CN110811817A - Disposable endoscope lower anti-perforation ring sleeve core and snare - Google Patents
Disposable endoscope lower anti-perforation ring sleeve core and snare Download PDFInfo
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- 229910000990 Ni alloy Inorganic materials 0.000 claims description 3
- HZEWFHLRYVTOIW-UHFFFAOYSA-N [Ti].[Ni] Chemical compound [Ti].[Ni] HZEWFHLRYVTOIW-UHFFFAOYSA-N 0.000 claims description 3
- 239000002184 metal Substances 0.000 claims description 3
- 229910052751 metal Inorganic materials 0.000 claims description 3
- 230000002093 peripheral effect Effects 0.000 claims description 3
- 229920001296 polysiloxane Polymers 0.000 claims description 3
- 210000004347 intestinal mucosa Anatomy 0.000 abstract description 4
- 238000000034 method Methods 0.000 abstract description 2
- 230000000149 penetrating effect Effects 0.000 abstract 1
- 238000009434 installation Methods 0.000 description 7
- 208000037062 Polyps Diseases 0.000 description 4
- 230000003902 lesion Effects 0.000 description 3
- 238000012986 modification Methods 0.000 description 3
- 230000004048 modification Effects 0.000 description 3
- 238000002271 resection Methods 0.000 description 3
- 238000010586 diagram Methods 0.000 description 2
- 206010017993 Gastrointestinal neoplasms Diseases 0.000 description 1
- 208000032177 Intestinal Polyps Diseases 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000001079 digestive effect Effects 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 230000005611 electricity Effects 0.000 description 1
- 238000001839 endoscopy Methods 0.000 description 1
- 208000030399 gastrointestinal polyp Diseases 0.000 description 1
- 238000009413 insulation Methods 0.000 description 1
- 206010022694 intestinal perforation Diseases 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 238000002560 therapeutic procedure Methods 0.000 description 1
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- 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
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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
- A61B18/14—Probes or electrodes therefor
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- A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
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- 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
- A61B2018/00482—Digestive system
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
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- 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
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Abstract
Description
技术领域technical field
本发明涉及肠息肉病人息肉切除术电切时的圈套器,具体地说是一种一次性使用内镜下防穿孔圈套芯及圈套器,属于医疗器械技术领域。The invention relates to a snare for polypectomy electric cutting of patients with intestinal polyps, in particular to a disposable endoscopic anti-perforation snare core and a snare, which belong to the technical field of medical devices.
背景技术Background technique
圈套器是内镜治疗中常用的消化内镜配件之一。其主要用于消化道息肉切除、隆起型病变、扁平型病变、甚至是消化道早癌的切除(如EMR及MBM等)。圈套器在息肉切除上已经历史悠久,应用广泛最且经典。其中电圈套器主要由操作手柄、圈套芯和外鞘管组成,目前的圈套器产品在使用中主要存在下述问题:1、圈套芯尖端在息肉切除时,圈套芯尖端容易直接损伤肠粘膜,导电时容易导致肠穿孔;2、操作手柄在临床操作不方便,难以实现精确操作。The snare is one of the commonly used accessories for digestive endoscopy in endoscopic therapy. It is mainly used for the resection of gastrointestinal polyps, raised lesions, flat lesions, and even the resection of early gastrointestinal cancers (such as EMR and MBM). The snare has a long history in polypectomy and is the most widely used and classic. Among them, the electric snare is mainly composed of an operating handle, a snare core and an outer sheath tube. The current snare products mainly have the following problems in use: 1. The tip of the snare core is easy to directly damage the intestinal mucosa when the polyp is removed. It is easy to cause intestinal perforation when conducting electricity; 2. The operation handle is inconvenient in clinical operation, and it is difficult to achieve precise operation.
发明内容SUMMARY OF THE INVENTION
本发明的目的在于克服现有技术中存在的不足,提供一种结构巧妙、设计合理、使用方便、安全可靠的一次性使用内镜下防穿孔圈套芯及圈套器。The purpose of the present invention is to overcome the deficiencies in the prior art, and to provide a single-use endoscopic anti-perforation snare core and a snare with ingenious structure, reasonable design, convenient use, safety and reliability.
本发明的第一个目的通过以下的技术方案实现:The first object of the present invention is achieved through the following technical solutions:
一次性使用内镜下防穿孔圈套芯,所述圈套芯自前向后依次为套圈部和连接部,所述套圈部的前端设有尖端,其特征在于:所述尖端上设有绝缘软垫件。Disposable endoscope anti-perforation loop core, the loop core is a ferrule part and a connecting part in sequence from front to back, the front end of the ferrule part is provided with a tip, and it is characterized in that: the tip is provided with an insulating soft pads.
