CN209996375U - Aspiration rotary-cut biopsy trocar device - Google Patents
Aspiration rotary-cut biopsy trocar device Download PDFInfo
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- CN209996375U CN209996375U CN201920394535.XU CN201920394535U CN209996375U CN 209996375 U CN209996375 U CN 209996375U CN 201920394535 U CN201920394535 U CN 201920394535U CN 209996375 U CN209996375 U CN 209996375U
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Abstract
Description
技术领域technical field
本实用新型涉及一种套针装置,尤其是一种抽吸旋切活检套针装置,属于医疗器械的技术领域。The utility model relates to a trocar device, in particular to a suction and rotary biopsy trocar device, which belongs to the technical field of medical instruments.
背景技术Background technique
骨与软组织肿瘤是严重危害人类健康及生命的疾病,近年来发病率逐渐上升,且发病年龄逐渐下降,早期发现、正确的诊断、及时治疗对预后有重要的影响。随着检查手段及方法的不断提高,使诊断的正确率逐渐提高,但仍有很大一部分肿瘤不具备典型的影像学特点,诊断困难。正确的诊断需要临床、影像及病理三结合。其中,病理诊断对治疗方案的选择起着关键作用。穿刺活检是获取病理诊断的主要途径。Bone and soft tissue tumors are diseases that seriously endanger human health and life. In recent years, the incidence has gradually increased, and the age of onset has gradually decreased. Early detection, correct diagnosis, and timely treatment have an important impact on prognosis. With the continuous improvement of inspection methods and methods, the accuracy of diagnosis has gradually increased, but there are still a large number of tumors that do not have typical imaging characteristics, making diagnosis difficult. The correct diagnosis requires a combination of clinical, imaging and pathology. Among them, pathological diagnosis plays a key role in the choice of treatment plan. Needle biopsy is the main way to obtain pathological diagnosis.
目前的取检多采用抓钳针,即在针体内设置抓钳,当取检针穿刺进入病变内后,推出设置于取检针内的抓钳对病变进行抓取。这种方法取检针直径较大,穿刺创伤较大;取检抓取组织后不能有效回缩进入取检针内,取检结束后拔出针体及抓钳时,可能导致病变播散;另外,一次穿刺只能钳抓一次,效率低下,与取检时尽量多取组织提高阳性检出率的理念不符。At present, grasping forceps needles are mostly used for inspection, that is, grasping forceps are set in the needle body. After the sampling needle punctures into the lesion, the grasping forceps set in the sampling needle is pushed out to grasp the lesion. In this method, the diameter of the needle is larger, and the puncture trauma is larger; after the tissue is collected and grasped, it cannot be retracted effectively into the needle, and when the needle body and grasping forceps are pulled out after the inspection, the disease may spread; In addition, one puncture can only be grasped once, which is inefficient and inconsistent with the concept of taking as much tissue as possible to improve the positive detection rate.
临床急需一种创伤小,取检效率高,拔针后播散机率低的取检针。There is an urgent need for a needle that has less trauma, high efficiency and low probability of dissemination after needle extraction.
发明内容SUMMARY OF THE INVENTION
本实用新型的目的是克服现有技术中存在的不足,提供一种抽吸旋切活检套针装置,其结构紧凑,能有效实现对组织的穿刺取样,创伤小,取检效率高,拔针后播散机率低,使用操作方便,安全可靠。The purpose of the utility model is to overcome the deficiencies in the prior art, and provide a suction and rotary biopsy trocar device, which has a compact structure, can effectively realize puncture and sampling of tissues, has small trauma, high efficiency of sampling and inspection, and can remove the needle. The probability of post-spreading is low, the use and operation are convenient, safe and reliable.
按照本实用新型提供的技术方案,所述抽吸旋切活检套针装置,包括用于穿刺后取样的穿刺取样针,所述穿刺取样针包括取样外管以及能嵌置于所述取样外管内的吸引内管,所述吸引内管能在取样外管内转动,取样外管的下端部设有穿刺取样尖端且取样外管的下部侧壁设置贯通所述取样外管管壁的外取样口,在吸引内管的下部侧壁设置贯通所述吸引内管的内取样口;According to the technical solution provided by the present utility model, the suction and rotary biopsy trocar device includes a puncture sampling needle for sampling after puncture, and the puncture and sampling needle includes a sampling outer tube and can be embedded in the sampling outer tube The suction inner tube can be rotated in the sampling outer tube, the lower end of the sampling outer tube is provided with a puncture sampling tip, and the lower side wall of the sampling outer tube is provided with an outer sampling port penetrating the tube wall of the sampling outer tube, An inner sampling port passing through the suction inner tube is arranged on the lower side wall of the suction inner tube;
吸引内管嵌置于取样外管内时,内取样口能与外取样口对准,吸引内管通过内取样口与外取样口连通。When the suction inner tube is embedded in the sampling outer tube, the inner sampling port can be aligned with the outer sampling port, and the suction inner tube communicates with the outer sampling port through the inner sampling port.
