CN205107595U - Scrotum inner chamber diagnosis and electricity somascope of surely performing operation - Google Patents
Scrotum inner chamber diagnosis and electricity somascope of surely performing operation Download PDFInfo
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- CN205107595U CN205107595U CN201520846307.3U CN201520846307U CN205107595U CN 205107595 U CN205107595 U CN 205107595U CN 201520846307 U CN201520846307 U CN 201520846307U CN 205107595 U CN205107595 U CN 205107595U
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- 238000003745 diagnosis Methods 0.000 title claims abstract description 17
- 210000004706 scrotum Anatomy 0.000 title description 8
- 230000005611 electricity Effects 0.000 title 1
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims abstract description 33
- 238000002271 resection Methods 0.000 claims abstract description 18
- 238000001356 surgical procedure Methods 0.000 claims abstract description 13
- 239000000919 ceramic Substances 0.000 claims description 4
- 206010014405 Electrocution Diseases 0.000 claims description 2
- 230000003902 lesion Effects 0.000 abstract description 9
- 238000002324 minimally invasive surgery Methods 0.000 description 4
- 210000000056 organ Anatomy 0.000 description 4
- 238000000034 method Methods 0.000 description 3
- 208000012260 Accidental injury Diseases 0.000 description 2
- 208000014674 injury Diseases 0.000 description 2
- 238000011282 treatment Methods 0.000 description 2
- 206010011732 Cyst Diseases 0.000 description 1
- 238000012327 Endoscopic diagnosis Methods 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 238000001574 biopsy Methods 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 208000031513 cyst Diseases 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000010586 diagram Methods 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 238000011846 endoscopic investigation Methods 0.000 description 1
- 238000002674 endoscopic surgery Methods 0.000 description 1
- 238000012277 endoscopic treatment Methods 0.000 description 1
- 210000000918 epididymis Anatomy 0.000 description 1
- 201000010063 epididymitis Diseases 0.000 description 1
- 210000001550 testis Anatomy 0.000 description 1
- 230000001225 therapeutic effect Effects 0.000 description 1
- 230000000472 traumatic effect Effects 0.000 description 1
- 210000001835 viscera Anatomy 0.000 description 1
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Abstract
本实用新型阴囊内腔诊断与电切手术一体镜,外鞘尾端设置有外鞘筒,外鞘筒的上部和下部分别设置有外鞘进水口和外鞘出水口,内鞘由外鞘尾端插入,使得内鞘可在外鞘内滑动,内鞘尾端上下分别设置有内鞘进水口和内鞘出水口,操作器前端从内鞘的尾端插入并延伸至内鞘前端,操作器包括上下水平设置的内窥镜通道和电极通道,内窥镜通道延伸操作器的前端和后端,并通过旋紧螺纹与内鞘的尾端连接,所述电极通道延伸至操作器前端,在电极通道前端内插入手术电极,手术电极从电极通道尾端穿出,手术电极从操作器前端延伸至操作器尾端,手术电极尾端连接有手柄装置。采用手柄装置,来回滑动时即可带动手术电极的电切环在病变处来回切割,操作方便。
In the utility model, the integrated scrotal cavity diagnosis and electric resection surgery mirror is provided with an outer sheath tube at the tail end of the outer sheath, and the upper and lower parts of the outer sheath tube are respectively provided with an outer sheath water inlet and an outer sheath water outlet, and the inner sheath is formed by the outer sheath tail The end of the inner sheath is inserted so that the inner sheath can slide in the outer sheath. The upper and lower ends of the inner sheath are respectively provided with an inner sheath water inlet and an inner sheath water outlet. The front end of the manipulator is inserted from the tail end of the inner sheath and extends to the front end of the inner sheath. The manipulator includes The endoscope channel and the electrode channel are arranged horizontally up and down. The endoscope channel extends the front end and the rear end of the manipulator, and is connected with the tail end of the inner sheath by tightening the screw thread. The electrode channel extends to the front end of the manipulator, and the electrode channel A surgical electrode is inserted into the front end of the channel, the surgical electrode passes through the tail end of the electrode channel, the surgical electrode extends from the front end of the manipulator to the tail end of the manipulator, and the tail end of the surgical electrode is connected with a handle device. The handle device is adopted, and when sliding back and forth, the electric cutting ring of the surgical electrode can be driven to cut back and forth at the lesion, which is convenient to operate.
