CN109171888B - A kind of visual ultrasound knife and long-range ultrasonic surgical systems for liver and gall surgical department - Google Patents

A kind of visual ultrasound knife and long-range ultrasonic surgical systems for liver and gall surgical department Download PDF

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Publication number
CN109171888B
CN109171888B CN201811003698.7A CN201811003698A CN109171888B CN 109171888 B CN109171888 B CN 109171888B CN 201811003698 A CN201811003698 A CN 201811003698A CN 109171888 B CN109171888 B CN 109171888B
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knife
pipe
wireless
sight glass
image
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CN109171888A (en
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沈艾
刘苗
叶敏
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Chongqing Tumour Institute
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Chongqing Tumour Institute
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320068Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments

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

Abstract

The invention discloses a kind of visual ultrasound knife and long-range ultrasonic surgical systems for liver and gall surgical department, visual ultrasound knife includes knife pipe and handle, and handle includes body and handle, and knife pipe is plugged on the front end of body;It further include the ultrasonic transducer being set in body, amplitude transformer, the first connector, mirror tube seat, the first damping and the second damping, and the sight glass pipe being set in knife pipe and body;Ultrasonic transducer is connect with amplitude transformer, in which: amplitude transformer is fixedly connected by the first connector with knife pipe;Sight glass pipe is arranged in knife pipe, and is not in contact with each other with the inner wall of knife pipe, and mirror tube seat is fixed in its rear end, and sight glass pipe is for acquiring optical image;First damping is fixed on sight glass pipe, and the vibration of sight glass pipe is passed to for reducing knife pipe;Second damping is fixed on mirror tube seat, and the vibration of mirror tube seat is passed to for reducing body.The visual function of ultrasound knife may be implemented in the present invention, and realizes the remote visualization function of ultrasonic surgical systems.

Description

A kind of visual ultrasound knife and long-range ultrasonic surgical systems for liver and gall surgical department
Technical field
The present invention relates to medical instruments field more particularly to a kind of visual ultrasound knifes for liver and gall surgical department and long-range super Sound surgery systems.
Background technique
Ultrasonic (attraction) knife is a kind of special hollow blade for being widely used in hepatobiliary surgery, and working principle is main Cavitation effect based on ultrasound, i.e., high-frequency energy is applied to cutter makes its high-frequency vibration, and cutter acts on liver or gallbladder Lesion tissue (such as tumour), causes lesion tissue fragmentation, and then residue tissue is sucked out by negative pressure, have damage it is small, go out Blood is few, restores fast advantage.
Since the blood vessel concentration around liver, gallbladder is higher, even if the operation error of very little, also be easy to cause and bleeds profusely The case where, therefore general cooperation medical endoscope uses, to ensure that surgical field of view understands.With the continuous improvement of medical level, In order to reduce the quantity of minimally invasive opening and improve operation convenience, all it is integrated in medical and peeps in more and more surgical instruments Mirror, such as the visual suction tube mentioned in CN201410852368.0 patent of invention, be integrated on stream of people's suction tube it is medical Endoscope realizes integrated design.
However, since the cutter of ultrasonic (attraction) knife is in higher-order of oscillation state at work, if directly collecting on cutter At medical endoscope, then medical endoscope also can the higher-order of oscillation therewith so that the imaging picture higher-order of oscillation therewith, causes operation to regard It is wild extremely unclear, operation safety is directly affected, and medical endoscope is also easy to be damaged.Therefore so far, do not have still A ultrasound (attraction) knife is integrated with medical endoscope, does not have visual function.
In addition, with the continuous development of intellectual technology and Internet technology, the remote visualization of surgical operation increasingly by To concern, remote visualization is not only able to achieve that (such as strange land medical matters person passes through intelligence in the local watching operation image far from operating room Energy mobile phone remote watching surgical operation images), moreover it is possible to coherent video big data is collected so that (such as medical college is based on liver cancer hand for analysis and research The image big data of art carries out provincialism liver cancer medical analysis), but current ultrasonic surgical systems do not support remote visualization still.
Summary of the invention
The present invention provides a kind of visual ultrasound knifes and long-range ultrasonic surgical systems for liver and gall surgical department, may be implemented The visual function of ultrasound knife, and guarantee imaging effect;It can also realize the remote visualization function of ultrasonic surgical systems, and can receive Collect image big data.
The embodiment of the invention provides a kind of visual ultrasound knife for liver and gall surgical department, including knife pipe and handle, the hands Handle includes body and handle, and the handle is formed in the lower end of body, and the knife pipe is plugged on the front end of body;It is described visual super Sound knife further includes the ultrasonic transducer being set in body, amplitude transformer, the first connector, mirror tube seat, the first damping and Two dampings, and the sight glass pipe being set in knife pipe and body, in which:
The ultrasonic transducer is connect with amplitude transformer, for generating the axial higher-order of oscillation and passing to amplitude transformer;
The amplitude transformer is arranged in parallel in the axial direction with knife pipe, and is fixedly connected by the first connector with knife pipe, is used for Axial higher-order of oscillation concentration is acted on into knife pipe;
The sight glass pipe is arranged in knife pipe, and is not in contact with each other with the inner wall of knife pipe, and mirror tube seat is fixed in its rear end, described Sight glass pipe is for acquiring optical image;
First damping is fixed on sight glass pipe, and can be slid axially along the inner wall of knife pipe, is used for sight glass pipe It is supported on knife pipe, and reduces the vibration that knife pipe passes to sight glass pipe;
Second damping is fixed on mirror tube seat, and is connected on body, is used for mirror tube seat supports in body On, and reduce the vibration that body passes to mirror tube seat.
Optionally, first damping includes support sleeve, 4 balls, the first sealing ring and the second sealing ring;It is described Support sleeve fixation is set on sight glass pipe, and the rear end inner wall of the knife pipe is formed with the recessed portion for accommodating support sleeve, the support Put on the groove for offering 4 square-sections, 4 balls be separately mounted in corresponding groove and be arranged in support sleeve with Between recessed portion, the support sleeve can be slid axially by ball in the recessed portion of knife pipe;The outer wall of the support sleeve is along week To the first fin and the second fin for being formed with annular, first fin and the second fin along support sleeve axial direction one in front and one in back Arrangement, wherein 2 grooves are located at before the first fin, in addition 2 grooves are described between the first fin and the second fin The fixation of first sealing ring is set on the first fin, and the second sealing ring fixation is set on the second fin;The support sleeve Material be corrosion protection steel.
Optionally, second damping includes mounting base, fixed station, connecting rod, 6 support columns and 7 damping bullets Spring;The mounting base is fixed at the inner wall of body, and the fixed station is fixed in mounting base;The one of the connecting rod End is fixed at the rear end of mirror tube seat, and the other end activity of the connecting rod is plugged in mounting base, wherein 1 damping spring It is set in connecting rod, and is against between mirror tube seat and mounting base;One end of 6 support columns is respectively fixedly disposed at mirror tube The side of seat, activity is plugged on the inner wall of body the other end respectively, and in addition 6 damping springs are respectively sleeved at corresponding support On column, and it is against between mirror tube seat and body;Arranged in parallel, the connecting rod and support column between 6 support columns Between be vertically arranged.
