Insulating assembly of special electrocoagulation cutter for cervical cancer
Technical Field
The utility model relates to the field of medical equipment, concretely relates to insulating assembly of special electricity of cervical carcinoma congeals cutterbar.
Background
Cervical cancer is the first disease species of the gynecological malignant tumors in China at present, most of cervical cancer is found in the stage I and the stage II, and the operation is the main treatment means in the stage. Over the past 20 years, laparoscopic surgery has gradually replaced open surgery as the dominant surgical approach with its advantages of sophistication, safety, quick recovery, short hospital stay, etc. However, in 2018, two extremely-quantitative studies find that the recovery and survival rate after laparoscopic surgery are obviously lower than those of open surgery, the sylvan is raised in the international gynecologic department, and through dispute and discussion, several problems in the laparoscopic surgery step are considered as the key points of the problems. The method for cutting off the vagina under the laparoscope is different according to individual habits of doctors, but the effect of cutting off the vagina and taking out the uterus without tumors can not be ensured only by executing the operation without tumors according to the individual habits of the doctors, and after the vagina is cut off under the laparoscope, even if the cervix and the tumor focus on the surface of the cervix are isolated, the whole cut-off uterus is still positioned in the pelvic cavity, the uterus can rotate in the pelvic cavity when the uterus is taken out through the clamping forceps, so that the probability of tumor spreading is increased, meanwhile, the closed vaginal canal fracture can not be quickly and accurately closed after the operation is finished, infection is easy to generate, and the existing medical cutter has poor insulation effect, so that the condition of unsmooth cutting caused by energy dispersion is easy to generate in the cutting process, and the end face of the cutting canal is in contact with the inner wall of a wound of a.
In order to solve the defects of the prior art, people have long searched for and put forward various solutions. For example, the chinese patent document discloses a surgical instrument for removing a vaginal tube from uterine cancer [ CN201910161610.2], which comprises a fixing unit, a shaft tube and a cutting unit, wherein the fixing unit is disposed on the shaft tube and located between the inner end of the shaft tube and the cutting unit, and is used for fixing the vaginal tube during the surgical procedure; the cutting unit is arranged on the shaft tube and used for being placed in the inner cavity of the vaginal tube in the surgical process and cutting the vaginal tube along the circumferential direction.
Above-mentioned scheme has solved current medical cutterbar postoperative at a certain extent and can't close fracture fast, accurately and the focus takes out inconvenient problem, but this scheme still has a great deal of not enough, for example: because the insulating effect is poor, energy dispersion easily takes place in the cutting process and causes the not smooth condition of cutting, and cuts pipe terminal surface and patient's wound inner wall contact, and the security is not good.
Disclosure of Invention
The utility model aims at the above-mentioned problem, provide a reasonable in design, insulating effectual and the good insulating subassembly of special electricity of cervical carcinoma coagulation cutterbar of security.
In order to achieve the above purpose, the utility model adopts the following technical proposal: this insulating assembly of special electricity of cervical carcinoma cutter congeals, the setting is between hollow cutting main part and the cutting body of being made by conducting material, cutting body one end terminal surface has cutting tool bit and movable sleeve and locates the cutting main part circumference outside, this insulating assembly locates the cutting main part one end circumference outside and is located the guide sleeve body of cutting body circumference inboard including the cover, and guide sleeve body circumference outside cover is equipped with the insulating sleeve body, tip circumference outside that is close to cutting main part one end at the insulating sleeve body has the insulator ring, cutting body pot head is located on the insulating sleeve body and cutting body one end terminal surface supports and leans on the setting on insulator ring one end terminal surface, the breach that supplies the cutting tool bit to pass is seted up on the insulator ring to the insulating ring circumference outside and the cutting body circumference outside, the cutting body circumference outside cover is equipped with the pyrocondensation body of being. The thermal shrinkage pipe body is arranged on the outer side of the periphery of the cutting pipe body in a sleeved mode, the end face of the cutting pipe body is prevented from being in direct contact with the inner wall of a wound of a patient, safety is good, meanwhile, the end, located in the cutting pipe body, of the cutting tool bit is completely wrapped by the insulating sleeve and the insulating ring, the situation that cutting is not smooth due to current dispersion in the cutting process is prevented, and practicability is good.
In the insulating assembly of foretell special electrocoagulation cutterbar of cervical carcinoma, the cutting main part is including being the tubulose electrically conductive body of cavity, and electrically conductive body one end is fixed and is equipped with first joint seat, and first joint seat one end is connected with the main part front end, and forms annular cutting region between first joint seat and the main part front end, and the cutting knife head extends to in the annular cutting region. The cutting knife head rotates in the annular cutting area for cutting, so that the operation efficiency is improved.