Description
技术领域 technical field
本实用新型属于手术仪器技术领域,涉及一种阴囊内腔诊断与电切手术一体镜。 The utility model belongs to the technical field of surgical instruments, and relates to an integrated scrotal cavity diagnosis and electric resection surgery mirror.
背景技术 Background technique
目前阴囊内腔的器官病变如需手术治疗采取的是开放手术,如睾丸,附睾的切除,囊肿切除等。开放手术损伤大,需要采用微创的手术方法。人体许多器官部位的手术已应用微创手术方法,通常是用内窥镜器械来完成微创手术的。人体各器官部位的内窥镜诊断治疗技术发展很快,几乎涵盖了所有器官部位,但用于人体阴囊部位的阴囊内腔诊断与电切手术一体镜仍为空白。现有用内窥镜技术在阴囊内腔器官完成的微创手术的内窥镜是用其他内窥镜代替的,如尿道膀胱镜,前列腺电切镜,关节镜。因这些内窥镜不是专门为阴囊内腔部位设计制造的,使用起来不方便,也不安全,容易出现误伤及其他并发症。 At present, if the organ lesions in the inner cavity of the scrotum need surgical treatment, open surgery is adopted, such as testis, epididymis resection, cyst resection, etc. Open surgery is very traumatic and requires minimally invasive surgical methods. The operation of many organ parts of the human body has applied minimally invasive surgical methods, usually with endoscopic instruments to complete the minimally invasive surgery. The endoscopic diagnosis and treatment technology for various organs of the human body has developed rapidly, covering almost all organ parts, but the integrated scrotal cavity diagnosis and resection surgery for the human scrotum is still blank. Existing endoscopes for the minimally invasive surgery performed on the internal organs of the scrotum with endoscopic techniques are replaced by other endoscopes, such as urethrocystoscopes, resectoscopes, and arthroscopes. Because these endoscopes are not specially designed and manufactured for the inner cavity of the scrotum, it is inconvenient and unsafe to use, and accidental injury and other complications are prone to occur.
目前无专用阴囊内腔诊断与电切手术一体镜。人体阴囊内腔病变的内窥镜手术实际上是用其他内窥镜代替的,达不到理想的治疗效果,使用不方便。如果阴囊病变需要手术切除时,仍需开放手术。 At present, there is no dedicated scrotal cavity diagnosis and resection surgery integrated mirror. The endoscopic surgery of human scrotal lumen lesions is actually replaced by other endoscopes, which cannot achieve the desired therapeutic effect and is inconvenient to use. If scrotal lesions require surgical resection, open surgery is still required.
实用新型内容 Utility model content
本实用新型的目的是提供一种阴囊内腔诊断与电切手术一体镜,解决了现有阴囊微创手术中无专用窥镜、操作复杂、患者容易出现误伤及其他并发症的问题。 The purpose of the utility model is to provide a scrotal lumen diagnosis and electrosurgical integrated mirror, which solves the problems of no special speculum in the existing scrotal minimally invasive surgery, complicated operation, accidental injury of patients and other complications.
本实用新型所采用的技术方案是,一种阴囊内腔诊断与电切手术一体镜,包括内鞘、外鞘和操作器,外鞘尾端设置有外鞘筒,外鞘筒的上部和下部分别设置有外鞘进水口和外鞘出水口,内鞘由外鞘尾端插入,使得内鞘可在外鞘内滑动,内鞘尾端上下分别设置有内鞘进水口和内鞘出水口,操作器前端从内鞘的尾端插入并延伸至内鞘前端,操作器包括上下水平设置的内窥镜通道和电极通道,内窥镜通道延伸操作器的前端和后端,并通过旋紧螺纹与内鞘的尾端连接,所述电极通道延伸至操作器前端,在电极通道前端内插入手术电极,手术电极从电极通道尾端穿出,手术电极从操作器前端延伸至操作器尾端,手术电极尾端连接有手柄装置。 The technical scheme adopted by the utility model is, a scrotal lumen diagnosis and electric resection surgery integrated mirror, including inner sheath, outer sheath and manipulator, outer sheath tail end is provided with outer sheath cylinder, the upper and lower parts of outer sheath cylinder The outer sheath water inlet and the outer sheath water outlet are respectively provided, and the inner sheath is inserted from the tail end of the outer sheath, so that the inner sheath can slide in the outer sheath, and the inner sheath water inlet and the inner sheath water outlet are respectively arranged at the upper and lower ends of the inner sheath tail, and the operation The front end of the device is inserted from the tail end of the inner sheath and extends to the front end of the inner sheath. The manipulator includes an endoscope channel and an electrode channel arranged horizontally up and down. The endoscope channel extends the front end and the rear end of the manipulator, and is connected with the The tail end of the inner sheath is connected, the electrode channel extends to the front end of the manipulator, the surgical electrode is inserted into the front end of the electrode channel, the surgical electrode passes through the tail end of the electrode channel, and the surgical electrode extends from the front end of the manipulator to the tail end of the manipulator. The end of the electrode is connected with a handle device.
