CN111358549A

CN111358549A - Anorectal department intervention treatment device

Info

Publication number: CN111358549A
Application number: CN202010204404.8A
Authority: CN
Inventors: 华勇
Original assignee: Individual
Current assignee: Individual
Priority date: 2020-03-21
Filing date: 2020-03-21
Publication date: 2020-07-03

Abstract

The invention discloses an anorectal intervention treatment device, which comprises an intervention rod, a device box and an operation rod, wherein the operation rod consists of a handle, a medicine box, a collecting pipe and an endoscope joint, the medicine box is arranged at the top end of the handle, and the collecting pipe is arranged on one side of the medicine box; the device box comprises a case and an installation block, the case is fixedly connected with the medicine box through the installation block, an MOS (metal oxide semiconductor) tube and a micro motor are installed in the case, and the micro motor further comprises a transmission rod; intervene the pole by the guide arm, the suction tube constitutes with insulating cover, insulating cover intercommunication is fixed in guide arm one end, intervene the pole tip and install and intervene the head, intervene the head by the shell, peep the camera lens, the electrode, wire and separation ball constitute, can accurate seizure haemorrhoids and thoroughly excision, prevent to continue the increase even because of the inaccurate internal hemorrhoid that leads to of the position that cup joints of traditional rubber ring, the misery of patient has not only been alleviateed, and the later stage recurrence rate has effectively been reduced, it is fast to the blood coagulation in affected part simultaneously, secondary infection has effectively been reduced.

Description

Anorectal department intervention treatment device

Technical Field

The invention relates to the technical field of treatment devices, in particular to an anorectal interventional treatment device.

Background

Hemorrhoid (commonly called hemorrhoid) is a common disease located in anus, and can be attacked at any age, but the incidence rate is gradually increased with the age, in China, hemorrhoid is the most common anorectal disease, hemorrhoid is divided into internal hemorrhoid, external hemorrhoid and mixed hemorrhoid according to the difference of the affected parts, simple internal hemorrhoid has no pain and only has the feeling of falling and swelling, can bleed, develops to prolapse, and is painful when combined with thrombosis, incarceration and infection. At present, the rubber ring ligation therapy can be used for treating the later internal hemorrhoid and the larger internal hemorrhoid, namely, a suction ligation device with a corresponding size is selected according to the size of the internal hemorrhoid, the built-in suction ligation device is sucked into the negative pressure, the specially-made rubber ring is sleeved at the root of the hemorrhoid to cause the hemorrhoid to be necrotized and fallen off due to ischemia, and the traditional ligation device is easy to cause continuous bleeding due to inaccurate sleeving position of the rubber ring, so that the internal hemorrhoid is enlarged by accelerating thrombosis, the subsequent successful falling rate is relatively low, and secondary infection is easy to cause.

Disclosure of Invention

Therefore, in order to solve the defects, the invention provides the anorectal interventional therapy device which can accurately capture hemorrhoids and completely cut off the hemorrhoids, prevent the internal hemorrhoids from continuously bleeding and even continuously increasing due to inaccurate sleeving position of the traditional rubber ring, relieve the pain of patients, effectively reduce the later recurrence rate, and simultaneously has high blood coagulation speed on the affected part and effectively reduce secondary infection.

The anorectal department interventional therapy device comprises an interventional rod, a device box and an operating rod, wherein the operating rod consists of a handle, a medicine box, a collecting pipe and an endoscope joint, the medicine box is arranged at the top end of the handle, and the collecting pipe is arranged on one side of the medicine box;

the device box comprises a case and an installation block, the case is fixedly connected with the medicine box through the installation block, an MOS (metal oxide semiconductor) tube and a micro motor are installed in the case, and the micro motor further comprises a transmission rod;

the intervention rod is composed of a guide rod, a suction tube and an insulation sleeve, the insulation sleeve is fixedly communicated with one end of the guide rod, an intervention head is mounted at the end part of the intervention rod, the intervention head is composed of a shell, an endoscopic lens, an electrode, a lead and a separation ball, the front end of the shell is provided with a smooth end, the endoscopic lens is convexly mounted at one side of the smooth end, an opening is formed in the end part of the smooth end, the suction tube is positioned in the center of the opening, the separation ball is fixedly connected to the inner side of the smooth end, the electrode is convexly extended out and mounted outside the shell and fixedly connected with the separation ball, the electrode is connected with the lead, the suction tube extends into the medicine chest from the shell;

