CN206630632U - Gastroscope up-stripping part and its pusher - Google Patents
Gastroscope up-stripping part and its pusher Download PDFInfo
- Publication number
- CN206630632U CN206630632U CN201621313198.XU CN201621313198U CN206630632U CN 206630632 U CN206630632 U CN 206630632U CN 201621313198 U CN201621313198 U CN 201621313198U CN 206630632 U CN206630632 U CN 206630632U
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- China
- Prior art keywords
- release
- gastroscope
- stripping part
- head
- pushing piece
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Abstract
The utility model is related to one kind can fully expose surgical field of view in gastroscope strip operation art journey, and the gastroscope up-stripping part that can effectively aid in lesion to peel off, in addition, also provide a kind of gastroscope up-stripping part pusher that can facilitate and be sent into the gastroscope up-stripping part.
Description
Technical field
The utility model belongs to technology technical field of medical instruments, more particularly to a kind of gastroscope up-stripping part and its pushes away
Send device.
Background technology
Under the scope come by EMR (endoscopic mucosal resection, EMR) evolution
For mucous membrane decollement (endoscopic submucosal dissection, ESD) because its complete resection rate is high, security is good, makes
The idicatio of alimentary canal morning cancer and other tumor resections expands, progressively as well accepted microinvasive surgical teatment mode.Inside
During mucous membrane decollement was implemented under mirror, there are three basic step art formulas, i.e. submucosal injection, the annular incision of perilesional mucous membrane
With the stripping of lesion sub-mucosal tissues.
Some ESD are treated with the focus at difficult position, the submucosal injection being usually taken repeatedly carries for subsequent peeling operations
The surgical field of view of limit is provided with, but injection can extend operating time repeatedly, increase bleeding, the danger of perforation.It is another simple
Scheme is that adjustment patient posture can be attempted according to the direction of gravity, release surface is obtained preferable tension force, obtains the operation visual field, but
In some operations (being related to upper digestive tract), the optional position of patient is limited, limits its using effect.Therefore how in art
There is provided good " surgical field of view " turns into the key to solve the above problems.
After being inspired by surgery drawing technology, various scope auxiliary traction technologies are arisen at the historic moment.By tractive force source
Position can be roughly divided into traction in vivo and external traction；Metal clip silk thread combined drawing skill can be divided into again by being formed by draw-gear
Art, metal clip elastic ring combined drawing technology, S-O metal clips traction technique, magnetic anchor technology etc..But when being grasped in gastroscope
When making, it is only capable of accommodating single operation device, above-mentioned each auxiliary traction technology is difficult application.
Utility model content
In a first aspect, the utility model provides one kind compared to existing to solve technical problem present in known technology
For technology, surgical field of view can be fully exposed in gastroscope strip operation art journey, and effectively lesion can be aided in peel off
Gastroscope up-stripping part.
The utility model is adopted the technical scheme that to solve technical problem present in known technology：
A kind of gastroscope up-stripping part, including：Including：One release portion and the wing plate located at release portion both ends, it is described
Release portion is flexible and V-shaped in the case of without external force constraint.
The utility model can also use following technical measures：The release portion is flat sheet shape structure or round wire
Shape structure.
The utility model can also use following technical measures：The wing plate is provided with hook.
The utility model can also use following technical measures：A flexible member is provided with the release portion.
Second aspect, the utility model provide a kind of gastroscope auxiliary that can facilitate and be sent into the gastroscope up-stripping part
Release member pusher.
A kind of pusher for being used to pushing to gastroscope up-stripping part into patient's body, including：Pushing piece and for holding
Receive the release member of pushing piece, the pushing piece includes：Push rod and the push head for being arranged on push boom end, it is described to push on head
Provided with the buckling groove for accommodating release portion, the release member includes：Hollow release lever and it is connected with release lever hollow
Release head, the one end of the release head away from release lever are provided with the annular stop for being used to prevent release member wing plate from entering release head
Plate.
The utility model can also use following technical measures：The limiting plate is provided with close to the side wall of release lever and post
Shape release channel.
The utility model can also use following technical measures：The release channel is provided with ring close to one end of release lever
Shape position-stopping plate.
The utility model can also use following technical measures：The push head center is provided with magnetite.
The third aspect, the utility model also provide it is a kind of can facilitate by the gastroscope up-stripping part be sent into gastroscope it is auxiliary
Help release member pusher.
