CN205698001U - Laser surgery optical fiber introducer and laser operation apparatus - Google Patents

Laser surgery optical fiber introducer and laser operation apparatus Download PDF

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Publication number
CN205698001U
CN205698001U CN201620307284.3U CN201620307284U CN205698001U CN 205698001 U CN205698001 U CN 205698001U CN 201620307284 U CN201620307284 U CN 201620307284U CN 205698001 U CN205698001 U CN 205698001U
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outer tube
axis
optical fiber
circumference
hole
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CN201620307284.3U
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Chinese (zh)
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吴学杰
韩青
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Abstract

This utility model belongs to the technical field of medical apparatus and instruments.Laser surgery procedures can produce a large amount of smog and eschar, smog affects surgical field of view, pollutes environment, infringement surgical staff health, eschar obscures pathological tissues boundary, affect the accurate excision to it, for solving the problems referred to above, the utility model proposes a kind of laser surgery optical fiber introducer and laser operation apparatus, including outer tube and inner tube, the sidewall of outer tube is provided with water injection pipe, this water injection pipe connects with outer tube, the closed at both ends of outer tube, one end of outer tube is taper, and should be provided with several hole for water sprayings for one end of taper;Inner tube penetrates in outer tube, and stretches out from the two ends of outer tube, leaves gap between inner tube and outer tube.Hole for water spraying of the present utility model, along the physiological saline solution of the direction ejection parallel with the axis of outer tube, has cleaning surgical wound surface and the effect of cooling;The physiological saline solution that hole for water spraying sprays along the direction that axis angle is acute angle with outer tube, it is possible to smog is covered and dissolves smog.