Optionally, the visual ultrasound knife further includes elastic connecting pipe, suction channel and the leakproof gear being set in body Circle;Space between the knife pipe and sight glass pipe is suction channel, for aspirating residue tissue;The knife Guan Qi recessed portion it Preceding position offers bifurcation mouth, and the knife pipe extends outward to form fork pipelines, the fork pipelines and pumping at bifurcation mouth Inhale channel connection;Position of the leak-proof check ring inner sleeve between the recessed portion and bifurcation mouth of knife inside pipe wall, the leak-proof check ring Spacing between sight glass pipe is less than 0.1mm, smoothed between the front end face of the leak-proof check ring and the inner wall of fork pipelines It crosses;The rear end of the fork pipelines is connected to the front end of elastic connecting pipe, the rear end of the elastic connecting pipe and suction channel Front end connection, the elastic connecting pipe can axial stretching, the suction channel is fixed on the inner wall of body;The suction The rear end of pipeline extends to the rear end of body, and is connected to by hose with outside organization collector, outside organization's collector Negative pressure is generated by air pump to form the power of suction residue tissue, and the pressure value of the negative pressure is greater than 0.15Mpa.
Optionally, the visual ultrasound knife further includes the ring flange being set in body, the second connector and energy cable; The ring flange housing passes to the vibration of body for reducing ultrasonic transducer on ultrasonic transducer;The ultrasonic transduction Device is connect by the second connector with amplitude transformer, and second connector is cap-shaped structure, and cap nest is mounted on ultrasonic transducer Front end, cap point is mounted on the rear end of amplitude transformer;The amplitude transformer be horn,stepped, the leading portion of the amplitude transformer it is straight Diameter is less than the diameter in middle section, and the diameter in the middle section of the amplitude transformer is greater than the diameter of back segment, the length of the leading portion of the amplitude transformer It is greater than the length of rear end;First connector is the integrated molding component for offering small one and large one through-hole, the amplitude transformer Leading portion be fixedly plugged in small through-hole, the fixed inner sleeve of the knife pipe is in big through-hole;The front end of the energy cable with The rear end of ultrasonic transducer electrical connection, the energy cable is stretched out from the rear end of body and is electrically connected with external energy generator, The energy cable is used to transmit the electric signal of driving ultrasonic transducer.
Optionally, the sight glass pipe uses the diameter range for the ultra-fine hard sight glass of 0.7~1mm;In the sight glass pipe Imaging len, image-carrying fiber bundle and lighting fiber are installed, the front port of sight glass pipe, the biography picture is arranged in the imaging len The front end of fiber optic bundle and the rear end of imaging len connect, the entirety and illumination light that the imaging len and image-carrying fiber bundle are constituted Fibre is set side by side;Convergent lens, light path converting seat, optical interface circuit board and imaging sensor, institute are installed in the mirror tube seat The rear end of the light inlet and image-carrying fiber bundle of stating convergent lens connects, and the mirror surface of the light path converting seat tiltedly goes out convergent lens The lower end of mirror tube seat is arranged in optical port, the optical interface circuit board, and described image sensor is arranged on optical interface circuit board simultaneously Tiltedly to the mirror surface of light path converting seat, the light path converting seat is used to scheme the image light reflection that the light-emitting window of convergent lens projects As on sensor;Described image sensor is used to be converted to the image light of acquisition video signal, and described image sensor is height Pixel CMOS (Complementary Metal Oxide Semiconductor, complementary metal oxide semiconductor) chip;Institute It states lighting fiber and is arranged in mirror tube seat, the visual ultrasound knife further includes the lighting optical cable for being set to body, the lighting optical cable Front end be connected with the rear end of lighting fiber, the rear end of the lighting optical cable is connect with exterior endoscope cold light source, for conducting Cold light is to illuminate operation viewing area.
Optionally, the visual ultrasound knife further includes the press button mechanism and button circuit board for being set to handle, the key Mechanism is electrically connected with button circuit board;The visual ultrasound knife further include through handle two sides, and be located at body and handle it Between button, the button is electrically connected with button circuit board;The press button mechanism include trigger, shaft, sliding slot, retention bead and Pulley, the trigger are rotatablely connected by shaft and handle, and the sliding slot of cooperation rotation, the limit convex are offered on the trigger It rises and is arranged on handle and passes through sliding slot, the part of the exposing handle of trigger is arranged in the pulley.
Optionally, the visual ultrasound knife further includes the first high-speed transfer bus being set in handle, the second high speed biography Defeated bus, image processing circuit plate, radio transmitter plate and transmitting antenna;One end of the first high-speed transfer bus and light Interface card electrical connection, the other end of the first high-speed transfer bus are electrically connected with button circuit board, second high speed One end of transfer bus is electrically connected with button circuit board, the other end and image processing circuit plate of the second high-speed transfer bus Electrical connection, the first high-speed transfer bus and the second high-speed transfer bus are used to video signal being transmitted to image processing circuit Plate, described image processing circuit plate are used to carry out image procossing to video signal and export high definition video signal;The transmitting day One end of line is electrically connected with radio transmitter plate, and the transmitting antenna is arranged along the edge of handle to be arranged, the wireless transmission Circuit board is electrically connected with image processing circuit plate, and the high definition video signal for exporting image processing circuit plate passes through transmitting day Line is emitted in the air.
The embodiment of the invention also provides a kind of long-range ultrasonic surgical systems for liver and gall surgical department, including control host, Endoscope host, cold light source for endoscope, power generator, tissue collector, foot controller, wireless router, Wireless mate, Child servers, director server, catv terminal, wireless terminal and above-mentioned visual ultrasound knife, in which:
The cold light source for endoscope is connect by lighting optical cable with the rear end of the body of visual ultrasound knife;
The power generator is connect by energy cable with the rear end of the body of visual ultrasound knife;
The tissue collector is connect by hose with the rear end of the body of visual ultrasound knife;
The visual ultrasound knife includes radio transmitter plate, and the radio transmitter plate has with wireless router foundation Local area network wireless connection, the radio transmitter plate are used for high definition image signal transmitting to wireless router, and are received The operation control instruction that wireless router is sent;
The control host includes Wireless Transmitter, and the Wireless Transmitter and wireless router foundation have local area network wireless Connection, the Wireless Transmitter are sent to wireless router for the control instruction that will perform the operation, and receive wireless router transmission The high definition video signal come;
The endoscope host and control host establish wired connection, and the endoscope host is for receiving control host hair The high definition video signal sent, and further make image optimization;The endoscope host further includes monitor, and the monitor is used According to the high definition video signal display surgical operation images after making image optimization;
The foot controller and control host establish wired connection, what the foot controller was used to input medical matters person Foot-operated control instruction is sent to control host, so that control host generates operation control according to foot-operated control instruction and other instructions Instruction;
The Wireless mate and wireless router foundation have local area network wireless connection, and the Wireless mate is wireless for receiving The high definition video signal that router is sent;
The child servers and Wireless mate electrical plug, the child servers are for receiving the high definition that Wireless mate is sent Video signal;
The catv terminal and wireless terminal have Internet connection with child servers foundation, are used to receive sub- clothes The high definition video signal that business device is sent, and surgical operation images are shown to operator according to high definition video signal;
The director server has interconnection with the foundation of multiple child servers, multiple catv terminals and multiple wireless terminals respectively Net network connection, the surgical operation images uploaded for collecting child servers, catv terminal or wireless terminal.
