WO2024051459A1 - 一种高效抑菌微创大隐静脉采集装置 - Google Patents

一种高效抑菌微创大隐静脉采集装置 Download PDF

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Publication number
WO2024051459A1
WO2024051459A1 PCT/CN2023/113339 CN2023113339W WO2024051459A1 WO 2024051459 A1 WO2024051459 A1 WO 2024051459A1 CN 2023113339 W CN2023113339 W CN 2023113339W WO 2024051459 A1 WO2024051459 A1 WO 2024051459A1
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WO
WIPO (PCT)
Prior art keywords
bacteriostatic
handle
cutter
collection device
minimally invasive
Prior art date
Application number
PCT/CN2023/113339
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English (en)
French (fr)
Inventor
徐灿
王东进
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南京鼓楼医院
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Application filed by 南京鼓楼医院 filed Critical 南京鼓楼医院
Publication of WO2024051459A1 publication Critical patent/WO2024051459A1/zh

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Classifications

    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B17/320016—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes
    • A61B17/32002—Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00—Instruments, 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
    • A61B90/70—Cleaning devices specially adapted for surgical instruments
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61L—METHODS OR APPARATUS FOR STERILISING MATERIALS OR OBJECTS IN GENERAL; DISINFECTION, STERILISATION OR DEODORISATION OF AIR; CHEMICAL ASPECTS OF BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES; MATERIALS FOR BANDAGES, DRESSINGS, ABSORBENT PADS OR SURGICAL ARTICLES
    • A61L2/00—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor
    • A61L2/02—Methods or apparatus for disinfecting or sterilising materials or objects other than foodstuffs or contact lenses; Accessories therefor using physical phenomena
    • A61L2/08—Radiation
    • A61L2/10—Ultraviolet radiation
    • B—PERFORMING OPERATIONS; TRANSPORTING
    • B08—CLEANING
    • B08B—CLEANING IN GENERAL; PREVENTION OF FOULING IN GENERAL
    • B08B9/00—Cleaning hollow articles by methods or apparatus specially adapted thereto 
    • B08B9/02—Cleaning pipes or tubes or systems of pipes or tubes
    • B08B9/027—Cleaning the internal surfaces; Removal of blockages
    • B08B9/04—Cleaning the internal surfaces; Removal of blockages using cleaning devices introduced into and moved along the pipes
    • B08B9/043—Cleaning the internal surfaces; Removal of blockages using cleaning devices introduced into and moved along the pipes moved by externally powered mechanical linkage, e.g. pushed or drawn through the pipes
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/0046—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable
    • A61B2017/00469—Surgical instruments, devices or methods, e.g. tourniquets with a releasable handle; with handle and operating part separable for insertion of instruments, e.g. guide wire, optical fibre
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B2017/00743—Type of operation; Specification of treatment sites
    • A61B2017/00778—Operations on blood vessels
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B2017/320056—Tunnelers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32—Surgical cutting instruments
    • A61B2017/320064—Surgical cutting instruments with tissue or sample retaining means
    • Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
    • Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
    • Y02A—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE
    • Y02A50/00—TECHNOLOGIES FOR ADAPTATION TO CLIMATE CHANGE in human health protection, e.g. against extreme weather
    • Y02A50/30—Against vector-borne diseases, e.g. mosquito-borne, fly-borne, tick-borne or waterborne diseases whose impact is exacerbated by climate change

Definitions

  • the invention relates to the technical field of medical devices, specifically an efficient antibacterial and minimally invasive great saphenous vein collection device.
  • a graft vessel In bypass surgery, a graft vessel (target vessel) must be harvested from the patient's body, usually the great saphenous vein or radial artery. In traditional surgery, the skin and muscle tissue must be completely peeled off, and the target blood vessels and collateral blood vessels must be separated under direct vision. Surgery generally requires an incision in the patient's leg or arm that is equivalent to the length of the target blood vessel, usually 20-25cm.
  • the patient's intraoperative trauma is large, the postoperative recovery time is long, the chance of infection is high, the pain is intense and lasts for a long time, and the scar is obvious after recovery.
  • the minimally invasive endoscopic blood vessel collection system can help doctors perform minimally invasive surgeries on the legs or arms.
  • the doctor only needs to make 1 to 2 small incisions of 1-2cm on the patient's legs or forearms, and can easily The desired target blood vessel is removed.
  • This method causes very little intraoperative trauma to the patient, reduces the chance of infection and complications, reduces pain, shortens postoperative recovery time, and is more aesthetically pleasing.
  • Chinese patent CN106943175A discloses a minimally invasive great saphenous vein collection device.
  • the blood vessel protection sleeve is inserted inside the sleeve cutter, and the sleeve cutter is inserted inside the tissue fixation sleeve;
  • the first gear at the tail end of the sleeve cutter Located outside the tail end of the tissue fixation sleeve, the first gear is threaded with the external thread at the tail end of the blood vessel protection sleeve;
  • the transmission device includes a front support body and a rear support body, and the tail end of the tissue fixation sleeve is fixed on the front support At the front through hole of the body, the tail end of the blood vessel protection sleeve is fixed at the rear through hole of the rear support body; a rotating shaft and a second gear meshed with the first gear are provided between the front support body and the rear support body; the driving device and Rotating shaft connection.
  • the invention has a simple structure, reasonable design and low cost; is simple to operate and easy to master; has little trauma to the patient and is highly safe; and the vein collection time is short, with an average collection time of 2-3 minutes for each blood vessel, which is only the best currently. 1/10 of the endoscope collection system, improving surgical efficiency.
