CN106725830A - The fitting method of Bipolar electrocautery mirror assembly and its electrode and sliding block - Google Patents
The fitting method of Bipolar electrocautery mirror assembly and its electrode and sliding block Download PDFInfo
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- CN106725830A CN106725830A CN201611160402.3A CN201611160402A CN106725830A CN 106725830 A CN106725830 A CN 106725830A CN 201611160402 A CN201611160402 A CN 201611160402A CN 106725830 A CN106725830 A CN 106725830A
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- ring
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- 238000000034 method Methods 0.000 title claims abstract description 15
- 229910000831 Steel Inorganic materials 0.000 claims abstract description 52
- 239000010959 steel Substances 0.000 claims abstract description 52
- 241000463219 Epitheca Species 0.000 claims abstract description 44
- 230000006835 compression Effects 0.000 claims abstract description 13
- 238000007906 compression Methods 0.000 claims abstract description 13
- 239000011324 bead Substances 0.000 claims abstract description 5
- 239000004033 plastic Substances 0.000 claims description 36
- 238000000429 assembly Methods 0.000 claims description 26
- 230000000712 assembly Effects 0.000 claims description 26
- 238000007789 sealing Methods 0.000 claims description 24
- WFKWXMTUELFFGS-UHFFFAOYSA-N tungsten Chemical compound [W] WFKWXMTUELFFGS-UHFFFAOYSA-N 0.000 claims description 22
- 229910052721 tungsten Inorganic materials 0.000 claims description 22
- 239000010937 tungsten Substances 0.000 claims description 22
- 230000015271 coagulation Effects 0.000 claims description 15
- 238000005345 coagulation Methods 0.000 claims description 15
- 238000009434 installation Methods 0.000 claims description 9
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 5
- 230000033228 biological regulation Effects 0.000 claims description 3
- 238000005253 cladding Methods 0.000 claims description 2
- 238000001356 surgical procedure Methods 0.000 abstract description 4
- 239000003292 glue Substances 0.000 description 10
- 239000003822 epoxy resin Substances 0.000 description 8
- 229920000647 polyepoxide Polymers 0.000 description 8
- 210000001519 tissue Anatomy 0.000 description 8
- 230000000694 effects Effects 0.000 description 7
- 238000005520 cutting process Methods 0.000 description 5
- 238000003780 insertion Methods 0.000 description 5
- 230000037431 insertion Effects 0.000 description 5
- 230000005404 monopole Effects 0.000 description 3
- 206010046471 Urethral stricture postoperative Diseases 0.000 description 2
- 208000005735 Water intoxication Diseases 0.000 description 2
- 230000000740 bleeding effect Effects 0.000 description 2
- 230000023555 blood coagulation Effects 0.000 description 2
- 206010012601 diabetes mellitus Diseases 0.000 description 2
- 238000009792 diffusion process Methods 0.000 description 2
- 230000005611 electricity Effects 0.000 description 2
- 238000005516 engineering process Methods 0.000 description 2
- 230000023597 hemostasis Effects 0.000 description 2
- 238000007913 intrathecal administration Methods 0.000 description 2
- 230000033001 locomotion Effects 0.000 description 2
- 238000004519 manufacturing process Methods 0.000 description 2
- 210000004239 obturator nerve Anatomy 0.000 description 2
- 239000008188 pellet Substances 0.000 description 2
- 230000002980 postoperative effect Effects 0.000 description 2
- 208000011580 syndromic disease Diseases 0.000 description 2
- 238000003466 welding Methods 0.000 description 2
- 206010004446 Benign prostatic hyperplasia Diseases 0.000 description 1
- WQZGKKKJIJFFOK-GASJEMHNSA-N Glucose Natural products OC[C@H]1OC(O)[C@H](O)[C@@H](O)[C@@H]1O WQZGKKKJIJFFOK-GASJEMHNSA-N 0.000 description 1
- 208000035965 Postoperative Complications Diseases 0.000 description 1
- 206010053615 Thermal burn Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000010276 construction Methods 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000018044 dehydration Effects 0.000 description 1
- 238000006297 dehydration reaction Methods 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 235000013399 edible fruits Nutrition 0.000 description 1
- 238000002474 experimental method Methods 0.000 description 1
- 239000008103 glucose Substances 0.000 description 1
- 230000000025 haemostatic effect Effects 0.000 description 1
- 230000002962 histologic effect Effects 0.000 description 1
- 206010020718 hyperplasia Diseases 0.000 description 1
- 238000001746 injection moulding Methods 0.000 description 1
- 230000003902 lesion Effects 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 230000007170 pathology Effects 0.000 description 1
- 230000035479 physiological effects, processes and functions Effects 0.000 description 1
- 239000002504 physiological saline solution Substances 0.000 description 1
- 238000004080 punching Methods 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 150000003839 salts Chemical class 0.000 description 1
- 230000011218 segmentation Effects 0.000 description 1
- 230000006641 stabilisation Effects 0.000 description 1
- 238000011105 stabilization Methods 0.000 description 1
- 210000003708 urethra Anatomy 0.000 description 1
Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00505—Urinary tract
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00547—Prostate
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00607—Coagulation and cutting with the same instrument
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/1206—Generators therefor
- A61B2018/1246—Generators therefor characterised by the output polarity
- A61B2018/126—Generators therefor characterised by the output polarity bipolar
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1467—Probes or electrodes therefor using more than two electrodes on a single probe
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Otolaryngology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (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 present invention relates to a kind of Bipolar electrocautery mirror assembly and its fitting method of electrode and sliding block, it is primarily adapted for use in urological surgery.The present invention is provided with locking device in the rear end of epitheca main body, and it is provided with the steel bead groove coordinated with the steel ball including lock ring, epitheca main body joint, steel ball and compression spring etc. in interior sheath main body；Slide block assembly and lock ring component are provided with the TURP handle, including sliding block, guide-localization block, bullet card push rod and bullet card etc., lock ring component includes lock ring, lock ring joint, wavy spring and retainer to slide block assembly；The electrode is Bipolar electrocautery ring, its electrode is to be inserted into two sliding block apertures of slide block assembly tailpin pipe end by after two handle apertures of handle body respectively with the fitting method of sliding block, until in the bayonet slot that the tip on bullet card snaps in chapped pipe, positioning is pinned.More rationally, simply, cost is lower, and method is safer, effective for structure design of the invention, uses light, reliable.
