CN109567959A - A kind of nerve endoscope auxiliary holds mirror suction device and method - Google Patents
A kind of nerve endoscope auxiliary holds mirror suction device and method Download PDFInfo
- Publication number
- CN109567959A CN109567959A CN201811653029.4A CN201811653029A CN109567959A CN 109567959 A CN109567959 A CN 109567959A CN 201811653029 A CN201811653029 A CN 201811653029A CN 109567959 A CN109567959 A CN 109567959A
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- CN
- China
- Prior art keywords
- hollow pipe
- nerve endoscope
- nerve
- aspirator
- suction device
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/50—Supports for surgical instruments, e.g. articulated arms
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/34—Trocars; Puncturing needles
- A61B2017/347—Locking means, e.g. for locking instrument in cannula
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/005—Auxiliary appliance with suction drainage system
Abstract
The invention discloses a kind of nerve endoscope auxiliary to hold mirror suction device, it include: the handle for holding, the handle side is equipped with the finger-hole for placing finger, the other side is embedded with the hollow pipe for being inserted into the nerve endoscope camera lens vertically, it is arranged with the card slot for being clamped aspirator on the hollow pipe and is used to support the card slot below the card slot and is embedded with by the spring of groove position described in telescopic adjustment, the hollow pipe lower end and the inside of the handle scarf for adjusting the elastic adjusting ring of the hollow pipe.The device has the characteristics that easy to use, cheap, easy to operate, practical, one-handed stable may be implemented and hold mirror flexibly attraction simultaneously, so that patient is helped that critical operation operation can be completed without assistant, improves procedure efficiency and safety, save medical resources.Furthermore the design for varying without existing scope and aspirator is added on the basis of original surgical instrument and is installed and used.
Description
Technical field
The invention belongs to the field of medical instrument technology, it is related to a kind of nerve endoscope auxiliary and holds mirror suction device and method.
Background technique
Endoscopic surgery wound is small, light source can be placed near field of operation, good illumination effect, without focusing repeatedly,
Image resolution is high in art, can carry out panorama and close-ups, can observe surrounding anatomical structures high definition, is conducive to differentiate disease
(nerve endoscope technology clinical application Consensus of experts writes a group endoscopic surgery technology the boundary between normal organization for change
Consensus of experts [J] China, ventricles of the brain brain cell system disease China neurosurgery magazine is treated, 2016,32 (8): 757-766.DOI:
10.3760/cmaj.issn.1001-2346.2016.08.001.).Currently, nerve endoscope technology has obtained fastly in neurosurgery
Speed development is not only yielded unusually brilliant results in traditional ventricles of the brain and skull base disease treatment, but also is also obtained in numerous field of neurosurgery
It is widely applied and approves, such as various cerebral hemorrhages include that (Chen Xinghe, Feng Sanping, Han Zhiguang wait through volume approach to hemotoncus in brain parenchym
Nerve endoscope removes the Hebei Hypertension with renal failure efficacy analysis [J] medicine, 2018,40 (21): 3292-3295.DOI:
10.3969/j.issn.1002-7386.2018.21.022.), (Wang Hongzhang, the Zhang Xiao such as brain tumor such as tumors of pineal region
Young tiger, Gu Ye are waited under nerve endoscope through tumour [J] China, Infratentorial-supracerebellar approach pinealectomy area neurosurgery magazine,
2017,33 (1): 12-14.DOI:10.3760/cmaj.issn.1001-2346.2017.01.004.), Micro-vascular decompression
(clinical research [J] Chongqing Medical of microsurgical vascular decompression under Xiang Hui, Leng Jingxing, Liu Ruen neuroendoscope-assisted, 2018,
47 (31): 3991-3993,3997.DOI:10.3969/j.issn.1671-8348.2018.31.007.), nerve decompression (Soviet Union
Family person of outstanding talent, Lin Shaohua, Wang Hui wait to open in Meta analysis [J] of study of decompression of optic nerve curative effect under cranium study of decompression of optic nerve and scope
State's modern medicine magazine, 2018,28 (27): 64-70.DOI:10.3969/j.issn.1005-8982.2018.27.012.)
Deng.
