CN110693452A - Adjustable anus operation platform - Google Patents
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- CN110693452A CN110693452A CN201911145238.2A CN201911145238A CN110693452A CN 110693452 A CN110693452 A CN 110693452A CN 201911145238 A CN201911145238 A CN 201911145238A CN 110693452 A CN110693452 A CN 110693452A
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- 210000000436 anus Anatomy 0.000 title claims abstract description 47
- 238000001356 surgical procedure Methods 0.000 claims abstract description 28
- 230000003902 lesion Effects 0.000 abstract description 17
- 208000014674 injury Diseases 0.000 abstract description 4
- 230000000968 intestinal effect Effects 0.000 abstract description 4
- 238000002357 laparoscopic surgery Methods 0.000 abstract description 4
- 230000008733 trauma Effects 0.000 abstract description 4
- 238000002324 minimally invasive surgery Methods 0.000 abstract description 3
- 238000000034 method Methods 0.000 description 3
- 239000000243 solution Substances 0.000 description 3
- 230000009286 beneficial effect Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 206010000060 Abdominal distension Diseases 0.000 description 1
- 230000007423 decrease Effects 0.000 description 1
- 210000001035 gastrointestinal tract Anatomy 0.000 description 1
- 238000002347 injection Methods 0.000 description 1
- 239000007924 injection Substances 0.000 description 1
- 210000000936 intestine Anatomy 0.000 description 1
- 210000000664 rectum Anatomy 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/31—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor for the rectum, e.g. proctoscopes, sigmoidoscopes, colonoscopes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B1/00—Instruments for performing medical examinations of the interior of cavities or tubes of the body by visual or photographical inspection, e.g. endoscopes; Illuminating arrangements therefor
- A61B1/00064—Constructional details of the endoscope body
- A61B1/00071—Insertion part of the endoscope body
- A61B1/0008—Insertion part of the endoscope body characterised by distal tip features
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B17/02—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors
- A61B17/0218—Surgical instruments, devices or methods for holding wounds open, e.g. retractors; Tractors for minimally invasive surgery
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Abstract
本发明涉及一种医疗器械,尤其涉及一种可调节肛门手术平台,包括肛门镜体和内芯,内芯置入镜体内,镜体包括从前至后依次设置的前段、扩展段、肛门段;肛门段尾端设置控制旋钮;扩展段直径可调节,相比于现有技术,本发明的肛门手术平台易于调节,可以根据实际病变的大小调节肛门镜大小,从而大大降低操作难度,提高了手术的成功率,此外,本发明的肛门手术平台在使用时无需向肠腔内充气,即缓解了患者自身的痛苦,也稳定了医者的术野,进一步提高手术成功率,最后,本发明的肛门手术平台适合不同患者进行微创手术,无需开腹手术或者改为腹腔镜手术,降低了患者自身身体创伤,值得临床推广。
The invention relates to a medical device, in particular to an adjustable anus surgery platform, comprising an anoscope body and an inner core, the inner core is inserted into the scope body, and the scope body includes a front section, an expansion section and an anus section arranged in sequence from front to back; A control knob is arranged at the tail end of the anus segment; the diameter of the expansion segment can be adjusted. Compared with the prior art, the anus surgery platform of the present invention is easy to adjust, and the size of the anoscope can be adjusted according to the size of the actual lesion, thereby greatly reducing the difficulty of operation and improving the operation efficiency. In addition, the anus surgery platform of the present invention does not need to be inflated into the intestinal cavity during use, which not only relieves the patient's own pain, but also stabilizes the surgeon's surgical field and further improves the success rate of the operation. Finally, the anus of the present invention The surgical platform is suitable for different patients to perform minimally invasive surgery, without the need for open surgery or laparoscopic surgery, which reduces the patient's own physical trauma and is worthy of clinical promotion.
Description
技术领域technical field
本发明涉及一种医疗器械,尤其涉及一种可调节肛门手术平台。The invention relates to a medical instrument, in particular to an adjustable anus surgery platform.
背景技术Background technique
经肛门手术时,由于目前肛门镜是一体化的结构,无法根据病变的大小调解肛门镜大小,从而把肛门镜调节到最适合操作的位置和大小,因此操作难度大,必须要借助于TEM或TEO等昂贵的手术器械完成该手术,但是这些设备均需要向肠腔内充气,患者腹胀不舒服,而且术野抖动,手术难度大,特别出现穿孔等情况时,肠道内气压无法维持,不得不改为开腹手术或者改为腹腔镜手术,增加手术创伤。During transanal surgery, because the current anoscope is an integrated structure, the size of the anoscope cannot be adjusted according to the size of the lesion, so that the anoscope can be adjusted to the most suitable position and size for the operation, so the operation is difficult, and it is necessary to use TEM or Expensive surgical instruments such as TEO are used to complete the operation, but these equipments all need to be inflated into the intestinal cavity, the patient is uncomfortable with abdominal distension, and the surgical field is shaking, which makes the operation difficult. Change to open surgery or to laparoscopic surgery to increase surgical trauma.
