CN108888303A - A kind of percutaneous per rectum appendix mirror system - Google Patents
A kind of percutaneous per rectum appendix mirror system Download PDFInfo
- Publication number
- CN108888303A CN108888303A CN201810731673.2A CN201810731673A CN108888303A CN 108888303 A CN108888303 A CN 108888303A CN 201810731673 A CN201810731673 A CN 201810731673A CN 108888303 A CN108888303 A CN 108888303A
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- CN
- China
- Prior art keywords
- appendix
- mirror
- percutaneous
- per rectum
- surgical instrument
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- 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.)
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Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00292—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means
- A61B2017/00296—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery mounted on or guided by flexible, e.g. catheter-like, means mounted on an endoscope
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/00234—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
- A61B2017/00353—Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery one mechanical instrument performing multiple functions, e.g. cutting and grasping
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00818—Treatment of the gastro-intestinal system
Abstract
The invention discloses a kind of percutaneous per rectum appendix mirror systems, including percutaneous per rectum appendix mirror, the puncture sheath for being used cooperatively with the appendix mirror, for the surgical instrument and matching used camera system, light-source system and display of Appendectomy；The outside for puncturing sheath and being set to the appendix mirror；The surgical instrument is exclusively used in Appendectomy use；The surgical instrument includes closer, inner drainage tube, nipper and mesh basket；The beneficial effects of the invention are as follows：The present invention is exclusively used in protecting the medical equipment of Appendectomy treatment, compensates for vacancy clinically, simplifies modus operandi, improves procedure efficiency.Doctor can will puncture sheath under ultrasound guidance or under laparoscope monitoring and be placed at the nearly appendix of colon, then appendix mirror is reached affected area by puncturing sheath, select different surgical instruments to perform the operation according to surgery situation, achieve the purpose that retain appendix.
Description
Technical field
The invention belongs to the field of medical instrument technology, and in particular to a kind of percutaneous per rectum appendix mirror system.
Background technique
Ecphyaditis belongs to surgical common disease, frequently-occurring disease.Just to cut away this " extra for initiative for many patient's appendix inflammation
Burden ", the operation for cutting off appendix is most universal in hospital, usually opens and cuts off under abdomen excision or laparoscope.And grinding in recent years
Study carefully and shows that appendix is not useless.Appendix has lymphoid tissue abundant, participates in the immune function of body, it is responsible for body
Cellular immunity and the big function of humoral immunity two, also have the function of secretory cell, can secrete many kinds of substance and various digestive ferments, with
And promote intestinal motility hormone and with grow related hormone etc.；And it is important for keeping the balance of intestinal bacterium to play
Effect facilitates beneficial bacterium and survive and enter colon to inhabit breeding, and title appendix is probiotics " sanctuary ".
Currently, clinically having proposed the operative treatment scheme of guarantor's appendix, but it is not exclusively used in protecting Appendectomy
Equipment, but use Sigmoidoscope per anum, colon etc. to reach near appendix, but being relatively large in diameter due to Sigmoidoscope, it cannot be introduced into
Lesion is handled in appendiceal lumen, and pathway is too long, larger to the damage of patient.
Summary of the invention
The purpose of the present invention is overcoming the deficiencies of existing technologies, a kind of percutaneous per rectum appendix mirror system is provided, is solved
The postoperative complication of appendectomy and too long generate to human body of Sigmoidoscope pathway damage larger technical problem.
To solve the above-mentioned problems, the present invention is achieved by following technical scheme：
A kind of percutaneous per rectum appendix mirror system, including percutaneous per rectum appendix mirror, for the appendix mirror cooperation make
Puncture sheath, surgical instrument and matching used camera system, light-source system and display for Appendectomy；Institute
It states and punctures the outside that sheath is set to the appendix mirror；The surgical instrument is exclusively used in Appendectomy use；The surgical instrument
Including closer, inner drainage tube, nipper and mesh basket.
More preferably, it is equipped with the operating walk way with open at both ends in the appendix mirror, is additionally provided with one on the operating walk way
The fluid passage that section is communicated with the operating walk way.
