CN209332206U - A kind of visualization pituitary adenoma resectoscope - Google Patents
A kind of visualization pituitary adenoma resectoscope Download PDFInfo
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- CN209332206U CN209332206U CN201822246422.3U CN201822246422U CN209332206U CN 209332206 U CN209332206 U CN 209332206U CN 201822246422 U CN201822246422 U CN 201822246422U CN 209332206 U CN209332206 U CN 209332206U
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Abstract
The utility model provides a kind of visualization pituitary adenoma resectoscope, including socket, camera, display screen and scrapes circle;Camera scrapes the front end that circle is all set in socket;Display screen is set to the outside in the middle part of socket;It include suction channel disposed in parallel and electrical conduits in socket;Perforation before and after suction channel, electrical conduits are interior to be arranged conducting wire, and conducting wire enters from electrical conduits front end, is sequentially connected display screen and camera.The visualization pituitary adenoma resectoscope of the utility model, camera and display screen are set on socket, avoid blind area and dead angle caused by tubular visual field under mirror, pass through microscope and display screen clear view, absorbed operation convenient for operator.This device structure is simple, easy to operate, operating time can be shortened, procedure efficiency is improved, reduce surgical injury without being equipped with relevant to nerve endoscope, expensive equipment and instrument, carry out stringent Specialized training to operating theatre staff without wasting manpower and material resources and time.
Description
Technical field
The utility model relates to the field of medical instrument technology, in particular to a kind of visualization pituitary adenoma resectoscope.
Background technique
Pituitary adenoma is also referred to as " hypophysoma ", is the benign tumour in the common cranium brain of one kind, accounts for the 10%- of intracranial tumors
15%.
Although pituitary adenoma belongs to benign tumour, some pituitary adenomas can invade adjacent tissue, such as cavernous sinus, bone group
It knits, sphenoid sinus, and be proliferated rapidly, i.e., so-called invasive pituitary adenoma.Microscopically observation, the pituitary gland of about 64%-85%
There are surrounding dural invasions for tumor case, invade cavernous sinus person and account for overall incidence up to 35%.
The operative treatment of pituitary adenoma is generallyd use at present is Trans-sphenoid surgery425 therapeutic modality.Trans-sphenoid surgery425 is controlled
Treat includes microscope and nerve endoscope two ways again, the former starting is more early, and using comparative maturity, the latter is in recent years with micro-
It creates the development of surgical operation and rises, have good prospects.Two methods cut both ways:
Although 1, having through butterfly micrurgy, instrument expense is lower, simple operation and other advantages, however, " the pipe under microscope
The shape visual field " be easy to cause blind area, can not line-of-sight observation and operate.For the tumour on invasion cavernous sinus and saddle, cut using circle is scraped
Except operation is sheerly in " blind to scrape ", the damage of structures surrounding is easily caused, serious complication is even resulted in.
2, the mirror downward view of nerve endoscope pituitary adenoma surgery improves 1.5-2.5 times, and mirror compared with field of microscope
Under avoid blind area caused by microscopical tubular visual field and dead angle;In addition, using angled scope can on saddle, parasellar tumor
Tissue is cut off, therefore involves the pituitary adenoma selection nerve endoscope hand of cavernous sinus, internal carotid in infiltrative growth to tumour
Art is more preferably.However, the relevant device and instrument expense of nerve endoscope are high, and need to carry out operating theatre staff specialized training
Instruction.
So how to improve the operation tool through transsphenoidal pituitary enucleation, reduction operating time improves operation effect
Rate, reduction operation risk are those skilled in the art's urgent problems to be solved.
Utility model content
The purpose of this utility model is to provide a kind of visualization pituitary adenoma resectoscopes, to solve warp in the prior art
Instrument expense existing for transsphenoidal pituitary enucleation is high, operating procedure it is complicated need professional training, exist operation blind area be easy
The problems such as bringing damage and complication.
To achieve the goals above, the utility model uses following technical scheme:
A kind of visualization pituitary adenoma resectoscope provided by the utility model, including socket, camera, display screen and scrape
Circle;The camera, the front end scraped circle and be all set in the socket;The display screen is set to outer in the middle part of the socket
Side;It include suction channel disposed in parallel and electrical conduits in the socket;Perforation, the circuitron before and after the suction channel
Conducting wire is set in road, and the conducting wire enters from the electrical conduits front end, is sequentially connected the display screen and the camera.It is excellent
Selection of land, the internal diameter of socket is set as about about 5 millimeters, and the internal diameter of the internal diameter of suction channel and electrical conduits respectively may be about 3 millis
Rice and 2 millimeters.
