CN108433757A - A kind of interior epitheca convolution visual puncturing sampler - Google Patents
A kind of interior epitheca convolution visual puncturing sampler Download PDFInfo
- Publication number
- CN108433757A CN108433757A CN201810489886.9A CN201810489886A CN108433757A CN 108433757 A CN108433757 A CN 108433757A CN 201810489886 A CN201810489886 A CN 201810489886A CN 108433757 A CN108433757 A CN 108433757A
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- Prior art keywords
- needle tubing
- puncture
- epitheca
- puncture needle
- connector
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- 241000463219 Epitheca Species 0.000 title claims abstract description 61
- 230000000007 visual effect Effects 0.000 title claims abstract description 24
- 238000005286 illumination Methods 0.000 claims abstract description 32
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 32
- 238000004891 communication Methods 0.000 claims abstract description 10
- 230000002093 peripheral effect Effects 0.000 claims description 3
- 239000007787 solid Substances 0.000 claims 1
- 230000001575 pathological effect Effects 0.000 abstract description 15
- 238000003745 diagnosis Methods 0.000 abstract description 3
- 210000001519 tissue Anatomy 0.000 description 22
- 239000000835 fiber Substances 0.000 description 11
- 230000003902 lesion Effects 0.000 description 6
- 208000006568 Urinary Bladder Calculi Diseases 0.000 description 5
- 238000001574 biopsy Methods 0.000 description 4
- 238000005070 sampling Methods 0.000 description 4
- 208000027418 Wounds and injury Diseases 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 238000001356 surgical procedure Methods 0.000 description 3
- 206010052428 Wound Diseases 0.000 description 2
- 238000007689 inspection Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 239000013307 optical fiber Substances 0.000 description 2
- 230000001225 therapeutic effect Effects 0.000 description 2
- 208000004221 Multiple Trauma Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 210000002615 epidermis Anatomy 0.000 description 1
- 230000003760 hair shine Effects 0.000 description 1
- 210000003128 head Anatomy 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 238000002324 minimally invasive surgery Methods 0.000 description 1
- 210000002445 nipple Anatomy 0.000 description 1
- 238000010827 pathological analysis Methods 0.000 description 1
- 230000007170 pathology Effects 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 230000003252 repetitive effect Effects 0.000 description 1
- 210000001525 retina Anatomy 0.000 description 1
- 210000004706 scrotum Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Pathology (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
- Endoscopes (AREA)
Abstract
The invention discloses the image illumination devices for puncturing needle tubing and can be inserted into puncture needle tubing and be moved forward and backward relative to puncture needle tubing being moved forward and backward in a kind of interior epitheca convolution visual puncturing sampler, including puncture outfit handle, pluggable puncture outfit handle and relative to puncture outfit handle；The perforation image channel for being offered in puncture outfit handle and puncturing needle tubing cooperation, puncture outfit handle rear end is connected with illuminates connector with the puncture of perforation image channel coaxial communication, instrument connector and water filling connector are also associated on puncture outfit handle, the instrument channel being connected to perforation image channel is offered in instrument connector, and the waterflood path being connected to perforation image channel is offered in water filling connector；It punctures and is provided with puncture needle water inlet tube hole corresponding with waterflood path on syringe rear end outer wall.Puncture outfit, which can be realized, precisely to be punctured, establishes a wound and can complete the diagnosis of pathological tissues in cavum scroti, excision treatment, the minimal invasive operation for taking tissue.
Description
Technical field
The present invention relates to minimally invasive medical equipment technology fields, are sampled in particular to a kind of interior epitheca convolution visual puncturing
Device.
Background technology
Current human's intracavity lesion tissue operative treatment switchs to minimal invasive operation by traditional open surgery treatment,
Minimal invasive operation is carried out, as pathological tissues diagnose, excision is treated, the process of sample of tissue row pathological analysis in andrology's cavum scroti
Middle surgical instrument has a single function, and needs a variety of instruments, establishes multiple wounds and could complete, increases the pain of patient, increase
Operating difficulty, while also increasing the post-operative recovery time of patient.Therefore designing a collection has and precisely punctures, establishes a wound
The Minimally Invasive Surgery instrument that tissue can be completed diagnose pathological tissues, cut off, taking is very significant.
