CN109330633A - Biopsy rotary cutting apparatus - Google Patents
Biopsy rotary cutting apparatus Download PDFInfo
- Publication number
- CN109330633A CN109330633A CN201811336369.4A CN201811336369A CN109330633A CN 109330633 A CN109330633 A CN 109330633A CN 201811336369 A CN201811336369 A CN 201811336369A CN 109330633 A CN109330633 A CN 109330633A
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- CN
- China
- Prior art keywords
- knife pipe
- interior knife
- pipe
- cavity
- interior
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Granted
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0266—Pointed or sharp biopsy instruments means for severing sample
- A61B10/0275—Pointed or sharp biopsy instruments means for severing sample with sample notch, e.g. on the side of inner stylet
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0283—Pointed or sharp biopsy instruments with vacuum aspiration, e.g. caused by retractable plunger or by connected syringe
Abstract
The present invention provides a kind of biopsy rotary cutting apparatus, including the dynamic seal structure being set on the outside of the interior knife pipe；The dynamic seal structure is formed outside the interior knife pipe free chamber, and sealing ring is equipped in the dynamic seal structure, and the cavity includes the first cavity and the second cavity, auxiliary tube is equipped on the outside of the interior knife pipe, the auxiliary tube is equipped with currency structure；When the interior knife pipe is moved along its axis to first position, the sealing ring is in the outside of the auxiliary tube, and first cavity is connected to second cavity by the currency structure；When the interior knife pipe is moved along its axis to the second position, the sealing ring is in the outside of the interior knife pipe, and the sealing ring separates first cavity and second cavity.The present invention can introduce atmosphere, formed and intensity more preferably circulation airflow is sucked out；The circulation airflow can more efficiently send the tissue under the rotary-cut of corresponding position to the sample collecting device of rear end, effectively increase out sample rate.
Description
Technical field
The present invention relates to medical instruments field more particularly to a kind of biopsy rotary cutting apparatus.
Background technique
Biopsy rotary cutting apparatus is widely used in minimally invasive surgery puncturing operation, firstly, may insure hand using cutter head is punctured
Art wound is small, does not need suture needle, can meet diagnosis and treatment requirement, moreover it is possible to ensure the beauty in shape, especially some breast or face
Portion etc., the surface of a wound is small to heal well, leaves the advantages that scar is small, and damage is small, recovery is fast, therefore is more susceptible to most of female friends'
It welcomes.And vacuum is defeated helps the biopsy of mammary gland sample and rotary-cut is one of the most effective mode currently used for breast biopsy procedure, needs
Mammary gland suspicious lesions are carried out to repeat cutting, to obtain the histological specimen of enough mammary gland, in order to the early detection of breast cancer
And diagnosis, while the minimally invasive excision of mammary gland benign tumor can also be carried out.
Rotary cutting apparatus head is punctured using the puncturing head of minor diameter, and it is coaxially solid to puncture head-tail and outer knife tube head
It is fixed.Outer knife pipe is coated at outside the interior knife pipe coaxially assembled.Outer knife tube head has cutter groove, punctures knife tube head in front of completing and is in
Distalmost end, interior knife pipe rotation is stepped back after the completion of puncturing, and cutter groove is opened, and tumor tissues are sucked cutter groove by negative pressure system at the same time.
Interior knife tube head is provided with inner chamfer cutting edge, and interior knife pipe is rotationally advancing after the completion of tissue adsorptions, rotary-cut is carried out to tissue, under cutting off
Tissue is drawn into the collection containers of rotary cutting apparatus tail portion by lasting negative pressure via interior knife tube cavity.
Rotary cutting apparatus mainly pass through negative pressure system by the tumor tissues cut be sucked out, or can be understood as using cutter groove with
Tissue is transported sample collection container by the pressure difference between system.However, after completing primary absorption excision work, cutter groove week
The pressure enclosed is equal to the pressure in interior knife pipe, and entire knife group is in isopiestic state, and the tissue for adsorbing excision is not easy to from cutter groove stream
Out to sample collecting device, thus the problem for causing out sample ineffective.
Summary of the invention
The present invention provides a kind of biopsy rotary cutting apparatus, has decided the ineffective problem of sample with solution.
According to the first aspect of the invention, a kind of biopsy rotary cutting apparatus is provided, the interior knife pipe including coaxial arrangement and outer
Knife pipe, the interior knife pipe are located on the inside of the outer knife pipe, and the head end of the outer knife pipe is equipped with puncturing head, the interior knife pipe it is separate
One end direct or indirect connection sample collecting device of the puncturing head；The device further includes dynamic on the outside of the interior knife pipe
State sealing structure；
The dynamic seal structure is formed outside the interior knife pipe free chamber, and sealing is equipped in the dynamic seal structure
Circle, the cavity include positioned at the first cavity of the side close to the puncturing head of the sealing ring and positioned at the sealing ring
The side far from the puncturing head the second cavity, first cavity is connected in the interior knife pipe outer wall and the outer knife pipe
Gap between pipe between wall；The one end close to the puncturing head in gap is connected to the inner space of the interior knife pipe between the pipe；
Auxiliary tube is equipped on the outside of the interior knife pipe, the auxiliary tube is equipped with currency structure；
When the interior knife pipe is moved along its axis to first position, the sealing ring is in the outside of the auxiliary tube, institute
It states the first cavity and is connected to second cavity by the currency structure；
When the interior knife pipe is moved along its axis to the second position, the sealing ring is in the outside of the interior knife pipe, and
It is in sealing contact between the sealing ring and the interior knife pipe, to separate first cavity and second cavity.
