CN108784826A - Multifunctional visible soft tissue stripper - Google Patents

Multifunctional visible soft tissue stripper Download PDF

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Publication number
CN108784826A
CN108784826A CN201810585450.XA CN201810585450A CN108784826A CN 108784826 A CN108784826 A CN 108784826A CN 201810585450 A CN201810585450 A CN 201810585450A CN 108784826 A CN108784826 A CN 108784826A
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CN
China
Prior art keywords
stripper
coagulation
knife
soft tissue
handle
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201810585450.XA
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Chinese (zh)
Inventor
谭晓燕
杨甄宇
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Hangzhou Plastic Hospital Ltd
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Hangzhou Plastic Hospital Ltd
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Filing date
Publication date
Application filed by Hangzhou Plastic Hospital Ltd filed Critical Hangzhou Plastic Hospital Ltd
Priority to CN201810585450.XA priority Critical patent/CN108784826A/en
Publication of CN108784826A publication Critical patent/CN108784826A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details 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
    • A61B2218/002Irrigation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details 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
    • A61B2218/007Aspiration
    • A61B2218/008Aspiration for smoke evacuation

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Engineering & Computer Science (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Biomedical Technology (AREA)
  • Otolaryngology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Plasma & Fusion (AREA)
  • Physics & Mathematics (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Surgical Instruments (AREA)

Abstract

The present invention provides a kind of visual soft tissue stripper of function, mainly it is made of stripper handle, coagulation (knife) access, optical fibre channel, push-push structures, visible mirror, coagulation (knife) access, optical fibre channel are separately positioned in stripper handle, visible mirror is rotatable, detachable with power switch and display screen.Stripper handle and coagulation (knife) device and light guide are combined by the present invention can fully see surgical field of view clearly, and cecutiency regards operation as visual operation, precisely removes level, specify dissection scope, tissue damage is reduced, hemostasis is thorough, reduces and reduces complication postoperative in art.Using apparatus of the present invention, keep entire surgical procedure minimally invasive, easy.The present invention is melted endoscope and is integrated with stripper, and instrument expense is saved, and reduces operation difficulty, reduces complication postoperative in art.It is reasonable design of the present invention, applied widely, be applicable in it is multidisciplinary, it is multi-field.As long as needing progress soft tissue stripping that can be applicable in surgical operation.

