CN106344111A - Special detachable suction type curet set for endoscopic skull base surgery and method - Google Patents

Special detachable suction type curet set for endoscopic skull base surgery and method Download PDF

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Publication number
CN106344111A
CN106344111A CN201610965501.2A CN201610965501A CN106344111A CN 106344111 A CN106344111 A CN 106344111A CN 201610965501 A CN201610965501 A CN 201610965501A CN 106344111 A CN106344111 A CN 106344111A
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CN
China
Prior art keywords
curet
handle
skull base
surgery
head
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201610965501.2A
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Chinese (zh)
Inventor
张海令
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Second Hospital of Shandong University
Original Assignee
Second Hospital of Shandong University
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Filing date
Publication date
Application filed by Second Hospital of Shandong University filed Critical Second Hospital of Shandong University
Priority to CN201610965501.2A priority Critical patent/CN106344111A/en
Publication of CN106344111A publication Critical patent/CN106344111A/en
Pending legal-status Critical Current

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Classifications

    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • A61M1/0023
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B17/22031Gripping instruments, e.g. forceps, for removing or smashing calculi
    • A61B2017/22035Gripping instruments, e.g. forceps, for removing or smashing calculi for retrieving or repositioning foreign objects
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22079Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with suction of debris

Abstract

The invention discloses a special detachable suction type curet set for endoscopic skull base surgery and a method. The special detachable suction type curet set comprises a curet, wherein the curet comprises a handle and a curet head; the handle is detachably connected with the curet head; the interiors of the handle and the curet head are respectively of a hollow structure to form a continuous suction channel; the end part of the handle is connected with a suction device; the curet head is in a straight tube shape, or the middle part of the curret head is bent into a setting angle; one end of the curet head is provided with a curet opening for scraping tissues in a surgery part; an air ventilating hole is formed in the handle and is communicated with the suction channel. The special detachable suction type curet set has the advantages that by adopting a structural design, according to the clinical actual requirements, and the special requirements of endoscopic skull base surgery on special apparatuses, a surgery apparatus contains one curet set, so that the requirements of various types of skull base surgery are met; the structural design is reasonable, the flexibility in use is realized, the combination is convenient, the clear surgery view field is favorably maintained, the surgery time is shortened, the safety in surgery is improved, the cleaning and disinfection are easy, and the reliability and durability are realized.