  • the cannula cutter is directly exposed to the outside world.
  • the cannula cutter may come into contact with objects containing germs during use, which reduces the bacteriostatic function of the cannula cutter. Poor performance.
  • the purpose of the present invention is to provide an efficient antibacterial and minimally invasive great saphenous vein collection device to solve the problems raised in the above background technology.
  • an efficient bacteriostatic minimally invasive great saphenous vein collection device including a handle, a cannula cutter and a protective cannula.
  • the protective cannula is arranged on the cannula cutter. the inside of the knife, and the casing
  • the cutter is rotatably connected to the protective sleeve, and the protective sleeve runs through the handle.
  • a driving mechanism for driving the sleeve cutter to move relative to the handle is provided in the handle.
  • One end of the handle is fixed.
  • a bacteriostatic cylinder is installed, and the casing cutter penetrates the bacteriostatic cylinder.
  • a UV lamp is fixedly installed inside the bacteriostatic cylinder.
  • the end of the bacteriostatic cylinder is provided with a device for cutting the casing cutter. Clean cleaning agency.
  • the cleaning mechanism includes a fixed cap and a cleaning cotton.
  • the fixed cap is threadedly installed at the end of the bacteriostatic cylinder.
  • the cleaning cotton is arranged in an annular shape.
  • the casing cutter It penetrates the cleaning cotton, and the inner ring wall of the cleaning cotton is in contact with the outer wall of the casing cutter.
  • a plurality of fixed posts are fixedly installed on the end wall of the bacteriostatic cylinder, a through hole is provided on the bottom wall of the fixed cap, a blocking ring is provided in the through hole, and the fixed posts The bottom end is fixedly connected to the blocking ring, and the casing cutter penetrates the blocking ring.
  • the driving mechanism includes a threaded tube and a nut.
  • the threaded tube is sleeved on the outer wall of the casing cutter, and the threaded tube is arranged inside the handle.
  • the nut Fixedly installed inside the handle, the threaded tube penetrates the nut, and the threaded tube is threadedly connected to the nut.
  • the end of the threaded tube away from the nut is equipped with a first gear, and the inside of the grip A driving component for driving the first gear to rotate is provided.
  • the driving assembly includes a second gear and a motor.
  • the second gear is rotatably installed inside the handle.
  • the second gear meshes with the first gear.
  • the motor It is fixedly installed in the handle, and the output end of the motor is transmission connected with the second gear.
  • a limiting column is fixedly installed inside the handle, and a slip ring is slidably mounted on the limiting column.
  • the slip ring is fixedly connected to the outer wall of the protective sleeve through a connecting rod.
  • the top of the handle is provided with a fixing mechanism for fixing the guide wire
  • the fixing mechanism includes a support seat, the support seat is coaxially arranged with the casing cutter, and the A groove is provided on the support seat, and the groove is connected with the inner cavity of the handle.
  • Two clamp seats are symmetrically arranged in the groove, and both clamp seats are connected to the support through connecting posts.
  • the base is rotatably connected, and the two connecting columns are equipped with torsion springs.
  • the side walls of the clamp base are fixedly equipped with adjustment plates.
  • the clamp base includes a clamping part and a rotating part, the connecting column is fixedly installed on the rotating part, the clamping part is set in a triangle, and the clamping part is provided with an inclined A plurality of fixing protrusions are provided on the inclined surface.
  • the beneficial effects of the present invention are: during the operation, the present invention first incises the skin at both ends of the vein to be harvested and cuts off the vein, retains the end veins for ligation, and then removes the guide wire from the protective sheath.
  • the inside of the tube is passed through, and the guide wire is passed through the inside of the vein.
  • the guide wire is led out from the skin incision, and then the cannula cutter is driven distally through the driving mechanism. Move away from the handle to insert the cannula cutter into the tissue.
  • the blood vessel is always inside the protective cannula, thereby protecting the blood vessel and preventing the cannula cutter from cutting the blood vessel.
  • the casing cutter can be protected to avoid contact between the casing cutter and the external environment.
  • the casing cutter can be disinfected through the ultraviolet lamp inside the antibacterial cylinder, which plays an efficient antibacterial role.
  • the cleaning mechanism can The blood on the casing cutter is cleaned during the expansion and retraction process of the casing cutter to avoid the growth of bacteria.
  • Figure 1 is a schematic diagram of the three-dimensional structure of the present invention.
  • Figure 2 is an enlarged structural schematic diagram of position A in Figure 1 of the present invention.
  • Figure 3 is a schematic cross-sectional structural diagram of the present invention.
  • FIG 4 is an enlarged structural schematic diagram of B in Figure 3 of the present invention.
  • Figure 5 is a schematic cross-sectional structural diagram of the casing cutter of the present invention.
  • Figure 6 is a schematic cross-sectional structural view of the cleaning mechanism of the present invention.
  • Figure 7 is a schematic cross-sectional structural view of the fixing mechanism of the present invention when fixing the guide wire;
  • Figure 8 is a schematic three-dimensional structural diagram of the fixation mechanism of the present invention when fixing the guide wire;
  • Figure 9 is a schematic cross-sectional structural diagram of the fixation mechanism of the present invention during the process of inserting the guide wire;
  • Figure 10 is a schematic three-dimensional structural diagram of the clamp seat of the present invention.
  • Fig. 11 is an enlarged structural schematic diagram of C in Fig. 10 of the present invention.