Scope operating condition is required there are operating walk way and lacuna, and channel passes through out of it for scope.Lacuna can be natural
In the presence of can also be disease leads to or perform the operation generation.Lacuna requires enough spaces, around guaranteeing that scope is able to observe that
Structure simultaneously can safely and effectively be operated that (nerve endoscope technology clinical application Consensus of experts writes a group nerve in it
Endoscopic surgery technology treats Consensus of experts [J] China, ventricles of the brain brain cell system disease China neurosurgery magazine, 2016,32 (8):
757-766.DOI:10.3760/cmaj.issn.1001-2346.2016.08.001.).Previous scope mainly plays auxiliary and sees
Effect is examined, single list mirror operation, with the gradually expansion of technology development and application range, mainstream way is by patient at present
Cooperate " double four hand " operation with assistant, helps hand mirror, rinses, patient holds instrumentation.The modus operandi need patient and
Assistant is provided simultaneously with training under enough professional knowledge and mirror, and accomplishes close fit, perfect could implement operation.
The development of technology be one " by letter to numerous, and by numerous to simple " process, in order to improve procedure efficiency, avoiding need not
It damages, external some professors attempt the singlehanded modus operandi for holding scope and aspirator simultaneously at present, are visually called " chopsticks
Technology ".Cooperate in the technical know-how without assistant, one perfect can implement operation, greatly reduce because combination miss causes
Ground operation risk；However the difficulty of the technology is outclassed using chopsticks, one hand is needed while holding mirror stability, is had both
The flexibility of aspirator can be operated according to situation in art using the instrument of aspirator cooperation the other hand at any time.Because big absolutely
Most neurosurgical doctors are dextro manuality, and using left hand mirror, the right hand is armed, are limited to the high requirement of left hand flexibility
The use of the technology.
Existing scope and aspirator separate mostly, need two kinds of instruments of single-hand handling &, and difficulty is larger.If only by scope and suction
Lead device simply fixation is then not easy activity, and flexibility is significantly insufficient.And if redesigning the scope of subsidiary controllable attraction channel,
The cost that equipment updates is huge.
Summary of the invention
In view of the above technical problems, the purpose of the present invention is to provide a kind of nerve endoscope auxiliary hold mirror suction device and
Method may be implemented one-handed stable and hold mirror flexibly attraction simultaneously, patient is made to help that critical operation operation can be completed without assistant,
Improve procedure efficiency and safety, save medical resources.The device has easy to use, cheap, easy to operate, practicability
Strong feature especially varies without the design of existing scope and aspirator, and installation is added on the basis of original surgical instrument
It uses, while guaranteeing that scope is stablized, considerably increases the flexibility of aspirator.
To achieve the goals above, the invention adopts the following technical scheme:
A kind of nerve endoscope auxiliary holds mirror suction device, comprising: for the handle of holding, the handle side, which is equipped with, to be used
In the finger-hole for placing finger, the other side is embedded with the hollow pipe for being inserted into the nerve endoscope camera lens, the hollow pipe vertically
On be arranged with card slot for being clamped aspirator and be used to support the card slot below the card slot and pass through telescopic adjustment
The inside of the spring of the groove position, the hollow pipe lower end and the handle scarf is embedded with described hollow for adjusting
Manage elastic adjusting ring.
Preferably, handle outside corresponding with the adjusting ring is provided with hole and is equipped with spiral shell on described hole
Silk, the inner wall of the hollow pipe are provided with annular groove, and sliding is embedded with annular adjusting ring, the annular adjusting ring in the annular groove
On be provided with notch, the adjusting ring adjusts the distance at the notch both ends by the rotation of the screw to adjust the hollow pipe
It is elastic.
It is highly preferred that the screw can not be dismantled from described hole.
Preferably, the card slot includes the lumen of two horizontal splicings, and the tube wall of one of lumen is closed to be placed on
The outside of hollow pipe is stated, another lumen is equipped with fluting far from the side tube wall of the hollow pipe to be clamped the aspirator.
Preferably, it further includes adapter that above-mentioned nerve endoscope auxiliary, which holds mirror suction device, and the both ends of the adapter are in
Right angle setting, one end is for connecting suction aspirator tip, and one end is for connecting aspirator tube.