Description
Technical field
The present invention relates to a kind of plasma double-pole resectoscope, particularly a kind of Bipolar electrocautery mirror assembly and its electrode and sliding block
Fitting method, it belongs to field of medical technology, is primarily adapted for use in the urological surgery of human body.
Background technology
Resectoscope point monopole resectoscope and double-pole resectoscope, mainly treat hyperplasia of prostate by operation on urethra, its
Resection includes that to the segmentation and hemostasis of tissue be blood coagulation/dehydration, to cut off hyperplasia and to control and reduction bleeding.
Monopole resectoscope is needed negative plate and human contact when working, and glucose is needed to use in surgical procedure as punching
Medium is washed, diabetes patient is susceptible to TURP syndromes i.e. water intoxication, and required power is big, and thermal diffusion scope is big, to human body week
Enclose histologic lesion larger.Although having double-pole resectoscope at present, its black box structure design is not reasonable, Clinical practice effect
Fruit is not good.
Chinese Patent Application No. 200920054446.7 discloses a kind of " plasma double-pole resectoscope ", and its overall structure sets
Meter is not reasonable, and interior sheath, epitheca, work handle realize installation and removal, during installation, interior sheath using pressure type inclined-plane locking mode
Inclined-plane is needed to be oriented to insertion epitheca, it is relatively elaborate；During dismounting, button need to be pressed, and button is small with hand contact area and button in
Spring force is larger, and dismounting is laborious；And, it uses common lock ring, and sealing property is unstable, the easy deflection in lock ring start-stop position,
Locking can be caused to fail if imprudence is encountered during operation；Additionally, its return electrode is located on the pillar of TURP ring during work
Intrathecal, after repeatedly, it is possible to the contact of mirror sheath electric current can be made to cross human body, obturator nerve may be stimulated, meanwhile, it is postoperative easy
Generation ankylurethria；Finally, handle body and Bipolar electrocautery ring are sealed, be by be placed in the sealing shroud on Bipolar electrocautery ring come
Realize, its structure has the following disadvantages：1st, fit clearance is non-adjustable, high to accessory size requirement, complex process；2nd, handle master
Body must open a groove and put the sealing shroud, cause handle body to have a breach with the outer bevel sealing surface at interior sheath cooperation, and this lacks
The sealing shroud outer surface put in mouthful coordinates requirement high with interior intrathecal bevel sealing surface, is susceptible to the situation of poor sealing.
Chinese Patent Application No. 201410032725.9 discloses a kind of " Electrosurgical generator and system ", what it to be solved
Technical problem is that high-frequency electrical cut through the shortcoming for producing amount of heat to cut tissue, but the structure one of this application is commonly used
Plasma electric cutting system, the system is worked in physiological saline, produces plasma, and human tissue cell is interrupted by plasma
Molecular link, realizes separating the purpose of tissue；Although it passes through a series of experiments sum it is demonstrated that it is to tissue
Infringement is smaller, but because cutting electrode and return electrode be not on same pillar, the double-pole resectoscope in its non-real meaning, hand
The electric current of its electrode may can stimulate obturator nerve by human body during art, meanwhile, the incidence of postoperative urethral stricture is higher.
Chinese Patent Application No. 200920054194.8 discloses a kind of " plasma dipolar resectoscope electrode ", and one pole is
Ring, a pole is outer tube in addition, and cutting is completed with coagulation with ring；Shortcoming with ring coagulation is small contact area, it is often necessary to
It is repeated multiple times to carrying out blood coagulation operation at bleeding, anthemorrhagic speed is slower；And, the structure of Bipolar electrocautery ring and high-frequency line monoblock type
Design, is integrally to scrap when scrapping, and use cost is higher；Additionally, Bipolar electrocautery ring needs injection moulding with the connection of high-frequency line,
It is more expensive to manufacture；Single guide sleeve structure, using being not sufficiently stable.
The content of the invention
The technical problems to be solved by the invention are to overcome the above-mentioned deficiency in the presence of prior art, and provide a kind of knot
Structure design is more reasonable, use safer Bipolar electrocautery mirror assembly；Meanwhile, also provide in a kind of Bipolar electrocautery mirror assembly electrode with
The fitting method of sliding block, it can make electrode more reliable with the cooperation of TURP handle, and make installation and dismantle lighter.
