CN113616282A - Ultrasonic scalpel for prostate and using method - Google Patents
Ultrasonic scalpel for prostate and using method Download PDFInfo
- Publication number
- CN113616282A CN113616282A CN202111059432.6A CN202111059432A CN113616282A CN 113616282 A CN113616282 A CN 113616282A CN 202111059432 A CN202111059432 A CN 202111059432A CN 113616282 A CN113616282 A CN 113616282A
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- Prior art keywords
- cavity
- ultrasonic
- scalpel
- liquid
- ultrasonic scalpel
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- 210000002307 prostate Anatomy 0.000 title claims abstract description 31
- 238000000034 method Methods 0.000 title claims abstract description 12
- 239000007788 liquid Substances 0.000 claims abstract description 64
- 238000005507 spraying Methods 0.000 claims abstract description 19
- 239000013307 optical fiber Substances 0.000 claims abstract description 5
- 238000005520 cutting process Methods 0.000 claims description 23
- 238000005086 pumping Methods 0.000 claims description 22
- 230000002439 hemostatic effect Effects 0.000 claims description 14
- 239000007921 spray Substances 0.000 claims description 8
- 238000002955 isolation Methods 0.000 claims description 7
- FAPWRFPIFSIZLT-UHFFFAOYSA-M Sodium chloride Chemical compound [Na+].[Cl-] FAPWRFPIFSIZLT-UHFFFAOYSA-M 0.000 claims description 6
- 238000010073 coating (rubber) Methods 0.000 claims description 6
- 230000023597 hemostasis Effects 0.000 claims description 4
- 125000003003 spiro group Chemical group 0.000 claims description 3
- 210000003708 urethra Anatomy 0.000 claims description 3
- 206010039509 Scab Diseases 0.000 abstract description 2
- 238000011010 flushing procedure Methods 0.000 abstract description 2
- 208000015181 infectious disease Diseases 0.000 abstract description 2
- 230000000007 visual effect Effects 0.000 abstract 2
- 230000000740 bleeding effect Effects 0.000 abstract 1
- 230000002262 irrigation Effects 0.000 abstract 1
- 238000003973 irrigation Methods 0.000 abstract 1
- 239000000779 smoke Substances 0.000 abstract 1
- 238000002271 resection Methods 0.000 description 2
- 206010004446 Benign prostatic hyperplasia Diseases 0.000 description 1
- 208000004403 Prostatic Hyperplasia Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000005266 casting Methods 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000000605 extraction Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 238000005406 washing Methods 0.000 description 1
- 238000003466 welding Methods 0.000 description 1
Images
Classifications
-
- 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
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
-
- 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
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/32007—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic with suction or vacuum means
-
- 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
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320072—Working tips with special features, e.g. extending parts
- A61B2017/320074—Working tips with special features, e.g. extending parts blade
-
- 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
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320082—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic for incising tissue
-
- 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
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320084—Irrigation sleeves
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/005—Auxiliary appliance with suction drainage system
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
- A61B2217/007—Auxiliary appliance with irrigation system
Abstract
The invention relates to a prostate ultrasonic scalpel and a using method thereof, the prostate ultrasonic scalpel comprises an ultrasonic scalpel body, a fixing sleeve is sleeved outside an ultrasonic scalpel rod of the ultrasonic scalpel body, a scalpel rod cavity, an endoscopic cavity, a liquid spraying cavity and a liquid drawing cavity are axially arranged in the fixing sleeve, the rear end of the fixing sleeve is fixedly connected with the ultrasonic scalpel body, the ultrasonic scalpel rod penetrates through the scalpel rod cavity, a scalpel head is arranged at the front end of the ultrasonic scalpel rod, a liquid spraying hole and a liquid drawing hole are respectively arranged at the front ends of the liquid spraying cavity and the liquid drawing cavity, a liquid inlet joint and a liquid outlet joint are respectively arranged at the rear ends of the liquid spraying cavity and the liquid drawing cavity, an endoscope assembly is arranged around the rear end of the fixing sleeve, an optical fiber group connected with the endoscopic assembly is arranged in the endoscopic cavity, the prostate ultrasonic scalpel adopts the ultrasonic scalpel as the scalpel, has less smoke and no scabbing, can actively stop bleeding, a flushing and sucking pipeline is arranged, an impact suction device is not needed, infection can be reduced, and the visual field can be easily kept clear during operation, under the action of the endoscope assembly and the attached irrigation and suction pipeline, the operation visual field is clear, and the operation time is shorter.