A kind of pusher for being used to pushing to gastroscope up-stripping part into patient's body, including：Pushing piece and for holding
Receive the release member of pushing piece, the pushing piece is push rod, and the release member is hollow release lever, and the release lever both ends are opened
Mouthful and its stretch into one end of gastroscope and can store release portion.
The utility model can also use following technical measures：The push rod is provided with grapple close to the one end in release portion.
The utility model has the advantages and positive effects of：
In summary, the utility model provides a kind of gastroscope up-stripping part first, in gastroscope strip operation art journey, doctor
Teacher can be by the release member as between tumour and muscularis propria, i.e., two wing plates contact tumour and muscularis propria respectively, by releasing
Portion's release tension force is put, with the progress of art journey, the opening angle in release portion is increasing, can fully expose surgical field of view,
Doctor is facilitated to operate.
Secondly, the utility model is also provided with two kinds of push dresses for being used to pushing to gastroscope up-stripping part into patient's body
Put.
In gastroscope strip operation art journey, if using the pusher of the first structure, doctor first pushes away what is be completed
Send the push head in device to be sent out from release member, then above-mentioned release member is inserted in the buckling groove of push head, this practicality is new
Type inserts patient's body step by step, until push head is arrived to the off-position between tumour and muscularis propria, selecting release member,
The both ends of wing plate are respectively placed in tumour and muscularis propria, release lever is pushed ahead along push rod, until release head arrives at stripping
At the wing plate of off member, push rod is reclaimed, is discharged release member to tumour and muscularis propria from buckling groove using annular stop plate
Between.
If using the pusher of second of structure, release member should be formed on the end of release lever in advance by doctor first, then,
The utility model is inserted into patient's body step by step, selects the off-position of release member, the both ends of wing plate are respectively placed in tumour
On muscularis propria, push rod is pushed ahead along release lever, release member is gone out from the end release of release lever.
Improvement based on the technical scheme, with the progress of art journey, the opening angle of release member is increasing, is shelled in gastroscope
From fully exposed surgical field of view, and effectively lesion can be aided in peel off in operation art journey.
Brief description of the drawings
Fig. 1 is the structural representation of the new new middle gastroscope up-stripping part of this practicality；
Fig. 2 is the structural representation (flexible member) of the new new middle gastroscope up-stripping part of this practicality；
Fig. 3 is the structural representation of pushing piece in the utility model；
Fig. 4 is the structural representation of release member in the utility model；
Fig. 5 is assembly structure diagram of the present utility model (push state)；
Fig. 6 is assembly structure diagram of the present utility model (release conditions)；
Fig. 7 is the structural representation (limiting plate) of release head in the utility model；
Fig. 8 is the structural representation (position-stopping plate) of release head in the utility model；
Fig. 9 is the assembling cross section structure diagram (embodiment three) of pusher of the present utility model.
In figure：1st, release portion；2nd, wing plate；3rd, flexible member；4th, pushing piece；41st, push rod；42nd, head is pushed；43rd, clamping
Groove；5th, release member；51st, release lever；52nd, release head；53rd, limiting plate；54th, release channel；55th, position-stopping plate；6th, grapple.
Embodiment
Specific embodiment of the present utility model is described further below in conjunction with the accompanying drawings.Herein it should be noted that
It is used to help understand the utility model for the explanation of these embodiments, but does not form to restriction of the present utility model.This
Outside, as long as the technical characteristic being related in each embodiment of the utility model disclosed below does not form conflict each other
Can is mutually combined.
Embodiment one：
Referring to Fig. 1, a kind of gastroscope up-stripping part has been disclosed particularly in the present embodiment, including：One release portion 1 and set
Wing plate 2 in the both ends of release portion 1, the release portion 1 are flexible and V-shaped in the case of without external force constraint.
Wherein, release portion, for discharging tension force, it has certain elasticity, and release portion opens in the state of of no force
It is V-shaped, to facilitate the wing plate 2 for being located at the both ends of release portion 1 to be located remotely from each other.Release portion main part can be in flat sheet
Shape, can also rounded wire-like.
Wing plate, for the utility model to be stably placed between tumour and muscularis propria, two wing plates contact swollen respectively
Knurl and muscularis propria.
