CN108451608A - Laparoscope intracavitary lens cleaning puncture outfit - Google Patents

Laparoscope intracavitary lens cleaning puncture outfit Download PDF

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Publication number
CN108451608A
CN108451608A CN201810408609.0A CN201810408609A CN108451608A CN 108451608 A CN108451608 A CN 108451608A CN 201810408609 A CN201810408609 A CN 201810408609A CN 108451608 A CN108451608 A CN 108451608A
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China
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sheath
cleaning
laparoscope
main
intracavitary
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CN201810408609.0A
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CN108451608B (en
Inventor
李平昂
石彦
余佩武
袁丹凤
罗子俨
钱锋
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Nanfang Hospital
First Affiliated Hospital of PLA Military Medical University
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First Affiliated Hospital of PLA Military Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3415Trocars; Puncturing needles for introducing tubes or catheters, e.g. gastrostomy tubes, drain catheters
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • A61B17/3478Endoscopic needles, e.g. for infusion
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/70Cleaning devices specially adapted for surgical instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/70Cleaning devices specially adapted for surgical instruments
    • A61B2090/701Cleaning devices specially adapted for surgical instruments for flexible tubular instruments, e.g. endoscopes

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Gastroenterology & Hepatology (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Endoscopes (AREA)

Abstract

The invention discloses a kind of laparoscope intracavitary lens cleaning puncture outfits to include:Sheath and the puncturing lever that can be threaded through in sheath are provided with seal assembly in the sheath tube socket of sheath tail portion, and the sheath includes:Main sheath and the turnover cleaning sheath for being connected to main sheath tube end;The end set of the main sheath has electromagnet;The cleaning sheath is provided with permanent magnet close to one end of main sheath, and the permanent magnet is identical as the magnetism after the energization of abutting end electromagnet, and the one end far from main sheath for cleaning sheath is in angle shape, and cleaning device flexible is provided on the inner wall of the cleaning sheath.Above-mentioned laparoscope intracavitary lens cleaning puncture outfit, the wiping to lens of laparoscope can be completed in abdominal cavity, laparoscope is avoided frequently to pass in and out sheath, keeps the progress of laparoscopic surgery more smooth, while reducing infection probability.

Description

Laparoscope intracavitary lens cleaning puncture outfit
Technical field
The present invention relates to medical instruments fields, and in particular to a kind of laparoscope intracavitary lens cleaning puncture outfit.
Background technology
With popularizing for laparoscopic surgery, the application of laparoscope intracavitary lens cleaning puncture outfit is also more and more extensive.Abdominal cavity Mirror intracavitary lens cleaning puncture outfit is that a kind of puncture stomach wall is that other surgical instruments (such as laparoscope) provide and enter lumenal passageway Surgical instrument is mainly made of sheath and the puncturing lever that can be threaded through in sheath, is provided in the sheath tube socket of sheath tail portion close Sealing assembly avoids bulk gas from leaking out abdominal cavity to maintain pneumoperitoneum pressure;After the completion of puncture, extracts puncturing lever out, only stay puncture sheath It is connected to inside and outside stomach wall, channel is provided for the surgical instrument of laparoscope etc.And laparoscope is the most commonly used instrument of Minimally Invasive Surgery, And most crucial instrument, it clearly observes the intraperitoneal premise for specifically carrying out laparoscopic surgery and determines operation The key of success or failure.
Only, after laparoscope enters abdominal cavity by sheath, in in operation energy instrument generate smog, water The impurity such as steam can be splashed to the front end of lens of laparoscope, cause the visual field fuzzy, can not clearly perform the operation.For at present, Can be smudgy after lens of laparoscope contamination to dirt, it can only be drawn off, be cleaned with Iodophor, warm water's immersion heating, Then dry gauze wipes camera lens, and often once wiping camera lens cannot achieve the effect that completely remove dirt.In addition whole operation meeting Procedure is interrupted, patient's thinking is interrupted, delays operating time.Continue to make in camera lens after the wiped clean abdominal cavity that can come in and go out again With.This laparoscope travels frequently over the state in sheath disengaging abdominal cavity, and entire operating time is made to extend, and patient's anesthesia duration equally can Extend, increase the usage amount of anaesthetic, increases wound, while also increasing the probability of infection.This is first with Minimally Invasive Surgery Inner feelings runs in the opposite direction.
