CN113749736B - Breast tumor resectoscope - Google Patents
Breast tumor resectoscope Download PDFInfo
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- CN113749736B CN113749736B CN202111104986.3A CN202111104986A CN113749736B CN 113749736 B CN113749736 B CN 113749736B CN 202111104986 A CN202111104986 A CN 202111104986A CN 113749736 B CN113749736 B CN 113749736B
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3205—Excision instruments
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other 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
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0266—Pointed or sharp biopsy instruments means for severing sample
- A61B10/0275—Pointed or sharp biopsy instruments means for severing sample with sample notch, e.g. on the side of inner stylet
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Other 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
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0283—Pointed or sharp biopsy instruments with vacuum aspiration, e.g. caused by retractable plunger or by connected syringe
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B2017/320064—Surgical cutting instruments with tissue or sample retaining means
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Abstract
The invention relates to the technical field of tumor resection, in particular to a breast tumor resectoscope which comprises a sleeve, wherein a suction cylinder is arranged in the sleeve, two arc-shaped plates are fixedly connected with the inner side surface of the sleeve, the outer side wall of the suction cylinder is fixedly connected with a fixing ring which is in screwed connection with the two arc-shaped plates, the bottom end of the suction cylinder is movably sleeved with a rubber sleeve, a plurality of connecting mechanisms are movably inserted in the bottom surface of the rubber sleeve in an annular and equidistant manner, and the connecting mechanisms are fixedly connected with pull wires. According to the invention, the connecting mechanism is fixedly connected with the stay wire, the stay wire can be pulled through the adjusting mechanism, and the stay wire can be used for strutting the bottom end of the rubber sleeve through the connecting mechanism, so that the strutting degree of the bottom end of the rubber sleeve can be changed according to the size of a tumor, the absorption of tumors with different sizes is convenient to adapt, the tumor can be absorbed into the rubber sleeve after the tumor is resected, the tumor is prevented from being completely exposed out of the air when the resectoscope is taken out, and the sampling and the inspection of the tumor in the later period are convenient.
Description
Technical Field
The invention relates to the technical field of tumor resection, in particular to a breast tumor resectoscope.
Background
The breast tumor generally refers to benign or malignant tumor occurring in a breast, in the treatment of the breast tumor, an operation is usually performed, the tumor is taken out, in order to take the aesthetic and psychological effects of a patient into consideration, a minimally invasive operation is generally performed, a suction type breast tumor resectoscope is inserted into the tumor position, the tumor is removed after being adsorbed on the resectoscope, and finally the tumor is taken out of a wound through the resectoscope.
Disclosure of Invention
In order to overcome the technical problems, the invention aims to provide a breast tumor resectoscope which is fixedly connected with a pull wire through a connecting mechanism, the pull wire can be pulled through an adjusting mechanism, and the pull wire can be used for strutting the bottom end of a rubber sleeve through the connecting mechanism, so that the strutting degree of the bottom end of the rubber sleeve can be changed according to the size of a tumor, the breast tumor resectoscope is convenient to adapt to the suction of tumors with different sizes, the tumor can be sucked into the rubber sleeve after the tumor is resected, the tumor is prevented from being completely exposed out of the air when the resectoscope is taken out, and the sampling and the inspection of the tumor in the later stage are convenient.
