CN111588421B - Hepatobiliary surgery puncture equipment - Google Patents

Hepatobiliary surgery puncture equipment Download PDF

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Publication number
CN111588421B
CN111588421B CN202010475042.6A CN202010475042A CN111588421B CN 111588421 B CN111588421 B CN 111588421B CN 202010475042 A CN202010475042 A CN 202010475042A CN 111588421 B CN111588421 B CN 111588421B
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CN
China
Prior art keywords
tube
liquid discharge
sampling
pipe
sleeve
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Expired - Fee Related
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CN202010475042.6A
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Chinese (zh)
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CN111588421A (en
Inventor
何国林
程远
付顺军
蔡磊
刘海燕
潘明新
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Southern Medical University Zhujiang Hospital
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Southern Medical University Zhujiang Hospital
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Priority to CN202010475042.6A priority Critical patent/CN111588421B/en
Publication of CN111588421A publication Critical patent/CN111588421A/en
Application granted granted Critical
Publication of CN111588421B publication Critical patent/CN111588421B/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/0233Pointed or sharp biopsy instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/34Trocars; Puncturing needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/0067Catheters; Hollow probes characterised by the distal end, e.g. tips
    • A61M25/0082Catheter tip comprising a tool
    • A61M25/0084Catheter tip comprising a tool being one or more injection needles
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M25/00Catheters; Hollow probes
    • A61M25/01Introducing, guiding, advancing, emplacing or holding catheters
    • A61M25/06Body-piercing guide needles or the like

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Public Health (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Animal Behavior & Ethology (AREA)
  • Surgery (AREA)
  • Hematology (AREA)
  • Anesthesiology (AREA)
  • Pulmonology (AREA)
  • Biophysics (AREA)
  • Pathology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Infusion, Injection, And Reservoir Apparatuses (AREA)

Abstract

The invention discloses hepatobiliary surgery puncture equipment which comprises a tube body, a handle, a first sleeve, a second sleeve, a sampling assembly, a liquid discharge injection assembly, a transmission assembly and a driving assembly, wherein the sampling assembly is used for sampling liver tissues; one side of the screw rod is provided with a working section with a spiral groove, the other side of the screw rod is provided with a smooth supporting transmission section, and the working section is sleeved with a screw rod nut; a connecting rod is fixed between the closed end of the sampling tube and the screw nut; the liquid discharge injection assembly comprises a liquid discharge pipe and an injection pipe, and the liquid discharge pipe and the injection pipe are both of telescopic sleeve structures; through the relative position relation between first sleeve pipe and the screw nut, accomplish the switching work between flowing back injection and tissue sample and the tissue sample function to cooperate through screw and screw nut, combine drive assembly to accomplish work such as tissue sample, flowing back injection. The invention realizes the independent sampling of the living tissues of the liver and can carry out diagnostic treatment on the liver while sampling the living tissues.

