CN102319114A - Wicresoft's hoe scaler resets under the multi-functional scope - Google Patents
Wicresoft's hoe scaler resets under the multi-functional scope Download PDFInfo
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- CN102319114A CN102319114A CN201110259102A CN201110259102A CN102319114A CN 102319114 A CN102319114 A CN 102319114A CN 201110259102 A CN201110259102 A CN 201110259102A CN 201110259102 A CN201110259102 A CN 201110259102A CN 102319114 A CN102319114 A CN 102319114A
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Abstract
The Wicresoft's hoe scaler that resets under a kind of multi-functional scope, it comprises conduit, mosquito forceps, hoe scaler, operating grip and operating control device, is characterized in: it also comprises online physiological moniyoting device; Said catheter head connects mosquito forceps, and afterbody and operating grip are connected; Said mosquito forceps is made up of the hollow structure binding clip of a bullet-shaped; Said hoe scaler is the plasma hoe scaler, and it is structure of steel wire and stretches in the mosquito forceps interlock pipe that its head is the ceramic insulation head fixedly; The mosquito forceps throw-out collar and the hoe scaler control handle that can move forward and backward are housed on the said operating grip, and the resetting means of hoe scaler control handle is housed in the operating grip; Said operating control device comprises mosquito forceps operating control device and hoe scaler operating control device.The invention solves the deficiency of existing digestive tract tumor treatment, make it possess hoe scaler and mosquito forceps simultaneously, it has the function of biopsy forceps, incision and mosquito forceps the energising back, is convenient to inspection, cuts and hemostasis in time, reduces hemorrhage complication.
Description
One, technical field
The present invention relates to a kind of operation on digestive tract apparatus, Wicresoft's hoe scaler resets under especially a kind of multi-functional scope.
Two, background technology
Intestinal, esophagus, gastric cancer are one of modal malignant tumor.The statistics of IARC (IARC) shows that the new cases number of the main digestive tract tumor in the whole world in 2000 is male's 185.0 ten thousand examples, women's 116.4 ten thousand examples; Wherein gastric cancer male 55.8 ten thousand examples, women's 31.8 ten thousand examples, colorectal cancer male 49.9 ten thousand examples, women's 44.6 ten thousand examples.China is country occurred frequently of digestive tract tumor, and it is digestive tract tumor that the malignant tumor above 57% is arranged approximately.2000, the total case load of the digestive tract tumor of China surpassed 1,890,000 examples, accounted for 18.8% of whole world morbidity sum, the total of esophageal carcinoma, gastric cancer, hepatocarcinoma, colorectal cancer and cancer of pancreas wherein, male's 69.0 ten thousand examples, women's 34.4 ten thousand examples.
Abroad; Do not have lymph metastasis or be not prone to the lymph metastasis patient for early stage digestive tract tumor; Select under the less scope of wound demu osation (ESD) treatment more than 50% for use, to combine chemotherapy be main and China treatment digestive tract tumor still adds the cleaning of radical cure lymph with ocal resection.This Therapeutic Method recovery period is long, and bigger to the patient's body damage, medical expense high (being about 100,000 yuan/people).
And the treatment through ESD not only can cure infantile tumour, and wound is few, post-operative recovery is fast, and its expense also can significantly be reduced (4000 yuan/people).Yet at present the ESD related equipment of external research and development and adnexa exist complex operation, shortcoming that complication is high, with high costs in clinical use; Therefore it is very necessary to develop corresponding apparatus of the ESD with independent intellectual property right and adnexa, will produce far-reaching influence to China's intestinal, esophagus, gastric cancer tertiary prevention and treatment.
Three, summary of the invention
The objective of the invention is to solve the deficiency of above-mentioned existing digestive tract tumor treatment; The Wicresoft's hoe scaler that resets under a kind of multi-functional scope is provided, and it improves through the overall structure to mucosa incision knife under the scope, makes it possess hoe scaler and mosquito forceps simultaneously; Avoid the troublesome operation of changing use repeatedly of present existing several apparatuses in the world; It has the function of biopsy forceps, incision and mosquito forceps the energising back, is convenient to inspection, cuts and hemostasis in time, reduces hemorrhage complication.