the cutting mechanism is arranged in the shell and consists of a driving wheel A, a driving wheel B, a transmission shaft, a movable ring, a flap-shaped knife, a movable rod, a fixed pin, a connecting rod and a limiting frame, the limiting frame is fixedly connected inside the shell, the driving wheel A is arranged at the tail end of the separating ball, the movable rod is hinged at the edge of the driving wheel A and is connected with the flap-shaped knife through the connecting rod, the movable ring is of a double-layer structure and is embedded inside the driving wheel A, the flap-shaped knives are uniformly hinged inside the movable ring, the movable ring is connected with the limiting frame through the fixed pin, the central position of the driving wheel B is connected with the transmission, and the transmission shaft extends into the insulating sleeve and is connected with the transmission rod, the movable ring is fixed, and the transmission wheel A is meshed and transmitted through the transmission wheel B to further drive the petal-shaped knife to be locked and unfolded to cut off the captured hemorrhoids.

Preferably, the collecting pipe port is provided with a thread, the collecting pipe is connected with the medicine box through the thread, and the tail end of the collecting pipe is provided with the pump body.

Preferably, the tail end of the handle is provided with a power line, the electrode is connected with the MOS tube in series through a lead and is connected with the power line in parallel with the endoscope head, and the micro motor and the pump body are connected with the power line through a power adapter.

Preferably, the surface of transmission shaft parcel is provided with the protective sheath, and protective sheath tip is connected with shell and insulating cover respectively.

Preferably, the connecting rod is in a Z shape.

Preferably, a one-way valve is arranged at the joint between the pump body and the collecting pipe.

Preferably, the switch is arranged on the side surface of the handle.

The invention has the following specific advantages:

the method has the advantages that: the suction is generated through the pump body, so that the collecting pipe generates negative pressure, the suction pipe further generates suction, and after the endoscope head finds the position of the hemorrhoid, the hemorrhoid is sucked into the suction pipe from the separation ball to be captured, so that the hemorrhoid is conveniently subsequently cut off, the condition that the internal hemorrhoid continues to bleed or even continues to increase due to inaccurate sleeving position of the traditional rubber ring is prevented, and the pain of a patient is greatly relieved.

The method has the advantages that: the captured hemorrhoids can be cut off by the cutting mechanism, the movable ring is fixed, the driving wheel A is in meshing transmission through the driving wheel B, the driving wheel B is driven by the connecting rod through the micro motor, the petal-shaped knife is further driven to be locked and opened, and the captured hemorrhoids are cut off, so that the later-stage recurrence rate is effectively reduced.

The method has the advantages that: the electrode and MOS tube are needed to be formed by a lead, an external high-frequency generator, a foot switch and the like, so that the tissue is cut and coagulated by the complete circuit, the external foot switch is controlled to be electrified, the current passes through the haemorrhoids position of a patient through the lead and the electrode, and then returns to the high-frequency electrotome through the lead and further returns to the external high-frequency generator, the principle is that high-frequency current with high current density is gathered to directly destroy the tissue under the contact point of the tip of the effective electrode, when the high-frequency high-voltage current passes through the high-impedance tissue, heat is generated in the tissue to cause the vaporization or coagulation of the tissue, when the temperature of the tissue or the cell contacted with or adjacent to the electrode at the excision position of the haemorrhoids is increased, the protein in the cell is denatured, finally coagulation is carried out, the later period recurrence is prevented, and the infection rate is greatly reduced after the coagulation simultaneously, thereby effectively improving the success rate of the operation.

Drawings

FIG. 1 is a schematic structural view of the present invention;

FIG. 2 is a schematic longitudinal sectional view of a portion of FIG. 1 of the present invention;

FIG. 3 is a longitudinal cross-sectional view of the cutting mechanism of the present invention;

FIG. 4 is an enlarged view of portion A of FIG. 2 according to the present invention;

fig. 5 is an enlarged view of portion B of fig. 2 according to the present invention.

Sequence numbers shown in the figures: the device comprises an intervention rod 1, a guide rod 10, a suction pipe 101, an insulating sleeve 11, a device box 2, a case 20, a pump body 201, a one-way valve 2011, a MOS (metal oxide semiconductor) tube 202, a micro motor 203, a transmission rod 204, an installation block 21, a power line 3, an operating rod 4, a handle 40, a medicine box 41, a collection pipe 42, an endoscope joint 43, an intervention head 5, a shell 50, a smooth end 51, an endoscope lens 52, an electrode 53, a lead wire 54, a separation ball 55, a cutting mechanism 6, a transmission wheel A60, a transmission wheel B61, a transmission shaft 611, a protective sleeve 612, a movable ring 62, a flap-shaped knife 63, a movable rod 64, a fixing pin 65.

