CN217390818U - Used scope power planer tool of huge tophus clearance art - Google Patents

Used scope power planer tool of huge tophus clearance art Download PDF

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Publication number
CN217390818U
CN217390818U CN202221123794.7U CN202221123794U CN217390818U CN 217390818 U CN217390818 U CN 217390818U CN 202221123794 U CN202221123794 U CN 202221123794U CN 217390818 U CN217390818 U CN 217390818U
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planer tool
light source
inner tube
endoscope
tophus
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方磊
刘攀杰
刘昆杰
陈伯健
黄应炜
佘梓宏
钟艳红
马美霞
钟秋婷
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Abstract

An endoscope power plane cutter for giant tophus cleaning belongs to the technical field of medical equipment and comprises an endoscope assembly, a power plane cutter assembly, a sheath and a saline flushing assembly; the mirror sheath is hollow cylinder, power planer tool subassembly includes the planer tool transfer line, the planer tool head, planer tool power casing, the planer tool transfer line sets up the inside at the mirror sheath along the axis direction of mirror sheath, the planer tool head is connected with the one end of planer tool transfer line, planer tool power casing is connected to the rear end of mirror sheath, the endoscope subassembly includes the camera lens, speculum inner tube and eyepiece, the one end connecting lens of speculum inner tube, the eyepiece is connected to the other end, the saline water flushing assembly includes the inner tube that intakes, the inner tube that goes out, first interface and second interface, the camera lens, the water inlet of the inner tube that intakes and the water inlet of the inner tube that goes out all set up on the front end inner wall of mirror sheath, the utility model provides an scope power planer tool carries out the integrated design with observation passageway, only need an operation incision can accomplish the tophus clearance.