The objective of the invention is to adopt following scheme to realize: Wicresoft's hoe scaler resets under a kind of multi-functional scope; It comprises conduit, mosquito forceps, hoe scaler, operating grip and operating control device; Be characterized in: it also comprises online physiological moniyoting device, and it comprises the electrophysiologicalcatheter catheter probe and connects the signals layer that lead spirals and forms by three electrophysiologicalcatheter catheter probes; Said catheter head connects mosquito forceps, and afterbody and operating grip are connected; But said mosquito forceps is made up of the hollow structure binding clip of the bullet-shaped of two halves correspondence folding, and moves forward and backward the realization folding through a mosquito forceps interlock pipe in the conduit; Said hoe scaler is the plasma hoe scaler, and it is structure of steel wire and stretching in the mosquito forceps interlock pipe, and its head is fixed with the ceramic insulation head of blunt shape bullet-shaped structure, the ceramic insulation head stretch out through moving forward and backward of hoe scaler or the said binding clip of withdrawing in; The mosquito forceps throw-out collar and the hoe scaler control handle that can move forward and backward are housed on the said operating grip, and the resetting means of hoe scaler control handle is housed in the operating grip; Said operating control device comprises mosquito forceps operating control device and hoe scaler operating control device.
The handle bar of aforesaid operations handle is a hollow, and mosquito forceps interlock pipe and hoe scaler stretch in the handle bar, and the handle bar is provided with shifting chute, graduated disc and clip, and pommel is held ring.Mosquito forceps throw-out collar and hoe scaler control handle are contained in the outer front and rear of handle bar respectively; Mosquito forceps interlock pipe afterbody and hoe scaler afterbody all are equipped with electrode and stretch out shifting chute and fix with mosquito forceps throw-out collar and hoe scaler control handle respectively; Can drive mosquito forceps interlock pipe respectively with the plasma hoe scaler also moves forward and backward when mosquito forceps throw-out collar and hoe scaler control handle are moved before and after on operating grip, graduated disc is indicated its displacement; On the hoe scaler control handle sulculus is arranged, the said fixing button can buckle in this sulculus, and the hoe scaler control handle can not be moved.
Above-mentioned mosquito forceps operating control device is made up of mosquito forceps throw-out collar, mosquito forceps interlock pipe, ring alive and two interlock steel wires; Wherein mosquito forceps interlock pipe and mosquito forceps throw-out collar are fixed; The ring of living is passed at two interlock steel wire middle parts; Two interlock steel wire one ends connect mosquito forceps interlock pipe, but the other end connects the two halves bottom of mosquito forceps binding clip folding respectively.
Above-mentioned electrophysiologicalcatheter catheter probe is contained in the catheter head periphery; Mosquito forceps interlock pipe has signals layer outward; It connects leads by three electrophysiologicalcatheter catheters probe spirals and forms, and this electrophysiologicalcatheter catheter probe connects lead one end and is connected with the electrophysiologicalcatheter catheter probe, the other end together with the fixed signal electrode electric connection of mosquito forceps throw-out collar; Signal electrode passes the mosquito forceps throw-out collar, makes things convenient for the signal output socket to connect the armarium such as the electrocardiogram tester of outside.
Above-mentioned hoe scaler operating control device is the hoe scaler control handle; The afterbody of hoe scaler passes mosquito forceps push rod and signal electrode; Hoe scaler electrically connects with the plasma electrode of its afterbody after passing signal electrode; Plasma electrode can impel hoe scaler to produce plasma, and plasma electrode passes the hoe scaler control handle, makes things convenient for plasma electrode to connect plasma generator.
Above-mentioned resetting means is made up of push pedal, baffle plate and back-moving spring, and it is arranged in the operating grip, and push pedal is positioned at hoe scaler control handle upper end, and baffle plate is positioned at the signal electrode below, and back-moving spring is contained between push pedal and the baffle plate.
Above-mentioned conduit is a pitch tube, and catheter tail is with reinforcing sleeve outward.Take place chaotic for fear of moving forward and backward of mosquito forceps interlock pipe and plasma hoe scaler; Outside reinforcing sleeve, adorning fixed muffle is connected with the operating grip head threads; And at the head of operating grip one circle is set and steps up bar; Can compress mosquito forceps interlock pipe through it, can not drive mosquito forceps interlock pipe when the plasma hoe scaler is moved in front and back and move.