More preferably, the appendix mirror includes main shaft mirror body, eyepiece portion, light guide section and interconnecting piece；It is set in the main shaft mirror body
There is the interconnecting piece, the eyepiece portion, the light guide section are all set in the bottom of interconnecting piece；The fluid passage is set to described
In main shaft mirror body, and it is arranged close to one end far from patient.
More preferably, the diameter of the appendix mirror is less than or equal to 5.0mm, and the length of appendix mirror is less than or equal to 250mm, and operation is logical
The diameter in road is more than or equal to 1.5mm.
More preferably, the puncture sheath includes outer tube, inner sleeve and puncture needle；The inner sleeve can be sheathed on described outer
In casing, the length of the inner sleeve is greater than the length of the outer tube；The Puncture needle sleeve is set to can be along inner sleeve in inner sleeve
The axial movement of pipe, the first end that puncture needle passes through the outer tube are pierced into patient skin.
More preferably, the puncture needle is made of the recognizable material of ultrasound.
More preferably, the inner hollow of the inner drainage tube；The closer includes ontology and closure folder；The closure folder folder
It is held in the front end of the ontology.
The beneficial effects of the invention are as follows：
The present invention is exclusively used in protecting the medical equipment of Appendectomy treatment, compensates for vacancy clinically, simplifies operation side
Formula improves procedure efficiency；Doctor can will puncture sheath under ultrasound guidance or under laparoscope monitoring and be placed in the nearly appendix of colon
Place, then appendix mirror is reached into affected area by puncturing sheath, it selects different surgical instruments to perform the operation according to surgery situation, reaches
To the purpose for retaining appendix.
Detailed description of the invention
Fig. 1 is the schematic diagram of appendix mirror in the percutaneous per rectum appendix mirror system of the present invention；
Fig. 2 is the puncture sheath schematic diagram of the percutaneous per rectum appendix mirror system of the present invention；
Fig. 3 is the inner drainage tube schematic diagram of the percutaneous per rectum appendix mirror system of the present invention；
Fig. 4 is the closer schematic diagram of the percutaneous per rectum appendix mirror system of the present invention；
Fig. 5 is matching used camera system, light-source system and display in the percutaneous per rectum appendix mirror system of the present invention
Schematic diagram；
The nipper schematic diagram of the percutaneous per rectum appendix mirror system of Fig. 6 present invention；
The mesh basket schematic diagram of the percutaneous per rectum appendix mirror system of Fig. 7 present invention.
Wherein：
1- appendix mirror, 11- operating walk way, 12- fluid passage, 13- main shaft mirror body, 14- eyepiece portion, 15- light guide section, 16-
Interconnecting piece, 2- puncture sheath, 21- outer tube, 22- inner sleeve, 23- puncture needle, 3- surgical instrument, 31- closer, 311- sheet
Body, 312- are closed folder, 32- inner drainage tube, 33- nipper, 34- mesh basket, 4- camera system, 5- light-source system, 6- display.
Specific embodiment
Hereinafter, preferred embodiments of the present invention will be described with reference to the accompanying drawings, it should be understood that preferred reality described herein
Apply example only for the purpose of illustrating and explaining the present invention and is not intended to limit the present invention.
As shown in figs. 1-7, the present invention provides a kind of percutaneous per rectum appendix mirror system, including percutaneous per rectum appendix mirror 1,
Puncture sheath 2 for being used cooperatively with appendix mirror 1, the surgical instrument 3 for Appendectomy and matching used camera shooting system
System 4, light-source system 5 and display 6；Puncture the outside that sheath 2 is set to appendix mirror 1；Surgical instrument 3, which is exclusively used in Appendectomy, to be made
With；Surgical instrument 3 includes closer 31, inner drainage tube 32, nipper 33 and mesh basket 34.
The inner hollow of inner drainage tube 32；Closer 31 includes ontology 311 and closure folder 312；Closure folder 312 is held on this
The front end of body 311.
It is equipped with the operating walk way 11 with open at both ends in appendix mirror 1, one section is additionally provided on operating walk way 11 and operation is logical
The fluid passage 12 that road communicates.Fluid passage 12 is Y-shaped, and Y type extension tube can avoid device to surgical position there are more spaces
Tool, line are crossed small between multi-space and influence surgical procedure.
