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CN111772687A - A biopsy needle for endoscopy - Google Patents

A biopsy needle for endoscopy Download PDF

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Publication number
CN111772687A
CN111772687A CN202010785652.6A CN202010785652A CN111772687A CN 111772687 A CN111772687 A CN 111772687A CN 202010785652 A CN202010785652 A CN 202010785652A CN 111772687 A CN111772687 A CN 111772687A
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China
Prior art keywords
biopsy
outer sleeve
base body
needle
biopsy needle
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CN202010785652.6A
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Chinese (zh)
Inventor
胡兵
曾宪晖
袁湘蕾
牟一
叶连松
张琼英
吴春成
张宇航
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West China Hospital of Sichuan University
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West China Hospital of Sichuan University
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Priority to CN202010785652.6A priority Critical patent/CN111772687A/en
Publication of CN111772687A publication Critical patent/CN111772687A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/04Endoscopic instruments, e.g. catheter-type instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/0233Pointed or sharp biopsy instruments
    • A61B10/0266Pointed or sharp biopsy instruments means for severing sample
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/0233Pointed or sharp biopsy instruments
    • A61B10/0283Pointed or sharp biopsy instruments with vacuum aspiration, e.g. caused by retractable plunger or by connected syringe
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/04Endoscopic instruments, e.g. catheter-type instruments
    • A61B2010/045Needles

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Surgery (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Pathology (AREA)
  • Engineering & Computer Science (AREA)
  • Biomedical Technology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Radiology & Medical Imaging (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Endoscopes (AREA)

Abstract

The invention discloses a biopsy needle used under an endoscope, which comprises a hollow needle head, wherein the rear end of the hollow needle head is connected with the front end of an outer sleeve, a biopsy cabin is arranged in the outer sleeve and is connected with a transmission mechanism, the transmission mechanism pushes the biopsy cabin along the axis of the outer sleeve, the front end of the hollow needle head is provided with a cutting edge, the biopsy cabin comprises a base body and a sample cabin arranged on the base body, a convex ridge in the front of the base body is provided with a cutting edge, the edge of the sample cabin is provided with a cutting edge, and the transverse size of the biopsy cabin is smaller than the inner diameter. The invention can extract the position of lesion growth on the side of the observation lens or a lateral development type tumor sample.

Description

一种内镜下用活检针A biopsy needle for endoscopy

技术领域technical field

本发明涉及一种医疗器械,尤其涉及一种内镜下用活检针。The invention relates to a medical instrument, in particular to a biopsy needle for endoscopy.

背景技术Background technique

消化内镜检查取活检的时候比较多,有时候,因为病变生长的位置在观察镜头的侧方或者为侧向发育型肿瘤,目前使用的活检钳难以调整到最佳角度取活检、甚至无法钳取。Digestive endoscopy is often used to take biopsies. Sometimes, because the lesion grows on the side of the observation lens or is a laterally developing tumor, the currently used biopsy forceps are difficult to adjust to the best angle for biopsy, or even unable to clamp. Pick.

发明内容SUMMARY OF THE INVENTION

本发明旨在提供一种内镜下用活检针,能够提取病变生长的位置在观察镜头的侧方或者为侧向发育型肿瘤样本。The present invention aims to provide a biopsy needle for endoscopy, which can extract a tumor sample with a lesion growing on the side of the observation lens or a laterally developed tumor sample.

为达到上述目的,本发明是采用以下技术方案实现的:To achieve the above object, the present invention adopts the following technical solutions to realize:

本发明公开的内镜下用活检针,包括空心针头,所述空心针头的后端连接外套筒的前端,所述外套筒内设有活检舱,所述活检舱连接传动机构,所述传动机构沿外套筒的轴线推动活检舱,空心针头的前端设有刃口,活检舱包括基体和开设在基体上的样品舱,所述基体的前部的凸楞设有刃口,所述样品舱的沿口设有刃口,活检舱的横向尺寸小于空心针头的内径。The biopsy needle for endoscopy disclosed in the present invention comprises a hollow needle, the rear end of the hollow needle is connected to the front end of the outer sleeve, the outer sleeve is provided with a biopsy chamber, the biopsy chamber is connected to the transmission mechanism, the The transmission mechanism pushes the biopsy chamber along the axis of the outer sleeve, the front end of the hollow needle is provided with a cutting edge, the biopsy chamber includes a base body and a sample chamber opened on the base body, and the front ridge of the base body is provided with a cutting edge, the The edge of the sample chamber is provided with a cutting edge, and the transverse dimension of the biopsy chamber is smaller than the inner diameter of the hollow needle.

进一步的,所述外套筒设有负压接口。Further, the outer sleeve is provided with a negative pressure interface.

