CN208808540U - dilator and surgical instrument - Google Patents

dilator and surgical instrument Download PDF

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Publication number
CN208808540U
CN208808540U CN201820714936.4U CN201820714936U CN208808540U CN 208808540 U CN208808540 U CN 208808540U CN 201820714936 U CN201820714936 U CN 201820714936U CN 208808540 U CN208808540 U CN 208808540U
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China
Prior art keywords
endoscope head
channel
expander
outer tube
endoscope
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CN201820714936.4U
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Chinese (zh)
Inventor
马跃辉
杜朝亮
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First Affiliated Hospital of Zhejiang University School of Medicine
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First Affiliated Hospital of Zhejiang University School of Medicine
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Abstract

The utility model provides an expander and a surgical instrument, relating to the technical field of medical instruments, wherein the expander comprises an inner tube and an outer tube; one end of the inner tube is conical; the outer tube is sleeved on the inner tube, and the inner side wall of the outer tube is provided with an endoscope head channel and/or a suction channel; the endoscope head channel is used for fixing the endoscope head and the endoscope head is used for being connected with an endoscope device; the suction channel is used for connecting with a suction apparatus. The endoscope head can penetrate into brain tissue along with the outer tube synchronously, and can be used for observing whether the dilator reaches a target puncture position, and when the direction and depth of the dilator need to be changed at any time according to the position and shape of a focus in the brain in the operation process, the operation direction and depth of the dilator can be changed flexibly, and the operation time is shortened. The suction channel can suck blood and seepage in the surgical field at any time, which is beneficial to the clear of the surgical field and hemostasis; the suction apparatus necessary for the operation in the tube cavity of the dilator is omitted, and the convenience and the flexibility of the operation in the tube cavity of the dilator are improved.

