CN214966315U - Thoracoscope operation aspirator - Google Patents
Thoracoscope operation aspirator Download PDFInfo
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- CN214966315U CN214966315U CN202120702843.1U CN202120702843U CN214966315U CN 214966315 U CN214966315 U CN 214966315U CN 202120702843 U CN202120702843 U CN 202120702843U CN 214966315 U CN214966315 U CN 214966315U
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Abstract
The utility model discloses a thoracoscope surgery aspirator, which comprises an aspirator body, wherein the aspirator body is in a circular tube shape, one end of the aspirator body is provided with a bending part, the inside of the bending part is hollow, the inside of the bending part is communicated with the inside of the aspirator body, the end part of the bending part is provided with a movable clamp flap and a fixed clamp flap which are mutually adaptive, one end of the movable clamp flap is hinged with the bending part, the rotation direction of the movable clamp flap is vertical to the sagittal plane of the aspirator body, and the inside of the fixed clamp flap is hollow and is communicated with the inside of the aspirator body; the other end of the aspirator body is sequentially provided with a negative pressure interface and a holding part from the end head to the direction of the bending part; debakey teeth are arranged on the surfaces of the movable clamp flap and the fixed clamp flap which are matched with each other, and suction holes are formed in the ends of the fixed clamp flap. The utility model can avoid frequently replacing the instruments in the thoracoscope surgery, and improve the surgery efficiency; meanwhile, medical staff can perform more precise operation, and the operation risk is reduced.
Description
Technical Field
The utility model relates to the field of medical equipment, especially, relate to a thoracoscope operation aspirator.
Background
Lung Cancer is one of the most prevalent cancers in the world at present, and it is shown according to the statistical data published by the CA Cancer J Clin in 2018 that: the number of new lung cancer outbreaks in the world is nearly 210 million, accounting for 11.6% of 36 main malignant tumors; lung cancer is 176 million lethal, accounting for 18.4% of 36 major malignancies. The incidence and mortality of lung cancer are the first, and the life health of patients is seriously threatened.
With the current early screening and the improvement of health consciousness of people's physical examination, many lung cancers are detected in early stage. At present, a comprehensive treatment scheme mainly based on radical surgery is adopted for early-stage lung cancer patients. Many clinical studies have shown that early stage lung cancer patients have a better prognosis after receiving surgical treatment. At present, with the development of images and endoscope levels and the promotion of a minimally invasive surgical concept, particularly since the development of modern thoracoscopes in the 90 s, television-assisted thoracoscopic surgery (VATS) is continuously and innovatively developed, and the safety and effectiveness of VATS in treating lung cancer are generally determined, so that the VATS becomes one of conventional non-small cell lung cancer (NSCLC) treatment operations. The development of VATS has been further driven recently by the continued sophistication of instrumentation and VATS technology.
Common VATS is divided into a single hole (the lens and all operating instruments enter from a main incision of 3-4cm, the main knife is mainly operated by holding an electric hook or an ultrasonic knife with the right hand, the suction head with the left hand is used for sucking bleeding and smoke and assisting in exposing the surgical field, the camera with the right hand is used for providing the visual field with the assistant, the visual field is exposed with the assistance of the left hand), the hand-held surgical instrument comprises three types, namely a double-hole (a small incision of about 1cm is made for a lens to enter, and other instruments enter from independent incisions) and a three-hole (on the basis of the double-hole, another small incision of about 0.5cm is made for an aspirator to enter. the main knife holds an electric hook or an ultrasonic knife to carry out main operation on the right side, and the left hand holds the instrument to assist in exposing a surgical field. Among them, single-hole and three-hole are the mainstream modes of clinical thoracoscope operation at present.
In VATS, a negative pressure aspirator is of critical importance. For intraoperative hemorrhage, or smoke generated by high-temperature cutting of an electric knife and the like, the smoke is sucked from the visual field of an operator by a suction apparatus. In recent years, with the popularization and popularization of the one-way thoracoscopic surgery proposed by professor Liulunxu professor of western hospitals, the negative pressure suction apparatus becomes more important. Meanwhile, in VATS surgery, endoscopic forceps are required for operations such as clamping, pulling, tissue separation and the like.
Because the VATS incision is small, too many instruments cannot be inserted simultaneously; furthermore, VATS is typically performed by only two physicians, and there are limited instruments available at the same time. In actual operation, except for the endoscopic lens and the ring forceps for lifting the lung lobes and other instruments, only two instruments exist in the operation field at the same time: an electric hook or an ultrasonic knife held by the main knife for performing the main operation, and an aspirator held by the main knife or the assistant. The suction apparatus can help expose the operation field except the suction function, but the suction apparatus can not carry out fine operation such as centre gripping, then need take out the suction apparatus this moment, change into the clamp and operate, on the one hand the apparatus passes in and out the number of times and increases and can influence the operation rhythm, prolongs the operation time, on the other hand probably accompanies the local hemorrhage in the operation, if lose the suction function, then the hemorrhage can influence the operation field of vision, still can lead to the transfer chest even. Therefore, if the aspirator has a clamping function in addition to the existing functions of sucking blood and smoke, and pushing and lifting tissues, the VATS can be performed conveniently. The existing vacuum suction apparatus used in clinic only has a vacuum suction function and does not have a clamping function.