Invention content
Present invention aim to solve the deficiency of above-mentioned background technology, provide a kind of simple in structure, easy to use, logical
Cross the interior epitheca convolution visual puncturing sampler (English abbreviation VPBIO) that a variety of mechanotherapies can be completed in a wound.
In order to achieve this, the interior epitheca convolution visual puncturing sampler designed by the present invention, including puncture outfit handle,
It can be inserted into the puncture outfit handle and the puncture needle tubing that is moved forward and backward relative to the puncture outfit handle and can be inserted into described wear
The image illumination device being moved forward and backward in pricker pipe and relative to the puncture needle tubing；It is opened along its axial direction in the puncture outfit handle
Equipped with the perforation image channel with the puncture needle tubing cooperation, the rear end of the puncture outfit handle is connected with and the perforation image
The puncture of channel coaxial communication illuminates connector, and instrument connector and water filling connector, the device are also associated on the puncture outfit handle
Tool connector offers the instrument channel being connected to the perforation image channel along its axial direction, is opened along its axial direction in the water filling connector
Equipped with the waterflood path being connected to the perforation image channel；It is provided on the rear end outer wall for puncturing needle tubing logical with the water filling
The corresponding inlet opening in road.
Further, the front end of the puncture outfit handle is fixedly connected with interior sheath, is set along its axial direction in the interior sheath
There is the interior sheath pipeline with perforation image channel coaxial communication.
Further, the front end of the puncture outfit handle is also fixedly connected with epitheca pipe device, the epitheca pipe device
The epitheca pipe fitting that is coaxially detachably secured to including one end on the leading exterior surface of the puncture outfit handle and with it is described outer
The outer sheath that the other end of sheath pipe fitting is fixedly and coaxially connected, the outer sheath is interior to be axially arranged with epitheca pipeline along it, described outer
Connector duct is offered along its axial direction in sheath pipe fitting, the middle part and rear portion of the interior sheath are respectively arranged at the epitheca pipeline
In the connector duct, between the tube wall of the epitheca pipeline and the hole wall and the outer wall of the interior sheath in the connector duct
There is gap.
Further, the front end of the puncture outfit handle is fixedly connected with the card with perforation image channel coaxial communication
The front end peripheral surface of seated connection head, the deck connector is equipped with deck elasticity boss, is located at the deck elasticity boss rear
Deck connector circumferential exterior surface on offer deck positioning groove, be provided on the aft end interior surface of the epitheca pipe fitting with
The epitheca pipe fitting positioning groove of the deck elasticity boss cooperation and the epitheca pipe fitting with deck positioning groove cooperation
Elastic boss.
Further, the front end of the outer sheath is conical pipe, be provided on the tube wall of the conical pipe it is multiple with it is described
The outer sheath inlet opening of epitheca pipeline connection, the epitheca pipe fitting with the connector hole link is provided on the epitheca pipe fitting
Apopore.
Specifically, barb thief hole is provided on the front end outer wall for puncturing needle tubing, before the puncture illumination connector includes
Hold the puncture needle tubing positioning support that is fixed in the perforation image channel and be connected on the puncture needle tubing positioning support, can
Along the puncture needle tubing mobile support saddle for puncturing the back-and-forth motion of needle tubing positioning support, being fixed on the outer wall for puncturing needle tubing can be with institute
It states and punctures the fixed puncture needle tubing hold-down support of needle tubing mobile support saddle cooperation.
Specifically, the through-hole coaxial with the perforation image channel is offered in the puncture needle tubing positioning support, it is described
It includes positioned at its front end, the needle tubing movement circle being set in the through-hole for puncturing needle tubing positioning support to puncture needle tubing mobile support saddle
The outer surface of cylinder, the needle tubing movement cylinder is bonded with the hole wall of the through-hole for puncturing needle tubing positioning support, the puncture needle
The through-hole coaxial with the perforation image channel is offered in pipe mobile support saddle.
