CN108338834A - A kind of endoscope micro-wound instrument - Google Patents
A kind of endoscope micro-wound instrument Download PDFInfo
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- CN108338834A CN108338834A CN201810374115.5A CN201810374115A CN108338834A CN 108338834 A CN108338834 A CN 108338834A CN 201810374115 A CN201810374115 A CN 201810374115A CN 108338834 A CN108338834 A CN 108338834A
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- endoscope
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- 230000001112 coagulating effect Effects 0.000 claims abstract description 25
- 238000000926 separation method Methods 0.000 claims abstract description 24
- 239000000463 material Substances 0.000 claims description 17
- 230000009975 flexible effect Effects 0.000 claims description 9
- 238000005345 coagulation Methods 0.000 claims description 4
- 230000015271 coagulation Effects 0.000 claims description 4
- 238000009413 insulation Methods 0.000 claims description 2
- 229910000831 Steel Inorganic materials 0.000 claims 1
- JEIPFZHSYJVQDO-UHFFFAOYSA-N iron(III) oxide Inorganic materials O=[Fe]O[Fe]=O JEIPFZHSYJVQDO-UHFFFAOYSA-N 0.000 claims 1
- 239000010959 steel Substances 0.000 claims 1
- 230000000694 effects Effects 0.000 abstract description 25
- 238000001356 surgical procedure Methods 0.000 abstract description 20
- 206010006242 Breast enlargement Diseases 0.000 abstract description 18
- 208000032170 Congenital Abnormalities Diseases 0.000 abstract description 14
- 206010061619 Deformity Diseases 0.000 abstract description 14
- 230000000740 bleeding effect Effects 0.000 abstract description 6
- 239000003814 drug Substances 0.000 abstract description 6
- 208000035965 Postoperative Complications Diseases 0.000 abstract description 5
- 206010058046 Post procedural complication Diseases 0.000 abstract description 4
- 239000002775 capsule Substances 0.000 description 39
- 238000010586 diagram Methods 0.000 description 12
- 210000000062 pectoralis major Anatomy 0.000 description 7
- 230000000007 visual effect Effects 0.000 description 7
- 239000000835 fiber Substances 0.000 description 6
- 230000000451 tissue damage Effects 0.000 description 6
- 231100000827 tissue damage Toxicity 0.000 description 6
- 238000005516 engineering process Methods 0.000 description 5
- 230000002980 postoperative effect Effects 0.000 description 5
- 229910001220 stainless steel Inorganic materials 0.000 description 5
- 239000010935 stainless steel Substances 0.000 description 5
- 210000004883 areola Anatomy 0.000 description 4
- 210000000481 breast Anatomy 0.000 description 4
- 241001484259 Lacuna Species 0.000 description 3
- 239000000443 aerosol Substances 0.000 description 3
- 238000005452 bending Methods 0.000 description 3
- 210000000038 chest Anatomy 0.000 description 3
- 230000009089 cytolysis Effects 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 231100000241 scar Toxicity 0.000 description 3
- 230000003796 beauty Effects 0.000 description 2
- 239000013589 supplement Substances 0.000 description 2
- 206010062575 Muscle contracture Diseases 0.000 description 1
- 102000005650 Notch Receptors Human genes 0.000 description 1
- 108010070047 Notch Receptors Proteins 0.000 description 1
- 241001561899 Otomys Species 0.000 description 1
- 230000002159 abnormal effect Effects 0.000 description 1
- 208000006111 contracture Diseases 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 238000003745 diagnosis Methods 0.000 description 1
- 235000013399 edible fruits Nutrition 0.000 description 1
- 230000005611 electricity Effects 0.000 description 1
- 206010020718 hyperplasia Diseases 0.000 description 1
- 238000007689 inspection Methods 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000011017 operating method Methods 0.000 description 1
- 235000011837 pasties Nutrition 0.000 description 1
- 230000037361 pathway Effects 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 230000000630 rising effect Effects 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1492—Probes or electrodes therefor having a flexible, catheter-like structure, e.g. for heart ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00333—Breast
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/007—Aspiration
- A61B2218/008—Aspiration for smoke evacuation
Abstract
The present invention relates to a kind of endoscope micro-wound instrument, the endoscope micro-wound instrument includes electric knife electric coagulating apparatus, A types separation stripper, Type B separation stripper, endoscope sheath；Its advantage is shown：A kind of endoscope micro-wound instrument of the present invention, the surgical instrument of secondary deformity treatment combines after armpit approach breast enlargement under modified endoscopic auxiliary, establish the new approach of secondary deformity treatment and the new art formula through this approach after breast enlargement, contribute to more precisely, more efficient perform the operation, reduce operation wound and amount of bleeding, improve the control of surgical procedure, reduce postoperative complication, improve operative effect and patient satisfaction, meet the endoscope micro-wound instrument of the new demand of accurate medicine, a kind of novel medical instrument can be become, it has broad prospects in clinical expansion.
Description
Technical field
The present invention relates to the field of medical instrument technology, specifically, being a kind of endoscope micro-wound instrument.
Background technology
Breast enlargement is common one of beauty treatment.Secondary deformity and fibrous capsule contracture are the common of breast enlargement after breast enlargement
Complication.Operative treatment is the main method and means for treating the above common complication.Wherein operating technology is related to fibrous capsule
Lysis, the otomy of fibrous capsule, partly or completely total resection and fiber capsulorrhaphy of fibrous capsule etc..The conventional approach of operation
It is to be completed through mammary areola or lower crease incisions.Armpit approach is common breast enlargement approach, but currently without related suitable instrument,
Can not through armpit approach complete breast enlargement after secondary deformity operation and treatment.
