CN112933306B - Liposuction device for endoscopic breast surgery - Google Patents
Liposuction device for endoscopic breast surgery Download PDFInfo
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- 238000007443 liposuction Methods 0.000 title claims abstract description 68
- 210000000481 breast Anatomy 0.000 title claims abstract description 20
- 238000001356 surgical procedure Methods 0.000 title claims abstract description 20
- 238000001514 detection method Methods 0.000 claims abstract description 24
- 238000009434 installation Methods 0.000 claims 2
- 230000006378 damage Effects 0.000 abstract description 8
- 238000002357 laparoscopic surgery Methods 0.000 abstract description 4
- 230000001960 triggered effect Effects 0.000 abstract description 4
- 238000000034 method Methods 0.000 description 9
- 238000010586 diagram Methods 0.000 description 6
- 230000008569 process Effects 0.000 description 6
- 230000009471 action Effects 0.000 description 2
- 238000013459 approach Methods 0.000 description 2
- 230000005484 gravity Effects 0.000 description 2
- 230000002452 interceptive effect Effects 0.000 description 2
- 210000001835 viscera Anatomy 0.000 description 2
- 210000002048 axillary vein Anatomy 0.000 description 1
- 238000001266 bandaging Methods 0.000 description 1
- 208000030270 breast disease Diseases 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 238000002674 endoscopic surgery Methods 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 238000011010 flushing procedure Methods 0.000 description 1
- 210000004907 gland Anatomy 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 238000010309 melting process Methods 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012544 monitoring process Methods 0.000 description 1
- 230000000750 progressive effect Effects 0.000 description 1
- 238000011084 recovery Methods 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 238000007920 subcutaneous administration Methods 0.000 description 1
- 230000008733 trauma Effects 0.000 description 1
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- A61B17/00—Surgical instruments, devices or methods
- A61B17/00234—Surgical instruments, devices or methods for minimally invasive surgery
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods
- A61B2017/00743—Type of operation; Specification of treatment sites
- A61B2017/00796—Breast surgery
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Abstract
本发明涉及腔镜手术设备领域,解决了现有技术中吸脂装置不具有侧孔偏转防护功能的问题。一种腔镜乳腺手术用吸脂装置,包括负压发生装置,负压发生装置上连接有负压管,负压管上连接有吸脂针,吸脂针上固定连接有手柄,手柄上设有角度检测装置,角度检测装置上信号连接有控制装置,控制装置与负压发生装置信号连接。本发明使用时,通过预设控制装置,当手柄转动时,导致吸脂针转动并触发角度检测装置,控制装置收到的信号超过预设值后,即控制负压发生装置断电,吸脂针内的负压消失,避免了腔镜乳腺手术中误转动吸脂针导致对患者造成损伤,降低了手术难度和风险。
The invention relates to the field of laparoscopic surgery equipment, and solves the problem that the liposuction device in the prior art does not have the function of protecting the deflection of the side hole. A liposuction device for laparoscopic breast surgery, comprising a negative pressure generating device, a negative pressure tube is connected to the negative pressure generating device, a liposuction needle is connected to the negative pressure tube, a handle is fixedly connected to the liposuction needle, and a handle is provided on the handle. An angle detection device is provided, and a control device is connected to the signal of the angle detection device, and the control device is connected to the signal of the negative pressure generating device. When the present invention is used, through the preset control device, when the handle rotates, the liposuction needle will be rotated and the angle detection device will be triggered. After the signal received by the control device exceeds the preset value, the negative pressure generating device will be controlled to cut off the power, and the liposuction The negative pressure in the needle disappears, which avoids damage to the patient caused by wrongly turning the liposuction needle during endoscopic breast surgery, and reduces the difficulty and risk of the operation.
Description
技术领域technical field
本发明涉及腔镜手术设备领域,尤其涉及一种腔镜乳腺手术用吸脂装置。The invention relates to the field of endoscopic surgery equipment, in particular to a liposuction device for endoscopic breast surgery.
