一侧。 An outer circumference of the front end of the endoscopic treatment device 1. A special acupuncture V type, including trocar, the gap provided in function of the needle cannula, trocar is provided with rounded corners, characterized in that the front end of the trocar an outer side wall of the axial groove is provided with an axial groove in the needle isolated features, isolated the needle in the radial direction is smaller than the outer diameter of the needle cannula distal end, a rear end and separated needle trocar shaft is hinged by a hinge, in rear hinge shaft trocar outer wall is provided with two fixed guides, fixedly connected to a separate pin link plate, the connection plate is connected by a spring to the outer wall of the trocar, with the web front end of the push rod is hinged, the rear end of the push rod disposed two sliding guides formed in the rear side of the chute with a solid trocar needle shaft has a screw threadably associated with the needle shaft, the screw end contact with the rear end of the push rod, the push rod with the spring is located the same side of the hinge shaft.
2.如权利要求1所述的特种针灸V型内窥治疗器,其特征在于在套管针前部设有一个以上的径向孔,所述功能针为引导针或治疗内芯针或留置针,其前端位于套管针外;在套管针后端设有一个以上的定位槽,功能针固设有一个以上与定位槽对应的定位柱。 2. The special V-acupuncture according to claim 1 within the endoscopic treatment device, characterized in that the front portion of the trocar is provided with at least a radial bore, the function hand to guide the needle or core needle or indwelling treatment needle, which is located outside the front end of the needle cannula; positioning groove is provided with one or more rear end of the needle cannula, the needle is fixedly arranged more than one function with the corresponding positioning grooves positioning post.
3.如权利要求1所述的特种针灸V型内窥治疗器,其特征在于在套管针前部设有一个以上的径向孔,所述功能针包括中层套管针和滑动设于中层套管针内的治疗内芯针;中层套管针的前端位于套管针外,中层套管针的前端外圆周设有圆角,套管针外的中层套管针设有径向分流孔,在套管针后端设有一个以上的定位槽,中层套管针固设有一个以上与定位槽对应的定位柱;治疗内芯针的前端位于中层套管针外。 3. The special V-acupuncture according to claim 1 within the endoscopic treatment device, characterized in that at least a radial hole provided in the front end of the trocar, the needle feature comprises a middle trocar slidably disposed in the middle and treatment within the trocar needle core; middle distal trocar cannula needle positioned outside the outer circumference of the distal end of the trocar is provided with a rounded middle, middle outer trocar cannula needle provided with radial vent hole , provided at least one positioning groove rear end of the needle cannula, trocar middle has a more solid with the corresponding positioning grooves positioning post; core needle distal end positioned within the therapeutic middle outer trocar.
CN201510173153.0A 2015-04-14 2015-04-14 Endoscopic treatment within special acupuncture type v CN104771209B (en)

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