CN110353829A - A kind of neurosurgery microendoscopic device - Google Patents

A kind of neurosurgery microendoscopic device Download PDF

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Publication number
CN110353829A
CN110353829A CN201910715141.4A CN201910715141A CN110353829A CN 110353829 A CN110353829 A CN 110353829A CN 201910715141 A CN201910715141 A CN 201910715141A CN 110353829 A CN110353829 A CN 110353829A
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China
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hole
screw rod
shaped frame
screw
neurosurgery
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CN201910715141.4A
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CN110353829B (en
Inventor
胡荣
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First Affiliated Hospital of PLA Military Medical University
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First Affiliated Hospital of PLA Military Medical University
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Priority to CN201910715141.4A priority Critical patent/CN110353829B/en
Publication of CN110353829A publication Critical patent/CN110353829A/en
Priority to PCT/CN2020/085867 priority patent/WO2021017541A1/en
Priority to DE202020005585.9U priority patent/DE202020005585U1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00147Holding or positioning arrangements
    • A61B1/00149Holding or positioning arrangements using articulated arms
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B1/00Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
    • A61B1/00147Holding or positioning arrangements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/20Surgical microscopes characterised by non-optical aspects
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, 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
    • A61B90/20Surgical microscopes characterised by non-optical aspects
    • A61B90/25Supports therefor

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Molecular Biology (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • Pathology (AREA)
  • Public Health (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Physics & Mathematics (AREA)
  • Biophysics (AREA)
  • Optics & Photonics (AREA)
  • Radiology & Medical Imaging (AREA)
  • Endoscopes (AREA)
  • Microscoopes, Condenser (AREA)

Abstract

The present invention provides a kind of neurosurgery microendoscopic device, including surgical operation microscope ontology, nerve endoscope and installing mechanism, surgical operation microscope ontology includes bracket and rack-mount microscope, microscopical lower part is equipped with cylinder, the lower end of cylinder is equipped with object lens, and the top of nerve endoscope is equipped with columnar mirror handle, and the upper end of mirror handle is equipped with video interface, video interface connects with object lens face, and installing mechanism is used to nerve endoscope being fixedly mounted on object lens.By adopting the above-described technical solution, a possibility that hurting patient present invention reduces nerve endoscope;Operative doctor can observe operative site from microscopical eyepiece, do not have to observe by display screen, more intuitive 3-D image is directly observed out of microscope, improves the precision of operation;When carrying out encephalic operation, it is able to observe that and the place that surgical operation microscope ontology can not be observed only is used only, improve surgical effect.

Description

A kind of neurosurgery microendoscopic device
Technical field
The invention belongs to the field of medical instrument technology, specifically a kind of neurosurgery microendoscopic device.
Background technique
In neurosurgery, nerve endoscope and surgical operation microscope are indispensable auxiliary tools.Singly using mind It when carrying out operation observation through scope, needs to connect camera at the video interface of nerve endoscope, image is shown by display screen, It is two dimensional image by the image that display screen is shown, it is poor observes distance perception;Nerve endoscope needs operative doctor at the time of surgery, It grasps, without special bracket, it is very unstable to grasp nerve endoscope, is easy shake and accidentally injures patient, cures in operation Life can only one-handed performance, reduce the success rate of operation;When singly carrying out operation observation using microscope, it is being directed to encephalic operation When, many places do not observe, and cause surgical effect poor.
Summary of the invention
For above-mentioned technical problem of the existing technology, the present invention provides a kind of neurosurgery microendoscopic dresses It sets.
It is realized the purpose of the present invention is technical solution in this way, it includes surgical operation microscope ontology, nerve endoscope And installing mechanism, the surgical operation microscope ontology include bracket and rack-mount microscope, the microscopical lower part Equipped with cylinder, the lower end of the cylinder is equipped with object lens, and the top of the nerve endoscope is equipped with columnar mirror handle, the mirror handle Upper end is equipped with video interface, and the video interface connects with object lens face, and the installing mechanism is used for the fixed peace of nerve endoscope On object lens, the installing mechanism includes internal gear, fixed plate, movable plate, riser and U-shaped frame, and the fixed plate is equipped with First through hole and multiple second through-holes, multiple second through-holes are distributed uniformly and circumferentially around first through hole, described First through hole is sheathed on cylinder, and the hole wall of the first through hole is fixedly connected on the surface of cylinder, and the movable plate is equipped with Third through-hole and multiple first screw holes, the third through-hole are sheathed on cylinder, and the third through-hole is set with first through hole face It sets, multiple first screw holes and multiple second through-holes face one by one, is equipped with the first screw rod, institute in each second through-hole The upper end for stating the first screw rod is equipped with external gear, and the lower part of first screw rod is screwed in corresponding first screw hole, the fixation The upside of plate is rotatably equipped with internal gear, and the internal gear is engaged with each external gear, is installed on the right side of the movable plate Convex block, the downside of the right end of the convex block are equipped with riser, and to the right, the antero-lateral rod of the U-shaped frame prolongs to the right the U-shaped frame opening It is fixedly connected with riser after stretching, there are notch between the postero lateral arm and riser of the U-shaped frame, after the antero-lateral rod of the U-shaped frame Side is equipped with first sliding groove in left-right direction, is equipped with the first sliding block being adapted to it, first sliding block in the first sliding groove On be fixedly connected with briquetting, the second screw hole is equipped on the riser in left-right direction, is screwed with the second spiral shell in second screw hole The left end of bar, second screw rod is rotatably connected on briquetting, and the right end of second screw rod is equipped with after passing through the second screw hole First knob, the distance between front-rear side walls of inner cavity of the U-shaped frame are identical as the diameter of mirror handle, and the mirror handle is located at U-shaped The left side wall of the left end of the inner cavity of frame, the inner cavity of the left side and U-shaped frame of the mirror handle abuts against, and the video interface is supported on The upper side of U-shaped frame, the briquetting are pressed on the right side of mirror handle.