发明内容SUMMARY OF THE INVENTION
本发明针对背景技术所述的现有的肛门镜存在的问题,提供一种可调节免充气的肛门手术平台。Aiming at the problems existing in the existing anoscopes described in the background art, the present invention provides an adjustable and air-free anus surgery platform.
本发明的目的是通过以下技术方案解决的:一种可调节肛门手术平台,包括肛门镜体和内芯,内芯置入镜体内,镜体包括从前至后依次设置的前段、扩展段、肛门段;肛门段尾端设置控制旋钮;扩展段直径可调节,扩展段包括叶片和控制杆,控制杆一端连接叶片,另一端连接控制旋钮,控制旋钮旋转带动叶片开合,实现扩展段直径的调节,合起时直径缩小,开启时直径扩大;内芯为透明内芯,内芯中部设有中空通道,中空通道用于放置观察镜;The purpose of the present invention is to be solved by the following technical solutions: an adjustable anus surgery platform, comprising an anoscope body and an inner core, the inner core is inserted into the mirror body, and the mirror body includes an anterior segment, an expansion segment, an anus, and an anus that are sequentially arranged from front to back. A control knob is set at the end of the anal segment; the diameter of the expansion segment can be adjusted. The expansion segment includes a blade and a control rod. One end of the control rod is connected to the blade, and the other end is connected to the control knob. The rotation of the control knob drives the blade to open and close to realize the adjustment of the diameter of the expansion segment. , the diameter decreases when it is closed, and the diameter expands when it is opened; the inner core is a transparent inner core, and a hollow channel is arranged in the middle of the inner core, and the hollow channel is used to place the observation mirror;
本发明是一种可以调节直径大小U型肛门手术平台,通过调节肛门镜直肠部分开口大小,将需要切除或者处理的病变置于术野下方,并在不需要注气的情况下完全暴露病灶,通过肛门镜外面部分的置入手术器械,进行手术切除,达到免充气切除肛门直肠病变的目的;The invention is a U-shaped anus surgery platform that can adjust the diameter and size. By adjusting the size of the opening of the rectum part of the anoscope, the lesions that need to be resected or treated are placed under the surgical field, and the lesions are completely exposed without the need for gas injection. Surgical resection is performed by placing surgical instruments on the outer part of the anoscope to achieve the purpose of removing anorectal lesions without air;
进一步优选的方案,扩展段还包括U型槽,U型槽的两端分别与前段和肛门段连接,叶片设置在槽的开口处,前段和肛门段内壁各设置一个轴孔,叶片前端设有定位轴,定位轴插入前段的轴孔,叶片的尾端与控制杆固定连接,控制杆贯穿肛门段的轴孔后与控制旋钮齿轮副连接;Further preferred scheme, the expansion section also includes a U-shaped groove, the two ends of the U-shaped groove are respectively connected with the front section and the anus section, the blade is arranged at the opening of the groove, the front section and the inner wall of the anus section are each provided with a shaft hole, and the front end of the blade is provided with a shaft hole. Positioning shaft, the positioning shaft is inserted into the shaft hole of the front section, the tail end of the blade is fixedly connected with the control rod, and the control rod passes through the shaft hole of the anus section and is connected with the control knob gear pair;
进一步优选的方案,根据不同病灶体在患者体内的位置, 扩展段长5-20cm;In a further preferred solution, according to the position of different foci in the patient's body, the length of the extended segment is 5-20cm;
进一步优选的方案,U型槽的开口为30-120度,叶片与U型槽的开口大小为20-220度;In a further preferred solution, the opening of the U-shaped groove is 30-120 degrees, and the opening size of the blade and the U-shaped groove is 20-220 degrees;
进一步优选的方案,肛门段包括支撑环、固定片和握持片;支撑环前端连接扩展段,尾端沿圆周设置至少两片的固定片和一片握持片,所述固定片一端连接支撑环,另一端向环外侧打开;In a further preferred scheme, the anus segment includes a support ring, a fixed piece and a holding piece; the front end of the support ring is connected to the expansion segment, and the rear end is provided with at least two fixed pieces and one holding piece along the circumference, and one end of the fixed piece is connected to the support ring. , and the other end opens to the outside of the ring;
