CN109938805A - The hydraulic micro- scissors of software - Google Patents
The hydraulic micro- scissors of software Download PDFInfo
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- CN109938805A CN109938805A CN201910307885.2A CN201910307885A CN109938805A CN 109938805 A CN109938805 A CN 109938805A CN 201910307885 A CN201910307885 A CN 201910307885A CN 109938805 A CN109938805 A CN 109938805A
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- scissors
- micro
- aspirator
- software
- hydraulic
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Abstract
The invention discloses a kind of hydraulic micro- scissors of software, micro- scissors head and water pipe bar, hydraulic fittings and the straight mouth plug of micro- scissors including having water pocket;Micro- scissors head is connect by water pipe bar with hydraulic fittings, the flexible opening for controlling micro- scissors head of orientation, the closure that hydraulic fittings pass through control water pocket.Micro- scissors is placed in the steering software aspirator of negative pressure after combining with fiberendoscope, aspirator is placed in a kind of guide, micro- scissors cephalad direction is controlled by aspirator, hydraulic fittings are stretched by the orientation of control water pocket to be controlled the opening on micro- scissors head, is closed, and then is sheared under negative pressure.The present invention is controlled by minimally invasive steering software aspirator, utilize vacuum suction, scope auxiliary, avoid the iatrogenic injury of nerve, blood vessel, brain tissue etc., the complication of peri-operation period nerve, injury of blood vessel is significantly reduced, while during surgery, avoiding double uncoordinated operation, procedure efficiency is improved, operation cost is reduced.
Description
Technical field
The present invention relates to the scissors more particularly to a kind of hydraulic micro- scissors of software in medical instrument in Microinvasive neurosurgery.
Background technique
There are the tissues such as arachnoid, tumor capsule, blood vessel to need to cut in neurosurgery, especially in endoscopic mind
In surgically, operation is related to deep-brain, and narrow space, channel is long and narrow, and traditional micro- scissors difficulity of the movment is big, cuts
It is big that knife intersects the motion space that rear needs.In cambered service aisle, traditional scissors or micro- scissors at all can not
Expansion effectively work.This puts forward new requirements the scissors in the operation of neurosurgery arc service aisle.
Secondly, departments' operative doctor such as neurosurgery had found in long-term operation experience existing micro- scissors exist with
Lower shortcoming: (1) the gun arm of scissors or micro- scissors is increasingly longer, needs biggish operating space.(2) micro- scissors is opened
Mouth arm is longer, and the opening of front end 1-1.5mm or so is only used only in shear action in brain deep tissue, and opening redundancy is too big.(3)
Endoscopic surgery needs to frequently replace medical instrument, is delayed operating time;During replacing medical instrument, operative doctor eyesight is de-
From wrong damage risk of performing the operation.(4) within the time that aspirator is replaced with micro- scissors, former bleeding part is covered in new bleeding,
It is carried on to operation and causes difficulty.(5) arc service aisle can not be passed through.These problems restrict neurosurgery etc. for a long time and exist
Interior surgeon needs the new hydraulic micro- scissors of software of one kind to solve these problems.
Summary of the invention
Goal of the invention: in the prior art, surgical instrument, Yi Jiwu are replaced during neurosurgery endoscopic surgery repeatedly
Method provides a kind of hydraulic micro- scissors of minimally invasive software by the defect of cambered service aisle, the present invention.
Technical solution: the hydraulic micro- scissors of software of the present invention, including with water pocket micro- scissors head and water pipe bar and liquid
Press fitting;Micro- scissors head is connect by water pipe bar with hydraulic fittings, and hydraulic fittings are flexible by the orientation for controlling water pocket
Control opening, the closure on micro- scissors head.
Micro- scissors head includes upper sword, lower sword, upper shear arm and lower scissors arm, and upper shear arm and lower scissors arm and water pocket connect
It connects, water pocket one end is connect with water pipe bar, and the water pocket other end connects hydraulic fittings, shear arm in the extension and contraction control oriented by water pocket
Opening, closure with lower scissors arm.
