阅读说明：本技术 一种大道内镜集成器械 (Integrated apparatus of big way scope ) 是由 王宇 李悦 郝晨凇 王玉峰 赵家鹏 于 2019-11-06 设计创作，主要内容包括：本发明公开了一种大道内镜集成器械,包括器械操作部本体、吸引装置和冲洗装置,所述器械操作部本体两侧设有吸引装置和冲洗装置,所述吸引装置一侧设有吸引管,所述吸引管一端设有吸引器头口,所述吸引装置内侧设有控压孔,所述控压孔一侧设有吸引器管道接入处,所述吸引装置内侧表面设有循环开闭装置梭形锁公部分,所述冲洗装置内侧表面设有循环开合装置V形锁母部分,所述冲洗装置一侧设有弧形头端,所述弧形头端一侧设有腔内Y形管道,所述腔内Y形管道一端设有冲洗装置高位开口,所述冲洗装置另一侧表面设有冲洗管道接口,从术者角度出发,针对内镜手术中存在的诸多痛点,提出通过器械简化及组合予以解决的理念及方法。(The invention discloses a large-channel endoscope integrated instrument, which comprises an instrument operation part body, a suction device and a flushing device, wherein the suction device and the flushing device are arranged on two sides of the instrument operation part body, a suction tube is arranged on one side of the suction device, a suction device head opening is arranged at one end of the suction tube, a pressure control hole is arranged on the inner side of the suction device, a suction device pipeline access position is arranged on one side of the pressure control hole, a shuttle-shaped locking male part of a circulating opening and closing device is arranged on the inner side surface of the suction device, a V-shaped locking female part of the circulating opening and closing device is arranged on the inner side surface of the flushing device, an arc-shaped head end is arranged on one side of the flushing device, an intracavity Y-shaped pipeline is arranged on one side of the arc-shaped head end, a flushing device high-position opening is arranged on one end of the intracavity Y-shaped pipeline, the idea and method solved by simplifying and combining the instruments are provided.)

1. An integrated instrument for a large-channel endoscope comprises an instrument operation part body (1), an attraction device (17) and a flushing device (23), and is characterized in that the attraction device (17) and the flushing device (23) are arranged on two sides of the instrument operation part body (1), one side of the attraction device (17) is provided with an attraction tube (13), one end of the attraction tube (13) is provided with an aspirator head opening (12), the inner side of the attraction device (17) is provided with a pressure control hole (14), one side of the pressure control hole (14) is provided with an aspirator pipeline access part (6), the inner side surface of the attraction device (17) is provided with a circular opening and closing device shuttle-shaped locking male part (15), the inner side surface of the flushing device (23) is provided with a circular opening and closing device V-shaped locking female part (22), one side of the flushing device (23) is provided with an arc-shaped head end (18), one side of the arc-shaped head end (, one end of the Y-shaped pipeline (20) in the cavity is provided with a flushing device high-position opening (19), the other side surface of the flushing device (23) is provided with a flushing pipeline interface (21), one side of the flushing pipeline interface (21) is provided with a monopole probe leading-in hole (25), the inner side of the monopole probe leading-in hole (25) is provided with a monopole probe head (24), one end of the monopole probe head (24) is provided with a probe tail part (26), one side of the instrument operation part body (1) is provided with an assistant controller (2), the surface of the assistant controller (2) is provided with a monopole electrotome access part (7), one side of the monopole electrotome access part (7) is provided with a bipolar electrocoagulation circuit access part (8), one side of the bipolar electrocoagulation circuit access part (8) is provided with a circulating switching device insulation fixing point (9), and the inner side of the assistant controller (2) is provided, and flushing pipeline access parts (10) are arranged on two sides of the flushing control valve (27).

2. The integrated apparatus for a large-channel endoscope according to claim 1, characterized in that the suction tube (13) and one end of the high-position opening (19) of the flushing device are provided with bipolar electrocoagulation contact points (11) with exposed head ends.

3. The integrated apparatus for a large-road endoscope according to claim 1, characterized in that one side of the male part (15) of the shuttle lock of the circulating opening and closing device and one side of the female part (22) of the V-shaped lock of the circulating opening and closing device are both provided with a spring leaf (28) and an insulated fixing point of the circulating opening and closing device.

4. A integrated endoscopic instrument according to claim 1, wherein said rinsing means (23) is connected to one of the monopolar knife access (7) and the bipolar coagulation circuit access (8) through one of the monopolar knife wire (4) and the bipolar coagulation circuit (5), and the suction means (17) is connected to the other of the monopolar knife access (7) and the bipolar coagulation circuit access (8) through the other of the bipolar coagulation circuit (5).

