CN109925548A - Minimally invasive steering software aspirator - Google Patents

Minimally invasive steering software aspirator Download PDF

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Publication number
CN109925548A
CN109925548A CN201910307886.7A CN201910307886A CN109925548A CN 109925548 A CN109925548 A CN 109925548A CN 201910307886 A CN201910307886 A CN 201910307886A CN 109925548 A CN109925548 A CN 109925548A
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China
Prior art keywords
aspirator
membrane tube
minimally invasive
back segment
silk thread
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CN201910307886.7A
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Chinese (zh)
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CN109925548B (en
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李宽正
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Abstract

The invention discloses a kind of minimally invasive steering software aspirators, the aspirator proximal end component including aspirator flexible pipe, with course changing control handle;Aspirator flexible pipe includes leading portion band membrane tube and back segment band membrane tube, and back segment band membrane tube and aspirator proximal end component are tightly connected;Aspirator proximal end component adjusts aspirator front end band membrane tube by course changing control handle and the silk thread being located on aspirator flexible pipe and turns to.Aspirator of the present invention is easy to operate, and use is safe, and there is ultra micro to create characteristic, can be controlled by rotation course changing control handle by narrow linear type or arc hardness channel, the operative orientation of aspirator;Without adjusting the spatial position of service aisle and the main body position of aspirator, only need the spatial position of adjustment aspirator front end, reduce the iatrogenic injury of nerve, blood vessel, brain tissue, reduce the complication of peri-operation period nerve, injury of blood vessel, avoid double uncoordinated operation, surgical procedure difficulty is reduced, procedure efficiency is improved.

