Disclosure of Invention
The invention aims to provide a device which is reasonable in structural arrangement and convenient for operators to operate, aiming at the defects in the background technology.
In order to achieve the above purpose, the invention provides an endoscope auxiliary needle control and lifting wire cutting device, which comprises an auxiliary needle control module and a lifting wire cutting module;
The auxiliary needle control module comprises a clamping seat, a clamping device arranged in the clamping seat and a first control assembly connected with the clamping device, wherein the clamping device is matched with the auxiliary needle and can fix or loosen the auxiliary needle;
The lifting and trimming module comprises a lifting and trimming seat, a lifting anchor and a second control assembly connected with the lifting anchor, wherein a spike part is arranged at the first end of the lifting anchor so as to anchor human tissues, the lifting and trimming seat is provided with a trimming part, and the trimming part is used for cutting off suture lines.
Further, the auxiliary needle is provided with a clamping groove, the clamping device is made of elastic materials, and a clamping block matched with the clamping groove is arranged at the first end of the clamping device.
Further, a control surface is arranged at the second end of the clamping device, the control surface is obliquely arranged relative to the axial direction of the clamping device, a control ball is arranged at the position of the control surface, and the control ball is connected with the first control assembly through a first control steel wire.
Further, the first control assembly comprises a first control seat and a control button, the control button is movably connected with the first control seat, the first control steel wire is connected with the control button, and a first reset spring is further arranged between the control button and the first control seat.
Further, the auxiliary needle control module further comprises a first connecting rod, two ends of the first connecting rod are respectively connected with the first control seat and the clamping seat, and the first control steel wire penetrates through the first connecting rod.
Further, the lifting anchors are spirally arranged.
Further, the second control assembly comprises a second control seat and a control knob, the control knob is movably connected with the second control seat, the control knob is connected with the lifting anchor through a second control steel wire, and a second reset spring is further arranged between the control knob and the second control seat.
Further, the lifting and wire cutting module further comprises a second connecting rod, two ends of the second connecting rod are respectively connected with the second control seat and the lifting and wire cutting seat, and the second control steel wire penetrates through the second connecting rod.
Further, the thread cutting part is a blade, the blade is arranged in a ring shape, and the blade and the edge of the lifting thread cutting seat are integrally formed.
Further, the device also comprises an operation table, and the first control component and the second control component are both connected with the operation table.
The scheme of the invention has the following beneficial effects:
According to the endoscope auxiliary needle control and lifting thread cutting device, the auxiliary needle control module and the lifting thread cutting module are combined, so that the fixing and loosening of an auxiliary needle can be conveniently controlled, the lifting of human tissues and the cutting of a last suture thread are reasonably arranged, the operation is convenient, the lifting thread cutting module has the functions of lifting the human tissues and cutting the suture thread, compared with the arrangement of two modules, precious channel occupation of an endoscope can be reduced, meanwhile, the module installation steps are saved, the operation flow is simplified, and the operation quality is improved;
Other advantageous effects of the present invention will be described in detail in the detailed description section which follows.
Detailed Description
In order to make the technical problems, technical solutions and advantages to be solved more apparent, the following detailed description will be given with reference to the accompanying drawings and specific embodiments. It will be apparent that the described embodiments are some, but not all, embodiments of the invention. All other embodiments, which can be made by those skilled in the art based on the embodiments of the invention without making any inventive effort, are intended to be within the scope of the invention. In addition, the technical features of the different embodiments of the present invention described below may be combined with each other as long as they do not collide with each other.
In the description of the present invention, it should be noted that the directions or positional relationships indicated by the terms "center", "upper", "lower", "left", "right", "vertical", "horizontal", "inner", "outer", etc. are based on the directions or positional relationships shown in the drawings, are merely for convenience of describing the present invention and simplifying the description, and do not indicate or imply that the devices or elements referred to must have a specific orientation, be configured and operated in a specific orientation, and thus should not be construed as limiting the present invention. Furthermore, the terms "first," "second," and "third" are used for descriptive purposes only and are not to be construed as indicating or implying relative importance.
In the description of the present invention, unless explicitly stated and limited otherwise, the terms "mounted," "connected," and "connected" are to be construed broadly, and may be, for example, locked, removable, or integrally connected, mechanically or electrically connected, or indirectly connected via an intervening medium, or may be any communication between two elements. The specific meaning of the above terms in the present invention will be understood in specific cases by those of ordinary skill in the art.
As shown in fig. 1, an embodiment of the present invention provides an endoscope auxiliary needle control and pull-up wire cutting device, which includes an auxiliary needle control module and a pull-up wire cutting module. The auxiliary needle control module is used for carrying out fixing and loosening control on the auxiliary needle 1, and the auxiliary needle 1 is connected with the suture line 2. The auxiliary needle 1 is connected with the main needle 3 in an initial suturing state, the main needle 3 and the whole of the auxiliary needle 1 are perforated and penetrated from the first side of the wound during suturing, then the auxiliary needle 1 is inserted into the auxiliary needle control module, the auxiliary needle control module fixes the auxiliary needle 1 so that the auxiliary needle 1 is separated from the main needle 3 after the main needle 3 is reset, then the main needle 3 is perforated and penetrated from the second side of the wound, and the auxiliary needle control module releases the auxiliary needle 1 after the auxiliary needle 1 is inserted. The main needle 3 is reset to drive the auxiliary needle 1 to reversely pass through the second side of the wound, the above process is circulated to enable the suture thread 2 to connect the two sides of the wound, and the suture thread 2 is tightened to finish the suturing of the wound.
