CN210056096U - Percutaneous colon-passing appendicoscope system - Google Patents
Percutaneous colon-passing appendicoscope system Download PDFInfo
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- CN210056096U CN210056096U CN201821061225.8U CN201821061225U CN210056096U CN 210056096 U CN210056096 U CN 210056096U CN 201821061225 U CN201821061225 U CN 201821061225U CN 210056096 U CN210056096 U CN 210056096U
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- appendicoscope
- percutaneous
- surgical instrument
- appendix
- puncture sheath
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Abstract
The utility model discloses a percutaneous transcolonic appendicoscope system, which comprises a percutaneous transcolonic appendicoscope, a puncture sheath tube used for matching with the appendicoscope, a surgical instrument used for appendiceal operation, a camera system, a light source system and a display used in a matching way; the puncture sheath tube is arranged outside the appendicoscope; the surgical instrument is specially used for appendiceal surgery; the surgical instrument comprises a closer, an internal drainage tube, a nipper and a basket; the utility model has the advantages that: the utility model discloses be exclusively used in and protect the medical equipment of appendix operation treatment, compensatied clinical vacancy, simplified the operation mode, improved operation efficiency. The doctor can place the puncture sheath at the position near the appendix of the colon under the ultrasonic guidance or the laparoscopic monitoring, and then reach the focus of infection through the puncture sheath, and select different surgical instruments for operation according to the operation condition, thereby achieving the purpose of reserving the appendix.
Description
Technical Field
The utility model belongs to the technical field of medical instrument, concretely relates to percutaneous colon appendicoscope system through.
Background
Appendicitis belongs to common and frequently encountered surgical diseases. Many patients have an active requirement to excise this "redundant drag" as appendiceal inflammation is most common in hospitals, typically either open or laparoscopic excision. Recent studies have shown that the appendix is not useless. The appendix has abundant lymph tissue, participates in the immune function of the organism, is responsible for the cellular immunity and humoral immunity of the organism, also has the function of secreting cells, can secrete a plurality of substances and various digestive enzymes, and can promote hormone of intestinal tract peristalsis and hormone related to growth, and the like; and plays an important role in maintaining the balance of intestinal bacteria, helping beneficial bacteria to survive and colonize the colon, and the appendix is called the "shelter" for probiotics.
At present, the surgical treatment proposal of the appendix protection is proposed clinically, but no equipment specially used for the appendix protection surgery is provided, and a colonoscope is adopted to reach the vicinity of the appendix through anus, colon and the like, but the colonoscope cannot enter the appendix cavity to treat the lesion due to the larger diameter of the colonoscope, and the path is too long, so the injury to the patient is large.
SUMMERY OF THE UTILITY MODEL
The utility model aims at overcoming the defects of the prior art, providing a percutaneous colon appendicoscope system, solving the complications after appendectomy and solving the technical problem that the long colonoscope path causes great damage to human body.
In order to solve the above problem, the utility model discloses realize according to following technical scheme:
a percutaneous trans-colon appendicoscope system comprises a percutaneous trans-colon appendicoscope, a puncture sheath tube used for being matched with the appendicoscope, a surgical instrument used for appendix operation, a camera system, a light source system and a display which are matched for use; the puncture sheath tube is arranged outside the appendicoscope; the surgical instrument is specially used for appendiceal surgery; the surgical instrument includes a closer, an internal drainage tube, a grasper, and a basket.
Preferably, an operation channel with two open ends is arranged in the appendicoscope, and a section of liquid channel communicated with the operation channel is also arranged on the operation channel.
More preferably, the appendicoscope comprises a main shaft scope body, an eyepiece portion, a light guide portion and a connecting portion; the main shaft mirror body is provided with the connecting part, and the eyepiece part and the light guide part are both arranged at the bottom of the connecting part; the liquid channel is arranged on the main shaft mirror body and is close to one end far away from a patient.
More preferably, the diameter of the stop mirror is less than or equal to 5.0mm, the length of the stop mirror is less than or equal to 250mm, and the diameter of the operation channel is greater than or equal to 1.5 mm.
Preferably, the puncture sheath comprises an outer sleeve, an inner sleeve and a puncture needle; the inner sleeve can be sleeved in the outer sleeve, and the length of the inner sleeve is greater than that of the outer sleeve; the puncture needle is sleeved in the inner sleeve and can move along the axial direction of the inner sleeve, and the puncture needle penetrates through the first end of the outer sleeve and pierces into the skin of a patient.
Preferably, the needle is made of an ultrasonically identifiable material.
More preferably, the interior of the internal drainage tube is hollow; the closer comprises a body and a closing clip; the closing clip is clamped at the front end of the body.
