CN113180779B - Hepatobiliary surgery is with getting stone device - Google Patents

Hepatobiliary surgery is with getting stone device Download PDF

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Publication number
CN113180779B
CN113180779B CN202110480436.5A CN202110480436A CN113180779B CN 113180779 B CN113180779 B CN 113180779B CN 202110480436 A CN202110480436 A CN 202110480436A CN 113180779 B CN113180779 B CN 113180779B
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suction
suction pipe
pipe
spiral
unit
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CN113180779A (en
Inventor
王忠利
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First Affiliated Hospital of Jinzhou Medical University
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First Affiliated Hospital of Jinzhou Medical University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/22Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for
    • A61B2017/22079Implements for squeezing-off ulcers or the like on the inside of inner organs of the body; Implements for scraping-out cavities of body organs, e.g. bones; Calculus removers; Calculus smashing apparatus; Apparatus for removing obstructions in blood vessels, not otherwise provided for with suction of debris

Abstract

The invention relates to the technical field of medical devices, in particular to a stone removing device for hepatobiliary surgery, which comprises a suction unit and a stone removing unit, wherein the suction unit is communicated with the stone removing unit through a communicating pipe; the stone removal unit comprises: the tail end of the first suction pipe with the closed head end is communicated with the communicating pipe; the first spiral seams are uniformly arranged on the side wall of the first suction pipe; the second suction pipe is nested outside the first suction pipe and is in threaded connection with the first suction pipe; and the plurality of second spiral seams are arranged on the side wall of the second suction pipe, and the distance between every two adjacent second spiral seams is gradually increased. The stone taking device can simultaneously obtain the suction ports with different sizes and calibers, avoids the clogging problem caused by one suction port, can adjust the size of the suction port, overcomes the technical defect that a large amount of blood and tissue fluid are pumped out during suction, and realizes the high-efficiency suction of a plurality of gallstones at one time.