Optionally, the currency structure is opened in the slot for assisting tube outer surface for what is be axially arranged along the interior knife pipe
Structure or crack structure.
Optionally, the currency structure is crack structure, and the auxiliary tube is also formed with flowing lumen outside the interior knife pipe, institute
Flowing lumen is stated to be connected on the inside of the crack structure.
Optionally, the auxiliary tube includes annular middle part and is located at the annular middle part along the axial direction of the interior knife pipe
The outer diameter of the annular end at both ends, the annular middle part is greater than the outer diameter of the annular end.
Optionally, the interior knife pipe close to the puncturing head one end be equipped with cutting edge structure, the outer knife pipe it is close
The wall portion of the puncturing head is arranged with cutter groove, one end direct or indirect connection collection far from the puncturing head of the interior knife pipe
Sample device；
When the interior knife pipe is moved along its axis to the first position, the cutting edge structure is in the cutter groove；Institute
When stating interior knife pipe and moving along its axis to the second position, the cutting edge structure is not on the inside of the cutter groove.
Optionally, the device, further includes the louver being axially arranged along the interior knife pipe, and the louver is set to
The cutting edge structure or the cutting edge structure and the interior knife pipe, the inside that the louver is connected to the cutting edge structure are empty
Between between the pipe gap, the inner space of the cutting edge structure be connected to the inner space of the interior knife pipe.
Optionally, the quantity of the louver is multiple, and multiple louvers are uniformly distributed around the axial direction of the interior knife pipe.
Optionally, the cutting edge structure includes cricoid cutting edge interconnecting piece and blade tip portion, and the blade tip portion is set to the sword
One end connection far from the puncturing head of one end close to the puncturing head of mouth interconnecting piece, the cutting edge interconnecting piece is described interior
One end close to the puncturing head of knife pipe.
Optionally, the diameter of the cutting edge interconnecting piece is greater than the outer diameter of the interior knife pipe, less than the internal diameter of the outer knife pipe；
The diameter of the end close to the puncturing head in the blade tip portion is greater than the internal diameter of the outer knife pipe.
Optionally, the dynamic seal structure includes sealed base and seal sleeve, and the sealed base is fixedly connected on
Outside the outer knife pipe, the seal sleeve is fixedly connected with the sealed base, the seal sleeve and the sealed base edge
The axial direction of the interior knife pipe has installation gap, and the sealing ring is installed on the installation gap, and the seal sleeve is located at institute
It states on the outside of interior knife pipe, first cavity is located in the sealed base, and second cavity is located in the seal sleeve.
Biopsy rotary cutting apparatus provided by the invention is directed to out the ineffective situation discovery of sample, can be by by atmosphere
It is introduced from the external world and breaks isopiestic state, so that tissue can be efficiently sucked out, wherein the present invention passes through dynamic sealing
Structure and sealing ring therein, provide one can gap is connected between pipe between inner and outer pipes the first cavity, and can be with
Second cavity of ambient atmosphere connection；In rotary-cut, when interior knife pipe is moved to the second position, the first cavity and the second cavity are close
Seal closing, can draw tissue into cutter groove under encapsulation situations, after rotary-cut, around cutter groove with the pressure phase that is generated in interior knife pipe
When interior knife pipe is moved to first position, the first cavity is connected to the second cavity by the currency structure of auxiliary tube, can will be big
Gas introduces, and forms suction intensity more preferably circulation airflow, circulation airflow and successively passes through the second cavity, currency structure, the first chamber
Gap between body, pipe, and through one end of the close puncturing head in gap between pipe enter interior knife pipe in, the circulation airflow can more efficiently by
Tissue on the inside of cutter groove under rotary-cut is sent to the sample collecting device of rear end, effectively increases out sample rate.
Meanwhile the first cavity and the second cavity of the invention is being axially distributed along interior knife pipe, currency structure is also edge
Interior knife pipe is axially set between the first cavity and the second cavity, and generated gas flow is also along axial direction, no
Situations such as bending, had both maintained the consistency of flow direction, also avoids the increase of gas flowing stroke, can further improve
The efficiency for organizing conveying, is conducive to improve out sample rate.
The connection and partition of first cavity and the second cavity in the present invention are movement itself brings by interior knife pipe,
Period is not necessarily to separately introduce other based on artificial or mechanical manipulation, on the one hand can ensure the timeliness of connection and partition, another
Aspect, can also reduce connection and the movement of the internal knife pipe of partition itself causes the adverse effect of such as resistance.
Further, since the present invention is without introducing other based on artificial or mechanical manipulation, the present invention also can avoid other behaviour
Control increases the degree of wear of structure, i.e. the present invention can be beneficial to reduce abrasion, slow down aging speed, improves service life, thus
Advantageously reduce maintenance cost.
Simultaneously as the present invention is not necessarily to introduce other mechanical structures such as reset components, driving part for manipulation,
Also can tightness between effective guarantee dynamic seal structure, knife pipe etc., to meet the needs of rotary-cut process medium-high speed sports
(because peeling knife rotation speed quickly, can achieve such as r=300rpm each second).