进一步优选的方案,支撑环的直径为25-42mm,长度为2-4cm;A further preferred scheme, the diameter of the support ring is 25-42mm, and the length is 2-4cm;
进一步优选的方案,肛门段还设有一个可以拆卸的操作支撑台,支撑台上有3-6个直径为3-12mm开口操作通道;A further preferred scheme, the anus segment is also provided with a detachable operation support table, and there are 3-6 open operation channels with a diameter of 3-12mm on the support table;
使用过程如下:手术前取下操作支撑台,将内芯置入肛门镜体中并伸入患者肛门,方便将整个肛门镜体推入病人肛肠中,通过观察镜观察肛门镜体进入患者体内的位置,待到位时,拿出内芯,既可以缓解患者不适感,又可保证肛门镜体内环境良好,肠道中的异物不会进入其中;此时,将操作支撑台安装回支撑环内,根据待切除的病灶体的大小,通过旋转控制旋钮,实现对扩展段的控制,如果病灶体小,适当合起扩展段,如果病灶体大,则开启扩展段,进而完成对于病灶体的切除,完成切除后,关闭扩展段,取出肛门镜,完成手术。The use process is as follows: before the operation, remove the operating support table, put the inner core into the anoscope body and extend it into the patient's anus, so as to facilitate the entire anoscope body to be pushed into the patient's anorectum, and observe the anoscope body entering the patient's body through the observation mirror. When it is in place, take out the inner core, which can not only relieve the discomfort of the patient, but also ensure that the internal environment of the anoscope is good, and foreign objects in the intestine will not enter it; at this time, install the operating support table back into the support ring, according to The size of the lesion body to be resected can be controlled by rotating the control knob. If the lesion body is small, the expansion segment should be properly closed. If the lesion body is large, the expansion segment will be opened to complete the excision of the lesion body. After excision, the extension is closed, the anoscope is removed, and the operation is completed.
本发明的有益效果:相比于现有技术,本发明的肛门手术平台易于调节,可以根据实际病变的大小调节肛门镜大小,从而大大降低操作难度,提高了手术的成功率,此外,本发明的肛门手术平台在使用时无需向肠腔内充气,即缓解了患者自身的痛苦,也稳定了医者的术野,进一步提高手术成功率,最后,本发明的肛门手术平台适合不同患者进行微创手术,无需开腹手术或者改为腹腔镜手术,降低了患者自身身体创伤,值得临床推广。The beneficial effects of the present invention: compared with the prior art, the anus surgery platform of the present invention is easy to adjust, and the size of the anoscope can be adjusted according to the size of the actual lesion, thereby greatly reducing the difficulty of operation and improving the success rate of the operation. The anus surgery platform of the present invention does not need to be inflated into the intestinal cavity during use, which not only relieves the patient's own pain, but also stabilizes the surgeon's surgical field and further improves the success rate of surgery. Finally, the anus surgery platform of the present invention is suitable for different patients to perform minimally invasive procedures Surgery, without open surgery or laparoscopic surgery, reduces the patient's own physical trauma, worthy of clinical promotion.
附图说明Description of drawings
图1为本发明的结构示意图。FIG. 1 is a schematic structural diagram of the present invention.
图2为本发明的叶片控制横截面示意图。FIG. 2 is a schematic cross-sectional view of the blade control of the present invention.
图3为本发明的叶片控制纵截面示意图。3 is a schematic diagram of a longitudinal section of the blade control of the present invention.
图4为本发明的叶片控制纵截面放大示意图。FIG. 4 is an enlarged schematic view of the longitudinal section of the blade control of the present invention.
图5为本发明手术前置入内芯的结构示意图。FIG. 5 is a schematic view of the structure of the pre-operatively inserted inner core of the present invention.
