CN111000596B - Alimentary canal tumour biopsy sampler - Google Patents
Alimentary canal tumour biopsy sampler Download PDFInfo
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- CN111000596B CN111000596B CN202010077982.XA CN202010077982A CN111000596B CN 111000596 B CN111000596 B CN 111000596B CN 202010077982 A CN202010077982 A CN 202010077982A CN 111000596 B CN111000596 B CN 111000596B
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- 206010028980 Neoplasm Diseases 0.000 title claims abstract description 26
- 238000001574 biopsy Methods 0.000 title claims abstract description 24
- 230000005540 biological transmission Effects 0.000 claims abstract description 60
- 230000007246 mechanism Effects 0.000 claims abstract description 28
- 238000005086 pumping Methods 0.000 claims abstract description 18
- 239000012530 fluid Substances 0.000 claims abstract description 10
- 210000001035 gastrointestinal tract Anatomy 0.000 claims abstract description 8
- 238000009434 installation Methods 0.000 claims description 4
- 238000007789 sealing Methods 0.000 claims 1
- 208000002699 Digestive System Neoplasms Diseases 0.000 abstract description 8
- 238000005070 sampling Methods 0.000 abstract description 6
- 230000000149 penetrating effect Effects 0.000 abstract description 4
- 230000009471 action Effects 0.000 description 3
- 238000010586 diagram Methods 0.000 description 3
- 238000000034 method Methods 0.000 description 3
- 230000007812 deficiency Effects 0.000 description 1
- 230000004069 differentiation Effects 0.000 description 1
- 230000001575 pathological effect Effects 0.000 description 1
- 230000035515 penetration Effects 0.000 description 1
- 230000008569 process Effects 0.000 description 1
- 239000000523 sample Substances 0.000 description 1
- 230000028327 secretion Effects 0.000 description 1
- 238000012360 testing method Methods 0.000 description 1
- 210000004881 tumor cell Anatomy 0.000 description 1
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- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B10/00—Instruments 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
- A61B10/02—Instruments for taking cell samples or for biopsy
- A61B10/0233—Pointed or sharp biopsy instruments
- A61B10/0283—Pointed or sharp biopsy instruments with vacuum aspiration, e.g. caused by retractable plunger or by connected syringe
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Abstract
本发明公开了一种消化道肿瘤活检取样器,包括设置在病床上方的活动平台,活动平台下方设置有用于同病床固定的安装组件,在活动平台的上方连接有用于穿透消化道的穿刺针,且穿刺针安装于设置在活动平台上的升降机构中,升降机构顶板连接有用于抽吸肿瘤组织液的泵吸组件,泵吸组件通过传动机构连接升降机构。顶板和伸缩件沿套件内壁上下升降从而驱动穿刺针跟随上下升降探入患者体内,在顶板和穿刺针升降的同时借助齿轮与固定的直齿条作用带动单向传动组件工作,单向传动组件带动微型泵中的叶轮在穿刺针向下移动插入肿瘤内时转动抽吸肿瘤组织液,在穿刺针上移时微型泵不工作,从而实现穿刺与活检取样一体功能。
The invention discloses a gastrointestinal tumor biopsy sampler, comprising a movable platform arranged above a hospital bed, a mounting assembly for fixing with the hospital bed is arranged below the movable platform, and a puncture needle for penetrating the gastrointestinal tract is connected above the movable platform , and the puncture needle is installed in the lifting mechanism arranged on the movable platform, the top plate of the lifting mechanism is connected with a pumping component for sucking tumor tissue fluid, and the pumping component is connected with the lifting mechanism through a transmission mechanism. The top plate and the telescopic piece move up and down along the inner wall of the kit to drive the puncture needle to follow the up and down movements into the patient's body. When the top plate and the puncture needle go up and down, the one-way transmission assembly is driven by the gear and the fixed straight rack to work, and the one-way transmission assembly drives the The impeller in the micro-pump rotates to suck the tumor tissue fluid when the puncture needle moves downward and is inserted into the tumor, and the micro-pump does not work when the puncture needle moves upward, thereby realizing the integrated function of puncture and biopsy sampling.
Description
技术领域technical field
本发明涉及一种医疗器械,具体是一种消化道肿瘤活检取样器。The invention relates to a medical instrument, in particular to a sampler for biopsy of digestive tract tumors.
