CN209916190U - Electric cutting side-looking hysteroscope - Google Patents

Electric cutting side-looking hysteroscope Download PDF

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Publication number
CN209916190U
CN209916190U CN201920367093.XU CN201920367093U CN209916190U CN 209916190 U CN209916190 U CN 209916190U CN 201920367093 U CN201920367093 U CN 201920367093U CN 209916190 U CN209916190 U CN 209916190U
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sheath
electric
support rod
hysteroscope
electrotome
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杨翔
郝进争
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SHANGHAI YODO MEDICAL TECHNOLOGY Co Ltd
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SHANGHAI YODO MEDICAL TECHNOLOGY Co Ltd
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Abstract

The utility model discloses an electrotomy side-view hysteroscope, which comprises a scope body, wherein the scope body comprises a front section part and a rear section part, and the front section part of the scope body is sleeved with a sheath; a side-view mirror body is arranged at the rear section part of the mirror body; the sheath is internally provided with an electric cutter and a supporting rod for supporting the electric cutter, the supporting rod and the electric cutter are both positioned below the front section of the endoscope body, and the electric cutter and the supporting rod are both distributed along the axial direction of the sheath; the supporting rod and the electric knife are both arranged at the rear section of the mirror body in a penetrating way; the rear end of the rear section part of the mirror body is provided with a mirror bridge; the supporting rod and the electric knife are arranged in the bridge in a penetrating way; the rear end of the bridge is provided with an electric cutter working hand piece which can control the electric cutter to slide along the axial direction of the sheath. The utility model discloses an electricity is cut side and is looked hysteroscope through succinct compact structure, realizes that the stability of electrotome bears in the hysteroscope, can realize the stable control to the electrotome in the use moreover to the accurate rate of electrotomy operation has been improved.