Operation principle：
In gastroscope strip operation art journey, doctor can be by the release member as between tumour and muscularis propria, i.e. both wings
Plate contacts tumour and muscularis propria respectively, discharges tension force by release portion, with the progress of art journey, the opening angle in release portion is got over
Come bigger, can fully expose surgical field of view, facilitate doctor to operate.
Referring to Fig. 2, in any preferred embodiment, the wing plate 2 is provided with hook, based on this design, conveniently will
Two wing plates in the present embodiment and tumour or the muscularis propria mutually company of extension.
In any preferred embodiment, a flexible member 3 is provided with the release portion 1.Based on this design, when by this reality
With it is new insert between tumour and muscularis propria when, flexible member 3 can make release portion discharge more hightension.
Embodiment two：
A kind of pusher of described gastroscope up-stripping part is disclosed particularly in the present embodiment, including：Pushing piece 4
With the release member 5 for accommodating pushing piece 4.
Referring to Fig. 3, the pushing piece 4 includes：Push rod 41 and the push first 42 for being arranged on the end of push rod 41, it is described
Push first 42 is provided with the buckling groove 43 for being used for accommodating release portion 1.
Wherein：
Push rod, for matched with push, push head is moved axially to realize along push rod.
Head is pushed, for fixing release member, specifically, which is provided with buckling groove.The buckling groove, for accommodating release member
Release portion 1, release member and the phase of pushing piece 4 are fixed.
Referring to Fig. 4, the release member 5 includes：Hollow release lever 51 and the hollow release being connected with release lever 51
First 52, the described one end of release head 52 away from release lever 51 is provided with the annular for being used to prevent release member wing plate 2 from entering release head 52
Limiting plate 53.
Wherein：
Release lever, for matched with release head, release head is moved axially to realize along push rod.
Release head, head is pushed for accommodating, with matched with push, release member is discharged from push head.
Specifically, the described one end of release head 52 away from release lever 51 is provided with annular stop plate 53, the energy of limiting plate 53
Being enough in prevents release member wing plate 2 from entering release head 52, using the mutual cooperation of release head and release member wing plate, will can peel off
Part discharges from the buckling groove for pushing head.
In gastroscope strip operation art journey, doctor first send the push head in the pusher being completed from release member
Go out, then above-mentioned release member is inserted in the buckling groove of push head, the utility model is inserted into patient's body step by step, until push
Head is arrived between tumour and muscularis propria, refers to Fig. 5；Afterwards, the off-position of release member is selected, is pushed away forward along push rod
Enter release lever, until release head arrived at the wing plate of release member, reclaim push rod, using annular stop plate by release member from clamping
Release refers to Fig. 6 between tumour and muscularis propria in groove.
After push head enters release head, to ensure that it can be passed from annular stop plate exactly, any preferred
Embodiment in, the limiting plate 53 close to release lever 51 side wall be provided with column release channel 54, referring to Fig. 7, base
In this design, push head is always positioned in release channel, is effectively prevented from above-mentioned technical problem.
When push head enters release head afterwards and release channel is insufficient to long, to ensure that it can lead to from release exactly
Road passes, and in any preferred embodiment, the release channel 54 is provided with ring-type position-stopping plate close to one end of release lever 51
55, referring to Fig. 8, based on this design, even if push head can not be always positioned in release channel, position-stopping plate can also limit push
Activity space of the head when entering release channel, to be effectively prevented from above-mentioned technical problem.
After the completion of gastroscope strip operation art journey, taken out for convenience of by release member from patient's body, any preferable real
Apply in example, first 42 center of push is provided with magnetite.Release member is taken out from patient's body using the magnetite pushed on head, very
It is convenient.It is of course also possible to release member is taken out using foreign matter removal device of the prior art.
Embodiment three：
A kind of pusher of described gastroscope up-stripping part is disclosed particularly in the present embodiment, including：Pushing piece 4
With the release member 5 for accommodating pushing piece 4.
Referring to Fig. 9, pushing piece 4, as a push rod 41, release member is moved axially to realize along release lever.
Release member 5, for accommodating pushing piece 4, hollow structure and both ends open, it, which stretches into one end of gastroscope and can stored, releases
Portion 1 is put, with the shape in restraint release portion, now, release portion two-arm is drawn close, and is changed into " I " type by " V " substantially, is easy to by disappearing
Change the even more thin endoscopic technic duct in road, the scope of application of the present embodiment can be significantly enhanced.