Because the incision of the thoracoscope operation is small, too many instruments cannot be simultaneously inserted, and in practical application, multiple instruments are often required to be matched and used alternately. The use of the independent thoracoscope negative pressure suction apparatus and the clamp requires repeated replacement of instruments, which not only prolongs the operation time, but also can lead to the incapability of timely handling emergency events such as bleeding and the like, and leads to unclear operation field and the like to influence the operation effect. Therefore, the development of a thoracoscope vacuum extractor surgical instrument with a clamping function is urgently needed.
Compared with the traditional apparatus, the suction head for thoracoscope surgery (patent number: CN210750453U) with clamping function invented by Zeng sword and other people has some disadvantages although the suction head has clamping and suction functions at the same time. Firstly, the instrument controls the opening and closing part at the far end through the annular switch at the proximal hand-held part, compared with the traditional forceps, the opening and closing degree of the forceps at the far end cannot be flexibly controlled by an operator, and the design of the annular switch is not beneficial to one-hand operation, so that the complexity of the operation is increased; secondly, the distal clamping part of the forceps does not adopt Debakey teeth, so that when fine tissues such as blood vessels are treated, the tissues can be damaged; finally, the distal negative pressure suction device of the instrument can only be used in a state that the distal end is closed, and cannot play a role in suction while clamping tissues.
SUMMERY OF THE UTILITY MODEL
The utility model aims at providing a thoracoscope surgery aspirator which integrates the functions of a thoracoscope surgery clamp and the aspirator and can greatly reduce the damage to tissues such as blood vessels and the like when the Debakey teeth are arranged.
In order to achieve the above purpose, the utility model adopts the following technical scheme:
a thoracoscopic surgery aspirator comprises an aspirator body, wherein the aspirator body is in a circular tube shape, one end of the aspirator body is provided with a bending part, the inside of the bending part is hollow, the inside of the bending part is communicated with the inside of the aspirator body, the end part of the bending part is provided with a movable clamp flap and a fixed clamp flap which are mutually matched, one end of the movable clamp flap is hinged with the bending part, the rotation direction of the movable clamp flap is vertical to the sagittal plane of the aspirator body, and the inside of the fixed clamp flap is hollow and is communicated with the inside of the aspirator body;
the other end of the aspirator body is sequentially provided with a negative pressure interface and a holding part from the end head to the direction of a bending part, the negative pressure interface is communicated with the inside and outside negative pressure environment of the aspirator body, the holding part is provided with a movable handle and a fixed handle which are matched with each other, one end of the movable handle is hinged with the fixed handle, the other end of the movable handle is connected with two elastic steel bars, the rotation direction of the movable handle is positioned in the sagittal plane of the aspirator body, the fixed handle wraps the aspirator body, an opening and closing lock assembly is arranged between the movable handle and the fixed handle, and the movable clamp flap is matched and connected with the movable handle through a linkage link mechanism arranged in the aspirator body;
debakey teeth are arranged on the surfaces, matched with each other, of the movable clamp flap and the fixed clamp flap, suction holes are formed in the ends of the fixed clamp flap, and the fixed clamp flap is communicated with the external environment through the suction holes.
Preferably, the opening and closing lock assembly is embedded at a position close to the bending part on the inner side of the fixed handle, a fixed handle groove is formed in the upper end of the fixed handle, a fixed handle sliding block in sliding fit with the fixed handle groove is arranged in the fixed handle groove, the fixed handle sliding block is fixedly connected with a horizontal separation blade located below the fixed handle sliding block through a connecting rod longitudinally penetrating through the fixed handle, and a movable handle groove matched with the horizontal separation blade is formed in the lower side of the movable handle.
Preferably, the side surface of the fixed clamp flap is provided with a side suction hole, and the inside of the fixed clamp flap is communicated with the external environment through the side suction hole.