Description

Electric cutting side-looking hysteroscope
Technical Field
The utility model relates to a medical apparatus of gynaecology, in particular to electricity is cut side vision hysteroscope.
Background
In gynecological operation, uterine cavity occupying lesion such as uterine cavity polyp, uterine submucosal myoma, residual placenta and the like can be directly treated by operation through a hysteroscope. For endometrial biopsy, adhesion release, mediastinal uterus and the like, the surgical treatment can also be directly carried out through a hysteroscope.
Hysteroscopes include direct-view hysteroscopes and side-view hysteroscopes. The hysteroscope, in which an eyepiece for observation of a doctor and an objective lens for observing a tissue object are positioned on the same axis, is called a direct-viewing hysteroscope. The hysteroscope, in which the eyepiece for observing by the doctor and the objective lens for observing the tissue are not positioned on the same axis, is called a side-view hysteroscope. In the side-looking hysteroscope, the included angle between the axis of the eyepiece and the axis of the objective lens can be an acute angle or a right angle.
Three surgical instruments matched with the side-looking hysteroscope are provided, specifically an electric cutting instrument, a cold knife instrument and a planing knife system. Electrical cutting instruments include monopolar electrical cutting and bipolar electrical cutting. Based on the characteristics of the electric cutting instrument, when the electric cutting instrument is used, the matched instrument is complex, so that great inconvenience is brought to the use.
In addition, the existing side-looking hysteroscope cannot be compatible with more than two surgical instruments. Although a part of the side-view hysteroscope can be compatible with more than two surgical instruments, after one surgical instrument is used, the surgical instrument needs to be taken out, and the other surgical instrument needs to be inserted into the hysteroscope; the defect that more than two surgical instruments cannot be used simultaneously and compatibly exists, and the efficiency of the operation is reduced.
SUMMERY OF THE UTILITY MODEL
The to-be-solved technical problem of the utility model is to provide an electricity is cut side vision hysteroscope in order to overcome the above-mentioned defect that prior art exists.
The utility model discloses an above-mentioned technical problem is solved through following technical scheme:
an electric-cutting side-looking hysteroscope comprises a scope body, wherein the scope body comprises a front section part and a rear section part, and the front section part of the scope body is sleeved with a sheath; a side-view mirror body is arranged at the rear section part of the mirror body; the sheath is internally provided with an electric cutter and a supporting rod for supporting the electric cutter, the supporting rod and the electric cutter are both positioned below the front section of the endoscope body, and the electric cutter and the supporting rod are both distributed along the axial direction of the sheath; the supporting rod and the electric knife are both arranged at the rear section of the mirror body in a penetrating way; the rear end of the rear section part of the mirror body is provided with a mirror bridge; the supporting rod and the electric knife are arranged in the bridge in a penetrating way; the rear end of the bridge is provided with an electric cutter working hand piece which can control the electric cutter to slide along the axial direction of the sheath.
The electrotome is arranged outside the supporting rod, and the supporting rod is arranged between the front section of the mirror body and the electrotome. The outside of bracing piece is located to the electrotome, and the bracing piece becomes the guide arm of electrotome, and the electrotome can slide along the guide arm or electrotome and guide arm slide simultaneously, like this, changes in the operation electrotome, and is more stable during the doctor operates, and then has improved the accuracy of performing the operation.
The support rod is a tube body through which surgical instruments can pass. In this case, the support rod is an instrument passage tube. During operation, small cold knife instruments such as basket forceps, scissors, grasping forceps, biopsy forceps and separating forceps can penetrate through the instrument passage tube and enter the uterine cavity. Thus, the electric knife can be used during the operation, and meanwhile, the small instrument of the cold knife can be used.
The support rod is a solid cylinder. A solid cylinder may be used to support the electrotome. Because the outside of electrotome is located to the bracing piece, becomes the guide arm of electrotome, consequently, the size of solid cylinder can be done for a short time, reserves great space for the electrotome to change in controlling and operating the electrotome.
The electric cutter is fixedly connected to the supporting rod; or the electric cutter is arranged on the supporting rod in a sliding way. The electric cutter and the support rod can be fixedly connected or can be connected in a sliding way. When the support rod is fixedly connected with the electric knife, the support rod enters the uterine cavity along with the electric knife. When the electrotome is connected with the supporting rod in a sliding manner, the supporting rod supports the electrotome when the electrotome slides, so that the electrotome is easier to control. .
The bracing piece is the tubulose, and the electrotome is worn to locate the bracing piece, and the electrotome rigid coupling is in the bracing piece. The electrotome and bracing piece rigid coupling, bracing piece and electrotome can remove in the sheath cover simultaneously, and the bracing piece provides stable support for the softer electrotome of texture, like this for the doctor can operate the electrotome more steadily, makes the electrotome easily control, more can accurately excise pathological change tissue during the operation.
