CN104799907B - A kind of surgery slicing knife - Google Patents

A kind of surgery slicing knife Download PDF

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Publication number
CN104799907B
CN104799907B CN201510200981.9A CN201510200981A CN104799907B CN 104799907 B CN104799907 B CN 104799907B CN 201510200981 A CN201510200981 A CN 201510200981A CN 104799907 B CN104799907 B CN 104799907B
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China
Prior art keywords
shell
knife
slicing knife
surgery
core
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CN201510200981.9A
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Chinese (zh)
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CN104799907A (en
Inventor
张孝文
卢颖深
宋丽娟
赵小龙
刘丽
廖文静
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First Affiliated Hospital of Guangzhou Medical University
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First Affiliated Hospital of Guangzhou Medical University
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Priority to CN201510200981.9A priority Critical patent/CN104799907B/en
Publication of CN104799907A publication Critical patent/CN104799907A/en
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    • 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
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/24Surgical instruments, devices or methods, e.g. tourniquets for use in the oral cavity, larynx, bronchial passages or nose; Tongue scrapers
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • 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
    • A61B17/32002Endoscopic cutting instruments, e.g. arthroscopes, resectoscopes with continuously rotating, oscillating or reciprocating cutting instruments
    • A61B2017/320032Details of the rotating or oscillating shaft, e.g. using a flexible shaft

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Medical Informatics (AREA)
  • Animal Behavior & Ethology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Veterinary Medicine (AREA)
  • Molecular Biology (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Orthopedic Medicine & Surgery (AREA)
  • Dentistry (AREA)
  • Oral & Maxillofacial Surgery (AREA)
  • Otolaryngology (AREA)
  • Pulmonology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention discloses a kind of surgery slicing knife and its application methods, including can the bending shell adjusted and the knife core being sheathed in the shell;The shell has corresponding via and through-hole with the front end of knife core, and the knife core external connection power is rotated relative to shell inside the shell;The housing variable shape bending, correspondingly, the knife core is soft body structure.And a kind of application method of surgery slicing knife is provided, is included the following steps:1), by work telescope by being sent into human body through human body natural's cavity in vitro;2), slicing knife is inserted into and is moved ahead along work telescope;3), the front end of slicing knife is stretched out work telescope and is cut to pathological tissues.The present invention uses the shell mechanism of flexible adjusting, makes slicing knife that can adapt to the operation needs in operation at any time, accurately and quickly to be cut, be removed to pathological tissues, has the advantageous effect that versatility is good, easy to adjust and work efficiency is high.