Micro- scissors further includes the straight mouth plug of micro- scissors and water pipe bar fixed-wing on water pipe bar.
Micro- scissors is placed in the steering software aspirator of negative pressure after combining with fiberendoscope, and aspirator is placed to one kind
In guide, micro- scissors cephalad direction is controlled by aspirator, hydraulic fittings by the orientation for controlling water pocket it is flexible control it is micro-
Opening, the closure on scissors head, and then sheared under negative pressure.
Turning to software aspirator includes negative pressure junction block, front end band film bourdon tube, control handle and the straight mouth pipe of aspirator, is turned
Rotation to software aspirator control handle affects the bending of leading portion bourdon tube to control the direction on micro- scissors head.
Water pipe bar is the flexible pipe with length mark, and micro- straight mouth plug of scissors is moved along water pipe bar, blocks attraction
The straight mouth of device is to keep negative pressure state.
Angle between negative pressure junction block and the straight mouth pipe of the aspirator is 30 ° to 60 °, super convenient for being placed in or taking out software
Micro- scissors.
When turning to software aspirator by arc guide, using software fiberendoscope.
It turns to when software aspirator passes through straight guide and uses software or hard fibre scope.
Working principle: the rigid mechanical force conduction mode of abandoning tradition of the present invention, using hydraulic in flexible hydraulic technology
Principle keeps water pocket orientation flexible by manual hydraulic fittings by stress transfer to water pocket, and then controls the opening of micro- scissors, cuts
It cuts.Aspirator is turned to the use of a kind of Microinvasive neurosurgery simultaneously, is fixed on the steering aspirator front end, it is convenient and efficient together
The arc service aisle by the aspirator in, may pass through narrow or curved guide, in software/hard fibre scope view
The lower operation of open country auxiliary, without adjusting aspirator main body and channel space position repeatedly, it is thus only necessary to adjust the position on aspirator head
It sets and direction, and then controls the spatial position on micro- scissors head, and it is micro- to control its by the Microinvasive neurosurgery to turn to aspirator
The shear action to destination organization is completed in position of the scissors head in operating field, and can be complete under negative pressure, endoscope
At keeping visual area apparent visual, reduce operation difficulty, shorten operating time, reduce the tissue such as nerve, the blood vessel in brain deep
Physical drawing and compressing, reduce the complication of peri-operation period, reduce iatrogenic injury risk.
The utility model has the advantages that compared with prior art, the invention has the following advantages that
(1) operation of the present invention is simple, has minimal invasive, can pass through straight or arc catwalk, micro- scissors head
Spatial position can by a kind of Microinvasive neurosurgery turn to software aspirator be controlled.In operation, in scissors closed form
Under state, it is placed in as needed or takes out software ultra micro scissors, without adjusting aspirator and scope service aisle main body position,
Physical disturbance of the operation instrument in brain tissue entity is reduced to greatest extent;Reduce nerve, the blood vessel etc. in brain deep
The physical drawing and compressing of tissue, reduce the complication of peri-operation period.
(2) the adjustment movement that can obviously reduce instrument, reduces scope service aisle outer diameter, reduces service aisle and passes through normally
The volume of brain tissue, the technical difficulty for reducing surgical procedure are low.
(3) in use, using vacuum suction, scope auxiliary can avoid nerve, blood to the present invention to the maximum extent
The iatrogenic injury of pipe, brain tissue etc., hence it is evident that reduce the complication of peri-operation period nerve, injury of blood vessel, while in surgical procedure
In, double uncoordinated operation is avoided, procedure efficiency is improved, shortens operating time and operation cost.
(4) present invention is suitable for all kinds of neurosurgery cranium brains, the endoscopic surgery of backbone, ear-nose-throat department, gastroenterology, breathing
The endoscopic surgeries such as internal medicine.
(5) present invention is medical disposable material, avoids the risk of cross-infection.