More specifically, the needle tubing mobile support saddle that punctures further includes the needle tubing locating ring positioned at its rear end, the puncture needle
Pipe hold-down support includes positioned at its front end, can be arranged the needle tubing fixation ring seat being fixed on the needle tubing locating ring, the puncture
The through-hole coaxial with the puncture needle tubing, the outer surface for puncturing needle tubing and the puncture needle are offered in needle tubing hold-down support
The inner surface of pipe hold-down support is fixedly connected.
Further, the image illumination that can be moved forward and backward along the puncture needle tubing is connected on the outer wall for puncturing needle tubing
Device mobile support saddle.
Also further, the puncture needle tubing hold-down support further includes positioned at its rear end, is fixed on outside the puncture needle tubing
Image illumination device on surface positions cylinder, and described image lighting device mobile support saddle includes being sheathed on described image illumination dress
The image illumination device movement cylinder on positioning cylinder is set, described image lighting device moves the inner surface and described image of cylinder
Lighting device position cylinder outer surface fitting, described image lighting device mobile support saddle further include positioned at its rear end, can with close
Hole device coordinates fixed obturator fixed ring, is offered in described image lighting device mobile support saddle coaxial with the puncture needle tubing
Through-hole.
The beneficial effects of the invention are as follows：
1, puncture outfit is simple in structure, easy to use, punctures needle tubing and is equipped with puncture tip and sampling barb, image illumination device
It inserts as punctured in needle tubing, and human body intracavitary is entered by puncture needle tubing from the water filling of water filling connector and washes visual field guarantee image clearly open,
Intracavity lesion tissue can be detected, pathological tissues are diagnosed, while diseased region is accurately sampled under visibility status, can
It accurately takes biopsy to carry out analysis of cases lesion locations under optionally, avoids repeatedly puncture and repetitive operation, pass through and puncture needle tubing
The puncture tip for puncturing needle tubing is pushed into interior sheath and avoids sharp keen puncture tip during detecting and diagnosing by mobile support saddle
Stab human body intraluminal tissue.
2, when human body intracavitary progress pathological tissues are detected and diagnosed, the big water injection rate such as demand does not have to secondary puncture, can
The puncture needle tubing in interior sheath is directly exited, image illumination device is removed out of needle tubing and is penetrated in interior sheath pipeline.
3, after human body intracavitary is detected and diagnosed to pathological tissues, when needing to carry out excision of the lesion or treatment,
Outer sheath is pushed into the conical pipe dilated penetration mouth that puncture orifice utilizes outer sheath front end along interior sheath, outer sheath is made to enter human body chamber
It is interior, it is inserted into Bladder stone optical fiber from the instrument connector on puncture outfit handle, human body intracavitary, Bladder stone work are entered by interior sheath pipeline
The heat of generation is taken away and by injecting the endoceliac water of people by the outflow of epitheca pipe fitting apopore.
Description of the drawings
Fig. 1 is the stereogram that puncture outfit handle is connect with interior sheath in the present invention；
Fig. 2 is the stereogram that outer sheath is connect with epitheca pipe fitting in the present invention；
Fig. 3 is the stereogram that needle tubing is punctured in the present invention；
Fig. 4 is the front view of fibre scope in the present invention；
Fig. 5 is the stereogram of obturator in the present invention；
Fig. 6 is the vertical view that puncture outfit handle is connect with interior sheath in the present invention；
Fig. 7 is A-A sectional views in Fig. 6；
Fig. 8 is that the visual puncturing of puncture outfit in the present invention samples the front view of state；
Fig. 9 is that the visual puncturing of puncture outfit in the present invention samples the vertical view of state；
Figure 10 is B-B sectional views in Fig. 9；
Figure 11 is the front view of the visual excision therapeutic state of puncture outfit in the present invention；