The mirror bridge is provided with a working channel switch for opening or closing the working channel of the mirror bridge. The two ends of the mirror bridge are two interfaces, the front end interface is connected to the mirror body, and the interface at the rear end can be used for connecting an electric cutter working hand piece, or used for connecting a planing cutter system, or used for connecting a cold cutter instrument. Interface conversion of various instruments is realized through the mirror bridge. When the sheath is used, the working switch is closed, the working channel switch is opened after the sheath enters the uterine cavity, and the support rod and the electric knife can penetrate through the endoscope bridge and then enter the sheath. When the surgical instrument is replaced, the sheath is still kept in the uterine cavity, the support rod and the electric knife are separated from the sheath and the mirror bridge, and the working channel switch can be closed before other surgical instruments are inserted so as to prevent the uterine distention liquid from flowing out. When the planing knife system is used alone or the cold knife instrument with larger size is used alone, the working channel switch is opened, and the planing knife system or the cold knife instrument enters the sheath to perform the operation. By using the working channel switch, the womb swelling liquid can be prevented from flowing out when surgical instruments are switched.
The electric cutter working hand piece comprises a working hand piece body, wherein the working hand piece body is provided with a control handle for controlling the electric cutter and a V-shaped rebound piece for resetting the control handle. The electric knife can be easily operated by operating the handle; the quick reset of the electric cutter can be realized through the V-shaped rebound piece.
The electric cutter working hand piece comprises a hand piece body, wherein a pushing block for pushing the electric cutter and a U-shaped operating handle for resetting the pushing block are arranged on the hand piece body; one end of the U-shaped operating handle is connected to the hand piece body, and the other end of the U-shaped operating handle is connected to the rear end of the pushing block; the front end of the pushing block penetrates through the hand piece body; the front end of the pushing block is provided with a stopping end used for preventing the pushing block from separating from the hand piece body. When in use, a doctor pinches the U-shaped operating handle, and the pushing block pushes the electric knife to extend out of the sheath for operation. When the doctor loosens the U-shaped operating handle, the pushing block retreats under the elastic action of the U-shaped operating handle to pull the electric knife into the sheath. The electric cutter working hand piece has the advantages of simple structure, simple operation and convenient control of the electric cutter.
The front end of the sheath is provided with a plurality of through holes, and the rear end of the sheath is provided with a water outlet; the front end of the sheath sleeve is provided with an insulating sleeve. When the uterus expanding liquid needs to be pumped out, the uterus expanding liquid can enter the sheath through the through hole. The water outlet is connected with a negative pressure device which sucks the uterus swelling liquid out of the water outlet. The insulating sheath prevents current from the cutting insert from entering the sheath, thereby increasing the safety of use.
The beneficial effects of the utility model reside in that: the utility model discloses an electricity is cut side and is looked hysteroscope through succinct compact structure, realizes that the stability of electrotome bears in the hysteroscope, can realize the stable control to the electrotome in the use moreover to the accurate rate of electrotomy operation has been improved. Furthermore, the utility model discloses an electricity is cut side vision hysteroscope can use cold knife apparatus and electrotome to perform the operation simultaneously, also can the exclusive use plane sharpener perform the operation, can also the great cold knife apparatus of exclusive use size perform the operation, and it has very big compatibility to surgical instruments. Use the utility model discloses electrocision side-looking hysteroscope carries out the operation, can realize multiple surgical instruments's cooperation, gathers each surgical instruments's advantage. The utility model discloses an electricity is cut side vision hysteroscope when the operation, does not need the switching that multiple surgical instruments just can be realized to business turn over palace chamber many times, has practiced thrift operation time, has improved operation efficiency, has reduced the risk of infecting, reduces the adhesion of palace chamber, reduces patient's discomfort.
Drawings
Fig. 1 is a schematic structural diagram of embodiment 1 of the present invention.
Fig. 2 is a schematic view of the internal structure of the sheath according to embodiment 1 of the present invention.
Fig. 3 is a view from direction a in fig. 2.
Fig. 4 is a schematic structural diagram of embodiment 2 of the present invention.
Fig. 5 is a schematic view of the internal structure of the sheath according to embodiment 2 of the present invention.
Fig. 6 is a view from direction B of fig. 5.
Detailed Description
The present invention will be more clearly and completely described below with reference to two preferred embodiments and the accompanying drawings.
Example 1
As shown in fig. 1, 2 and 3, an resectoscope comprises a scope body 10, wherein the scope body 10 comprises a front section 11 and a rear section 12, and the front section 11 is sleeved with a sheath 20; the mirror body rear section 12 is provided with a side view mirror body 13.