Description
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a prostate ultrasonic scalpel and a using method thereof.
Background
At present, transurethral resection of prostate is commonly used clinically for treating diseases such as prostatic hyperplasia, and the transurethral resection is provided with traditional electric excision, plasma electric excision, various laser knives and the like, observation is carried out by an endoscope, and manual cleaning is carried out by adopting a flushing and sucking device, so that the use is inconvenient, and active hemostasis cannot be realized.
Disclosure of Invention
The invention aims to overcome the defects and provides an ultrasonic scalpel for prostate and a using method thereof.
The invention solves the technical problem by adopting the scheme that the prostate ultrasonic scalpel comprises an ultrasonic scalpel body, wherein a fixing sleeve is sleeved outside an ultrasonic scalpel rod of the ultrasonic scalpel body, a scalpel rod cavity, an endoscopic cavity, a liquid spraying cavity and a liquid pumping cavity are axially arranged in the fixing sleeve, the rear end of the fixing sleeve is fixedly connected with the ultrasonic scalpel body, the ultrasonic scalpel rod penetrates through the scalpel rod cavity, the front end of the ultrasonic scalpel rod is provided with a scalpel head, the front ends of the liquid spraying cavity and the liquid pumping cavity are respectively provided with a liquid spraying hole and a liquid pumping hole, the rear ends of the liquid spraying cavity and the liquid pumping cavity are respectively provided with a liquid inlet joint and a liquid outlet joint, the periphery of the rear end of the fixing sleeve is provided with an endoscope assembly, and an optical fiber group connected with the endoscope assembly is arranged in the endoscopic cavity;
the cutter head comprises a longitudinal cutting cutter head, a transverse cutting cutter head and a hemostatic cutter head, wherein the cutter point of the longitudinal cutting cutter head is annular, the cutter point of the transverse cutting cutter head is cylindrical, and the cutter point of the hemostatic cutter head is spherical;
the cutter head and the cutter rod are made into a whole, or the cutter head and the cutter rod are detachably connected.
Furthermore, a plurality of isolation rubber rings are arranged between the ultrasonic cutter bar and the cutter bar cavity at intervals along the axial direction, and the isolation rubber rings are sleeved on the ultrasonic cutter bar.
Furthermore, the rear end of the ultrasonic scalpel bar is provided with a connector, and an internal thread hole used for connecting the ultrasonic scalpel body is formed in the connector.
Further, supersound cutter arbor rear end cover is equipped with the removal axle, and the removal axle is connected fixedly through rubber coating pin and supersound cutter arbor, and removal axle, supersound cutter arbor are worn to establish by the rubber coating pin, remove the axle rear end and install the spanner, and fixed cover rear end cover is established at removal axle front end, and antifriction cover is installed to fixed cover rear end, removes epaxial cover and is equipped with the lock nut with fixed cover rear end spiro union.
Furthermore, a fixed handle is installed at the rear end of the fixed sleeve.
A use method of a prostate ultrasonic scalpel comprises the following steps:
s1: inserting a medical sheath into the urethra to a suitable location in the prostate;
s2: the ultrasonic scalpel for prostate is passed through the medical sheath tube, and communicated with the endoscope assembly, and the liquid inlet connector and the liquid outlet connector are respectively communicated with the liquid spraying hose and the liquid pumping hose; wherein
S3: cutting off by using a prostate ultrasonic scalpel according to medical requirements, selecting a tool bit according to requirements, wherein a longitudinal cutting tool bit with a circular tool tip is used for longitudinal cutting, a transverse cutting tool bit with a cylindrical tool tip is used for transverse cutting, and a spherical hemostatic knife is used for ultrasonic hemostasis;
s4: according to the requirements, normal saline is used for carrying out spray rinsing and liquid pumping backflow, and the normal saline is output from the liquid pumping cavity after being input through the spray cavity;
s5: after the operation is finished, the instruments are processed and stored according to the requirements of the medical procedure.