Detailed description of the invention
In order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, to embodiment or will show below
There is attached drawing needed in technical description to be briefly described, it should be apparent that, the accompanying drawings in the following description is only this
Some embodiments of invention without any creative labor, may be used also for those of ordinary skill in the art
To obtain other drawings based on these drawings.
Fig. 1 is the status diagram one of biopsy rotary cutting apparatus in one embodiment of the invention；
Fig. 2 is the status diagram two of biopsy rotary cutting apparatus in one embodiment of the invention；
Fig. 3 is the status diagram one of biopsy rotary cutting apparatus in another embodiment of the present invention；
Fig. 4 is the partial enlargement diagram of a-quadrant in Fig. 3；
Fig. 5 is the partial enlargement diagram of B area in Fig. 4；
Fig. 6 is the partial enlargement diagram in the region C in Fig. 5；
7 Fig. 7 are the status diagrams two of biopsy rotary cutting apparatus in another embodiment of the present invention；
Fig. 8 is the partial enlargement diagram in the region D in Fig. 7；
Fig. 9 is the distribution schematic diagram of louver in one embodiment of the invention；
Figure 10 is the structural schematic diagram of auxiliary tube in one embodiment of the invention；
Figure 11 is the schematic diagram of Section A-A in Figure 10；
Figure 12 is the schematic diagram of section B-B in Figure 10；
Figure 13 is the structural schematic diagram of auxiliary tube in another embodiment of the present invention；
Figure 14 is the schematic diagram in the section C-C in Figure 13；
Figure 15 is the schematic diagram in the section D-D in Figure 13.
Description of symbols:
1- puncturing head；
The outer knife pipe of 2-；
21- cutter groove；
Knife pipe in 3-；
31- cutting edge structure；
311- cutting edge interconnecting piece；
312- blade tip portion
The end 313-；
The outer inclined-plane 314-；
315- outer inclined-plane；
32- louver；
The main seam portion 321-；
322- rounded ends；
4- dynamic seal structure；
The first cavity of 41-；
The second cavity of 42-；
43- sealing ring；
44- sealed base；
45- seal sleeve；
451- cylinder interconnecting piece；
452- sleeve body；
Gap between 5- pipe；
6- auxiliary tube；
61- annular middle part；
62- annular end；
63- flowing lumen；
7- currency structure；
8- after sleeves；
9- dial structure；
91- driver plate ontology；
92- driver plate pedestal.
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.
Description and claims of this specification and term " first ", " second ", " third " " in above-mentioned attached drawing
The (if present)s such as four " are to be used to distinguish similar objects, without being used to describe a particular order or precedence order.It should manage
The data that solution uses in this way are interchangeable under appropriate circumstances, so as to the embodiment of the present invention described herein can in addition to
Here the sequence other than those of diagram or description is implemented.In addition, term " includes " and " having " and their any deformation,
Be intended to cover it is non-exclusive include, for example, containing the process, method of a series of steps or units, system, product or setting
It is standby those of to be not necessarily limited to be clearly listed step or unit, but may include be not clearly listed or for these mistakes
The intrinsic other step or units of journey, method, product or equipment.
Technical solution of the present invention is described in detail with specifically embodiment below.These specific implementations below
Example can be combined with each other, and the same or similar concept or process may be repeated no more in some embodiments.
Fig. 1 is the status diagram one of biopsy rotary cutting apparatus in one embodiment of the invention；Fig. 2 is in one embodiment of the invention
The status diagram two of biopsy rotary cutting apparatus.
Please refer to Fig. 1 and Fig. 2, biopsy rotary cutting apparatus, interior knife pipe 3 and outer knife pipe 2 including coaxial arrangement, the interior knife
Pipe 3 is located at 2 inside of outer knife pipe, and the head end of the outer knife pipe 2 is equipped with puncturing head 1, and the interior knife pipe 3 is worn far from described
One end direct or indirect connection sample collecting device of tartar 1, the direct or indirect connection, it will be appreciated that being can be by the group in interior knife pipe 3
It knits and is transmitted to sample collecting device.
The wall portion close to the puncturing head 1 of outer knife pipe 2 is arranged with cutter groove 21, corresponding, the close puncture of interior knife pipe 3
One end of head has cutting edge structure 31, and cutter groove 21 is used to for tumor tissues being adsorbed onto outer knife pipe 2, in turn, sucking cutter groove 21
Tissue can be cut by cutting edge structure 31, the tissue after cutting because in cutter groove 21 external pressure it is suitable, and be susceptible to move, it is described
One end direct or indirect connection sample collecting device far from the puncturing head 1 of interior knife pipe 3.The sample collecting device may be configured with external negative pressure
System.In segmentation scheme, inside and outside differential pressure can be changed by the intensity of the negative pressure of raising negative pressure system.
Meanwhile gap need to be sufficiently large between the pipe formed between interior 3 outer surface of knife pipe and outer 2 inner surface of knife pipe, is appreciated that
To enable to gas to flow wherein without blocking.
In the present embodiment, the device further includes the dynamic seal structure 4 set on interior 3 outside of knife pipe.
