CN217828045U - Needle-shaped bile duct incision knife under laparoscope - Google Patents

Needle-shaped bile duct incision knife under laparoscope Download PDF

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Publication number
CN217828045U
CN217828045U CN202121335966.2U CN202121335966U CN217828045U CN 217828045 U CN217828045 U CN 217828045U CN 202121335966 U CN202121335966 U CN 202121335966U CN 217828045 U CN217828045 U CN 217828045U
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China
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handle
needle
bile duct
close
groove
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CN202121335966.2U
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Chinese (zh)
Inventor
吴旭波
张紫平
常奇蒙
胡志秋
王建法
冯劲峰
汤卫国
饶龙华
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Central Hospital Of Minhang District Shanghai
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Central Hospital Of Minhang District Shanghai
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Abstract

The utility model discloses a needle-shaped bile duct incision knife under peritoneoscope, which belongs to the field of medical instruments, and comprises a handle, wherein a first groove is formed at the upper end of the handle close to the middle position, a chute is formed at the upper end surface of the first groove close to the middle position, a handle is movably arranged in the chute, a limiting mechanism is arranged at the bottom end of the first groove close to one side of the handle, a connecting ring is arranged at the upper end of the handle, a rubber plug is arranged between the inner side walls of the connecting ring close to the top position, an adjusting mechanism is arranged at one end of the handle, a binding post is arranged at the right side of the handle close to the middle position, a second groove is formed in the handle and under the chute, and a lead is arranged in the second groove; the utility model discloses can carry out common bile duct puncture before going the peritoneoscope common bile duct and cutting, extract the bile and prove the bile duct, carry out the common bile duct with the electricity mode of cutting with the syringe needle again and cut to realize bile duct damage minimizing.