Description

Hepatobiliary surgery puncture equipment
Technical Field
The invention relates to the field of medical equipment, in particular to a hepatobiliary surgery puncture device.
Background
Puncture, a commonly used medical operating term, is a diagnostic technique in which a puncture needle is inserted into a body cavity to extract secretions for testing, gas or contrast agents are injected into the body cavity to perform contrast examination, or medicines are injected into the body cavity. Hepatic puncture is a short term for biopsy. The pathological examination of liver puncture is mainly used for the differential diagnosis of various liver diseases, such as the identification of the nature and the cause of jaundice, the understanding of the degree and the activity of liver pathological changes, the provision of the etiological diagnosis basis of various types of viral hepatitis, the discovery of early stage, stationary stage or liver cirrhosis in the compensatory stage, and the discrimination of clinical curative effects, and is especially the internationally recognized 'gold standard' in the determination of the severity of liver fibrosis. In addition, liver puncture can also be used for diagnostic treatment, such as liver abscess puncture for pus discharge, hepatic cyst fluid extraction, intratumoral injection of liver cancer drugs or absolute alcohol, etc. Therefore, there is a need for an apparatus that can sample liver tissue alone, and can also sample tissue while performing diagnostic treatment on the liver.
Disclosure of Invention
The invention aims to provide a hepatobiliary surgery puncture device, which can be used for solving the problems in the prior art, and can be used for sampling a liver living tissue independently and carrying out diagnostic treatment on the liver while sampling the living tissue.
In order to achieve the purpose, the invention provides the following scheme:
the invention provides hepatobiliary surgery puncture equipment which comprises a tube body, a handle fixedly arranged on one side of the tube body, a first sleeve and a second sleeve which are sleeved on two sides of the tube body and are not in contact with each other, a sampling assembly for sampling liver tissues, a drainage injection assembly for diagnostically treating livers, a transmission assembly for controlling the movement of the sampling assembly and the drainage injection assembly, and a driving assembly for controlling the movement of the transmission assembly.
The transmission assembly comprises a screw rod, one side of the screw rod is a working section provided with a spiral groove, and the other side of the screw rod is a smooth support transmission section; the supporting transmission section is rotationally connected with the first sleeve; the working section is sleeved with a lead screw nut.
Sampling component includes one end confined sampling tube, be fixed with the connecting rod between sampling tube blind end and the screw-nut, the sampling tube sets up in the second sleeve.
The liquid discharge injection assembly comprises a liquid discharge pipe and an injection pipe, and the liquid discharge pipe and the injection pipe are of telescopic sleeve pipe structures; the liquid discharge pipe and the injection pipe respectively comprise a fixed pipe fixedly arranged in the first sleeve and a telescopic pipe capable of moving in the second sleeve; the liquid discharge pipe and the injection pipe are symmetrically arranged along the axis of the sampling pipe; the screw nut is provided with a cavity for enabling the liquid discharge pipe and the injection pipe to move and a groove for limiting the liquid discharge pipe and the injection pipe to move back and forth, and the liquid discharge pipe and the injection pipe are provided with bulges matched with the groove.
Preferably, more than two groups of bearings are arranged between the support transmission section of the screw and the first sleeve, and the support transmission section can support the whole screw while the screw and the first sleeve are connected through the bearings.
Preferably, the driving assembly is a rocking handle, the rocking handle is fixedly connected with the end part of the supporting transmission section of the screw rod, and the rotation of the screw rod is driven by the rotation of the rocking handle, so that the sampling tube, the liquid discharge tube and the injection tube move back and forth to complete the sampling, treatment and other works.
Preferably, the working ends of the sampling tube, the liquid discharge tube and the injection tube are in a sharp opening shape, so that the sampling, liquid discharge, injection and other work can be conveniently carried out.
Preferably, the first sleeve is of a T-shaped structure, and the liquid discharge pipe and the fixing pipe on the injection pipe form a bending structure at the T-shaped vertical part, so that the liquid discharge pipe and the injection pipe are prevented from being influenced by the driving assembly in the liquid discharge and injection working processes.
Preferably, one end of the first sleeve, which is far away from the lead screw nut, is provided with a sealing block.
The invention discloses the following technical effects: through the relative position relation between first sleeve pipe and the screw nut, accomplish the switching work between flowing back injection and tissue sample and the tissue sample function to cooperate through screw and screw nut, combine drive assembly to accomplish work such as tissue sample, flowing back injection. The invention realizes the independent sampling of the living tissues of the liver and can carry out diagnostic treatment on the liver while sampling the living tissues.
The invention is provided with two pipelines of liquid drainage and injection, which separates the liquid drainage and the injection and avoids the mutual influence between the two.
Drawings
In order to more clearly illustrate the embodiments of the present invention or the technical solutions in the prior art, the drawings needed to be used in the embodiments will be briefly described below, and it is obvious that the drawings in the following description are only some embodiments of the present invention, and it is obvious for those skilled in the art to obtain other drawings without inventive exercise.
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is an enlarged view of a portion of FIG. 1;
FIG. 3 is an enlarged view of a portion B of FIG. 1;
FIG. 4 is a schematic diagram of the positions of the screw nut and the telescopic tube when the sampling tube of the present invention is in operation;
FIG. 5 is a schematic view showing the positions of a screw nut and a telescopic tube when a sampling tube, a drainage tube and an injection tube work simultaneously according to the present invention;
FIG. 6 is a front view of the lead screw nut of the present invention;
FIG. 7 is a front view of a second sleeve of the present invention;
FIG. 8 is a schematic view of the construction of a drain and syringe according to the present invention;
the device comprises a pipe body 1, a handle 2, a first sleeve 3, a second sleeve 4, a lead screw 5, a working section 51, a support transmission section 52, a lead screw nut 6, a cavity 61, a groove 62, a sampling tube 7, a connecting rod 8, a liquid discharge tube 9, an injection tube 10, a fixed tube 11, a telescopic tube 12, a protrusion 13, a rocking handle 14 and a sealing block 15.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