The dynamic seal structure 4 is formed outside the interior knife pipe 3 free chamber, is equipped in the dynamic seal structure 4 close
Seal 43, the cavity include positioned at the sealing ring 43 close to the side of the puncturing head 1 first cavity 41 be located at
Second cavity 42 of the side far from the puncturing head 1 of the sealing ring 43, first cavity 41 are connected to the interior knife pipe 3
Gap 5 between pipe between outer wall and outer 2 inner wall of knife pipe；The one end close to the puncturing head 1 in gap 5 is connected between the pipe
The inner space of the interior knife pipe 3；Auxiliary tube 6 is equipped on the outside of the interior knife pipe 3, the auxiliary tube 6 is equipped with currency structure 7.
Wherein, one end of the close puncturing head 1 in gap 5 also is understood as drawing in turn close to one end of cutter groove 21 between pipe
When entering atmosphere, the air-flow generated can more effectively act on the tissue near cutter groove 21.
When the interior knife pipe 3 is moved along its axis to first position, the sealing ring 43 is in the outer of the auxiliary tube 6
Side, first cavity 41 are connected to second cavity 42 by the currency structure 7；
When the interior knife pipe 3 is moved along its axis to the second position, the sealing ring 43 is in the outer of the interior knife pipe 3
Side, and it is in sealing contact between the sealing ring 43 and the interior knife pipe 3, to separate first cavity 41 and second cavity
42。
First cavity 41 and the second cavity 42, it will be appreciated that be the annular housing for being located on interior 3 outside of knife pipe, along interior knife pipe
3 axial direction is sequentially distributed, and the first cavity 41 can be gap 5 be connected between pipe cavity, the second cavity 42 can be indirect or
The cavity being directly connected to outside atmosphere, such as outside atmosphere, in turn, the first cavity 41 and the second chamber are connected to by rear end spaces
When body 42 is connected to, outside atmosphere can be introduced.
First position, it will be appreciated that enable to currency structure 7 to be connected to any position of the first cavity 41 and the second cavity 42
It sets, is specifically as follows the position that cutting edge structure 31 is located in the cutter groove 21 of outer knife pipe 2, i.e., the described interior knife pipe 3 moves along its axis
When to the first position, the cutting edge structure 31 is in the cutter groove 21.
The second position, it will be appreciated that be any position for enabling to the first cavity 41 and the second cavity 42 to be separated, specifically
The position in the cutter groove 21 of outer knife pipe 2 can be located at for cutting edge structure 31, i.e., the described interior knife pipe 3 is moved along its axis to described
When the second position, the cutting edge structure 31 is not at 21 inside of cutter groove.At this point, the negative pressure that system provides is enough to allow tissue
It is flowed into cutter groove 21.
Biopsy rotary cutting apparatus provided in this embodiment is directed to out the ineffective situation discovery of sample, can be by will be big
Gas introduces from the external world and breaks isopiestic state, so that tissue can be efficiently sucked out, wherein the present invention is close by dynamic
Seal structure and sealing ring therein, provide one can gap is connected between pipe between inner and outer pipes the first cavity, and can
The second cavity being connected to ambient atmosphere；In rotary-cut, when interior knife pipe is moved to the second position, the first cavity and the second cavity quilt
Sealing ring closing, can draw tissue into cutter groove under encapsulation situations, after rotary-cut, around cutter groove with the pressure that is generated in interior knife pipe
Quite, when interior knife pipe is moved to first position, the first cavity is connected to the second cavity by the currency structure of auxiliary tube, can be incited somebody to action
Atmosphere introduces, and forms suction intensity more preferably circulation airflow, circulation airflow and successively passes through the second cavity, currency structure, first
Gap between cavity, pipe, and enter in interior knife pipe through one end of the close puncturing head in gap between pipe, which can be more efficiently
Tissue under rotary-cut on the inside of cutter groove is sent to the sample collecting device of rear end, sample rate is effectively increased out.
Meanwhile the present embodiment the first cavity and the second cavity be being axially distributed along interior knife pipe, currency structure is also
Along being axially set between the first cavity and the second cavity for interior knife pipe, generated gas flow be also along axial,
Situations such as will not bending, had both maintained the consistency of flow direction, also avoids the increase of gas flowing stroke, can further mention
The efficiency of height tissue conveying, is conducive to improve out sample rate.
The connection and partition of first cavity and the second cavity in the present embodiment are brought by the movement of interior knife pipe itself
, during which without separately introducing other based on artificial or mechanical manipulation, it on the one hand can ensure the timeliness of connection and partition, separately
On the one hand, it can also reduce connection and the movement of the internal knife pipe of partition itself causes the adverse effect of such as resistance.
Further, since the present embodiment is without introducing other based on artificial or mechanical manipulation, the present embodiment also can avoid it
He manipulates the degree of wear for increasing structure, i.e. the present embodiment can be beneficial to reduce abrasion, slow down aging speed, improves and uses the longevity
Life, to advantageously reduce maintenance cost.
Simultaneously as the present embodiment is not necessarily to introduce other such as reset components, driving part for the mechanical knot of manipulation
Structure, also can tightness between effective guarantee dynamic seal structure, knife pipe etc., to meet the need of rotary-cut process medium-high speed sports
Ask (because peeling knife rotation speed quickly, can achieve such as r=300rpm each second).