Further, the cross section of the first sliding groove is " T " shape.
Further, the convex block is equipped with fourth hole, and the upper end of the riser is installed with the be adapted to fourth hole One shaft, the upper end of first shaft are equipped with block after being upward through fourth hole, and the right side of the convex block is equipped with third Screw hole is screwed with third screw rod in the third screw hole, and the left end of the third screw rod is abutted with the first shaft, the third spiral shell The right end of bar is equipped with the second knob.
Further, cavity is equipped in the briquetting, the right side wall of the cavity is equipped with fifth hole, second screw rod Left end pass through fifth hole after be equipped with enlarged footing, second screw rod and fifth hole clearance fit.
Further, the left side wall semicircular in shape of the inner cavity of the U-shaped frame, the radian of the left side wall of the inner cavity of the U-shaped frame Identical as the radian of the outer surface of mirror handle, the left side of the briquetting is equipped with arc groove, the opening face mirror handle of the arc groove, The radian of the arc groove is identical as the radian of the outer surface of mirror handle.
Further, gum sleeve is equipped between the video interface and object lens, the upper end cap of the gum sleeve is in object lens On, the lower end cap of described sleeve pipe is equipped with the rubber sheet gasket of circular ring shape, the rubber pad on video interface in the gum sleeve The outer edge of piece is fixedly connected on the inner wall of gum sleeve, and the rubber sheet gasket is between video interface and object lens.
Further, the upper side of the fixed plate is equipped with the second sliding slot of circular ring shape, be equipped in the second sliding slot and its The upper end of the sliding rail of the circular ring shape of adaptation, the sliding rail is fixed on internal gear.
Further, the cross section of the second sliding slot is " T " shape.
Further, the outer edge of the internal gear exceeds the outer edge of fixed plate, and the periphery of the internal gear is equipped with Skid resistance strip.
Further, the left side of the movable plate is installed with two cross bars, and two cross bars are arranged in left-right direction, and two The second shaft is equipped between cross bar, second shaft is arranged along the longitudinal direction, and second shaft rod upper sleeve is equipped with sleeve, described The side wall of sleeve is equipped with the 4th screw hole, and the 4th screw rod is screwed in the 4th screw hole, and the lower end of the 4th screw rod contradicts On the second shaft, the upper end of the 4th screw rod is installed with third knob, and the left side of the sleeve is installed with connecting plate, institute State the first semicircular ring being installed on the left of connecting plate Kai Kou to the left, the left side of first semicircular ring is equipped with the of opening to the right Two semicircular rings, the front end of second semicircular ring are hinged on the front end of the first semicircular ring, and the rear end of first semicircular ring is backward Equipped with the first protrusive board, the rear end of second semicircular ring is equipped with the second protrusive board backward, and first protrusive board is equipped with the 5th screw hole, Second protrusive board is equipped with the 6th through-hole with the 5th screw hole face, is equipped with bolt in the 6th through-hole, the bolt Right end is screwed in the 5th screw hole, and the right side of the bolt head of the bolt is contradicted in the left side of the second protrusive board, the bolt The left side of bolt head be installed with extension rod, the left end of the extension rod is installed with the 4th knob, first semicircular ring A cirque structure is formed with the second semicircular ring.
