CN113081150A

CN113081150A - Rongeur with blood vessel monitoring function

Info

Publication number: CN113081150A
Application number: CN202110210352.XA
Authority: CN
Inventors: 李丽明; 李岩; 张庆丰; 陈向东
Original assignee: Shenzhen University General Hospital
Current assignee: Shenzhen University General Hospital
Priority date: 2021-02-23
Filing date: 2021-02-23
Publication date: 2021-07-09

Abstract

The invention relates to a rongeur with a blood vessel monitoring function, which comprises a first binding clip, a second binding clip, a fixed handle, a movable handle and an ultrasonic detection device, wherein the first binding clip is fixedly arranged, the second binding clip can be arranged in a relative motion manner with the first binding clip, the fixed handle is connected with the first end of the first binding clip, the movable handle is connected with the first end of the second binding clip and can be movably connected with the fixed handle so as to drive the second binding clip to move relative to the first binding clip, and the ultrasonic detection device is arranged on the first binding clip or the second binding clip; the second end of the first tong head is provided with a first occlusion part, and the second end of the first tong head is provided with a second occlusion part; the ultrasonic detection device is used for detecting the implant between the first occlusion part and the second occlusion part. This take rongeur of vascular monitoring function is through setting up ultrasonic detection device on first binding clip or second binding clip, detects the thing of putting into between first interlock portion and the second interlock portion through this ultrasonic detection device to can be convenient for go on smoothly of operation, avoid haring the important blood vessel of operation adjacent position, protect operation safety, improve operation efficiency.

Description

Rongeur with blood vessel monitoring function

Technical Field

The invention relates to a medical appliance, in particular to a rongeur with a blood vessel monitoring function.

Background

With the increasing perfection of the nasal endoscope surgical technology, the scope of the endoscopic surgery is continuously expanded, the patients with the existing tumor invading the skull base can only adopt conservative treatment, and due to the fact that a plurality of important blood vessels are involved in the nasal skull base surgery, such as cavernous sinus, external carotid artery branches, internal carotid artery and the like, any blood vessel accidentally injured in the surgery can cause massive hemorrhage, particularly the accidental injury in the internal carotid artery surgery, and the consequences are always fatal. The nasal endoscopic surgery has the advantages of sufficient illumination, but the position is deep, the space is narrow, the device operation is difficult, if the intraoperative hemorrhage is large, the hemostasis is very difficult, the death rate is extremely high, even if the hemostasis is performed through compression, the digital angiography is required to be performed after the operation, and the life quality of a patient is obviously reduced although the patient lives after the treatment. The range of tumor lesions related to skull base operation is wide, and partial tumor tissues and blood vessels are not obviously demarcated or affected bone substances and blood vessels are not demarcated clearly, so that side injury in operation is easily caused.

At present, the rongeur used in clinical operation can bite off larger sclerotin, but the rongeur body and the rongeur body are heavier, so that the rongeur body is not beneficial to removing sclerotin at a fine part of a nose-skull base to cause lesion residue, or the rongeur body blocks the operation visual field of an endoscope to cause operation accidental injury of important structures.

The existing forceps body does not have a blood vessel monitoring function, and can easily cause accidental injury to important blood vessels (internal carotid artery and the like) in the skull base region to cause fatal hemorrhage.

Disclosure of Invention

The invention aims to provide an improved rongeur with a blood vessel monitoring function.

The technical scheme adopted by the invention for solving the technical problems is as follows: constructing a rongeur with a blood vessel monitoring function, which comprises a first binding clip fixedly arranged, a second binding clip arranged in a way of relatively moving with the first binding clip, a fixed handle connected with a first end of the first binding clip, a movable handle connected with a first end of the second binding clip and movably connected with the fixed handle so as to drive the second binding clip to relatively move with the first binding clip, and an ultrasonic detection device arranged on the first binding clip or the second binding clip;

the second end of the first tong head is provided with a first meshing part, and the second end of the first tong head is provided with a second meshing part; the ultrasonic detection device is used for detecting the implant between the first occlusion part and the second occlusion part.

