WO2019104682A1 - 组织粉碎器水刀 - Google Patents

组织粉碎器水刀 Download PDF

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Publication number
WO2019104682A1
WO2019104682A1 PCT/CN2017/114039 CN2017114039W WO2019104682A1 WO 2019104682 A1 WO2019104682 A1 WO 2019104682A1 CN 2017114039 W CN2017114039 W CN 2017114039W WO 2019104682 A1 WO2019104682 A1 WO 2019104682A1
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WO
WIPO (PCT)
Prior art keywords
waterjet
assembly
sheath
pipe
water jet
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PCT/CN2017/114039
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English (en)
French (fr)
Inventor
孙光宇
吴衍
王良基
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域鑫科技(惠州)有限公司
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Application filed by 域鑫科技(惠州)有限公司 filed Critical 域鑫科技(惠州)有限公司
Publication of WO2019104682A1 publication Critical patent/WO2019104682A1/zh

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/00234Surgical instruments, devices or methods, e.g. tourniquets for minimally invasive surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/320016Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3203Fluid jet cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/36Image-producing devices or illumination devices not otherwise provided for
    • A61B90/37Surgical systems with images on a monitor during operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B2017/320004Surgical cutting instruments abrasive
    • A61B2017/320008Scrapers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589Coagulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/30Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure
    • A61B2090/309Devices for illuminating a surgical field, the devices having an interrelation with other surgical devices or with a surgical procedure using white LEDs
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61MDEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M1/00Suction or pumping devices for medical purposes; Devices for carrying-off, for treatment of, or for carrying-over, body-liquids; Drainage systems
    • A61M1/71Suction drainage systems
    • A61M1/76Handpieces

Definitions

  • the invention relates to the technical field of medical instruments, and in particular to a tissue pulverizer water knife.
  • the doctor uses a coagulation knife to cut the patient's cell tissue.
  • a liquid output tube is inserted into the patient's surgical site, and a liquid output tube is used to aspirate the cut tissue.
  • the time is long, the risk of complications is high, and the electrocoagulation knife is a disposable medical device, and the patient has a heavy economic burden.
  • the present invention provides a tissue pulverizer waterjet, comprising:
  • a pump body assembly comprising:
  • a pump body having a liquid inlet and a liquid outlet
  • An endoscope module coupled to the waterjet assembly and located on one side of the high pressure conduit, the endoscope module corresponding to the waterjet assembly;
  • the electrocoagulator has one end running through the endoscope module and located on one side of the water jet assembly.
  • the tissue pulverizer waterjet further includes a handle, and the handle wraps the waterjet assembly.
  • the water knife assembly comprises a return pipe, an outer pipe, an inlet pipe and a scraper.
  • the return pipe is located in the handle, one end of which is connected to the high pressure pipe, and the outer pipe runs through the endoscope module, one end thereof The other end of the inlet pipe is connected, and one end of the inlet pipe is sequentially connected to the other end of the high pressure pipe through the outer pipe and the return pipe, and the scraper communicates with the other end of the inlet pipe, and corresponds to the outer pipe.
  • the scraping cutter has a liquid passage, the liquid passage is connected to the liquid inlet pipe, and the outlet of the liquid passage corresponds to the outer pipe.
  • the water knife assembly further includes an inlet valve, and the inlet valve is disposed at Inlet and outer tubes.
  • the endoscope module includes a connecting rod, a sheath, an image sensing component and a USB connecting line
  • the connecting rod is disposed on the handle
  • the water knife assembly is wrapped
  • the sheath is connected with the connecting rod
  • the water knife The component and the electric coagulator are located in the sheath
  • the image sensing component is disposed at one end of the sheath, corresponding to the scraper
  • one end of the USB cable is connected to the image sensing component
  • the other end is connected to the external workstation.
  • the endoscope module includes a connecting rod, a sheath, an image sensing component, and a wireless transmitter.
  • the connecting rod is disposed on the handle and wraps the waterjet assembly, the sheath connects the connecting rod, and the waterjet
  • the component and the electric coagulator are located in the sheath, and the image sensing component is disposed at one end of the sheath, corresponding to the scraper, and the wireless transmitter is electrically connected to the image sensing component, and is wirelessly connected to the external workstation.
  • the image sensing component comprises a camera and an LED lamp, and the LED lamp is located at one side of the camera.
  • the camera is disposed on the sheath in a manner of welding or bonding or riveting.