Description

Expander and surgical instrument
Technical field
The utility model relates to the field of medical instrument technology, have the expansion more particularly, to a kind of expander, and one kind The surgical instrument of prop.
Background technique
Brain is nervous system superlative degree part, is made of left and right two cerebral hemispheres, there is the nerve of row between two hemispheres Fiber is associated.Cephalophyma and brain tumor are the common diseases of brain, and wherein cephalophyma is due to originals such as wound or cerebrovascular diseases Cause, blood is collected between intracerebral or brain and skull after the perhaps angiorrhoxis between brain tissue and skull of intracerebral, And formed when brain tissue is generated and oppressed;And brain tumor refers to the nervous system neoplasm betided in cranial cavity, including originates from The tumour of neural epithelium, cranial nerve, meninx and reproduction cell, lymph and hematopoietic neoplasm, the craniopharyngioma of sella region and hang down Body tumor and metastatic tumo(u)r etc..
By illumination for endoscope and camera shooting observation, cephalophyma or brain are removed by instruments such as aspirator and bipolar electrocoagulators The lesions such as tumour, and stopping blooding is a kind of ideal Minimally Invasive Surgery method.The operation method needs to establish in through intracerebral and the ventricles of the brain The brain tissue internal channel of lesions position.Due to the flexibility of brain tissue, expander is the ideal tools for establishing brain tissue internal channel.
Existing expander includes inner and outer tubes, and outer tube is set in inner tube, and the end of inner tube is cone cell, benefit when operation Inner and outer tubes are punctured to suitable site of puncture simultaneously with the end of inner tube, inner tube is then drawn to patient from outer tube In vitro, the camera lens of endoscope is put into can start to observe intracerebral lesion in outer tube.Due to not advising for intracerebral lesion Then property, need in surgical procedure the direction for changing the camera lens of expander and endoscope at any time according to the location and shape of intracerebral lesion and The depth, but endoscope and expander change direction and the depth needs separate operations, the convenience and accuracy of operation are lower.
Utility model content
The purpose of this utility model is to provide a kind of expanders, to solve expander convenience and standard in the prior art The lower technical problem of true property.
Expander provided by the utility model, including inner and outer tubes;
One end of said inner tube is cone cell;
The outer tube is set in said inner tube, and has endoscope head channel and/or suction on the inner sidewall of the outer tube Draw channel;
The endoscope head channel is used for fixed endoscope head, and the endoscope head with endoscope apparatus for connecting;
The attraction channel with aspirator for connecting.
Further, the lateral wall of the outer tube is equipped with sleeve;The sleeve is equipped with threaded hole, and the threaded hole With the outer tube through setting;
The expander further includes fastener, and the fastener is threadedly coupled with the threaded hole, and the fastener energy It enough protrudes into the endoscope head channel;
The fastener and the side wall in the endoscope head channel can be matched for clamping tightly the endoscope head.
Further, the expander further includes the first arc panel;
First arc panel is fixedly connected with the inner sidewall of the outer tube, to form the endoscope head channel.
Further, the expander further includes the second arc panel;
Second arc panel is fixedly connected with the inner sidewall of the outer tube, to form the attraction channel.
Further, the endoscope head channel is oppositely arranged with the attraction channel.
Further, said inner tube, the outer tube, the endoscope head channel and the attraction channel are transparence.
The purpose of this utility model, which also resides in, provides a kind of surgical instrument, including expander described in the utility model.
Further, the surgical instrument further includes endoscope apparatus;The endoscope apparatus is connect with endoscope head.
Further, the surgical instrument further includes aspirator;The aspirator is connect with the attraction channel.
Expander provided by the utility model, including inner and outer tubes;One end of said inner tube is cone cell;The outer tube sleeve It is located in said inner tube, and there is endoscope head channel and/or attraction channel on the inner sidewall of the outer tube;The endoscope head Channel is used for fixed endoscope head, and the endoscope head with endoscope apparatus for connecting;The attraction channel is used for and suction Lead device connection.Inner and outer tubes are punctured to suitable site of puncture simultaneously using the end of inner tube when operation, endoscope head is solid It is scheduled in endoscope head channel, can be penetrated in brain tissue as outer tube synchronizes, can observe expander using endoscope head is It is no to reach target site of puncture, improve the accuracy of puncture.After expander reaches target site of puncture, inner tube is drawn to trouble Person is external, can perform the operation, and needs to change at any time according to the location and shape of intracerebral lesion expander and interior in the course of surgery When the direction of sight glass head and the depth, expander and endoscope head can flexibly change surgical procedure direction and the depth with synchronous movement, Shorten operating time, improves the convenience and accuracy of expander operation.Meanwhile the attraction channel on outer tube can be absorbed at any time The blood of visual area and sepage, conducive to visual area is seen clearly;And sucting apparatus necessary to dilator tube intracavity operation is eliminated, increase operation The convenience and flexibility of operation.
Surgical instrument provided by the utility model, including expander provided by the utility model due to expander and interior are peeped Camera lens can flexibly change surgical procedure direction and the depth with synchronous movement, shorten operating time, improve the convenient of expander operation Property, flexibility and accuracy;The attraction channel designed on outer tube eliminates the intracavitary sucting apparatus that must be used of dilator tube, rises Go out limited space in expander, improves the convenience and flexibility of surgical procedure.
Detailed description of the invention
It, below will be right in order to illustrate more clearly of specific embodiment of the present invention or technical solution in the prior art Specific embodiment or attached drawing needed to be used in the description of the prior art are briefly described, it should be apparent that, it is described below In attached drawing be that some embodiments of the utility model are not paying creativeness for those of ordinary skill in the art Under the premise of labour, it is also possible to obtain other drawings based on these drawings.
Fig. 1 is the structural schematic diagram of expander provided by the embodiment of the utility model;
Fig. 2 is the main view of the inner tube in expander provided by the embodiment of the utility model;
Fig. 3 is the side view of the inner tube in expander provided by the embodiment of the utility model;