Detailed description of the invention
Fig. 1 is schematic structural view of the invention;
Fig. 2 is minimally invasive steering software aspirator structure chart;
Fig. 3 is micro- scissors head side view;
Fig. 4 is micro- scissors head front view;
Fig. 5 is micro- scissors top view of head;
Fig. 6 is manual hydraulic fittings schematic diagram;
Fig. 7 is water pipe bar fixed-wing side view;
Fig. 8 is endoscope position bracket side view.
Specific embodiment
Embodiment one:
As shown in Figure 1, Figure 2, Figure 3 shows, the hydraulic micro- scissors of the present invention includes micro- scissors head 1, water pipe bar fixed-wing 2, water pipe
The straight mouth plug 5 of bar 3, endoscope position bracket 4, micro- scissors, software/hard fibre scope 6 and manual hydraulic fittings 9.Wherein, micro- scissors
Head 1 include hydraulic water pocket 10, upper sword 12.1, lower sword 12.2, upper shear arm 11.1, lower scissors arm 11.2, upper shear arm with it is upper
The transition portion 13.1 and lower scissors arm of sword and lower sword transition portion 13.2.Water pipe bar 3 and software/hard fibre scope 6 are equal
Across the corresponding aperture of straight mouth plug 5.
As shown in Fig. 2, the hydraulic micro- scissors of the present invention is placed in by turning to the straight mouth pipe 18 of software aspirator in the present embodiment
Into the steering software aspirator, by being rotated to the course changing control handle 16 for turning to software aspirator to all directions, with this
Leading portion band 15 bending deformation of film bourdon tube of control aspirator is affected, and then controls the operative space position on micro- scissors head, it is real
Apply target action.The negative pressure junction block inclined open 17 of aspirator connects negative pressure suction device, to maintain vacuum suction;Water pipe bar
One end is equipped with the straight mouth plug of micro- scissors that can be moved along water pipe bar, after micro- scissors is placed to aspirator, closes aspirator, maintains
Negative pressure.The angle of negative pressure junction block inclined open 17 therein and the straight mouth pipe of aspirator is 30 °~60 °, convenient for merging or is taken out
Software ultra micro scissors.
After micro- scissors of the invention passes through the straight mouth pipe 18 of aspirator and reaches target, the straight mouth plug 5 of micro- scissors is used to close
The straight mouth pipe 18 for turning to software aspirator, after use, closes straight mouth pipe 18 using straight mouth plug 19.
The water pocket 10 of micro- scissors connects upper shear arm 11.1 and lower scissors arm 11.2;Water pipe bar 3 has scale to show, to indicate
The positional relationship on micro- scissors head and software aspirator opening;The front end of water pipe bar 3 connects water pocket 10, and rear end connection is manual hydraulic
Accessory 9.The straight mouth plug 5 of micro- scissors of 3 rear end of water pipe bar, for closing the straight mouth 18 for turning to software aspirator, to maintain negative pressure.
As shown in Figure 4, Figure 5, wherein on water pocket 10 shear arm 11.1 and lower scissors arm 11.2,13.1 be upper shear arm with it is upper
Transition portion between sword 12.1,13.2 transition portion between lower scissors arm and lower sword 12.2.
As shown in fig. 6, the manual hydraulic fittings of micro- scissors head water pocket connection syringe shape, in manual hydraulic fittings 9,
The hand-held place 8 of thumb and the hand-held place 7 of index finger and middle finger cooperate, and opening, the closure of index finger and middle finger relative to thumb are led to
The contracting for crossing hydraulic control water pocket 10 is stretched, the elastic material that upper shear arm 11.1 and lower scissors arm 11.2 use, can be in outer masterpiece
It repeatedly opens, be closed under, and then control the closure of upper shear arm and lower scissors arm, open.
In manual hydraulic fittings, 7.1 be manual hydraulic fittings shell, rubber seal 14 and manual hydraulic fittings inner core
The inner surface of 8.1 connections, the outside of sealing ring 14 and manual hydraulic fittings shell 7.1 is in close contact, and is maintained closed.
