CN105962995B - Hypophysoma cuts remove device - Google Patents
Hypophysoma cuts remove device Download PDFInfo
- Publication number
- CN105962995B CN105962995B CN201610274890.4A CN201610274890A CN105962995B CN 105962995 B CN105962995 B CN 105962995B CN 201610274890 A CN201610274890 A CN 201610274890A CN 105962995 B CN105962995 B CN 105962995B
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- hose
- operating stick
- feed liquor
- operating
- head
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/3203—Fluid jet cutting instruments
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Surgery (AREA)
- Heart & Thoracic Surgery (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of hypophysomas to cut remove device, it is coated with the operating stick for attracting hose in including, hose is attracted to connect with vacuum suction machine, feed liquor hose is also coated in the operating stick, the rear end of the feed liquor hose is connect with liquid pump, the front end of operating stick equipped with can locating rotation operating head, equipped with the sucking head and liquid cutter head being connect respectively with attraction hose and feed liquor hose on operating head, liquid cutter head includes the flat tube body that rear end is connected to feed liquor hose, the front end of flat tube body is equipped with for liquid jet and goes out to be formed liquid cutter and the seam of liquid out in long strip, attract the removing controller of flow stream pressure in the suction controller and control feed liquor hose of hose and sucking head on-off in operating stick equipped with control.It is the configuration of the present invention is simple, easy to operate, have the advantages that shorten operating time, improve surgical effect and reduce surgical injury.
Description
Technical field
The present invention relates to a kind of hypophysomas to cut remove device.
Background technique
Hypophysoma is one group from prehypophyseal tumour.Hypophysoma typically occurs between twenty and fifty period, usually can shadow
Growth and development, the reproductive function, study and work ability of patient are rung, clinical manifestation is hormone secretion abnormality disease group, oncothlipsis
Disease group, pituitary apoplexy and the performance of other hypofunction of anterior pituitary of hypophysis surrounding tissue.At present still to the treatment of hypophysoma
Based on operation, it is aided with drug therapy, radiotherapy.Around there are optic nerve, internal carotid, sea in the position of hypophysoma in saddle area
The important neuromechanism such as continuous sinus, hypothalamus, so operation still has certain risk.Operation method has through sphenoid sinus, opens cranium two at present
Kind mode, about 90% or more hypophysoma can take Trans-sphenoid surgery425 mode under scope to be cut off.Tumor diameter is greater than
3 centimetres must reach optic nerve and sufficiently depressurize with optic nerve adhesion or the leading operative treatment of visually impaired tumour palpus, operation.
When carrying out hypophysoma cutting operation, because of tumour, the property overwhelming majority is softer, is easy to strike off and absorb with low pressure, thus
Stripper removing and suction tube is mostly used to attract, greatly to prevent tumour " envelope " or saddle from collapsing in saddle around influence every too early
The excision of tumour, should be by the excision sequence of first periphery rear center, currently, protruding into the mode that removing is struck off or absorbed that carries out through sphenoid sinus
It is main operation method, i.e., protrudes into stripper through sphenoid sinus or suction tube is operated, since to protrude into space limited for sphenoid sinus, and
And need to be pried through using endoscope, thus surgical doctor carries out the alternately and repeatedly use of stripper and suction tube, significantly
When extending operating time, and being removed by force by stripper, the operative skill of doctor is required high, it may occur however that swollen
The phenomenon that tumor " envelope " supply vessels are broken, and cause subarachnoid hemorrhage, it is also possible to cause diaphragma sellae breakage leakage of cerebrospinal occur,
The hard tough apparent tumour of adhesion is difficult thoroughly to cut off to influence surgical quality.
Summary of the invention
The technical problem to be solved in the present invention is to provide a kind of hypophysomas to cut remove device, can be thorough using the remove device
Hypophysoma is cut in undercutting, while protecting normal surrounding tissue to greatest extent.