Description

Minimally invasive steering software aspirator
Technical field
The present invention relates to the aspirators in medical instrument, more particularly to a kind of minimally invasive steering software aspirator.
Background technique
Hematocele, hydrops, necrotic tissue, tumor tissues, bleeding are removed in the surgical operations such as neurosurgery, ear-nose-throat department Ends of vessels is required using aspirator.The function of aspirator is for absorbing liquid, semisolid, blood vessel, tumour in operation Equal substances, clean operation, exposure bleeding part.The principle of aspirator is to be inhaled removable target substance by pressure difference Enter in pipeline, removes out and perform the operation;Or adsorb destination organization, control its spatial position.Aspirator can be operative doctor A clean surgical environments are maintained, it can be with the spatial position of the certain target bloods of absorption and control, tissue, tumour etc.;Nondominant hand Art doctor completes target action.In the operation of the departments such as neurosurgery, ear-nose-throat department, aspirator has been essential routine Surgical instrument.With the development of science and technology, the raising of medical technique level, microscope, scope are wide in all kinds of operations of neurosurgery General universal, this also constantly proposes new requirement to the aspirator of the departments such as neurosurgery, ear-nose-throat department.
The operative doctor of the departments such as neurosurgery, ear-nose-throat department has found existing aspirator in long-term operation experience There is following shortcoming: (1) having some blind areas, turning in neurosurgery, traditional hard aspirator can not be grasped effectively Make, or frequently there is the hard aspirator of different angle in replacement front end.(2) in most of nerve endoscope, microscope surgical procedure When, to reach target area, need to adjust channel, rigid aspirator and scope, this proposes the harmony of both hands, the operation of three hands Very high requirement.Solution one is cost dearly using pneumatic arm, can not be popularized.Method two reinforces preoperative operation instruction Practice, cooperation training, this will expend surgeon's a large amount of quality time, and human cost is larger.Method three, in most of nerve endoscope In operation, it is just able to satisfy target action behind repeated multiple times adjustment tube channel distal end, this is to deep-brain, nerve, blood vessel etc. Multiple physical drawing is formed, squeezes, dampen, increases the risks such as surgical injury, the bleeding of peri-operation period, brain edema, hand in art Art damage counteracts partial surgical and is benefited.Method four, if endoscope passage selects cambered curved shape such as arcuate guide device, The tools such as existing aspirator will be unable to using.These problems annoying the surgery including the departments such as neurosurgery, ear-nose-throat department Doctor needs the new minimally invasive steering software aspirator of one kind to solve these problems.
Summary of the invention
Goal of the invention: the purpose of the present invention is to provide a kind of minimally invasive steering software aspirators, to solve in the prior art There are the problem of.
Technical solution: the minimally invasive steering software aspirator of the present invention, including aspirator flexible pipe, with course changing control handle Aspirator proximal end component;Aspirator flexible pipe includes leading portion band membrane tube and back segment band membrane tube, and back segment is with membrane tube and aspirator proximal end Component is tightly connected;Aspirator proximal end component is attracted by course changing control handle and the silk thread being located on aspirator flexible pipe adjustment Device front end band membrane tube turns to.
The bourdon tube with silk thread and mobile layer assembly are equipped in course changing control handle, mobile layer assembly is fixed on the spring On the inside of pipe;Mobile layer assembly includes top structure, substrate spherical surface, multiple mobile layers being arranged above and below, mobile layer stress above When on following mobile layer and base spherical surface 360 ° rotation, and external force stopping after keeping its spatial position.
Top structure includes steel wire rod, reversed nut, card slot nut and chuck, and steel wire rod passes through chuck, card slot nut, anti- To nut, the mobile layer of each layer, it is connected to substrate spherical surface vertex, card slot nut is located above reversed nut, the lifting of card slot nut After make reversed nut to the mobile layer apply pressure, course changing control handle pass through to be located at bourdon tube in silk thread pull adjust Whole steering of the aspirator front end with membrane tube.
Silk thread inductility, lie in leading portion band 0 ° of membrane tube front springs circle, 90 °, 180 °, 270 ° of mooring points positions.
Back segment band membrane tube is wound parallel by multiple bourdon tubes to be formed, and the back segment is additionally provided with the silk for passing through silk thread with membrane tube Cableties.