5. A main endoscope integrated apparatus according to claim 1, characterized in that the irrigation tube interface (21) is connected with the irrigation tube access (10) through the irrigation tube (3).

6. The integrated apparatus for a large-road endoscope according to claim 1, characterized in that one end of the suction device (17) and one end of the flushing device (23) are both provided with a handle connecting part (16), and the surfaces of the suction device (17) and the flushing device (23) are both provided with anti-skid textures.

7. The integrated apparatus for a large road endoscope as defined in claim 1, wherein the male shuttle lock portion (15) of the circulation opening and closing device and the female V-lock portion (22) of the circulation opening and closing device are connected in a snap-fit manner.

Technical Field

The invention relates to the technical field of surgical instruments, in particular to a large-path endoscope integrated instrument.

Background

With the development of neurosurgery technology towards micro-wound and fine direction, the technical advantages of neuro-endoscope treatment can be fully embodied, and the endoscope treatment technology is continuously developed and popularized. But at the same time, due to the image caused by factors such as space, technology, instruments and the like, the endoscope treatment also faces some difficulties and problems, such as narrow operation space of the endoscope operation, limited instruments entering the channel and difficult matching; the lens is often stained and fogged, which affects the sight; the surgical operation technology is complex, such as suction, flushing, hemostasis, clamping, stripping, cutting or shearing, and the like, and the instruments need to be replaced or matched with each other, so the surgical difficulty is increased, the surgical time is prolonged, and meanwhile, the frequent passing in and out of a surgical channel of the surgical instruments easily causes side damage and the like. The above problems limit the application, development and popularization of endoscope technology to a certain extent.

The invention completes the rapid conversion and matching of functions such as suction, flushing, hemostasis, clamping, stripping, cutting or shearing and the like, reduces the requirement of the operation on space, processes in the operation in time, reduces labor intensity and ensures the safety of patients by a method of integrating instruments.

Disclosure of Invention

The invention aims to solve the technical problem of overcoming the defects in the prior art and provides a large-path endoscope integrated instrument, so that the problems are solved.

In order to achieve the purpose, the invention provides the following technical scheme: a large-channel endoscope integrated instrument comprises an instrument operation part body, a suction device and a flushing device, wherein the suction device and the flushing device are arranged on two sides of the instrument operation part body, a suction tube is arranged on one side of the suction device, a suction device head opening is formed in one end of the suction tube, a pressure control hole is formed in the inner side of the suction device, an aspirator pipeline access position is formed in one side of the pressure control hole, a circulation opening and closing device shuttle-shaped locking male part is arranged on the inner side surface of the suction device, a circulation opening and closing device V-shaped locking female part is arranged on the inner side surface of the flushing device, an arc-shaped head end is arranged on one side of the flushing device, an intracavity Y-shaped pipeline is arranged on one side of the arc-shaped head end, a flushing device high-position opening is formed in one end of the intracavity Y-shaped pipeline, a, the utility model discloses an instrument operation portion, including monopole probe inlet hole, monopole probe, instrument operation portion body, assistant controller, unipolar electrotome access department, bipolar coagulation circuit access department one side, unipolar probe inlet hole inboard is equipped with the monopole probe, monopole probe one end is equipped with the probe afterbody, instrument operation portion body one side is equipped with assistant controller, assistant controller surface is equipped with monopole electrotome access department, monopole electrotome access department one side is equipped with bipolar coagulation circuit access department, bipolar coagulation circuit access department one side is equipped with the insulating fixed point of circulation switching device, assistant controller inboard is equipped with washes control flap, it is equipped with washing pipeline access department.

As a preferable technical scheme of the invention, one end of the high-position opening of the suction tube and one end of the high-position opening of the flushing device are both provided with bipolar electrocoagulation contact points with exposed head ends.

As a preferable technical scheme of the invention, spring pieces and insulation fixing points of the circulation opening and closing device are arranged on one sides of the male part of the shuttle lock of the circulation opening and closing device and the female part of the V-shaped lock of the circulation opening and closing device.

As a preferable technical scheme of the invention, the flushing device is connected with one access point of a monopolar electric knife access point and a bipolar electric coagulation circuit access point through one line of a monopolar electric knife line and a bipolar electric coagulation circuit, and the suction device is connected with the other access point of the monopolar electric knife access point and the bipolar electric coagulation circuit access point through the other line of the bipolar electric coagulation circuit.

As a preferred technical solution of the present invention, the flushing pipe port is connected to the flushing pipe connection portion through a flushing pipe.