As shown in fig. 7, fixed-wing, which is used in, turns to fixed space position in software aspirator leading portion band film bourdon tube, it is medium and small
The wing 2.1 blocks water pipe bar 3, and the big wing 2.2 props up the inner surface of suction pipe.
As shown in figure 8, water pipe bar 3 is blocked in the lower section of fiberendoscope position support 4, top is blocked in software/hard fibre
Mirror.
Micro- scissors head therein and water pipe bar can be led to by cambered rigid crossing, water pipe bar according to rigidity
The curved shape in road and bend.Water pipe bar has scale to show, to show that it is soft that micro- scissors head and Microinvasive neurosurgery turn to
The positional relationship of body aspirator opening.
The micro- scissors of the present invention can complete target action, concrete operations mode under software/hard fibre scope visual field auxiliary
It is as follows:
It is soft to take out Microinvasive neurosurgery steering when neurosurgery needs to shear destination organization for the micro- scissors of the present invention
The straight mouth plug of body aspirator will be placed to together minimally invasive mind after the hydraulic micro- scissors of minimally invasive software and software/hard fibre scope combination
It is turned in software aspirator through surgery, reaches corresponding scale.Under scope auxiliary observation, give appropriate suction, and controls micro- cut
The spatial position in cutter head portion, liquid in phacoemulsification, appears and reaches destination organization, give the implementation of shear action, exit software
Hydraulic micro- scissors gives the straight mouth plug of aspirator and clogs straight mouth, completes entire shear history.
The present invention can according to operation needs, do not adjust Microinvasive neurosurgery turn to software aspirator position in the case where,
It is placed in apparatus of the present invention, the operation of the relevant shear action of row.The present invention can fundamentally avoid operative doctor from performing the operation because of replacement
Instrument and the visual field are detached from operating field bring and accidentally damage.
Embodiment two:
In the micro- arthroscopic diagnosis of neurosurgery, water pipe bar fixed-wing 2 and the endoscope position in Fig. 1 of the present invention can be removed
The straight mouth plug 5 of bracket 4, micro- scissors and software/6 component of hard fibre scope micro- are cut under field of microscope auxiliary by of the invention
Cutter head portion extend into operating field corresponding position, shears to destination organization.The upper and lower shear arm on micro- scissors head is opened, is seen
Shear effect is examined, above-mentioned steps can be operated repeatedly, until destination organization detachment.
Steering software aspirator in both the above embodiment can work as steering by straight channel or curved channel guide
When software aspirator passes through arc guide, fiberendoscope uses software fiberendoscope;When steering software aspirator is by leading directly to
When road guide, fiberendoscope uses software or hard fibre scope.
Claims (9)
1. a kind of hydraulic micro- scissors of software, it is characterised in that: including with water pocket micro- scissors head and water pipe bar and hydraulic
Accessory;Micro- scissors head is connect by water pipe bar with hydraulic fittings, and the hydraulic fittings are stretched by controlling the orientation of water pocket
It is retracted and controls the opening on micro- scissors head, closure.
2. the hydraulic micro- scissors of software according to claim 1, it is characterised in that: micro- scissors head include upper sword, under
Sword, upper shear arm and lower scissors arm, the upper shear arm and lower scissors arm are connect with water pocket, and described water pocket one end and water pipe bar connect
It connects, the water pocket other end connects hydraulic fittings, the open and close of shear arm and lower scissors arm in the extension and contraction control oriented by water pocket
It closes.
3. the hydraulic micro- scissors of software according to claim 1, it is characterised in that: micro- scissors further includes being located at water pipe bar
On the straight mouth plug of micro- scissors and water pipe bar fixed-wing.
4. the hydraulic micro- scissors of software according to claim 1, it is characterised in that: after micro- scissors is combined with fiberendoscope
It is placed in the steering software aspirator of negative pressure, the aspirator is placed in a kind of guide, micro- scissors head side
It is controlled to by aspirator, flexible for controlling micro- scissors head of orientation that the hydraulic fittings pass through hydraulic control water pocket
Open and close closes, and then is sheared under negative pressure.