Appendix mirror 1 includes main shaft mirror body 13, eyepiece portion 14, light guide section 15 and interconnecting piece 16；Main shaft mirror body 13, which is equipped with, to be connected
Socket part 16, eyepiece portion 14, light guide section 15 are all set in the bottom of interconnecting piece 16；Fluid passage 12 is set in main shaft mirror body 13,
And it is arranged close to one end far from patient.
The diameter of appendix mirror 1 is less than or equal to 5.0mm, and the length of appendix mirror 1 is less than or equal to 250mm, operating walk way 11 it is straight
Diameter is more than or equal to 1.5mm.
Puncturing sheath 2 includes outer tube 21, inner sleeve 22 and puncture needle 23；Inner sleeve 22 can be sheathed in outer tube 21,
The length of inner sleeve 22 is greater than the length of outer tube 21；Puncture needle 23 is sheathed in inner sleeve 22 and can be along the axial direction of inner sleeve 22
Mobile, the first end that puncture needle 23 passes through outer tube 21 is pierced into patient skin.Puncture needle 23 is made of the recognizable material of ultrasound.
Appendix mirror can use optical frames, electron mirror, fibrescope.It can be disposable or Reusability.
The use process of percutaneous per rectum appendix mirror system：
1, skin layer and colon can be punctured under ultrasound guidance or under laparoscope monitoring by puncturing sheath 2, puncture sheath 2
End is at appendix；
2, inner sleeve 22, puncture needle 23 are extracted out from puncture sheath 2, far from human body；
3, the main shaft mirror body 13 of percutaneous per rectum appendix mirror is protruded into outer tube 21, the end of main shaft mirror body 13 is close to appendix
Place, first detects appendix inner case, selects different surgical instrument 3 to handle lesion further according to surgery situation, such as coprolite can be with
It is taken out out of appendix with nipper 33 or mesh basket 34, it can Self-discharged after putting coprolite into colon；
4, after having handled lesion, inner drainage tube 32 is put into appendix through operating walk way, it is postoperative not have to operation taking-up again
Inner drainage tube 32, inner drainage tube 32 are made of absorbable material, human body can absorbed themselves or per anum be discharged out of human body；
6, percutaneous per rectum appendix mirror 1 and outer tube 21 are exited between skin layer and colon, with absorbable closer
31 colon closed incisions；
7, percutaneous per rectum appendix mirror 1 and outer tube 21 are exited into skin layer again, is closed using application or absorbable thread
Close skin incision.
The beneficial effects of the invention are as follows：
The present invention is exclusively used in protecting the medical equipment of Appendectomy treatment, compensates for vacancy clinically, simplifies operation side
Formula improves procedure efficiency.Doctor can will puncture sheath under ultrasound guidance or under laparoscope monitoring and be placed in the nearly appendix of colon
Place, then appendix mirror is reached into affected area by puncturing sheath, it selects different surgical instruments to perform the operation according to surgery situation, reaches
To the purpose for retaining appendix.
The above described is only a preferred embodiment of the present invention, be not intended to limit the present invention in any form, therefore
Without departing from the technical solutions of the present invention, according to the technical essence of the invention it is to the above embodiments it is any modification,
Equivalent variations and modification, all of which are still within the scope of the technical scheme of the invention.
Claims (7)
1. a kind of percutaneous per rectum appendix mirror system, which is characterized in that including percutaneous per rectum appendix mirror, be used for and the appendix
Puncture sheath, the surgical instrument for Appendectomy and matching used camera system that mirror is used cooperatively, light-source system and
Display；
The outside for puncturing sheath and being set to the appendix mirror；The surgical instrument is exclusively used in Appendectomy use；
The surgical instrument includes closer, inner drainage tube, nipper and mesh basket.
2. percutaneous per rectum appendix mirror system according to claim 1, which is characterized in that being equipped in the appendix mirror has
The operating walk way of open at both ends is additionally provided with one section of fluid passage communicated with the operating walk way on the operating walk way.
