CN109223073A - Magnetic auxiliary member and Minimally Invasive Surgery auxiliary device with magnetic auxiliary member - Google Patents
Magnetic auxiliary member and Minimally Invasive Surgery auxiliary device with magnetic auxiliary member Download PDFInfo
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- CN109223073A CN109223073A CN201811404513.3A CN201811404513A CN109223073A CN 109223073 A CN109223073 A CN 109223073A CN 201811404513 A CN201811404513 A CN 201811404513A CN 109223073 A CN109223073 A CN 109223073A
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- China
- Prior art keywords
- auxiliary member
- locating part
- magnetic
- arresting disk
- hole
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
Abstract
It include: the first locating part the present invention provides a kind of magnetic auxiliary member and Minimally Invasive Surgery auxiliary device, magnetic auxiliary member, including the first position-arresting disk, through the first through hole of first position-arresting disk；Second locating part, including the second position-arresting disk, through the second through-hole of second position-arresting disk；At least one magnetic tube between first locating part and second locating part, the magnetic tube is interior to have third through-hole；First locating part, at least one described magnetic tube, the second locating part are connected by connecting line across first through hole, third through-hole, the second through-hole；The magnetism auxiliary member, at least one magnetic tube is limited by the first locating part, connecting line and the second locating part, the quantity of magnetic tube can be adjusted arbitrarily as needed, and the magnetic tube of middle section connects under the guidance of magnetic attraction and connecting line, it can guarantee magnetic auxiliary member in the curved situation of interior mirror mirror body height, pincers road is still passed through, the clinical operational requirements of ESD operation are met.
Description
Technical field
The present invention relates to a kind of auxiliary devices of Minimally Invasive Surgery, more particularly to a kind of magnetic auxiliary that can assist expanding visual area
Part and Minimally Invasive Surgery auxiliary device with the magnetism auxiliary member.
Background technique
Minimally Invasive Surgery, as the therapeutic modality for changing traditional surgery mode, with its bleeding is few, wound is small, to internal organs
Many advantages, such as function effect is small, rehabilitation is fast, postoperative complications are few, wins hospital and the favor of doctor, and in many surgery hands
Substantive breakthroughs and application are obtained in art.When the advantage of Minimally Invasive Surgery is more and more accepted, defect is also gradually
It reveals, for example learning time extension, the operation precision requirement of doctor are higher；Traditional operation instrument, which has been unable to meet, to be needed
It asks, needs to continuously improve even innovation completely, and not only range is wide for the technical aspect involved by this, but also needs the skill in forward position
Art is innovated to incorporate, to meet specific demand required for Minimally Invasive Surgery.
ESD (endoscopic submucosal dissection, endoscopic mucosal under decollement), as a kind of minimally invasive hand
Art, in excision gastrointestinal mucosal early-stage cancer, (cancerous tumor cell is confined to mucous layer or submucosa, should be able between lesion and muscle layer
See the boundary of complete submucosa) aspect achieved many clinical applications and broken through, be widely recognized as by hospital.
But this Minimally Invasive Surgery, it is more much higher than merely doing endoscopy to the operation skill requirement of doctor, so that this leads
The professional in domain is more deficient at home.The clearly visual field how is presented under mucous membrane and facilitates cutting, becomes doctor and guarantees ESD
The difficulty that the key point of successful surgery and direct requirement face.Currently, doctor is pressed from both sides frequently with titanium hangs connecting line drawing, folder
It solves the problems, such as that this cutting visual field is bad with means such as drawing, tissue forceps clamp drawing, hyaline cap auxiliary, but does not have universal
Applicability.
For example, the direction of draw that titanium folder hangs connecting line drawing method is limited, drawing method is carried secretly because having to operating space
It asks and is not suitable for esophagus ESD treatment；Tissue forceps clamp drawing method needs to complete using the road Shuan Qian scope；Hyaline cap auxiliary law
It is just effective in the mucous membrane cutting second half section.
In view of this, the Minimally Invasive Surgery auxiliary dress it is necessary to provide a kind of magnetic auxiliary member and with the magnetism auxiliary member
It sets.
Summary of the invention
In view of the problems of the existing technology the present invention, its purpose is to provide a kind of magnetic auxiliary member and has the magnetism
The Minimally Invasive Surgery auxiliary device of auxiliary member.