  • the electrocoagulator includes a driving slider and a electrocoagulation needle.
  • the driving slider is disposed in the handle, and one end of the electrocoagulation needle is connected to the driving slider, and the other end thereof penetrates the sheath.
  • the water knife assembly and the endoscope module and the electric coagulator of the invention are of a split structure, the endoscope module and the electric coagulator can be disinfected and reused, thereby reducing the economic burden of the patient, and the doctor and the observer pass the external workstation. Viewing the image of the patient's surgical site in real time increases the safety of the procedure.
  • Fig. 1 is a perspective structural view showing a water jet of a tissue pulverizer according to a first embodiment of the present invention.
  • Fig. 2 is an exploded view of the water jet of the tissue pulverizer according to the first embodiment of the present invention.
  • FIG. 3 is a schematic view showing the connection of a pump body assembly and a water jet assembly according to Embodiment 1 of the present invention.
  • Fig. 4 is a schematic view of a doctor blade according to a first embodiment of the present invention.
  • FIG. 5 is a schematic diagram of an endoscope module according to Embodiment 1 of the present invention.
  • FIG. 6 is another schematic diagram of an endoscope module according to Embodiment 1 of the present invention.
  • FIG. 7 is a schematic diagram of an endoscope module according to a second embodiment of the present invention.
  • FIG. 8 is another schematic diagram of an endoscope module according to Embodiment 2 of the present invention.
  • the present invention is related to a related design of a tissue pulverizer waterjet.
  • the tissue pulverizer waterjet of the present invention is very suitable for use in pelvic or abdominal or percutaneous minimally invasive surgery in order to use a doctor to cut, ablate, peel or remove a patient's pelvic or abdominal cavity or percutaneous, etc., surgical procedure Fast and simple, The target of resection is more clear and quantified, the operation time is shorter, the treatment is more reliable, the operation is completely controllable, and there is no physical, chemical, biological and other factors negative damage to the pelvic or abdominal cavity or percutaneous; second aspect, the present invention
  • the tissue pulverizer waterjet is also suitable for use in a variety of other surgical open procedures.
  • the tissue pulverizer water jet of the present invention When the tissue pulverizer water jet of the present invention is used on a patient for various surgical open surgery, the tissue pulverizer water jet is passed through a high pressure liquid.
  • the embodiment of the tissue pulverizer waterjet provided by the present invention can be combined with external workstations of various configurations, so that the doctor and the viewer can intuitively observe the surgical site of the patient, so that the doctor and the viewer can more easily observe the operation. Increased safety of surgery.
  • the tissue pulverizer waterjet of the present invention and its benefits will be further described in detail below in five specific embodiments.
  • the tissue pulverizer water knife is mainly used for pelvic mirror, laparoscopy, percutaneous, endoscopic or open surgery, and high pressure liquid is introduced therein as an example. It is to be understood that this does not constitute a limitation of the invention.
  • the working mode and the benefits of the tissue pulverizer are basically the same as when the high-pressure liquid is introduced, but the purpose of use is different.
  • the high-pressure liquid when the liquid is a high-pressure liquid, the high-pressure liquid includes a high-pressure water stream or a high-pressure physiological saline stream or other high-pressure liquid stream, and the type of the high-pressure liquid in the tissue pulverizer is determined according to the type of the object to be cut when the tissue pulverizer is operated. Or physicochemical properties are flexibly selected.
  • FIG. 1 is a perspective structural view of a water jet of a tissue pulverizer according to a first embodiment of the present invention
  • FIG. 2 is an exploded view of a water jet of a tissue pulverizer according to a first embodiment of the present invention.
  • the present invention provides a tissue pulverizer waterjet comprising a pump body assembly 1, a water jet assembly 2, an endoscope module 3 and an electrocoagulator 4.
  • the pump body assembly 1 includes a pump body 11 and a high pressure pipe 12, the pump body 11 has a liquid inlet port and a liquid outlet port, and the liquid inlet port is connected to an external workstation, and one end of the high pressure pipe 12 communicates with the liquid outlet port.
  • the water jet assembly 2 is connected to the other end of the high pressure pipe 12.
  • the endoscope module 3 is connected to the water jet assembly 2, the endoscope module 3 is located on one side of the high pressure pipe 12, and the endoscope module 3 corresponds to the water jet assembly 2.
  • One end of the electrocoagulator 4 passes through the endoscope module 3, and the electrocoagulator 4 is located on one side of the water jet assembly 2.