本实用新型的特点还在于, The utility model is also characterized in that,
手柄装置设置在内窥镜通道尾端上并可来回滑动,内窥镜通道尾端内插入有内窥镜。 The handle device is arranged on the tail end of the endoscope channel and can slide back and forth, and an endoscope is inserted into the tail end of the endoscope channel.
内窥镜上设置有光源线接口。 The endoscope is provided with a light source line interface.
手柄装置上部设置有第一双极导线接口,下部设置有第二双极导线接口。 The upper part of the handle device is provided with a first bipolar wire interface, and the lower part is provided with a second bipolar wire interface.
手术电极与第一双极导线接口和第二双极导线接口分别连接。 The surgical electrodes are respectively connected to the first bipolar wire interface and the second bipolar wire interface.
手术电极尾端插入至内鞘内的电极通道,并可平行滑动。 The tail end of the surgical electrode is inserted into the electrode channel in the inner sheath and can slide in parallel.
手术电极前端设置有电切环。 The front end of the surgical electrode is provided with an electric cutting ring.
内鞘前端为陶瓷结构的内鞘梢。 The front end of the inner sheath is an inner sheath tip of a ceramic structure.
外鞘前端均匀设置有若干个出水孔。 The front end of the outer sheath is uniformly provided with several water outlet holes.
旋紧螺纹上设置有旋锁柄。 A twist lock handle is arranged on the tightening thread.
本实用新型的有益效果是: The beneficial effects of the utility model are:
1.结构形式以及尺寸大小适合阴囊病变专用; 1. The structure and size are suitable for scrotal lesions;
2.内鞘和外鞘均设置有独立循环的进出水系统,且外鞘短于内鞘,远离镜前端形成进出水循环,避免在内鞘和外鞘等长时在一个部位进水和出水形成的压力升高和气泡; 2. Both the inner sheath and the outer sheath are equipped with an independent circulating water inlet and outlet system, and the outer sheath is shorter than the inner sheath, forming a water inlet and outlet cycle away from the front end of the mirror, avoiding the formation of water inlet and outlet in one part when the inner sheath and outer sheath are equal in length pressure rise and air bubbles;
3.采用手柄装置,来回滑动时即可带动手术电极的电切环在病变处来回切割,操作方便; 3. Using the handle device, when sliding back and forth, it can drive the electric cutting ring of the surgical electrode to cut back and forth at the lesion, which is easy to operate;
4.内鞘前端设置有陶瓷结构的内鞘梢,在电切环进行工作时可以耐高温,避免对内鞘造成损伤; 4. The front end of the inner sheath is equipped with a ceramic structure inner sheath tip, which can withstand high temperature when the electric cutting ring is working, and avoid damage to the inner sheath;
5.设置有内窥镜通道,可以方便的对病变处进行诊断,同时进行电切手术。 5. It is equipped with an endoscope channel, which can conveniently diagnose the lesion and perform electrosurgical surgery at the same time.
综上所述,本实用新型填补了现有技术中无专用阴囊内腔诊断与电切手术一体镜的空白,摆脱了手术中用其它内窥镜代替的尴尬局面。而且,还使得只需微创手术即可将阴囊病变处进行切除,治疗效果好,使用方便。 To sum up, the utility model fills the gap in the prior art that there is no integrated mirror for scrotal cavity diagnosis and electrosurgical surgery, and gets rid of the embarrassing situation of replacing it with other endoscopes in the operation. Moreover, only minimally invasive surgery is required to remove the lesion of the scrotum, the treatment effect is good, and the use is convenient.
附图说明 Description of drawings
图1是阴囊内腔诊断与电切手术一体镜的结构示意图。 Fig. 1 is a schematic diagram of the structure of the scrotal cavity diagnosis and resection surgery integrated mirror.