Figure 12 is the vertical view of the visual excision therapeutic state of puncture outfit in the present invention；
Figure 13 is C-C sectional views in Figure 12；
Figure 14 is enlarged drawing at D in Figure 13；
Wherein, 1-puncture outfit handle, 2-puncture needle tubing, and 3-perforation image channels, 4-puncture illumination connector (4.1-
Needle tubing positioning support is punctured, 4.2-puncture needle tubing mobile support saddle), 5-instrument connectors, 6-water filling connectors, 7-instrument channels,
8-waterflood paths, 9-barb thief holes, 10-puncture needle water inlet tube holes, 11-interior sheaths, 12-interior sheath pipelines, 13-epithecas
Pipe fitting, 14-outer sheaths, 15-epitheca pipelines, 16-connector ducts, 17-deck connectors, 18-deck elasticity boss,
19-deck positioning grooves, 20-epitheca pipe fitting positioning grooves, 21-outer sheath joint elastic boss, 22-epitheca water inlet tubes
Hole, 23-epitheca pipe fitting apopores, 24-puncture needle tubing hold-down support, and (24.1-needle tubings fix ring seat, and 24.2-images shine
Bright device positions cylinder), 25-needle tubings move cylinder, 26-needle tubing locating rings, 27-image illumination device mobile support saddles
(27.1-image illumination devices move cylinder, 27.2-obturator fixed rings, 27.3-image illumination device limit bases), 28-
Obturator, 29-fibre scopes, 30-fibre scope handles, 31-needle tubing positioning support fixed rings, the limit of 32-needle tubing positioning supports
Ring, 33-needle tubing positioning support guide rings, 34-needle tubing mobile support saddle spacing rings, 35-Bladder stone cables.
Specific implementation mode
The following further describes the present invention in detail with reference to the accompanying drawings and specific embodiments.
The interior epitheca convolution visual puncturing sampler as shown in Fig. 8-10, including punctured as shown in Fig. 1 and Fig. 6-7
The puncture needle tubing 2 being moved forward and backward in device handle 1, pluggable puncture outfit handle 1 as shown in Figure 3 and relative to puncture outfit handle 1
With (the image illumination dress of fibre scope 29 being moved forward and backward in pluggable puncture needle tubing 2 as shown in Figure 4 and relative to puncture needle tubing 2
It sets).
As shown in Fig. 1, Fig. 6-7 and Fig. 8-10, perforation image channel 3 is offered along its axial direction in puncture outfit handle 1, is worn
The rear end of thorn device handle 1 is connected with illuminates connector 4 with the puncture of 3 coaxial communication of perforation image channel.
As shown in Figure 10, it punctures illumination connector 4 and is fixed on the positioning branch of the puncture needle tubing in perforation image channel 3 including front end
Seat 4.1 and being connected to punctures on needle tubing positioning support 4.1, can be along the puncture needle tubing for puncturing needle tubing positioning support 4.1 and being moved forward and backward
Mobile support saddle 4.2 punctures and is fixed on the outer wall of needle tubing 2 and can coordinate fixed puncture needle tubing with needle tubing mobile support saddle 4.2 is punctured
Hold-down support 24.
It includes the needle tubing positioning support fixed ring 31 being fixed in perforation image channel 3, needle to puncture needle tubing positioning support 4.1
Coaxial needle tubing positioning support spacing ring 32 is fixedly connected on the rear end surface of pipe positioning support fixed ring 31, needle tubing is fixed
It is fixedly connected with coaxial needle tubing positioning support guide ring 33 on the rear end surface of position bearing spacing ring 32；Needle tubing positioning branch
The outer diameter of seat spacing ring 32 is more than the aperture in perforation image channel 3, and the internal diameter of needle tubing positioning support fixed ring 31 is fixed less than needle tubing
The annular distance of the internal diameter of position bearing guide ring 33, needle tubing positioning support spacing ring 32 is stepped hole, and stepped hole includes being positioned with needle tubing
First connecting hole of the annular distance connection of bearing fixed ring 31 and the second company being connect with the annular distance of needle tubing positioning support guide ring 33
Hole is connect, the aperture of the first connecting hole is identical as the aperture of needle tubing positioning support fixed ring 31, the aperture of the second connecting hole and needle tubing
The aperture of positioning support guide ring 33 is identical.