  • the workstation, the doctor and the observer view the image of the surgical site of the patient in real time through the external workstation, thereby increasing the safety of the operation.
  • the external workstation passes the liquid to the pump body 11, and the pump body 11 pressurizes the liquid to a predetermined pressure, and the pump body 11
  • the liquid of predetermined pressure is delivered to the waterjet assembly 2 through the high pressure conduit 12, and the doctor operates the waterjet assembly 2 to cut, ablate, peel or remove the tissue of the surgical site of the patient, and the tissue of the surgical site of the patient is cut, ablated, peeled or cleared.
  • the liquid stops flowing into the water jet assembly 2 and finally, the electric coagulator 4 is supplied to the external power source, and the electrocoagulator 4 starts to work, and the patient's surgical site is solidified to stop bleeding.
  • the tissue pulverizer waterjet further includes a handle 5, and the handle 5 wraps the waterjet assembly 2.
  • the handle 5 is convenient for the doctor to hold the tissue pulverizer water knife, and the tissue pulverizer water knife is easy to operate, and the handle 5 has the fixed water knife assembly 2 to prevent the foreign object from colliding with the water knife assembly 2, thereby causing damage to the tissue pulverizer water knife.
  • the water jet assembly 2 includes a return pipe 21, an outer pipe 22, an inlet pipe 23, a scraper 24, and an inlet valve 25.
  • the return pipe 21 is located inside the handle 5, and one end of the return pipe 21 is connected to the high pressure pipe 12.
  • the outer tube 22 passes through the endoscope module 3, and one end of the outer tube 22 communicates with the other end of the return tube 21.
  • FIG. 4 it is a schematic view of the doctor blade 24 according to the first embodiment of the present invention.
  • the doctor blade 24 has a liquid passage 241 to which the liquid passage 241 is connected, and the outlet of the liquid passage 241 corresponds to the outer tube 22.
  • the inlet valve 25 is provided in the inlet pipe 23 and the outer pipe 22. The inlet valve 25 is opened.
  • the inlet pipe 23 is in communication with the high pressure pipe 12, the outer pipe 22 is in a communicating state, and the external workstation passes the liquid to the pump body 11, and the pump body 11 pressurizes the liquid to a predetermined pressure, the pump The body 11 delivers a predetermined pressure of liquid through the high pressure conduit 12 to the inlet tube 23, and the inlet tube 23 delivers a predetermined pressure of liquid to the scraper 24, and the doctor operates the scraper 24 to cut, ablate, peel or remove the tissue of the patient's surgical site.
  • the liquid ejected by the scraper 24 cuts, ablates, peels off or removes the tissue
  • the liquid becomes a waste liquid
  • the cell tissue and waste liquid which are cut, ablated, peeled off or removed are transferred to the return pipe 21 through the outer tube 22, and the return pipe is returned.
  • 21 Transfer waste liquid to the waste liquid recovery station, without a separate liquid output tube, reduce the economic burden of patients and reduce the risk of infection in subsequent patients.
  • the water knife assembly 2 cuts the tissue speed of the tissue quickly, and the operation time is obviously shortened, and the water jet assembly 2 has the function of cutting the line and simultaneously sucking the tissue and the waste liquid, without complications.
  • the inlet valve 25 is closed. At this time, the inlet pipe 23 and the high pressure pipe 12 are closed, and the outer pipe 22 is closed.
  • the endoscope module 3 includes a connecting rod 31, a sheath 32, an image sensing component 33, and a USB connecting line 34.
  • the connecting rod 31 is disposed on the handle, and the connecting rod 41 encloses the water jet assembly 2, and the connecting rod 31 fixes the water jet assembly 2.
  • the sheath 32 is connected to the connecting rod 31.
  • the sheath 32 has a first passage 321, a second passage 322 and a third passage 323.
  • the water jet assembly 2 extends through the first passage 321 and the condenser 4 penetrates the second passage 322 for image sensing.
  • the component 33 extends through the third channel 323, and the image sensing component 33 corresponds to the blade 24.
  • One end of the USB cable 34 is connected to the image sensing component 33, and the other end of the USB cable 34 is connected to the external workstation.
  • the image sensing component 33 includes a camera 331 and an LED lamp 332, and the LED lamp 331 is located at one side of the camera 332.
  • the LED lamp 331 provides a light source for the camera 332 to capture, and the endoscope module 3 transmits the data captured by the camera 331 by using the USB cable 33.