Compared with the prior art, the invention has the following beneficial effects: simple structure adopts the supersound sword as the scalpel, has the tangent plane level and smooth not scorching characteristics, and smog is few, does not scab, can initiatively stanch, has the suction line of dashing certainly, need not to use the suction device, reducible infection, keeps the field of vision clear during the operation easily, under endoscope subassembly and the effect of accompanying washing suction tube, the operation field of vision is clear, and operation time is shorter.
Drawings
The invention is further described with reference to the following figures.
FIG. 1 is a first schematic structural view of an ultrasonic surgical scalpel for prostate according to an embodiment of the present invention;
FIG. 2 is a schematic structural diagram of a prostate ultrasonic scalpel according to an embodiment of the present invention;
FIG. 3 is a schematic view of the external structure of the ultrasonic surgical scalpel head for prostate according to the embodiment of the invention;
FIG. 4 is a cross-sectional view of the front end structure of the ultrasonic surgical scalpel head for prostate according to the embodiment of the invention;
FIG. 5 is a schematic view of a slitting tool head according to an embodiment of the invention;
FIG. 6 is a schematic view of a cross-cutter bit according to an embodiment of the present invention;
FIG. 7 is a schematic view of a hemostatic cutter head according to an embodiment of the invention;
figure 8 is a schematic view of the use of a prostatic ultrasound scalpel in an embodiment of the invention.
In the figure: 1-fixing a sleeve; 11-a cutter shaft cavity; 12-endoscopic cavity; 13-liquid inlet joint; 14-a liquid spray cavity; 141-liquid spray holes; 15-liquid pumping cavity; 151-liquid extraction holes; 16-liquid outlet joint; 17-a fixed handle; 2-ultrasonic knife; 21-ultrasonic cutter bar; 22-a cutter head; 23-isolation rubber ring; 24-a slitting cutter head; 25-a crosscutting head; 26-a hemostatic cutter head; 211-pin through holes; 212-an internally threaded hole; 3-an endoscope assembly; 31-a group of optical fibers; 4-a moving axis; 41-a wrench; 5, encapsulating the pins; 6-antifriction sleeve; 7-a locking nut; 8-ultrasonic scalpel body; 90-urethra; 91-prostate; 92-bladder; 93-medical sheath.
Detailed Description
The invention is further described with reference to the following figures and detailed description.
As shown in fig. 1-8, an ultrasonic surgical knife for prostate comprises an ultrasonic surgical knife body 8, wherein a fixed sleeve 1 is sleeved outside an ultrasonic knife bar of the ultrasonic surgical knife body, a knife bar cavity 11, an endoscopic cavity 12, a liquid spraying cavity 14 and a liquid pumping cavity 15 are axially arranged in the fixed sleeve, the rear end of the fixed sleeve is fixedly connected with the ultrasonic surgical knife body, the ultrasonic knife bar penetrates through the knife bar cavity, a knife head 22 is arranged at the front end of an ultrasonic knife bar 21, a plurality of liquid spraying holes 141 and liquid pumping holes 151 are respectively arranged at the front ends of the liquid spraying cavity and the liquid pumping cavity, a liquid inlet connector 13 and a liquid outlet connector 15 are respectively arranged at the rear ends of the liquid spraying cavity and the liquid pumping cavity, an endoscope assembly 3 is arranged on the periphery side of the rear end of the fixed sleeve and used for seeing internal mirror images, an optical fiber group 31 connected with the endoscope assembly is arranged in the endoscopic cavity, and the end is sealed.