优选的,所述基体为条形,基体的前部为棱锥形,棱上设有刃口,所述样品舱的顶部和一个侧面敞开。Preferably, the base body is strip-shaped, the front part of the base body is pyramid-shaped, the edge is provided with a cutting edge, and the top and one side of the sample compartment are open.

优选的,所述前部为四棱锥,所述基体除前部外的其他部分的外轮廓为长方体,所述长方体的4条长边分别与四棱锥的4个棱连接。Preferably, the front part is a quadrangular pyramid, the outer contour of other parts of the base body except the front part is a cuboid, and the four long sides of the cuboid are respectively connected with the four edges of the quadrangular pyramid.

优选的,所述活检舱一体制造。Preferably, the biopsy capsule is manufactured in one piece.

优选的,所述传动机构包括依次连接的连接件、伸缩机构和操作部,所述活检舱与连接件连接,所述伸缩机构的伸缩方向为外套筒的轴向。Preferably, the transmission mechanism includes a connecting piece, a telescopic mechanism and an operation part that are connected in sequence, the biopsy capsule is connected with the connecting piece, and the telescopic direction of the telescopic mechanism is the axial direction of the outer sleeve.

优选的,所述伸缩机构包括至少一个菱形伸缩机构,所述连接件、操作部分别连接菱形伸缩机构的两个相对端。Preferably, the telescopic mechanism includes at least one diamond-shaped telescopic mechanism, and the connecting member and the operating portion are respectively connected to two opposite ends of the diamond-shaped telescopic mechanism.

优选的,所述操作部为滑动手柄,所述滑动手柄与外套筒滑动连接。Preferably, the operating portion is a sliding handle, and the sliding handle is slidably connected to the outer sleeve.

进一步的,所述外套筒的后端连接固定手柄。Further, the rear end of the outer sleeve is connected to a fixed handle.

优选的,所述连接件为导丝。Preferably, the connector is a guide wire.

本发明的使用方法如下:The using method of the present invention is as follows:

1、发现目标病灶后,握持固定手柄将空心针头及外套筒前部通过内镜活检孔道送达病灶附近,调整位置,将空心针头刺入病灶。1. After the target lesion is found, hold the fixed handle to deliver the hollow needle and the front of the outer sleeve to the vicinity of the lesion through the endoscopic biopsy port, adjust the position, and pierce the hollow needle into the lesion.

2、拉动滑动手柄,将活检舱经过外套管及空心针头送入,活检舱超出针头。2. Pull the sliding handle, and send the biopsy chamber through the outer cannula and the hollow needle, and the biopsy chamber exceeds the needle.

3、推动滑动手柄,使其位置复员,活检舱从针头腔回到外套管。3. Push the sliding handle to demobilize its position, and the biopsy capsule returns to the outer cannula from the needle cavity.

4、拉动固定手柄,使空心针头退出病变,再将活检针退出内镜活检孔道。4. Pull the fixed handle to make the hollow needle withdraw from the lesion, and then withdraw the biopsy needle from the endoscopic biopsy hole.

5、整个过程接入负压吸引,避免活检舱中样本通过外套管及针头孔脱出。5. The whole process is connected to negative pressure suction to prevent the sample in the biopsy chamber from coming out through the outer cannula and needle hole.

6、取出样本仓中的样本送检。6. Take out the samples in the sample warehouse for inspection.

本发明的有益效果如下:The beneficial effects of the present invention are as follows:

1、本发明能够提取病变生长的位置在观察镜头的侧方或者为侧向发育型肿瘤样本。1. The present invention can extract the position of the lesion growth on the side of the observation lens or a laterally developed tumor sample.

2、本发明操作简便、可靠。2. The operation of the present invention is simple and reliable.

附图说明Description of drawings

图1为本发明的结构示意图;Fig. 1 is the structural representation of the present invention;

图2为活检舱的结构示意图;Fig. 2 is the structural representation of biopsy cabin;

图3为菱形伸缩机构的结构示意图;3 is a schematic structural diagram of a diamond-shaped telescopic mechanism;

图4为滑动手柄部分的结构示意图。FIG. 4 is a schematic view of the structure of the sliding handle part.

具体实施方式Detailed ways

为了使本发明的目的、技术方案及优点更加清楚明白,以下结合附图,对本发明进行进一步详细说明。In order to make the objectives, technical solutions and advantages of the present invention clearer, the present invention will be further described in detail below with reference to the accompanying drawings.

