Hemorrhoid sickle
Technical field
This utility model belongs to medical instruments field, particularly a kind ofly excises closed operating theater instruments for liver sausage surgery hemorrhoid.
Background technology
Anal and bowel pile is commonly called as hemorrhoid, is the distinctive commonly encountered diseases of the mankind, frequently-occurring disease.Show according to relevant reconnaissance information, the sickness rate of anorectal disease is 59.1%, and hemorrhoid account for 87.25% in all anal and intestinal diseases, and wherein common with internal hemorrhoid, account for 52.19% of all anal and intestinal diseases.Men and women all can fall ill, and women's sickness rate is 67%, and male's sickness rate is 53.9%, and any age all can fall ill, and increases the weight of gradually, therefore there be saying of " ten people's nine hemorrhoid " along with the increase at age.General operative treatment comprises the traditional operations such as ligation method, Barron ligation, hemorrhoid resection and anastomosis method.Comprise now the hemorrhoid resection and anastomosis device of well-known medical producer all production traditional mechanical formulas such as U.S. outer, Johnson & Johnson, Kang Di, Frank be graceful both at home and abroad.
Traditional mechanical type anastomat, the nail groove (quantity has 30 pieces and 32 pieces) of two row's annulars and interior external chiasma due to what adopt, allow anastomosis staple become B font in nail groove, this kind of mode machining accuracy to parts, the manufacturing process of the plastic strength of materials and plastic etc. is had relatively high expectations, and the fitted position of parts in assembling process, position is difficult to control, especially in batch production process, once there are quality problems in certain parts, just directly have influence on the Forming Quality of anastomosis staple, it is not firm finally in operation process, can to cause sewing up, serious causes sewing up unsuccessfully, operation risk is higher, in addition, existing mechanical type anastomat is to utilize firing handle to drive pushing slice of nail, pushing slice of nail promotes the anastomosis staple in nail bin again, anastomosis staple again penetrate tissue becomes B font in nail supporting base, in becoming B font, utilize endless knife that unnecessary tissue is sewed up and excised.Because the action that it is sewed up and cuts is carried out simultaneously, so power required in percussion process is just larger, therefore the skill to operator and dynamics on hand have requirement, once the dynamics of the position held of percussion operator and use grasp bad be easy to cause pulling the trigger not in place, finally cause operative failure, operation risk is high.
This kind of apparatus clinical experience to doctor and operating technology in operation require high, and in operation process, be easy to cause anastomosis in a period of time after anastomotic stoma oozing of blood and operation finish again to occur the phenomenons such as oozing of blood, if in time do not find and process, can cause the swelling of suture wound, fester, consequence can be very serious, and success rate of operation is low.And the operation after above method, operating time is long, and the healing cycle of wound is long, and the misery and the operation risk that bring to patient are high.
Utility model content
For the deficiencies in the prior art, this utility model has designed and a kind of by electrode assemblie, tissue has been discharged, and the collagen protein in tissue is merged and realizes the hemorrhoid sickle that carries out again unnecessary cutting tissue after tissue adhesion, closure.
This utility model is achieved through the following technical solutions:
Hemorrhoid sickle, it comprises handle housing, one end of handle housing is connected with connection tube, one end of connection tube is provided with electrode sleeve, it is characterized in that: in handle housing, arrange and drive the flexible regulating shaft assembly of top electrode assembly, described regulating shaft assembly comprises the screw mandrel being arranged in handle housing, one end of screw mandrel is provided with adjusting knob, adjusting knob is movably connected on handle housing, the other end is connected with the connecting rod being arranged in connection tube and electrode sleeve, the other end of connecting rod is connected with mounting rod, top electrode assembly is arranged on mounting rod, be connected to top electrode assembly for the knife washer cutting, on described handle housing, be provided with rotary hands handle, in electrode sleeve, be provided with and coordinate the solidifying bottom electrode assembly closing that shocks by electricity with top electrode assembly, in electrode sleeve, be also provided with knife assembly, handle is connected with knife assembly by the straight ejector sleeve being arranged in connection tube, knife assembly coordinates and cuts with knife washer, on handle housing, be also provided with the electric component that control top electrode assembly and bottom electrode assembly carry out work, electric component is connected with plug by cable.