Optionally, a pair is pre-established with by wireless router between the radio transmitter plate and Wireless Transmitter One matching relationship;The Wireless mate is the wireless communication module with Universal Serial Bus Interface;The catv terminal is desk-top Computer or laptop;The wireless terminal is smart phone, tablet computer, smartwatch or laptop.
Therefore in the embodiment of the present invention, firstly, sight glass pipe pass through knife pipe be fixed on mirror tube seat and in knife pipe Wall is not in contact with each other, so that the higher-order of oscillation directly will not be transferred to sight glass pipe by knife pipe;Secondly, be used to support sight glass pipe first subtracts Be not between shake mechanism and knife pipe contact firmly but sliding contact, and sliding type is that contact surface is minimum, rub the smallest rolling Friction, greatly reduces the vibration that knife pipe passes to sight glass pipe;Again, the second damping and handle of mirror tube seat are used to support Body between be not hard contact but Elastic Contact, it is (super to greatly reduce the vibration that body passes to sight glass pipe from mirror tube seat Sonic transducer is inevitable, more or less will drive body vibration).Due to sight glass pipe will not the higher-order of oscillation so that imaging picture Will not the higher-order of oscillation therewith, ensure that image quality, realize the visual function of ultrasound knife.
In addition, in the embodiment of the present invention, long-range ultrasonic surgical systems include wireless router, Wireless mate, child servers, Director server, catv terminal, wireless terminal, control host and visual ultrasound knife, and the handle of the visual ultrasound knife and control master Wireless communication assembly is each equipped in machine, so that by wireless network by visual ultrasound knife, control host, director server, wired Terminal and wireless terminal link together.To which the catv terminal and wireless terminal of distal end can show what visual ultrasound knife was sent Surgical operation images realize remote visualization function;Director server collects multiple child servers, multiple catv terminals and multiple nothings The surgical operation images that line terminal uploads realize and collect image big data function.
Detailed description of the invention
It in order to illustrate the embodiments of the present invention more clearly, below will be to required use in embodiment or description of the prior art Attached drawing be briefly described, it should be apparent that, drawings in the following description are only some embodiments of the invention, for this For the those of ordinary skill of field, without creative efforts, it can also be obtained according to these attached drawings others Attached drawing.
Fig. 1 is a kind of structural schematic diagram of visual ultrasound knife provided in an embodiment of the present invention;
Fig. 2 is a kind of structural schematic diagram of knife pipe provided in an embodiment of the present invention;
Fig. 3 is a kind of structural schematic diagram of mirror tube seat provided in an embodiment of the present invention;
Fig. 4 is a kind of structural schematic diagram of long-range ultrasonic surgical systems provided in an embodiment of the present invention.
Drawing reference numeral:
1- knife pipe, 101- suction channel, 102- bifurcation mouth, 103- leak-proof check ring, 104- imaging len, 105- image transmission optical fibre Beam, 106- lighting fiber;
2- handle, 21- body, 22- handle, 201- ultrasonic transducer, 202- amplitude transformer, the first connector of 203-, 204- Mirror tube seat, 205- sight glass pipe, 206- support sleeve, 207- ball, the first sealing ring of 208-, the second sealing ring of 209-, 210- recess Portion, 211- groove, the first fin of 212-, the second fin of 213-, 214- mounting base, 215- fixed station, 216- connecting rod, 217- branch Dagger, 218- damping spring, 219- elastic connecting pipe, 220- suction channel, 221- ring flange, the second connector of 222-, 223- Energy cable, 224- convergent lens, 225- light path converting seat, 226- optical interface circuit board, 227- imaging sensor, 228- illumination Optical cable, 229- button circuit board, 230- button, 231- trigger, 232- shaft, 233- sliding slot, 234- retention bead, 235- are sliding Wheel, 236- the first high-speed transfer bus, 237- the second high-speed transfer bus, 238- image processing circuit plate, 239- wireless transmission Circuit board, 240- transmitting antenna.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts every other Embodiment shall fall within the protection scope of the present invention.
Noun of locality front, rear, top, and bottom in the embodiment of the present invention respectively correspond 4 directions that Fig. 1 is identified.
Embodiment one
Referring to Fig. 1, Fig. 1 is a kind of structural schematic diagram of visual ultrasound knife provided in an embodiment of the present invention.As shown in the figure Visual ultrasound knife include knife pipe 1 and handle 2, the handle 2 includes body 21 and handle 22, and the handle 22 is formed in body 21 lower end, the knife pipe 1 are plugged on the front end of body 21;The visual ultrasound knife further includes the ultrasound being set in body 21 Energy converter 201, amplitude transformer 202, the first connector 203, mirror tube seat 204, the first damping and the second damping, Yi Jishe The sight glass pipe 205 being placed in knife pipe 1 and body 21, in which:
The ultrasonic transducer 201 is connect with amplitude transformer 202, for generating the axial higher-order of oscillation and passing to amplitude transformer 202.Specifically, the piezoelectric ceramic piece in ultrasonic transducer 201 generates axial height under the action of high-frequency electrical energy (electric signal) Frequency vibration is swung, and then drives the amplitude transformer 202 connected to it higher-order of oscillation in the axial direction, i.e. front and back reciprocal telescopic.
The amplitude transformer 202 is arranged in parallel in the axial direction with knife pipe 1, and passes through the first connector 203 and the fixed company of knife pipe 1 It connects, for axial higher-order of oscillation concentration to be acted on knife pipe 1.Wherein, amplitude transformer 202 is arranged in parallel in the axial direction with knife pipe 1, The more conducively transmitting of the higher-order of oscillation will not cause energy loss there are angle because of the motion profile of the two.In addition, amplitude transformer 202 are fixedly connected with knife pipe 1, are also conducive to the transmitting of the higher-order of oscillation, will not cause because of relative motion surplus between the two Energy loss.Specifically, change the amplitude of oscillation while amplitude transformer 202 is with 201 higher-order of oscillation of ultrasonic transducer, it will be axial The higher-order of oscillation concentration act on knife pipe 1, improve surgical effect.