背景技术Background technique
乳腺疾病需进行手术治疗时,常规乳腺手术必须在乳房表面取切口,需要足够长的切口实现手术野的显露,以便在直视下完成手术;难以避免的巨大切口是尚待解决的外科技术问题。手术造成的乳房缺失和某些手术并发症可影响女性形体美观,造成心理伤害。腔镜手术是由腹腔镜手术发展而来的微创手术方法,是未来手术方法发展的一个必然趋势。腔镜手术的基本原理是在脏器内部形成腔隙,将脏器摄于监视屏幕上,手术医师在高科技显示屏监视、引导下,于外部操纵手术器械,对病变组织进行探查、电凝、止血、组织分离与切开、缝合等操作。它是电子、光学、摄像等高科技技术在临床手术中应用的典范,具有创伤小、并发症少、安全、康复快的特点。When breast diseases require surgical treatment, conventional breast surgery requires an incision on the surface of the breast, which requires a long enough incision to expose the surgical field so that the operation can be completed under direct vision; the unavoidable huge incision is a surgical technical problem that has yet to be resolved . Breast loss and certain surgical complications from surgery can affect a woman's physical appearance and cause psychological harm. Laparoscopic surgery is a minimally invasive surgical method developed from laparoscopic surgery, and it is an inevitable trend in the development of future surgical methods. The basic principle of laparoscopic surgery is to form a cavity inside the viscera and photograph the viscera on the monitor screen. Under the monitoring and guidance of the high-tech monitor, the surgeon manipulates the surgical instruments externally to detect and electrocoagulate the diseased tissue. , hemostasis, tissue separation and incision, suture and other operations. It is a model of the application of high-tech technologies such as electronics, optics, and photography in clinical operations. It has the characteristics of less trauma, fewer complications, safety, and quick recovery.
腔镜乳腺手术通常包括溶脂过程、吸脂过程、腔镜操作过程、标本取出过程、冲洗检测过程、引流包扎过程,其中溶脂过程为将溶脂液均匀注射在手术部位的皮下脂肪层,注射溶脂液后间隔10min开始吸脂操作。吸脂过程中先在术前标记的trocar进入部位,取直径约0.5cm的切口,然后插入带侧孔的吸引头,以0.2~0.8kPa的负压在拟定的术野进行充分吸脂。皮下吸脂时要注意避免吸引头侧孔直接朝向皮肤;乳房后间隙吸脂时吸引头侧孔朝向腺体,腋窝吸脂时吸引头侧孔要背向腋静脉,避免暴力操作。现有的吸脂管结构简单,需要依靠操作来保持侧孔的朝向,否则将对患者造成不必要的伤害,现有的吸脂装置不具有侧孔偏转防护功能,一来导致手术难度增大,二来增加了手术风险。Laparoscopic breast surgery usually includes fat melting process, liposuction process, laparoscopic operation process, specimen removal process, flushing detection process, drainage and bandaging process. The liposuction operation was started at intervals of 10 minutes after the fat-dissolving solution was injected. During the liposuction process, an incision of about 0.5 cm in diameter was made at the trocar entry site marked before the operation, and then a suction head with a side hole was inserted, and full liposuction was performed on the planned operation field with a negative pressure of 0.2-0.8 kPa. During subcutaneous liposuction, care should be taken to avoid suctioning the cephalic hole directly toward the skin; for liposuction in the posterior space of the breast, the cephalic hole should be directed toward the gland, and for axillary liposuction, the cephalic hole should be directed away from the axillary vein to avoid violent operations. The existing liposuction tube has a simple structure and needs to be operated to maintain the orientation of the side hole, otherwise it will cause unnecessary harm to the patient. The existing liposuction device does not have the side hole deflection protection function, which increases the difficulty of the operation , Second, it increases the risk of surgery.
