CN206333961U - A kind of rotary-type medical TURP and electric coagulation device - Google Patents

A kind of rotary-type medical TURP and electric coagulation device Download PDF

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Publication number
CN206333961U
CN206333961U CN201620581602.5U CN201620581602U CN206333961U CN 206333961 U CN206333961 U CN 206333961U CN 201620581602 U CN201620581602 U CN 201620581602U CN 206333961 U CN206333961 U CN 206333961U
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China
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runner
turp
handle
sealing ring
rotary
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CN201620581602.5U
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朱小伟
黎洁
朱凤磊
张忠民
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Leo Medical Co ltd
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Changzhou Leo Medical Co Ltd
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Abstract

A kind of rotary-type medical TURP and electric coagulation device, including snare, connecting tube, insulating sleeve, outer sheath, coagulating electrode, rotating shaft, handle set, sealing ring, conduit, runner, ventilating joint, energization joint and handle;Characterized in that, handle set axially has through hole and has runner groove between ventilating joint;Runner groove distal face has the circular groove consistent or bigger with sealing ring external diameter toward distal direction, and circular groove is not connected with ventilation interface cavity;Sealing ring is fitted loaded on its proximal end face in circular groove with runner distal face;Runner proximal end face is fitted with runner groove proximal end face, and runner distal face is not contacted with runner groove distal face;Runner endoporus is non-circular;Rotating shaft material is stainless steel or NiTi;Tube material is stainless or ferronickel or copper;Rotating shaft and catheter surface are coated with the coating of reduction frictional resistance.The utility model is provided simultaneously with TURP, coagulation, three kinds of functions of edge TURP coagulation, and conveniently adjusted snare direction shortens operating time, lowers operating difficulty, saves medical expense.

