CN209392045U

CN209392045U - A kind of novel Minimally Invasive Surgery excision body surface subcutaneously swells the instrument of object

Info

Publication number: CN209392045U
Application number: CN201821975118.6U
Authority: CN
Inventors: 刘润瑞
Original assignee: Individual
Current assignee: Individual
Priority date: 2018-11-28
Filing date: 2018-11-28
Publication date: 2019-09-17
Anticipated expiration: 2028-11-28

Abstract

The utility model belongs to technical field of medical equipment, a kind of novel Minimally Invasive Surgery excision body surface is specifically disclosed subcutaneously to swell the instrument of object, including subcutaneous superficial tumor fixed mechanism, drill bit protection and guidance discharge mechanism, resection organization, medical electric drill, subcutaneous superficial tumor fixed mechanism includes two fixed instrument handles and is connected by swollen object width adjustor, sharp portion on two fixed instrument handles constitutes Tumor resection operation interval, drill bit protection and guidance discharge mechanism, resection organization include drill bit protection sleeve pipe, fixed structure, the fixed structure is cylindrical shape, the fixed structure front end is connected and fixed with previous bit protection sleeve pipe, the fixed structure rear end is only bolted the medical electric drill of insertion, resection organization's outlet is equipped among drill bit protection sleeve pipe.The utility model facilitates operation to implement, and can reduce surgical wound surface, and epidermal tissue's damage is less, and aesthetic effect is obvious, realizes that small wound cuts off swollen object purpose；Further mitigate patient suffering, reduce operating time, improves working efficiency.

Description

A kind of novel Minimally Invasive Surgery excision body surface subcutaneously swells the instrument of object

Technical field

The utility model belongs to technical field of medical equipment, and in particular to a kind of novel Minimally Invasive Surgery excision body surface subcutaneously swells The instrument of object.

Background technique

Understand it is investigated that asking, in the clinical operation excision subcutaneous benign tumour method of body surface, conventional method is in part, dura mater Corresponding long notch is chosen by Tumor resection according to diameter of tumor size under outer or general anesthesia, and existing clinic is small for breast tumor diameter In the more advanced operation method of 3.0cm, there is one kind to be named as breast tumor rotary-cut operation (trade name: Mammotome) system, but This surgery systems is only limitted to processing diameter and is less than the swollen object of 3.0cm, it is narrow to adapt to swollen object diameter range, and must match special negative pressure system (this about 150,000 yuans of spending), operation needs to increase about 4000 yuan of people of patient using disposable consumptive material every time Coin, through inquiring the surgery systems for having no other relatively advanced processing superficial tumors at present, theory.

And currently, clinically mostly using scalpel according to the object size incision skin that swells greatly, subcutaneously the treatment of superficial tumor To swollen object, pull open Tumor resection after tissue, drag hook expanded support notch assists carrying out sometimes for others, in this way cutting, not only Increase operation wound, increase patient suffering, and it is time-consuming and laborious, increase operating time and program, can be brought to operation it is some not Necessary difficulty increases the great work difficulty of medical worker, reduces working efficiency.

With social progress, improvement of living standard, the change of idea, for body surface, subcutaneously swollen object is (especially benign swollen Tumor), it not only requires nothing more than Tumor resection, there are also aesthetic requirements, i.e., minimally invasive effect, more by joyous if unobvious increase medical expense It meets；For medical institutions, under new medical resource situation in short supply, a kind of technical method handles body surface subcutaneously swollen object if it exists (especially benign tumour) is not only not necessarily to obviously increase investment and increases patient's extra expenses, waste medical resource, but also be able to satisfy trouble Person's demand higher level to health, beauty etc..

Utility model content

In view of the above technical problems, the utility model will provide the device that a kind of novel Minimally Invasive Surgery excision body surface subcutaneously swells object Tool facilitates operation to implement and realizes that small wound cuts off swollen object purpose.