Description

Laser surgery optical fiber introducer and laser operation apparatus
Technical field
This utility model belongs to the technical field of medical apparatus and instruments, is specifically related to a kind of laser surgery optical fiber introducer and laser operation apparatus.
Background technology
Laser surgery is that the feature utilizing laser energy high concentration carries out operating method, as shown in Figure 1, one end of optical fiber 11 is connected with laser generator 10, the other end of optical fiber 11 extend into diseased region 12 in the patient, wherein, laser generator 10 is used for producing laser, and the laser that laser generator 10 produces is conducted by optical fiber 11, and it is positioned at one end injection in the patient from optical fiber 11, so that diseased region 12 to be performed the operation.Wherein, when diseased region 12 is performed the operation by the laser utilizing optical fiber 11 to penetrate, laser burns pathological tissues can produce a large amount of smog, owing to operation is to carry out in the patient, so the smog produced can not disperse in time, cause visual area smudgy, affect operation and be normally carried out.The smog produced in laser surgery procedures is absorbed by the method using suction pump to attract at present, as it is shown in figure 1, suction catheter 13 one end is connected with suction pump 14, the other end of suction catheter 13 is positioned at diseased region 12, produced captivation by suction pump 14, by suction catheter 13, smog is absorbed.At present, defect both ways is deposited in laser surgery, on the one hand, suction pump 14, when absorbing smog, can form negative pressure near diseased region 12 in the patient, causes the tissue near diseased region 12 to occur to attach and affect being normally carried out of operation, especially when laparoscopic surgery, negative pressure-pumping can affect intracavity air pressure, and unstable air pressure will result in tissue around attaching etc., makes a big impact to operation.On the other hand, the calcination of laser can make local organization produce a large amount of eschars, has obscured the boundary of pathological tissues and normal structure, affects the accurate cutting to pathological tissues.
Utility model content
Laser surgery procedures can produce a large amount of smog and eschar, smog affects surgical field of view, pollute environment, infringement surgical staff is healthy, eschar obscures pathological tissues boundary, affect the accurate excision to it, for solving these problems encountered clinically, the utility model proposes a kind of laser surgery optical fiber introducer, this laser surgery optical fiber introducer includes outer tube and inner tube, the sidewall of described outer tube is provided with water injection pipe, this water injection pipe connects with described outer tube, the closed at both ends of described outer tube, one end of described outer tube is taper, and several hole for water sprayings should be provided with for one end of taper;Said inner tube penetrates in described outer tube, and stretches out from the two ends of described outer tube, leaves gap between said inner tube and described outer tube.
Wherein, described hole for water spraying is distributed on several circumference with the axis of described outer tube as the center of circle, described circumference includes several first circumference and several second circumference, the diameter of described first circumference is less than the diameter of described second circumference, the axis of the hole for water spraying on described first circumference is parallel with the axis of described outer tube, and the axis of the hole for water spraying on described second circumference is acute angle with the angle of the axis of described outer tube.
Wherein, the described hole for water spraying interlaced arrangement in adjacent circumferential.
Wherein, described circumference is three, and the axis of the described hole for water spraying on circumference that radius is minimum is parallel with the axis of described outer tube, and the axis of the described hole for water spraying on two other circumference is acute angle with the angle of the axis of described outer tube.
Wherein, described circumference is four, and the axis of the described hole for water spraying on two circumference that radius is less is parallel with the axis of described outer tube, and the axis of the described hole for water spraying on two other circumference is acute angle with the angle of the axis of described outer tube.
Wherein, described outer tube is not provided with one end of described hole for water spraying and is provided with sealing cap.
Wherein, the material of described outer tube, said inner tube and described water injection pipe is medical stainless steel or high temperature resistant medical tube shaped material.
Wherein, described water injection pipe connects injector.
This utility model also proposes a kind of laser operation apparatus, including the laser surgery optical fiber introducer described in any of the above-described item, described laser operation apparatus also includes laser generator and optical fiber, this optical fiber is connected with described laser generator, and this optical fiber penetrates in the inner tube of described laser surgery optical fiber introducer.
This utility model laser surgery optical fiber introducer and laser operation apparatus have a following beneficial effect:
The outer tube of this utility model laser surgery optical fiber introducer is provided with several hole for water sprayings, the axis of this hole for water spraying is parallel with the axis of outer tube, or the axis of this hole for water spraying is acute angle with the angle of the axis of outer tube, when the axis of hole for water spraying and the axis of outer tube are parallel, hole for water spraying is along the direction ejection physiological saline solution parallel with the axis of outer tube, so that surgical wound surface is carried out, the eschar etc. of surgical wound surface is washed, make the distinct of pathological tissues and normal structure, greatly facilitate the accurate cutting to pathological tissues, reduce the damage of normal tissue.Physiological saline solution along the direction ejection parallel with the axis of outer tube can also reduce the temperature at cut position simultaneously, reduces the damage to surrounding tissue, reduces the generation of smog, reduces the formation of eschar, clear excision boundary.