Based on the above technical solution, further, the middle section setting of the suction channel adjusts through-hole.The technical side
The having the technical effect that of case is few when scraping more when the lesion tissue that circle cut off in the course of surgery, and it is non-constant to cut off rate,
The amount of excision is also non-constant, so, the effect of required suction is also different.Although other than can be by adjusting equipment itself
Smoking machine changes the size of suction, and still, which will lead to operation suspention interruption, or need multiple doctors to coordinate
Work, and the doctor for being responsible for adjustment smoking machine specially not necessarily can accurately adjust as needed.So, in suction tube
The middle section setting in road adjusts through-hole, the then excision that the doctor for operation of holding a sword in one's hand can arrive according to the observation while grasping socket
Situation and smoking conditions, are in real time adjusted flexibly aspiration rate.
Optionally, further, adjusting screw, the adjusting screw and the suction tube is arranged in the middle section of the suction channel
The side wall in road is spirally connected and passes through the inner cavity of the suction channel, and passing through for own axes is provided perpendicular in the adjusting screw
Reach through hole.The technical solution has the technical effect that likewise, adjusting screw is also for helping the doctor of operation of holding a sword in one's hand
Voluntarily adjust the aspiration rate of suction channel.When screwing adjusting screw, thus it is possible to vary through the on-state rate of through-hole.
On the basis of any of the above-described technical solution, further, the display screen is articulated with the socket, can adjust institute
State deflection angle of the display screen relative to the socket.The technical solution has the technical effect that the aobvious of adjustable deflection angle
Display screen is convenient for the accurate observation in the course of surgery with microscopes progress all angles.In addition, display screen is hinged with socket
Position answers waterproof to be arranged, and prevents art area blood and overflows into electrical conduits.
It based on the above technical solution, further, further include angle-adjusting mechanism;The angle-adjusting mechanism includes
Knob, connecting line and elastic component, the elastic component are set between the display screen and the socket, and the knob is set to institute
The front end of socket is stated, the connecting line is separately connected the knob and the display screen.The technical solution has the technical effect that
The knob positioned at socket front end is screwed, stretch or discharges connecting line, is swung to control display screen around articulated shaft, elastic component is real
Return after now swinging.
Based on the above technical solution, further, the elastic component is pressure spring.The technical effect of the technical solution exists
In: since user controls the deflection angle of display screen by connecting line, therefore the elastic force potential energy of spring is put aside using pressure spring
It is more more particularly suitable than tension spring, slowly screw loosen connecting line when, display screen can slowly be sprung back.Wherein, pressure spring can also also use
Making leaf spring replaces.
On the basis of any of the above-described technical solution, further, the suction channel front opening is located at the camera
And it described scrapes between circle.Having the technical effect that aspirate in time by the tumor tissues of excision in time for the technical solution, is answered
The front opening setting of suction channel is being scraped near circle, is being isolated without that camera should be arranged in centre.In addition, camera,
The front opening for scraping circle and suction channel is arranged on same straight line, the useful space can be maximally utilised, so that scraping
Circle is implemented to cut off to tumor tissues without let or hindrance.
On the basis of any of the above-described technical solution, further, the cross section outer profile of the socket it is oval or
Rectangle.The technical solution has the technical effect that ellipse or rectangle are grasped and positioned convenient for operator, and socket front end
Circle of scraping be less likely to occur to rotate, avoid scrape circle excision position inaccuracy.
On the basis of any of the above-described technical solution, further, the socket is bent stepped along its length.The skill
The stepped setting of front and back section for having the technical effect that socket of art scheme, then further expansion surgical field of view, is conducive to operation
Operator's observation and operation.Preferably, in order to facilitate the operation of doctor, the curved of entire socket should be arranged in above-mentioned adjusting through-hole
At folding.
On the basis of any of the above-described technical solution, further, the front end of the socket is L-shaped.The skill of the technical solution
Art effect is: L-type front end facilitates the operation for scraping circle, is also conducive to the observation of camera.
The utility model has the following beneficial effects:
Visualization pituitary adenoma resectoscope provided by the utility model, camera and display screen are set on socket, kept away
Exempt from blind area and dead angle caused by tubular visual field under mirror, passes through microscope and display screen clear view, absorbed operation convenient for operator.