背景技术Background technique
肿瘤活检是从患者的肿瘤部位取出少量组织(根据不同的情况可采用钳取、切取、切除或穿刺吸取等方法)制成病理切片,在显微镜下观察肿瘤细胞和组织结构的形态,确定肿瘤的性质、组织学类型和分化程度等,为临床治疗提供可靠的依据。Tumor biopsy is to take a small amount of tissue from the patient's tumor site (clamping, cutting, excision, or puncture and suction can be used according to different situations) to make pathological sections, and the morphology of tumor cells and tissue structure is observed under a microscope to determine the tumor's shape. The nature, histological type and degree of differentiation can provide a reliable basis for clinical treatment.
在消化道肿瘤活检过程中,通过穿刺针穿透体腔中的肿瘤抽取分泌物做化验,现有的消化道肿瘤活检大多需要分两步完成,实现利用穿刺针穿透,再利用其它辅助设备抽吸肿瘤组织液进行活检取样,步骤繁琐。In the process of gastrointestinal tumor biopsy, a puncture needle is used to penetrate the tumor in the body cavity to extract secretions for testing. Most existing gastrointestinal tumor biopsies need to be completed in two steps, to achieve penetration with a puncture needle, and then use other auxiliary equipment to extract Aspirating tumor tissue fluid for biopsy sampling is a complicated procedure.
发明内容SUMMARY OF THE INVENTION
基于上述背景技术中所提到的现有技术中的不足之处,为此本发明提供了一种消化道肿瘤活检取样器。Based on the deficiencies in the prior art mentioned in the above background art, the present invention provides a gastrointestinal tumor biopsy sampler.
本发明通过采用如下技术方案克服以上技术问题,具体为:一种消化道肿瘤活检取样器,包括设置在病床上方的活动平台,所述活动平台下方设置有用于同病床固定的安装组件,在所述活动平台的上方连接有用于穿透消化道的穿刺针,且所述穿刺针安装于设置在所述活动平台上的升降机构中,所述升降机构顶板连接有用于抽吸肿瘤组织液的泵吸组件,所述泵吸组件通过传动机构连接所述升降机构。所述升降机构包括固定在所述活动平台上的套件、滑动套合于所述套件上的伸缩件、固定所述伸缩件顶部并与所述穿刺针固定的顶板、用于驱动所述伸缩件和顶板沿所述套件内壁滑动升降的动力装置。所述动力装置包括安装在所述套件外壁上的气缸和密封滑动连接所述气缸的活塞杆,所述活塞杆的顶部与所述顶板固定连接,所述气缸通过气管连通气泵。The present invention overcomes the above technical problems by adopting the following technical solutions, specifically: a gastrointestinal tumor biopsy sampler, comprising a movable platform arranged above a hospital bed, and a mounting assembly for fixing with the hospital bed is arranged below the movable platform, A puncture needle for penetrating the digestive tract is connected above the movable platform, and the puncture needle is installed in a lifting mechanism arranged on the movable platform, and the top plate of the lifting mechanism is connected with a pump for sucking tumor tissue fluid assembly, the pumping assembly is connected to the lifting mechanism through a transmission mechanism. The lifting mechanism includes a set fixed on the movable platform, a telescopic piece slidably fitted on the set, a top plate that fixes the top of the telescopic piece and is fixed with the puncture needle, and is used to drive the telescopic piece and a power device that slides and lifts the top plate along the inner wall of the kit. The power device includes a cylinder mounted on the outer wall of the sleeve and a piston rod that is sealed and slidably connected to the cylinder, the top of the piston rod is fixedly connected to the top plate, and the cylinder is connected to an air pump through an air pipe.
作为本发明再进一步的方案:所述传动机构包括固定在所述套件外壁上的直齿条、转动设置在所述顶板下方并与所述直齿条啮合的齿轮、通过第一传动件连接所述齿轮的单向传动组件、以及用于连接所述单向传动组件与所述泵吸组件的第二传动件,其中,所述单向传动组件与所述齿轮均安装在固定于所述顶板下方的安装件下部。As a further solution of the present invention: the transmission mechanism includes a straight rack fixed on the outer wall of the sleeve, a gear rotatably arranged under the top plate and meshed with the spur rack, and connected to the The one-way transmission assembly of the gear, and the second transmission member for connecting the one-way transmission assembly and the pumping assembly, wherein the one-way transmission assembly and the gear are both installed on the top plate and fixed on the top plate. The lower part of the mounting piece below.