The front section 11 of the mirror body is provided with an optical imaging component 14, a light source 15 and a water inlet channel 16. The optical imaging component is an optical lens. The light source illuminates the uterine cavity, and images in the imaging range of the optical lens can be seen through the side-view mirror body 13.
The sheath 20 has a plurality of through holes 21 at a front end thereof, and a water outlet 22 at a rear end thereof. The uterus expanding liquid enters the uterine cavity from the water inlet channel, then enters the sheath through the through hole of the sheath, and then flows out from the water outlet.
An insulating sheath 23 is provided at the front end of the sheath.
The sheath 20 is provided with an electric knife 30 and a support rod 40 for supporting the electric knife, the electric knife is arranged outside the support rod, and the support rod is arranged between the front section of the mirror body and the electric knife.
The supporting rod 40 is provided with a connecting piece 41 for supporting the electric knife; the electric knife 30 is connected to the support bar 40 by a connector 41. The connecting piece rigid coupling is in bracing piece, and the electrotome can locate the connecting piece by the cunning, and the electrotome also can with the connecting piece rigid coupling.
The supporting rod 40 and the electric knife 30 are both arranged through the rear section 12 of the mirror body.
The rear end of the mirror body rear section part 12 is provided with a mirror bridge 50; the supporting rod 40 and the electric knife 30 are both arranged through the bridge 50.
The bridge 50 is provided with a working channel switch 51 for opening or closing the working channel of the bridge.
The rear end of the bridge 50 is provided with an electric cutter working hand piece 60 which can control the electric cutter to slide along the axial direction of the sheath.
The electric cutter working hand 60 includes a working hand body 61, and the working hand body 61 has a manipulation handle 62 for manipulating the electric cutter and a V-shaped resilient member 63 for restoring the manipulation handle.
In this embodiment, the support rod is a tube body for passing surgical instruments; i.e. the support bar is an instrument channel tube. In this embodiment, the electric knife is slidably disposed on the support rod.
In another embodiment, the support rod is a solid cylinder. At this time, the support rod becomes a guide rod. The electric cutter can be fixedly connected with the guide rod and can also be arranged on the guide rod in a sliding way.
In this embodiment, the electric cutting tool working hand piece 60 has a working hand piece instrument channel (not shown) communicating with the inner cavity of the support rod, and the rear end of the electric cutting tool working hand piece 60 has a sealing cap 64 for sealing the working hand piece instrument channel. When the cold knife instrument is not needed, the sealing cap can be sealed, and the uterus expanding liquid is prevented from flowing out. When the cold knife instrument is needed to be used at the same time, the sealing cap is opened, and the cold knife instrument enters the uterine cavity for operation after passing through the instrument channel tube.
The electric-cutting side-looking hysteroscope of the embodiment can only use the electric cutter, and can also use the small electric cutter and the cold knife simultaneously. The small cold knife instrument specifically comprises basket forceps, scissors, grasping forceps, biopsy forceps, separating forceps and the like. And opening the sealing cap, and inserting the small cold knife instrument into the instrument channel tube after the small cold knife instrument passes through the electric cutter working hand piece. When the uterine cavity is operated, the electric scalpel can be used for the operation, and the small cold knife instrument can also be used for the operation.
The electric-cutting side-looking hysteroscope of this embodiment has two kinds of operation modes when using the electric knife to perform the operation:
the first method is as follows: the doctor holds the side-looking endoscope body with the left hand and operates the electric knife with the right hand to perform the operation.
The second method comprises the following steps: the left hand of the doctor operates the instrument (such as tissue forceps) and the right hand operates the electrosurgical hand piece. It helps hand-holding the side-looking endoscope body and hold the vaginal speculum cervical clamps.
In another embodiment, the support rod is a solid cylinder. In this embodiment, the operation may be performed using an electrosurgical knife.
In another embodiment, the electric knife is fixedly connected with the support rod. In this embodiment, the electrotome and the support rod are simultaneously slid axially along the sheath.
The utility model discloses an electricity is cut side and is looked hysteroscope through succinct compact structure, realizes that the stability of electrotome bears in the hysteroscope, can realize the stable control to the electrotome in the use moreover to the accurate rate of electrotomy operation has been improved.
The utility model discloses an electricity is cut side and is looked hysteroscope can also compatible use planer tool system and the great cold sword apparatus of size. The method specifically comprises the following steps: the electric cutter working hand piece is detached from the mirror bridge, and then the support rod and the electric cutter are driven to be separated from the sheath and the mirror body. The planing or cold knife instrument is then inserted into the scope body and sheath, at which point the operation may be performed using the planing or cold knife instrument, respectively.
The sheath need not be removed from the uterine cavity when using the planing tool system and the larger size cold knife instrument. The planing knife system and the cold knife instrument with larger size can be used for operation only by detaching the electric scalpel working hand piece and directly inserting the planing knife system and the cold knife instrument with larger size into the endoscope body and the sheath.