The sight glass pipe 205 is arranged in knife pipe 1, and is not in contact with each other with the inner wall of knife pipe 1, and mirror tube seat is fixed in its rear end 204, the sight glass pipe 205 is for acquiring optical image.Since the knife pipe 1 of ultrasonic suction knife is all hollow, sight glass pipe 205 can be arranged in knife pipe 1, and can be not in contact with each other with the inner wall of knife pipe 1.Wherein, sight glass pipe 205 selects ultra-fine hard to peep Mirror has the advantages that the working environment that diameter is small, intensity is high, suitable for ultrasound knife.In addition, the front end of sight glass pipe 205 is apart from knife The distance of 1 nozzle of pipe is between 10mm~30mm, preferably 18mm, is convenient for lens focusing and focusing.It is pointed out that sight glass Pipe 205 passes through knife pipe 1 and is fixed on mirror tube seat 204 and is not in contact with each other with the inner wall of knife pipe 1, so that knife pipe 1 will not directly will be high Frequency vibration, which is swung, is transferred to sight glass pipe 205 so that imaging picture will not the higher-order of oscillation therewith, ensure that image quality.
First damping is fixed on sight glass pipe 205, and can be slid axially along the inner wall of knife pipe 1, for that will peep Mirror tube 205 is supported on knife pipe 1, and reduces the vibration that knife pipe 1 passes to sight glass pipe 205.What it is due to the selection of sight glass pipe 205 is straight The lesser hard sight glass of diameter, if not radial holding power, is easy to appear skew, fracture under the working environment of ultrasound knife The case where, influence operation safety.In the present embodiment, the first damping, which can be played, provides radial supporting force to sight glass pipe 205 Effect, i.e. radial support.It should be pointed out that be not between the first damping and knife pipe 1 firmly contact but sliding contact, Greatly reduce the vibration that knife pipe 1 passes to sight glass pipe 205 so that imaging picture will not the higher-order of oscillation therewith, ensure that into Image quality amount.
Second damping is fixed on mirror tube seat 204, and is connected on body 21, for by mirror tube seat 204 Support reduces the vibration that body 21 passes to mirror tube seat 204 on body 21.Wherein, between the second damping and body 21 It is Elastic Contact.It should be pointed out that be not between the second damping and the body 21 of handle 2 firmly contact but elastic connecting Touching, greatly reduces the vibration that body 21 passes to sight glass pipe 205 from mirror tube seat 204, so that imaging picture will not be high therewith Frequency vibration is swung, and ensure that image quality.
Therefore in the embodiment of the present invention, firstly, sight glass pipe 205 pass through knife pipe 1 be fixed on mirror tube seat 204 and with The inner wall of knife pipe 1 is not in contact with each other, so that the higher-order of oscillation directly will not be transferred to sight glass pipe 205 by knife pipe 1;Secondly, being used to support Be not between first damping of sight glass pipe 205 and knife pipe 1 firmly contact but sliding contact, and sliding type for contact surface most Small, the smallest rolling friction of friction, greatly reduces the vibration that knife pipe 1 passes to sight glass pipe 205;Again, it is used to support mirror tube Seat 204 the second damping and the body 21 of handle 2 between be not firmly contact but Elastic Contact, greatly reduce body 21 Passing to the vibration of sight glass pipe 205 from mirror tube seat 204, (ultrasonic transducer 201 is inevitable, more or less will drive body 21 shakes It is dynamic).Due to sight glass pipe 205 will not the higher-order of oscillation so that imaging picture will not the higher-order of oscillation therewith, ensure that image quality, Realize the visual function of ultrasound knife.
As an alternative embodiment, first damping includes 206,4 balls 207, first of support sleeve Sealing ring 208 and the second sealing ring 209.The fixation of support sleeve 206 is set on sight glass pipe 205, in the rear end of the knife pipe 1 Wall is formed with the recessed portion 210 for accommodating support sleeve 206, and the groove 211 of 4 square-sections, institute are offered on the support sleeve 206 4 balls 207 are stated to be separately mounted in corresponding groove 211 and be arranged between support sleeve 206 and recessed portion 210, the branch Support set 206 can be slid axially by ball 207 in the recessed portion 210 of knife pipe 1.It is to be understood that groove 211 is designed as rectangular section Rolling friction is realized by ball 207 between support sleeve 206 and knife pipe 1 conducive to the installation of spherical ball 207 in face, so that contact Face is minimum, friction is minimum, and damping effect is best.The outer wall of the support sleeve 206 is circumferentially formed with the first fin 212 of annular With the second fin 213, first fin 212 and the second fin 213 are one in front and one in back arranged along the axial direction of support sleeve 206, wherein 2 A groove 211 is located at before the first fin 212, in addition 2 grooves 211 be located at the first fin 212 and the second fin 213 it Between, first sealing ring 208 is fixed and is set on the first fin 212, and it is convex that the fixation of the second sealing ring 209 is set in second On rib 213.First fin 212 and the second fin 213 are axially one in front and one in back arranged, and the first sealing ring 208 and the second sealing are passed through Circle 209 can form two-stage sealing structure, by 1 inside of knife pipe and 21 internal insulation of body, the tissue fluid in knife pipe 1 be avoided to leak To inside body 21, hardware configuration or circuit are caused to corrode, and groove 211 and fin arranged crosswise, is conducive to the first damping Mechanism overall stability avoids trembleing.The material of the support sleeve 206 is corrosion protection steel, avoids being organized corrosion, close Plastic cement, wear-resistant and favorable expandability can be used in the material of seal, and bead can be used in the material of ball 207, and intensity is high and rubs Power is small.Therefore in knife 1 axial oscillation of pipe, knife pipe 1 can be axially moved relative to the first damping, but first subtracts Shake mechanism itself is not axially moved, so that playing a supporting role to sight glass pipe 205 while sight glass pipe 205 is not with knife pipe 1 It is axially moved, certain first damping also acts as cushioning effect.
As an alternative embodiment, second damping includes mounting base 214, fixed station 215, connecting rod 216,6 support column 217 and 7 damping springs 218.The mounting base 214 is fixed at the inner wall of body 21, the fixation Platform 215 is fixed in mounting base 214.One end of the connecting rod 216 is fixed at the rear end of mirror tube seat 204, described The other end activity of connecting rod 216 is plugged in mounting base 214, wherein 1 damping spring 218 is set in connecting rod 216, and It is against between mirror tube seat 204 and mounting base 214.Design has work between slot on the other end and mounting base 214 of connecting rod 216 Dynamic surplus, is plugged in mounting base 214, then cooperate damping spring 218 can the company of realization so that the other end of connecting rod 216 is movable The elastic connection of extension bar 216 and mounting base 214.One end of 6 support columns 217 is respectively fixedly disposed at mirror tube seat 204 Side, (another side of body 21 is not shown) as shown in Figure 1, activity is plugged on the inner wall of body 21 other end respectively, separately Outer 6 damping springs 218 are respectively sleeved on corresponding support column 217, and are against between mirror tube seat 204 and body 21.Similarly, Design has activity surplus between slot on the other end and body 21 of support column 217, so that the other end of support column 217 can live It is dynamic to be plugged on body 21, then the elastic connection for cooperating damping spring 218 that can realize support column 217 Yu body 21.6 branch It is arranged in parallel between dagger 217, it is vertically arranged, is vertically arranged conducive to stress between the connecting rod 216 and support column 217 Complementation promotes damping effect.It is to be understood that ultrasonic transducer 201 is inevitable, more or less will drive the vibration of body 21, lead to Cross above-mentioned second damping, wherein be not between the second damping and the body 21 of handle 2 firmly contact but Elastic Contact, Cushioning effect can be played, reaches sight glass pipe 205 again after avoiding body 21 that transmission is reached mirror tube seat 204.
