CN109717951A - Hysteroscope is regarded by cutting - Google Patents
Hysteroscope is regarded by cutting Download PDFInfo
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- CN109717951A CN109717951A CN201910215735.9A CN201910215735A CN109717951A CN 109717951 A CN109717951 A CN 109717951A CN 201910215735 A CN201910215735 A CN 201910215735A CN 109717951 A CN109717951 A CN 109717951A
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- electric knife
- support rod
- hysteroscope
- cutting
- sheath
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Abstract
The invention discloses regard hysteroscope by a kind of cutting comprising mirror ontology, mirror ontology include mirror ontology leading portion portion and mirror ontology back segment portion, and mirror ontology leading portion portion is arranged with sheath；Mirror ontology back segment portion is equipped with other visor body；Electric knife is equipped in sheath and is used to support the support rod of electric knife, and support rod and electric knife are respectively positioned on the lower section in mirror ontology leading portion portion, and electric knife and support rod are distributed along the axial direction of sheath；Support rod and electric knife are arranged in mirror ontology back segment portion；The rear end in mirror ontology back segment portion is equipped with Jing Qiao；Support rod and electric knife are arranged in Jing Qiao；The rear end of Jing Qiao is equipped with controllable electric knife along the sheath hand part of electric knife work in axial sliding.Hysteroscope is regarded by cutting of the invention, by the structure of concision and compact, that electric knife is realized in hysteroscope stablizes carrying, and the stability contorting to electric knife may be implemented in use process, to improve the rate of precision of electrocision.
Description
Technical field
The present invention relates to gynecological medical appliance, in particular to hysteroscope is regarded by a kind of cutting.
Background technique
It, can for Occupation disease in uterine cavity such as uterine cavity polyp, submucosal myoma of uterus, retained placentals in gynecological surgery
Directly to carry out operative treatment by hysteroscope.For endometrial biopsy, adhesion release, vertical diaphragm uterus etc., hysteroscope can also be passed through
Directly carry out operative treatment.
Hysteroscope includes direct-view hysteroscope and other view hysteroscope.The eyepiece of doctor's observation and object for observing tissue substance
Mirror is located at the hysteroscope on same axis, referred to as direct-view hysteroscope.The eyepiece of doctor's observation and object for observing tissue substance
Mirror is not located at the hysteroscope on same axis, referred to as other to regard hysteroscope.In the view hysteroscope of side, the axis of eyepiece and the axis of object lens
Between angle can be acute angle or right angle.
There are three types of the other surgical instruments used depending on hysteroscope of cooperation, specially electric cutting device, cryoprobe instrument and Knife for stripping cable
System.Electric cutting device includes that monopole cutting is cut and Bipolar electrodes.It the characteristics of based on electric cutting device itself, is cut using cutting
When instrument, need matched utensil more complex, thus to use bring it is biggish not convenient.
In addition, current other view hysteroscope, can not be compatible with use two or more surgical instruments greatly.Part is other to regard hysteroscope
Although two or more surgical instruments can be compatible with, after a kind of surgical instrument use, need to take out this kind of surgical instrument,
Another surgical instrument is inserted into hysteroscope again；It haves the defects that be compatible with simultaneously using two or more surgical instruments,
Reduce the efficiency of operation.
Summary of the invention
The technical problem to be solved by the present invention is in order to overcome drawbacks described above of the existing technology, provide by a kind of cutting
Depending on hysteroscope.
The present invention is to solve above-mentioned technical problem by following technical proposals:
Hysteroscope is regarded by a kind of cutting comprising mirror ontology, mirror ontology include mirror ontology leading portion portion and mirror ontology back segment portion,
Mirror ontology leading portion portion is arranged with sheath；Mirror ontology back segment portion is equipped with other visor body；It is equipped with electric knife in sheath and is used to support electricity
The support rod of cutter, support rod and electric knife are respectively positioned on the lower section in mirror ontology leading portion portion, and electric knife and support rod are along sheath
Axial distribution；Support rod and electric knife are arranged in mirror ontology back segment portion；The rear end in mirror ontology back segment portion is equipped with Jing Qiao；Support rod
Jing Qiao is arranged in electric knife；The rear end of Jing Qiao is equipped with controllable electric knife along the sheath hand of electric knife work in axial sliding
Part.