Fig. 4 is the side view of the outer tube in expander provided by the embodiment of the utility model.
Icon: 1- outer tube;11- endoscope head channel;12- attraction channel;13- sleeve;2- inner tube;3- fastening Part.
Specific embodiment
The technical solution of the utility model is clearly and completely described below in conjunction with attached drawing, it is clear that described Embodiment is the utility model a part of the embodiment, instead of all the embodiments.Based on the embodiments of the present invention, originally Field those of ordinary skill every other embodiment obtained without making creative work belongs to practical Novel protected range.
In the description of the present invention, it should be noted that such as occur term " center ", "upper", "lower", " left side ", " right side ", "vertical", "horizontal", "inner", "outside" etc., indicated by orientation or positional relationship be orientation based on the figure or Positional relationship is merely for convenience of describing the present invention and simplifying the description, rather than the device or member of indication or suggestion meaning Part must have a particular orientation, be constructed and operated in a specific orientation, therefore should not be understood as limiting the present invention. In addition, such as there is term " first ", " second ", being used for descriptive purposes only and cannot be understood as indicating or suggesting relative importance. Wherein, term " first position " and " second position " are two different positions.
In the description of the present invention, it should be noted that unless otherwise clearly defined and limited, term " is pacified Dress ", " connected ", " connection " shall be understood in a broad sense, for example, it may be being fixedly connected, may be a detachable connection, or integrally Connection;It can be mechanical connection, be also possible to be electrically connected;Can be directly connected, can also indirectly connected through an intermediary, It can be the connection inside two elements.For the ordinary skill in the art, above-mentioned art can be understood with concrete condition The concrete meaning of language in the present invention.
The utility model provides a kind of expander and surgical instrument, and multiple embodiments are given below and mention to the utility model The expander and surgical instrument of confession are described in detail.
Embodiment 1
Expander provided in this embodiment, as shown in Figures 1 to 4, including inner tube 2 and outer tube 1;One end of inner tube 2 is cone Shape;Outer tube 1 is set in inner tube 2, and has endoscope head channel 11 and/or attraction channel 12 on the inner sidewall of outer tube 1;Inside peep Camera lens channel 11 is used for fixed endoscope head, and endoscope head with endoscope apparatus for connecting;Attraction channel 12 is used for and suction Lead device connection.
Wherein, can only have endoscope head channel 11 on the inner sidewall of outer tube 1, can also only have attraction channel 12, Also endoscope head channel 11 and attraction channel 12 be can have.
It wherein, is cone cell using inner tube 2 when operation when having endoscope head channel 11 on the inner sidewall of outer tube 1 One end punctures inner tube 2 and outer tube 1 to suitable site of puncture simultaneously, and endoscope head is fixed in endoscope head channel 11, energy It is enough to be penetrated in brain tissue as outer tube 1 synchronizes, after endoscope head is connect with endoscope apparatus, expansion can be observed using endoscope head Whether prop reaches target site of puncture, improves the accuracy of puncture.After expander reaches target site of puncture, by inner tube 2 It is external to be drawn to patient, can perform the operation, needs to change expansion at any time according to the location and shape of intracerebral lesion in the course of surgery When the direction and the depth of prop and endoscope head, expander and endoscope head can flexibly change surgical procedure side with synchronous movement To and the depth, shorten operating time, improve the convenience and accuracy of operation.
Wherein, the connection type of endoscope head and endoscope head channel 11 can be bonding, or be connected together Any suitable mode, as long as endoscope head can be fixed in endoscope head channel 11.
Preferably, endoscope head is to be removably secured to connect with the connection type in endoscope head channel 11, can be facilitated Replace endoscope head.
Inner tube 2, outer tube 1 and the endoscope head channel 11 of expander provided in this embodiment have a variety of different diameters and Length can be applied to the substantive interior and intraventricular operation of different depth brain tissue.Preferably, being suitble in soft brain tissue The interior operation with endoscope head menisectomy in the ventricles of the brain of essence.
It should be noted that expander provided in this embodiment can also be applied to for example skin, subcutaneous tissue, muscle, In the operation of any suitable soft tissue such as tendon or blood vessel.
Wherein, when having attraction channel 12 on the inner sidewall of outer tube 1, attraction channel 12 can be connect with aspirator, be inhaled The suction tube of lead device is connect with attraction channel 12, so that attraction channel 12 be made to connect with aspirator.
Wherein, the connection type of suction tube and attraction channel 12 can be bonding, can also be appointed by connector connection etc. The suitable mode of meaning, as long as suction tube can be fixed on attraction channel 12.Suction tube synchronous change can perform the operation at any time Direction and the depth, suction tube are fixed on attraction channel 12, and after attraction channel 12 is connect with aspirator, visual area can be sucked out in time Blood and diffusate, in order to find blutpunkte and bipolar electrocoagulator hemostasis, can convenient for discovery blutpunkte, accelerate hemostasis speed Degree.
When having endoscope head channel 11 and attraction channel 12 on the inner sidewall of outer tube 1, since suction tube is fixed on suction Draw in channel 12, endoscope head, expander and suction tube can the direction and depth of synchronous change operation at any time, can be in endoscope It in illumination, observation and outer tube 1 while operation, synchronizes and carries out attraction operation, hemostasis speed can be accelerated convenient for discovery blutpunkte Degree.
In the course of surgery, operating field hemostasis operation generally requires aspirator and bipolar electrocoagulator two pieces surgical instrument simultaneously Operation.Suction tube is fixed on attraction channel 12, and after attracting tube passage 12 to connect with aspirator, the blood of visual area can be sucked out in time Liquid and diffusate, in order to find blutpunkte and bipolar electrocoagulator hemostasis.
In bipolar electrocoagulator in use, needing to protrude into the lumen of outer tube 1, in the prior art, the limited lumen of expander In space simultaneously accommodate endoscope head, bipolar electrocoagulator and suction tube will cause surgical procedure pole it is not nimble.Due to this implementation Endoscope head, suction tube in the expander of example offer are separately fixed in endoscope head channel 11 and attraction channel 12, make to expand It only needs to accommodate bipolar electrocoagulator in prop lumen or surgical procedure can be completed in other surgical instrument, compared to existing skill Art, dilator tube is intracavitary while accommodating endoscope head, bipolar electrocoagulator and suction tube operation, expander energy provided in this embodiment The flexibility of surgical procedure in expander is significantly improved, and is convenient for single surgical procedure.