There is scholar to describe and breast prosthesis leakage is completed using former notch pathway (armpit) and other two additional cut
Fibrous capsule lysis after minimally invasive inspection and diagnosis and prosthese take out, operation are pulled open using scope drag hook and are protected under prosthese, row
Fibrous capsule lysis in the case of fiber capsotomy, and protection prosthese, but not only operation difficulty is larger for these operating methods
And it is extremely challenging, while tool there is limitations：
First, it needs to increase additional auxiliary incision, more scar, scar hyperplasia is caused to influence body surface beauty.
Second, the treatment approach generally use mammary areola of secondary deformity or lower pleat approach, existing instrument item after former breast enlargement
Under part, it is unable to complete successfully surgical procedure through armpit approach and obtains ideal effect.Simultaneously as China's breast enlargement is adopted mostly
With armpit approach, secondary operation changes operative approach, while increasing scar again, is difficult to receive for many patients.So existing skill
Art is typically to complete surgical procedure by breast areola approach or lower pleat approach, and armpit approach is in prior art condition and existing instrument
Surgical procedure can not be completed under cooperation, and obtains satisfied surgical effect.
Third, the prior art, since surgical procedure plane is bad, lack unity and coherence if do not operated in Microendoscopic, structure
Inaccuracy is held, the appearance of some new postoperative complications and ill effect is frequently resulted in.
4th, armpit approach enters no matter on surgical procedure, or in tissue ductility compared with breast areola approach and lower pleat
Road is more preferable, but existing surgical instrument cannot be satisfied technology requirement, can not obtain promising result.It is the blank spot of surgical instrument.
Chinese patent literature CN97248211.3, the applying date 19971103, patent name is：A kind of breast humping device, discloses one
Kind care appliance more particularly to a kind of vacuum breast prominence apparatus.It includes cup and the pasties that are fixed in cup, and cup narrow end connects
There are air intake duct, the air intake duct other end to be communicated with vacuum suction, its main feature is that air intake duct is equipped with vent valve.On vacuum suction
Equipped with vacuum degree regulator.Its vacuum degree is adjustable, and air can be put into cup by vent valve, so as to easily take
Lower cup.But about a kind of modified endoscopic assist under after armpit approach breast enlargement secondary deformity treatment surgical instrument group
Close, establish the new approach of secondary deformity treatment and the new art formula through this approach after breast enlargement, contribute to it is more accurate, more efficient into
Row operation, reduces operation wound and amount of bleeding, improves the control of surgical procedure, reduces postoperative complication, improves operative effect
And patient satisfaction.Meet the technical solution of the new demand of accurate medicine then without corresponding open.
In conclusion under needing a kind of modified endoscopic to assist after armpit approach breast enlargement secondary deformity treatment surgical device
Tool combines, and establishes the new approach of secondary deformity treatment and the new art formula through this approach after breast enlargement, contributes to more accurate, more efficient
Carry out perform the operation, reduce operation wound and amount of bleeding, improve the control of surgical procedure, reduce postoperative complication, improve operation
Curative effect and patient satisfaction.Meet the endoscope micro-wound instrument of the new demand of accurate medicine, and it is micro- about this endoscope
Invasive procedures instrument yet there are no report.
Invention content
The purpose of the present invention is being directed to deficiency in the prior art, provide grand through armpit approach under a kind of modified endoscopic auxiliary
The surgical instrument combination of breast postoperative secondary deformity treatment establishes after breast enlargement the new approach of secondary deformity treatment and through this approach
New art formula, contribute to it is more accurate, more efficient perform the operation, reduce operation wound and amount of bleeding, improve the control of surgical procedure
Property, postoperative complication is reduced, operative effect and patient satisfaction are improved, meets the minimally invasive hand of endoscope of the new demand of accurate medicine
Art instrument.
To achieve the above object, the technical solution adopted by the present invention is that：
A kind of endoscope micro-wound instrument, the endoscope micro-wound instrument include electric knife electric coagulating apparatus, the separation of A types
Stripper, Type B separation stripper, endoscope sheath；
The electric knife electric coagulating apparatus includes handle, long axis tube body, electric knife head；Described long axis tube body one end is equipped with electric knife
Head, the other end are equipped with handle；The handle and long axis tube body are hollow structure, and the two inner passage communicates；The hand
Handle includes fingerhold portion, palm grip portion；The palm grip portion is the structure type of concave curved surface, palm grip portion
One end connects fingerhold portion, and the other end connects attractive device connector；The attractive device connector is connected with aspirator；The electricity
Cutter head is L-shaped, and is flat tongue structure；The long axis tube body includes endosexine and extexine；The endosexine uses
Soft flexible material is made；The extexine is high-temperature insulation heat-shrink tube；
The A types separation stripper includes A types stripping cutter head, A types stripping rod, A types stripping handle；The A types stripping
Bar one end is fixedly connected with stripping cutter head, and the other end is fixedly connected with stripping handle；The cutter head head end contouring of the A types stripping cutter head
For more sharp structure type；The A types stripping cutter head is flat tongue structure, and A types stripping cutter head is prominent equipped with cambered surface
It rises, the angle between the stripping cutter head with cambered surface protrusion and A type stripping rods is 0-30 degree；The work of the A types stripping cutter head
Length reaches required distance between lower pleat level and designs with reference to entering terminal through armpit；
The Type B separation stripper includes Type B stripping cutter head, Type B stripping rod, Type B stripping handle；The Type B stripping
It is fixedly connected with Type B from bar one end and removes cutter head, the other end is fixedly connected with Type B stripping handle；The work of the Type B stripping cutter head
Length reaches required distance between lower pleat level and designs with reference to entering terminal through armpit；
The endoscope sheath includes sheath and drag hook；The drag hook is arranged in the side of sheath；The sheath
Distal end is equipped with tongue-shaped projection portion, the inclined direction in the tongue-shaped projection portion with drag hook direction on the contrary, and tongue-shaped projection portion width
Degree narrows down to 2.5cm；The side in the tongue-shaped projection portion is equipped with rear supporting plate, and the width of the rear supporting plate is 2cm；The sheath
Body proximal end is equipped with endoscope fixing piece and mushroom-head devices, and is attached to negative-pressure suction pipe.
