Ablation device for oncology department surgery
Technical Field
The invention belongs to the technical field of ablation devices for oncology department surgery, and particularly relates to an ablation device for oncology department surgery.
Background
Treatment of tumor ablation is divided into several types, including thermal ablation, cryoablation, and also chemical ablation. The thermal ablation comprises microwave ablation and radio frequency ablation, wherein cryoablation is argon-helium knife treatment, and alcohol injection treatment is more commonly used before chemical ablation. The main purpose of ablation is to denature local focus of tumor, for example, microwave or radio frequency is used to heat the tumor to 60-80 ℃, even 100 ℃, the tissue of the tumor will generate coagulation necrosis, thus achieving the purpose of local inactivation of tumor; the cryoablation is to make the tumor tissue necrotize through ultralow temperature; chemical ablation is the necrosis of most or all of the tumor's tissue by chemical means, including drugs. Therefore, the tumor ablation treatment can achieve the purpose of completely inactivating the tumor tissue locally.
Digestive tract tumors are generally minimally invasive by using an endoscope, but when tumors near the cardia, such as the tumors between a superficial mucosa layer and a deeper muscle layer on the wall surface of an esophagus tube, in the digestive tract are ablated, the ablation operation is performed in a narrow space due to the fact that the thick part near the position is 0.4 cm, the difficulty is very high, and the normal body structure of a patient is not completely or can be damaged in the traditional minimally invasive ablation mode, so that a device for ablating the tumors at the position is provided.
Disclosure of Invention
The invention aims to: the traditional ablation device for solving the problem that the existing ablation device for the narrow and small inner wall of the digestive tract has a simple structure and cannot completely ablate the tumor generated at the position.
In order to achieve the purpose, the invention adopts the following technical scheme: an ablation device for oncology surgery, comprising;
the right end of the handheld end shell is provided with a threaded sealing piece, the handheld end shell is T-shaped, and two vertical corners of the handheld end shell are respectively provided with a pressurizing liquid valve mechanism and a releasing mechanism;
the left end of the inserting tube mechanism penetrates through the handheld end shell, the right end of the inserting tube mechanism is provided with an operating end, and the right end of the operating end is provided with a peeping operating end;
the driver is installed on the left side of the handheld end shell, a displacement adjusting device is arranged on the right side of the driver and located in the handheld end shell, the free end of the driver is fixedly connected with the displacement adjusting device, and the right side of the displacement adjusting device is fixedly connected with an insertion pipe mechanism inserted into the handheld end shell;
the number of the finger ears is two, one ends of the two finger ears are fixedly connected with the surface of the driver, and the other ends of the finger ears are fixedly connected with one side of the displacement adjusting device;
and the water injection head is arranged at the top end of the handheld end shell and is communicated with the pressurized liquid valve mechanism.
As a further description of the above technical solution: the pressurization liquid valve mechanism comprises a first pressing key, the inner side of the first pressing key is elastically connected with the inner wall of the handheld end shell through two pressing springs, the middle of the inner side of the first pressing key is hinged to a top rod through a hinged rod, the bottom end of the water injection head is communicated with a valve opening and closing pipe through a flexible pipe, a liquid supply pipe is inserted on the threaded sealing element in a penetrating mode, a sealing head is arranged at the left end of the liquid supply pipe, and one side of the sealing head is communicated with the valve opening and closing pipe.
As a further description of the above technical solution: releasing mechanism is including pressing the key two, the inboard of pressing the key two is provided with two pressing spring that are used for reseing, it has first wane to articulate through articulated piece in the middle part of pressing the key two, one side fixedly connected with second wane of first wane, it has the bull stick to alternate on the first wane, the one end fixed connection of bull stick is in the inner wall of handheld end casing, the one end of second wane articulates there is the push rod, the pot head of push rod is equipped with vacuum water pipe, vacuum water pipe's one end is run through the insert tube mechanism, the right-hand member of push rod is provided with the pilot pin, the push rod is provided with the intercommunication chamber of intercommunication pilot pin, the feed pipe with intercommunication chamber intercommunication.
As a further description of the above technical solution: the displacement adjusting device comprises a cylindrical sleeve, movable grooves are formed in the upper side and the lower side of the inner wall of the cylindrical sleeve, connecting rods are inserted in the movable grooves, a first rack is arranged on one side of each connecting rod, a universal connecting rod is inserted in the axis of the right side of the cylindrical sleeve, a movable ring is arranged at the left end of the universal connecting rod in a sleeved mode, second racks are arranged on the two sides of the movable ring, the first racks are in transmission connection with the second racks through gear shafts, and the connecting rods are in elastic connection with one side of the inner wall of the cylindrical sleeve through reset springs.