In order to make the aforementioned objects, features and advantages of the present invention comprehensible, embodiments accompanied with figures are described in further detail below.
Referring to fig. 1 to 8, the present invention provides a hepatobiliary surgery puncturing device, which comprises a tube body 1, a handle 2 fixedly arranged at one side of the tube body 1, a first sleeve 3 and a second sleeve 4 sleeved at two sides of the tube body 1 and not in contact, a sampling assembly for sampling liver tissue, a liquid discharge injection assembly for diagnostically treating liver, a transmission assembly for controlling the movement of the sampling assembly and the liquid discharge injection assembly, and a driving assembly for controlling the movement of the transmission assembly.
The transmission assembly comprises a lead screw 5, one side of the lead screw 5 is a working section 51 provided with a spiral groove, and the other side of the lead screw 5 is a smooth supporting transmission section 52; the supporting transmission section 52 is rotationally connected with the first sleeve 3; more than two groups of bearings are arranged between the support transmission section 52 of the screw 5 and the first sleeve 3, and the whole screw 5 is supported by the support transmission section while the screw 5 and the first sleeve are connected by the bearings. The working section 51 is sleeved with a screw nut 6, and the screw nut 6 can make linear motion on the screw 5 along with the rotation of the screw 5.
Sampling assembly includes one end confined sampling tube 7, is fixed with connecting rod 8 between 7 blind ends of sampling tube and screw nut 6, and sampling tube 7 sets up in second sleeve 4.
The liquid discharge injection assembly comprises a liquid discharge pipe 9 and an injection pipe 10, and the liquid discharge pipe 9 and the injection pipe 10 are both telescopic sleeve structures; the discharge pipe 9 and the injection pipe 10 each comprise a fixed pipe 11 fixedly arranged in the first casing 3 and a telescopic pipe 12 movable in the second casing 4, a part of the telescopic pipe 12 being located in the fixed pipe and the telescopic pipe being linearly movable with respect to the fixed pipe without relative rotational movement. The liquid discharge pipe 9 and the injection pipe 10 are symmetrically arranged with the axis of the sampling pipe 7; the screw nut 6 is provided with a cavity 61 for moving the liquid discharge pipe 9 and the injection pipe 10 and a groove 62 for limiting the back and forth movement of the liquid discharge pipe 9 and the injection pipe 10, and the liquid discharge pipe 9 and the injection pipe 10 are provided with protrusions 13 matched with the groove 62. Fig. 4 is a schematic diagram of the positions of the screw nut 6 and the telescopic tubes when only the sampling tube works, the rotation direction of the screw 5 is counterclockwise in the figure, the upper telescopic tube and the lower telescopic tube are kept stationary, and the screw nut 6 is limited to rotate so as to only do linear motion. Fig. 5 is a schematic diagram of the positions of the screw nut 6 and the telescopic tube when the sampling tube, the liquid discharge tube and the injection tube work simultaneously, the protrusion 13 on the telescopic rod is connected with the groove 62 in a clamping manner, and the sampling tube, the liquid discharge tube and the injection tube are driven to work simultaneously through the rotation motion of the screw 5.
The working ends of the sampling tube 7, the liquid discharge tube 9 and the injection tube 10 are in a sharp mouth shape, so that the sampling, liquid discharge, injection and other works can be conveniently implemented. The end of the first sleeve 3 remote from the spindle nut 6 is provided with a sealing block 15, so that the entire device is in a sealed state. The first sleeve 3 is of a T-shaped structure, and the fixing pipes 11 on the liquid discharge pipe 9 and the injection pipe 10 form a bending structure on a T-shaped vertical part, so that the liquid discharge pipe and the injection pipe are prevented from being influenced by the driving assembly in the liquid discharge and injection working processes.
The driving component is a rocking handle 14, and the rocking handle 14 is fixedly connected with the end part of the supporting transmission section 52 of the lead screw 5. The rocking handle is fixedly connected with the end part of the supporting transmission section of the screw rod 5, and the rotation of the screw rod 5 is driven by the rotation of the rocking handle, so that the sampling tube 7, the liquid discharge tube 9 and the injection tube 10 move back and forth to complete the work of sampling, treatment and the like.
The working process is as follows:
when only the sampling tube works, the first sleeve 3 is rotated to enable the position relation between the screw nut 6 and the telescopic tubes 12 to be as shown in fig. 4, the screw 5 is driven to rotate by rotating the rocking handle 14, the rotating direction of the screw 5 is anticlockwise in fig. 4, the upper telescopic tube 12 and the lower telescopic tube 12 are kept still, the rotating motion of the screw nut 6 is limited, and the screw nut is enabled to only do linear motion. The sampling tube 7 fixedly connected with the screw nut 6 moves forwards in a straight line to finish the sampling work of liver tissues, the rocking handle 14 is rotated reversely to return the sampling tube 7, and the whole device is taken out to finish the sampling work of the liver tissues.
When the sampling tube, the liquid discharge tube and the injection tube work simultaneously, the first sleeve 3 is rotated to ensure that the position relationship between the screw nut 6 and the telescopic tube 12 is as shown in figure 5, the bulge 13 on the telescopic rod 12 is clamped with the groove 62 together, and the first sleeve 3 is fixed to ensure that the fixed rod is kept fixed. The rotation of the rocking handle 14 is controlled to drive the screw 5 to rotate, the sampling tube 7, the liquid discharge tube 9 and the injection tube 10 are driven to simultaneously move linearly, the liquid discharge device is connected with the liquid discharge tube 9, the injection device is connected with the injection tube 10, and the liquid discharge and injection work is respectively completed by controlling the liquid discharge device and the injection device. And reversely rotating the rocking handle 14 to return, and taking out the whole device to finish sampling, liquid discharging and injection.
In the description of the present invention, it is to be understood that the terms "longitudinal", "lateral", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", and the like, indicate orientations or positional relationships based on those shown in the drawings, are merely for convenience of description of the present invention, and do not indicate or imply that the referenced devices or elements must have a particular orientation, be constructed and operated in a particular orientation, and thus, are not to be construed as limiting the present invention.
The above-described embodiments are merely illustrative of the preferred embodiments of the present invention, and do not limit the scope of the present invention, and various modifications and improvements of the technical solutions of the present invention can be made by those skilled in the art without departing from the spirit of the present invention, and the technical solutions of the present invention are within the scope of the present invention defined by the claims.

