CN111568508B - A excision equipment for patient's intestinal polyp is used - Google Patents
A excision equipment for patient's intestinal polyp is used Download PDFInfo
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- CN111568508B CN111568508B CN202010412001.2A CN202010412001A CN111568508B CN 111568508 B CN111568508 B CN 111568508B CN 202010412001 A CN202010412001 A CN 202010412001A CN 111568508 B CN111568508 B CN 111568508B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/02—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors
- A61B17/0218—Surgical instruments, devices or methods, e.g. tourniquets for holding wounds open; Tractors for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320064—Surgical cutting instruments with tissue or sample retaining means
Abstract
The invention discloses resection equipment for application of polyp in intestinal tract of a patient, which comprises an insertion tube, wherein the tail end of the insertion tube is provided with a first endoscope body, the insertion tube is provided with a first air tube, the first air tube is sleeved on the insertion tube, one end of the first air tube is provided with a fixed block with a cylindrical structure, a cavity is arranged in the fixed block, two conical rods are both positioned in the cavity of the fixed block, a fixed plate is arranged between the two conical rods, and two sides of the fixed plate are both provided with telescopic tubes; inner supporting components with arc structures are arranged on two sides of the fixed block; the fixed block is also provided with a cutting assembly, and the cutting assembly is also provided with a second endoscope body; still be equipped with the second arc between two conical rods on the first trachea, the both ends of second arc are connected with two conical rods respectively, and the central point department of second arc still is connected with cutting assembly, and when two conical rods drawn close towards the fixed plate direction, the second arc can promote cutting assembly and stretch out along the radial direction of fixed block.
Description
Technical Field
The invention relates to the technical field of medical equipment, in particular to resection equipment for application of polyps in intestinal tracts of patients.
Background
Polyps refer to neoplasms growing on the surface of human tissue, and modern medicine generally refers to neoplasms growing on the surface of human mucosa as polyps, including hyperplastic, inflammatory, hamartoma, adenomas and other tumors. Polyps are one of the benign tumors, and inflammatory polyps, adenomatous polyps and certain gastrointestinal polyp syndromes are frequently observed in clinical manifestations, and although these lesions belong to benign, part of them have a malignant tendency. Cysts that grow under the skin, lipomas in adipose tissue, intramuscular myomas, etc., can also cause elevations in the body surface, but are not in the polyp category. It is generally medically named by the site of occurrence. For example, the term "vocal cord polyp" is grown on the vocal cords, the term "gastric polyp" is found on the stomach wall, the term "intestinal polyp" is found in the intestinal lumen, and so on. If there are more than two polyps in a certain part, it is also called "multiple polyps". At present, when polyps in intestinal tracts are cut off, the polyps in the intestinal tracts cannot be cut off quickly by a traditional polyp cutting tool because the intestinal tracts wriggle and the inner layer is of a fold structure.
Disclosure of Invention
The invention aims to overcome the defects in the prior art and provide a resection device for polyp application in an intestinal tract of a patient.
The invention is realized by the following technical scheme:
a resection device for intestinal polyp application of a patient comprises an insertion tube, wherein the tail end of the insertion tube is provided with a first endoscope body, a first air tube is arranged on the insertion tube, one end of the first air tube is sleeved on the insertion tube, a fixed block with a cylindrical structure is arranged at one end of the first air tube, the fixed block is close to the first endoscope body, a cavity is arranged in the fixed block, the other end of the first air tube is provided with a first air pump, the first air tube is provided with two conical rods, the two conical rods are both positioned in the cavity of the fixed block, the conical rods can move along the axial direction of the first air tube, the diameters of the two conical rods are gradually reduced towards the direction far away from each other, a fixed plate is arranged between the two conical rods, two sides of the fixed plate are both provided with telescopic tubes which are respectively fixed with the end surfaces of the two conical, when the gas in the first air pipe enters the telescopic pipe, the telescopic pipe can push the two conical rods to move towards the direction far away from the fixed plate; the two sides of the fixed block are respectively provided with an inner supporting component with an arc structure, the two inner supporting components are not positioned on the same circular surface, and when the conical rod moves towards the direction far away from the fixed plate, the curvature of the inner supporting components is gradually reduced; the fixed block is also provided with a cutting assembly, the cutting assembly is positioned between the two inner supporting assemblies and can rotate around the axial direction of the fixed block, and the cutting assembly is also provided with a second endoscope body; an elastic second arc-shaped plate is further arranged between the two conical rods on the first air pipe, two ends of the second arc-shaped plate are respectively connected with the two conical rods, the center of the second arc-shaped plate is further connected with the cutting assembly, and when the two conical rods are closed towards the direction of the fixing plate, the second arc-shaped plate can push the cutting assembly to extend out along the radial direction of the fixing block; the fixed block includes first ring body, second ring body and go-between, the go-between links together first ring body and second ring body to the go-between can rotate around its own axis between first ring body and second ring body, still be equipped with the breach that matches with the cutting assembly on the go-between, the cutting assembly is located the breach.