The present invention the used technical scheme that solves the above problems is：The Bipolar electrocautery mirror assembly includes epitheca, interior sheath, electricity
Handle and electrode are cut, epitheca includes outer sheath, epitheca main body, water intaking valve and outlet valve, and interior sheath includes interior sheath and interior sheath main body,
TURP handle includes protection pipe, handle body, handle and support, and epitheca is connected with interior sheath when using, and interior sheath connects with TURP handle
Connect, TURP handle coordinates with electrode, it is characterised in that：
The rear end of the epitheca main body is provided with epitheca locking device, it includes lock ring one, epitheca main body joint, steel ball, lock
Ring two, the compression spring of lock ring one and the compression spring of lock ring two, the described compression spring of lock ring one are enclosed within lock ring two and are put into outer
In sheath main body joint, steel ball loads in epitheca main body joint and entangles the steel ball with lock ring one, and the compression spring of lock ring two covers outside
On sheath main body joint；The steel bead groove coordinated with the steel ball is provided with described interior sheath main body.So that the connection of epitheca and interior sheath
It is designed as the mode of steel ball locking；During installation, interior sheath is gently inserted into epitheca, active force is small, locking effect is good；During dismounting, only
Lock ring one need to forward be pushed away, you can sheath in extracting, feel is lighter.
Two handle apertures are provided with described handle body, to facilitate the insertion of electrode.
Slide block assembly and lock ring component are provided with described TURP handle, described slide block assembly includes sliding block, positioning
Block spring housing, locating piece spring, sliding block steel ball, guide-localization block, bullet deck, push rod spring, bullet deck fixing screws, bullet Ka Ding
Bar, bullet card and bullet card spring, be provided with described sliding block two with handle body on the sliding block aperture that matches of handle aperture,
Described guide-localization block is fixed with sliding block, and bullet card spring, push rod spring are respectively charged into bullet card, play in deck, then by bullet card, bullet
Card push rod loads in bullet deck, plays deck and is fixed with two bullet deck fixing screws with sliding block, and locating piece spring is put into locating piece
Spring housing, sliding block steel ball is placed on of locating piece spring and with sliding block, guide-localization is packaged matches somebody with somebody；Described lock ring component includes
Lock ring, lock ring joint, wavy spring and retainer, retainer are arranged in lock ring, and wavy spring, lock ring joint and lock are cased with retainer
Ring is connected.Due to being provided with slide block assembly, make Bipolar electrocautery ring with the cooperation of resectoscope and using more convenient and reliable；And due to
TURP handle end is designed with lock ring component, when it is with endoscope assembling, in 90 ° of folders when motion start-stop is preceding lock and locking
Angle, will not deflection, built-in wavy spring, when lock ring is rotated, retainer ejection locks and eliminate locking gap, strengthen locking effect
Really, increased the air-tightness of product.
Described electrode is the Bipolar electrocautery ring of Split type structure, and its rearmost end inserts sliding block by handle body.Cutting electricity
Pole is the plasma double-pole resectoscope of real meaning on same pillar with return electrode, and electric current does not stimulate and close without human body
Hole nerve, and postoperative urethral stricture incidence is low；Meanwhile, Bipolar electrocautery ring and high-frequency line split-type design, this is based on bipolar
The TURP ring life-span is shorter, and is designed the characteristics of high-frequency line long service life, and Clinical practice is more cost-effective.
Bipolar electrocautery ring of the present invention includes TURP ring assemblies one, TURP ring assemblies two and two-way prerotation vane, two-way
Prerotation vane fixes TURP ring assemblies one and TURP ring assemblies two respectively, and forms the passage that protection pipe passes through, TURP ring assemblies one
Be fixedly arranged at the front end with the coagulation piece for being shaped as arc plate, TURP ring assemblies two are fixedly arranged at the front end with semicircular cut ring, so as to
Cut and coagulation；And, the advantage of arc plate coagulation is the increase in the area with human contact, and haemostatic effect is rapider
Effectively.
TURP ring assemblies one of the present invention are coated with the steel wire long and short steel wire of plastic tube, and coagulation piece is welded on
The front end of steel wire long and short steel wire, described TURP ring assemblies two are coated with the tungsten filament long and short tungsten filament of plastic tube, cutting
Ring forming is in tungsten filament long and the front end of short tungsten filament.
Described steel wire long of the present invention and tungsten filament long are coated with plastic tube long, short steel wire and short tungsten filament outer cladding
There is short plastic tube.
The present invention is additionally provided with chapped pipe and tailpin pipe, and described plastic tube is inserted in chapped pipe respectively, therein
Plastic tube long passes through chapped pipe, tailpin pipe to be separately fixed at the rearmost end of steel wire long and tungsten filament long.
Chapped pipe of the present invention is provided with bayonet slot, to facilitate the cooperation of Bipolar electrocautery ring and sliding block.
Two screwed holes are provided with handle body of the present invention, sealing is placed with respectively in described screwed hole
Set, the cooperation elasticity of regulation handle main body and Bipolar electrocautery ring is covered by rotatory sealing.Sealing property can be reached and resistance is slided
The minimum optimum efficiency of power；Meanwhile, handle body sealing surface does not have a breach, TURP handle coordinate with interior sheath after sealing effectiveness more
It is good, it is oriented to also more reliable, stabilization.
The rearmost end of Bipolar electrocautery ring of the present invention inserts sliding block aperture by handle aperture.It is easy to use, accurate.