Invention content
In view of the above-mentioned problems, the present invention proposes a kind of laparoscope intracavitary lens cleaning puncture outfit, can be completed in abdominal cavity Cleaning to lens of laparoscope, avoids laparoscope from frequently passing in and out sheath, keeps the progress of laparoscopic surgery more smooth, largely Upper saving operating time reduces operation wound, while reducing infection probability.
Laparoscope intracavitary lens cleaning puncture outfit, including:Sheath and the puncturing lever that can be threaded through in sheath, sheath tail portion Sheath tube socket in be provided with seal assembly, the sheath includes:Main sheath and the turnover cleaning for being connected to main sheath tube end Sheath;The end set of the main sheath has electromagnet;The cleaning sheath is provided with permanent magnet close to one end of main sheath, And the permanent magnet is identical as the magnetism after the energization of abutting end electromagnet, the one end far from main sheath for cleaning sheath is in angle Shape, it is described cleaning sheath inner wall on be provided with cleaning device flexible.
Under normality, by the natural absorption of permanent magnet and electromagnet core, main sheath and cleaning sheath is made to dock to form sheath Pipe is whole, and puncturing lever passes through sheath and protrudes from the end of sheath, to be punctured;Because cleaning device is that ring is located at cleaning sheath Flexible piece on inner wall, puncturing lever therefrom can be smoothly pierced by by circumferentially squeezing cleaning device, not influence normally to puncture work( Energy.It waits after the completion of puncturing, take out puncturing lever, cleaning device springs back to original position naturally;At this point, being powered to electromagnet, repel forever Magnet makes the overturning of cleaning sheath expose the port of main sheath, enters abdominal cavity to facilitate laparoscope to pass through main sheath.It is needing When wiping the camera lens of laparoscope, laparoscope of pulling back makes it into main sheath, and electromagnet power-off is then made to eliminate magnetic force, Jin Erqing Clean sheath is docked with main sheath again under the magnetic force of permanent magnet and the rebound effect of turnover connecting piece;At this point, by abdominal cavity Mirror is deep into cleaning sheath, camera lens can be made to be contacted with cleaning device, and then except crude removal keeps clear;Later by wiped clean Laparoscope pull back into main sheath, electromagnet is powered the port that the overturning of cleaning sheath can be made to expose main sheath again, abdomen Hysteroscope can reuse.The wiping of entire surgical procedure, lens of laparoscope is completed in abdominal cavity, and it is frequent to avoid laparoscope Sheath is passed in and out, keeps the progress of laparoscopic surgery more smooth, largely saves operating time, reduces operation wound, simultaneously Reduce infection probability.Meanwhile above-mentioned puncture outfit can be disposable, be repeatedly used after can also sterilizing, depending on tool Concrete conditions in the establishment of a specific crime selects occupation mode, can reduce operation cost in a certain range.
Further, the connecting pin of the main sheath and cleaning sheath is set as angular cut, main sheath and cleaning sheath Tie point is arranged on the beveling point of the close sheath tube socket side of angular cut.
It is arranged after angular cut, cleaning sheath only needs overturning angle identical with angular cut mis-cut angle, can be completely The main sheath of exposing port, movement range smaller is safer, and operation is also more convenient.
Further, the cleaning device includes:Cleaning brush part and lower polishing piece, the cleaning brush part ring are located at cleaning sheath On the inner wall in stage casing;The lower polishing piece includes the sheet gauze that multi-disc thickness is 2mm-4mm, and sheet gauze ring described in multi-disc is set In the cleaning sheath inside pipe wall far from main sheath one end, one end of sheet gauze and the inner wall of cleaning sheath are fixed, sheet gauze The other end is extended radially inwardly along cleaning sheath.
The circumferential surface of laparoscope and end face are cleaned respectively by cleaning brush part and lower polishing piece, cleaning is more comprehensive; And gauze slabbing and with certain thickness so that it can at one end stretch out after, free end will not be naturally weak and limp, in puncturing lever When charging into, it can give way for puncturing lever and restore to seal the state for cleaning sheath tube chamber after puncturing lever taking-up, ensure to abdomen The wiped clean effect of hysteroscope end face.
Further, sheet gauze described in multi-disc stacks in the shape of a spiral, and spiral number of turns are not less than one.