Aiming at the problems that when polyps in the intestinal canal are cut off in the prior art, the polyps cannot be effectively cut off due to the fact that the intestinal canal is in a wriggle state, and the polyps hidden in the folds are not easy to cut off due to the fact that the intestinal canal is in a fold structure, when the polyps in the intestinal canal are cut off, high-pressure air is conveyed into a first air pipe by a first air pump communicated with the outside in an initial state, the telescopic pipe can be stretched towards the directions of two ends under the action of the high-pressure air due to the fact that the telescopic pipe is a corrugated pipe, the length of the telescopic pipe is forced to change, the two ends of the telescopic pipe respectively push conical rods on the two sides to move towards the far direction of a fixed plate, and the bending degree of an inner support assembly is gradually reduced under the action of the inclined surface of the conical rods in the moving process, so that the distance between the farthest distance of the inner support assembly and, then, a lubricant is coated on the fixed block, the fixed block is extended into the intestinal tract through the insertion tube, the approximate position of polyp in the intestinal tract is observed by using the first endoscope body, when the polyp position of the intestinal tract is reached, high-pressure gas introduced into the telescopic tube is discharged through the first air pump, the telescopic tube in a stretching state gradually retracts towards the middle along with the gradual discharge of the high-pressure gas in the telescopic tube, the curvature of the internal support component is forced to be gradually increased, the internal support component with the gradually increased curvature is used for stretching the intestinal tract with polyp towards the two sides in the radial direction, the intestinal tract with the cross section in a similar circular structure is forced to be gradually in an elliptical structure, namely, the two internal support components are used for adjusting the long axis of the intestinal tract in a similar elliptical structure, the short axis of the intestinal tract is gradually reduced along with the gradual increase of the long axis of the intestinal tract in a similar elliptical structure, namely, the inner wall of the intestinal canal with polyp is close to the center of the intestinal canal; meanwhile, as the two conical rods gradually get close to the middle, the two conical rods gradually squeeze the second arc-shaped plate to force the bending radian of the second arc-shaped plate to gradually increase, and as the radian of the second arc-shaped plate gradually increases, the cutting assembly is pushed to extend from the fixed block and is forced to move towards the middle polyp direction, so that the polyp can be conveniently cut by utilizing the second endoscope body arranged on the cutting assembly; when polyps are cut off, the arranged inner supporting component can be utilized to prop open the intestinal tract section with polyps towards two sides, so that the intestinal tract is forced to be in an elliptical structure, the length of the long axis of the ellipse of the intestinal tract is gradually increased, the length of the short axis of the intestinal tract is further reduced, the intestinal wall with polyps is close to the middle, the displacement amount of the intestinal tract during peristalsis is reduced, and the polyps can be conveniently cut by the cutting component; the polyp in a fold state can be propped open by the aid of the arranged internal support component, so that the polyp at the fold can be cut off conveniently.
Meanwhile, in order to ensure that the cutting component can cut polyps at different positions on the inner wall of the intestinal tract, the technical proposal sets the cutting component to rotate around the axis of the fixed block so that the position of the cutting component on the fixed block can be adjusted, in order to ensure that the cutting component can smoothly move on the circumferential outer wall of the fixed block, and the 360-degree rotation is realized, so the fixed block is composed of a first ring body and a second ring body which are spliced together through a connecting ring, and the arranged cutting assembly is positioned at the gap of the connecting ring, because cutting assembly is located breach department for cutting assembly can drive the go-between and directly rotate at first ring body and second ring body when rotating, utilizes the go-between that sets up to block the secretion in the intestinal and enters into to the fixed block, plays certain guard action to the fixed block inside.
Further, the internal stay subassembly is including having elastic first arc and two movable rods, and two movable rod one end are connected with the both ends of first arc respectively, and the other end stretches into to the fixed block in, and when the taper rod removed towards keeping away from the fixed plate direction, the inclined plane of taper rod can promote the movable rod and stretch out along the radial direction of fixed block. The movable rod is located and still is equipped with the ball piece on the end in the fixed block cavity, still be equipped with the second elastic component on the movable rod to the second elastic component is located between ball piece and the fixed block cavity inner wall.
The first arc-shaped plate is made of spring steel and has certain elasticity, so that when the conical rod of the conical structure moves towards the direction away from the fixed plate, the movable rod can be pushed to extend out of the fixed plate under the action of the inclined surface of the conical rod, and the two ends of the first arc-shaped plate are respectively connected with the two movable rods, so that the two ends of the arc-shaped plate move outwards, and the bending radian of the arc-shaped plate is gradually reduced; when two circular cone poles draw close towards the centre, under the effect of second elastic component, can force the movable rod to retract in towards the fixed block again, because the interval at first arc both ends reduces to make the radian increase of first arc, increased the internal stay width to the intestinal, be convenient for draw close the polyp in the intestinal towards the centre on the one hand, be convenient for excise the polyp, on the other hand is convenient for prop open intestinal fold department, and the polyp to fold department is amputated to the convenience.
Furthermore, the cutting assembly comprises a collecting box, the collecting box is located in the notch, the second endoscope body is connected with the collecting box, one end of the collecting box is provided with an opening communicated with the inside of the collecting box, the other end of the collecting box is connected with the central position of the second arc-shaped plate, both sides of the inner wall of the collecting box are provided with containing cavities, a third elastic piece and a baffle are arranged in each containing cavity, one end of each third elastic piece is connected with each containing cavity, the other end of each third elastic piece is connected with the baffle, one end of each baffle is connected with the corresponding third elastic piece, a cutting knife is arranged at the other end of each baffle, and when the third elastic pieces are in an unstre.