The fitting method of electrode and sliding block in Bipolar electrocautery mirror assembly of the invention, it is characterised in that：The Bipolar electrocautery
Ring is as follows with the fitting method of sliding block：
During installation, Bipolar electrocautery ring is held, the protection pipe on TURP handle is directed at the logical of the two-way prerotation vane of Bipolar electrocautery ring
Road is simultaneously inserted through, and with this now, the tailpin pipe end of Bipolar electrocautery ring after two handle apertures of handle body respectively by inserting
Enter in two sliding block apertures of slide block assembly, until in the bayonet slot that the tip on bullet card snaps in chapped pipe, positioning is pinned；
Install simple, reliable, light.
During dismounting, the bullet card push rod in slide block assembly is pressed, bullet card can move down and depart from the bayonet slot of chapped pipe,
Now, pulled outward from the chapped pipe front end of Bipolar electrocautery ring with hand, you can tailpin pipe is separated with sliding block, take out Bipolar electrocautery
Ring.Dismounting is same simple, reliable, light.
The present invention compared with prior art, with advantages below and effect：1st, the structure of plasma double-pole resectoscope component
More rationally, more simply, manufacturing cost is lower for design, and it uses Bipolar electrocautery ring structure, eliminates the negative plate with human contact,
Reduce in use because negative plate loose contact causes patient's contact site to cross the risk of thermal burn, two electrodes are distinguished
It is connected on Bipolar electrocautery ring, constitutes loop, make thermal diffusion and the corresponding reduction of neighbouring infringement, physiology salt can be used in surgical procedure
Water is used as medium, it is to avoid TURP syndromes are water intoxication, and applicability also has a wide range of application than monopole, can be used for patient of diabetes
Person.2nd, in plasma double-pole resectoscope component locking device, the novel in structural design of slide block assembly and lock ring component, rationally,
Use and cooperate and be laborsaving；And, interior sheath is fore shaft formula structure with the connection of TURP handle, and the structure is that same shank of the key of crossing is rotated
Locking, the purpose of dismounting are reached, advantage is than relatively labor-saving, quick and graceful in the movements.3rd, the fitting method of Bipolar electrocautery ring and sliding block it is simple,
Easily, it is reliable.4th, the present invention extends operative indication, reduces operation risk, is easy to more thoroughly cut off pathological tissue, contracting
Short patient's post-operative recovery time, is true a kind of safe, few intercurrent disease, curative effect while be more beneficial for tissue pathology checking
The operation method cut, from art and from the point of view of postoperative complications, Bipolar electrocautery art has more preferable advantage；In the treatment, it is than normal
Rule electrocision is safer, more effective, and can carry out operative treatment to high-risk patient.
Brief description of the drawings
Fig. 1 is overall structure simplified schematic diagram of the invention.
Fig. 2 is the structural representation of epitheca in the present invention.
Fig. 3 is the structural representation of interior sheath in the present invention.
Fig. 4 is the structural representation of TURP handle in the present invention.
Fig. 5 is the structural representation of short tube and microscope base in TURP handle of the invention.
Fig. 6 is the structural representation front view of slide block assembly in the present invention.
Fig. 7 is the A-A structural representation sectional views in Fig. 6.
Fig. 8 is the B-B structural representation sectional views in Fig. 6.
Fig. 9 is the C-C structural representation sectional views in Fig. 6.
Figure 10 is the structural representation of lock ring component in the present invention.
Figure 11 is the side structure schematic view of Figure 10.
Figure 12 is the structure sectional view of handle body in the present invention.
Figure 13 is the D-D structural representation sectional views of Figure 12.
Figure 14 is the E-E structural representation sectional views in Figure 12.
Figure 15 is Bipolar electrocautery ring and the structural representation of TURP handle cooperation in the present invention.
Figure 16 is the structural representation cutaway view Amplified image at A in Figure 15.
Figure 17 is the structural representation front view of Bipolar electrocautery ring in the present invention.
Figure 18 is the structural representation top view of Figure 17.
Figure 19 is the structural representation cutaway view Amplified image at B in Figure 17.
Figure 20 is the structural representation front view of TURP ring assemblies one in Bipolar electrocautery ring of the invention.
Figure 21 is the structural representation top view of Figure 20.
Figure 22 is the structural representation cutaway view Amplified image at E in Figure 20.
Figure 23 is the structural representation cutaway view Amplified image at F in Figure 20.
Figure 24 is the structural representation front view of TURP ring assemblies two in Bipolar electrocautery ring of the invention.
Figure 25 is the structural representation top view of Figure 24.
Figure 26 is the structural representation cutaway view Amplified image at C in Figure 24.
Figure 27 is the structural representation cutaway view Amplified image at D in Figure 24.
Figure 28 be Figure 25 in structural representation enlarged drawing from G to cut ring.
Specific embodiment
Referring to Fig. 1 and Figure 15, invention components are mainly by IV group of epitheca I, interior sheath II, TURP handle III and Bipolar electrocautery ring
Into epitheca I is connected with interior sheath II, and interior sheath II is connected with TURP handle III, and TURP handle III coordinates with Bipolar electrocautery ring IV.
Referring to Fig. 1-Fig. 4, specifically, the epitheca I and interior sheath II of the embodiment of the present invention are by the steel in epitheca locking device
The clamping of steel bead groove 15 of pearl 7 and interior sheath main body 16, interior sheath II is connected with TURP handle III by lock hook 21.