  • an efficient bacteriostatic minimally invasive great saphenous vein collection device includes a handle 1, a cannula cutter 3 and a protective cannula 8.
  • the protective cannula 8 is used to cut blood vessels.
  • the protective sleeve 8 is arranged inside the casing cutter 3, and the casing cutter 3 is rotationally connected to the protective sleeve 8, that is, the casing cutter 3 can be opposite to each other.
  • the protective sleeve 8 rotates, but the protective sleeve 8 cannot slide relative to the casing cutter 3.
  • the protective sleeve 8 penetrates the handle 1, and the handle 1 is provided with a device for driving the casing cutter 3 to hold it relative to the casing cutter 3.
  • An antibacterial tube 2 is fixedly installed at one end of the handle 1.
  • the casing cutter 3 penetrates the antibacterial tube 2.
  • An ultraviolet lamp is fixedly installed inside the antibacterial tube 2.
  • Tube 4 the end of the bacteriostatic tube 2 is provided with a cleaning mechanism 6 for cleaning the cannula cutter 3; during the operation, first incise the skin at both ends of the vein to be removed and cut off the vein, retaining the end veins Ligate, then pass the guide wire 17 through the inside of the protective cannula 8, and pass the guide wire 17 through the inside of the vein.
  • the guide wire 17 is led out from the skin incision, and then drives the cannula cutter 3 through the driving mechanism.
  • the blood vessels are always located inside the protective cannula 8, thereby protecting the blood vessels and preventing the cannula cutter 3 from cutting.
  • the cannula cutter 3 can be protected through the antibacterial tube 2 to prevent the cannula cutter 3 from contacting the external environment.
  • the cannula cutter 3 can be disinfected through the ultraviolet lamp 4 inside the antibacterial tube 2. It plays an efficient antibacterial role.
  • the cleaning mechanism 6 can clean the blood on the casing cutter 3 during the expansion and contraction process of the casing cutter 3, thereby avoiding the breeding of bacteria.
  • the cleaning mechanism 6 includes a fixed cap 61 and a cleaning cotton 62.
  • the fixed cap 61 is threadedly installed at the end of the bacteriostatic cylinder 2, and the cleaning cotton 62 is arranged in a circular shape.
  • the casing cutter 3 penetrates the cleaning cotton 62, and the inner ring wall of the cleaning cotton 62 is in contact with the outer wall of the casing cutter 3; the cleaning cotton 62 can be fixed through the fixing cap 61, When replacing the cleaning cotton 62, you only need to unscrew the fixed cap 61, and then take out the cleaning cotton 62 for replacement.
  • the size of the chamber formed between the fixed cap 61 and the antibacterial cylinder 2 can be adjusted by rotating the fixed cap 61, thereby Adjust the pressure of the cleaning cotton 62 on the casing cutter 3 to adjust the cleaning intensity.
  • the driving mechanism includes a threaded tube 9 and a nut 10.
  • the threaded tube 9 is sleeved on the outer wall of the casing cutter 3.
  • the outer wall of the threaded tube 9 is threaded, and the The threaded tube 9 is arranged inside the handle 1, the nut 10 is fixedly installed inside the handle 1, the threaded tube 9 penetrates the nut 10, and the threaded tube 9 and the nut 10 Threaded connection, the end of the threaded tube 9 away from the nut 10 is covered with a first gear 11 , and a driving assembly for driving the rotation of the first gear 11 is provided in the handle 1 .
  • the driving assembly includes a second gear 12 and a motor 13.
  • the second gear 12 is rotatably installed inside the handle 1.
  • the second gear 12 is connected to the first gear. 11 meshes with each other, the length of the second gear 12 is longer than the length of the first gear 11, the motor 13 is fixedly installed in the handle 1, and the output end of the motor 13 is drivingly connected to the second gear 12;
  • the handle 1 is provided with a button, and the handle 1 is provided with a battery.
  • the battery is electrically connected to the motor 13 through the button.
  • the second gear 12 When the second gear 12 rotates, it drives the first gear 11 to rotate.
  • the first gear 11 When the first gear 11 rotates, it drives the threaded tube 9 to rotate.
  • the threaded tube 9 is threadedly connected to the nut 10, so that the threaded tube 9 can move relative to the handle 1 when rotating, thereby driving the casing cutter 3 to rotate and move relative to the handle 1, so that the casing cutter 3 can better cut the tissue Make the cut.
  • the end of the cannula cutter 3 away from the handle 1 is provided with a blade 7.
  • the blade 7 is preferably wavy, and the tissue can be cut by the blade 7.
  • a limiting column 16 is fixedly installed in the handle 1.
  • the limiting column 16 and the threaded pipe 9 are arranged parallel to each other.
  • a slip ring 15 is slidably installed on the limiting column 16.
  • the ring 15 is fixedly connected to the outer wall of the protective sleeve 8 through the connecting rod 14; through the setting of the limiting column 16 and the slip ring 15, the protective sleeve 8 can only move relative to the handle 1 and cannot rotate relative to the handle 1. This prevents the cannula cutter 3 from causing the protective cannula 8 to rotate when it rotates, and prevents the rotation of the protective cannula 8 from damaging the blood vessel.
  • a plurality of fixing posts 63 are fixedly installed on the end wall of the bacteriostatic cylinder 2, and a through hole is provided on the bottom wall of the fixing cap 61.
  • a sealing seal is provided in the through hole.