Silk thread deduction of points is distributed on the inside of back segment band film bourdon tube 0 °, and 90 °, 180 °, on 270 ° of 4 parallel lines.
Aspirator proximal end component further includes negative pressure connector, Zhi Kou and straight mouth plug, the negative pressure junction block and the aspirator Long axis direction in 30 ° to 60 ° inclination.
Leading portion band membrane tube is leading portion band film bourdon tube, and the back segment band membrane tube is back segment band film bourdon tube.
Outer membrane of the leading portion with membrane tube and back segment with membrane tube is transparent.
The plane that course changing control handle is constituted perpendicular to the long axis of negative pressure junction block and aspirator.
The utility model has the advantages that compared with prior art, aspirator of the present invention is easy to operate, and use is safe, there is ultra micro to create characteristic, Can be by narrow linear type or arc hardness channel, the operative orientation of aspirator can be by rotating course changing control handle To control.In operation, under microscope or scope auxiliary, aspirator front end can be rotated clockwise or counterclockwise, sucking action , without adjusting aspirator and channel body position, suction can be reduced to greatest extent along certain spatial axis spiral promotion The physical disturbance of lead device and channel body distal end in brain tissue entity, can obviously reduce the adjustment of aspirator and channel body Movement reduces service aisle outer diameter, reduces the technical difficulty of surgical procedure.
The present invention is suitable for micro-, the scope hand of the departments such as all kinds of neurosurgeries, ear-nose-throat department, Gastroenterology dept., Respiratory Medicine Art.The present invention in use, without adjusting the spatial position of service aisle, without adjusting the principal space position of aspirator It sets, it is only necessary to adjust the spatial position of aspirator front end, reduce the iatrogenic damage of nerve, blood vessel, brain tissue etc. to the maximum extent Wound, hence it is evident that reduce the complication of peri-operation period nerve, injury of blood vessel, while in the course of surgery, avoiding double uncoordinated behaviour Make, reduce surgical procedure difficulty, improve procedure efficiency, shortens operating time and operation cost.The present invention is disposably to make With avoiding cross-infection risk.
Detailed description of the invention
Fig. 1 is schematic structural view of the invention;
Fig. 2 is mobile layer top view of the present invention;
Fig. 3 is mobile layer perspective view of the present invention;
Fig. 4 is mobile layer side view;
Fig. 5 is top structure installation diagram of the present invention;
Fig. 6 is component perspective view in proximal end of the present invention;
Fig. 7 is present invention band film flexible pipe structure chart.
Specific embodiment
As shown in Figures 1 to 4, the present invention includes leading portion band film bourdon tube 1, back segment band film bourdon tube 2, aspirator proximal end group Part 3 and course changing control handle 4, posterior segment band film bourdon tube 2 are made of 3 groups of parallel spring pipes in the present embodiment, turn to control There is mobile layer assembly 8 in handle 4 processed, steel wire rod 10 passes through mobile layer assembly 8, the reversed nut above mobile layer assembly 11, card slot nut 12 and chuck 13.
Mobile layer assembly 8 includes nethermost substrate spherical surface, first movement layer, the second mobile layer, third mobile layer, and the 4th Mobile layer and the 5th mobile layer, each layer mobile section is hollow, and center is connected by the steel wire rod 10 for being fixed on substrate spherical surface;Four bands The bourdon tube 9 of silk thread is separately fixed at 0 ° on the outside of each mobile layer, and 90 °, 180 ° and 270 °;Control the mobile layer group in handle 4 In part 8, the mobile layer on upper layer can 360 ° of rotations on lower layer's mobile layer and base spherical surface, and this sky can be kept after external force stopping Between position.
As shown in figure 5, the top structure in mobile layer assembly includes steel wire rod 10, and reversed nut 11,12 He of card slot nut Chuck 13.After the combination of top, fixed silk thread holds fixed reversed nut 11, reversely rotates card slot nut 12, make card slot nut 12 10 top of chuck 13 and steel wire rod is withstood in lifting, and making reversed nut 11, each layer mobile layer applies pressure downwards, makes mobile interlayer Tie up holding pressure, course changing control handle 4 can flexible rotating and not loose, affect silk thread, transfer aspirator front end with membrane tube It turns to.
