CN105380700A - Microscopic laryngeal scissors - Google Patents

Microscopic laryngeal scissors Download PDF

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Publication number
CN105380700A
CN105380700A CN201510983712.4A CN201510983712A CN105380700A CN 105380700 A CN105380700 A CN 105380700A CN 201510983712 A CN201510983712 A CN 201510983712A CN 105380700 A CN105380700 A CN 105380700A
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CN
China
Prior art keywords
conduit
handle
blade
snap ring
suction
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Granted
Application number
CN201510983712.4A
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Chinese (zh)
Other versions
CN105380700B (en
Inventor
梁永辉
王魁花
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Third People's Hospital Affiliated To Fujian University Of Traditional Chinese Medicine
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Individual
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Priority to CN201510983712.4A priority Critical patent/CN105380700B/en
Publication of CN105380700A publication Critical patent/CN105380700A/en
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Publication of CN105380700B publication Critical patent/CN105380700B/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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    • 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
    • A61B17/00234Surgical 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
    • A61B17/3201Scissors
    • 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
    • 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
    • A61B2017/00238Type of minimally invasive operation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B2017/320064Surgical cutting instruments with tissue or sample retaining means

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

Abstract

The invention provides microscopic laryngeal scissors. The microscopic laryngeal scissors comprise a catheter, a handle device and a negative pressure suction device, one end of the catheter is closed, the other end of the catheter is opened, the opened end of the catheter is connected with the negative pressure suction device, and the handle device is installed on the catheter and arranged close to the opened end of the catheter; the closed end of the catheter is provided with a suction portion which is provided with a suction hole, a first blade and a second blade, the catheter is provided with clasps and a guide rod, each clasp is provided with a through hole, one end of the guide rod penetrates the through holes of the clasp to be connected with the second blade, the handle device comprises a first handle and a second handle which are hinged to each other, the first handle is hinged to the other end of the guide rod, and the second handle is fixed to the catheter. According to the microscopic laryngeal scissors, negative pressure is provided through the negative pressure suction device, the suction hole in the tail end of the catheter produces suction force during being close to an affected part, after the affected part is sucked, the size of the suction hole is adjusted through operation of the handles, when tissue needing to be sheared enters the suction hole, the affected part is sheared through the operation of the handles, and simpleness and convenience are achieved.