Description

A kind of rotary-type medical TURP and electric coagulation device
Technical field
Strangled the present invention relates to one kind for alimentary canal, respiratory tract polyp or tumour and remove, burn, cutting, synchronously realize blood coagulation The medical apparatus of function.Belong to medical instruments field.
Background technology
Conventional that alimentary canal, respiratory tract polyp or tumour are extractd under scope using electric snare, its principle is profit Hyperpyrexia is produced into contact with the tissue of snare with high frequency electric and be cauterized cut-out, completely rapidly cut off polyp and thoroughly stop Blood.
Traditional electric snare excision polyp, is usually associated with art/postoperative hemorrhage.For anticoagulant therapy patient, carry out Operation consent generally requires to withdraw anticoagulation, and this further increases the risk of bleeding.Conventional intraoperative hemorrhage, or use argon gas jet pipe electricity Solidifying hemostasis;Or spray line or injection needle are used, sprayed to bleeding part or inject Hemostatics;Or pressed from both sides using apparatuses such as hemostatic clamps Hold bleeding part hemostasis, etc..
In addition, for that in operation, may there are the edge tissues of part to remain and edge oozing of blood.Traditional electric snare, it is right Above-mentioned situation can not implement excision and hemostasis operation.Special apparatus is now changed, aforesaid operations are completed such as needle-like knife.
Grant number is CN2049096320U patent, invented it is a kind of can be while be used for TURP and the device of coagulation, can To solve the above problems.But the technology is the apparatus of snare direction fixed, for alimentary canal or respiratory tract different spatial Polyp or tumour when being treated, it is necessary to so that snare is able to alignment target lesion by way of rotating scope direction, deposit In certain not convenient property of operation.
The content of the invention
In order to solve the above mentioned problem of prior art, the present invention provides a kind of rotary-type medical TURP and electric coagulation device, hand During art, it not only conveniently can realize to strangle alimentary canal, respiratory tract polyp or tumour and remove, burn, cutting, synchronous realization is solidifying Blood, and margin residual tissue can be cut off and edge oozing of blood position progress electric coagulation hemostasis.With function is integrated, structure is simple It is single, the characteristics of easy to operate, shorten operating time and lower operating difficulty, save medical expense.
To achieve these goals, the technical solution adopted in the present invention is:
A kind of rotary-type medical TURP and electric coagulation device, including snare, connecting tube, insulating sleeve, outer sheath, coagulation electricity Pole, rotating shaft, handle set, sealing ring, conduit, runner, ventilating joint, energization joint and handle;Outer sheath near-end connects with handle set Connect, insulating sleeve and coagulating electrode are both secured to outer sheath distal end inwall, and snare is connected by connecting tube and rotating shaft distal end, rotating shaft Near-end is connected with distal end of catheter, and sealing ring and runner are arranged on handle set relevant position, and conduit is from handle set, sealing ring and turns Through being connected again with the energization joint on handle in the middle of wheel, ventilating joint is provided with handle set, handle is assemblied in hand Handle seat is upper and reciprocable, snare, connecting tube, insulating sleeve, outer sheath, coagulating electrode, rotating shaft, handle set, sealing ring, leads Pipe, runner, handle are installed each along outer sheath length axes direction.Handle is axially moved along handle set, control snare stretch out or Into outer sheath.Wherein:Handle set axially has through hole and has the runner groove of radial opening between ventilating joint.Runner groove For laying runner.Handle block hole passes through for conduit, through hole internal diameter 0.1mm more than bigger than catheter outer diameter, enough cooperations Gap can ensure conduit flexible rotating in through-holes.