This device structure is simple, easy to operate, can shorten operating time, improve procedure efficiency, reduce surgical injury without
It is equipped with relevant to nerve endoscope, expensive equipment and instrument, without wasting manpower and material resources and time to surgical procedure
Personnel carry out stringent Specialized training.
The additional technical feature and its advantage of the utility model will be illustrated in following description content it is more obvious, or
It is recognized that by the concrete practice of the utility model.
Detailed description of the invention
It, below will be to specific embodiment in order to illustrate more clearly of the technical solution of specific embodiment of the present invention
Attached drawing needed in description is briefly described.It should be evident that the accompanying drawings in the following description is the utility model
Some embodiments for those of ordinary skill in the art without creative efforts, can also basis
These attached drawings obtain other attached drawings.
Fig. 1 is a kind of outline structural diagram for visualizing pituitary adenoma resectoscope provided by the embodiment of the utility model;
Fig. 2 is the partial enlarged view in Fig. 1 at I;
Fig. 3 is the partial enlarged view in Fig. 1 at J;
Fig. 4 is the partial enlarged view in Fig. 1 at K;
Fig. 5 is the partial enlarged view in Fig. 1 at L;
Fig. 6 is the contour structures signal of another visualization pituitary adenoma resectoscope provided by the embodiment of the utility model
Figure;
Fig. 7 is sectional view along A-A in Fig. 6.
Icon: 1- socket;2- camera;3- display screen;4- scrapes circle;5- suction channel;6- electrical conduits;7- conducting wire;8-
Adjust through-hole;9- adjusting screw;10- runs through through-hole;11- knob;12- connecting line;13- elastic component.
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.
It is in the description of the present invention, it should be noted that term " center ", "upper", "lower", "left", "right", " perpendicular
Directly ", the orientation or positional relationship of the instructions such as "horizontal", "inner", "outside" is to be based on the orientation or positional relationship shown in the drawings, and is only
For ease of description the utility model and simplify description, rather than the device or element of indication or suggestion meaning must have it is specific
Orientation, be constructed and operated in a specific orientation, therefore should not be understood as limiting the present invention.In addition, term " the
One ", " second ", " third " are used for descriptive purposes only and cannot be understood as indicating or suggesting relative importance.
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.
DESCRIPTION OF THE PRIOR ART:
In the prior art, what is the operative treatment of pituitary adenoma generallyd use is Trans-sphenoid surgery425 therapeutic modality.Through
Operation of sphenoid sinus treatment includes microscope and nerve endoscope two ways again, the former starting is more early, and using comparative maturity, the latter is close
It rises within several years, has good prospects with the development of micro-wound surgical operation.Two methods cut both ways:
Although 1, having through butterfly micrurgy, instrument expense is lower, simple operation and other advantages, however, " the pipe under microscope
The shape visual field " be easy to cause blind area, can not line-of-sight observation and operate.For the tumour on invasion cavernous sinus and saddle, cut using circle 4 is scraped
Except operation is sheerly in " blind to scrape ", the damage of structures surrounding is easily caused, serious complication is even resulted in.
2, the mirror downward view of nerve endoscope pituitary adenoma surgery improves 1.5-2.5 times, and mirror compared with field of microscope
Under avoid blind area caused by microscopical tubular visual field and dead angle;In addition, using angled scope can on saddle, parasellar tumor
Tissue is cut off, therefore involves the pituitary adenoma selection nerve endoscope hand of cavernous sinus, internal carotid in infiltrative growth to tumour
Art is more preferably.However, the relevant device and instrument expense of nerve endoscope are high, and need to carry out operating theatre staff specialized training
Instruction.
Technical solutions of the utility model are summarized:
Fig. 1 is a kind of outline structural diagram for visualizing pituitary adenoma resectoscope provided by the embodiment of the utility model;
Fig. 2 is the partial enlarged view in Fig. 1 at I;Fig. 3 is the partial enlarged view in Fig. 1 at J;Fig. 4 is the partial enlargement in Fig. 1 at K
Figure;Fig. 5 is the partial enlarged view in Fig. 1 at L.As shown in Fig. 1~5, visualization pituitary adenoma resectoscope provided in this embodiment,
Including socket 1, camera 2, display screen 3 and scrape circle 4.Specifically, camera 2, scrape the front ends that circle 4 is all set in socket 1;Display
Screen 3 is set to the outside at 1 middle part of socket;It include suction channel 5 disposed in parallel and electrical conduits 6 in socket 1;Suction channel 5
Front and back perforation, electrical conduits 6 are interior to be arranged conducting wire 7, and conducting wire 7 enters from 6 front end of electrical conduits, is sequentially connected display screen 3 and camera shooting
First 2.Preferably, the internal diameter of socket 1 is set as about about 5 millimeters, and the internal diameter of the internal diameter of suction channel 5 and electrical conduits 6 divides
It Yue Wei not be 3 millimeters and 2 millimeters.