Sheet gauze helical form is stacked, ensures its dynamics mutually supported, strong contact can be carried out with camera lens, ensured Cleaning effect;Meanwhile when puncturing lever is charged into, each sheet gauze cleaning sheath radially and circumferentially on dissipate in the shape of a spiral It opens, avoids sheet gauze from being extruded on the cleaning sheath inside pipe wall of sustained height, puncturing lever is prevented to be stuck, ensure puncture action Be smoothed out.
Further, the cleaning brush part includes:Brush body, fixed ring, drive ring and drive link, the brush body ring are located at solid Determine on the inner ring surface of ring, the fixed ring energy axial rotation is set on the inner wall in cleaning sheath stage casing, the outer shroud of fixed ring Face is face of gear;The drive ring is rotatably sheathed in the sheath of sheath tube socket one end, and the inner ring surface of drive ring is tooth Wheel face;The drive link includes:First rigid bar, the second rigid bar and elastic bar, first rigid bar and In the tube wall for being respectively arranged at main sheath and cleaning sheath of two rigid bar energy axial rotations, and it is respectively positioned on the close of angular cut The side of sheath tube socket side beveling point;The abutting end of first rigid bar and the second rigid bar is fixed by the elastic bar Connection, enables cleaning sheath by elastic bar relative to main sheath rotary movement;The separate cleaning sheath of first rigid bar One end be drivingly connected by the face of gear of first gear and drive ring, the second rigid bar passes through far from one end of main sheath The face of gear of second gear and fixed ring is drivingly connected.
In the case where not causing excessive change to the structure of sheath, cleaning brush part is arranged to drive by external force The structure of dynamic rotation, without excessive pull, rotation laparoscope it can be carried out brush clear away it is clean, it is more convenient to use.
Further, the side pipe thickness of the setting drive link of the main sheath and cleaning sheath is more than opposite side Pipe thickness, and pipe thickness gradual transition.
The wall thickness that the sheath of drive link side is set in increase ensures the intensity of sheath, while the main body without changing sheath Structure does not influence its main functionality.
Further, the cleaning device further includes:Upper polishing piece, the upper polishing piece are that ring is located at close to main sheath one end Cleaning sheath inside pipe wall on foam.By the way that the upper polishing piece of cyclic annular foaming structure is arranged above cleaning brush part, in laparoscope The cleaning of scratch type is carried out to it when disengaging cleaning sheath, is worked on the three areas simultaneously, cleaning is more thorough, and increases cleaning device pair The uptake of dirt has delayed the frequency of laparoscope contamination dirt variation, operation is made to become more smooth.
Further, it is impregnated with Medical antiseptic solution on the upper polishing piece and lower polishing piece.
The Medical antiseptic solution of dipping such as Iodophor etc, wipes laparoscope and sterilizes on upper polishing piece and lower polishing piece, It is further reduced infection probability, use is safer.
Further, the electromagnet includes:Tubulose iron core and coil on the tube wall of one section of main sheath tube end, The inner ring surface of the tubulose iron core is concordant with the inner ring surface of main sheath, and the coil is around the outer surface for being located at tubular iron core, coil Conducting wire sheath tube socket is extended to out of main sheath tube wall to connect power supply.
Electromagnet is arranged to the structure of tubulose iron core, does not influence the normal configuration, function and intensity of main sheath, and increase Add the magneticaction area of electromagnet and permanent magnet, the effect for ensureing the two absorption and repelling, and then make turning over for cleaning sheath Change more smooth.
Further, it is provided with current adjusting knob on the sheath tube socket, the current adjusting knob is electrically connected with coil With the magnetic force size of regulating magnet.
By the magnetic force size of regulating magnet, and then the flip angle of cleaning sheath can be controlled, use is more flexible, Applicability is stronger.
In conclusion using the laparoscope intracavitary lens cleaning puncture outfit of above-mentioned technical proposal, can be completed in abdominal cavity Wiping to lens of laparoscope, avoids laparoscope from frequently passing in and out sheath, keeps the progress of laparoscopic surgery more smooth, reduces simultaneously Infect probability.