When the axis of hole for water spraying is acute angle with the angle of the axis of outer tube, this hole for water spraying can spray physiological saline solution along the direction that axis angle is acute angle with outer tube, the water column of hole for water spraying ejection can form the water curtain of umbrella to be covered by smog, prevent full of smoke, physiological saline solution also is able to dissolve smog, smog thus it is possible to prevent to spread to surrounding, reach to drop the purpose of cigarette, so that visual area is clear, ensure that operation is normally carried out, also be able to reduce smog to the pollution of surgical environments and the infringement to operation personnel health simultaneously.Also there is along the physiological saline solution having the direction of certain angle to spray with the axis of outer tube cleaning surgical wound surface and the effect of cooling simultaneously.
Accompanying drawing explanation
Fig. 1 is the schematic diagram of existing laser surgery method;
Fig. 2 is the structural representation of this utility model laser surgery optical fiber introducer;
Fig. 3 is the close-up schematic view of the part A of Fig. 2;
Fig. 4 is the use view of this utility model laser surgery optical fiber introducer.
Detailed description of the invention
Introduce the technical solution of the utility model below in conjunction with the accompanying drawings.
As in figure 2 it is shown, this utility model laser surgery optical fiber introducer 22 includes outer tube 16 and inner tube 15, the sidewall of outer tube 16 is provided with water injection pipe 17, and this water injection pipe 17 connects with outer tube 16, and this water injection pipe 17 can be connected with outer tube 16 by the way of welding.The two ends of outer tube 16 are all closed, and one end of outer tube 16 is taper, and should be provided with several hole for water sprayings 18 for one end of taper, i.e. the conical surface is provided with several hole for water sprayings 18.Inner tube 15 penetrates in outer tube 16, and stretches out from the two ends of outer tube 16, and inner tube 15 can be coaxial with outer tube 16, leaves gap between inner tube 15 and outer tube 16.
Hole for water spraying 18 can be distributed on several circumference with the axis of outer tube 16 as the center of circle, this circumference includes several first circumference and several second circumference, the diameter of the first circumference is less than the diameter of the second circumference, the axis of the hole for water spraying on the first circumference is parallel with the axis of outer tube, the axis of the hole for water spraying on the second circumference is acute angle with the angle of the axis of outer tube, the most as shown in Figure 3, hole for water spraying 18 is distributed on three circumference with the axis of outer tube 16 as the center of circle, the i.e. conical surface of outer tube 16 is provided with three circle hole for water sprayings 18, often enclose and all include multiple hole for water spraying 18, hole for water spraying 18 interlaced arrangement on adjacent two circumference, on the conical surface of outer tube 16, the number of turns of hole for water spraying 18 can be the most individual, the concrete number of turns can need to adjust according to actual clinical.Wherein, the axis of the hole for water spraying 18 on circumference (the i.e. first circumference) that radius is minimum is parallel with the axis of outer tube 16, when processing the hole for water spraying 18 on the circumference that this radius is minimum, can punch on the conical surface of outer tube 16 along direction E, direction E is the direction parallel with the axis P of outer tube 16, so that the axis of this hole for water spraying 18 is parallel with the axis of outer tube 16;The axis of the hole for water spraying 18 on two other circumference (the i.e. second circumference) is acute angle with the angle of the axis of outer tube 16, when processing the hole for water spraying 18 on these two circumference, can punch on the conical surface of outer tube 16 along direction F, direction F is the direction that angle is θ of the axis P with outer tube 16, and angle theta is acute angle.Hole for water spraying 18 can also be distributed on four circumference with the axis of outer tube 16 as the center of circle, each circumference includes multiple hole for water spraying 18, and hole for water spraying 18 interlaced arrangement on adjacent two circumference, the axis of the hole for water spraying 18 on two circumference (the i.e. first circumference) that radius is less is parallel with the axis of outer tube 16, and the axis of the hole for water spraying 18 on circumference (the i.e. second circumference) that two other radius is bigger is acute angle with the angle of the axis of outer tube 16.
Preferably, as shown in Figure 4, outer tube 16 is not provided with one end of hole for water spraying 18 and is provided with sealing cap 19.Water injection pipe 17 is located close to the position of the M end of outer tube 16, to facilitate water filling in water injection pipe 17, because this utility model laser surgery is with optical fiber introducer in use, outer tube 16 is that one end i.e. N end of taper to stretch in the patient, and the M end of outer tube 16 to stay patient external, so the position of the water injection pipe 17 M end that is located close to outer tube 16 can facilitate water filling in water injection pipe 17.Water injection pipe 17 connects injector 20, water injection pipe 17 is connected by flexible pipe 21 with injector 20, so injector 20 just can inject physiological saline solution in outer tube 16, wherein on flexible pipe 21, switch (not shown) can be set, for controlling connection or the disconnection of injector 20 and water injection pipe 17, volume control device (not shown) can also be set on flexible pipe 21, in outer tube 16, inject the flow of physiological saline solution for controlling injector 20.The material of outer tube 16, inner tube 15 and water injection pipe 17 is medical stainless steel or high temperature resistant medical tube shaped material.A diameter of 8mm of outer tube 16, a diameter of 2mm of inner tube 15.
