CN219331898U

CN219331898U - Stamping card for endoscope

Info

Publication number: CN219331898U
Application number: CN202321442646.6U
Authority: CN
Inventors: 孙武青; 潘玮瑄; 孙海涛; 郝少龙
Original assignee: Beijing Luhe Hospital
Current assignee: Beijing Luhe Hospital
Priority date: 2023-06-08
Filing date: 2023-06-08
Publication date: 2023-07-14
Anticipated expiration: 2033-06-08

Abstract

The utility model relates to the technical field of medical equipment, and particularly provides a poking card for a endoscope, which comprises a puncture outfit and a puncture tube sleeve, wherein the puncture outfit is arranged on the puncture tube sleeve in a penetrating way, and a puncture part is arranged at one end of the puncture outfit; through setting up the thermosetting structure in the one end that the puncture pipe box is close to the puncture portion, when inserting or extracting this device into the patient, the thermosetting structure can produce high temperature to direct effect on the bleeding point of stabbing the hole depths, make the inside and outside liquid gasification of cell around the wound, make the cell shrink solidify, seal the vascular wall hemostasis. By adopting the design of the structure, the deep tissue of the poking hole can be quickly hemostatic, the hemostatic effect is good, bleeding points do not need to be found when hemostasis is achieved, and the quality of surgical treatment is improved.

Description

Stamping card for endoscope

Technical Field

The utility model relates to the field of medical equipment, in particular to a stamping card for a cavity mirror.

Background

Laparoscopic surgery is a newly developed minimally invasive method, and is a necessary trend for the development of future surgical methods. Along with the rapid progress of industrial manufacturing technology, the fusion of relevant disciplines lays a firm foundation for developing new technologies and new methods, and doctors are more and more skilled to operate, so that a plurality of past open operations are replaced by intracavity operations at present, and the operation selection opportunities are greatly increased. When laparoscopic surgery is performed, a patient is usually required to open a hole in the body by using a poking card, and then a special channel is established by the poking card, so that surgical instruments such as slender surgical forceps, an electric hook, an ultrasonic knife and the like can enter the abdominal cavity through the poking card to perform minimally invasive surgery.

After the poking card is placed or pulled out in laparoscopic surgery, the skin incising edge, the deep muscular layer and even the blood vessel bleeding of the abdominal wall are common, and the current common method is to compress or use an electric knife to stop bleeding, but the hemostatic effect on deep tissues of the poking hole is poor, bleeding points are difficult to accurately find during hemostasis, and secondary injury is easy to occur to patients.

Disclosure of Invention

The utility model aims to solve at least one technical problem in the background technology and provides a poking card for a cavity mirror, which can rapidly stop bleeding on a wound around a poking hole when the poking card is pulled out and inserted. Improving the postoperative recovery effect of patients.

In order to achieve the above object, the present utility model provides a stamper for an endoscope, comprising:

the puncture device is provided with a puncture part at one end;

the puncture device is arranged on the puncture tube sleeve in a penetrating way, and the puncture part is exposed at the outer end of the puncture tube sleeve; the puncture tube sleeve is close to one end of puncture portion is provided with the thermosetting structure, the thermosetting structure can stanch to the human tissue around the puncture tube sleeve.

According to one aspect of the utility model, the thermosetting structure comprises a heating metal sheet and a heat conducting isolation layer, wherein the heating metal sheet and the heat conducting isolation layer are arranged in the circumferential direction of the puncture sleeve, and the heat conducting isolation layer is positioned on the outer side of the heating metal sheet.

According to one aspect of the utility model, the heating metal sheet is of a circular ring-shaped structure with an opening, and the central angle corresponding to the opening is a, wherein a is more than or equal to 90 degrees and less than or equal to 180 degrees.

According to one aspect of the utility model, the outer side wall of the heat conducting isolation layer is provided with wavy bulges.

According to one aspect of the utility model, the width of the heated metal sheet is D, wherein 2 mm.ltoreq.D.ltoreq.10 mm.

According to one aspect of the utility model, the puncture tube is sleeved on two sides of the heating metal sheet, annular grooves are respectively arranged, and insulating rings are embedded in the annular grooves.