Description

A kind of micro-laryngeal scissors
Technical field
The present invention relates to a kind of micro-laryngeal scissors.
Background technology
The benign lesion of clinical common vocal cords mainly occurs in the shallow-layer (thick about 0.5mm) of mucosal epithelium layer (thick about 0.05 ~ 0.1mm) and Submucosa, must use when needing in art to cut off pathological tissues or too much mucosa as far as possible meticulous micro-laryngeal scissors accurately, gentle manipulation, in order to avoid excessive damage mucosa and vocal ligament.In some cases, need on the axis of front and back, to rotate vocal cords lightly with meticulous pincers, to observe the basilar part of polyp of vocal cord better.At present, the micro-laryngeal scissors of tradition adopts crocodile mouth formula, because vocal cords medial border is curved, during clamp, tissue depth and dynamics are not easily grasped, clamp is organized and very fewly may not had traction action, clamp too much easy damaged vocal ligament and too much mucosa, repeatedly the damage that certainly will increase vocal cords mucosa attempted by clamp, give to prune and increase difficulty, in addition, laryngeal forceps affects laryngeal scissors effect and working place to a certain extent, and when laryngeal scissors is pruned along basilar part, depth dynamics is not easily grasped, and slight jitter can cause the accidental injury of vocal cords and ligament.In addition, some need the poor of excision and the mucosa of softness or pathological tissues are attached in vocal cords normal structure time, use traditional micro-laryngeal scissors clean cut to be a very large challenge to patient.
Summary of the invention
The technical problem to be solved in the present invention, be to provide a kind of micro-laryngeal scissors, comprise conduit, handle apparatus and negative pressure suction device, described tube at one end is closed, the other end is open, the open end of described conduit connects negative pressure suction device, and described handle apparatus is arranged on conduit and also arranges near catheter patency end; The blind end of described conduit is provided with suction unit, and this suction unit is provided with suction hole, the first blade and the second blade, the pipeline communication in described suction hole and conduit; Described conduit is provided with snap ring and guide rod, described snap ring is provided with through hole, described guide rod is connected with the second blade through the through hole of snap ring, described handle apparatus comprises the first handle and second handle that are hinged, described first handle and the guide rod other end hinged, described second handle is fixed on conduit; Described first handle can drive the relative snap ring slippage of guide rod around rotating with the hinged place of second handle, thus drives the folding of the first blade and the second blade.
Further, described snap ring and guide rod are located in the pipeline in conduit.
Further, conduit outside is located at by described snap ring and guide rod, and wherein snap ring is welded on conduit outer wall.
Further, corresponding first blade of described second blade reaches the tube wall outside of conduit.
Further, described snap ring comprises 2, and one of them snap ring is arranged near the blind end of conduit, and another one is arranged near the open end of conduit.
Further, be connected by latch with in the middle part of second handle in the middle part of described first handle.
Further, the cutting edge of described first blade and the cutting edge of the second blade V-shaped.
Further, also comprise device for trapping, described device for trapping is located between conduit and negative pressure suction device, and liquid is equipped with in described device for trapping inside, and is provided with the first suction nozzle and the second suction nozzle; Described first suction nozzle one end is stretched in liquid, the pipeline communication in the other end and conduit; Described second suction nozzle one end is located at outside liquid, and the other end is communicated with negative pressure suction device.
The present invention provides negative pressure by negative pressure suction device, and the suction hole of catheter tip produces captivation, after affected part is attracted when affected part, by lever operated adjustment suction hole size, wipe out tissue required for treating and enter attraction aperture, again by lever operated shearing affected part, simple and convenient.Compare traditional micro-laryngeal scissors tool to have the following advantages:
1, by controlling the distance of the first blade and the second blade to limit suction hole size, controlling the volume needing resection organization, avoiding clamp vocal ligament and too much mucous membrane tissue;
2, by adjustment suction hole position and distance, mucosa to be processed or pathological tissues needed for can locating accurately in noninvasive situation, and make it enter suction hole, accurate tractive, wipe out;
3, due to vocal ligament toughness, comparatively mucous layer is strong, more easily differentiate, and the shallow-layer of mucosal epithelium layer, Submucosa can pull open the distance with vocal ligament after attracting, and can avoid cutting vocal ligament by mistake during attraction;
4, one hand gets final product complete pruning action, conveniently operates at narrow and small cavum laryngis, and can carry out clip and retention to the specimen of special substance.
Accompanying drawing explanation
The present invention is further illustrated in conjunction with the embodiments with reference to the accompanying drawings:
Fig. 1 is the internal structure schematic diagram of the micro-laryngeal scissors of embodiment 1;
Fig. 2 is the structural representation of the micro-laryngeal scissors of embodiment 1;
Fig. 3 is the structural representation of suction unit A-A in Fig. 2;
Fig. 4 is the structural representation of the micro-laryngeal scissors of embodiment 2;