By top electrode assembly and bottom electrode assembly, the edge of the tissue to needs excision discharges this utility model in advance, collagen protein in tissue is merged, reach the object of tissue being carried out to adhesion closure, by manual drive handle, knife assembly and knife washer closed pair tissue are excised again, having overcome traditional hemorrhoid anastomat adopts anastomosis staple to sew up the hemorrhage phenomenon of suture existing, better prevent the complications causing because of suture oozing of blood, the better healing that is conducive to wound, has shortened patient's recovery period greatly.
Described top electrode assembly comprises the top electrode piece being sleeved on mounting rod, on the mounting rod that stretches out top electrode piece, cover has tensioning spring, the end of mounting rod is provided with the stainless steel screw that tensioning spring is compressed, conical block is placed on the end of mounting rod, and block is welding on top electrode piece, the surface of described top electrode piece is provided with annular cavity, and knife washer is connected in annular cavity.
Described bottom electrode assembly comprises the electrode tip holder of ring-type, the surface of described electrode tip holder is provided with the ceramics pole of multiple location, bottom electrode sheet is the electrode slice of ring-type, the surface of bottom electrode sheet is provided with locating hole, bottom electrode sheet is connected to the end face of electrode tip holder, and locating hole coordinates with ceramics pole, and electrode tip holder is fixed in electrode sleeve.
The width of the ring body of described bottom electrode sheet is 1-5mm, the width of top electrode piece is corresponding with the width of bottom electrode sheet, instantly when the ring body width of electrode slice is narrow, on, when bottom electrode assembly electric discharge, there will be the unstable problem of tissue apposition, instantly when the ring body width of electrode slice is wide, excessive owing to organizing, causing tissue, solidifying to close the energy needing larger, also there will be the insecure problem of tissue apposition, adopt the ring body width of bottom electrode sheet described in the utility model, can effectively ensure the reliability of top electrode assembly and the bottom electrode assembly stitching to tissue, reduce the risk of operation.
Described knife assembly comprises the impeller being arranged in electrode sleeve, and the end of impeller is provided with the endless knife coordinating with knife washer, and the diameter of endless knife is less than the diameter of the through hole of electrode tip holder, and endless knife is slided in electrode tip holder.
The stop button that is also provided with rotation on described handle housing, the lower end of stop button contacts with handle, and the stop button of setting can lock equipment, prevents user of service's maloperation.
Described electric component comprises the circuit board being fixed in handle housing, on circuit board, be provided with microswitch, on described handle housing, be provided with the button being connected with microswitch, in described handle housing, be provided with top electrode brace, on screw mandrel, be provided with the contact screw rod contacting with top electrode brace, realizing is top electrode assembly power supply by screw mandrel, on handle housing internal face, be furnished with the first connecting line being connected with circuit board, the first connecting line is connected with connection tube, described connection tube is metal tube, on electrode sleeve, offer wiring groove, the second connecting line is arranged in wiring groove, on electrode sleeve, be connected with the strip of paper used for sealing to wiring groove sealing, one end of the second connecting line is connected with bottom electrode assembly, the other end is connected with connection tube, connection tube adopts metal material to make, in this utility model, use as conductor, realize being connected of bottom electrode assembly and circuit board, realize the exposed without open-wire line of apparatus, improve globality and the aesthetic property of apparatus.
On described handle housing, be also provided with indication component, described indication component comprises the indicating window of offering on handle housing, on the handle housing of indicating window below, be provided with pointer, on described screw mandrel, be fixedly connected with adjustment sheet, the end of adjustment sheet is connected with pointer, the indication component arranging can be indicated the state of equipment, is user-friendly for use.
Described handle comprises the metal handle being connected on handle housing; the outer cover of described metal handle has handle cover; the handle cover arranging can be protected metal handle; because the surface of handle cover is circular arc; can reduce the pain of people in the time pressing handle, improve the comfort of hemorrhoid sickle.