Description

A kind of surgery slicing knife
Technical field
The present invention relates to a kind of medical slicing knife and its application method, a kind of surgery slicing knife and its user are referred in particular to Method.
Background technology
Nasal polyp, polyp of vocal cord etc. are hals,Nasen und Ohrenheilkunde common diseases.With the development of hysteroscope technology, slicing knife can be fine The lesion of nose, bottleneck throat is cut off, while having many advantages, such as that suction function ensure that the clear of visual area is widely used in clinic.This The enclosure that the slicing knife of kind structure is all utilized in rigidity bend pipe is embedded in rotatable soft knife core, and the knife rotated Core digs polyp by the trepanning positioned at case nose.Nasal sinus balloon dilatation is a kind of new minimally invasive of carry out in recent years One small and soft sacculus is inserted into sinus passages under nasal endoscopes guiding, is made due to inflammation using the expansion of sacculus by technology It reduces or the routing restoration of occlusion is to original size or somewhat larger, so that air is can smoothly enter into nasal sinus, reach the mesh for the treatment of , it is the bottleneck of this technology to pathological tissues treatment in sinus cavities.A kind of ear,nose & throat slicing knife of flexible adjusting is designed, gram Traditional cutter rotation angle and the limited disadvantage of depth are taken, by ear,nose & throat nature channel or passes through nasal sinus balloon expandable The widened nasal sinus Dou Kou of art removes Paranasal sinus diseases, and ear-nosethroat operation will be made to have great importance to more minimally invasive development.
Invention content
It is an object of the present invention to solving the structure that existing ear,nose & throat slicing knife is hardness, cause not revolved The problem of operating position of modulation section case nose is to bring surgical procedure inconvenient and influence therapeutic effect, provides a kind of knot Structure is flexible and the slicing knife of flexible adjusting makes slicing knife that can adapt in operation at any time using the shell mechanism of flexible adjusting Operation need, the characteristics of adaptable good, easy to adjust and the operation is stable.
The second object of the present invention is to provide a kind of application method of surgery slicing knife so that slicing knife can be by correctly It uses, accurately and quickly to be cut, be removed to pathological tissues, to improve the therapeutic effect and working efficiency of operation.
Following technical scheme can be used to reach in an object of the present invention:
A kind of surgery slicing knife, including can the bending shell adjusted and the knife core being sheathed in the shell;The shell Corresponding via and through-hole, the knife core external connection power device, inside the shell relative to outer are had with the front end of knife core Shell is rotated;The housing variable shape bending, correspondingly, the knife core is soft body structure.
As a preferred solution, the adjustment structure of the deformable bending of the shell is:The shell can by multistage The annulus mutually swung is formed by connecting, and per that can carry out angular adjustment between two-stage annulus, forms coil structure.
As a preferred solution, the shell is flexible material, and the bending of shell is deformed into flexible deformation.
As a preferred solution, the knife core includes sequentially connected cutter hub, connecting shaft and fixed link, forms three sections Formula connection structure;The cutter hub is socketed on the front end of shell, and the through-hole is set on cutter hub.
As a preferred solution, the slicing knife is configured with work telescope, and when work, the slicing knife was sheathed on work Make in telescope.
As a preferred solution, the connecting shaft is cable wire or steel wire rope.
As a preferred solution, its through-hole is periodically connected with the via of shell the knife core when rotated, The object entered in through-hole is cut.
As a preferred solution, be provided with the outlet for extracting object in through-hole out on the wall of the shell, it is described go out Mouth is connected to through-hole, for object to be sucked through-hole, and the object extraction that through-hole inscribe is cut off is exhausted.
As a preferred solution, the tail end of the fixed link is equipped with push-pull structure, external dynamic by push-pull structure Power apparatus;The push-pull structure includes connecting seat, and it is equal that one end of the connecting seat is fixedly connected on the end of fixed link, the other end It is even to be provided at least two slots;The knife core is plugged in by slot in the power plant.
As a preferred solution, the power plant is the device exported with rotary power.
Following technical scheme can be used to reach in the second object of the present invention:
A kind of application method of surgery slicing knife, includes the following steps:
1), by work telescope by being sent into human body through human body natural's cavity in vitro;
2), slicing knife is inserted into and is moved ahead along work telescope;
3), the front end of slicing knife is stretched out work telescope and is cut to pathological tissues.
Further, the specific steps in the step 3):
1.1) when slicing knife cuts pathological tissues, the front end for the telescope that works is abutted against on natural cavity wall;
1.2) front end of slicing knife is contacted by being bent with pathological tissues.
Implement the present invention, has the advantages that:
1, the shape of shell of the invention is adjusted for deformable bending, is performed the operation using the slicing knife of the structural housing When, doctor can at any time be adjusted the shape of shell by manual bending shell, to realize the via to the front end of shell Position adjusting is carried out, the size difference of the ear,nose & throat of different crowd is adapted to, substantially increases the performance of slicing knife, it is convenient The use operation of doctor, improves the efficiency of operation, has the characteristics that versatility is high, easy to use and the operation is stable.