Referring to Fig. 2, in the present embodiment, the outer sheath 1 of epitheca I inserts epitheca main body 3, and epitheca main body 3 is provided with into water
Valve 4 and outlet valve 11；Epitheca locking device is provided with behind equipped with back-up ring 2 before epitheca main body 3, and epitheca locking device includes lock
Ring 1, epitheca main body joint 6, steel ball 7, lock ring 28, the compression spring 9 of lock ring one, the compression spring 10 of lock ring two.
The locking device of the rear end of epitheca main body 3 is that the compression spring 9 of lock ring one is enclosed within lock ring 28 and epitheca main body is put into
In the hole of joint 6, epoxide-resin glue is coated with the screw thread of epitheca main body joint 6, steel ball 7 loads the endoporus of epitheca main body joint 6
And entangling steel ball 7 firm with lock ring 1, the compression spring 10 of lock ring two is enclosed within epitheca main body joint 6, is then rotatably inserted into epitheca main body
3, screw thread is tightened, and is installed in place.
Epoxide-resin glue is coated with the front end assembling of epitheca main body 3, is assembled with back-up ring 2, screw thread rotation insertion during assembling.
Epitheca main body 3, outer sheath 1 are assembled, and epoxide-resin glue is coated with the assembling of outer sheath 1, are inserted into the endoporus of epitheca main body 3
It is interior, installation direction is adjusted, it is installed in place.Water intaking valve 4 and outlet valve 11 in epitheca main body 3, are also coated with epoxy resin at assembling
Glue, screw thread is tightened.
Referring to Fig. 3, in the present embodiment, interior sheath II is by interior sheath 13, the interior sheath main body being arranged on behind interior sheath 13
16th, the sealing device sealing ring 14 on the seal sheath lip 12 and interior sheath main body 16 of the head of interior sheath 13 is constituted.Interior sheath main body
The steel bead groove 15 coordinated with the steel ball 7 is provided with 16.
Sealing ring 14 is arranged in two water jackets of interior sheath main body 16, completes the assembling of sealing device.
Epoxide-resin glue is coated with the assembling of sheath lip 12 outer radius, is rotatably inserted into interior sheath 13, adjustment installation direction is in place
Afterwards, remaining glue is removed, the assembling of seal is completed.
Epoxide-resin glue is coated with interior sheath 13 with the assembling of interior sheath main body 16, is rotatably inserted into interior sheath 13, adjustment peace
Dress direction, after being installed in place, removes remaining glue.
Referring to Fig. 4-Fig. 5, in the present embodiment, TURP handle III include protection pipe 17, alignment pin 18, sealing shroud 19,
Hand main body 20, lock hook 21, lock hook handle 22, stage clip 23, elastic rod 24, handle 25, short tube microscope base 26, slide block assembly 27, torsion frame 28, torsion
Frame axle 29, torsion frame spring 30, support 31, torsion frame screw 32, lock ring handle 33, pellet 34, lock ring component 35, finger ring part 36.
Protection pipe 17 is assembled with handle body 20, and epoxide-resin glue is coated with the assembling of protection pipe 17, is rotatably inserted into handle
In the hole of main body 20.
Alignment pin 18 knocks in handle body 20, and sealing shroud 19 is screwed into the screwed hole of handle body 20.
The locking device of handle body 20 is installed as follows：Lock hook 21 is put into handle body 20, and stage clip 23, elastic rod 24 are according to suitable
Sequence loads in the endoporus of lock hook handle 22, is then screwed into the screw thread of lock hook 21 and tightens.
Handle 25 be assemblied in handle body 20 it is cylindrical on, with fluting flush end holding screw fix pinning.
Short tube microscope base 26 is passed through from the endoporus of slide block assembly 27, and then sealing shroud 19 is rotatably inserted into the hole of handle body 20
It is interior, adjustment assembly elasticity.
The hole that torsion frame 28 is assembled with support 31 is alignd and is put, and is turned round the two of frame spring 30 and is inserted respectively in the hole for turning round frame 28 and prop up
In the hole of frame 31, it is then charged into turning round frame axle 29, turns round frame 28 and be fixed on the hole of slide block assembly 27 with frame screw 32 is turned round, support 31 is used
Turn round frame screw 32 to be fixed on the hole of short tube microscope base 26, slide block assembly 27 can be along the short tube between handle body 20 and short tube microscope base 26
Slide, it is achieved thereby that two kinds of forms that slide block assembly 27 can be moved from front to back or from back to front.
The hole interplantation sealing ring of short tube microscope base 26, it is outside to be assembled with locking device；Lock ring component 35 is screwed in short tube microscope base
On 20, stage clip 23, pellet 34 puts into the endoporus of lock ring handle 33 in sequence, is then screwed into lock ring component 35.
Finger ring part 36 is assembled with frame 28 is turned round.
Short tube microscope base 26 includes short tube 261 and microscope base 262, in the insertion endoporus of microscope base 262 of short tube 261, after insertion in place, and dress
Pass through laser welding with place.
Referring to Fig. 6-Fig. 9, in the present embodiment, slide block assembly 27 includes sliding block 271, locating piece spring housing 272, locating piece
Spring 273, steel ball 274, guide-localization block 275, bullet deck 276, bullet deck fixing screws 277, push rod spring 278, bullet Ka Ding
Bar 279, bullet card 2710, bullet card spring 2711.