In sum, the utlity model has following beneficial effect:
1, this utility model utilizes top electrode assembly and bottom electrode assembly to organizing solidifying the closing of shocking by electricity, and transmission hemorrhoid anastomat adopts anastomosis staple to sew up tissue, this utility model has overcome traditional employing anastomosis staple sews up the phenomenon of the oozing of blood that may exist, stop to sew up mouthful bad follow-up complications causing of stitching, more be beneficial to the healing of wound, greatly shortened patient's recovery period.
2, this utility model adopts the modus operandi of multiple step format, first by top electrode assembly and bottom electrode assembly, tissue is shocked by electricity to coagulate and close, after solidifying having closed, more unnecessary tissue is excised, the stitching of traditional hemorrhoid anastomat and cutting action synchronously carry out, power required in percussion process is just larger, therefore the skill to operator and on hand dynamics all to require, the position of holding once percussion operator and the dynamics of use are grasped bad, be easy to cause pulling the trigger not in place, finally cause operative failure, operation risk is high, this utility model adopts the modus operandi of multiple step format, effectively reduce the requirement to operator's percussion, fundamentally solve the problem not in place of pulling the trigger, reduce the operation easier in operation process, improve the safety and reliability of operation.
3, top electrode assembly of the present utility model and bottom electrode assembly are arranged on respectively in mounting rod and electrode sleeve in addition, therefore to top electrode assembly and the not requirement of bottom electrode assembly position in a circumferential direction, the processing of parts and the requirement of equipment have been reduced, reduce the probability that quality problems appear in product in batch production process, and traditional hemorrhoid anastomat is to anastomosis staple, the manufacture of nail storehouse sleeve is had relatively high expectations, fitted position in assembling process, position is difficult to control, especially in batch production process, once there are quality problems in certain parts, will have influence on the final molding of anastomosis staple, on operation, successfully whether impact is larger, improve the risk of operation.
Brief description of the drawings
Fig. 1 is structural representation of the present utility model;
Fig. 2 is exploded perspective view of the present utility model;
Fig. 3 is the structural representation of top electrode assembly and mounting rod;
Fig. 4 is the cutaway view of Fig. 3;
Fig. 5 is the structural representation of bottom electrode assembly, knife assembly and electrode sleeve
Fig. 6 is the cutaway view of Fig. 5;
Fig. 7 is the exploded perspective view of Fig. 5;
Fig. 8 is the structural representation of handle housing, stop button;
Fig. 9 is the enlarged diagram of A portion in Fig. 8;
Figure 10 is the enlarged diagram of B portion in Fig. 8;
Figure 11 is the enlarged diagram of C portion in Fig. 8;
Figure 12 is the scheme of installation between handle, straight ejector sleeve, electrode sleeve and screw mandrel;
Figure 13 is the scheme of installation of handle, handle housing, straight ejector sleeve, electrode sleeve and screw mandrel;
Figure 14 is the structural representation of top electrode piece;
Figure 15 is the structural representation of bottom electrode sheet;
In figure, 1 is block, 2 is electrode sleeve, 3 is connection tube, 4 is indicating window, 5 is button, 6 is handle housing, 7 is plug, 8 is stop button, 9 is hands handle, 91 is handle cover, 92 is metal handle, 10 is adjusting knob, 11 is screw mandrel, 12 is connecting rod, 13 is mounting rod, 14 is tensioning spring, 15 is top electrode piece, 151 is annular cavity, 16 is knife washer, 17 is bottom electrode sheet, 171 is locating hole, 172 is ceramics pole, 18 is electrode tip holder, 19 is endless knife, 20 is impeller, 21 is stainless steel screw, 22 is straight ejector sleeve, 23 is strip of paper used for sealing, 24 is the second connecting line, 241 is wiring groove, 25 is circuit board, 251 is microswitch, 26 is top electrode brace, 261 is the first connecting line, 27 is pointer, 28 is adjustment sheet, 29 is contact screw rod.
Detailed description of the invention
Below in conjunction with accompanying drawing, this utility model is described further.