如图1、图2所示,本发明公开的内镜下用活检针,包括空心针头1,空心针头1的后端连接外套筒2的前端,外套筒2内设有活检舱3,活检舱3连接传动机构,传动机构沿外套筒的轴线推动活检舱3,空心针头1的前端设有刃口,活检舱3包括基体32和开设在基体上的样品舱33,基体32的前部31的凸楞设有刃口34,样品舱33的沿口设有刃口34,活检舱3的横向尺寸小于空心针头1的内径,外套筒2设有负压接口6。As shown in FIGS. 1 and 2 , the biopsy needle for endoscopy disclosed in the present invention includes a hollow needle 1, the rear end of the hollow needle 1 is connected to the front end of an outer sleeve 2, and the outer sleeve 2 is provided with a biopsy chamber 3, The biopsy chamber 3 is connected to a transmission mechanism, and the transmission mechanism pushes the biopsy chamber 3 along the axis of the outer sleeve. The front end of the hollow needle 1 is provided with a cutting edge. The biopsy chamber 3 includes a base body 32 and a sample chamber 33 opened on the base body. A cutting edge 34 is provided on the convex corrugation of the part 31 , a cutting edge 34 is provided on the edge of the sample chamber 33 , the transverse dimension of the biopsy chamber 3 is smaller than the inner diameter of the hollow needle 1 , and the outer sleeve 2 is provided with a negative pressure interface 6 .

具体的:基体32为条形,基体32的前部31为棱锥形,优选为四棱锥,棱上设有刃口34,基体32除前部31外的其他部分的外轮廓为长方体,长方体的4条长边分别与四棱锥的4个棱连接;样品舱33的顶部和一个侧面敞开;活检舱3一体制造。传动机构包括依次连接的连接件4、伸缩机构5和操作部7,活检舱3的基体32的后端与连接件4连接,伸缩机构5的伸缩方向为外套筒的轴向。Specifically: the base body 32 is strip-shaped, the front part 31 of the base body 32 is a pyramid, preferably a quadrangular pyramid, the edge is provided with a cutting edge 34, the outer contour of the other parts of the base body 32 except the front part 31 is a cuboid, The four long sides are respectively connected with the four edges of the quadrangular pyramid; the top and one side of the sample chamber 33 are open; the biopsy chamber 3 is made in one piece. The transmission mechanism includes a connecting piece 4 , a telescopic mechanism 5 and an operation part 7 connected in sequence. The rear end of the base body 32 of the biopsy capsule 3 is connected with the connecting piece 4 , and the telescopic direction of the telescopic mechanism 5 is the axial direction of the outer sleeve.

如图3所示,伸缩机构5包括至少一个菱形伸缩机构,连接件4、操作部7分别连接菱形伸缩机构的两个相对端,连接件4为导丝。菱形伸缩机构包括4条边51,相邻的边51通过销轴52铰接,两个相对端分别连接有连接杆53。As shown in FIG. 3 , the telescopic mechanism 5 includes at least one diamond-shaped telescopic mechanism, the connecting member 4 and the operating portion 7 are respectively connected to two opposite ends of the diamond-shaped telescopic mechanism, and the connecting member 4 is a guide wire. The rhombus telescopic mechanism includes four sides 51 , the adjacent sides 51 are hinged through pins 52 , and two opposite ends are respectively connected with connecting rods 53 .

如图4所示,操作部7为滑动手柄,滑动手柄与外套筒2滑动连接。外套筒2的后端连接固定手柄8。As shown in FIG. 4 , the operation part 7 is a sliding handle, and the sliding handle is slidably connected with the outer sleeve 2 . The rear end of the outer sleeve 2 is connected to the fixed handle 8 .

当然,本发明还可有其它多种实施例,在不背离本发明精神及其实质的情况下,熟悉本领域的技术人员可根据本发明作出各种相应的改变和变形,但这些相应的改变和变形都应属于本发明所附的权利要求的保护范围。Of course, the present invention can also have other various embodiments, without departing from the spirit and essence of the present invention, those skilled in the art can make various corresponding changes and deformations according to the present invention, but these corresponding changes and deformation should belong to the protection scope of the appended claims of the present invention.

Claims (10)