By adopting the above-described technical solution, the beneficial effects of the present invention are:
1, after nerve endoscope being installed on microscope by installing mechanism, the bracket of surgical operation microscope ontology also serves as nerve The bracket of scope is held nerve endoscope another hand on the other hand without operative doctor during operation and is operated, being capable of both hands It is operated, can be improved success rate of operation;The bracket of surgical operation microscope ontology can steadily support nerve endoscope, no It can shake, reduce a possibility that nerve endoscope hurts patient;The reflection light of operative site is successively through nerve endoscope Camera lens, video interface and microscopical object lens reach microscopical eyepiece, operative doctor can be from the eyepiece of surgical operation microscope It observes operative site, does not have to observe by display screen, more intuitive three-dimensional endoscopic image is directly observed out of microscope, It realizes really three-dimensional endoscopic technic, overcomes the two dimensional image defect of traditional scope, improve the precision of operation;Carrying out cranium When interior deep operation, it can be deep into operation deep in conjunction with scope advantage, be able to observe that and surgical operation microscope ontology is only used only The place that can not be observed, improves surgical effect.
2, the mirror handle of nerve endoscope is put into intracavitary in U-shaped frame from notch, nerve endoscope is then moved to the left, until mind The left side of mirror handle through scope is abutted with the left side wall of the inner cavity of U-shaped frame, then rotates second by the first knob of rotation Screw rod is moved to the left the second screw rod and briquetting is pushed to slide to the left, until the left side of briquetting contradicts the mirror handle of nerve endoscope Right side, the mirror handle of nerve endoscope is clamped and fixed in U-shaped frame at this time, then rotational inner gear, and internal gear can drive often Gear rotation on the first screw rod of root, and then drive the rotation of each first bolt synchronous, in matching for the first bolt and the first screw hole Under cooperation is used, movable plate can be made to move up, and then riser, U-shaped frame and nerve endoscope is driven to move up, until nerve endoscope The video interface for being moved upward to nerve endoscope is abutted with the object lens face of surgical operation microscope, i.e. completion nerve endoscope and operation is aobvious The combination of micro mirror, it is very convenient when nerve endoscope is combined on surgical operation microscope, it can be conveniently and firmly by nerve endoscope It is installed on surgical operation microscope;After nerve endoscope is installed on surgical operation microscope, the circumferencial direction of the object lens of surgical operation microscope Do not stopped, it is convenient to focus in use to object lens.
3, present invention reduces nerve endoscopes may be hurt due to that can not see operating space rear in use The risk of patient.
Detailed description of the invention
Fig. 1 is a kind of structural schematic diagram of neurosurgery microendoscopic device of the present invention;
Fig. 2 is the enlarged drawing of a in Fig. 1;
Fig. 3 is the top view of installing mechanism in a kind of neurosurgery microendoscopic device of the present invention;
Fig. 4 is the A-A cross-sectional view of Fig. 3;
Fig. 5 is the enlarged drawing of b in Fig. 4;
Fig. 6 is the bottom view of installing mechanism in a kind of neurosurgery microendoscopic device of the present invention;
Fig. 7 is the structural schematic diagram of gum sleeve in a kind of neurosurgery microendoscopic device of the present invention;
Fig. 8 is the B-B cross-sectional view of Fig. 7.
In figure, 1, nerve endoscope;2, bracket;3, microscope;4, cylinder;5, object lens;6, mirror handle;7, video interface;8, interior Gear;9, fixed plate;10, movable plate;11, riser;12, U-shaped frame;13, first through hole;14, the second through-hole;15, third through-hole; 16, the first screw hole;17, the first screw rod;18, external gear;19, convex block;20, notch;21, the first sliding block;22, briquetting;23, Two screw holes;24, the second screw rod;25, the first knob;26, fourth hole;27, the first shaft;28, block;29, third screw hole; 30, third screw rod;31, the second knob;32, cavity;33, fifth hole;34, enlarged footing;35, arc groove;36, gum sleeve; 37, rubber sheet gasket;38, second sliding slot;39, sliding rail;40, skid resistance strip;41, cross bar;42, the second shaft;43, sleeve;44, Four screw holes;45, the 4th screw rod;46, third knob;47, connecting plate;48, the first semicircular ring;49, the second semicircular ring;50, first Protrusive board;51, the second protrusive board;52, bolt;53, extension rod;54, the 4th knob.
Specific embodiment
In order to be easy to understand the technical means, the creative features, the aims and the efficiencies achieved by the present invention, tie below Conjunction is specifically illustrating, and the present invention is further explained.