Handle set runner groove distal face is toward having the circular groove consistent or bigger with sealing ring external diameter, and circular groove on distal direction Do not connected with ventilation interface cavity.Circular groove is used to install a sealing ring to 20 quantity, and particular number is according to actual conditions It is determined that.Sealing ring is loaded in circular groove and sealing ring proximal end face is fitted with runner distal face, runner proximal end face and runner groove near-end Face is fitted, and runner distal face is not contacted with runner groove distal face.Above-mentioned guarantee runner can be with persistent pressure on sealing ring.Sealing Loop material is the one or more combination in silica gel, rubber, TPE, PVC, PTFE, and material has certain elastic deformability. Internal diameter of the seal ring and catheter outer diameter difference are -0.8mm ~+0.8mm, both even if there is gap also will not be especially big.Pass through runner Distal face crush seal circle proximal end face, sealing ring deforms, and internal diameter diminishes, so that remote in conduit, sealing ring, handle block hole End part, the luminal portion formation sealing of ventilation interface, it is ensured that argon gas does not leak toward the flowing of outer sheath distal direction.In addition, above-mentioned Structure can ensure the sealing ring deformable seal under runner compression always, even if driven by rotating wheel conduit and rotating shaft rotation remain to keep Sealing state.
Runner endoporus is non-circular, such as one kind in kidney-shaped, oblateness, water-drop-shaped, polygon.Matched conduit Part is also fabricated to shape consistent therewith so that non-slip in driven by rotating wheel conduit rotary course.
Rotating shaft material is stainless steel or NiTi.Rotating shaft material requirement possesses certain rigidity, it is ensured that snare is in tortuous disappear Change and remain to smoothly release or reclaim in road, possess certain synchronous rotary performance while also requiring that, it is ensured that snare can cooperate with runner Synchronous rotary.
Tube material is stainless or ferronickel or copper.The conduit of metal material can ensure that good electric conductivity and mechanics are strong Degree.
Rotating shaft and catheter material surface are coated with the coating of reduction frictional resistance.Coating chemically reacts with material surface As a material surface part, or do not chemically react with material surface, only distinct faces coating presence.The former coating material Material composition should select type siloxane, and the latter needs to select organic silicon.
Further, it is the geometric figure with internal diameter, external diameter on the sealing ring circumferencial direction section.Internal diameter and conduit Coordinate, external diameter coordinates with handle set circular groove.Can be many for circular, cylindrical, square, double circular ring types etc. on circumferencial direction section Plant geometry.
Further, the runner proximal end face has annular recess, and depth of groove is not less than 0.1mm.The effect of annular groove, It is to reduce the frictional force of runner proximal end face and handle set runner groove proximal end face.Two plane contact areas are small, and runner rotates when institute It can also be declined by frictional force.
Further, the runner largest contours protrude handle seating face, and radially there is the rib of more than 1 outer surface Shape projection.Above-mentioned design can increase operator's feel, and be skidded when preventing from rotating between hand and runner.
Compared with the existing technology the beneficial effect of above-mentioned technical proposal is taken to be compared with, the present invention:In surgical procedure, one is used Device is planted, not only conveniently can realize to strangle alimentary canal, respiratory tract polyp or tumour and remove, burn, cutting, synchronously realize blood coagulation, And margin residual tissue can be cut off and edge oozing of blood part carries out electric coagulation hemostasis.It is integrated, simple in construction with function, Easy to operate the characteristics of, shorten operating time and lower operating difficulty, save medical expense.
Brief description of the drawings
In order to illustrate more clearly about the embodiment of the present invention or technical scheme of the prior art, below will be to embodiment or existing The accompanying drawing to be used needed for having technology description is briefly described, it should be apparent that, drawings in the following description are only this Some embodiments of invention, for those of ordinary skill in the art, on the premise of not paying creative work, can be with Other accompanying drawings are obtained according to these accompanying drawings.
The invention will be further described with reference to the accompanying drawings and examples.
Fig. 1 is general structure schematic diagram and snare all stretches out, device is in TURP status architecture schematic diagram.
Fig. 2 is outer sheath distal structure enlarged drawing when snare is withdrawn, device is in coagulation state.
Fig. 3 is that snare part is stretched out, outer sheath distal structure enlarged drawing when device is in edge TURP and coagulation state.
Fig. 4 is handle set rotation and hermetic unit structural representation.
Fig. 5 is sealing ring circumferencial direction cross sectional shape schematic diagram.
Fig. 6 is runner internal via shape schematic diagram.
Fig. 7 is runner proximal end face groove and outer surface prismatic raised structures schematic diagram.