As a preferable technical scheme of the invention, one end of each of the suction device and the flushing device is provided with a handle connecting part, and the surfaces of the suction device and the flushing device are provided with anti-skid textures.

In a preferred embodiment of the present invention, the male hook portion of the circulation opening and closing device and the female hook portion of the circulation opening and closing device are engaged with each other.

Compared with the prior art, the invention has the beneficial effects that: the integrated apparatus 1 for the large-path endoscope is provided with an idea and a method which are solved by simplifying and combining the apparatus aiming at a plurality of pain points existing in the endoscopic surgery from the perspective of a surgeon;

2. the suction and flushing device is used as a part of the circuit of the instrument and is fully utilized;

3. the combined design of the operation head end of the invention realizes various functions of flushing, suction, separation, clamping, electric coagulation, cutting and the like, and meets the operation requirement;

4. the space of the flushing path is fully utilized, a Y-shaped structure is developed, and the problems of leading-in, protection, fixation, electric connection and the like of the monopolar dissecting probe are solved skillfully;

5. the concept of opening the upper part of the flushing channel is provided, so that the space is saved, the problem of flushing the endoscope lens is solved skillfully, the in-and-out and dislocation of instruments are reduced as much as possible, the time is saved, and the surrounding tissues are protected;

6. the invention relates to a heart-shaped assistant controller.A sliding device is arranged at the bottom of a heart-shaped device to complete circuit conversion, and a single-pole electrotome and a bipolar coagulation circuit are independent when working; the knob is arranged at the heart tip part to control the flushing switch, the heart-shaped appearance is more smooth and convenient, and an operator can be reminded to try best. The assistant finishes the matching in the operation area far away from the operation area through the endoscope screen, does not occupy space and does not influence the operation of an operator.

7. The circulating opening and closing device is introduced into the combined instrument, the instrument head can be freely opened and closed, the clamping is stable, the time and the labor are saved, the structure is scientific and reasonable, the use is safe and convenient, and great help is provided for people.

Drawings

The accompanying drawings, which are included to provide a further understanding of the invention and are incorporated in and constitute a part of this specification, illustrate embodiments of the invention and together with the description serve to explain the principles of the invention and not to limit the invention. In the drawings:

FIG. 1 is a schematic structural view of an integrated apparatus for a great path endoscope according to the present invention;

FIG. 2 is a schematic view of a suction device according to the present invention;

FIG. 3 is a schematic structural diagram of a flushing device according to the present invention;

FIG. 4 is a schematic view of a monopolar electric knife according to the present invention;

FIG. 5 is a schematic structural diagram of the design of the head end of the operation portion of the integrated instrument for a large-channel endoscope according to the present invention;

FIG. 6 is a schematic structural view of a circular opening and closing device of an integrated apparatus for a large-channel endoscope according to the present invention;

FIG. 7 is a schematic structural diagram of an assistant controller of an integrated apparatus for a large-scale endoscope according to the present invention;

in the figure: 1. an instrument operation part body; 2. an assistant controller; 3. flushing the pipeline; 4. a monopolar electrical knife wire; 5. a bipolar electrocoagulation circuit; 6. the pipe of the suction apparatus is connected; 7. a single-pole electrotome access position; 8. a bipolar electrocoagulation circuit access; 9. a fixed insulation point of the circulating switching device; 10. flushing the pipeline access; 11. the head end is exposed and a part of the bipolar electrocoagulation contact point is arranged; 12. a suction apparatus head mouth; 13. a suction tube; 14. controlling a pressure hole; 15. a shuttle-shaped locking male part of the circulating opening and closing device; 16. a handle connecting portion; 17. a suction device; 18. an arc-shaped head end; 19. flushing a high-position opening of the device; 20. an intraluminal Y-shaped duct; 21. flushing a pipeline interface; 22. the V-shaped locking nut part of the circulating opening and closing device; 23. a flushing device; 24. a monopolar probe head; 25. a monopolar probe lead-in hole; 26. a probe tail; 27. flushing the control valve; 28. a spring plate.

Detailed Description

The technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only a part of the embodiments of the present invention, and not all embodiments, and all other embodiments obtained by a person of ordinary skill in the art without creative efforts based on the embodiments of the present invention belong to the protection scope of the present invention.