As shown in fig. 6, aspirator proximal end component 3 includes course changing control handle 4, silk thread bourdon tube 9, angle negative pressure connector 14, straight mouth 17 and straight mouth plug 18.After course changing control handle is pulled, the bourdon tube of mobile layer outer side band silk thread is stretched, silk thread bullet Silk thread inside reed pipe is pulled, the rear bending deformation to outside drawing side of leading portion band film bourdon tube.Aspirator proximal end component negative pressure Junction block and neurosurgery turn to software aspirator main body in 30 ° to 60 ° inclinations, and negative pressure junction block connects negative-pressure pipeline, maintain Vacuum suction.
Wherein, leading portion band film bourdon tube is readily bent deformation, and back segment is with film bourdon tube by multiple bourdon tubes winding group parallel At, by more energetically when be bent;Aspirator back segment band film spring pipe outside diameter and aspirator proximal end component remote opening are tightly connected, with It maintains to attract negative pressure;Aspirator software tube portion, i.e. leading portion band film bourdon tube and back segment band film bourdon tube can be straight or have It is freed in and out in the rigid channel of radian, outside channel distal end mouth, when no external force, aspirator flexible pipe can keep tangent line side To straight.
Leading portion is the silk thread for having control direction on the spring distalmost end spring ring with film bourdon tube, is located at 0 °, 90 °, 180 ° and 270 ° of mooring points position, and 5 are buckled with the silk thread in film bourdon tube parallel through back segment, below course changing control handle 4 It is pierced by four side openings 7 of base seat, by being fixed on the bourdon tube 9 of 8 outer side band silk thread of mobile layer, is finally fixed on steering control 11 outside of reversed nut on 4 top of handle processed.The side opening 7 that wherein 4 diameters are 0.3mm is respectively distributed to below the spherical surface of base 0 °, 90 °, 180 ° and 270 ° of position, passes through for silk thread;Bourdon tube 9 with silk thread is individually fixed in 0 ° on the outside of each mobile layer, 90 °, 180 ° and 270 ° of position, four silk threads are by aspirator proximal end component tube wall side opening, by 0 °, 90 °, 180 °, 270 ° points It Tong Guo not four silk thread bourdon tubes 9.
Since control silk thread is generally flush in advance, when aspirator of the present invention channel hard by arc in medical instrument, There is the silk thread of the side 1-2 to be pulled, unclamp the silk thread of reversed 11 bearing of nut at this time, keeps arc hard to leading portion band film bourdon tube Channel exit tangential direction is straight, then fixed silk thread.Angle negative port 14 connects negative pressure equipment, and the linking of aspirator hose is close 15 have good closed effect with negative pressure equipment hose at envelope;And have wedge vacuum suction pressure modulating opening 16, it is controlled for operative doctor Negative pressure strength.
When mating medical instrument is not used, straight mouth 17 is closed by straight mouth plug 18;For example soft using mating software medical instrument When the hydraulic bipolar coagulation of body fiberendoscope, software, software scrape the hydraulic micro- scissors of pincers, software, software abrasive drilling, the software medical instrument Included straight mouth plug can close straight mouth, maintain negative pressure state.
As shown in fig. 7, proximal openings 19 of the back segment with film bourdon tube connect aspirator proximal end component;Leading portion band film bourdon tube Front opening 21 lead to outside aspirator;Four parallel silk threads 20 buckle 5 by the silk thread of numerous parallelly distribute ons, wherein first Line 20.1 and the 4th silk thread 20.4 are located at the upper and lower side of bourdon tube, and the second silk thread 20.2 and third silk thread 20.3 are located at The middle part of bourdon tube, to control position of the silk thread in pipeline;A tunic is wrapped up on the outside of bourdon tube, maintains negative pressure state.Wherein Leading portion band film bourdon tube and back segment band membrane tube outer membrane be transparent.
Concrete operation method are as follows:
This suction aspirator tip is easy to operate, and use is safe, hand-held aspirator proximal end component when use, by leading portion band film spring Pipe, back segment band film bourdon tube merging linear type or the hard channel of arc, assist in the video image of software fiberendoscope or hard scope Lower advance and retreat, sucking rotator, while as needed, matched medical instrument is selected, attracted, rinsed, coagulation, shearing, divided From, crawl etc. target actions, complete operation purpose movement.While completing these movements, guider or channel are not necessarily to adjustment, Guider or channel is avoided to act the physical drawing of brain tissue, compressing, contusion.The fiberendoscope of most thin outer diameter is cooperated to set Standby, operative incision will can be minimized, minimally invasiveization.
The present invention can give the target actions such as coagulation, shearing, separation, crawl while vacuum suction, assist in scope Menisectomy doctor can directly observe the operating effect of site of action, adjust programme of work in time.