作为所述防穿孔圈套芯的进一步改进,所述绝缘软垫件为绝缘软套管。As a further improvement of the anti-perforation snare core, the insulating soft pad is an insulating soft sleeve.
作为所述防穿孔圈套芯的进一步改进,所述绝缘软套管的横截面为圆形,绝缘软套管的内径小于圈套芯的外径,在绝缘软套管的周壁上开设有自一端延伸至另一端的螺旋式切口,所述螺旋式切口的一边设有卡筋,另一边设有与卡筋匹配的卡槽。As a further improvement of the anti-perforation snare core, the cross section of the insulating soft sleeve is circular, the inner diameter of the insulating soft sleeve is smaller than the outer diameter of the snare core, and a peripheral wall of the insulating soft sleeve is provided with extending from one end. To the spiral incision at the other end, one side of the spiral incision is provided with a clamping rib, and the other side is provided with a clamping groove matching the clamping rib.
作为所述防穿孔圈套芯的进一步改进,所述绝缘软垫件为橡胶或硅胶材质。As a further improvement of the anti-perforation snare core, the insulating soft pad is made of rubber or silicone.
作为所述防穿孔圈套芯的进一步改进,所述圈套芯是由钛镍合金医用金属缝合线螺旋编织而成。As a further improvement of the anti-perforation snare core, the snare core is spirally woven from titanium-nickel alloy medical metal sutures.
本发明的第二个目的通过以下的技术方案实现:The second object of the present invention is achieved through the following technical solutions:
一次性使用内镜下防穿孔圈套器,包括操作手柄、圈套芯和外鞘管,所述外鞘管的后端与所述操作手柄连接,所述圈套芯穿设在外鞘管内,圈套芯的后端也与所述操作手柄连接;其特征在于:所述圈套芯采用上述的防穿孔圈套芯。The single-use endoscopic anti-perforation snare includes an operating handle, a snare core and an outer sheath tube, the rear end of the outer sheath tube is connected to the operating handle, the snare core is penetrated in the outer sheath tube, and the The rear end is also connected with the operating handle; it is characterized in that: the snare core adopts the above-mentioned anti-perforation snare core.
作为所述圈套器的进一步改进,所述操作手柄包括枪形支架、支撑板、穿线器、滑动座、扳机、枪栓、引导管、引导管支板,所述枪形支架的枪筒前端安装有支撑板,所述支撑板中心安装有穿线器,所述圈套芯后端自穿线器的中心孔穿入至枪筒内,所述外鞘管后端套接在穿线器上;所述滑动座安装在枪形支架的枪柄上端,滑动座两侧设有向上延伸的侧板,所述枪栓安装在滑动座上且与两块侧板滑动连接,所述枪筒后端下部开设有扳机安装孔,所述扳机安装在扳机安装孔内,扳机上端与所述枪栓前端铰接;所述引导管设置在枪筒内,引导管前端与支撑板后端固定连接,引导管后端设有勾形弯头,所述勾形弯头安装在引导管支板上,所述圈套芯后端自引导管前端穿入,经勾形弯头弯折180度后再自引导管后端穿出并连接所述枪栓后端。As a further improvement of the snare, the operating handle includes a gun-shaped bracket, a support plate, a threader, a sliding seat, a trigger, a bolt, a guide tube, and a guide tube support plate, and the front end of the gun barrel of the gun-shaped bracket is installed There is a support plate, a threader is installed in the center of the support plate, the rear end of the snare core penetrates into the barrel from the center hole of the threader, and the rear end of the outer sheath is sleeved on the threader; the sliding The seat is installed on the upper end of the gun handle of the gun-shaped bracket, the side plates extending upward are arranged on both sides of the sliding seat, the bolt is installed on the sliding seat and is slidably connected with the two side plates, and the lower part of the rear end of the gun barrel is provided with The trigger installation hole, the trigger is installed in the trigger installation hole, the upper end of the trigger is hinged with the front end of the bolt; the guide pipe is arranged in the barrel, the front end of the guide pipe is fixedly connected with the rear end of the support plate, and the rear end of the guide pipe is provided with There is a hook-shaped elbow, the hook-shaped elbow is installed on the support plate of the guide tube, the rear end of the snare core penetrates from the front end of the guide tube, and is bent 180 degrees through the hook-shaped elbow and then passes through the rear end of the guide tube. out and attach the rear end of the bolt.