In this embodiment, the cutter head includes a longitudinal cutter head 24, a transverse cutter head 25, and a hemostatic cutter head 26, the tip of the longitudinal cutter head is circular, the tip of the transverse cutter head is cylindrical, the tip of the hemostatic cutter head is spherical, and the cutter head and the cutter bar are integrated or detachably connected; when the hemostatic cutter is detachably connected, the cutter bit can be replaced as required, and when the hemostatic cutter is manufactured into a whole, the cutter rods respectively longitudinally cut, transversely cut and hemostatic; the cutter bar can be replaced according to the requirement.
In this embodiment, a plurality of isolation rubber rings 23 are axially arranged between the ultrasonic cutter bar and the cutter bar cavity, and the isolation rubber rings are sleeved on the ultrasonic cutter bar.
In this embodiment, the ultrasonic knife bar rear end is provided with the connector, has seted up the internal thread hole 212 that is used for connecting the ultrasonic scalpel body in the connector, and this internal ultrasonic transducer of ultrasonic scalpel is connected to ultrasonic knife bar rear end.
In this embodiment, supersound cutter arbor rear end cover is equipped with removal axle 4, and the removal axle is connected fixedly with the supersound cutter arbor through rubber coating pin 5, and the rubber coating pin is worn to establish removal axle, supersound cutter arbor, removes the axle rear end and installs spanner 41, and the spanner can drive the cutter arbor back-and-forth movement, and fixed cover rear end cover is established at removal axle front end, and antifriction cover 6 is installed to fixed cover rear end, removes epaxial cover and is equipped with the lock nut 7 with fixed cover rear end spiro union.
In this embodiment, a stationary handle 16 is mounted to the rear end of the stationary hub.
A use method of a prostate ultrasonic scalpel comprises the following steps:
s1: inserting a medical sheath 93 into the urethra 90 to the appropriate location of prostate gland 91;
s2: the ultrasonic scalpel for prostate is passed through the medical sheath tube, and communicated with the endoscope assembly, and the liquid inlet connector and the liquid outlet connector are respectively communicated with the liquid spraying hose and the liquid pumping hose; wherein
S3: cutting off by using a prostate ultrasonic scalpel according to medical requirements, selecting a tool bit according to requirements, wherein a longitudinal cutting tool bit with a circular tool tip is used for longitudinal cutting, a transverse cutting tool bit with a cylindrical tool tip is used for transverse cutting, and a spherical hemostatic knife is used for ultrasonic hemostasis;
s4: according to the requirements, normal saline is used for carrying out spray rinsing and liquid pumping backflow, and the normal saline is output from the liquid pumping cavity after being input through the spray cavity;
s5: after the operation is finished, the instruments are processed and stored according to the requirements of the medical procedure.
If this patent discloses or refers to parts or structures that are fixedly connected to each other, the fixedly connected may be understood as: a detachable fixed connection (for example using a bolt or screw connection) can also be understood as: non-detachable fixed connections (e.g. riveting, welding), but of course, fixed connections to each other may also be replaced by one-piece structures (e.g. manufactured integrally using a casting process) (unless it is obviously impossible to use an integral forming process).
In the description of this patent, 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 are used in the orientations and positional relationships indicated in the drawings for convenience in describing the patent, and are not intended to indicate or imply that the referenced devices or elements must have a particular orientation, be constructed and operated in a particular orientation, and are not to be considered limiting of the patent.
The above-mentioned preferred embodiments, further illustrating the objects, technical solutions and advantages of the present invention, should be understood that the above-mentioned are only preferred embodiments of the present invention and should not be construed as limiting the present invention, and any modifications, equivalents, improvements and the like made within the spirit and principle of the present invention should be included in the protection scope of the present invention.