As an alternative embodiment, the visual ultrasound knife further includes the elastic connecting pipe being set in body 21 219, suction channel 220 and leak-proof check ring 103.Space between the knife pipe 1 and sight glass pipe 205 is suction channel 101, is used for Residue tissue is aspirated, carries tissue fluid inside certain residue tissue.It opens position of the knife pipe 1 before its recessed portion 210 Equipped with bifurcation mouth 102, the upper port of junctions as shown in Figure 1, the knife pipe 1 extends outward to form point at bifurcation mouth 102 Bifurcated pipe road, the fork pipelines are connected to suction channel 101, and fork pipelines and knife pipe 1 are using integrated molding.The leak-proof check ring Position of 103 inner sleeves between the recessed portion 210 and bifurcation mouth 102 of 1 inner wall of knife pipe, for stopping tissue fluid to enter recessed portion 210, the spacing between the leak-proof check ring 103 and sight glass pipe 205 is less than 0.1mm, may be implemented do not generating leak-proof check ring 103 Maximum leak preventing effect is played while friction between sight glass pipe 205, the front end face of the leak-proof check ring 103 and fork pipelines It is seamlessly transitted between inner wall, residue tissue and tissue fluid can smoothly be guided to fork pipelines using smooth transition, avoid blocking up Plug or leakage.The rear end of the fork pipelines is connected to the front end of elastic connecting pipe 219, the rear end of the elastic connecting pipe 219 Be connected to the front end of suction channel 220, the elastic connecting pipe 219 can axial stretching, the suction channel 220 is fixed at On the inner wall of body 21, using the design, in knife 1 axial oscillation of pipe, the axial stretching therewith of elastic connecting pipe 219, suction tube Road 220 may be implemented fixed.The rear end of the suction channel 220 extends to the rear end of body 21, and by hose and outside The connection of portion's tissue collector, outside organization's collector generate negative pressure by air pump to form the dynamic of suction residue tissue Power, the pressure value of the negative pressure are greater than 0.15Mpa, in general, Medical negative pressure is about in 0.1Mpa or so, due to the present embodiment Fork pipelines will form certain resistance, therefore negative pressure is promoted to 0.15Mpa or more, promote suction effect, after tested 0.18Mpa Effect is best.
As an alternative embodiment, the visual ultrasound knife further include the ring flange 221 being set in body 21, Second connector 222 and energy cable 223.221 housing of ring flange on ultrasonic transducer 201, and in body 21 Wall connection, ring flange 221 reduce body 21 and pass to for reducing the vibration that ultrasonic transducer 201 passes to body 21 The vibration of mirror tube seat 204 can be further improved image quality to reduce the vibration for being transferred to sight glass pipe 205.It is described super Sonic transducer 201 is connect by the second connector 222 with amplitude transformer 202, and second connector 222 is cap-shaped structure, cap Nest is mounted on the front end of ultrasonic transducer 201, and cap point is mounted on the rear end of amplitude transformer 202, the structure be conducive to stablize installation and Transmitting oscillation.The amplitude transformer 202 is horn,stepped 202, and the diameter of the leading portion of the amplitude transformer 202 is less than the straight of middle section Diameter, the diameter in the middle section of the amplitude transformer 202 is greater than the diameter of back segment, after the length of the leading portion of the amplitude transformer 202 is greater than The length at end, the structure are conducive to the transformation of Oscillation Amplitude, concentrate vibration in knife pipe 1, reduce vibrational energy loss.Described first connects Fitting 203 is the integrated molding component for offering small one and large one through-hole, and the leading portion of the amplitude transformer 202 is fixedly plugged in small lead to In hole, the fixed inner sleeve of the knife pipe 1 is in big through-hole.The front end of the energy cable 223 is electrically connected with ultrasonic transducer 201 It connects, the rear end of the energy cable 223 is stretched out and is electrically connected with external energy generator, the energy line from the rear end of body 21 Cable 223 is used to transmit the electric signal of driving ultrasonic transducer 201.
Fig. 2 and Fig. 3 are please referred to, Fig. 2 is a kind of structural schematic diagram of knife pipe 1 provided in an embodiment of the present invention, and Fig. 3 is this hair A kind of structural schematic diagram for mirror tube seat 204 that bright embodiment provides.In sight glass pipe 205 provided in an embodiment of the present invention as shown in the figure Imaging len 104, image-carrying fiber bundle (IF, Image Fiber) 105 and lighting fiber 106 are installed.Wherein, image-carrying fiber bundle 105 include multifiber.
The sight glass pipe 205 uses diameter range for the ultra-fine hard sight glass of 0.7~1mm, it should be understood that, ultrasound attracts 1 bore of knife pipe of knife is typically small, and some bores for delicate procedure are within 3mm, it is therefore desirable to using most advanced at present Ultra-fine hard sight glass just be applicable in, in addition, the gap between sight glass pipe 205 and knife pipe 1 is bigger, suction channel 101 is bigger, take out Suction effect is better, therefore selecting diameter range is the sight glass pipe 205 of 0.7~1mm.The imaging len 104 is arranged in sight glass The front end of the front port of pipe 205, the image-carrying fiber bundle 105 is connect with the rear end of imaging len 104, the imaging len 104 The entirety constituted with image-carrying fiber bundle 105 is set side by side with lighting fiber 106, in the specific implementation, the end of lighting fiber 106 It issues cold light and illuminates lesion tissue, what is generated in lesion tissue is reflective into imaging len 104, then conducts through image transmission optical fibre.Institute It states and convergent lens 224, light path converting seat 225, optical interface circuit board 226 and imaging sensor 227 is installed in mirror tube seat 204, The light inlet of the convergent lens 224 is connect with the rear end of image-carrying fiber bundle 105, and the mirror surface of the light path converting seat 225 is tiltedly right The lower end of mirror tube seat 204, described image sensor is arranged in the light-emitting window of convergent lens 224, the optical interface circuit board 226 227 are arranged on optical interface circuit board 226 and tiltedly to the mirror surface of light path converting seat 225, and the light path converting seat 225 is for will The image light that the light-emitting window of poly- lens 224 projects reflects on imaging sensor 227, in the specific implementation, image-carrying fiber bundle 105 will Reflective (optical image) conduction of lesion tissue is projected after passing through by the mirror-reflection of light path converting seat 225 to convergent lens 224 On imaging sensor 227.Described image sensor 227 is used to the image light of acquisition being converted to video signal, described image Sensor 227 is high pixel CMOS (Complementary Metal Oxide Semiconductor, complementary metal oxide Semiconductor) chip.The lighting fiber 106 is arranged in mirror tube seat 204, and the visual ultrasound knife further includes being set to body 21 The front end of lighting optical cable 228, the lighting optical cable 228 is connected with the rear end of lighting fiber 106, after the lighting optical cable 228 End is connect with exterior endoscope cold light source, for conducting cold light to illuminate operation viewing area.