Preferably, the ultrasonic detection device comprises an ultrasonic probe penetrating to the second end of the second forceps head, and a transmission line connected with the ultrasonic probe and penetrating out of the first end of the second forceps head to be connected with an external device.

Preferably, the second binding clip is arranged lengthwise;

and a through hole which penetrates through the first end of the second tong head and the second end of the second tong head and is used for the ultrasonic probe and the transmission line to penetrate is formed in the length direction of the second tong head.

Preferably, the first binding clip comprises a first body, and the first occlusion part is arranged at one end of the first body, which is far away from the fixed handle, extends towards one side provided with the second binding clip and forms a set included angle with the first body.

Preferably, the set included angle is greater than 90 degrees and less than 180 degrees.

Preferably, the second binding clip comprises a second body, and the second occlusion part is a chamfered surface which is arranged at one end of the second body, which is far away from the movable handle, and is matched with the first occlusion part.

Preferably, the rongeur with the blood vessel monitoring function further comprises a hinge structure which movably connects the movable handle and the fixed handle.

Preferably, the hinge structure includes a rotation shaft rotatably connecting the movable handle and the fixed handle;

the rongeur with the blood vessel monitoring function further comprises a stirring piece which is sleeved on the rotating shaft and connected with the second binding clip so as to stir the second binding clip to move relative to the first binding clip.

Preferably, an elastic clamp spring is arranged between the fixed handle and the movable handle.

Preferably, the fixed handle is provided with an anti-slip structure.

The rongeur with the blood vessel monitoring function has the following beneficial effects: this take rongeur of blood vessel monitoring function is through setting up ultrasonic detection device on the second binding clip, detects the thing of putting into between first interlock portion and the second interlock portion through this ultrasonic detection device to can be convenient for go on smoothly of operation, avoid haring the important blood vessel that patient's operation position borders on, the safety of protection operation improves operation efficiency.

Drawings

The invention will be further described with reference to the accompanying drawings and examples, in which:

FIG. 1 is a schematic structural view of a rongeur with vascular monitoring in some embodiments of the invention;

fig. 2 is a schematic view showing a use state of the rongeur with a blood vessel monitoring function shown in fig. 1.

Detailed Description

For a more clear understanding of the technical features, objects and effects of the present invention, embodiments of the present invention will now be described in detail with reference to the accompanying drawings.

Fig. 1 and 2 show some preferred embodiments of the rongeur with vascular monitoring of the present invention. The rongeur with the blood vessel monitoring function can be used for nasal cavity operation, and particularly, the rongeur with the blood vessel monitoring function can be used for nasal and cranial base operation and has the function of monitoring blood vessels. Of course, it is understood that in other embodiments, the rongeur with vascular monitoring function may not be limited to use in nasal surgery. The rongeur with the blood vessel monitoring function is convenient for smooth operation, avoids damaging the adjacent important blood vessels of the patient, protects the operation safety, and improves the operation efficiency and accuracy.

As shown in fig. 1 and 2, the rongeur with a blood vessel monitoring function may include a first jaw 10, a second jaw 20, a fixed handle 30 and a movable handle 40. The first binding clip 10 may be fixed, may extend into the nasal cavity, or may be located elsewhere on the patient, and may cooperate with the second binding clip 20. The second binding clip 20 is movably disposed relative to the first binding clip 10 and is adapted to engage with the first binding clip 10 to remove bone tissue. The fixed handle 30 can be connected to the first end of the first pincer head 10, and the movable handle 40 can be connected to the first end of the second pincer head 20 and can be movably connected to the fixed handle 30, so as to drive the second pincer head 20 and the first pincer head 10 to move relatively. The ultrasonic detection device 50 can be disposed on the second forceps head 20 and can be used to detect an implant between the first forceps head 10 and the second forceps head 20. It is understood that in other embodiments, the ultrasonic testing device 50 may not be limited to be disposed on the second forcep head 20, and in other embodiments, the ultrasonic testing device 50 may be disposed on the first forcep head 10. In some embodiments, the implant may be bone tissue or blood vessels, etc., and the ultrasonic testing device 50 may be used to test whether there is blood flow through the tissue between the first forceps head 10 and the second forceps head 20.