The cutting assembly is arranged for cutting off polyp in the intestinal canal, when in use, the polyp position on the inner wall of the intestinal canal is determined by the second endoscope body on the collecting box, then the high-pressure gas in the telescopic pipe is discharged through the first gas pipe to force the two conical rods to approach towards the middle, in the process of the conical rods approaching towards the middle, the second arc-shaped plate is pressed to force the second arc-shaped plate to gradually bend towards the outer wall of the fixed block, the second arc-shaped plate can push the collecting box to extend out of the fixed block along with the gradual bending of the second arc-shaped plate and move towards the direction of the middle polyp, the baffle in the collecting box retracts into the containing cavity under the action of the third elastic piece in the initial state, thereby make the polyp can enter into the collecting box, utilize the cutting sword on the baffle to carry out the excision to the polyp, the polyp after the excision drops to the collecting box in, deposits the polyp in the collecting box.
Further, the novel tracheal cannula comprises a second tracheal tube, wherein the second tracheal tube is positioned between the first tracheal tube and the cannula, one end of the first tracheal tube is provided with a second air pump, the other end of the first tracheal tube is provided with a catheter, the catheter is positioned in the fixed block, the catheter sequentially penetrates through the first tracheal tube and the fixed plate to be connected with the collecting box, the collecting box is further internally provided with two air passages, one ends of the air passages are respectively communicated with the accommodating cavity, and the other ends of the air passages are connected with the catheter.
The second air pipe is sleeved on the insertion pipe, the first air pipe is sleeved on the second air pipe, the insertion pipe is used for being connected with the first endoscope body and the second endoscope body respectively, image information collected by the first endoscope and the second endoscope is transmitted to the outside, the first air pipe is used for introducing high-pressure air into the telescopic pipe to force the telescopic pipe to stretch, the second air pipe is used for conveying high-pressure air into the two air passages of the collecting box to force the third elastic piece in the containing cavity to stretch, so that the two baffles in the collecting box can be drawn towards the middle, the polyp after being cut is cut by the cutting knife on the end face of the baffle and stored in the collecting box, and the fixed block is ensured not to fall from the collecting box in the moving process; in order to avoid the leakage of high-pressure gas in the first air pipe and the second air pipe, the inner ends of the first air pipe and the second air pipe, which are positioned on the fixed block, are both of a closed structure, so that the intubation tube penetrates out from the closed ends of the first air pipe and the second air pipe, and the gas leakage can not be caused.
Furthermore, a motor and a groove are further arranged on one of the conical rods, an output shaft of the motor and the axis of the fixed block are on the same straight line, a connecting rod of an L-shaped structure is further arranged on the output shaft, one end of the connecting rod is connected with the output shaft, the other end of the connecting rod is connected with one end of the second arc-shaped plate, the motor can drive the second arc-shaped plate to rotate around the axis of the fixed block, the groove is located on the end face, facing the fixed plate, of the conical rod, the tail end of the output shaft is located in the groove, and the connecting rod can rotate around the axis of the output; and the other end surface of the conical rod facing the fixed plate is provided with an annular groove, a first sliding block matched with the annular groove is arranged in the annular groove, and the first sliding block is connected with the other end of the second arc-shaped plate.
The micro motor who sets up is used for driving the second arc and can rotates between two circular cone arms, the motor during operation, its output shaft rotates, it follows to rotate together to drive the epaxial L type connecting rod of output, the connecting rod is at the pivoted in-process, it follows to rotate together to drive the second arc, because the one end and the connecting rod of second arc are connected, the other end is connected through the circular ring groove on first slider and another circular cone arm, thereby make the arc can be circular motion between two circular cone arms, thereby change the position of collecting box on the fixed block circumference, realize the regulation to the cutting assembly position, make things convenient for the cutting of cutting assembly to the different positions on the intestinal cross-section circle.
Furthermore, a limiting plate with the diameter larger than that of the telescopic pipe is further arranged on the first air pipe, the limiting plate is located in the groove of the conical rod and can move along the axial direction of the first air pipe, and the telescopic pipe is connected with the end face of the limiting plate; the fixed plate is further provided with a plurality of first elastic pieces, and the first elastic pieces are connected with the limiting plate and the conical rod respectively.