The purpose of the invention can be realized by the following technical scheme:
a mammary gland tumor resectoscope comprises a sleeve, wherein a suction cylinder is arranged in the sleeve, two arc-shaped plates are fixedly connected on the inner side surface of the sleeve, a fixing ring which is connected with the two arc-shaped plates in a screwing way is fixedly connected on the outer side wall of the suction cylinder, the sleeve can be connected with the suction cylinder through the arc-shaped plates and the fixing ring, the sleeve can be rotated, the position of the sleeve relative to the suction cylinder is adjusted, so that the sleeve can cover a tumor, the arc-shaped plates and the fixing ring can be rotated and separated, the sleeve is separated from the suction cylinder, the suction cylinder and the sleeve can be cleaned conveniently, a rubber sleeve is movably sleeved at the bottom end of the suction cylinder, a plurality of connecting mechanisms are movably inserted in the bottom surface of the rubber sleeve in an annular equidistant mode, pull wires are fixedly connected with the connecting mechanisms, an adjusting mechanism is arranged at the top of the outer side surface of the suction cylinder, a plurality of guide tubes are fixedly connected in an annular equidistant mode through the pull wires, the top end of the stay wire penetrates through an adjacent conduit and is fixedly connected with the bottom of the adjusting mechanism, the adjusting mechanism can drive the top end of the stay wire to move, when the top end of the stay wire moves upwards, the stay wire can prop open the bottom end of the rubber sleeve through the connecting mechanism, when the top end of the stay wire moves downwards, the bottom end of the rubber sleeve can contract under the action of self elasticity, so that the propping degree of the bottom end of the rubber sleeve can be adjusted according to the size of a tumor, the use is convenient, the inner side surface of the sleeve is provided with the excision mechanism, the suction cylinder is matched with a negative pressure device, after the negative pressure device is connected with the suction cylinder, the tumor can be sucked at the bottom end of the rubber sleeve through the negative pressure device, the operation of excision mechanism for excision of the tumor is simple and convenient, and after the excision is finished, the bottom end of the rubber sleeve can be propped open through the adjusting mechanism and the stay wire, so that the tumor can be sucked into the rubber sleeve, then make the rubber sleeve bottom enclose again, when avoiding taking out the tumour, the tumour exposes in the air completely, is convenient for to the sample inspection of tumour, and absorbs the tumour through the rubber sleeve, when avoiding using the gripper structure, causes the condition of damage to the tumour easily, avoids leaving more space simultaneously and guarantees the condition that the gripper expandes.
Further, the method comprises the following steps: excision mechanism includes two connecting rods, gu fixed ring and two arc template sides all with connecting rod side sliding connection, and connecting rod and sleeve medial surface sliding connection, connecting rod medial surface bottom is rotated and is connected with turning block one, two turning block opposite face fixedly connected with excision piece, connecting rod medial surface top is rotated and is connected with turning block two, turning block one and turning block two side coiling have two connecting wires, and two connecting wires are opposite in the coiling direction on turning block one, and turning block one and turning block two can keep synchronous rotation through two connecting wires, and when turning block two rotated like this, can drive turning block one through two connecting wires and rotate to make the excision piece rotate the cutting tumour, be convenient for in external operation excision tumour.
Further, the method comprises the following steps: the side of the connecting rod deviating from the suction cylinder corresponds to two fixedly connected rectangular blocks of the rotating block, the top of the side of the connecting rod is provided with a torsion block, the side of the torsion block is provided with a rectangular groove in sliding connection with the rectangular block, the inner side of the rectangular groove is fixedly connected with an insertion block, the insertion block penetrates through the rectangular block and is in sliding insertion connection with the two rotating blocks, the torsion block can drive the two rotating blocks to rotate through the insertion block, the two rotating blocks are convenient to rotate, the rotation of the torsion block can be limited by the rectangular groove, the rotation of the first rotating block and the second rotating block can be limited, the position of the resection piece can be kept unchanged, when the torsion block is used, the torsion block can be moved, the rectangular block and the rectangular groove are separated, at the moment, the resection piece can be rotated to resect the tumor through the torsion block, the operation is simple, the use is convenient, the two torsion blocks are simultaneously arranged, when the resection piece needs to be rotated, the torsion blocks on two sides need to be moved, the operation errors are avoided, one torsion block is moved, the resection piece is moved at will be moved at will, and the condition of damage to the mammary tissue is caused.
Further, the method comprises the following steps: two the equal fixedly connected with in connecting rod looks back top rotates the screens pole of being connected with the sleeve lateral surface, sleeve lateral surface top closes soon and is connected with the adjustable ring of being connected with the screens pole rotation, and when the adjustable ring rotated, can drive the screens pole and upwards or move down, the position of adjustment connecting rod, can be according to the position adjustment excision piece's of tumour position adjustment like this.
Further, the method comprises the following steps: the adjusting mechanism comprises a rotary ring, the inner side surface of the rotary ring is connected with the top of the outer side surface of the suction barrel in a rotary manner, the inner side surface of the bottom of the rotary ring is rotatably connected with a connecting ring in sliding connection with the outer side surface of the suction barrel, the bottom surface of the connecting ring is fixedly connected with the top ends of a plurality of pull wires, and when the rotary ring rotates, the connecting ring can be driven to move, so that the top ends of the pull wires are driven to move.