2, slicing knife of the invention when in use, is sent into along work telescope in human body, and shell is in working lens by slicing knife Under the limitation of pipe so that the knife core of slicing knife can be stably rotated inside the shell cuts pathological tissues.And it is working Under the guiding of telescope, slicing knife can preferably lesion tissue position, accurately and quickly to be cut to pathological tissues It cuts and removes, to improve the therapeutic effect and working efficiency of operation.
Description of the drawings
In order to more clearly explain the embodiment of the invention or the technical proposal in the existing technology, to embodiment or will show below There is attached drawing needed in technology description to be briefly described, it should be apparent that, the accompanying drawings in the following description is only this Some embodiments of invention for those of ordinary skill in the art without creative efforts, can be with Obtain other attached drawings according to these attached drawings.
Fig. 1 is the structural schematic diagram of the slicing knife of the present invention;
Fig. 2 is the structural schematic diagram of the knife core of the slicing knife of the present invention.
Specific implementation mode
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete Site preparation describes, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on Embodiment in the present invention, those of ordinary skill in the art are obtained every other without creative efforts Embodiment shall fall within the protection scope of the present invention.
Embodiment 1
Referring to Fig. 1, the present embodiment includes can the bending shell 1 adjusted and the knife core 2 being sheathed in the shell 1;It is described Shell 1 has corresponding via 11 and through-hole 12,2 external connection power device of the knife core, in shell with the front end of knife core 2 It is rotated relative to shell 1 in 1;The shell 1 is adjusted for deformable bending, correspondingly, the knife core 2 is soft body structure. As the concrete structure of shell 1, the shell 1 using deformable bending adjustment structure, bending and fix forming;The shell The adjustment structure of 1 deformable bending is:The annulus that the shell 1 can mutually be swung by multistage is formed by connecting, per two-stage annulus Between can carry out angular adjustment, form coil structure.When the slicing knife using the structural housing 1 is performed the operation, doctor can be with When the shape of shell 1 is adjusted by manual bending shell 1, to realize to the via 11 of the front end of shell 1 into line position Adjusting is set, the size difference of the ear,nose & throat of different crowd is adapted to, the performance of slicing knife is substantially increased, facilitates doctor Use operation, have the characteristics that improve perform the operation efficiency.
As shown in Fig. 2, the soft body structure of the knife core 2 is:The knife core 2 includes sequentially connected cutter hub 21, connecting shaft 22 and fixed link 23, form three-stage connection structure;The cutter hub 21 is socketed on the front end of shell 1, and the through-hole 12 is set to knife On body 21.It is rigid structure that the connecting shaft 22, which uses wire cable, the cutter hub 21,.When slicing knife works, power is logical Crossing fixed link 23 and connecting shaft 22 drives cutter hub 21 to carry out circumgyration incision, and both having maintained the flexible of knife core 2 can with adapt to shell 1 The needs of the adjustment structure of deformation bending, in turn ensure cutter hub 21 cut needed for hardness requirement to be achieved.
Its through-hole 12 is periodically connected with the via of shell 1 11 the knife core 2 when rotated, will enter in through-hole 12 Object cut.In order to which shell 1, the wall of the shell 1 is discharged in the pathological tissues in time being cut down cutter hub 21 On be provided with outlet for extracting object in through-hole 12 out, the outlet is connected to through-hole 12, for object to be sucked through-hole 12, and The object extraction that 12 inscribe of through-hole is cut off is exhausted.
The slicing knife is configured with work telescope, and when work, the slicing knife was sheathed in work telescope.The working lens Pipe is flexible structure, can flexural oscillations.Slicing cut through work telescope and stretches into human body and reach pathological tissues.In work telescope Under limitation, the knife core of slicing knife can be stably rotated in shell 1 cuts pathological tissues.
The tail end of the fixed link 23 is equipped with push-pull structure, passes through push-pull structure external connection power device;The plug machine Structure includes connecting seat 3, and one end of the connecting seat 3 is fixedly connected on the end of fixed link 23, the other end and is uniformly provided at least two A slot 31;The knife core 2 is plugged in by slot 31 in the power plant.Specifically, the power plant is with rotation The device of rotatory force output.
The present embodiment also provides a kind of application method of surgery slicing knife, includes the following steps:
1), by work telescope by being sent into human body through human body natural's cavity in vitro;
1.1) when slicing knife cuts pathological tissues, the front end for the telescope that works is abutted against on natural cavity wall;
1.2) front end of slicing knife is contacted by being bent with pathological tissues.
2), slicing knife is inserted into and is moved ahead along work telescope;
3), the front end of slicing knife is stretched out work telescope and is cut to pathological tissues.
When in use, slicing knife is sent into along work telescope in human body, and shell is under the limitation of work telescope so that plane The knife core of cutter can be stably rotated inside the shell cuts pathological tissues.And under the guiding of work telescope, slicing Knife can preferably lesion tissue position, accurately and quickly to be cut and be removed to pathological tissues, to improve The therapeutic effect and working efficiency of operation.
Embodiment 2
The present embodiment is the improvement for shell on the basis of embodiment 1, and the shell 1 is flexible material, outside The bending of shell 1 is deformed into flexible deformation.For example, rubber, plastics or silica gel etc. may be used, it is certainly other that there is preferable toughness Material be also applied for shell manufacture use.
The above disclosure is only the preferred embodiments of the present invention, cannot limit the right model of the present invention with this certainly It encloses, therefore equivalent changes made in accordance with the claims of the present invention, is still within the scope of the present invention.