As a kind of perferred technical scheme, the fingerhold portion is equipped with fingerhold face, and the fingerhold
Face is straight face, and fingerhold face is distributed in the both sides in fingerhold portion there are two being total to.
As a kind of perferred technical scheme, the electric knife head is made using medical stainless steel, and model is
2CR13。
As a kind of perferred technical scheme, the L-type horizontal part longer axis body distal end outer surface of the electric knife head is stretched out
2.5-3mm。
As a kind of perferred technical scheme, A types stripping handle is asymptotic expression structure design, by stripping handle end
Radial dimension specification to hoe scaler head end is gradually reduced.
As a kind of perferred technical scheme, the A type stripping rods are made using flexible material, and A types are removed
The flexible angular range of bar itself is 0-30 degree.
As a kind of perferred technical scheme, the Type B stripping cutter head is made using toughness material；The Type B
Stripping rod is cylinder；The Type B stripping handle is equipped with rubbing surface.
As a kind of perferred technical scheme, the side in the fingerhold portion is equipped with and takes over.
As a kind of perferred technical scheme, Type B stripping cutter head forms L shapes, the Type B with Type B stripping rod
Remove driving part of the shape such as golf club of cutter head.
The invention has the advantages that：
1, a kind of endoscope micro-wound instrument of the invention, modified endoscopic are secondary after armpit approach breast enlargement under assisting
The surgical instrument of deformity treatment combines, and establishes the new approach of secondary deformity treatment and the new art formula through this approach after breast enlargement, has
Help it is more accurate, more efficient perform the operation, reduce operation wound and amount of bleeding, improve the control of surgical procedure, reduce hand
Art complication improves operative effect and patient satisfaction, meets the endoscope micro-wound instrument of the new demand of accurate medicine, energy
Enough become a kind of novel medical instrument, has broad prospects in clinical expansion.
2, it is equipped with electric knife electric coagulating apparatus, electric knife electric coagulating apparatus designs for hollow structure, and connects aspirator on electric knife electric coagulating apparatus,
Coagulation smog can be received, the clear of the visual field is kept, high thermal aerosol is avoided not lead to perform the operation clarity full of visual area lacuna seriously not
Foot.
3, the long axis tube body in electric knife electric coagulating apparatus is made using flexible material, is had again while being bent certain
Tension.Bending angle between 0 degree to 80 degree, can random angulation while, official's wall will not fracture, and tube chamber will not compress.
4, the electric knife head on electric knife electric coagulating apparatus is made using medical stainless steel, and model is 2CR13；The electric knife head
It is L-shaped, and be flat tongue structure；2.5-3mm is stretched out in the L-type horizontal part longer axis body distal end outer surface of the electric knife head.
The design scheme has the technical effect that：Nearly regiones pectoris lateralis domain fibrous capsule can be relatively easily detached, this region operation blind spot is relieved.
5, it is equipped with A types separation stripper and Type B separation stripper reaches fibrous capsule from armpit approach in a state of use
Proximal end and to fibrous capsule center peak after the back side, be the blind area range through armpit approach at the rear of peak.Energy
Enough separation of fiber lens capsule tissue and excision realized in the various different-thickness in the region, intensity and toughness, especially those with
Pectoralis major is chimeric, and adhesion is serious, the larger fibrous capsule of operating difficulty.
6, A types stripping handle designs for asymptotic expression, and the radial dimension specification by stripping handle end to hoe scaler head end is gradual
Reduce, can strength be accurately transmitted to cutter head end from handle end, can realize and be precisely controlled.
7, the cutter head head end contouring of A types stripping cutter head is more sharp structure type, and A types stripping cutter head is
Flat tongue structure, and A types stripping cutter head is equipped with cambered surface protrusion, between stripping cutter head and A type stripping rods with cambered surface protrusion
Angle is 0-30 degree；The active length of the A types stripping cutter head is entered under terminal reaches between pleat level with reference to through armpit
Required distance and design；The technical solution has the technical effect that：It can be close to the outer surface of fibrous capsule, it is big with chest in fibrous capsule
It is detached between flesh, reduces tissue damage as far as possible, the peak that can be easier to cross fibrous capsule is incorporated to rear blind area.It greatly increases
The validity of surgical procedure and safety.