In order to solve the above technical problems, provided hypophysoma cutting remove device includes the interior behaviour for being coated with and attracting hose
Make bar, attracts hose to connect with vacuum suction machine, be structurally characterized in that: being also coated with feed liquor hose in the operating stick, it is described
The rear end of feed liquor hose is connect with liquid pump, the front end of operating stick equipped with can locating rotation operating head, on operating head equipped with point
Not with the sucking head and liquid cutter head that attract hose and feed liquor hose to connect, liquid cutter head include rear end be connected to feed liquor hose it is flat
The front end of tube body, flat tube body is equipped with for liquid jet and goes out to be formed liquid cutter and the seam of liquid out in long strip, is equipped in operating stick
Control attracts the removing controller of flow stream pressure in the suction controller and control feed liquor hose of hose and sucking head on-off.
After adopting the above structure, above-mentioned hypophysoma is protruded into through sphenoid sinus and cut remove device, reach it by manipulating operating head
When to hypophysoma position, operating head and operating stick can shape form an angle, liquid pump feed flow into feed liquor hose, liquid cutter capitiform at
Liquid cutter cuts hypophysoma, after the completion of cutting, opens vacuum suction machine, is attracted by sucking head, and can be with liquid
Knife cutting and sucking head attract while carrying out, and substantially reduce operating time, improve procedure efficiency, avoid because removing by force
And surgical injury caused by powerful vacuum suction, in addition, by the suction controller in operating stick and removing controller
Control, can switch at any time attraction and liquid cutter cutting state, easy to operate, the technical ability for greatly reducing doctor is wanted
It asks, has been greatly reduced operating difficulty and risk.
The operating head is rotatably connected on the front end of operating stick by support shaft, and resislient gear, bullet are fixed in support shaft
Property gear on ring be furnished with Elastic Teeth, the operation back of head is equipped with can be with the arc that can mutually rotate after elastic tooth engagement and stress
Ring gear.
Support shaft is fixed on the operating head, support shaft is rotatably connected on the front end of operating stick, connects in the operating stick
It is connected to the pull rod for driving support shaft to rotate, the angle driving handle for being slidably connected at operation rod outer surface is housed on pull rod.
The suction controller includes being connected to the attraction valve attracted on hose, is attracted in the operating stick equipped with control
Valve presses switch.
The removing controller includes the current limliting groove body being connected in operating stick, is equipped in current limliting groove body and wears for feed liquor hose
The current limliting slot crossed, the slot bottom of current limliting slot gradually slopes inwardly from after going to be arranged, and slidably connects tune on the operating stick surface
Pressing roller, the slot bottom cooperation of pressure regulation idler wheel and current limliting slot is common when pressure regulation idler wheel is slided along operating stick squeezes feed liquor hose.
The operating head is provided with pressurization connector, and the inner cavity for being pressurized connector is divided into forward after expands chamber and pressurization aperture,
Diameter of the diameter much larger than pressurization aperture of chamber is expanded, the chamber that expands for being pressurized connector is connected to feed liquor hose, is pressurized aperture and institute
State the connection of liquid cutter head.
In conclusion the configuration of the present invention is simple, easy to operate, have shorten operating time, improve surgical effect and
The advantages of reducing surgical injury.
Detailed description of the invention
The present invention will be further described below with reference to the drawings:
Fig. 1 is the structural schematic diagram of an embodiment of the present invention；
Fig. 2 is the structural schematic diagram that operating head is connected in operating stick；
Fig. 3 is the structural schematic diagram that Fig. 2 is overlooked；
Fig. 4 is the structural schematic diagram of the line A-A section view along Fig. 3；
Fig. 5 is the structural schematic diagram of operating stick partial enlargement；
Fig. 6 is the structural schematic diagram of the line B-B section view along Fig. 5；
Fig. 7 is structural schematic diagram local in another embodiment of the invention；
Fig. 8 be in Fig. 7 C to structural schematic diagram.