1.一种内镜下用活检针,其特征在于:包括空心针头,所述空心针头的后端连接外套筒的前端,所述外套筒内设有活检舱,所述活检舱连接传动机构,所述传动机构沿外套筒的轴线推动活检舱,空心针头的前端设有刃口,活检舱包括基体和开设在基体上的样品舱,所述基体的前部的凸楞设有刃口,所述样品舱的沿口设有刃口,活检舱的横向尺寸小于空心针头的内径。1. a biopsy needle under endoscope is characterized in that: comprise a hollow needle, the rear end of the hollow needle is connected to the front end of an outer sleeve, the outer sleeve is provided with a biopsy cabin, and the biopsy cabin is connected to a transmission Mechanism, the transmission mechanism pushes the biopsy chamber along the axis of the outer sleeve, the front end of the hollow needle is provided with a cutting edge, the biopsy chamber includes a base body and a sample chamber opened on the base body, and the front ridge of the base body is provided with a cutting edge The mouth of the sample chamber is provided with a cutting edge, and the transverse dimension of the biopsy chamber is smaller than the inner diameter of the hollow needle. 2.根据权利要求1所述的内镜下用活检针,其特征在于:所述外套筒设有负压接口。2 . The biopsy needle for endoscopy according to claim 1 , wherein the outer sleeve is provided with a negative pressure interface. 3 . 3.根据权利要求1或2所述的内镜下用活检针,其特征在于:所述基体为条形,基体的前部为棱锥形,棱上设有刃口,所述样品舱的顶部和一个侧面敞开。3. The biopsy needle for endoscopy according to claim 1 or 2, characterized in that: the base body is in the shape of a bar, the front part of the base body is a pyramid shape, the edge is provided with a cutting edge, and the top of the sample chamber is and one side open. 4.根据权利要求3所述的内镜下用活检针,其特征在于:所述前部为四棱锥,所述基体除前部外的其他部分的外轮廓为长方体,所述长方体的4条长边分别与四棱锥的4个棱连接。4 . The biopsy needle for endoscopy according to claim 3 , wherein the front part is a quadrangular pyramid, the outer contour of the other parts of the base body except the front part is a rectangular parallelepiped, and the four strips of the rectangular parallelepiped The long sides are respectively connected with the four edges of the quadrangular pyramid. 5.根据权利要求5所述的内镜下用活检针,其特征在于:所述活检舱一体制造。5 . The biopsy needle for endoscopy according to claim 5 , wherein the biopsy capsule is integrally manufactured. 6 . 6.根据权利要求1或2所述的内镜下用活检针,其特征在于:所述传动机构包括依次连接的连接件、伸缩机构和操作部,所述活检舱与连接件连接,所述伸缩机构的伸缩方向为外套筒的轴向。6. The biopsy needle for endoscopy according to claim 1 or 2, wherein the transmission mechanism comprises a connecting piece, a telescopic mechanism and an operating portion connected in sequence, the biopsy cabin is connected with the connecting piece, and the The telescopic direction of the telescopic mechanism is the axial direction of the outer sleeve. 7.根据权利要求6所述的内镜下用活检针,其特征在于:所述伸缩机构包括至少一个菱形伸缩机构,所述连接件、操作部分别连接菱形伸缩机构的两个相对端。7 . The biopsy needle for endoscopy according to claim 6 , wherein the telescopic mechanism comprises at least one diamond-shaped telescopic mechanism, and the connector and the operating portion are respectively connected to two opposite ends of the diamond-shaped telescopic mechanism. 8 . 8.根据权利要求6所述的内镜下用活检针,其特征在于:所述操作部为滑动手柄,所述滑动手柄与外套筒滑动连接。8 . The biopsy needle for endoscopic use according to claim 6 , wherein the operation part is a sliding handle, and the sliding handle is slidably connected to the outer sleeve. 9 . 9.根据权利要求8所述的内镜下用活检针,其特征在于:所述外套筒的后端连接固定手柄。9 . The biopsy needle for endoscopy according to claim 8 , wherein the rear end of the outer sleeve is connected to a fixed handle. 10 . 10.根据权利要求6所述的内镜下用活检针,其特征在于:所述连接件为导丝。10 . The biopsy needle for endoscopic use according to claim 6 , wherein the connecting member is a guide wire. 11 .
CN202010785652.6A 2020-08-06 2020-08-06 A biopsy needle for endoscopy Pending CN111772687A (en)

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Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5090419A (en) * 1990-08-23 1992-02-25 Aubrey Palestrant Apparatus for acquiring soft tissue biopsy specimens
CN103876785A (en) * 2014-03-05 2014-06-25 中国人民解放军第二军医大学 Multifunctional needle for minimally invasive surgery, biopsy and ablation of solid tumors
CN104720874A (en) * 2015-03-06 2015-06-24 上海市第一人民医院 Ejection type bone puncture biopsy surgical instrument assembly
CN209808406U (en) * 2018-08-24 2019-12-20 贵阳市妇幼保健院 Gynecological tumor sampling device
CN212939798U (en) * 2020-08-06 2021-04-13 四川大学华西医院 A biopsy needle for endoscopy

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5090419A (en) * 1990-08-23 1992-02-25 Aubrey Palestrant Apparatus for acquiring soft tissue biopsy specimens
CN103876785A (en) * 2014-03-05 2014-06-25 中国人民解放军第二军医大学 Multifunctional needle for minimally invasive surgery, biopsy and ablation of solid tumors
CN104720874A (en) * 2015-03-06 2015-06-24 上海市第一人民医院 Ejection type bone puncture biopsy surgical instrument assembly
CN209808406U (en) * 2018-08-24 2019-12-20 贵阳市妇幼保健院 Gynecological tumor sampling device
CN212939798U (en) * 2020-08-06 2021-04-13 四川大学华西医院 A biopsy needle for endoscopy

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