Description

Multifunctional visible soft tissue stripper
Technical field
The invention belongs to medical instruments, are related to a kind of visual soft tissue stripper of function, as Reconstructive surgery and whole Shape aesthetic surgery and first breast surgery, orthopaedics is general outer, the surgical instrument of craniomaxillofacial surgery etc..
Background technology
In surgical field, including forehead shaping, neck surface shaping, tummy tuck, transplant cutting for tissue at Mammaplasty It takes, the operations such as implantation, tylectomy, the reset of fracture, the correction of osteotomy, congenital abnormality of various prostheses and expander, it is soft Organize lacuna stripping be a primary and vital link, and perform the operation it is blind regarding lower dissection lacune be difficult control detach Level, often easy damaged blood vessel etc., causes bleeding, anthemorrhagic difficulty to increase in art, postoperative complication.
Endoscopic technic is used for disease treatment, and is gradually radiated clinical multidisciplinary and multi-field.The 1980s Dubois and MD etc. is utilized respectively laparoscope successfully row appendectomy and cholecystectomy, the beginning of the nineties endoscopic technique into Enter field of orthopedic surgery.The technology is a kind of display by small notch and special equipment and image documentation equipment, and operator is made to exist Surgical procedure is completed in the case of " art area is visual ", to reduce tissue damage, haemostatic effect is good, reduces postoperative complication.
But endoscope apparatus equipment is complicated, has certain difficulty etc. objective in costly, endoscopic instrument operation skill Its universal and application of conditionality, especially basic hospital and health clinics in towns and townships are difficult to be promoted.
Invention content
The purpose of the present invention is overcoming above-mentioned the shortcomings of the prior art, a kind of visual soft tissue stripping of function is provided Device is mainly made of stripper handle, coagulation (knife) access, optical fibre channel, push-push structures, visible mirror, and stripper handle is selected Regular medication stainless steel, coagulation (knife) access, optical fibre channel are separately positioned in stripper handle, and coagulation (knife) is logical when use The head end of path built-in coagulation (knife), optical fibre channel built-in fiber, stripper handle is known as peel tip, and the tail end of stripper handle is known as grasping Make end, visible mirror connects optical fibre channel in operating side, and visible mirror is opened visible mirror power supply and opened with power switch and display screen It closes, light is conveyed by the optical fiber in optical fibre channel, while including the PUSH-PUSH structure sets on the screen of visible mirror by the visual field It is connected on the operating side port inner wall of coagulation (knife) access, coagulation (knife) can be screwed out or be screwed in by pressing push-push structures Peel tip.Coagulation (knife) has line trap in operating side.Visible mirror is 360 degree rotatable, detachable.
The length of stripper handle can have different specifications according to different operative sites.
Coagulation (knife) is equipped with insulating coating in peel tip, i.e. insulation protection is again heat-insulated.
The present invention can add water suction (gas) access in stripper handle 1 as needed, this access can be used for inside water filling, Rinse operation lacuna, the clear visual field;Also can external aspirator, for absorbing intraoperative hemorrhage, the smog etc. that coagulation (knife) generates, clearly Clear surgical field of view.
Due to geneogenous hypoplasia, development is not good enough, and tumor post-operation and it is traumatic etc. due to cause body Defect need to carry out reconstruction, forehead, neck surface, breast, tummy tuck, transplantation group by the implantation of prosthese or expander That knits cuts, tylectomy, in the operations such as the reset of fracture, correction of osteotomy, congenital abnormality, the separation of soft tissue and lacuna Establishment have very high requirement to postoperative extent of hemorrhage in stripping level and art.Endoscope is multi-field all in clinical more section office It is widely used, but it is expensive, and complicated for operation, operating time is long;Stripper is " blind regard operation ", can not accurately be The level and range for holding stripping, are caused in art and the complication such as postoperative hemorrhage.Present invention is specifically directed to the stripping of soft tissue lacuna, " visual operation " is provided for operation, endoscope and stripping instrument are combined into one.Its bright spot " can be looked at straight " in operation, is reduced blind Mesh, therefore row tissue detaches in art, level range understands, operation is accurate;Control is stopped blooding, and to blood vessel, lymphatic vessel and nerve damage Hinder small.The present invention is charged knife system and connected the visual camera lens of light guide with semicircle stripper to accomplish during lacuna detaches " art area is visual ", stripping level, range are accurately abundant, and can thoroughly stop blooding, and reduce complication postoperative in art.Avoid The blind deficiency regarding lower separation, and the difficulty of operation is reduced, save funds.
It is reasonable design of the present invention, applied widely, be applicable in it is multidisciplinary, it is multi-field.As long as needing to carry out in surgical operation soft Tissue stripping can be applicable in.Stripper handle and coagulation (knife) device and light guide are combined by the present invention can fully see hand clearly The art visual field, cecutiency regard operation as visual operation, precisely remove level, specify dissection scope, reduce tissue damage, and hemostasis is thorough, It reduces and reduces complication postoperative in art.The retractility of coagulation (knife) device is increased by PUSH-PUSH structures, when screw-in Convenient for the separation of stripper, when back-out, detaches convenient for electric coagulation hemostasis, electric knife.The present invention uses the flexible visible mirror of 360 degree rotation, The work visible angle and range for increasing stripper, are borne in mind surgical field of view.Using apparatus of the present invention, make entirely to perform the operation Process is minimally invasive, easy.The present invention is melted endoscope and is integrated with stripper, and instrument expense is saved, and reduces operation difficulty, reduces in art Postoperative complication.It is a kind of completely new thinking and theory.
