CN209253063U - Scope hematoma clearance operation series external member - Google Patents

Scope hematoma clearance operation series external member Download PDF

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Publication number
CN209253063U
CN209253063U CN201821805961.XU CN201821805961U CN209253063U CN 209253063 U CN209253063 U CN 209253063U CN 201821805961 U CN201821805961 U CN 201821805961U CN 209253063 U CN209253063 U CN 209253063U
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opening frame
cylinder
tube
scope
tube body
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CN201821805961.XU
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Chinese (zh)
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范学政
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Abstract

The utility model provides a kind of scope hematoma clearance operation series external member, is related to the field of medical instrument technology, and to solve, brain Minimally Invasive Surgery service aisle space existing in the prior art is limited, is not easy the technical issues of accurate operation.The device includes opening frame and sets and remove cylinder, it is described set to remove the cavity that the opening frame can pass through is provided on cylinder, the opening frame includes hollow tube body and the claw for being set to the tube body end, the claw presence is closed up and unfolded state, closed configuration is in when the claw is located in the cavity, the working space of package hemotoncus block is formed when the claw is located at outside the cavity in unfolded state, the working space is connected to the tube body, so that surgical instrument is entered by the tube body handles hemotoncus block in the working space.The opening frame of the utility model expands the working space of endoscopic technic, facilitates accurate operation, improves success rate of operation.