  • Blocking ring 64, the bottom end of the fixed column 63 is fixedly connected to the blocking ring 64, and the casing cutter 3 penetrates the blocking ring 64; when the cleaning cotton 62 absorbs more blood and affects the cleaning effect, Part of the blood on the cleaning cotton 62 can be squeezed out by tightening the fixing cap 61.
  • the fixing cap 61 is tightened so that the fixing cap 61 compresses the cleaning cotton 62.
  • the sealing ring 64 moves from the passage Move out of the hole, so that the blood squeezed out from the cleaning cotton 62 can flow out through the through hole, and the blood can be squeezed out more conveniently for cleaning; at the same time, through the setting of the blocking ring 64, cleaning during the operation is The blood on the cotton 62 is difficult to escape through the through holes.
  • the top of the grip 1 is provided with a fixing mechanism 5 for fixing the guide wire 17.
  • the fixing mechanism 5 includes a support base 51.
  • the seat 51 is coaxially arranged with the casing cutter 3.
  • a groove is provided on the support seat 51.
  • the groove is connected with the inner cavity of the handle 1.
  • Two symmetrical grooves are arranged in the groove.
  • Two clamping seats 52 are rotatably connected to the support base 51 through a connecting column 54 .
  • Both connecting columns 54 are equipped with torsion springs 55 , and one end of the torsion spring 55 is connected to the connecting column 54 Fixed connection, the other end of the torsion spring 55 is fixedly connected to the support seat 51.
  • the setting of the torsion spring 55 makes the two clamp seats 52 fit and squeeze together in a natural state.
  • the side walls of the clamp seats 52 are fixedly installed with Adjusting the plate 53, pressing the two adjusting plates 53 at the same time can separate the two clamping seats 52 from each other.
  • the clamp base 52 includes a clamping part 522 and a rotating part 521
  • the connecting column 54 is fixedly installed on the rotating part 521
  • the clamping part 522 is configured in a triangular shape
  • the The clamping portion 522 is provided with an inclined surface 523
  • a plurality of fixing protrusions 56 are provided on the inclined surface 523.
  • the fixing protrusions 56 are preferably made of non-slip and elastic rubber material; during the operation, first press the two adjustment plates 53 at the same time, and when the adjustment plates 53 are pressed, the clamp base 52 is rotated, so that the two adjustment plates 53 are rotated.
  • the first clamp seat 52 is in the state shown in Figure 9, then slide one end of the guide wire 17 into the groove along the inclined surface 523 of the clamp seat 52, and then accurately insert the protective sleeve through the gap between the two clamp seats 52 8, the guide wire 17 passes through the protective sleeve 8 and passes through a certain length from the other end, and then releases the adjustment plate 53.
  • the clamp base 52 rotates reversely under the action of the torsion spring 55 to as shown in Figure 7 state, the relatively arranged fixing protrusions 56 are brought close to each other, thereby clamping the guide wire 17, so that the guide wire 17 can guide the movement of the cannula cutter 3 during the operation, and facilitate the fixation of the guide wire 17, reducing the the difficulty of surgery.
  • the clamp base 52 reversely rotates to the state shown in Figure 7 under the action of the torsion spring 55, so that the oppositely arranged fixed protrusions 56 are close to each other, thereby clamping the guide wire 17, and then Cut the skin at both ends of the vein to be harvested and cut off the vein, leaving the end veins ligated, then pass the guide wire 17 through the inside of the vein, the end of the guide wire 17 is led out from the skin incision, and then driven by the driving mechanism
  • the cannula cutter 3 moves in the direction away from the handle 1, so that the cannula cutter 3 is inserted into the tissue.
  • the blood vessels are always located inside the protective cannula 8, thereby protecting the blood vessels and preventing the cannula from being cut.
  • the casing cutter 3 When the cutter 3 cuts the blood vessel, the casing cutter 3 can be protected by the antibacterial tube 2 to prevent the casing cutter 3 from contacting the external environment.
  • the ultraviolet lamp 4 inside the antibacterial tube 2 can cut the casing.
  • the knife 3 is disinfected and has an efficient antibacterial effect.
  • the cleaning mechanism 6 can clean the blood on the casing cutter 3 during the expansion and contraction process of the casing cutter 3, thereby avoiding the breeding of bacteria; when the motor 13 is turned on, The output end of the motor 13 drives the second gear 12 to rotate. When the second gear 12 rotates, it drives the first gear 11 to rotate. When the first gear 11 rotates, it drives the threaded tube 9 to rotate.
  • the threaded tube 9 is threadedly connected to the nut 10, so that the threaded tube 9 can move relative to the handle 1 when rotating, thereby driving the cannula cutter 3 to rotate relative to the handle 1, so that the cannula cutter 3 can better cut tissue; the cleaning cotton 62 can be removed through the fixed cap 61 When fixing and replacing the cleaning cotton 62, you only need to unscrew the fixing cap 61, and then take out the cleaning cotton 62 and replace it. By rotating the fixing cap 61, the cavity formed between the fixing cap 61 and the antibacterial cylinder 2 can be adjusted.
  • the cleaning cotton 62 can be tightened by tightening the fixed cap 61.
  • a part of the blood is squeezed out.
  • the fixed cap 61 is tightened, so that the fixed cap 61 compresses the cleaning cotton 62.
  • the blocking ring 64 is moved out of the through hole, so that the blood squeezed out from the cleaning cotton 62 is The blood can flow out through the through hole, and the blood can be squeezed out more conveniently for cleaning.