Description of the drawings
Fig. 1 is the structural schematic diagram of the embodiment of the present invention;
Fig. 2 is the schematic cross-sectional view of sheath tube portion of the embodiment of the present invention;
Fig. 3 is the structural schematic diagram of A sections in Fig. 2;
Fig. 4 is the structural schematic diagram of B sections in Fig. 2;
Fig. 5 is the structural schematic diagram of C sections in Fig. 2;
Fig. 6 is the structural schematic diagram of D sections in Fig. 2;
Fig. 7 is the structural schematic diagram of E sections in Fig. 2;
Fig. 8 is the structural schematic diagram of drive link of the embodiment of the present invention;
Fig. 9 is the structural schematic diagram that the embodiment of the present invention cleans sheath tube portion under sheath rollover states;
Reference numeral:1- puncturing levers, 2- sheath tube sockets, 3- sheaths, the main sheaths of 31-, 32- clean sheath, 4- electromagnet, 41- pipes Shape iron core, 42- coils, 43- conducting wires, 44- current adjusting knobs, 5- permanent magnets, 6- cleaning brush parts, 61- brush bodies, 62- fixed rings, 63- drive rings, 64- drive links, the first rigid bars of 641-, the second rigid bars of 642-, 643- elastic bars, the first teeth of 65- It takes turns, 66- second gears, polishing piece under 7-, 71- sheet gauzes, the upper polishing pieces of 8-.
Specific implementation mode
The embodiment of technical solution of the present invention is described in detail below in conjunction with attached drawing.Following embodiment is only used for Clearly illustrate technical scheme of the present invention, therefore be only used as example, and the protection model of the present invention cannot be limited with this It encloses.In the description of the present patent application, it is to be understood that the orientation or positional relationship of term "upper", "lower" etc., instruction is base It in orientation or positional relationship shown in the drawings, is merely for convenience of description of the present invention and simplification of the description, rather than indicates or imply Signified component or structure must have a particular orientation, with specific azimuth configuration and operation, therefore should not be understood as to this The limitation of invention.
As shown in Figures 1 to 9, laparoscope intracavitary lens cleaning puncture outfit provided in this embodiment continues conventional laparoscopy The characteristic of operation and requirement need to reach medical sanitary requirement standard, can be disposable, repeatedly be weighed after can also sterilizing It is multiple to use, occupation mode is selected depending on actual conditions, operation cost can be reduced in a certain range;Its agent structure and existing one Secondary property puncture outfit is identical, is mainly made of sheath 3 and the puncturing lever 1 that can be threaded through in sheath 3, the sheath of 3 tail portion of sheath It is provided with seal assembly in seat 2, these structures are the conventional structure of existing laparoscope intracavitary lens cleaning puncture outfit, are not existed herein It repeats;The difference is that the sheath 3 in the present embodiment includes:Main sheath 31 and turnover main sheath 31 end of being connected to Clean sheath 32;The end set of the main sheath 31 has electromagnet 4, cleaning sheath 32 to be provided with close to one end of main sheath 31 Permanent magnet 5, and permanent magnet 5 and abutting end electromagnet 4 be powered after magnetism it is identical, and then by electromagnet 4 with identical charges repel each other Principle pushes the relatively main sheath 31 of cleaning sheath 32 to overturn;The one end far from main sheath 31 for cleaning sheath 32 is in angle shape, with Facilitate complete puncture after sheath 3 insertion, clean sheath 32 inner wall on be provided with cleaning device flexible, so as to laparoscope into Row clean wiping, and then the wiping of lens of laparoscope is made to be completed in abdominal cavity, it avoids laparoscope and frequently passes in and out sheath, make abdominal cavity The progress of videoendoscopic surgery is more smooth, while reducing infection probability.
Referring to Fig. 2 and Fig. 9, in the present embodiment, it sets the connecting pin of main sheath 31 and cleaning sheath 32 to angular cut, and The tie point of main sheath 31 and cleaning sheath 32 is arranged on the beveling point of close 2 side of sheath tube socket of angular cut, in turn, clearly Clean sheath 32 needs to overturn angle identical with angular cut mis-cut angle, can completely expose the port of main sheath 31;Clearly Clean sheath 32 using with without using conversion between, the movement range smaller in abdominal cavity is safer, and operation is also more square Just.