Be provided with sliding block 271 two with handle body 20 on handle aperture（See Figure 12）The sliding block aperture one for matching
2712 and sliding block aperture 2 2714, described guide-localization block 275 is fixed with sliding block 271, bullet card spring 2711, push rod spring
278 are respectively charged into bullet card 2710, play in deck 276, then load in bullet deck 276 bullet card 2710, load bullet card push rod 279
Afterwards, play deck 276 to be assembled with sliding block 27, and fixed with deck fixing screws 277 are played；Locating piece spring 273 is put into locating piece
Spring housing 272, steel ball 274 is placed on of locating piece spring 273 and then is assembled with guide-localization block 275, and is tightened with screw thread
Pin.
Wherein：Short tube hole 270 is the hole that short tube 261 is passed through, and 2713 is high frequency line jack when using.Sliding block aperture one
2712 and sliding block aperture 2 2714 be located opposite from the short tube 261 i.e. lower section in short tube hole 270.
Referring to Figure 10-Figure 11, in the present embodiment, lock ring component 35 includes lock ring 351, lock ring joint 352, wavy spring
353 and retainer 354.
Retainer 354 is loaded in the hole of lock ring 351, outer radius are inserted in wavy spring 353, in lock ring 351 and lock ring joint
High-temperature plastic is applied at 352 assemblings, the high-temperature plastic can be epoxide-resin glue, and lock ring joint 352 finally is screwed in into lock ring 351
Screw thread is outer.
Lock ring delthyrium 3511 and endoscope hole 3512 are also provided with lock ring 351, lock ring delthyrium 3511 is used to install lock ring handle
22, endoscope hole 3512 is used for through endoscope in operation.
Referring to Fig. 4, Figure 12-Figure 15, in the present embodiment, symmetrical handle is provided with the handle body 20 in TURP handle III
Hand aperture 1 and handle aperture 2 202, are also provided with symmetrical handle body screwed hole 1 and handle in handle body 20
Main body screw hole 2 205, in being respectively put into Fig. 4 in handle body screwed hole 1 and handle body screwed hole 2 205
Sealing shroud 19；203 is grip hole, for through short tube microscope base 26.
When using, the middle rearmost end of Bipolar electrocautery ring IV is inserted in handle aperture 1 and handle aperture 2 202 respectively,
Covering 19 by rotatory sealing can reach good seal, feel with regulation handle main body 20 and the cooperation elasticity of Bipolar electrocautery ring IV
Light assembling effect.
Referring to Figure 17-Figure 28, in the present embodiment, Bipolar electrocautery ring IV includes TURP ring assemblies 1, TURP ring assemblies
2 38, two-way prerotation vane 39 and chapped pipe 40, two-way prerotation vane 39 fix TURP ring assemblies 1 and TURP ring assemblies respectively
2 38, and form protection pipe 17（Referring to Fig. 4）The passage 41 for passing through, being fixedly arranged at the front end with for TURP ring assemblies 1 is shaped as circular arc
The coagulation piece 370 of plate, TURP ring assemblies 2 38 are fixedly arranged at the front end with semicircular cut ring 380, to be cut and coagulation.
Wherein：Two-way prerotation vane 39 is divided into prerotation vane 1 and prerotation vane 2 392 again.
TURP ring assemblies 1 also include plastic tube 1, plastic tube 2 372, steel wire long 373, short steel wire 374, abnormity
Steel pipe 1 and tailpin pipe 1；Plastic tube 1, plastic tube 2 372 are respectively coated by steel wire long 373 and short steel wire 374
Outward, coagulation piece 370 is welded on the front end of steel wire long 373 and short steel wire 374, and tailpin pipe 1 is fixed on the last of steel wire long 373
End.Wherein：Plastic tube 1 is plastic tube long, and plastic tube 2 372 is short plastic tube, and 376 is on chapped pipe 1
Bayonet slot one.
TURP ring assemblies 2 38 also include plastic tube 3 381, plastic tube 4 382, tungsten filament long 383, short tungsten filament 384, abnormity
Steel pipe 2 402 and tailpin pipe 2 385；Plastic tube 3 381, plastic tube 4 382 are respectively coated by tungsten filament long 383 and short tungsten filament 384
Outward, cut ring 380 is molded over the front end of tungsten filament long 383 and short tungsten filament 384, and tailpin pipe 2 385 is fixed on the last of tungsten filament long 383
End.Wherein：Plastic tube 3 381 is plastic tube long, and plastic tube 4 382 is short plastic tube, and 386 is the card on chapped pipe 2 402
Mouth groove two.
In the present embodiment, plastic tube 1, plastic tube 4 382 are inserted in chapped pipe 1 respectively, plastic tube two
372nd, plastic tube 3 381 is inserted in chapped pipe 2 402 respectively, and plastic tube therein 1 and plastic tube 3 381 are each passed through
Chapped pipe 1 and chapped pipe 2 402, the steel wire long 373 and tungsten filament long 383 of their afterbodys respectively with tailpin pipe 1
Pass through laser welding with tailpin pipe 2 385.
Referring to Figure 15-Figure 16, the explanation by taking the sectional structure of TURP ring assemblies 2 38 as an example.When using, Bipolar electrocautery ring IV
On two-way prerotation vane 39 match with the protection pipe 17 on TURP handle III, in protection pipe 17 inserts two-way prerotation vane 39
When, the afterbody of Bipolar electrocautery ring IV enters in slide block assembly 27, and the tip 27101 on bullet card 2710 snaps in chapped pipe 2 402
On bayonet slot 2 386 in, positioning pin.
