CN209790036U - Auxiliary holding mirror suction device for neuroendoscope - Google Patents

Auxiliary holding mirror suction device for neuroendoscope Download PDF

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Publication number
CN209790036U
CN209790036U CN201822267437.8U CN201822267437U CN209790036U CN 209790036 U CN209790036 U CN 209790036U CN 201822267437 U CN201822267437 U CN 201822267437U CN 209790036 U CN209790036 U CN 209790036U
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neuroendoscope
hollow tube
groove
suction device
handle
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CN201822267437.8U
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王伯栋
朱伟杰
陈召
陈静
王小刚
徐广振
王振刚
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Abstract

The utility model discloses a neural endoscope is with supplementary mirror suction device of holding, include: the handle for controlling, handle one side is equipped with the finger hole that is used for placing the finger, and the opposite side is vertical to be inlayed and is equipped with and is used for inserting the hollow tube of the camera lens of neuroendoscope, the cover is equipped with the draw-in groove that is used for the joint aspirator and is located on the hollow tube the draw-in groove below is used for supporting the draw-in groove is and adjusts through flexible the spring of draw-in groove position, the hollow tube lower extreme with the inside of handle scarf joint department is inlayed and is equipped with and is used for adjusting the regulating ring of. The device has convenient to use, low price, easy operation, characteristics that the practicality is strong, can realize that the singlehanded mirror of holding is nimble to be attracted simultaneously stably, makes the art person need not assistant's help and can accomplish key operation, improves operation efficiency and security, practices thrift medical resource. In addition, the design of the existing endoscope and aspirator is not required to be changed, and the surgical instrument is additionally installed and used on the basis of the original surgical instrument.