Further, the method comprises the following steps: absorb a side bottom fixedly connected with and rubber sleeve top surface contact to the ring, it closes the screens ring that is connected with and rubber sleeve side contact soon to support the ring lateral surface, and the screens ring can restrict the position on rubber sleeve top, avoids the rubber sleeve to break away from with absorbing a section of thick bamboo, and after excising the ware and using, can screw down the screens ring, can take off the rubber sleeve from absorbing a section of thick bamboo at this moment, with rubber sleeve and coupling mechanism separation back, can change new rubber sleeve, perhaps disinfect the rubber sleeve, be convenient for excise the repetitious usage of ware.
Further, the method comprises the following steps: coupling mechanism includes the joint piece, joint piece side and rubber sleeve bottom surface contact, the baffle of joint piece bottom side one side fixedly connected with and rubber sleeve medial surface contact, when coupling mechanism struts the rubber sleeve bottom, the middle part of rubber sleeve can be strutted to the baffle, avoids the shrink in rubber sleeve middle part, joint piece top medial surface rotates through the axostylus axostyle and is connected with the connecting block, the draw-in groove with adjacent connecting block activity joint is seted up to rubber sleeve lateral surface annular equidistance, and the connecting block can block in the draw-in groove, can be so through connecting block and baffle with joint piece and rubber sleeve activity joint, and after the exciser used, can rotate the connecting block, extrude the draw-in groove with the connecting block, can separate coupling mechanism and rubber sleeve at this moment, conveniently take off the rubber sleeve, connecting block side and stay wire bottom fixed connection can be located the dog of one side of baffle in the connecting block bottom surface fixed with the joint piece contact, can avoid the one end that the joint piece is located the baffle to rotate downwards.
Further, the method comprises the following steps: rubber sleeve medial surface bottom fixedly connected with and the rubber circle of joint piece contact, and rubber circle side and baffle side sliding connection, the rubber circle can block joint piece and baffle bottom, avoids tumour and coupling mechanism contact, avoids coupling mechanism to cause the damage to the tumour.
The exciser is used by the following method:
the method comprises the following steps: the sleeve is stretched into the opened wound, the rotary ring is rotated after the sleeve is stretched to the tumor position, the rotary ring can drive the stay wire to move, so that the bottom end of the rubber sleeve is expanded or contracted, and the expanded size of the bottom end of the rubber sleeve is changed according to the size of the tumor;
step two: the adjusting ring is rotated, and the adjusting ring can drive the connecting rod to move up and down through the clamping rod, so that the position of the resection piece is adjusted according to the size of the tumor;
step three: communicating a negative pressure device with the suction cylinder, adsorbing the tumor at the bottom end of the suction cylinder through the negative pressure device, then moving the torsion block to separate the rectangular groove from the rectangular block, and rotating the torsion block at one side to enable the resection piece to rotate to cut the bottom of the tumor;
step four: after the cutting is finished, the torsion block is moved to enable the rectangular groove to be connected with the rectangular block in an inserted mode, the rotary ring is rotated to enable the stay wire to stretch the bottom end of the rubber sleeve, the tumor is sucked into the rubber sleeve and the suction cylinder through the negative pressure device, then the bottom end of the rubber sleeve is contracted through the adjusting mechanism, and the tumor is taken out of the wound through the resectoscope.
The invention has the beneficial effects that:
1. the pull wire is fixedly connected with the connecting mechanism, the pull wire can be pulled through the adjusting mechanism, the pull wire can be used for stretching the bottom end of the rubber sleeve through the connecting mechanism, the stretching degree of the bottom end of the rubber sleeve can be changed according to the size of the tumor, the tumor can be conveniently absorbed by tumors of different sizes, the use is convenient, after the absorption is finished, the tumor can be removed through the removing mechanism, the tumor can be absorbed into the rubber sleeve, when the excider is not taken out, the tumor is completely exposed out of the air, the sampling inspection of the tumor in the later period is convenient, and the operation is simple and the use is convenient;
2. the connecting wire is wound on the first rotating block and the two sides of the rotating block, the second rotating block can drive the first rotating block to rotate through the connecting wire, so that the resection piece rotates to cut tumors and is convenient for in vitro operation to cut the tumors, the adjusting ring is connected to the top of the outer side surface of the sleeve in a screwing manner and can move along the sleeve by rotating the adjusting ring, the adjusting ring can drive the connecting rod to move through the clamping rod, and therefore the position of the resection piece can be adjusted according to the position of the tumors, so that the tumors can be completely cut by the resection piece, and the use is convenient;
3. close the solid fixed ring of connection soon through the arc template, can rotate the sleeve, adjust the sleeve and absorb a relative position of section of thick bamboo according to the size of tumour, make the sleeve can entangle the tumour, simultaneously after the use, can break away from the arc template with solid fixed ring is rotatory, thereby make the sleeve break away from with absorbing a section of thick bamboo, it is convenient to absorb a section of thick bamboo and wash with the sleeve, it is connected with the screens ring to close soon through holding to encircle the lateral surface, the screens ring can block the rubber sleeve, avoid the rubber sleeve to break away from with absorbing a section of thick bamboo, and after the use, can screw down the screens ring, at this moment can take off the rubber sleeve, after separating rubber sleeve and coupling mechanism, can more renew the rubber sleeve, make things convenient for the repetitious usage of excider.