  • the connection mode is stable, and the transmission data is not easily disturbed by the outside.
  • the electrocoagulator 4 includes a driving slider 41 and a electrocoagulation needle 42.
  • the driving slider 41 is disposed in the handle 5, and one end of the electrocoagulation needle 42 is connected to the driving slider 41.
  • the other end of the electrocoagulation needle 42 passes through the sheath 42.
  • the doctor operates the water jet assembly 2 to cut, ablate, peel or remove the tissue of the surgical site of the patient.
  • the driving slider 41 drives the electrocoagulation needle 42 to move, and the electrocoagulation
  • the needle 42 is moved to the tissue corresponding to the surgical site of the patient, and the electrocoagulation needle 42 solidifies and hemostasis to the surgical site of the patient.
  • the endoscope module 3 includes a connecting rod 31, a sheath 32, an image sensing component 33, and a wireless transmitter (not shown).
  • the connecting rod 31 is disposed on the handle 5, the connecting rod 31 encloses the water jet assembly 2, the connecting rod 31 fixes the water jet assembly 2, and the sheath 32 connects the connecting rod 31, the sheath 32 has a first channel 321, a second channel 322 and a third channel 323, the waterjet assembly 2 extends through the first channel 321, the condenser 4 extends through the second channel 322, and the image sensing component 33 extends through the third channel 323, the image sensing component 33 corresponds to the scraper 24, the wireless transmitter is electrically connected to the image sensing component 33, and the wireless transmitter is wirelessly connected to the external workstation.
  • the difference between the second embodiment and the first embodiment is that the second embodiment uses a wireless transmitter as a signal transmission mode. The wireless transmitter transmits the data captured by the camera 341 to achieve big data sharing and ensure the success rate of the operation.
  • the manner in which the camera 331 is disposed on the sheath 32 is welding.
  • the structure of the pump body assembly 1, the water jet unit 2, the endoscope module 3 and the electrocoagulator 4 of the embodiment is the same as that of the second embodiment, and the difference between the first embodiment and the second embodiment is that the camera 331 is connected to the sheath.
  • the connection of the sleeve 32 is welding.
  • the camera 331 is connected to the sheath 32 to stabilize, reducing the production time and production cost of the tissue pulverizer. During the use of the tissue pulverizer, the camera 331 and the sheath 32 are not easily loosened.
  • the manner in which the camera 331 is disposed on the sheath 32 is bonding.
  • the structure of the pump body assembly 1, the water jet unit 2, the endoscope module 3 and the electrocoagulator 4 of the present embodiment is the same as that of the third embodiment, and the difference from the third embodiment is that the camera 331 is connected to the sheath 32.
  • the way is bonding.
  • the camera 341 is quickly connected to the sheath 3, and the camera 331 is easily attached and detached to connect the sheath 32, thereby reducing the production cost of the enterprise, and is suitable for mass production and application of the tissue pulverizer.
  • the manner in which the camera 331 is disposed on the sheath 34 is riveting.
  • the structure of the pump body assembly 1, the balloon assembly 2, the endoscope module 3, and the water jet assembly 4 of the present embodiment is the same as that of the fourth embodiment, and the difference from the fourth embodiment is that the camera 331 is connected to the sheath 34.
  • the method is riveting, and the camera 331 is quickly connected with the sheath 34, which reduces the production cost of the enterprise and is suitable for mass production and application of the hysterectomy device.
  • the water jet assembly and the endoscope module and the electric coagulator of the present invention are in a split structure, and the endoscope module and the electric coagulator can be disinfected and reused.
  • the patient's economic burden is reduced, and doctors and observers can view the image of the patient's surgical site in real time through an external workstation, which increases the safety of the operation.