Description

Hepatobiliary surgery is with getting stone device
Technical Field
The invention relates to the technical field of medical devices, in particular to a stone removing device for hepatobiliary surgery.
Background
Gallstones are a common disease, and the incidence rate is directly proportional to the age of the patient. Because drinking water and food contain too much alkali-containing substances, the alkali-containing substances cannot be discharged through the metabolism of a human body, and are accumulated to form stones, the stones are mainly generated in solid blocks formed in catheter cavities or cavity organs in the human body or an animal body, such as the body cavities of a kidney, a ureter, a gallbladder or a bladder, and the like, and the stones can cause lumen obstruction, influence the discharge of liquid of affected organs, and produce symptoms of pain, bleeding or secondary infection and the like; and with the increasing proportion of the aging population in China, the number of patients with gallstones is increasing continuously, and serious complications and even life threatening can happen to the patients with symptomatic gallstones if the patients do not seek medical advice in time. At present, most of the drug therapies are ineffective, and generally require surgical therapies such as laparotomy and endoscopic calculus removal, wherein the endoscopic calculus removal is suitable for intrahepatic duct calculus removal due to small wound and quick recovery, and the advantages of the endoscopic calculus removal are gradually shown.
The stone removing device in the prior art usually adopts a sucker mode to remove stones one by one, the number of gallstones is hundreds, the sucker mode is used for cleaning gallstones one by one, time is consumed, certain consumption is caused to medical staff and the bodies of patients, and in addition, the wound area is increased when the gallstones are cleaned one by one; in the prior art, stones are taken through the openings with the same size, when the openings are large, a large amount of blood and interstitial fluid are often drawn out together, and when the openings are small, the openings are blocked by large stones, so that the stone taking efficiency is reduced, and further, the subsequent operation is complicated.
Disclosure of Invention
Aiming at the defects in the prior art, the invention aims to provide the calculus removing device for the hepatobiliary surgery, which can simultaneously obtain suction ports with different sizes and calibers, avoid the clogging problem caused by one suction port, simultaneously adjust the size of the suction port, further overcome the technical defect that a large amount of blood and tissue fluid are extracted during suction, and realize the high-efficiency suction of a plurality of gallstones at one time.
In order to solve the technical problems, the invention adopts the following technical scheme:
a stone removal device for hepatobiliary surgery comprises a suction unit and a stone removal unit, wherein the suction unit is communicated with the stone removal unit through a communicating pipe;
the stone removal unit comprises:
the tail end of the first suction pipe with the closed head end is communicated with the communicating pipe;
the first spiral seams are uniformly arranged on the side wall of the first suction pipe;
the second suction pipe is nested outside the first suction pipe and is in threaded connection with the first suction pipe;
and the plurality of second spiral seams are arranged on the side wall of the second suction pipe, and the distance between every two adjacent second spiral seams is gradually increased.
Preferably, the edges of the two ends of the first suction pipe are respectively provided with a limiting ring, a return spring is sleeved on the head end of the first suction pipe close to the first suction pipe, one end of the second suction pipe is in threaded connection with the first suction pipe, and the other end of the second suction pipe abuts against the return spring.
Preferably, the second straw still overlaps outward and is equipped with acupuncture spare, acupuncture spare includes:
the protection pipe is sleeved on the outer side of the second suction pipe, a through groove is formed in the protection pipe, and the first spiral seam and the second spiral seam are exposed at the through groove;
the head end of the first suction pipe is detachably connected with the protection pipe;
the puncture needle is arranged at the head end of the protection tube.
Preferably, two of the limiting rings are respectively provided with a sealing rubber strip, and the sealing rubber strips are abutted between the protective tube and the first suction tube.
Preferably, a guide tube is arranged between the puncture needle and the protection tube, a micro camera is embedded on the side wall of the guide tube, and a plurality of groups of searchlights are arranged on the guide tube and close to the micro camera.
Preferably, the suction unit includes:
a negative pressure pump disposed on the communication pipe;
the storage Dan Qiang is arranged on the communicating pipe between the negative pressure pump and the first suction pipe;
the backflow pipe is arranged between the first suction pipe and the storage Dan Qiang, and a filter screen is arranged in the backflow pipe.
Preferably, an opening and closing door is further arranged and hinged to the inner wall of the stone storage cavity.
Compared with the prior art, the invention has the following beneficial effects:
the stone taking device can simultaneously obtain the suction ports with different sizes and calibers, avoids the clogging problem caused by one suction port, can adjust the size of the suction port, overcomes the technical defect that a large amount of blood and tissue fluid are pumped out during suction, and realizes the high-efficiency suction of a plurality of gallstones at one time.