The utility model discloses an electricity is cut side vision hysteroscope can use the little apparatus of cold sword and electrotome to perform the operation simultaneously, also can the exclusive use plane sharpener perform the operation, can also the great cold sword apparatus of exclusive use size perform the operation, and it has very big compatibility to surgical instruments.
The electric cutting side-looking hysteroscope can be used for performing operations, and can realize the cooperative matching of the small cold knife instrument and the electric knife and gather the advantages of various surgical instruments.
The electric incision side-view hysteroscope can realize the switching of various surgical instruments without passing in and out the uterine cavity for many times during the operation, thereby saving the operation time, improving the operation efficiency, reducing the risk of infection, reducing the adhesion of the uterine cavity and reducing the discomfort of patients.
Example 2
As shown in fig. 4, 5 and 6, an resectoscope comprises a scope body 10, wherein the scope body 10 comprises a front section 11 and a rear section 12, and the front section 11 is sleeved with a sheath 20; the mirror body rear section 12 is provided with a side view mirror body 13.
The front section 11 of the mirror body is provided with an optical imaging component 14, a light source 15 and a water inlet channel 16. The optical imaging component is an optical lens. The light source illuminates the uterine cavity, and images in the imaging range of the optical lens can be seen through the side-view mirror body 13.
The sheath 20 has a plurality of through holes 21 at a front end thereof, and a water outlet 22 at a rear end thereof. The uterus expanding liquid enters the uterine cavity from the water inlet channel, then enters the sheath through the through hole of the sheath, and then flows out from the water outlet.
An insulating sheath 23 is provided at the front end of the sheath.
Within the sheath 20 is an electrotome 70 and a support rod 80 for supporting the electrotome. The support rod 80 is tubular, the electric cutter 70 penetrates through the support rod 80, and the electric cutter 70 is fixedly connected to the support rod.
The supporting rod 80 is provided with a connecting piece 81 for supporting the electric knife; the electric knife 70 is fixedly connected to the support rod 80 through a connecting member 81.
The support rod 80 and the electric knife 70 are both arranged through the rear section 12 of the mirror body.
The rear end of the mirror body rear section part 12 is provided with a mirror bridge 50; the supporting rod 80 and the electric knife 70 are both arranged through the bridge 50.
The bridge 50 is provided with a working channel switch 51 for opening or closing the working channel of the bridge.
The rear end of the bridge 50 is provided with an electric cutter working hand piece 90 which can control the electric cutter to slide along the axial direction of the sheath.
The electric cutter working hand piece 90 comprises a hand piece body 91, wherein a pushing block 92 for pushing the electric cutter and a U-shaped operating handle 93 for resetting the pushing block are arranged on the hand piece body 91; one end of the U-shaped operating handle 93 is connected to the hand piece body 91, and the other end is connected to the rear end of the pushing block 92; the front end of the pushing block 92 penetrates through the hand piece body 91; the front end of the pusher block 92 has a stop end for preventing the pusher block from disengaging from the hand piece body. The stop end is located inside the hand piece body and is not shown in the attached drawings.
The main points of this embodiment and embodiment 1 are: the electric cutter is arranged in the tubular supporting rod in a penetrating way, and the electric cutter is fixedly connected with the inner cavity of the supporting rod.
In this embodiment, the electrotome is located the bracing piece inner chamber, and electrotome and bracing piece rigid coupling, and bracing piece and electrotome can move in the sheath simultaneously, and the bracing piece provides stable support for the softer electrotome of texture, like this for the doctor can operate the electrotome more steadily, makes the electrotome easily control, can excise pathological change tissue more accurately during the operation.
This embodiment is also different from embodiment 1 in that: the electric cutter working hand piece adopts a U-shaped operating handle as a reset power source. When in use, a doctor pinches the U-shaped operating handle, and the pushing block pushes the electric knife to extend out of the sheath for operation. When the doctor loosens the U-shaped operating handle, the pushing block retreats under the elastic action of the U-shaped operating handle to pull the electric knife into the sheath. The electric cutter working hand piece has the advantages of simple structure, simple operation and convenient control of the electric cutter.
The electric knife workpiece in this embodiment can also be applied to embodiment 1 instead of the electric knife workpiece in embodiment 1. The specific application is not described herein.
Other advantages of this embodiment are the same as embodiment 1, and are not described herein again.
Although specific embodiments of the present invention have been described above, it will be understood by those skilled in the art that this is by way of example only and that the scope of the invention is defined by the appended claims. Various changes and modifications to these embodiments may be made by those skilled in the art without departing from the spirit and the principles of the present invention, and these changes and modifications are all within the scope of the present invention.