To achieve the above object, the present invention provides a kind of magnetic auxiliary members (11), comprising: the first locating part (111), institute
Stating the first locating part (111) includes the first position-arresting disk (1111), the first through hole for running through first position-arresting disk (1111)
(1112)；Second locating part (112), second locating part (112) include the second position-arresting disk (1121), through second limit
The second through-hole (1122) of position disk (1121)；Between first locating part (111) and second locating part (112)
At least one magnetic tube (113), the magnetic tube (113) is interior to have third through-hole (1131)；Connecting line (114) passes through first through hole
(1112), third through-hole (1131), the second through-hole (1122) are by first locating part (111), at least one described magnetic tube
(113), the second locating part (112) is connected.
As a further improvement of the present invention, first locating part (111) further includes from first position-arresting disk
(1111) the first limited post (1113) protruded out to side, the first through hole (1112) are prolonged along first limited post (1113)
Direction is stretched through first position-arresting disk (1111) and first limited post (1113)；And/or second locating part (112)
It further include the second limited post (1123) protruded out from second position-arresting disk (1121) to side, the second through-hole (1122) edge
Second limited post (1123) extending direction runs through second position-arresting disk (1121) and second limited post (1123)；And
Length of the sum of the length of first limited post (1113) and the second limited post (1123) no more than at least one magnetic tube (113)
Degree.
As a further improvement of the present invention, the outer wall of first position-arresting disk (1111) is equipped with anti-skid structure.
As a further improvement of the present invention, the anti-skid structure is from the periphery wall edge of first position-arresting disk (1111)
It radially outward protrudes out and several raised (1114) of circumferentially spaced setting；Or the anti-skid structure is from first limit
The periphery wall of position disk (1111) is recessed radially inward and several grooves of circumferentially spaced setting；Or first limit
The periphery wall of disk (1111) is along the circumferential direction wave-shaped.
As a further improvement of the present invention, first limited post (1113) is deviated from first position-arresting disk (1111)
Side have several convex blocks (1115).
As a further improvement of the present invention, one end of the connecting line (114) is node (1141), and the other end is to use
The adjustable ring of diameter (1142) that the knot tying fashion of scafford hitch, midshipman' s hitch or Slipped Clove Hitch is formed.
As a further improvement of the present invention, one end of the connecting line (114) is node (1141), and the other end is diameter
Fixed ring (1143).
As a further improvement of the present invention, one end of the connecting line (114) is using scafford hitch, midshipman' s hitch or Slipped Clove Hitch
The adjustable ring of diameter (1142) that is formed of knot tying fashion, the other end is the fixed ring (1143) of diameter；Or the connecting line
(114 both ends are the adjustable ring of diameter (1142) formed using the knot tying fashion of scafford hitch, midshipman' s hitch or Slipped Clove Hitch；Or institute
The both ends for stating connecting line (114) are the fixed ring (1143) of diameter.
As a further improvement of the present invention, first locating part 111 is equipped with for accommodating the connecting line (114)
The accommodating chamber of line end.
As a further improvement of the present invention, first locating part (111) and the second locating part (112) by plastics, no
Rust steel or magnet are made.
As a further improvement of the present invention, the surface of the magnetic tube (113) is coated with bio-compatibility film, the biology
The material of compatible film is titanium, titanium nitride, titanium oxide, nickel, nickel oxide, Parylene or fluoride.
For achieving the above object, the present invention also provides a kind of Minimally Invasive Surgery auxiliary devices, comprising: device outside
(2), the device outside includes providing the external magnetic generation device of rotary magnetic field；Vivo devices (1), the vivo devices (1)
Including above-mentioned magnetic auxiliary member (11), the fixing clamp (12) being connect with the magnetic auxiliary member (11).
The beneficial effects of the present invention are: magnetic auxiliary member of the invention, passes through the first locating part, connecting line and the second limit
Part limits at least one magnetic tube, and the quantity of magnetic tube can be adjusted arbitrarily as needed, and the magnetic tube of middle section is in magnetic attraction and company
It is connected under the guidance of wiring, can guarantee that magnetic auxiliary member in the curved situation of interior mirror mirror body height, still passes through pincers
Road meets the clinical operational requirements of ESD operation.