Description

Used scope power planer tool of huge tophus clearance art
Technical Field
The utility model relates to an used scope power planer tool of huge tophus clearance art belongs to medical equipment technical field.
Background
The clinical syndrome caused by the fact that the uric acid level is increased due to the fact that the uric acid is excessively generated or the function of the kidney for discharging the uric acid is reduced, and urate is deposited on joints or other organs is called gout. Including gouty arthritis, tophus, uric acid nephrolithiasis, and gouty nephropathy. In recent years, the incidence rate of gout is on a continuous rising trend, the prevalence rate of hyperuricemia in common people in China is about 10%, and the prevalence rate of gout is about 0.84%. Uric acid crystals deposited on tendon, ligament and nerve can cause tendon and ligament damage, rupture, edema and pressure of nerve, and even bone damage. The gout treatment method comprises drug treatment and operation treatment. Traditional drug therapy can control gout flares, but often is difficult to remove for already deposited tophus. Surgical removal of the tophus is relatively effective, however, it is difficult to completely remove the extensively deposited tophus intraoperatively. The tophus is equivalent to a huge urate bank after being formed, urate can be continuously released into blood, the uric acid removing load of the kidney is increased, and when the tophus exceeds the excretion capacity, urate is deposited in renal interstitium and renal tubule to form renal calculus and cause renal insufficiency. Thus, for advanced refractory tophus, severe cases where lesions have destroyed bone, cartilage and soft tissue, surgical resection intervention is a necessary treatment modality. Removal of the advancing tophus prevents further destruction of the bone and soft tissue, preserving and improving joint function.
At present, according to the arthroscopic tophus cleanup operation for minimally invasive treatment of tophus through an arthroscope, two side channels are usually arranged on the leg of a patient, one side channel is an observation channel and is used for observing conditions, and the other side channel is an operation channel and is used for operation. During operation, a large amount of normal saline is required to be poured into an observation channel side to fill an operation area so as to enlarge a visual field, however, due to the fact that the skin tension of a huge tophus deposition position is too large, normal saline is not really feasible to be poured into a narrow space, however, the normal saline is not poured into the observation channel to enlarge the visual field, actual working positions of instruments such as a plane cutter, a radio frequency cutter head and the like in the operation channel cannot be observed, operation hidden dangers are extremely large, operation cuts caused by the current tophus cleaning operation under an arthroscope after operation are more, and recovery or psychological influence on a patient is large.
SUMMERY OF THE UTILITY MODEL
To the technical problem that above-mentioned exists, the utility model provides an used scope power planer tool of huge tophus clearance art, this scope power planer tool only need set up an operation incision, just can obtain the operation field of vision, and carry out the operation.
The technical scheme of the utility model is that: an endoscope power plane cutter for giant tophus cleaning comprises an endoscope assembly, a power plane cutter assembly, a lens sheath and a saline flushing assembly;
the endoscope sheath is a hollow cylinder, the power planer tool component comprises a planer tool transmission rod, a planer tool head, a planer tool power shell, a first power source and a second power source, the planer tool transmission rod is arranged inside the endoscope sheath along the axis direction of the endoscope sheath, a channel is reserved between the planer tool transmission rod and the inner wall of the endoscope sheath, the planer tool head is connected with one end of the planer tool transmission rod, and the planer tool head is exposed out of the front end of the endoscope sheath; the rear end of the endoscope sheath is connected with a planer tool power shell, a planer tool transmission rod is connected with a first power source, and the endoscope sheath is connected with a second power source;
the endoscope subassembly includes the camera lens, speculum inner tube and eyepiece, the camera lens is connected to the one end of speculum inner tube, the eyepiece is connected to the other end, the salt solution washes the subassembly and includes the inner tube that intakes, the inner tube that goes out, first interface and second interface, the speculum inner tube, the mirror sheath inner wall is all laminated to the inner tube that intakes and play, the setting is in the passageway, the camera lens, the water inlet of the inner tube of intaking and the water inlet of the inner tube that goes out all set up on the front end inner wall of mirror sheath, first interface, second interface and eyepiece are located outside the mirror sheath, first interface is connected to the delivery port of the inner tube of intaking, the second interface is connected to the delivery port of the inner tube of going out.
The technical scheme is further improved as follows: the front end of the sheath consists of a tip section and a flat end section, the lens and the water inlet of the water inlet inner tube are positioned on the inner wall of the tip section, and the water inlet of the water outlet inner tube is positioned on the inner wall of the flat end section.
Furthermore, the device also comprises a three-way connecting component and a light source component;
the endoscope assembly further comprises an endoscope shell, the light source assembly comprises a light source shell, the three-way connecting assembly is provided with 3 connecting ports, and the planing tool power shell, the endoscope shell and the light source shell are respectively connected with the connecting ports in a one-to-one correspondence mode.
Furthermore, the inside of the three-way connecting component is a cavity.
Further, the eyepiece is arranged on the endoscope shell.
Furthermore, the endoscope sheath, the planer tool power shell, the three-way connecting component and the endoscope shell are positioned on the same axis.
Further, the light source subassembly still includes light source, light source joint and light source connecting pipe, and the one end that the tee bend coupling assembling was kept away from to the light source casing is equipped with the light source installing port, and the light source joint inlays in the light source installing port, and the light source is arranged in tee bend coupling assembling, and the light source connecting pipe is arranged in the light source casing, and light source joint and light source are connected respectively to the light source connecting pipe.