作为所述圈套器的进一步改进,所述扳机下端设有指扣孔。As a further improvement of the snare, the lower end of the trigger is provided with a finger buckle hole.
作为所述圈套器的进一步改进,所述引导管上设有透明段,所述圈套芯后端设有标识色段。As a further improvement of the snare, the guide tube is provided with a transparent section, and the rear end of the snare core is provided with an identification color section.
本发明与现有技术相比,具有如下优点:Compared with the prior art, the present invention has the following advantages:
1)、本发明中,由于防穿孔圈套芯增设了绝缘软垫件,一方面可以防止尖端直接损伤肠粘膜,另一方面防止导电引来的穿孔,使用更为安全可靠。1) In the present invention, since the anti-perforation trap core is added with an insulating soft pad, on the one hand, the tip can be prevented from directly damaging the intestinal mucosa, and on the other hand, the perforation caused by conduction can be prevented, and the use is safer and more reliable.
2)、本发明中,绝缘软垫件采用了设置有螺旋形切口的绝缘软套管,绝缘软套管可通过螺旋式切口安装至套圈部之上,装上之后再通过卡筋与卡槽的相互嵌接配合使螺旋式切口闭合,方便安装且安全可靠。2) In the present invention, the insulating soft sleeve adopts an insulating soft sleeve provided with a spiral cutout, and the insulating soft sleeve can be installed on the ferrule part through the spiral cutout, and then pass the clamping rib and clamp after being installed. The mutual engagement of the grooves closes the spiral cutout, which is convenient for installation and safe and reliable.
3)、本发明中,操作手柄设置为枪形结构,由于枪形结构的握持稳定性更好,使得临床操作更方便,也容易实现精确操作。3) In the present invention, the operating handle is set as a gun-shaped structure, and the gripping stability of the gun-shaped structure is better, which makes clinical operation more convenient and easy to achieve precise operation.
附图说明Description of drawings
图1为本发明实施例1的结构示意图。FIG. 1 is a schematic structural diagram of
图2为图1中绝缘软套管的结构放大示意图。FIG. 2 is an enlarged schematic view of the structure of the insulating soft sleeve in FIG. 1 .
图3为用于体现螺旋式切口两边结构的局部剖视图。FIG. 3 is a partial cross-sectional view for illustrating the structure of both sides of the spiral cut.
图4为本发明实施例2的结构示意图。FIG. 4 is a schematic structural diagram of
附图标记说明:1-圈套芯、1a-套圈部、1b-连接部、2-绝缘软套管、2a-螺旋式切口、2b-卡筋、2c卡槽、3-操作手柄、3.1-枪形支架、3.2-支撑板、3.3-穿线器、3.4-滑动座、3.5-扳机、3.6-枪栓、3.7-引导管、3.8-引导管支板、4-外鞘管。Description of reference numerals: 1-snap core, 1a-ferrule part, 1b-connection part, 2-insulation soft sleeve, 2a-spiral cutout, 2b-clamping rib, 2c-clamping groove, 3-operating handle, 3.1- Gun-shaped bracket, 3.2-support plate, 3.3-threader, 3.4-slide seat, 3.5-trigger, 3.6-bolt, 3.7-guide tube, 3.8-guide tube support plate, 4-outer sheath.
具体实施方式Detailed ways
下面结合具体附图和实施例对本发明作进一步说明。The present invention will be further described below with reference to the specific drawings and embodiments.