Electric knife is set to the outside of support rod, and support rod is set between mirror ontology leading portion portion and electric knife.Electric knife is set to
The outside of support rod, support rod become the guide rod of electric knife, electric knife can be slided along guide rod or electric knife and guide rod simultaneously
Sliding, in this way, being physically easier to perform electric knife, doctor is more stable when operating, and then improves the accuracy of operation.
Support rod is the tube body passed through for surgical instrument.At this point, support rod is instrument channel pipe.When operation, basket pincers are cut
The small instrument of the cryoprobes such as knife, nipper, biopsy forceps and elastic separating plier can pass through the instrument channel pipe and enter uterine cavity.In this way, when operation both
Electric knife can be used, while the small instrument of cryoprobe can be used.
Support rod is solid cylinder.Solid cylinder can be used to support electric knife.Since support rod is set to electric knife
Outside becomes the guide rod of electric knife, and therefore, the size of solid cylinder can be made small, and reserves biggish space for electric knife, from
And it is easier to controling and operating to electric knife.
Electric knife is fixed in support rod；Or electric knife is slidedly arranged on support rod.It can consolidate between electric knife and support rod
It connects, can also be slidably connected.When support rod and electric knife are affixed, support rod enters uterine cavity with electric knife.When electric knife and branch
When strut is slidably connected, support rod provides support when electric knife slides for electric knife, so that electric knife is easier to control.
Support rod is tubulose, and electric knife is arranged in support rod, and electric knife is fixed in support rod.Electric knife and support rod are solid
It connecing, support rod and electric knife can move in sheath simultaneously, and support rod provides stable support for the softer electric knife of quality,
In this way, doctor is allowed more stably to operate electric knife, so that electric knife is easily controllable, operation Shi Gengneng accurately cuts off disease
Become tissue.
Jing Qiao is equipped with the service aisle switch for being used to open or closing mirror bridge service aisle.The both ends of Jing Qiao are two and connect
Mouthful, front end interface is connected to mirror ontology, and the interface of rear end can be used for connecting electric knife work hand part, or for connecting Knife for stripping cable
System, or for connecting cryoprobe instrument.By Jing Qiao, the interface conversion of a variety of instruments is realized.In use, first by operating switch
It closes, service aisle is switched after sheath enters uterine cavity and is opened, support rod and electric knife can enter sheath after Jing Qiao
It is interior.When replacing surgical instrument, sheath is remained in uterine cavity, and support rod and electric knife are detached from sheath and Jing Qiao, in other operations
Before instrument insertion, service aisle can be switched and be closed, gone out to avoid swollen palace liquid stream.When exclusive use Knife for stripping cable system, or list
When solely using larger-size cryoprobe instrument, then service aisle is switched and is opened, Knife for stripping cable system or cryoprobe instrument is made to enter sheath
Set, to perform the operation.It is switched using service aisle, swollen palace liquid stream can be avoided to go out when switching surgical instrument.
Electric knife work hand part includes work hand part ontology, has the manipulation for manipulating electric knife on the hand part ontology that works
Handle and for make operation handle reset V-type spring back part.By control crank, the behaviour to electric knife can be easily realized
It is vertical；Springing back part by V-type may be implemented the Rapid reset of electric knife.
Electric knife work hand part includes hand part ontology, and hand part ontology is equipped with for pushing the pushing block of electric knife and being used for
Make the U-shaped lever for pushing block reset；One end of U-shaped lever is connected on hand part ontology, and the other end is connected to pushing block
Rear end；The front end of pushing block is arranged in hand part ontology；The front end of pushing block has for preventing pushing block from being detached from hand part ontology
Stop end.In use, doctor pinches U-shaped lever, pushing block pushes electric knife to stretch out sheath, performs the operation.When doctor unclamps U
Type lever, under the elastic force effect of U-shaped lever, pushing block is retreated, and electric knife is pulled in sheath.This electric knife work hand
Part has simple for structure, easy to operate, the convenient advantage of control electric knife.