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Abstract

一种组织粉碎器水刀,其包括泵体组件(1)、水刀组件(2)、内窥镜模组(3)及电凝器(4),泵体组件(1)包括泵体(11)及高压管道(12),泵体(11)具有进液口及出液口,进液口连接外部工作站,高压管道(12)的一端连通出液口,水刀组件(2)连接高压管道(12)的另一端,内窥镜模组(3)连接水刀组件(2),内窥镜模组(3)位于高压管道(12)的一侧,内窥镜模组(3)对应水刀组件(2),电凝器(4)的一端贯穿内窥镜模组(3),电凝器(4)位于水刀组件(2)的一侧。水刀组件(2)与内窥镜模组(3)及电凝器(4)为分体式结构,内窥镜模组(3)及电凝器(4)可消毒重复使用,降低患者的经济负担,并且,医生和观察者通过外部工作站实时观看患者手术部位的影像,增加了手术的安全性。

Description

组织粉碎器水刀 技术领域
本发明涉及医用器械技术领域,具体的,涉及一种组织粉碎器水刀。
背景技术
盆腔或腹腔或经皮微创手术时,医生手持电凝刀对患者的细胞组织进行切割,需在患者手术部位插入液体输出管,液体输出管用于抽吸切割的细胞组织,此种手术方式手术时间长,患者并发症的风险高,并且,电凝刀为一次性医疗器械,患者经济负担重。
发明内容
为了解决上述技术问题,本发明提供了一种组织粉碎器水刀,其包括:
泵体组件,其包括:
泵体,具有进液口及出液口;以及
高压管道,高压管道的一端连通出液口;
水刀组件,其连接高压管道的另一端;
内窥镜模组,其连接水刀组件,并位于高压管道的一侧,内窥镜模组对应水刀组件;以及
电凝器,其一端贯穿内窥镜模组,并位于水刀组件的一侧。
根据本发明的一实施方式,上述组织粉碎器水刀还包括手柄,手柄包裹水刀组件。
根据本发明的一实施方式,上述水刀组件包括回流管、外管、进液管及刮刀,回流管位于手柄内,其一端连接高压管道,外管贯穿所述内窥镜模组,其一端连通回流管的另一端,进液管的一端依序贯穿外管与回流管连接高压管道的另一端,刮刀连通进液管的另一端,并对应外管。
根据本发明的一实施方式,上述刮刀具有一液体通道,液体通道连接进液管,液体通道的出口对应外管。
根据本发明的一实施方式,上述水刀组件还包括进水阀,进水阀设置于 进液管及外管。
根据本发明的一实施方式,上述内窥镜模组包括连接杆、鞘套、影像感测组件及USB连接线,连接杆设置于手柄,并包裹水刀组件,鞘套连接连接杆,水刀组件及电凝器位于鞘套内,影像感测组件设置于鞘套的一端,其对应刮刀,USB连接线的一端连接影像感测组件,其另一端连接外部工作站。
根据本发明的一实施方式,上述内窥镜模组包括连接杆、鞘套、影像感测组件及无线发射器,连接杆设置于手柄,并包裹水刀组件,鞘套连接连接杆,水刀组件及电凝器位于鞘套内,影像感测组件设置于鞘套的一端,其对应刮刀,无线发射器电连接影像感测组件,其无线连接外部工作站。
根据本发明的一实施方式,上述影像感测组件包括摄像头及LED灯,LED灯位于摄像头的一侧。
根据本发明的一实施方式,上述摄像头设置于鞘套的方式为焊接或粘接或铆接。
根据本发明的一实施方式,上述电凝器包括驱动滑块及电凝针,驱动滑块设置于手柄内,电凝针的一端连接驱动滑块,其另一端贯穿鞘套。
本发明具有如下优点:
本发明的水刀组件与内窥镜模组及电凝器为分体式结构,内窥镜模组及电凝器可消毒重复使用,降低患者的经济负担,并且,医生和观察者通过外部工作站实时观看患者手术部位的影像,增加了手术的安全性。
附图说明
此处所说明的附图用来提供对本申请的进一步理解,构成本申请的一部分,本申请的示意性实施例及其说明用于解释本申请,并不构成对本申请的不当限定。在附图中:
图1为本发明实施例一的组织粉碎器水刀的立体结构图。
图2为本发明实施例一的组织粉碎器水刀的分解图。
图3为本发明实施例一的泵体组件与水刀组件的连接示意图。
图4为本发明实施例一的刮刀的示意图。
图5为本发明实施例一的内窥镜模组的示意图。
图6为本发明实施例一的内窥镜模组的另一示意图。