The effect of the lifting thread cutting module is that the human tissue on the first side and the second side of the wound is lifted in the suturing process, so that the main needle 3 and the auxiliary needle 1 or the main needle 3 can be used for independently puncturing the human tissue, meanwhile, the suture thread 2 is cut off at a proper position after puncturing is completed, the suture thread 2 can be kept at the wound position, the first end of the suture thread 2 is connected with the auxiliary needle 1 after cutting, the suture thread can be kept in the human tissue until the wound is completely healed, and then the suture thread is taken out or automatically degraded, and the like, and the second end of the suture thread 2 is also kept in the human tissue. In order to avoid loosening of the second end of the suture 2, a barb structure can be arranged at the second end of the suture 2, and the degree of combination with human tissues is improved by means of the barb structure, so that the suture cannot be loosened before wound healing.
Meanwhile, as shown in fig. 2, the auxiliary needle control module comprises a clamping seat 4 and a clamping device 5 arranged in the clamping seat 4. Wherein, be provided with draw-in groove 6 on the auxiliary needle 1, the first end of block ware 5 is provided with the fixture block 7 with draw-in groove 6 assorted, and block ware 5 self adopts elastic material to make. When the auxiliary needle 1 is inserted into the fastener 5 from the first end of the fastener 5, the tapered surface (spike portion) of the front end of the auxiliary needle 1 can open the latch 7, so that the auxiliary needle 1 is engaged by elastic recovery after moving to the pair Ji Kacao of the latch 7. A control surface 8 is provided at the second end of the latch 5, the control surface 8 is also inclined with respect to the axial direction of the latch 5, and a control ball 9 is provided at the control surface 8, the control ball 9 being spherical (or other shape) and being connected to the inner end of the first control wire 10. When the auxiliary needle 1 needs to be loosened, a worker pushes the control ball 9 through the first control steel wire 10, so that the control ball 9 moves towards the first end of the clamping device 5 along the control surface 8, the first end of the clamping device 5 is opened, the clamping block 7 withdraws from the clamping groove 6 to loosen the auxiliary needle 1, and the main needle 3 and the auxiliary needle 1 are combined conveniently.
The first end of the latch 5 is provided with a plurality of notches, and the first end of the latch 5 is formed into a flap-like structure through the notches, so that the latch can be smoothly opened under the action of the control ball 9.
It should be noted that, in this embodiment, the combination of the main needle 3 and the auxiliary needle 1 also adopts a similar structure, that is, a combination block is disposed at the rear portion of the auxiliary needle 1, and a combination groove is disposed at the front portion of the main needle 3, which is of course smaller in thickness and tapered, compared with the auxiliary needle 1 and the fastener 5, the limit force is smaller, so that the fastener 5 is convenient for fixing and releasing the auxiliary needle 1. In addition, the auxiliary needle 1 is provided with a suture connection groove 11 in this embodiment, and a first end (after knotting) of the suture 2 is inserted into the suture connection groove 11 to be fixed with the auxiliary needle 1.
Meanwhile, as shown in fig. 3, the outer end of the first control wire 10 passes through the first connecting rod 12 and then extends to the first control assembly. The first control assembly comprises a first control seat 13 and a control button 14, the control button 14 is movably connected with the first control seat 13 and can move relative to the first control seat 13, and the outer end of the first control steel wire 10 is connected with the control button 14. When the operator presses the control button 14, the first control wire 10 can be pushed (the first control wire 10 has a certain rigidity), so that the control ball 9 at the inner end of the first control wire 10 moves towards the first end of the fastener 5, and the auxiliary needle 1 is released. As a preferred embodiment, a first return spring 15 is further arranged between the control button 14 and the first control seat 13, and when the operator releases the control button 14, the control button 14 automatically returns under the action of the first return spring 15, so that the control ball 9 is reset. Therefore, after the auxiliary needle 1 is combined with the main needle 3, the main needle 3 can be controlled to drive the auxiliary needle 1 to move only by releasing the control button 14, so that the operation of an operator is simplified.
It should be noted that, in the present embodiment, the locking seat 4, the first connecting rod 12, and the first control seat 13 together form a housing supporting structure of the auxiliary needle control module. The engaging seat 4 and the first connecting rod 12 pass through the first functional channel of the endoscope during installation, and the engaging seat 4 can penetrate out of the inner end of the endoscope so as to operate in human tissues and control outside the human tissues.