Further, the lateral wall of outer tube 1 is equipped with sleeve 13;Sleeve 13 is equipped with threaded hole, and threaded hole and outer tube 1 Through setting;Expander further includes fastener 3, and fastener 3 is threadedly coupled with threaded hole, and fastener 3 can extend into endoscope In head channel 11;Fastener 3 and the side wall in endoscope head channel 11 can be matched for clamping tightly endoscope head.
Specifically, an end face of the sleeve 13 far from outer tube 1 is equipped with threaded hole, and the threaded hole and outer tube 1 run through and set It sets, fastener 3 can be threadedly coupled with threaded hole, and be protruded into endoscope head channel 11, and endoscope head is arranged in 3 He of fastener Between the side wall in endoscope head channel 11, when fastener 3 moves to suitable position, endoscope head can be pressed on to interior peep On the side wall in camera lens channel 11.
Wherein, fastener 3 can be bolt, or any suitable form such as stud.
As another embodiment, sleeve 13 is fixed in endoscope path way, sleeve 13 is equipped with tapped through hole, and covers Cylinder 13 is coaxially disposed with endoscope path way, has screw thread on the side wall of endoscope head, and endoscope head can extend into tapped through hole In, and endoscope head can be threadedly coupled with tapped through hole, so that endoscope head is fixed in endoscope path way.
Preferably, there is boss on one end that endoscope head is used to connect with endoscope apparatus, when endoscope head is along sleeve 13 turn to after boss is bonded with sleeve 13, it is impossible to continue to rotate, to position to endoscope head.
Specifically, expander further includes the first arc panel;First arc panel is fixedly connected with the inner sidewall of outer tube 1, with shape At endoscope head channel 11, endoscope head channel 11 is tubular.
Further, expander further includes the second arc panel;Second arc panel is fixedly connected with the inner sidewall of outer tube 1, with Attraction channel 12 is formed, attraction channel 12 is tubular.
In the present embodiment, endoscope head channel 11 is oppositely arranged with attraction channel 12.Prevent endoscope head and suction tube phase Mutually interference.
Further, inner tube 2, outer tube 1, endoscope head channel 11 and attraction channel 12 are transparence.So as to logical It crosses expander and observes brain tissue outside outer tube 1.
Expander provided in this embodiment, including inner tube 2 and outer tube 1;One end of inner tube 2 is cone cell;In outer tube 1 is set in On pipe 2, and there is endoscope head channel 11 and/or attraction channel 12 on the inner sidewall of outer tube 1;Endoscope head channel 11 is for solid Determine endoscope head, and endoscope head with endoscope apparatus for connecting;Attraction channel 12 with aspirator for connecting.It is sharp when operation Inner tube 2 and outer tube 1 are punctured simultaneously to suitable site of puncture with the end of inner tube 2, it is logical that endoscope head is fixed on endoscope head It in road 11, can be penetrated in brain tissue as outer tube 1 synchronizes, expander can be observed using endoscope head whether reach target and wear Position is pierced, the accuracy of puncture is improved.After expander reaches target site of puncture, it is external that inner tube 2 is drawn to patient It performs the operation, needs the direction for changing expander and endoscope head at any time according to the location and shape of intracerebral lesion in the course of surgery When with the depth, expander and endoscope head can flexibly change surgical procedure direction and the depth with synchronous movement, when shortening operation Between, improve the convenience and accuracy of operation.Meanwhile the attraction channel 12 on outer tube can absorb the blood and infiltration of visual area at any time Liquid, conducive to visual area is seen clearly;And eliminate sucting apparatus necessary to dilator tube intracavity operation, increase surgical procedure convenience and Flexibility.
Embodiment 2
Surgical instrument provided in this embodiment, including expander described in embodiment 1.Expander utilizes inner tube in operation 2 end punctures inner tube 2 and outer tube 1 to suitable site of puncture simultaneously, and endoscope head is fixed in endoscope head channel 11, It can be penetrated in brain tissue as outer tube 1 synchronizes, can observe whether expander reaches target site of puncture using endoscope head, Improve the accuracy punctured.After expander reaches target site of puncture, it is external that inner tube 2 is drawn to patient, hand can be carried out Art needs the direction and the depth that change expander and endoscope head at any time according to the location and shape of intracerebral lesion in the course of surgery When, expander and endoscope head can flexibly change surgical procedure direction and the depth with synchronous movement, shorten operating time.Meanwhile Attraction channel 12 on outer tube can absorb blood and the sepage of visual area at any time, conducive to visual area is seen clearly;And eliminate dilator tube Sucting apparatus necessary to intracavity operation increases the convenience and flexibility of surgical procedure.
Further, the surgical instrument further includes endoscope apparatus;Endoscope apparatus is connect with endoscope head.
After wherein endoscope apparatus is connect with endoscope head, site of puncture can be observed and be illuminated to endoscope head, specifically Ground, endoscope apparatus are equipped with display screen, switch and control device, and endoscope apparatus is connected with endoscope head by connecting line, After switch is opened, endoscope apparatus and endoscope head starting, the image transmitting of the site of puncture of endoscope head shooting is to display screen On, and endoscope head can control by control device and illuminated.
Further, the surgical instrument further includes aspirator;Aspirator is connect with attraction channel 12.Aspirator is opened Afterwards, attraction operation can be carried out to site of puncture by attraction channel 12.
Surgical instrument provided in this embodiment, including expander described in embodiment 1.Since expander and endoscope head can With synchronous movement, flexibly change surgical procedure direction and the depth, shorten operating time, improves the convenience and standard of expander operation True property, to improve the convenience and accuracy of surgical instrument operation.
Finally, it should be noted that the above various embodiments is only to illustrate the technical solution of the utility model, rather than it is limited System;Although the present invention has been described in detail with reference to the aforementioned embodiments, those skilled in the art should Understand: it is still possible to modify the technical solutions described in the foregoing embodiments, or to some or all of Technical characteristic is equivalently replaced;And these are modified or replaceed, it does not separate the essence of the corresponding technical solution, and this is practical new The range of each embodiment technical solution of type.