The present invention adopts the beneficial effect of such scheme to be: 1) improve through the overall structure to Wicresoft's hoe scaler under the scope, it is possessed simultaneously peel off and hemostatic function, avoid at present the troublesome operation of changing use repeatedly of existing several apparatuses in the world; Mosquito forceps is blunt shape sub warhead structure; The outside is the insulating properties material, avoids perforation to greatest extent, dwindles the perforation complication greatly and takes place; Plasma hoe scaler after the energising; Function with incision and mosquito forceps is convenient to cut and hemostasis in time, reduces hemorrhage complication; 2) plasma hoe scaler, mosquito forceps all have oneself and independently control mechanism, and Each performs its own functions, can be chaotic; 3) set up mathematical model through sampling analysis; The mathematical model of being gathered can note abnormalities through the front and back comparison software automatically; And when noting abnormalities, report to the police, can draw a pathological changes trend development direction simultaneously, so just can prevent, in time take in case of necessity the treatment measure in advance.Trend through mathematical model comparison software prevision Abnormal Development simultaneously, and set up trend intelligent analysis system, set up the data base, abundant clinical database can draw a lot of useful unusual experiences, and our doctor's medical skill level is improved constantly.
Four, description of drawings
Fig. 1 resets front view when hoe scaler is regained in Wicresoft's hoe scaler under the multi-functional scope of the present invention;
Fig. 2 resets front view when hoe scaler stretches out in Wicresoft's hoe scaler under the multi-functional scope of the present invention;
Fig. 3 is the enlarged drawing of node I among Fig. 2;
Fig. 4 is the A-A cutaway view among Fig. 2;
Fig. 5 is a main half sectional view of the present invention
Fig. 6 is the enlarged drawing of node II among Fig. 5;
Fig. 7 is the three-dimensional structure diagram of operating grip part among the present invention;
Fig. 8 is the three-dimensional structure diagram of cutter head part among the present invention;
Label declaration in each width of cloth accompanying drawing is following: the 1-mosquito forceps; 2-electrophysiologicalcatheter catheter probe; The 3-conduit; The 4-reinforcing sleeve; The 5-fixed muffle; The 6-signal electrode; 7-mosquito forceps throw-out collar; The 8-operating grip; The 8a-graduated disc; The 8b-clip; The 8c-shifting chute; 8d-steps up bar; The 9-plasma electrode; 10-hoe scaler control handle; The 10a-sulculus; The 10b-push pedal; 11-holds ring; 12-ceramic insulation head; 13-plasma hoe scaler; The 14-binding clip; The 14a-pore; 15-interlock steel wire; 16-mosquito forceps interlock pipe; The 17-signals layer; 17a-electrophysiologicalcatheter catheter probe connects lead; 18-lives and encircles; The 19-baffle plate; The 20-back-moving spring.
Five, the specific embodiment
Below in conjunction with accompanying drawing the specific embodiment of the Wicresoft's hoe scaler that resets under the multi-functional scope of the present invention is described in detail.
The Wicresoft's hoe scaler that resets under a kind of multi-functional scope, like Fig. 1,2, shown in 5, it comprises conduit 3, mosquito forceps 1, plasma hoe scaler 13, operating grip 8, operating control device, online physiological moniyoting device.
Like Fig. 5, shown in 7, the handle bar of operating grip 8 is a hollow, and the handle bar is provided with shifting chute 8c, graduated disc 8a and clip 8b, and pommel is held ring 11.The mosquito forceps throw-out collar 7 and hoe scaler control handle 10 that can move forward and backward are housed on operating grip 8, and it is outer anterior that mosquito forceps throw-out collar 7 is contained in the handle bar, and hoe scaler control handle 10 is contained in the outer rear portion of handle bar.The resetting means of hoe scaler control handle 10 is housed in operating grip 5.Operating control device comprises mosquito forceps 1 operating control device and hoe scaler operating control device.
As shown in Figure 4, but mosquito forceps 1 constitute by the hollow structure binding clip 14 of the bullet-shaped of two halves correspondence folding, pore 14a is arranged on binding clip 14.The mosquito forceps operating control device is made up of mosquito forceps throw-out collar 7, mosquito forceps interlock pipe 16, the 18 and two interlock steel wires 15 of ring of living; Wherein mosquito forceps interlock pipe 16 afterbodys are equipped with signal electrode 6 to stretch out shifting chute 8c and mosquito forceps throw-out collar 7 fixing; The ring 18 of living is passed at two interlock steel wire 15 middle parts; Two interlock steel wire 15 1 ends connect mosquito forceps interlock pipe 16, but the other end connects the two halves bottom of mosquito forceps 1 binding clip 14 foldings respectively, and mosquito forceps throw-out collar 7 can move forward and backward along shifting chute on operating grip 8; And drive mosquito forceps interlock pipe 16 also moves forward and backward; And then drive the mechanism that constitutes by live ring 18 and interlock steel wire 15, make interlock steel wire 15 two ends open or draws, so just can make mosquito forceps 1 binding clip about in the of 14 opening and closing and reaching take a sample or the hemostatic purpose.