As shown in Fig. 2 to Fig. 9, in the present embodiment, the cleaning device being arranged in cleaning sheath 32 includes:Upper polishing piece 8, cleaning Brush part 6 and lower polishing piece 7, three respectively ring be located at cleaning sheath 32 epimere (close to one section of main sheath 31), stage casing and under On the inner wall of section.Three kinds of cleaning devices are the flexible piece that ring is located on cleaning 32 inner wall of sheath, and puncturing lever 1 can be squeezed by circumferential It presses cleaning device and is therefrom smoothly pierced by, do not influence normally to puncture function;And wait after the completion of puncturing, take out puncturing lever 1, cleaning device Naturally original position is sprung back to, its cleaning function is kept;By cleaning brush part 6 and lower polishing piece 7 respectively to the circumferential surface of laparoscope It is cleaned with end face, and carries out by upper polishing piece 8 when laparoscope passes in and out cleaning sheath 32 the clear of scratch type to it It is clean, work on the three areas simultaneously, cleaning is more thorough, and increase cleaning device to impurity such as the operation smog, the vapor that generate in the process and The uptake of dirt makes laparoscope not contacted for a long time with more dirt, has delayed the frequency of laparoscope contamination dirt variation Rate makes operation become more smooth.
Referring to Fig. 2 and Fig. 7, the lower polishing piece 7 in the present embodiment includes the sheet gauze 71 that multi-disc thickness is 2mm-4mm, Multi-disc sheet gauze 71 be located on far from 31 one end of main sheath cleaning sheath 32 inner wall on, one end of sheet gauze 71 with clearly The inner wall of clean sheath 32 is fixed, and the other end the extending radially inwardly along cleaning sheath 32 of sheet gauze 71 becomes free end;Cause Gauze slabbing simultaneously has certain thickness so that it can at one end after stretching, and free end will not be naturally weak and limp, in puncturing lever 1 When charging into, it can be that puncturing lever 1 gives way and restores to seal the state of cleaning 32 tube chamber of sheath after the taking-up of puncturing lever 1, ensure To the wiped clean effect of laparoscope end face.Referring to Fig. 7, multi-disc sheet gauze 71 preferably stacks in the shape of a spiral, and spiral number of turns Not less than one, and then the dynamics for ensureing mutually to support between sheet gauze 71 by helical structure, it can be carried out effectively with camera lens Contact ensures cleaning effect;Meanwhile when puncturing lever 1 is charged into, each sheet gauze 71 cleaning sheath 32 radially and circumferentially on It scatters in the shape of a spiral, avoids sheet gauze 71 from being extruded on 32 inner wall of cleaning sheath of sustained height, prevent puncturing lever quilt It blocks, ensures being smoothed out for puncture action, while also reducing the outer diameter of sheath, structure is compacter.
Referring to Fig. 2,3,6 and Fig. 8, cleaning brush part 6 includes:Brush body 61, fixed ring 62, drive ring 63 and drive link 64;Brush 61 ring of body is located on the inner ring surface of fixed ring 62, the inner wall for being set to 32 stage casing of cleaning sheath of 62 energy axial rotation of fixed ring On, and the outer ring surface of fixed ring 62 is face of gear;Drive ring 63 is rotatably sheathed on the main sheath 31 close to 2 one end of sheath tube socket On, the inner ring surface of drive ring 63 is face of gear;As shown in figure 8, drive link 64 includes:First rigid bar 641, the second rigid rod Part 642 and elastic bar 643,642 energy axial rotation of the first rigid bar 641 and the second rigid bar are respectively arranged at main sheath In pipe 31 and the tube wall of cleaning sheath 32, and leaning in angular cut is set corresponding to the tie point of main sheath 31 and cleaning sheath 32 Structure on the beveling point of nearly 2 side of sheath tube socket, the first rigid bar 641 and the second rigid bar 642 are respectively positioned on angular cut The abutting end of the first rigid bar 641 and the second rigid bar 642 is led in turn close to the side of 2 side beveling point of sheath tube socket It crosses elastic bar 643 to be fixedly connected, by 643 dual-use material of elastic bar, i.e., as the driving member of driving torque, and with its own Connector of the elasticity as main sheath 31 and the cleaning overturning connection of sheath 32, enables cleaning sheath 32 to pass through 643 phase of elastic bar For main sheath rotary movement;One end of the separate cleaning sheath 32 of first rigid bar 641 is passed through into first gear 65 and drive The face of gear of rotating ring 63 is drivingly connected, and one end far from main sheath 31 of the second rigid bar 642 by second gear 66 and is consolidated The face of gear for determining ring 62 is drivingly connected, in this way, turn drive ring 63, can pass through drive link 64 and first gear 65 and the second tooth Rotary power is transmitted in fixed ring 62 by the cooperation of wheel 66, and driving fixed ring 62 drives brush body 61 thereon to rotate, completion pair The brush of laparoscope is cleared away clean, and in the case where not causing excessive change to the structure of sheath 3, cleaning brush part 6 is arranged to can With the structure rotated by outer power drive, without excessive pull, rotation laparoscope it can be carried out brush clear away it is clean, using more Add conveniently.