In order to solve the above technical problems, the utility model specifically provides following technical solution:

A kind of novel Minimally Invasive Surgery excision body surface subcutaneously swells the instrument of object, including subcutaneous superficial tumor fixed mechanism, drill bit Protection and guidance discharge mechanism, resection organization, medical electric drill, the subcutaneous superficial tumor fixed mechanism include two and are symmetrical arranged Fixation instrument handle, two fixed instrument handle ends pass through swollen object width adjustor connection, and two fixed instrument handle front ends are distinguished If the sharp portion on two fixed instrument handles constitutes semicircle shape Tumor resection operation interval there are two the sharp portion being set side by side, Two fixed instrument handles are nearby additionally provided with bolt rotation connection, the drill bit protection and guidance row close to Tumor resection operation interval Mechanism, resection organization includes the fixed structure of drill bit protection sleeve pipe, fixed the drill bit protection sleeve pipe and aforementioned medical electric drill out, should Fixed structure is cylindrical shape, is additionally provided with opening on the fixed structure, which is equipped with hole and aforementioned brill Head protection casing connection is fixed, which does not set the medical electric drill that end cap is only bolted insertion, the brill Resection organization's outlet is equipped among head protection casing.

Specifically, the fixed instrument handle is to the direction bending of Tumor resection operation interval, Tumor resection workspace after bending Between with the end object width adjustor that swells belong to parallel but Different Plane.

Specifically, two fixed instrument handles are equipped with screw hole, it is the internal screw thread of aforementioned bolt matching in screw hole.

Specifically, the swollen object width adjustor is equipped with multiple groups fixation hole, fixation hole is inserted into aforementioned fixed instrument handle end It is fixed.

Further, the fixed instrument handle is equipped with semicircle internal screw thread, the swollen object width adjustor two by terminal position Side is symmetrically arranged with threaded hole, and is rotatably inserted by a bolt and is connected fixation with aforementioned semicircle internal screw thread.

Specifically, drill bit protection sleeve pipe front end is equipped with the arc entry of stab wound of beveling.

Preferably, the hole of its front end end cap central of the fixed structure is equipped with internal screw thread, with previous bit protection sleeve pipe end End external screw thread is adapted.

Specifically, drill bit protection and guidance discharge its aforementioned resection organization, mechanism, resection organization after assembly is fixed in work Outlet and the unification of aforementioned opening are arranged upward.

Specifically, described its drill bit of medical electric drill is sheet sped structure, i.e., bit central axis is hollow structure.

The utility model specific implementation method: superficial tumor is fixed by lower superficial tumor fixed mechanism, in lower body surface Outside swollen object fixed mechanism swollen one small notch of object one end row (diameter about 8mm), until the protection of merging drill bit and guidance discharge are cut at swollen object Except the drill bit protection sleeve pipe in organization, then by its drill bit sheet sped structure continuous rotation of medical electric drill by swollen object group It knits rotary-cut to fragmentate, and excision group just and during drill bit exits is gradually passed through by the pressure of tissue local generation after excision It knits outlet to be delivered in vitro, reaches small wound and cut off swollen object purpose.

The reached beneficial effect of the utility model is: the device does not use the swollen object size of traditional operation knife evidence in the prior art The excision mode of this large area wound at skin to swollen object is cut, but it is swollen by the fixed body surface of lower superficial tumor fixed mechanism Object recycles electro-medical to be drilled through drill bit protection and body surface, then operates removing body by guidance discharge resection organization's mechanism for implementing Table subcutaneous tumor；

The device facilitates operation to implement, and compared with the prior art, can reduce surgical wound surface, epidermal tissue's damage is less, beautiful Effect is obvious, realizes that small wound cuts off swollen object purpose；Further mitigate patient suffering, reduce operating time, improves working efficiency.

In addition, surgical instrument can sterilize use repeatedly, operation cost is reduced, perioperative man power and material is reduced, from And reduce surgery cost.

Detailed description of the invention

Fig. 1 is the utility model integral installation distribution structure schematic diagram；

Fig. 2 is the subcutaneous superficial tumor fixed mechanism assembling structure schematic diagram of the utility model；

Fig. 3 is that discharge mechanism, resection organization assembling structure schematic diagram is protected and guided to the utility model drill bit；

Fig. 4 is the medical electric drill assembling structure schematic diagram of the utility model；

Fig. 5 is operation schematic diagram when the utility model is applied to simulation arm；

Fig. 6 is the utility model applied to the operation schematic diagram simulated when swelling object being built in arm.