8, the active length of Type B stripping cutter head is to reach required distance between lower pleat level with reference to entering terminal through armpit
And design；The Type B stripping cutter head is made using toughness material；The design scheme has the technical effect that：Due to comprising
The fibrous capsule of prosthese is a spheroidal object, has certain or sizable tissue tension, causes tissue separation difficult.This sets
Meter scheme enables patient to be close to the outer surface of fibrous capsule, is detached between pectoralis major in fibrous capsule, reduces tissue damage as far as possible
Wound, considerably increases validity and the safety of surgical procedure
9, endoscope sheath includes sheath and drag hook, wherein the distal end of sheath is equipped with tongue-shaped projection portion, and the ligule is prominent
Inclined direction and the drag hook direction in the portion of rising on the contrary, and tongue-shaped projection portion reduced width to 2.5cm.The technology of the design scheme is imitated
Fruit is：Surgical procedure plane is good, is methodically arranged, and is held to institutional framework accurate, reduces complicated by postoperative card and postoperative bad
Effect；The side in tongue-shaped projection portion is equipped with rear supporting plate, and the width of the rear supporting plate is 2cm；Ensure its stability and reliability.
Description of the drawings
Attached drawing 1 is a kind of endoscope micro-wound apparatus structure block diagram of the present invention.
Attached drawing 2 is the structural schematic diagram of electric knife electric coagulating apparatus.
Attached drawing 3 is long axis tube body cross-sectional configuration schematic diagram.
Attached drawing 4 is the structural schematic diagram that A types detach stripper.
Attached drawing 5 is the structural schematic diagram of Type B separation stripper.
Attached drawing 6 is the structural schematic diagram of endoscope sheath.
Specific implementation mode
It elaborates below in conjunction with the accompanying drawings to specific implementation mode provided by the invention.
Reference numeral and component part involved in attached drawing is as follows：
1. 11. handle of electric knife electric coagulating apparatus
111. 112. palm grip portion of fingerhold portion
113. 114. fingerhold face of attractive device connector
115. 12. long axis tube body of take over
121. 122. extexine of endosexine
13. electric knife head 2.A types detach stripper
21.A types remove cutter head 22.A type stripping rods
23.A types remove handle 3.B types and detach stripper
31.B types remove cutter head 32.B type stripping rods
33.B types remove 331. rubbing surface of handle
4. 41. sheath of endoscope sheath
42. 43. tongue-shaped projection portion of drag hook
44. endoscope fixing piece and mushroom-head devices
In order to more clearly describe to have used term " A types ", " B in technical scheme of the present invention and technical solution
Type ", this is for the ease of distinguishing technical characteristic, not representing concrete shape.
Fig. 1 is please referred to, Fig. 1 is a kind of endoscope micro-wound apparatus structure block diagram of the present invention.A kind of endoscope is minimally invasive
Surgical instrument, the endoscope micro-wound instrument include electric knife electric coagulating apparatus 1, A types separation stripper 2, Type B separation stripper
3, endoscope sheath 4.
Fig. 2 is please referred to, Fig. 2 is the structural schematic diagram of electric knife electric coagulating apparatus 1.The electric knife electric coagulating apparatus 1 includes handle 11, length
Central siphon body 12, electric knife head 13；Described 12 one end of long axis tube body is equipped with electric knife head 13, and the other end is equipped with handle 11；The handle
11 and long axis tube body 12 be hollow structure, and the two inner passage communicates.The handle 11 include fingerhold portion 111,
Palm grip portion 112；The palm grip portion 112 is the structure type of concave curved surface, the connection of 112 one end of palm grip portion
Fingerhold portion 111, the other end connect attractive device connector 113；The fingerhold portion 111 is equipped with fingerhold face 114,
And the fingerhold face 114 is straight face, fingerhold face 114 is distributed in the both sides in fingerhold portion 111 there are two being total to；Institute
The attractive device connector 113 stated is connected with aspirator；The side in the fingerhold portion 111 is equipped with take over 115；The electric knife
First 13 are made using medical stainless steel, and model is 2CR13；The electric knife head 13 is L-shaped, and is flat tongue structure；
2.5-3mm is stretched out in the L-type horizontal part longer axis body distal end outer surface of the electric knife head.
Fig. 3 is please referred to, Fig. 3 is long axis tube body cross-sectional configuration schematic diagram.The long axis tube body 12 includes endosexine 121
With extexine 122；The endosexine 121 is made using soft flexible material；The extexine 122 is that high temperature resistant is exhausted
Edge heat-shrink tube.
Fig. 4 is please referred to, Fig. 4 is the structural schematic diagram that A types detach stripper 2.The A types separation stripper 2 includes A types
It removes cutter head 21, A types stripping rod 22, A types and removes handle 23；Described A types stripping bar one end is fixedly connected with stripping cutter head, the other end
It is fixedly connected with stripping handle 11；The A types stripping handle 23 is asymptotic expression structure design, by 11 end of stripping handle to hoe scaler
The radial dimension specification of head end is gradually reduced；The cutter head head end contouring of the A types stripping cutter head 21 is more sharp structure
Form；The described A types stripping cutter head 21 is flat tongue structure, and A types stripping cutter head 21 is equipped with cambered surface protrusion, cambered surface protrusion with
Angle between A types stripping rod 22 is 0-30 degree；The active length of the A types stripping cutter head 21 is that reference enters terminal through armpit
It reaches required distance between lower pleat level and designs；The A types stripping rod 22 is made using flexible material, and
Angle between stripping cutter head 21 with cambered surface protrusion and A types stripping rod 22 is 0-30 degree.