Claims (6)

1. A hepatobiliary surgery puncturing apparatus, comprising: the device comprises a tube body (1), a handle (2) fixedly arranged on one side of the tube body (1), a first sleeve (3) and a second sleeve (4) which are sleeved on two sides of the tube body (1) and are not in contact with each other, a sampling assembly for sampling liver tissues, a liquid discharge injection assembly for diagnostically treating the liver, a transmission assembly for controlling the movement of the sampling assembly and the liquid discharge injection assembly, and a driving assembly for controlling the movement of the transmission assembly;
the transmission assembly comprises a lead screw (5), one side of the lead screw (5) is provided with a working section (51) with a spiral groove, and the other side of the lead screw (5) is provided with a smooth supporting transmission section (52); the supporting transmission section (52) is rotationally connected with the first sleeve (3); the working section (51) is sleeved with a screw nut (6);
the sampling assembly comprises a sampling tube (7) with one end sealed, a connecting rod (8) is fixed between the sealed end of the sampling tube (7) and the screw nut (6), and the sampling tube (7) is arranged in the second sleeve (4);
the liquid discharge injection assembly comprises a liquid discharge pipe (9) and an injection pipe (10), wherein the liquid discharge pipe (9) and the injection pipe (10) are both of telescopic sleeve structures; the liquid discharge pipe (9) and the injection pipe (10) respectively comprise a fixed pipe (11) fixedly arranged in the first sleeve (3) and a telescopic pipe (12) capable of moving in the second sleeve (4); the liquid discharge pipe (9) and the injection pipe (10) are symmetrically arranged along the axis of the sampling pipe (7); the screw nut (6) is provided with a cavity (61) for enabling the liquid discharge pipe (9) and the injection pipe (10) to move and a groove (62) for limiting the liquid discharge pipe (9) and the injection pipe (10) to move back and forth, and the liquid discharge pipe (9) and the injection pipe (10) are provided with a protrusion (13) matched with the groove (62);
when only the sampling tube (7) works, the first sleeve (3) is rotated to enable the screw nut (6) to be in sliding connection with the telescopic tubes (12), the driving assembly drives the screw (5) to rotate, the rotating direction of the screw (5) is anticlockwise, the upper telescopic tube and the lower telescopic tube (12) are kept motionless, the two telescopic tubes (12) limit the rotating motion of the screw nut (6), the screw nut (6) only moves linearly, and the sampling tube (7) fixedly connected with the screw nut (6) moves linearly forwards;
when the sampling tube (7), the liquid discharge tube (9) and the injection tube (10) work simultaneously, the first sleeve (3) is rotated, a protrusion (13) on the telescopic tube (12) is clamped with the groove (62), and the screw nut (6) is fixed relative to the upper telescopic tube (12) and the lower telescopic tube (12); fixing the first sleeve (3) to keep the fixed pipe (11) fixed; the driving assembly drives the screw rod (5) to rotate, the screw rod (5) drives the screw rod nut (6) to do linear motion, and the sampling tube (7), the liquid discharge tube (9) and the injection tube (10) do linear motion simultaneously.
2. The hepatobiliary surgical lancing apparatus of claim 1, wherein: more than two groups of bearings are arranged between the support transmission section (52) of the lead screw (5) and the first sleeve (3).
3. The hepatobiliary surgical lancing apparatus of claim 1, wherein: the driving component is a rocking handle (14), and the rocking handle (14) is fixedly connected with the end part of the supporting transmission section (52) of the lead screw (5).
4. The hepatobiliary surgical lancing apparatus of claim 1, wherein: the working ends of the sampling tube (7), the liquid discharge tube (9) and the injection tube (10) are in a sharp opening shape.
5. The hepatobiliary surgical lancing apparatus of claim 1, wherein: the first sleeve (3) is of a T-shaped structure, and the liquid discharge pipe (9) and the fixing pipe (11) on the injection pipe (10) form a bending structure at the T-shaped vertical part.
6. A hepatobiliary surgical lancing apparatus according to claim 1, wherein: and a sealing block (15) is arranged at one end, far away from the screw nut (6), of the first sleeve (3).
CN202010475042.6A 2020-05-29 2020-05-29 Hepatobiliary surgery puncture equipment Expired - Fee Related CN111588421B (en)