In figure: 1. subcutaneous superficial tumor fixed mechanisms；2. drill bit protection and guidance discharge mechanism, resection organization；3. electro-medical It bores；4. bolt；101. fixed instrument handle；102. swollen object width adjustor；103. sharp portion；104. Tumor resection operation interval； 105. fixation hole；201. drill bit protection sleeve pipes；202. fixed structure；203 openings；204 resection organization's outlets；205 arcs thorn Entrance；301. drill bit；5. simulating arm；6. simulating swollen object (being built in arm).

Specific embodiment

Below in conjunction with the utility model embodiment, the technical solution of the utility model is clearly and completely described, Obviously, the described embodiments are only a part of the embodiments of the utility model, instead of all the embodiments.It is practical based on this Embodiment in novel, every other reality obtained by those of ordinary skill in the art without making creative efforts Example is applied, is fallen within the protection scope of the utility model.

Referring to attached drawing:

A kind of novel Minimally Invasive Surgery excision body surface subcutaneously swells the instrument of object, including subcutaneous superficial tumor fixed mechanism 1, drill bit Protection and guidance discharge mechanism, resection organization 2, medical electric drill 3, the subcutaneous superficial tumor fixed mechanism 1 include two and symmetrically set The fixation instrument handle 101 set, two 101 ends of fixed instrument handle are connected by swollen object width adjustor 102, two fixed instruments 101 front end of handle is respectively equipped with two sharp portions being set side by side 103, and the sharp portion 103 on two fixed instrument handles 101 constitutes half Round shape Tumor resection operation interval 104, two fixed instrument handles 101 are nearby additionally provided with spiral shell close to Tumor resection operation interval 104 The rotation connection of bolt 4, the drill bit protection and guidance discharge mechanism, resection organization 2 include drill bit protection sleeve pipe 201, fixed the drill bit The fixed structure 202 of protection sleeve pipe and aforementioned medical electric drill, the fixed structure 202 are cylindrical shape, are also set on the fixed structure 202 There is opening 203, which is equipped with hole and is connected and fixed with previous bit protection sleeve pipe 201, this is fixed 202 rear end of structure does not set the medical electric drill 3 that end cap only passes through the fixed insertion of bolt 4, is equipped among the drill bit protection sleeve pipe 201 Resection organization's outlet 204.

The fixed instrument handle 101 is to the 104 direction bending of Tumor resection operation interval, Tumor resection operation interval after bending 104 belong to parallel but not same plane with the end object width adjustor 102 that swells.Facilitate operator's left hand to upwarp and puts superficial tumor Fixed mechanism 1 makes swollen object is whole suitably to form certain distance with human normal tissue using tissue intrinsic elasticity.

Two fixed instrument handles 101 are equipped with screw hole, are the matched internal screw thread of aforementioned bolt 4 in screw hole.

The swollen object width adjustor 102 is equipped with multiple groups fixation hole 105, and aforementioned fixed 101 end of instrument handle insertion is fixed Hole 105 is fixed.The fixed instrument handle 101 is equipped with semicircle internal screw thread, 102 liang of the swollen object width adjustor by terminal position Side is symmetrically arranged with threaded hole, and is rotatably inserted by a bolt 4 and is connected fixation with aforementioned semicircle internal screw thread.Ensure that swollen object is fixed Position is accurate and secured.

201 front end of drill bit protection sleeve pipe is equipped with the arc entry of stab wound 205 of beveling.Facilitate insertion into drill bit 301 in body surface Expose work and draws swollen object.

The hole of its front end end cap central of fixed structure 202 is equipped with internal screw thread, with 201 end of previous bit protection sleeve pipe External screw thread is adapted.