Description

Needle-shaped bile duct incision knife under laparoscope
Technical Field
The utility model relates to the field of medical equipment, especially, relate to needle form bile duct incision sword under peritoneoscope.
Background
The common bile duct incision exploration operation under the laparoscope is mature, the common bile duct needs to be explored and found in the operation, the front wall of the common bile duct needs to be incised, and the suture reconstruction needs to be carried out subsequently, so that the physical damage and the thermal damage to the wall tissues of the bile duct need to be reduced as much as possible, and the traditional treatment method comprises the following steps: in the prior art, after a common bile duct is found in an open abdominal operation, a fine needle cylinder is firstly used for puncture confirmation after suture traction, and then a sharp-pointed knife is used for incision, so that excessive damage to the wall of the bile duct is basically avoided; the common use of an electric hook or an electric needle under the laparoscope is to cut the common bile duct by an electric cutting mode, but the contact area is large, and the common bile duct is cut from the surface to the deep part, so that the common bile duct is likely to be cut into the wall of the bile duct due to the direction deviation, or the common bile duct is too deep, so that the rear wall of the bile duct is likely to be electrically burned.
Through retrieval, chinese patent No. CN202110035045.2 discloses a puncture diagnosis electrocoagulation incision device for laparoscope bile duct, which lacks an effective puncture confirmation method and easily damages the posterior wall of the common bile duct in the using process, and therefore, a needle-shaped bile duct incision knife under the laparoscope is provided.
SUMMERY OF THE UTILITY MODEL
The utility model aims at solving the defects in the prior art and providing a needle-shaped bile duct incision knife under a laparoscope.
In order to realize the purpose, the utility model adopts the following technical scheme:
needle-like bile duct incision sword under peritoneoscope, including the handle, the handle upper end is close to the intermediate position and sets up fluted one, a recess upper end surface is close to the intermediate position and has seted up the spout, the inside activity of spout is provided with the handle, a recess inside bottom is close to handle one side position and is provided with stop gear, the handle upper end is provided with the go-between, it is provided with the rubber buffer to be close to the top position between the go-between inside wall, handle one end is provided with adjustment mechanism.
Further, the handle right side is close to the intermediate position and is provided with the terminal, the handle is inside and be located spout below position and set up fluted two, the inside wire that is provided with of recess two, the wire is kept away from terminal one end and is connected with the connector lug, the handle left side is provided with the shell, the shell is kept away from handle one side and is provided with the tool bit, sleeve pipe in the shell is inside to be provided with, distance between recess left side inside wall and the handle left side lateral wall is 20mm, the inside cavity of having seted up that runs through of handle, be provided with the spring between handle and the spout inside wall.
Further, stop gear includes support one, be provided with the limiting plate between the inside wall of support, the limiting plate bottom is provided with magnetic sheet one, the inside bottom of recess one is close to spout one side position and is provided with support two, the inside bottom of support two is provided with the magnetic sheet two that agrees with mutually with magnetic sheet one.
Furthermore, a rotating shaft is arranged between two side walls of the limiting plate and one inner side wall of the support, one end of the limiting plate is movably arranged between two inner side walls of the support through the rotating shaft matched with the support, and the limiting plate and one inner side wall of the groove are arranged in parallel.
Furthermore, adjustment mechanism includes the needle body, the needle body is kept away from handle one end and is provided with the rubber tube, the rubber tube surface winding is provided with the spring pipe, the rubber tube is kept away from needle body one end and is provided with the syringe needle, the syringe needle is kept away from rubber tube one end and is set up and seted up the grooving.
Further, spring pipe one end and needle body rigid coupling, the other end and syringe needle rigid coupling, needle body and syringe needle are hollow metal tube, syringe needle length is 5mm, the diameter scope of needle body is 0.5 ~ 0.8mm, rubber tube length is 10mm, the needle body is connected with interior sleeve pipe contact, interior sleeve pipe is made by the metal tube, interior sleeve pipe one side is through connector lug cooperation wire and terminal activity setting.
Compared with the prior art, the beneficial effects of the utility model reside in that:
1. the handle is moved leftwards along the sliding groove, the needle head is moved out 5mm leftwards from the tool bit, then the common bile duct is pierced, bile is extracted through the needle cylinder to confirm the bile duct, then the needle cylinder is taken down to electrify the incision knife through the binding post, the binding post enables the inner sleeve to be electrified through the wire matched with the binding post arranged inside the groove, the needle body is in contact connection with the inner sleeve, the cutting groove is formed in the end of the needle head, the user enables the needle body to move leftwards along the inner sleeve by moving the handle leftwards, the spring tube is gradually moved out of the shell, the rubber tube can be bent through the spring tube, the size of an included angle between the needle head and the needle body is changed, and the common bile duct can be conveniently cut.
In conclusion, the device can solve the existing problems.
Drawings
The accompanying drawings are included to provide a further understanding of the invention, and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention, and together with the description serve to explain the principles of the invention.
FIG. 1 is a schematic view of the overall structure of a needle-shaped bile duct incision under laparoscope according to the present invention;
FIG. 2 is an overall structure view of the handle of the needle-shaped bile duct incision knife under laparoscope provided by the utility model;
fig. 3 is a schematic structural view of a limiting mechanism of the needle-shaped bile duct incision knife under the laparoscope provided by the utility model;
FIG. 4 is an overall cross-sectional view of the needle-like bile duct incision under laparoscope according to the present invention;
fig. 5 is a cross-sectional view of the handle of the laparoscopic needle-like bile duct dissecting knife according to the present invention;