Fig. 3 is the status diagram one of biopsy rotary cutting apparatus in another embodiment of the present invention；Fig. 4 is a-quadrant in Fig. 3
Partial enlargement diagram；Fig. 5 is the partial enlargement diagram of B area in Fig. 4；Fig. 6 is the partial enlargement signal in the region C in Fig. 5
Figure；7 Fig. 7 are the status diagrams two of biopsy rotary cutting apparatus in another embodiment of the present invention；Fig. 8 is that the part in the region D in Fig. 7 is put
Big schematic diagram.
In the present embodiment, Fig. 1, Fig. 2, Fig. 3, Fig. 4, Fig. 7 and Fig. 8 are please referred to, interior knife pipe 3 is rotated to progress into distalmost end position
It sets, i.e. left end shown in Fig. 1, Fig. 2, Fig. 3 and Fig. 7, the cutter groove 21 of outer knife pipe 2 is by the head of interior knife pipe 3 at this time, such as includes sword
The part of mouth structure 31 occupies, and sealing ring 43 is in the outside of auxiliary tube 6, which can be understood as penetration phase, specifically may be used
Shown position understands referring to figs. 2 and 3, also is understood as the first position.
After the completion of puncture, interior knife pipe 3 retreats to position shown in Fig. 1, Fig. 7 and Fig. 8, also is understood as retreating to second
It sets, at this point, cutter groove 21 is not blocked on the head of such as cutting edge structure 31 just, which is that the rank of tissue is adsorbed after the completion of puncturing
Section, at this point, the first cavity 41 is spaced with the second cavity 42, gap 5, the inside of cutting edge structure 31 are empty between the first cavity 41, pipe
Between and the inner space of interior knife pipe 3 be sequentially communicated, and seal and separate with the second cavity 42, can will be organized using negative pressure system
It is drawn into cutter groove 21, after tissue is inhaled into cutter groove 21, interior knife pipe 3 repeats the movement being rotationally advancing, and reaches Fig. 2 and Fig. 3 institute
Show position, i.e., screw into first position again, during being somebody's turn to do, the tissue of sucking is cut off by cutting edge structure 31.
With the advance of interior knife pipe 3, sealing ring 43 arrives again at the outside of auxiliary tube 6, thus using currency structure 7, greatly
Gas can the successively inner space through gap 5 between the second cavity 42, currency structure 7, the first cavity 41, pipe, cutting edge structure 31, with
And the inner space of interior knife pipe 3 forms and intensity more preferably circulation airflow is sucked out, in turn, tissue is big by lasting negative pressure and introducing
Gas is transferred to sample collecting device, completes the collection of primary structure.
Wherein, after completing primary absorption with rotary-cut, the pressure around cutter groove 21 is equal to the pressure in interior knife pipe 3, also etc.
In the negative pressure of system, when flowing into cutter groove 21 from the external world without additional atmosphere, entire knife group is in isopiestic state, adsorbs excision
Tissue can not or be difficult to flow out to sample collecting device from cutter groove 21.So present embodiment effectively realizes group by introducing atmosphere
The outflow knitted.
As it can be seen that above procedure completes the period of one-time puncture, absorption, rotary-cut, collection, then interior knife pipe 3 can be weighed repeatedly
Some or all of multiple previous period movement, until the tissue of required excision is cut off clean.
Wherein, between the inner space and pipe in order to realize cutting edge structure 31 gap 5 connection, the present embodiment optinal plan
In, it can be different according to the structure of the cutting edge structure 31 of interior 3 one end of knife pipe, realize gap 5 and cutting edge structure between different communicating pipes
The mode of 31 inner spaces.
In one of embodiment, there can be interval between the periphery of cutting edge structure 31 and outer 2 inner wall of knife pipe, in turn,
Gap 5 can be communicated to the space of the side of the close puncturing head 1 of cutting edge structure 31 by the interval between pipe, i.e., cutting edge structure 31 with
The space in outer knife pipe 2 between puncturing head 1, and then it is communicated to the inner space of cutting edge structure 31.Other optional embodiments
In, 31 periphery of cutting edge structure can also without interval or the relatively closely spaced, meanwhile, this may further be without interval is unlikely to hinder
The structure type that interior knife pipe 3 moves in outer knife pipe 2.
Referring to FIG. 5, and combine other accompanying drawings, gap 5 can pass through the louver 32 and sword for being set to cutting edge structure 31 between pipe
It is connected on the inside of mouth structure 31.It can be regarded as: the device, may also include logical along being axially arranged for the interior knife pipe 3
Air cleft 32, the louver 32 are set to the cutting edge structure 31, or are set to the cutting edge structure 31 and the interior knife pipe 3, institute
It states louver 32 and is connected to gap 5 between the inner space and the pipe of the cutting edge structure 31, the inside of the cutting edge structure 31 is empty
Between be connected to the inner space of the interior knife pipe 3.
The setting of louver 32, no matter can ensure whether gap 5 can be connected by the interval in 31 outside of cutting edge structure between pipe
The space of the side of the close puncturing head 1 of cutting edge structure 31 is led to, present embodiment is able to achieve the close puncture in gap 5 between pipe
First 1 one end can be connected to the inner space of interior knife pipe 3, and then meet the sucking of tissue by circulation airflow, and tissue
The demand of collection.
In one of embodiment, Fig. 5 and Fig. 6 are please referred to, the cutting edge structure 31 includes cricoid cutting edge interconnecting piece
311 are set to one end close to the puncturing head 1 of the cutting edge interconnecting piece 311, institute with blade tip portion 312, the blade tip portion 312
The one end far from the puncturing head 1 for stating cutting edge interconnecting piece 311 connects one end close to the puncturing head 1 of the interior knife pipe 3.
