CN208974093U - Scissor electric knife under a kind of multi-functional endoscope - Google Patents

Scissor electric knife under a kind of multi-functional endoscope Download PDF

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Publication number
CN208974093U
CN208974093U CN201821051231.5U CN201821051231U CN208974093U CN 208974093 U CN208974093 U CN 208974093U CN 201821051231 U CN201821051231 U CN 201821051231U CN 208974093 U CN208974093 U CN 208974093U
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China
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fixing seat
clamping piece
seat cylinder
weakness
connector
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CN201821051231.5U
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Chinese (zh)
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唐丹
令狐恩强
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First Medical Center of PLA General Hospital
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Individual
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Abstract

The utility model relates to scissor electric knifes under a kind of multi-functional endoscope, including connection component and scissors ontology in operating handle, fixing seat cylinder, weakness connector, outer pipe coupling component, pipe, the front end of fixing seat cylinder is provided with fixed pin shaft, one end setting of first clamping member is fluted, one end of second clamping piece is equipped with blade compatible with groove, first clamping member is connect with the other end of the second clamping piece by active pin shaft, sliding slot is respectively arranged in the middle part of first clamping member and the second clamping piece, fixed pin shaft passes through sliding slot;One end of weakness connector is sheathed on active pin shaft, and the other end of weakness connector is connect by connection component in managing with the lever on operating handle, and the rear end of fixing seat cylinder is connect by outer pipe coupling component with operating handle.The utility model not only can quickly handle lesion and the surface of a wound, save the integrated operation time, it is inconvenient to reduce replacement instrument bring, but also can save expense, the expense of two kinds of instruments is reduced to a kind of expense of instrument.

