CN208741035U - Thoracic cavity operation system - Google Patents

Thoracic cavity operation system Download PDF

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Publication number
CN208741035U
CN208741035U CN201721854161.2U CN201721854161U CN208741035U CN 208741035 U CN208741035 U CN 208741035U CN 201721854161 U CN201721854161 U CN 201721854161U CN 208741035 U CN208741035 U CN 208741035U
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China
Prior art keywords
sealant
tube
silica gel
pipe
gel piece
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CN201721854161.2U
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Chinese (zh)
Inventor
张春芳
周燕武
高阳
程远大
李�荣
常睿敏
肖霄雄
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Xiangya Hospital of Central South University
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Xiangya Hospital of Central South University
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Abstract

The utility model discloses a thoracic cavity operation system, which comprises an endoscope and a thoracic cavity drainage bottle, wherein the endoscope comprises an operation part, a light pipe and a light guide joint which are connected with the operation part, an ocular which is arranged at one end of the operation part, a Y-shaped three-way pipe and a flexible insertion pipe which is connected with the operation part and has toughness, the three-way pipe comprises a main pipe which can be inserted into the thoracic cavity, a first branch pipe which is connected with the input end of the thoracic cavity drainage bottle and a second branch pipe which can allow the endoscope to be inserted; the insertion tube is provided with an instrument channel, a spray tube, a light guide device and an objective lens, and the angle of the front end of the insertion tube is adjustable; a first sealing valve capable of sealing the inlet is arranged at the inlet of the instrument channel. The utility model discloses a drainage tube establishes extra operation passageway and solves the complication problem of thorax operation postoperative, and the operation system that forms with it multiple apparatus of supporting can do a lot of treatments, especially can avoid the secondary to open the chest, has alleviateed patient secondary misery, is a brand-new treatment theory and extremely effectual treatment.