As shown in Fig. 1, Fig. 3, Fig. 4 and Fig. 6, the present invention includes surgical operation microscope ontology, nerve endoscope 1 and installing mechanism, Surgical operation microscope ontology includes bracket 2 and the microscope 3 that is mounted on bracket 2, and the lower part of microscope 3 is equipped with cylinder 4, cylinder 4 Lower end be equipped with object lens 5, the top of nerve endoscope 1 is equipped with the mirror handle 6 of 4 shape of cylinder, and the upper end of mirror handle 6 is equipped with video interface 7, Video interface 7 connects with 5 face of object lens, and installing mechanism is used to nerve endoscope 1 being fixedly mounted on object lens 5, installing mechanism packet Internal gear 8, fixed plate 9, movable plate 10, riser 11 and U-shaped frame 12 are included, fixed plate 9 is equipped with first through hole 13 and four second Through-hole 14, four the second through-holes 14 are distributed uniformly and circumferentially around first through hole 13, certainly in other embodiments Second through-hole 14 can also be more than three other quantity, and first through hole 13 is sheathed on cylinder 4, the hole of first through hole 13 Wall is fixedly connected on the surface of cylinder 4, and movable plate 10 is equipped with third through-hole 15 and four the first screw holes 16, certainly other The first screw hole 16 can also be more than three other quantity in embodiment, and third through-hole 15 is sheathed on cylinder 4, and third is logical Hole 15 and 4 clearance fit of cylinder, so that third through-hole 15 can move up and down on cylinder 4, third through-hole 15 and first through hole The setting of 13 faces, four the first screw holes 16 and multiple second through-holes 14 face one by one are equipped with first in each second through-hole 14 Screw rod 17, the upper end of the first screw rod 17 are installed with external gear 18, and the lower part of the first screw rod 17 is screwed on corresponding first screw hole 16 Interior, the upside of fixed plate 9 is rotatably equipped with internal gear 8, and internal gear 8 is engaged with each external gear 18, the right side of movable plate 10 It is installed with convex block 19, the downside of the right end of convex block 19 is equipped with riser 11, and U-shaped frame 12 is open to the right, and the antero-lateral rod of U-shaped frame 12 is to the right It is fixedly connected after extension with riser 11, there are notch 20, the width ratios of notch 20 between the postero lateral arm and riser 11 of U-shaped frame 12 The diameter of the mirror handle 6 of nerve endoscope 1 is big, so that the mirror handle 6 of nerve endoscope 1 can enter the inner cavity of U-shaped frame 12 by notch 20 Interior, the trailing flank of the antero-lateral rod of U-shaped frame 12 is equipped with first sliding groove in left-right direction, is equipped with first be adapted to it in first sliding groove Sliding block 21 is fixedly connected with briquetting 22 on first sliding block 21, so that briquetting 22 being capable of matching by the first sliding block and first sliding groove Conjunction horizontally slips on the antero-lateral rod of U-shaped frame 12, is equipped with the second screw hole 23, spiral shell in the second screw hole 23 on riser 11 in left-right direction Conjunction has the second screw rod 24, and the left end of the second screw rod 24 is rotatably connected on briquetting 22, and the right end of the second screw rod 24 passes through second The first knob 25 is equipped with after screw hole 23, the distance between front-rear side walls of inner cavity of U-shaped frame 12 are identical as the diameter of mirror handle 6, with It is adapted the mirror handle 6 of nerve endoscope 1 with the width of the inner cavity of U-shaped frame 12, the mirror handle 6 of nerve endoscope 1 is located at the interior of U-shaped frame 12 When intracavitary, nerve endoscope 1 cannot be moved forward and backward, and mirror handle 6 is located at the left end of the inner cavity of U-shaped frame 12, the left side of mirror handle 6 and U shape The left side wall of the inner cavity of frame 12 abuts against, and video interface 7 is supported on the upper side of U-shaped frame 12, and briquetting 22 is pressed on the right side of mirror handle 6 On side, mirror handle 6 of nerve endoscope 1 is fixedly clamped with this intracavitary in U-shaped frame 12.
When needing to remove nerve endoscope 1 from microscope 3, rotational inner gear 8, the drive of internal gear 8 are nibbled with it first All external gears 18 closed rotate, and internal gear 8 drives the first screw rod 17 rotation being firmly connected with it, and the first screw rod 17 is in correspondence The first screw hole 16 in rotation, being rotated by the cooperation of the first screw rod 17 and the first screw hole 16 can make movable plate 10 to moving down It is dynamic, since four the first screw holes 16 are distributed uniformly and circumferentially around third through-hole 15, four first screw rod, 17 energy bands Dynamic movable plate 10 steadily translates up, will not run-off the straight, since convex block 19 is connected on movable plate 10, riser 11 is connected to On convex block 19, U-shaped frame 12 is connected on riser 11, and nerve endoscope 1 is clamped and fixed in U-shaped frame 12, in nerve endoscope 1 with Movable plate 10 moves downwardly together, and after nerve endoscope 1 moves down a distance, the is rotated by the first knob 25 of rotation Two screw rods 24,24 spiral of the second screw rod move right, and the second screw rod 24 can pull to the right briquetting 22, and briquetting 22 is in U-shaped frame 12 Antero-lateral rod on slide to the right, make briquetting 22 be detached from nerve endoscope 1 mirror handle 6 right side, until briquetting 22 is pulled to U-shaped The right end of the inner cavity of frame 12, stop operating the first knob 25, and then move right in the inner cavity of U-shaped frame 12 nerve endoscope 1, directly It is moved at notch 20 to nerve endoscope 1, nerve endoscope 1 can be taken out out of notch 20 at this time, that is, complete nerve endoscope 1 Disassembly, dismantled from sampling mechanism lower nerve endoscope 1 make it is very convenient, nerve endoscope 1 dismantle from sampling mechanism it is lower after, it is refreshing It can be used individually through scope 1 and surgical operation microscope ontology.