According to one aspect of the utility model, the puncture tube sleeve comprises a control part and a tube sleeve part, wherein the control part is connected with the tube sleeve part, a clamping groove is formed in the control part, and a buckle is arranged on the puncture outfit corresponding to the clamping groove.

According to one aspect of the utility model, the control part is provided with a marking structure corresponding to the installation position of the heating metal sheet.

According to one aspect of the utility model, the thermosetting structure further comprises a controller, wherein the controller is connected with the heating metal sheet through an electric wire, an electric wire hole is formed in the side wall of the pipe sleeve part, and the electric wire is arranged in the electric wire hole; the controller is provided with a starting switch, a power adjusting knob and a power connector.

According to one aspect of the utility model, the end of the sleeve portion remote from the control portion is provided with an oblique cut.

According to the scheme of the utility model, the method has at least the following technical effects:

according to some embodiments of the present utility model, a laparoscopic punch includes a puncture outfit and a puncture cannula; wherein, the puncture outfit is arranged on the puncture tube sleeve in a penetrating way, and one end of the puncture outfit is provided with a puncture part; when the device is inserted, the puncture outfit and the puncture tube sleeve are connected together, a hole is formed in the body of a patient through the puncture part of the puncture outfit, and then the puncture outfit and the puncture tube sleeve enter the body of the patient together; in this embodiment, the thermo-coagulation structure is disposed at the end of the puncture tube sleeve near the puncture part, so that when the device is inserted into or pulled out of a patient, the thermo-coagulation structure can generate high temperature and directly acts on the bleeding point in the deep of the puncture hole, so that the internal and external liquid of the cells around the wound is gasified, the cells are contracted and coagulated, and the blood vessel wall is closed for hemostasis. When the device is used, the continuous bleeding around the wound is avoided; moreover, when the device is pulled out, the puncture tube sleeve possibly rubs with the side wall of the poking hole when being separated from the poking hole, so that secondary tearing and bleeding are generated on the inner wall of the poking hole, the thermosetting structure is enabled to generate high temperature again, and the thermosetting structure directly acts on the poking Kong Chuangkou, so that the internal and external liquid of cells around the wound is gasified, the cells are contracted and coagulated, and the blood vessel wall is closed for hemostasis. The wound closure is avoided after the device is taken out, and the step of manually searching for bleeding points is omitted, so that the damage to the body of a patient is reduced; meanwhile, the method has the advantages of reducing the operation flow and improving the operation efficiency.

According to some embodiments of the present utility model, by providing a heat conductive isolation layer on the outside of the heating metal sheet, it is possible to avoid the heating metal sheet directly acting on the spot Kong Chuangkou, resulting in the heating metal sheet and the wound tissue adhering together; in addition, the nerve tissue around the wound of the patient is prevented from being damaged by the influence of the electric current caused by the fact that the electric current on the heating metal sheet is communicated with the body of the patient.

According to some embodiments of the utility model, the heating metal sheet is a ring-like structure having an opening. Through setting up the opening, when carrying out the heating sheetmetal and carrying out the thermosetting to the wound of stabbing in the hole, through the angle of adjusting the puncture pipe box, can make the opening part of heating sheetmetal towards the neural tissue intensive distribution area, avoid high temperature damage neural tissue.

According to some embodiments of the utility model, by arranging the wavy bulge on the outer side wall of the heat conducting isolation layer, the contact area between the heat conducting isolation layer and tissues around bleeding points can be increased, and the hemostatic effect can be improved.

Drawings

FIG. 1 is a schematic diagram of a structure of the present utility model;

FIG. 2 is a schematic illustration of a puncture cannula according to the present utility model;

FIG. 3 is an enlarged schematic view of the partial structure at A of FIG. 2 according to the present utility model;

FIG. 4 is a schematic view of a puncture outfit according to the present utility model;

reference numerals:

100-puncture outfit, 110-puncture part and 120-buckle;

200-puncture tube sleeve, 210-control part, 211-clamping groove, 212-identification structure, 220-tube sleeve part, 221-wire hole, 222-oblique cut, 223-annular groove and 230-insulating ring;

300-thermosetting structure, 310-heating metal sheet, 320-heat conducting isolation layer, 321-wavy bulge, 330-starting switch and 340-power adjusting knob.