Detailed description of the invention
Fig. 1 is a preferred embodiment of the present invention the structural schematic diagram of magnetic auxiliary member；
Fig. 2 is the cross-sectional view of the magnetic auxiliary member of another preferred embodiment of the present invention；
Fig. 3 is the structural schematic diagram of the magnetic auxiliary member of another embodiment of the present invention；
Fig. 4 is that magnetic auxiliary member shown in Fig. 3 removes the structural schematic diagram after connecting line；
Fig. 5 is the structural schematic diagram of the magnetic auxiliary member of another preferred embodiment of the present invention；
Fig. 6 is that magnetic auxiliary member shown in fig. 5 removes the structural schematic diagram after connecting line；
Fig. 7 is the using process diagram of magnetism auxiliary member shown in FIG. 1 to FIG. 6；
Fig. 8 is the structural schematic diagram of the magnetic auxiliary member of another preferred embodiment of the present invention；
Fig. 9 is the using process diagram of magnetic auxiliary member shown in Fig. 8；
Figure 10 is the structural schematic diagram of the magnetic auxiliary member of another preferred embodiment of the present invention；
Figure 11 is the using process diagram of magnetic auxiliary member shown in Fig. 10；
Figure 12 is the structural schematic diagram of device outside of the invention.
Specific embodiment
Hereinafter, the present invention will be described in detail with reference to various embodiments shown in the accompanying drawings.But these embodiments are not
The limitation present invention, the transformation in structure or function that those skilled in the art are made according to these embodiments are wrapped
Containing within the scope of the present invention.
It please refers to shown in Fig. 1~Figure 11, is the magnetic auxiliary member 11 of present pre-ferred embodiments, dress can be generated in outer magnetic
It moves and/or rotates under the control set.It is described magnetism auxiliary member 11 to be fixed with 12 phase of fixing clamp, and fixing clamp 12 with wait lead
After the lesion of drawing is fixed, the magnetism auxiliary member 11 drives fixing clamp 12 connected to it, quilt under the control of outer magnetic generation device
The mucous membrane 3 that fixing clamp 12 clamps is mobile and/or rotates, and can pull as needed mucous membrane 3 in ESD operation, expand visual area.
The fixing clamp 12 is usually Medical hemostatic clamp, haemostatic clamp, titanium folder etc., clamps lesion in tong-like with method of clamping
Deng, and material is usually medical material, such as pure titanium or titanium alloy.
As shown in FIG. 1 to FIG. 6, Fig. 8 and Figure 10, the magnetism auxiliary member 11 includes the first locating part 111, the second locating part
112, at least one magnetic tube 113 between first locating part 111 and second locating part 112, connection described the
The connecting line 114 of one locating part 111 and described at least one magnetic tube 113 and second locating part 112.Wherein, the magnetic tube
113 be the functional component of the magnetic auxiliary member 11, and material can be the permanent magnetism material such as ferrite, neodymium iron boron, SmCo or alnico
Material.It is protected in addition, the surface of the magnetic tube 113 can also be coated with bio-compatibility film, can be risen when through pincers road
To the effect for reducing friction, protection pincers road inner cavity.
The bio-compatibility film is titanium, titanium nitride, titanium oxide, nickel, nickel oxide, Parylene or fluoride etc., fluorination
Object is preferably polytetrafluoroethylene (PTFE).
It will be understood by those skilled in the art that: " at least one magnetic tube 113 " can be a magnetic tube as shown in Figure 1
113, suitable for operative space than narrow situation.It is provided in the overall size and device outside of at least one magnetic tube 113
Magnetic picture in the case where, only be arranged a magnetic tube 113 turnup torque it is bigger than the turnup torque of multiple magnetic tubes 113.
" at least one magnetic tube 113 " can also show multiple magnetic tubes 113 such as Fig. 2~Fig. 6, Fig. 8 and Figure 10；Multiple magnetic tubes
113 tissues become biggish magnet, can guarantee magnetic auxiliary member 11 in the curved situation of scope mirror body height, still smoothly
By clamping road, meet the clinical operational requirements of ESD operation.The number of the magnetic tube 113 determines by the size of lesion to be pulled,
Lesion is bigger, and the number of the magnetic tube 113 is more, and vice versa.113 polarization direction of magnetic tube is radial polarization, at this time institute
There is the polarization direction of magnetic tube 113 identical.Certainly, 113 polarization direction of magnetic tube may be radial polarised, at this point, the magnetic
Property auxiliary member 11 include connecting composition before and after odd number magnetic tube 113 passes through magneticaction under the connecting of the connecting line 114, phase
The polarization direction of adjacent two magnetic tubes 113 is opposite.
First locating part 111, second locating part 112 and the connecting line 114 are to will be described at least one
Magnetic tube 113 connects into a magnetic entirety.First locating part 111 and the second locating part 112 can by plastics, stainless steel or
The materials such as magnet are made.