所述外取样口的内圈设置若干外取样齿,在内取样口的内圈设置若干内取样齿。The inner circle of the outer sampling port is provided with a plurality of outer sampling teeth, and the inner circle of the inner sampling port is provided with a plurality of inner sampling teeth.
还包括与取样内管适配连接的负压建立器,所述负压建立器与吸引内管的头端连接,通过负压建立器能将取样后的组织通过吸引内管吸引进入负压建立器内。It also includes a negative pressure builder adapted to connect with the sampling inner tube, the negative pressure builder is connected with the head end of the suction inner tube, and the sampled tissue can be sucked into the negative pressure establishment through the suction inner tube through the negative pressure builder. inside the device.
所述负压建立器包括吸引筒体、设置于所述吸引筒体内的活塞体以及设置于所述活塞体上的活塞杆,所述活塞杆的一端部与活塞体连接,活塞杆的另一端设置活塞杆端柄;在所述活塞杆上套有弹性体,所述弹性体位于活塞杆端柄与吸引筒体的端部之间,活塞体在吸引筒体内靠近取样针的底部时,弹性体处于压缩状态。The negative pressure builder includes a suction cylinder, a piston body arranged in the suction cylinder, and a piston rod arranged on the piston body. One end of the piston rod is connected to the piston body, and the other end of the piston rod is connected to the piston body. A piston rod end handle is provided; an elastic body is sleeved on the piston rod, and the elastic body is located between the end handle of the piston rod and the end of the suction cylinder. When the piston body is close to the bottom of the sampling needle in the suction cylinder, the elastic body is elastic The body is in a compressed state.
吸引筒体的上端部设置上端连接定位环,所述上端连接定位环位于吸引筒体上端的外圈,弹性体的下端抵在上端连接定位环上。The upper end of the suction cylinder is provided with an upper connection and positioning ring, the upper connection and positioning ring is located on the outer ring of the upper end of the suction cylinder, and the lower end of the elastic body abuts on the upper connection and positioning ring.
在所述吸引筒体上设置贯通吸引筒体侧壁的观察取出窗口以及用于密封所述观察取出窗口的密封膜,所述密封膜与吸引筒体采用可分离连接。The suction cylinder is provided with an observation and take-out window penetrating the side wall of the suction cylinder and a sealing film for sealing the observation and take-out window, and the sealing film and the suction cylinder are detachably connected.
所述吸引内管的上端设置内管连接口,所述内管连接口位于取样外管上端部的外管连接口的外侧;吸引筒体上设置能与吸引内管的内管连接口适配连接筒体连接头,吸引筒体通过筒体连接头与内管连接口连接后,吸引筒体能与吸引内管连接并连通。The upper end of the suction inner tube is provided with an inner tube connection port, and the inner tube connection port is located outside the outer tube connection port of the upper end of the sampling outer tube; the suction cylinder body is provided with an inner tube connection port that can be adapted to the suction inner tube. The cylinder body connecting head is connected, and after the suction cylinder body is connected with the inner pipe connection port through the cylinder body connection head, the suction cylinder body can be connected and communicated with the suction inner pipe.
还包括设置于取样外管上的外管连接头,所述外管连接头安装于外管连接口上。It also includes an outer pipe connection head arranged on the sampling outer pipe, and the outer pipe connection head is installed on the outer pipe connection port.
还包括能将进入吸引内管内的组织推出的取样推杆。Also included is a sampling plunger that pushes tissue out of the suction inner tube.
所述取样外管选用超声显影材料制成。The sampling outer tube is made of ultrasonic developing material.