Description

Scope hematoma clearance operation series external member
Technical field
The utility model relates to the field of medical instrument technology, more particularly, to a kind of scope hematoma clearance operation series set Part.
Background technique
Cerebral hemorrhage is one of most important disease of human life to be threatened in global range, while cerebral hemorrhage again there is height to disable The characteristics of rate, high mortality and high financial burden.
With the inexhaustible growth of medical field, status of the clot aspiration operation in cerebral hemorrhage treatment increasingly by The approval of domestic and foreign scholars, removing hemotoncus using nerve endoscope is clot aspiration technology in the ascendant in recent years.
Nerve endoscope remove hemotoncus be it is minimally invasive open cranium after, sleeve is placed in haematoma cavity, establishes service aisle, is shone using scope The bright advantage for well, clearly showing, approaching operation is performed the operation, but removes hemotoncus under the microscope of such method and application maturation It comparing, scope service aisle space is limited, and it accurate operation and is difficult to obtain a full ground to active hemorrhage problem and solves, limitation The performance of endoscopic surgery and scope evacuation of hematoma it is universal.
Applicants have discovered that at least there is following technical problem in the prior art:
Existing brain Minimally Invasive Surgery service aisle space is limited, is not easy accurate operation.
Utility model content
The purpose of this utility model is to provide a kind of scope hematoma clearance operation series external members, to solve in the prior art Existing brain Minimally Invasive Surgery service aisle space is limited, is not easy the technical issues of accurate operation.It is provided by the utility model all Many technical effects (structure is simple, at low cost, easy to use) that optimal technical scheme in more technical solutions can be generated are detailed See below elaboration.
To achieve the above object, the utility model provides following technical scheme:
A kind of scope hematoma clearance operation series external member provided by the utility model, including opening frame and set and remove cylinder, it is described It sets to remove and is provided with the cavity that the opening frame can pass through on cylinder, the opening frame includes hollow tube body and is set to the tube body The claw of end, the claw presence is closed up and unfolded state, and closed configuration, institute are in when the claw is located in the cavity State the working space for forming package hemotoncus block when claw is located at outside the cavity in unfolded state, the working space and institute Tube body connection is stated, so that surgical instrument is entered by the tube body handles hemotoncus block in the working space.
It preferably, further include sting device, the sting device can be by the cavity on normal brain activity surface to blood Lump manufactures channel.
Preferably, the sting device includes puncture tube and tube filler, is provided with what the puncture tube was walked in the tube filler Through-hole, the pore size of the through-hole cooperate the diameter of the puncture tube to be arranged, to prevent the puncture tube along described It is rocked in through-hole moving process, described set removes the inner diameter size of cylinder the diameter of the tube filler is cooperated to be arranged, described to prevent Tube filler is rocked in the channel moving process.
Preferably, the claw is the blade being circumferentially uniformly arranged along the tube body proximal face, and the blade is not Rust steel is made, with the pipe welding.
Preferably, the tube filler is in warhead shape close to one end of brain tissue, is punctured with facilitating.
Preferably, be provided with strip in axial direction on the side wall of the tube filler, it is described set to remove matching is provided on cylinder The gap slot of the strip.
Preferably, it is described set to remove first handle is provided on cylinder, and the first handle be set to it is described set remove it is remote on cylinder One end from brain tissue.
Preferably, the opening frame is made of stainless steel, the segment thickness being in contact on the blade with the tube body compared with It is small, so that the blade is by external force can deformation occurs.
Preferably, second handle is provided on the opening frame, the second handle is connected by cross bar and the opening frame It connecing, the gap slot sets the side wall for removing cylinder through described, and the cross-sectional sizes of the cross bar match the size setting of the gap slot, So that the second handle can be moved axially along the gap slot, described set is removed cylinder and can be moved along the opening frame surface Dynamic separation.
Preferably, puncture tube, tube filler, set to remove and be respectively marked with length unit mm number on cylinder and opening frame, be user-friendly for It observes with being placed in brain tissue and haematoma cavity depth.
A kind of scope hematoma clearance operation series external member provided by the utility model, including opening frame and set and remove cylinder, it sets and removes It is provided with the cavity that opening frame can pass through on cylinder, opening frame includes hollow tube body and the claw for being set to tube body end, claw In the presence of closing up and unfolded state, closed configuration is in when claw is located in cavity, in unfolded state when claw is located at outside cavity To form the working space of package hemotoncus block, working space is connected to tube body, so that surgical instrument enters work sky by tube body Interior processing hemotoncus block, opening frame expand the working space of endoscopic technic, facilitate accurate operation, improve success rate of operation.