发明内容Contents of the invention
本发明提供一种腔镜乳腺手术用吸脂装置,解决了现有技术中吸脂装置不具有侧孔偏转防护功能的问题。The invention provides a liposuction device for laparoscopic breast surgery, which solves the problem that the liposuction device in the prior art does not have the function of protecting side hole deflection.
一种腔镜乳腺手术用吸脂装置,包括负压发生装置,负压发生装置上连接有负压管,负压管上连接有吸脂针,吸脂针上固定连接有手柄,手柄上设有角度检测装置,角度检测装置上信号连接有控制装置,控制装置与负压发生装置信号连接。本发明使用时,通过预设控制装置,当手柄转动时,导致吸脂针转动并触发角度检测装置,控制装置收到的信号超过预设值后,即控制负压发生装置断电,吸脂针内的负压消失,避免了腔镜乳腺手术中误转动吸脂针导致对患者造成损伤,降低了手术难度和风险。A liposuction device for endoscopic breast surgery, comprising a negative pressure generating device, a negative pressure tube is connected to the negative pressure generating device, a liposuction needle is connected to the negative pressure tube, a handle is fixedly connected to the liposuction needle, and a handle is provided on the handle. An angle detection device is provided, and the signal on the angle detection device is connected with a control device, and the control device is connected with the signal of the negative pressure generating device. When the present invention is used, through the preset control device, when the handle rotates, the liposuction needle will be rotated and the angle detection device will be triggered. After the signal received by the control device exceeds the preset value, the negative pressure generating device will be controlled to cut off the power, and the liposuction The negative pressure in the needle disappears, which avoids the damage to the patient caused by turning the liposuction needle by mistake during laparoscopic breast surgery, and reduces the difficulty and risk of the operation.
进一步,所述角度检测装置包括角度传感器,角度传感器的输入轴上设有配重块,输入轴的轴线与所述吸脂针的轴线平行。合理设置配重块的质量和配重块中心到输入轴轴线的距离,确保配重块在重力作用下的力矩大于角度传感器的启动力矩,如型号为WDS22A-1的角度传感器,其启动力矩小于0.098N·m,则配重块的重力力矩应大于此数值。这样当手柄转动时,配重块能够带动角度传感器的输入轴转动,使得角度传感器检测到转动的角度信号。Further, the angle detection device includes an angle sensor, the input shaft of the angle sensor is provided with a counterweight, and the axis of the input shaft is parallel to the axis of the liposuction needle. Reasonably set the mass of the counterweight and the distance from the center of the counterweight to the axis of the input shaft to ensure that the torque of the counterweight under the action of gravity is greater than the starting torque of the angle sensor. For example, the starting torque of the angle sensor model WDS22A-1 is less than 0.098N·m, then the gravitational moment of the counterweight should be greater than this value. In this way, when the handle is rotated, the counterweight can drive the input shaft of the angle sensor to rotate, so that the angle sensor detects the angle signal of the rotation.
进一步,所述手柄上设有空腔,所述角度传感器位于空腔内,空腔上设有可拆卸的盖板。盖板能够防止误触角度传感器的输入轴。Further, the handle is provided with a cavity, the angle sensor is located in the cavity, and the cavity is provided with a detachable cover plate. The cover prevents accidental contact with the input shaft of the angle sensor.
进一步,所述角度检测装置包括固定在所述手柄上的转轴和位于转轴两侧的距离传感器,转轴上通过轴承连接有配重触发件,距离传感器设置在手柄上。当手柄转动时,两个距离传感器随之移动,而配重触发件始终位于转轴正下方,配重触发件将靠近并触发其中一个距离传感器,导致负压发生装置停机。Further, the angle detection device includes a rotating shaft fixed on the handle and distance sensors located on both sides of the rotating shaft, a counterweight trigger is connected to the rotating shaft through a bearing, and the distance sensor is arranged on the handle. When the handle is rotated, the two distance sensors move accordingly, and the counterweight trigger is always located directly below the rotating shaft, and the counterweight trigger will approach and trigger one of the distance sensors, causing the negative pressure generating device to stop.
