CN108784826A - Multifunctional visible soft tissue stripper - Google Patents
Multifunctional visible soft tissue stripper Download PDFInfo
- 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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- Prior art keywords
- stripper
- coagulation
- knife
- soft tissue
- handle
- Prior art date
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Links
- 210000004872 soft tissue Anatomy 0.000 title claims abstract description 21
- 230000015271 coagulation Effects 0.000 claims abstract description 49
- 238000005345 coagulation Methods 0.000 claims abstract description 49
- 239000013307 optical fiber Substances 0.000 claims abstract description 21
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 7
- 239000011248 coating agent Substances 0.000 claims description 4
- 238000000576 coating method Methods 0.000 claims description 4
- 239000000835 fiber Substances 0.000 claims description 4
- 238000009413 insulation Methods 0.000 claims description 4
- 229940079593 drug Drugs 0.000 claims description 3
- 239000003814 drug Substances 0.000 claims description 3
- 229910001220 stainless steel Inorganic materials 0.000 claims description 3
- 239000010935 stainless steel Substances 0.000 claims description 3
- 239000000203 mixture Substances 0.000 claims 1
- 230000000007 visual effect Effects 0.000 abstract description 18
- 238000001356 surgical procedure Methods 0.000 abstract description 7
- 230000002980 postoperative effect Effects 0.000 abstract description 5
- 238000002224 dissection Methods 0.000 abstract description 3
- 230000023597 hemostasis Effects 0.000 abstract description 3
- 230000000451 tissue damage Effects 0.000 abstract description 3
- 231100000827 tissue damage Toxicity 0.000 abstract description 3
- 241001484259 Lacuna Species 0.000 description 7
- 238000000926 separation method Methods 0.000 description 6
- 206010058046 Post procedural complication Diseases 0.000 description 4
- 208000035965 Postoperative Complications Diseases 0.000 description 4
- 210000001519 tissue Anatomy 0.000 description 4
- 241000282461 Canis lupus Species 0.000 description 3
- 208000032843 Hemorrhage Diseases 0.000 description 3
- 206010071229 Procedural haemorrhage Diseases 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 208000032170 Congenital Abnormalities Diseases 0.000 description 2
- 210000001015 abdomen Anatomy 0.000 description 2
- 230000000740 bleeding effect Effects 0.000 description 2
- 210000004204 blood vessel Anatomy 0.000 description 2
- 210000000481 breast Anatomy 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 210000001061 forehead Anatomy 0.000 description 2
- 238000002513 implantation Methods 0.000 description 2
- 238000007493 shaping process Methods 0.000 description 2
- 206010028980 Neoplasm Diseases 0.000 description 1
- 208000028389 Nerve injury Diseases 0.000 description 1
- 206010051077 Post procedural haemorrhage Diseases 0.000 description 1
- 208000037486 Postoperative Hemorrhage Diseases 0.000 description 1
- 238000007486 appendectomy Methods 0.000 description 1
- 239000008280 blood Substances 0.000 description 1
- 210000004369 blood Anatomy 0.000 description 1
- 230000023555 blood coagulation Effects 0.000 description 1
- 238000002192 cholecystectomy Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 238000011846 endoscopic investigation Methods 0.000 description 1
- 230000000025 haemostatic effect Effects 0.000 description 1
- 210000001365 lymphatic vessel Anatomy 0.000 description 1
- 238000000034 method Methods 0.000 description 1
- 230000008764 nerve damage Effects 0.000 description 1
- 230000000399 orthopedic effect Effects 0.000 description 1
- 238000002278 reconstructive surgery Methods 0.000 description 1
- 108010063955 thrombin receptor peptide (42-47) Proteins 0.000 description 1
- 238000002054 transplantation Methods 0.000 description 1
- 230000000472 traumatic effect Effects 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00577—Ablation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/002—Irrigation
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/007—Aspiration
- A61B2218/008—Aspiration for smoke evacuation
Landscapes
- 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
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.
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN201810585450.XA CN108784826A (en) | 2018-06-08 | 2018-06-08 | Multifunctional visible soft tissue stripper |
Applications Claiming Priority (1)
Application Number | Priority Date | Filing Date | Title |
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CN201810585450.XA CN108784826A (en) | 2018-06-08 | 2018-06-08 | Multifunctional visible soft tissue stripper |
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Publication Number | Publication Date |
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CN108784826A true CN108784826A (en) | 2018-11-13 |
Family
ID=64087805
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CN201810585450.XA Pending CN108784826A (en) | 2018-06-08 | 2018-06-08 | Multifunctional visible soft tissue stripper |
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Cited By (2)
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)
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 |
-
2018
- 2018-06-08 CN CN201810585450.XA patent/CN108784826A/en active Pending
Patent Citations (4)
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)
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 |