The stone taking device can simultaneously obtain suction ports with different sizes and diameters, so that the clogging problem caused by one suction port is avoided; the volume phase that little suction inlet blood and tissue fluid pass through can carry out size control to the suction inlet, and then can be based on then overcome the technical defect that produces a large amount of blood and tissue fluid when sucking and is taken out, has still realized once more the suction of a plurality of gallstone high efficiency
1. The invention is provided with a first suction pipe and a second suction pipe, wherein the first suction pipe is provided with a first spiral seam, the second suction pipe is provided with a second spiral seam, when the first spiral seam and the second spiral seam are overlapped with different areas, a plurality of suction ports with different calibers are obtained, and the clogging problem caused by one suction port is avoided by adopting the plurality of suction ports to suck simultaneously; meanwhile, the passing amount of blood and tissue fluid of the small suction port is relatively small, so that the technical defect that a large amount of blood and tissue fluid is pumped out during suction is overcome, and the operation of fetching gallstones is facilitated;
2. according to the invention, the size of the suction port is different along with the different overlapping areas of the first spiral seam and the second spiral seam, and the overlapping area between the first spiral seam and the second spiral seam is adjusted by screwing the first suction pipe and the second suction pipe according to the display of the miniature camera, so that the size of the suction port is adjusted, and the gallstones with different sizes can be conveniently taken.
3. The suction tube is provided with the protection tube, after the protection tube is inserted into the cavity, the first suction tube can pull the first suction tube and the second suction tube out of the protection tube at the same time, the first spiral seam and the second spiral seam are overlapped and adjusted after being pulled out, the first suction tube is placed into the protection tube after being adjusted, and then suction operation is carried out, so that the damage to the cavity of a patient caused by repeated penetration is avoided.
4. The suction unit is arranged, a large amount of stones are taken at a time under the action of the negative pressure pump, the blood and the tissue fluid which are drawn are returned to the first suction pipe through the return pipe and then returned to the human body through the first suction pipe, and the loss of the blood and the tissue fluid is reduced as much as possible.
Drawings
FIG. 1 is a schematic structural diagram of a suction unit and a first suction tube of a lithotomy device for hepatobiliary surgery according to the present invention;
FIG. 2 is a schematic view of a second straw of the lithotomy device for hepatobiliary surgery according to the present invention;
FIG. 3 is a schematic structural diagram of a hepatobiliary surgery calculus removing device according to the present invention after overlapping a first spiral slit and a second spiral slit;
FIG. 4 is a schematic view of the connection structure of the needle and the guiding tube of the lithotomy device for hepatobiliary surgery according to the present invention;
FIG. 5 is a schematic view showing the structure of the calculus removing device for hepatobiliary surgery according to the present invention.
Description of the reference numerals:
1. a communicating pipe; 2. a first straw; 3. a first spiral seam; 4. a second straw; 5. a second spiral seam; 6. a limiting ring; 7. a return spring; 8. sealing the rubber strip; 9. a negative pressure pump; 10. storage Dan Qiang; 11. a return pipe; 12. filtering with a screen; 13. opening and closing the door; 14. protecting the tube; 15. a through groove; 16. a needle; 17. a guide tube; 18. a miniature camera head; 19. a searchlight.
Detailed Description
The following detailed description of specific embodiments of the invention is provided, but it should be understood that the scope of the invention is not limited to the specific embodiments. All other embodiments, which can be obtained by a person skilled in the art without any inventive step based on the embodiments of the present invention, are within the scope of the present invention. The experimental methods described in the examples of the present invention are all conventional methods unless otherwise specified.
Example 1
As shown in fig. 1-3, a calculus removing device for hepatobiliary surgery comprises a suction unit and a calculus removing unit, wherein the suction unit is used for providing negative pressure and extracting calculus, the calculus removing unit is used for entering a cavity, and the suction unit is communicated with the calculus removing unit through a communicating pipe 1;
the stone removal unit comprises:
the tail end of the first suction pipe 2 with the closed head end is communicated with the communicating pipe 1;
the first spiral seams 3 are uniformly formed on the side wall of the first suction pipe 2;
the second suction pipe 4 is nested outside the first suction pipe 2 and is in threaded connection with the first suction pipe 2;
the second spiral seams 5 are arranged on the side walls of the second suction pipes 4, the distance between every two adjacent second spiral seams 5 is gradually increased, at the moment, when the positions of the second suction pipes 4 and the first suction pipe 2 are adjusted, openings with different pore sizes can be formed between the positions where the second spiral seams 5 and the first spiral seams 3 do not overlap, and at the moment, the calculus is extracted through the openings; meanwhile, the calculus can be sucked in a targeted manner according to the size of the calculus by adjusting the overlapped surface of the second spiral seam 5 and the first spiral seam 3 according to the size of the calculus.