Specific embodiment
As shown in Figures 1 to 6, the present invention provides a kind of hypophysomas to cut remove device, for convenience of describing, in Fig. 1
Right side is the front of the device, and hypophysoma cutting remove device includes the interior operating stick 2 for being coated with and attracting hose 3, is attracted soft
Pipe 3 is connect with vacuum suction machine, and the specific structure of vacuum suction machine is the prior art, and is not shown, and is tied substantially
Structure includes negative-pressure air fan and storage box, and negative-pressure air fan generates negative pressure, and is deposited by attracting hose to be displaced into hypophysoma attraction
In storage tank, feed liquor hose 1 is also coated in the operating stick 2, the rear end of the feed liquor hose 1 is connect with liquid pump, and liquid pump is adopted
It is pumped with impeller, specific structure is also the prior art, is being also not shown in the figure, and liquid pump can be passed through medical into feed liquor hose
The liquid such as water or Medical antiseptic solution, the front end of operating stick 2 equipped with can locating rotation operating head 21, equipped with difference on operating head 21
With the sucking head 4 and liquid cutter head 5 for attracting hose 3 and feed liquor hose 1 to connect, liquid cutter head 5 includes what rear end was connected to feed liquor hose
The front end of flat tube body, flat tube body is equipped with for liquid jet and goes out to be formed liquid cutter and the seam of liquid out in long strip, in Fig. 3,
The external shape of flat tube in the present embodiment is square, its certain entirety can claim the other shapes such as arc, according to the position of hypophysoma
It sets and shape, flat tube body of different shapes can be used, and the inner cavity of flat tube body gradually becomes smaller from back to front, thus
Keep the liquid cutter to be formed sharper, attracts suction controller and the control of hose 3 and 4 on-off of sucking head in operating stick 2 equipped with control
The removing controller of flow stream pressure in feed liquor hose 1 processed.
As shown in Figures 2 to 4, in the present embodiment, the locating rotation of operating head, the operating head are realized using following structures
21 are rotatably connected on the front end of operating stick 2 by support shaft 6, are fixed with resislient gear 7 in support shaft 6, ring cloth on resislient gear 7
Flexible tooth, 21 rear portion of operating head be equipped with can with the arc inner tooth circle 8 that can mutually be rotated after elastic tooth engagement and stress,
That is the inner surface of arc inner tooth circle 8 is equipped with internal tooth with elastic tooth engagement, and between slightly having between internal tooth and Elastic Teeth
Gap can produce mutual rotation, when external force takes when fixed operation bar 2 rotates operating head 21 simultaneously between Elastic Teeth and internal tooth
Disappearing when no longer rotating operating head, internal tooth and elastic tooth engagement position operating head 21 and operating stick 2, and shape is at a certain angle,
Hypophysoma is cut convenient for liquid cutter.
As shown in Fig. 1, Fig. 5 and Fig. 6, the suction controller includes being connected to the attraction valve 11 attracted on hose 3, is inhaled
Draw valve 11 and uses touch electromagnetic valve in the prior art, pressing equipped with control attraction valve in the operating stick 2
Dynamic switch 12, that is, press after pressing switch 12, electromagnetic valve conducting, after switch is pressed in release, electromagnetic valve cut-off, and such structure
Electromagnetic valve be the prior art, details are not described herein.The removing controller includes the current limliting groove body being connected in operating stick 2
13, current limliting groove body 13 is interior to be equipped with the current limliting slot passed through for feed liquor hose 1, and the slot bottom of current limliting slot gradually slopes inwardly from after going to be set
It sets, slidably connects pressure regulation idler wheel 14 on 2 surface of operating stick, specifically, be connected with ear on the outer surface of operating stick 2
Seat, the inner surface of two ear mounts are correspondingly provided with the sliding slot that front and back is arranged, and the wheel shaft both ends of pressure regulation idler wheel 14 are inserted into sliding slot respectively,
It can be rotated around itself wheel shaft to realize front and back sliding and the pressure regulation idler wheel of pressure regulation idler wheel 14, pressure regulation idler wheel 14 is along operating stick 2
The slot bottom cooperation of pressure regulation idler wheel 14 and current limliting slot is common when sliding squeezes feed liquor hose, i.e., when pressure regulation idler wheel 14 along operating stick backward
When sliding, pressure regulation idler wheel itself is rolled at this time, and pressure regulation idler wheel 14 and the gap of current limliting slot are smaller and smaller, so that it is soft to be expressed to feed liquor
Pipe 1 makes the liquid to circulate in feed liquor hose 1 is hydraulic to become larger, and can increase the sharpness of liquid cutter, and can make pressure regulation idler wheel
14 inner surface is clinged to completely on the slot bottom of current limliting slot, to close feed liquor hose 1, realizes the closing of feed liquor hose.