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Abstract

本发明涉及医疗器械技术领域，公开了一种高效抑菌微创大隐静脉采集装置，包括握把、套管切刀和保护套管，所述保护套管设置在所述套管切刀的内部，且所述套管切刀与所述保护套管转动连接，所述保护套管贯穿所述握把，所述握把内设置有用于驱动套管切刀相对握把移动的驱动机构，所述握把的一端固定安装有抑菌筒；本发明通过抑菌筒可对套管切刀进行保护，避免套管切刀与外界环境相接触，通过抑菌筒内部的紫外灯管能够对套管切刀进行消毒，起到高效抑菌的作用，通过清洁机构能够在套管切刀伸缩的过程中对套管切刀上的血液进行清洁，从而避免滋生细菌。

Description

一种高效抑菌微创大隐静脉采集装置 技术领域
本发明涉及医疗器械技术领域，具体是一种高效抑菌微创大隐静脉采集装置。
背景技术
在搭桥手术中，必须由患者体内采集一根桥血管(目标血管)，现在通常选取大隐静脉或桡动脉。在传统的手术中，要将皮肤，肌肉组织完全剥离，直视下将目标血管与侧枝血管分离。手术一般要在患者腿部或手臂部切开一个与目标血管长度相当的切口，通常20-25cm。患者的术中创伤大，术后恢复时间长，感染的机会大，疼痛感强烈并且持续时间长，恢复后疤痕明显。现在微创内窥镜血管采集系统可以帮助医生在腿部或手臂实施微创手术，医生只需要在病人腿部或者前臂上切开1至2个1-2cm的小切口，就可以轻易的将所要目标血管取出。此方法对病人术中创伤非常小，降低感染和并发症机率，减小疼痛感，缩短术后恢复时间，也更加美观。
中国专利CN106943175A公开了一种微创大隐静脉采集装置，血管保护套管穿设于套管切刀内部，套管切刀穿设于组织固定套管内部；套管切刀尾端的第一齿轮位于组织固定套管尾端外部，第一齿轮由内螺纹螺合在血管保护套管尾端的外螺纹上；传动装置包括前支撑体和后支撑体，组织固定套管的尾端固定在前支撑体的前通孔处，血管保护套管的尾端固定在后支撑体的后通孔处；前支撑体与后支撑体间设转动轴和与第一齿轮啮合的第二齿轮；驱动装置与转动轴连接。该发明结构简单，设计合理，成本低廉；操作简单，易于掌握；对于病人的创伤小，安全性高；静脉采集用时短，平均每根血管采集时间2-3分钟，用时仅为目前最好的内窥镜采集系统的1/10，提高手术效率。
然而，该大隐静脉采集装置在对血管进行采集时，套管切刀直接暴露在外界中，套管切刀在使用过程中可能会接触到含有病菌的物体，使得套管切刀的抑菌性能较差。
因此，有必要提供一种高效抑菌微创大隐静脉采集装置解决上述技术问题。
发明内容
本发明的目的在于提供一种高效抑菌微创大隐静脉采集装置，以解决上述背景技术中提出的问题。
为了实现上述目的，本发明提供如下技术方案：一种高效抑菌微创大隐静脉采集装置，包括握把、套管切刀和保护套管，所述保护套管设置在所述套管切刀的内部，且所述套管 切刀与所述保护套管转动连接，所述保护套管贯穿所述握把，所述握把内设置有用于驱动套管切刀相对握把移动的驱动机构，所述握把的一端固定安装有抑菌筒，所述套管切刀贯穿所述抑菌筒，所述抑菌筒的内部固定安装有紫外灯管，所述抑菌筒的端部设置有用于对套管切刀进行清洁的清洁机构。
作为本发明的进一步方案，所述清洁机构包括固定帽和清洁棉，所述固定帽螺纹安装在所述抑菌筒的端部，所述清洁棉设置为圆环形，所述套管切刀贯穿所述清洁棉，且所述清洁棉的内环壁与所述套管切刀的外壁相接触。
作为本发明的进一步方案，所述抑菌筒的端壁固定安装有多个固定柱，所述固定帽的底壁开设有通孔，所述通孔内设置有封堵环，所述固定柱的底端与所述封堵环固定连接，所述套管切刀贯穿所述封堵环。
作为本发明的进一步方案，所述驱动机构包括螺纹管和螺母，所述螺纹管套装在所述套管切刀的外壁上，且所述螺纹管设置在所述握把的内部，所述螺母固定安装于所述握把的内部，所述螺纹管贯穿所述螺母，且所述螺纹管与所述螺母螺纹连接，所述螺纹管远离螺母的一端套装有第一齿轮，所述握把内设置有用于驱动所述第一齿轮自转的驱动组件。
作为本发明的进一步方案，所述驱动组件包括第二齿轮和电机，所述第二齿轮转动安装于所述握把的内部，所述第二齿轮与所述第一齿轮相啮合，所述电机固定安装于所述握把内，所述电机的输出端与所述第二齿轮传动连接。
作为本发明的进一步方案，所述握把内固定安装有限位柱，所述限位柱上滑动安装有滑环，所述滑环通过连接杆与所述保护套管的外壁固定连接。
作为本发明的进一步方案，所述握把的顶端设置有用于对导丝进行固定的固定机构，所述固定机构包括支撑座，所述支撑座与所述套管切刀同轴设置，所述支撑座上开设有凹槽，所述凹槽与所述握把的内腔相连通，所述凹槽内对称设置有两个夹座，两个所述夹座均通过连接柱与所述支撑座转动连接，两个所述连接柱上均套装有扭簧，所述夹座的侧壁固定安装有调节板。