5. the hydraulic micro- scissors of software according to claim 4, it is characterised in that: the steering software aspirator includes negative pressure
Junction block, front end band film bourdon tube, control handle and the straight mouth pipe of aspirator, it is described to turn to turning for software aspirator control handle
It is dynamic, the bending of leading portion bourdon tube is affected to control the direction on micro- scissors head.
6. the hydraulic micro- scissors of software according to claim 3, it is characterised in that: the water pipe bar is with length mark
Flexible pipe, micro- straight mouth plug of scissors are moved along water pipe bar, block the straight mouth of aspirator to keep negative pressure state.
7. the hydraulic micro- scissors of software according to claim 5, it is characterised in that: the negative pressure junction block and the aspirator
Angle between straight mouth pipe is 30 ° to 60 °.
8. the hydraulic micro- scissors of software according to claim 4, it is characterised in that: the steering software aspirator passes through arc
When guide, using software fiberendoscope.
9. the hydraulic micro- scissors of software according to claim 4, it is characterised in that: the steering software aspirator passes through straight
Software or hard fibre scope are used when guide.
Priority Applications (1)
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CN201910307885.2A CN109938805B (en) | 2019-04-17 | 2019-04-17 | Soft hydraulic micro scissors |
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CN201910307885.2A CN109938805B (en) | 2019-04-17 | 2019-04-17 | Soft hydraulic micro scissors |
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CN109938805A true CN109938805A (en) | 2019-06-28 |
CN109938805B CN109938805B (en) | 2021-10-26 |
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Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN202682016U (en) * | 2012-08-14 | 2013-01-23 | 傅丽霞 | Hydraulic power steer type endoscopic shearing device |
CN202761373U (en) * | 2012-08-15 | 2013-03-06 | 程新宝 | Controlled redirecting fetching forceps |
CN106491186A (en) * | 2016-10-14 | 2017-03-15 | 龙口市人民医院 | Have the Minimally Invasive Surgery shears of flexible and anti-rotation concurrently |
CN206228403U (en) * | 2016-08-03 | 2017-06-09 | 丁陈禹 | A kind of arching trajectory is implanted into the device of intracranial electrode |
CN107320140A (en) * | 2017-08-07 | 2017-11-07 | 武汉佑康科技有限公司 | A kind of endoscope working sheath for urological surgery |
US10166037B2 (en) * | 2013-04-29 | 2019-01-01 | Karl Storz Se & Co. Kg | Surgical tool, micro-surgical instrument and actuation method for both |
-
2019
- 2019-04-17 CN CN201910307885.2A patent/CN109938805B/en active Active
Patent Citations (6)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN202682016U (en) * | 2012-08-14 | 2013-01-23 | 傅丽霞 | Hydraulic power steer type endoscopic shearing device |
CN202761373U (en) * | 2012-08-15 | 2013-03-06 | 程新宝 | Controlled redirecting fetching forceps |
US10166037B2 (en) * | 2013-04-29 | 2019-01-01 | Karl Storz Se & Co. Kg | Surgical tool, micro-surgical instrument and actuation method for both |
CN206228403U (en) * | 2016-08-03 | 2017-06-09 | 丁陈禹 | A kind of arching trajectory is implanted into the device of intracranial electrode |
CN106491186A (en) * | 2016-10-14 | 2017-03-15 | 龙口市人民医院 | Have the Minimally Invasive Surgery shears of flexible and anti-rotation concurrently |
CN107320140A (en) * | 2017-08-07 | 2017-11-07 | 武汉佑康科技有限公司 | A kind of endoscope working sheath for urological surgery |
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Effective date of registration: 20221209 Address after: No. 419, Yingwu South Road, Xinghua City, Taizhou City, Jiangsu Province 225700 Patentee after: Xinghua people's Hospital Patentee after: Chen Lukui Patentee after: Li Kuanzheng Address before: 225700 Xinghua people's Hospital of Taizhou City, Jiangsu Province Patentee before: Li Kuanzheng |
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