In figure, 1. snares, 101. heads, 2. connecting tubes, 3. insulating sleeves, 4. outer sheaths, 5. coagulating electrodes, 6. rotating shafts, 7. handle set, 701. runner grooves, 702. circular grooves, 8. sealing rings, 9. conduits, 10. runners, 1001. runner distal faces, 1002. turns Take turns proximal end face, 1003. prismatic projections, 11. ventilating joints, 12. energization joints, 13. handles, 14. high frequency electric sources, 15. air accumulators.
Embodiment
Referring now to accompanying drawing, the invention will be further described.
As shown in figure 1, a kind of rotary-type medical TURP and electric coagulation device, including it is snare 1, connecting tube 2, insulating sleeve 3, outer Sheath 4, coagulating electrode 5, rotating shaft 6, handle set 7, sealing ring 8, conduit 9, runner 10, ventilating joint 11, energization joint 12 and hand Handle 13;The near-end of outer sheath 4 is connected with handle set 7, and insulating sleeve 3 and coagulating electrode 5 are both secured to the distal end inwall of outer sheath 4, circle Set 1 is distally connected by connecting tube 2 and rotating shaft 6, and the near-end of rotating shaft 6 is distally connected with conduit 9, and sealing ring 8 and runner 10 are pacified respectively Relevant position loaded on handle set 7, conduit 9 in the middle of handle set 7, sealing ring 8 and runner 10 through again with energization joint 12 Connection, energization joint 12 is arranged on handle 13, and handle 13 is assemblied on handle set 7 and reciprocable, is set on handle set 7 Have a ventilating joint 11, snare 1, connecting tube 2, insulating sleeve 3, outer sheath 4, coagulating electrode 5, rotating shaft 6, handle set 7, sealing ring 8, Conduit 9, runner 10, handle 13 are installed each along the length axes direction of outer sheath 4.Handle 13 is axially moved along handle set 7, control Snare 1 stretches out or into outer sheath 4.
As shown in figure 1, snare 1, connecting tube 2, outer sheath 4, rotating shaft 6, handle set 7, conduit 9, runner 10, energization joint 12 TURP unit is constituted with handle 13;When enabling TURP function, handle 13 promotes forward the fully extended outer sheath 4 of snare 1, and energization connects First 12 are connected with high frequency electric source 14, and handle 13 is pulled back along handle set 7, and snare 1 is progressively tightened up, and implement TURP operation.In circle During the alignment polyp of set 1 or tumour are inserted in, such as direction and goal of snare 1 is inconsistent, then rotating wheel 10, and runner 10 drives and led Pipe 9 and rotating shaft 6 and snare 1 are rotated so that the direction and goal of snare 1 is consistent, and snare 1 can be inserted in polyp or the root of tumour Portion.
As shown in Fig. 2 snare 1, connecting tube 2, insulating sleeve 3, outer sheath 4, coagulating electrode 5, rotating shaft 6, handle set 7, close Seal 8, conduit 9, runner 10, ventilating joint 11, energization joint 12 and the composition coagulation unit of handle 13;When enabling coagulation function, Handle 13 pulls back snare 1 along handle set 7, it is taken in completely in outer sheath 4, now snare 1 is contacted with coagulating electrode 5, Energization joint 12 is connected with high frequency electric source 14, and ventilating joint 11 is connected with the air accumulator 15 equipped with inert gas, and inert gas exists It is ionized at the far distance port coagulating electrode 5 of outer sheath 4, implements coagulation operation.
As shown in figure 3, snare 1, connecting tube 2, outer sheath 4, rotating shaft 6, handle set 7, conduit 9, energization joint 12 and handle 13 into edge TURP coagulation unit;When enabling edge TURP and coagulation function, handle 13 is promoted forward along handle set 7,1, snare Divide and stretch out outer sheath 4, form " long needle-like " head 101, energization joint 12 is connected with high frequency electric source 14, implemented to cut by head 101 Cut edge cuts and coagulation operation.
As shown in figure 4, the near-end of outer sheath 4 and handle set 7 are connected, the near-end of rotating shaft 6 and conduit 9 are distally connected, and runner 6 is installed In handle set runner groove 701, sealing ring 8 is arranged in handle set circular groove 702, and runner proximal end face 1002 and runner groove 701 are near End contact, runner distal face 1001 is contacted with the proximal end face of sealing ring 8, and runner distal face 1001 is not near with runner groove 701 End contact, the superposition height of 1 or several sealing rings 8 is more than the depth of circular groove 702.Conduit 9 is sequentially through the distal end of handle set 7 It is connected after endoporus, sealing ring 8, runner 10, the near-end endoporus of handle set 7 with the energization joint 12 on handle 13.Handle set 7 Through hole internal diameter can ensure the flexible rotating in through-holes of conduit 9 than big more than the 0.1mm of the external diameter of conduit 9, enough fit clearances.It is close The