CN107961012A - A kind of laparoscopic surgery metal detection positioner - Google Patents

A kind of laparoscopic surgery metal detection positioner Download PDF

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Publication number
CN107961012A
CN107961012A CN201711372228.3A CN201711372228A CN107961012A CN 107961012 A CN107961012 A CN 107961012A CN 201711372228 A CN201711372228 A CN 201711372228A CN 107961012 A CN107961012 A CN 107961012A
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China
Prior art keywords
casing
push
pull rod
disk
detection
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Granted
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CN201711372228.3A
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CN107961012B (en
Inventor
暨玲
蒋飞照
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First Affiliated Hospital of Wenzhou Medical University
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First Affiliated Hospital of Wenzhou Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B5/00Measuring for diagnostic purposes; Identification of persons
    • A61B5/06Devices, other than using radiation, for detecting or locating foreign bodies ; determining position of probes within or on the body of the patient

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Molecular Biology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Biomedical Technology (AREA)
  • Human Computer Interaction (AREA)
  • Medical Informatics (AREA)
  • Physics & Mathematics (AREA)
  • Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Endoscopes (AREA)

Abstract

The invention discloses a kind of laparoscopic surgery metal detection positioner, disk, survey meter host, connecting line, detection casing are sought its key points of the technical solution are that including, detection casing is made of medical rigid plastics, and detection casing is provided with for for seeking the sense channel of disk and connecting line through detection casing;Seek disk and include the inner ring being coaxially disposed and outer ring, the coil being coiled into by conducting wire is both provided with inner ring and outer ring, coil is electrically connected with connecting line, and inner ring and outer ring are made by medical flexible material, can be embedded into when seeking disk after by radial pressure in sense channel;Sliding is connected with the push-pull rod that disk is sought for pushing and pulling along its length in sense channel, and one end of push-pull rod length direction is connected with seeking disk, and the other end extends after running through sense channel to outside the end of detection casing.The device can carry out metal detection under the direct-view of laparoscope, have the function that accurate positioning, shorten operating time.