Furthermore, the edges of the two ends of the first suction pipe 2 are respectively provided with a limiting ring 6, a return spring 7 is sleeved on the first suction pipe 2 and at the end close to the first suction pipe 2, one end of the second suction pipe 4 is in threaded connection with the first suction pipe 2, the other end of the second suction pipe is in butt connection with the return spring 7, and the return spring and the limiting ring 6 are both convenient for realizing better position adjustment of the second suction pipe 4 and the first suction pipe 2.
Furthermore, two be provided with sealing rubber strip 8 on the spacing ring 6 respectively, sealing rubber strip 8 butt is in the protection tube 14 with between the first suction tube 2, sealing rubber strip 8 has realized that blood, body fluid and calculus can only be taken out by the suction inlet that second spiral seam 5 and first spiral seam 3 do not overlap, and sealing rubber strip 8 is adopted to other positions and is carried out the shutoff.
Further, the suction unit includes:
the negative pressure pump 9 is arranged on the communicating pipe 1, and the negative pressure pump 9 provides negative pressure so as to be convenient for suction of stone taking;
a reservoir Dan Qiang provided on the communication pipe 1 between the negative pressure pump 9 and the first suction pipe 2, and in which a stone is stored in a reservoir Dan Qiang;
the backflow pipe 11 is arranged between the first suction pipe 2 and the storage Dan Qiang, a filter screen 12 is arranged in the backflow pipe 11, the backflow pipe 11 is convenient for backflow of the drawn blood and tissue fluid into the first suction pipe 2 and then returns to a human body through the first suction pipe 2, and loss of the blood and the tissue fluid is reduced as much as possible.
Furthermore, an opening and closing door 13 is further arranged, the opening and closing door 13 is convenient for blood and tissue fluid to enter the storage Dan Qiang only from the first suction tube 2, backflow of the blood and the tissue fluid is avoided, and the opening and closing door 13 is hinged to the inner wall of the storage Dan Qiang.
The use principle is as follows:
when the lithotomy device is used, the opening which can enable the second suction pipe 4 to penetrate through is formed in the cavity, the position of the first suction pipe 2 is kept stable, the second suction pipe 4 is screwed, the overlapping area of the first suction pipe 2 and the second suction pipe 4 is adjusted, a plurality of openings with different calibers are formed between the second spiral seam 5 and the first spiral seam 3, then the lithotomy device is placed in a cavity of a patient, a control switch of a negative pressure pump 9 is turned on, the suction force of the negative pressure pump 9 is adjusted, lithotomy is achieved, and after the suction is finished, the lithotomy device is taken out from the human body and the cavity wall of the patient is sutured.
Example 2
On the basis of embodiment 1, in order to realize the convenience of the calculus removing operation and protect the cavity wall of the patient, the second suction pipe 4 is sleeved with a needling element, the needling element is convenient to penetrate into the cavity, and the needling element of the patient comprises:
the protective tube 14 is used for protecting the cavity wall of a patient, the second suction tube 4 is prevented from damaging the cavity wall when entering the human body cavity and is sleeved outside the second suction tube 4, a through groove 15 is formed in the protective tube 14, the through groove 15 enables the explanation to pass through and enter the first suction tube 2, and the first spiral seam 3 and the second spiral seam 5 are exposed at the through groove 15;
the head end of the first suction pipe 2 is detachably connected with the protection pipe 14 through the magnetic action of a magnet;
a spike 16 is arranged at the head end of the protective tube 14 and penetrates into the cavity through the spike 16.
Furthermore, a guide tube 17 is arranged between the puncture needle 16 and the protection tube 14, a micro camera 18 is embedded on the side wall of the guide tube 17, a plurality of groups of searchlights 19 are arranged on the guide tube 17 and close to the micro camera 18, and the guide tube 17 facilitates connection of the puncture needle 16 and the protection tube 14, realizes installation of the micro camera 18 and the searchlights 19, and facilitates observation of stone taking operation by medical staff.
At this time, when in use, the cavity wall is opened according to the width of the protection tube 14, and the puncture needle 16 drives the protection tube 14 to enter the human cavity to explain the suction operation; if adjust suction opening's size, insert the protection tube 14 to the internal back of people's cavity, first straw 2 can be extracted out in first straw 2 and the second straw 4 is simultaneously by protection tube 14, carries out the overlapping of first spiral seam 3 and second spiral seam 5 after extracting and adjusts, puts into protection tube 14 after adjusting in again, carries out the suction operation again, avoids alternate many times and leads to the injury to patient's cavity.
It will be apparent to those skilled in the art that various changes and modifications may be made in the present invention without departing from the spirit and scope of the invention. Thus, if such modifications and variations of the present invention fall within the scope of the claims of the present invention and their equivalents, the present invention is also intended to include such modifications and variations.