作为本发明再进一步的方案:所述单向传动组件包括转动设置在所述安装件下部并连接所述第一传动件的棘轮、与棘轮转动连接并连接所述第二传动件的传动轮、以及用于连接所述棘轮与所述传动轮的棘齿,其中,所述棘齿通过弹性件转动安装在所述棘轮上。As a further solution of the present invention: the one-way transmission assembly includes a ratchet wheel rotatably arranged at the lower part of the mounting member and connected to the first transmission member, a transmission wheel rotatably connected to the ratchet wheel and connected to the second transmission member, and a ratchet tooth for connecting the ratchet wheel and the transmission wheel, wherein the ratchet tooth is rotatably mounted on the ratchet wheel through an elastic member.
作为本发明再进一步的方案:所述泵吸组件包括安装于所述顶板上的微型泵,转动设置在所述微型泵内并连接所述第二传动件的叶轮、连通所述微型泵入口与所述穿刺针上口的导管,其中,所述穿刺针为一空心针,其下部圆周开设有多个毛细孔。As a further solution of the present invention: the pumping assembly includes a micro-pump mounted on the top plate, an impeller rotatably arranged in the micro-pump and connected to the second transmission member, communicating with the inlet of the micro-pump and the The catheter with the upper port of the puncture needle, wherein the puncture needle is a hollow needle, and a plurality of capillary holes are opened on the circumference of the lower part.
作为本发明再进一步的方案:所述安装组件包括通过轴承安装在所述活动平台下方一侧的升降杆、与所述升降杆滑动套合的托杆、固定在所述托杆下部用于同病床边缘卡合固定的卡合件,以及设置在所述托杆上部用于固定所述升降杆的固定轮。As a further solution of the present invention: the installation assembly includes a lift rod installed on the lower side of the movable platform through a bearing, a support rod slidingly sleeved with the lift rod, and a support rod fixed at the lower part of the support rod for the same purpose. The edge of the hospital bed is clamped and fixed with a clamping piece, and a fixing wheel arranged on the upper part of the support rod and used for fixing the lifting rod.
作为本发明再进一步的方案:所述卡合件下方设置有用于将卡合件与床框固定的紧固螺栓。As a further solution of the present invention, a fastening bolt for fixing the engaging element to the bed frame is provided below the engaging element.
作为本发明再进一步的方案:固定轮上固定有穿透托杆并与之螺纹连接的丝杠。As a further solution of the present invention, the fixed wheel is fixed with a lead screw that penetrates the support rod and is threadedly connected with it.
采用以上结构后,本发明相较于现有技术,具备以下优点:该装置通过动力装置带动顶板和伸缩件沿套件内壁上下升降从而驱动穿刺针跟随上下升降探入患者体内,在顶板和穿刺针升降的同时借助齿轮与固定的直齿条作用带动单向传动组件工作,单向传动组件借助第二传动件带动微型泵中的叶轮在穿刺针向下移动插入肿瘤内时转动抽吸肿瘤组织液,在穿刺针上移时微型泵不工作,从而实现穿刺与活检取样一体功能。After adopting the above structure, compared with the prior art, the present invention has the following advantages: the device drives the top plate and the telescopic piece to move up and down along the inner wall of the kit through the power device, so as to drive the puncture needle to follow the up and down movements and probe into the body of the patient. At the same time of lifting, the one-way transmission assembly is driven by the action of the gear and the fixed straight rack to work, and the one-way transmission assembly drives the impeller in the micro pump to rotate and suck the tumor tissue fluid when the puncture needle moves downward and is inserted into the tumor by means of the second transmission member. When the puncture needle is moved up, the micro pump does not work, so as to realize the integrated function of puncture and biopsy sampling.
附图说明Description of drawings
图1为消化道肿瘤活检取样器的结构示意图。FIG. 1 is a schematic diagram of the structure of a biopsy sampler for gastrointestinal tumors.
图2为消化道肿瘤活检取样器中传动机构的局部放大图。Fig. 2 is a partial enlarged view of the transmission mechanism in the alimentary tract tumor biopsy sampler.