Description

auxiliary holding mirror suction device for neuroendoscope
Technical Field
the utility model belongs to the technical field of medical instrument, a neural endoscope is with supplementary mirror suction device that holds is related to.
background
The neuroendoscopy operation has small wound, can place a light source near an operation area, has good illumination effect, does not need to focus repeatedly, has high image resolution in the operation, can carry out panoramic and close-range observation, can carry out high-definition observation on surrounding anatomical structures, and is favorable for distinguishing the boundary between lesion and normal tissue structure (the neuroendoscopy technical clinical application experts consensus writing group, the neuroendoscopy operation technology treatment ventricular and cerebral cavity system diseases Chinese experts consensus J, China neuro-surgical journal 2016, 32(8):757-766.DOI: 10.3760/cma.j.issn.1001-2346.2016.08.001.). Currently, neuroendoscopy is rapidly developed in neurosurgery, and is widely used and approved not only in the treatment of traditional ventricular and cranial base diseases, but also in a variety of neurosurgical fields, such as various cerebral hemorrhages including hematoma in brain parenchyma (Chenghe, Von triphase, Korean shiguang, etc.; curative effect analysis for removing hypertension basal ganglia hemorrhage by frontal access neuroendoscopy [ J ]. Hebei medicine, 2018, 40(21): 3292. along with 3295. DOI:10.3969/j.issn.1002-7386.2018.21.022.), brain tumors such as pineal region tumor, etc. (Kinghong chapter, Zhang Biao, etc.; neuroendoscopy, via on-screen upper cerebellum, resection of pineal region tumor [ J. ], 2017, 33(1):12-14. DOI:10.3760/cma. j.issn.1001-2346.2017.01.004.), neurovascular decompression (to neuroendoscopy, decompression of blood vessels, decompression of Yongjing, clinical medicine, decompression of Yongjing, Liu, such as Yongjing, decompression of neuroscopy, research of clinical medicine, 2018, 47(31): 3991-3993, 3997.DOI:10.3969/j.issn.1671-8348.2018.31.007.), neural decompression (Suzhouhao, shouchuo, Wanghui, etc.. Meta analysis of the efficacy of craniotomy optic nerve decompression and endoscopic optic nerve decompression [ J ]. China journal of modern medicine, 2018,28(27):64-70.DOI: 10.3969/j.issn.1005-8982.2018.27.012 ], etc.
The working conditions of the endoscope require the presence of an operating channel and a cavity, the channel being used for the passage of the endoscope therethrough. The lacunae may occur naturally or may be a result of disease or surgery. The lacunae requires sufficient space to allow the endoscope to view the surrounding structures and to perform the surgical procedure within it safely and efficiently (Neuroendoscopic clinical practice experts group consensus J.Chinese experts group for neuroendoscopic surgical techniques in the treatment of ventricular brain systems diseases [ J ]. J.Zhonghua J.Neurosurgical, 2016, 32(8):757-766.DOI: 10.3760/cma.j.issn.1001-2346.2016.08.001.). The existing mainstream method is that an operator and an assistant are matched with two-person four-hand operation, the assistant holds the endoscope and washes the endoscope, and the operator holds an instrument for operation. The operation mode requires that the operator and the assistant have enough professional knowledge and under-mirror training at the same time, and the close cooperation is achieved, so that the operation can be perfectly carried out.
The technical development is a process from simple to complex and complex to simple, and in order to improve the operation efficiency and avoid unnecessary injuries, some foreign professors currently try to use a single hand to hold an endoscope and an aspirator simultaneously, which is called as a chopstick technology vividly. The technology theoretically needs no assistant for cooperation, and the operation can be perfectly carried out by a single person, so that the operation risk caused by the matching error is greatly reduced; however, the difficulty of the technique is far better than that of using chopsticks, one hand needs to keep the stability of holding the endoscope, and meanwhile, the technique has the flexibility of the suction apparatus, and the suction apparatus can be matched with an apparatus of the other hand to operate according to the conditions in the operation at any time. Since most neurosurgeons are right handed, the use of left-handed scopes and right-handed instruments is limited by the high requirement for left-handed dexterity.
Most of the existing endoscopes and suction apparatuses are separated, two instruments are required to be held by a single hand, and the difficulty is high. If the endoscope and the suction apparatus are simply fixed, the endoscope and the suction apparatus are not easy to move, and the flexibility is greatly insufficient. If the endoscope with the controllable suction channel is redesigned, the cost of updating the equipment is huge.
SUMMERY OF THE UTILITY MODEL
To the technical problem, an object of the utility model is to provide a neural endoscope is with supplementary mirror suction device that holds can realize that the singlehanded mirror that holds is nimble simultaneously attracts, makes the art person need not assistant's help and can accomplish key operation, improves operation efficiency and security, practices thrift medical resource. The device has the characteristics of convenient use, low price, simple operation and strong practicability, and particularly, the device is additionally installed and used on the basis of the original surgical instruments without changing the design of the existing endoscope and aspirator, thereby greatly increasing the flexibility of the aspirator while ensuring the stability of the endoscope.
In order to achieve the above purpose, the utility model adopts the following technical scheme:
An auxiliary endoscope holding suction device for a neuroendoscope, comprising: the handle for controlling, handle one side is equipped with the finger hole that is used for placing the finger, and the opposite side is vertical to be inlayed and is equipped with and is used for inserting the hollow tube of the camera lens of neuroendoscope, the cover is equipped with the draw-in groove that is used for the joint aspirator and is located on the hollow tube the draw-in groove below is used for supporting the draw-in groove is and adjusts through flexible the spring of draw-in groove position, the hollow tube lower extreme with the inside of handle scarf joint department is inlayed and is equipped with and is used for adjusting the regulating ring of.
Preferably, the handle with the outside that the regulation circle corresponds is opened there is the hole and install the screw on the hole, open the inner wall of hollow tube has the ring channel, sliding fit is equipped with the annular adjustment circle in the ring channel, open jaggedly on the annular adjustment circle, the regulation circle passes through the rotatory regulation of screw the distance at breach both ends is in order to adjust the elasticity of hollow tube.
More preferably, the screw is not removable from the hole.
Preferably, the clamping groove comprises two horizontally spliced tube cavities, the tube wall of one tube cavity is closed to be sleeved outside the hollow tube, and a groove is formed in the tube wall of one side, far away from the hollow tube, of the other tube cavity to clamp the aspirator.
Preferably, above-mentioned neural scope is with supplementary mirror suction device of holding still includes the adapter, the both ends of adapter are the right angle setting, and one end is used for connecting the aspirator head, and one end is used for connecting the aspirator pipe.
Preferably, the adapter adopts PI plastics.
Preferably, the number of the finger holes is three, and the finger holes are respectively used for allowing the index finger, the middle finger and the ring finger to pass through from top to bottom.
Preferably, the handle adopts Polyimide (PI) plastics material, hollow tube, screw, regulation circle, draw-in groove and spring all adopt stainless steel.
The utility model also provides an use above-mentioned neural scope to hold mirror suction device with supplementary neural endoscope with supplementary method of holding mirror attraction, include:
1) sleeving the hollow tube on the neuroendoscopy lens, and screwing a screw to fix the neuroendoscopy lens;
2) Fixing the suction apparatus on the hollow tube through the clamping groove;
3) The index finger, the middle finger and the ring finger of the non-working hand are sleeved in the finger hole to control the neuroendoscope, the neuroendoscope is placed in the operation channel, the thumb of the non-working hand is placed on the suction apparatus, the suction apparatus is placed in the visual field of the neuroendoscope by shifting the clamping groove up and down, and the working handheld apparatus operates cooperatively.
Further, the step 2) also comprises the step of connecting the suction head to the adapter and then connecting the suction head with the suction pipe.
The utility model discloses following beneficial effect has:
The use is convenient: sterilizing with high temperature and high pressure steam before operation, and fixing on neuroendoscopy during operation.
The price is low: the stainless steel and the PI plastic are cheap in material price and can be sterilized at high temperature and high pressure for repeated use; does not contain precise components and parts, has simple design and is not easy to damage. The device is additionally used on the original machine, and the cost for updating the device is not increased.
The operation is simple: the upper hand is simple, and after the neurosurgeon who trains through the neuroendoscopy installs the device, the simple experiment can be skillfully operated and used.
The practicability is strong: the problem that stability and flexibility are difficult to combine under the condition that an operator holds the endoscope and the suction apparatus by one hand in a neuroendoscopy operation can be solved, and extra training cost is not increased; the problem of poor matching under the four-hand operation condition of two persons can be solved, the operation risk is reduced, and the medical resources are saved.
Drawings
Fig. 1 is a schematic structural view of an auxiliary endoscope holding suction device for a neuroendoscope according to the present invention in use.
fig. 2 is an exploded view of the auxiliary endoscope holding suction device for a neuroendoscope according to the present invention.
Fig. 3 is a bottom view of the auxiliary endoscope holding suction device for a neuroendoscope of the present invention.
wherein: 1-handle, 2-finger hole, 3-hollow tube, 4-neck, 41, 42-lumen, 5-spring, 6-regulating ring, 7-neural scope lens, 71-scope handle, 72-scope light source interface, 8-aspirator, 9-screw, 10-adapter.
Detailed Description
in order to make the public fully aware of the technical spirit and advantageous effects of the present invention, the applicant shall describe in detail the embodiments of the present invention with reference to the accompanying drawings, but the description of the embodiments is not limited by the applicant, and any changes made according to the present invention but not essential should be construed as the protection scope of the present invention.
As shown in fig. 1 and 2, the auxiliary endoscope holding suction device for a neuroendoscope according to the present invention mainly includes: the main components comprise a handle 1 and a hollow tube 3, accessories comprise a clamping groove 4, a spring 5, an adjusting ring 6 and a screw 9, and optional accessories comprise an adapter 10. Wherein:
The handle 1 for holding is integrally in a [ -shape, preferably made of polyimide PI plastic, one side of the handle is provided with a finger hole 2 for placing fingers, the index finger, the middle finger and the ring finger can pass through the handle from top to bottom, and a grid is arranged between the three fingers, so that the device can be fully kept stable without being held by a thumb and can flexibly control the direction;
The hollow tube 3 is vertically embedded at the other side of the handle 1, the hollow tube 3 is preferably made of stainless steel and is not detachable, and the inside of the tube can be passed by a neuroendoscope lens 7; a spring 5 and a clamping groove 4 are nested in the outer diameter of the pipe, an adjusting ring 6 is arranged in the lower part of the joint of the hollow pipe 3 and the handle 1, and a hole is reserved on the outer side of the lower part of the joint of the hollow pipe 3 and the handle 1 for a screw 9 to enter;
The clamping groove 4 is preferably made of stainless steel materials, and is preferably formed by horizontally splicing two tube cavities, the tube wall of the tube cavity 41 on one side is complete and smooth and is sleeved outside the hollow tube 3, the tube diameter is small, the tube cavity can only slide along the direction of the hollow tube 3, and displacement in other directions cannot occur; the tube cavity 42 on the other side has thin tube wall and good elasticity, is provided with a slot, can be used for clamping suction apparatuses 8 with different specifications, and provides more selectivity according to different needs in the operation;
The spring 5 is preferably made of stainless steel and has moderate elasticity, the clamping groove 4 can be ensured to be positioned above when the spring 5 is vertically static, the position of the clamping groove 4 can be adjusted by slightly shifting the thumb during operation, the elasticity of the spring is moderate, the functional state thumb can be slightly shifted while the normal rebound of the static state clamping groove 4 is kept, and the elasticity can not be lost due to high temperature and high pressure;
Open the inner wall of hollow tube 3 has the ring channel, sliding fit is equipped with the annular adjustment circle in the ring channel, the annular adjustment circle is not totally closed, but open jaggedly, can pass through the inner wall extrusion adjustment circle of hollow tube 3 when outside screw 9 is screwed up, make the adjustment circle take place deformation, adjustment circle breach both ends slide in the groove and are close to, the adjustment circle internal diameter reduces, produce the uniform pressure to neural scope camera lens 7 in the hollow tube 3, make hollow tube 3 and neural scope camera lens 7 closely fixed, avoid taking place relative displacement in the use, as shown in figure 3, it is higher because of neural scope value, this part uses 1 piece of screw fixation scope simply, and can provide 360 uniform pressure, when increasing stability, avoid damaging the scope.
The screw 9 is preferably made of stainless steel, the tightness of the adjusting ring 6 can be adjusted through rotation, and the screw 9 is designed to be unscrewed and not detachable, so that the screw is prevented from accidentally falling into the body of a patient during an operation to cause major accidents;
The adapter 10 is an optional component, preferably made of PI plastic, and has one end connected with the aspirator head and the other end connected with the aspirator tube, so that the aspirator 8 and the endoscope light source interface 72 can form a right-angle relationship with each other, and the endoscope light source and the endoscope handle 71 connected with the aspirator 8 and the endoscope light source interface 72 can be prevented from mutually touching and rubbing to interfere with the operation process.
The use method comprises the following steps:
The main components, namely the handle 1 and the hollow tube 3, and the accessories, namely the clamping groove 4, the spring 5, the adjusting ring 6 and the screw 9 are combined as shown in figure 1 to form a complete device, wherein the complete device cannot be disassembled, only the screw 9 can be screwed and screwed, but not removed, the falling danger in the operation is prevented, and only the clamping groove 4 can slide; [ complete device ] can integrative high temperature autoclaving, will [ complete device ] cover in neural scope camera lens 7 during the use in the conventional operation step, tighten screw 9 and firmly fix the back, connect aspirator head with the optional accessory-adapter 10 after and aspirator pipe connection, will connect the aspirator 8 of accomplishing and fix on [ complete device ] through draw-in groove 4, neural scope camera lens 7 and aspirator 8 are as an organic whole this moment, the left hand forefinger, middle finger, ring finger embolia in the finger hole 2 of handle 1 and are used for controlling the stability of neural scope camera lens 7, adjust the depth and the direction of neural scope camera lens 7, with conventional operation is the same, put neural scope camera lens 7 in the operation passageway, the left hand thumb is placed on aspirator 8, stir from top to bottom and can put aspirator 8 into the field of vision of neural scope camera lens 7, adjust the degree of depth of aspirator 8 through the thumb, and go forward simultaneously with neural scope camera lens 7, Retreating or rotating can achieve full visual field suction theoretically and the cooperative operation of the right hand-held instrument. After the operation is finished, the suction apparatus 8 is detached, the screw 9 is unscrewed to remove the connection with the neuroendoscopy lens 7, and the high-temperature and high-pressure steam is sterilized after cleaning, so that the neuroendoscopy can be used for the next operation.