Again referring to Fig. 1, as an alternative embodiment, the visual ultrasound knife further includes being set to handle 22 Press button mechanism and button circuit board 229, the press button mechanism are electrically connected with button circuit board 229, and press button mechanism can be defeated by user The operational order entered is transmitted to button circuit board 229, to make corresponding response.The visual ultrasound knife further includes through hand 2 two sides of handle, and the button 230 between body 21 and handle 22, the design through 2 two sides of handle are convenient for left hand and right hand not With medical matters person's operation of habit, the button 230 is electrically connected with button circuit board 229, the key circuit when button 230 is pressed Plate 229 starts visual function.The press button mechanism includes trigger 231, shaft 232, sliding slot 233, retention bead 234 and pulley 235, the trigger 231 is rotatablely connected by shaft 232 and handle 22, and the sliding slot of cooperation rotation is offered on the trigger 231 233, button circuit board 229 can carry out focal adjustment, the retention bead when which is stirred clockwise and anticlockwise 234 are arranged on handle 22 and pass through sliding slot 233, and the part of the exposing handle 22 of trigger 231, tool is arranged in the pulley 235 During body is realized, when trigger 231 is pressed, one end is fixed by shaft 232, and the other end is sliding by sliding slot 233 and retention bead 234 It is dynamic, to realize the rotation of trigger 231.
As an alternative embodiment, the visual ultrasound knife further includes that the first high speed being set in handle 22 passes Defeated bus 236, the second high-speed transfer bus 237, image processing circuit plate 238, radio transmitter plate 239 and transmitting antenna 240.One end of the first high-speed transfer bus 236 is electrically connected with optical interface circuit board 226, the first high-speed transfer bus 236 other end is electrically connected with button circuit board 229, one end of the second high-speed transfer bus 237 and button circuit board 229 Electrical connection, the other end of the second high-speed transfer bus 237 are electrically connected with image processing circuit plate 238, first high speed Transfer bus 236 and the second high-speed transfer bus 237 are used to video signal being transmitted to image processing circuit plate 238, the figure As processing circuit plate 238 is used to carry out image procossing to video signal and exports high definition video signal.The transmitting antenna 240 One end is electrically connected with radio transmitter plate 239, and the transmitting antenna 240 is arranged along the edge of handle 22 to be arranged, described wireless Transmit circuit plate 239 is electrically connected with image processing circuit plate 238, the high definition image for exporting image processing circuit plate 238 Signal is emitted in the air by transmitting antenna 240, and transmitting antenna 240 has the advantage that along the arrangement of the edge of handle 22, most The length of big guarantee antenna, and then ensure wireless transmission quality, so that it is guaranteed that surgical operation images reliability.Optionally, emit The mode that antenna 240 is arranged along the edge of handle 22, it is straight to can be, and is also possible to wriggle (i.e. bending).
Therefore in the embodiment of the present invention, firstly, sight glass pipe 205 pass through knife pipe 1 be fixed on mirror tube seat 204 and with The inner wall of knife pipe 1 is not in contact with each other, so that the higher-order of oscillation directly will not be transferred to sight glass pipe 205 by knife pipe 1;Secondly, being used to support Be not between first damping of sight glass pipe 205 and knife pipe 1 firmly contact but sliding contact, and sliding type for contact surface most Small, the smallest rolling friction of friction, greatly reduces the vibration that knife pipe 1 passes to sight glass pipe 205;Again, it is used to support mirror tube Seat 204 the second damping and the body 21 of handle 2 between be not firmly contact but Elastic Contact, greatly reduce body 21 Passing to the vibration of sight glass pipe 205 from mirror tube seat 204, (ultrasonic transducer 201 is inevitable, more or less will drive body 21 shakes It is dynamic).Due to sight glass pipe 205 will not the higher-order of oscillation so that imaging picture will not the higher-order of oscillation therewith, ensure that image quality, Realize the visual function of ultrasound knife.
Embodiment two
Referring to Fig. 4, Fig. 4 is a kind of structural schematic diagram of long-range ultrasonic surgical systems provided in an embodiment of the present invention.Such as The long-range ultrasonic surgical systems of the embodiment of the present invention shown in scheming include control host, endoscope host, cold light source for endoscope, energy Generator, tissue collector, foot controller, wireless router, Wireless mate, child servers, director server, catv terminal, The wireless terminal and the visual ultrasound knife as described in above-described embodiment one, in which:
The cold light source for endoscope is connect by lighting optical cable 228 with the rear end of the body 21 of visual ultrasound knife.Specifically, Cold light source for endoscope is used to provide the medical cold light of illumination, and medical cold light is projected from 205 head end of sight glass pipe, illuminates lesion tissue.
The power generator is connect by energy cable 223 with the rear end of the body 21 of visual ultrasound knife.Specifically, energy Amount generator is used to generate the electric signal of driving ultrasonic transducer 201.
The tissue collector is connect by hose with the rear end of the body 21 of visual ultrasound knife.Specifically, tissue collecting Device generates negative pressure by air pump to form the power of suction residue tissue, aspirates the residue tissue to come for storing knife pipe 1 And tissue fluid.
The visual ultrasound knife includes radio transmitter plate 239, the radio transmitter plate 239 and wireless router Foundation has local area network wireless connection, and the radio transmitter plate 239 is used for high definition image signal transmitting to wireless router, And receive the operation control instruction that wireless router is sent.Specifically, on the one hand, visual ultrasound knife is by high definition video signal It is sent to wireless router by local area network, on the other hand, wireless router will control host and (optionally, be also possible to wired Terminal and wireless terminal) operation control instruction be sent to by local area network (corresponding optional, be also possible to internet) it is visual Ultrasound knife, visual ultrasound knife make corresponding response according to operation control instruction in turn, as switch-mode regulation, magnitude of vibrations are adjusted Deng.
The control host includes Wireless Transmitter, and the Wireless Transmitter and wireless router foundation have local area network wireless Connection, the Wireless Transmitter are sent to wireless router for the control instruction that will perform the operation, and receive wireless router transmission The high definition video signal come.
The endoscope host and control host establish wired connection, and the endoscope host is for receiving control host hair The high definition video signal sent, and further make image optimization.The endoscope host further includes monitor, and the monitor is used According to the high definition video signal display surgical operation images after making image optimization;
The foot controller and control host establish wired connection, what the foot controller was used to input medical matters person Foot-operated control instruction is sent to control host, so that control host generates operation control according to foot-operated control instruction and other instructions Instruction, such as: if the pedal of foot controller is trampled in exacerbation, generate the operation control instruction for increasing ultrasound knife vibration output.
The Wireless mate and wireless router foundation have local area network wireless connection, and the Wireless mate is wireless for receiving The high definition video signal that router is sent.Optionally, it can be used for receiving the hand that catv terminal and wireless terminal are sent Art control instruction.