It includes being set to the needle tubing movement cylinder 25 punctured in needle tubing positioning support 4.1, needle to puncture needle tubing mobile support saddle 4.2
It is fixedly connected with coaxial needle tubing mobile support saddle spacing ring 34, needle tubing mobile support saddle on the rear end surface of pipe movement cylinder 25
Coaxial needle tubing locating ring 26 is fixedly connected on the rear end surface of spacing ring 34.Needle tubing move cylinder 25 outer surface with
The inner surface of needle tubing positioning support guide ring 33 is bonded, and needle tubing moves aperture and the needle tubing mobile support saddle spacing ring 34 of cylinder 25
Aperture is identical as the aperture of needle tubing positioning support fixed ring 31, and the outer diameter of needle tubing mobile support saddle spacing ring 34 is positioned more than needle tubing
The outer diameter of bearing guide ring 33, the aperture of needle tubing locating ring 26 are more than the aperture of needle tubing mobile support saddle spacing ring 34.
Needle tubing hold-down support 24 is punctured to include positioned at its front end, the needle tubing being fixed on needle tubing locating ring 26 can be arranged fix
Ring seat 24.1, the rear end face that needle tubing fixes ring seat 24.1 are coaxially connected with image illumination device positioning cylinder 24.2, puncture needle tubing
The through-hole coaxial with needle tubing 2 is punctured is offered in hold-down support 24, punctures outer surface and the puncture needle tubing hold-down support 24 of needle tubing 2
Inner surface be fixedly connected.Needle tubing is fixed ring seat 24.1 and is fixed on needle tubing locating ring 26.
As shown in Figure 10, being connected on the outer wall of puncture needle tubing 2 can be along the image illumination device for puncturing the back-and-forth motion of needle tubing 2
Mobile support saddle 27.Image illumination device mobile support saddle 27 includes that the image being sheathed on image illumination device positioning cylinder 24.2 shines
Bright device moves cylinder 27.1, and image illumination device moves the inner surface of cylinder 27.1 and image illumination device positions cylinder 24.1
Outer surface fitting, image illumination device movement cylinder 27.1 rear end face be coaxially connected with image illumination device limit base
27.3, the rear end face of image illumination device limit base 27.3 is coaxially connected with obturator fixed ring 27.2, and image illumination device moves
The through-hole coaxial with needle tubing 2 is punctured is offered in dynamic bearing 27.Fibre scope 29 passes through obturator 28, obturator 28 to be positioned with needle tubing
Ring 26 is fixedly connected.
As shown in Fig. 1, Fig. 6-7 and Fig. 8-10, instrument connector 5 and water filling connector 6 are also associated on puncture outfit handle 1,
Instrument connector 5 offers the instrument channel 7 being connected to perforation image channel 3 along its axial direction, is opened up along its axial direction in water filling connector 6
There are the waterflood path 8 being connected to perforation image channel 3, the front end of puncture outfit handle 1 to be fixedly connected with interior sheath 11, interior sheath 11
The interior interior sheath pipeline 12 being axially arranged with along it with 3 coaxial communication of perforation image channel.The front end of puncture outfit handle 1 is fixedly connected with
Epitheca pipe device, epitheca pipe device include the epitheca pipe fitting that one end is coaxially fixed on the leading exterior surface of puncture outfit handle 1
13 (as shown in figure 14, the front end of puncture outfit handle 1 is fixedly connected with the deck connector 17 with 3 coaxial communication of perforation image channel,
The front end peripheral surface of deck connector 17 is equipped with deck elasticity boss 18, is located at the deck connector at 18 rear of deck elasticity boss
Deck positioning groove 19 is offered in 17 circumferential exterior surface, and epitheca pipe fitting is provided on the aft end interior surface of epitheca pipe fitting 13
Positioning groove 20 and outer sheath joint elastic boss 21, epitheca pipe fitting positioning groove 20 coordinate with deck elasticity boss 18, outside
Sheath joint elastic boss 21 and deck positioning groove 19 coordinate) and be fixedly and coaxially connected with the other end of epitheca pipe fitting 13
Outer sheath 14, outer sheath 14 is interior to be axially arranged with epitheca pipeline 15 along it, and epitheca pipe fitting 13 is interior to offer nipple orifice along its axial direction
Road 16, the middle part and rear portion of interior sheath 11 are respectively arranged in epitheca pipeline 15 and connector duct 16, the tube wall of epitheca pipeline 15
There is gap between the hole wall and the outer wall of interior sheath 11 in connector duct 16.As shown in Fig. 2, the front end of outer sheath 14 is cone
Shape pipe is provided with multiple outer sheath inlet openings 22 being connected to epitheca pipeline 15 on the tube wall of conical pipe, is opened on epitheca pipe fitting 13
There is the epitheca pipe fitting apopore 23 being connected to connector duct 16.