In order to ensure that the L-shaped connecting rod can smoothly rotate in the conical rod, a groove is formed in the end face of the conical rod provided with the motor, the connecting rod can normally rotate in the groove, but in order to ensure that high-pressure gas is introduced into the telescopic pipe, the telescopic pipe can push the conical rod to smoothly move, and meanwhile, the high-pressure gas in the telescopic pipe is prevented from leaking, a limiting plate is arranged in the groove, after the high-pressure gas is introduced into the telescopic pipe, the end face of the limiting plate is beneficial to sealing the telescopic pipe, and meanwhile, when the telescopic pipe is stretched, the telescopic pipe pushes the limiting plate to move on the first gas pipe, so that the conical rod is pushed to smoothly move on the first gas pipe in the direction; when the high-pressure gas in the telescopic pipe is exhausted, in order to ensure that the two conical rods can be pulled to be close to each other towards the middle when the telescopic pipe is contracted, the fixed plate is provided with the first elastic piece, the two conical rods are pulled to be close to each other towards the middle by utilizing the pulling force generated by the first elasticity, meanwhile, in order to ensure that the limiting plate can drive the circumferential rod provided with the motor to move along with the third elastic element when the limiting plate is pulled by the third elastic element, an annular groove is arranged on the end surface of the limiting plate facing to the direction of the output shaft of the motor, a third sliding block is arranged in the annular groove, a blind hole matched with the annular groove is arranged at the end part of the output shaft, and the blind hole is connected with the annular groove, and the third slide block is connected with the output shaft end, so that the limiting plate can pull the output shaft to move when moving along the axial direction of the first air pipe, thereby drive the taper cone pole and then remove together, the output shaft of motor can guarantee again that the output shaft can lie in the junction rotation of limiting plate when the rotation.
Furthermore, the end faces of the first ring body and the second ring body are both provided with annular sliding grooves, the two ends of the gap of the connecting ring are both provided with second sliding blocks matched with the sliding grooves, and the second sliding blocks are respectively positioned in the sliding grooves.
A method of using a resection device for application of intestinal polyps in a patient, comprising the steps of:
1) high-pressure gas is introduced into the first air pipe by using the first air pump, the high-pressure gas enters the telescopic pipe, two ends of the telescopic pipe are forced to push the two conical rods to move towards the direction away from the fixed plate, and in the moving process of the conical rods, the conical surfaces of the conical rods are used for ejecting the movable rods out of the fixed block, so that the first arc-shaped plate is positioned at the minimum bending radian;
2) applying a lubricant to the fixed block and the first endoscope body, and penetrating into the intestinal tract of the patient;
3) observing the position of intestinal polyps of a patient by using a first endoscope body;
4) when polyp in the intestinal tract is observed, high-pressure gas introduced into the telescopic tube is exhausted, the first elastic piece is made to force the conical rods at the two ends of the telescopic tube to draw together towards the middle, the movable rod is retracted into the fixed block under the action of the second elastic piece, so that the first arc-shaped plate is at the maximum bending radian, the inner wall of the intestinal tract is propped open towards the two sides, the intestinal tract is forced to be in a flat circle shape, the polyp in the intestinal tract moves towards the middle, meanwhile, under the action of the two conical rods, the bending radian of the second arc-shaped plate is forced to be gradually increased, the collecting box is moved towards the polyp direction, and the polyp is finally placed into the collecting box;
5) a second air pump is improved to introduce high-pressure air into the second air pipe, the high-pressure air enters an air passage of the collecting box, the baffle is pushed to extend into the accommodating cavity, and the polyp is cut off by a cutter on the baffle and falls into the collecting box;
6) when the position of the cutting assembly needs to be changed, the motor is utilized to drive the second arc-shaped plate to rotate, and the second arc-shaped plate drives the cutting assembly to move on the circumferential outer wall of the fixed block when rotating;
7) after the polyp in the intestinal tract is cut off, high-pressure gas is introduced into the first air tube again to force the conical rods at the two ends of the telescopic tube to move towards the direction away from the fixed plate again, and the movable rod is extended out of the fixed block again to enable the first arc-shaped plate to be at the minimum radian and move in the intestinal tract conveniently;
8) and (4) the fixed block is pulled out from the intestinal tract of the patient to complete the excision of the intestinal polyp of the patient.
Compared with the prior art, the invention has the following advantages and beneficial effects:
1. the invention relates to a resection device for polyp application of an intestinal tract of a patient, which is characterized in that high-pressure gas is introduced into a telescopic tube in an initial state to force two ends of the telescopic tube to stretch, thereby pushing two conical rods to move towards a direction away from a fixed plate and further pushing a movable rod of an inner support assembly to extend outwards to force a bending radian of a first arc-shaped plate of the inner support assembly to reduce, a fixed block is extended into the intestinal tract through a cannula, when the fixed block reaches the polyp position of the intestinal tract, the high-pressure gas in the telescopic tube is gradually discharged to force the movable rod to retract into the fixed block again to gradually increase the bending radian of the first arc-shaped plate, thereby internally supporting the intestinal tract, forcing the section of the intestinal tract to be in a flat circular shape, further enabling the intestinal tract with the polyp part to be close towards the middle, meanwhile, when the two conical rods are close towards the middle, pushing the collection box to extend towards the polyp direction, and finally cutting off the polyp into the collection box by using a cutting device;
2. when a cutting device is used for cutting polyps of a patient intestinal tract, high-pressure gas is introduced into a second air pipe, enters an air passage through a guide pipe, a baffle positioned in a containing cavity of a collecting box is forced to move out, the polyps positioned in the collecting box are cut by a cutting knife on the baffle, and the cut polyps are stored in the collecting box, so that the cut polyps are prevented from falling into the intestinal tract;
3. according to the resection equipment for the application of the polyp in the intestinal tract of the patient, the cutting assembly is arranged and can drive the second arc-shaped plate to rotate between the two conical rods under the action of the motor, so that the position of the cutting assembly on the circumferential outer wall of the fixed block is changed, and the requirement of rapid cutting of different positions on the inner wall of the intestinal tract is met;
4. according to the cutting equipment for the polypus in the intestinal tract of the patient, the cutting assembly can be guaranteed to smoothly rotate on the circumferential outer wall of the fixing block by the aid of the connecting ring, the polypus in different positions in the same section of the intestinal tract can be cut off, secretion in the intestinal tract can be prevented from entering the fixing block by the aid of the connecting ring, and the fixing block is protected to a certain extent.