In summary, due to the adoption of the technical scheme, the invention has the beneficial effects that:
1. when a tumor near the cardia is ablated between a superficial esophageal wall mucosa layer and a deeper muscle layer, a water injection head is communicated with external injection firstly, a press key II is pressed, a press spring is pressed by the press key II in the process of moving towards the inner side of the press key II, at the moment, a hinged sheet pushes a first wane towards the left side, the first wane rotates on a rotating rod, one end of a second wane connected with the first wane is tilted at the moment, a push rod hinged with the second wane moves towards the right side, a positioning needle at the right end of the push rod moves out of a positioning needle groove at the moment, the positioning needle is inserted into the superficial esophageal wall mucosa layer after the tumor position is positioned by a monitoring head, and the positioning needle positioning operation of the ablation operation is completed at the moment;
2. after the positioning needle is inserted into the superficial mucosa layer of the wall surface of the esophagus, pressing the first pressing key to extrude the extrusion spring, enabling the water injection head to enable external injection to enter the sealing head from the flexible tube through the opening and closing valve tube, and enabling the ejector rod on the first pressing key to move the opening and closing valve tube to the left side in the process of pressing the first pressing key, enabling one end of the opening and closing valve tube to move the insertion tube to the left side at the moment, enabling the insertion tube to drive the annular nozzle communicated with the insertion tube to move, so that the sealing rubber ring on the annular nozzle is separated from the lap joint state with the inner wall of the cylindrical tube, the injection is sprayed out from the annular nozzle, and enters the liquid supply tube through the sealing ring, and then the injection enters the superficial mucosa layer of the wall surface of the esophagus tube from the positioning needle arranged on the push rod;
3. after the device is operated, after water is injected into the superficial mucosa layer on the wall surface of the esophagus tube, a water drum can be expanded from the superficial mucosa layer on the wall surface of the esophagus tube, so that an operation space is formed between the superficial mucosa layer on the wall surface of the esophagus tube and the muscle layer, and then the superficial mucosa layer on the wall surface of the esophagus tube is glazed, so that tumors of the superficial mucosa layer on the wall surface of the esophagus tube and the muscle layer can be exposed quickly, the problem that the tumors between the superficial mucosa layer on the wall surface of the esophagus tube and the muscle layer cannot be ablated by the conventional technical means can be avoided, in the process, water is continuously injected into the joint between the tumor marker and the muscle layer, so that the tumors and the muscle part are separated from each other, and the ablation is quicker, the esophagus is not required to be damaged by adopting a direct ablation mode, and the operation time is saved;
4. when melting the tumour, the driver uses and to make the operation of insert tube mechanism, indicate the ear with the directional left side pulling of hand this moment, indicate the one end and the connecting rod fixed connection of ear, the connecting rod can drive first rack and remove like this, meanwhile first rack passes through the pinion and drives the second rack and remove, the second rack drives universal connecting rod through the loose ring and removes to the right side like this, at this moment, the universal connecting rod who is connected with the driver can rotate, the head of melting of universal connecting rod right-hand member is reserved the end and can be driven and stretch out the end and remove from accomodating the inslot, and melt the operation with the tumour contact, can be quick like this melt the tumour, operation process is simple quick like this, it uses to be convenient for the treatment doctor.
Drawings
FIG. 1 is a perspective view of an ablation device for use in oncology surgery in accordance with the present invention;
FIG. 2 is a partial cross-sectional view of an ablation device for use in oncology surgery according to the invention;
FIG. 3 is a front cross-sectional view of a handpiece housing of an ablation device for use in oncology surgery of the present invention;
FIG. 4 is a front cross-sectional view of an ablation device displacement adjustment mechanism for use in oncology surgery in accordance with the present invention;
FIG. 5 is a front cross-sectional view of the operative end of an ablation device for use in oncology surgery according to the invention;
FIG. 6 is a schematic view of an operating end of the ablation device for oncology surgery according to the present invention;
fig. 7 is a front cross-sectional view of a sealing head of an ablation device for oncology surgery of the present invention.