As shown in figure 3, barb thief hole 9 is provided on the front end outer wall of puncture needle tubing 2, on the rear end outer wall for puncturing needle tubing 2
It is provided with puncture needle water inlet tube hole corresponding with waterflood path 8 10.
In the present invention, there is visual puncturing；Inner cavity pathological tissues inspection diagnosis, biopsy sampling and inner cavity excision of the lesion
The function for the treatment of.
1, visual puncturing：As shown in Fig. 8-10, punctures needle tubing 2 and penetrated from needle tubing mobile support saddle 4.2 is punctured, by obturator
28 connect with obturator fixed ring 27.2, lock fibre scope 29, and fibre scope 29 is penetrated out of obturator 28 hole up to puncturing needle tubing 2
Front end is adjusted by image illumination device mobile support saddle 27 and arrives suitable position, and 6 connecting with water valve of water filling connector simultaneously connects water source,
Implement epidermis to puncture until interior sheath enters in cavity of tunica vaginalis (water filling as needed).
2, inner cavity pathological tissues inspection diagnosis, biopsy sampling：After puncture needle tubing 2 enters sheath inner cavity with interior sheath 11, lead to
Sheath 11 (preventing puncture tip injury tissue) in the retraction of 2 tip of needle tubing will be punctured by crossing puncture needle tubing mobile support saddle 4.2, open water
Valve water filling, it is mobile in cavity of tunica vaginalis after getting a clear view in sheath 11 detect pathological tissues, it is true by fibre scope 29 in cavity of tunica vaginalis
It after determining pathological tissues sample point, punctures needle tubing 2 tip and pierces pathological tissues, by image illumination device mobile support saddle 27 by optical fiber
Mirror 29 is adjusted to 9 rear of barb thief hole, continues to puncture until barb thief hole 9 enters pathological tissues, really by fibre scope 29
It is fixed to be included in a organized way in barb thief hole 9, so that puncture needle tubing 2 is shunk back by puncturing needle tubing mobile support saddle 4.2, until barb takes
The tissue in sample hole 9 is cut off by cutting edge, releasable joint, is withdrawn from and is punctured needle tubing 2, send sampling tissue to analysis of cases.Such as Figure 11-13
It is shown, if water flow is not big enough as felt during detecting pathological tissues, it can withdraw from and puncture needle tubing 2, removing obturator 28 will
Fibre scope 29 is penetrated from handle rear end in interior sheath pipeline 12, and obturator 29 is connect with needle tubing locating ring 26, opens water valve water filling,
Pathological tissues are detected in cavity of tunica vaginalis.
3, scrotum inner cavity excision of the lesion, treatment：As shown in Figure 11-13, after entering cavity of tunica vaginalis by interior sheath 11,
It withdraws from after puncturing the taking-up of needle tubing 2, fibre scope 29 is penetrated from handle rear end in interior sheath pipeline 12, and adjust good position, released outer
Sheath 14, until in cavity of tunica vaginalis, Bladder stone cable is penetrated out of instrument connector 5 instrument channel 7 by its front tapered end expansion
35, water valve water filling is opened, starts Bladder stone excision until pathological tissues, the water of intracavitary constantly pass through the epitheca of 14 front end of outer sheath
Water inlet tube hole 22 flows into the gap between interior sheath 11 and outer sheath 14 and epitheca pipe fitting 13 from epitheca pipe fitting apopore 23
Outflow.
The above is only presently preferred embodiments of the present invention, further include pathology department take biopsy, Urology Surgery percutaneous surgery,
Ophthalmology retina prosthetic.Limitation in any form is not done to the structure of the present invention.It is every according to the technical essence of the invention
To any simple modification, equivalent change and modification made by above example, the range of technical scheme of the present invention is still fallen within
It is interior.