Description

A kind of laparoscopic surgery metal detection positioner
Technical field
The present invention relates to medical apparatus and instruments technical field, more specifically, it relates to a kind of laparoscopic surgery metal Detection location device.
Background technology
If occurring metal material loss in laparoscopic surgery at present, as suture needle, ultrasonic cutter head, or patient are pierced by metallic foreign body Left after wound intraperitoneal, generally use x-ray in art to position, but internal organs position is complicated in abdomen, and plane positioning tends not to reach It is required that especially metallic foreign body can change position in human body with intestines peristalsis, cause X positioning there is also it is inaccurate the problem of, Very big difficulty is caused to operation, and there is no preferable search method at present, for this reason, many manufacturers and knowledgeable people are opened Hair and develop, but there has been no comparatively ideal product so far to emerge.
The content of the invention
In view of the deficiencies of the prior art, the present invention intends to provide a kind of laparoscopic surgery metal detection to determine Position device, the device can carry out metal detection under the direct-view of laparoscope, have accurate positioning, shorten the work of operating time With.
To achieve the above object, the present invention provides following technical solution:A kind of laparoscopic surgery is positioned with metal detection Device, includes and seeks disk and survey meter host, and is connected to the connecting line sought between disk and survey meter host, and metal is visited Survey positioner, which further includes, to be useful for stretching into intraperitoneal detection casing, and the detection casing is made of medical rigid plastics, institute State detection casing and set in tubular structure and included for for seeking the sense channel of disk and connecting line through detection casing;Institute State and seek disk and include the inner ring being coaxially disposed and outer ring, the coil being coiled into by conducting wire is both provided with the inner ring and outer ring, The coil is electrically connected with connecting line, and the inner ring and outer ring are made by medical flexible material, when seeking disk by radial pressure After can be embedded into sense channel;Sliding is connected with and seeks pushing away for disk for pushing and pulling along its length in the sense channel Pull rod, one end of the push-pull rod length direction are connected with seeking disk, and the other end is after sense channel to the end of detection casing Extension outside portion, push-pull rod can be led to along the length direction slipping of detection casing by driving seek disk and be taken in detect Released in road or from the end of detection casing.
The present invention is further arranged to:It is described detection casing include first sleeve and be plugged in first sleeve second Casing, the first sleeve and the second casing are set in tubular structure, be coaxially disposed in the first sleeve be useful for The connecting tube that second casing is spirally connected, leaves the gap for the insertion of the second casing between the connecting tube and first sleeve, and described the Internal thread is provided with the inner wall of two casings, external screw thread, the second casing and connecting tube spiral shell are provided with the outer wall of the connecting tube The second casing can be threaded in or out first sleeve in termination process.
The present invention is further arranged to:The end of the connecting tube is bolted with to be departed from for limiting the second casing out of gap The spacing ring gone out, the annular groove for avoiding spacing ring, the second casing edge are provided with the madial wall of second casing Spacing ring slides along its length in annular groove in the length direction spiral course of connecting tube, the outer diameter ruler of the spacing ring It is very little to be adapted with the internal diameter size of annular groove.
The present invention is further arranged to:The length dimension of second casing is not more than the depth dimensions in gap.
The present invention is further arranged to:The push-pull rod is described away from seeking one end of disk and the end of operation lever is hinged The middle part of operation lever is hinged with detection casing, and operation lever can pass through push-pull rod in the hinged place rotation process with detecting casing Drive seeks disk and is taken in sense channel or released from the end of detection casing.
The present invention is further arranged to:The push-pull rod is hinged by being equipped with articulated shaft realization with operation lever, described to push away The slippage slot for being slid for length direction of the articulated shaft along push-pull rod is provided with pull rod, the slippage slot runs through push-pull rod footpath To setting, the length direction of the slippage slot is set along the length direction of push-pull rod;The operation lever is rotatablely connected with articulated shaft, Trip bolt, the trip bolt and articulated shaft structure setting in T shape are vertically installed with the middle part of the articulated shaft, it is described to push away It is provided with pull rod for supplying the perforative fastening sliding slot of trip bolt, the trip bolt is through to one end spiral shell outside fastening sliding slot Fastening nut is connected to, the fastening sliding slot is through to slippage slot, and fastens the length direction of sliding slot and the length direction of push-pull rod It is consistent, articulated shaft is fixed with push-pull rod when the fastening nut being bolted on trip bolt is connected on the lateral wall of push-pull rod Connection.