Drawings
The invention will be further described with reference to the accompanying drawings.
FIG. 1 is a schematic diagram of the overall structure of a breast tumor resectoscope;
FIG. 2 is an interior elevational view of the sleeve of the present invention;
FIG. 3 is a front cross-sectional view of an adjustment mechanism of the present invention;
FIG. 4 is a schematic view of the construction of the suction cylinder of the present invention;
FIG. 5 is a front cross-sectional view of a rubber boot in the present invention;
FIG. 6 is a schematic view of the bottom structure of the rubber sleeve in the present invention;
FIG. 7 is a top view of the attachment mechanism and rubber ring of the present invention;
FIG. 8 is a schematic view of the connection mechanism of the present invention;
FIG. 9 is a schematic view of the cutting mechanism of the present invention;
FIG. 10 is an inside elevational view of the connecting rod of the present invention;
fig. 11 is a cross-sectional view of a twist block in the present invention.
In the figure: 100. a sleeve; 110. an adjusting ring; 120. an arc-shaped plate; 200. a suction cylinder; 210. a fixing ring; 220. a conduit; 230. a position clamping ring; 240. a support ring; 300. a cutting mechanism; 310. a connecting rod; 311. rotating the first block; 312. rotating the second block; 313. a rectangular block; 320. cutting off the sheet; 330. a position clamping rod; 340. twisting the block; 341. a rectangular groove; 342. inserting a block; 350. a connecting wire; 400. an adjustment mechanism; 410. screwing a ring; 420. a connecting ring; 500. a pull wire; 600. a rubber sleeve; 610. a rubber ring; 700. a connecting mechanism; 710. a clamping block; 720. a baffle plate; 730. and (4) connecting the blocks.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to 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.
Referring to fig. 1-11, a breast tumor resectoscope includes a sleeve 100, a suction tube 200 is disposed inside the sleeve 100, two arc-shaped plates 120 are fixedly connected to the inner side of the sleeve 100, a fixing ring 210 rotatably connected to the two arc-shaped plates 120 is fixedly connected to the outer side wall of the suction tube 200, the sleeve 100 can be connected to the suction tube 200 via the arc-shaped plates 120 and the fixing ring 210, the sleeve 100 can be rotated, the position of the sleeve 100 relative to the suction tube 200 can be adjusted, so that the sleeve 100 can cover a tumor, and the arc-shaped plates 120 can be rotatably separated from the fixing ring 210, so that the sleeve 100 is separated from the suction tube 200, the suction tube 200 and the sleeve 100 can be conveniently cleaned, a rubber sleeve 600 is movably sleeved at the bottom end of the suction tube 200, a plurality of connection mechanisms 700 are movably inserted in an annular equidistant manner at the bottom surface of the rubber sleeve 600, a pull wire 500 is fixedly connected to the connection mechanism 700, and an adjustment mechanism 400 is disposed at the top of the outer side surface of the suction tube 200, the side of the arc-shaped plate 120 is fixedly connected with a plurality of conduits 220 by a plurality of stay wires 500 at equal intervals, the top of each stay wire 500 passes through the adjacent conduits 220 and is fixedly connected with the bottom of the adjusting mechanism 400, the adjusting mechanism 400 can drive the top of each stay wire 500 to move, when the top of each stay wire 500 moves upwards, the stay wires 500 can prop open the bottom of the rubber sleeve 600 through the connecting mechanism 700, when the top of each stay wire 500 moves downwards, the bottom of the rubber sleeve 600 can contract under the action of the elastic force of the bottom of the rubber sleeve 600, so that the propping degree of the bottom of the rubber sleeve 600 can be adjusted according to the size of the tumor, the use is convenient, the cutting mechanism 300 is arranged on the inner side of the sleeve 100, the suction cylinder 200 is matched with a negative pressure device, after the negative pressure device is connected with the suction cylinder 200, the tumor can be sucked at the bottom of the rubber sleeve 600 through the negative pressure device, at this time, the operation of cutting of the tumor can be simple through the cutting mechanism 300, convenient to use, and after the excision is finished, can strut rubber sleeve 600 bottom through adjustment mechanism 400 with the 500 that acts as go-between, can inhale the tumor like this in rubber sleeve 600, then make rubber sleeve 600 bottom surround again, when avoiding taking out the tumor, the tumor exposes in the air completely, be convenient for to the sample inspection of tumor, and absorb the tumor through rubber sleeve 600, when avoiding using the gripper structure, cause the condition of damage to the tumor easily, avoid reserving more space simultaneously and guarantee the condition that the gripper expandes.