The front end of sheath is equipped with multiple through-holes, and the rear end of sheath is equipped with water outlet；The front end of sheath is equipped with insulation sleeve.When
When needing to extract out swollen palace liquid, swollen palace liquid can be by through-hole, into sheath.Water outlet connects negative pressure device, negative pressure device
Swollen palace liquid is sucked out from water outlet.Insulation sleeve can enter sheath to avoid the electric current of electric knife cutter head, to increase the peace used
Quan Xing.
The beneficial effects of the present invention are: hysteroscope is regarded by cutting of the invention, by the structure of concision and compact, in uterine cavity
That electric knife is realized in mirror stablizes carrying, and the stability contorting to electric knife may be implemented in use process, to improve
The rate of precision of electrocision.In addition, can be carried out simultaneously using cryoprobe instrument and electric knife by cutting of the invention depending on hysteroscope
Operation, also can be used alone Knife for stripping cable and performs the operation, larger-size cryoprobe instrument can also be used alone and perform the operation,
There is greatly compatibility to surgical instrument.It performs the operation using by cutting of the present invention depending on hysteroscope, a variety of operations may be implemented
The coordinated of instrument, the advantages of gathering each surgical instrument.It is not needed at the time of surgery, by cutting of the invention depending on hysteroscope repeatedly
Disengaging uterine cavity can realize the switching of a variety of surgical instruments, saved operating time, improved procedure efficiency, reduced infection
Risk, reduce Asherman's syndrom, reduce the discomfort of patient.
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the embodiment of the present invention 1.
Fig. 2 is the sheath schematic diagram of internal structure of the embodiment of the present invention 1.
Fig. 3 is the A direction view in Fig. 2.
Fig. 4 is the structural schematic diagram of the embodiment of the present invention 2.
Fig. 5 is the sheath schematic diagram of internal structure of the embodiment of the present invention 2.
Fig. 6 is the B direction view in Fig. 5.
Specific embodiment
Two preferred embodiments are named, and completely illustrate the present invention in conjunction with attached drawing to become apparent from.
Embodiment 1
As shown in Figure 1, Figure 2 and Figure 3, hysteroscope is regarded by a kind of cutting comprising mirror ontology 10, mirror ontology 10 include mirror sheet
Body leading portion portion 11 and mirror ontology back segment portion 12, mirror ontology leading portion portion 11 are arranged with sheath 20；Mirror ontology back segment portion 12 is equipped with other view
Mirror body 13.
Optical imaging unit 14, light source 15 and intake tunnel 16 are equipped in mirror ontology leading portion portion 11.Optical imaging unit is
Optical lens.Light source illuminates uterine cavity, can see the image in optical lens areas imaging by other visor body 13.
The front end of sheath 20 is equipped with multiple through-holes 21, and the rear end of sheath 20 is equipped with water outlet 22.Swollen palace liquid is from intake tunnel
Into uterine cavity, then the through-hole Jing Guo sheath enters in sheath, then flows out from water outlet.
The front end of sheath is equipped with insulation sleeve 23.
Equipped with electric knife 30 and the support rod 40 for being used to support electric knife in sheath 20, electric knife is set to the outer of support rod
Portion, support rod are set between mirror ontology leading portion portion and electric knife.
Support rod 40 is equipped with the connector 41 for being used to support electric knife；Electric knife 30 is connected to support by connector 41
Bar 40.Connector is fixed in support rod, and electric knife can be slidedly arranged on connector, and electric knife can also be affixed with connector.
Support rod 40 and electric knife 30 are arranged in mirror ontology back segment portion 12.