In conclusion the invention has the advantages that:It is able to will be detected by trochar in laparoscopic procedures Casing inserts intraperitoneal, then will to be contracted in by push-pull rod in the sense channel end sought disk and release detection casing, into Row metal is sought, and can also coordinate laparoscope, operation is carried out metal detection under direct-view, can be led to after seeking Cross push-pull rod and will seek disk and be contracted in sense channel, but convenient taken out therewith with detection casing.Above device was using The Detection location of residual metal can be carried out in journey in intraperitoneal cooperation laparoscope, not only easy to operate, safety and precise, can more contract Short operating time, so that being conducive to the device is suitable for all kinds of situations.
Brief description of the drawings
Fig. 1 is the structure diagram of laparoscopic surgery metal detection positioner;
Fig. 2 is the structure diagram at articulated shaft.
Reference numeral:1st, disk is sought;11st, inner ring;12nd, outer ring;2nd, connecting line;3rd, casing is detected;31st, sense channel;32、 First sleeve;33rd, the second casing;331st, annular groove;34th, connecting tube;341st, spacing ring;35th, gap;4th, push-pull rod;41st, slide Groove;42nd, sliding slot is fastened;5th, operation lever;6th, articulated shaft;61st, trip bolt;62nd, fastening nut.
Embodiment
With reference to the accompanying drawings and examples, the present invention is described in more detail.Wherein identical parts are with identical Reference numeral represents.It should be noted that word "front", "rear" used in the following description, "left", "right", "up" and "down" Refer to the direction in attached drawing, word " bottom surface " and " top surface ", " interior " and " outer " are referred respectively to towards or away from particular elements The direction of geometric center.
With reference to shown in Fig. 1,2, a kind of laparoscopic surgery metal detection positioner, includes and seeks disk 1 and survey meter Host, and the connecting line 2 sought between disk 1 and survey meter host is connected to, wherein seeking disk 1 and survey meter host can join The prior art is examined, the operation principle of very low frequency metal detector is such as referred to, according to the particularity of its operation principle, seeks Pan1Bao Include the inner ring 11 being coaxially disposed and outer ring 12, be both provided with the coil being coiled into by conducting wire in inner ring 11 and outer ring 12, coil with One end of connecting line 2 is electrically connected, and the other end of connecting line 2 is electrically connected with survey meter host, and wherein survey meter host is as control Device is used to pronounce whether prompting to have metal.
Metal detection positioner, which further includes, to be useful for stretching into intraperitoneal detection casing 3, and detection casing 3 is by medical rigid Plastics are made, and such as hard PVC, enable detection casing 3 that there is certain hardness to be extended into intraperitoneal, convenient operation, detection set Pipe 3 is set in tubular structure to be included for running through the sense channel 31 of detection casing 3 for seeking disk 1 and connecting line 2, and interior Circle 11 and outer ring 12 are made by medical flexible material, such as soft silica gel, convenient to carry out forced compression, when seeking disk 1 by radially It can be embedded into sense channel 31 after pressure, sliding is connected with and seeks disk for push-and-pull along its length in sense channel 31 1 push-pull rod 4, one end of 4 length direction of push-pull rod are connected with seeking disk 1, and the other end covers after running through sense channel 31 to detection Outside the end of pipe 3 extend, push-pull rod 4 along detection casing 3 length direction slipping along can by drive seek disk 1 by its Take in sense channel 31 or released from the end of detection casing 3.
In laparoscopic procedures can by trochar will detect casing 3 insert it is intraperitoneal, then pass through push-pull rod 4 will The end sought disk 1 and release detection casing 3 being contracted in sense channel 31, seeks, and can also coordinate abdomen into row metal Hysteroscope, enables operation to carry out metal detection under direct-view, and can will seek disk 1 by push-pull rod 4 after seeking is contracted in inspection Survey in passage 31, then facilitate and detect casing 3 and take out therewith.Above device in use can be in intraperitoneal cooperation abdomen Hysteroscope carries out the Detection location of residual metal, and not only easy to operate, safety and precise, can more shorten operating time, so as to be conducive to The device is suitable for all kinds of situations.
And each accessory of the device is separation design, facilitate being replaced or as disposably making for each accessory With advantageously accounting for sterile requirement in operation.