Description

A kind of thoracic surgery system
Technical field
The utility model belongs to medical instrument, and in particular to a kind of thoracic surgery system.
Background technique
Patient after many thoracic surgeries is accompanied with progressive thoracic cavity internal haemorrhage, limitation hydrops, pneumatosis drainage in thoracic cavity The complication such as unsmooth, face the possibility performed the operation again.Risk is big if performing the operation again, and patient and family members can not understand and cooperate, Medical expense is significantly increased, and the secondary pain of body and mind is caused to patient.
For some preoperative patients, if with some diseases such as pyothorax inadequate drainage, solidifying behavior inadequate drainages, It generally requires to be subjected to trachea general anesthesia intubation operation into operating room.These operations are all major operations, and time-consuming, to caused by patient Pain is more.
Utility model content
In view of the above-mentioned problems, the utility model is intended to provide a kind of thoracic cavity that can carry out preoperative, postoperative some minor operations Surgery systems complicate to avoid by some simple operations, avoid the secondary pain for causing body and mind to patient.
The technical solution that the utility model solves the problems, such as is: a kind of thoracic surgery system, including scope, thoracic cavity drainage bottle, The scope includes operation portion, the photoconductive tube connecting with operation portion and light guide connector, further includes that Y-shaped three-way pipe and operation portion connect The soft insertion tube with toughness connect, the tee tube include the supervisor that can be inserted into thoracic cavity, the input terminal with thoracic cavity drainage bottle First branch pipe of connection, the second branch pipe for allowing scope insertion;The supervisor is connected to the drainage tube in pluggable thoracic cavity;
The insertion tube is equipped with instrument channel, jet pipe, photoconductive device, objective lens, and the insertion tube toe angle is adjustable;
The instrument channel inlet is equipped with can be by the first sealing valve of inlet seal.
In above scheme, scope is improved on the basis of electronic gastroscope, and main structure is similar with electronic gastroscope, respectively Part dimension is adjusted according to the difference at thoracic cavity position.
Jet pipe for providing water and air as needed.The illumination that photoconductive device can be issued with light source is bright in vivo, makes to examine It looks into and treats and is smooth.By objective lens, microminiature high performance camera can shoot the state of internal organs.
The design of first sealing valve can guarantee that intrathoracic pressure is constant.
Under normal conditions, postoperative drainage pipeline is expected passing through this merely as a simple drainage function, no one A drainage pipe sets up additional operation path to solve the latter problem after thoracic surgery.The utility model separately wards off footpath Diameter is established where the Important Thought that this operation path is the utility model, which can do many treatments, especially can Secondary thoracotomy is enough avoided, the secondary pain of patient is alleviated, is a kind of completely new treatment concept and extremely effective therapeutic modality.
Specifically, insertion tube is equipped with suction tube, the operation portion is equipped with nozzle switch, attracts button and control insertion The angular adjustment valve of pipe front end.Angular adjustment valve is used to adjust the angle of insertion tube front end.
Preferably, second branch pipe is equipped with vent valve, and second pipe end is equipped with the second sealing valve, and described second is close Envelope valve includes the first sealant and the second sealant that annular frame and frame are successively spaced connection, the first sealant packet The first silica gel piece that the multi-disc being fixedly connected around frame is sequentially connected is included, the first silica gel piece surrounds to form complete disc and have There is the common center of circle;
Second sealant includes surrounding the multi-disc that frame is fixedly connected sequentially overlapped the second silica gel piece of arc, and phase It partly overlaps between adjacent second silica gel piece, the second silica gel piece surrounds to form complete disc and have the common center of circle;