The utility model discloses following beneficial effect has:
1. the utility model combines the functions of the thoracoscope surgery clamp and the suction apparatus into a whole, avoids frequently replacing the apparatus and improves the surgery efficiency; meanwhile, the tissue is clamped, the attraction function is taken into consideration, so that an operator can be allowed to perform more precise operation, and the operation risk is reduced;
2. the tooth grooves of the clamping part of the utility model are designed into Debakey teeth, so that the damage of the forceps holder operation to the tissue can be greatly reduced when the fine tissues such as blood vessels are treated;
3. the movable clamp flap of the utility model is designed to be vertical to the sagittal plane of the suction apparatus body, which can ensure that the clamp part is fully exposed in the operative field, improve the clamping precision, reduce the damage and better accord with the operation habit of the operator;
4. the utility model is provided with the opening and closing lock component, which is convenient for the operator to switch the opening and closing state and the closing state at will when operating with one hand, and completes the function switching with one key;
5. the utility model discloses under the state of can opening and shutting, the design of elasticity billet between the portion of gripping makes the art person can be through the range of opening and shutting that changes the nimble control kink clamp of grip size, makes things convenient for the art person to accomplish more meticulous operations.
Drawings
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a perspective view of the end portion of the bend;
FIG. 3 is a perspective view of the opening and closing lock assembly;
FIG. 4 is a sagittal sectional view of the portion of circle A in FIG. 1;
fig. 5 is a sagittal sectional view of the portion of circle a' in fig. 1.
In the figure: 1-bending part, 2-movable clamp flap, 3-fixed clamp flap, 4-side suction hole, 5-suction hole, 6-debarkey tooth, 7-opening and closing lock component, 8-movable handle, 9-fixed handle, 10-negative pressure interface, 11-elastic steel bar, 12-fixed handle groove, 13-movable handle groove, 14-fixed handle slide block, 15-connecting rod and 16-horizontal baffle.
Detailed Description
In order to make the objects, technical solutions and advantages of the present invention more clearly understood, the present invention is further described in detail below with reference to the accompanying drawings.
As shown in fig. 1-5, a thoracoscope surgery aspirator comprises an aspirator body, the aspirator body is in a circular tube shape, one end of the aspirator body is provided with a bending part 1, the inside of the bending part 1 is hollow, the inside of the bending part 1 is communicated with the inside of the aspirator body, the end part of the bending part 1 is provided with a movable clamp flap 2 and a fixed clamp flap 3 which are mutually matched, one end of the movable clamp flap 2 is hinged with the bending part 1, the rotation direction of the movable clamp flap 2 is vertical to the sagittal plane of the aspirator body, and the inside of the fixed clamp flap 3 is hollow and is communicated with the inside of the aspirator body inside the fixed clamp flap 3.
The other end of the aspirator body is sequentially provided with a negative pressure interface 10 and a holding part from the end of the end to the direction of the bending part 1, the negative pressure interface 10 is communicated with the inside and outside negative pressure environment of the aspirator body, the holding part is provided with a movable handle 8 and a fixed handle 9 which are matched with each other, one end of the movable handle 8 is hinged with the fixed handle 9, the other end of the movable handle is connected with two elastic steel bars 11, one end of each elastic steel bar 11 is riveted with the movable handle 8 and the fixed handle 9 respectively, the other ends of the two elastic steel bars 11 are hinged in a mutual crossing way towards the bending part 1, an elastic structure supporting each other is formed, the fixed handle 9 and the movable handle 8 are separated by a certain distance in a natural state, and the two handles are pressed close to each other by overcoming the elastic force of the elastic steel bars 11 when being held.
The rotation direction of the movable handle 8 is positioned in the sagittal plane of the aspirator body, the fixed handle 9 wraps the aspirator body, an opening and closing lock assembly 7 is arranged between the movable handle 8 and the fixed handle 9, and the movable clamp flap 2 is connected with the movable handle 8 in a matching way through a linkage link mechanism arranged in the aspirator body.
When the movable grip 8 rotates away from the fixed grip 9, the movable clamp 2 also rotates away from the fixed clamp 3, or vice versa, so that the opening and closing of the clamp at the bending part 1 can be flexibly controlled by the grip strength.
The surfaces of the movable clamp flap 2 and the fixed clamp flap 3 which are matched with each other are provided with Debakey teeth 6, the end head of the fixed clamp flap 3 is provided with a suction hole 5, and the suction hole 5 is communicated with the external environment.
Specifically, the opening and closing lock assembly 7 is embedded at a position close to the bending part 1 on the inner side of the fixed handle 9, a fixed handle groove 12 is formed in the upper end of the fixed handle 9, a fixed handle slider 14 in sliding fit with the fixed handle groove 12 is arranged in the fixed handle groove 12, the fixed handle slider 14 is fixedly connected with a horizontal baffle 16 located below through a connecting rod 15 longitudinally penetrating through the fixed handle 9, and a movable handle groove 13 matched with the horizontal baffle 16 is formed in the lower side of the movable handle 8.
