CN205041867U - Acute visual downright bad kitchen wicresoft scavenge system of severe pancreatitis - Google Patents

Abstract

The utility model relates to a be applied to the visual downright bad kitchen wicresoft scavenge system that the treatment of acute severe pancreatitis wicresoft was used, special wicresoft creates apparatus subassembly and curved boom bracket component clearly including the pancreatitis, wherein the clear apparatus subassembly of creating of the special wicresoft of pancreatitis includes gradual expander, expansion sleeve pipe, sleeve pipe inner chamber, hysteroscope subassembly and the luminous pipe that attracts. This system passes through the sterilization and is the media with warm water, and adoption water excavation formula mode is rinsed and the drainage patient's necrotic tissue, and high -efficient, laborsaving saving time has lightened patient's misery promptly, has also saved doctor's time and efforts, adopting special pancreatitis wicresoft passageway, making and to wash by water, to make a video recording, throw light on as an organic whole, let the doctor can accomplish visual operation, the unnecessary who has avoided blind and cause under the condition hurts, with curved boom formula fixed mode, avoided the drawback that the doctor still will hold the mirror with the hand when the operation is stabilized, saved doctor's physical power, adopt the control by temperature change control technique to guarantee that the patient washes with constant temperature washing the in -process.

Description

Acute critical pancreatitis visual necrosis region Wicresoft scavenging system

Technical field

This utility model relates to a kind of visual necrosis region Wicresoft scavenging system being applied to acute critical pancreatitis minimally-invasive treatment and using.

Background technology

Current worldwide Severe Acute Pancreatitis SAP (SAP) case fatality rate is about 10-20%, after positive internal medicine conservative treatment, SAP some patients is downright bad after developing into peritoneum to be infected, jeopardize patient vitals, whether removing downright bad infected tissue effectively is in time one of key factor being related to surgical treatment.According to domestic and international current paper result of study, minimally-invasive treatment SAP infection and necrosis stove becomes a kind of effectively treatment gradually, and some patients can avoid open surgery in the past completely.And open surgery causes patient trauma large, complication is many.Still do not have a kind of highly effective minimally-invasive treatment scheme clinically at present, still need repeatedly gradation to cut slough, extend length of patient stay, add patient's expense, Part Methods adopts clamp slough method to there is potential massive hemorrhage may.Therefore the severe pancreatitis necrosis region scavenging system of a kind of highly effective and safe of clinical needs.

The patient of infection in severe acute pancreatitis patients downright bad phase needs operative treatment more, operation can be open operation, i.e. large otch abdominal, some patients be not once operate on just soluble, repeatedly operate on and bring very large misery to patient, extend the hospital stays, postoperative complication increases, operation risk increases, and expense increases.

Current employing Minimally Invasive Surgery is treated patient, capture slough by apparatus, but each crawl amount is few, all take time and effort concerning patient and doctor, efficiency is low, and the hospitalization phase reaches three months to half a year, even 1 year, high treatment cost also causes extremely heavy financial burden to patient, captures the careless blood vessel of accidentally injuring of existence crawl in slough process in addition cause severe haemorrhage by apparatus.

Summary of the invention

For overcoming the deficiencies in the prior art part, this utility model provides a kind of acute critical pancreatitis visual necrosis region Wicresoft scavenging system, to solve the problem.

The technical scheme that this utility model adopts is: acute critical pancreatitis visual necrosis region Wicresoft scavenging system, this system comprises pancreatitis special Wicresoft debridement device assembly and curved boom carriage assembly, wherein said pancreatitis special Wicresoft debridement device assembly comprises progressive dilatation device, expanded casing, cannula cavity, hysteroscope assembly and luminous suction catheter, and described progressive dilatation device inside comprises the positioning needle that a diameter is less than 2mm; The drainage channel that described expanded casing is formed is inner, and embed described cannula cavity, the external diameter of described cannula cavity is consistent with the internal diameter of described expanded casing, and length is slightly longer than described expanded casing; The periphery of the part that described cannula cavity is stretched out relative to described expanded casing being evenly distributed with multiple aperture, for preventing slough, drainage channel being resulted in blockage; The inner chamber of described cannula cavity establishes circular channel, and described circular channel is for retraining the range of activity of described hysteroscope assembly; The integral type apparatus that described hysteroscope assembly is made up of hysteroscope, hysteroscope Inner sheath, hysteroscope epitheca; Have hysteroscope passage in the front end of described circular channel, described hysteroscope passage and described hysteroscope assembly form interference fit, and its internal diameter is slightly less than the scope of described circular channel;