图中,1.内鞘梢,2.内鞘,3.出水孔,4.外鞘,5.外鞘进水口,6.手柄装置,7.内鞘进水口,8.旋紧螺纹,9.旋锁柄,10.内窥镜通道,11.第一双极导线接口,12.光源线接口,13.第二双极导线接口,14.外鞘筒,15.外鞘出水口,16.内鞘出水口,17.手术电极,18.电切环,19.电极通道尾端。 In the figure, 1. Inner sheath tip, 2. Inner sheath, 3. Outlet hole, 4. Outer sheath, 5. Outer sheath water inlet, 6. Handle device, 7. Inner sheath water inlet, 8. Tighten thread, 9 .Turn lock handle, 10. Endoscope channel, 11. First bipolar wire interface, 12. Light source line interface, 13. Second bipolar wire interface, 14. Outer sheath tube, 15. Outer sheath water outlet, 16 . Inner sheath water outlet, 17. Surgical electrode, 18. Electrocution ring, 19. Tail end of electrode channel.
具体实施方式 detailed description
下面结合附图和具体实施方式对本实用新型进行详细说明。 The utility model will be described in detail below in conjunction with the accompanying drawings and specific embodiments.
本实用新型阴囊内腔诊断与电切手术一体镜,如图1所示,包括内鞘2、外鞘4和操作器,外鞘4尾端设置有外鞘筒14,外鞘筒14的上部和下部分别设置有外鞘进水口5和外鞘出水口15,内鞘2由外鞘4尾端插入,使得内鞘2可在外鞘4内滑动,内鞘2尾端上下分别设置有内鞘进水口7和内鞘出水口16,操作器前端从内鞘2的尾端插入并延伸至内鞘2前端,操作器包括上下水平设置的内窥镜通道10和电极通道,内窥镜通道10延伸操作器的前端和后端,并通过旋紧螺纹8与内鞘2的尾端连接,电极通道延伸至操作器前端,在电极通道前端插入手术电极17,手术电极17从电极通道尾端19穿出,手术电极17从操作器前端延伸至操作器尾端,手术电极17尾端连接有手柄装置6。 The utility model scrotal lumen diagnosis and electrosurgical integrated mirror, as shown in Figure 1, comprises inner sheath 2, outer sheath 4 and manipulator, outer sheath 4 tail end is provided with outer sheath tube 14, and the upper part of outer sheath tube 14 The outer sheath water inlet 5 and the outer sheath water outlet 15 are respectively provided at the bottom and the lower part, the inner sheath 2 is inserted from the tail end of the outer sheath 4, so that the inner sheath 2 can slide in the outer sheath 4, and the upper and lower ends of the inner sheath 2 are respectively provided with inner sheaths The water inlet 7 and the inner sheath water outlet 16. The front end of the manipulator is inserted from the tail end of the inner sheath 2 and extends to the front end of the inner sheath 2. The manipulator includes an endoscope channel 10 and an electrode channel arranged horizontally up and down. The endoscope channel 10 Extend the front end and rear end of the manipulator, and connect with the tail end of the inner sheath 2 by tightening the thread 8, the electrode channel extends to the front end of the manipulator, and inserts the surgical electrode 17 at the front end of the electrode channel, and the surgical electrode 17 is connected from the tail end 19 of the electrode channel The surgical electrode 17 extends from the front end of the manipulator to the tail end of the manipulator, and the tail end of the surgical electrode 17 is connected with the handle device 6 .
手柄装置6设置在内窥镜通道10尾端上并可来回滑动,内窥镜通道10尾端内插入有内窥镜。 The handle device 6 is arranged on the tail end of the endoscope channel 10 and can slide back and forth, and an endoscope is inserted into the tail end of the endoscope channel 10 .
内窥镜上设置有光源线接口12。 The endoscope is provided with a light source line interface 12 .
手柄装置6上部设置有第一双极导线接口11,下部设置有第二双极导线接口13。 The upper part of the handle device 6 is provided with a first bipolar wire interface 11 , and the lower part is provided with a second bipolar wire interface 13 .
手术电极17与第一双极导线接口11和第二双极导线接口13分别连接。 The surgical electrodes 17 are respectively connected to the first bipolar wire interface 11 and the second bipolar wire interface 13 .
手术电极17尾端插入至内鞘2内的电极通道,并可平行滑动。 The tail end of the surgical electrode 17 is inserted into the electrode channel in the inner sheath 2 and can slide in parallel.
手术电极17前端设置有电切环18。 A cutting ring 18 is provided at the front end of the surgical electrode 17 .
内鞘2前端为陶瓷结构的内鞘梢1。 The front end of the inner sheath 2 is the inner sheath tip 1 of ceramic structure.