Furthermore, first interface, second interface all set up on the tee bend coupling assembling.
Furthermore, a hand-tying band is wound on the outer surface of the light source shell.
According to the technical scheme, the method comprises the following steps: (1) the utility model provides an used scope power planer tool of huge tophus clearance art in planer tool transfer line and the inner wall of mirror sheath leave the passageway, the camera lens, the speculum inner tube, inner tube of intaking and play water inner tube all set up in the passageway, obtain the operation field of vision through the camera lens, fill the sufficient operation district of normal saline with the extension field of vision and discharge normal saline through inner tube of intaking and play water inner tube, the planer tool head drives through the planer tool transfer line and carries out the operation, this scope power planer tool will observe passageway and operation channel and carry out the integrated design, only need an operation incision can accomplish tophus clearance art, the mirror sheath also can rotate alone simultaneously, let the position of the speculum on the mirror sheath obtain the change, in order to obtain different operation fields of vision.
(2) The utility model provides a used scope power planer tool of huge tophus clearance art in camera lens and the water inlet of intaking the inner tube be located the inner wall of tip section, the water inlet of play water inner tube be located the inner wall of flat section, consequently, can additionally obtain the operation field of vision of flat section top through the camera lens, through rotatory mirror sheath, can make the extra operation field of vision that obtains through the camera lens increase, make things convenient for doctor's operation.
(3) The utility model provides a be equipped with the light source among the tee bend coupling assembling among the used scope power planer tool of huge tophus clearance art, come for the in-process of operation supplements the illumination, make the operation field of vision that obtains through the camera lens clearer.
Drawings
For a clearer explanation of the embodiments of the present invention or the technical solutions in the prior art, the drawings used in the description of the embodiments or the prior art will be briefly described below, it is obvious that the drawings in the following description are only some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative efforts.
Fig. 1 is a schematic view of the endoscope power plane cutter for giant tophus removal provided by the utility model.
Fig. 2 is a schematic view of another endoscope power planer tool for giant tophus cleaning provided by the utility model.
In the figure: 10. an endoscope assembly; 11. an eyepiece; 12. an endoscope housing; 13. an endoscope tube; 14. a lens; 20. a light source assembly; 21. a light source connector; 22. a light source housing; 30. a powered planer tool assembly; 31. a planer tool power housing; 32. a planer drive link; 33. a planing tool bit; 40. a tee joint connecting assembly; 50. a sheath; 60. A saline flush assembly; 61. a first interface; 62. an inner water inlet pipe; 63. a water inlet of the water inlet inner pipe; 64. A second interface; 65. an inner water outlet pipe; 66. the water inlet of the water outlet inner pipe.
Detailed Description
In the following, the technical solutions in the embodiments of the present invention will be clearly and completely described with reference to the drawings in the present application, and it is obvious that the described embodiments are only embodiments of the present invention, not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by a person skilled in the art without creative efforts belong to the protection scope of the present invention.
In one embodiment of the present invention, referring to fig. 1 and 2, an endoscopic powered planing tool for giant tophus removal comprises an endoscopic assembly 10, a powered planing tool assembly 30, a scope sheath 50, and a saline flushing assembly 60;
the endoscope sheath 50 is a hollow cylinder, the power planer tool component 30 comprises a planer tool head 33, a planer tool transmission rod 32, a planer tool power shell 31, a first power source and a second power source, the planer tool transmission rod 32 is arranged inside the endoscope sheath 50 along the axial direction of the endoscope sheath 50, a channel is reserved between the planer tool transmission rod 32 and the inner wall of the endoscope sheath 50, the planer tool head 33 is connected with one end of the planer tool transmission rod 32, the planer tool head 33 is exposed out of the front end of the endoscope sheath 50, the planer tool head 33 is of a conical toilet brush structure, and the periphery of the planer tool head is provided with a rolling edge; the rear end of the endoscope sheath 50 is connected with the planer tool power shell 31, the planer tool transmission rod 32 is connected with a first power source, the first power source is an electric motor device and can generate high-speed rotation kinetic energy after receiving electric power, the endoscope sheath 50 is connected with a second power source, the second power source can also be an electric motor device in the embodiment, in other embodiments, the rear end of the endoscope sheath 50 is inserted into the planer tool power shell 31, the second power source is provided by an operator, and the operator rotates the endoscope sheath 50 to rotate;
the endoscope assembly 10 comprises a lens 14, a speculum inner tube 13 and an ocular lens 11, one end of the speculum inner tube 13 is connected with the lens 14, the other end of the speculum inner tube is connected with the ocular lens 11, the saline flushing assembly 60 comprises a water inlet inner tube 62, a water outlet inner tube 65, a first interface 61 and a second interface 64, the first interface 61 and the second interface 64 are actually pipeline interfaces and are used for connecting and installing pipelines, the speculum inner tube 13, the water inlet inner tube 62 and the water outlet inner tube 65 are all attached to the inner wall of the endoscope sheath 50 and are arranged in a channel, the lens 14, a water inlet 63 of the water inlet inner tube 62 and a water inlet 66 of the water outlet inner tube 65 are all arranged on the inner wall of the front end of the endoscope sheath 50, the first interface 61, the second interface 64 and the ocular lens 11 are positioned outside the endoscope sheath 50, a water outlet of the water inlet inner tube 62 is connected with the first interface 61, and a water outlet of the water outlet 65 is connected with the second interface 64; the device further comprises a suction device, the suction device provides physiological saline and a power source, and the suction device is respectively connected with the first connector 61 and the second connector 64 and further connected with the water outlet of the water inlet inner pipe 62 and the water outlet of the water outlet inner pipe 65.