Referring to Fig. 4, Fig. 9, Figure 12, Figure 15-Figure 27, in the present embodiment, the Bipolar electrocautery ring IV and TURP handle III
The fitting method of middle sliding block 271 is as follows：
Due to being provided with handle aperture 1 and handle aperture 2 202 in handle body 20, be provided with sliding block 271 two with
Sliding block aperture 1 and sliding block aperture 2 2714 that this matches, they are located opposite from the lower section of short tube 261, meanwhile,
Protection pipe 17 matches with the passage 41 of two-way prerotation vane 39 on Bipolar electrocautery ring IV again, therefore：
During installation, as long as holding Bipolar electrocautery ring, the protection pipe 17 on TURP handle 20 is set to be directed at the two-way of Bipolar electrocautery ring IV
The passage 41 of prerotation vane 1 and prerotation vane 2 392 and it is inserted through in prerotation vane 39, at the same time, Bipolar electrocautery ring IV
Handle aperture 1 and handle aperture two in two handle bodies 20 that tailpin pipe 1 and tailpin pipe 2 385 pass through respectively
After 202, it is inserted into the sliding block aperture 1 and sliding block aperture 2 2714 of slide block assembly 27, the tip on bullet card 2710
27101 are respectively clamped into the bayonet slot 1 and bayonet slot 2 386 of chapped pipe 1 and chapped pipe 1, positioning lock
Firmly.
During dismounting, the bullet card push rod 279 in slide block assembly 27 is pressed, bullet card 2710 can move down and depart from chapped pipe
One 401 bayonet slot 1 and the bayonet slot 2 386 of chapped pipe 2 402, now, with hand from the abnormity of Bipolar electrocautery ring IV
The front end of steel pipe 1 and chapped pipe 2 402 pulls outward, you can make tailpin pipe 1 and tailpin pipe 2 385 and sliding block 271
Separate, take out Bipolar electrocautery ring IV.
Referring to Figure 15, during operation, doctor can be split by cut ring 380 to the carrying out of tissue as needed, lead to
Crossing coagulation piece 370 carries out electric coagulation hemostasis.
By foregoing description, those skilled in the art can implement.
Above content described in this specification is only to structure example explanation of the present invention；And, this hair
The title that bright each several part is taken can also be different, what all constructions according to described in inventional idea of the present invention, feature and principle were done etc.
Effect or simple change, are included in the protection domain of patent of the present invention.
Claims (10)
1. a kind of Bipolar electrocautery mirror assembly, including epitheca, interior sheath, TURP handle and electrode, epitheca include outer sheath, epitheca master
Body, water intaking valve and outlet valve, interior sheath include interior sheath and interior sheath main body, TURP handle include protection pipe, handle body, handle and
Support, epitheca is connected with interior sheath when using, and interior sheath is connected with TURP handle, and TURP handle coordinates with electrode, it is characterised in that：
The rear end of the epitheca main body is provided with epitheca locking device, it includes lock ring one, epitheca main body joint, steel ball, lock
Ring two, the compression spring of lock ring one and the compression spring of lock ring two, the described compression spring of lock ring one are enclosed within lock ring two and are put into outer
In sheath main body joint, steel ball loads in epitheca main body joint and entangles the steel ball with lock ring one, and the compression spring of lock ring two covers outside
On sheath main body joint；
The steel bead groove coordinated with the steel ball is provided with described interior sheath main body；
Two handle apertures are provided with described handle body；
Slide block assembly and lock ring component are provided with described TURP handle, described slide block assembly includes sliding block, locating piece bullet
Spring room, locating piece spring, sliding block steel ball, guide-localization block, play deck, push rod spring, play deck fixing screws, bullet card push rod,
Bullet card and bullet card spring, be provided with described sliding block two with handle body on the sliding block aperture that matches of handle aperture, institute
Guide-localization block and the sliding block stated are fixed, and bullet card spring, push rod spring are respectively charged into bullet card, play in deck, then by bullet card, bullet card
Push rod loads in bullet deck, plays deck and is fixed with two bullet deck fixing screws with sliding block, and locating piece spring is put into locating piece bullet
Spring room, sliding block steel ball is placed on of locating piece spring and with sliding block, guide-localization is packaged matches somebody with somebody；Described lock ring component includes lock
Ring, lock ring joint, wavy spring and retainer, retainer are arranged in lock ring, and wavy spring, lock ring joint and lock ring are cased with retainer
Connection；
Described electrode is the Bipolar electrocautery ring of Split type structure, and its rearmost end inserts sliding block by handle body.
2. Bipolar electrocautery mirror assembly according to claim 1, it is characterised in that：Described Bipolar electrocautery ring includes TURP ring
Component one, TURP ring assemblies two and two-way prerotation vane, two-way prerotation vane fix TURP ring assemblies one and TURP ring assemblies two respectively,
And forming the passage that protection pipe passes through, TURP ring assemblies one are fixedly arranged at the front end with coagulation piece, and the front end of TURP ring assemblies two is fixed
There is cut ring, to be cut and coagulation.
3. Bipolar electrocautery mirror assembly according to claim 2, it is characterised in that：Described TURP ring assemblies one include cladding
There are the steel wire long and short steel wire of plastic tube, coagulation piece is welded on the front end of steel wire long and short steel wire, described TURP ring assemblies two
Tungsten filament long and short tungsten filament including being coated with plastic tube, cut ring are molded over the front end of tungsten filament long and short tungsten filament.