Description

The special detachable aspiration-type curet group set of scope skull base surgery and method
Technical field
The present invention relates to scope skull base surgery, more particularly, to scope skull base surgery special detachable aspiration-type curet group set and Method.
Background technology
Endoscopic chamber, operation on nasal sinus are extensively carried out 20 years about at home at present, it has also become main flow modus operandi, conventional Mirror operation on nasal sinus is all ripe complete at aspects such as technology, operating theater instruments.With the development of medical science and technology, nearly 10 years, more multiple Miscellaneous, highly difficult scope skull base surgery at home partly high-level Grade A hospital gradually carry out, such as mirror per nasal or oral basis cranii Pathological changes excision, common are the excision of mirror per nasal sellar tumour, nasal sinuses malignant tumor involves the excision of basis cranii, mirror per nasal temporo Lower nest pterygopalatine fossa tumor resection, the excision of mirror oral Jugular Foramen pathological changes, mirror oral slope pathological changes excision etc..Because of scope Skull base surgery have avoid out cranium, avoid disfeaturing, clearly no dead angle, patient's post-operative recovery is fast etc. prominent excellent for minimally invasive, surgical field of view Point, has gradually started to substitute traditional open and micro- arthroscopic diagnosis.However, compared with sinunasal, basis cranii region has solution Cut open deep, the important nervus vasculairs in complexity, position and the particularity such as enrich, must be extremely careful in art, be " lead one and Dynamic whole body ".Therefore, superb technology and good training operating theater instruments are to smoothly complete the important guarantee of such operation.Sorry , the development of related mirror basis cranii Special surgical instrument is more delayed.The important operating theater instruments of one of which: curet, at present still Using the curet for common operation on nasal sinus or neurosurgery design, there is no the special design for mirror skull base surgery, Meanwhile, skull base surgery disabling dynamical system airbreathing hypersonic vehicle, curet just seems more important in skull base surgery.This quasi-tradition curet Though can use reluctantly in mirror skull base surgery, common shortcoming is: single-body type, fixed angle, regular length and no synthesize Suction pump.These shortcomings lead to mirror skull base surgery person's needs repeatedly to be changed hands between curet and suction pump replacing, with phacoemulsification Area's bleeding, keeps clearly visual area;Need repeatedly continually to withdraw from curet through art area, to clear up curet Gua Kou inner tissue, because of one As in the case of skull base surgery patient typically performed the operation under general anesthesia state, repeatedly withdraw from curet and carry out attracting easily to extend trouble Person's time in operation, patient couches injured patient's body for a long time, extends patient's post-operative recovery time, is noted according to operating time The anesthetics penetrated also just accordingly increase, and are unfavorable for the rehabilitation of patient;Need according to situation in art, repeatedly change different angles, Length, scrape the curet of mouthful type, delay operation progress.The anatomical position of basis cranii, feature determine that its operative approach is long and narrow, and operation is empty Between very limited, and blood supply enrich, bleeding is more.If in many cases suction catheter is separately held by assistant to absorb bleeding to protect Hold clearly visual area, mirror held with operating doctor and curet contention operative space can be led to, lead between operative doctor mutually Hinder.Therefore, for the shortcoming of traditional curet, the actual demand according to mirror skull base surgery designs a set of Special curette, right and wrong Often necessary.
Content of the invention
An object of the present disclosure is to provide the special detachable aspiration-type curet group set of scope skull base surgery, and this group set is integrated and inhaled Draw function and multi-angle setting scrape head, make the operator of operation curet can synchronously absorb bleeding, multi-angle scrape head reduce take Mirror downward view space, is that surgical provides larger and clearly visual area, the structure setting simultaneously bending, can meet various Skull base surgery.
The second object of the present invention is to provide a kind of method for removing tissue in scope skull base surgery, by possessing suction The curet group set drawing passage is applied in this operation, is easy to quickly clear up the tissue needing to remove in skull base surgery, effectively shortens Operating time.
In order to reach above-mentioned purpose, first technical scheme that the present invention provides:
The special detachable aspiration-type curet group set of scope skull base surgery, including curet, curet includes handle and scrapes head, handle It is detachably connected with scraping head, handle attracts dress with scraping the internal all hollow of head to form a continuous attraction channel, handle end connection Put, scrape the angle that head is in the flexible setting of straight tube-like or middle part, what the one end scraping head was provided for that curettage district's groups knit scrapes mouth, Handle is provided with the passage communicating with attraction channel.
Handle can be to threaded or snap connection with scraping head, and the two closely connects just permissible.
The setting of above curet group set, scrapes head setting by bending, it is to avoid length is directly scraped head visual area is blocked, can be effective Expand the visual area of surgical, effectively prevent operation dead angle, removal lesion tissue is cleaner;And it is direct by suction device The tissue that phacoemulsification area strikes off, needs, without operator in prior art, replacing of repeatedly changing hands between curet and suction pump, real Now quickly absorb Gua Kou inner tissue, improve procedure efficiency, and then reduce the operation time used, be conducive to that patient's is quickly extensive Multiple it is ensured that the scope visual field clear;Detachable handle and scrape head, can achieve that difference angles scrape the replacing of head, need not be again Handle is reconnected with suction device, improves work efficiency.
Described suction device includes suction catheter, and suction catheter is connected with vacuum extractor.
Described scrape two sections that head includes at least being detachably connected, first paragraph is straight tube, and second segment is oblique with respect to straight tube Pipe, straight tube is threaded connection with inclined tube, and what multistage was arranged scrapes head, can be easy to the storage scraping head and whole curet group set, section Province takes up room, and facilitates medical worker to carry;Or, scraping head is an entire section structure.
Described centriciput of scraping bends at an acute angle, makes doctor in operation realize from back to front tissue being struck off, thoroughly to scrape Except tissue, widen the range of curet.
Or, described centriciput of scraping bends in obtuse angle, strikes off pathological tissues from front to back in order to medical worker.
Preferably, described the generally circular in shape or oval of mouth or upside-down triangle shape, wider one of upside-down triangle shape are scraped While with respect to scraping an internal diameter width 1mm~3.5mm.
Described mouth of scraping passes through connecting member forming for setting shape, and the both sides of connector are individually fixed in scrapes inside head.
Described handle both sides are respectively provided with the half elliptic handle wing in order to operator handle, or, outside handle It is hand-held that medical worker is easy to for calabash body in portion.
Preferably, in order to realize different operations, described centriciput of scraping bends in 45 ° or 60 ° or 90 ° or 120 °, and length has 15cm, 25cm, 35cm, handle is in oblong, long 6cm, and elliptical shape minor axis diameter is 1cm, in handle inner hollow parts Footpath is 4mm.
Described handle surfaces indent, to facilitate gripping, is recessed groove, for placing the finger of medical worker, groove Length direction is vertically arranged with hollow head of scraping, and realizes medical worker and easily works, it is to avoid the handss that long-time gripping curet leads to Tingle sense, mitigates the labor intensity of doctor.
The alternative plan that the present invention provides is:
A kind of method for removing tissue in scope skull base surgery, provides described scope skull base surgery special detachable Aspiration-type curet group set, holds handle and curet is extend into art area, needs the tissue striking off to be struck off using Gua Kouduishu area, The tissue striking off directly is absorbed by attraction channel by suction device again, it is to avoid repeatedly withdraw from curet in art and scraped with clearing up Mouthful.
The invention has the advantages that:
1) curet handle surfaces band groove overall oval in shape, is easy to patient and takes hold;It is right to be realized by attraction channel The direct absorption of pathological tissues, repeatedly need not withdraw curet, improve procedure efficiency;Total can synchronously absorb bleeding, begins Keep the clearly scope visual field eventually, improve operation safety.
2) scrape a multi-angle bending setting, various skull base surgery can be met.
3) structure design of the present invention, from clinical practice, fits tightly scope skull base surgery special to special equipment Require, realize containing a curet group set in surgical kit, you can fully meet the needs of various skull base surgery.
4) present configuration is reasonable in design, using flexibly, combination is convenient, be conducive to keeping clearly visual area, shortens operation Time, improve the safety of operation, and sterilization easy to clean, reliability and durability.
Brief description
Fig. 1 is the structural representation of curet of the present invention;
Fig. 2 is the structural representation with suction catheter for the present invention;
Fig. 3 is that the present invention scrapes head bending effect diagram one;
Fig. 4 is that the present invention scrapes head bending effect diagram two;