实施例1Example 1
如图1~图3所示,实施例1公开了一种一次性使用内镜下防穿孔圈套芯1,所述圈套芯1自前向后依次为套圈部1a和连接部1b,所述套圈部1a的前端设有尖端,所述尖端上设有绝缘软垫件。由于增设了绝缘软垫件,一方面可以防止尖端直接损伤肠粘膜,另一方面防止导电引来的穿孔,使用更为安全可靠。As shown in FIGS. 1 to 3 ,
如图2所示,本实施例1中,所述绝缘软垫件为绝缘软套管2,所述绝缘软套管2的横截面为圆形,绝缘软套管2的内径小于圈套芯1的外径,在绝缘软套管2的周壁上开设有自一端延伸至另一端的螺旋式切口2a,所述螺旋式切口2a的一边设有卡筋2b,另一边设有与卡筋2b匹配的卡槽2c。如此设置,绝缘软套管2可通过螺旋式切口2a安装至套圈部1a之上,装上之后再通过卡筋2b与卡槽2c的相互嵌接配合使螺旋式切口2a闭合,方便安装且安全可靠。As shown in FIG. 2 , in this
本实施例1中,所述绝缘软垫件优选采用橡胶或硅胶材质制成,这样的材质使用起来更安全可靠。所述圈套芯1优选是由钛镍合金医用金属缝合线螺旋编织而成,这样使得套圈部1a既可自由变形,也不会在通电切割时被烧焦,而且还具有防息肉滑脱的效果。In
实施例2Example 2
如图2所示,实施例2公开了一种一次性使用内镜下防穿孔圈套器,包括操作手柄3、圈套芯1和外鞘管4,所述外鞘管4的后端与所述操作手柄3连接,所述圈套芯1穿设在外鞘管4内,圈套芯1的后端也与所述操作手柄3连接;所述圈套芯1采用上述的防穿孔圈套芯1。As shown in FIG. 2 ,
本实施例2中,所述操作手柄3包括枪形支架3.1、支撑板3.2、穿线器3.3、滑动座3.4、扳机3.5、枪栓3.6、引导管3.7、引导管支板3.8,所述枪形支架3.1的枪筒3.1a前端安装有支撑板3.2,所述支撑板3.2中心安装有穿线器3.3,所述圈套芯1后端自穿线器3.3的中心孔穿入至枪筒3.1a内,所述外鞘管4后端套接在穿线器3.3上;所述滑动座3.4安装在枪形支架3.1的枪柄3.1b上端,滑动座3.4两侧设有向上延伸的侧板,所述枪栓3.6安装在滑动座3.4上且与两块侧板滑动连接,所述枪筒3.1a后端下部开设有扳机安装孔,所述扳机3.5安装在扳机安装孔内,扳机3.5上端与所述枪栓3.6前端铰接;所述引导管3.7设置在枪筒3.1a内,引导管3.7前端与支撑板3.2后端固定连接,引导管3.7后端设有勾形弯头3.7a,所述勾形弯头3.7a安装在引导管支板3.8上,所述圈套芯1后端自引导管3.7前端穿入,经勾形弯头3.7a弯折180度后再自引导管3.7后端穿出并连接所述枪栓3.6后端。In the second embodiment, the
具体使用时,将操作手柄3、圈套芯1和外鞘管4按照常规方式连接;然后将外鞘管4通过内镜操作孔进入患者腔道,靠近病灶【息肉】后,通过操作扳手来带动枪栓3.6移动,枪栓3.6再带动圈套芯1移动,使圈套芯1前端的套圈部1a伸出外鞘管4,套圈部1a自动张开;根据息肉形状调节套圈部1a位置,将息肉圈套住,此后即可接通电源实施电切手术,切除完成后再将外鞘管4和圈套芯1取出即可。In specific use, the
本实施例2中,所述扳机3.5下端设有指扣孔3.5a。如此设置,便于医务人员进行操作。In the second embodiment, the lower end of the trigger 3.5 is provided with a finger buckle hole 3.5a. This setting is convenient for medical personnel to operate.
本实施例2中,所述引导管3.7上设有透明段,所述圈套芯1后端设有标识色段。如此设置,通过透明段和标识色段的配合,可辅助观察圈套芯1在外鞘管4内的位置。In this
以上所描述的仅为本发明的较佳实施例,上述具体实施例不是对本发明的限制。在本发明的技术思想范畴内,可以出现各种变形及修改,凡本领域的普通技术人员根据以上描述所做的润饰、修改或等同替换,均属于本发明所保护的范围。The above descriptions are only preferred embodiments of the present invention, and the above specific embodiments do not limit the present invention. Within the scope of the technical idea of the present invention, various deformations and modifications may occur, and all modifications, modifications or equivalent replacements made by those of ordinary skill in the art according to the above descriptions belong to the scope of protection of the present invention.
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US4493320A (en) * | 1982-04-02 | 1985-01-15 | Treat Michael R | Bipolar electrocautery surgical snare |
JP2001198139A (en) * | 2000-01-24 | 2001-07-24 | Asahi Optical Co Ltd | Wire loop type treatment instrument for endoscope |
US20050038424A1 (en) * | 2002-11-25 | 2005-02-17 | Olympus Corporation | High-frequency incision device |
CN209074862U (en) * | 2018-05-22 | 2019-07-09 | 章宏 | Endoscope-use electric bipolar snare |
CN211674521U (en) * | 2019-11-23 | 2020-10-16 | 南京市儿童医院 | Disposable endoscope lower anti-perforation ring sleeve core and snare |
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