Release member should be formed on the end of release lever in advance by doctor first, then, the utility model be inserted into patient step by step
In vivo, the off-position of release member is selected, the both ends of wing plate are respectively placed in tumour and muscularis propria, is pushed away forward along release lever
Enter push rod, release member is gone out from the end release of release lever.
In the present embodiment, the structure of pusher is more simple,
After the completion of gastroscope strip operation art journey, taken out for convenience of by release member from patient's body, any preferable real
Apply in example, the push rod 41 is provided with grapple 6 close to the one end in release portion 1.Utilize matching at grapple 6 and the knuckle in release portion 1
Close, then, reclaim push rod 41, release member is brought into release lever.It is of course also possible to utilize foreign matter of the prior art
Withdrawing device takes out release member.
It these are only preferred embodiment of the present utility model, it is noted that for the ordinary skill people of the art
Member for, on the premise of the utility model technical principle is not departed from, some improvements and modifications can also be made, these improve and
Retouching also should be regarded as the scope of protection of the utility model.
Claims (10)
- A kind of 1. gastroscope up-stripping part, it is characterised in that：Including：One release portion (1) and located at release portion (1) both ends Wing plate (2), the release portion (1) are flexible and V-shaped in the case of without external force constraint.
- A kind of 2. gastroscope up-stripping part according to claim 1, it is characterised in that：The release portion (1) is flat thin Laminated structure or circular steel filament.
- A kind of 3. gastroscope up-stripping part according to claim 1, it is characterised in that：The wing plate (2) is provided with hook.
- A kind of 4. gastroscope up-stripping part according to claim 1, it is characterised in that：One is provided with the release portion (1) Flexible member (3).
- 5. a kind of pusher for being applied to the gastroscope up-stripping part as described in any one of Claims 1-4, its feature exist In：Including：Pushing piece (4) and the release member (5) for accommodating pushing piece (4), the pushing piece (4) include：Push rod (41) With the push head (42) for being arranged on push rod (41) end, the push head (42) is provided with the card for being used for accommodating release portion (1) Access slot (43), the release member (5) include：Hollow release lever (51) and the hollow release head being connected with release lever (51) (52), the one end of the release head (52) away from release lever (51), which is provided with, is used to prevent release member wing plate (2) from entering release head (52) annular stop plate (53).
- A kind of 6. gastroscope up-stripping part pusher according to claim 5, it is characterised in that：The limiting plate (53) Side wall close to release lever (51) is provided with column release channel (54).
- A kind of 7. gastroscope up-stripping part pusher according to claim 6, it is characterised in that：The release channel (54) it is provided with ring-type position-stopping plate (55) close to one end of release lever (51).
- A kind of 8. gastroscope up-stripping part pusher according to any one of claim 5 to 6, it is characterised in that：Institute State push head (42) center and be provided with magnetite.
- 9. a kind of pusher for being applied to the gastroscope up-stripping part as described in any one of claims 1 to 3, its feature exist In：Including：Pushing piece (4) and the release member (5) for accommodating pushing piece (4), the pushing piece (4) are push rod (41), institute It is hollow release lever (51) to state release member (5), release lever (51) both ends open and its stretch into one end of gastroscope and can receive Receive release portion (1).
- A kind of 10. gastroscope up-stripping part pusher according to claim 9, it is characterised in that：The push rod (41) it is provided with grapple (6) close to the one end in release portion (1).
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201621313198.XU CN206630632U (en) | 2016-12-02 | 2016-12-02 | Gastroscope up-stripping part and its pusher |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201621313198.XU CN206630632U (en) | 2016-12-02 | 2016-12-02 | Gastroscope up-stripping part and its pusher |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN206630632U true CN206630632U (en) | 2017-11-14 |
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ID=60260814
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201621313198.XU Active CN206630632U (en) | 2016-12-02 | 2016-12-02 | Gastroscope up-stripping part and its pusher |
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Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108143445A (en) * | 2016-12-02 | 2018-06-12 | 天津市人民医院 | Gastroscope up-stripping part and its pusher |
-
2016
- 2016-12-02 CN CN201621313198.XU patent/CN206630632U/en active Active
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN108143445A (en) * | 2016-12-02 | 2018-06-12 | 天津市人民医院 | Gastroscope up-stripping part and its pusher |
| CN108143445B (en) * | 2016-12-02 | 2024-02-23 | 天津市人民医院 | Gastroscope auxiliary stripping piece and pushing device thereof |
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