In turn, blade tip portion 312 can have outer inclined-plane 314, outer inclined-plane 315, and outer inclined-plane 314 can connect to form nose part with outer inclined-plane 315
312 end 313.
Wherein, the outer diameter of the cutting edge interconnecting piece 311 can be greater than the outer diameter of the interior knife pipe 3, less than the outer knife pipe 2
Internal diameter, the diameter of the end 313 close to the puncturing head 1 in the blade tip portion 312 can be greater than the internal diameter of the outer knife pipe 2.
In specific implementation process, the internal diameter of cutting edge interconnecting piece 311 is also greater than the internal diameter of interior knife pipe 3.
In one of embodiment, referring to FIG. 5, the louver 32 includes the axial direction setting along the interior knife pipe 3
Main seam portion 321, and be respectively arranged on the rounded ends 322 at main 321 both ends of seam portion, in turn, a rounded ends 322
It can be set to cutting edge interconnecting piece 311, another rounded ends 322 can be set to interior knife pipe 3.It can guarantee no matter interior knife rotation is taken office
Meaning angle can allow atmosphere to be flowed into the inner space of cutting edge structure 31 from rounded ends 322.
Wherein, the diameter of rounded ends 322 is greater than the width in main seam portion 311.
Fig. 9 is the distribution schematic diagram of louver in one embodiment of the invention.
In one of embodiment, referring to FIG. 9, the quantity of the louver 32 can be multiple, multiple louvers
32 axial directions for surrounding the interior knife pipe 3 are uniformly distributed.Further, the spacing of two neighboring louver 32 circumferentially is less than cutter groove
21 size circumferentially.As shown in figure 9, such as 6 louvers 32 can be set into and be uniformly distributed along the circumference, knife pipe in guarantee no matter
There is louver 32 to be in the cutter groove 21 of outer knife pipe 2 when rotating to any angle, in turn, generated air-flow can flow through cutter groove
Near 21.
In one of embodiment, the dynamic seal structure 4 includes sealed base 44 and seal sleeve 45, described close
Back cover seat 44 is fixedly connected on outside the outer knife pipe 2, can be directly connected to, can also be indirectly connected with；The seal sleeve 45 and institute
It states sealed base 44 to be fixedly connected, axial direction of the seal sleeve 45 with the sealed base 44 along the interior knife pipe 3 has peace
Gap is filled, the sealing ring 43 is installed on the installation gap, and the seal sleeve 45 is located at 3 outside of interior knife pipe, described
First cavity 41 is located in the sealed base 44, and second cavity 42 is located in the seal sleeve 45.
Wherein, sealed base 44 can be fixedly connected with dial structure 9, such as: the head end of sealed base 44 can be with
It connects and is fully sealed between the inner face of driver plate pedestal 92 in dial structure 9, connection type is not limited to glue stickup, Laser Welding
It connects.There is between 91 inner face of driver plate ontology certain gap in 44 head end of sealed base and dial structure 9, guarantee
Driver plate ontology 91 can be rotated around outer 2 axis of knife pipe.
In further optional embodiment or other optional embodiments, the outer surface of outer knife pipe 2 can also be with sealing bottom
44 inner surfaces of seat are fixedly connected, and fixed form is not limited to glue stickup, laser welding etc..
In specific implementation process, Fig. 4 and Fig. 8 are please referred to, the seal sleeve 45 includes that sleeve body 452 is connect with cylinder
Portion 451, the sleeve connection portion 451 are set to the side close to the puncturing head 1 of the sleeve body 452, and the sleeve connects
The inside of socket part 451 is fixedly connected with the outside of the sealed base 44, the sleeve body 452 and 44 edge of sealed base
The axially spaced-apart of the interior knife pipe 3 is arranged, to form the installation gap.The size in the installation gap can be with sealing ring 43
Size matches, and then may be adapted to the installation for realizing sealing ring 43.
It is connected and fixed mode between 45 inner surface of 44 outer surface of sealed base and seal sleeve, can be multiplicity, it is unlimited
It pastes, be threadedly engaged in glue.
In other optional embodiments, seal sleeve 45 be also possible to sealed base 44 it is integrally formed, in turn, arbitrarily
Installation gap can be formed, and can be with the integral type or fabricated dynamic seal structure 4 of outer 2 direct or indirect connection of knife pipe
All without departing from the description range of the present embodiment.
In addition, the side of the separate puncturing head 1 of dial structure 9 is connected with an after sleeve 8, seal sleeve 45 be may be alternatively located at
8 inside of seat after sleeve, sealed base 44 can be located at the inside of the driver plate pedestal 72 of dial structure 7.
Figure 10 is the structural schematic diagram of auxiliary tube in one embodiment of the invention；Figure 11 is the signal in the section A-A in Figure 10
Figure；Figure 12 is the schematic diagram of section B-B in Figure 10；Figure 13 is the structural schematic diagram of auxiliary tube in another embodiment of the present invention；Figure
14 be the schematic diagram in the section C-C in Figure 13；Figure 15 is the schematic diagram in the section D-D in Figure 13.