Description

Scissor electric knife under a kind of multi-functional endoscope
Technical field
The utility model relates to the field of medical instrument technology, and in particular to scissor electric knife under a kind of multi-functional endoscope.
Background technique
At present for alimentary canal pedicle skin flap polypus, the excision of high-frequency electrical snare is clinically most common side under scope Formula, this mode need snare first to bypass the head end of polyp, then tighten, be powered in the base of a fruit, complete excision, then play hemostasis Folder prevention bleeding.And the biggish polyp of head end is for new hand doctor, smooth lasso be difficult the movement completed, and some The cunning polyp in position is even for also not a duck soup for veteran doctor.If that there is the height of a scissors style Frequency electric knife is not necessarily to snare, is directly cut in the base of a fruit of polyp, and will can beat directly as hemostatic clamp after polypectomy The base of a fruit of polyp can not only reduce the interior arthroscopic diagnosis time, can also reduce operating difficulty, in addition, as two-chamber oesophagus is such Disease then can press from both sides apolipsis blood after quickly electric knife is cut.
Utility model content
The purpose of this utility model is to provide scissor electric knifes under a kind of multi-functional endoscope, to solve existing alimentary canal Disease such as polyps treatment technology has that operation difficulty is big, operating time is long and surgery cost is high.
To achieve the above object, the utility model provides scissor electric knife under a kind of multi-functional endoscope, the multi-functional endoscope Lower scissor electric knife includes operating handle, fixing seat cylinder, weakness connector, outer pipe coupling component, connection component and scissors sheet in pipe Body, connection component is set to the inside of the outer pipe coupling component in the pipe, and the front end of the fixing seat cylinder is provided with fixation Pin shaft, the scissors ontology are made of first clamping member and the second clamping piece, and one end setting of described first clamping member is fluted, One end of second clamping piece is equipped with blade compatible with the groove, described first clamping member and second clamping piece The other end connected by active pin shaft, be respectively arranged with sliding slot in the middle part of described first clamping member and second clamping piece, The fixed pin shaft passes through the sliding slot, and described first clamping member and second clamping piece move back and forth along the chute forms scissors The opening and closing of ontology;The end of the sliding slot is provided with bending structure, described when the fixed pin shaft is located at the bending structure First clamping member and second clamping piece are in the close position;One end of the weakness connector is sheathed on the active pin shaft On, the other end of the weakness connector is connect by connection component in the pipe with the lever on the operating handle, institute The rear end for stating fixing seat cylinder is connect by the outer pipe coupling component with the operating handle.
Preferably, the outer pipe coupling component includes connecting tube, fixed ring and bourdon tube, one end insertion of the connecting tube The rear end of the fixing seat cylinder, the connecting tube part Chong Die with the fixing seat cylinder are provided with card hole, and the connecting tube is another One end is internally provided with internal lining pipe, and the internal lining pipe is stupefied far from the evagination that one end of the fixing seat cylinder is equipped with annular, described Evagination is stupefied to form annular groove between the end face of the connecting tube, and the ora terminalis of described fixed ring one end extends radially inwardly to form ring The convex of shape is stupefied, and one end of the fixed ring is movably set in the periphery of the internal lining pipe, the other end of the fixed ring and institute The one end for stating bourdon tube is fixedly connected, and the other end of the bourdon tube and the operating handle are rotatablely connected.
Preferably, connection component includes pipe coupling, control steel wire and spring fastenings, the pipe coupling in the pipe One end connect with the other end of the weakness connector, the other end of the pipe coupling and it is described control steel wire one end connect It connects, the other end of the control steel wire is connect with the lever on the operating handle, and the spring fastenings are sheathed on described The periphery of pipe coupling, the spring fastenings extend radially outwardly to form multiple curved block tongues, and the block tongue is arranged in institute It states in card hole, so that the connecting tube be connect with the fixing seat cylinder;When the pulling force being applied on the spring fastenings is super When crossing preset value, the block tongue occurs elastic deformation and is straightened so that the block tongue is detached from the card hole, the connecting tube with it is described Fixing seat cylinder is detached from.