Fig. 5 is please referred to, Fig. 5 is the structural schematic diagram of Type B separation stripper 3.The Type B separation stripper 3 includes Type B
It removes cutter head 31, Type B stripping rod 32, Type B and removes handle 33；Described 32 one end of Type B stripping rod is fixedly connected with Type B stripping cutter head
31, the other end is fixedly connected with Type B stripping handle 33；The Type B stripping cutter head 31 forms L shapes with Type B stripping rod 32, described
Type B removes driving part of the shape such as golf club of cutter head 31；The active length of the Type B stripping cutter head 31 is reference
Enter terminal through armpit to reach required distance between lower pleat level and design；The Type B stripping cutter head 31 uses toughness material
Material is made；The Type B stripping rod 32 is cylinder；The Type B stripping handle 33 is equipped with rubbing surface 331.
Fig. 6 is please referred to, Fig. 6 is the structural schematic diagram of endoscope sheath 4.The endoscope sheath 4 includes 41 He of sheath
Drag hook 42；The drag hook 42 is arranged in the side of sheath 41；The distal end of the sheath 41 is equipped with tongue-shaped projection portion 43, described
The inclined direction in tongue-shaped projection portion 43 with 42 direction of drag hook on the contrary, and tongue-shaped projection portion 43 reduced width to 2.5cm；Described
The side in tongue-shaped projection portion 43 is equipped with rear supporting plate, and the width of the rear supporting plate is 2cm；41 proximal end of the sheath is equipped with endoscope
Fixing piece and mushroom-head devices 44, and it is attached to negative-pressure suction pipe.
It should be noted that：The electric knife electric coagulating apparatus 1 designs for hollow structure, and connects and inhale on electric knife electric coagulating apparatus 1
Lead device can receive coagulation smog, keep the clear of the visual field, and high thermal aerosol is avoided to cause operation clarity tight full of visual area lacuna
Weight is insufficient.
The electric knife electric coagulating apparatus 1 is equipped with isolating shrinkable tube, can protect tissue, avoid high-temperature gas and metal to people
Weight wants burning for histoorgan and destroys it.Also avoid influencing the service life of this instrument simultaneously..
Long axis tube body 12 in the electric knife electric coagulating apparatus 1 is made using flexible material, while being bent
There is certain tension again.Bending angle between 0 degree to 80 degree, can random angulation while, tube wall will not fracture, and tube chamber is not
It can compress.
Electric knife head 13 on the electric knife electric coagulating apparatus 1 is made using medical stainless steel, and model is 2CR13；It is described
Electric knife head 13 it is L-shaped, and be flat tongue structure；The 12 distal end appearance of L-type horizontal part longer axis tube body of the electric knife head 13
2.5-3mm is stretched out in face.The design scheme has the technical effect that：Nearly regiones pectoris lateralis domain fibrous capsule can be relatively easily detached, is relieved
This region operation blind spot.
The handle 11 of the electric knife electric coagulating apparatus 1 includes fingerhold portion 111, palm grip portion 112；The palm is held
The structure type that portion 112 is concave curved surface is held, 112 one end of palm grip portion connects fingerhold portion 111, fingerhold portion
111 be equipped with fingerhold face 114, and the fingerhold face 114 be straight face, fingerhold face 114 altogether there are two, in this way doctor
Business personnel are not easily to fall off in operation, and hold is good, and handling good, accuracy is good.
The A types separation stripper 2 and Type B separation stripper 3 in a state of use, reaches fibrous capsule from armpit approach
Proximal end and to fibrous capsule center peak after the back side, be the blind area range through armpit approach at the rear of peak.Energy
Enough realize detaches and cuts off in the various different-thickness in the region, intensity and toughness fiber lens capsule tissue, especially for fibrous capsule
It is chimeric with pectoralis major, serious adhesion, operating difficulty is larger, can obtain preferable surgical effect.
The A types separation stripper 2 includes A types stripping cutter head 21, A types stripping rod 22, A types stripping handle 23, wherein
A types stripping handle 23 designs for asymptotic expression, is gradually reduced by the radial dimension specification at 11 end of stripping handle to hoe scaler head end, energy
It is enough that strength is accurately transmitted to cutter head end from 11 end of handle, it can realize and be precisely controlled.
The cutter head head end contouring of the A types stripping cutter head 21 is more sharp structure type, the A type hoe scalers
First 21 be flat tongue structure, and A types stripping cutter head 21 is equipped with cambered surface protrusion, the folder between cambered surface protrusion and A types stripping rod 22
Angle is 0-30 degree；The active length of the A types stripping cutter head 21 is entered under terminal reaches between pleat level with reference to through armpit
Required distance and design；The technical solution has the technical effect that：It can be close to the outer surface of fibrous capsule, fibrous capsule is big in chest
It is detached between flesh, reduces tissue damage as far as possible, the peak that can be easier to cross fibrous capsule is incorporated to rear blind area.It greatly increases
The validity of surgical procedure and safety.