Detailed Description

The present disclosure will now be discussed with reference to exemplary embodiments. It should be understood that the embodiments discussed are merely to enable those of ordinary skill in the art to better understand and thus practice the teachings of the present utility model and do not imply any limitation on the scope of the utility model.

As used herein, the term "comprising" and variants thereof are to be interpreted as meaning "including but not limited to" open-ended terms. The term "based on" is to be interpreted as "based at least in part on". The terms "one embodiment" and "an embodiment" are to be interpreted as "at least one embodiment.

Fig. 1 schematically illustrates a laparoscopic stamper according to an embodiment of the present utility model. As shown in fig. 1, includes a puncture outfit 100 and a puncture cannula cartridge 200. Wherein, one end of the puncture outfit 100 is provided with a puncture part 110, the puncture outfit 100 is arranged on the puncture tube sleeve 200 in a penetrating way, and the puncture part 110 is exposed at the outer end of the puncture tube sleeve 200; the puncture cannula 200 is provided with a thermosetting structure 300 at one end near the puncture portion 110, and the thermosetting structure 300 can stop bleeding of human tissue around the puncture cannula 200. Specifically, the puncture outfit 100 is arranged on the puncture tube sleeve 200 in a penetrating way, and a puncture part 110 is arranged at one end of the puncture outfit 100; when the device is inserted, the puncture outfit 100 and the puncture tube sleeve 200 are connected together, the puncture part 110 of the puncture outfit 100 is used for perforating the body of a patient, and then the puncture outfit 100 and the puncture tube sleeve 200 enter the body of the patient together; in this embodiment, by providing the thermo-coagulation structure 300 at the end of the puncture tube sheath 200 near the puncture portion 110, when the device is inserted into or pulled out of the patient, the thermo-coagulation structure 300 can generate high temperature and directly act on the bleeding point deep in the puncture hole, so that the internal and external liquid of the cells around the wound is gasified, the cells are contracted and coagulated, and the blood vessel wall is closed for hemostasis. The device is prevented from generating continuous bleeding around the wound when in use; moreover, when the device is pulled out, the puncture tube sleeve 200 may rub against the side wall of the puncture hole when being separated from the puncture hole, so that secondary tearing and bleeding are generated on the inner wall of the puncture hole, and the thermosetting structure 300 is again heated and directly acts on the position of the puncture Kong Chuangkou, so that the internal and external liquid of the cells around the wound is gasified, the cells are contracted and coagulated, and the blood vessel wall is closed for hemostasis. The wound closure is avoided after the device is taken out, and the step of manually searching for bleeding points is omitted, so that the damage to the body of a patient is reduced; meanwhile, the method has the advantages of reducing the operation flow and improving the operation efficiency.

In some embodiments of the present utility model, the thermal coagulation structure 300 includes a heating metal sheet 310 and a heat conductive isolation layer 320, the heating metal sheet 310 and the heat conductive isolation layer 320 are both disposed in the circumferential direction of the puncture sheath 200, and the heat conductive isolation layer 320 is located outside the heating metal sheet 310. By providing the heat conductive insulating layer 320 on the outer side of the heating metal sheet 310, it is possible to prevent the heating metal sheet 310 from directly acting on the spot Kong Chuangkou, resulting in adhesion of the heating metal sheet 310 and the wound tissue; in addition, it is possible to avoid that the electric current on the heating metal sheet 310 is communicated with the body of the patient, so that the nerve tissue around the wound of the patient is damaged by the influence of the electric current. In this embodiment, the heating metal sheet 310 is a copper sheet, and the heat-conducting isolation layer 320 is a structure made of a heat-conducting insulating material, such as heat-conducting insulating rubber, heat-conducting insulating silica gel, heat-conducting composite ceramic, etc. The heat conducting isolation layer 320 made of the material has good heat conducting effect and good insulating property.

In some embodiments of the present utility model, the heating metal sheet 310 is a circular ring-shaped structure having an opening corresponding to a central angle a, wherein 90 a 180. In this embodiment, the heating metal sheet 310 has an annular structure with an opening. By providing the opening, when the heating metal sheet 310 thermally coagulates the wound in the puncture hole, the opening of the heating metal sheet 310 can be directed toward the nerve tissue densely distributed area by adjusting the angle of the puncture sleeve 200, and the nerve tissue is prevented from being damaged by high temperature.