fig. 6 is a cross-sectional view of the cutter head of the needle-shaped bile duct incision knife under laparoscope provided by the utility model.
In the figure: 1. a grip; 2. a first groove; 3. a chute; 4. a first bracket; 5. a limiting plate; 6. a first magnetic sheet; 7. a second bracket; 8. a second magnetic sheet; 9. a handle; 10. a connecting ring; 11. a rubber plug; 12. a binding post; 13. a second groove; 14. a wire; 15. a connector lug; 16. a housing; 17. a cutter head; 18. an inner sleeve; 19. a needle body; 20. a rubber tube; 21. a spring tube; 22. a needle head; 23. grooving; 24. an adjustment mechanism; 25. a limiting mechanism.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments.
Example 1
Referring to fig. 1-3, the present invention provides a technical solution: needle-like bile duct incision sword under peritoneoscope, including handle 1, handle 1 upper end is close to the intermediate position and has seted up recess one 2, and 2 upper end surfaces of recess one are close to the intermediate position and have seted up spout 3, and 3 inside activities of spout are provided with handle 9, and 2 inside bottoms of recess one are close to handle 9 one side position and are provided with stop gear 25, and the handle 9 upper end is provided with go-between 10, is close to the top position between the go-between 10 inside walls and is provided with rubber buffer 11, and handle 9 one end is provided with adjustment mechanism 24.
The handle 1 right side is close to the intermediate position and is provided with terminal 12, handle 1 is inside and be located 3 below positions of spout and set up fluted two 13, the inside wire 14 that is provided with of recess two 13, wire 14 is kept away from terminal 12 one end and is connected with connector lug 15, handle 1 left side is provided with shell 16, shell 16 is kept away from handle 1 one side and is provided with tool bit 17, the inside interior sleeve pipe 18 that is provided with of shell 16, the distance between recess 2 left side inside wall and the handle 9 left side lateral wall is 20mm, the inside cavity of having seted up that runs through of handle 9, be provided with the spring between handle 9 and the 3 inside walls of spout.
Stop gear 25 includes support one 4, be provided with limiting plate 5 between the 4 inside walls of support one, 5 bottoms of limiting plate are provided with magnetic sheet one 6, 2 inside bottoms of recess are close to 3 one side positions of spout and are provided with support two 7, the inside bottom of support two 7 is provided with two 8 of magnetic sheet that agree with mutually with magnetic sheet one 6, be provided with the pivot between 5 both sides walls of limiting plate and the 4 inside walls of support one, 5 one end of limiting plate leads to pivot cooperation support one 4 activity settings between support two 7 inside walls, limiting plate 5 and the mutual parallel arrangement of 2 inside walls of recess.
Before carrying out common bile duct puncture and drawing bile and proving the bile duct, handheld handle 1, move handle 9 along 3 leftwards of spout, make it move 5mm this moment spring compression leftwards, then through setting up inside recess 2 support 4 cooperation pivot rotatory limiting plate 5 with its one end move to support two 7 insides, can make limiting plate 5 set up well between support two 7 inside walls through two 8 of magnetic sheet 6 cooperation magnetic sheet, limiting plate 5 left side is hugged closely on handle 9 right side this moment, cooperate the right elasticity of spring again, can carry on spacingly to handle 9 well, avoid it to slide in the use, later pass the rubber buffer 11 that sets up between the go-between 10 inside walls with cylinder one end and move to the inside cavity of handle 9.
Example 2
Referring to fig. 4-6, the present invention provides a technical solution: needle-like bile duct incision sword under peritoneoscope, including handle 1, handle 1 upper end is close to the intermediate position and has seted up fluted one 2, and 2 upper end surfaces of recess one are close to the intermediate position and have seted up spout 3, and the inside activity of spout 3 is provided with handle 9, and 2 inside bottoms of recess one are close to handle 9 one side position and are provided with stop gear 25, and handle 9 upper end is provided with go-between 10, is close to the top position between the go-between 10 inside walls and is provided with rubber buffer 11, and handle 9 one end is provided with adjustment mechanism 24.
The adjusting mechanism 24 comprises a needle body 19, one end, far away from the handle 9, of the needle body 19 is provided with a rubber tube 20, the surface of the rubber tube 20 is wound with a spring tube 21, one end, far away from the needle body 19, of the rubber tube 20 is provided with a needle head 22, and one end, far away from the rubber tube 20, of the needle head 22 is provided with a cutting groove 23.
One end of a spring tube 21 is fixedly connected with a needle body 19, the other end of the spring tube is fixedly connected with a needle head 22, the needle body 19 and the needle head 22 are both hollow metal tubes, the length of the needle head 22 is 5mm, the diameter range of the needle body 19 is 0.5-0.8 mm, the length of a rubber tube 20 is 10mm, the needle body 19 is in contact connection with an inner sleeve 18, the inner sleeve 18 is made of a metal tube, and one side of the inner sleeve 18 is movably arranged with a binding post 12 through a connector lug 15 in cooperation with a lead 14.
When a choledochostomy operation is performed under a laparoscope, with the leftward movement of the handle 9, the needle 22 moves 5mm leftward from the tool bit 17, then the choledochoscope is pierced, bile is extracted through the needle cylinder to confirm a bile duct, then the needle cylinder is taken down and the incision knife is powered on through the terminal 12, the terminal 12 enables the inner sleeve 18 to be powered on through the lead 14 arranged inside the groove II 13 and the connector lug 15 in a matching mode, the needle body 19 is in contact connection with the inner sleeve 18, the needle 22 is powered on, the incision 23 is formed in one end of the needle body 22, cutting is facilitated, a user enables the needle body 19 to move leftward along the inner sleeve 18 by moving the handle 9 leftward, the spring tube 21 is gradually moved out of the shell 16, the rubber tube 20 can be bent through the spring tube 21, the size of an included angle between the needle 22 and the needle body 19 is changed, use is facilitated, and finally the choledochosepipe is cut.
The above, only be the embodiment of the preferred of the present invention, but the protection scope of the present invention is not limited thereto, and any person skilled in the art is in the technical scope of the present invention, according to the technical solution of the present invention and the utility model, which are designed to be replaced or changed equally, all should be covered within the protection scope of the present invention.