Meanwhile the side pipe thickness of the setting drive link 64 of main sheath 31 and cleaning sheath 32 is more than opposite side Pipe thickness, and pipe thickness gradual transition are increased the wall thickness of the interior sheath 3 for setting 64 side of drive link with this, ensure sheath 6 Intensity, while the agent structure without changing sheath 6, do not influence its main functionality.Corresponding, drive ring 63, which preferably uses, has one Fixed material flexible, such as plastics, so that it is when the outer surface of the main sheath 31 around approximate ellipsoidal rotates, it can be at any time The adjustment shape of adaptability, ensures being smoothed out for its turn drive actions.The outside of main sheath 31, which can also be arranged, to be accommodated Or part accommodates the groove of drive ring 63, and drive ring 63 is rotatably installed in wherein, it is prevented to be detached from operating position.
Referring to Fig. 2 and Fig. 5, upper polishing piece 8 is the bubble that ring is located on 32 inner wall of cleaning sheath of 31 one end of main sheath The cavity of foam, foam center can carry out it cleaning of scratch type when laparoscope passes in and out cleaning sheath 32, promote cleaning Effect.
According to the safety and sanitation standard of medical instrument materials, above-mentioned cleaning device should all reach hygienic requirements, meanwhile, this reality It applies example and is impregnated with Medical antiseptic solution, such as Iodophor on upper polishing piece 8 and lower polishing piece 7, laparoscope is wiped and is sterilized, into one Step reduces infection probability, and use is safer.
When being inserted into cleaning sheath 32 in view of puncturing lever 1, cleaning device can be circumferentially expressed on tube wall, to ensure to puncture The flexibility that bar 1 comes in and goes out, is provided with the cleaning sheath of cleaning device (including upper polishing piece 8, cleaning brush part 6 and lower polishing piece 7) part The interior caliber of pipe 32 should be greater than the interior caliber of 3 other parts of sheath, to provide space to the extruding of cleaning device.Wherein, with cleaning Annular groove should be arranged in 62 corresponding 32 inner wall of cleaning sheath of fixed ring of brush part 6, to accommodate fixed ring 62, and make fixed ring 62 Inner ring surface and this section the cleaning interior caliber of sheath 32 it is identical so that total is excessively steady, ensure smoothly going out for puncturing lever 1 Enter.
As shown in Figure 2 and Figure 4, electromagnet 4 includes:Tubulose iron core 41 on the tube wall of one section of 21 end of main sheath With coil 42, the inner ring surface of tubulose iron core 42 is concordant with the inner ring surface of main sheath 31, and coil 42 is around being located at the outer of 41 core of tubular iron The conducting wire 43 on surface, coil 42 extends to sheath tube socket 2 to connect power supply out of main sheath 31 tube wall, which can be with sheath tube socket Built-in power in 2 can also be external power supply, can reach the work of drive electromagnet 4.The iron core of electromagnet 4 is arranged At the structure of tubulose iron core 41, the normal configuration, function and intensity of main sheath 31 are not influenced, and are increased in a manner of ring-like contact The magneticaction area for having added electromagnet 4 and permanent magnet 5 ensures the two absorption and repels in the case of 4 power on/off of electromagnet Effect, and then the overturning of cleaning sheath 32 is made to become more smooth.In the present embodiment, also electric current is provided on sheath tube socket 2 Adjusting knob 44, which is electrically connected the magnetic force size with regulating magnet 4 with coil 42, and then can control Sheath is cleaned, 32 flip angle, use is more flexible, and applicability is stronger.