Drawings
The accompanying drawings, which are included to provide a further understanding of the embodiments of the invention and are incorporated in and constitute a part of this application, illustrate embodiment(s) of the invention and together with the description serve to explain the principles of the invention. In the drawings:
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a schematic view of another state of the structure of the present invention;
FIG. 3 is a schematic view of the cutting assembly of the present invention;
FIG. 4 is a schematic structural view of a cross section of a fixing block according to the present invention;
FIG. 5 is another schematic structural view of the cross section of the fixing block of the present invention;
FIG. 6 is a top view of the mounting block of the present invention;
FIG. 7 is a schematic view of the attachment ring of the present invention;
FIG. 8 is a schematic end view of the first ring body of the present invention;
fig. 9 is a schematic structural view of the end face of the conical rod of the present invention.
Reference numbers and corresponding part names in the drawings:
1-a first endoscope body, 2-an insertion tube, 3-a first arc-shaped plate, 4-a first elastic member, 5-a fixed plate, 6-a telescopic tube, 7-a conical rod, 8-a first air tube, 9-a fixed block, 10-a cutting assembly, 11-a second arc-shaped plate, 12-a movable rod, 13-a second elastic member, 14-a ball block, 15-an output shaft, 16-a motor, 18-a connecting rod, 19-a second sliding block, 20-a connecting ring, 21-a limiting plate, 22-a groove, 23-a second endoscope body, 24-a third elastic member, 25-a baffle, 26-a collecting box, 27-a guide tube, 28-an air passage, 29-a second air tube, 30-a first ring body, 31-a notch, 32-a second ring body, 33-sliding groove, 34-circular groove.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more apparent, the present invention is further described in detail below with reference to examples and accompanying drawings, and the exemplary embodiments and descriptions thereof are only used for explaining the present invention and are not meant to limit the present invention.
Example 1
As shown in fig. 1 to 9, the resection device for polyp application in intestinal tract of a patient comprises an insertion tube 2, a first endoscope body 1 is arranged at the tail end of the insertion tube 2, a first air tube 8 is arranged on the insertion tube 2, the first air tube 8 is sleeved on the insertion tube 2, a fixed block 9 with a cylindrical structure is arranged at one end of the first air tube 8, the fixed block 9 is close to the first endoscope body 1, a cavity is arranged in the fixed block 9, the other end of the first air tube is provided with a first air pump, two conical rods 7 are arranged on the first air tube 8, the two conical rods 7 are both arranged in the cavity of the fixed block 9, the conical rods 7 can move along the axial direction of the first air tube 8, the diameters of the two conical rods 7 are gradually reduced towards the direction far away from each other, a fixed plate 5 is arranged between the two conical rods 7, telescopic tubes 6 are arranged at both sides of the fixed plate 5, the two telescopic, the telescopic pipe 6 is sleeved on the first air pipe 8 and is communicated with the first air pipe 8, and when the air in the first air pipe 8 enters the telescopic pipe 6, the telescopic pipe 6 can push the two conical rods 7 to move towards the direction far away from the fixed plate 5; the two sides of the fixed block 9 are provided with inner supporting components with arc structures, the two inner supporting components are not positioned on the same circular surface, and when the conical rod 7 moves towards the direction far away from the fixed plate 5, the curvature of the inner supporting components is gradually reduced; the fixed block 9 is further provided with a cutting assembly 10, the cutting assembly 10 is located between the two inner supporting assemblies and can rotate around the axial direction of the fixed block 9, and the cutting assembly 10 is further provided with a second endoscope body 23; an elastic second arc-shaped plate 11 is further arranged between the two conical rods 7 on the first air pipe 8, two ends of the second arc-shaped plate 11 are respectively connected with the two conical rods 7, the center of the second arc-shaped plate 11 is further connected with a cutting assembly 10, and when the two conical rods 7 are closed towards the direction of the fixing plate 5, the second arc-shaped plate 11 can push the cutting assembly 10 to extend out along the radial direction of the fixing block 9; the fixing block 9 comprises a first ring body 30, a second ring body 32 and a connecting ring 20, the connecting ring 20 connects the first ring body 30 and the second ring body 32 together, the connecting ring 20 can rotate around the axis of the connecting ring 20 between the first ring body 30 and the second ring body 32, and a notch 31 matched with a cutting assembly is further arranged on the connecting ring 20, and the cutting assembly is positioned in the notch 31.