When needing for nerve endoscope 1 to be installed on microscope 3, the mirror handle 6 of nerve endoscope 1 is put into U by notch 20 Shape frame 12 it is interior intracavitary, nerve endoscope 1 is then moved to the left in the inner cavity of U-shaped frame 12, until the mirror handle 6 of nerve endoscope 1 The left side wall of left side and the inner cavity of U-shaped frame 12 is inconsistent, then drives 24 turns of the second screw rod by the first knob 25 of rotation It is dynamic, it is moved to the left 24 spiral of the second screw rod, the second screw rod 24 pushes briquetting 22, antero-lateral rod of the briquetting 22 in U-shaped frame 12 to the left On slide to the left, until on the right side of mirror handle 6 that the left side of briquetting 22 is pushed against nerve endoscope 1, nerve endoscope 1 at this time Mirror handle 6 is clamped at the interior intracavitary of U-shaped frame 12, since the video interface of nerve endoscope 1 is located at the upper of the handle of nerve endoscope 1 It holds and is in expanded state, the video interface of nerve endoscope 1 is supported on the upper side of U-shaped frame 12, fall nerve endoscope 1 will not downwards It falls;Then rotational inner gear 8, internal gear 8 drive all external gears 18 engaged to rotate, and the drive of internal gear 8 is secured to The first screw rod 17 rotation of connection, the first screw rod 17 rotate in corresponding first screw hole 16, pass through the first screw rod 17 and first The cooperation rotation of screw hole 16 can be such that movable plate 10 moves up, since four the first screw holes 16 are distributed uniformly and circumferentially Around third through-hole 15, four first screw rods 17 can drive movable plate 10 steadily to translate up, will not run-off the straight, due to Convex block 19 is connected on movable plate 10, and riser 11 is connected on convex block 19, and U-shaped frame 12 is connected on riser 11, nerve endoscope 1 It is clamped and fixed in U-shaped frame 12, is moved upwardly together in nerve endoscope 1 with movable plate 10, until the video of nerve endoscope 1 connects Mouth 7 is moved up to abut with 5 face of object lens of microscope 3, and can stop operating internal gear 8, at this time pacifies nerve endoscope 1 It has been attached on surgical operation microscope ontology, when installation is very convenient, and installs firm, and nerve endoscope 1 is not easy from surgical operation microscope It is loosened on ontology.
The cross section of first sliding groove is " T " shape.It prevents the first sliding block 21 from deviating from out of first sliding groove, prevents briquetting 22 from U It is taken off on the antero-lateral rod of shape frame 12.
As shown in figure 4, convex block 19 is equipped with fourth hole 26, the upper end of riser 11, which is installed with, to be adapted to fourth hole 26 First shaft 27, the upper end of the first shaft 27 are equipped with block 28 after being upward through fourth hole 26, and the right side of convex block 19 is equipped with Third screw hole 29 is screwed with third screw rod 30 in third screw hole 29, and the left end of third screw rod 30 is abutted with the first shaft 27, and The right end of three screw rods 30 is equipped with the second knob 31.Setting block 28 prevents the first shaft 27 from moving down in fourth hole 26; After taking out nerve endoscope 1 out of U-shaped frame 12, third screw rod 30 is rotated by the second knob 31 of rotation, makes third screw rod 30 Left end be detached from the first shaft 27, the first shaft 27 loses the limitation of third screw rod 30 at this time, just can be in fourth hole 26 Interior rotation is just able to rotate riser 11 at this time, and U-shaped frame 12 rotates with riser 11 and deviate the underface of the object lens 5 of microscope 3, so Third screw rod 30 is rotated by the second knob 31 afterwards, the left end of third screw rod 30 is pushed against on first shaft 27, makes first axle Bar 27 cannot continue to rotate, and riser 11 and U-shaped frame 12 are fixed on suitable angle with this, and surgical operation microscope sheet is being used alone When body, prevent U-shaped frame 12 from causing to block to the object lens 5 of microscope 3.
As shown in Figure 4 and Figure 5, it is equipped with cavity 32 in briquetting 22, the right side wall of cavity 32 is equipped with fifth hole 33, and the 5th Through-hole 33, the left end of the second screw rod 24 is equipped with enlarged footing 34 after passing through fifth hole 33, between the second screw rod 24 and fifth hole 33 Gap cooperation.Enlarged footing 34 is smaller than cavity 32, and the second screw rod 24 and 33 clearance fit of fifth hole, enlarged footing 34 compare fifth hole 33 is big, so that the second screw rod 24 is rotatably connected on briquetting 22.