Preferably, the middle part of the weakness connector, which is radially-inwardly shunk, forms reducing diameter part, when being applied to weakness connector On pulling force when reaching preset value, the weakness connector is broken from reducing diameter part;After the weakness connector fracture, the scissors The rear end of ontology is fixed in the fixing seat cylinder.
Preferably, the inside of the fixing seat cylinder is equipped with protrusion, corresponding described first clamping member and second clamping The end of the part other end is provided with card slot, described when described first clamping member and second clamping piece are in the close position The card slot of first clamping member and second clamping piece is arranged in the protrusion.
Preferably, the edge of the blade is provided with multiple sawtooth, and the sawtooth is arcuate serrated.
Preferably, the surface of the blade is covered with anti-stick coating.
Preferably, the outer surface of described first clamping member and second clamping piece is covered at least one layer of insulating materials.
Preferably, the outer surface of the fixing seat cylinder is again covered at least one layer of insulating materials.
Preferably, the periphery of the bourdon tube is arranged with an insulation tube, and the front end of the insulation tube extends to described solid Determine the periphery of ring, the end of the insulation tube is connect with lever.
The utility model has the advantages that scissor electric knife is without snare under the multi-functional endoscope of the utility model, directly Cut in the base of a fruit of polyp, can not only accelerate the process of operation, and the difficulty of operation can be reduced, and it is postoperative also without It needs to stamp hemostatic clamp hemostasis after first taking out snare again, which will can beat after polypectomy directly as hemostatic clamp The base of a fruit of polyp reduces the time that instrument passes in and out the waste of biopsy duct repeatedly, not only can quickly handle lesion and the surface of a wound, saves It is inconvenient to reduce replacement instrument bring, but also can save expense the about integrated operation time, and the expense of two kinds of instruments is reduced For a kind of expense of instrument.
Detailed description of the invention
Fig. 1 is the overall structure diagram of scissor electric knife under the utility model multi-functional endoscope.
Fig. 2 is amplified the schematic diagram of the section structure at a in Fig. 1.
Fig. 3 is amplified structural schematic diagram at a in Fig. 1.
Fig. 4 is the schematic perspective view of the second clamping piece of the utility model.
Fig. 5 is the side structure schematic view of the second clamping piece of the utility model.
Fig. 6 is the schematic perspective view of the utility model first clamping member.
Fig. 7 is the schematic view of the front view of the utility model first clamping member.
Drawing reference numeral explanation: 1, operating handle;2, fixing seat cylinder;3, weakness connector;4, outer pipe coupling component;5, in pipe Connection component;6, scissors ontology;11, lever;21, fixed pin shaft;22, raised;31, reducing diameter part;41, connecting tube;42, fixed Ring;43, bourdon tube;44, internal lining pipe;411, card hole;412, evagination is stupefied;421, convex is stupefied;51, pipe coupling;52, steel is controlled Silk;53, spring fastenings;531, block tongue;61, first clamping member;62, the second clamping piece;63, active pin shaft;64, sliding slot;65, Card slot;66, it is conductively connected head;611, groove;621, sawtooth;641, bending structure.
Specific embodiment
The following examples illustrate the utility model, but is not intended to limit the scope of the present invention.
Embodiment 1
As shown in Figure 1, under the multi-functional endoscope scissor electric knife include operating handle 1, fixing seat cylinder 2, weakness connector 3, Outer pipe coupling component 4 manages interior connection component 5 and scissors ontology 6, and in tubular construction, the front end of fixing seat cylinder 2 is set fixing seat cylinder 2 It is equipped with fixed pin shaft 21, the inside of fixing seat cylinder 2 is equipped with protrusion 22.