Also as shown in fig. 4, the pull-up wire cutting module includes a pull-up wire cutting seat 16 and a pull-up anchor 17. Wherein, the first end of the lifting anchor 17 is provided with a spike part, and simultaneously adopts spiral arrangement, so as to smoothly anchor into human tissues and lift the human tissues, thereby facilitating the main needle 3 and the auxiliary needle 1 or the main needle 3 to independently puncture the human tissues. The second end of the lifting anchor 17 is connected with the first end of a second control steel wire 18 in the lifting wire cutting seat 16, and the second control steel wire 18 controls the displacement of the lifting anchor 17 on one hand and the rotation of the lifting anchor 17 on the other hand, so that the lifting anchor 17 is smoothly anchored into human tissues.
Also as shown in fig. 5, the outer end of the second control wire 18 passes through the second connecting rod 19 and then extends to the second control assembly. The second control assembly comprises a second control seat 20 and a control knob 21, the control knob 21 is movably connected with the second control seat 20 and can move and rotate relative to the second control seat 20, and the outer end of the second control steel wire 18 is connected with the control knob 21. When the operator presses the control knob 21, the second control wire 18 can be pushed (the second control wire 18 has certain rigidity), so that the lifting anchor 17 at the inner end of the second control wire 18 moves to the outside of the lifting wire cutting seat 16 until the second control wire is inserted into human tissues, then the control knob 21 is synchronously rotated to enable the lifting anchor 17 to be rotationally anchored into the human tissues, and then the control knob 21 is outwards lifted. Similarly, a second return spring 22 is further arranged between the control knob 21 and the second control seat 20, and when the operator releases the control knob 21, the control knob 21 automatically returns under the action of the second return spring 22, so that the lifting anchor 17 returns. Of course, prior thereto, the control knob 21 needs to be rotated in the opposite direction to separate from the human tissue.
In this embodiment, the pull wire cutting seat 16, the second connecting rod 19 and the second control seat 20 form a housing supporting structure of the pull wire cutting module, and when the pull wire cutting seat 16 and the second connecting rod 19 pass through the second functional channel of the endoscope during installation, the pull wire cutting seat 16 only needs to be penetrated out of the inner end of the endoscope, and the pull wire cutting seat 16 is operated in human tissues and controlled outside the human tissues.
In this embodiment, the end of the pull wire holder 16 is provided with blades 23, preferably the blades 23 are distributed in a ring shape, integrally formed with the edge of the pull wire holder 16. The blade 23 is used to cut the suture 2 so that the suture 2 after completion of suturing is cut off and remains at the wound site. Also, as shown in fig. 6, after the suturing is completed, the first end of the suture thread 2 and the auxiliary needle 1 remain near the wound, and the second end of the suture thread 2 (the second end after shearing) is located at the first functional channel of the endoscope, that is, the channel position where the auxiliary needle control module is located, and is extended to the outside without being sheared at this time. Therefore, when cutting a wire, the lifting anchor 17 is firstly extended out relative to the lifting wire cutting seat 16 through the control knob 21, then the whole endoscope is rotated, and the suture thread 2 is wound on the lifting anchor 17 because the suture thread 2 and the lifting anchor 17 have different rotation centers and the first end of the suture thread 2 is not moved, and then the lifting anchor 17 is rotated, so that the suture thread 2 can be wound firmly based on the spiral shape of the lifting anchor 17. Then the control knob 21 is pulled outwards to retract the lifting anchor 17 into the lifting and cutting wire seat 16, the suture 2 is directly cut by the sharp blade 23 when passing through the edge position of the lifting and cutting wire seat 16, so that the second end of the suture 2 is formed and remains near the wound, and the residual suture 2 on the lifting and cutting anchor 17 can be recovered after the lifting and cutting wire module is taken out integrally.
Therefore, the lifting and cutting wire module provided by the embodiment has the functions of lifting human tissues and cutting the suture lines 2, so that precious channel occupation of an endoscope can be reduced compared with the arrangement of two modules, meanwhile, the module installation steps are saved, the operation flow is simplified, and the operation quality is improved.
In addition, as shown in fig. 7, as a preferred embodiment, the whole device in this embodiment is further provided with an operation table 24, and the first control seat 13 of the auxiliary needle control module and the second control seat 20 of the lifting and cutting module are both fixed on the operation table 24, and the operation table 24 can be fixed on an arm or other installation positions through a fixing part, so that comprehensive operation by an operator is facilitated. The first connecting rod 12 and the second connecting rod 19 extend outwards from the bottom of the console 24 and are respectively inserted into corresponding channels of the endoscope.
The technical features of the above embodiments may be arbitrarily combined, and all possible combinations of the technical features in the above embodiments are not described for brevity of description, however, as long as there is no contradiction between the combinations of the technical features, they should be considered as the scope of the description.
The foregoing examples illustrate only a few embodiments of the application, which are described in detail and are not to be construed as limiting the scope of the claims. It should be noted that it will be apparent to those skilled in the art that several variations and modifications can be made without departing from the spirit of the application, which are all within the scope of the application. Accordingly, the scope of the application should be assessed as that of the appended claims.