本实用新型的优点:取样外管的下端部设有穿刺取样尖端,利用穿刺取样尖端穿刺取样时,创伤小,取检效率高。取样外管的下部侧壁设置贯通所述取样外管管壁的外取样口,在吸引内管的下部侧壁设置贯通所述吸引内管的内取样口;利用吸引内管在取样外管内的转动,能实现对组织的旋切取样,取样后的组织在负压建立器配合,能使得取样组织进入吸引筒体内或留置在吸引内管内,便于后续对取样组织的处理,拔针后播散机率低,结构紧凑,能有效实现对组织的穿刺取样,使用操作方便,安全可靠。The advantages of the utility model: the lower end of the sampling outer tube is provided with a puncture sampling tip, when the puncture sampling tip is used for puncturing and sampling, the trauma is small and the sampling efficiency is high. The lower side wall of the sampling outer tube is provided with an outer sampling port penetrating the tube wall of the sampling outer tube, and an inner sampling port penetrating the suction inner tube is set on the lower side wall of the suction inner tube; Rotation can realize rotary cutting and sampling of the tissue. The tissue after sampling is matched with the negative pressure builder, so that the sampled tissue can enter the suction cylinder or remain in the suction inner tube, which is convenient for the subsequent processing of the sampled tissue, and spreads after the needle is pulled out. The utility model has the advantages of low probability and compact structure, can effectively realize the puncture and sampling of the tissue, is convenient to use and operate, and is safe and reliable.
附图说明Description of drawings
图1为本实用新型与负压建立器的配合示意图。FIG. 1 is a schematic diagram of the cooperation between the utility model and the negative pressure builder.
图2为本实用新型的吸引筒体上设置观察取出窗口、密封膜时的示意图。FIG. 2 is a schematic view of the suction cylinder of the present invention when an observation and take-out window and a sealing film are provided.
图3为本实用新型设置外管连接头的示意图。FIG. 3 is a schematic diagram of the utility model setting an outer pipe connecting head.
图4为本实用新型取样推杆的示意图。FIG. 4 is a schematic diagram of the sampling push rod of the present invention.
图5为本发明穿刺取样针的另一种实施结构图。FIG. 5 is another implementation structural diagram of the puncture sampling needle of the present invention.
附图标记说明:1-取样外管、2-吸引内管、3-穿刺取样尖端、4-外取样口、5-内取样口、6-外管连接口、7-内管连接口、8-吸引筒体、9-活塞体、10-活塞杆、11-活塞杆端柄、12-弹性体、13-上端连接定位环、14-筒体连接头、15-密封膜、16-外管连接头、17-取样推杆以及18-推杆柄。Description of reference numerals: 1-sampling outer tube, 2-suction inner tube, 3-puncture sampling tip, 4-outer sampling port, 5-inner sampling port, 6-outer tube connection port, 7-inner tube connection port, 8 -Suction cylinder, 9-piston body, 10-piston rod, 11-piston rod end handle, 12-elastomer, 13-upper connection positioning ring, 14-cylinder body connector, 15-sealing film, 16-outer tube Connector, 17-sampling push rod and 18- push rod handle.
具体实施方式Detailed ways
下面结合具体附图和实施例对本实用新型作进一步说明。The utility model will be further described below in conjunction with the specific drawings and embodiments.