Fig. 5 is that the present invention scrapes mouthful schematic diagram one;
Fig. 6 is that the present invention scrapes mouthful schematic diagram two;
Fig. 7 is that the present invention scrapes mouthful schematic diagram three;
Fig. 8 is handle outer schematic diagram of the present invention;
Wherein: 1. handle, the 2. handle wing, 3. passage, 4. scrape head, 5. scrape mouth, 6. suction catheter.
Specific embodiment
Below in conjunction with the accompanying drawing in the embodiment of the present invention, the technical scheme in the embodiment of the present invention is carried out clear, complete Whole description.
Embodiment 1
The special detachable aspiration-type curet group set of scope skull base surgery, as depicted in figs. 1 and 2, including curet, curet includes The handle 1 that is detachably connected and scrape 4, handle 1 with scrape 4 internal all hollows settings, pass through therebetween screw thread or buckle Mode be attached, can be attached with suction catheter 6 with respect to the other end scraping head in handle 1, for ensure sealing, handss Handle 1 is threaded connection with suction catheter 6, or arranges rubber ring in handle 1, is connected with suction catheter 6, and suction catheter is steel Pipe, then with hose connection, or, suction catheter 6 can be flexible pipe, and flexible pipe is connected with vacuum extractor, scrape 4 in straight tube-like or The angle of the flexible setting in middle part, what the one end scraping 4 was provided for that curettage district's groups knit scrapes mouth, and handle 1 is provided with and handle 1 The passage 3 communicating, passage 3 at thumb and index finger location, is easy to operate at handle;When using, medical matters people The unlimited passage 3 of member, then do not aspirated, during the situation that medical worker's needs strike off tissue and absorb bleeding, partly or complete Passage 3 is blocked in portion, and under the swabbing action of vacuum extractor, curet synchronizes to be scraped, inhales.
The setting of above curet group set, scrapes 4 setting by bend, expands the visual area of surgical, suction device By the pathological tissues in attraction channel phacoemulsification area, need between curet and suction device instead without operator in prior art Change hands again replacing, quick absorb Liao Guakou 5 inner tissue, improve procedure efficiency;A detachable handle 1 and scrape 4, can achieve not Scrape 4 replacing with angle.
Described scrape 4 include at least being detachably connected two sections, first paragraph is straight tube, and second segment is oblique with respect to straight tube Pipe, straight tube is threaded connection with inclined tube, multistage setting scrape 4, can be easy to scraping 4 and the storage that covers of whole curet group, Saving takes up room, and facilitates medical worker to carry.
Described 4 middle part of scraping bend at an acute angle, as shown in figure 4, being struck off from back to front with realizing doctor in operation, with thorough Strike off pathological tissues, widen the range of curet.
Or, described 4 middle part of scraping bend in obtuse angle, as shown in figure 5, striking off pathological changes from front to back in order to medical worker Tissue.
Described mouth 5 of scraping passes through connecting member forming for circular or oval or upside-down triangle shape, as shown in Fig. 5, Fig. 6 and Fig. 7, The both sides of connector are individually fixed in scrapes inside 4.
Described handle 1 both sides are respectively provided with the half elliptic handle wing 2 in order to operator handle 1, as Fig. 8 institute Show, to facilitate gripping, medical worker's finger can partly be positioned over interior recess to described handle 1 concave surface, realizes medical worker light Pine work, it is to avoid the long-time labor intensity gripping the tingle sense of handss that curet leads to, mitigating doctor.Or, handle 1 is outside to be calabash It is hand-held that reed body is easy to medical worker.
In order to realize different operations, described 4 middle part of scraping bend in 45 ° or 60 ° or 90 ° or 120 °.
When this curet is used for skull base surgery, the length of curet is in 25cm.
Embodiment 2
The present embodiment is a difference in that with embodiment 1:
Scraping head is an entire section structure.
Embodiment 3
The present embodiment is a difference in that with embodiment 1:
Handle is not detachably connected body with scraping head, but integrative-structure setting, inner hollow.
Embodiment 4
A kind of method for removing tissue in scope skull base surgery, provides described scope skull base surgery special detachable Aspiration-type curet group set, holds handle and curet is extend into art area, needs the tissue striking off to be struck off using Gua Kouduishu area, Again the tissue striking off directly is absorbed by attraction channel by suction device, it is to avoid curet is repeatedly withdrawn from.
The above is only the preferred embodiment of the present invention it is noted that ordinary skill people for the art For member, under the premise without departing from the principles of the invention, some improvements and modifications can also be made, these improvements and modifications also should It is considered as protection scope of the present invention.