作为本发明的进一步方案，所述夹座包括夹持部和旋转部，所述连接柱固定安装在所述旋转部上，所述夹持部设置为三角形，所述夹持部上设置有倾斜面，所述倾斜面上设置有多个固定凸起。
与现有技术相比，本发明的有益效果是：本发明在手术时先在待取静脉的两端皮肤处切开皮肤并切断静脉，保留端静脉结扎，然后将引导用导丝从保护套管的内部穿过，并将导丝从静脉的内部穿过，导丝从皮肤切口处引出，然后通过驱动机构驱动套管切刀朝着远 离握把的方向移动，使套管切刀插入组织内部，在对组织进行切割时，血管始终位于保护套管内部，从而对血管进行保护，防止套管切刀切割到血管，通过抑菌筒可对套管切刀进行保护，避免套管切刀与外界环境相接触，通过抑菌筒内部的紫外灯管能够对套管切刀进行消毒，起到高效抑菌的作用，通过清洁机构能够在套管切刀伸缩的过程中对套管切刀上的血液进行清洁，从而避免滋生细菌。
附图说明
图1为本发明的三维结构示意图；
图2为本发明图1的A处放大结构示意图；
图3为本发明的剖面结构示意图；
图4为本发明图3的B处放大结构示意图；
图5为本发明的套管切刀的剖面结构示意图；
图6为本发明的清洁机构的剖面结构示意图；
图7为本发明的固定机构在对导丝进行固定时的剖面结构示意图；
图8为本发明的固定机构在对导丝进行固定时的三维结构示意图；
图9为本发明的固定机构在穿入导丝过程中的剖面结构示意图；
图10为本发明的夹座的三维结构示意图；
图11为本发明图10的C处放大结构示意图。
图中：1、握把；2、抑菌筒；3、套管切刀；4、紫外灯管；5、固定机构；51、支撑座；52、夹座；521、旋转部；522、夹持部；523、倾斜面；53、调节板；54、连接柱；55、扭簧；56、固定凸起；6、清洁机构；61、固定帽；62、清洁棉；63、固定柱；64、封堵环；7、刀刃；8、保护套管；9、螺纹管；10、螺母；11、第一齿轮；12、第二齿轮；13、电机；14、连接杆；15、滑环；16、限位柱；17、导丝。
具体实施方式
下面将结合本发明实施例中的附图，对本发明实施例中的技术方案进行清楚、完整地描述，显然，所描述的实施例仅仅是本发明一部分实施例，而不是全部的实施例。基于本发明中的实施例，本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其他实施例，都属于本发明保护的范围。
请参阅图1～5，本发明实施例中，一种高效抑菌微创大隐静脉采集装置，包括握把1、套管切刀3和保护套管8，保护套管8用于对血管进行保护，所述保护套管8设置在所述套管切刀3的内部，且所述套管切刀3与所述保护套管8转动连接，即套管切刀3可相对 保护套管8转动，但保护套管8无法相对套管切刀3滑动，所述保护套管8贯穿所述握把1，所述握把1内设置有用于驱动套管切刀3相对握把1移动的驱动机构，所述握把1的一端固定安装有抑菌筒2，所述套管切刀3贯穿所述抑菌筒2，所述抑菌筒2的内部固定安装有紫外灯管4，所述抑菌筒2的端部设置有用于对套管切刀3进行清洁的清洁机构6；手术时先在待取静脉的两端皮肤处切开皮肤并切断静脉，保留端静脉结扎，然后将引导用导丝17从保护套管8的内部穿过，并将导丝17从静脉的内部穿过，导丝17从皮肤切口处引出，然后通过驱动机构驱动套管切刀3朝着远离握把1的方向移动，使套管切刀3插入组织内部，在对组织进行切割时，血管始终位于保护套管8内部，从而对血管进行保护，防止套管切刀3切割到血管，通过抑菌筒2可对套管切刀3进行保护，避免套管切刀3与外界环境相接触，通过抑菌筒2内部的紫外灯管4能够对套管切刀3进行消毒，起到高效抑菌的作用，通过清洁机构6能够在套管切刀3伸缩的过程中对套管切刀3上的血液进行清洁，从而避免滋生细菌。
本实施例中，优选的，所述清洁机构6包括固定帽61和清洁棉62，所述固定帽61螺纹安装在所述抑菌筒2的端部，所述清洁棉62设置为圆环形，所述套管切刀3贯穿所述清洁棉62，且所述清洁棉62的内环壁与所述套管切刀3的外壁相接触；通过固定帽61可对清洁棉62进行固定，更换清洁棉62时，仅需将固定帽61拧下，再将清洁棉62取出更换即可，通过旋转固定帽61可调节固定帽61与抑菌筒2之间形成的腔室的大小，从而调节清洁棉62对套管切刀3的压力，从而对清洁力度进行调节。
本实施例中，优选的，所述驱动机构包括螺纹管9和螺母10，所述螺纹管9套装在所述套管切刀3的外壁上，螺纹管9的外壁开设有螺纹，且所述螺纹管9设置在所述握把1的内部，所述螺母10固定安装于所述握把1的内部，所述螺纹管9贯穿所述螺母10，且所述螺纹管9与所述螺母10螺纹连接，所述螺纹管9远离螺母10的一端套装有第一齿轮11，所述握把1内设置有用于驱动所述第一齿轮11自转的驱动组件。