As shown in Fig. 2,3,4,5,6,7, scissors ontology 6 is made of first clamping member 61 and the second clamping piece 62, the first folder One end setting fluted 611 of gripping member 61, groove 611 extend along the length direction of first clamping member 61, the second clamping piece 62 One end is equipped with blade compatible with groove 611, and blade is the sheet metal of strip, and the thickness of blade is less than the width of groove 611 Degree, the depth of blade are less than the depth of groove 611.The edge of blade is provided with multiple sawtooth 621, and the preference of sawtooth 621 is Arcuate serrated.First clamping member 61 is connect with the other end of the second clamping piece 62 by active pin shaft 63,61 He of first clamping member The middle part of second clamping piece 62 is respectively arranged with sliding slot 64, and fixed pin shaft 21 passes through sliding slot 64, first clamping member 61 and the second folder Gripping member 62 64 moves back and forth the opening and closing for forming scissors ontology 6 along the chute, and first clamping member 61 is cut with what the second clamping piece 62 was constituted Knife ontology 6 can serve as high frequency electric knife, directly be cut in the base of a fruit of polyp, and the side of blade can be under coagulation mode Anastalsis is played, and the base of a fruit in polyp can be beaten directly as hemostasis tool after polypectomy.The end of sliding slot 64 is arranged There is bending structure 641, when fixed pin shaft 21 is located at bending structure 641, first clamping member 61 and the second clamping piece 62 are in and close Coincidence is set.Further, the end of 62 other end of first clamping member 61 and the second clamping piece is provided with card slot 65, when the first clamping When part 61 and the second clamping piece 62 in the close position, the card slot 65 of first clamping member 61 and the second clamping piece 62 is arranged in convex 22 are played, is cooperated by protrusion 22 and card slot 65, scissors ontology 6 can tightly clamp the base of a fruit of polyp, and scissors ontology 6 serves as at this time Hemostasis tool uses.
One end of weakness connector 3 is provided with becket, and one end of weakness connector 3 is sheathed on active pin shaft 63, weak The middle part of point connector 3, which is radially-inwardly shunk, forms reducing diameter part 31, when the pulling force being applied on weakness connector 3 reaches preset value When, weakness connector 3 can be broken from reducing diameter part 31, and the range that 3 reducing diameter part 31 of weakness connector is broken preset value is 30-50N, but It is that it's not limited to that.After weakness connector 3 is broken, the rear end of scissors ontology 6 is fixed in fixing seat cylinder 2, scissors ontology 6 The base of a fruit that polyp can firmly be clamped, prevents bleeding.
Outer pipe coupling component 4 includes connecting tube 41, fixed ring 42 and bourdon tube 43, and connecting tube 41 in tubular construction, connects The rear end of one end insertion fixing seat cylinder 2 of pipe 41, the central axis of connecting tube 41 and the central axis of fixing seat cylinder 2 are same axis Line, the part Chong Die with fixing seat cylinder 2 of connecting tube 41 are provided with card hole 411.41 other end of connecting tube is internally provided with liner Pipe 44, in tubular construction, internal lining pipe 44 is equipped with the evagination stupefied 412 of annular, evagination far from one end of fixing seat cylinder 2 to internal lining pipe 44 Annular groove is formed between stupefied 412 and the end face of connecting tube 41, the ora terminalis of 42 one end of fixed ring extends radially inwardly to form annular Convex stupefied 421, one end of fixed ring 42 is movably set in the periphery of internal lining pipe 44, can make connecting tube by the way that internal lining pipe 44 is arranged It can be relatively rotated between 41 and fixed ring 42, the other end of fixed ring 42 is fixedly connected with one end of bourdon tube 43, bourdon tube 43 other end and operating handle 1 is rotatablely connected, and operating handle 1 and bourdon tube 43 can be made to relatively rotate.The periphery of bourdon tube 43 It is arranged with an insulation tube, the front end of insulation tube 43 extends to the periphery of fixed ring 42, and the end of insulation tube and lever 11 connect It connects, insulation tube can effectively prevent electric current to cause to damage to instrument channel and tissue.Manage in connection component 5 include pipe coupling 51, Steel wire 52 and spring fastenings 53 are controlled, pipe coupling 51 is for connecting control steel wire 52 and weakness connector 3, pipe coupling 51 be in the variable diameter tubular structure that one end is thick and the other end is thin, and one end of pipe coupling 51 is connect with the other end of weakness connector 3, The other end of pipe coupling 51 is connect with one end of control steel wire 52, the other end for controlling steel wire 52 and the behaviour on operating handle 1 Make the connection of handle 11, by pushing lever 11 to slidably reciprocate, can control the opening and closure of scissors ontology 6.Spring fastenings 53 For connecting connecting tube 41 and fixing seat cylinder 2.Spring fastenings 53 are sheathed on the periphery of pipe coupling 51, spring fastenings 53 It extends radially outwardly to form multiple curved block tongues 531, the quantity of block tongue 531 is identical as the quantity of card hole 411, each block tongue 531 are arranged in corresponding card hole 411, at this point, block tongue 531 serves as fixed pin shaft, thus by connecting tube 41 and fixing seat Cylinder 2 connects.When the pulling force being applied on spring fastenings 53 is more than preset value, block tongue 531 occurs elastic deformation and is straightened, and makes It obtains block tongue 531 and is detached from card hole 411, connecting tube 41 and fixing seat cylinder 2 are detached from.Elastically-deformable values occur for block tongue 531 For 20-30N, but it's not limited to that.