As shown in fig. 3, when the fixed grip slider 14 moves backward, the horizontal blocking piece 16 hangs in the air naturally, and the movable grip 8 and the fixed grip 9 are kept in an openable state under the elastic force of the elastic steel bar 11; when the holding part is manually gripped, the movable grip 8 and the fixed grip 9 are mutually attached, the fixed grip slider 14 is pushed forwards, the lower end horizontal baffle 16 is driven to be inserted forwards into the movable grip groove 13 at the lower end of the movable grip 8, the relative displacement between the grips is locked, and the movable grip 8 cannot be flicked by the elasticity of the elastic steel bar 11 to be in an opening and closing state. Therefore, the operator can push and pull the fixed grip sliding block 14 by a thumb of a single hand to switch the openable state and the closed state of the instrument when holding the utility model.
The side surface of the fixed clamp flap 3 is provided with a side suction hole 4, and the inside of the fixed clamp flap 3 is communicated with the external environment through the side suction hole 4.
Of course, the present invention may have other embodiments, and those skilled in the art may make various corresponding changes and modifications according to the present invention without departing from the spirit and the essence of the present invention, and these corresponding changes and modifications should fall within the protection scope of the appended claims.
Claims (3)
1. The utility model provides a thoracoscope surgery aspirator which characterized in that: the suction apparatus comprises a suction apparatus body, wherein the suction apparatus body is in a circular tube shape, one end of the suction apparatus body is provided with a bending part, the interior of the bending part is hollow, the interior of the bending part is communicated with the interior of the suction apparatus body, the end part of the bending part is provided with a movable clamp flap and a fixed clamp flap which are matched with each other, one end of the movable clamp flap is hinged with the bending part, the rotation direction of the movable clamp flap is vertical to the sagittal plane of the suction apparatus body, and the interior of the fixed clamp flap is hollow and is communicated with the interior of the suction apparatus body;
the other end of the aspirator body is sequentially provided with a negative pressure interface and a holding part from the end head to the direction of a bending part, the negative pressure interface is communicated with the inside and outside negative pressure environment of the aspirator body, the holding part is provided with a movable handle and a fixed handle which are matched with each other, one end of the movable handle is hinged with the fixed handle, the other end of the movable handle is connected with two elastic steel bars, the rotation direction of the movable handle is positioned in the sagittal plane of the aspirator body, the fixed handle wraps the aspirator body, an opening and closing lock assembly is arranged between the movable handle and the fixed handle, and the movable clamp flap is matched and connected with the movable handle through a linkage link mechanism arranged in the aspirator body;
debakey teeth are arranged on the surfaces, matched with each other, of the movable clamp flap and the fixed clamp flap, suction holes are formed in the ends of the fixed clamp flap, and the fixed clamp flap is communicated with the external environment through the suction holes.
2. The thoracoscopic surgery aspirator of claim 1, wherein: the opening and closing lock assembly is embedded in the position, close to the bending part, of the inner side of the fixed handle, a fixed handle groove is formed in the upper end of the fixed handle, a fixed handle sliding block in sliding fit with the fixed handle groove is arranged in the fixed handle groove, the fixed handle sliding block is fixedly connected with a horizontal baffle below the fixed handle sliding block through a connecting rod longitudinally penetrating through the fixed handle, and a movable handle groove matched with the horizontal baffle is formed in the lower side of the movable handle.
3. The thoracoscopic surgery aspirator of claim 1, wherein: the side surface of the fixed clamp flap is provided with a side suction hole, and the inside of the fixed clamp flap is communicated with the external environment through the side suction hole.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202120702843.1U CN214966315U (en) | 2021-04-07 | 2021-04-07 | Thoracoscope operation aspirator |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN202120702843.1U CN214966315U (en) | 2021-04-07 | 2021-04-07 | Thoracoscope operation aspirator |
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| Publication Number | Publication Date |
|---|---|
| CN214966315U true CN214966315U (en) | 2021-12-03 |
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| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN202120702843.1U Active CN214966315U (en) | 2021-04-07 | 2021-04-07 | Thoracoscope operation aspirator |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114404682A (en) * | 2022-01-20 | 2022-04-29 | 南京医科大学第二附属医院 | Intelligent exposable aspirator for single-hole robot |
| CN114469265A (en) * | 2022-01-05 | 2022-05-13 | 南方医科大学珠江医院 | Double-bending thoracoscope surgery suit instrument |
-
2021
- 2021-04-07 CN CN202120702843.1U patent/CN214966315U/en active Active
Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114469265A (en) * | 2022-01-05 | 2022-05-13 | 南方医科大学珠江医院 | Double-bending thoracoscope surgery suit instrument |
| CN114404682A (en) * | 2022-01-20 | 2022-04-29 | 南京医科大学第二附属医院 | Intelligent exposable aspirator for single-hole robot |
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