In some embodiments of the present utility model, the outer sidewall of the thermally conductive isolation layer 320 is provided with wavy protrusions 321. By arranging the wavy bulge 321 on the outer side wall of the heat conduction isolation layer 320, the contact area between the heat conduction isolation layer 320 and tissues around bleeding points can be increased, and the hemostatic effect can be improved.

In some embodiments of the present utility model, the width of the heating metal sheet 310 is D, where 2 mm.ltoreq.D.ltoreq.10 mm. In this embodiment, the puncture sleeve 200 is provided with the thermosetting structure 300 near one end of the puncture portion 110, the thermosetting structure 300 includes the heating metal sheet 310 and the heat conducting isolation layer 320, the heating metal sheet 310 and the heat conducting isolation layer 320 are both disposed on the circumferential direction of the puncture sleeve 200, and the heat conducting isolation layer 320 is located on the outer side of the heating metal sheet 310, in this embodiment, since the thermosetting structure 300 is disposed at one end of the puncture sleeve 200 near the puncture portion 110, the thermosetting structure 300 can perform quick and effective hemostasis on bleeding points deep in a puncture hole when the puncture card for a endoscope is inserted into a patient. In the present embodiment, the width D of the heating metal sheet 310 is set so as to be suitable for use by people having different sizes. Specifically, for the population with thin body type, the surgery is performed using the heating metal sheet 310 with a width of 2mm because of the thin muscle tissue; for the fat population, a heating metal sheet 310 with a width of 10mm may be used for surgery. Different widths of the heating metal sheet 310 may be used for different body types, and an optimal heat coagulation range may be ensured.

In some embodiments of the present utility model, the puncture sheath 200 is provided with annular grooves 223 on both sides of the heating metal sheet 310, and the annular grooves 223 are embedded with insulating rings 230. In this embodiment, by arranging the insulating rings 230 at the upper and lower ends of the heating metal sheet 310, the heat generated by the heating metal sheet 310 can be prevented from being conducted along the pipe wall of the puncture pipe sleeve 200, the heat can be limited in a local range, the accuracy of sealing the bleeding point is improved, and unnecessary damage to human tissues is avoided.

In some embodiments of the present utility model, the puncture cannula 200 includes a control portion 210 and a cannula portion 220, the control portion 210 is connected to the cannula portion 220, a slot 211 is provided on the control portion 210, and a buckle 120 is provided corresponding to the slot 211 of the puncture outfit 100. In the present embodiment, the puncture device 100 can be detachably fixed to the puncture sheath 200 by providing the control unit 210 with the locking groove 211 and the puncture device 100 with the locking buckle 120. Specifically, when in use, the puncture outfit 100 is fixed on the puncture tube sleeve 200, then body surface hole punching is carried out, after hole punching is completed, the puncture outfit 100 and the puncture tube sleeve 200 are separated, and the puncture outfit 100 is taken out from the puncture tube sleeve 200; then performing laparoscopic surgery; after the operation is completed, the puncture cannula 200 is removed. Through the design of this structure, can improve this device convenience.

In some embodiments of the present utility model, the control portion 210 is provided with the marking structure 212 corresponding to the installation position of the heating metal sheet 310. Specifically, the puncture card for the endoscope comprises a puncture outfit 100 and a puncture tube sleeve 200, wherein the puncture outfit 100 is arranged on the puncture tube sleeve 200 in a penetrating way, one end of the puncture outfit 100 is provided with a puncture part 110, and the puncture part 110 is exposed at the outer end of the puncture tube sleeve 200. The puncture cannula 200 is provided with a thermosetting structure 300 at one end near the puncture portion 110, and the thermosetting structure 300 can stop bleeding of human tissue around the puncture cannula 200. The thermosetting structure 300 includes a heating metal sheet 310 and a heat conducting isolation layer 320, where the heating metal sheet 310 and the heat conducting isolation layer 320 are both disposed on the circumferential direction of the puncture sleeve 200, and the heat conducting isolation layer 320 is located on the outer side of the heating metal sheet 310, and the heating metal sheet 310 is a ring-shaped structure with an opening. The puncture cannula 200 includes a control portion 210 and a cannula portion 220, the control portion 210 being connected to the cannula portion 220. The control part 210 is provided with a marking structure 212 corresponding to the installation position of the heating metal sheet 310. In this embodiment, in use, since one end of the endoscopic punch with the heating metal sheet 310 is usually placed inside the human body, in order to accurately adjust the direction of the heating metal sheet 310, the heating metal sheet 310 can heat and stop bleeding at the peripheral bleeding point of the punch hole, and the opening direction of the heating metal sheet 310 faces the peripheral nerve-dense position of the punch hole. In the present embodiment, the marking structure 212 is provided in the control unit 210 in correspondence with the attachment position of the heating metal sheet 310, so that the puncture sheath 200 can be rotationally adjusted.