The utility model has the advantages that:
the utility model is specially used for medical equipment for appendix protection surgery treatment, makes up the clinical vacancy, simplifies the surgery mode and improves the surgery efficiency; the doctor can place the puncture sheath at the position near the appendix of the colon under the ultrasonic guidance or the laparoscopic monitoring, and then reach the focus of infection through the puncture sheath, and select different surgical instruments for operation according to the operation condition, thereby achieving the purpose of reserving the appendix.
Drawings
FIG. 1 is a schematic view of a trans-dermal trans-colonic appendices in a system of the invention;
FIG. 2 is a schematic view of a puncture sheath of the percutaneous transcolonic appendectomy system of the present invention;
FIG. 3 is a schematic view of an internal drainage tube of the percutaneous transcolonic appendixes system of the present invention;
FIG. 4 is a schematic view of the obturator of the percutaneous transcolonic appendectomy system of the present invention;
FIG. 5 is a schematic diagram of a camera system, light source system and display for use with the percutaneous trans-colon appendoscope system of the present invention;
FIG. 6 is a schematic view of a grasper of the percutaneous trans-colonic appendicoscope system of the present invention;
fig. 7 is a schematic view of a basket of the percutaneous transcolonic appendectomy system of the present invention.
Wherein:
1-appendicoscope, 11-operation channel, 12-liquid channel, 13-main shaft mirror body, 14-eyepiece part, 15-light guide part, 16-connecting part, 2-puncture sheath tube, 21-outer sleeve tube, 22-inner sleeve tube, 23-puncture needle, 31-closer, 311-body, 312-close clip, 32-inner drainage tube, 33-grasping forceps, 34-basket, 4-camera system, 5-light source system and 6-display.
Detailed Description
The preferred embodiments of the present invention will be described in conjunction with the accompanying drawings, and it will be understood that they are presented herein only to illustrate and explain the present invention, and not to limit the present invention.
As shown in fig. 1-7, the present invention provides a percutaneous transcolonic appendicoscope system, which comprises a percutaneous transcolonic appendicoscope 1, a puncture sheath 2 for cooperating with the appendicoscope 1, a surgical instrument 3 for appendiceal surgery, a camera system 4, a light source system 5 and a display 6; the puncture sheath tube 2 is arranged outside the appendoscope 1; the surgical instrument 3 is specially used for appendix operation; the surgical device 3 includes a closer 31, an internal drainage tube 32, a grasper 33, and a basket 34.
The interior of the inner drainage tube 32 is hollow; the closer 31 includes a body 311 and a closing clip 312; the closing clip 312 is held at the front end of the body 311.
The aperture mirror 1 is provided with an operation channel 11 with two open ends, and the operation channel 11 is further provided with a section of liquid channel 12 communicated with the operation channel. The liquid channel 12 is Y-shaped, and the Y-shaped extension tube can leave more space for the operation position of a doctor, so that the influence of the space on the operation caused by excessive instruments and connecting wires is avoided.
The stop mirror 1 includes a main shaft mirror body 13, an eyepiece portion 14, a light guide portion 15, and a connecting portion 16; the main shaft mirror body 13 is provided with a connecting part 16, and the eyepiece part 14 and the light guide part 15 are both arranged at the bottom of the connecting part 16; the liquid channel 12 is arranged on the main shaft mirror body 13 and is close to one end far away from the patient.
The diameter of the stop mirror 1 is less than or equal to 5.0mm, the length of the stop mirror 1 is less than or equal to 250mm, and the diameter of the operation channel 11 is greater than or equal to 1.5 mm.
The puncture sheath tube 2 comprises an outer sleeve 21, an inner sleeve 22 and a puncture needle 23; the inner sleeve 22 can be sleeved in the outer sleeve 21, and the length of the inner sleeve 22 is greater than that of the outer sleeve 21; the puncture needle 23 is sleeved in the inner sleeve 22 and can move along the axial direction of the inner sleeve 22, and the puncture needle 23 penetrates through the first end of the outer sleeve 21 to pierce the skin of the patient. The puncture needle 23 is made of an ultrasonically identifiable material.
The stop mirror can adopt an optical mirror, an electronic mirror and a fiber mirror. Can be used for one time or repeatedly.