Claims (8)

1. An auxiliary endoscope holding suction device for a neuroendoscope, comprising: the handle for controlling, handle one side is equipped with the finger hole that is used for placing the finger, and the opposite side is vertical to be inlayed and is equipped with and is used for inserting the hollow tube of the camera lens of neuroendoscope, the cover is equipped with the draw-in groove that is used for the joint aspirator and is located on the hollow tube the draw-in groove below is used for supporting the draw-in groove is and adjusts through flexible the spring of draw-in groove position, the hollow tube lower extreme with the inside of handle scarf joint department is inlayed and is equipped with and is used for adjusting the regulating ring of.
2. the auxiliary endoscope holding suction device for the neuroendoscope is characterized in that the outer portion of the handle corresponding to the adjusting ring is provided with a hole, a screw is mounted on the hole, the inner wall of the hollow tube is provided with an annular groove, an annular adjusting ring is embedded in the annular groove in a sliding mode, the annular adjusting ring is provided with a gap, and the adjusting ring adjusts the distance between two ends of the gap through rotation of the screw so as to adjust the tightness of the hollow tube.
3. the auxiliary endoscope holding suction device for the neuroendoscope as claimed in claim 2, wherein the screw is not detachable from the hole.
4. the auxiliary endoscope holding suction device for the neuroendoscope is characterized in that the clamping groove comprises two horizontally spliced tube cavities, wherein the tube wall of one tube cavity is closed to be sleeved outside the hollow tube, and a groove is formed in the tube wall of one side, away from the hollow tube, of the other tube cavity to clamp the suction apparatus.
5. the auxiliary endoscope holding suction device for the neuroendoscope as claimed in claim 1, wherein the auxiliary endoscope holding suction device for the neuroendoscope further comprises an adapter, two ends of the adapter are arranged at right angles, one end of the adapter is used for connecting with an aspirator head, and the other end of the adapter is used for connecting with an aspirator tube.
6. The auxiliary endoscope holding suction device for the neuroendoscope as claimed in claim 5, wherein the adapter is made of PI plastic.
7. The auxiliary endoscope holding attraction device for the neuroendoscope as claimed in claim 1, wherein the number of the finger holes is three, and the finger holes are respectively used for the index finger, the middle finger and the ring finger to pass through from top to bottom.
8. The auxiliary endoscope holding suction device for the neuroendoscope is characterized in that the handle is made of PI plastic, and the hollow tube, the screw, the adjusting ring, the clamping groove and the spring are made of stainless steel.
CN201822267437.8U 2018-12-29 2018-12-29 Auxiliary holding mirror suction device for neuroendoscope Active CN209790036U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201822267437.8U CN209790036U (en) 2018-12-29 2018-12-29 Auxiliary holding mirror suction device for neuroendoscope

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201822267437.8U CN209790036U (en) 2018-12-29 2018-12-29 Auxiliary holding mirror suction device for neuroendoscope

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Publication Number Publication Date
CN209790036U true CN209790036U (en) 2019-12-17

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109567959A (en) * 2018-12-29 2019-04-05 王伯栋 A kind of nerve endoscope auxiliary holds mirror suction device and method
CN111803015A (en) * 2020-07-09 2020-10-23 云南中医药大学 Integrated suction sleeve of movable nasal endoscope

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109567959A (en) * 2018-12-29 2019-04-05 王伯栋 A kind of nerve endoscope auxiliary holds mirror suction device and method
CN111803015A (en) * 2020-07-09 2020-10-23 云南中医药大学 Integrated suction sleeve of movable nasal endoscope

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