Preferably, the adapter uses PI plastics.
Preferably, the number of the finger-hole is three, is respectively used to pass through for index finger, middle finger and fourth finger from top to bottom.
Preferably, the handle use polyimides (PI) plastic material, the hollow pipe, screw, adjusting ring, card slot and
Spring is all made of stainless steel material.
The present invention also provides a kind of nerve endoscope auxiliary that mirror suction device is held using above-mentioned nerve endoscope auxiliary
The method for holding mirror attraction, comprising:
1) hollow pipe is placed on the nerve endoscope camera lens, tightens the fixed nerve endoscope camera lens of screw；
2) aspirator is fixed on the hollow pipe by card slot；
3) index finger, middle finger and fourth finger of inoperative hand are inserted in finger-hole and are used to control nerve endoscope, nerve endoscope is set
In operation path, the thumb of inoperative hand is placed on aspirator, is placed in aspirator by stirring the card slot up and down
In the nerve endoscope visual field, work hand-held apparatus cooperating.
Further, step 2) further includes that first suction aspirator tip is connected on adapter, then connect with aspirator tube.
The invention has the following advantages:
Easy to use: preoperative high temperature and high pressure steam sterilizes, and being fixed on nerve endoscope in operation can be used.
Cheap: stainless steel and PI plastic material are cheap, and can autoclave sterilization reuse；Without containing essence
Close component, design is succinct, is hardly damaged.In original mechanically additional use, the cost of instrument update is not increased.
Easy to operate: upper hand is simple, after the neurosurgical doctor of nerve endoscope training installs the device, simple experiment
It can skilled operation use.
It is practical: to can solve stability and spirit in endoscopic surgery under the conditions of patient's single-hand handling & mirror and aspirator
Activity is difficult to the problem of having both, and does not increase additional training cost；It can solve and cooperate bad ask under the conditions of double four-handed technique
Topic reduces operation risk, save medical resources.
Detailed description of the invention
Fig. 1 is structural schematic diagram when a kind of nerve endoscope auxiliary of the present invention holds the use of mirror suction device.
Fig. 2 is the Structure explosion diagram that a kind of nerve endoscope auxiliary of the present invention holds mirror suction device.
Fig. 3 is the bottom view that a kind of nerve endoscope auxiliary of the present invention holds mirror suction device.
Wherein: 1- handle, 2- finger-hole, 3- hollow pipe, 4- card slot, 41,42- lumen, 5- spring, 6- adjusting ring, 7- nerve
Endoscope lens, 71- scope handle, 72- speculum illuminator interface, 8-aspirators, 9- screw, 10- adapter.
Specific embodiment
In order to enable the public to fully understand technical spirit and beneficial effect of the invention, applicant will be below in conjunction with attached drawing
Detailed description of specific embodiments of the present invention, but applicant is to the limitation that the description of example is not to technical solution, any
Design, which changes in the form rather than substance, according to the present invention all should be considered as protection scope of the present invention.
