Background technology
Laparoscopic surgery is the Minimally Invasive Surgery mode that new development is in recent years got up, and is the inexorable trend of following operation development.Along with the development of technological means, add the operation that doctor is more and more consummate, and because laparoscopic surgery itself has, operation wound is little, operation looking away, patient recovers fast, and the painful advantage such as light, makes the open operation in much past be replaced by intracavity operation now.It, as the representative of minimally invasive surgery, is widely used at surgical field, relates to many diseases and plants and operation, be subject to patient and welcome.And along with the continuous progress of science and technology, operating theater instruments reformed AHP, laparoscopically space of putting to good use will be increasing.
But laparoscopic surgery requires higher to operating theater instruments and Doctors' skill, needs different abdominal operation instrument in abdominal operation according to different requirements.At present, when needing multiple operation tool in performing the operation, a large amount of operation tools is placed on operating-table, select as required in art, a large amount of circuit or pipeline are wound around, the space of operating-table can be occupied, bring a large amount of problems to the management of abdominal operation instrument, easily cause operation tool to come off aseptic area.In addition, in operation workpiece selection course, original apparatus need be extracted out, insert new operating theater instruments, again to operation operating point location, also can extend operating time, increase operation risk, be unfavorable for effectively carrying out of operation.
Summary of the invention
The object of the invention is to overcome the deficiencies in the prior art, provide a kind of selection type intensive convertible endoscope-assistant surgery instrument, its compact conformation, by the effective integration of abdominal operation apparatus, conversion can be selected as required at any time, easy to operate, safe and reliable.
According to technical scheme provided by the invention, the intensive convertible endoscope-assistant surgery instrument of described a kind of selection type, comprises shell body; Be provided with some tube chamber passages in described shell body, utilize described tube chamber passage to install connecting rod in shell body, connecting rod distributes along the length direction of described shell body in shell body; Described connecting rod has first end and second end corresponding with described first end; The first end of connecting rod is provided with tool operation head, second end of connecting rod is provided with push rod, described push rod is embedded in the push rod pilot hole on shell body top, push rod can move in push rod pilot hole, and by the motion of push rod in push rod pilot hole, the tool operation head of connecting rod first end end can be made to pass from the tool outlet of shell body bottom.
Described push rod tilt distribution is in the second end of connecting rod, and the joint portion of push rod and connecting rod is provided with elasticity locating piece; The upper end of shell body is provided with operation positioning area, push rod pilot hole is positioned on operation positioning area, described push rod locating hole comprises locating groove, link slot and lower locating groove, upper locating groove is connected with lower locating groove by link slot, upper locating groove, lower locating groove and elasticity locating piece match, push rod is embedded in upper locating groove or lower locating groove by elasticity locating piece, makes the location positioning of connecting rod in shell body.
Described tool operation head comprises electric knife, coagulation, coagulation rod, tweezers or pliers.
Tool operation head be tweezers or pliers time, push rod is arranged the operating grip for operating described tool operation head, described operating grip comprises push rod draw ring.
When described tool operation head adopts electric knife, coagulation or coagulation excellent, described tool operation head is electrically connected with the switch on push rod, and described switch is electrically connected with coagulation plug, electric knife plug.
Second end end of described connecting rod passes outside shell body, and on the second end end of connecting rod, cover has sealing cap.
Described shell body comprises upper shell and lower house, and tube chamber passage is positioned at upper shell, and along the distribution of lengths of described upper shell; Upper shell and lower house are fastenedly connected.
Be provided with flushing suction catheter in described tube chamber passage, described flushing suction catheter is arranged in tube chamber passage, and can be connected with tool outlet.
Described push rod or push rod draw ring arrange the connector being used for being connected with coagulation plug, electric knife power cord plug.
Advantage of the present invention: according to operation instructions for use, tool operation head needed for installing at the first end of the connecting rod of shell body, when needs utilize different tool operation head to carry out operation technique, utilize push rod and coordinating between elasticity locating piece with push rod pilot hole, connecting rod and tool operation head can be made to remain fixed in desired position, utilize and rinse the operation that suction catheter can also carry out rinsing attraction, compact conformation, can by the effective integration of abdominal operation apparatus, select conversion as required at any time, easy to operate, safe and reliable.