The child servers and Wireless mate electrical plug, the child servers are for receiving the high definition that Wireless mate is sent Video signal.Optionally, the Wireless mate is the wireless communication module with universal serial bus (USB) interface.
The catv terminal and wireless terminal have Internet connection with child servers foundation, are used to receive sub- clothes The high definition video signal that business device is sent, and surgical operation images are shown to operator according to high definition video signal.It optionally, can also root Operation control instruction is generated according to the operational order of user's input.Optionally, the catv terminal is desktop computer or notebook electricity Brain etc., wireless terminal are smart phone, tablet computer, smartwatch or laptop etc..
The director server has interconnection with the foundation of multiple child servers, multiple catv terminals and multiple wireless terminals respectively Net network connection, the surgical operation images uploaded for collecting child servers, catv terminal or wireless terminal.
In the embodiment of the present invention, configuring in the handle 2 and control host of visual ultrasound knife has wireless communication assembly, so that Visual ultrasound knife, control host, catv terminal and wireless terminal are linked together by wireless network, to form Internet of Things. Optionally, by the Internet of Things of building, the remote-controllable of hepatobiliary surgery may be implemented (as remotely controlled by smart phone The output level of visual ultrasound knife adjusts lens focus etc.), remote visible.In addition, may be implemented by the Internet of Things of building The remote-controllable of hepatobiliary surgery is (as remotely controlled the output level of visual ultrasound knife by smart phone, adjusting camera lens coke Away from etc.), remote visible.
Therefore in the embodiment of the present invention, long-range ultrasonic surgical systems include wireless router, Wireless mate, sub- clothes Business device, director server, catv terminal, wireless terminal, control host and visual ultrasound knife, and 2 He of handle of the visual ultrasound knife It is each equipped with wireless communication assembly in control host, so that passing through wireless network for visual ultrasound knife, control host, total service Device, catv terminal and wireless terminal link together.To which the catv terminal and wireless terminal of distal end can show visual ultrasound knife The surgical operation images sent realize remote visualization function;Director server collects multiple child servers, multiple catv terminals The surgical operation images uploaded with multiple wireless terminals realize and collect image big data function.
The above disclosure is only the preferred embodiments of the present invention, and the description thereof is more specific and detailed, certainly cannot be with This interest field to limit the present invention, therefore equivalent changes made in accordance with the claims of the present invention still belong to the present invention and are covered Range.It should be pointed out that for those of ordinary skill in the art, without departing from the inventive concept of the premise, Various modifications and improvements can be made, and these are all within the scope of protection of the present invention.

Claims (10)

1. a kind of visual ultrasound knife for liver and gall surgical department, which is characterized in that the visual ultrasound knife includes knife pipe and handle, institute Stating handle includes body and handle, and the handle is formed in the lower end of body, and the knife pipe is plugged on the front end of body;It is described can It further include the ultrasonic transducer being set in body, amplitude transformer, the first connector, mirror tube seat, the first damping depending on ultrasound knife With the second damping, and the sight glass pipe being set in knife pipe and body, in which:
The ultrasonic transducer is connect with amplitude transformer, for generating the axial higher-order of oscillation and passing to amplitude transformer;
The amplitude transformer is arranged in parallel in the axial direction with knife pipe, and is fixedly connected by the first connector with knife pipe, is used for axis To the higher-order of oscillation concentration act on knife pipe;
The sight glass pipe is arranged in knife pipe, and is not in contact with each other with the inner wall of knife pipe, and mirror tube seat, the sight glass are fixed in its rear end Pipe is for acquiring optical image;
First damping is fixed on sight glass pipe, and can be slid axially along the inner wall of knife pipe, for supporting sight glass pipe On knife pipe, and reduce the vibration that knife pipe passes to sight glass pipe;First damping includes support sleeve and ball, the branch Support set fixation is set on sight glass pipe, and the rear end inner wall of the knife pipe is formed with the recessed portion for accommodating support sleeve, the support sleeve On open up fluted, the ball is mounted in groove and is arranged between support sleeve and recessed portion, and the support sleeve passes through rolling Pearl can slide axially in the recessed portion of knife pipe;
Second damping is fixed on mirror tube seat, and is connected on body, is used for mirror tube seat supports in body, and Reduce the vibration that body passes to mirror tube seat.
2. being used for the visual ultrasound knife of liver and gall surgical department as described in claim 1, which is characterized in that the first damping packet 4 balls are included, first damping further includes the first sealing ring and the second sealing ring;It is offered on the support sleeve The groove of 4 square-sections, 4 balls are separately mounted in corresponding groove;The outer wall of the support sleeve is along week To the first fin and the second fin for being formed with annular, first fin and the second fin along support sleeve axial direction one in front and one in back Arrangement, wherein 2 grooves are located at before the first fin, in addition 2 grooves are described between the first fin and the second fin The fixation of first sealing ring is set on the first fin, and the second sealing ring fixation is set on the second fin;The support sleeve Material be corrosion protection steel.
3. being used for the visual ultrasound knife of liver and gall surgical department as described in claim 1, which is characterized in that the second damping packet Include mounting base, fixed station, connecting rod, 6 support columns and 7 damping springs;The mounting base is fixed at the inner wall of body, The fixed station is fixed in mounting base;One end of the connecting rod is fixed at the rear end of mirror tube seat, the connection The other end activity of bar is plugged in mounting base, wherein 1 damping spring is set in connecting rod, and is against mirror tube seat and installation Between seat;One end of 6 support columns is respectively fixedly disposed at the side of mirror tube seat, and activity is plugged on body to the other end respectively Inner wall on, in addition 6 damping springs are respectively sleeved on corresponding support column, and are against between mirror tube seat and body;Described 6 It is arranged in parallel between a support column, it is vertically arranged between the connecting rod and support column.
4. being used for the visual ultrasound knife of liver and gall surgical department as claimed in claim 2, which is characterized in that the visual ultrasound knife also wraps Include the elastic connecting pipe, suction channel and leak-proof check ring being set in body;Space between the knife pipe and sight glass pipe is to take out Channel is inhaled, for aspirating residue tissue;Position before the knife Guan Qi recessed portion offers bifurcation mouth, the knife Guan Fen Fork pipelines are extended outward to form at fork, the fork pipelines are connected to suction channel;The leak-proof check ring inner sleeve is in knife pipe Position between the recessed portion and bifurcation mouth of inner wall, the spacing between the leak-proof check ring and sight glass pipe is less than 0.1mm, described anti- It leaks and is seamlessly transitted between the front end face of retaining ring and the inner wall of fork pipelines;The rear ends of the fork pipelines and elastic connecting pipe Front end connection, the rear end of the elastic connecting pipe is connected to the front end of suction channel, the elastic connecting pipe can axial stretching, institute Suction channel is stated to be fixed on the inner wall of body;The rear end of the suction channel extends to the rear end of body, and by soft Pipe is connected to outside organization's collector, and outside organization's collector generates negative pressure by air pump to form suction residue tissue Power, the pressure value of the negative pressure is greater than 0.15Mpa.