As shown in Figure 4, the using method of this utility model laser surgery optical fiber introducer introduced by the conical surface by outer tube 16 as a example by being provided with three circle hole for water sprayings 18 below, the first step, optical fiber 11 is penetrated from the C end of inner tube 15 and passes from D end, being connected with injector 20 by water injection pipe 17, the switch on flexible pipe 21 is closed;Second step, doctor utilizes perforator (not shown) to set up the external world to passage in the patient, this utility model laser surgery optical fiber introducer 22 is stretched in the patient along this passage, and make optical fiber 11 be positioned in the patient at diseased region 12, wherein, the N end of outer tube 16 to extend in the patient, and the M end of outer tube 16 and water injection pipe 17 to stay patient external;3rd step, opens laser generator 10, opens the switch on flexible pipe 21, and mobile outer tube 16 proceeds by laser surgery.Injector 20 injects physiological saline solution by water injection pipe 17 to outer tube 16, this physiological saline solution flows to hole for water spraying 18 and finally sprays from hole for water spraying 18 along the gap between inner tube 15 and outer tube 16, wherein, owing to the axis of the hole for water spraying 18 on the circumference that radius is minimum is parallel with the axis of outer tube 16, so this hole for water spraying 18 can be along the direction ejection physiological saline solution parallel with the axis of outer tube 16, surgical wound surface can be carried out by the parallel water column 24 of this hole for water spraying 18 ejection, because blood can form eschar at surgical wound surface under the high temperature action of laser, cause surgical wound surface smudgy, after the eschar of surgical wound surface is carried out, pathological tissues is apparent from the boundary of normal structure, greatly facilitate the accurate cutting to pathological tissues, reduce the damage of normal tissue.And currently in order to keep the clear of operation visual area, prevent hemorrhage impact in operation process to the cutting of tissue and separation, the most preoperative trunk often needing blocking lesion region or branch vessel supply, but so because of ischemia, the normal structure of patient's adjacent parts can be caused damage, when utilizing optical fiber introducer of the present utility model to carry out laser surgery, need not interrupt the blood supply of diseased region or greatly reduce the blocking-up to diseased region blood supply, while operation, surgical wound surface is rinsed, be conducive to accurately diseased region being excised, reduce the damage of normal tissue, to ensureing that operation is smoothed out, protection patient vitals's health is significant.Physiological saline solution along the direction ejection parallel with the axis of outer tube 16 can also reduce the temperature at cut position, reduces the damage to surrounding tissue, reduces the generation of smog, reduces the formation of eschar, clear excision boundary.
As shown in Figure 4, the axis of the hole for water spraying 18 on the circumference that two other radius is bigger is acute angle with the angle of the axis of outer tube 16, so this hole for water spraying 18 can spray physiological saline solution along the direction that axis angle is acute angle with outer tube 16, the inclination water column 23 of this hole for water spraying 18 ejection can form the water curtain of umbrella to be covered by smog, prevent full of smoke, physiological saline solution also is able to dissolve smog, smog thus it is possible to prevent to spread to surrounding, reach to drop the purpose of cigarette, so that visual area is clear, it is ensured that operation is normally carried out.Also there is along the physiological saline solution having the direction of certain angle to spray with the axis of outer tube 16 cleaning surgical wound surface and the effect of cooling simultaneously.Wherein, hole for water spraying 18 interlaced arrangement on adjacent two circumference, the water column that such hole for water spraying 18 ejects is more dense, prevents the smog space between two water columns from spreading to surrounding, reaches preferably to drop cigarette purpose.
Wherein, optical fiber 11 penetrates in inner tube 15 of the present utility model, so move this utility model laser surgery optical fiber introducer just, to solve due to optical fiber 11 problem that is soft and very difficult the most mobile and that easily snap off damage itself accurately to move optical fiber 11 to diseased region with moving fiber 11.The M end of outer tube 16 is provided with sealing cap 19, this sealing cap 19 has elasticity, sheathed it is fixed on outer tube 16, optical fiber 11 passes from sealing cap 19, sealing cap 19 is prevented from optical fiber 11 and slides, optical fiber 11 is had fixation, seals cap 19 and can also prevent smog from leaking from the gap between optical fiber 11 and inner tube 15.
Inner tube 15 of the present utility model is stretched out from the two ends of outer tube 16, so one side is more convenient when being penetrated in inner tube 15 by optical fiber 11, on the other hand inner tube 15 has higher reflective function than tissue, when hole for water spraying 18 outwards sprays physiological saline solution, the higher reflective function of inner tube 15 makes doctor it is easy to see that inner tube 15, and optical fiber 11 passes from inner tube 15, the most just it is easily determined the position of optical fiber 11, enables the surgeon to enough accurately diseased region be performed the operation.
As shown in Figure 4, this utility model laser operation apparatus includes laser surgery optical fiber introducer 22, laser generator 10 and optical fiber 11, and this optical fiber 11 is connected with laser generator 10, and this optical fiber 11 penetrates in the inner tube 15 of laser surgery optical fiber introducer 22.