本实施例中，优选的，所述驱动组件包括第二齿轮12和电机13，所述第二齿轮12转动安装于所述握把1的内部，所述第二齿轮12与所述第一齿轮11相啮合，第二齿轮12的长度比第一齿轮11的长度长，所述电机13固定安装于所述握把1内，所述电机13的输出端与所述第二齿轮12传动连接；握把1上设置有按钮，握把1内设置有蓄电池，蓄电池通过按钮与电机13电性连接，按钮设置有两个，一个按钮控制电机13的输出端正传，另一个按钮控制电机13的输出端反转；电机13开启时，电机13的输出端带动第二齿轮12旋转，第二齿轮12旋转时带动第一齿轮11旋转，第一齿轮11旋转时带动螺纹管9旋转，而 螺纹管9与螺母10螺纹连接，使得螺纹管9旋转时能够相对握把1移动，从而带动套管切刀3旋转的同时相对握把1移动，使得套管切刀3能够更好的对组织进行切割。
本实施例中，优选的，所述套管切刀3远离握把1的一端设置有刀刃7，刀刃7优选为波浪形，通过刀刃7可对组织进行切割。
本实施例中，优选的，所述握把1内固定安装有限位柱16，限位柱16与螺纹管9相互平行设置，所述限位柱16上滑动安装有滑环15，所述滑环15通过连接杆14与所述保护套管8的外壁固定连接；通过限位柱16和滑环15的设置，使得保护套管8只能相对握把1移动，无法相对握把1旋转，从而避免套管切刀3旋转时带动保护套管8旋转，避免保护套管8的旋转损伤血管。
请参阅图6，本发明实施例中，所述抑菌筒2的端壁固定安装有多个固定柱63，所述固定帽61的底壁开设有通孔，所述通孔内设置有封堵环64，所述固定柱63的底端与所述封堵环64固定连接，所述套管切刀3贯穿所述封堵环64；当清洁棉62吸附血液较多影响清洁效果时，可通过拧紧固定帽61的方式将清洁棉62上的血液挤出一部分，操作时拧紧固定帽61，使固定帽61对清洁棉62进行压缩，同时固定帽61移动时使封堵环64从通孔内移出，从而使从清洁棉62上挤出的血液能够通过通孔处流出，能够较为方便的挤出血液，以便于清洁；同时，通过封堵环64的设置，使得手术过程中，清洁棉62上的血液难以通过通孔溢出。
请参阅图2和图7～11，本发明实施例中，所述握把1的顶端设置有用于对导丝17进行固定的固定机构5，所述固定机构5包括支撑座51，所述支撑座51与所述套管切刀3同轴设置，所述支撑座51上开设有凹槽，所述凹槽与所述握把1的内腔相连通，所述凹槽内对称设置有两个夹座52，两个所述夹座52均通过连接柱54与所述支撑座51转动连接，两个所述连接柱54上均套装有扭簧55，扭簧55的一端与连接柱54固定连接，扭簧55的另一端与支撑座51固定连接，扭簧55的设置，使得自然状态下，两个夹座52贴合挤压在一起，所述夹座52的侧壁固定安装有调节板53，同时按压两个调节板53，可使两个夹座52相互分离。
本实施例中，优选的，所述夹座52包括夹持部522和旋转部521，所述连接柱54固定安装在所述旋转部521上，所述夹持部522设置为三角形，所述夹持部522上设置有倾斜面523，所述倾斜面523上设置有多个固定凸起56，对导丝17进行固定时，固定凸起56压在导丝17上，从而对导丝17进行固定，固定凸起56优选防滑且具有弹性的橡胶材质制成；手术时先同时按压两个调节板53，按压调节板53时带动夹座52旋转，从而使两 个夹座52处于图9所示状态，然后将导丝17的一端沿着夹座52的倾斜面523滑入凹槽内，再通过两个夹座52之间的间隙精准的插入保护套管8的内部，导丝17穿过保护套管8并从另一端穿出一定长度后，再松开调节板53，此时夹座52在扭簧55的作用下反向旋转至图7所示状态，使相对设置的固定凸起56相互靠近，从而将导丝17夹住，使得手术过程中导丝17能够对套管切刀3的移动进行引导，且便于对导丝17进行固定，降低了手术难度。
工作原理：手术时先同时按压两个调节板53，按压调节板53时带动夹座52旋转，从而使两个夹座52处于图9所示状态，然后将导丝17的一端沿着夹座52的倾斜面523滑入凹槽内，再通过两个夹座52之间的间隙精准的插入保护套管8的内部，导丝17穿过保护套管8并从另一端穿出一定长度后，再松开调节板53，此时夹座52在扭簧55的作用下反向旋转至图7所示状态，使相对设置的固定凸起56相互靠近，从而将导丝17夹住，然后在待取静脉的两端皮肤处切开皮肤并切断静脉，保留端静脉结扎，然后将导丝17从静脉的内部穿过，导丝17的端部从皮肤切口处引出，然后通过驱动机构驱动套管切刀3朝着远离握把1的方向移动，使套管切刀3插入组织内部，在对组织进行切割时，血管始终位于保护套管8内部，从而对血管进行保护，防止套管切刀3切割到血管，通过抑菌筒2可对套管切刀3进行保护，避免套管切刀3与外界环境相接触，通过抑菌筒2内部的紫外灯管4能够对套管切刀3进行消毒，起到高效抑菌的作用，通过清洁机构6能够在套管切刀3伸缩的过程中对套管切刀3上的血液进行清洁，从而避免滋生细菌；电机13开启时，电机13的输出端带动第二齿轮12旋转，第二齿轮12旋转时带动第一齿轮11旋转，第一齿轮11旋转时带动螺纹管9旋转，而螺纹管9与螺母10螺纹连接，使得螺纹