As shown in Figure 3 and Figure 6, the left side wall semicircular in shape of the inner cavity of U-shaped frame 12, the left side wall of the inner cavity of U-shaped frame 12 Radian is identical as the radian of the outer surface of mirror handle 6, and the left side of briquetting 22 is equipped with arc groove 35, the opening face mirror of arc groove 35 The radian of handle 6, arc groove 35 is identical as the radian of the outer surface of mirror handle 6.Enable left side and the U-shaped of the mirror handle 6 of nerve endoscope 1 The left side wall of the inner cavity of frame 12 is bonded, and the cell wall of arc groove 35 can be bonded with the right side of the mirror handle 6 of nerve endoscope 1, make to justify The contact area on the surface of the mirror handle 6 of the left side wall and nerve endoscope 1 of the inner cavity of arc slot 35 and U-shaped frame 12 is larger, reduces mind The probability loosened in U-shaped frame 12 through scope 1.
As shown in figs. 1,7 and 8, between video interface 7 and object lens 5 be equipped with gum sleeve 36, gum sleeve 36 it is upper For end cap on object lens 5, the lower end cap of casing is equipped with the rubber sheet gasket 37 of circular ring shape on video interface 7 in gum sleeve 36, The outer edge of rubber sheet gasket 37 is fixedly connected on the inner wall of gum sleeve 36, and rubber sheet gasket 37 is located at video interface 7 and object lens 5 Between.Rubber sheet gasket 37 has buffer function, places video interface 7 and mutually collides and be damaged with object lens 5.
As shown in figure 4, the upper side of fixed plate 9 is equipped with the second sliding slot 38 of circular ring shape, be equipped in second sliding slot 38 and its The sliding rail 39 of the circular ring shape of adaptation, the upper end of sliding rail 39 are fixed on internal gear 8.The sliding rail 39 of circular ring shape can be in second sliding slot Sliding in 38, the sliding rail 39 of circular ring shape can rotate in second sliding slot 38, so that internal gear 8 can steadily turn in fixed plate 9 It is dynamic.
As shown in figure 4, the cross section of second sliding slot 38 is " T " shape.Prevent sliding rail 39 from deviating from out of second sliding slot 38, with Make internal gear 8 on being connected to fixed plate 9, it will not be from prolapse upwards in fixed plate 9.
As shown in Figure 1, the outer edge of internal gear 8 exceeds the outer edge of fixed plate 9, the periphery of internal gear 8 is equipped with anti- Draw runner line 40.It is more convenient when making rotational inner gear 8.
As shown in Figure 1, Figure 2, shown in Fig. 3, Fig. 4 and Fig. 6, the left side of the movable plate 10 is installed with two cross bars 41, and two Cross bar 41 is arranged in left-right direction, the second shaft 42 is equipped between two cross bars 41, second shaft 42 is along the longitudinal direction It is arranged, sleeve 43 is arranged on second shaft 42, the side wall of the sleeve 43 is equipped with the 4th screw hole 44, the 4th spiral shell The 4th screw rod 45 is screwed in hole 44, the lower end of the 4th screw rod 45 contradicts the 4th screw rod 45 on the second shaft 42 Upper end be installed with third knob 46, the left side of the sleeve 43 is installed with connecting plate 47, and the left side of the connecting plate 47 is solid The first semicircular ring 48 equipped with opening to the left, the left side of first semicircular ring 48 are equipped with the second semicircular ring 49 of opening to the right, The front end of second semicircular ring 49 is hinged on the front end of the first semicircular ring 48, and the rear end of first semicircular ring 48 is set backward There is the first protrusive board 50, the rear end of second semicircular ring 49 is equipped with the second protrusive board 51 backward, and first protrusive board 50 is equipped with the Five screw holes, second protrusive board 51 are equipped with the 6th through-hole with the 5th screw hole face, are equipped with bolt 52 in the 6th through-hole, The right end of the bolt 52 is screwed in the 5th screw hole, and 52, bolt right sides of the bolt 52 are contradicted in the second protrusive board 51 Left side, 52, bolt left sides of the bolt 52 are installed with extension rod 53, and the left end of the extension rod 53 is fixed There is the 4th knob 54, first semicircular ring 48 and the second semicircular ring 49 form a cirque structure, 48 He of the first semicircular ring The diameter of second semicircular ring 49 is of same size with the inner cavity of UU shape frame 12, and the first semicircular ring 48 and the second semicircular ring 49 are constituted Circular ring shape structure the center of circle be located at microscope 3 object lens 5 the center of circle front-left.