Illustration of the drawings:
1 hand-held end shell, 2 water injection head, 3 pressurized liquid valve mechanism, 31 pressing key I, 32 hinged rod, 33 ejector rod, 34 opening and closing valve pipe, 35 sealing head, 351 cylindrical pipe, 352 sealing ring, 353 annular spray head, 354 sealing rubber ring, 355 pressure spring, 356 insertion pipe, 36 pressing spring, 37 liquid supply pipe, 4 releasing mechanism, 41 pressing key II, 42 hinged sheet, 43 first rocker, 44 rotating rod, 45 second rocker, 46 push rod, 47 vacuum water pipe, 5 thread sealing element, 6 insertion pipe mechanism, 7 operating end, 71 isolating cover, 72 extending end, 73 pullback spring, 74 ablation head reserved end, 8 peeping operating end, 81 fisheye end, 82 accommodating groove, 83 monitoring head, 84 reserved hole, 85 positioning needle groove, 9 displacement adjusting device, 91 cylindrical sleeve, 92 universal connecting rod, 93 movable ring, 94 second rack, 95 connecting rod, 96 rack shaft, 97 movable groove, 98 first rack movable groove, 99 return spring, 10 finger ear, 11 actuator.
Detailed Description
The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all of the embodiments. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Example 1
Referring to fig. 1-7, an ablation device for oncology surgery includes;
the hydraulic control valve comprises a handheld end shell 1, wherein a threaded sealing piece 5 is arranged at the right end of the handheld end shell 1, the handheld end shell 1 is T-shaped, and a pressurizing liquid valve mechanism 3 and a releasing mechanism 4 are respectively arranged at two vertical corners of the handheld end shell 1; and the water injection head 2 is arranged at the top end of the handheld end shell 1 and is communicated with the pressurizing liquid valve mechanism 3.
As shown in fig. 3, the release mechanism 4 includes a second pressing key 41, two pressing springs 36 for resetting are disposed inside the second pressing key 41, a first tilting plate 43 is hinged to the middle of the second pressing key 41 through a hinge plate 42, a second tilting plate 45 is fixedly connected to one side of the first tilting plate 43, a rotating rod 44 is inserted through the first tilting plate 43, one end of the rotating rod 44 is fixedly connected to the inner wall of the handheld housing 1, one end of the second tilting plate 45 is hinged to a push rod 46, one end of the push rod 46 is sleeved with a vacuum water pipe 47, one end of the vacuum water pipe 47 penetrates through the insertion pipe mechanism 6, a positioning needle is disposed at the right end of the push rod 46, the push rod 46 is provided with a communication cavity communicating with the positioning needle, and the liquid supply pipe 37 is communicated with the communication cavity;
when a tumor near the cardia between a superficial mucosa layer and a deeper muscle layer of the esophageal wall is ablated, firstly, the water injection head 2 is communicated with an external injection, in the process of pressing the pressing key II 41, the pressing key II 41 presses the pressing spring 36, at this time, the hinged sheet 42 pushes the first wane 43 towards the left side, the first wane 43 rotates on the rotating rod 44, at this time, one end of the second wane 45 connected with the first wane 43 tilts, so that the push rod 46 hinged with the second wane 45 moves towards the right side, at this time, the positioning needle at the right end of the push rod 46 moves out of the positioning needle groove 85, after the tumor position is positioned through the monitoring head 83, the positioning needle is inserted into the superficial mucosa layer of the esophageal wall, and at this time, the positioning needle positioning operation of the ablation operation is completed;
the pressurizing liquid valve mechanism 3 comprises a first pressing key 31, the inner side of the first pressing key 31 is elastically connected with the inner wall of the handheld end shell 1 through two pressing springs 36, the middle part of the inner side of the first pressing key 31 is hinged with a top rod 33 through a hinge rod 32, the bottom end of the water injection head 2 is communicated with an opening and closing valve pipe 34 through a flexible pipe, a liquid supply pipe 37 is inserted in the threaded sealing element 5 in a penetrating manner, the left end of the liquid supply pipe 37 is provided with a sealing head 35, and one side of the sealing head 35 is communicated with the opening and closing valve pipe 34; the sealing head 35 comprises a cylindrical pipe 351, an insertion pipe 356 communicated with the opening and closing valve pipe 34 is arranged in the cylindrical pipe 351, the insertion pipe 356 is communicated with an annular nozzle 353, a sealing rubber ring 354 is arranged on the right side of the annular nozzle 353, the annular nozzle 353 is elastically connected with the inner wall of the cylindrical pipe 351 through a pressure spring 355, and a sealing ring 352 communicated with the liquid supply pipe 37 is sleeved on the right side of the cylindrical pipe 351;