Description of the drawings
Fig. 1 is the structural schematic diagram of the present invention.
Fig. 2 is another structural schematic diagram of the invention.
Fig. 3 is PUSH-PUSH structural schematic diagrams.
Specific implementation mode
The present invention is further described in conjunction with the accompanying drawings and embodiments.
Embodiment 1
Referring to Fig. 1, a kind of visual soft tissue stripper of function is mainly logical by stripper handle 1, coagulation (knife) access 2, optical fiber Road 3, push-push structures 4, visible mirror 5 form, the selection regular medication stainless steel of stripper handle 1, coagulation (knife) access 2, Optical fibre channel 3 is separately positioned in stripper handle 1, coagulation (knife) built in coagulation (knife) access 2,3 built-in fiber of optical fibre channel, stripping Head end from device handle 1 is known as peel tip, and the tail end of stripper handle 1 is known as operating side, and visible mirror 5 connects optical fibre channel in operating side 3, visible mirror 5 opens the power switch 12 of visible mirror 5, passes through the light in optical fibre channel 3 with power switch 12 and display screen Fibre conveying light, while including on the screen of visible mirror 5 by the visual field.Coagulation (knife) has line trap 6, PUSH- in operating side PUSH structures 4 are socketed in 2 operating side port inner wall of coagulation (knife) access, can control coagulation by pressing push-push structures 4 (knife) screws out or screws in peel tip.Visible mirror 5 is 360 degree rotatable, detachable, so that operator is regarded object clear.Coagulation (knife) exists Peel tip is equipped with insulating coating, i.e. insulation protection is again heat-insulated.
Referring to Fig. 3, PUSH-PUSH structures 4 are made of mandril 8, sliding slot 9, turntable 10, spring 11, after mandril 8 is pressed, Turntable 10 moves down, in the upward when forcing tight of spring 11, while automatic rotation.The protrusion of turntable 10 is by sliding slot 9 after rotation Inclined-plane blocks, and cannot continue to rise.Mandril 8 is pressed again, and turntable 10 moves down, in the upward when forcing tight of spring 11, while from Dynamic rotation, the protrusion of turntable 10 enters in the guide groove of sliding slot 9 and mandril 8 rises always.Its principle is similar to single pole bolt-type certainly Dynamic ball point pen mechanism.
PUSH-PUSH structures are hollow, are socketed on the inner wall of 2 operating side port of coagulation (knife) access, with coagulation (knife) Connection.
Coagulation (knife) is equipped with insulating coating in peel tip, i.e. insulation protection is again heat-insulated.
The length of stripper handle 1 can have different specifications according to different operative sites.
The present embodiment uses the model of visible mirror:TD-C-IV, producer:Zhejiang UE Medical Corp.
The present embodiment uses coagulation (knife) model:WOLF 8383.423, producer:German wolf board endoscope (R.WOLF) is public Department.
Embodiment 2
Referring to Fig. 2, a kind of visual soft tissue stripper of function, shown in embodiment 1 on the basis of structure, in stripper handle Water suction (gas) access 7 is added in 1, this access can be used for inside water filling, rinse operation lacuna, the clear visual field;Also it external can inhale Lead device, for absorbing intraoperative hemorrhage, the smog etc. that coagulation (knife) generates, clear surgical field of view.
Embodiment 3
Referring to Fig. 1, Fig. 3:After incised tissue slightly blunt separation, it is placed in the stripper of multifunctional visible soft tissue stripper Handle 1 presses the power switch of visible mirror, and light is illuminated by the optical fiber in optical fibre channel 3, sees hand clearly from 5 screen of visible mirror The art visual field.When detaching level, coagulation (knife) is hidden in the peel tip of stripper handle, does not influence to detach, and needs coagulation (knife) When blood coagulation and cutting, the 6 external high frequency host of line trap by coagulation (knife) in operating side presses push-push structures 4, leads to Coagulation (knife) access 2 is crossed, coagulation (knife) screws out the peel tip of stripper handle, executes the function of coagulation and cutting.
Referring to Fig. 2, Fig. 3:After incised tissue slightly blunt separation, it is placed in the stripper of multifunctional visible soft tissue stripper Handle 1 presses the power switch 12 of visible mirror 5, and light is illuminated by the optical fiber in optical fibre channel 3, sees operation clearly in visible mirror 5 The visual field.When detaching level, coagulation (knife) is hidden in the peel tip of stripper handle, does not influence to detach, and needs coagulation (knife) solidifying When blood and cutting, the 6 external high frequency host of line trap by coagulation (knife) in operating side is pressed push-push structures 4, is passed through Coagulation (knife) access 2, coagulation (knife) screw out the peel tip of stripper handle, execute the function of coagulation and cutting.It is produced in surgical procedure Raw smog and bleeding keeps surgical field of view fuzzy, can rinse operation lacuna by the 7 inside water filling of water suction (gas) access, clearly regard It is wild;Then external aspirator absorbs intraoperative hemorrhage, the smog that coagulation (knife) generates, clear surgical field of view.
The length dimension of stripper provided by the invention can have different specifications according to different operative sites.The present invention It will solve surgeon for a long time and carry out the encountered inconvenience of the blind soft tissue separation depending under in shortage endoscope apparatus, reduce Postoperative complication is preferably service for patients.Whole device is applied widely, is easy to universal, is suitable for basic hospital and outpatient service Portion, each surgical field of clinic, substantially increases the guarantee of safety medical treatment.