The excision mechanism 300 comprises two connecting rods 310, the side surfaces of the fixed ring 210 and the two arc-shaped plates 120 are both in sliding connection with the side surfaces of the connecting rods 310, the connecting rods 310 are in sliding connection with the inner side surfaces of the sleeve 100, the bottom of the inner side surface of the connecting rods 310 is rotatably connected with a first rotating block 311, the opposite surfaces of the first rotating block 311 are fixedly connected with excision pieces 320, the top of the inner side surface of the connecting rods 310 is rotatably connected with a second rotating block 312, two connecting wires 350 are wound on the side surfaces of the first rotating block 311 and the second rotating block 312, the winding directions of the two connecting wires 350 on the first rotating block 311 are opposite, the first rotating block 311 and the second rotating block 312 can keep synchronous rotation through the two connecting wires 350, and therefore when the second rotating block 312 rotates, the first rotating block 311 can be driven to rotate through the two connecting wires 350, the excision pieces 320 can rotate to cut tumors, and the tumors can be conveniently excised through in vitro operation.
The side surface of the connecting rod 310, which is far away from the suction barrel 200, corresponds to the second rotating block 312 and is fixedly connected with the rectangular block 313, the top of the side surface of the connecting rod 310 is provided with the torque block 340, the side surface of the torque block 340 is provided with the rectangular groove 341 in sliding connection with the rectangular block 313, the inner side surface of the rectangular groove 341 is fixedly connected with the insertion block 342, the insertion block 342 penetrates through the rectangular block 313 to be in sliding insertion connection with the second rotating block 312, the torque block 340 can drive the second rotating block 312 to rotate through the insertion block 342, the rotation of the torque block 340 can be conveniently enabled to be limited by the rectangular groove 341, so that the rotation of the first rotating block 311 and the second rotating block 312 is limited, the position of the cutting piece 320 is kept unchanged, when the torque block 340 is used, the torque block 313 can be moved to be separated from the rectangular groove 341, at the tumor can be cut by rotating the cutting piece 320 through the torque block 340, the operation is simple and convenient to use, and two torque blocks 340 are optionally provided, so that when the cutting piece 320 needs to be rotated, the torque blocks 340 at the both sides need to be moved, thereby avoiding the operation, moving one torque block 340, and causing the fault of the damage of the mammary gland.
The top of the back of the two connecting rods 310 is fixedly connected with a clamping rod 330 rotatably connected with the outer side of the sleeve 100, the top of the outer side of the sleeve 100 is rotatably connected with an adjusting ring 110 rotatably connected with the clamping rod 330, and when the adjusting ring 110 rotates, the clamping rod 330 can be driven to move upwards or downwards to adjust the position of the connecting rods 310, so that the position of the cutting sheet 320 can be adjusted according to the position of the tumor.