Referring to fig. 1-7, the present invention provides a technical solution: a large-channel endoscope integrated instrument comprises an instrument operation part body 1, a suction device 17 and a flushing device 23, wherein the suction device 17 and the flushing device 23 are arranged on two sides of the instrument operation part body 1, a suction tube 13 is arranged on one side of the suction device 17, a suction head port 12 is arranged at one end of the suction tube 13, a pressure control hole 14 is arranged on the inner side of the suction device 17, an suction tube pipe access part 6 is arranged on one side of the pressure control hole 14, a circulation opening and closing device shuttle-shaped locking male part 15 is arranged on the inner side surface of the suction device 17, a circulation opening and closing device V-shaped locking female part 22 is arranged on the inner side surface of the flushing device 23, an arc-shaped head end 18 is arranged on one side of the flushing device 23, an intracavity Y-shaped tube 20 is arranged on one side of the arc-shaped head end 18, a flushing device high-position opening 19 is arranged on one end of the intracavity, the inner side of the monopole probe leading-in hole 25 is provided with a monopole probe head 24, one end of the monopole probe head 24 is provided with a probe tail 26, one side of the instrument operation part body 1 is provided with an assistant controller 2, the surface of the assistant controller 2 is provided with a monopole electrotome access part 7, one side of the monopole electrotome access part 7 is provided with a bipolar coagulation circuit access part 8, one side of the bipolar coagulation circuit access part 8 is provided with a circulation switching device insulation fixed point 9, the inner side of the assistant controller 2 is provided with a flushing control valve 27, and two sides of the flushing control valve 27 are provided with flushing pipeline access parts 10.

One end of the suction tube 13 and one end of the high-position opening 19 of the flushing device are both provided with a bipolar electrocoagulation contact point 11 with an exposed part at the head end.

The spring piece 28 and the insulation fixing point of the circulation opening and closing device are arranged on one side of the shuttle-shaped locking male part 15 of the circulation opening and closing device and one side of the V-shaped locking female part 22 of the circulation opening and closing device.

The flushing device 23 is connected with one access point of the monopolar electric knife access point 7 and the bipolar electric coagulation circuit access point 8 through one line of the monopolar electric knife line 4 and the bipolar electric coagulation circuit 5, and the suction device 17 is connected with the other access point of the monopolar electric knife access point 7 and the bipolar electric coagulation circuit access point 8 through the other line of the bipolar electric coagulation circuit 5.

The flushing line connection 21 is connected to the flushing line connection 10 via the flushing line 3.

One end of the suction device 17 and one end of the flushing device 23 are both provided with a handle connecting part 16, and the surfaces of the suction device 17 and the flushing device 23 are both provided with anti-skid textures.

The circulation opening and closing device shuttle lock male portion 15 and the circulation opening and closing device V lock female portion 22 are snap-connected.