如图1、图3和图5所示:为了能有效实现对组织的穿刺取样,本实用新型包括用于穿刺后取样的穿刺取样针,所述穿刺取样针包括取样外管1以及能嵌置于所述取样外管1内的吸引内管2,所述吸引内管2能在取样外管1内转动,取样外管1的下端部设有穿刺取样尖端3且取样外管1的下部侧壁设置贯通所述取样外管1管壁的外取样口4,在吸引内管2的下部侧壁设置贯通所述吸引内管2的内取样口5;As shown in Figure 1, Figure 3 and Figure 5: In order to effectively realize the puncture sampling of the tissue, the utility model includes a puncture sampling needle for sampling after the puncture, and the puncture and sampling needle comprises a sampling
吸引内管2嵌置于取样外管1内时,内取样口5能与外取样口4对准,吸引内管2通过内取样口5与外取样口4连通。When the suction
具体地,穿刺取样针采用符合医用标准的材料制成,取样外管1、吸引内管2均为直形的管状结构,取样外管1的内径大于吸引内管2的外径,即取样外管1允许吸引内管2嵌置,且能允许吸引内管2能在取样外管1内转动。一般地,吸引内管2置于取样外管1内后,吸引内管2与取样外管1呈同轴分布。穿刺取样尖端3位于取样外管1的下端部,穿刺取样尖端3可以通过对取样外管1的下端部斜切部分后形成,外取样口4位于取样外管1的下部,外取样口4贯通取样外管1的侧壁,外取样口4邻近穿刺取样尖端3。当然,也可以直接在取样外管1的下端部制备尖端,即得到穿刺取样尖端3,如图5所示。Specifically, the puncture sampling needle is made of materials that meet medical standards, the sampling
吸引内管2为两端开口的直形管状,内取样口5位于吸引内管2的下部,且内取样口5贯通吸引内管2的管壁。内取样口5与外取样口4对应,当吸引内管2在取样外管1内转动时,内取样口5能与外取样口4对准,从而吸引内管2通过内取样口5与外取样口4连通。The suction
具体使用时,所述取样外管1选用超声显影材料制成,取样外管1外壁磨砂处理(能在超声下清晰显影)。利用取样外管1的下端部利用穿刺取样尖端3穿刺进入待取样的位置,在穿刺成功后,待取样的组织能被吸引进入外取样口4与内取样口5内,将吸引内管2在取样外管1内转动后,利用吸引内管2与取样外管1转动产生的旋切利能对吸引进入外取样口4、内取样口5的组织进行旋切,实现对所需组织的取样。一般地,取样后的组织进入通过内取样口5进入吸引内管2内。利用穿刺取样尖端3穿刺时,创伤小,取检效率高,拔针后播散机率低。In specific use, the sampling
具体实施时,所述外取样口4的内圈设置若干外取样齿,在内取样口5的内圈设置若干内取样齿。本实用新型实施例中,外取样齿沿外取样口4的内圈均匀分布,内取样齿沿内取样口5的内圈均匀分布,利用外取样齿、内取样齿能实现对组织的旋切,提高对组织的取样效率。In specific implementation, the inner ring of the
进一步地,还包括与取样内管2适配连接的负压建立器,所述负压建立器与吸引内管2的头端连接,通过负压建立器能将取样后的组织通过吸引内管2吸引进入负压建立器内。Further, it also includes a negative pressure builder adapted to connect with the sampling
本实用新型实施例中,负压建立器与吸引内管2的头端连接,通过负压建立器能在吸引内管2内产生负压,当在吸引内管2内产生负压后,能将待旋切的组织吸引进入外取样口4、内取样口5,甚至吸引进入吸引内管2内;当对组织取样后,在负压作用下,能将取样后的组织通过吸引内管2吸引进入所述负压建立器内,进入负压建立器内组织,能便于取出使用,避免出现组织的污染等情况。In the embodiment of the present invention, the negative pressure builder is connected to the head end of the suction
具体实施时,所述负压建立器包括吸引筒体8、设置于所述吸引筒体8内的活塞体9以及设置于所述活塞体9上的活塞杆10,所述活塞杆10的一端部与活塞体9连接,活塞杆10的另一端设置活塞杆端柄11;在所述活塞杆10上套有弹性体12,所述弹性体12位于活塞杆端柄11与吸引筒体8的端部之间,活塞体9在吸引筒体8内靠近取样针的底部时,弹性体12处于压缩状态。In specific implementation, the negative pressure builder includes a
本实用新型实施例中,吸引筒体8呈圆筒状,活塞体9的外径与吸引筒体8的内径适配,活塞体9的外壁紧贴吸引筒体8的内壁,且活塞体9通过活塞杆10驱动后,能在吸引筒体8内沿吸引筒体8的长度方向运动。活塞杆10的一端伸入吸引筒体8内与活塞体9连接,活塞杆10的另一端位于吸引筒体8外并设置活塞杆端柄11,一般地,活塞杆端柄11的外径大于吸引筒体8的内径。In the embodiment of the present invention, the
弹性体12可以采用弹簧等弹性部件制成,弹性体12套在活塞杆10上,当活塞体9向吸引筒体8的底部运动时,通过活塞杆端柄11能使得弹性体9处于压缩状态。当弹性体12处于压缩状态后,弹性体12的弹性复位时,能提供活塞体9向吸引筒体8上端的方向运动,从而能在吸引筒体8内产生负压,所述负压能实现对待旋切的组织以及旋切后的组织吸引。The elastic body 12 can be made of elastic components such as a spring. The elastic body 12 is sleeved on the piston rod 10. When the piston body 9 moves to the bottom of the