Claims (5)

1. a kind of surgery slicing knife, it is characterised in that:Including can the shell that adjusts of bending and the knife core that is sheathed in the shell; The shell and the front end of knife core have a corresponding via and through-hole, the knife core external connection power device, inside the shell It is rotated relative to shell, and the through-hole of the knife core is periodically connected with the via of shell when rotated, is cut into Enter the object in through-hole;The housing variable shape bending, correspondingly, the knife core is soft body structure;It is opened on the wall of the shell It is useful for the outlet of object in extraction through-hole, the outlet is connected to through-hole;The knife core includes sequentially connected cutter hub, has Connecting shaft and fixed link flexible form three-stage connection structure;The cutter hub is socketed on the front end of shell, and the through-hole is set to On cutter hub;The connecting shaft is cable wire or steel wire rope.
2. a kind of surgery slicing knife according to claim 1, it is characterised in that:The adjusting of the deformable bending of the shell Structure is:The annulus that the shell can mutually be swung by multistage is formed by connecting, and angular adjustment, shape can be carried out per between two-stage annulus At coil structure.
3. a kind of surgery slicing knife according to claim 1, it is characterised in that:The adjusting of the deformable bending of the shell Structure is:The shell is flexible material, and the bending of shell is deformed into flexible deformation.
4. according to a kind of surgery slicing knife of claims 1 to 3 any one of them, it is characterised in that:The slicing knife is configured with Work telescope, and when work, the slicing knife was sheathed in work telescope.
5. a kind of surgery slicing knife according to claim 1, it is characterised in that:The tail end of the fixed link is equipped with plug machine Structure passes through push-pull structure external connection power device;The push-pull structure includes connecting seat, and one end of the connecting seat is fixedly connected It is uniformly provided at least two slots in the end of fixed link, the other end;The knife core is plugged in the power plant by slot On;The power plant is the device exported with rotary power.
CN201510200981.9A 2015-04-24 2015-04-24 A kind of surgery slicing knife Active CN104799907B (en)

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CN104799907B true CN104799907B (en) 2018-08-07

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Families Citing this family (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN108210019B (en) * 2017-12-29 2020-11-27 王育 Pectoral muscle cutter
CN111345870B (en) * 2018-12-24 2021-07-30 爱科凯能科技(北京)股份有限公司 High-efficiency soft tissue planing device
CN110507428A (en) * 2019-08-22 2019-11-29 广州医科大学附属第一医院(广州呼吸中心) Ent surgery slicing knife cleaning device

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5707350A (en) * 1990-02-07 1998-01-13 Smith & Nephew Endoscopy Inc. Surgical instrument
US6645218B1 (en) * 2002-08-05 2003-11-11 Endius Incorporated Surgical instrument
CN2621612Y (en) * 2003-04-28 2004-06-30 王华林 Bending planer tool for electric planing device
CN204863390U (en) * 2015-04-24 2015-12-16 广州医科大学附属第一医院 Surgery digs cutter

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5707350A (en) * 1990-02-07 1998-01-13 Smith & Nephew Endoscopy Inc. Surgical instrument
US6645218B1 (en) * 2002-08-05 2003-11-11 Endius Incorporated Surgical instrument
CN2621612Y (en) * 2003-04-28 2004-06-30 王华林 Bending planer tool for electric planing device
CN204863390U (en) * 2015-04-24 2015-12-16 广州医科大学附属第一医院 Surgery digs cutter

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