The rear end in mirror ontology back segment portion 12 is equipped with mirror bridge 50；Support rod 40 and electric knife 30 are arranged in mirror bridge 50.
Mirror bridge 50 is equipped with the service aisle switch 51 for being used to open or closing mirror bridge service aisle.
The rear end of mirror bridge 50 is equipped with controllable electric knife along the sheath hand part 60 of electric knife work in axial sliding.
Electric knife work hand part 60 includes work hand part ontology 61, is had on the hand part ontology 61 that works for manipulating electric knife
Control crank 62 and for make operation handle reset V-type spring back part 63.
In the present embodiment, support rod is the tube body passed through for surgical instrument；I.e. support rod is instrument channel pipe.This implementation
In example, electric knife is slidedly arranged on support rod.
In another embodiment, support rod is solid cylinder.At this point, support rod becomes guide rod.Electric knife can with lead
Bar is affixed, can also be slidedly arranged on guide rod.
In the present embodiment, there is the work hand part instrument channel being connected to support rod inner cavity on electric knife work hand part 60
(being not shown on figure), the rear end of electric knife work hand part 60 has can be by the closed sealing cap 64 of hand part instrument channel that works.When not
When needing using cryoprobe instrument, sealing cap can be sealed up, swollen palace liquid stream is avoided to go out.It, will when needing while using cryoprobe instrument
Sealing cap is opened, and cryoprobe instrument is performed the operation by entering uterine cavity after instrument channel pipe.
Hysteroscope is regarded by the cutting of the present embodiment, and electric knife can be used only, can also use electric knife and cryoprobe simultaneously
Small instrument.The small instrument of cryoprobe specifically includes basket pincers, scissors, nipper, biopsy forceps and elastic separating plier etc..Open sealing cap, the small instrument of cryoprobe
The insertion instrument tube channel after electric knife work hand part.When performing the operation to uterine cavity, electric knife both can be used and performed the operation,
Also the small instrument of cryoprobe can be used to perform the operation.
Hysteroscope is regarded by the cutting of the present embodiment, there are two types of modes of operation when being performed the operation using electric knife:
Mode one: doctor's left hand helps other visor body, and right hand operation electric knife is performed the operation.
Mode two: doctor's left-handed operation instrument (such as tissue forceps), the right hand operate cutting work hand part.Assistant helps other visor body
And help vaginal speculum cervical clamps.
In other one embodiment, support rod is solid cylinder.In the embodiment, electric knife progress can be used
Operation.
In other one embodiment, electric knife is to be fixedly connected with support rod.In the embodiment, electric knife and support
Bar slides axially along sheath simultaneously.
Hysteroscope is regarded by cutting of the invention, and by the structure of concision and compact, the stabilization of electric knife is realized in hysteroscope
Carrying, and the stability contorting to electric knife may be implemented in use process, to improve the rate of precision of electrocision.
Hysteroscope is regarded by cutting of the invention, can also be compatible with using Knife for stripping cable system and larger-size cryoprobe instrument.
Specifically: electric knife work hand part is removed from Jing Qiao, and then support rod and electric knife is driven to take off from sheath and mirror ontology
From.Then by Knife for stripping cable system or cryoprobe instrument insertion mirror ontology and sheath, at this point it is possible to use Knife for stripping cable system or cold respectively
Knife instrument is performed the operation.
When using Knife for stripping cable system and larger-size cryoprobe instrument, it is not necessary that sheath is taken out out of uterine cavity.It only need to will be electric
After cutter work hand part removes, directly by Knife for stripping cable system and larger-size cryoprobe instrument insertion mirror ontology and sheath, so that it may
To use Knife for stripping cable system and larger-size cryoprobe instrument to perform the operation.
It can be performed the operation simultaneously using the small instrument of cryoprobe and electric knife by cutting of the invention depending on hysteroscope, it can also be single
It is solely performed the operation using Knife for stripping cable, larger-size cryoprobe instrument can also be used alone and perform the operation, had to surgical instrument
There is great compatibility.