Claims (10)
1. a kind of interior epitheca convolution visual puncturing sampler, it is characterised in that：Including puncture outfit handle (1), can be inserted into it is described
In puncture outfit handle (1) and relative to the puncture needle tubing (2) of the puncture outfit handle (1) back-and-forth motion and it can be inserted into the puncture
The image illumination device being moved forward and backward in needle tubing (2) and relative to the puncture needle tubing (2)；The interior edge of the puncture outfit handle (1)
Its axial direction offers the perforation image channel (3) coordinated with the puncture needle tubing (2), and the rear end of the puncture outfit handle (1) connects
It is connected to and illuminates connector (4) with the puncture of perforation image channel (3) coaxial communication, be also connected on the puncture outfit handle (1)
There are instrument connector (5) and water filling connector (6), the instrument connector (5) to be offered and the perforation image channel (3) along its axial direction
The instrument channel (7) of connection is offered in the water filling connector (6) along its axial direction and to be connected to the perforation image channel (3)
Waterflood path (8)；It is described puncture needle tubing (2) rear end outer wall on be provided with puncture needle tubing corresponding with the waterflood path (8) into
Water hole (10).
2. epitheca convolution visual puncturing sampler in as described in claim 1, it is characterised in that：The puncture outfit handle
(1) front end is fixedly connected with interior sheath (11), is axially arranged with and the perforation image channel along it in the interior sheath (11)
(3) the interior sheath pipeline (12) of coaxial communication.
3. epitheca convolution visual puncturing sampler in as claimed in claim 2, it is characterised in that：The puncture outfit handle
(1) front end is also fixedly connected with epitheca pipe device, and the epitheca pipe device includes described in one end is coaxially detachably secured to
Epitheca pipe fitting (13) on the leading exterior surface of puncture outfit handle (1) and coaxial with the other end of the epitheca pipe fitting (13)
The outer sheath (14) being fixedly connected, the outer sheath (14) is interior to be axially arranged with epitheca pipeline (15), the epitheca pipe fitting along it
(13) connector duct (16) is offered along its axial direction in, the middle part and rear portion of the interior sheath (11) are respectively arranged at the epitheca
In pipeline (15) and the connector duct (16), the tube wall of the epitheca pipeline (15) and the hole wall in the connector duct (16) with
There is gap between the outer wall of the interior sheath (11).
4. epitheca convolution visual puncturing sampler in as claimed in claim 3, it is characterised in that：The puncture outfit handle
(1) front end is fixedly connected with the deck connector (17) with perforation image channel (3) coaxial communication, the deck connector
(17) front end peripheral surface is equipped with deck elasticity boss (18), and the deck for being located at deck elasticity boss (18) rear connects
Deck positioning groove (19) is offered in the circumferential exterior surface of head (17), is opened on the aft end interior surface of the epitheca pipe fitting (13)
Have the epitheca pipe fitting positioning groove (20) coordinated with the deck elasticity boss (18) and with the deck positioning groove (19)
The outer sheath joint elastic boss (21) of cooperation.
5. epitheca convolution visual puncturing sampler in as claimed in claim 3, it is characterised in that：The outer sheath (14)
Front end is conical pipe, and multiple outer sheath inlet openings being connected to the epitheca pipeline (15) are provided on the tube wall of the conical pipe
(22), it is provided with the epitheca pipe fitting apopore (23) being connected to the connector duct (16) on the epitheca pipe fitting (13).
6. epitheca convolution visual puncturing sampler in as described in claim 1, it is characterised in that：The puncture needle tubing (2)
Front end outer wall on be provided with barb thief hole (9), the puncture illumination connector (4) includes that be fixed on the perforation image logical for front end
Puncture needle tubing positioning support (4.1) in road (3) and be connected on the puncture needle tubing positioning support (4.1), can be along puncture needle
Pipe positioning support (4.1) be moved forward and backward puncture needle tubing mobile support saddle (4.2), it is described puncture needle tubing (2) outer wall on be fixed with
Fixed puncture needle tubing hold-down support (24) can be coordinated with the puncture needle tubing mobile support saddle (4.2).