Claims (9)

1. a kind of expander, which is characterized in that including inner and outer tubes;
One end of said inner tube is cone cell;
The outer tube is set in said inner tube, and is had endoscope head channel on the inner sidewall of the outer tube and/or attracted logical Road;
The endoscope head channel is used for fixed endoscope head, and the endoscope head with endoscope apparatus for connecting;
The attraction channel with aspirator for connecting.
2. expander according to claim 1, which is characterized in that the lateral wall of the outer tube is equipped with sleeve;The set Cylinder is equipped with threaded hole, and the threaded hole and the outer tube are through setting;
The expander further includes fastener, and the fastener is threadedly coupled with the threaded hole, and the fastener can be stretched Enter in the endoscope head channel;
The fastener and the side wall in the endoscope head channel can be matched for clamping tightly the endoscope head.
3. expander according to claim 1, which is characterized in that the expander further includes the first arc panel;
First arc panel is fixedly connected with the inner sidewall of the outer tube, to form the endoscope head channel.
4. expander according to claim 1, which is characterized in that the expander further includes the second arc panel;
Second arc panel is fixedly connected with the inner sidewall of the outer tube, to form the attraction channel.
5. expander according to claim 1, which is characterized in that the endoscope head channel is opposite with the attraction channel Setting.
6. expander according to claim 1, which is characterized in that said inner tube, the outer tube, the endoscope head channel It is transparence with the attraction channel.
7. a kind of surgical instrument, which is characterized in that including expander of any of claims 1-6.
8. surgical instrument according to claim 7, which is characterized in that the surgical instrument further includes endoscope apparatus;Institute Endoscope apparatus is stated to connect with endoscope head.
9. surgical instrument according to claim 7, which is characterized in that the surgical instrument further includes aspirator;The suction Lead device is connect with the attraction channel.
CN201820714936.4U 2018-05-14 2018-05-14 dilator and surgical instrument Active CN208808540U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108542439A (en) * 2018-05-14 2018-09-18 浙江大学医学院附属第医院 Dilator and surgical instrument
CN110584743A (en) * 2019-09-12 2019-12-20 济南科众医疗科技有限公司 Brain hematoma removing system

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108542439A (en) * 2018-05-14 2018-09-18 浙江大学医学院附属第医院 Dilator and surgical instrument
CN108542439B (en) * 2018-05-14 2024-06-25 浙江大学医学院附属第一医院 Dilator and surgical instrument
CN110584743A (en) * 2019-09-12 2019-12-20 济南科众医疗科技有限公司 Brain hematoma removing system
CN110584743B (en) * 2019-09-12 2020-08-21 济南科众医疗科技有限公司 Brain hematoma removing system

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