图3为消化道肿瘤活检取样器中单向传动组件的结构示意图。FIG. 3 is a schematic structural diagram of a one-way transmission assembly in the alimentary tract tumor biopsy sampler.
图4为消化道肿瘤活检取样器中套件和直齿条的结构示意图。FIG. 4 is a schematic structural diagram of a kit and a straight rack in the alimentary tract tumor biopsy sampler.
图5为消化道肿瘤活检取样器中穿刺针和毛细孔的局部放大图。Figure 5 is a partial enlarged view of the puncture needle and capillary hole in the alimentary tract tumor biopsy sampler.
图中:1-活动平台;2-套件;3-顶板;4-伸缩件;5-气缸;6-活塞杆;7-穿刺针;8-直齿条;9-安装件;10-齿轮;11-第一传动件;12-棘轮;13-棘齿;14-弹性件;15-传动轮;16-第二传动件;17-微型泵;18-导管;19-托杆;20-升降杆;21-固定轮;22-卡合件。In the figure: 1- movable platform; 2- kit; 3- top plate; 4- telescopic piece; 5- cylinder; 6- piston rod; 7- puncture needle; 8- straight rack; 9- mounting piece; 10- gear; 11-first transmission part; 12-ratchet; 13-ratchet; 14-elastic part; 15-transmission wheel; 16-second transmission part; 17-micro pump; 18-duct; 19-support rod; 20-lifting Rod; 21-Fixed wheel; 22-Clamping piece.
具体实施方式Detailed ways
为了便于理解本发明,下面将参照相关附图对本发明进行更全面的描述。附图中给出了本发明的较佳实施方式。但是,本发明可以以多种不同的形式来实现,并不限于本文所描述的实施方式。相反地,提供这些实施方式的目的是使对本发明的公开内容理解的更加透彻全面。In order to facilitate understanding of the present invention, the present invention will be described more fully hereinafter with reference to the related drawings. The preferred embodiments of the invention are shown in the accompanying drawings. However, the present invention may be embodied in many different forms and is not limited to the embodiments described herein. Rather, these embodiments are provided so that a thorough and complete understanding of the present disclosure is provided.
请参阅图1~5,本发明实施例中,一种消化道肿瘤活检取样器,包括设置在病床上方的活动平台1,活动平台1下方设置有用于同病床固定的安装组件,在活动平台1的上方连接有用于穿透消化道的穿刺针7,且穿刺针7安装于设置在活动平台1上的升降机构中,升降机构顶板连接有用于抽吸肿瘤组织液的泵吸组件,泵吸组件通过传动机构连接升降机构。Please refer to FIGS. 1 to 5 . In the embodiment of the present invention, a sampler for gastrointestinal tumor biopsy includes a
当升降机构带动穿刺针7向下移动穿透患者消化道时,移动的升降机构带动传动机构驱使传动机构动作,传动机构带动泵吸组件工作将穿刺针7穿透的肿瘤组织液抽出,实现穿刺与活检取样一体功能,且在安装组件的配合下可调整穿刺针7的高度与方位,便于对不同部位的消化道肿瘤进行活检取样。When the lifting mechanism drives the
升降机构包括固定在活动平台1上的套件2、滑动套合于套件2上的伸缩件4、固定伸缩件4顶部并与穿刺针7固定的顶板3、用于驱动伸缩件4和顶板3沿套件2内壁滑动升降的动力装置;The lifting mechanism includes a
动力装置可以是电动动力装置、气动动力装置、以及液压动力装置,当动力装置带动顶板3和伸缩件4沿套件2内壁上下移动时带动穿刺针7跟随上下移动,穿透患者身体进行活检取样。The power device can be an electric power device, a pneumatic power device, and a hydraulic power device. When the power device drives the
动力装置包括安装在套件2外壁上的气缸5和密封滑动连接气缸5的活塞杆6,活塞杆6的顶部与顶板3固定连接,气缸5通过气管连通气泵,在气泵工作时向气缸5中泵送气体增大压强或从气缸5中抽出气体减小压强从而带动活塞杆6在气压动力下伸缩,进而带动穿刺针7穿入患者体内或从患者体内抽出。The power unit includes a