The specific principle is as follows: when in use, the diameter of the flushing pipeline of the two pipelines is 0.5mm, and the two pipelines are relatively fixed; the diameter of the suction pipeline is 4mm, and the suction pipeline is as light and thin as possible and replaceable on the premise of ensuring that the maximum negative pressure cannot collapse; three lines; a bipolar electrocoagulation line A on the suction apparatus is used as the A pole of the bipolar electrocoagulation line through the assistant controller. Two flushing devices are arranged, and one flushing device is used as a bipolar electrocoagulation B line through an assistant controller; the other is used as a monopolar electric knife wire. The multifunctional combined type surgical instrument comprises an instrument operation part body, a suction device and a flushing device, wherein the suction device and the flushing device are arranged independently to meet the requirement that flushing and suction are carried out simultaneously under certain special conditions; the functions of electric coagulation hemostasis, clamping and the like are completed through a structure similar to a double pole; the cutting or the effect similar to the cutting is achieved by a method of leading in an electrode dissecting needle. The structures are mutually matched and shared, and the volume of the head end of the instrument operation part body of the instrument is compressed as much as possible; the design scheme is as follows: the instrument consists of an instrument operation part body and an assistant control connecting device, and comprises two parts: the operation part body of the apparatus is controlled by an operator to complete the functions of suction, flushing, hemostasis, clamping, stripping, cutting or shearing and the like; the assistant control connecting device consists of an assistant controller and a pipeline (including suction and flushing) and a line connected with the assistant controller. The assistant controls the flushing through the controller to complete the switching of the monopolar electric knife and the bipolar electric coagulation circuit and the control of the monopolar electric knife; in consideration of the characteristics of endoscope operation, the instrument operation part body is designed into a gun shape; the length of the endoscope instrument is 198 mm and 218mm in consideration of different depths of working distances and intraoperative conditions; working distances of 98 and 118 mm; the length of the handle is 100 mm; the caliber of the aspirator is 2.0 mm and 3.0 mm; the working part, especially the head end, reduces the volume as much as possible on the premise of meeting the operation requirement so as to save the space; the suction device is gun-shaped, so that the mutual influence of the endoscope and the instrument during operation is avoided to the greatest extent; the operator controls and adjusts the suction force of the suction apparatus through the pressure control hole at the control handle; meanwhile, the blocked aspirator pipeline can be dredged by the bougie through the pressure control hole; the flushing device and the suction device are of similar symmetrical structures, and the Y-shaped cavity channel solves the problems of flushing pipelines and leading-in of a single-pole probe; the opening of the flushing port is positioned 2cm above the head end of the flushing device, so that the endoscope lens can be conveniently flushed to keep clear visual field, and meanwhile, the upper outlet of the dissecting needle is convenient for fixing the dissecting needle and reducing the volume of the operating head end; the opening and closing of the operation flushing and the flow rate are controlled by adjusting the pressure through a rotary switch and a pressurizing bag; the bipolar electrocoagulation function, which takes a suction device and a flushing device which basically correspond to each other as a basic bipolar electrode framework, and the exposed head ends of the suction device and the flushing device are taken as electrocoagulation contact surfaces; the two are connected and fixed through the tail end insulating edge, and simultaneously provide the opening force of the instrument; the two are respectively connected with a circuit and connected or cut off a bipolar coagulation circuit through an assistant controller, and the bipolar coagulation is controlled by an operator through a foot switch; the monopolar electric knife leads in the monopolar dissecting probe from the tail end through the straight part of the Y-shaped cavity of the flushing device; the electrocoagulation dissecting needle is in a strip shape, the diameter is about 0.7mm, the length is 108mm or 128mm, the head end is in a needle shape, the tail end is bent, and the electrocoagulation dissecting needle is led in from a hole reserved at the handle of the flushing device. The probe is contacted with the inner wall of the cavity to complete the line connection, and the assistant controller enables the single-pole line and the double-pole line to be independent and not interfered with each other; the extension and retraction of the probe are completed by pushing and pulling the tail of the monopole probe; when in work, the head is extended out and is held and fixed by the head end of the combined apparatus; when the monopolar electric knife is not used, the monopolar electric knife retracts into the flushing channel for protection; the head end of the instrument operation part body and the head end of the suction apparatus are similar to a circle, and the arc-shaped head of the head end of the flushing dissecting device is opened or closed through the circulating opening and closing device. The head end of the instrument operation part body is circular in a closed state, an dissecting needle can be clamped and fixed, and the circuit change is completed through an assistant control device to be used as a single-pole electrotome to dissect and cut; the inner side surface of the head end is exposed by 2mm, and when the head end is separated, the assistant control device finishes line change and converts the line change into bipolar coagulation, and the rapid electric coagulation hemostasis is realized. Can complete the suction and the flushing at the same time, and ensures the clear operation area. The head end of the working part can quickly finish various functional conversions, thereby improving the working efficiency; the tail end of the instrument operation part body is 100mm long and bent in a gun shape, and the tail end is staggered with a certain space for the close hand during operation; except the pressure control hole of the suction apparatus and the leading-in hole of the monopolar electrode, the joint of the suction apparatus and the flushing pipeline is also arranged; the middle part of the handle is provided with a circulating opening and closing device; the tail end connecting part is connected with three electric wires; design of a circulating opening and closing device: the design of the circulating opening and closing device aims at solving the problem of opening and closing control of the head end of the instrument operation part body; in the opening state, the instrument is connected through the tail end to provide the stretching elasticity of the instrument; the tail end of the instrument operation part body is pressed to complete locking, and the instrument operation part body is tightly attached to save space; the unlocking is carried out by pressing once again, the opening and closing instrument is circularly carried out, the head end is convenient to open and close, the clamping force is stable, the auxiliary damage is reduced, and the physical strength is saved. The circulating opening and closing device ensures that the contact part cannot generate circuit short circuit through material or insulation fixation; the assistant observes through the scope image in keeping away from the operation region, cooperates the control bath in the art, accomplishes single bipolar electrode sword circuit conversion, unipolar electricity congeals control, cutting control. The appearance is designed into a heart shape, which not only accords with human body function, but also plays a role in suggestion, and the flushing knob is arranged at the apex of the heart, thus saving space and facilitating operation; the circuit slider is pushed up and down to complete circuit conversion. The monopolar electric knife is inserted into the access position of the monopolar electric knife, and the monopolar electric knife is controlled by an assistant.

Finally, it should be noted that: although the present invention has been described in detail with reference to the foregoing embodiments, it will be apparent to those skilled in the art that modifications may be made to the embodiments or portions thereof without departing from the spirit and scope of the invention.