3. percutaneous per rectum appendix mirror system according to claim 2, which is characterized in that the appendix mirror includes main shaft mirror
Body, eyepiece portion, light guide section and interconnecting piece；
The main shaft mirror body is equipped with the interconnecting piece, and the eyepiece portion, the light guide section are all set in the bottom of interconnecting piece；
The fluid passage is set in the main shaft mirror body, and is arranged close to one end far from patient.
4. percutaneous per rectum appendix mirror system according to claim 3, which is characterized in that the diameter of the appendix mirror is less than
Equal to 5.0mm, the length of appendix mirror is less than or equal to 250mm, and the diameter of operating walk way is more than or equal to 1.5mm.
5. percutaneous per rectum appendix mirror system according to claim 4, which is characterized in that the puncture sheath includes housing
Pipe, inner sleeve and puncture needle；
The inner sleeve can be sheathed in the outer tube, and the length of the inner sleeve is greater than the length of the outer tube；
The Puncture needle sleeve, which is set in inner sleeve, to pass through the first end of the outer tube along the axial movement of inner sleeve, puncture needle
It is pierced into patient skin.
6. percutaneous per rectum appendix mirror system according to claim 5, which is characterized in that the puncture needle can be known by ultrasound
Other material is made.
7. percutaneous per rectum appendix mirror system according to claim 1, which is characterized in that in the inside of the inner drainage tube
It is empty；
The closer includes ontology and closure folder；It is described to be closed the front end for being held on the ontology.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810731673.2A CN108888303A (en) | 2018-07-05 | 2018-07-05 | A kind of percutaneous per rectum appendix mirror system |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810731673.2A CN108888303A (en) | 2018-07-05 | 2018-07-05 | A kind of percutaneous per rectum appendix mirror system |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN108888303A true CN108888303A (en) | 2018-11-27 |
Family
ID=64347846
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201810731673.2A Pending CN108888303A (en) | 2018-07-05 | 2018-07-05 | A kind of percutaneous per rectum appendix mirror system |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN108888303A (en) |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2002125920A (en) * | 2000-10-19 | 2002-05-08 | Olympus Optical Co Ltd | Mantle tube insertion tool |
| US20060020241A1 (en) * | 2004-07-21 | 2006-01-26 | Pnaval Systems, Inc. | Laparoscopic instrument and cannula assembly and related surgical method |
| CN203017042U (en) * | 2012-12-28 | 2013-06-26 | 中国人民解放军第三军医大学第一附属医院 | Novel puncture sheath for fetoscope |
| CN104586347A (en) * | 2015-01-30 | 2015-05-06 | 西安交通大学医学院第一附属医院 | Appendix primary-secondary endoscope |
| US20170340191A1 (en) * | 2016-05-26 | 2017-11-30 | The First Affiliated Hospital Of Guangzhou Medical University | Percutaneous puncture and dilation visible irrigation-suction system and method of using the same |
| CN210056096U (en) * | 2018-07-05 | 2020-02-14 | 广州乔铁医疗科技有限公司 | Percutaneous colon-passing appendicoscope system |
-
2018
- 2018-07-05 CN CN201810731673.2A patent/CN108888303A/en active Pending
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JP2002125920A (en) * | 2000-10-19 | 2002-05-08 | Olympus Optical Co Ltd | Mantle tube insertion tool |
| US20060020241A1 (en) * | 2004-07-21 | 2006-01-26 | Pnaval Systems, Inc. | Laparoscopic instrument and cannula assembly and related surgical method |
| CN203017042U (en) * | 2012-12-28 | 2013-06-26 | 中国人民解放军第三军医大学第一附属医院 | Novel puncture sheath for fetoscope |
| CN104586347A (en) * | 2015-01-30 | 2015-05-06 | 西安交通大学医学院第一附属医院 | Appendix primary-secondary endoscope |
| US20170340191A1 (en) * | 2016-05-26 | 2017-11-30 | The First Affiliated Hospital Of Guangzhou Medical University | Percutaneous puncture and dilation visible irrigation-suction system and method of using the same |
| CN210056096U (en) * | 2018-07-05 | 2020-02-14 | 广州乔铁医疗科技有限公司 | Percutaneous colon-passing appendicoscope system |
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