As shown in figure 3, the operating head 21 is provided with pressurization connector 15 for the cutting effect for guaranteeing liquid cutter, it is pressurized connector
15 inner cavity is divided into forward after expands chamber and pressurization aperture, expands diameter of the diameter much larger than pressurization aperture of chamber, and pressurization connects
First 15 chamber that expands is connected to feed liquor hose 1, is pressurized aperture and is connected to the liquid cutter head 5, using above-mentioned buffering reducing pressurizing
Mode can be such that the pressure of liquid further increases, to guarantee hypophysoma cutting effect.
As shown in Figure 7 and Figure 8, the present invention provides another embodiment, basic structure is same as the previously described embodiments, no
It is that the specific structure of the locating rotation of operating head is different with point, in the present embodiment, is fixed with support on the operating head 21
Axis 6, support shaft 6 are rotatably connected on the front end of operating stick 2, and the pull rod 9 for driving support shaft 6 to rotate is connected in the operating stick 2,
Specifically, crank can be housed in support shaft 6, the front end of pull rod 9 and crank are hinged, are equipped on pull rod 9 and are slidably connected at behaviour
Make the angle driving handle 10 of 2 outer surface of bar, the longitudinal chute slid for driving handle 10 is set in operating stick 2, in longitudinal cunning
Multiple gear slots 16 are arranged in the two sides of slot, and after pull rod drives support shaft to turn an angle, i.e., operating head and operating stick form one
Behind clamp angle, driving handle can be sunk in gear slot, so that above-mentioned angle be fixed, that is, realize the locating rotation of operating head,
Arbitrarily change stretching to for operating head in operation at any time, so as to shorten operating time, improves surgical effect, reduce surgical injury.
The present invention is not limited to the above embodiments, for those skilled in the art, based on the upper specific structure of the present invention
Equivalent variations and part replacement it is all within the scope of the present invention.
Claims (4)
1. a kind of hypophysoma cuts remove device, attract the operating stick (2) of hose (3) including interior be coated with, attract hose (3) with
Vacuum suction machine connection, the operating stick (2) is interior to be also coated with feed liquor hose (1), the rear end of the feed liquor hose (1) and liquid
Pump connection, it is characterized in that: the front end of operating stick (2) is equipped with the operating head (21) for capableing of locating rotation, operating head is equipped on (21)
Respectively with the sucking head (4) and liquid cutter head (5) that attract hose (3) and feed liquor hose (1) to connect, liquid cutter head (5) include rear end and
The flat tube body of feed liquor hose connection, the front end of flat tube body are equipped with for liquid jet and go out to be formed liquid cutter and in long strip go out
Liquid stitches, and attracts the suction controller of hose (3) and sucking head (4) on-off equipped with control in operating stick (2) and controls feed liquor hose
(1) the removing controller of flow stream pressure in；Before the operating head (21) is rotatably connected on operating stick (2) by support shaft (6)
It holds, is fixed with resislient gear (7) in support shaft (6), ring is furnished with Elastic Teeth, operating head (21) rear portion on resislient gear (7)
Equipped with can be with the arc inner tooth circle (8) that can mutually be rotated after elastic tooth engagement and stress；Or it is solid on the operating head (21)
Equipped with support shaft (6), support shaft (6) is rotatably connected on the front end of operating stick (2), is connected in the operating stick (2) and drives branch
The pull rod (9) of axis (6) rotation is supportted, the angle driving handle for being slidably connected at operating stick (2) outer surface is housed on pull rod (9)
(10).
2. hypophysoma according to claim 1 cuts remove device, it is characterized in that: the suction controller includes being connected to
Attract the attraction valve (11) on hose (3), what control attraction valve was housed on the operating stick (2) presses switch (12).