Detailed description of the invention
In order to illustrate the embodiment of the utility model or the technical proposal in the existing technology more clearly, below will be to embodiment Or attached drawing needed to be used in the description of the prior art is briefly described, it should be apparent that, the accompanying drawings in the following description is only It is some embodiments of the utility model, for those of ordinary skill in the art, in the premise not made the creative labor Under, it is also possible to obtain other drawings based on these drawings.
Fig. 1 is the structure chart of puncture tube;
Fig. 2 is the structure chart of tube filler;
Fig. 3 is to set the structure chart for removing cylinder;
Fig. 4 is the structure chart of opening frame.
1, tube filler in figure;11, strip;2, puncture tube;3, it sets and removes cylinder;31, gap slot;32, first handle;4, opening frame; 41, tube body;42, claw;421, blade;43, second handle.
Specific embodiment
To keep the purpose of this utility model, technical solution and advantage clearer, below by the technology to the utility model Scheme is described in detail.Obviously, the described embodiments are only a part of the embodiments of the utility model, rather than all Embodiment.Based on the embodiments of the present invention, those of ordinary skill in the art are not before making creative work Obtained all other embodiment is put, the range that the utility model is protected is belonged to.
A kind of scope hematoma clearance operation series external member provided by the utility model is used for cerebral hemorrhage scope hematoma clearance hand Art, as shown in Figs 1-4, scope hematoma clearance operation series external member include opening frame 4 and set and remove cylinder 3.
Set remove be provided on cylinder 3 opening frame 4 can by cavity, opening frame 4 includes hollow tube body 41 and is set to The claw 42 of 41 end of tube body, claw 42, which has, closes up and is unfolded two states, is in when claw 42 is located in cavity and closes up shape State forms the working space of package hemotoncus block, working space and tube body 41 in unfolded state when claw 42 is located at outside cavity Connection, so that surgical instrument enters in working space the processing for completing hemotoncus block by tube body 41.
Further, opening frame 4 movably removes cylinder 3 into and out setting.Claw 42 and the cooperation of tube body 41 are in folding knot Structure, claw 42 can be unfolded to far from 41 direction of tube body in the case of not stressing, fold under by external force constraint to 41 direction of tube body, with Fold opening frame 4 setting to remove in cylinder 3, across set remove cylinder 3 cavity after, claw 42 is unfolded to far from 41 direction of tube body, is formed Working space including hemotoncus block, surgical instrument enter working space by tube body 41 to complete the processing of hemotoncus block.
Optionally embodiment, claw 42 are the blade 421 being circumferentially uniformly arranged along 41 proximal face of tube body, leaf Piece 421 is made of stainless steel, welds with the tube body 41.
Blade 421 has elasticity so that blade 421 by external force it is close to 41 direction of tube body and in the case of not stressing to separate The expansion of 41 direction of tube body.
Further, opening frame 4 is made of stainless steel, and the segment thickness being in contact on blade 421 with tube body 41 is smaller, with Enabling blade 421 by external force, deformation occurs.The cross section of blade 421 is arc-shaped, so as to be in shuttle shape when claw 42 closes up.
Optionally embodiment, scope hematoma clearance operation series external member further include sting device, sting device energy Enough by cavity to manufacture channel on normal brain activity surface to hemotoncus block.
Sting device includes puncture tube 2 and tube filler 1, and the through-hole that puncture tube 2 is walked, the aperture of through-hole are provided in tube filler 1 Size cooperates the diameter setting of puncture tube 2, and puncture tube 2 is inserted into 1 rear enclosed of tube filler and fills up tube filler 1, to prevent 2 edge of puncture tube Rock in through-hole moving process, set the diameter setting for removing the inner diameter size cooperation tube filler 1 of cylinder 3, the insertion of tube filler 1, which is set, removes cylinder 3 rear encloseds, which fill up to set, removes cylinder 3, to prevent tube filler 1 from rocking in the moving process of channel.
Tube filler 1 is made of opaque plastics.
Optionally embodiment close to one end of brain tissue is in warhead shape in tube filler 1, facilitate haematoma cavity puncture and Expansion reduces sting device to normal cerebral tissue's cutting damage.
Optionally embodiment is provided with strip 11 in axial direction on the side wall of tube filler 1, sets to remove and sets on cylinder 3 It is equipped with the gap slot 31 of matching strip 11, strip 11 is equipped with gap slot 31, to improve the stabilization in 1 moving process of tube filler Property, reduce accident surgery probability.
Optionally embodiment is provided with second handle 43 on opening frame 4, and second handle 43 is set to opening frame Far from one end of brain tissue on 4, convenient for users to operating opening frame 4.