On the basis of the above embodiments, as shown in figure 3, further, the middle section setting of suction channel 5 adjusts through-hole 8.
It is few when more when due in the course of surgery, scraping lesion tissue that circle 4 cut off, cut off that rate is non-constant, and the amount of excision is not yet
It is constant, so, the effect of required suction is also different.Although can change by adjusting smoking machine other than equipment itself
Become the size of suction, still, which will lead to operation suspention interruption, or multiple doctors is needed to carry out co-ordination, and special
The doctor for being responsible for adjustment smoking machine but not necessarily can accurately adjust as needed.So, it is set in the middle section of suction channel 5
It sets and adjusts through-hole 8, then the excision situation and pumping that the doctor for operation of holding a sword in one's hand can arrive according to the observation while grasping socket 1
Situation is inhaled, aspiration rate is adjusted flexibly in real time.
Fig. 6 is the contour structures signal of another visualization pituitary adenoma resectoscope provided by the embodiment of the utility model
Figure;Fig. 7 is sectional view along A-A in Fig. 6.Optionally, as shown in Figure 6,7, adjusting screw 9, adjustment is arranged in the middle section of suction channel 5
The side wall of screw 9 and suction channel 5 is spirally connected and passes through the inner cavity of suction channel 5, and is provided perpendicular to itself in adjusting screw 9
Axis runs through through-hole 10.In the visualization pituitary adenoma resectoscope of the structure, likewise, adjusting screw 9 is also for side
The doctor for operation of holding a sword in one's hand is helped voluntarily to adjust the aspiration rate of suction channel 5.When screwing adjusting screw 9, thus it is possible to vary run through
The on-state rate of through-hole 10.
On the basis of the above embodiments, it as shown in figure 4, further, display screen 3 is articulated with socket 1, can adjust aobvious
Deflection angle of the display screen 3 relative to socket 1.In the visualization pituitary adenoma resectoscope of the structure, deflection angle can adjust
Display screen 3 is convenient for the accurate observation in the course of surgery with microscopes progress all angles.In addition, display screen 3 and socket 1
Hinge point answers waterproof to be arranged, and prevents art area blood and overflows into electrical conduits 6.
It on the basis of the above embodiments, as shown in Figure 2,4, further, further include angle-adjusting mechanism;Angle adjustment
Mechanism includes knob 11, connecting line 12 and elastic component 13, and elastic component 13 is set between display screen 3 and socket 1, and knob 11 is arranged
In the front end of socket 1, connecting line 12 is separately connected knob 11 and display screen 3.In the visualization pituitary adenoma resectoscope of the structure
In, the knob 11 positioned at 1 front end of socket is screwed, stretches or discharges connecting line 12, is put to control display screen 3 around articulated shaft
Dynamic, elastic component 13 realizes the return after swinging.
On the basis of the above embodiments, as shown in figure 4, further, elastic component 13 is pressure spring.In the visual of the structure
Change in pituitary adenoma resectoscope, since user controls the deflection angle of display screen 3 by connecting line 12, therefore using pressure spring come
Put aside spring elastic force potential energy it is more more particularly suitable than tension spring, slowly screw loosen connecting line 12 when, display screen 3 can slowly be sprung back.
Wherein, pressure spring can also also be replaced using making leaf spring.
On the basis of the above embodiments, as shown in figure 5, further, 5 front opening of suction channel is located at camera 2
And it scrapes between circle 4.In the visualization pituitary adenoma resectoscope of the structure, in order to which the tumor tissues of excision are aspirated in time in time
It walks, the front opening of suction channel 5 should be arranged and scrape near circle 4, be isolated without that camera 2 should be arranged in centre.In addition,
Camera 2 scrapes the front opening setting for enclosing 4 and suction channel 5 on same straight line, can maximally utilise effective sky
Between, without let or hindrance tumor tissues are implemented to cut off so that scraping circle 4.