Further, the first binding clip 10 may be disposed lengthwise, and may include a first end and a second end opposite to the first end. The first binding clip 10 may be made of a metal material, and in some embodiments, the first binding clip 10 may be made of a stainless steel material. The first binding clip 10 may include a first body 11 and a first engaging portion 12, the first body 11 may be an elongated shape, and the first body 11 may include a first end and a second end, that is, the first end and the second end of the first binding clip 10; the first end of the first body 11 can be connected with the fixed handle 30, and particularly, in some embodiments, the first body 11 can be integrally formed with the fixed handle 30. The first engaging portion 12 can be disposed at a second end of the first binding clip 10, that is, at a second end of the first body 11, that is, at an end of the first body 11 away from the fixed handle 30. The first engaging portion 12 may extend toward a side of the first body 11 where the second binding clip 20 is disposed and may form a set included angle α with the first body 11, that is, the first engaging portion 12 may extend obliquely upward toward the first body 11, and the first engaging portion 12 may be integrally formed with the first body 11, and specifically, in some embodiments, the first engaging portion 12 may be integrally formed with the first body 11 by die casting. In some embodiments, the set angle α may be greater than 90 degrees and less than 180 degrees, and specifically, in some embodiments, the set angle may be 120 degrees, although it is understood that in other embodiments, the set angle may not be limited to 120 degrees. The biting and cutting angle (the set included angle alpha) is set to be larger than 90 degrees and smaller than 180 degrees, so that the rongeur with the blood vessel monitoring function can extend into the nasal cavity conveniently, the rongeur with the blood vessel monitoring function is matched with bone tissues needing biting and removing, and a patient is not easy to be injured.

Further, in some embodiments, the second binding clip 20 can be disposed on the first binding clip 10, and the second binding clip 20 can be disposed lengthwise and can include a first end and a second end opposite to the first end; the length direction of the second binding clip 20 is parallel to the length direction of the first binding clip 10. The first end and the second end of the second binding clip 20 are arranged corresponding to the first end and the second end of the first binding clip 10. The second binding clip 20 can move on the first binding clip 20 relative to the first binding clip 10, and can engage with the first binding clip 10 by relative movement to realize bone biting. In some embodiments, the second binding clip 20 may be made of a metal material, and in particular, in some embodiments, the second binding clip 20 may be made of a stainless steel material.

In some embodiments, the second binding clip 20 may include a second body 21 and a second engaging portion 22, the second body 21 may be disposed on the first body 11, the second body 21 may be elongated, and the second body 21 may move relative to the first body along the length direction of the first body 11. In some embodiments, the second body 21 may include a first end and a second end, i.e., a first end and a second end of the second binding clip 20. In some embodiments, the second engaging portion may be disposed at the second end of the second body 21 and may cooperate with the first engaging portion 12 to engage bone tissue, and in some embodiments, the second engaging portion may be a chamfered surface disposed at the second end of the second body 21, that is, a chamfered surface disposed at an end of the second body 21 away from the movable handle 40 may be abutted to the first engaging portion 12.

Further, in some embodiments, a through hole 211 may be disposed in the second body 21 along the length direction of the second body 21, and the through hole 211 may be disposed through the second body 20 and the first body 10 and may be used for disposing the ultrasonic detection device 50.

Further, in some embodiments, the fixing handle 30 may be connected to the first end of the first body 11, may be bent from the first body 11, and may be integrally formed with the first body 11. The stationary handle 30 may be made of a metal material, and in some embodiments, the stationary handle 30 may be made of a stainless steel material. In some embodiments, the fixed handle 30 may include a first holding portion 31 and a first connecting portion 32 connected to the movable handle 40 and the first jaw 10. The first holding portion 31 may be strip-shaped, the first connecting portion 32 may be disposed at one end of the first holding portion 31, and the width of the first connecting portion 32 may be greater than the width of the first holding portion 31. In some embodiments, an anti-slip structure 33 may be further disposed on the fixed handle 30, and the anti-slip structure 33 may be disposed on the first holding portion 31 and may be located on a side of the first holding portion 31 opposite to the movable handle 40. The anti-slip structure 33 can be a non-slip column protruding from the sidewall of the first holding portion 31, and it is understood that in other embodiments, the anti-slip structure 33 can not be limited to a non-slip column. It will be appreciated that in some embodiments, the non-slip feature 33 may be omitted.