Specifically, it please refers to shown in Fig. 2, first locating part 111 includes the first position-arresting disk 1111, runs through described first
The first through hole 1112 of position-arresting disk 1111；Second locating part 112 includes the second position-arresting disk 1121, through second limit
Second through-hole 1122 of disk 1121；There is third through-hole 1131 in the magnetic tube 113；One end of the connecting line 114 is formed directly
The first position limiting structure that diameter is greater than the first through hole 1112 makes it be positioned at first locating part 111 away from magnetic tube 113
Side, the other end sequentially passes through first through hole 1112, the third through-hole 1131 of at least one magnetic tube 113, the second through-hole 1122 will
First locating part 111, at least one described magnetic tube 113, the second locating part 112 are connected, and then form diameter and are greater than institute
The second position limiting structure for stating the second through-hole 1122 makes it be positioned at the side that second locating part 112 deviates from magnetic tube 113.
Further, first locating part 111 further includes first protruded out from first position-arresting disk 1111 to side
Limited post 1113, the first through hole 1112 run through first position-arresting disk 1111 along 1113 extending direction of the first limited post
With first limited post 1113；And/or second locating part 112 further includes convex to side from second position-arresting disk 1121
The second limited post 1123 stretched, second through-hole 1122 is along 1123 extending direction of the second limited post through second limit
Position disk 1121 and second limited post 1123；And first the sum of the length of limited post 1113 and the second limited post 1123 be not more than
The length of at least one magnetic tube 113.When assembly, the first limited post 1113 and the second limited post 1123 play magnetic tube 113
Limit or guide function, but not effect of contraction is played to the magnetic tube of middle section 113.
As shown in Figure 1, when only one described magnetic tube between first locating part 111 and second locating part 112
When 113, first limited post 1113 and second limited post 1123 protrude into the magnetic tube from the both ends of the magnetic tube 113 respectively
It is limited in 113 third through-hole 1131.
As shown in Fig. 2, when having multiple magnetic tubes between first locating part 111 and second locating part 112
When 113, first limited post 1113, second limited post 1123 respectively limit the magnetic tube 113 for being located at both ends
Position, the magnetic tube 113 of middle section can be acted on by the magnetic of adjacent magnetic tube 113, the collaboration of connecting line 114 is limited, and in
Between part multiple magnetic tubes 113 not by the constraint of first limited post 1113, the second limited post 1123, can occur certain
Bending deformation, to adapt to the demand of the enteron aisle of differently curved degree.
It separately please refers to shown in Fig. 3~Fig. 6, the outer wall of first position-arresting disk 1111 is equipped with anti-skid structure, is using
It can prevent from skidding in journey, the active force between enhancing and mucous membrane 3 can preferably pull lesion.
Referring particularly to shown in Fig. 3 and Fig. 4, first position-arresting disk 1111 has from the periphery of first position-arresting disk 1111
Wall radially protrude out and circumferentially spaced setting several raised 1114；Also, several raised 1114 numbers are divided
Cloth spacing, height etc., which can according to need, does adaptation.Several described raised 1114 constitute a kind of anti-skid structure,
It can reduce when the magnetic auxiliary member 11 contradicts the mucous membrane 3 wait pull and a possibility that skidding along axial line occur.
Or first position-arresting disk 1111 have be recessed radially inward from the periphery wall of first position-arresting disk 1111 and
Several grooves of circumferentially spaced setting；Also, number, distribution spacing, depth of several grooves etc. can be according to need
Do adaptation.Partition wall between several grooves and/or the adjacent groove also constitutes a kind of anti-Slipped Clove Hitch
Structure can reduce when the magnetic auxiliary member 11 contradicts the mucous membrane 3 wait pull and a possibility that skidding along axial line occurs.
Or the periphery wall of first position-arresting disk 1111 is along the circumferential direction wave-shaped, the wavy periphery wall is by along institute
The wave crest projected radially outward for stating the first position-arresting disk 1111 and the trough being recessed inwardly are arranged alternately, wave crest and/or trough
A kind of anti-skid structure is constituted, can reduce when the magnetic auxiliary member 11 contradicts the mucous membrane 3 wait pull and occur along axial line
A possibility that skidding.
Referring particularly to shown in Fig. 5 and Fig. 6, the side of first limited post 1113 is deviated from first position-arresting disk 1111
With several convex blocks 1115, several convex blocks 1115 also constitute a kind of anti-skid structure, make magnetic auxiliary member 11 in turnup
It more reliably contradicts on mucous membrane 3 in the process, keeps fulcrum more reliable.
The connecting line 114 can be selected but be not limited to the suturees such as nylon wire, polypropylene (Pu Luolin).