进一步,所述角度检测装置还包括外壳,所述转轴、配重触发件、距离传感器位于外壳内。外壳能够防止误触配重触发件。Further, the angle detection device further includes a casing, and the rotating shaft, the counterweight trigger, and the distance sensor are located in the casing. The housing prevents accidental contact with the weight trigger.
进一步,所述吸脂针为管状,一端开口,另一端封闭,开口端与所述负压管连通,吸脂针的侧壁上接近封闭端处设有通孔。侧壁开口能够使开口始终避免正对皮肤,造成损伤。Further, the liposuction needle is tubular, one end is open and the other end is closed, the open end communicates with the negative pressure tube, and a through hole is provided on the side wall of the liposuction needle close to the closed end. The side wall opening can keep the opening from facing the skin all the time and causing damage.
进一步,所述手柄包括第一手柄部和第二手柄部,第一手柄部和第二手柄部可拆卸连接,第一手柄部和第二手柄部之间设有供吸脂针穿过的通道,所述角度检测装置设置在第二手柄部上,所述吸脂针通过花键或平键与第一手柄部连接。第一手柄部和第二手柄部可拆卸连接,可以方便地更换吸脂针,适用于一次性吸脂针。Further, the handle includes a first handle part and a second handle part, the first handle part and the second handle part are detachably connected, and there is a channel for the liposuction needle to pass between the first handle part and the second handle part , the angle detection device is arranged on the second handle part, and the liposuction needle is connected with the first handle part through a spline or a flat key. The first handle part and the second handle part are detachably connected, the liposuction needle can be easily replaced, and it is suitable for a disposable liposuction needle.
进一步,还包括支架,所述吸脂管上设有容置腔,容置腔固定在支架上。容置腔用于容纳吸脂针吸出的脂肪,支架能够固定容置腔,避免其重量过大干扰手术。Further, a bracket is also included, the liposuction tube is provided with an accommodating cavity, and the accommodating cavity is fixed on the bracket. The accommodating cavity is used for accommodating the fat sucked out by the liposuction needle, and the bracket can fix the accommodating cavity to prevent its excessive weight from interfering with the operation.
从以上技术方案可以看出,本发明具有以下优点:As can be seen from the above technical solutions, the present invention has the following advantages:
当手柄转动时,导致吸脂针转动并触发角度检测装置,控制装置收到的信号超过预设值后,即控制负压发生装置断电,避免了腔镜乳腺手术中误转动吸脂针导致对患者造成损伤,降低了手术难度和风险。When the handle rotates, the liposuction needle rotates and triggers the angle detection device. When the signal received by the control device exceeds the preset value, the negative pressure generating device is controlled to be powered off, which avoids accidental rotation of the liposuction needle during endoscopic breast surgery. It causes damage to the patient and reduces the difficulty and risk of the operation.
附图说明Description of drawings
为了更清楚地说明本发明的技术方案,下面将对描述中所需要使用的附图作简单地介绍,显而易见地,下面描述中的附图仅仅是本发明的一些实施例,对于本领域普通技术人员来讲,在不付出创造性劳动的前提下,还可以根据这些附图获得其他的附图。In order to illustrate the technical solution of the present invention more clearly, the accompanying drawings that need to be used in the description will be briefly introduced below. Obviously, the accompanying drawings in the following description are only some embodiments of the present invention. As far as people are concerned, other drawings can also be obtained based on these drawings on the premise of not paying creative work.
图1为本发明整体结构示意图。Figure 1 is a schematic diagram of the overall structure of the present invention.
图2为本发明吸脂针结构示意图。Fig. 2 is a schematic diagram of the structure of the liposuction needle of the present invention.
图3为本发明吸脂针和手柄结构示意图。Fig. 3 is a structural schematic diagram of the liposuction needle and the handle of the present invention.
图4为本发明实施例1的第二手柄部结构示意图。Fig. 4 is a schematic structural diagram of the second handle portion in Embodiment 1 of the present invention.