In some embodiments of the present utility model, the thermosetting structure 300 further includes a controller connected to the heating metal sheet 310 through a wire, and a wire hole 221 is provided on a sidewall of the tube housing 220, and the wire is disposed in the wire hole 221; the controller is provided with a start switch 330, a power adjustment knob 340 and a power connection. In this embodiment, the controller is provided with a start switch 330 that can be turned on or off, corresponding to the heating state and the normal temperature state of the heating metal sheet 310; the controller is provided with a power adjusting knob 340, and the temperature of the heating metal sheet 310 can be controlled through the power adjusting knob 340; the controller is provided with a power connector and can be externally connected with a power supply; in the present embodiment, by providing the wire hole 221 on the side wall of the socket part 220, the wire connects the heating metal sheet 310 and the controller through the wire hole 221; because the pressure of the body cavity of the human body is different from the external pressure, through the arrangement of the structure, the situation that the puncture outfit 100 and the puncture tube sleeve 200 are in loose connection due to the fact that an electric wire channel is additionally arranged in the puncture outfit 100 and the puncture tube sleeve 200 can be avoided, and further the pressure in the body cavity of the human body is greatly reduced.

In some embodiments of the present utility model, the end of the sleeve portion 220 remote from the control portion 210 is provided with a beveled cut 222. By providing an oblique incision 222, drainage can be achieved during surgery.

Finally, it is noted that the above-mentioned preferred embodiments are only intended to illustrate rather than limit the utility model, and that, although the utility model has been described in detail by means of the above-mentioned preferred embodiments, it will be understood by those skilled in the art that various changes in form and details may be made therein without departing from the scope of the utility model as defined by the appended claims.

Claims

1. A stamper for a endoscope, comprising:

the puncture device is provided with a puncture part at one end;

2. The endoscopic punch card according to claim 1, wherein the thermosetting structure comprises a heating metal sheet and a heat conducting isolation layer, the heating metal sheet and the heat conducting isolation layer are both arranged in the circumferential direction of the puncture sleeve, and the heat conducting isolation layer is located outside the heating metal sheet.

3. The endoscopic punch card according to claim 2, wherein the heating metal sheet has a circular ring-shaped structure with an opening, and the central angle corresponding to the opening is a, wherein a is 90 ° -180 °.

4. The endoscopic punch card according to claim 2, wherein the heat conductive insulating layer is provided with wavy protrusions on an outer side wall thereof.

5. The endoscopic punch card according to claim 2, wherein the width of the heating metal sheet is D, wherein 2 mm.ltoreq.d.ltoreq.10 mm.

6. The puncture card for a endoscope according to any of claims 2 to 5, wherein the puncture tube is sleeved on both sides of the heating metal sheet, and annular grooves are respectively arranged, and insulation rings are embedded in the annular grooves.

7. The puncture card for a endoscope according to claim 6, wherein the puncture tube sleeve comprises a control part and a tube sleeve part, the control part is connected with the tube sleeve part, a clamping groove is formed in the control part, and a buckle is arranged on the puncture device corresponding to the clamping groove.

8. The endoscopic punch card according to claim 7, wherein the control portion is provided with a marking structure corresponding to a mounting position of the heating metal sheet.

9. The endoscopic punch card according to claim 8, wherein the thermosetting structure further comprises a controller connected to the heating metal sheet by a wire, and a wire hole is provided in a side wall of the tube sleeve portion, and the wire is provided in the wire hole; the controller is provided with a starting switch, a power adjusting knob and a power connector.

10. The endoscopic punch card according to claim 7, wherein an end of the tube housing portion remote from the control portion is provided with an oblique cut.