外鞘4前端均匀设置有若干个出水孔3。 The front end of the outer sheath 4 is uniformly provided with several water outlet holes 3 .
旋紧螺纹8上设置有旋锁柄9。 A twist lock handle 9 is arranged on the tightening thread 8 .
本实用新型阴囊内腔诊断与电切手术一体镜,使用时,内窥镜的光源线接口12连接外部电源,第一双极导线接口11和第二双极导线接口13与外部电刀系统连接,内鞘进水口7、内鞘出水口16、外鞘进水口5和外鞘出水口15分别设置有独立的与外部管子连接。将外鞘4与阴囊创口处接触固定,内鞘2可在外鞘4内平行滑动,内鞘2尾端连接有操作器,手柄装置6以内窥镜通道10为轴心来回滑动,通过第一双极导线接口11和第二双极导线接口13即可带动手术电极17来回运动,在内窥镜的直视下,使手术电极17前端的电切环18对阴囊内的病变进行切割手术。 In the utility model, the integrated scrotal cavity diagnosis and electrosurgical operation mirror is used. The light source line interface 12 of the endoscope is connected to an external power supply, and the first bipolar wire interface 11 and the second bipolar wire interface 13 are connected to an external electrosurgical system. , The inner sheath water inlet 7, the inner sheath water outlet 16, the outer sheath water inlet 5 and the outer sheath water outlet 15 are respectively provided with independent connections with external pipes. The outer sheath 4 is fixed in contact with the wound of the scrotum, the inner sheath 2 can slide in parallel in the outer sheath 4, the tail end of the inner sheath 2 is connected with a manipulator, the handle device 6 slides back and forth with the endoscope channel 10 as the axis, passes through the first pair of The polar lead interface 11 and the second bipolar lead interface 13 can drive the surgical electrode 17 to move back and forth, and under the direct vision of the endoscope, the electric cutting ring 18 at the front end of the surgical electrode 17 can cut the lesion in the scrotum.
本实用新型可以更换手术电极17为其他诊断工具如软性活检钳等,从电极通道尾端19进入延伸至内鞘2前端,可对病患进行其他诊治。 The utility model can replace the surgical electrode 17 with other diagnostic tools such as soft biopsy forceps, which enter and extend from the tail end 19 of the electrode channel to the front end of the inner sheath 2, so that other diagnosis and treatment can be performed on patients.
外鞘4和内鞘2分别形成独立循环的进水系统和出水系统,避免在内鞘2和外鞘等长时在一个部位进水和出水形成的压力升高和气泡。 The outer sheath 4 and the inner sheath 2 respectively form an independently circulating water inlet system and a water outlet system, avoiding pressure rise and air bubbles formed by water inlet and outlet at one part when the inner sheath 2 and the outer sheath are equal in length.
外鞘4呈圆筒状,内径为8.3mm,鞘长45mm。内鞘2为圆筒状,内径为7.5mm,鞘长100mm。操作器全长160mm,前部为可插入内鞘2的内窥镜通道10和电极通道的部分长为80mm。 The outer sheath 4 is cylindrical, with an inner diameter of 8.3mm and a sheath length of 45mm. The inner sheath 2 is cylindrical, with an inner diameter of 7.5mm and a sheath length of 100mm. The total length of the manipulator is 160 mm, and the front part is 80 mm long for the endoscope channel 10 and the electrode channel that can be inserted into the inner sheath 2 .
以上显示和描述了本实用新型的基本原理、主要特征和本实用新型的优点。本行业的技术人员应该了解,本实用新型不受上述实施例的限制,上述实施例和说明书中描述的只是说明本实用新型的原理,在不脱离本实用新型精神和范围的前提下本实用新型还会有各种变化和改进,这些变化和改进都落入要求保护的本实用新型范围内。本实用新型要求保护范围由所附的权利要求书及其等同物界定。 The basic principles, main features and advantages of the present utility model have been shown and described above. Those skilled in the industry should understand that the utility model is not limited by the above-mentioned embodiments. The above-mentioned embodiments and descriptions only illustrate the principle of the utility model. The utility model does not depart from the spirit and scope of the utility model There will also be various changes and improvements, and these changes and improvements all fall within the scope of the claimed utility model. The scope of protection required by the utility model is defined by the appended claims and their equivalents.
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CN105231980A (en) * | 2015-09-10 | 2016-01-13 | 中南大学湘雅二医院 | Scrotum lumen diagnosis and electroexcision surgery integrated mirror |
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