Referring to Fig. 2, above-mentioned laparoscope intracavitary lens cleaning puncture outfit under normality, passes through permanent magnet 5 and 4 iron of electromagnet The natural absorption of core makes main sheath 31 and the cleaning docking of sheath 32 form 3 entirety of sheath, because cleaning device is that ring is located at cleaning sheath Flexible piece on 32 inner walls, puncturing lever 1 therefrom can be smoothly pierced by by circumferentially squeezing cleaning device, and puncturing lever 1 passes through sheath 3 And the end of sheath 3 is protruded from, its normal puncture function is not influenced.It waits after the completion of puncturing, takes out puncturing lever 1, cleaning device is certainly So spring back to original position;At this point, being powered to electromagnet 4, referring to Fig. 9, the magnetic field repulses permanent magnet 5 that electromagnet 4 generates makes clearly Clean sheath 32 is overturn, until exposing the port of main sheath 31, enters abdominal cavity to facilitate laparoscope to pass through main sheath 31.It is needing When wiping the camera lens of laparoscope, laparoscope of pulling back makes it into 31 pipe of main sheath, and the power-off of electromagnet 4 is then made to eliminate magnetic force, And then cleaning sheath 32 is in the screen resilience of the magnetic force and turnover connecting piece (being elastic bar 643 in the present embodiment) of permanent magnet 5 It is docked again with main sheath 31 under effect;At this point, laparoscope is deep into cleaning sheath 32, pass through upper polishing piece 8, cleaning brush 7 three-pronged cleaning action of part 6 and lower polishing piece removes the dirt attached thereon, it is made to keep clear;It will wipe later Net laparoscope is pulled back into main sheath 31, the overturning of cleaning sheath 32 can be made to expose main sheath 31 again the energization of electromagnet 4 Port, laparoscope can reuse.By the repetition acted above, the wiping of entire surgical procedure, lens of laparoscope is equal It is completed in abdominal cavity, avoids laparoscope and frequently pass in and out sheath 3, kept the progress of laparoscopic surgery more smooth, reduce simultaneously Infect probability.
In conclusion using the laparoscope intracavitary lens cleaning puncture outfit of above-mentioned technical proposal, can be completed in abdominal cavity Wiping to lens of laparoscope, avoids laparoscope from frequently passing in and out sheath, keeps the progress of laparoscopic surgery more smooth, reduces simultaneously Infect probability.
It should be noted that preferred embodiment above is merely illustrative of the technical solution of the present invention, rather than its limitations;To the greatest extent Present invention has been described in detail with reference to the aforementioned embodiments for pipe, it will be understood by those of ordinary skill in the art that:It is still It can modify to the technical solution recorded in previous embodiment, either which part or all technical features are carried out etc. With replacement;And these modifications or replacements, technical solution of the embodiment of the present invention that it does not separate the essence of the corresponding technical solution Range should all cover in the claim of the present invention and the range of specification.

Claims (10)

1. laparoscope intracavitary lens cleaning puncture outfit, including:Sheath and the puncturing lever that can be threaded through in sheath, sheath tail portion It is provided with seal assembly in sheath tube socket, which is characterized in that the sheath includes:Main sheath and turnover it is connected to main sheath pipe end The cleaning sheath in portion;The end set of the main sheath has electromagnet;The cleaning sheath is arranged close to one end of main sheath There is permanent magnet, and the permanent magnet is identical as the magnetism after the energization of abutting end electromagnet, cleans one far from main sheath of sheath End is in angle shape, and cleaning device flexible is provided on the inner wall of the cleaning sheath.
2. laparoscope intracavitary lens cleaning puncture outfit according to claim 1, which is characterized in that
The connecting pin of the main sheath and cleaning sheath is set as angular cut, and the tie point setting of main sheath and cleaning sheath is oblique On the beveling point of the close sheath tube socket side of notch.
3. laparoscope intracavitary lens cleaning puncture outfit according to claim 2, which is characterized in that
The cleaning device includes:Cleaning brush part and lower polishing piece, the cleaning brush part ring are located on the inner wall in cleaning sheath stage casing; The lower polishing piece includes the sheet gauze that multi-disc thickness is 2mm-4mm, and sheet gauze described in multi-disc is located on far from main sheath The cleaning sheath inside pipe wall of one end, one end of sheet gauze and the inner wall of cleaning sheath are fixed, and the other end of sheet gauze is along cleaning Sheath extends radially inwardly.
4. laparoscope intracavitary lens cleaning puncture outfit according to claim 3, which is characterized in that
Sheet gauze described in multi-disc stacks in the shape of a spiral, and spiral number of turns are not less than one.