5. being used for the visual ultrasound knife of liver and gall surgical department as described in claim 1, which is characterized in that the visual ultrasound knife also wraps Include the ring flange being set in body, the second connector and energy cable;The ring flange housing is used on ultrasonic transducer Reduce the vibration that ultrasonic transducer passes to body;The ultrasonic transducer is connect by the second connector with amplitude transformer, described Second connector is cap-shaped structure, and cap nest is mounted on the front end of ultrasonic transducer, and cap point is mounted on the rear end of amplitude transformer;Institute Stating amplitude transformer is horn,stepped, and the diameter of the leading portion of the amplitude transformer is less than the diameter in middle section, the middle section of the amplitude transformer Diameter be greater than the diameter of back segment, the length of the leading portion of the amplitude transformer is greater than the length of rear end;First connector is The integrated molding component of small one and large one through-hole is offered, the leading portion of the amplitude transformer is fixedly plugged in small through-hole, the knife The fixed inner sleeve of pipe is in big through-hole;The front end of the energy cable is electrically connected with ultrasonic transducer, after the energy cable End is stretched out from the rear end of body and is electrically connected with external energy generator, and the energy cable is for transmitting driving ultrasonic transducer Electric signal.
6. being used for the visual ultrasound knife of liver and gall surgical department as described in claim 1, which is characterized in that the use of the sight glass pipe is straight Diameter range is the ultra-fine hard sight glass of 0.7~1mm;Imaging len, image-carrying fiber bundle and illumination light are installed in the sight glass pipe The front port of sight glass pipe is arranged in fibre, the imaging len, and the front end of the image-carrying fiber bundle and the rear end of imaging len connect, The entirety that the imaging len and image-carrying fiber bundle are constituted is set side by side with lighting fiber;Convergence is installed in the mirror tube seat Lens, light path converting seat, optical interface circuit board and imaging sensor, after the light inlet and image-carrying fiber bundle of the convergent lens End connection, tiltedly to the light-emitting window of convergent lens, the optical interface circuit board is arranged in mirror tube seat the mirror surface of the light path converting seat Lower end, described image sensor is arranged on optical interface circuit board and tiltedly to the mirror surface of light path converting seat, the light path converting Image light reflection of the seat for projecting the light-emitting window of convergent lens is on the image sensor;Described image sensor will be for that will adopt The image light of collection is converted to video signal, and described image sensor is high pixel CMOS (Complementary Metal Oxide Semiconductor, complementary metal oxide semiconductor) chip;The lighting fiber is arranged in mirror tube seat, the visual ultrasound Knife further includes the lighting optical cable for being set to body, and the front end of the lighting optical cable is connected with the rear end of lighting fiber, the illumination The rear end of optical cable is connect with exterior endoscope cold light source, for conducting cold light to illuminate operation viewing area.
7. being used for the visual ultrasound knife of liver and gall surgical department as claimed in claim 6, which is characterized in that the visual ultrasound knife also wraps The press button mechanism and button circuit board for being set to handle are included, the press button mechanism is electrically connected with button circuit board;It is described visual super Sound knife further includes the button through handle two sides, and between body and handle, and the button is electrically connected with button circuit board It connects;The press button mechanism includes trigger, shaft, sliding slot, retention bead and pulley, and the trigger is connected by shaft and handle rotation It connects, the sliding slot of cooperation rotation is offered on the trigger, the retention bead is arranged on handle and passes through sliding slot, the pulley The part of the exposing handle of trigger is set.
8. being used for the visual ultrasound knife of liver and gall surgical department as claimed in claim 7, which is characterized in that the visual ultrasound knife also wraps Include the first high-speed transfer bus being set in handle, the second high-speed transfer bus, image processing circuit plate, radio transmitter Plate and transmitting antenna;One end of the first high-speed transfer bus and optical interface circuit board electrical connection, first high-speed transfer The other end of bus is electrically connected with button circuit board, and one end of the second high-speed transfer bus is electrically connected with button circuit board, The other end of the second high-speed transfer bus is electrically connected with image processing circuit plate, the first high-speed transfer bus and second High-speed transfer bus is used to for video signal being transmitted to image processing circuit plate, and described image processing circuit plate is used to believe image It number carries out image procossing and exporting high definition video signal;One end of the transmitting antenna is electrically connected with radio transmitter plate, institute Transmitting antenna is stated along the arrangement setting of the edge of handle, the radio transmitter plate is electrically connected with image processing circuit plate, is used for The high definition video signal that image processing circuit plate exports is emitted in the air by transmitting antenna.
9. a kind of long-range ultrasonic surgical systems for liver and gall surgical department, which is characterized in that the long-range ultrasonic surgical systems include Control host, endoscope host, cold light source for endoscope, power generator, tissue collector, foot controller, wireless router, Wireless mate, child servers, director server, catv terminal, wireless terminal and as described in claim 1-8 any one can Depending on ultrasound knife, in which:
The cold light source for endoscope is connect by lighting optical cable with the rear end of the body of visual ultrasound knife;
The power generator is connect by energy cable with the rear end of the body of visual ultrasound knife;
The tissue collector is connect by hose with the rear end of the body of visual ultrasound knife;
The visual ultrasound knife includes radio transmitter plate, and the radio transmitter plate and wireless router foundation have local Net is wirelessly connected, and the radio transmitter plate is used for high definition image signal transmitting to wireless router, and is received wireless The operation control instruction that router is sent;
The control host includes Wireless Transmitter, and the Wireless Transmitter and wireless router foundation have local area network wireless company It connects, the Wireless Transmitter is sent to wireless router for the control instruction that will perform the operation, and receives wireless router and send High definition video signal;
The endoscope host and control host establish wired connection, and the endoscope host is sent for receiving control host High definition video signal, and further make image optimization;The endoscope host further includes monitor, and the monitor is used for root Surgical operation images are shown according to the high definition video signal after image optimization is made;
The foot controller and control host establish wired connection, and the foot controller is used to input medical matters person foot-operated Control instruction is sent to control host, refers to so that control host generates operation control according to foot-operated control instruction and other instructions It enables;
The Wireless mate and wireless router foundation have local area network wireless connection, and the Wireless mate is for receiving wireless routing The high definition video signal that device is sent;
The child servers and Wireless mate electrical plug, the child servers are for receiving the high definition image that Wireless mate is sent Signal;
The catv terminal and wireless terminal have Internet connection with child servers foundation, are used to receive child servers The high definition video signal of transmission, and surgical operation images are shown to operator according to high definition video signal;
The director server has internet net with the foundation of multiple child servers, multiple catv terminals and multiple wireless terminals respectively Network connection, the surgical operation images uploaded for collecting child servers, catv terminal or wireless terminal.
10. being used for the long-range ultrasonic surgical systems of liver and gall surgical department as claimed in claim 9, which is characterized in that the wireless hair One-to-one matching relationship is pre-established with by wireless router between transmit-receive radio road plate and Wireless Transmitter;The Wireless mate is Wireless communication module with Universal Serial Bus Interface;The catv terminal is desktop computer or laptop;It is described wireless Terminal is smart phone, tablet computer, smartwatch or laptop.
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