The drill bit protection after fixing and guidance discharge its aforementioned resection organization's outlet of mechanism, resection organization 2 are assembled in work 204 and aforementioned opening 203 is unified is arranged upward.Opening 203 is convenient for observation drill bit 301 working condition or fixed drill bit 301 Hole location.Specifically, it fastens and dismantles medical 3 drill bit 301 of electric drill and need to use key, key is by 203 fastening of opening and dismantles The drill bit 301 of medical electric drill 3.

Its drill bit 301 of the medical electric drill 3 is sheet sped structure, i.e., bit central axis is hollow structure.Convenient for inciting somebody to action Swollen object rotary-cut, which fragmentates and pass through the pressure ability of tissue local generation and drill bit after excision, gradually passes through excision during exiting Tissue outlet 204 is delivered in vitro.

Specific embodiment of the present invention and implementation method:

Superficial tumor is fixed by lower superficial tumor fixed mechanism 1, object one end of swelling outside lower superficial tumor fixed mechanism 1 One small notch of row (diameter about 8mm), until the drill bit in the protection of merging drill bit and guidance discharge mechanism, resection organization 2 is protected at swollen object Protecting pipe 201, then swollen object tissue rotary-cut is fragmentated by medical electric drill 3 its 301 sheet sped structure continuous rotation of drill bit, And to gradually pass through resection organization's outlet 204 defeated during being exited by the pressure ability and drill bit of tissue local generations after excision It send to external, achievees the purpose that small wound cuts off swollen object.

First step is implemented in path, and fixed subcutaneous superficial tumor, the object fixed mechanism 1 that subcutaneously swollen by body surface is completed, main Consist of two parts, when operation, after the completion of the anesthesia such as local anaesthesia or Epidural cavity, marks swollen object table projection line in skin, according to The body surface of swollen object size selection respective model size subcutaneously swells object fixed mechanism 1,1 two corners of object fixed mechanism that subcutaneously swell according to body surface it Spacing cuts 2 notch, cuts skin about 3mm, and skin pressing in swollen object two sides is affixed on skin by operator, by fixed instrument handle 101 liang of pincers foot, that is, sharp portions 103 are punctured far from operator distal side notch into tissue through swollen object, and fixed pin bottom is placed in 101 liang of pincers foot, that is, sharp portions 103 of another fixed instrument handle are placed in swollen object in operator's nearside by swollen object bottom, same procedure, will Two fixed 101 sharp portions 103 of instrument handle close up, and two fixed 101 ends of instrument handle are inserted to swollen object width adjusting according to swollen object size In the corresponding fixation hole 105 of device 102, bolt 4 is inserted into rotation in swollen 102 side opening of object width adjustor and fixes two fixed instrument handles 101, two fixed 101 fronts of instrument handle are reinforced fixing with another bolt 4, and completely definite fixed swollen object bottom, two side positions will swell Object location determines fixed definite and errorless through B ultrasound confirmation position.

Second step is implemented in path, is completed drill bit protection and guidance discharge mechanism, resection organization 2, i.e., by sheet spiral Formula structure drill bit 301, which is fixed on, commonly uses medical 3 drill bit fixed part of electric drill, drill bit is protected and guided discharge mechanism, resection organization 2 Fixed with medical electric drill 3, drill bit 301 penetrates drill bit protection sleeve pipe 201, and wherein drill bit protection sleeve pipe 201 reserves resection organization row Outlet 204, in favor of fragment of tissue discharge:

Third step is implemented in path, and operator's left hand, which upwarps, puts superficial tumor fixed mechanism 1, intrinsic using tissue Elasticity makes swollen object is whole suitably to form small oblique angle with human body with human normal tissue formation distance and its vertical sleeve, in swollen object right side (be subject to operator) row 8mm notch reaches at swollen object, is placed in drill bit protection sleeve pipe 201 through notch, starts 301 work of power supply electric drill Make, fragment will be organized to cut by 301 turning effort of sheet sped structure drill bit and constantly enters the hollow spiral shell in drill bit 301 In spin slot, fragment of tissue is constantly delivered to drill bit protective case during exiting using the effect of its intrinsic pressure and drill bit 301 At resection organization's outlet 204 of pipe 201, medical worker collects tissue specimen, finally cuts off swollen object tissue whole spiral, moves back Drill bit 301 out are placed in drainage tube, syringe pressure flush and attraction through puncture orifice, and residual tissue pieces are cleared up thoroughly, through B Super clear without obviously swollen object tissue residue, wound need not suture, and wound pads the appropriate pressure pressure dressing (elastoplast of aseptic dressing Or other pressuring methods), whole operation step is completed.