Specifically, it please refers to shown in FIG. 1 to FIG. 3, Fig. 5, one end of the connecting line 114 is node 1141, and the other end is
It is formed using the knot tying fashion of scafford hitch (scafford), midshipman' s hitch (midshipmans_hitch) or Slipped Clove Hitch (slip knot)
The adjustable ring 1142 of diameter；The knotting method of scafford hitch, midshipman' s hitch or Slipped Clove Hitch can refer to No. 201510661964.5 China
Patent application.
The adjustable ring 1142 of node 1141, diameter can be used as first position limiting structure or second position limiting structure.
And the adjustable ring 1142 of diameter has a tension line segment, can tighten this ring by pulling the tension line segment, being convenient for will be magnetic
Auxiliary member 11 and fixing clamp 12 are held together.For example, line segment and the first locating part 111, magnetic tube 113 and the second locating part will be tensed
112 connections, the adjustable ring 1142 of diameter is sheathed on fixing clamp 12, by pulling the first locating part 111, magnetic tube 113, second
Locating part 112 can tense the ring 1142 of the composition of connecting line 114, thus by the fixing clamp 12 and 11 shape of the magnetic auxiliary member
At an entirety.
Preferably, first locating part 111 is equipped with accommodating chamber for accommodating the line end of connecting line 114, can be to avoid
It is impeded between line end and mucous membrane 3.In general, node 1141 has no the connection function with fixing clamp 12, it is contained in the receiving
It is intracavitary.In the present embodiment, the node 1141 is as the first position limiting structure and is contained in the accommodating chamber；The adjustable ring of diameter
It is located at the side of second locating part 112 as the second position limiting structure.
Preferably, second locating part 112 is equipped with the boss of an adaptation scope attachment, and it is attached which can be contained in scope
In the road Jian Qian.The scope attachment is used to the magnetic auxiliary member 11 and fixing clamp 12 being fixed on mucous membrane 3 to be pulled, and can be
Hemostatic clamp release 4 or titanium folder release etc..
Referring to Fig. 7, and using hemostatic clamp as fixing clamp 12 for shown in FIG. 1 to FIG. 6 it is described magnetism auxiliary member 11
Application method is illustrated: (a) first hemostatic clamp being inserted in the variable ring of diameter, and pulls the first of the magnetic auxiliary member 11
Locating part 111, magnetic tube 113, the second locating part 112, tightening ring simultaneously mutually fix magnetic auxiliary member 11 with hemostatic clamp；(b) it is closed
Hemostatic clamp waits hemostatic clamp merging hemostatic clamp release 4 in scopes attachment；(c) hemostatic clamp, the magnetic auxiliary member 11 are set
Enter in the scopes attachmentes such as hemostatic clamp release 4；(d) by magnetic auxiliary member 11 and stopped by scopes attachmentes such as hemostatic clamp releases 4
The road Xue Jiacongqian pushes to 3 edge of mucous membrane to be cut in body cavity；(e) release hemostatic clamp and magnetic auxiliary member 11, and hemostatic clamp
It is sandwiched in 3 edge of mucous membrane；The subsequent movement and/or rotation that the magnetic auxiliary member 11 can be controlled by external magnetic field device, makes
3 turnup of mucous membrane is obtained, visual area is expanded.
The magnetism auxiliary member 11 is connect by the way of above-mentioned shrinkable coil with fixing clamp 12, and doctor can be facilitated quick
Operation.
In other embodiments, it please refers to shown in Fig. 8, one end of the connecting line 114 is node 1141, and the other end is straight
The fixed ring 1143 of diameter.The fixed ring 1143 of node 1141, diameter is limited in the first locating part 111, the second locating part respectively
112 deviate from the side of the magnetic tube 113.In use, after a clamping limb on fixing clamp 12 passes through the fixed ring 1143 of diameter
With another clamping limb fasten will the magnetism auxiliary member 11 fix with 12 phase of fixing clamp, when usual two clamping limbs fastening, presss from both sides simultaneously
Mucous membrane 3 to be pulled is held, so that three is relatively fixed.
Referring to Fig. 9, and using hemostatic clamp as fixing clamp 12 for be used for method and be illustrated: (a) first with only
Magnetic auxiliary member 11 is pushed to body cavity from pincers road by the scopes attachmentes such as blood folder release 4；(b) hemostatic clamp is stretched out from pincers road, is pressed from both sides
Gripping arm is opened and is passed through from the fixed ring 1143 of diameter；(c) hemostatic clamp for having passed through the fixed ring 1143 of diameter is moved to
3 edge of mucous membrane to be cut；(d) release hemostatic clamp is sandwiched in 3 edge of mucous membrane；The magnetic auxiliary member 11 is controlled by device outside
Movement and/or rotation expand visual area so that 3 turnup of mucous membrane.