It performs the operation using by this cutting depending on hysteroscope, the coordinated of cryoprobe small instrument and electric knife may be implemented, collect
The advantages of gathering each surgical instrument.
Cutting for a variety of surgical instruments can be realized by not needing by this cutting repeatedly to pass in and out uterine cavity at the time of surgery, depending on hysteroscope
It changes, has saved operating time, improve procedure efficiency, reduce the risk of infection, reduce Asherman's syndrom, reduce patient not
It is suitable.
Embodiment 2
As shown in Figure 4, Figure 5 and Figure 6, hysteroscope is regarded by a kind of cutting comprising mirror ontology 10, mirror ontology 10 include mirror sheet
Body leading portion portion 11 and mirror ontology back segment portion 12, mirror ontology leading portion portion 11 are arranged with sheath 20；Mirror ontology back segment portion 12 is equipped with other view
Mirror body 13.
Optical imaging unit 14, light source 15 and intake tunnel 16 are equipped in mirror ontology leading portion portion 11.Optical imaging unit is
Optical lens.Light source illuminates uterine cavity, can see the image in optical lens areas imaging by other visor body 13.
The front end of sheath 20 is equipped with multiple through-holes 21, and the rear end of sheath 20 is equipped with water outlet 22.Swollen palace liquid is from intake tunnel
Into uterine cavity, then the through-hole Jing Guo sheath enters in sheath, then flows out from water outlet.
The front end of sheath is equipped with insulation sleeve 23.
Equipped with electric knife 70 and the support rod 80 for being used to support electric knife in sheath 20.Support rod 80 is tubulose, electric knife
70 are arranged in support rod 80, and electric knife 70 is fixed in support rod.
Support rod 80 is equipped with the connector 81 for being used to support electric knife；Electric knife 70 is connected to branch by the way that connector 81 is affixed
Strut 80.
Support rod 80 and electric knife 70 are arranged in mirror ontology back segment portion 12.
The rear end in mirror ontology back segment portion 12 is equipped with mirror bridge 50；Support rod 80 and electric knife 70 are arranged in mirror bridge 50.
Mirror bridge 50 is equipped with the service aisle switch 51 for being used to open or closing mirror bridge service aisle.
The rear end of mirror bridge 50 is equipped with controllable electric knife along the sheath hand part 90 of electric knife work in axial sliding.
Electric knife work hand part 90 includes hand part ontology 91, and hand part ontology 91 is equipped with the pushing block for pushing electric knife
92 and for make push block reset U-shaped lever 93；One end of U-shaped lever 93 is connected on hand part ontology 91, the other end
It is connected to the rear end of pushing block 92；The front end of pushing block 92 is arranged in hand part ontology 91；The front end of pushing block 92 has for hindering
The stop end of thrust motion block disengaging hand part ontology.Stop end is located at hand part body interior, does not show on attached drawing.
The present embodiment is essentially consisted in embodiment 1: electric knife is arranged in the support rod of tubulose, and electric knife is fixed in
The inner cavity of support rod.
In the present embodiment, electric knife is intracavitary in support rod, and electric knife and support rod are affixed, support rod and electric knife
It can be moved in sheath simultaneously, support rod provides stable support for the softer electric knife of quality, in this way, making doctor can be with
Electric knife is more stably operated, so that electric knife is easily controllable, perform the operation Shi Gengneng accurately removal lesion tissue.
The present embodiment and the difference of embodiment 1 also reside in: electric knife work hand part uses U-shaped lever to reset power
Source.In use, doctor pinches U-shaped lever, pushing block pushes electric knife to stretch out sheath, performs the operation.When doctor unclamps U-shaped behaviour
Make handle, under the elastic force effect of U-shaped lever, pushing block is retreated, and electric knife is pulled in sheath.This electric knife work hand part tool
There is simple for structure, easy to operate, the convenient advantage of control electric knife.