In one of embodiment, Figure 10 to Figure 15 is please referred to, the currency structure 7 is axial along the interior knife pipe 3
What is be arranged is opened in the slot structure or crack structure of 6 outer surface of auxiliary tube.
Wherein, slot structure and crack structure are when sealing ring 43 contacts 6 outside of auxiliary tube, it can be achieved that 43 two sides of sealing ring
The structure that first cavity 41 is connected to the second cavity 42, difference can be regarded as: slot structure can be not penetrate through 6 inner wall of auxiliary tube
With outer wall, crack structure is perforation 6 inner wall of auxiliary tube and outer wall.Its description all without departing from the present embodiment optional embodiment
Range.
In specific implementation process, Figure 10 to Figure 15 is please referred to, the currency structure 7 can be crack structure, in turn, in Figure 10
Into structure shown in Figure 12, the auxiliary tube 6 is also formed with flowing lumen 63 outside the interior knife pipe 3, and the flowing lumen 63 is connected to
On the inside of the crack structure.In other optional implementation processes, Figure 13 to Figure 15 is please referred to, the auxiliary tube 6 does not form flowing lumen
63, it is unified constant for can be regarded as the diameter of 6 inner wall of auxiliary tube.As it can be seen that auxiliary tube 6 can be between interior knife pipe 3
It has the gap, it can also be seamless.
In one of embodiment, the auxiliary tube 6 is including annular middle part 61 and along the axial position of the interior knife pipe 3
The outer diameter of annular end 62 in 61 both ends of the annular middle part, the annular middle part 61 is greater than the annular end 62
Outer diameter.It aloows smooth slightly strut in rapid axial movement of sealing ring 43 to reach at auxiliary tube 6.
In addition, flowing lumen 63 can be located at annular 62 inside of middle part, it can specifically be located at annular middle part 62 and interior knife pipe 3
Between.
In conclusion biopsy rotary cutting apparatus provided in this embodiment, it is directed to out the ineffective situation discovery of sample, it can be with
Break isopiestic state and introducing atmosphere from the external world, so that tissue can be efficiently sucked out, wherein the present embodiment
By dynamic seal structure and sealing ring therein, providing one being capable of gap is connected between pipe between inner and outer pipes the first chamber
Body, and the second cavity that can be connected to ambient atmosphere；In rotary-cut, when interior knife pipe is moved to the second position, the first cavity
Closed, can draw tissue into cutter groove under encapsulation situations by sealing ring with the second cavity, after rotary-cut, around cutter groove with interior knife pipe
The pressure of interior generation is suitable, when interior knife pipe is moved to first position, circulation that the first cavity and the second cavity pass through auxiliary tube
Fabric connectivity can introduce atmosphere, formed and intensity more preferably circulation airflow is sucked out, the circulation airflow successively pass through the second cavity,
Gap between currency structure, the first cavity, pipe, and enter in interior knife pipe through one end of the close puncturing head in gap between pipe, the circulation
Air-flow can more efficiently send the tissue under rotary-cut on the inside of cutter groove to the sample collecting device of rear end, effectively increase out sample rate.
Meanwhile the present embodiment the first cavity and the second cavity be being axially distributed along interior knife pipe, currency structure is also
Along being axially set between the first cavity and the second cavity for interior knife pipe, generated gas flow be also along axial,
Situations such as will not bending, had both maintained the consistency of flow direction, also avoids the increase of gas flowing stroke, can further mention
The efficiency of height tissue conveying, is conducive to improve out sample rate.
The connection and partition of first cavity and the second cavity in the present embodiment are brought by the movement of interior knife pipe itself
, during which without separately introducing other based on artificial or mechanical manipulation, it on the one hand can ensure the timeliness of connection and partition, separately
On the one hand, it can also reduce connection and the movement of the internal knife pipe of partition itself causes the adverse effect of such as resistance.
Further, since the present embodiment is without introducing other based on artificial or mechanical manipulation, the present embodiment also can avoid it
He manipulates the degree of wear for increasing structure, i.e. the present embodiment can be beneficial to reduce abrasion, slow down aging speed, improves and uses the longevity
Life, to advantageously reduce maintenance cost.
Simultaneously as the present embodiment is not necessarily to introduce other such as reset components, driving part for the mechanical knot of manipulation
Structure, also can tightness between effective guarantee dynamic seal structure, knife pipe etc., to meet the need of rotary-cut process medium-high speed sports
Ask (because peeling knife rotation speed quickly, can achieve such as r=300rpm each second).
Finally, it should be noted that the above embodiments are only used to illustrate the technical solution of the present invention., rather than its limitations；To the greatest extent
Pipe present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should understand that: its according to
So be possible to modify the technical solutions described in the foregoing embodiments, or to some or all of the technical features into
Row equivalent replacement；And these are modified or replaceed, various embodiments of the present invention technology that it does not separate the essence of the corresponding technical solution
The range of scheme.