after the positioning needle is inserted into the superficial mucosa on the wall surface of the esophagus, the first pressing key 31 is pressed, the first pressing key 31 extrudes the extrusion spring 36, the water injection head 2 enables external injection to enter the sealing head 35 from the flexible tube through the opening and closing valve tube 34, and in the process of pressing the first pressing key 31, the ejector rod 33 on the first pressing key 31 can move the opening and closing valve tube 34 to the left side, the insertion tube 356 moves to the left side at one end of the opening and closing valve tube 34, and the insertion tube 356 can drive the annular nozzle 353 communicated with the insertion tube to move, so that the sealing rubber ring 354 on the annular nozzle 353 is separated from the lap joint state with the inner wall of the cylindrical tube 351, the injection is sprayed out from the annular nozzle 353, and enters the liquid supply tube 37 through the sealing ring 352, so that the injection enters the superficial mucosa on the wall surface of the esophagus tube from the positioning needle arranged on the push rod 46;
the benefit that sets up like this lies in, after the operation through the device, behind the shallow mucous membrane layer water injection of esophagus pipe wall surface, can swell a water drum with the shallow mucous membrane layer of esophagus pipe wall surface, thereby make shallow mucous membrane layer of esophagus pipe wall surface and muscle layer formation operating space, again behind the shallow mucous membrane layer glass of esophagus pipe wall surface, and like this, the exposure that the tumour of shallow mucous membrane layer of esophagus pipe wall surface and muscle layer can be quick, can avoid current technical means can't melt the tumour between shallow mucous membrane layer of esophagus pipe wall surface and the muscle layer like this, in this in-process, continue the junction water injection between tumour marker and the muscle layer, make tumour and muscle part break away from on the one hand like this, when melting like this, it is faster, and need not to adopt the condition that direct mode caused the esophagus damage, and the time of operation has been practiced thrift.
Example 2
The insertion tube mechanism 6 shown in fig. 5, the left end of the insertion tube mechanism 6 penetrates through the handheld end housing 1, the right end of the insertion tube mechanism 6 is provided with an operation end 7, the operation end 7 includes an ablation head reserved end 74 connected with a universal connecting rod 92, an isolation cover 71 is sleeved on the ablation head reserved end 74, the isolation cover 71 is elastically connected with the ablation head reserved end 74 through a pullback spring 73, the right side of the ablation head reserved end 74 is provided with an extending end 72, the right end of the operation end 7 is provided with a peeping operation end 8, the peeping operation end 8 includes a fisheye end 81, a containing groove 82 for telescoping is arranged at the axial center of the periphery of the fisheye end 81, the fisheye end 81 further includes a monitoring head 83, a reserved hole 84 and a positioning needle groove 85;
when the inserting mechanism is used, the peeping operation end 8 at the right end of the inserting tube mechanism 6 is inserted from the oral cavity of a patient, and the peeping operation end 8 can shoot videos in the oral cavity of the patient, so that the monitoring head 83 on the peeping operation end 8 can quickly locate the position of a tumor.
The displacement adjusting device 9 shown in fig. 3 and 4 includes a cylindrical sleeve 91, movable grooves 97 are respectively formed in the upper and lower sides of the inner wall of the cylindrical sleeve 91, a connecting rod 95 is inserted into each movable groove 97, a first rack 98 is arranged on one side of each connecting rod 95, a universal connecting rod 92 is inserted into the right axis of the cylindrical sleeve 91, a movable ring 93 is sleeved at the left end of each universal connecting rod 92, second racks 94 are respectively arranged on two sides of each movable ring 93, each first rack 98 is in transmission connection with each second rack 94 through a gear shaft 96, and each connecting rod 95 is elastically connected with one side of the inner wall of the cylindrical sleeve 91 through a return spring 99; the driver 11 is installed on the left side of the handheld end shell 1, the displacement adjusting device 9 is arranged on the right side of the driver 11 and is positioned in the handheld end shell 1, the free end of the driver 11 is fixedly connected with the displacement adjusting device 9, and the right side of the displacement adjusting device 9 is fixedly connected with the insertion pipe mechanism 6 inserted into the handheld end shell 1; the number of the finger ears 10 is two, one end of each of the two finger ears 10 is fixedly connected with the surface of the driver 11, and the other end of each of the two finger ears 10 is fixedly connected with one side of the displacement adjusting device 9;
and when melting the tumour, driver 11 uses and to make intubation mechanism 6 move, point to the left side pulling with the hand this moment and indicate ear 10, indicate the one end and the connecting rod 95 fixed connection of ear 10, connecting rod 95 can drive first rack 98 and remove like this, meanwhile first rack 98 drives second rack 94 through pinion 96 and removes, second rack 94 drives universal connecting rod 92 through loose ring 93 and removes to the right side like this, at this moment, universal connecting rod 92 with driver 11 is connected can rotate, the head of melting reservation end 74 of universal connecting rod 92 right-hand member can drive and stretch out end 72 and remove from accomodating the groove 82, and melt the operation with the tumour contact, can be quick like this melt the tumour, operation process is simple quick like this, be convenient for the therapist to use.