在本发明的又一个实施例中,传动机构包括固定在套件2外壁上的直齿条8、转动设置在顶板3下方并与直齿条8啮合的齿轮10、通过第一传动件11连接齿轮10的单向传动组件、以及用于连接单向传动组件与泵吸组件的第二传动件16,其中,单向传动组件与齿轮10均安装在固定于顶板3下方的安装件9下部;In yet another embodiment of the present invention, the transmission mechanism includes a
通过动力装置带动顶板3和伸缩件4沿套件2内壁升降从而带动齿轮10与固定的直齿条8作用发生转动,齿轮10借助第一传动件11带动单向传动组件工作,从而借助第二传动件16带动泵吸组件工作,实现单向抽吸功能,只有在穿刺针7向下移动插入患者体内的过程中泵吸组件才工作将患者体内的肿瘤组织液抽出。The
在本发明的又一个实施例中,单向传动组件包括转动设置在安装件9下部并连接第一传动件11的棘轮12、与棘轮12转动连接并连接第二传动件16的传动轮15、以及用于连接棘轮12与传动轮15的棘齿13,其中,棘齿13通过弹性件14转动安装在棘轮12上;In yet another embodiment of the present invention, the one-way transmission assembly includes a
当齿轮10向上移动时在直齿条8的作用下逆时针转动,第一传动件11带动棘轮12逆时针转动,棘轮12带动棘齿13跟随逆时针转动,此时棘齿13挤压弹性件14让位不能带动传动轮15转动;When the
相反的,当齿轮10向下移动时在直齿条8的作用下顺时针转动,第一传动件11带动棘轮12顺时针转动,棘轮12带动棘齿13跟随顺时针转动,此时棘齿13带动传动轮15顺时针转动,传动轮15借助第二传动件16带动泵吸组件工作,抽吸肿瘤组织液。On the contrary, when the
在本发明的又一个实施例中,泵吸组件包括安装于顶板3上的微型泵17,转动设置在微型泵17内并连接第二传动件16的叶轮、连通微型泵17入口与穿刺针7上口的导管18,其中,穿刺针7为一空心针,其下部圆周开设有多个毛细孔,肿瘤组织液通过毛细孔进入穿刺针7内并通过导管18进入微型泵17内泵出。In yet another embodiment of the present invention, the pumping assembly includes a micro-pump 17 mounted on the
在本发明的又一个实施例中,安装组件包括通过轴承安装在活动平台1下方一侧的升降杆20、与升降杆20滑动套合的托杆19、固定在托杆19下部用于同病床边缘卡合固定的卡合件22,以及设置在托杆19上部用于固定升降杆20的固定轮21,其中,卡合件22下方设置有用于将卡合件22与床框固定的紧固螺栓,固定轮21上固定有穿透托杆19并与之螺纹连接的丝杠;In yet another embodiment of the present invention, the installation assembly includes a
利用紧固螺栓将卡合件22与病床的床框固定,从而将托杆19固定,调节升降杆20的高度从而对活动平台1的高度进行调节,便于针对不同体型的患者调整穿刺针7的高度,且通过轴承安装的升降杆20与活动平台1之间具有旋转自由度,便于穿刺针7绕托杆19转动调整方位,由固定轮21带动丝杠与托杆19固定,并抵接升降杆20,从而固定活动平台1的高度。Fastening bolts are used to fix the
以上仅就本发明的最佳实施例作了说明,但不能理解为是对权利要求的限制。本发明不仅限于以上实施例,其具体结构允许有变化。但凡在本发明独立权利要求的保护范围内所作的各种变化均在本发明的保护范围内。The above only describes the best embodiments of the present invention, but should not be construed as limiting the claims. The present invention is not limited to the above embodiments, and the specific structure thereof can be changed. Any changes made within the protection scope of the independent claims of the present invention are all within the protection scope of the present invention.
除非另有定义,本文所使用的所有的技术和科学术语与属于本发明的技术领域的技术人员通常理解的含义相同。本文中在本发明的说明书中所使用的术语只是为了描述具体的实施方式的目的,不是旨在于限制本发明。本文所使用的术语“及/或”包括一个或多个相关的所列项目的任意的和所有的组合。Unless otherwise defined, all technical and scientific terms used herein have the same meaning as commonly understood by one of ordinary skill in the art to which this invention belongs. The terms used herein in the description of the present invention are for the purpose of describing specific embodiments only, and are not intended to limit the present invention. As used herein, the term "and/or" includes any and all combinations of one or more of the associated listed items.
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