具体实施方式Detailed ways
实施例1Example 1
如图1和图5所示,一种可调节肛门手术平台,包括肛门镜体和内芯12,内芯12置入镜体内,方便推入患者体内,内芯12为透明内芯,内芯12中部设有中空通道,中空通道用于放置观察镜;所述镜体包括从前至后依次设置的前段1、扩展段2、肛门段3;肛门段3尾端设置控制旋钮4;肛门段3尾端设置控制旋钮4,根据不同患者体内病灶体的位置不同,选取不同规格的扩展段2 扩展段长5-20cm,扩展段2直径可变化,扩展段2包括叶片5和控制杆6,控制杆6一端连接叶片5,另一端连接控制旋钮4,控制旋钮4旋转带动叶片5开合,实现扩展段2直径的变化,合起时直径缩小,开启时直径扩大,根据不同大小的病灶体,选取不同开口大小的U型槽7的肛门镜体,并通过叶片来控制与U型槽的开合的角度;U型槽7的开口为30-120度,叶片与U型槽的开口大小为20-220度;肛门段3包括支撑环9、固定片10和握持片11;支撑环9前端连接扩展段2,尾端沿圆周设置至少两片的固定片10和一片握持片11,所述固定片10一端连接支撑环9,另一端向环外侧打开,肛门段还设有一个操作支撑台13,操作支撑台13卡接支撑环9,操作支撑台13上有五个开口的操作通道,用于放置切除病灶体的手术刀,上述支撑环的直径为25-42mm,长度为2-4cm,上述开口的操作通道的直径分别为3mm,4mm,6mm,9mm,12mm;As shown in Figures 1 and 5, an adjustable anus surgery platform includes an anoscope body and an inner core 12. The inner core 12 is placed in the mirror body to facilitate pushing into the patient's body. The inner core 12 is a transparent inner core. 12 is provided with a hollow channel in the middle, and the hollow channel is used to place the observation mirror; the mirror body includes the front section 1, the
如图2-4所示,扩展段还包括U型槽7,U型槽7的两端分别与前段1和肛门段3连接,叶片5设置在U型槽7的开口处,前段1和肛门段3内壁各设置一个轴孔8,叶片5前端设有定位轴14,定位轴14插入前段1的轴孔8,叶片5的尾端与控制杆6固定连接,控制杆6贯穿肛门段3的轴孔8后与控制旋钮4齿轮副连接;As shown in Figure 2-4, the expansion section also includes a U-shaped groove 7, the two ends of the U-shaped groove 7 are respectively connected with the front section 1 and the
使用过程如下:手术前取下操作支撑台13,将内芯12置入肛门镜体中并伸入患者肛门,方便将整个肛门镜体推入病人肛肠中,通过观察镜观察肛门镜体进入患者体内的位置,待到位时,拿出内芯12,既可以缓解患者不适感,又可保证肛门镜体内环境良好,肠道中的异物不会进入其中;此时,将操作支撑台13安装回支撑环9内,根据待切除的病灶体的大小,通过旋转控制旋钮4,实现对扩展段2的控制,如果病灶体小,适当合起扩展段2,如果病灶体大,则开启扩展段2,进而完成对于病灶体的切除,完成切除后,关闭扩展段2,取出肛门镜,完成手术。The use process is as follows: before the operation, remove the operating support table 13, put the inner core 12 into the anoscope body and extend it into the patient's anus, so as to facilitate pushing the entire anoscope body into the patient's anorectum, and observe the anoscope body entering the patient through an observation mirror. The position in the body, when it is in place, take out the inner core 12, which can not only relieve the discomfort of the patient, but also ensure that the internal environment of the anoscope is good, and foreign objects in the intestinal tract will not enter it; at this time, the operating support table 13 is installed back to the support In the
本发明的有益效果:相比于现有技术,本发明的肛门手术平台易于调节,可以根据实际病变的大小调节肛门镜大小,从而大大降低操作难度,提高了手术的成功率,此外,本发明的肛门手术平台在使用时无需向肠腔内充气,即缓解了患者自身的痛苦,也稳定了医者的术野,进一步提高手术成功率,最后,本发明的肛门手术平台适合不同患者进行微创手术,无需开腹手术或者改为腹腔镜手术,降低了患者自身身体创伤,值得临床推广。The beneficial effects of the present invention: compared with the prior art, the anus surgery platform of the present invention is easy to adjust, and the size of the anoscope can be adjusted according to the size of the actual lesion, thereby greatly reducing the difficulty of operation and improving the success rate of the operation. The anus surgery platform of the present invention does not need to be inflated into the intestinal cavity during use, which not only relieves the patient's own pain, but also stabilizes the surgeon's surgical field and further improves the success rate of surgery. Finally, the anus surgery platform of the present invention is suitable for different patients to perform minimally invasive procedures Surgery, without open surgery or laparoscopic surgery, reduces the patient's own physical trauma, worthy of clinical promotion.
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US20070276189A1 (en) * | 2003-06-26 | 2007-11-29 | Eric Abel | Rectal Expander |
US20080312508A1 (en) * | 2003-12-15 | 2008-12-18 | Adrian Shulman | Vaginal Speculum Assembly |
CN101933833A (en) * | 2009-06-29 | 2011-01-05 | 国立癌中心 | Transanal endoscopic surgical device |
US20140364698A1 (en) * | 2011-09-29 | 2014-12-11 | Alfred E. Mann Institute For Biomedical Engineering At The University Of Southern Californ | Minimally obstructive retractor for vaginal repairs |
CN106963333A (en) * | 2017-03-20 | 2017-07-21 | 宁波市北仑区人民医院 | Specula in a kind of multidirectional expansion cartridge type |
US20190223708A1 (en) * | 2018-01-25 | 2019-07-25 | Maurice Andre Recanati | Vaginal speculum and side wall retractor |
CN108634921A (en) * | 2018-05-02 | 2018-10-12 | 太仓市中医医院 | A kind of anoscope for being convenient for sewing hemostasis with window |
CN211093977U (en) * | 2019-11-21 | 2020-07-28 | 南京普派医疗科技有限公司 | Adjustable anus operation platform |
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