On hysteroscope assembly, there are three input interfaces rear end, and be respectively light source interface and rinse interface and standard C camera interface, wherein said light source interface is connected to all-in-one multifunctional machine by light guide bundles; Described flushing interface is connected on normal saline bag by sensing tube for transfusion; Described standard C camera interface is connected to photographic head by standard C shooting bayonet socket, and described photographic head connects light guide bundles by light source delivery outlet and is connected on the light source delivery outlet of all-in-one multifunctional machine;

There are two input interfaces described luminous suction catheter rear end, and be respectively light source interface and rinse interface, described light source interface is connected on the light source delivery outlet of Medical endoscope cold light source by light guide bundles; Described flushing interface is connected on the water delivery nozzle of scope conveying pump by medical silicone tube.

Further, described curved boom carriage assembly comprises lasso, little hand tighten screw, connecting rod, curved boom, wherein said curved boom is by disk, large hand tighten screw, curved boom arm body, curved boom base, push rod forms, female thread on external screw thread on described connecting rod and described lasso is connected and fixed, described connecting rod is inserted in the circular hole in the middle of the disk on described curved boom, and by described large hand tighten screw, described lasso, little hand tighten screw, connecting rod is fixed on described curved boom.

Beneficial effect:

1, native system is medium by sterilizing warm water, adopts the slough of water digging type mode to patient to clean and drain, efficient, laborsavingly saves time, and namely alleviates patient's misery, also saves the time and efforts of doctor.

2, adopt special pancreatitis Wicresoft passage, bath, shooting, illumination be integrated, allow doctor accomplish visualized operation, avoid blind rush situation under the unnecessary injury that causes.

3, adopt bent arm type fixed model, avoid the doctor when stable operation and also hold the drawback of mirror with hands, save the muscle power of doctor.

4. patient's constant temperature in flushing process rinses to adopt temperature control control technology to ensure.

Accompanying drawing explanation

The utility model will be further described in conjunction with the embodiments with reference to the accompanying drawings.

Fig. 1 is overall structure schematic diagram of the present utility model,

Fig. 2 is pancreatitis special Wicresoft debridement apparatus modular construction enlarged drawing,

Fig. 3 is the structural representation of progressive dilatation device,

Fig. 4 is the structural representation of curved boom support the first half,

Fig. 5 is the structural representation of curved boom support the latter half,

Fig. 6 is the structural representation of stove point location apparatus.

In figure: 1 pancreatitis special Wicresoft debridement device assembly, 2 curved boom carriage assemblys, 3 progressive dilatation devices, 4 expanded casings, 5 cannula cavity, 6 hysteroscopes, 7 hysteroscope Inner sheaths, 8 hysteroscope epithecas, 9 luminous suction catheters, 10 seal wires, 11 convergent divergent channels, 12 light source interface, 13 rinse interface, 14 camera interfaces, 15 light source delivery outlets connect light guide bundles, 16 light source delivery outlets, 17 light guide bundleses, 18 all-in-one multifunctional machines, 19 charge pumps, 20 standard C shooting bayonet sockets, 21 photographic head, 22 light source interface, 23 rinse interface, 24 light guide bundleses, 25 Medical endoscope cold light sources, 26 scope conveying pumps, 27 lassos, 28 little hand tighten screws, 29 connecting rods, 30 curved booms, 31 disks, 32 large hand tighten screws, 33 curved boom arm bodies, 34 curved boom bases, 35 push rods, 36 sham operated beds, 37 stainless steel stent bars.

Detailed description of the invention

In order to make object of the present invention, technical scheme and advantage clearly understand, below in conjunction with drawings and Examples, the present invention is further elaborated.Should be appreciated that specific embodiment described herein only in order to explain the present invention, be not intended to limit the present invention.

In describing the invention, it will be appreciated that, term " longitudinal direction ", " transverse direction ", " on ", D score, "front", "rear", "left", "right", " vertically ", " level ", " top ", " end ", " interior ", the orientation of the instruction such as " outward " or position relationship be based on orientation shown in the drawings or position relationship, only the present invention for convenience of description, instead of indicate or imply that the device of indication or element must have specific orientation, with specific azimuth configuration and operation, therefore can not be interpreted as limitation of the present invention.