The utility model provides an used scope power planer tool of huge tophus clearance art's theory of operation does: the endoscope power plane cutter is suspended above the skin of a tophus deposit, a first power source drives a plane cutter transmission rod 32 and a plane cutter head 33 to rotate, a lens 14 inside a lens sheath 50 observes the internal visual field of an operation area and presents the visual field to an eyepiece 11 through an endoscope inner tube 13, an operator gradually goes deep to clean the tophus under the observation of the endoscope, meanwhile, normal saline provided by a suction device enters a water inlet inner tube 62 from a water outlet of the water inlet inner tube 62 through a first interface 61 and finally enters the operation area from a water inlet 63 of the water inlet inner tube 62, meanwhile, the normal saline passes through a water outlet inner tube 65 from a water inlet 66 of the water outlet inner tube 65 and finally goes out of the operation area from a water outlet of the water outlet inner tube 65 and a second interface 64, the injection of the normal saline is used for cleaning the operation area, and the injection of the normal saline fills the operation area through the water inlet inner tube 62 and the water outlet inner tube 65 to enlarge the visual field and discharge the normal saline, the planer head 33 is used for drilling and cleaning like an electric drill, and under the flushing of saline water, the cleaning is carried out while the flushing is carried out, the cleaning reaches the subcutaneous and the internal periosteum, so that important tissues such as blood vessels, nerves and the like are avoided, and tophus is visually cleaned. In addition, when the poor operation visual field is encountered, the planer head 33 is stopped, and the sheath 50 is rotated independently, so that the position of the endoscope on the sheath 50 is changed to obtain different operation visual fields.
In other embodiments, the front end of the sheath 50 is composed of a tip section, a flat end section, the lens 14 and the water inlet of the water inlet inner tube 62 are located on the inner wall of the tip section, and the water outlet of the water outlet inner tube 65 is located on the inner wall of the flat end section. Therefore, the surgical field above the flat end section can be additionally obtained through the lens 14, for example, the lens 14 can only obtain the field of view on the left side of the lens 14 in the previous embodiment, but in this embodiment, the lens 14 can obtain the field of view not only on the left side of the lens 14, but also above the lens 14, and the additional surgical field obtained through the lens 14 can be increased by rotating the lens sheath 50, so as to facilitate the operation of the doctor.
In other embodiments, the endoscopic power plane for giant tophus cleaning provided by the present invention further comprises a three-way connection assembly 40 and a light source assembly 20; the endoscope assembly 10 further comprises an endoscope shell 12 and a light source assembly 20, wherein the endoscope shell 12 and the light source assembly 20 comprise a light source shell 22, the three-way connecting assembly 40 is provided with 3 connecting ports, and the planing tool power shell 31, the endoscope shell 12 and the light source shell 22 are respectively connected with the connecting ports in a one-to-one correspondence manner.
In still other embodiments, the eyepiece 11 is disposed on the endoscope housing 12, and the sheath 50, the planning tool power housing 31, the three-way connection assembly 40, and the endoscope housing 12 are located on the same axis, such that the lens 14 and the eyepiece 11 are located on the same axis, thereby facilitating observation of the eyepiece 11.
In still other embodiments, the light source assembly 20 further includes a light source, a light source connector 21 and a light source connecting pipe, wherein a light source mounting opening is formed at an end of the light source housing 22 away from the three-way connecting assembly 40, the light source connector 21 is embedded in the light source mounting opening, the light source is located in the three-way connecting assembly 40, the light source connecting pipe is located in the light source housing 22, and the light source connecting pipe is respectively connected to the light source connector 21 and the light source to supplement illumination for the surgical procedure, so that the surgical field of view obtained through the lens is clearer.
In still other embodiments, the first interface 61 and the second interface 64 are both disposed on the three-way connection assembly 40.
In still other embodiments, a hand strap is wrapped around the outer surface of the light source housing 22 to facilitate grasping of an endoscopic powered planing tool for giant tophus removal.
The utility model provides an used scope power planer tool of huge tophus clearance art will observe passageway and operation passageway and carry out the integrated design, only need an operation incision can accomplish tophus clearance art, and the scope sheath also can the independent rotation simultaneously lets the position of the speculum on the scope sheath obtain changing to obtain the different operation field of vision. Meanwhile, the stone patient can be replaced by a minimally invasive operation with an operation opening of only 1cm without an open operation with larger trauma, the damage to skin and soft tissues is small, the operation time is short, the operation bleeding is less, the healing time of the operation opening is short, the trauma is small, the recovery is quick, and the effect is good;
the endoscope power plane cutter for the huge tophus cleaning operation provided by the utility model not only solves the problem that the tophus for minimally invasive treatment under the endoscope can not be filled with normal saline to obtain the view field of the operation area, but also is simplified, two incisions required by the original minimally invasive operation are changed into only one incision, and the operation is more minimally invasive;
the utility model provides an used scope power planer tool of huge tophus clearance art uses power planer tool clearance tophus under the scope, and is safe high-efficient.
The present invention has been further described with reference to specific embodiments, but it should be understood that the specific description herein should not be construed as limiting the spirit and scope of the present invention, and that various modifications to the above-described embodiments, which would occur to persons skilled in the art after reading this specification, are within the scope of the present invention.