It is slidably provided with lever 11 on operating handle 1, is slided back and forth on operating handle 1 by controlling lever 11 It is dynamic, and then control the opening and closure of scissors ontology 6.It is conductively connected head 66 in addition, being additionally provided on operating handle 1, conduction is even Connector 66 is contacted with control steel wire 52, when work, is conductively connected head 66 and is connect with high frequency electric source output equipment, high frequency electric source exports High-frequency current pass sequentially through be conductively connected head 66, control steel wire 52, pipe coupling 51 and weakness connector 3 after pass to scissors Ontology 6 is directly cut in the base of a fruit of polyp at this point, scissors ontology 6 may act as the use of high frequency electric knife, is not necessarily to snare, The process of operation can not only be accelerated, and the difficulty of operation can be reduced.
Embodiment 2
The present embodiment based on embodiment 1, the present embodiment difference from example 1 is that, knife in the present embodiment The surface of piece is covered with anti-stick coating, and anti-stick coating can be any metal coating in gold, copper or nickel coating, anti-stick Coating can effectively prevent under multi-functional endoscope scissor electric knife as high frequency electric knife in use, tissue is bonded in sawtooth because burning On 621.
Embodiment 3
The present embodiment based on embodiment 2, the present embodiment and embodiment 2 the difference is that, in the present embodiment The outer surface of first clamping member 61 and the second clamping piece 62 is covered with 2-8 layers of insulating materials, in addition, the outer surface of fixing seat cylinder 2 2-8 layers of insulating materials are again covered with, but it's not limited to that for the number of plies of insulating materials, the preference of insulating materials is silica gel. The covering method of silica gel is only to guarantee that blade not by plated film, makes liquid by immersing in liquid silica gel to blade plus after shield Body silica gel and its appearance face contact, then scissors ontology 6 is taken out, after the liquid silica gel solidification on 6 outer surface of scissors ontology, then Scissors ontology 6 is immersed in liquid silica gel to the covering for carrying out second layer silica gel, it, can be in scissors by the multiplicating above process The outer surface of ontology 6 covers multilayer silica gel.
In use, scissors ontology 6 is delivered to predetermined position under the Lookout assist of endoscope, will be conductively connected head 66 with The connection of high frequency electric source output equipment, forward slip lever 11, scissors ontology 6 open, and the second clamping piece 62 is used as high frequency at this time Electric knife uses, and is directly cut in the base of a fruit of polyp using the sawtooth 621 on the second clamping piece 62, and polyp cutting finishes Afterwards, operating handle 1 is rotated, operating handle 1 drives scissors ontology 6 to rotate by control steel wire 52, by first clamping member 61 and the Two clamping pieces 62 are adjusted to the base of a fruit two sides of polyp, slide backward lever 11, and scissors ontology 6 is closed, and the base of a fruit of polyp is pressed from both sides In scissors ontology 6, at this point, scissors ontology 6 is used as hemostasis tool, scissor under the multi-functional endoscope of the utility model is used Electric knife can accelerate the process of operation, reduce the difficulty of operation, reduce the time that instrument passes in and out the waste of biopsy duct repeatedly, no But lesion and the surface of a wound can be quickly handled, the integrated operation time is saved, it is inconvenient to reduce replacement instrument bring, but also can save The expense of two kinds of instruments is reduced to a kind of expense of instrument by about expense.
Although being above described in detail with generality explanation and specific embodiment to the utility model, On the basis of the utility model, it can be modified or is improved, this is apparent to those skilled in the art 's.Therefore, these modifications or improvements on the basis of without departing from the spirit of the present invention, belong to the utility model and want Seek the range of protection.