Detailed description of the invention
Below in conjunction with concrete drawings and Examples, the invention will be further described.
As depicted in figs. 1 and 2: in order to by the effective integration of abdominal operation apparatus, conversion can be selected as required at any time, improve convenience and the reliability of operation, the present invention includes shell body; Be provided with some tube chamber passages in described shell body, utilize described tube chamber passage to install connecting rod 5 in shell body, connecting rod 5 distributes along the length direction of described shell body in shell body; Described connecting rod 5 has first end and second end corresponding with described first end; The first end of connecting rod 5 is provided with tool operation 7, second end of connecting rod 5 is provided with push rod 3, described push rod 3 is embedded in the push rod pilot hole on shell body top, push rod 3 can move in push rod pilot hole, and by the motion of push rod 3 in push rod pilot hole, the tool operation of connecting rod 5 first end end 7 can be made to pass from the tool outlet 8 of shell body bottom.
Particularly, the tube chamber passage in shell body is less than the length of shell body, and tube chamber passage capable of being is connected with the tool outlet 8 of shell body bottom.Tube chamber passage in shell body in parallel distribution, mutually isolated between each tube chamber passage, in shell body tube chamber passage quantity can as required, the external diameter of internal diameter of outer cover capacity and connecting rod 5 arranges.Can install connecting rod 5 in arbitrary tube chamber passage, connecting rod 5 runs through tube chamber passage, a tool operation 7 adjacent tools outlet 8 of connecting rod 5 first end end.Under original state, be parallel to each other between the connecting rod 5 in shell body, being centrally located on the axis of shell body of tool outlet 8.
When push rod 3 moves in push rod pilot hole, connecting rod 5 can be driven to move in shell body, when push rod 3 moves to the direction of close tool outlet 8 in push rod pilot hole, the tool operation of connecting rod 5 first end end 7 can be passed from tool outlet 8, and when push rod 3 in push rod pilot hole to direction motion away from tool outlet 8 time, the tool operation that connect corresponding to described connecting rod 57 can be retracted in shell body from tool outlet 8.In the specific implementation, tool outlet 8 can only allow a tool operation 7 to pass at every turn, avoids the mutual interference between multiple tool operation 7.
Described tool operation 7 comprises electric knife, coagulation, coagulation rod, tweezers or pliers.When a described tool operation 7 employing tweezers or pliers, described push rod 3 is arranged the operating grip for operating described tweezers or pliers, described operating grip comprises push rod draw ring 2; The operation to tweezers and pliers can be realized by push rod draw ring 4, the concrete enforcement structure of push rod draw ring 4 and existing peritoneoscope or endoscopic surgery tool-class like or identical, repeat no more herein.
In the embodiment of the present invention, when tool operation 7 is electric knife, coagulation or coagulation rod, need during use to carry out energising work to tool operation 7, now, the part that push rod 3 is positioned at outside shell body arranges switch, switch is electrically connected with coagulation plug or electric knife power cord plug by the connector be arranged on push rod 3 or push rod draw ring 2, when being connected with external power source by coagulation plug, and can the coagulation operating function requirement of implementation tool operating head 7; When being connected with external power source by electric knife plug, can the electric knife operation requirements of implementation tool operating head 7, the connection status of coagulation plug or electric knife plug can be selected by switch.In the specific implementation, tool operation 7 can also adopt other conventional operating theater instruments, can carry out selections setting as required, as long as can pass from tool outlet 8, and does not affect operation and uses, specifically repeat no more.Carry out one determine operation time, as required, required tool operation head is set in shell body, the tool operation 7 needed for changing can be selected in operation technique, without the need to extracting when changing operating theater instruments, inserting and reorientating operating point, easily complete operation technique.
Described push rod 3 tilt distribution is in the second end of connecting rod 5, and push rod 3 is provided with elasticity locating piece 4 with the joint portion of connecting rod 5; The upper end of shell body is provided with operation positioning area 9, push rod pilot hole is positioned on operation positioning area 9, described push rod locating hole 9 comprises locating groove 10, link slot 11 and lower locating groove 12, upper locating groove 10 is connected with lower locating groove 12 by link slot 11, upper locating groove 10, lower locating groove 12 match with elasticity locating piece 4, push rod 3 is embedded in upper locating groove 10 or lower locating groove 12 by elasticity locating piece 4, makes the location positioning of connecting rod 5 in shell body.