Procedure for use of the percutaneous transcolonic appendixes system:
1. the puncture sheath 2 can puncture the skin layer and the colon under the ultrasonic guidance or the laparoscopic monitoring, and the end part of the puncture sheath 2 is close to the appendix;
2. the inner sleeve 22 and the puncture needle 23 are drawn out from the puncture sheath 2 and are far away from the human body;
3. the main shaft endoscope body 13 of the percutaneous transcolonic appendoscope extends into the outer sleeve 21, the end part of the main shaft endoscope body 13 is close to the appendix, the internal condition of the appendix is firstly explored, then different surgical instruments 3 are selected according to the surgical condition to treat the focus, for example, the fecalities can be taken out from the appendix by using a grasping forceps 33 or a net basket 34, and can be discharged by self after being put into the colon;
4. after the focus is treated, the internal drainage tube 32 is placed into the appendix through the operation channel, the internal drainage tube 32 is not required to be taken out again after the operation, the internal drainage tube 32 is made of absorbable materials, and the internal drainage tube can be automatically absorbed by a human body or can be discharged from the human body through the anus;
6. withdrawing the percutaneous transcolonic appendoscope 1 and the outer sleeve 21 to a position between the skin layer and the colon, and closing the incision of the colon by using an absorbable closer 31;
7. the percutaneous transcolonic appendices 1 and outer sleeve 21 are withdrawn from the skin layer and the skin incision can be closed with an adhesive or absorbable thread.
The utility model has the advantages that:
the utility model discloses be exclusively used in and protect the medical equipment of appendix operation treatment, compensatied clinical vacancy, simplified the operation mode, improved operation efficiency. The doctor can place the puncture sheath at the position near the appendix of the colon under the ultrasonic guidance or the laparoscopic monitoring, and then reach the focus of infection through the puncture sheath, and select different surgical instruments for operation according to the operation condition, thereby achieving the purpose of reserving the appendix.
The above description is only a preferred embodiment of the present invention, and is not intended to limit the present invention in any way, so that any modification, equivalent change and modification made by the technical spirit of the present invention to the above embodiments do not depart from the technical solution of the present invention, and still fall within the scope of the technical solution of the present invention.
Claims (6)
1. A percutaneous transcolonic appendicoscope system is characterized by comprising a percutaneous transcolonic appendicoscope, a puncture sheath tube used for being matched with the appendicoscope, a surgical instrument used for appendiceal surgery, a camera system, a light source system and a display which are matched for use;
the puncture sheath tube is arranged outside the appendicoscope; the surgical instrument is specially used for appendiceal surgery;
the surgical instrument comprises a closer, an internal drainage tube, a nipper and a basket;
an operation channel which is provided with two open ends and is used for the internal drainage tube to pass through is arranged in the appendicoscope, and a section of liquid channel which is communicated with the operation channel is also arranged on the operation channel.
2. The percutaneous trans-colonic appendicoscope system of claim 1, wherein the appendicoscope comprises a main shaft scope body, an ocular portion, a light directing portion, and a connecting portion;
the main shaft mirror body is provided with the connecting part, and the eyepiece part and the light guide part are both arranged at the bottom of the connecting part;
the liquid channel is arranged on the main shaft mirror body and is close to one end far away from a patient.
3. The percutaneous trans-colonic appendicoscope system of claim 2, where the diameter of the appendices is equal to or less than 5.0mm, the length of the appendices is equal to or less than 250mm, and the diameter of the operative corridor is equal to or greater than 1.5 mm.
4. The percutaneous trans-colonic appendicoscope system of claim 3, wherein the puncture sheath comprises an outer sleeve, an inner sleeve, and a puncture needle;
the inner sleeve can be sleeved in the outer sleeve, and the length of the inner sleeve is greater than that of the outer sleeve;
the puncture needle is sleeved in the inner sleeve and can move along the axial direction of the inner sleeve, and the puncture needle penetrates through the first end of the outer sleeve and pierces into the skin of a patient.
5. The percutaneous trans-colonic appendicoscope system of claim 4, wherein the puncture needle is made of an ultrasonically identifiable material.
6. The percutaneous trans-colonic appendicoscope system of claim 1, wherein the interior of the internal drainage tube is hollow;
the closer comprises a body and a closing clip; the closing clip is clamped at the front end of the body.
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CN201821061225.8U CN210056096U (en) | 2018-07-05 | 2018-07-05 | Percutaneous colon-passing appendicoscope system |
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CN201821061225.8U CN210056096U (en) | 2018-07-05 | 2018-07-05 | Percutaneous colon-passing appendicoscope system |
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108888303A (en) * | 2018-07-05 | 2018-11-27 | 广州乔铁医疗科技有限公司 | A kind of percutaneous per rectum appendix mirror system |
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2018
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Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN108888303A (en) * | 2018-07-05 | 2018-11-27 | 广州乔铁医疗科技有限公司 | A kind of percutaneous per rectum appendix mirror system |
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