Detailed Description

The present invention will be described in detail below with reference to the attached drawings, and the technical solutions in the embodiments of the present invention will be clearly and completely described. All other embodiments obtained by a person of ordinary skill in the art based on the embodiments of the present invention without any creative effort belong to the protection scope of the present invention; furthermore, the terms "first," "second," "third," "upper, lower, left, right," and the like are used for descriptive purposes only and are not to be construed as indicating or implying relative importance. Meanwhile, in the description of the present invention, unless otherwise explicitly specified or limited, the terms "connected" and "connected" should be interpreted broadly, for example, as being fixedly connected, detachably connected, or integrally connected; the connection can be mechanical connection or electrical connection; may be directly connected or indirectly connected through an intermediate. The specific meanings of the above terms in the present invention can be understood in specific cases to those skilled in the art.

The invention provides an anorectal interventional therapy device through improvement, which can be implemented as follows as shown in a drawing of the specification; the medical device comprises an intervention rod 1, a device box 2 and an operation rod 4, wherein the operation rod 4 is composed of a handle 40, a medicine box 41, a collecting pipe 42 and an endoscope joint 43, the medicine box 41 is arranged at the top end of the handle 40, and the collecting pipe 42 is arranged at one side of the medicine box 41;

the device box 2 comprises a case 20 and a mounting block 21, the case 20 is fixedly connected with a medicine box 41 through the mounting block 21, a MOS (metal oxide semiconductor) tube 202 and a micro motor 203 are mounted in the case 20, and the micro motor 203 further comprises a transmission rod 204;

the interventional rod 1 is composed of a guide rod 10, a suction tube 101 and an insulating sleeve 11, the insulating sleeve 11 is communicated and fixed at one end of the guide rod 10, an interventional head 5 is installed at the end part of the interventional rod 1, the interventional head 5 is composed of a shell 50, an endoscope head 52, an electrode 53, a lead wire 54 and a separating ball 55, the front end of the shell 50 is provided with a smooth end 51, the endoscope head 52 is convexly installed at one side of the smooth end 51, the end part of the smooth end 51 is provided with an opening, the suction tube 101 is positioned at the center of the opening, the separating ball 55 is fixedly connected to the inner side of the smooth end 51, the electrode 53 is convexly and extendedly installed outside the shell 50 and fixedly connected with the separating ball 55, the electrode 53 is connected with the lead wire 54, the suction tube 101 extends into the medicine box 41 from the shell;

the cutting mechanism 6 is arranged in the shell 50, the cutting mechanism 6 is composed of a driving wheel A60, a driving wheel B61, a transmission shaft 611, a movable ring 62, a flap-shaped knife 63, a movable rod 64, a fixed pin 65, a connecting rod 66 and a limiting frame 67, the limiting frame 67 is fixedly connected in the shell 50, the driving wheel A60 is arranged at the tail end of the separating ball 55, the movable rod 64 is hinged at the edge of the driving wheel A60 and is connected with the flap-shaped knife 63 through the connecting rod 66, the movable ring 62 is of a double-layer structure and is embedded in the inner side of the driving wheel A60, the flap-shaped knife 63 is uniformly hinged at the inner side of the movable ring 62, the movable ring 62 is connected with the limiting frame 67 through the fixed pin 65, the center of the driving wheel B61 is connected with the transmission shaft 611, the transmission shaft 611 is connected with the limiting frame 67 through a bearing, the transmission shaft 611 extends into the, further driving the flap-shaped knife 63 to lock and open to cut off the captured hemorrhoids.

It should be emphasized that the flap-like knives 63 are mounted relatively tightly in the movable ring 62 and that no gap is created after the flap-like knives 63 are fully closed, which facilitates the complete excision of the tissue and the root of the hemorrhoid, while the incision is performed by intermittently controlling the micro-motor 203 and the links 66 separate the flap-like knives 63 for continuous excision.