Example 2
On the basis of embodiment 1, the internal stay subassembly is including having elastic first arc 3 and two movable rods 12, and two movable rods 12 one end are connected with the both ends of first arc 3 respectively, and the other end stretches into to in the fixed block 9, and when conical rod 7 removed towards keeping away from fixed plate 5 direction, the inclined plane of conical rod 7 can promote movable rod 12 and stretch out along the radial direction of fixed block 9.
Example 3
On the basis of embodiment 2, the movable rod 12 is further provided with a ball block 14 at the end located in the cavity of the fixed block 9, the movable rod 12 is further provided with a second elastic member 13, and the second elastic member 13 is located between the ball block 14 and the inner wall of the cavity of the fixed block 9.
Example 4
On the basis of embodiment 1, the cutting assembly 10 includes a collecting box 26, the collecting box 26 is located in the gap 31, the second endoscope body 23 is connected to the collecting box 26, one end of the collecting box 26 is provided with an opening communicated with the inside of the collecting box, the other end of the collecting box is connected to the center of the second arc-shaped plate 11, two sides of the inner wall of the collecting box 26 are provided with accommodating cavities, the accommodating cavities are provided with a third elastic member 24 and a baffle 25, one end of the third elastic member 24 is connected to the accommodating cavity, the other end of the third elastic member is connected to the baffle 25, one end of the baffle 25 is connected to the third elastic member 24, the other end of the baffle 25 is provided with a cutting knife, and when the third elastic member 24 is in an unstretched state.
Example 5
On the basis of the embodiment 4, the medical intubation device further comprises a second air pipe 29, the second air pipe 29 is located between the first air pipe 8 and the intubation tube 2, one end of the first air pipe 8 is provided with a second air pump, the other end of the first air pipe is provided with a guide pipe 27, the guide pipe 27 is located in the fixing block 9, the guide pipe 27 penetrates through the first air pipe 8 and the fixing plate 5 in sequence to be connected with the collecting box 26, the collecting box 26 is further internally provided with two air passages 28, one ends of the air passages 28 are respectively communicated with the accommodating cavities, and the other ends of the air passages 28.
Example 6
On the basis of embodiment 1, a motor 16 and a groove 22 are further arranged on one of the conical rods 7, an output shaft 15 of the motor 16 is aligned with an axis of the fixed block 9, a connecting rod 18 with an L-shaped structure is further arranged on the output shaft 15, one end of the connecting rod 18 is connected with the output shaft 15, the other end of the connecting rod 18 is connected with one end of the second arc-shaped plate 11, the motor 16 can drive the second arc-shaped plate 11 to rotate around the axis of the fixed block 9, the groove is located on an end surface, facing the fixed block 5, of the conical rod 7, the tail end of the output shaft 15 is located in the groove 22, and the connecting rod 18 can rotate around the axis of the output shaft 15 in the; and an annular groove 34 is formed in the end face, facing the fixed plate 5, of the conical rod 7, a first sliding block matched with the annular groove 34 is arranged in the annular groove 34, and the first sliding block is connected with the other end of the second arc-shaped plate 11.
Example 7
On the basis of embodiment 6, the first air pipe 8 is further provided with a limiting plate 21 with a diameter larger than that of the telescopic pipe 6, the limiting plate 21 is located in the groove of the conical rod 7, the limiting plate 21 can move along the axial direction of the first air pipe 8, and the telescopic pipe 6 is connected with the end face of the limiting plate 21; the fixed plate 5 is further provided with a plurality of first elastic pieces 4, and the first elastic pieces 4 are connected with the limiting plate 21 and the conical rod 7 respectively.
Example 8
On the basis of embodiment 1, the end surfaces of the first ring body 30 and the second ring body 32 are both provided with an annular sliding groove 33, the two ends of the gap 31 of the connecting ring 20 are both provided with second sliding blocks 19 matched with the sliding grooves 33, and the second sliding blocks 19 are respectively located in the sliding grooves 33.
Example 9
A method of using a resection device for application of intestinal polyps in a patient, comprising the steps of:
1) high-pressure gas is introduced into the first air pipe 8 by using a first air pump, the high-pressure gas enters the extension pipe 6 to force two ends of the extension pipe 6 to push the two conical rods 7 to move towards the direction away from the fixed plate 5, and in the moving process of the conical rods 7, the movable rod 12 is ejected out of the fixed block 9 by using the conical surfaces of the conical rods, so that the first arc-shaped plate 3 is positioned at the minimum bending radian;
2) applying a lubricant to the fixed block 9 and the first endoscope body 1 and extending into the intestinal tract of the patient;
3) observing the position of intestinal polyp of a patient by using the first endoscope body 1;
4) when polyp in the intestinal tract is observed, high-pressure gas introduced into the telescopic tube 6 is exhausted, the first elastic piece 4 is made to force the conical rods 7 at the two ends of the telescopic tube 6 to draw together towards the middle, the movable rod 12 retracts into the fixed block 9 under the action of the second elastic piece, so that the first arc-shaped plate 3 is in the maximum bending radian, the inner wall of the intestinal tract is propped open towards the two sides, the intestinal tract is forced to be in a flat circle shape, the polyp in the intestinal tract moves towards the middle, meanwhile, under the action of the two conical rods 7, the bending radian of the second arc-shaped plate 11 is forced to be gradually increased, the collection box 26 moves towards the polyp direction, and the polyp is finally placed into the collection box 26;
5) a second air pump is increased to introduce high-pressure air into the second air pipe 29, the high-pressure air enters the air passage 28 of the collection box 26, the baffle 25 is pushed to extend into the containing cavity, and polyp is cut off by a desired cutter on the baffle 25 and falls into the collection box 26;
6) when the position of the cutting assembly 10 needs to be changed, the motor 16 is utilized to drive the second arc-shaped plate 11 to rotate, and the second arc-shaped plate 11 drives the cutting assembly 10 to move on the circumferential outer wall of the fixed block 9 when rotating;
7) after the polyp in the intestinal tract is cut off, high-pressure gas is introduced into the first air pipe 8 again, the conical rods 7 at the two ends of the telescopic pipe 6 are forced to move towards the direction away from the fixed plate 5 again, and the movable rod 12 is extended out of the fixed block 9 again, so that the first arc-shaped plate 3 is in the minimum radian and is convenient to move in the intestinal tract;
8) the fixed block 9 is pulled out from the intestinal tract of the patient to complete the excision of the polyp in the intestinal tract of the patient.