On the basis of the above embodiments, as shown in fig. 7, further, the cross section outer profile of socket 1 it is oval or
Person's rectangle.In the visualization pituitary adenoma resectoscope of the structure, ellipse or rectangle are grasped and are positioned convenient for operator, and
And the circle 4 of scraping of 1 front end of socket is less likely to occur to rotate, and avoids the excision position inaccuracy for scraping circle 4.
On the basis of the above embodiments, as a shown in Figure 6, further, socket 1 is bent along its length in ladder
Shape.In the visualization pituitary adenoma resectoscope of the structure, the stepped setting of the front and back of socket 1 section, then further expansion
Surgical field of view is conducive to operating theatre staff and observes and operate.Preferably, in order to facilitate the operation of doctor, above-mentioned adjusting through-hole 8 is answered
The bending place of entire socket 1 is set.
On the basis of the above embodiments, as a shown in Figure 6, further, the front end of socket 1 is L-shaped.In the structure
It visualizes in pituitary adenoma resectoscope, L-type front end facilitates the operation for scraping circle 4, is also conducive to the observation of camera 2.
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 (10)
1. a kind of visualization pituitary adenoma resectoscope, which is characterized in that including socket, camera, display screen and scrape circle;
The camera, the front end scraped circle and be all set in the socket;The display screen is set in the middle part of the socket
Outside;
It include suction channel disposed in parallel and electrical conduits in the socket;Perforation, the circuit before and after the suction channel
Conducting wire is set in pipeline, and the conducting wire enters from the electrical conduits front end, is sequentially connected the display screen and the camera.
2. visualization pituitary adenoma resectoscope according to claim 1, which is characterized in that the middle section of the suction channel is set
Set adjusting through-hole.
3. visualization pituitary adenoma resectoscope according to claim 1, which is characterized in that the middle section of the suction channel is set
Adjusting screw is set, the adjusting screw and the side wall of the suction channel are spirally connected and pass through the inner cavity of the suction channel, and institute
State be provided perpendicular in adjusting screw own axes through through-hole.
4. visualization pituitary adenoma resectoscope according to claim 1, which is characterized in that the display screen is articulated with described
Socket can adjust deflection angle of the display screen relative to the socket.
5. visualization pituitary adenoma resectoscope according to claim 4, which is characterized in that further include angle-adjusting mechanism;
The angle-adjusting mechanism includes knob, connecting line and elastic component, and the elastic component is set to the display screen and the socket
Between, the knob is set to the front end of the socket, and the connecting line is separately connected the knob and the display screen.
6. visualization pituitary adenoma resectoscope according to claim 5, which is characterized in that the elastic component is pressure spring.
7. described in any item visualization pituitary adenoma resectoscopes according to claim 1~6, which is characterized in that the suction tube
Road front opening is located at the camera and described scrapes between circle.
8. described in any item visualization pituitary adenoma resectoscopes according to claim 1~6, which is characterized in that the socket
Cross section outer profile is oval or rectangle.
9. described in any item visualization pituitary adenoma resectoscopes according to claim 1~6, which is characterized in that the socket edge
Length direction bending is stepped.
10. described in any item visualization pituitary adenoma resectoscopes according to claim 1~6, which is characterized in that the socket
Front end is L-shaped.
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CN201822246422.3U CN209332206U (en) | 2018-12-28 | 2018-12-28 | A kind of visualization pituitary adenoma resectoscope |
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CN201822246422.3U CN209332206U (en) | 2018-12-28 | 2018-12-28 | A kind of visualization pituitary adenoma resectoscope |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN109480964A (en) * | 2018-12-28 | 2019-03-19 | 首医大三博脑科医院(北京)有限公司 | A kind of visualization pituitary adenoma resectoscope |
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2018
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
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CN109480964A (en) * | 2018-12-28 | 2019-03-19 | 首医大三博脑科医院(北京)有限公司 | A kind of visualization pituitary adenoma resectoscope |
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Address after: 100093 Building No. 50, No. 17, 24 and 26, Xiangshan, Haidian District, Beijing Patentee after: BEIJING SANBO BRAIN Hospital Address before: 100000 Yikesong 50, Xiangshan, Haidian District, Beijing Patentee before: BEIJING SANBO BRAIN HOSPITAL Co.,Ltd. |
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