7. epitheca convolution visual puncturing sampler in as claimed in claim 6, it is characterised in that：The puncture needle tubing positioning
The through-hole coaxial with the perforation image channel (3), puncture needle tubing mobile support saddle (4.2) packet are offered in bearing (4.1)
It includes positioned at its front end, the needle tubing movement cylinder (25) being set in the through-hole of the puncture needle tubing positioning support (4.1), the needle
The outer surface of pipe movement cylinder (25) is bonded with the hole wall of the through-hole of the puncture needle tubing positioning support (4.1), the puncture needle
The through-hole coaxial with the perforation image channel (3) is offered in pipe mobile support saddle (4.2).
8. epitheca convolution visual puncturing sampler in as claimed in claim 7, it is characterised in that：The puncture needle tubing movement
Bearing (4.2) further includes the needle tubing locating ring (26) positioned at its rear end, and the puncture needle tubing hold-down support (24) includes being located at it
Front end can be arranged the needle tubing fixation ring seat (24.1) being fixed on the needle tubing locating ring (26), and the puncture needle tubing fixes branch
The through-hole coaxial with the puncture needle tubing (2), the outer surface for puncturing needle tubing (2) and the puncture needle are offered in seat (24)
The inner surface of pipe hold-down support (24) is fixedly connected.
9. epitheca convolution visual puncturing sampler in as claimed in claim 8, it is characterised in that：The puncture needle tubing (2)
Outer wall on be connected with can along it is described puncture needle tubing (2) be moved forward and backward image illumination device mobile support saddle (27).
10. epitheca convolution visual puncturing sampler in as claimed in claim 9, it is characterised in that：The puncture needle tubing is solid
It further includes positioned at its rear end, the image illumination device setting circle being fixed on described puncture needle tubing (2) outer surface to determine bearing (24)
Cylinder (24.2), described image lighting device mobile support saddle (27) include being sheathed on described image lighting device positioning cylinder (24.2)
On image illumination device movement cylinder (27.1), described image lighting device moves inner surface and the figure of cylinder (27.1)
As the outer surface fitting of lighting device positioning cylinder (24.1), described image lighting device mobile support saddle (27) further includes being located at it
Rear end can coordinate fixed obturator fixed ring (27.2), described image lighting device mobile support saddle (27) with obturator (28)
Inside offer the through-hole coaxial with the puncture needle tubing (2).
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| CN201810489886.9A CN108433757B (en) | 2018-05-21 | 2018-05-21 | Visible puncture sampler with combined inner sheath and outer sheath |
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| CN201810489886.9A CN108433757B (en) | 2018-05-21 | 2018-05-21 | Visible puncture sampler with combined inner sheath and outer sheath |
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| CN108433757A true CN108433757A (en) | 2018-08-24 |
| CN108433757B CN108433757B (en) | 2024-04-12 |
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| CN109106430A (en) * | 2018-09-07 | 2019-01-01 | 施爱德（厦门）医疗器材有限公司 | Telescopic puncture outfit |
| CN110680472A (en) * | 2019-10-12 | 2020-01-14 | 广州维力医疗器械股份有限公司 | Detachable visual ultra-micro wound negative pressure stone removal device |
| CN110680408A (en) * | 2019-10-17 | 2020-01-14 | 常州朗合医疗器械有限公司 | Bronchus puncture wall breaking device |
| CN112438693A (en) * | 2020-12-09 | 2021-03-05 | 武汉佑康科技有限公司 | Combined endoscope with visual expansion function and head end capable of being accurately positioned |
| CN114668445A (en) * | 2022-03-30 | 2022-06-28 | 宁波迪创医疗科技有限公司 | Conveying assembly of implanting instrument |
| CN116763409A (en) * | 2023-08-25 | 2023-09-19 | 中国人民解放军总医院第三医学中心 | Ultrasonic guiding therapeutic device |
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| CN114668445A (en) * | 2022-03-30 | 2022-06-28 | 宁波迪创医疗科技有限公司 | Conveying assembly of implanting instrument |
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| CN108433757B (en) | 2024-04-12 |
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