The center of circle of first sealant and the second sealant is on the same axis;
The annular frame is set to the second branch pipe wall;
First sealing valve is identical as the second seal valve structure.
The effect of two sealing valves is provided to guarantee that intrathoracic pressure is constant.
Preferably, the insertion tube front end is equipped with pressure sensor.The pressure sensor can to chest pressure into Row monitoring.
Further, further include electric coagulation stick or electric coagulation forceps for electric coagulation hemostasis, the electric coagulation stick includes having toughness Insulate soft barred body, be set to the electrode of barred body front end, the electric coagulation stick can access instruments channel;
The electric coagulation forceps includes first handle, connect with first handle the soft body of rod of the insulation with toughness is set to The clamp-type electrode of lever front end.
When there is bleeding in chest, by electric coagulation stick or or electric coagulation forceps by the instrument channel of scope enter thoracic cavity carry out Hemostasis uses electric coagulation stick or or electric coagulation forceps according to the difference selectivity of hemostasis range.
Electric coagulation stick or or electric coagulation forceps be existing electric coagulation stick or or the improvement that carries out of electric coagulation forceps on the basis of, principle is not Become, be intended merely to adapt to curved instrument channel, by the softness of main structure production and there is toughness.
Further, further include can access instruments channel piston aspirator, structure includes soft piston pipe, is set to Piston in piston tube, the hose for being set to piston tube front end.
Aspirator is similar to syringe, can exclude the hydrops of diseased region, or sampling is checked, also can be to lesion Position administration.
Further, further include can access instruments channel the soft electric hook with toughness.
Further, further include can access instruments channel titanium clamp pincers, the titanium clamp pincers include second handle and second-hand The soft claw beam with toughness of handle connection, the clamp for being set to claw beam front end.
Above-mentioned electric hook and titanium clamp pincers are similar with Generals culture structure, are intended merely to adapt to curved instrument channel, will lead The softness of body structure fabrication simultaneously has toughness.
It further, further include the support lung umbrella that can enter the second branch pipe, which includes hollow casing, is arranged in set Rigid pivoted in pipe, the first arc support plate being fixedly connected with shaft lower end, the collar for being set to lower end;
The collar includes outer ring and inner ring, and gap, outer ring inner headed face and inner ring periphery are equipped between outer ring and inner ring It is equipped with C-shaped-track road, multiple sliding blocks being successively closely packed together are connected in track, each slider bottom is fixedly connected with one A second arc support plate passes through silk thread between adjacent second arc support plate and concatenates;It is solid with lower end at the top of the collar Fixed connection;
First arc support plate is concatenated with second arc support plate on the outermost side by silk thread;
Another the second arc support plate permanent magnet on the outermost side, and the first arc support plate is permanent magnet;
The shaft is equipped with the through channel for allowing insertion tube to enter, and the arrival end of the through channel is sealed equipped with third Valve;The third sealing valve includes the first sealant and the second sealant that annular frame and frame are successively spaced connection, described First sealant includes the first silica gel piece for surrounding the multi-disc that frame is fixedly connected and being sequentially connected, and the first silica gel piece surrounds to have been formed Whole disc simultaneously has the common center of circle;
Second sealant includes surrounding the multi-disc that frame is fixedly connected sequentially overlapped the second silica gel piece of arc, and phase It partly overlaps between adjacent second silica gel piece, the second silica gel piece surrounds to form complete disc and have the common center of circle;
The center of circle of first sealant and the second sealant is on the same axis.
Above-mentioned support lung umbrella is umbrella after being fully deployed, and can be used for strutting lung into certain gap, is convenient for surgical procedure.The One sealing valve, the second sealing valve, third sealing valve three's structure are identical.