Alternatively, please referring to shown in Figure 10, one end of the connecting line 114 is beating using scafford hitch, midshipman' s hitch or Slipped Clove Hitch
The adjustable ring 1142 of the diameter that knot mode is formed, the other end are the fixed ring 1143 of diameter；Or the both ends of the connecting line 114 are equal
For the adjustable ring 1142 of diameter formed using the knot tying fashion of scafford hitch, midshipman' s hitch or Slipped Clove Hitch；Or the two of the connecting line 114
End is the fixed ring 1143 of diameter.It please refers to shown in Figure 11, the both ends of the magnetism auxiliary member 11 can pass through fixing clamp 12
It is fixed on mucous membrane 3, in the movement of magnetic 11 turnup of auxiliary member, the degree for deviateing ideal position can be reduced, improve turnup mucous membrane 3
Successful efficiency.Join mode shown in Fig. 7, Fig. 9 respectively and carry out in the both ends of the fixed ring 1143 of the adjustable ring 1142 of its diameter, diameter
It is fixed.
It please refers to shown in Fig. 1~Figure 12, the present invention also provides a kind of Minimally Invasive Surgery auxiliary devices, including are located at when in use
The internal vivo devices 1 for mutually being fixed with lesion, the device outside 2 that the movement of vivo devices 1 is controlled positioned in vitro.
It please refers to shown in Figure 12, the device outside 2 includes the external magnetic generation device that can provide rotatable magnetic field；Uniformly
Magnetic field can be regarded as uniform magnetic field, approaches uniformity magnetic field, segment space magnetic field be uniform magnetic field；The i.e. described device outside 2 can
Generate the uniform magnetic field for acting on vivo devices 1；Above-mentioned target then may be implemented in rotation uniform magnetic field.The external magnetic generates dress
It sets using spheroidal magnet 21 or Hull nurse hereby coil generation any direction Rotating with Uniform magnetic field.
Specifically, the spheroidal magnet 21 can control its movement and rotation by people or mechanical equipment.
The device outside 2 further includes the mechanical arm 22 of motor (not shown), the three-shaft linkage being driven by motor, spheroidal
Magnet 21 is controlled by mechanical arm 22 to do three-dimensional mobile and/or rotation in space.What the mechanical arm 22 of the three-shaft linkage referred to
It is that can fix spheroidal magnet 21 and the spheroidal magnet 21 can be driven to do three-dimensional mobile and/or rotation in space in vitro
Any mechanical equipment, specific structure is unlimited.How related device outside 2 controls spheroidal magnet 21 is done three-dimensional in space
Mobile and/or two-dimensional rotary, can refer to No. 201310136094.0 Chinese patent.
The vivo devices 1 are consolidated including any one of the above magnetism auxiliary member 11, with what the magnetic auxiliary member 11 was connect
Clamp 12, the fixing clamp 12 are used to fix the magnetic auxiliary member 11 with 3 phase of mucous membrane to be pulled.The magnetism auxiliary member 11
Can due to the rotatable magnetic field of the external magnetic generation device direction change and move and/or rotate accordingly so that sick
Stove can with the direction change in the rotatable magnetic field of the external magnetic generation device and with the speed that can control it is mobile and/or
The angular turn that can also be controlled is wrapped on device 1 in vivo to roll up.
The Minimally Invasive Surgery auxiliary device is suitable for the minimally invasive hand such as decollement, endoscopic inferior mucosa resection under endoscopic mucosal
Lesion is pulled in art, to expand visual area.Specifically, first in one notch of stratum supravasculare tissue dissection of lesion one end, by solid
Clamp 12 fixes vivo devices 1 and the stratum supravasculare tissue of incision mutually, then controls the magnetism by device outside
The movement and/or rotation of auxiliary member 11, so that the lesion cut or removed overcomes gravity, by lesion drawing and submucosa
Tissue or muscle separate, and can expand visual area, improve excision efficiency.