See Fig. 1, the present invention forms primarily of pancreatitis special Wicresoft debridement device assembly 1, curved boom carriage assembly 2 and relevant device.

See Fig. 2, Fig. 3, special pancreatitis Wicresoft debridement device assembly 1 comprises progressive dilatation device 3, expanded casing 4, cannula cavity 5, hysteroscope 6, hysteroscope Inner sheath 7, hysteroscope epitheca 8 and luminous suction catheter 9 and forms.

At Minimally Invasive Surgery in earlier stage in order to enable operation carry out smoothly, stove point location to be implemented to operation, need the thinner seal wire 10 of use one to enter pancreas intra-operative location in location, again extension process is carried out to the circular minimal incision * that seal wire 10 is formed, by convergent divergent channel 11 by diameter from little to after carrying out extension process from level to level greatly, a larger sinus tract can be formed at body surface, then insert lumen cannula 1, form final Wicresoft's debridement flushing and drainage channel (as shown in Figure 6).The drainage channel formed at expanded casing 4 is inner, and embed cannula cavity 5, the external diameter of cannula cavity 5 is consistent with the internal diameter of expanded casing 4, and length is slightly longer than expanded casing 4.

As shown in Figure 2, the part that cannula cavity 5 is stretched out relative to expanded casing 4 be circumferentially evenly distributed with aperture, its objective is and prevent slough from resulting in blockage to drainage channel.As shown in Figure 3, have circular channel at the inner chamber of cannula cavity 5, the effect of circular channel is the range of activity of constraint hysteroscope assembly, the integral type apparatus that hysteroscope assembly is made up of hysteroscope 6, hysteroscope Inner sheath 7, hysteroscope epitheca 8.Hysteroscope passage is had in the front end of circular channel, hysteroscope passage adopts nylon material, take into account hardness and damping, its internal diameter is slightly less than the scope of circular channel, interference fit is formed with hysteroscope assembly, its effect is the slide anteroposterior that the matched in clearance of restriction hysteroscope assembly in circular channel produces, doctor under the damping action of hysteroscope passage before and after after push-and-pull hysteroscope assembly to suitable position, hysteroscope assembly can be relatively fixing voluntarily under the effect of hysteroscope passage, without the need to people for managing.

On hysteroscope assembly, there are three input interfaces rear end, and be respectively light source interface 12 and rinse interface 13 and standard C camera interface 14, light source interface 12 is connected to all-in-one multifunctional machine 18 by light guide bundles 17; Rinse interface 13 to be connected on normal saline bag by sensing tube for transfusion, and by the dial rotation on charge pump 19 by saline infusions in flushing interface 13, in order to rinse hysteroscope 6 minute surface, ensure that minute surface can observe pancreas inner case in pancreas; Standard C camera interface 14 is connected to photographic head 21 by standard C shooting bayonet socket 20, and photographic head 21 connects light guide bundles 15 by light source delivery outlet and is connected on the light source delivery outlet 16 of all-in-one multifunctional machine 18.All-in-one multifunctional machine 18 can refer to patent of invention " integrated mobile Wicresoft electronics the endoscope system " (application number: 201510051447.6) of our company's application; Described hysteroscope assembly market mass selling; Medical endoscope cold light source 25, scope conveying pump 26, charge pump 19 are the equipment of our company's public offering, have respectively and provide highlighted light source, large discharge, greatly pressure to send water, steadily constant temperature to send water function.

In cannula cavity 5 inner chamber the side of circular channel cavity in, insert luminous suction catheter 9 (can refer to my company chartered " there is the operation flushing suction tube of illumination functions " patent, the patent No.: ZL200720043011.3).There are two input interfaces luminous suction catheter 9 rear end, and be respectively light source interface 22 and rinse interface 23, light source interface 22 is connected on the light source delivery outlet of Medical endoscope cold light source 25 by light guide bundles 24; Rinse interface 23 to be connected to by medical silicone tube on the water delivery nozzle of scope conveying pump 26;

As shown in Figure 4, curved boom carriage assembly 2 is by lasso 27, little hand tighten screw 28, connecting rod 29, curved boom 30, and wherein curved boom 30 is by disk 31, large hand tighten screw 32, curved boom arm body 33, curved boom base 34, and push rod 35 forms.Female thread on external screw thread on connecting rod 29 and lasso 27 is connected and fixed, and is being inserted into by connecting rod in the circular hole in the middle of the disk 31 on curved boom, fixes with large hand tighten screw 32, and now lasso 27, little hand tighten screw 28, connecting rod 29 are relative with curved boom 30 fixing.