图5为本发明实施例2的第二手柄部结构示意图。Fig. 5 is a schematic structural diagram of the second handle portion of
图6为本发明距离传感器位置调节机构示意图。Fig. 6 is a schematic diagram of the distance sensor position adjustment mechanism of the present invention.
1、负压发生装置,2、负压管,3、吸脂针,4、平键,5、角度传感器,6、配重块,7、配重触发件,8、第一手柄部,9、第二手柄部,10、容置腔,11、手柄,12、输入轴,13、转轴,14、轴承,15、移动安装板,16、调节柱,17、齿条,18、连接件,19、齿轮。1. Negative pressure generating device, 2. Negative pressure tube, 3. Liposuction needle, 4. Flat key, 5. Angle sensor, 6. Counterweight, 7. Counterweight trigger, 8. First handle part, 9 , second handle part, 10, accommodating cavity, 11, handle, 12, input shaft, 13, rotating shaft, 14, bearing, 15, mobile mounting plate, 16, adjusting column, 17, rack, 18, connector, 19. Gears.
具体实施方式Detailed ways
为使得本发明的目的、特征、优点能够更加的明显和易懂,下面将结合本具体实施例中的附图,对本发明中的技术方案进行清楚、完整地描述,显然,下面所描述的实施例仅仅是本发明一部分实施例,而非全部的实施例。基于本专利中的实施例,本领域普通技术人员在没有做出创造性劳动前提下所获得的所有其它实施例,都属于本专利保护的范围。In order to make the purpose, features and advantages of the present invention more obvious and understandable, the technical solutions in the present invention will be clearly and completely described below in conjunction with the accompanying drawings in this specific embodiment. Obviously, the implementation described below Examples are only some embodiments of the present invention, but not all embodiments. Based on the embodiments in this patent, all other embodiments obtained by persons of ordinary skill in the art without creative efforts fall within the protection scope of this patent.
实施例1Example 1
如图1-4所示,一种腔镜乳腺手术用吸脂装置,包括负压发生装置1,负压发生装置1为中心负压吸引器,负压发生装置1上连接有负压管2,负压管2上连接有吸脂针3,吸脂针3上固定连接有手柄11,手柄11上设有角度检测装置,角度检测装置上信号连接有控制装置,控制装置与负压发生装置1信号连接。本发明使用时,通过预设控制装置,当手柄11转动时,导致吸脂针3转动并触发角度检测装置,控制装置收到的信号超过预设值后,即控制负压发生装置1断电,吸脂针3内的负压消失,避免了腔镜乳腺手术中误转动吸脂针3导致对患者造成损伤,降低了手术难度和风险。角度检测装置包括角度传感器5,角度传感器5的输入轴12上设有配重块6,输入轴12的轴线与所述吸脂针3的轴线平行。合理设置配重块6的质量和配重块6中心到输入轴12轴线的距离,确保配重块6在重力作用下的力矩大于角度传感器5的启动力矩,如型号为WDS22A-1的角度传感器5,其启动力矩小于0.098N·m,则配重块6的重力力矩应大于此数值。这样当手柄11转动时,配重块6能够带动角度传感器5的输入轴12转动,使得角度传感器5检测到转动的角度信号。手柄11上设有空腔,所述角度传感器5位于空腔内,空腔上设有可拆卸的盖板。盖板能够防止误触角度传感器5的输入轴12。吸脂针3为管状,一端开口,另一端封闭,开口端与所述负压管2连通,吸脂针3的侧壁上接近封闭端处设有通孔。侧壁开口能够使开口始终避免正对皮肤,造成损伤。手柄11包括第一手柄部8和第二手柄部9,第一手柄部8和第二手柄部9可拆卸连接,第一手柄部8和第二手柄部9之间设有供吸脂针3穿过的通道,所述角度检测装置设置在第二手柄部9上,吸脂针3通过花键与第一手柄部8连接。第一手柄部8和第二手柄部9可拆卸连接,可以方便地更换吸脂针3,适用于一次性吸脂针3。As shown in Figures 1-4, a liposuction device for endoscopic breast surgery includes a negative pressure generating device 1, the negative pressure generating device 1 is a central negative pressure suction device, and the negative pressure generating device 1 is connected with a
实施例2Example 2