图7为本发明实施例二的内窥镜模组的示意图。
图8为本发明实施例二的内窥镜模组的另一示意图。
附图标记说明:
1、泵体组件;11、泵体;12、高压管道;2、水刀组件;21、回流管;22、外管;23、进液管;24、刮刀;241、液体通道;25、进水阀;3、内窥镜模组;31、连接杆;32、鞘套;321、第一通道;322、第二通道;323、第三通道;33、影像感测组件;331、摄像头;332、LED灯;34、USB连接线;4、电凝器;41、驱动滑块;42、电凝针;5、手柄。
具体实施方式
以下将以图式揭露本发明的多个实施方式,为明确说明起见,许多实务上的细节将在以下叙述中一并说明。然而,应了解到,这些实务上的细节不应用以限制本发明。也就是说,在本发明的部分实施方式中,这些实务上的细节是非必要的。此外,为简化图式起见,一些习知惯用的结构与组件在图式中将以简单的示意的方式绘示之。
关于本文中所使用之“第一”、“第二”等,并非特别指称次序或顺位的意思,亦非用以限定本发明,其仅仅是为了区别以相同技术用语描述的组件或操作而已。
本发明为有关于一种组织粉碎器水刀的相关设计。第一方面,本发明的组织粉碎器水刀非常适用于盆腔或腹腔或经皮微创手术中,以便利用医生对患者的盆腔或腹腔或经皮进行切割、消融、剥离或清除等,手术流程快捷,简单, 切除的靶点更加明确和量化,手术时间更短,治疗更可靠,操作完全可控,无物理、化学、生物学等因素对盆腔或腹腔或经皮的负损伤;第二方面,本发明的组织粉碎器水刀也适用于其它各种外科开放性手术中。当本发明的组织粉碎器水刀用于各种外科开放性手术的患者上时,组织粉碎器水刀通入高压液体。另外,本发明提供的组织粉碎器水刀的实施方式可以与外部各种构造的工作站相结合,使得医生和观看者能直观的观察患者手术部位,以便医生和观看者更加方便的观察手术情况,增加了手术的安全性。
为使本发明更易于理解,以下将分五个具体的实施方式进一步详细说明本发明的组织粉碎器水刀及其所带来的好处。需要说明的是,以下的五个具体的实施方式中,主要以组织粉碎器水刀用于盆腔镜、腹腔镜、经皮、内镜或开放性手术时,其内通入高压液体为例进行说明,但这并不构成对本发明的限定。当通入普通液体时,组织粉碎器水刀工作方式及产生的好处与通入高压液体时基本相同,只是使用目的不同。本文中,当液体为高压液体时,高压液体包括高压水流或高压生理盐水流或其他高压液体流,组织粉碎器水刀中高压液体的种类根据组织粉碎器水刀工作时有待切割的对象的种类或物理化学性质灵活选取。
请参阅图1与图2,图1为本发明实施例一的组织粉碎器水刀的立体结构图,图2为本发明实施例一的组织粉碎器水刀的分解图。如图所示,在本发明实施例一中,本发明提供了一种组织粉碎器水刀,其包括泵体组件1、水刀组件2、内窥镜模组3及电凝器4。泵体组件1包括泵体11及高压管道12,泵体11具有进液口及出液口,进液口连接外部工作站,高压管道12的一端连通出液口。水刀组件2连接高压管道12的另一端。内窥镜模组3连接水刀组件2,内窥镜模组3位于高压管道12的一侧,内窥镜模组3对应水刀组件2。电凝器4的一端贯穿内窥镜模组3,电凝器4位于水刀组件2的一侧。医生在盆腔镜、腹腔镜、经皮、内镜或开放性手术时,首先,医生手持组织粉碎器水刀进入患者手术部位,内窥镜模组3传输患者手术部位的影像至外部 工作站,医生和观察者通过外部工作站实时观看患者手术部位的影像,增加了手术的安全性,然后,外部工作站通入液体至泵体11,泵体11将液体加压至预定压力,泵体11通过高压管道12传送预定压力的液体至水刀组件2,医生操作水刀组件2对患者手术部位的组织进行切割、消融、剥离或清除,患者手术部位的组织进行切割、消融、剥离或清除完成后,液体停止通入水刀组件2,最后,电凝器4通入外部电源,电凝器4开始工作,对患者的手术部位凝固止血。
复参阅图2,在本发明实施例一中,组织粉碎器水刀还包括手柄5,手柄5包裹水刀组件2。手柄5方便医生持握组织粉碎器水刀,易于操作组织粉碎器水刀,并且,手柄5具有固定水刀组件2,防止外物撞击水刀组件2,造成组织粉碎器水刀损坏。