Fig. 5 is the structural representation of suction unit B-B in Fig. 4;
Fig. 6 is the internal structure schematic diagram of device for trapping.
Detailed description of the invention
Embodiment 1
Refer to Fig. 1 to 3, a kind of structural representation of micro-laryngeal scissors.This micro-laryngeal scissors comprises conduit 10, handle apparatus 20 and negative pressure suction device 30, described conduit 10 one end is closed, the other end is open, the open end of described conduit 10 connects negative pressure suction device 30, this negative pressure suction device 30 is connected with conduit 10 by flexible pipe, and conductive pipe 10 produces negative pressure, flow to open end to make air-flow in conduit 10 from blind end.Described handle apparatus 20 is arranged on conduit 10 and close conduit 10 open end and arranges; The blind end of described conduit 10 is provided with suction unit 11, and this suction unit 11 is provided with suction hole 111, first blade 112 and the second blade 113.This conduit 10 inside is provided with snap ring 12 and guide rod 13, described snap ring 12 is provided with through hole and is fixed on conduit 10 inside, described guide rod 13 one end is connected with the second blade 113 through the through hole of snap ring 12, described handle apparatus 20 comprises the first handle 21 and second handle 22 that are hinged, is connected in the middle part of described first handle 21 with in the middle part of second handle 22 by latch.Described first handle 21 is hinged with guide rod 13 other end, and described second handle 22 is fixed on conduit 10; Described first handle 21 can drive guide rod 13 relative snap ring 12 slippage in conduit 10 around rotating with the hinged place of second handle 22, thus drives the folding of the first blade 112 and the second blade 113.The tube wall that described first blade 112 protrudes into conduit 10 is outside, and corresponding first blade 112 is the outer protrusion of conductive pipe 10 also, coordinates with the second blade 113.The cutting edge of described first blade 112 and the cutting edge of the second blade 113 V-shaped, shear affected part time from the side of affected part exert a force, little to the wound of affected part, also more easily shear.Described snap ring 12 comprises 2, and one of them snap ring 12 is arranged near the blind end of conduit 10, and another one is arranged near the open end of conduit 10.The setting of snap ring 12 quantity suitably can increase according to conduit 10 length, to ensure the stable slippage of guide rod 13.Described suction hole 111 is blind hole, has certain space and can take affected part in and enter in suction hole 111.
Embodiment 2
Refer to Fig. 4 to 6, the present embodiment is relative to the difference of embodiment 1, is located on the outer wall of conduit 10 by snap ring 12 and guide rod 13, and wherein snap ring 12 is welded on conduit 10 outer wall.It is outside that suction hole 111 is also located at accordingly by this second blade 113, and be connected with guide rod 13.Set up device for trapping 40 in addition, this device for trapping 40 is located between conduit 10 and negative pressure suction device 30, this device for trapping 40 respectively with conduit 10 and negative pressure suction device 30 all by hose connection.Liquid 43 is equipped with in this device for trapping 40 inside, and is provided with the first suction nozzle 41 and the second suction nozzle 42.This first suction nozzle 41 one end is stretched in liquid 43, and the other end is communicated with the pipeline 114 in conduit 10.This second suction nozzle 42 one end is located at outside liquid 43, and the other end is communicated with negative pressure suction device 30.Negative pressure suction device 30 produces negative pressure, utilizes water pipe principle, the specimen shearing is entered in the liquid of device for trapping 40 inside by the pipeline 114 of conduit 10 inside, Postoperative Specimen is kept in device for trapping 40 in suction hole 111.This device for trapping 40 is provided with lid mouth (depending on not going out in figure), after opening just desirable go out specimen.
In sum, the present invention provides negative pressure by negative pressure suction device, the suction hole of catheter tip produces captivation when affected part, after affected part is attracted, by lever operated adjustment suction hole size, wipe out tissue required for treating and enter attraction aperture, again by lever operated shearing affected part, simple and convenient.Compare traditional micro-laryngeal scissors tool to have the following advantages:
1, by controlling the distance of the first blade and the second blade to limit suction hole size, controlling the volume needing resection organization, avoiding clamp vocal ligament and too much mucous membrane tissue;
2, by adjustment suction hole position and distance, mucosa to be processed or pathological tissues needed for can locating accurately in noninvasive situation, and make it enter suction hole, accurate tractive, wipe out;
3, due to vocal ligament toughness, comparatively mucous layer is strong, more easily differentiate, and the shallow-layer of mucosal epithelium layer, Submucosa can pull open the distance with vocal ligament after attracting, and can avoid cutting vocal ligament by mistake during attraction;
4, one hand gets final product complete pruning action, conveniently operates at narrow and small cavum laryngis, and can carry out clip and retention to the specimen of special substance.
Above by reference to the accompanying drawings to invention has been exemplary description; obvious specific implementation of the present invention is not subject to the restrictions described above; as long as have employed the improvement of the various unsubstantialities that method of the present invention is conceived and technical scheme is carried out; or design of the present invention and technical scheme directly applied to other occasion, all within protection scope of the present invention without to improve.