The method comprises the following specific implementation steps:

in the invention, as shown in fig. 1 and 5, the port of the collecting pipe 42 is provided with a thread, the collecting pipe 42 is connected with the medicine box 41 through the thread, the tail end of the collecting pipe 42 is provided with the pump body 201, the cut hemorrhoid tissues are collected through the collecting pipe 42 by suction, and meanwhile, the collecting pipe 42 is convenient to detach and clean;

in addition, the tail end of the handle 40 is provided with a power line 3, the electrode 53 is connected in series with the MOS tube 202 through a lead 54 and is connected with the endoscope head 52 in parallel to the power line 3, the micro motor 203 and the pump body 201 are connected into the power line 3 through a power adapter, and it is necessary to supplement that the lead 54 connected in series with the electrode 53 and the MOS tube 202, an external high-frequency generator, a foot switch and the like form a complete electrotome system, and the external high-frequency generator is started through the foot switch.

As shown in fig. 2 and 4, a protective sleeve 612 is wrapped on the surface of the transmission shaft 611, and the end of the protective sleeve 612 is connected to the housing 50 and the insulating sleeve 11 respectively, so that the transmission shaft 611 is protected by the protective sleeve 612 to prevent tissue injury.

As shown in figure 3, the connecting rod 66 is Z-shaped, the connecting rod 66 is elastic and has two ends not on a plane, so that the driving wheel A60 and the flap-shaped knife 63 can be conveniently connected and can effectively keep rotating, the movable ring 62 is fixed on the side surface of the limiting frame 67, the driving wheel A60 is in meshing transmission through the driving wheel B61, the driving wheel B61 is driven by the connecting rod 611 through the micro motor 203, the movable rod 64 and the connecting rod 66 further drive the flap-shaped knife 63 to be locked, and the suction tube 101 in a negative pressure state enables the hemorrhoid to be always kept in the separation ball 55, so that the flap-shaped knife 63 can be conveniently cut.

As shown in fig. 5, a one-way valve 2011 is installed at a connection position between the pump body 201 and the collection tube 42, the one-way valve 2011 is used for preventing tissues in the collection tube 42 from entering the pump body 201, the pump body 201 is a vacuum pump to enable the collection tube 42 to generate suction, further enable the suction tube 101 to generate suction, and after the endoscope 52 finds a hemorrhoid position, the hemorrhoid is sucked into the suction tube 101 from the separation ball 55.

As shown in fig. 1, a switch is mounted on the side surface of the handle 40, the switch on the handle 40 controls the micro motor 203, the pump body 201, the electrode 53 and the endoscope 52 to open and close respectively, the pump body 201 and the micro motor 203 are dc motors, and it should be emphasized that the smooth end 51 and the separation ball 55 are made of high-temperature-resistant insulating materials to prevent the endoscope 52 from being damaged by high-voltage discharge.

The application method of the anorectal interventional therapy device comprises the following steps: firstly, the endoscope connector 43 is connected with an optical display, the lead 54 is connected with an external high-frequency generator and a foot switch, before operation, the anus of a patient is anesthetized in advance, then a medicament and a lubricant are smeared on the surfaces of the interventional head 5 and the interventional rod 1 and inserted into the anus of the patient, simultaneously, the endoscope lens 52 transmits images by using the optical technology of a relay lens, light transmission illumination is provided by optical fibers arranged in the interventional rod 1 to clearly display the images on the display, the operation of a doctor is convenient, after a proper position of the hemorrhoid is found, the pump body 201 is opened, the hemorrhoid is sucked into the suction tube 101 from the separation ball 55 by negative pressure generated in the suction tube 101 to be captured, so that the subsequent excision mechanism 6 can excise the hemorrhoid, after the excision is finished, the high-frequency generator is started by the external foot switch, and the discharge power is increased by the MOS tube, the electrode 53 gasifies or coagulates the incision tissue of the hemorrhoid to finally achieve the coagulation effect, and the intervention head 5 and the intervention rod 1 are slowly drawn out after the operation is finished to be matched with the follow-up medication treatment.

In conclusion; compared with the existing anorectal interventional treatment device, the anorectal interventional treatment device can accurately capture hemorrhoids and completely cut off the hemorrhoids, prevents the internal hemorrhoids from continuously bleeding and even continuously increasing due to inaccurate sleeving position of the traditional rubber ring, relieves the pain of patients, effectively reduces the later-stage recurrence rate, has high blood coagulation speed on the affected part, and effectively reduces secondary infection.

The previous description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the present invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the generic principles defined herein may be applied to other embodiments without departing from the spirit or scope of the invention. Thus, the present invention is not intended to be limited to the embodiments shown herein but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.