material of seal 8 is the one or more combination in silica gel, rubber, TPE, PVC, PTFE, with certain elastic deformability.It is close The internal diameter of seal 8 and the external diameter difference of conduit 9 are -0.8mm ~+0.8mm, both even if there is gap also will not be especially big, sealing ring 8 Slight stress deformation can produce sealing to conduit 9.Because runner 10 is to the continu to press of sealing ring 8, sealing ring 8 produces one Fixed elastic deformation, sealing is produced to conduit 9 and the planar section of circular groove 702, so as to be formed in the ventilation luminal portion of interface 11 Sealing, it is ensured that argon gas does not leak toward the flowing of the distal direction of outer sheath 4.Even if said structure make it that runner 10 drives conduit 9 and turned Remain to keep sealing state in the rotary course of axle 6.
As shown in figure 5, being several shape and structures in the circumferencial direction section of sealing ring 8.Sealing ring 8 is on circumferencial direction section For the geometric figure with internal diameter, external diameter.Internal diameter coordinates with conduit 9, and external diameter coordinates with handle set circular groove 702.In circumferencial direction Can be a variety of geometries such as circular, cylindrical, square, double circular ring types on section.
As shown in fig. 6, the internal via shape of runner 10 is non-circular, such as kidney-shaped, oblateness, water-drop-shaped and various polygons Deng.The matched part of conduit 9 is also fabricated to shape consistent therewith so that non-slip during the drive conduit 9 of runner 10.
As shown in fig. 7, runner proximal end face 1002 has annular recess, depth of groove is not less than 0.1mm.The work of annular groove With being to reduce the frictional force of runner proximal end face 1002 and handle set runner groove proximal end face.Two plane contact areas are small, and runner turns Friction can also decline when dynamic.In addition, the largest contours of runner 9 should protrude the surface of handle set 7, and the outer surface edge of runner 9 Radially there is the prismatic projection 1003 of more than 1.Above-mentioned design can increase operator's feel, and hand and runner 10 when preventing from rotating Between skid.
The material of rotating shaft 6 is stainless steel or NiTi.The material requirements of rotating shaft 6 possesses certain rigidity, it is ensured that snare 1 is tortuous Remain to smoothly release or reclaim in alimentary canal, possess certain synchronous rotary performance while also requiring that, it is ensured that snare 1, which can be cooperateed with, to be turned Take turns synchronous rotary.
The material of conduit 9 is stainless or ferronickel or copper.The conduit 9 of metal material can ensure good electric conductivity and mechanics Intensity.
Rotating shaft 6 and the material surface of conduit 9 are coated with the coating of reduction frictional resistance.With material surface chemistry can occur for coating A material surface part is reacted to, now coating material composition should select type siloxane;Or it is chemical with material surface generation Reaction, only distinct faces coating are present, and now coating material composition is that should select organic silicon.The former is selected, production efficiency Relatively low, product cost is higher, and coating and material surface are combined as a whole, and coating is difficult to peel off to can guarantee that preferable usability Can be with lasting using effect;Select the latter, then production efficiency is of a relatively high, and product cost is relatively low, but coating easily peel off from And influence using effect.
During use, doctor as needed, when selection TURP, coagulation, edge TURP coagulation function, passes through driving handle 13 slide on handle set 7 to control the position of snare 1, while switching on power as needed respectively and source of the gas, realize above-mentioned work( Energy.When using TURP function, according to target direction rotating wheel 10, snare 1 is rotated with until consistent with target direction, with It is convenient for next step operation.
The present invention has function integrated, simple in construction, the characteristics of easy to operate, shortens operating time and attenuating operation is difficult Degree, saves the advantage of medical expense.
The foregoing description of the disclosed embodiments, enables professional and technical personnel in the field to realize or using the present invention. A variety of modifications to these embodiments will be apparent for those skilled in the art, as defined herein General Principle can be realized in other embodiments without departing from the spirit or scope of the present invention.Therefore, it is of the invention The embodiments shown herein is not intended to be limited to, and is to fit to and principles disclosed herein and features of novelty phase one The most wide scope caused.