如图5和图6所示,本实施例与实施例1的区别在于,负压发生装置1包括电动负压吸引器,所述角度检测装置包括固定在所述手柄11上的转轴13和位于转轴13两侧的距离传感器,转轴13上通过轴承14连接有配重触发件7,距离传感器设置在手柄11上。当手柄11转动时,两个距离传感器随之移动,而配重触发件7始终位于转轴13正下方,配重触发件7将靠近并触发其中一个距离传感器,导致负压发生装置1停机。角度检测装置还包括外壳,所述转轴13、配重触发件7、距离传感器位于外壳内。外壳能够防止误触配重触发件7。还包括支架,吸脂管3上设有容置腔10,容置腔10固定在支架上。容置腔10用于容纳吸脂针3吸出的脂肪,支架能够固定容置腔10,避免其重量过大干扰手术。吸脂针3通过平键4与第一手柄部8连接。As shown in Figures 5 and 6, the difference between this embodiment and Embodiment 1 is that the negative pressure generating device 1 includes an electric negative pressure suction device, and the angle detection device includes a
为了适应不同的角度范围,距离传感器安装在移动安装板15上,移动安装板15通过滑轨连接在第二手柄部9上,同时第二手柄部9上还转动连接有调节柱16,调节柱16上设有齿轮19,齿轮19通过齿条17驱动移动安装板15移动。由于两个距离传感器是由同一配重触发件7触发的,两个距离传感器需要通过连接件18安装到移动安装板15上,以确保两个距离传感器都与配重触发件7正相对。In order to adapt to different angle ranges, the distance sensor is installed on the mobile mounting
本说明书中各个实施例采用递进的方式描述,每个实施例重点说明的都是与其他实施例的不同之处,各个实施例之间相同相似部分互相参见即可。Each embodiment in this specification is described in a progressive manner, each embodiment focuses on the difference from other embodiments, and the same and similar parts of each embodiment can be referred to each other.
本发明的说明书和权利要求书及上述附图中的术语“第一”、“第二”、“第三”“第四”等(如果存在)是用于区别类似的对象,而不必用于描述特定的顺序或先后次序。应该理解这样使用的数据在适当情况下可以互换,以便这里描述的本发明的实施例能够以除了在这里图示或描述的那些以外的顺序实施。此外,术语“包括”和“具有”以及他们的任何变形,意图在于覆盖不排他的包含。The terms "first", "second", "third", "fourth", etc. (if any) in the description and claims of the present invention and the above drawings are used to distinguish similar objects and not necessarily Describe a specific order or sequence. It is to be understood that the data so used are interchangeable under appropriate circumstances such that the embodiments of the invention described herein can be practiced in sequences other than those illustrated or described herein. Furthermore, the terms "comprising" and "having", as well as any variations thereof, are intended to cover a non-exclusive inclusion.
对所公开的实施例的上述说明,使本领域专业技术人员能够实现或使用本发明。对这些实施例的多种修改对本领域的专业技术人员来说将是显而易见的,本文中所定义的一般原理可以在不脱离本发明的精神或范围的情况下,在其它实施例中实现。因此,本发明将不会被限制于本文所示的这些实施例,而是要符合与本文所公开的原理和新颖特点相一致的最宽的范围。The above description of the disclosed embodiments is provided to enable any person skilled in the art to make or use the invention. Various modifications to these embodiments will be readily apparent to those skilled in the art, and the general principles defined herein may be implemented in other embodiments without departing from the spirit or scope of the invention. Therefore, the present invention will not be limited to the embodiments shown herein, but is to be accorded the widest scope consistent with the principles and novel features disclosed herein.
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