3. hypophysoma according to claim 1 cuts remove device, it is characterized in that: the removing controller includes being connected to
Current limliting groove body (13) in operating stick (2), current limliting groove body (13) is interior to be equipped with the current limliting slot passed through for feed liquor hose (1), current limliting slot
Slot bottom gradually slope inwardly after go to setting, slidably connect pressure regulation idler wheel (14), pressure regulation on operating stick (2) surface
The slot bottom cooperation of pressure regulation idler wheel (14) and current limliting slot is common when idler wheel (14) is slided along operating stick (2) squeezes feed liquor hose.
4. hypophysoma according to claim 1 cuts remove device, it is characterized in that: the operating head (21) is provided with pressurization
Connector (15), the inner cavity for being pressurized connector (15) is divided into forward after expands chamber and pressurization aperture, and the diameter for expanding chamber, which is much larger than, to be increased
The diameter of aperture is pressed, the chamber that expands of pressurization connector (15) is connected to feed liquor hose (1), is pressurized aperture and the liquid cutter head (5) even
It is logical.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610274890.4A CN105962995B (en) | 2016-04-28 | 2016-04-28 | Hypophysoma cuts remove device |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201610274890.4A CN105962995B (en) | 2016-04-28 | 2016-04-28 | Hypophysoma cuts remove device |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN105962995A CN105962995A (en) | 2016-09-28 |
| CN105962995B true CN105962995B (en) | 2019-02-12 |
Family
ID=56993354
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201610274890.4A Expired - Fee Related CN105962995B (en) | 2016-04-28 | 2016-04-28 | Hypophysoma cuts remove device |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN105962995B (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109674511B (en) * | 2018-11-15 | 2020-10-09 | 四川大学华西医院 | Pituitary tumor cutting and removing device |
Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201303966Y (en) * | 2008-10-21 | 2009-09-09 | 中国人民解放军军事医学科学院卫生装备研究所 | Novel water-jet debridement equipment |
| WO2010115499A1 (en) * | 2009-04-08 | 2010-10-14 | Erbe Elektromedizin Gmbh | Water jet surgical instrument |
| CN102188275A (en) * | 2010-03-03 | 2011-09-21 | 精工爱普生株式会社 | Fluid injection device |
| CN102440821A (en) * | 2010-10-12 | 2012-05-09 | 精工爱普生株式会社 | Fluid ejection device and medical apparatus |
| US20150142030A1 (en) * | 2013-11-20 | 2015-05-21 | Jason N. MacTaggart | Fluid Jet Arterial Surgical Device |
| CN205697942U (en) * | 2016-04-28 | 2016-11-23 | 王喆 | Device is removed in pituitary tumor cutting |
-
2016
- 2016-04-28 CN CN201610274890.4A patent/CN105962995B/en not_active Expired - Fee Related
Patent Citations (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN201303966Y (en) * | 2008-10-21 | 2009-09-09 | 中国人民解放军军事医学科学院卫生装备研究所 | Novel water-jet debridement equipment |
| WO2010115499A1 (en) * | 2009-04-08 | 2010-10-14 | Erbe Elektromedizin Gmbh | Water jet surgical instrument |
| CN102188275A (en) * | 2010-03-03 | 2011-09-21 | 精工爱普生株式会社 | Fluid injection device |
| CN102440821A (en) * | 2010-10-12 | 2012-05-09 | 精工爱普生株式会社 | Fluid ejection device and medical apparatus |
| US20150142030A1 (en) * | 2013-11-20 | 2015-05-21 | Jason N. MacTaggart | Fluid Jet Arterial Surgical Device |
| CN205697942U (en) * | 2016-04-28 | 2016-11-23 | 王喆 | Device is removed in pituitary tumor cutting |
Also Published As
| Publication number | Publication date |
|---|---|
| CN105962995A (en) | 2016-09-28 |
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| CF01 | Termination of patent right due to non-payment of annual fee |
Granted publication date: 20190212 Termination date: 20190428 |
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| CF01 | Termination of patent right due to non-payment of annual fee |