In conclusion magnetic auxiliary member 11 of the invention, passes through the first locating part 111, connecting line 114 and the second locating part
112 limit at least one magnetic tube 113, and are used for the auxiliary device of Minimally Invasive Surgery, by the fixed lesion of fixing clamp 12, by external
Magnetic generation device makes the lesion cut overcome gravity the effect driving vivo devices 1 of magnetic auxiliary member 11, can be more preferable
Ground appears the removing visual field, improves excision efficiency.In addition, the control method of the auxiliary device of Minimally Invasive Surgery, is generated by external magnetic
The uniform magnetic field of device, so that magnet 21 in vitro under the drive of magnetic generation device by lesion volume packet in vivo device 1 in vivo,
So as to preferably expand the visual field.
It should be appreciated that although this specification is described in terms of embodiments, but not each embodiment only includes one
A independent technical solution, this description of the specification is merely for the sake of clarity, and those skilled in the art should will say
As a whole, the technical solution in each embodiment may also be suitably combined to form those skilled in the art can for bright book
With the other embodiments of understanding.
The series of detailed descriptions listed above only for feasible embodiment of the invention specifically
Protection scope bright, that they are not intended to limit the invention, it is all without departing from equivalent implementations made by technical spirit of the present invention
Or change should all be included in the protection scope of the present invention.
Claims (12)
1. it is a kind of magnetism auxiliary member (11), which is characterized in that it is described magnetism auxiliary member (11) include:
First locating part (111), first locating part (111) include the first position-arresting disk (1111), through first limit
The first through hole (1112) of disk (1111)；
Second locating part (112), second locating part (112) include the second position-arresting disk (1121), through second limit
The second through-hole (1122) of disk (1121)；
At least one magnetic tube (113) between first locating part (111) and second locating part (112), it is described
There are third through-hole (1131) in magnetic tube (113)；
Connecting line (114) is limited across first through hole (1112), third through-hole (1131), the second through-hole (1122) by described first
Position part (111), at least one described magnetic tube (113), the second locating part (112) are connected.
2. magnetism auxiliary member (11) according to claim 1, it is characterised in that:
First locating part (111) further includes the first limited post protruded out from first position-arresting disk (1111) to side
(1113), the first through hole (1112) runs through first position-arresting disk along the first limited post (1113) extending direction
(1111) and first limited post (1113)；
And/or second locating part (112) further includes the second limit protruded out from second position-arresting disk (1121) to side
Column (1123), second through-hole (1122) run through second position-arresting disk along the second limited post (1123) extending direction
(1121) and second limited post (1123)；
And first limited post (1113) and the second limited post (1123) the sum of length no more than at least one described magnetic tube (113)
Length.
3. magnetism auxiliary member (11) according to claim 1 or 2, it is characterised in that: first position-arresting disk (1111)
Outer wall is equipped with anti-skid structure.
4. magnetism auxiliary member (11) according to claim 1 or 2, it is characterised in that: the anti-skid structure is from described the
The periphery wall of one position-arresting disk (1111) radially protrudes out and several raised (1114) of circumferentially spaced setting；Or institute
Stating anti-skid structure is to be recessed radially inward from the periphery wall of first position-arresting disk (1111) and circumferentially spaced setting
Several grooves；Or the periphery wall of first position-arresting disk (1111) is along the circumferential direction wave-shaped.
5. magnetism auxiliary member (11) according to claim 1 or 2, it is characterised in that: on first position-arresting disk (1111)
There are several convex blocks (1115) away from the side of first limited post (1113).
6. magnetism auxiliary member (11) according to claim 1, it is characterised in that: one end of the connecting line (114) is knot
Point (1141), the other end are the adjustable ring of diameter (1142) formed using the knot tying fashion of scafford hitch, midshipman' s hitch or Slipped Clove Hitch.
7. magnetism auxiliary member (11) according to claim 1, it is characterised in that: (114 one end is node to the connecting line
(1141), the other end is the fixed ring (1143) of diameter.
8. magnetism auxiliary member (11) according to claim 1, it is characterised in that: one end of the connecting line (114) is to adopt
The adjustable ring of diameter (1142) formed with the knot tying fashion of scafford hitch, midshipman' s hitch or Slipped Clove Hitch, the other end are the fixed ring of diameter
(1143)；Or the both ends of the connecting line (114) are the diameter formed using the knot tying fashion of scafford hitch, midshipman' s hitch or Slipped Clove Hitch
Adjustable ring (1142)；Or the both ends of the connecting line (114) are the fixed ring (1143) of diameter.
9. magnetism auxiliary member (11) according to claim 1, it is characterised in that: first locating part (111), which is equipped with, to be used
In the accommodating chamber for the line end for accommodating the connecting line (114).
10. magnetism auxiliary member (11) according to claim 1, it is characterised in that: first locating part (111) and second
Locating part (112) is made of plastics, stainless steel or magnet.