Claims (9)

1. The utility model provides an used scope power planer tool of huge tophus clearance art which characterized in that: comprises an endoscope assembly, a power planer tool assembly, a sheath and a saline flushing assembly;
the endoscope sheath is a hollow cylinder, the power planer tool component comprises a planer tool transmission rod, a planer tool head, a planer tool power shell, a first power source and a second power source, the planer tool transmission rod is arranged inside the endoscope sheath along the axis direction of the endoscope sheath, a channel is reserved between the planer tool transmission rod and the inner wall of the endoscope sheath, the planer tool head is connected with one end of the planer tool transmission rod, and the planer tool head is exposed out of the front end of the endoscope sheath; the rear end of the endoscope sheath is connected with the planer tool power shell, the planer tool transmission rod is connected with a first power source, and the endoscope sheath is connected with a second power source;
the endoscope subassembly includes camera lens, speculum inner tube and eyepiece, the one end of speculum inner tube is connected the camera lens, the other end is connected the eyepiece, the saline flushing assembly includes water inlet inner tube, play water inner tube, first interface and second interface, the speculum inner tube the water inlet inner tube with go out the water inner tube and all laminate the sheath inner wall, set up in the passageway, the camera lens the water inlet of water inlet inner tube with the water inlet of play water inner tube all sets up on the front end inner wall of sheath, first interface second interface and eyepiece are located outside the sheath, the delivery port of water inlet inner tube is connected first interface, the delivery port of play water inner tube is connected the second interface.
2. The powered inner planer tool for giant tophus removal according to claim 1, which is characterized in that: the front end of the endoscope sheath comprises a tip section and a flat end section, the lens and the water inlet of the water inlet inner tube are positioned on the inner wall of the tip section, and the water inlet of the water outlet inner tube is positioned on the inner wall of the flat end section.
3. The powered inner planer tool for giant tophus removal according to claim 1, which is characterized in that: the three-way connecting component and the light source component are also included;
the endoscope assembly further comprises an endoscope shell, the light source assembly comprises a light source shell, the three-way connecting assembly is provided with 3 connecting ports, and the planer power shell, the endoscope shell and the light source shell are respectively connected with the connecting ports in a one-to-one correspondence mode.
4. The powered endoscopic planer tool for giant tophus removal according to claim 3, wherein said powered endoscopic planer tool comprises: the inside of the three-way connecting component is a cavity.
5. The powered inner planer tool for giant tophus removal according to claim 3, which is characterized in that: the eyepiece is disposed on the endoscope housing.
6. The powered endoscopic planer tool for giant tophus removal according to claim 4, which is characterized in that: the endoscope sheath, the planer tool power shell, the three-way connecting assembly and the endoscope shell are positioned on the same axis.
7. The powered inner planer tool for giant tophus removal according to claim 3, which is characterized in that: the light source assembly further comprises a light source, a light source connector and a light source connecting pipe, wherein a light source mounting opening is formed in one end, far away from the three-way connecting assembly, of the light source shell, the light source connector is embedded in the light source mounting opening, the light source is located in the three-way connecting assembly, the light source connecting pipe is located in the light source shell, and the light source connecting pipe is respectively connected with the light source connector and the light source.
8. The powered inner planer tool for giant tophus removal according to claim 3, which is characterized in that: the first interface and the second interface are arranged on the three-way connecting component.
9. The powered inner planer tool for giant tophus removal according to claim 3, which is characterized in that: and a hand tying belt is wound on the outer surface of the light source shell.
CN202221123794.7U 2022-05-11 2022-05-11 Used scope power planer tool of huge tophus clearance art Active CN217390818U (en)

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CN202221123794.7U CN217390818U (en) 2022-05-11 2022-05-11 Used scope power planer tool of huge tophus clearance art

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CN202221123794.7U CN217390818U (en) 2022-05-11 2022-05-11 Used scope power planer tool of huge tophus clearance art

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116196062A (en) * 2023-04-25 2023-06-02 上海宇度医学科技股份有限公司 Submucosal myoma excision device under hysteroscope

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116196062A (en) * 2023-04-25 2023-06-02 上海宇度医学科技股份有限公司 Submucosal myoma excision device under hysteroscope
CN116196062B (en) * 2023-04-25 2023-08-11 上海宇度医学科技股份有限公司 Submucosal myoma excision device under hysteroscope

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