It is peripheral that above-mentioned electrophysiologicalcatheter catheter probe 2 is contained in conduit 3 heads; As shown in Figure 4; The mosquito forceps interlock pipe 16 outer signals layers 17 that are with, these signals layer 17 inner discs are rotary with three electrophysiologicalcatheter catheter probes and connect lead 17a, and this lead one end is connected with electrophysiologicalcatheter catheter probe 2; The other end and signal electrode 6 electrically connect; Signal electrode 6 passes mosquito forceps throw-out collar 7, and the signal output socket of signal electrode 6 connects the armarium such as the electrocardiogram tester of outside, when resetting Wicresoft's hoe scaler under this multi-functional scope when the digestive tract that stretches into patient uses; Electrophysiologicalcatheter catheter probe 2 can test out patient's physiological conditions such as heart beating, electrocardio, and connects armarium such as the electrocardiogram tester that lead 17a is transferred to test case the outside by the electrophysiologicalcatheter catheter probe.
Like Fig. 3,6, shown in 8; Plasma hoe scaler 13 is structure of steel wire and stretches in the mosquito forceps interlock pipe 16; Its head is fixed with the ceramic insulation head 12 of blunt shape bullet-shaped structure, and afterbody passes mosquito forceps throw-out collar 7 and signal electrode 6, and afterbody is equipped with, and plasma electrode 9 stretches out shifting chute 8c and hoe scaler control handle 10 is fixing; Plasma hoe scaler 13 electrically connects with plasma electrode 9, and plasma electrode 9 passes hoe scaler control handle 10 backs and connects plasma generator.Hoe scaler control handle 10 can move forward and backward along shifting chute on operating grip 8; And drive plasma hoe scaler 13 also moves forward and backward; The plasma hoe scaler 13 that is connected with ceramic insulation head 12 so just can stretch out that mosquito forceps 1 pair of early stage stomach of digestive tract, intestinal, esophageal cancer cell and polyp etc. are sampled, cutting treatment, checks simultaneously, cuts and hemostasis in time.
Resetting means is made up of push pedal 10b, baffle plate 19 and back-moving spring 20, and it is arranged in the operating grip 8, and push pedal 10b is positioned at hoe scaler control handle 10 upper ends; Baffle plate 19 is positioned at electrode 6 belows, and back-moving spring 20 is contained between push pedal 10b and the baffle plate 19, after the ceramic insulation head 12 of plasma hoe scaler 13 stretches out 1 pair of cancerous cell of mosquito forceps and polyp and cuts; Unclamp hoe scaler control handle 10; Under the effect of back-moving spring 20, hoe scaler control handle 10 automatically resets, and then it is as shown in Figure 5 to drive plasma hoe scaler 13; Resetting means is made up of push pedal 10b, baffle plate 19 and back-moving spring 20; It is arranged in the handle bar of operating grip 8, and wherein push pedal 10b is positioned at hoe scaler control handle 10 upper ends, and baffle plate 19 is positioned at the ceramic insulation head 12 of signal and gets back to mosquito forceps 1 automatically.
During use; Hold hoe scaler control handle 10 and hold ring 11; This end that the Wicresoft's hoe scaler that resets under the multi-functional scope is had a ceramic insulation head 12 stretches into patient's digestive tract, like stomach, intestinal, esophagus etc., when its arrival needs digestive tract cancer cell and the polyp of cutting; Moving hoe scaler control handle 10 stretches out outside the mosquito forceps 1 the ceramic insulation head 12 of plasma hoe scaler 13; The distance of stretching out can be by the graduated disc 8a on operating grip 8 control, and the ceramic insulation head 12 of plasma hoe scaler 13 stretches out mosquito forceps 1 structure when outer like Fig. 2, shown in 5, and hoe scaler is first to utilize mosquito forceps 1 to sample near the affected part; Set up mathematical model through sampling analysis; The mathematical model of being gathered can note abnormalities through the front and back comparison software automatically, and when noting abnormalities, reports to the police, and can draw a pathological changes trend development direction simultaneously, just can prevent, in time take in case of necessity the treatment measure in advance like this.Simultaneously; Test out patient's physiological conditions by electrophysiologicalcatheter catheter probe 2; And connect the armarium that lead 17a is transferred to test case the outside by electrophysiologicalcatheter catheter probe; Through the trend of mathematical model comparison software prevision Abnormal Development, and set up trend intelligent analysis system, set up the data base.