In the insulating assembly of the special electrocoagulation cutter for cervical cancer, an annular boss is arranged on the circumferential outer side of one end, away from the conductive tube body, of the first joint seat, the other end of the first joint seat is fixedly connected with the conductive tube body in an inserting mode, the circumferential outer side of the annular boss is flush with the circumferential outer side of the conductive tube body, and the guide sleeve body is sleeved between the circumferential outer side of the annular boss and the circumferential outer side of the conductive tube body.
In the insulating component of the electrocoagulation cutter special for cervical cancer, the guide sleeve body is made of polytetrafluoroethylene material. The polytetrafluoroethylene material has insulating and smooth characteristics, not only can avoid the electric quantity loss of cutting tool bit department, can also make cutting body one end smoothly rotate in the guide sleeve body circumference outside.
In the insulating assembly of the special electrocoagulation cutter for cervical cancer, a wire penetrates through the cutting body, one end of the wire penetrates out of the cutting body, and the other end of the wire passes through an electric connection structure which enables the wire to be always electrically connected with the cutting body when the cutting body moves around the cutting body relatively.
In foretell special electrocoagulation cutterbar for cervical carcinoma's insulating assemblies, electric connection structure is including setting up the binding post in wire one end, and binding post passes through elastic mounting structure and sets up on the electric conduction body, and the binding post tip has to lean on the arc contact that leans on to set up at cutting body circumference inner wall. The arc contact head of the end part of the wiring terminal connected with the wire is clamped between the circumferential outer side of the conductive pipe body and the circumferential inner side of the conductive pipe body through the elastic mounting structure, so that when the cutting pipe body moves relative to the cutting main body, the electric connection between the cutting pipe body and the wire can be always kept.
In foretell special electricity of cervical carcinoma congeals insulating assemblies of cutterbar, the elastic mounting structure is equipped with the flexure strip even as an organic whole with the conductive tube body including setting up in conductive tube body circumference and along the bar hole of conductive tube body axial extension in the bar downthehole, and binding post wears to locate on the flexure strip and fixed continuous with the flexure strip, and the arc contact is located flexure strip and conductive tube body week outside.
In the insulating assembly of the special electrocoagulation cutter for cervical cancer, the cutting main body further comprises a second joint seat which is arranged on the conductive pipe body and is far away from the first joint seat, the second joint seat is connected with a cutting handle, and the wire sequentially passes through the second joint seat and the cutting handle and is connected with the power supply plug.
Compared with the prior art, the utility model has the advantages of: the cutting effect is good, simple structure, and low cost establishes the pyrocondensation body through cutting the pipe body week to the outside cover, has avoided cutting body terminal surface and patient's wound inner wall direct contact, and the security is good, simultaneously, utilizes the insulator housing body and insulating ring to wrap up completely the one end that the cutter head is located the cutting body, has prevented that the cutting in-process current dispersion from causing the not smooth condition of cutting, and the practicality is good.
Drawings
FIG. 1 is an overall structure of the present invention;
fig. 2 is a cross-sectional view of the overall structure of the present invention;
FIG. 3 is a schematic view of the disassembled partial structure of the present invention;
FIG. 4 is an enlarged view of a portion of the structure of FIG. 2;
FIG. 5 is a schematic structural view of the middle insulating sleeve body according to the present invention;
FIG. 6 is a schematic structural view of the middle conductive tube of the present invention
In the figure, a cutting body 1, a conductive tube 11, a strip-shaped hole 111, an elastic sheet 112, a first connector base 12, a front end 121 of the body, an annular boss 122, a second connector base 13, an annular cutting area 14, a cutting tube 2, a cutting bit 21, a guide sleeve 3, an insulating sleeve 4, an insulating ring 41, a notch 42, a heat-shrinkable tube 5, a wire 6, an electrical connection structure 7, a wiring terminal 71, an arc-shaped contact 711, an elastic mounting structure 72, a cutting handle 8 and a power supply plug 9 are arranged.
Detailed Description
The present invention will be described in further detail with reference to the accompanying drawings and specific embodiments.
As shown in figures 1-6, the insulating assembly of the special electrocoagulation cutter for cervical cancer is arranged between a hollow cutting main body 1 and a cutting tube body 2 made of conductive material, one end face of the cutting tube body 2 is provided with a cutting tool bit 21 and movably sleeved outside the circumferential direction of the cutting main body 1, the insulating assembly comprises a guide sleeve body 3 which is sleeved outside the circumferential direction of one end of the cutting main body 1 and positioned inside the circumferential direction of the cutting tube body 2, an insulating sleeve body 4 is sleeved outside the circumferential direction of the guide sleeve body 3, an insulating ring 41 is arranged outside the circumferential direction of the end part of the insulating sleeve body 4 close to one end of the cutting main body 1, one end face of the cutting tube body 2 is sleeved on the insulating sleeve body 4, the end face of one end of the cutting tube body 2 is abutted against and arranged on one end face of the insulating ring 41, the circumferential direction outside of the insulating ring, the outer side of the circumferential direction of the cutting pipe body 2 is sleeved with a heat-shrinkable pipe body 5 made of an insulating material. The contact of cutting body 2 and patient's wound inner wall has effectively been avoided in setting up of pyrocondensation body 5, and the security is good, and the one end that is close to cutting body 2 at cutting tool bit 21 moreover forms the parcel through setting up insulating sleeve 4 and insulating ring 41 to cutting tool bit 21 one end, has avoided the cutting that leads to because of the electric current dispersion not smooth.