Detection casing 3 includes first sleeve 32 and the second casing 33 being plugged in first sleeve 32, first sleeve 32 Set with the second casing 33 in tubular structure, the company for being useful for being spirally connected with the second casing 33 is coaxially disposed in first sleeve 32 Adapter 34, leaves the gap 35 for the insertion of the second casing 33, the inner wall of the second casing 33 between connecting tube 34 and first sleeve 32 On be provided with internal thread, be provided with external screw thread on the outer wall of connecting tube 34, the second casing 33 be spirally connected with connecting tube 34 during the Two casings 33 can be threaded in or out first sleeve 32.Second casing 33 can realize detection set during being spirally connected with connecting tube 34 The length increase and decrease of pipe 3, the convenient casing 3 that detects are sought for the abdominal cavity of different depth, are conducive to the surgical procedure of medical worker.And And second casing 33 relies on during rotation in the first sleeve 32 is internal thread and connection on 33 inner wall of the second casing External screw thread on 34 outer wall of pipe, therefore do not have screw thread exposed and avoid the sharp seamed edge of screw thread from scratching abdominal wall, be conducive to improve Security when detection casing 3 uses in art.
The end of connecting tube 34 is bolted with the spacing ring 341 detached for limiting the second casing 33 out of gap 35, the The annular groove 331 for avoiding spacing ring 341, length of second casing 33 along connecting tube 34 are provided with the madial wall of two casings 33 Degree direction spiral course in spacing ring 341 slid along its length in annular groove 331, the outer diameter of spacing ring 341 with The internal diameter size of annular groove 331 is adapted.Spacing ring 341 is used to avoid the second casing 33 from detaching out of gap 35, and causes First sleeve 32 is separated with the second casing 33 in art, influences to detect the use degree of stability of casing 3;And spacing ring 341 with The madial wall of annular groove 331 abuts, and coordinates the second casing 33 and the threaded connection of connecting tube 34, is conducive to improve the second casing 33 With the degree that is connected firmly of connecting tube 34, avoid the second casing 33 in connecting tube 34 circuit oscillation and influence detect casing 3 in Use degree of stability in art.
And the length dimension of the second casing 33 is not more than the depth dimensions in gap 35, which can make the second casing 33 In connecting tube 34 screw in gap 35 in when can submerge in gap 35, so as to expose the end of connecting tube 34 facilitate it is spacing Ring 341 is screwed in from the end of connecting tube 34, advantageously reduces the assembly difficulty of detection casing 3, improves disassembly efficiency.
Push-pull rod 4 is away from one end of disk 1 is sought and the end of operation lever 5 is hinged, and the middle part of operation lever 5 is with detecting casing 3 Hinged, operation lever 5 can seek disk 1 by the drive of push-pull rod 4 in the hinged place rotation process with detecting casing 3 and be taken in Released in sense channel 31 or from the end of detection casing 3.The hinged place of detection casing 3 and operation lever 5, which should be bent, is provided with behaviour Make handle, compounding practice handle is also convenient for medical worker using the ease that control push-pull rod 4 can be improved during operation lever 5 Operation detection casing 3.
Push-pull rod 4 is hinged by being equipped with the realization of articulated shaft 6 with operation lever 5, is provided with push-pull rod 4 for supplying articulated shaft 6 slippage slots 41 slid along the length direction of push-pull rod 4, slippage slot 41 are radially set through push-pull rod 4, the length of slippage slot 41 Direction is set along the length direction of push-pull rod 4;Second casing 33 can increase and decrease detection casing 3 with connecting tube 34 during being spirally connected Length dimension, need at this time push-pull rod 4 and operation lever 5 hinged place can with sliding of second casing 33 in gap 35 and Change, therefore the setting of slippage slot 41 can realize sliding of the articulated shaft 6 on push-pull rod 4, compounding practice bar 5 can be realized pair Effective control of push-pull rod 4.
Operation lever 5 is rotatablely connected with articulated shaft 6, and the middle part of articulated shaft 6 is vertically installed with trip bolt 61, trip bolt 61 With 6 structure setting in T shape of articulated shaft, it is provided with push-pull rod 4 for for the perforative fastening sliding slot 42 of trip bolt 61, fastening One end that screw 61 is through to outside fastening sliding slot 42 is bolted with fastening nut 62, and fastening sliding slot 42 is through to slippage slot 41, and tightly Gu the length direction of sliding slot 42 and the length direction of push-pull rod 4 are consistent, the fastening nut 62 being bolted on trip bolt 61 Articulated shaft 6 is fixedly connected with push-pull rod 4 when being connected on the lateral wall of push-pull rod 4.By spiral tight on trip bolt 61 , will when needing to adjust the length dimension of detection casing 3 Gu nut 62 is the connection status of controllable articulated shaft 6 and push-pull rod 4 Fastening nut 62 comes loose, and then rotates the second casing 33 until being adjusted to 3 length dimension of detection casing of investigation depth, and And second the articulated shaft 6 in rotary course of casing 33 slid along the length direction of slippage slot 41, while the also edge of trip bolt 61 The length direction sliding of fastening sliding slot 42, most fastening nut 62 is tightened at last, you can carries out intraperitoneal metal detection.
The above is only the preferred embodiment of the present invention, protection scope of the present invention is not limited merely to above-described embodiment, All technical solutions belonged under thinking of the present invention belong to protection scope of the present invention.It should be pointed out that for the art For those of ordinary skill, some improvements and modifications without departing from the principles of the present invention, these improvements and modifications also should It is considered as protection scope of the present invention.