Claims (10)

1. scissor electric knife under a kind of multi-functional endoscope, which is characterized in that scissor electric knife includes operation handlebar under the multi-functional endoscope Hand, fixing seat cylinder, weakness connector, outer pipe coupling component, connection component and scissors ontology in pipe, connection component is set in the pipe It is placed in the inside of the outer pipe coupling component, the front end of the fixing seat cylinder is provided with fixed pin shaft, and the scissors ontology is by One clamping piece and the second clamping piece are constituted, and fluted, one end of second clamping piece is arranged in one end of described first clamping member Equipped with blade compatible with the groove, the other end of described first clamping member and second clamping piece passes through active pin shaft It connects, sliding slot is respectively arranged in the middle part of described first clamping member and second clamping piece, the fixed pin shaft passes through described Sliding slot, described first clamping member and second clamping piece move back and forth the opening and closing for forming scissors ontology along the chute;The sliding slot End be provided with bending structure, when the fixed pin shaft is located at the bending structure, described first clamping member and described Two clamping pieces are in the close position;One end of the weakness connector is sheathed on the active pin shaft, the weakness connector The other end connect by connection component in the pipe with the lever on the operating handle, the rear end of the fixing seat cylinder leads to The outer pipe coupling component is crossed to connect with the operating handle.
2. scissor electric knife under multi-functional endoscope according to claim 1, which is characterized in that the outer pipe coupling component includes The rear end of the fixing seat cylinder is inserted into connecting tube, fixed ring and bourdon tube, one end of the connecting tube, the connecting tube with it is described The part of fixing seat cylinder overlapping is provided with card hole, and the connecting tube other end is internally provided with internal lining pipe, and the internal lining pipe is remote The evagination that one end from the fixing seat cylinder is equipped with annular is stupefied, and the evagination is stupefied to form annular between the end face of the connecting tube Slot, the ora terminalis of described fixed ring one end extend radially inwardly to be formed annular convex it is stupefied, one end of the fixed ring is slidingly connected In the periphery of the internal lining pipe, the other end of the fixed ring is fixedly connected with one end of the bourdon tube, the bourdon tube The other end and the operating handle are rotatablely connected.
3. scissor electric knife under multi-functional endoscope according to claim 2, which is characterized in that connection component includes in the pipe Pipe coupling, control steel wire and spring fastenings, one end of the pipe coupling are connect with the other end of the weakness connector, The other end of the pipe coupling is connect with one end of the control steel wire, the other end and the operation handlebar of the control steel wire Lever connection on hand, the spring fastenings are sheathed on the periphery of the pipe coupling, the spring fastenings it is radial to Multiple curved block tongues are extended to form outside, and the block tongue is arranged in the card hole, thus by the connecting tube and the fixation Seat cylinder connection;When the pulling force being applied on the spring fastenings is more than preset value, the block tongue occurs elastic deformation and is straightened, So that the block tongue is detached from the card hole, the connecting tube and the fixing seat cylinder are detached from.
4. scissor electric knife under multi-functional endoscope according to claim 3, which is characterized in that the middle part of the weakness connector It radially-inwardly shrinks and forms reducing diameter part, when the pulling force being applied on weakness connector reaches preset value, the weakness connector It is broken from reducing diameter part;After the weakness connector fracture, the rear end of the scissors ontology is fixed in the fixing seat cylinder.
5. scissor electric knife under multi-functional endoscope according to claim 4, which is characterized in that the inside of the fixing seat cylinder is set There is a protrusion, the end of corresponding described first clamping member and the second clamping piece other end is provided with card slot, when described first When clamping piece and second clamping piece are in the close position, the card slot card of described first clamping member and second clamping piece is set In the protrusion.
6. scissor electric knife under multi-functional endoscope according to claim 5, which is characterized in that the edge of the blade is provided with Multiple sawtooth, the sawtooth are arcuate serrated.
7. scissor electric knife under multi-functional endoscope according to claim 1 or 6, which is characterized in that cover on the surface of the blade It is stamped anti-stick coating.
8. scissor electric knife under multi-functional endoscope according to claim 6, which is characterized in that described first clamping member and described The outer surface of second clamping piece is covered at least one layer of insulating materials.
9. scissor electric knife under the multi-functional endoscope according to claim 6 or 8, which is characterized in that outside the fixing seat cylinder Surface is again covered at least one layer of insulating materials.
10. scissor electric knife under multi-functional endoscope according to claim 6, which is characterized in that the periphery of the bourdon tube covers Equipped with an insulation tube, the front end of the insulation tube extends to the periphery of the fixed ring, the end of the insulation tube and operation Handle connection.
CN201821051231.5U 2018-07-03 2018-07-03 Scissor electric knife under a kind of multi-functional endoscope Active CN208974093U (en)

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CN201821051231.5U CN208974093U (en) 2018-07-03 2018-07-03 Scissor electric knife under a kind of multi-functional endoscope

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Application Number Priority Date Filing Date Title
CN201821051231.5U CN208974093U (en) 2018-07-03 2018-07-03 Scissor electric knife under a kind of multi-functional endoscope

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108992140A (en) * 2018-07-03 2018-12-14 唐丹 Scissor electric knife under a kind of multi-functional endoscope

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108992140A (en) * 2018-07-03 2018-12-14 唐丹 Scissor electric knife under a kind of multi-functional endoscope

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Effective date of registration: 20240124

Address after: 100039 Fuxing Road 28, Beijing, Haidian District

Patentee after: The first medical center of PLA General Hospital

Country or region after: China

Address before: 100853 Fuxing Road 28, Beijing, Haidian District

Patentee before: Tang Dan

Country or region before: China

Patentee before: LingHu Enqiang