While there has been shown and described that the embodiments of the present invention, for the ordinary skill in the art, It is understood that these embodiments can be carried out with a variety of variations in the case where not departing from the principles of the present invention and spirit, repaired Change, replacement and variant, the scope of the utility model is defined by the appended claims and the equivalents thereof.

Claims

The instrument of object 1. a kind of novel Minimally Invasive Surgery excision body surface subcutaneously swells, it is characterised in that: fixed including subcutaneous superficial tumor Mechanism, drill bit protection and guidance discharge mechanism, resection organization, medical electric drill, the subcutaneous superficial tumor fixed mechanism include two Symmetrically arranged fixed instrument handle, two fixed instrument handle ends are connected by swollen object width adjustor, two fixed instrument handles Front end is respectively equipped with two sharp portions being set side by side, and the sharp portion on two fixed instrument handles constitutes semicircle shape Tumor resection work Make section, two fixed instrument handles are nearby additionally provided with bolt rotation connection, the drill bit protection close to Tumor resection operation interval And guidance discharge mechanism, resection organization includes the fixation of drill bit protection sleeve pipe, fixed the drill bit protection sleeve pipe and aforementioned medical electric drill Structure, the fixed structure are cylindrical shape, are additionally provided with opening on the fixed structure, the fixed structure front end end cap central be equipped with hole and Previous bit protection sleeve pipe is connected and fixed, which does not set the medical electric drill that end cap is only bolted insertion, Resection organization's outlet is equipped among the drill bit protection sleeve pipe.
The instrument of object 2. novel Minimally Invasive Surgery excision body surface according to claim 1 subcutaneously swells, it is characterised in that: described solid Instrument handle is determined to the direction bending of Tumor resection operation interval, and swell object width adjustor for Tumor resection operation interval and end after bending Belong to parallel but Different Plane.
The instrument of object 3. novel Minimally Invasive Surgery excision body surface according to claim 1 subcutaneously swells, it is characterised in that: two solid Instrument handle is determined equipped with screw hole, the interior internal screw thread for aforementioned bolt matching of screw hole.
The instrument of object 4. novel Minimally Invasive Surgery excision body surface according to claim 1 subcutaneously swells, it is characterised in that: described swollen Object width adjustor is equipped with multiple groups fixation hole, and aforementioned fixed instrument handle end insertion fixation hole is fixed.
The instrument of object 5. novel Minimally Invasive Surgery excision body surface according to claim 1 subcutaneously swells, it is characterised in that: described solid Determine instrument handle and be equipped with semicircle internal screw thread by terminal position, the swollen object width adjustor two sides are symmetrically arranged with threaded hole, and lead to It crosses a bolt and is rotatably inserted into and be connected fixation with aforementioned semicircle internal screw thread.
The instrument of object 6. novel Minimally Invasive Surgery excision body surface according to claim 1 subcutaneously swells, it is characterised in that: the brill Head protection casing front end is equipped with the arc entry of stab wound of beveling.
The instrument of object 7. novel Minimally Invasive Surgery excision body surface according to claim 1 subcutaneously swells, it is characterised in that: described solid The hole for determining structure its front end end cap central is equipped with internal screw thread, is adapted with previous bit protection sleeve pipe end external screw thread.
The instrument of object 8. novel Minimally Invasive Surgery excision body surface according to claim 1 subcutaneously swells, it is characterised in that: in work Drill bit protection and guidance discharge its aforementioned resection organization's outlet of mechanism, resection organization and aforementioned opening after assembly is fixed It is unified to be arranged upward.
The instrument of object 9. novel Minimally Invasive Surgery excision body surface according to claim 1 subcutaneously swells, it is characterised in that: the doctor With electric drill, its drill bit is sheet sped structure.