The adjusting mechanism 400 comprises a rotary ring 410, the inner side surface of the rotary ring 410 is connected with the top of the outer side surface of the suction tube 200 in a rotary manner, the inner side surface of the bottom of the rotary ring 410 is rotatably connected with a connecting ring 420 which is connected with the outer side surface of the suction tube 200 in a sliding manner, the bottom surface of the connecting ring 420 is fixedly connected with the top ends of the pull wires 500, and when the rotary ring 410 rotates, the connecting ring 420 can be driven to move, so that the top end of the pull wire 500 is driven to move. Absorb a 200 side bottom fixedly connected with and rubber sleeve 600 top surface contact's support ring 240, support ring 240 lateral surface closes soon and is connected with the screens ring 230 with rubber sleeve 600 side contact, screens ring 230 can restrict the position on rubber sleeve 600 top, avoid rubber sleeve 600 to break away from with absorbing a 200, and after excising the ware and using, can screw down screens ring 230, can take off rubber sleeve 600 from absorbing a 200 at this moment, after separating rubber sleeve 600 and coupling mechanism 700, can more renew rubber sleeve 600, or disinfect rubber sleeve 600, be convenient for excising the repetitious usage of ware.
The exciser is used by the following method:
the method comprises the following steps: the sleeve 100 is stretched into the opened wound, the rotary ring 410 is rotated after the sleeve 100 is stretched to the tumor position, the rotary ring 410 can drive the pull wire 500 to move, so that the bottom end of the rubber sleeve 600 is expanded or contracted, and the expanded size of the bottom end of the rubber sleeve 600 is changed according to the size of the tumor;
step two: the adjusting ring 110 is rotated, the adjusting ring 110 can drive the connecting rod 310 to move up and down through the clamping rod 330, so that the position of the resection piece 320 can be adjusted according to the size of the tumor;
step three: communicating a negative pressure device with the suction cylinder 200, adsorbing the tumor at the bottom end of the suction cylinder 200 through the negative pressure device, then moving the torsion block 340 to separate the rectangular groove 341 from the rectangular block 313, and rotating the torsion block 340 at one side to enable the resection piece 320 to rotate to cut the bottom of the tumor;
step four: after cutting, the knob 340 is moved to insert the rectangular groove 341 with the rectangular block 313, the rotating ring 410 is rotated to open the bottom end of the rubber sleeve 600 by the pull wire 500, the tumor is sucked into the rubber sleeve 600 and the suction tube 200 by the negative pressure device, then the bottom end of the rubber sleeve 600 is contracted by the adjusting mechanism 400, and the tumor is taken out from the wound by the excising device.
The working principle is as follows: when the device is used, the sleeve 100 is stretched into an opened wound, the sleeve 100 is stretched to a tumor position, then the rotating ring 410 is rotated, the rotating ring 410 can drive the connecting ring 420 to move when rotating, the connecting ring 420 can drive the top end of the stay wire 500 to move, the top end of the stay wire 500 can pull the connecting block 730 when moving upwards, the connecting block 730 can prop open the bottom end of the rubber sleeve 600 through the clamping block 710 and the baffle plate 720, when the top end of the stay wire 500 moves downwards, the bottom end of the rubber sleeve 600 can contract under the action of self elastic force, the propping size of the bottom end of the rubber sleeve 600 is changed according to the size of a tumor, after the rubber sleeve 600 is adjusted, the adjusting ring 110 can be rotated, the adjusting ring 110 can drive the connecting rod 310 to move up and down through the clamping rod 330, the connecting rod 310 can adjust the position of the cutting piece 320 through the rotating block one 311, and accordingly the position of the cutting piece 320 can be adjusted according to the size of the tumor;
after the adjustment is finished, the negative pressure device is communicated with the suction cylinder 200, the tumor is adsorbed at the bottom end of the suction cylinder 200 through the negative pressure device, then the torsion block 340 is moved, the rectangular groove 341 is separated from the rectangular block 313, the torsion block 340 on one side can be rotated, the torsion block 340 can drive the second rotation block 312 to rotate through the insertion block 342, the second rotation block 312 can drive the first rotation block 311 to rotate through the two connecting lines 350, and the first rotation block 311 can drive the excision piece 320 to rotate, so that the excision piece 320 cuts the bottom of the tumor;
after the cutting is finished, the torsion block 340 is moved, the rectangular groove 341 and the rectangular block 313 are inserted, so that the torsion block 340 is prevented from rotating, the rotation ring 410 can be rotated, the rotation ring 410 drives the connecting ring 420 to move upwards, the top end of the pull wire 500 is driven to move upwards, the bottom end of the rubber sleeve 600 is propped open by the pull wire 500, the negative pressure equipment can suck the tumor into the rubber sleeve 600 and the suction barrel 200, then the top end of the pull wire 500 can move downwards through the adjusting mechanism 400, the bottom end of the rubber sleeve 600 is contracted, the exciser can be taken out from the wound, and the tumor is excised.