Claims (9)

1. a laser surgery optical fiber introducer, it is characterised in that include outer tube and inner tube, the sidewall of described outer tube is provided with water injection pipe, and this water injection pipe connects with described outer tube, the closed at both ends of described outer tube, one end of described outer tube is taper, and should be provided with several hole for water sprayings for one end of taper;Said inner tube penetrates in described outer tube, and stretches out from the two ends of described outer tube, leaves gap between said inner tube and described outer tube.
Laser surgery optical fiber introducer the most according to claim 1, it is characterized in that, described hole for water spraying is distributed on several circumference with the axis of described outer tube as the center of circle, described circumference includes several first circumference and several second circumference, the diameter of described first circumference is less than the diameter of described second circumference, the axis of the hole for water spraying on described first circumference is parallel with the axis of described outer tube, and the axis of the hole for water spraying on described second circumference is acute angle with the angle of the axis of described outer tube.
Laser surgery optical fiber introducer the most according to claim 2, it is characterised in that the described hole for water spraying interlaced arrangement in adjacent circumferential.
Laser surgery optical fiber introducer the most according to claim 2, it is characterized in that, described circumference is three, the axis of the described hole for water spraying on circumference that radius is minimum is parallel with the axis of described outer tube, and the axis of the described hole for water spraying on two other circumference is acute angle with the angle of the axis of described outer tube.
Laser surgery optical fiber introducer the most according to claim 2, it is characterized in that, described circumference is four, the axis of the described hole for water spraying on two circumference that radius is less is parallel with the axis of described outer tube, and the axis of the described hole for water spraying on two other circumference is acute angle with the angle of the axis of described outer tube.
6. according to the optical fiber introducer of the laser surgery according to any one of claim 1-5, it is characterised in that described outer tube is not provided with one end of described hole for water spraying and is provided with sealing cap.
7. according to the optical fiber introducer of the laser surgery according to any one of claim 1-5, it is characterised in that the material of described outer tube, said inner tube and described water injection pipe is medical stainless steel or high temperature resistant medical tube shaped material.
8. according to the optical fiber introducer of the laser surgery according to any one of claim 1-5, it is characterised in that described water injection pipe connects injector.
9. a laser operation apparatus, it is characterized in that, including the optical fiber introducer of the laser surgery according to any one of claim 1-8, described laser operation apparatus also includes laser generator and optical fiber, this optical fiber is connected with described laser generator, and this optical fiber penetrates in the inner tube of described laser surgery optical fiber introducer.
CN201620307284.3U 2016-04-13 2016-04-13 Laser surgery optical fiber introducer and laser operation apparatus Withdrawn - After Issue CN205698001U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201620307284.3U CN205698001U (en) 2016-04-13 2016-04-13 Laser surgery optical fiber introducer and laser operation apparatus

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Application Number Priority Date Filing Date Title
CN201620307284.3U CN205698001U (en) 2016-04-13 2016-04-13 Laser surgery optical fiber introducer and laser operation apparatus

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CN205698001U true CN205698001U (en) 2016-11-23

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105662580A (en) * 2016-04-13 2016-06-15 吴学杰 Optical fiber importer for laser operation
CN108354666A (en) * 2018-03-02 2018-08-03 西安交通大学医学院第附属医院 A kind of hand-held device generating smog when reducing high power laser light affected tissues

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105662580A (en) * 2016-04-13 2016-06-15 吴学杰 Optical fiber importer for laser operation
CN105662580B (en) * 2016-04-13 2018-11-27 吴学杰 Laser surgey optical fiber inducting device
CN108354666A (en) * 2018-03-02 2018-08-03 西安交通大学医学院第附属医院 A kind of hand-held device generating smog when reducing high power laser light affected tissues
CN108354666B (en) * 2018-03-02 2024-05-28 崇好科技有限公司 Handheld device capable of reducing smoke generated during high-power laser action on tissues

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AV01 Patent right actively abandoned

Granted publication date: 20161123

Effective date of abandoning: 20181127

AV01 Patent right actively abandoned