5. laparoscope intracavitary lens cleaning puncture outfit according to claim 3, which is characterized in that
The cleaning brush part includes:Brush body, fixed ring, drive ring and drive link, the brush body ring are located at the inner ring surface of fixed ring On, the fixed ring energy axial rotation is set on the inner wall in cleaning sheath stage casing, and the outer ring surface of fixed ring is face of gear;Institute It states drive ring to be rotatably sheathed in the sheath of sheath tube socket one end, the inner ring surface of drive ring is face of gear;
The drive link includes:First rigid bar, the second rigid bar and elastic bar, first rigid bar and second In the tube wall for being respectively arranged at main sheath and cleaning sheath of rigid bar energy axial rotation, and it is respectively positioned on the close sheath of angular cut The side of tube socket side beveling point;The abutting end of first rigid bar and the second rigid bar is fixed by the elastic bar to be connected It connects, enables cleaning sheath by elastic bar relative to main sheath rotary movement;The separate cleaning sheath of first rigid bar One end is drivingly connected by the face of gear of first gear and drive ring, and one end far from main sheath of the second rigid bar passes through the Two gears and the face of gear of fixed ring are drivingly connected.
6. laparoscope intracavitary lens cleaning puncture outfit according to claim 5, which is characterized in that
The side pipe thickness of the setting drive link of the main sheath and cleaning sheath is more than the pipe thickness of opposite side, and manages Wall thickness gradual transition.
7. according to claim 3-6 any one of them laparoscope intracavitary lens cleaning puncture outfits, which is characterized in that
The cleaning device further includes:Upper polishing piece, the upper polishing piece are that ring is located in the cleaning sheath of main sheath one end Foam on wall.
8. laparoscope intracavitary lens cleaning puncture outfit according to claim 7, which is characterized in that
It is impregnated with Medical antiseptic solution on the upper polishing piece and lower polishing piece.
9. laparoscope intracavitary lens cleaning puncture outfit according to claim 1, which is characterized in that
The electromagnet includes:Tubulose iron core and coil on the tube wall of one section of main sheath tube end, the tubulose iron core Inner ring surface it is concordant with the inner ring surface of main sheath, the coil is around the outer surface for being located at tubular iron core, and the conducting wire of coil is from main sheath Sheath tube socket is extended in the tube wall of pipe to connect power supply.
10. laparoscope intracavitary lens cleaning puncture outfit according to claim 9, which is characterized in that
Current adjusting knob is provided on the sheath tube socket, the current adjusting knob is electrically connected with coil with regulating magnet Magnetic force size.
CN201810408609.0A 2018-05-02 2018-05-02 Clean puncture outfit of lens in peritoneoscope chamber Active CN108451608B (en)

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CN109171973A (en) * 2018-09-30 2019-01-11 泗洪县正心医疗技术有限公司 A kind of operating robot puncture sheath
CN109330546A (en) * 2018-11-12 2019-02-15 浙江大学 Endoscope with wiping arrangement
CN109938689A (en) * 2019-03-26 2019-06-28 中国人民解放军陆军特色医学中心 The anti-operation laparoscope lens that haze of one kind
CN112263338A (en) * 2020-11-24 2021-01-26 常州安康医疗器械有限公司 Novel incision protective sleeve for single-hole endoscopic surgery
CN113274084A (en) * 2021-05-18 2021-08-20 常州安康医疗器械有限公司 Tubular anastomat with safety mechanism
EP3906836A1 (en) * 2020-05-06 2021-11-10 Covidien LP Cleaning cap for a surgical access device
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Publication number Priority date Publication date Assignee Title
CN109171973A (en) * 2018-09-30 2019-01-11 泗洪县正心医疗技术有限公司 A kind of operating robot puncture sheath
CN109330546A (en) * 2018-11-12 2019-02-15 浙江大学 Endoscope with wiping arrangement
CN109938689A (en) * 2019-03-26 2019-06-28 中国人民解放军陆军特色医学中心 The anti-operation laparoscope lens that haze of one kind
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CN112263338A (en) * 2020-11-24 2021-01-26 常州安康医疗器械有限公司 Novel incision protective sleeve for single-hole endoscopic surgery
EP4061260A4 (en) * 2021-01-27 2022-11-16 Mordehai Sholev Surgical port
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CN113274084A (en) * 2021-05-18 2021-08-20 常州安康医疗器械有限公司 Tubular anastomat with safety mechanism
CN114271913A (en) * 2021-12-27 2022-04-05 任建 Intelligent puncture needle
CN114271913B (en) * 2021-12-27 2024-03-15 青岛市胶州中心医院 Intelligent puncture needle

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