Claims (10)

1. scope skull base surgery special detachable aspiration-type curet group set is it is characterised in that include curet, curet include handle and Scrape head, handle is detachably connected with scraping head, to form a continuous attraction channel, handle end is even with scraping all hollow inside head for handle Connect suction device, scrape the angle that head is in the flexible setting of straight tube-like or middle part, the one end scraping head is provided for curettage district's groups That knits scrapes mouth, and handle is provided with the passage communicating with attraction channel.
2. the special detachable aspiration-type curet group of scope skull base surgery as claimed in claim 1 covers it is characterised in that described scrape Head includes two sections being at least detachably connected, and first paragraph is straight tube, and second segment is the inclined tube with respect to straight tube, and straight tube is led to inclined tube Cross threaded.
3. the special detachable aspiration-type curet group of scope skull base surgery as claimed in claim 1 covers it is characterised in that described scrape Centriciput bends at an acute angle, makes doctor in operation realize from back to front tissue being struck off.
4. the special detachable aspiration-type curet group of scope skull base surgery as claimed in claim 1 covers it is characterised in that described scrape Centriciput bends in obtuse angle.
5. the special detachable aspiration-type curet group of scope skull base surgery as claimed in claim 1 covers it is characterised in that described scrape The generally circular in shape or oval or upside-down triangle shape of mouth.
6. the special detachable aspiration-type curet group of scope skull base surgery as claimed in claim 1 covers it is characterised in that described scrape Mouth is to set shape by connecting member forming, and the both sides of connector are individually fixed in scrapes inside head.
7. the special detachable aspiration-type curet group set of scope skull base surgery as claimed in claim 1 is it is characterised in that described handss Handle both sides are respectively provided with the half elliptic handle wing in order to operator handle;
Or, it is hand-held that described handle outer is easy to medical worker for calabash body.
8. the special detachable aspiration-type curet group of scope skull base surgery as claimed in claim 1 covers it is characterised in that described scrape Centriciput bending is in 45 ° or 60 ° or 90 ° or 120 °.
9. the special detachable aspiration-type curet group set of scope skull base surgery as claimed in claim 1 is it is characterised in that described suction Leading-in device includes suction catheter, and suction catheter is connected with vacuum extractor.
10. a kind of method for removing tissue in scope skull base surgery is it is characterised in that provide as appointed in claim 1-9 The special detachable aspiration-type curet group set of scope skull base surgery described in one, holds handle and curet is extend into art area, utilizes Gua Kouduishu area needs the tissue striking off to be struck off, then the tissue striking off is carried out directly by attraction channel by suction device Suction, it is to avoid repeatedly withdraw from curet to clear up Gua Kou inner tissue.
CN201610965501.2A 2016-11-04 2016-11-04 Special detachable suction type curet set for endoscopic skull base surgery and method Pending CN106344111A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201610965501.2A CN106344111A (en) 2016-11-04 2016-11-04 Special detachable suction type curet set for endoscopic skull base surgery and method

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201610965501.2A CN106344111A (en) 2016-11-04 2016-11-04 Special detachable suction type curet set for endoscopic skull base surgery and method

Publications (1)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108720917A (en) * 2017-04-18 2018-11-02 合硕生技股份有限公司 Skull bone anchoring device and its operation tool

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6398793B1 (en) * 2000-08-11 2002-06-04 Acuderm Inc. Disposable dermal curette
CN201316284Y (en) * 2008-12-02 2009-09-30 杨金凤 Suction-pipe type curette cable of changing direction
CN103800050A (en) * 2014-02-13 2014-05-21 石志远 Vacuum aspiration curet
CN206453823U (en) * 2016-11-04 2017-09-01 山东大学第二医院 The special detachable aspiration-type curet group set of scope skull base surgery

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6398793B1 (en) * 2000-08-11 2002-06-04 Acuderm Inc. Disposable dermal curette
CN201316284Y (en) * 2008-12-02 2009-09-30 杨金凤 Suction-pipe type curette cable of changing direction
CN103800050A (en) * 2014-02-13 2014-05-21 石志远 Vacuum aspiration curet
CN206453823U (en) * 2016-11-04 2017-09-01 山东大学第二医院 The special detachable aspiration-type curet group set of scope skull base surgery

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108720917A (en) * 2017-04-18 2018-11-02 合硕生技股份有限公司 Skull bone anchoring device and its operation tool
CN108720917B (en) * 2017-04-18 2021-05-14 合硕生技股份有限公司 Skull fixing device and surgical tool thereof

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