Further, in some embodiments, the movable handle 40 can be connected to the first end of the second body 21 and can be detachably disposed with the second body 21. The movable handle 40 can be opened and closed relative to the fixed handle 30 under the action of an external force, and further can drive the second binding clip 20 to move relative to the first binding clip 10. In some embodiments, the movable handle 40 can be made of a metal material, and in particular, in some embodiments, the movable handle 40 can be made of a stainless steel material. The movable handle 40 may include a second holding portion 41 and a second connecting portion 42, the second holding portion 41 may be arc-shaped for being held by an operator, the second connecting portion 42 may be disposed at one end of the second holding portion 41, and may be bent from the second holding portion 41, and one end of the second connecting portion away from the second holding portion 41 may be connected to the second body 21.

Further, in some embodiments, the ultrasonic detection device 50 can be used to detect the implant between the first occlusion part 12 and the second occlusion part 22, and the ultrasonic detection device 50 is disposed through the second body 21, so as to reduce the peripheral size of the rongeur with blood vessel monitoring function, and further facilitate the rongeur with blood vessel monitoring function to penetrate into the nasal cavity, so that the rongeur with blood vessel monitoring function can operate in a narrow space to accurately remove irregular tiny bone spurs on the basis of the skull. Of course, it is understood that in other embodiments, the ultrasonic detection device 50 may not be limited to be disposed in the second body 21, but may also be located on the outer surface of the second body 21. Further, in some embodiments, the ultrasonic detection device 50 may include an ultrasonic probe 51, and a transmission line 52. The ultrasonic probe 51 can be passed through the second end of the second forceps head 20, can be disposed opposite to the first occlusion portion 12, and can be used for detecting the implant of the first occlusion portion 12, in some embodiments, the ultrasonic probe 51 can be a conventional a-type ultrasonic probe, and can be used for acquiring a pulse signal of the implant of the first occlusion portion 12, specifically, a pulse signal of a blood vessel at the skull base of a patient, so as to avoid the operator from accidentally injuring the blood vessel. Of course, it is understood that in other embodiments, the ultrasonic detection device 50 may not be limited to include an a-type ultrasonic probe, but may also include a B-type ultrasonic probe, and in other embodiments, the ultrasonic detection device 50 may also include an image acquisition device, such as an endoscope. The transmission line 52 can be connected to the ultrasonic probe 51, and can extend out from the first end of the second forceps head 20, and can be connected to an external device, in some embodiments, the transmission line 52 can be a fiber-optic transmission line, and the transmission line 52 can be used to transmit the signal detected by the ultrasonic probe 51 to the external device. The external device may be a display device, which can be used to display the signal detected by the ultrasonic probe 51. In some embodiments, the external device may further be provided with an alarm device, and when the ultrasonic detection device 50 detects that the rongeur with the blood vessel monitoring function touches the implant and contains blood flow, the alarm device may give an alarm to prompt the operator.

Further, in some embodiments, an elastic clip spring 60 may be disposed between the fixed handle 30 and the movable handle 40, and the elastic clip spring 60 may be used to increase the elastic force between the fixed handle 30 and the movable handle 40, so as to facilitate the reposition of the movable handle 40.

Further, in some embodiments, the rongeur with vascular monitoring function may further include an articulation structure 70; the hinge structure 70 may be used to movably connect the movable handle 40 with the fixed handle 30. In some embodiments, the hinge structure 70 may include a shaft; the rotating shaft can be disposed on the second connecting portion 42 of the movable handle 40 and the first connecting portion 42 of the fixed handle 30, and the fixed handle 30 and the movable handle 40 can be rotatably connected, so as to facilitate the movement of the movable handle 40. In some embodiments, the rongeur with a blood vessel monitoring function further includes a toggle member, which is sleeved on the rotating shaft and can be connected with the second binding clip 20, so as to toggle the second binding clip 20 and the first binding clip 10 to move relatively. The toggle member may be a plate structure, but it is understood that in other embodiments, the toggle member may also be a resilient structure.