When the endoscope is used, the peeping operation end 8 at the right end of the insertion tube mechanism 6 is inserted from the oral cavity of a patient, the peeping operation end 8 can shoot a video in the oral cavity of the patient, so that the monitoring head 83 on the peeping operation end 8 can quickly locate the position of a tumor, when the tumor near the cardia between a superficial mucosa layer and a deeper muscle layer of the esophageal wall is ablated, the injection head 2 is firstly communicated with the external injection liquid, the pressing key two 41 presses the pressing key two 41 to press the spring 36 in the process of moving inwards, the hinge sheet 42 pushes the first warping plate 43 towards the left side, the first warping plate 43 rotates on the rotating rod 44, one end of the second warping plate 45 connected with the first warping plate 43 is warped, so that the push rod 46 hinged with the second warping plate 45 moves towards the right side, and the locating needle at the right end of the push rod 46 moves out of the locating needle groove 85, after the tumor position is positioned by the monitoring head 83, the positioning needle is inserted into the superficial mucosa of the esophageal wall surface, the positioning needle positioning operation of the ablation operation is completed, after the positioning needle is inserted into the superficial mucosa of the esophageal wall surface, the pressing key I31 is pressed, the pressing key I31 presses the extrusion spring 36, the water injection head 2 enables external injection to enter the sealing head 35 from the flexible tube through the opening and closing valve tube 34, in the process of pressing the pressing key I31, the ejector rod 33 on the pressing key I31 can move the opening and closing valve tube 34 to the left side, the upper end of the opening and closing valve tube 34 moves the insertion tube 356 to the left side, the insertion tube 356 can drive the annular nozzle 353 communicated with the insertion tube to move, so that the sealing rubber ring 354 on the annular nozzle 353 is separated from the lapping state with the inner wall of the cylindrical tube 351, the injection is sprayed out from the annular nozzle 353, and the injection enters the liquid supply tube 37 through the sealing ring 352, thus, the injection enters into the superficial mucous membrane layer of the wall surface of the esophagus tube from the positioning needle arranged on the push rod 46;
the advantage of such an arrangement is that after the operation of the device, after the water is injected into the superficial mucosa layer of the esophageal wall surface, a water drum can be expanded from the superficial mucosa layer of the esophageal wall surface, so that an operation space is formed between the superficial mucosa layer of the esophageal wall surface and the muscle layer, and then the superficial mucosa layer of the esophageal wall surface is glazed, so that the tumors of the superficial mucosa layer of the esophageal wall surface and the muscle layer can be exposed quickly, thereby avoiding the problem that the tumors between the superficial mucosa layer of the esophageal wall surface and the muscle layer can not be ablated by the existing technical means, in the process, the water is continuously injected into the joint between the tumor marker and the muscle layer, so that the tumors and the muscle part are separated, and thus, the ablation is quicker, the esophageal injury condition caused by a direct ablation mode is not needed, the operation time is saved, and when the tumors are ablated, driver 11 uses and to make the operation of intubation mechanism 6, indicate ear 10 with the directional left side pulling of hand this moment, indicate the one end and the connecting rod 95 fixed connection of ear 10, connecting rod 95 can drive first rack 98 and remove like this, meanwhile first rack 98 drives second rack 94 through pinion 96 and removes, second rack 94 drives universal connecting rod 92 through loose ring 93 and removes to the right side like this, at this moment, universal connecting rod 92 with the driver 11 is connected can rotate, the first reservation end 74 of melting of universal connecting rod 92 right-hand member can drive and stretch out end 72 and remove from accomodating groove 82, and melt the operation with the tumour contact, can be quick like this melt the tumour, operation process is simple quick like this, be convenient for the treatment doctor to use.
The above description is only for the preferred embodiment of the present invention, but the scope of the present invention is not limited thereto, and any person skilled in the art should be considered to be within the technical scope of the present invention, and the technical solutions and the inventive concepts thereof according to the present invention should be equivalent or changed within the scope of the present invention.