The Type B separation stripper 3 includes Type B stripping cutter head 31, Type B stripping rod 32, Type B stripping handle 33, wherein
Type B removes driving part of the shape such as golf club of cutter head 31；The active length of the Type B stripping cutter head 31 is reference
Enter terminal through armpit to reach required distance between lower pleat level and design；The Type B stripping cutter head 31 uses toughness material
Material is made；The design scheme has the technical effect that：Since the fibrous capsule comprising prosthese is a spheroidal object, have one
Fixed or sizable tissue tension, peeling layer secondary control are more difficult.The surgical instrument of this design is conducive in fibrous capsule and pectoralis major
Between detach, can be close to fibrous capsule outer surface stripping, reduce tissue damage as far as possible, can be easier to cross the highest of fibrous capsule
Point is incorporated to rear blind area.Considerably increase validity and the safety of surgical procedure.
The endoscope sheath 4 includes sheath 41 and drag hook 42, wherein the distal end of sheath 41 is equipped with tongue-shaped projection portion
43, the inclined direction in the tongue-shaped projection portion 43 with 42 direction of drag hook on the contrary, and the reduced width in tongue-shaped projection portion 43 arrive
2.5cm.The design scheme has the technical effect that：Surgical procedure comfort level is good, and the visual field is unobstructed, is methodically arranged, to knot of tissue
Structure holds accurate, reduction complicated by postoperative card and ill effect.
The side in the tongue-shaped projection portion 43 is equipped with rear supporting plate, and the width of the rear supporting plate is 2cm；Ensure its stabilization
Property and reliability.
A kind of endoscope micro-wound instrument of the present invention, modified endoscopic are secondary abnormal after armpit approach breast enlargement under assisting
The surgical instrument combination of shape treatment is established the new approach of secondary deformity treatment and the new art formula through this approach after breast enlargement, is helped
In more accurate, more efficient perform the operation, reduce operation wound and amount of bleeding, improve the control of surgical procedure, reduces operation
Complication improves operative effect and patient satisfaction, meets the endoscope micro-wound instrument of the new demand of accurate medicine.It can
As a kind of novel medical instrument, have broad prospects in clinical expansion；Equipped with electric knife electric coagulating apparatus 1, electric knife electric coagulating apparatus 1 is
Hollow structure designs, and connects aspirator on electric knife electric coagulating apparatus 1, can receive coagulation smog, keep the clear of the visual field, avoid height
Thermal aerosol leads to clarity wretched insufficiency of performing the operation full of visual area lacuna；Long axis tube body 12 in electric knife electric coagulating apparatus 1 is using flexible
Property material is made, and has certain tension while being bent again.Bending angle, can be random between 0 degree to 80 degree
While angulation, official's wall will not fracture, and tube chamber will not compress；Electric knife head 13 on electric knife electric coagulating apparatus 1 uses medical stainless steel system
It forms, model is 2CR13；The electric knife head 13 is L-shaped, and is flat tongue structure；The distal end of the electric knife head 13
Relatively long central siphon body 12 outwardly stretches out 2mm.The design scheme has the technical effect that：It can relatively easily detach on the outside of nearly chest
The fibrous capsule in region relieves this region operation blind spot；Stripper 2 is detached equipped with A types and Type B detaches stripper 3, is using shape
Under state, reach the proximal end of fibrous capsule from armpit approach and to the back side after the center peak of fibrous capsule, at the rear of peak
It is the blind area range through armpit approach.It can realize various different-thickness, intensity and the toughness fiber lens capsule tissue point in the region
From and excision.Especially fibrous capsule is chimeric with pectoralis major, and adhesion is too heavy and operating difficulty is larger, can obtain ideal effect；A types
Stripping handle 23 designs for asymptotic expression, is gradually reduced by the radial dimension specification at 11 end of stripping handle to hoe scaler head end, can
Strength is accurately transmitted to cutter head end from 11 end of handle, can realize and be precisely controlled；A types remove the cutter head head end of cutter head 21
Contouring is more sharp structure type, and it is flat tongue structure that the A types, which remove cutter head 21, and A types remove cutter head 21
Equipped with cambered surface protrusion, the angle between cambered surface protrusion and A types stripping rod 22 is 0-30 degree；The work of the A types stripping cutter head 21
It reaches required operating distance between lower pleat level as length and designs with reference to entering terminal through armpit；The technical solution
It has the technical effect that：It can be close to the outer surface of fibrous capsule, fibrous capsule is detached between pectoralis major, reduces tissue damage as far as possible,
The peak that fibrous capsule can be easier to cross is incorporated to rear blind area.Considerably increase validity and the safety of surgical procedure；Type B
The active length of stripping cutter head 31 is reached required operating distance between lower pleat level and sets with reference to entering terminal through armpit
Meter；The Type B stripping cutter head 31 is made using toughness material；The design scheme has the technical effect that：It can be close to fiber
The outer surface of capsule detaches between fibrous capsule and pectoralis major, reduces tissue damage as far as possible, can be easier to cross fibrous capsule most
High point is incorporated to rear blind area.Considerably increase validity and the safety of surgical procedure.Meanwhile, it is capable to overcome with certain or phase
The operating difficulties caused by the fibrous capsule containing prosthese of big tissue tension；Endoscope sheath 4 includes sheath 41 and drag hook 42,
In, the distal end of sheath 41 is equipped with tongue-shaped projection portion 43, the inclined direction in the tongue-shaped projection portion 43 with 42 direction of drag hook on the contrary,
And the reduced width in tongue-shaped projection portion 43 is to 2.5cm.The design scheme has the technical effect that：Surgical procedure comfort level is good, depending on
It is wild unobstructed, it is methodically arranged, accurate, reduction complicated by postoperative card and ill effect is held to institutional framework；Tongue-shaped projection portion 43
Side be equipped with rear supporting plate, the width of the rear supporting plate is 2cm；Ensure its stability and reliability.