When needing cutting digestive tract cancer cell and polyp; Then cancerous cell and polyp are cut through producing plasma; Cutting back stomach, intestinal, esophagus energising are solidified and are reached hemostasis, the energising cutting are reached cut apart normal reaching with improper (inside and outside) tissue to treat the tumor purpose.Simultaneously can also move mosquito forceps throw-out collar 7 and make mosquito forceps 1 folding, further stomach, intestinal, esophagus stopped blooding.
As shown in Figure 3; The confusion that moves forward and backward for fear of mosquito forceps interlock pipe 16 and plasma hoe scaler 13; On operating grip 8 sides, adorn a clip 8b on the one hand, sulculus 10a is arranged on hoe scaler control handle 10, clip 8b can buckle in this sulculus 10a and block hoe scaler control handle 10; Hoe scaler control handle 10 can not moved, and can not drive plasma hoe scaler 13 and move this moment when mosquito forceps interlock pipe 16 moves in front and back; On the other hand at reinforcing sleeve 4 peripheral equipment fixed muffles 5; Be connected with operating grip 8 head threads; And at the head of operating grip 8 circle is set and steps up bar 8d; As shown in Figure 7, can compress mosquito forceps interlock pipe 16 through its screw thread of screwing, can not drive mosquito forceps interlock pipe 16 when plasma hoe scaler 13 is moved in front and back and move.It is not chaotic so just effectively to control moving forward and backward of mosquito forceps interlock pipe 16 and plasma hoe scaler 13.
Claims (2)
1. Wicresoft's hoe scaler resets under the multi-functional scope; It comprises conduit (3), mosquito forceps (1), hoe scaler, operating grip (8) and operating control device; It is characterized in that: further comprising online physiological moniyoting device, it comprises electrophysiologicalcatheter catheter probe (2) and connects the signals layer (17) that lead (17a) spirals and forms by three electrophysiologicalcatheter catheter probes; Said conduit (3) head connects mosquito forceps (1), and afterbody and operating grip (8) are connected; Said mosquito forceps (1) but constitute by the hollow structure binding clip (14) of the bullet-shaped of two halves correspondence folding, and move forward and backward the realization folding through the interior mosquito forceps interlock pipe (16) of conduit (3); Said hoe scaler is plasma hoe scaler (13); It is structure of steel wire and stretches in the mosquito forceps interlock pipe (16); Its head is fixed with the ceramic insulation head (12) of blunt shape bullet-shaped structure, ceramic insulation head (12) stretch out through moving forward and backward of hoe scaler or the said binding clip of withdrawing in; The mosquito forceps throw-out collar (7) and the hoe scaler control handle (10) that can move forward and backward are housed on the said operating grip (8), and the resetting means of hoe scaler control handle (10) is housed in the operating grip (8); Said operating control device comprises mosquito forceps operating control device and hoe scaler operating control device.
2. Wicresoft's hoe scaler resets under the multi-functional scope according to claim 1; It is characterized in that: said resetting means is made up of push pedal (10b), baffle plate (19) and back-moving spring (20); It is arranged in the operating grip (8); And push pedal (10b) is positioned at hoe scaler control handle (10) upper end, and baffle plate (19) is positioned at signal electrode (6) below, and back-moving spring (20) is contained between push pedal (10b) and the baffle plate (19).
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| CN201110259102A CN102319114A (en) | 2011-09-02 | 2011-09-02 | Wicresoft's hoe scaler resets under the multi-functional scope |
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| CN201110259102A CN102319114A (en) | 2011-09-02 | 2011-09-02 | Wicresoft's hoe scaler resets under the multi-functional scope |
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
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| CN106955142A (en) * | 2017-04-25 | 2017-07-18 | 温州市人民医院 | Gastrointestinal Endoscopes lasso device with a scale |
| CN114404025A (en) * | 2022-01-22 | 2022-04-29 | 江苏邦士医疗科技有限公司 | Flexible plasma electrode |
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| CN1193267A (en) * | 1995-08-22 | 1998-09-16 | 得克萨斯州立大学董事会 | Maneuverable electrophysiology catheter for percutaneous or intraoperative ablation of cardiac arrhythmias |
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| Publication number | Priority date | Publication date | Assignee | Title |
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Application publication date: 20120118 |