Further, the tube wall top for being inserted the drainage tube front end in thoracic cavity is equipped with mellow and full arc convex;The chest Chamber drainage bottle bottom is equipped with tapping valve.Due to drainage tube front end face tube wall not instead of plane, it is set as, is not had using mellow and full radian There is sharp keen right angle, avoids damage of the supervisor front end to human organ.
The utility model is set up additional operation path by drainage pipe and is asked to solve the complication after thoracic surgery Topic, the surgery systems that matched a variety of instruments are constituted, can do many treatments, especially can be avoided secondary thoracotomy, The secondary pain of patient is alleviated, is a kind of completely new treatment concept and extremely effective therapeutic modality.
Detailed description of the invention
The utility model is described in further detail with reference to the accompanying drawing.
Fig. 1 is the use state structure chart of the utility model.
Fig. 2 is scope structural schematic diagram.
The enlarged drawing that Fig. 3 is in Fig. 1 I.
Fig. 4 is the first sealing valve, the second sealing valve, third seal valve structure figure.
Fig. 5 is the first sealant structure chart in Fig. 4.
Fig. 6 is the second sealing ability structure chart in Fig. 4.
Fig. 7 is electric coagulation stick structure chart.
Fig. 8 is electric coagulation forceps structure chart.
Fig. 9 is piston aspirator structure chart.
Figure 10 is electric hook structure chart.
Figure 11 is titanium clamp pincers structure chart.
Figure 12 is support lung umbrella structure chart.
Figure 13 is collar structure figure.
In figure: 1- scope, 2- thoracic cavity drainage bottle, 3- tee tube, the second sealing valve of 4-, 5- pressure sensor, 6- electric coagulation stick, 7- electric coagulation forceps, 8- piston aspirator, 9- support lung umbrella, 10- electric hook, 11- operation portion, 12- photoconductive tube, 13- light guide connector, 14- are inserted Enter pipe, 15- drainage tube, 16- vent valve, 17- tapping valve, 18- through channel, 19- third sealing valve, 20- titanium clamp pincers, 31- master Pipe, the first branch pipe of 32-, the second branch pipe of 33-, 41- frame, the first sealant of 42-, the second sealant of 43-, the first silica gel piece of 44-, The second silica gel piece of 45-, 61- barred body, 62- electrode, 71- first handle, the 72- body of rod, 73- clamp-type electrode, 81- piston tube, 82- Piston, 83- hose, 91- casing, 92- shaft, the first arc support plate of 93-, 94- collar, 95- sliding block, 96- the second arc branch Blade, 97- silk thread, 111- angular adjustment valve, 141- instrument channel, 142- jet pipe, 143- photoconductive device, 201- second handle, 202- claw beam, 203- clamp, the outer ring 941-, 942- inner ring.
Specific embodiment
As shown in Fig. 1~7, a kind of thoracic surgery system, including scope 1, thoracic cavity drainage bottle 2, the scope 1 include operation Portion 11, the photoconductive tube 12 being connect with operation portion 11 and light guide connector 13.2 bottom of thoracic cavity drainage bottle is equipped with tapping valve 17.
It further include Y-shaped three-way pipe 3, the soft insertion tube 14 with toughness being connect with operation portion 11.The tee tube 3 wraps Include supervisor 31, the first branch pipe 32 for connecting with the input terminal of thoracic cavity drainage bottle 2, the second branch pipe 33 for allowing scope 1 to be inserted into.Institute Supervisor 31 is stated to be connected to the drainage tube 15 in pluggable thoracic cavity.The tube wall top for being inserted 15 front end of drainage tube in thoracic cavity is equipped with circle The arc convex of profit.
The insertion tube 14 is equipped with instrument channel 141, jet pipe 142, photoconductive device 143, suction tube, objective lens, this is inserted It is adjustable to enter 14 toe angle of pipe.14 front end of insertion tube is equipped with pressure sensor 5.
The operation portion 11 is equipped with nozzle switch, attracts button and controls the angular adjustment valve 111 of insertion tube front end.
141 inlet of instrument channel is equipped with can be by the first sealing valve of inlet seal.
Second branch pipe 33 is equipped with vent valve 16, in emergency circumstances deflating.