The above is only a preferred embodiment of the present invention, it is noted that for the ordinary skill people of the art
Member, under the premise of not departing from the method for the present invention, can also make several improvement and supplement, these are improved and supplement also should be regarded as
Protection scope of the present invention.
Claims (9)
1. a kind of endoscope micro-wound instrument, which is characterized in that the endoscope micro-wound instrument includes electric knife coagulation
Device, A types separation stripper, Type B separation stripper, endoscope sheath；
The electric knife electric coagulating apparatus includes handle, long axis tube body, electric knife head；Described long axis tube body one end is equipped with electric knife head, separately
One end is equipped with handle；The handle and long axis tube body are hollow structure, and the two inner passage communicates；The handle includes
Fingerhold portion, palm grip portion；The palm grip portion is the structure type of concave curved surface, and palm grip portion one end connects
Catcher refers to clamping part, and the other end connects attractive device connector；The attractive device connector is connected with aspirator；The electric knife head is in
L-shaped, and be flat tongue structure；The long axis tube body includes endosexine and extexine；The endosexine is using soft tough
Property material is made；The extexine is high-temperature insulation heat-shrink tube；
The A types separation stripper includes A types stripping cutter head, A types stripping rod, A types stripping handle；The A types shell bar one
End is fixedly connected with stripping cutter head, and the other end is fixedly connected with stripping handle；The cutter head head end contouring of A types stripping cutter head be compared with
For sharp structure type；The A types stripping cutter head is flat tongue structure, and A types stripping cutter head is equipped with cambered surface protrusion, band
Angle between the stripping cutter head and A type stripping rods of cambered surface protrusion is 0-30 degree；The active length of the described A types stripping cutter head is
It reaches required distance between lower pleat level with reference to terminal is entered through armpit and designs；
The Type B separation stripper includes Type B stripping cutter head, Type B stripping rod, Type B stripping handle；The Type B stripping rod
One end is fixedly connected with Type B stripping cutter head, and the other end is fixedly connected with Type B stripping handle；The active length of the Type B stripping cutter head
It reaches required distance between lower pleat level with reference to terminal is entered through armpit and designs；
The endoscope sheath includes sheath and drag hook；The drag hook is arranged in the side of sheath；The distal end of the sheath
Equipped with tongue-shaped projection portion, the inclined direction in the tongue-shaped projection portion with drag hook direction on the contrary, and the width in tongue-shaped projection portion contract
It is small to arrive 2.5cm；The side in the tongue-shaped projection portion is equipped with rear supporting plate, and the width of the rear supporting plate is 2cm；The sheath is close
End is equipped with endoscope fixing piece and mushroom-head devices, and is attached to negative-pressure suction pipe.
2. endoscope micro-wound instrument according to claim 1, which is characterized in that the fingerhold portion is equipped with
Fingerhold face, and the fingerhold face is straight face, fingerhold face is distributed in the both sides in fingerhold portion there are two being total to.
3. endoscope micro-wound instrument according to claim 1, which is characterized in that the electric knife head using it is medical not
Rust steel is made, and model is 2CR13.
4. endoscope micro-wound instrument according to claim 1, which is characterized in that the L-type horizontal part of the electric knife head
2.5-3mm is stretched out in longer axis body distal end outer surface.
5. endoscope micro-wound instrument according to claim 1, which is characterized in that the A types stripping handle is gradually
Nearly formula structure design.
6. endoscope micro-wound instrument according to claim 1, which is characterized in that the A type stripping rods are using soft
Tough material is made, and the flexible angular range of A type stripping rods itself is 0-30 degree.
7. endoscope micro-wound instrument according to claim 1, which is characterized in that the Type B stripping cutter head is using tough
Property material is made；The Type B stripping rod is cylinder；The Type B stripping handle is equipped with rubbing surface.
8. endoscope micro-wound instrument according to claim 1, which is characterized in that the side in the fingerhold portion
Equipped with taking over.
9. endoscope micro-wound instrument according to claim 1, which is characterized in that the Type B stripping cutter head and Type B
Stripping rod forms L shapes, and the Type B removes driving part of the shape such as golf club of cutter head.