4. Bipolar electrocautery ring according to claim 3, it is characterised in that：Described steel wire long and tungsten filament long is coated with length
Plastic tube, short steel wire and short tungsten filament are coated with short plastic tube.
5. Bipolar electrocautery mirror assembly according to claim 4, it is characterised in that：Chapped pipe and tailpin pipe are additionally provided with,
Described plastic tube is inserted in chapped pipe, and plastic tube long therein passes through chapped pipe, tailpin pipe to be separately fixed at steel long
The rearmost end of silk and tungsten filament long.
6. Bipolar electrocautery mirror assembly according to claim 5, it is characterised in that：Described chapped pipe is provided with bayonet socket
Groove.
7. Bipolar electrocautery mirror assembly according to claim 1, it is characterised in that：Two spiral shells are provided with described handle body
Pit, sealing shroud is placed with described screwed hole respectively, and regulation handle main body and Bipolar electrocautery ring are covered by rotatory sealing
Cooperation elasticity.
8. Bipolar electrocautery mirror assembly according to claim 1 and 2, it is characterised in that：The rearmost end of the Bipolar electrocautery ring
Sliding block aperture is inserted by handle aperture.
9. Bipolar electrocautery ring according to claim 1 and 2, it is characterised in that：Described coagulation piece is circular arc plate shape, is cut
It is semicircle to cut ring.
10. in a kind of Bipolar electrocautery mirror assembly as described in claim 1-9 any claims electrode and sliding block cooperation side
Method, it is characterised in that：The Bipolar electrocautery ring is as follows with the fitting method of sliding block：
During installation, Bipolar electrocautery ring is held, the protection pipe on TURP handle is directed at the logical of the two-way prerotation vane of Bipolar electrocautery ring
Road is simultaneously inserted through, and with this now, the tailpin pipe end of Bipolar electrocautery ring is respectively by after two handle apertures in handle body
It is inserted into two sliding block apertures of slide block assembly, until in the bayonet slot that the tip on bullet card snaps in chapped pipe, positioning lock
Firmly；
During dismounting, the bullet card push rod in slide block assembly is pressed, bullet card can move down and depart from the bayonet slot of chapped pipe, this
When, pulled outward from the chapped pipe front end of Bipolar electrocautery ring with hand, you can tailpin pipe is separated with sliding block, take out Bipolar electrocautery
Ring.
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| CN201611160402.3A CN106725830B (en) | 2016-12-15 | 2016-12-15 | The fitting method of Bipolar electrocautery mirror assembly and its electrode and sliding block |
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| CN201611160402.3A CN106725830B (en) | 2016-12-15 | 2016-12-15 | The fitting method of Bipolar electrocautery mirror assembly and its electrode and sliding block |
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Cited By (8)
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| CN107349011A (en) * | 2017-07-06 | 2017-11-17 | 浙江天松医疗器械股份有限公司 | Plasma double-pole resectoscope and its application method |
| CN109498148A (en) * | 2019-01-10 | 2019-03-22 | 杭州市第人民医院 | A kind of cutting device |
| CN109717951A (en) * | 2019-03-21 | 2019-05-07 | 上海宇度医学科技股份有限公司 | Hysteroscope is regarded by cutting |
| CN114869449A (en) * | 2021-02-05 | 2022-08-09 | 奥林匹斯冬季和Ibe有限公司 | Resectoscope, electrode tool for resectoscope, and guide for electrode tool |
| CN114869450A (en) * | 2021-02-05 | 2022-08-09 | 奥林匹斯冬季和Ibe有限公司 | Electrode tools and resectoscopes for resectoscopes |
| US11672598B2 (en) | 2019-09-24 | 2023-06-13 | Boston Scientific Limited | Medical systems, devices, and related methods |
| CN116421302A (en) * | 2023-06-13 | 2023-07-14 | 杭州好克光电仪器有限公司 | a resectoscope |
| CN118303970A (en) * | 2024-05-21 | 2024-07-09 | 山东大学 | Electric cutting ring easy to replace electric cutting head |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN107349011A (en) * | 2017-07-06 | 2017-11-17 | 浙江天松医疗器械股份有限公司 | Plasma double-pole resectoscope and its application method |
| CN109498148A (en) * | 2019-01-10 | 2019-03-22 | 杭州市第人民医院 | A kind of cutting device |
| CN109717951A (en) * | 2019-03-21 | 2019-05-07 | 上海宇度医学科技股份有限公司 | Hysteroscope is regarded by cutting |
| US11672598B2 (en) | 2019-09-24 | 2023-06-13 | Boston Scientific Limited | Medical systems, devices, and related methods |
| CN114869449A (en) * | 2021-02-05 | 2022-08-09 | 奥林匹斯冬季和Ibe有限公司 | Resectoscope, electrode tool for resectoscope, and guide for electrode tool |
| CN114869450A (en) * | 2021-02-05 | 2022-08-09 | 奥林匹斯冬季和Ibe有限公司 | Electrode tools and resectoscopes for resectoscopes |
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| CN116421302B (en) * | 2023-06-13 | 2023-09-01 | 杭州好克光电仪器有限公司 | Electric cutting mirror |
| CN118303970A (en) * | 2024-05-21 | 2024-07-09 | 山东大学 | Electric cutting ring easy to replace electric cutting head |
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