再一并参阅图3,其为本发明实施例一的泵体组件1与水刀组件2的连接示意图。如图所示,在本发明实施例一中,水刀组件2包括回流管21、外管22、进液管23、刮刀24及进水阀25。回流管21位于手柄5内,回流管21的一端连接高压管道12。外管22贯穿内窥镜模组3,外管22的一端连通回流管21的另一端,进液管23的一端依序贯穿外管22与回流管21连接高压管道12的另一端,刮刀24连通进液管23的另一端,刮刀24对应外管22。再一并参阅图4,其为本发明实施例一的刮刀24的示意图。如图所示,刮刀24具有一液体通道241,液体通道241连接进液管23,液体通道241的出口对应外管22。进水阀25设置于进液管23与外管22。打开进水阀25,此时,进液管23与高压管道12呈连通状态,外管22呈连通状态,外部工作站通入液体至泵体11,泵体11将液体加压至预定压力,泵体11通过高压管道12传送预定压力的液体至进液管23,进液管23传送预定压力的液体至刮刀24,医生操作刮刀24对患者手术部位的细胞组织进行切割、消融、剥离或清除,刮刀24喷出的液体切割、消融、剥离或清除组织后,液体成为废液,切割、消融、剥离或清除的细胞组织与废液通过外管22传送至回流管21,回流管 21传送废液至废液回收站,无需单独的液体输出管,减少患者的经济负担,降低后续患者感染的风险。并且,水刀组件2切割细胞组织速度快,手术时间明显缩短,水刀组件2具有切割线与同步抽吸细胞组织与废液的功能,无并发症产生。切割、消融、剥离或清除完成后,关闭进水阀25,此时,进液管23与高压管道12呈关闭状态,外管22呈关闭状态。
再一并参阅图5与图6,其分别为本发明实施例一的内窥镜模组3的两个示意图。如图所示,在本发明实施例一中,内窥镜模组3包括连接杆31、鞘套32、影像感测组件33及USB连接线34。连接杆31设置于手柄,连接杆41包裹水刀组件2,连接杆31固定水刀组件2。鞘套32连接连接杆31,鞘套32具有第一通道321、第二通道322及第三通道323,水刀组件2贯穿第一通道321,电凝器4贯穿第二通道322,影像感测组件33贯穿第三通道323,影像感测组件33对应刮刀24,USB连接线34的一端连接影像感测组件33,USB连接线34的另一端连接外部工作站。影像感测组件33包括摄像头331及LED灯332,LED灯331位于摄像头332的一侧。LED灯331为摄像头332拍摄提供光源,并且,内窥镜模组3采用USB连接线33传送摄像头331拍摄的数据,连接方式稳固,传送数据不易被外界干扰。
复参阅图2,在本发明实施例一中,电凝器4包括驱动滑块41及电凝针42,驱动滑块41设置于手柄5内,电凝针42的一端连接驱动滑块41,电凝针42的另一端贯穿鞘套42。医生操作水刀组件2对患者手术部位的组织进行切割、消融、剥离或清除,患者手术部位的组织进行切割、消融、剥离或清除完成后,驱动滑块41驱动电凝针42移动,电凝针42移动至对应患者手术部位的组织,,电凝针42对患者的手术部位凝固止血。
再一并参阅图7与图8,其分别为本发明实施例二的内窥镜模组3的两个示意图。如图所示,本发明实施例二中,内窥镜模组3包括连接杆31、鞘套32、影像感测组件33及无线发射器(图未标示)。连接杆31设置于手柄5,连接杆31包裹水刀组件2,连接杆31固定水刀组件2,鞘套32连接连接杆 31,鞘套32具有第一通道321、第二通道322及第三通道323,水刀组件2贯穿第一通道321,电凝器4贯穿第二通道322,影像感测组件33贯穿第三通道323,影像感测组件33对应刮刀24,无线发射器电连接影像感测组件33,无线发射器无线连接外部工作站。实施例二与实施例一的区别在于,实施例二采用无线发射器作为信号传送方式。无线发射器传送摄像头341拍摄的数据,实现大数据共享,保证手术的成功率。
本发明实施例三中,摄像头331设置于鞘套32的方式为焊接。本实施例的泵体组件1、水刀组件2、内窥镜模组3及电凝器4的结构与实施例二一致,与实施例一及实施例二的区别在于,摄像头331连接鞘套32的连接方式为焊接。采用焊接,摄像头331连接鞘套32稳固,减少组织粉碎器水刀的生产时间与生产成本,在组织粉碎器水刀使用过程中,摄像头331与鞘套32不易松动。