Further, in some embodiments, the rongeur with vascular monitoring function may also connect the movable handle 40 and the connecting member 80 of the fixed handle 30, and in some embodiments, the connecting member 80 may be a bolt. It will be appreciated that in other embodiments, the connector 80 may be omitted.

It is to be understood that the foregoing examples, while indicating the preferred embodiments of the invention, are given by way of illustration and description, and are not to be construed as limiting the scope of the invention; it should be noted that, for those skilled in the art, the above technical features can be freely combined, and several changes and modifications can be made without departing from the concept of the present invention, which all belong to the protection scope of the present invention; therefore, all equivalent changes and modifications made within the scope of the claims of the present invention should be covered by the claims of the present invention.

Claims

1. The rongeur with the blood vessel monitoring function is characterized by comprising a first binding clip (10) which is fixedly arranged, a second binding clip (20) which can move relative to the first binding clip (10), a fixed handle (30) which is connected with the first end of the first binding clip (10), a movable handle (40) which is connected with the first end of the second binding clip (20) and can be movably connected with the fixed handle (30) so as to drive the second binding clip (20) to move relative to the first binding clip (10), and an ultrasonic detection device (50) which is arranged on the first binding clip (10) or the second binding clip (20);

a first occlusion part (12) is arranged at the second end of the first forceps head (10), and a second occlusion part (22) is arranged at the second end of the first forceps head (10); the ultrasonic detection device (50) is used for detecting an implant between the first occlusion part (12) and the second occlusion part (22).

2. The rongeur with a blood vessel monitoring function according to claim 1, wherein the ultrasonic detection device (50) comprises a needle-shaped ultrasonic probe (51) penetrating to the second end of the second jaw (20), and a transmission line (52) connected with the ultrasonic probe (51) and penetrating from the first end of the second jaw (20) to be connected with an external device.

3. The rongeur with vascular monitoring function according to claim 2, wherein the second jaw (20) is provided lengthwise;

and a through hole (211) which penetrates through the first end of the second forceps head (20) and the second end of the second forceps head (20) and is used for the ultrasonic probe (51) and the transmission line (52) to penetrate through is formed in the length direction of the second forceps head (20).

4. The rongeur with a blood vessel monitoring function according to claim 1, wherein the first jaw (10) comprises a first body (11), and the first engaging portion (12) is provided at an end of the first body (11) away from the fixing handle (30), extends toward a side where the second jaw (20) is provided, and forms a set angle (α) with the first body (11).

5. Rongeur with vessel monitoring function according to claim 4, characterized in that the set angle (α) is greater than 90 degrees and less than 180 degrees.

6. The rongeur with a blood vessel monitoring function according to claim 1, wherein the second jaw (20) comprises a second body (21), and the second engaging portion (22) is a chamfered surface which is arranged at one end of the second body (21) far away from the movable handle (40) and is matched with the first engaging portion (12).

7. The rongeur with vascular monitoring function according to claim 1, further comprising an articulation structure (70) that articulates the movable handle (40) with the stationary handle (30).

8. The rongeur with vascular monitoring function according to claim 7, wherein the hinge structure (70) includes a rotation shaft rotatably connecting the movable handle (40) and the fixed handle (30);

the rongeur with the blood vessel monitoring function further comprises a stirring piece which is sleeved on the rotating shaft and connected with the second binding clip (20) so as to stir the second binding clip (20) and the first binding clip (10) to move relatively.

9. The rongeur with a blood vessel monitoring function according to claim 1, characterized in that an elastic clamp spring (60) is arranged between the fixed handle (30) and the movable handle (40).

10. Rongeur with vascular monitoring as in claim 1, characterised in that the fixing handle (30) is provided with an anti-slip arrangement (33).