The above-mentioned embodiments are intended to illustrate the objects, technical solutions and advantages of the present invention in further detail, and it should be understood that the above-mentioned embodiments are merely exemplary embodiments of the present invention, and are not intended to limit the scope of the present invention, and any modifications, equivalent substitutions, improvements and the like made within the spirit and principle of the present invention should be included in the scope of the present invention.
Claims (8)
1. A resection device for application of intestinal polyps of a patient comprises an insertion tube (2), wherein the tail end of the insertion tube (2) is provided with a first endoscope body (1), the resection device is characterized in that a first trachea (8) is arranged on the insertion tube (2), the first trachea (8) is sleeved on the insertion tube (2), one end of the first trachea (8) is provided with a fixed block (9) with a cylindrical structure, the fixed block (9) is close to the first endoscope body (1), a cavity is arranged in the fixed block (9), the other end of the first trachea is provided with a first air pump, the first trachea (8) is provided with two conical rods (7), the two conical rods (7) are both positioned in the cavity of the fixed block (9), the conical rods (7) can move along the axial direction of the first trachea (8), and the diameters of the two conical rods (7) are gradually reduced towards the direction away from each other, a fixed plate (5) is arranged between the two conical rods (7), telescopic pipes (6) are arranged on two sides of the fixed plate (5), the two telescopic pipes (6) are respectively fixed with the end faces of the two conical rods (7), the telescopic pipes (6) are sleeved on the first air pipe (8) and communicated with the first air pipe (8), and when gas in the first air pipe (8) enters the telescopic pipes (6), the telescopic pipes (6) can push the two conical rods (7) to move towards the direction far away from the fixed plate (5); the two sides of the fixed block (9) are respectively provided with an inner supporting component with an arc structure, the two inner supporting components are not positioned on the same circular surface, and when the conical rod (7) moves towards the direction far away from the fixed plate (5), the curvature of the inner supporting components is gradually reduced; the fixed block (9) is further provided with a cutting assembly (10), the cutting assembly (10) is located between the two inner supporting assemblies and can rotate around the axial direction of the fixed block (9), and the cutting assembly (10) is further provided with a second endoscope body (23); an elastic second arc-shaped plate (11) is further arranged between the two conical rods (7) on the first air pipe (8), two ends of the second arc-shaped plate (11) are respectively connected with the two conical rods (7), the center of the second arc-shaped plate (11) is further connected with a cutting assembly (10), and when the two conical rods (7) are close to each other towards the direction of the fixing plate (5), the second arc-shaped plate (11) can push the cutting assembly (10) to extend out along the radial direction of the fixing block (9); the fixing block (9) comprises a first ring body (30), a second ring body (32) and a connecting ring (20), the connecting ring (20) connects the first ring body (30) and the second ring body (32) together, the connecting ring (20) can rotate around the axis of the connecting ring (20) between the first ring body (30) and the second ring body (32), a notch (31) matched with a cutting assembly is further formed in the connecting ring (20), and the cutting assembly is located in the notch (31); the internal stay subassembly is including having elastic first arc (3) and two movable rods (12), and two movable rods (12) one end are connected with the both ends of first arc (3) respectively, and the other end stretches into in fixed block (9), and when circular cone pole (7) removed towards keeping away from fixed plate (5) direction, the inclined plane of circular cone pole (7) can promote movable rod (12) and stretch out along the radial direction of fixed block (9).
2. An resection device for application of intestinal polyps of a patient according to claim 1, characterized in that said movable rod (12) is further provided with a ball (14) at the end located inside the cavity of the fixed block (9), said movable rod (12) is further provided with a second elastic member (13), and the second elastic member (13) is located between the ball (14) and the inner wall of the cavity of the fixed block (9).