本发明实施例四中,摄像头331设置于鞘套32的方式为粘接。本实施例的泵体组件1、水刀组件2、内窥镜模组3及电凝器4的结构与实施例三一致,与实施例三的区别在于,摄像头331连接鞘套32的连接方式为粘接。摄像头341与鞘套3连接快速,方便拆装摄像头331连接鞘套32,降低企业生产成本,适于组织粉碎器水刀的大规模生产与应用。
本发明实施例五中,摄像头331设置于鞘套34的方式为铆接。本实施例的泵体组件1、球囊组件2、内窥镜模组3及水刀组件4的结构与实施例四一致,与实施例四的区别在于,摄像头331连接鞘套34的连接方式为铆接,摄像头331与鞘套34连接快速,降低企业生产成本,适于子宫切除器的大规模生产与应用。
综上所述,在本发明一或多个实施例中,本发明的水刀组件与内窥镜模组及电凝器为分体式结构,内窥镜模组及电凝器可消毒重复使用,降低患者的经济负担,并且,医生和观察者通过外部工作站实时观看患者手术部位的影像,增加了手术的安全性。
上仅为本发明的实施方式而已,并不用于限制本发明。对于本领域技术人员来说,本发明可以有各种更改和变化。凡在本发明的精神和原理的内所作的任何修改、等同替换、改进等,均应包括在本发明的权利要求范围之内。

Claims (10)

  1. 一种组织粉碎器水刀,其特征在于,包括:
    泵体组件,其包括:
    泵体,具有进液口及出液口;以及
    高压管道,所述高压管道的一端连通出液口;
    水刀组件,其连接所述高压管道的另一端;
    内窥镜模组,其连接所述水刀组件,并位于所述高压管道的一侧,所述内窥镜模组对应所述水刀组件;以及
    电凝器,其一端贯穿所述内窥镜模组,并位于所述水刀组件的一侧。
  2. 根据权利要求1所述的组织粉碎器水刀,其特征在于:还包括手柄,手柄包裹所述水刀组件。
  3. 根据权利要求2所述的组织粉碎器水刀,其特征在于:所述水刀组件包括回流管、外管、进液管及刮刀,所述回流管位于所述手柄内,其一端连接所述高压管道,所述外管贯穿所述内窥镜模组,其一端连通所述回流管的另一端,所述进液管的一端依序贯穿所述外管与所述回流管连接所述高压管道的另一端,所述刮刀连通所述进液管的另一端,并对应所述外管。
  4. 根据权利要求3所述的组织粉碎器水刀,其特征在于:所述刮刀具有一液体通道,所述液体通道连接所述进液管,所述液体通道的出口对应所述外管。
  5. 根据权利要求3所述的组织粉碎器水刀,其特征在于:所述水刀组件还包括进水阀,所述进水阀设置于所述进液管及所述外管。
  6. 根据权利要求4所述的组织粉碎器水刀,其特征在于:所述内窥镜模组包括连接杆、鞘套、影像感测组件及USB连接线,所述连接杆设置于所述手柄,并包裹所述水刀组件,所述鞘套连接所述连接杆,所述水刀组件及电凝器位于所述鞘套内,所述影像感测组件设置于所述鞘套的一端,其对应所述刮刀,所述USB连接线的一端连接所述影像感测组件,其另一端连接外部工作站。
  7. 根据权利要求4所述的组织粉碎器水刀,其特征在于:所述内窥镜模组包括连接杆、鞘套、影像感测组件及无线发射器,所述连接杆设置于所述手柄,并包裹所述水刀组件,所述鞘套连接所述连接杆,所述水刀组件及电凝器位于所述鞘套内,所述影像感测组件设置于所述鞘套的一端,其对应所述刮刀,所述无线发射器电连接所述影像感测组件,其无线连接外部工作站。
  8. 根据权利要求6或7任一项所述的组织粉碎器水刀,其特征在于:所述影像感测组件包括摄像头及LED灯,所述LED灯位于所述摄像头的一侧。
  9. 根据权利要求8所述的组织粉碎器水刀,其特征在于:所述摄像头设置于所述鞘套的方式为焊接或粘接或铆接。
  10. 根据权利要求8所述的组织粉碎器水刀,其特征在于:所述电凝器包括驱动滑块及电凝针,所述驱动滑块设置于所述手柄内,所述电凝针的一端连接所述驱动滑块,其另一端贯穿所述鞘套。
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