Claims (11)

1. a kind of rotary-type medical TURP and electric coagulation device, including snare, connecting tube, insulating sleeve, outer sheath, coagulating electrode, Rotating shaft, handle set, sealing ring, conduit, runner, ventilating joint, energization joint and handle;Outer sheath near-end is connected with handle set, Insulating sleeve and coagulating electrode are both secured to outer sheath distal end inwall, and snare is connected by connecting tube and rotating shaft distal end, and rotating shaft is near End is connected with distal end of catheter, and sealing ring and runner are respectively arranged in the relevant position of handle set, conduit from handle set, sealing ring with And through being connected again with energization joint in the middle of runner, energization joint is arranged on handle, and ventilating joint, hand are provided with handle set Handle is assemblied on handle set and reciprocable, snare, connecting tube, insulating sleeve, outer sheath, coagulating electrode, rotating shaft, handle Seat, sealing ring, conduit, runner, handle are installed each along outer sheath length axes direction, and handle is axially moved along handle set, are controlled Snare processed stretches out or entered outer sheath;Characterized in that, the handle set axially has through hole and has footpath between ventilating joint To the runner groove of opening;The runner groove distal face toward having the circular groove consistent or bigger with sealing ring external diameter on distal direction, and And circular groove is not connected with ventilation interface cavity;The sealing ring is loaded in circular groove and sealing ring proximal end face is pasted with runner distal face Close;The runner proximal end face is fitted with runner groove proximal end face, and runner distal face is not contacted with runner groove distal face;Described turn It is non-circular to take turns endoporus;The rotating shaft material is stainless steel or NiTi;The tube material is stainless or ferronickel or copper;Described turn Axle and catheter surface are coated with the coating of reduction frictional resistance.
2. a kind of rotary-type medical TURP and electric coagulation device as claimed in claim 1, it is characterised in that the sealing ring circumference It is the geometric figure with internal diameter, external diameter on the section of direction.
3. a kind of rotary-type medical TURP and electric coagulation device as claimed in claim 1, it is characterised in that the internal diameter of the seal ring It is -0.8mm ~+0.8mm with catheter outer diameter difference.
4. a kind of rotary-type medical TURP and electric coagulation device as claimed in claim 1, it is characterised in that the sealing ring material For the one or more combination in silica gel, rubber, TPE, PVC, PTFE.
5. a kind of rotary-type medical TURP and electric coagulation device as claimed in claim 1, it is characterised in that the handle set circular groove Built-in ring number is 1-20.
6. a kind of rotary-type medical TURP and electric coagulation device as claimed in claim 1, it is characterised in that the runner endoporus shape Shape is non-circular, such as kidney-shaped, oblateness, water-drop-shaped, polygon.
7. a kind of rotary-type medical TURP and electric coagulation device as claimed in claim 1, it is characterised in that the runner proximal end face There is annular recess, depth of groove is not less than 0.1mm.
8. a kind of rotary-type medical TURP and electric coagulation device as claimed in claim 1, it is characterised in that the runner most bull wheel The prominent handle seating face of exterior feature.
9. a kind of rotary-type medical TURP and electric coagulation device as claimed in claim 1, it is characterised in that the runner outer surface Radially there is the prismatic projection of more than 1.
10. a kind of rotary-type medical TURP and electric coagulation device as claimed in claim 1, it is characterised in that the handle set axle To through hole internal diameter 0.1mm more than bigger than catheter outer diameter.
11. a kind of rotary-type medical TURP and electric coagulation device as claimed in claim 1, it is characterised in that the coating and material Expect that surface occurs chemical reaction and turns into a material surface part, or do not chemically react with material surface, only distinct faces Coating.
CN201620581602.5U 2016-06-16 2016-06-16 A kind of rotary-type medical TURP and electric coagulation device Active CN206333961U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105852964A (en) * 2016-06-16 2016-08-17 常州乐奥医疗科技股份有限公司 Rotary medical electroexcision and electrocoagulation device
CN108066005A (en) * 2018-01-25 2018-05-25 鑫海合星科技(大连)有限公司 rotary valve electric hook

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105852964A (en) * 2016-06-16 2016-08-17 常州乐奥医疗科技股份有限公司 Rotary medical electroexcision and electrocoagulation device
CN105852964B (en) * 2016-06-16 2024-03-19 常州乐奥医疗科技股份有限公司 Rotary medical electric cutting and coagulation device
CN108066005A (en) * 2018-01-25 2018-05-25 鑫海合星科技(大连)有限公司 rotary valve electric hook
CN108066005B (en) * 2018-01-25 2024-02-27 鑫海合星科技(大连)有限公司 Rotary valve body electric hook

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Address after: Building 10, No. 23 Huashan Middle Road, Xinbei District, Changzhou City, Jiangsu Province, 213022

Patentee after: LEO MEDICAL CO.,LTD.

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Address before: 213022 floor 2, building 10, No. 18, Huashan Middle Road, Xinbei District, Changzhou City, Jiangsu Province

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