Claims (10)

1. a kind of minimally invasive steering software aspirator, it is characterised in that: including aspirator flexible pipe, the suction with course changing control handle Lead device proximal end component;The aspirator flexible pipe includes leading portion band membrane tube and back segment band membrane tube, and the back segment is with membrane tube and attracts Device proximal end component is tightly connected;Aspirator proximal end component passes through course changing control handle and the silk being located on aspirator flexible pipe Line, adjustment aspirator front end band membrane tube turn to.
2. minimally invasive steering software aspirator according to claim 1, it is characterised in that: be equipped in the course changing control handle Bourdon tube with silk thread and mobile layer assembly, the mobile layer assembly are fixed on the inside of the bourdon tube;The mobile layer assembly Including top structure, substrate spherical surface, multiple mobile layers being arranged above and below, it is described above mobile layer stress when in following movement 360 ° of rotations on layer and base spherical surface, and its spatial position is kept after external force stopping.
3. minimally invasive steering software aspirator according to claim 2, it is characterised in that: the top structure includes steel wire Bar, reversed nut, card slot nut and chuck, the steel wire rod pass through the mobile layer of chuck, card slot nut, reversed nut, each layer, It is connected to substrate spherical surface vertex, the card slot nut is located above reversed nut, makes reversed spiral shell after the card slot nut lifting Cap applies pressure to the mobile layer, and the course changing control handle passes through to the silk thread drawing adjustment aspirator being located in bourdon tube Steering of the front end with membrane tube.
4. minimally invasive steering software aspirator according to claim 1, it is characterised in that: the silk thread inductility is lain in Leading portion 0 ° of membrane tube front springs circle of band, 90 °, 180 °, 270 ° of mooring points positions.
5. minimally invasive steering software aspirator according to claim 1, it is characterised in that: the back segment band membrane tube is by multiple bullets Reed pipe winds composition parallel, and the back segment is additionally provided with the silk thread for passing through silk thread with membrane tube and buckles.
6. minimally invasive steering software aspirator according to claim 5, it is characterised in that: the silk thread deduction of points is distributed in back segment band 0 ° on the inside of film bourdon tube, 90 °, 180 °, on 270 ° of 4 parallel lines.
7. minimally invasive steering software aspirator according to claim 1, it is characterised in that: aspirator proximal end component also wraps Negative pressure connector, Zhi Kou and straight mouth plug are included, the long axis direction of the negative pressure junction block and the aspirator is tilted in 30 ° to 60 °.
8. minimally invasive steering software aspirator according to any one of claim 1 to 7, it is characterised in that: the leading portion band Membrane tube is leading portion band film bourdon tube, and the back segment band membrane tube is back segment band film bourdon tube.
9. minimally invasive steering software aspirator according to any one of claim 1 to 7, it is characterised in that: the leading portion band The outer membrane of membrane tube and back segment with membrane tube is transparent.
10. minimally invasive steering software aspirator according to claim 1, it is characterised in that: the course changing control handle is vertical In the plane that the long axis of negative pressure junction block and aspirator is constituted.
CN201910307886.7A 2019-04-17 2019-04-17 Minimally invasive steering soft aspirator Active CN109925548B (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5014685A (en) * 1988-07-13 1991-05-14 Asahi Kogaku Kogyo Kabushiki Kaisha Brake for bending control device of endoscope
EP2703032A2 (en) * 2011-04-28 2014-03-05 Yonsei University Wonju Industry Academic Cooperation Foundation Curvature-adjustable endotracheal tube
CN205626662U (en) * 2016-03-17 2016-10-12 北京大学深圳医院 Phlegm pipe is inhaled with trachea cannula special use to liver disease branch of academic or vocational study
CN108175878A (en) * 2018-01-08 2018-06-19 无锡市第二人民医院 Adjustable suction aspirator tip and aspirator
KR20190028958A (en) * 2017-09-11 2019-03-20 재단법인대구경북과학기술원 Steering apparatus capable of controlling stiffness

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5014685A (en) * 1988-07-13 1991-05-14 Asahi Kogaku Kogyo Kabushiki Kaisha Brake for bending control device of endoscope
EP2703032A2 (en) * 2011-04-28 2014-03-05 Yonsei University Wonju Industry Academic Cooperation Foundation Curvature-adjustable endotracheal tube
CN205626662U (en) * 2016-03-17 2016-10-12 北京大学深圳医院 Phlegm pipe is inhaled with trachea cannula special use to liver disease branch of academic or vocational study
KR20190028958A (en) * 2017-09-11 2019-03-20 재단법인대구경북과학기술원 Steering apparatus capable of controlling stiffness
CN108175878A (en) * 2018-01-08 2018-06-19 无锡市第二人民医院 Adjustable suction aspirator tip and aspirator

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Inventor after: Li Kuanzheng

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Inventor before: Li Kuanzheng

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