In the description herein, references to the description of "one embodiment," "an example," "a specific example" or the like are intended to mean that a particular feature, structure, material, or characteristic described in connection with the embodiment or example is included in at least one embodiment or example of the invention. In this specification, the schematic representations of the terms used above do not necessarily refer to the same embodiment or example. Furthermore, the particular features, structures, materials, or characteristics described may be combined in any suitable manner in any one or more embodiments or examples.
The foregoing is illustrative and explanatory only, and it will be appreciated by those skilled in the art that various modifications, additions and substitutions can be made to the embodiments described without departing from the scope of the invention as defined in the appended claims.
Claims (5)
1. The breast tumor resectoscope is characterized by comprising a sleeve (100), wherein a suction tube (200) is arranged inside the sleeve (100), two arc-shaped plates (120) are fixedly connected to the inner side surface of the sleeve (100), a fixing ring (210) which is screwed with the two arc-shaped plates (120) is fixedly connected to the outer side wall of the suction tube (200), a rubber sleeve (600) is movably sleeved at the bottom end of the suction tube (200), a plurality of connecting mechanisms (700) are movably inserted in the bottom surface of the rubber sleeve (600) in an annular and equidistant manner, pull wires (500) are fixedly connected to the connecting mechanisms (700), an adjusting mechanism (400) is arranged at the top of the outer side surface of the suction tube (200), a plurality of guide tubes (220) are fixedly connected to the side surface of the arc-shaped plate (120) in an annular and equidistant manner by using a plurality of pull wires (500), the top ends of the pull wires (500) penetrate through the adjacent guide tubes (220) and are fixedly connected with the bottom of the adjusting mechanisms (400), and a resection mechanism (300) is arranged on the inner side surface of the sleeve (100);
the cutting mechanism (300) comprises two connecting rods (310), the side faces of the fixed ring (210) and the two arc-shaped plates (120) are both in sliding connection with the side faces of the connecting rods (310), the connecting rods (310) are in sliding connection with the inner side face of the sleeve (100), the bottom of the inner side face of each connecting rod (310) is rotatably connected with a first rotating block (311), the opposite faces of the first rotating blocks (311) are fixedly connected with cutting sheets (320), the top of the inner side face of each connecting rod (310) is rotatably connected with a second rotating block (312), two connecting wires (350) are wound on the side faces of the first rotating blocks (311) and the second rotating blocks (312), the winding directions of the two connecting wires (350) on the first rotating blocks (311) are opposite, and the top of the side face of each connecting rod (310) is provided with a twisting block (340);
the tops of the opposite surfaces of the two connecting rods (310) are fixedly connected with clamping rods (330) which are rotatably connected with the outer side surface of the sleeve (100), and the top of the outer side surface of the sleeve (100) is rotatably connected with adjusting rings (110) which are rotatably connected with the clamping rods (330);
the adjusting mechanism (400) comprises a rotary ring (410), the inner side surface of the rotary ring (410) is connected with the top of the outer side surface of the suction cylinder (200) in a rotary manner, the inner side surface of the bottom of the rotary ring (410) is rotatably connected with a connecting ring (420) in sliding connection with the outer side surface of the suction cylinder (200), and the bottom surface of the connecting ring (420) is fixedly connected with the top ends of the pull wires (500);
coupling mechanism (700) are including joint piece (710), joint piece (710) side and rubber sleeve (600) bottom surface contact, baffle (720) of joint piece (710) bottom side one side fixedly connected with and rubber sleeve (600) medial surface contact, joint piece (710) top medial surface is connected with connecting block (730) through the axostylus axostyle rotation, rubber sleeve (600) lateral surface annular equidistance offer with adjacent connecting block (730) activity joint's draw-in groove, connecting block (730) side and act as go-between (500) bottom fixed connection.