Claims (6)
1. The utility model provides a prostate supersound scalpel, includes the ultrasonic scalpel body, its characterized in that: the ultrasonic scalpel comprises an ultrasonic scalpel body and is characterized in that a fixing sleeve is sleeved outside an ultrasonic scalpel rod of the ultrasonic scalpel body, a scalpel rod cavity, an endoscopic cavity, a liquid spraying cavity and a liquid pumping cavity are axially arranged in the fixing sleeve, the rear end of the fixing sleeve is fixedly connected with the ultrasonic scalpel body, the ultrasonic scalpel rod penetrates through the scalpel rod cavity, a scalpel head is arranged at the front end of the ultrasonic scalpel rod, liquid spraying holes and liquid pumping holes are respectively formed in the front ends of the liquid spraying cavity and the liquid pumping cavity, liquid inlet connectors and liquid outlet connectors are respectively arranged at the rear ends of the liquid spraying cavity and the liquid pumping cavity, an endoscope assembly is arranged on the periphery of the rear end of the fixing sleeve, and an optical fiber group connected with the endoscopic assembly is arranged in the endoscopic cavity;
the cutter head comprises a longitudinal cutting cutter head, a transverse cutting cutter head and a hemostatic cutter head, wherein the cutter point of the longitudinal cutting cutter head is annular, the cutter point of the transverse cutting cutter head is cylindrical, and the cutter point of the hemostatic cutter head is spherical;
the cutter head and the cutter rod are made into a whole, or the cutter head and the cutter rod are detachably connected.
2. The ultrasonic surgical blade for prostate according to claim 1, characterized in that: a plurality of isolation rubber rings are arranged between the ultrasonic cutter bar and the cutter bar cavity at intervals along the axial direction, and the isolation rubber rings are sleeved on the ultrasonic cutter bar.
3. The ultrasonic prostate scalpel according to claim 2, wherein: the ultrasonic scalpel comprises an ultrasonic scalpel body and is characterized in that a connector is arranged at the rear end of the ultrasonic scalpel bar, and an internal thread hole used for connecting the ultrasonic scalpel body is formed in the connector.
4. The ultrasonic surgical blade for prostate according to claim 1, characterized in that: supersound cutter arbor rear end cover is equipped with removes the axle, removes the axle and is connected fixedly through rubber coating pin and supersound cutter arbor, and removal axle, supersound cutter arbor are worn to establish by the rubber coating pin, remove the axle rear end and install the spanner, and fixed cover rear end cover is established at removal axle front end, and antifriction cover is installed to fixed cover rear end, removes epaxial cover and is equipped with the lock nut with fixed cover rear end spiro union.
5. The ultrasonic surgical blade for prostate according to claim 1, characterized in that: and a fixed handle is arranged at the rear end of the fixed sleeve.
6. A method of using the ultrasonic surgical blade for prostate according to claim 1, comprising the steps of:
s1: inserting a medical sheath into the urethra to a suitable location in the prostate;
s2: the ultrasonic scalpel for prostate is passed through the medical sheath tube, and communicated with the endoscope assembly, and the liquid inlet connector and the liquid outlet connector are respectively communicated with the liquid spraying hose and the liquid pumping hose; wherein
S3: cutting off by using a prostate ultrasonic scalpel according to medical requirements, selecting a tool bit according to requirements, wherein a longitudinal cutting tool bit with a circular tool tip is used for longitudinal cutting, a transverse cutting tool bit with a cylindrical tool tip is used for transverse cutting, and a spherical hemostatic knife is used for ultrasonic hemostasis;
s4: according to the requirements, normal saline is used for carrying out spray rinsing and liquid pumping backflow, and the normal saline is output from the liquid pumping cavity after being input through the spray cavity;
s5: after the operation is finished, the instruments are processed and stored according to the requirements of the medical procedure.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111059432.6A CN113616282A (en) | 2021-09-10 | 2021-09-10 | Ultrasonic scalpel for prostate and using method |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202111059432.6A CN113616282A (en) | 2021-09-10 | 2021-09-10 | Ultrasonic scalpel for prostate and using method |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN113616282A true CN113616282A (en) | 2021-11-09 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202111059432.6A Pending CN113616282A (en) | 2021-09-10 | 2021-09-10 | Ultrasonic scalpel for prostate and using method |
Country Status (1)
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| CN (1) | CN113616282A (en) |
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Application publication date: 20211109 |