Claims (10)
1. a kind of biopsy rotary cutting apparatus, interior knife pipe and outer knife pipe including coaxial arrangement, the interior knife pipe are located at the outer knife pipe
Inside, the head end of the outer knife pipe are equipped with puncturing head, and one end far from the puncturing head of the interior knife pipe directly or indirectly connects
Connect sample collecting device；It is characterized in that, further including the dynamic seal structure on the outside of the interior knife pipe；
The dynamic seal structure is formed outside the interior knife pipe free chamber, and sealing ring, institute are equipped in the dynamic seal structure
State cavity include positioned at the sealing ring close to the side of the puncturing head the first cavity with positioned at the remote of the sealing ring
Second cavity of the side from the puncturing head, first cavity be connected to the interior knife pipe outer wall and the outer knife inside pipe wall it
Between pipe between gap；The one end close to the puncturing head in gap is connected to the inner space of the interior knife pipe between the pipe；It is described
Auxiliary tube is equipped on the outside of interior knife pipe, the auxiliary tube is equipped with currency structure；
When the interior knife pipe is moved along its axis to first position, the sealing ring is in the outside of the auxiliary tube, and described
One cavity is connected to second cavity by the currency structure；
When the interior knife pipe is moved along its axis to the second position, the sealing ring is in the outside of the interior knife pipe, and described
It is in sealing contact between sealing ring and the interior knife pipe, to separate first cavity and second cavity.
2. the apparatus according to claim 1, which is characterized in that the currency structure is axially arranged along the interior knife pipe
It is opened in the slot structure or crack structure of the auxiliary tube outer surface.
3. the apparatus of claim 2, which is characterized in that the currency structure is crack structure, and the auxiliary tube is in institute
It states and is also formed with flowing lumen outside interior knife pipe, the flowing lumen is connected on the inside of the crack structure.
4. the apparatus according to claim 1, which is characterized in that the auxiliary tube is including annular middle part and along the interior knife
The axial direction of pipe is located at the annular end at the annular middle part both ends, and the outer diameter of the annular middle part is greater than the annular end
Outer diameter.
5. device according to any one of claims 1 to 4, which is characterized in that the close puncturing head of the interior knife pipe
One end be equipped with cutting edge structure, the outer knife pipe is arranged with cutter groove close to the wall portion of the puncturing head, the interior knife pipe
One end direct or indirect connection sample collecting device far from the puncturing head；
When the interior knife pipe is moved along its axis to the first position, the cutting edge structure is in the cutter groove；In described
When knife pipe is moved along its axis to the second position, the cutting edge structure is not on the inside of the cutter groove.
6. device according to claim 5, which is characterized in that further include the ventilation being axially arranged along the interior knife pipe
Seam, the louver are set to the cutting edge structure or the cutting edge structure and the interior knife pipe, described in the louver connection
Gap between the inner space of cutting edge structure and the pipe, the inside that the inner space of the cutting edge structure is connected to the interior knife pipe are empty
Between.
7. device according to claim 6, which is characterized in that the quantity of the louver is multiple, multiple louver rings
Axial direction around the interior knife pipe is uniformly distributed.
8. device according to claim 5, which is characterized in that the cutting edge structure includes cricoid cutting edge interconnecting piece and sword
Tip, the blade tip portion be set to the cutting edge interconnecting piece close to the puncturing head one end, the cutting edge interconnecting piece it is separate
One end of the puncturing head connects one end close to the puncturing head of the interior knife pipe.
9. device according to claim 8, which is characterized in that the diameter of the cutting edge interconnecting piece is greater than the interior knife pipe
Outer diameter, less than the internal diameter of the outer knife pipe；The diameter of the end close to the puncturing head in the blade tip portion is greater than the outer knife
The internal diameter of pipe.
10. device according to any one of claims 1 to 4, which is characterized in that the dynamic seal structure includes sealing bottom
Seat and seal sleeve, the sealed base are fixedly connected on outside the outer knife pipe, and the seal sleeve and the sealed base are solid
Fixed connection, the seal sleeve and the sealed base have installation gap, the sealing ring peace along the axial direction of the interior knife pipe
Loaded on the installation gap, the seal sleeve is located on the outside of the interior knife pipe, and first cavity is located at the sealed base
Interior, second cavity is located in the seal sleeve.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811336369.4A CN109330633B (en) | 2018-11-09 | 2018-11-09 | Biopsy rotary cutting device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811336369.4A CN109330633B (en) | 2018-11-09 | 2018-11-09 | Biopsy rotary cutting device |
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| CN109330633A true CN109330633A (en) | 2019-02-15 |
| CN109330633B CN109330633B (en) | 2023-10-10 |
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|---|---|---|---|
| CN201811336369.4A Active CN109330633B (en) | 2018-11-09 | 2018-11-09 | Biopsy rotary cutting device |
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| CN110478028A (en) * | 2019-08-13 | 2019-11-22 | 上海导向医疗系统有限公司 | A kind of curved adjustable freezing ablation needle |
| CN110507405A (en) * | 2019-08-13 | 2019-11-29 | 上海导向医疗系统有限公司 | The cryoablation needle of adjustable targeting district |
| CN110559021A (en) * | 2019-09-20 | 2019-12-13 | 吉林大学 | Biopsy of oncology doctor is with biopsy protection device that takes a sample |
| CN110604613A (en) * | 2019-08-13 | 2019-12-24 | 上海导向医疗系统有限公司 | Curved adjustable cryoablation needle |
| CN113243941A (en) * | 2021-04-30 | 2021-08-13 | 重庆西山科技股份有限公司 | Mode-adjustable biopsy system |
| CN113243949A (en) * | 2021-06-30 | 2021-08-13 | 上海导向医疗系统有限公司 | Biopsy rotary-cut device |
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| CN109330633B (en) | 2023-10-10 |
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