Claims (3)

1. The stone removal device for hepatobiliary surgery is characterized by comprising a suction unit and a stone removal unit, wherein the suction unit is communicated with the stone removal unit through a communicating pipe (1);
the stone removal unit comprises:
the suction pipe comprises a first suction pipe (2) with a closed head end, wherein the tail end of the first suction pipe (2) is communicated with a communicating pipe (1), the edges of the two ends of the first suction pipe (2) are respectively provided with a limiting ring (6), a reset spring (7) is sleeved on the first suction pipe (2) and close to the head end of the first suction pipe (2), one end of a second suction pipe (4) is in threaded connection with the first suction pipe (2), the other end of the second suction pipe is abutted against the reset spring (7), two limiting rings (6) are respectively provided with a sealing rubber strip (8), and the sealing rubber strips (8) are abutted between a protection pipe (14) and the first suction pipe (2);
the first spiral seams (3) are uniformly arranged on the side wall of the first suction pipe (2);
the second suction pipe (4) is nested on the outer side of the first suction pipe (2) and is in threaded connection with the first suction pipe (2), a needling piece is further sleeved outside the second suction pipe (4), and the needling piece comprises:
the protection pipe (14) is sleeved on the outer side of the second suction pipe (4), a through groove (15) is formed in the protection pipe (14), and the first spiral seam (3) and the second spiral seam (5) are exposed at the through groove (15);
the head end of the first suction pipe (2) is detachably connected with the protection pipe (14);
the puncture needle (16) is arranged at the head end of the protection tube (14), a guide tube (17) is arranged between the puncture needle (16) and the protection tube (14), a miniature camera (18) is embedded on the side wall of the guide tube (17), and a plurality of groups of searchlights (19) are arranged on the guide tube (17) and close to the miniature camera (18);
the second spiral seams (5) are arranged on the side walls of the second suction pipes (4), and the distance between every two adjacent second spiral seams (5) is gradually increased.
2. The lithotomy device for hepatobiliary surgery according to claim 1, wherein the suction unit comprises:
a negative pressure pump (9) provided on the communication pipe (1);
a storage Dan Qiang (10) disposed on the communication pipe (1) between the negative pressure pump (9) and the first suction pipe (2);
the backflow pipe (11) is arranged between the first suction pipe (2) and the storage Dan Qiang (10), and a filter screen (12) is arranged in the backflow pipe (11).
3. The lithotomy device for hepatobiliary surgery according to claim 1, further comprising an opening and closing door (13), wherein the opening and closing door (13) is hinged to the inner wall of the storage Dan Qiang (10).
CN202110480436.5A 2021-04-30 2021-04-30 Hepatobiliary surgery is with getting stone device Active CN113180779B (en)

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CN113180779B true CN113180779B (en) 2023-02-24

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Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012164139A1 (en) * 2011-06-02 2012-12-06 Jorge Ernesto Odon Device for extracting elements from cavities, which uses a bag for extraction and an applicator
CN206080630U (en) * 2016-07-22 2017-04-12 广州市花都区人民医院 Vigorously it gets stone device to inhale formula
CN212729878U (en) * 2020-04-21 2021-03-19 锦州医科大学附属第一医院 Wound expanding device for hepatobiliary surgery
CN212816460U (en) * 2020-05-13 2021-03-30 杭州光启医疗科技发展有限公司 Intracardiac branch of academic or vocational study piercing depth

Family Cites Families (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109223101B (en) * 2018-09-06 2021-07-02 曹峰 Clinical stone device of getting of hepatobiliary surgery

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2012164139A1 (en) * 2011-06-02 2012-12-06 Jorge Ernesto Odon Device for extracting elements from cavities, which uses a bag for extraction and an applicator
CN206080630U (en) * 2016-07-22 2017-04-12 广州市花都区人民医院 Vigorously it gets stone device to inhale formula
CN212729878U (en) * 2020-04-21 2021-03-19 锦州医科大学附属第一医院 Wound expanding device for hepatobiliary surgery
CN212816460U (en) * 2020-05-13 2021-03-30 杭州光启医疗科技发展有限公司 Intracardiac branch of academic or vocational study piercing depth

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