Claims (7)

1. a micro-laryngeal scissors, it is characterized in that: comprise conduit, handle apparatus and negative pressure suction device, described tube at one end is closed, and the other end is open, the open end of described conduit connects negative pressure suction device, and described handle apparatus is arranged on conduit and also arranges near catheter patency end; The blind end of described conduit is provided with suction unit, and this suction unit is provided with suction hole, the first blade and the second blade, the pipeline communication in described suction hole and conduit; Described conduit is provided with snap ring and guide rod, described snap ring is provided with through hole, described guide rod is connected with the second blade through the through hole of snap ring, described handle apparatus comprises the first handle and second handle that are hinged, described first handle and the guide rod other end hinged, described second handle is fixed on conduit; Described first handle can drive the relative snap ring slippage of guide rod around rotating with the hinged place of second handle, thus drives the folding of the first blade and the second blade.
2. micro-laryngeal scissors according to claim 1, is characterized in that: described snap ring and guide rod are located in the pipeline in conduit.
3. micro-laryngeal scissors according to claim 1, is characterized in that: conduit outside is located at by described snap ring and guide rod.
4. micro-laryngeal scissors according to claim 2, is characterized in that: the tube wall that described first blade protrudes into conduit is outside.
5. micro-laryngeal scissors according to claim 1, is characterized in that: described snap ring comprises 2, one of them snap ring is arranged near the blind end of conduit, and another one is arranged near the open end of conduit.
6. micro-laryngeal scissors according to claim 1, is characterized in that: the cutting edge of described first blade and the cutting edge of the second blade V-shaped.
7. micro-laryngeal scissors according to claim 2, is characterized in that: also comprise device for trapping, and described device for trapping is located between conduit and negative pressure suction device, and liquid is equipped with in described device for trapping inside, and is provided with the first suction nozzle and the second suction nozzle; Described first suction nozzle one end is stretched in liquid, the pipeline communication in the other end and conduit; Described second suction nozzle one end is located at outside liquid, and the other end is communicated with negative pressure suction device.
CN201510983712.4A 2015-12-24 2015-12-24 A kind of micro- laryngeal scissors Expired - Fee Related CN105380700B (en)

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CN105380700B CN105380700B (en) 2018-08-28

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112168337A (en) * 2020-10-09 2021-01-05 四川大学华西第四医院 Water-cooled radio frequency electric wave knife

Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2083480U (en) * 1990-01-11 1991-08-28 张基 Suction and cutting device for polypus of vocal cords
CN2177452Y (en) * 1993-12-26 1994-09-21 颜永毅 Suction canula type polyp forceps
CN2177453Y (en) * 1993-12-26 1994-09-21 颜永毅 External open suction canula type forceps for polyp of vocal cord
WO2010127174A1 (en) * 2007-04-06 2010-11-04 Interlace Medical, Inc. Tissue removal device with high reciprocation rate
CN204233214U (en) * 2014-10-27 2015-04-01 中国人民解放军第二军医大学 A kind of laryngomicrosurgery nipper with suction pump
CN205379338U (en) * 2015-12-24 2016-07-13 梁永辉 Micro - laryngeal scissors

Patent Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2083480U (en) * 1990-01-11 1991-08-28 张基 Suction and cutting device for polypus of vocal cords
CN2177452Y (en) * 1993-12-26 1994-09-21 颜永毅 Suction canula type polyp forceps
CN2177453Y (en) * 1993-12-26 1994-09-21 颜永毅 External open suction canula type forceps for polyp of vocal cord
WO2010127174A1 (en) * 2007-04-06 2010-11-04 Interlace Medical, Inc. Tissue removal device with high reciprocation rate
CN204233214U (en) * 2014-10-27 2015-04-01 中国人民解放军第二军医大学 A kind of laryngomicrosurgery nipper with suction pump
CN205379338U (en) * 2015-12-24 2016-07-13 梁永辉 Micro - laryngeal scissors

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112168337A (en) * 2020-10-09 2021-01-05 四川大学华西第四医院 Water-cooled radio frequency electric wave knife

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Effective date of registration: 20200117

Address after: 350100 No. 363, Guobin Avenue, Minhou Shangjie Town, Fuzhou City, Fujian Province

Patentee after: The third people's Hospital Affiliated to Fujian University of traditional Chinese Medicine

Address before: 350018 Fujian province Fuzhou city Cangshan district town people mansion village road No. 1 dry

Patentee before: Liang Yonghui

CF01 Termination of patent right due to non-payment of annual fee
CF01 Termination of patent right due to non-payment of annual fee

Granted publication date: 20180828

Termination date: 20211224