As depicted in figs. 1 and 2, a kind of nerve endoscope auxiliary provided by the invention holds mirror suction device and specifically includes that master
Want component --- handle 1+ hollow pipe 3, attachment --- card slot 4+ spring 5+ adjusting ring 6+ screw 9, optional accessory --- adapter
10, the material of above each component can be used current material based on respective function and be made.Wherein:
It is whole in " [" shape, it is preferred to use polyimides PI plastic material, one side, which is equipped with, to be used for the handle 1 of holding
In the finger-hole 2 for placing finger, pass through from top to bottom for index finger, middle finger, fourth finger, three refer to that intermediate setting lattice are kept off, in this way, making the device
Can sufficiently keep stablizing without thumb grip simultaneously can flexible steer direction；
It is embedded hollow pipe 3 in the other side of handle 1 vertically, the hollow pipe 3 is preferably using stainless steel material, non-disconnectable
It unloads, passes through in pipe for nerve endoscope camera lens 7；Under pipe outside diameter nested springs 5 and card slot 4, hollow pipe 3 and 1 junction of handle
Adjusting ring 6, hollow pipe 3 and 1 junction lower outer of handle stay a hole to enter for screw 9 built in side；
Card slot 4 preferably uses stainless steel material, is preferably spliced by two lumen levels, 41 tube wall of lumen of side is complete
It is whole, smooth, it is placed on outside hollow pipe 3, caliber is smaller, is only capable of sliding along 3 direction of hollow pipe, and the displacement of other directions will not occur；
42 tube wall of lumen of the other side is thin, elasticity is good, has a fluting, is caught in for the aspirator 8 of different size, according to different in art
Need to provide more selectivity；
The preferred stainless steel material of spring 5, elasticity are moderate, which can guarantee that card slot 4 is located above when vertical static,
Thumb gently stirs the position of i.e. adjustable card slot 4 when operation, and spring is answered moderate, and tranquillization state card slot 4 is being kept normally to return
While bullet, function state thumb can gently be stirred, and will not follow the string because of high temperature and pressure；
The inner wall of hollow pipe 3 is provided with annular groove, and sliding is embedded with annular adjusting ring in annular groove, and annular adjusting ring is not complete
Complete closure, but it is provided with notch, adjusting ring can be made by the inner wall squeeze adjustments circle of hollow pipe 3 when external screw 9 is tightened
Deformation occurs, adjusting ring notch both ends slided in slot it is close, adjusting ring internal diameter reduce, generate in the nerve in hollow pipe 3
The uniform pressure of lens head 7 is tightly fastened hollow pipe 3 with nerve endoscope camera lens 7, avoids using middle generation relative displacement, such as
Shown in Fig. 3, because nerve endoscope value is higher, which simply uses the fixed scope of 1 piece of screw, but can provide 360 °
Even pressure while increasing stability, avoids damage scope.
Screw 9 preferably uses stainless steel material, and the elasticity of adjusting ring 6 can be adjusted by rotation, which is designed as only
It can unscrew, is non-dismountable, preventing from being fallen accidentally in operation into patient's body, cause a serious accident；
Adapter 10 is selectable unit (SU), preferably PI plastic material, and a termination suction aspirator tip, one terminates aspirator tube, can incite somebody to action
The two forms right-angle relationship, can avoid the speculum illuminator line and scope handle 71 connected on aspirator 8 and speculum illuminator interface 72
Friction, interference procedure are touched mutually.
Usage mode:
--- handle 1+ hollow pipe 3 and attachment --- card slot 4+ spring 5+ adjusting ring 6+ screw 9 by main component, such as Fig. 1
Combination is [intact device], and [intact device] is non-dismountable, and only screw 9 can screw, but it is also undesirable under, prevent from falling in art
Danger, only card slot 4 is slidably；[intact device] can integrated autoclave sterilization, when use, will be [complete in routine operation step
Device] it is placed on nerve endoscope camera lens 7, tighten after screw 9 is fixedly secured, suction aspirator tip is connected into optional accessory --- adapter
It connect, the aspirator 8 that connection is completed is fixed in [intact device] by card slot 4, at this time in nerve with aspirator tube after 10
Lens head 7 and aspirator 8 are connected as one, and left index finger, middle finger, fourth finger are inserted in the finger-hole 2 of handle 1 for controlling nerve
Endoscope lens 7 are stablized, nerve endoscope camera lens 7 is placed in by adjusting 7 depth of nerve endoscope camera lens and direction as routine operation
In operation path, left hand thumb is placed on aspirator 8, stirs the view that aspirator 8 can be placed in nerve endoscope camera lens 7 up and down
In open country, the depth of aspirator 8 is adjusted by thumb, and advances simultaneously, retreat or rotates with nerve endoscope camera lens 7, theoretically may be used
To accomplish that the full visual field is drawn, right hand-held apparatus cooperating.After operation, aspirator 8 is removed, screw 9 is unscrewed and releases and mind
It is connected through endoscope lens 7, high temperature and high pressure steam sterilizes after cleaning, continues to use for operation next time.