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CN202010475042.6A CN111588421B (en) 2020-05-29 2020-05-29 Hepatobiliary surgery puncture equipment

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Application Number Priority Date Filing Date Title
CN202010475042.6A CN111588421B (en) 2020-05-29 2020-05-29 Hepatobiliary surgery puncture equipment

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CN111588421B true CN111588421B (en) 2022-11-18

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* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113633385B (en) * 2021-08-03 2023-02-03 赵宇 Terminal device of minimally invasive surgery robot
CN113440231B (en) * 2021-09-01 2021-12-21 中国医学科学院北京协和医院 Ultrasonic puncture instrument capable of rotating for sampling

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CN1968643A (en) * 2004-03-11 2007-05-23 梅德拉股份有限公司 Energy assisted medical devices, systems and methods
CN102727987A (en) * 2011-04-15 2012-10-17 麦克鲁斯内血管有限责任公司 Noncircular inner lumen guiding catheter with assisted variable support
CN107427292A (en) * 2015-03-31 2017-12-01 富士胶片株式会社 Sting device and optoacoustic measuring arrangement
CN108721708A (en) * 2018-02-27 2018-11-02 中国人民解放军陆军军医大学第附属医院 A kind of thyroid cyst suction unit
CN209808414U (en) * 2019-01-30 2019-12-20 百色市人民医院 Novel biopsy needle suitable for cutting of solid lesion tissue

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US7641620B2 (en) * 2003-12-23 2010-01-05 Vance Products Incorporated Rotatable sampling apparatus
WO2011081991A1 (en) * 2009-12-30 2011-07-07 Boston Scientific Scimed, Inc. Rotatable connection between a tubular member and an elongate wire of a catheter
US10500331B2 (en) * 2017-08-18 2019-12-10 Ayman H. Al-Jazaeri Drainage catheter with retractable internal drains

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Publication number Priority date Publication date Assignee Title
CN1968643A (en) * 2004-03-11 2007-05-23 梅德拉股份有限公司 Energy assisted medical devices, systems and methods
CN102727987A (en) * 2011-04-15 2012-10-17 麦克鲁斯内血管有限责任公司 Noncircular inner lumen guiding catheter with assisted variable support
CN107427292A (en) * 2015-03-31 2017-12-01 富士胶片株式会社 Sting device and optoacoustic measuring arrangement
CN108721708A (en) * 2018-02-27 2018-11-02 中国人民解放军陆军军医大学第附属医院 A kind of thyroid cyst suction unit
CN209808414U (en) * 2019-01-30 2019-12-20 百色市人民医院 Novel biopsy needle suitable for cutting of solid lesion tissue

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Granted publication date: 20221118