Second branch pipe, 33 end is equipped with the second sealing valve 4.Second sealing valve 4 includes annular frame 41 and frame Frame 41 is successively spaced the first sealant 42 and the second sealant 43 of connection.First sealant 42 includes solid around frame 41 Surely round first silica gel piece 44 of a quarter that four connected are sequentially connected, the first silica gel piece 44 surround to form complete disc And there is the common center of circle.
Second sealant 43 includes surrounding the multi-disc that frame 41 is fixedly connected sequentially overlapped the second silica gel piece of arc 45, and partly overlap between adjacent second silica gel piece 45.Second silica gel piece 45 surrounds to form complete disc and have jointly The center of circle.
The center of circle of first sealant 42 and the second sealant 43 is on the same axis.The annular frame 41 is set to second 33 inner wall of branch pipe.
First sealing valve is identical as 4 structure of the second sealing valve.
A variety of tools for different operations are additionally provided with from what scope matched.
Specifically, further including the electric coagulation stick 6 or electric coagulation forceps 7 for electric coagulation hemostasis.As shown in fig. 7, the electric coagulation stick 6 includes The soft barred body 61 of insulation with toughness, the electrode 62 for being set to 61 front end of barred body.The electric coagulation stick 6 can access instruments channel 141。
As shown in figure 8, the insulation with toughness that the electric coagulation forceps 7 includes first handle 71, connect with first handle 71 The soft body of rod 72, the clamp-type electrode 73 for being set to 72 front end of the body of rod.
As shown in figure 9, further include can access instruments channel 141 piston aspirator 8, structure includes soft piston pipe 81, the piston 82 that is set in piston tube 81, the hose 83 for being set to piston tube front end.
As shown in Figure 10, further include can access instruments channel 141 the soft electric hook 10 with toughness.
As shown in figure 11, further include can access instruments channel 141 titanium clamp pincers 20, the titanium clamp pincers 20 include second handle 201, the soft claw beam 202 with toughness that is connect with second handle 201, the clamp 203 for being set to 202 front end of claw beam.
It as shown in Figure 12,13, further include the support lung umbrella 9 that can enter the second branch pipe 32.The support lung umbrella 9 includes hollow casing 91, the rigid pivoted 92 that is arranged in casing 91, is set to set at the first arc support plate 93 being fixedly connected with 92 lower end of shaft The collar 94 of 91 lower end of pipe.
The collar 94 includes outer ring 941 and inner ring 942, gap is equipped between outer ring 941 and inner ring 942, in outer ring 941 Disc and interior 942 circle periphery are equipped with C-shaped-track road, and multiple sliding blocks 95 being successively closely packed together are connected in track, each A 95 bottom of sliding block is fixedly connected with second arc support plate 96, passes through silk thread 97 between adjacent second arc support plate 96 Concatenation;94 top of collar is fixedly connected with 91 lower end of casing.
First arc support plate 93 is concatenated with second arc support plate 96 on the outermost side by silk thread 97.
Another 96 permanent magnet of the second arc support plate on the outermost side, and the first arc support plate 93 is permanent magnet.
The shaft 92 is equipped with the through channel 18 for allowing insertion tube 14 to enter, and the arrival end of the through channel is equipped with the Three sealing valves 19.The third sealing valve 19 is identical as the first, second seal valve structure.
The case where being a plane after common support lung umbrella expansion, being similar to one fan, be not suitable for the utility model. For the support lung umbrella 9 of the utility model design in rounding state, the first arc support plate 93 and the second arc support plate 96 are mutually It is stacked together.In use, be inserted into support lung umbrella 9 from the second branch pipe 33 before being put into scope 1, after reaching designated position, rotation It walks around axis 92, the first arc support plate 93 rotates with, and drives the second arc support plate 96 successively to surround axis by silk thread 97 Track rotation on ring 94, after being rotated by 360 °, the first arc support plate 93 with magnetic second arc support plate 96 Attract each other stickup, forms the umbrella shaped support surrounded, for lung to be strutted to certain gap, is convenient for surgical procedure.If It is inserted into scope 1, insertion tube 14 can be entered from the through channel 18 of shaft 92, be performed the operation.