Claims (10)
1. a kind of nerve endoscope auxiliary holds mirror suction device, comprising: for the handle of holding, the handle side is equipped with and is used for
The finger-hole of finger is placed, the other side is embedded with the hollow pipe for being inserted into the nerve endoscope camera lens vertically, on the hollow pipe
It is arranged with the card slot for being clamped aspirator and is used to support the card slot below the card slot and passes through telescopic adjustment institute
The spring of groove position is stated, the hollow pipe lower end and the inside of the handle scarf are embedded with for adjusting the hollow pipe
Elastic adjusting ring.
2. a kind of nerve endoscope auxiliary according to claim 1 holds mirror suction device, which is characterized in that the handle with
The corresponding outside of the adjusting ring is provided with hole and is equipped with screw on described hole, and the inner wall of the hollow pipe is provided with annular
Slot, the interior sliding of the annular groove are embedded with annular adjusting ring, are provided with notch on the annular adjusting ring, the adjusting ring passes through institute
The rotation for stating screw adjusts the distance at the notch both ends to adjust the elastic of the hollow pipe.
3. a kind of nerve endoscope auxiliary according to claim 2 holds mirror suction device, which is characterized in that the screw is not
It can be dismantled from described hole.
4. a kind of nerve endoscope auxiliary according to claim 1 holds mirror suction device, which is characterized in that the card slot packet
The lumen of two horizontal splicings is included, the tube wall of one of lumen is closed to be placed on the outside of the hollow pipe, another lumen
Side tube wall far from the hollow pipe is equipped with fluting to be clamped the aspirator.
5. a kind of nerve endoscope auxiliary according to claim 1 holds mirror suction device, which is characterized in that in the nerve
It further includes adapter that mirror auxiliary, which holds mirror suction device, and the both ends of the adapter are at right angles arranged, and one end attracts for connecting
Device head, one end is for connecting aspirator tube.
6. a kind of nerve endoscope auxiliary according to claim 5 holds mirror suction device, which is characterized in that the adapter
Using PI plastics.
7. a kind of nerve endoscope auxiliary according to claim 1 holds mirror suction device, which is characterized in that the finger-hole
Number is three, is respectively used to pass through for index finger, middle finger and fourth finger from top to bottom.
8. a kind of nerve endoscope auxiliary according to claim 1 holds mirror suction device, which is characterized in that the handle is adopted
With PI plastic material, the hollow pipe, screw, adjusting ring, card slot and spring are all made of stainless steel material.
9. a kind of held in the nerve of mirror suction device using a kind of auxiliary of nerve endoscope described in claim 1-8 any one
Mirror auxiliary holds mirror sucking method, comprising:
1) hollow pipe is placed on the nerve endoscope camera lens, tightens the fixed nerve endoscope camera lens of screw；
2) aspirator is fixed on the hollow pipe by card slot；
3) index finger, middle finger and fourth finger of inoperative hand are inserted in finger-hole and are used to control nerve endoscope, nerve endoscope is placed in hand
In art channel, the thumb of inoperative hand is placed on aspirator, aspirator is placed in nerve by stirring the card slot up and down
In the scope visual field, work hand-held apparatus cooperating.
10. nerve endoscope according to claim 9 auxiliary holds mirror sucking method, which is characterized in that step 2) further includes
First suction aspirator tip is connected on adapter, then is connect with aspirator tube.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811653029.4A CN109567959A (en) | 2018-12-29 | 2018-12-29 | A kind of nerve endoscope auxiliary holds mirror suction device and method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201811653029.4A CN109567959A (en) | 2018-12-29 | 2018-12-29 | A kind of nerve endoscope auxiliary holds mirror suction device and method |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN109567959A true CN109567959A (en) | 2019-04-05 |
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ID=65915339
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201811653029.4A Pending CN109567959A (en) | 2018-12-29 | 2018-12-29 | A kind of nerve endoscope auxiliary holds mirror suction device and method |
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|---|---|
| CN (1) | CN109567959A (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114557665A (en) * | 2022-02-25 | 2022-05-31 | 中国医学科学院北京协和医院 | Auxiliary holding mirror suction device and method for neuroendoscope |
-
2018
- 2018-12-29 CN CN201811653029.4A patent/CN109567959A/en active Pending
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114557665A (en) * | 2022-02-25 | 2022-05-31 | 中国医学科学院北京协和医院 | Auxiliary holding mirror suction device and method for neuroendoscope |
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