Claims (7)

1. a kind of multifunctional visible soft tissue stripper, which is characterized in that mainly by stripper handle (1), coagulation (knife) access (2), optical fibre channel (3), push-push structures (4), visible mirror (5) composition, coagulation (knife) access (2), optical fibre channel (3) point It is not arranged in stripper handle (1), coagulation (knife) built in coagulation (knife) access (2), optical fibre channel (3) built-in fiber, stripper The head end of handle (1) is known as peel tip, and the tail end of stripper handle (1) is known as operating side, and visible mirror (5) is logical in operating side connection optical fiber Road (3), PUSH-PUSH structures 4 are socketed in 2 operating side port inner wall of coagulation (knife) access, and coagulation (knife) has conducting wire in operating side Plug (6).
2. a kind of multifunctional visible soft tissue stripper according to claim 1, which is characterized in that in stripper handle (1) Inside add water suction (gas) access (7).
3. a kind of multifunctional visible soft tissue stripper according to claim 1 or 2, which is characterized in that visible mirror (5) is Detachable and 360 degree rotation, with power switch (12) and display screen.
4. a kind of multifunctional visible soft tissue stripper according to claim 1 or 2, which is characterized in that pass through pressing Push-push structures (4) realize that coagulation (knife) screws out or screw in the head end of stripper handle (1).
5. a kind of multifunctional visible soft tissue stripper according to claim 1, which is characterized in that coagulation (knife) used exists Peel tip is equipped with insulating coating, i.e. insulation protection is again heat-insulated.
6. a kind of multifunctional visible soft tissue stripper according to claim 1, which is characterized in that stripper handle (1) Length is equipped with different specifications.
7. a kind of multifunctional visible soft tissue stripper according to claim 1 or 2, which is characterized in that stripper handle (1) Select regular medication stainless steel.
CN201810585450.XA 2018-06-08 2018-06-08 Multifunctional visible soft tissue stripper Pending CN108784826A (en)

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Application Number Priority Date Filing Date Title
CN201810585450.XA CN108784826A (en) 2018-06-08 2018-06-08 Multifunctional visible soft tissue stripper

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Application Number Priority Date Filing Date Title
CN201810585450.XA CN108784826A (en) 2018-06-08 2018-06-08 Multifunctional visible soft tissue stripper

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109745100A (en) * 2019-03-20 2019-05-14 舒斌 A kind of soft tissue debridement knife based on endoscopic technic
CN110101429A (en) * 2019-05-28 2019-08-09 自贡市第一人民医院 Percutaneous punching belemnoid truncates system

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201263704Y (en) * 2008-09-25 2009-07-01 刘爱英 Tonsil dissector
CN202270064U (en) * 2011-03-10 2012-06-13 杜运生 Multifunctional minimally-invasive small incision operation apparatus
CN205790713U (en) * 2016-03-03 2016-12-07 中国海洋大学 Singlehanded pressing type is upspring insert row
CN208989121U (en) * 2018-06-08 2019-06-18 杭州整形医院有限公司 Multifunctional visible soft tissue stripper

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN201263704Y (en) * 2008-09-25 2009-07-01 刘爱英 Tonsil dissector
CN202270064U (en) * 2011-03-10 2012-06-13 杜运生 Multifunctional minimally-invasive small incision operation apparatus
CN205790713U (en) * 2016-03-03 2016-12-07 中国海洋大学 Singlehanded pressing type is upspring insert row
CN208989121U (en) * 2018-06-08 2019-06-18 杭州整形医院有限公司 Multifunctional visible soft tissue stripper

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109745100A (en) * 2019-03-20 2019-05-14 舒斌 A kind of soft tissue debridement knife based on endoscopic technic
CN110101429A (en) * 2019-05-28 2019-08-09 自贡市第一人民医院 Percutaneous punching belemnoid truncates system

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Application publication date: 20181113