Further, the cutting main body 1 includes a hollow tubular conductive pipe 11, a first joint seat 12 is fixedly arranged at one end of the conductive pipe 11, one end of the first joint seat 12 is connected with a main body front end 121, an annular cutting area 14 is formed between the first joint seat 12 and the main body front end 121, and the cutting tool bit 21 extends into the annular cutting area 14. The cutting head 21 here can be rotated circumferentially along the annular cutting region 14.
As can be seen, the circumferential outer side of one end of the first terminal 12 away from the conductive tube 11 is provided with an annular boss 122, the other end of the first terminal 12 is fixed to the conductive tube 11 in an inserting manner, the circumferential outer side of the annular boss 122 is flush with the circumferential outer side of the conductive tube 11, and the guide sleeve 3 is sleeved between the circumferential outer side of the annular boss 122 and the circumferential outer side of the conductive tube 11.
Obviously, the guide sleeve body 3 is made of a polytetrafluoroethylene material. The teflon material has an insulating and smooth characteristic, and can keep smooth when the cutting pipe body 2 moves axially along the guide sleeve body 3, and prevent current dispersion caused by contact between the cutting pipe body 2 and the first joint seat 12.
Specifically, wear to be equipped with wire 6 in the cutting main part 1, cutting main part 1 is worn out to 6 one end of wire, and the other end is through enabling wire 6 and the electric connection structure 7 that the cutting body 2 electricity is connected all the time when cutting body 2 is around cutting main part 1 relative movement.
As can be seen, the electrical connection structure 7 includes a connection terminal 71 disposed at one end of the wire 6, the connection terminal 71 is disposed on the conductive pipe body 11 through an elastic mounting structure 72, and the end of the connection terminal 71 has an arc-shaped contact 711 abutting against the inner circumferential wall of the cutting pipe body 2.
Furthermore, the elastic mounting structure 72 includes a strip-shaped hole 111 disposed in the circumferential direction of the conductive pipe 11 and extending axially along the conductive pipe 11, an elastic piece 112 integrated with the conductive pipe 11 is disposed in the strip-shaped hole 111, the connection terminal 71 is disposed on the elastic piece 112 and fixedly connected to the elastic piece 112, and the arc-shaped contact 711 is disposed outside the elastic piece 112 and the conductive pipe 11 in the circumferential direction. Here, the arc contact 711 is caught at the outer circumferential side of the conductive pipe body 11 by the bar hole 111 and contacts with the inner circumferential side of the cutting pipe body 2, and the electric connection between the wire 6 and the cutting pipe body 2 can be always maintained.
In detail, the cutting body 1 further includes a second connector base 13 disposed on the conductive pipe body 11 and away from the first connector base 12, the second connector base 13 is connected with a cutting handle 8, and the wire 6 sequentially passes through the second connector base 13 and the cutting handle 8 and is connected with the power supply plug 9.
The principle of the embodiment is as follows: utilize electric connection structure 7 to make and keep the electricity to connect between wire 6 and the cutting body 2, simultaneously, the circumference inboard and the circumference outside that will cut body 2 one end through the insulating sleeve body 4 and insulating ring 41 realize wrapping up completely, only spill cutting tool bit 21, prevented that the electric current dispersion from causing the not smooth condition of cutting in-process, the practicality is good, establish pyrocondensation body 5 at 2 circumference outside covers of cutting body in addition, avoided cutting body 2 terminal surfaces and patient's wound inner wall direct contact, the security is good.
The specific embodiments described herein are merely illustrative of the spirit of the invention. Various modifications, additions and substitutions for the specific embodiments described herein may be made by those skilled in the art without departing from the spirit of the invention or exceeding the scope of the invention as defined in the accompanying claims.
Although the terms of the cutting body 1, the conductive pipe 11, the bar-shaped hole 111, the elastic piece 112, the first socket 12, the body front end 121, the annular boss 122, the second socket 13, the annular cutting region 14, the cutting pipe 2, the cutting bit 21, the guide sleeve 3, the insulation sleeve 4, the insulation ring 41, the notch 42, the heat shrinkable pipe 5, the wire 6, the electrical connection structure 7, the wire terminal 71, the arc-shaped contact 711, the elastic mounting structure 72, the cutting handle 8, the power supply plug 9, etc. are used more frequently herein, the possibility of using other terms is not excluded. These terms are used merely to more conveniently describe and explain the nature of the present invention; they are to be construed in a manner that is inconsistent with the spirit of the invention.