2. The breast tumor resectoscope according to claim 1, wherein a rectangular block (313) is fixedly connected to the side of the connecting rod (310) facing away from the suction cylinder (200) and corresponding to the second rotating block (312), a rectangular groove (341) slidably connected with the rectangular block (313) is formed in the side of the torsion block (340), and an insertion block (342) is fixedly connected to the inner side of the rectangular groove (341) and is slidably inserted into the second rotating block (312) through the rectangular block (313).
3. The breast tumor resectoscope according to claim 1, wherein a retaining ring (240) contacting with the top surface of the rubber sleeve (600) is fixedly connected to the bottom of the side surface of the suction cylinder (200), and a clamping ring (230) contacting with the side surface of the rubber sleeve (600) is rotatably connected to the outer side surface of the retaining ring (240).
4. The breast tumor resectoscope according to claim 1, wherein a rubber ring (610) in contact with the clamping block (710) is fixedly connected to the bottom of the inner side surface of the rubber sleeve (600), and the side surface of the rubber ring (610) is slidably connected with the side surface of the baffle plate (720).
5. A breast tumour resectoscope according to any one of claims 1 to 4, for use as follows:
the method comprises the following steps: the sleeve (100) is stretched into the opened wound, the rotary ring (410) is rotated after the sleeve (100) is stretched to the tumor position, the rotary ring (410) can drive the pull wire (500) to move, so that the bottom end of the rubber sleeve (600) is expanded or contracted, and the expanded size of the bottom end of the rubber sleeve (600) is changed according to the size of the tumor;
step two: the adjusting ring (110) is rotated, the adjusting ring (110) can drive the connecting rod (310) to move up and down through the clamping rod (330), and therefore the position of the resection piece (320) is adjusted according to the size of the tumor;
step three: communicating a negative pressure device with the suction cylinder (200), adsorbing the tumor at the bottom end of the suction cylinder (200) through the negative pressure device, then moving the torsion block (340), separating the rectangular groove (341) from the rectangular block (313), and rotating the torsion block (340) at one side to enable the resection piece (320) to rotate to cut the bottom of the tumor;
step four: after cutting, the torsion block (340) is moved, the rectangular groove (341) is inserted into the rectangular block (313), the rotary ring (410) is rotated, the pull wire (500) is used for supporting the bottom end of the rubber sleeve (600), the tumor is sucked into the rubber sleeve (600) and the suction cylinder (200) through negative pressure equipment, then the bottom end of the rubber sleeve (600) is contracted through the adjusting mechanism (400), and the tumor is taken out of the wound through the resectoscope.
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| JP4917176B1 (en) * | 2010-09-29 | 2012-04-18 | 康夫 飛松 | Minimally invasive excisional tissue collection device |
| CN107485427A (en) * | 2017-09-21 | 2017-12-19 | 金国鑫 | A kind of assistive device of total surgical resection |
| CN208709997U (en) * | 2018-01-24 | 2019-04-09 | 王鹏飞 | A kind of tumor resection device |
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| GB1010656A (en) * | 1960-12-09 | 1965-11-24 | Reindert Brummelkamp | Improvements in or relating to surgical instruments |
| US6254614B1 (en) * | 1999-10-18 | 2001-07-03 | Jerry M. Jesseph | Device and method for improved diagnosis and treatment of cancer |
| CN107440767A (en) * | 2017-09-05 | 2017-12-08 | 山东省肿瘤防治研究院 | A kind of minimally invasive tumor resection equipment of mammary gland and its application method |
| CN113017776B (en) * | 2020-12-24 | 2022-05-17 | 中国人民解放军总医院第三医学中心 | Superficial tumor closed resection device and use method thereof |
| CN113349891A (en) * | 2021-07-16 | 2021-09-07 | 安徽医学高等专科学校 | Tumor resectoscope |
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| JP4917176B1 (en) * | 2010-09-29 | 2012-04-18 | 康夫 飛松 | Minimally invasive excisional tissue collection device |
| CN107485427A (en) * | 2017-09-21 | 2017-12-19 | 金国鑫 | A kind of assistive device of total surgical resection |
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Effective date of registration: 20230215 Address after: Qingdao Jiaozhou Central Hospital, 99 Yunxi Henan Road, Jiaozhou City, Qingdao City, Shandong Province 266300 Applicant after: Wang Maoyu Address before: Jiangsu Cancer Hospital, No. 42, baiziting, Kunlun Road, Xuanwu District, Nanjing, Jiangsu 210000 Applicant before: Cheng Jie |
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