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| CN201810374115.5A CN108338834B (en) | 2018-04-24 | 2018-04-24 | Endoscope minimally invasive surgical instrument |
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|---|---|---|---|
| CN201810374115.5A CN108338834B (en) | 2018-04-24 | 2018-04-24 | Endoscope minimally invasive surgical instrument |
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Citations (18)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6228025B1 (en) * | 1998-05-01 | 2001-05-08 | Genzyme Corporation | Illuminated saphenous vein retractor |
| CN2455206Y (en) * | 2000-12-25 | 2001-10-24 | 天津市口腔医院 | Assembled hook stripping device |
| US6605036B1 (en) * | 1996-05-10 | 2003-08-12 | Andrew Michael Wild | Surgical instrument assembly for use in endoscopic surgery |
| CN2586454Y (en) * | 2002-11-21 | 2003-11-19 | 上海第二医科大学附属第九人民医院 | Endoscope and electric cutting integrated instrument |
| CN2616181Y (en) * | 2003-04-25 | 2004-05-19 | 陈玉萍 | Periosteum elevator for hump nose |
| CN101259034A (en) * | 2008-04-17 | 2008-09-10 | 尧良清 | Vaginal endoscope operation instruments and application method |
| CN201312831Y (en) * | 2008-12-18 | 2009-09-23 | 戴炳光 | Single bend surgical knife head |
| CN202044339U (en) * | 2010-12-18 | 2011-11-23 | 王桂莲 | Multifunctional electrocoagulation hook of laparoscopy |
| CN202408998U (en) * | 2011-12-28 | 2012-09-05 | 陈育哲 | Prop-open device for endoscope breast-enlarging operation |
| CN203183029U (en) * | 2013-03-29 | 2013-09-11 | 桐庐广硕医疗器械有限公司 | Breast implant shaping electric hook having suction function |
| CN204105934U (en) * | 2014-08-13 | 2015-01-21 | 广西中医药大学附属瑞康医院 | L-type mamaplasty endoscope and image processing device |
| CN205459014U (en) * | 2016-01-19 | 2016-08-17 | 简洁君 | Improvement surgical electric scalpel head |
| CN205493996U (en) * | 2015-12-28 | 2016-08-24 | 唐山市人民医院 | Monopole electrotome of deep tissue perpendicular cut |
| CN205831840U (en) * | 2016-05-20 | 2016-12-28 | 华东医院 | A kind of auxiliary drag hook for endoscope's breast augmentation |
| CN206303923U (en) * | 2016-07-01 | 2017-07-07 | 范巨峰 | A kind of prosthese inserts DaphniaCarinat a lacuna hoe scaler |
| CN206303998U (en) * | 2016-07-01 | 2017-07-07 | 范巨峰 | A kind of prosthese inserts DaphniaCarinat a lacuna hoe scaler |
| CN206390986U (en) * | 2016-08-30 | 2017-08-11 | 中国人民解放军第三军医大学第一附属医院 | Multifunctional single-hole thoracoscope coagulation hook |
| CN208822960U (en) * | 2018-04-24 | 2019-05-07 | 上海交通大学医学院附属第九人民医院 | Endoscope micro-wound instrument |
-
2018
- 2018-04-24 CN CN201810374115.5A patent/CN108338834B/en active Active
Patent Citations (18)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US6605036B1 (en) * | 1996-05-10 | 2003-08-12 | Andrew Michael Wild | Surgical instrument assembly for use in endoscopic surgery |
| US6228025B1 (en) * | 1998-05-01 | 2001-05-08 | Genzyme Corporation | Illuminated saphenous vein retractor |
| CN2455206Y (en) * | 2000-12-25 | 2001-10-24 | 天津市口腔医院 | Assembled hook stripping device |
| CN2586454Y (en) * | 2002-11-21 | 2003-11-19 | 上海第二医科大学附属第九人民医院 | Endoscope and electric cutting integrated instrument |
| CN2616181Y (en) * | 2003-04-25 | 2004-05-19 | 陈玉萍 | Periosteum elevator for hump nose |
| CN101259034A (en) * | 2008-04-17 | 2008-09-10 | 尧良清 | Vaginal endoscope operation instruments and application method |
| CN201312831Y (en) * | 2008-12-18 | 2009-09-23 | 戴炳光 | Single bend surgical knife head |
| CN202044339U (en) * | 2010-12-18 | 2011-11-23 | 王桂莲 | Multifunctional electrocoagulation hook of laparoscopy |
| CN202408998U (en) * | 2011-12-28 | 2012-09-05 | 陈育哲 | Prop-open device for endoscope breast-enlarging operation |
| CN203183029U (en) * | 2013-03-29 | 2013-09-11 | 桐庐广硕医疗器械有限公司 | Breast implant shaping electric hook having suction function |
| CN204105934U (en) * | 2014-08-13 | 2015-01-21 | 广西中医药大学附属瑞康医院 | L-type mamaplasty endoscope and image processing device |
| CN205493996U (en) * | 2015-12-28 | 2016-08-24 | 唐山市人民医院 | Monopole electrotome of deep tissue perpendicular cut |
| CN205459014U (en) * | 2016-01-19 | 2016-08-17 | 简洁君 | Improvement surgical electric scalpel head |
| CN205831840U (en) * | 2016-05-20 | 2016-12-28 | 华东医院 | A kind of auxiliary drag hook for endoscope's breast augmentation |
| CN206303923U (en) * | 2016-07-01 | 2017-07-07 | 范巨峰 | A kind of prosthese inserts DaphniaCarinat a lacuna hoe scaler |
| CN206303998U (en) * | 2016-07-01 | 2017-07-07 | 范巨峰 | A kind of prosthese inserts DaphniaCarinat a lacuna hoe scaler |
| CN206390986U (en) * | 2016-08-30 | 2017-08-11 | 中国人民解放军第三军医大学第一附属医院 | Multifunctional single-hole thoracoscope coagulation hook |
| CN208822960U (en) * | 2018-04-24 | 2019-05-07 | 上海交通大学医学院附属第九人民医院 | Endoscope micro-wound instrument |
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|---|---|
| CN108338834B (en) | 2023-12-26 |
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