Claims

1. An anorectal interventional therapy device is characterized in that: the endoscope operation device comprises an intervention rod (1), a device box (2) and an operation rod (4), wherein the operation rod (4) is composed of a handle (40), a medicine box (41), a collecting pipe (42) and an endoscope joint (43), the medicine box (41) is installed at the top end of the handle (40), and the collecting pipe (42) is installed on one side of the medicine box (41);

the device box (2) comprises a case (20) and a mounting block (21), the case (20) is fixedly connected with a medicine box (41) through the mounting block (21), an MOS (metal oxide semiconductor) tube (202) and a micro motor (203) are mounted in the case (20), and the micro motor (203) further comprises a transmission rod (204);

the interventional rod (1) is composed of a guide rod (10), a suction tube (101) and an insulating sleeve (11), the insulating sleeve (11) is communicated and fixed at one end of the guide rod (10), an interventional head (5) is installed at the end part of the interventional rod (1), the interventional head (5) is composed of a shell (50), an endoscopic lens (52), an electrode (53), a lead (54) and a separation ball (55), the front end of the shell (50) is provided with a smooth end (51), the endoscopic lens (52) is installed on one side of the smooth end (51) in a protruding mode, the end part of the smooth end (51) is provided with an opening, the suction tube (101) is located at the center of the opening, the separation ball (55) is fixedly connected to the inner side of the smooth end (51), the electrode (53) is installed outside the shell (50) in a protruding mode and fixedly connected with the separation ball (55), and the electrode (53) is connected, the suction pipe (101) extends from the shell (50) into the medicine box (41) and is communicated with the collection pipe (42), negative pressure is generated in the suction pipe (101) to suck the hemorrhoids from the separation ball (55) into the suction pipe (101) for capture;

the cutting mechanism (6) is installed in the shell (50), the cutting mechanism (6) is composed of a driving wheel A (60), a driving wheel B (61), a transmission shaft (611), a movable ring (62), a flap-shaped knife (63), a movable rod (64), a fixing pin (65), a connecting rod (66) and a limiting frame (67), the limiting frame (67) is fixedly connected inside the shell (50), the driving wheel A (60) is installed at the tail end of the separation ball (55), the movable rod (64) is hinged to the edge of the driving wheel A (60) and connected with the flap-shaped knife (63) through the connecting rod (66), the movable ring (62) is of a double-layer structure and is embedded inside the driving wheel A (60), the flap-shaped knife (63) is uniformly hinged inside the movable ring (62), the movable ring (62) is connected with the limiting frame (67) through the fixing pin (65), the center position of the driving wheel B (61) is connected with the transmission shaft (611), the transmission shaft (611) is connected with the limiting frame (67) through a bearing, the transmission shaft (611) extends into the insulating sleeve (11) and is connected with the transmission rod (204), the movable ring (62) is fixed, the transmission wheel A (60) is in meshing transmission through the transmission wheel B (61), and the petal-shaped knife (63) is further driven to be locked and opened to cut off the captured hemorrhoids.

2. The anorectal interventional therapy device of claim 1, wherein the anorectal interventional therapy device comprises: the port of the collecting pipe (42) is provided with a thread, the collecting pipe (42) is connected with the medicine box (41) through the thread, and the tail end of the collecting pipe (42) is provided with a pump body (201).

3. The anorectal interventional therapy device of claim 2, wherein the anorectal interventional therapy device comprises: the tail end of the handle (40) is provided with a power line (3), the electrode (53) is connected with an MOS tube (202) in series through a lead (54) and is connected with the power line (3) in parallel with the endoscope head (52), and the micro motor (203) and the pump body (201) are connected with the power line (3) through a power adapter.

4. The anorectal interventional therapy device of claim 1, wherein the anorectal interventional therapy device comprises: the surface of the transmission shaft (611) is wrapped with a protective sleeve (612), and the end of the protective sleeve (612) is connected with the shell (50) and the insulating sleeve (11) respectively.

5. The anorectal interventional therapy device of claim 1, wherein the anorectal interventional therapy device comprises: the connecting rod (66) is Z-shaped.

6. The anorectal interventional therapy device of claim 1, wherein the anorectal interventional therapy device comprises: and a one-way valve (2011) is installed at the joint between the pump body (201) and the collecting pipe (42).

7. The anorectal interventional therapy device of claim 1, wherein the anorectal interventional therapy device comprises: the switch is arranged on the side surface of the handle (40).