It, can also be by nerve endoscope 1 from UU when using a kind of neurosurgery operating microscope device provided by the invention It is removed in shape frame 12, bolt 52 is screwed out out of the 5th screw hole, by the rear end phase of 48 rear end of the first semicircular ring and the second semicircular ring 49 It mutually separates, then the mirror handle 6 of nerve endoscope 1 is placed in the first semicircular ring 48 and the second semicircular ring 49, then by the first half The rear end of annulus 48 and the rear end of the second semicircular ring 49 close up, at this point, the first protrusive board 50 and the second protrusive board 51 are in contact, then It is fixed by bolt 52, nerve endoscope 1 is just fixed on the circle that the first semicircular ring 48 and the second semicircular ring 49 are formed at this time In ring structure, third knob 46 is then rotated, the 4th screw rod 45 rotates in the 4th screw hole 44, makes the lower end of the 4th screw rod 45 It is detached from the second shaft 42, the circular ring shape of the first semi arch and the formation of the second semicircular ring 49 can be rotated on the second shaft 42 at this time Structure tilts the lower end of nerve endoscope 1 to the underface of microscope 3, until the lower end of nerve endoscope 1 is located at microscope 3 When the underface of object lens 5, first semicircular ring 48 that stops operating and the second semicircular ring 49 are formed by the structure of circular ring shape, rotation the Three knobs 46, are pushed against the lower end of the 4th screw rod 45 on second shaft 42, prevent sleeve 43 from continuing on the second shaft 42 Nerve endoscope 1 is fixed on suitable angle at this time, the lower end of nerve endoscope 1 is made to be located at the object lens 5 of microscope 3 by rotation Within sweep of the eye;Camera is connected on the video interface 7 of nerve endoscope 1 at the time of surgery, image is reached display by camera It is shown, operation operating doctor can observe the image that the camera lens of nerve endoscope 1 is captured, auxiliary surgical by camera Help doctor that can see the lower end (i.e. operating space rear) of nerve endoscope 1 by the eyepiece of microscope 3, to reduce in nerve Mirror 1 is in use due to that can not see that operating space rear may hurt the risk of patient.By in the left end of bolt 52 Extension rod 53 is set, the 4th knob 54 is set in the rear end of extension rod 53, it is convenient by rotating the 4th knob 54 come rotating bolt 52。
The above is only embodiments of the present invention, are not intended to limit the scope of the invention, all to utilize the present invention Equivalent structure made by specification and accompanying drawing content is directly or indirectly used in other related technical areas, similarly at this Within the scope of patent protection of invention.

Claims (10)

1. a kind of neurosurgery microendoscopic device, it is characterised in that: including surgical operation microscope ontology, nerve endoscope and peace Mounting mechanism, the surgical operation microscope ontology include bracket and rack-mount microscope, and the microscopical lower part is equipped with Cylinder, the lower end of the cylinder are equipped with object lens, and the top of the nerve endoscope is equipped with columnar mirror handle, the upper end of the mirror handle Equipped with video interface, the video interface connects with object lens face, and the installing mechanism is for nerve endoscope to be fixedly mounted on On object lens, the installing mechanism includes internal gear, fixed plate, movable plate, riser and U-shaped frame, and the fixed plate is equipped with first Through-hole and multiple second through-holes, multiple second through-holes are distributed uniformly and circumferentially around first through hole, and described first Through-hole is sheathed on cylinder, and the hole wall of the first through hole is fixedly connected on the surface of cylinder, and the movable plate is equipped with third Through-hole and multiple first screw holes, the third through-hole are sheathed on cylinder, and the third through-hole and first through hole face are arranged, more A first screw hole and multiple second through-holes face one by one, are equipped with the first screw rod in each second through-hole, and described the The upper end of one screw rod is equipped with external gear, and the lower part of first screw rod is screwed in corresponding first screw hole, the fixed plate Upside is rotatably equipped with internal gear, and the internal gear is engaged with each external gear, is installed with convex block on the right side of the movable plate, The downside of the right end of the convex block is equipped with riser, U-shaped frame opening to the right, after the antero-lateral rod of the U-shaped frame extends to the right and Riser is fixedly connected, and there are notch, the trailing flank edges of the antero-lateral rod of the U-shaped frame between the postero lateral arm and riser of the U-shaped frame Left and right directions is equipped with first sliding groove, and the first sliding block being adapted to it is equipped in the first sliding groove, is fixed on first sliding block It is connected with briquetting, the second screw hole is equipped on the riser in left-right direction, is screwed with the second screw rod in second screw hole, it is described The left end of second screw rod is rotatably connected on briquetting, and the right end of second screw rod is equipped with the first rotation after passing through the second screw hole Button, the distance between front-rear side walls of inner cavity of the U-shaped frame are identical as the diameter of mirror handle, and the mirror handle is located at the interior of U-shaped frame The left side wall of the left end of chamber, the inner cavity of the left side and U-shaped frame of the mirror handle abuts against, and the video interface is supported on U-shaped frame Upper side, the briquetting is pressed on the right side of mirror handle.