Further, second handle 43 is connect by cross bar with opening frame 4, and gap slot 31, which runs through, sets the side wall for removing cylinder 3, horizontal The size setting of the cross-sectional sizes matching gap slot 31 of bar, so that opening frame 4 is removed in 3 moving process of cylinder along setting, second handle 43 can follow opening frame 4 mobile by gap slot 31, and set and remove cylinder 3 and can move along opening frame 4, to divide with opening frame 4 From.
Optionally embodiment, sets to remove and is provided with first handle 32 on cylinder 3, and first handle 32 is set to set and removes cylinder Far from one end of brain tissue on 3, used convenient for users to grasping.
Optionally embodiment, first handle 32 and second handle 43 are Anti-slip handle, are provided with and are used for Anti-skidding anti-skid chequer.
Optionally embodiment, puncture tube 2 are made of silica gel, and material size is identical with lateral ventricular external drainage pipe, wear The side opening that hemotoncus liquid stream goes out is provided on thorn pipe 2.
Further, puncture tube 2, tube filler 1, set to remove and be respectively marked with length unit mm number on cylinder 3 and opening frame 4, be easy to use Person observes with carrying out merging brain tissue and haematoma cavity depth.
Optionally embodiment, the claw 42 and the length of tube body 41, outer diameter of opening frame 4 are of different sizes, for not It is used in different operations with size and quantity of hematoma.
41 length of tube body can be 70mm, 50mm or 30mm, and 41 internal diameter of tube body can be 17mm, 16mm or 15mm, and blade 421 is long Degree can be 55mm, 45mm or 35mm, blade 421 is stretched out naturally to be formed elliposoidal diameter and can make for 35mm, 30mm or 25mm The specification of different parameters various combination is used for different shape and quantity of hematoma patients surgery out.
Since the case where clinically hemotoncus of 40-50 milliliters of elliposoidal forms, cortex are away from hemotoncus center 7cm or so, is most, A kind of optimal case, the total length of tube filler 1 are 16cm, and diameter 1.5cm, the bullet end of tube filler 1 is 2cm, the central duct of tube filler 1 Length 16cm, diameter 3mm, strip 11 is 16cm long, wide 1mm, high 1mm.
Setting and removing the length of cylinder 3 is 12cm, diameter 17cm, sets the barrel thickness 1mm for removing cylinder 3, the wide 1.5mm of side vacancy.The The wide 1cm of one handle 32, long 3cm, thick 0.2cm.
The tip that the junction width of the setting of blade 421 4 of claw 42, blade 421 and tube body 41 is greater than blade 421 is wide Degree, further, a length of 6cm of blade 421, blade 421 and the junction width of tube body 41 are 0.5cm, and the tip of blade 421 is wide Degree is 0.2cm.4 blades 421 strut to form a length of 4.5cm in elliposoidal space, wide 3cm naturally.6cm long, the outer diameter of tube body 41 1.65cm.The handle of tail end side one of opening frame 4, wide 1cm, long 2cm, thick 0.2cm.A length of 0.2cm of cross bar.
The application method of this equipment are as follows:
The preoperative distance that quantity of hematoma and inlet point to target point are calculated with 3D-Slicer software, into channel and 3 The angle of plane.1.5cm before design notch coronal suture, 2.5cm is opened by middle line, is about 4.0cm straight cut, mastoid process dilator retracts Scalp exposes skull, the small bone flap of milling cutter form diameter about 2.5cm after drilling, and "+" cuts endocranium.Puncture tube 2 can be accurately placed in To hemotoncus center, there is hemotoncus liquid stream to go out and illustrate to puncture successfully, the interior needle core of removal connects syringe, and to pump out several milliliters of hemotoncus preliminary Decompression.
Claw 42 is closed up and removes the slowly merging haematoma cavity of cylinder 3 by setting, claw 42 is removed 3 rear blade 421 of cylinder and stretched out by setting Among hemotoncus, fixed opening frame 4.It is softly sucked out within the scope of the elliposoidal that opening frame 4 is formed with scope combination aspirator Hemotoncus, more tough and tensile secured hemotoncus can match syzygies physiological saline and tumor pincers etc. taken to be caught broken suction.First four are removed to strut between piece Most of hemotoncus, four strut below piece hemotoncus or strut piece overlay area can be subsequent by the exposure of coaxial rotating opening frame 4 It is continuous to remove, until hematoma clearance is satisfied.Active hemorrhage point is encountered, can stop blooding using bipolar electrocoagulator, remove 3, cylinder using setting Opening frame 4 is carefully withdrawn from from haematoma cavity.
The utility model has the following beneficial effects: the present invention is using hemotoncus the distracted pathological anatomy shape of normal cerebral tissue State is placed in opening frame 4, and the claw 42 of opening frame 4 struts to form working space, for the interior of cerebral hemorrhage scope hematoma clearance operation The operation tools such as mirror, aspirator, bipolar electrocoagulator provide maximized working space;Secondly because 42 elasticity of claw is placed in, is clear When withdrawing from after except hemotoncus, elasticity, which passes through to set after closing up, removes the damage that the extraction of cylinder 3 does not aggravate normal brain activity cortex operation path.
Above description is only a specific implementation of the present invention, but the protection scope of the utility model is not limited to In this, anyone skilled in the art within the technical scope disclosed by the utility model, can readily occur in variation Or replacement, it should be covered within the scope of the utility model.Therefore, the protection scope of the utility model should be with the power Subject to the protection scope that benefit requires.