具体实施时,吸引筒体8的上端部设置上端连接定位环13,所述上端连接定位环13位于吸引筒体8上端的外圈,弹性体12的下端抵在上端连接定位环13上。本实用新型实施例中,利用上端连接定位环13能支撑弹性体12,上端连接定位环13与活塞杆端柄11的配合,能实现对弹性体12的压缩与支撑。In specific implementation, the upper end of the
如图2所示,在所述吸引筒体8上设置贯通吸引筒体8侧壁的观察取出窗口以及用于密封所述观察取出窗口的密封膜15,所述密封膜15与吸引筒体8采用可分离连接。As shown in FIG. 2 , the
本实用新型实施例中,密封膜15一般为透明膜,利用密封膜15能密封观察取出窗口,即不会影响吸引筒体8内的负压状态,通过密封膜15打开吸引筒体8后,能将进入吸引筒体8内的组织取出,提高组织旋切、收集以及取出的便捷性。In the embodiment of the present invention, the sealing
当利用弹性体12、活塞体9在吸引筒体8内产生负压,即能代替现有负压吸引器的作用,避免利用现有负压吸引器吸引后导致组织被吸引进入引流袋的情况,同时,也能降低穿刺取样过程中,对负压吸引器的条件要求,降低手术成本。When the elastic body 12 and the piston body 9 are used to generate negative pressure in the
进一步地,所述吸引内管2的上端设置内管连接口7,所述内管连接口7位于取样外管1上端部的外管连接口6的外侧;吸引筒体8上设置能与吸引内管2的内管连接口7适配连接筒体连接头14,吸引筒体8通过筒体连接头14与内管连接口7连接后,吸引筒体8能与吸引内管2连接并连通。Further, the upper end of the suction
本实用新型实施例中,吸引内管2的上端部位于取样外管1的上部,吸引筒体8通过筒体连接头14与内管连接口7适配连接。此外,还包括设置于取样外管1上的外管连接头16,所述外管连接头16安装于外管连接口6上,如图3所示。外管连接头16可以采用杈状或其他所需的形状,通过外管连接头16能将取样外管1装配在超声探头等器械上,以实现超声取样等操作。In the embodiment of the present invention, the upper end of the suction
如图4所示,还包括能将进入吸引内管2内的组织推出的取样推杆17。本实用新型实施例中,取样推杆17呈直杆状,取样推杆17的外径小于吸引内管2的内径。所述取样推杆17的端部设置推杆柄18。当吸引筒体8内的负压不足以将取样的组织吸引进入所述吸引筒体8内时,取样的组织会留置在吸引内管2内。为了将吸引内管2内的组织取出,需要利用取样推杆17,即利用取样推杆17将吸引内管2内的组织推出吸引内管2外。As shown in FIG. 4 , it also includes a
本实用新型取样外管1的下端部设有穿刺取样尖端3,取样外管1的下部侧壁设置贯通所述取样外管1管壁的外取样口4,在吸引内管2的下部侧壁设置贯通所述吸引内管2的内取样口5;利用吸引内管2在取样外管1内的转动,能实现对组织的旋切取样,取样后的组织在负压建立器配合,能使得取样组织进入吸引筒体8内或留置在吸引内管2内,便于后续对取样组织的处理,结构紧凑,能有效实现对组织的穿刺取样,使用操作方便,安全可靠。The lower end of the sampling
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111544055A (en) * | 2020-05-13 | 2020-08-18 | 任书兰 | Medical sampling device with liquid blocking and ventilation functions |
| CN112754537A (en) * | 2021-01-19 | 2021-05-07 | 宁波华科润生物科技有限公司 | Novel centrum bone tissue get biopsy instrument |
| CN113425331A (en) * | 2021-06-25 | 2021-09-24 | 姚春梅 | Sampler for noninvasive colon, rectum or anal tube and using method thereof |
| CN113440181A (en) * | 2021-07-06 | 2021-09-28 | 中南大学湘雅医院 | Biological tissue biopsy sampling device based on endoscopic system |
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Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN111544055A (en) * | 2020-05-13 | 2020-08-18 | 任书兰 | Medical sampling device with liquid blocking and ventilation functions |
| CN112754537A (en) * | 2021-01-19 | 2021-05-07 | 宁波华科润生物科技有限公司 | Novel centrum bone tissue get biopsy instrument |
| CN113425331A (en) * | 2021-06-25 | 2021-09-24 | 姚春梅 | Sampler for noninvasive colon, rectum or anal tube and using method thereof |
| CN113440181A (en) * | 2021-07-06 | 2021-09-28 | 中南大学湘雅医院 | Biological tissue biopsy sampling device based on endoscopic system |
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