Hemorrhoid sickle as shown in Figure 1, it comprises handle housing 6, handle housing 6 has left shell and right shell body to combine, one end of handle housing 6 is connected with connection tube 3, one end of connection tube 3 is provided with electrode sleeve 2, the interior setting of handle housing 6 drives the flexible regulating shaft assembly of top electrode assembly, described regulating shaft assembly comprises the screw mandrel 11 being arranged in handle housing 6, one end of screw mandrel 11 is provided with adjusting knob 10, adjusting knob 10 is movably connected on handle housing 6, the other end is connected with the connecting rod 12 being arranged in connection tube 3 and electrode sleeve 2, the other end of connecting rod 12 is connected with mounting rod 13, top electrode assembly is arranged on mounting rod 13, be connected to top electrode assembly for the knife washer 16 cutting, on described handle housing 6, be provided with rotary handle 9, in electrode sleeve 2, be provided with and coordinate the solidifying bottom electrode assembly closing that shocks by electricity with top electrode assembly, in electrode sleeve 2, be also provided with knife assembly, handle 9 is connected with knife assembly by the straight ejector sleeve 22 being arranged in connection tube, knife assembly coordinates and cuts with knife washer 16, on handle housing 6, be also provided with the electric component that control top electrode assembly and bottom electrode assembly carry out work, electric component is used for controlling top electrode assembly and bottom electrode assembly discharges, the electricity discharging is high frequency electric, electric component is connected with plug 7 by cable.
By top electrode assembly and bottom electrode assembly, the edge of the tissue to needs excision discharges this utility model in advance, collagen protein in tissue is merged, reach the object of tissue being carried out to adhesion closure, by manual drive handle, knife assembly and knife washer closed pair tissue are excised again, having overcome traditional hemorrhoid anastomat adopts anastomosis staple to sew up the hemorrhage phenomenon of suture existing, better prevent the complications causing because of suture oozing of blood, the better healing that is conducive to wound, has shortened patient's recovery period greatly.
Described top electrode assembly comprises the top electrode piece 15 being sleeved on mounting rod, on the mounting rod 13 that stretches out top electrode piece 15, cover has tensioning spring 14, the end of mounting rod 13 is provided with the stainless steel screw 21 that tensioning spring is compressed, conical block 1 is placed on the end of mounting rod 13, and block 1 is welding on top electrode piece 15, the surface of described top electrode piece 15 is provided with annular cavity 151, knife washer 16 is connected in annular cavity 151, top electrode piece can slide at mounting rod, when in a organized way between top electrode assembly and bottom electrode assembly, tensioning spring is in compressive state, owing to being organized in after electric shock, the thickness meeting attenuation of tissue, now tensioning spring resets, top electrode assembly can be contacted with tissue all the time, ensure the uniformity of discharging between top electrode assembly and bottom electrode assembly, improved the solidifying reliability of closing of tissue electric shock.
Described bottom electrode assembly comprises the electrode tip holder 18 of ring-type, the surface of described electrode tip holder is provided with the ceramics pole 172 of multiple location, the electrode slice that bottom electrode sheet 17 is ring-type, the surface of bottom electrode sheet 17 is provided with locating hole 171, bottom electrode sheet 17 is connected to the end face of electrode tip holder, and locating hole coordinates with ceramics pole, and the bottom electrode sheet in this utility model is directly integrated as electrode tip holder is fixed into by injection mo(u)lding, improve connection reliability between the two, electrode tip holder 18 is fixed in electrode sleeve 2.
The width of the ring body of described bottom electrode sheet 17 is 1-5mm, the width of top electrode piece is corresponding with the width of bottom electrode sheet, instantly when the ring body width of electrode slice is narrow, on, when bottom electrode assembly electric discharge, there will be the unstable problem of tissue apposition, instantly when the ring body width of electrode slice is wide, excessive owing to organizing, causing tissue, solidifying to close the energy needing larger, also there will be the insecure problem of tissue apposition, adopt the ring body width of bottom electrode sheet described in the utility model, can effectively ensure the reliability of top electrode assembly and the bottom electrode assembly stitching to tissue, reduce the risk of operation.
Described knife assembly comprises the impeller 20 being arranged in electrode sleeve, and the end of impeller 20 is provided with the endless knife 19 coordinating with knife washer, and the diameter of endless knife 19 is less than the diameter of the through hole of electrode tip holder 18, and endless knife 19 is slided in electrode tip holder.