Electric knife work package in the present embodiment also can be applied in embodiment 1, with the electric knife in alternate embodiment 1
Work package.Concrete application situation, details are not described herein again.
The other beneficial effects of the present embodiment are same as Example 1, and details are not described herein again.
Although specific embodiments of the present invention have been described above, it will be appreciated by those of skill in the art that this is only
For example, protection scope of the present invention is to be defined by the appended claims.Those skilled in the art without departing substantially from
Under the premise of the principle and substance of the present invention, many changes and modifications may be made, but these change and
Modification each falls within protection scope of the present invention.
Claims (10)
1. regarding hysteroscope by a kind of cutting comprising mirror ontology, mirror ontology include mirror ontology leading portion portion and mirror ontology back segment portion, mirror
Ontology leading portion portion is arranged with sheath；Mirror ontology back segment portion is equipped with other visor body；It is characterized in that, being equipped with electric knife and use in sheath
In the support rod of support electric knife, support rod and electric knife are respectively positioned on the lower section in mirror ontology leading portion portion, and electric knife and support rod are equal
Axial direction along sheath is distributed；Support rod and electric knife are arranged in mirror ontology back segment portion；The rear end in mirror ontology back segment portion is equipped with mirror
Bridge；Support rod and electric knife are arranged in Jing Qiao；The rear end of Jing Qiao is equipped with controllable electric knife along sheath cutting in axial sliding
Knife work hand part.
2. regarding hysteroscope by cutting as described in claim 1, which is characterized in that electric knife is set to the outside of support rod, support
Bar is set between mirror ontology leading portion portion and electric knife.
3. regarding hysteroscope by cutting as claimed in claim 2, which is characterized in that support rod is the pipe passed through for surgical instrument
Body.
4. regarding hysteroscope by cutting as claimed in claim 2, which is characterized in that support rod is solid cylinder.
5. regarding hysteroscope by cutting as claimed in claim 2, which is characterized in that electric knife is fixed in support rod；Or cutting
Knife is slidedly arranged on support rod.
6. regarding hysteroscope by cutting as described in claim 1, which is characterized in that support rod is tubulose, and electric knife is arranged in branch
Strut, electric knife are fixed in support rod.
7. regarding hysteroscope by cutting as described in claim 1, which is characterized in that Jing Qiao is equipped with and is used to open or closes Jing Qiao
The service aisle of service aisle switchs.
8. regarding hysteroscope by cutting as described in claim 1, which is characterized in that electric knife work hand part includes work hand part sheet
Body, work hand part ontology on have for manipulate electric knife control crank and for make operation handle reset V-type rebound
Part.
9. regarding hysteroscope by cutting as described in claim 1, which is characterized in that electric knife work hand part includes hand part ontology,
Hand part ontology is equipped with the pushing block for pushing electric knife and the U-shaped lever for making to push block reset；U-shaped lever
One end is connected on hand part ontology, and the other end is connected to the rear end of pushing block；The front end of pushing block is arranged in hand part ontology；It pushes
The front end of block has the stop end for preventing pushing block from being detached from hand part ontology.
10. regarding hysteroscope by cutting as described in claim 1, which is characterized in that the front end of sheath is equipped with multiple through-holes, sheath
Rear end be equipped with water outlet；The front end of sheath is equipped with insulation sleeve.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910215735.9A CN109717951A (en) | 2019-03-21 | 2019-03-21 | Hysteroscope is regarded by cutting |
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| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201910215735.9A CN109717951A (en) | 2019-03-21 | 2019-03-21 | Hysteroscope is regarded by cutting |
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| CN109717951A true CN109717951A (en) | 2019-05-07 |
Family
ID=66302717
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| CN201910215735.9A Pending CN109717951A (en) | 2019-03-21 | 2019-03-21 | Hysteroscope is regarded by cutting |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN112704561A (en) * | 2021-03-26 | 2021-04-27 | 上海宇度医学科技股份有限公司 | Uterine cavity resectoscope |
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