管9旋转时能够相对握把1移动，从而带动套管切刀3旋转的同时相对握把1移动，使得套管切刀3能够更好的对组织进行切割；通过固定帽61可对清洁棉62进行固定，更换清洁棉62时，仅需将固定帽61拧下，再将清洁棉62取出更换即可，通过旋转固定帽61可调节固定帽61与抑菌筒2之间形成的腔室的大小，从而调节清洁棉62对套管切刀3的压力，从而对清洁力度进行调节；当清洁棉62吸附血液较多影响清洁效果时，可通过拧紧固定帽61的方式将清洁棉62上的血液挤出一部分，操作时拧紧固定帽61，使固定帽61对清洁棉62进行压缩，同时固定帽61移动时使封堵环64从通孔内移出，从而使从清洁棉62上挤出的血液能够通过通孔处流出，能够较为方便的挤出血液，以便于清洁。
上述说明是针对本发明较佳可行实施例的详细说明，但实施例并非用以限定本发明的专利申请范围，凡本发明所提示的技术精神下所完成的同等变化或修饰变更，均应属于本发明所涵盖专利范围。

Claims (8)

  1. 一种高效抑菌微创大隐静脉采集装置，包括握把(1)、套管切刀(3)和保护套管(8)，所述保护套管(8)设置在所述套管切刀(3)的内部，且所述套管切刀(3)与所述保护套管(8)转动连接，所述保护套管(8)贯穿所述握把(1)，其特征在于：所述握把(1)内设置有用于驱动套管切刀(3)相对握把(1)移动的驱动机构，所述握把(1)的一端固定安装有抑菌筒(2)，所述套管切刀(3)贯穿所述抑菌筒(2)，所述抑菌筒(2)的内部固定安装有紫外灯管(4)，所述抑菌筒(2)的端部设置有用于对套管切刀(3)进行清洁的清洁机构(6)。
  2. 根据权利要求1所述的一种高效抑菌微创大隐静脉采集装置，其特征在于：所述清洁机构(6)包括固定帽(61)和清洁棉(62)，所述固定帽(61)螺纹安装在所述抑菌筒(2)的端部，所述清洁棉(62)设置为圆环形，所述套管切刀(3)贯穿所述清洁棉(62)，且所述清洁棉(62)的内环壁与所述套管切刀(3)的外壁相接触。
  3. 根据权利要求2所述的一种高效抑菌微创大隐静脉采集装置，其特征在于：所述抑菌筒(2)的端壁固定安装有多个固定柱(63)，所述固定帽(61)的底壁开设有通孔，所述通孔内设置有封堵环(64)，所述固定柱(63)的底端与所述封堵环(64)固定连接，所述套管切刀(3)贯穿所述封堵环(64)。
  4. 根据权利要求1所述的一种高效抑菌微创大隐静脉采集装置，其特征在于：所述驱动机构包括螺纹管(9)和螺母(10)，所述螺纹管(9)套装在所述套管切刀(3)的外壁上，且所述螺纹管(9)设置在所述握把(1)的内部，所述螺母(10)固定安装于所述握把(1)的内部，所述螺纹管(9)贯穿所述螺母(10)，且所述螺纹管(9)与所述螺母(10)螺纹连接，所述螺纹管(9)远离螺母(10)的一端套装有第一齿轮(11)，所述握把(1)内设置有用于驱动所述第一齿轮(11)自转的驱动组件。
  5. 根据权利要求4所述的一种高效抑菌微创大隐静脉采集装置，其特征在于：所述驱动组件包括第二齿轮(12)和电机(13)，所述第二齿轮(12)转动安装于所述握把(1)的内部，所述第二齿轮(12)与所述第一齿轮(11)相啮合，所述电机(13)固定安装于所述握把(1)内，所述电机(13)的输出端与所述第二齿轮(12)传动连接。
  6. 根据权利要求5所述的一种高效抑菌微创大隐静脉采集装置，其特征在于：所述握 把(1)内固定安装有限位柱(16)，所述限位柱(16)上滑动安装有滑环(15)，所述滑环(15)通过连接杆(14)与所述保护套管(8)的外壁固定连接。
  7. 根据权利要求1所述的一种高效抑菌微创大隐静脉采集装置，其特征在于：所述握把(1)的顶端设置有用于对导丝(17)进行固定的固定机构(5)，所述固定机构(5)包括支撑座(51)，所述支撑座(51)与所述套管切刀(3)同轴设置，所述支撑座(51)上开设有凹槽，所述凹槽与所述握把(1)的内腔相连通，所述凹槽内对称设置有两个夹座(52)，两个所述夹座(52)均通过连接柱(54)与所述支撑座(51)转动连接，两个所述连接柱(54)上均套装有扭簧(55)，所述夹座(52)的侧壁固定安装有调节板(53)。
  8. 根据权利要求7所述的一种高效抑菌微创大隐静脉采集装置，其特征在于：所述夹座(52)包括夹持部(522)和旋转部(521)，所述连接柱(54)固定安装在所述旋转部(521)上，所述夹持部(522)设置为三角形，所述夹持部(522)上设置有倾斜面(523)，所述倾斜面(523)上设置有多个固定凸起(56)。
PCT/CN2023/113339 2022-09-06 2023-08-16 一种高效抑菌微创大隐静脉采集装置 WO2024051459A1 (zh)

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