Claims (10)

1. a kind of scope hematoma clearance operation series external member, which is characterized in that it is removed cylinder (3) including opening frame (4) and setting, it is described to set It removes and is provided with the cavity that the opening frame (4) can pass through on cylinder (3), the opening frame (4) includes hollow tube body (41) and sets It is placed in the claw (42) of the tube body (41) end, the claw (42), which exists, closes up and unfolded state, the claw are located at institute Closed configuration is in when stating in cavity, in unfolded state to form package hemotoncus block when the claw is located at outside the cavity Working space, the working space are connected to the tube body (41), so that surgical instrument passes through described in the tube body (41) entrance Hemotoncus block is handled in working space.
2. scope hematoma clearance operation series external member according to claim 1, which is characterized in that it further include sting device, The sting device can be by the cavity to manufacture channel on normal brain activity surface to hemotoncus block.
3. scope hematoma clearance operation series external member according to claim 2, which is characterized in that the sting device includes Puncture tube (2) and tube filler (1) are provided with the through-hole that the puncture tube (2) is walked, the aperture of the through-hole on the tube filler (1) Size cooperates the diameter setting of the puncture tube (2), to prevent the puncture tube (2) along in the through-hole moving process It rocks, it is described to set the diameter setting for removing the inner diameter size cooperation tube filler (1) of cylinder (3), to prevent the tube filler (1) edge Rock in the channel moving process.
4. scope hematoma clearance operation series external member according to claim 1, which is characterized in that the claw (42) is edge The blade (421) that is circumferentially uniformly arranged of the tube body (41) proximal face, the blade (421) is made of stainless steel, with institute State tube body (41) welding.
5. scope hematoma clearance operation series external member according to claim 3, which is characterized in that the tube filler (1) is close One end of brain tissue is in warhead shape, is punctured with facilitating.
6. scope hematoma clearance operation series external member according to claim 3, which is characterized in that the side of the tube filler (1) Strip (11) in axial direction is provided on wall, it is described to set the gap slot for removing and being provided on cylinder (3) and matching the strip (11) (31)。
7. scope hematoma clearance operation series external member according to claim 1, which is characterized in that described set is removed on cylinder (3) It is provided with first handle (32), and the first handle (32) is set to described one end set and removed on cylinder (3) far from brain tissue.
8. scope hematoma clearance operation series external member according to claim 4, which is characterized in that the opening frame (4) is Stainless steel is made, and the segment thickness being in contact on the blade (421) with the tube body (41) is smaller, so that the blade (421) by external force can deformation occurs.
9. scope hematoma clearance operation series external member according to claim 6, which is characterized in that on the opening frame (4) It is provided with second handle (43), the second handle (43) is connect by cross bar with the opening frame (4), the gap slot (31) The side walls of cylinder (3) is removed through described set, the cross-sectional sizes of the cross bar match the size setting of the gap slot (31), so that institute Stating second handle (43) can move axially along the gap slot (31), it is described set remove cylinder (3) can be along the opening frame (4) the mobile separation in surface.
10. scope hematoma clearance operation series external member according to claim 3, which is characterized in that the puncture tube (2), The tube filler (1), it is described set to remove be respectively marked with length unit mm number on cylinder (3) and the opening frame (4), be user-friendly for setting It observes with entering brain tissue and haematoma cavity depth.
CN201821805961.XU 2018-11-02 2018-11-02 Scope hematoma clearance operation series external member Active CN209253063U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201821805961.XU CN209253063U (en) 2018-11-02 2018-11-02 Scope hematoma clearance operation series external member

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Application Number Priority Date Filing Date Title
CN201821805961.XU CN209253063U (en) 2018-11-02 2018-11-02 Scope hematoma clearance operation series external member

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CN209253063U true CN209253063U (en) 2019-08-16

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111493947A (en) * 2020-04-27 2020-08-07 厦门理工学院 Craniocerebral operation creating and communicating device and equipment
CN112842422A (en) * 2021-01-27 2021-05-28 范学政 Tubular brain pressing plate series apparatus for cerebral hemorrhage endoscope operation

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN111493947A (en) * 2020-04-27 2020-08-07 厦门理工学院 Craniocerebral operation creating and communicating device and equipment
CN112842422A (en) * 2021-01-27 2021-05-28 范学政 Tubular brain pressing plate series apparatus for cerebral hemorrhage endoscope operation

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