2. a kind of neurosurgery microendoscopic device as described in claim 1, it is characterised in that: the first sliding groove Cross section is " T " shape.
3. a kind of neurosurgery microendoscopic device as described in claim 1, it is characterised in that: the convex block is equipped with Fourth hole, the upper end of the riser are installed with the first shaft being adapted to fourth hole, and the upper end of first shaft is upward Block is equipped with after fourth hole, the right side of the convex block is equipped with third screw hole, is screwed with third in the third screw hole The left end of screw rod, the third screw rod is abutted with the first shaft, and the right end of the third screw rod is equipped with the second knob.
4. a kind of neurosurgery microendoscopic device as described in claim 1, it is characterised in that: be equipped in the briquetting Cavity, the right side wall of the cavity are equipped with fifth hole, and the left end of second screw rod is equipped with expansion after passing through fifth hole Head, second screw rod and fifth hole clearance fit.
5. a kind of neurosurgery microendoscopic device as described in claim 1, it is characterised in that: the U-shaped frame it is interior The radian of chamber left side wall semicircular in shape, the left side wall of the U-shaped frame inner cavity is identical as the radian of the outer surface of mirror handle, the briquetting Left side be equipped with arc groove, the opening face mirror handle of the arc groove, the outer surface of the radian and mirror handle of the arc groove Radian is identical.
6. a kind of neurosurgery microendoscopic device as described in claim 1, it is characterised in that: the video interface with Gum sleeve is equipped between object lens, the upper end cap of the gum sleeve is on object lens, and the lower end cap of described sleeve pipe is in video interface On, the rubber sheet gasket of circular ring shape is equipped in the gum sleeve, the outer edge of the rubber sheet gasket is fixedly connected on gum sleeve Inner wall on, the rubber sheet gasket is between video interface and object lens.
7. a kind of neurosurgery microendoscopic device as described in claim 1, it is characterised in that: the fixed plate it is upper Side is equipped with the second sliding slot of circular ring shape, and the sliding rail for the circular ring shape being adapted to it is equipped in the second sliding slot, the sliding rail Upper end is fixed on internal gear.
8. a kind of neurosurgery microendoscopic device as claimed in claim 7, it is characterised in that: the second sliding slot Cross section is " T " shape.
9. a kind of neurosurgery microendoscopic device as claimed in claim 7, it is characterised in that: outside the internal gear Edge exceeds the outer edge of fixed plate, and the periphery of the internal gear is equipped with skid resistance strip.
10. a kind of neurosurgery microendoscopic device as described in claim 1, it is characterised in that: the movable plate Left side is installed with two cross bars, and two cross bars are arranged in left-right direction, is equipped with the second shaft between two cross bars, and described the Two shaft lever is arranged along the longitudinal direction, and second shaft rod upper sleeve is equipped with sleeve, and the side wall of the sleeve is equipped with the 4th screw hole, institute It states and is screwed with the 4th screw rod in the 4th screw hole, the lower end of the 4th screw rod contradicts the upper end of the 4th screw rod on shaft It is installed with third knob, the left side of the sleeve is installed with connecting plate, is installed with and is open to the left on the left of the connecting plate First semicircular ring, the left side of first semicircular ring are equipped with the second semicircular ring of opening to the right, the front end of second semicircular ring It is hinged on the front end of the first semicircular ring, the rear end of first semicircular ring is equipped with the first protrusive board backward, second semicircular ring Rear end is equipped with the second protrusive board backward, and first protrusive board is equipped with the 5th screw hole, and second protrusive board is equipped with and the 5th screw hole 6th through-hole of face, the 6th through-hole is interior to be equipped with bolt, and the right end of the bolt is screwed in the 5th screw hole, the bolt Bolt head right side contradict in the left side of the second protrusive board, the left side of the bolt head of the bolt is installed with extension Bar, the left end of the extension rod are installed with the 4th knob, and first semicircular ring and the second semicircular ring form a circular ring shape knot Structure.
CN201910715141.4A 2019-08-01 2019-08-01 Neurosurgery operation microscopic endoscope device Active CN110353829B (en)

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CN201910715141.4A CN110353829B (en) 2019-08-01 2019-08-01 Neurosurgery operation microscopic endoscope device
PCT/CN2020/085867 WO2021017541A1 (en) 2019-08-01 2020-04-21 Microendoscopic apparatus for neurosurgery
DE202020005585.9U DE202020005585U1 (en) 2019-08-01 2020-04-21 Microendoscope device for neurosurgical operation

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CN117770746A (en) * 2023-12-01 2024-03-29 中国人民解放军海军军医大学第一附属医院 Ventilation device applied to painless gastroscope diagnosis and treatment operation airway management

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