Claims (6)

1. a kind of laparoscopic surgery metal detection positioner, includes and seeks disk (1) and survey meter host, and is connected to The connecting line (2) between disk (1) and survey meter host is sought, it is characterized in that:Metal detection positioner, which further includes, to be useful for stretching Enter intraperitoneal detection casing (3), the detection casing (3) is made of medical rigid plastics, and the detection casing (3) is in hollow Pipe structure setting includes for for seeking the sense channel (31) of disk (1) and connecting line (2) through detection casing (3);
The disk (1) of seeking includes the inner ring (11) being coaxially disposed and outer ring (12), in the inner ring (11) and outer ring (12) Be both provided with the coil being coiled into by conducting wire, the coil is electrically connected with connecting line (2), the inner ring (11) and outer ring (12) by Medical flexible material is made, and can be embedded into sense channel (31) when seeking disk (1) after by radial pressure;
Sliding is connected with the push-pull rod (4) that disk (1) is sought for push-and-pull along its length in the sense channel (31), described One end of push-pull rod (4) length direction is connected with seeking disk (1), and the other end detects casing (3) backward through sense channel (31) End outside extend, push-pull rod (4) along detection casing (3) length direction slipping along can by drive seek disk (1) Taken in sense channel (31) or released from the end of detection casing (3).
2. a kind of laparoscopic surgery metal detection positioner according to claim 1, it is characterized in that:The detection set The second casing (33) that pipe (3) includes first sleeve (32) and is plugged in first sleeve (32), the first sleeve (32) Set with the second casing (33) in tubular structure, be coaxially disposed and be useful for and the second casing in the first sleeve (32) (33) connecting tube (34) being spirally connected, leaves between the connecting tube (34) and first sleeve (32) for the second casing (33) insertion Gap (35), is provided with internal thread on the inner wall of second casing (33), is provided with the outer wall of the connecting tube (34) outer Screw thread, the second casing (33) can be threaded in or out first sleeve during the second casing (33) is spirally connected with connecting tube (34) (32)。
3. a kind of laparoscopic surgery metal detection positioner according to claim 2, it is characterized in that:The connecting tube (34) end is bolted with for limit the second casing (33) from gap (35) the interior spacing ring (341) detached, and described second The annular groove (331) for avoiding spacing ring (341) is provided with the madial wall of casing (33), second casing (33) is along even Take over spacing ring (341) in the length direction spiral course of (34) to slide along its length in annular groove (331), the limit The outer diameter of position ring (341) is adapted with the internal diameter size of annular groove (331).
4. a kind of laparoscopic surgery metal detection positioner according to claim 3, it is characterized in that:Described second set The length dimension for managing (33) is not more than the depth dimensions of gap (35).
5. a kind of laparoscopic surgery metal detection positioner according to any one in claim 1-4, its feature It is:The push-pull rod (4) is away from seeking one end of disk (1) and the end of operation lever (5) is hinged, the middle part of the operation lever (5) Hinged with detection casing (3), operation lever (5) in the hinged place rotation process of detection casing (3) around with that can pass through push-pull rod (4) Drive seeks disk (1) and is taken in sense channel (31) or released from the end of detection casing (3).
6. a kind of laparoscopic surgery metal detection positioner according to claim 5, it is characterized in that:The push-pull rod (4) it is hinged by being equipped with articulated shaft (6) realization with operation lever (5), it is provided with the push-pull rod (4) for supplying articulated shaft (6) slippage slot (41) slid along the length direction of push-pull rod (4), the slippage slot (41) are radially set through push-pull rod (4), The length direction of the slippage slot (41) is set along the length direction of push-pull rod (4);
The operation lever (5) is rotatablely connected with articulated shaft (6), and trip bolt is vertically installed with the middle part of the articulated shaft (6) (61), the trip bolt (61) and articulated shaft (6) structure setting in T shape, are provided with for for tight on the push-pull rod (4) Gu the perforative fastening sliding slot (42) of screw (61), the trip bolt (61) are through to the one end of fastening sliding slot (42) outside and are bolted with Fastening nut (62), the fastening sliding slot (42) are through to slippage slot (41), and fasten length direction and the push-and-pull of sliding slot (42) The length direction of bar (4) is consistent, and the fastening nut (62) being bolted on trip bolt (61) is connected to the outer of push-pull rod (4) Articulated shaft (6) is fixedly connected with push-pull rod (4) when on side wall.
CN201711372228.3A 2017-12-18 2017-12-18 Metal detection positioning device for laparoscopic surgery Active CN107961012B (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112914772A (en) * 2020-12-04 2021-06-08 长沙微笑美齿智能科技有限公司 Anti-interference tooth implant detection method and detection device thereof

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WO1990000030A1 (en) * 1988-07-01 1990-01-11 Koch Elektronik + Apparatebau Ag Measurement probe for locating metallic objects in the human or animal body
FR2635259A1 (en) * 1988-08-11 1990-02-16 Marthan Erick Apparatus for locating the position of a metal piece in a human or animal body
US5649546A (en) * 1991-06-25 1997-07-22 Steinbeck; Ulrich Metal detector for the localization of a metallic foreign body penetrated or implanted into a human or animal body
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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112914772A (en) * 2020-12-04 2021-06-08 长沙微笑美齿智能科技有限公司 Anti-interference tooth implant detection method and detection device thereof

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