As shown in Figure 5,36 is sham operated beds, has stainless steel stent bar 37 at bedside, by being stuck on stainless steel stent bar 37 by the notch on curved boom base 34, screwing push rod 35 simultaneously and being fixed on operation table by whole curved boom 30.Lasso 27 can be enclosed within expanded casing 4 simultaneously, can free slide anteroposterior, little hand tighten screw 28 is held out against rear lasso 27 relative with expanded casing 4 fixing, now curved boom carriage assembly 2 is relative fixing with special pancreatitis Wicresoft debridement device assembly 1, curved boom 30 is by making by shaped metal pipe, manual adjustments angle and position can be carried out to realize the shift in position of apparatus under damping, and original angle and position can be kept under unmanned support.

In sum, the present invention comprehensively makes a video recording (visual), rinse (large discharge and low discharge rinse), illumination and special Wicresoft passage, cleaned and drain by the slough of mode to patient of water digging type, introduce visual treatment, ensure that the safety of patient, simultaneously efficient, effective, laborsaving.

Although illustrate and described embodiment of the present utility model, for the ordinary skill in the art, be appreciated that and can carry out multiple change, amendment, replacement and modification to these embodiments when not departing from principle of the present utility model and spirit, scope of the present utility model is by claims and equivalents thereof.

Claims (2)

1. acute critical pancreatitis visual necrosis region Wicresoft scavenging system, it is characterized in that: this system comprises pancreatitis special Wicresoft debridement device assembly and curved boom carriage assembly, wherein said pancreatitis special Wicresoft debridement device assembly comprises progressive dilatation device, expanded casing, cannula cavity, hysteroscope assembly and luminous suction catheter, and described progressive dilatation device inside comprises the positioning needle that a diameter is less than 2mm; The drainage channel that described expanded casing is formed is inner, and embed described cannula cavity, the external diameter of described cannula cavity is consistent with the internal diameter of described expanded casing, and length is slightly longer than described expanded casing; The periphery of the part that described cannula cavity is stretched out relative to described expanded casing being evenly distributed with multiple aperture, for preventing slough, drainage channel being resulted in blockage; The inner chamber of described cannula cavity establishes circular channel, and described circular channel is for retraining the range of activity of described hysteroscope assembly; The integral type apparatus that described hysteroscope assembly is made up of hysteroscope, hysteroscope Inner sheath, hysteroscope epitheca; Have hysteroscope passage in the front end of described circular channel, described hysteroscope passage and described hysteroscope assembly form interference fit, and its internal diameter is slightly less than the scope of described circular channel;

On hysteroscope assembly, there are three input interfaces rear end, and be respectively light source interface and rinse interface and standard C camera interface, wherein said light source interface is connected to all-in-one multifunctional machine by light guide bundles; Described flushing interface is connected on normal saline bag by sensing tube for transfusion; Described standard C camera interface is connected to photographic head by standard C shooting bayonet socket, and described photographic head connects light guide bundles by light source delivery outlet and is connected on the light source delivery outlet of all-in-one multifunctional machine;

There are two input interfaces described luminous suction catheter rear end, and be respectively light source interface and rinse interface, described light source interface is connected on the light source delivery outlet of Medical endoscope cold light source by light guide bundles; Described flushing interface is connected on the water delivery nozzle of scope conveying pump by medical silicone tube.

2. acute critical pancreatitis visual necrosis region Wicresoft scavenging system according to claim 1, it is characterized in that: described curved boom carriage assembly comprises lasso, little hand tighten screw, connecting rod, curved boom, wherein said curved boom is by disk, large hand tighten screw, curved boom arm body, curved boom base, push rod forms, female thread on external screw thread on described connecting rod and described lasso is connected and fixed, described connecting rod is inserted in the circular hole in the middle of the disk on described curved boom, and by described large hand tighten screw, described lasso, little hand tighten screw, connecting rod is fixed on described curved boom.