3. The resection device for application of intestinal polyps of a patient according to claim 1, the cutting assembly (10) comprises a collection box (26), the second endoscope body (23) is connected with the collection box (26), one end of the collecting box (26) is provided with an opening communicated with the inside of the collecting box (26), the other end is connected with the central position of the second arc-shaped plate (11), the two sides of the inner wall of the collecting box (26) are respectively provided with a containing cavity, the containing cavities are respectively provided with a third elastic piece (24) and a baffle plate (25), one end of the third elastic piece (24) is connected with the containing cavity, the other end is connected with the baffle plate (25), one end of the baffle plate (25) is connected with the third elastic piece (24), the other end is provided with a cutting knife, and the baffle (25) is positioned in the containing cavity when the third elastic piece (24) is in an unstretched state.
4. An excision apparatus for patient intestinal polyp application according to claim 3, further comprising a second air tube (29), wherein said second air tube (29) is located between the first air tube (8) and the insertion tube (2), said first air tube (8) is provided with a second air pump at one end and a conduit (27) at the other end, said conduit (27) is located in the fixed block (9), and the conduit (27) is connected with the collection box (26) through the first air tube (8) and the fixed plate (5) in sequence, and two air channels (28) are further provided in the collection box (26), one ends of the air channels (28) are respectively communicated with the containing cavities, and the other ends are connected with the conduit (27).
5. The resection device for application of intestinal polyps of a patient according to claim 1, one of the conical rods (7) is also provided with a motor (16) and a groove (22), the output shaft (15) of the motor (16) and the axis of the fixed block (9) are on the same straight line, the output shaft (15) is also provided with a connecting rod (18) with an L-shaped structure, one end of the connecting rod (18) is connected with the output shaft (15), the other end of the connecting rod (18) is connected with one end of the second arc-shaped plate (11), the motor (16) can drive the second arc-shaped plate (11) to rotate around the axis of the fixed block (9), the groove (22) is positioned on the end surface of the conical rod (7) facing the fixing plate (5), the tail end of the output shaft (15) is positioned in the groove (22), and the connecting rod (18) can rotate around the axis of the output shaft (15) in the groove (22); and the end surface of the conical rod (7) facing the fixed plate (5) is provided with an annular groove (34), a first sliding block matched with the annular groove (34) is arranged in the annular groove (34), and the first sliding block is connected with the other end of the second arc-shaped plate (11).
6. The resection equipment for the application of polyps to the intestinal tract of a patient according to claim 5, characterized in that the first trachea (8) is further provided with a limiting plate (21) with a diameter larger than that of the telescopic tube (6), the limiting plate (21) is positioned in the groove of the conical rod (7), the limiting plate (21) can move along the axial direction of the first trachea (8), and the telescopic tube (6) is connected with the end face of the limiting plate (21); still be equipped with a plurality of first elastic component (4) on fixed plate (5), first elastic component (4) are connected with limiting plate (21) and circular cone pole (7) respectively.
7. The resection device for application of intestinal polyps of a patient according to claim 3, characterized in that said fixation block (9) comprises a first ring body (30), a second ring body (32) and a connection ring (20), said connection ring (20) connecting the first ring body (30) and the second ring body (32) together and the connection ring (20) being able to rotate around its own axis between the first ring body (30) and the second ring body (32), said connection ring (20) being further provided with a notch (31) matching the collection box (26), said collection box (26) being located inside the notch (31).
8. The resection equipment for the application of intestinal polyps of patients according to claim 1, characterized in that the first ring body (30) and the second ring body (32) are provided with an annular sliding groove (33) on the end surface, the gap (31) of the connection ring (20) is provided with a second sliding block (19) matching with the sliding groove (33) on both ends, and the second sliding blocks (19) are respectively positioned in the sliding groove (33).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
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| CN202010412001.2A CN111568508B (en) | 2020-05-15 | 2020-05-15 | A excision equipment for patient's intestinal polyp is used |
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| Application Number | Priority Date | Filing Date | Title |
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| CN202010412001.2A CN111568508B (en) | 2020-05-15 | 2020-05-15 | A excision equipment for patient's intestinal polyp is used |
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| CN111568508A CN111568508A (en) | 2020-08-25 |
| CN111568508B true CN111568508B (en) | 2020-12-22 |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| RU2106822C1 (en) * | 1996-02-27 | 1998-03-20 | Василий Степанович Боцвин | Proctologic scalpel |
| US7344546B2 (en) * | 2000-04-05 | 2008-03-18 | Pathway Medical Technologies | Intralumenal material removal using a cutting device for differential cutting |
| JP4870147B2 (en) * | 2006-02-21 | 2012-02-08 | オリンパスメディカルシステムズ株式会社 | Endoscope system and medical instrument |
| EP2512577B1 (en) * | 2009-12-16 | 2018-03-07 | Boston Scientific Scimed, Inc. | Arrangements for effecting an endoluminal anatomical structure |
| US9713480B2 (en) * | 2013-09-16 | 2017-07-25 | Empire Technology Development Llc | Anastomosis probe and cutting device |
| CN206836934U (en) * | 2017-01-18 | 2018-01-05 | 天津市宝坻区中医医院 | Polypus cutter |
| CN209220427U (en) * | 2018-11-22 | 2019-08-09 | 兰州大学第一医院 | A kind of Gastrointestinal Endoscopes pincers road surgical instrument |
| CN110720967A (en) * | 2019-11-20 | 2020-01-24 | 韩翠燕 | Digestion scope is excision sample collection device down |
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