Described push rod 3 arranges push rod draw ring 2, and described push rod draw ring 2 is positioned at the end of push rod 3, for the operation to the expansible such as tweezers, pliers operating head.Certainly can also be set to other structures, e.g., shear shank structure, can reach same effect, and this is chamber mirror or endoscopic surgery instrument common structure, repeats no more herein.
In the embodiment of the present invention, elasticity locating piece 4 has elasticity, elasticity locating piece 4 can be made to be out of shape by extruding described elasticity locating piece 4, thus changes the size of elasticity locating piece 4.The external diameter of operation positioning area 9 is less than the external diameter of remainder.The width of upper locating groove 10 and the width of lower locating groove 12 are all greater than the width of link slot 11.Generally, elasticity locating piece 4 can be stuck in locating groove 10 and lower locating groove 12 just, when elasticity locating piece 4 is stuck in after in upper locating groove 10 and lower locating groove 12, can position the position of connecting rod 5.Lower locating groove 12 compares locating groove 10 more adjacent tools outlet 8, and the axis of upper locating groove 10, link slot 11 and lower locating groove 12 is located along the same line.
When elasticity locating piece 4 is positioned at upper locating groove 10, the tool operation of connecting rod 5 first end end 7 can remain in shell body; Extruding makes elasticity locating piece 4 be out of shape, and after distortion, elasticity locating piece 4 enters lower locating groove 12 by link slot 11, and after elasticity locating piece 4 recovers shape, elasticity locating piece 4 coordinates with lower locating groove 12.After elasticity locating piece 4 is positioned at lower locating groove 12, tool operation 7 meeting for connecting rod 5 first end end pass from tool outlet 8.After tool operation 7 passes from tool outlet 8, utilize the matching relationship between elasticity locating piece 4 and lower locating groove 12, state outside tool outlet 8 can be positioned at by retaining tool operating head 7, guarantee that the stable of operation technique carries out.Other locate mode can also be adopted between connecting rod 5 and shell body, if can realize connecting rod 5 position positioning instant can, known by the art personnel, repeat no more herein.
Second end end of described connecting rod 5 passes outside shell body, and on the second end end of connecting rod 5, cover has sealing cap 1.In the embodiment of the present invention, the second end end of connecting rods 5 all in shell body can all cover by a sealing cap 1, forms the stopping means of connecting rod 5, avoids the maloperation to connecting rod 5.
Described shell body comprises upper shell 6 and lower house 14, and tube chamber passage is positioned at upper shell 6, and along the distribution of lengths of described upper shell 6; Upper shell 6 and lower house 14 are fastenedly connected.The bottom of upper shell 6 is provided with and is fastenedly connected district 13, and upper shell 6 can be fastenedly connected with the end of lower house 14 by being fastenedly connected district 13.When shell body adopts upper shell 6 to coordinate with lower house 14, tube chamber passage is all positioned at upper shell 6, and the cavity in lower house 14 is for the placement of tool operation 7.Tool operation between 7 and connecting rod 5 can by clamping, to be spirally connected or other form is connected and fixed.
Be provided with flushing suction catheter in described tube chamber passage, described flushing suction catheter is arranged in tube chamber passage, and can be connected with tool outlet 8.Tube chamber passage in upper shell 6 also can install flushing suction catheter, the one end rinsing suction catheter will pass outside upper shell 6, rinse suction catheter to be connected with flushing pipe or vacuum extractor, can realize rinsing or attracting by rinsing suction catheter, thus meet different instructions for uses.
The present invention is according to operation instructions for use, tool operation 7 needed for installing at the first end of the connecting rod 5 of shell body, when needs utilize different tool operation 7 to carry out operation technique, utilize push rod 3 and coordinating between elasticity locating piece 4 with push rod pilot hole, connecting rod 5 and tool operation 7 can be made to remain fixed in desired position, utilize and rinse the operation that suction catheter can also carry out rinsing attraction, compact conformation, can by the effective integration of abdominal operation apparatus, select conversion as required at any time, easy to operate, safe and reliable.