Claims (10)

1. An electric-cutting side-looking hysteroscope comprises a scope body, wherein the scope body comprises a front section part and a rear section part, and the front section part of the scope body is sleeved with a sheath; a side-view mirror body is arranged at the rear section part of the mirror body; the endoscope is characterized in that an electric cutter and a support rod for supporting the electric cutter are arranged in the sheath, the support rod and the electric cutter are both positioned below the front section of the endoscope body, and the electric cutter and the support rod are both distributed along the axial direction of the sheath; the supporting rod and the electric knife are both arranged at the rear section of the mirror body in a penetrating way; the rear end of the rear section part of the mirror body is provided with a mirror bridge; the supporting rod and the electric knife are arranged in the bridge in a penetrating way; the rear end of the bridge is provided with an electric cutter working hand piece which can control the electric cutter to slide along the axial direction of the sheath.
2. The electrocision sideview hysteroscope according to claim 1, wherein the electrotome is disposed externally of a support rod disposed between the anterior segment of the scope body and the electrotome.
3. The resectoscope of claim 2, wherein the support rod is a tube through which surgical instruments may pass.
4. The resectoscope of claim 2, wherein the support rod is a solid cylinder.
5. The electrocision side-view hysteroscope of claim 2 wherein the electrotome is fixedly attached to the support rod; or the electric cutter is arranged on the supporting rod in a sliding way.
6. The electrocision sideview hysteroscope of claim 1 wherein the support rod is tubular, the electrotome is inserted through the support rod, and the electrotome is fixedly attached to the support rod.
7. The resectoscope of claim 1 wherein the bridge is provided with a working channel switch for opening or closing the working channel of the bridge.
8. The resectoscope of claim 1, wherein the resectoscope working hand comprises a working hand body having a manipulating handle for manipulating the resectoscope and a V-shaped resilient member for resetting the manipulating handle.
9. The electrocision side-view hysteroscope according to claim 1, wherein the electrocision knife working hand piece comprises a hand piece body, on which a pushing block for pushing the electrocision knife and a U-shaped operating handle for resetting the pushing block are provided; one end of the U-shaped operating handle is connected to the hand piece body, and the other end of the U-shaped operating handle is connected to the rear end of the pushing block; the front end of the pushing block penetrates through the hand piece body; the front end of the pushing block is provided with a stopping end used for preventing the pushing block from separating from the hand piece body.
10. The resectoscope of claim 1, wherein the sheath has a plurality of through holes at the front end and a water outlet at the back end; the front end of the sheath sleeve is provided with an insulating sleeve.
CN201920367093.XU 2019-03-21 2019-03-21 Electric cutting side-looking hysteroscope Active CN209916190U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201920367093.XU CN209916190U (en) 2019-03-21 2019-03-21 Electric cutting side-looking hysteroscope

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Application Number Priority Date Filing Date Title
CN201920367093.XU CN209916190U (en) 2019-03-21 2019-03-21 Electric cutting side-looking hysteroscope

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109717951A (en) * 2019-03-21 2019-05-07 上海宇度医学科技股份有限公司 Hysteroscope is regarded by cutting

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109717951A (en) * 2019-03-21 2019-05-07 上海宇度医学科技股份有限公司 Hysteroscope is regarded by cutting

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