Claims (6)

1. Needle-like bile duct incision sword under peritoneoscope, including handle (1), its characterized in that, handle (1) upper end is close to the intermediate position and sets up fluted (2), spout (3) have been seted up near the intermediate position to recess (2) upper end surface, spout (3) inside activity is provided with handle (9), recess (2) inside bottom is close to handle (9) one side position and is provided with stop gear (25), handle (9) upper end is provided with go-between (10), it is provided with rubber buffer (11) to be close to the top position between go-between (10) inside wall, handle (9) one end is provided with adjustment mechanism (24).
2. The needle-shaped bile duct incision knife under the laparoscope as recited in claim 1, wherein a terminal (12) is arranged on the right side of the handle (1) close to the middle position, a second groove (13) is formed in the handle (1) and below the chute (3), a wire (14) is arranged in the second groove (13), one end, away from the terminal (12), of the wire (14) is connected with a connector lug (15), a shell (16) is arranged on the left side of the handle (1), a cutter head (17) is arranged on one side, away from the handle (1), of the shell (16), an inner sleeve (18) is arranged in the shell (16), the distance between the left inner side wall of the first groove (2) and the left outer side wall of the handle (9) is 20mm, a cavity is formed in the handle (9) in a penetrating manner, and a spring is arranged between the inner side wall of the handle (9) and the chute (3).
3. The laparoscopic needle-shaped bile duct incision knife according to claim 1, wherein the limiting mechanism (25) comprises a first support (4), a limiting plate (5) is arranged between the inner side walls of the first support (4), a first magnetic sheet (6) is arranged at the bottom end of the limiting plate (5), a second support (7) is arranged at one side of the inner bottom end of the first groove (2) close to the chute (3), and a second magnetic sheet (8) matched with the first magnetic sheet (6) is arranged at the inner bottom end of the second support (7).
4. The laparoscopic needle-like bile duct incision knife according to claim 3, wherein a rotating shaft is arranged between two side walls of the limiting plate (5) and the inner side wall of the first bracket (4), one end of the limiting plate (5) is movably arranged between the inner side walls of the second bracket (7) by matching the rotating shaft with the first bracket (4), and the limiting plate (5) and the inner side wall of the first groove (2) are arranged in parallel.
5. The needle-shaped bile duct incision knife under the laparoscope as recited in claim 1, wherein the adjusting mechanism (24) comprises a needle body (19), a rubber tube (20) is arranged at one end of the needle body (19) far away from the handle (9), a spring tube (21) is wound on the surface of the rubber tube (20), a needle head (22) is arranged at one end of the rubber tube (20) far away from the needle body (19), and a cutting groove (23) is formed at one end of the needle head (22) far away from the rubber tube (20).
6. The laparoscopic needle-shaped bile duct incision knife according to claim 5, characterized in that one end of the spring tube (21) is fixedly connected with the needle body (19), the other end of the spring tube is fixedly connected with the needle head (22), the needle body (19) and the needle head (22) are both hollow metal tubes, the length of the needle head (22) is 5mm, the diameter range of the needle body (19) is 0.5-0.8 mm, the length of the rubber tube (20) is 10mm, the needle body (19) is in contact connection with the inner sleeve tube (18), the inner sleeve tube (18) is made of a metal tube, and one side of the inner sleeve tube (18) is movably arranged by matching a lead (14) with the binding post (12) through the connector (15).
CN202121335966.2U 2021-06-16 2021-06-16 Needle-shaped bile duct incision knife under laparoscope Active CN217828045U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202121335966.2U CN217828045U (en) 2021-06-16 2021-06-16 Needle-shaped bile duct incision knife under laparoscope

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202121335966.2U CN217828045U (en) 2021-06-16 2021-06-16 Needle-shaped bile duct incision knife under laparoscope

Publications (1)

Publication Number Publication Date
CN217828045U true CN217828045U (en) 2022-11-18

Family

ID=84009421

Family Applications (1)

Application Number Title Priority Date Filing Date
CN202121335966.2U Active CN217828045U (en) 2021-06-16 2021-06-16 Needle-shaped bile duct incision knife under laparoscope

Country Status (1)

Country Link
CN (1) CN217828045U (en)

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