Claims (10)

1. a kind of thoracic surgery system, including scope (1), thoracic cavity drainage bottle (2), the scope (1) include operation portion (11), with The photoconductive tube (12) and light guide connector (13) of operation portion (11) connection, it is characterised in that: further include Y-shaped three-way pipe (3) and operation The soft insertion tube (14) with toughness of portion (11) connection, the tee tube (3) include supervisor (31) and thoracic cavity drainage bottle (2) the first branch pipe (32) of input terminal connection, the second branch pipe (33) for allowing scope (1) insertion;The supervisor (31) with It can be inserted into drainage tube (15) connection in thoracic cavity;
The insertion tube (14) is equipped with instrument channel (141), jet pipe (142), photoconductive device (143), objective lens, the insertion tube (14) toe angle is adjustable;
Instrument channel (141) inlet is equipped with can be by the first sealing valve of inlet seal.
2. thoracic surgery system according to claim 1, it is characterised in that: insertion tube (14) is equipped with suction tube, described Operation portion (11) is equipped with nozzle switch, attracts button and controls the angular adjustment valve (111) of insertion tube front end.
3. thoracic surgery system according to claim 1, it is characterised in that: second branch pipe (33) is equipped with vent valve (16), the second branch pipe (33) end is equipped with the second sealing valve (4), and second sealing valve (4) includes annular frame (41) and frame Frame (41) is successively spaced the first sealant (42) and the second sealant (43) of connection, and first sealant (42) includes surrounding The first silica gel piece (44) that the multi-disc that frame (41) is fixedly connected sequentially is connected, the first silica gel piece (44) surround to form complete circle Face simultaneously has the common center of circle;
Second sealant (43) includes the multi-disc that is fixedly connected around frame (41) sequentially overlapped the second silica gel piece of arc (45), it and between adjacent second silica gel piece (45) partly overlaps, the second silica gel piece (45) surrounds to form complete disc and have The common center of circle;
The center of circle of first sealant (42) and the second sealant (43) is on the same axis;
The annular frame (41) is set to the second branch pipe (33) inner wall;
First sealing valve is identical as the second sealing valve (4) structure.
4. thoracic surgery system according to claim 1, it is characterised in that: insertion tube (14) front end is passed equipped with pressure Sensor (5).
5. thoracic surgery system according to claim 1, it is characterised in that: further include the electric coagulation stick for electric coagulation hemostasis (6) or electric coagulation forceps (7), the electric coagulation stick (6) include having the soft barred body of the insulation of toughness (61), being set to barred body (61) front end Electrode (62), the electric coagulation stick (6) can access instruments channel (141);
The electric coagulation forceps (7) includes first handle (71), connect with first handle the soft body of rod of the insulation with toughness (72), It is set to the clamp-type electrode (73) of the body of rod (72) front end.
6. thoracic surgery system according to claim 1, it is characterised in that: further including can access instruments channel (141) Piston aspirator (8), structure include soft piston pipe (81), the piston (82) being set in piston tube (81), are set to work Fill in the hose (83) of pipe front end.
7. thoracic surgery system according to claim 1, it is characterised in that: further including can access instruments channel (141) Soft electric hook (10) with toughness.
8. thoracic surgery system according to claim 1, it is characterised in that: further including can access instruments channel (141) Titanium clamp pincers (20), the titanium clamp pincers (20) include second handle (201), connect with second handle (201) it is soft with toughness Matter claw beam (202), the clamp (203) for being set to claw beam (202) front end.
9. thoracic surgery system according to claim 1, it is characterised in that: further include the support that can enter the second branch pipe (33) Lung umbrella (9), the support lung umbrella (9) include hollow casing (91), the rigid pivoted (92) being arranged in casing (91) and shaft (92) lower end is fixedly connected the first arc support plate (93), the collar (94) for being set to casing (91) lower end;
The collar (94) includes outer ring (941) and inner ring (942), gap is equipped between outer ring (941) and inner ring (942), outside Circle (941) inner headed face and inner ring (942) periphery are equipped with C-shaped-track road, are connected with and multiple are successively closely packed together in track Sliding block (95), each sliding block (95) bottom are fixedly connected with second arc support plate (96), adjacent second curved support It is concatenated between piece (96) by silk thread (97);It is fixedly connected at the top of the collar (94) with casing (91) lower end;
First arc support plate (93) is concatenated with second arc support plate (96) on the outermost side by silk thread (97);
Another the second arc support plate (96) permanent magnet on the outermost side, and the first arc support plate (93) is permanent magnet;
The shaft (92) is equipped with the through channel (18) for allowing insertion tube (14) to enter, and the arrival end of the through channel is equipped with Third sealing valve (19);The third sealing valve (19) includes annular frame (41), is successively spaced the of connection with frame (41) One sealant (42) and the second sealant (43), first sealant (42) include the multi-disc being fixedly connected around frame (41) The first silica gel piece (44) being sequentially connected, the first silica gel piece (44) surround to form complete disc and have the common center of circle;
Second sealant (43) includes the multi-disc that is fixedly connected around frame (41) sequentially overlapped the second silica gel piece of arc (45), it and between adjacent second silica gel piece (45) partly overlaps, the second silica gel piece (45) surrounds to form complete disc and have The common center of circle;
The center of circle of first sealant (42) and the second sealant (43) is on the same axis.
10. thoracic surgery system according to claim 1, it is characterised in that: before being inserted the drainage tube (15) in thoracic cavity The tube wall top at end is equipped with mellow and full arc convex;
Thoracic cavity drainage bottle (2) bottom is equipped with tapping valve (17).
CN201721854161.2U 2017-12-27 2017-12-27 Thoracic cavity operation system Active CN208741035U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201721854161.2U CN208741035U (en) 2017-12-27 2017-12-27 Thoracic cavity operation system

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN201721854161.2U CN208741035U (en) 2017-12-27 2017-12-27 Thoracic cavity operation system

Publications (1)

Publication Number Publication Date
CN208741035U true CN208741035U (en) 2019-04-16

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Application Number Title Priority Date Filing Date
CN201721854161.2U Active CN208741035U (en) 2017-12-27 2017-12-27 Thoracic cavity operation system

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109965920A (en) * 2017-12-27 2019-07-05 中南大学湘雅医院 A kind of thoracic surgery system

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109965920A (en) * 2017-12-27 2019-07-05 中南大学湘雅医院 A kind of thoracic surgery system

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