On described handle housing, be also provided with the stop button 8 of rotation, the lower end of stop button 8 contacts with handle 9, and the stop button of setting can lock equipment, prevents user of service's maloperation.
Described electric component comprises the circuit board 25 being fixed in handle housing, on circuit board 25, be provided with microswitch 251, on described handle housing 6, be provided with the button 5 being connected with microswitch 251, in described handle housing 6, be provided with top electrode brace 26, on screw mandrel 11, be provided with the contact screw rod 29 contacting with top electrode brace 26, realizing is top electrode assembly power supply by screw mandrel, on handle housing 6 internal faces, be furnished with the first connecting line 22 being connected with circuit board 25, the first connecting line 22 is connected with connection tube 3, described connection tube 3 is metal tube, on electrode sleeve 2, offer wiring groove 241, the second connecting line 24 is arranged in wiring groove 241, on electrode sleeve 2, be connected with the strip of paper used for sealing 23 that wiring groove 241 is sealed, one end of the second connecting line 24 is connected with bottom electrode assembly, the other end is connected with connection tube 3, connection tube 3 adopts metal material to make, in this utility model, use as conductor, realize being connected of bottom electrode assembly and circuit board, realize the exposed without open-wire line of equipment, the globality of raising equipment and aesthetic property.
On described handle housing, be also provided with indication component, described indication component comprises the indicating window 4 of offering on handle housing, on the handle housing of indicating window 4 belows, be provided with pointer 27, on described screw mandrel 11, be fixedly connected with adjustment sheet 27, the end of adjustment sheet 27 is connected with pointer, the indication component arranging can be indicated the state of apparatus, user can be by seeing the position of pointer in indicating window, be convenient to people and control the gap between top electrode assembly and bottom electrode assembly, be conducive to be user-friendly for use.
Described handle comprises the metal handle 92 being connected on handle housing 6; the outer cover of described metal handle 92 has handle cover 91; the handle cover arranging can be protected metal handle; because the surface of handle cover is circular arc; can reduce the pain of people in the time pressing handle, improve the comfort of hemorrhoid sickle.
In sum, the utlity model has following beneficial effect:
1, this utility model utilizes top electrode assembly and bottom electrode assembly to organizing solidifying the closing of shocking by electricity, and transmission hemorrhoid anastomat adopts anastomosis staple to sew up tissue, this utility model has overcome traditional employing anastomosis staple sews up the phenomenon of the oozing of blood that may exist, stop to sew up mouthful bad follow-up complications causing of stitching, more be beneficial to the healing of wound, greatly shortened patient's recovery period.
2, this utility model adopts the modus operandi of multiple step format, first by top electrode assembly and bottom electrode assembly, tissue is shocked by electricity to coagulate and close, after solidifying having closed, more unnecessary tissue is excised, the stitching of traditional hemorrhoid anastomat and cutting action synchronously carry out, power required in percussion process is just larger, therefore the skill to operator and on hand dynamics all to require, the position of holding once percussion operator and the dynamics of use are grasped bad, be easy to cause pulling the trigger not in place, finally cause operative failure, operation risk is high, this adopts the modus operandi of multiple step format, effectively reduce the requirement to operator's percussion, fundamentally solve the problem not in place of pulling the trigger, reduce the operation easier in operation process, improve the safety and reliability of operation.
3, top electrode assembly of the present utility model and bottom electrode assembly are arranged on respectively in mounting rod and electrode sleeve in addition, therefore to top electrode assembly and the not requirement of bottom electrode assembly position in a circumferential direction, the processing of parts and the requirement of equipment have been reduced, reduce the probability that quality problems appear in product in batch production process, and traditional hemorrhoid anastomat is to anastomosis staple, the manufacture of nail storehouse sleeve is had relatively high expectations, fitted position in assembling process, position is difficult to control, especially in batch production process, once there are quality problems in certain parts, will have influence on the final molding of anastomosis staple, on operation, successfully whether impact is larger, improve the risk of operation.