11. magnetism auxiliary member (11) according to claim 1, it is characterised in that: the surface of the magnetic tube (113) is coated with life
Object compatibility film, the material of the bio-compatibility film are titanium, titanium nitride, titanium oxide, nickel, nickel oxide, Parylene or fluorine
Compound.
12. a kind of Minimally Invasive Surgery auxiliary device, it is characterised in that: include:
Device outside (2), the device outside include providing the external magnetic generation device of rotary magnetic field；
Vivo devices (1), the vivo devices (1) include magnetic auxiliary member (11) described in claim 1~11 any one,
The fixing clamp (12) being connect with the magnetic auxiliary member (11).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811404513.3A CN109223073A (en) | 2018-11-23 | 2018-11-23 | Magnetic auxiliary member and Minimally Invasive Surgery auxiliary device with magnetic auxiliary member |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811404513.3A CN109223073A (en) | 2018-11-23 | 2018-11-23 | Magnetic auxiliary member and Minimally Invasive Surgery auxiliary device with magnetic auxiliary member |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109223073A true CN109223073A (en) | 2019-01-18 |
Family
ID=65076352
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811404513.3A Pending CN109223073A (en) | 2018-11-23 | 2018-11-23 | Magnetic auxiliary member and Minimally Invasive Surgery auxiliary device with magnetic auxiliary member |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN109223073A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113425347A (en) * | 2021-08-25 | 2021-09-24 | 深圳市资福医疗技术有限公司 | Conveying structure and ESD magnetic anchoring clamp applying same |
Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040050395A1 (en) * | 2002-09-13 | 2004-03-18 | Pentax Corporation | Magnetic anchor remote guidance system |
| US20070135678A1 (en) * | 2005-12-14 | 2007-06-14 | Olympus Medical Systems Corp. | Lifting method for lesion area, and anchoring device |
| US20090043246A1 (en) * | 2007-08-07 | 2009-02-12 | Dominguez Guillermo Manuel | Magnetic Surgical Device to Manipulate Tissue in Laparoscopic Surgeries Performed with a Single Trocar or Via Natural Orifices |
| CN102247179A (en) * | 2011-04-11 | 2011-11-23 | 西安交通大学 | Magnetic assisted tensioning device for digestive endoscopy surgery |
| CN104490394A (en) * | 2014-12-12 | 2015-04-08 | 上海安翰医疗技术有限公司 | System and method for finding position of capsule endoscope in nonmagnetic cavity through magnet |
| CN105125245A (en) * | 2015-05-14 | 2015-12-09 | 上海安翰医疗技术有限公司 | Auxiliary device used for minimally invasive surgeries and control method of auxiliary device |
| CN209789905U (en) * | 2018-11-23 | 2019-12-17 | 上海安翰医疗技术有限公司 | magnetic auxiliary piece and minimally invasive surgery auxiliary device with same |
-
2018
- 2018-11-23 CN CN201811404513.3A patent/CN109223073A/en active Pending
Patent Citations (7)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US20040050395A1 (en) * | 2002-09-13 | 2004-03-18 | Pentax Corporation | Magnetic anchor remote guidance system |
| US20070135678A1 (en) * | 2005-12-14 | 2007-06-14 | Olympus Medical Systems Corp. | Lifting method for lesion area, and anchoring device |
| US20090043246A1 (en) * | 2007-08-07 | 2009-02-12 | Dominguez Guillermo Manuel | Magnetic Surgical Device to Manipulate Tissue in Laparoscopic Surgeries Performed with a Single Trocar or Via Natural Orifices |
| CN102247179A (en) * | 2011-04-11 | 2011-11-23 | 西安交通大学 | Magnetic assisted tensioning device for digestive endoscopy surgery |
| CN104490394A (en) * | 2014-12-12 | 2015-04-08 | 上海安翰医疗技术有限公司 | System and method for finding position of capsule endoscope in nonmagnetic cavity through magnet |
| CN105125245A (en) * | 2015-05-14 | 2015-12-09 | 上海安翰医疗技术有限公司 | Auxiliary device used for minimally invasive surgeries and control method of auxiliary device |
| CN209789905U (en) * | 2018-11-23 | 2019-12-17 | 上海安翰医疗技术有限公司 | magnetic auxiliary piece and minimally invasive surgery auxiliary device with same |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN113425347A (en) * | 2021-08-25 | 2021-09-24 | 深圳市资福医疗技术有限公司 | Conveying structure and ESD magnetic anchoring clamp applying same |
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