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CN108836404B - Biopsy device for cyst wall tissue - Google Patents

Biopsy device for cyst wall tissue Download PDF

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Publication number
CN108836404B
CN108836404B CN201810735782.1A CN201810735782A CN108836404B CN 108836404 B CN108836404 B CN 108836404B CN 201810735782 A CN201810735782 A CN 201810735782A CN 108836404 B CN108836404 B CN 108836404B
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piston
grommet
outer cylinder
knob
biopsy device
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CN108836404A (en
Inventor
陈湘
刘雨杭
张波
陈志�
何垚
胡希恒
莫淼
刘培华
杜勇超
窦晓淋
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Xiangya Hospital of Central South University
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Xiangya Hospital of Central South University
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Instruments for taking body samples for diagnostic purposes; Other methods or instruments for diagnosis, e.g. for vaccination diagnosis, sex determination or ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/0233Pointed or sharp biopsy instruments
    • A61B10/0266Pointed or sharp biopsy instruments means for severing sample

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Abstract

本发明提供一种囊壁组织活检器,包括抽吸针筒、无菌膜、锁紧装置以及电切环切割装置,所述抽吸针筒为五层套筒结构即外筒、第一活塞、第二活塞、第三活塞、第四活塞和内筒构成,外筒、第一活塞、第二活塞、第三活塞的远端筒口为开放式筒口,第一活塞、第二活塞、第三活塞与第四活塞的抽吸针远端口齐平,而近端位置筒口高低错落,外筒与活塞、内筒相互之间设置橡胶圈;在第四活塞远端面为闭合设置且其中心部位设置抽吸针,抽拉内筒使吸针经过中筒底部到达囊肿。本装置的优点为使用方便且不会形成种植转移的风险。

Figure 201810735782

The invention provides a capsule wall tissue biopsy device, comprising a suction syringe, a sterile membrane, a locking device and an electric cutting ring cutting device. The suction syringe has a five-layer sleeve structure, namely an outer tube, a first piston , The second piston, the third piston, the fourth piston and the inner cylinder are composed of the outer cylinder, the first piston, the second piston and the third piston. The piston is flush with the distal port of the suction needle of the fourth piston, and the cylinder mouth at the proximal end is staggered in height, and a rubber ring is arranged between the outer cylinder, the piston and the inner cylinder; the distal surface of the fourth piston is closed and its central part is arranged. Set the suction needle, and pull the inner tube to make the suction needle pass through the bottom of the middle tube to reach the cyst. The advantage of this device is that it is easy to use and does not pose the risk of implant transfer.

Figure 201810735782

Description

Biopsy device for cyst wall tissue
Technical Field
The invention relates to the field of medical surgical instruments, in particular to a cyst wall tissue biopsy device.
Background
There are various types of cysts in the clinic, for example: renal cyst, hepatic cyst, and the like. Taking renal cyst as an example, most of renal cysts are benign lesions in clinical practice. However, when the CT examination shows that the wall of the sac is thick (thin-walled cysts are basically benign), there are bleeding in the sac, and there are floccules in the sac, there is a possibility of malignant cystic lesions. Clinically, the current traditional operation mode for cystic lesions on the kidney is cyst topping operation, which can cause cyst fluid to flow out in the operation process, and if the cyst is malignant, artificial cancer cells can be planted and transferred in vivo. If it is malignant, the operation of renal resection should be performed clinically. However, at present, no device for biopsy of cyst wall and no outflow of cyst fluid exists clinically, so that the excised cyst wall is usually subjected to quick frozen biopsy in the process of clinical ascending cyst topping-off, and if the biopsy is malignant and then the nephrectomy is performed, the method has the risk of artificial cancer cell planting and transfer. Even if the similar biopsy device exists, a small opening is cut in the tissue of the capsule wall, then the ordinary aspirator head is inserted into the capsule cavity to suck out the capsule liquid and then cut off, a part of the capsule liquid is extracted by a thick needle head, the needle eye is enlarged after the internal pressure of the capsule is reduced, the ordinary aspirator head is put in to suck the capsule liquid and then the capsule wall is cut off, the operation of the method brings huge wound of the incision to a patient, and the problems that the internal liquid of the capsule leaks out to pollute the abdominal cavity, the capsule liquid is difficult to extract and the like exist.
Therefore, there is a need for a biopsy device for renal capsule wall tissue to facilitate the sampling of renal capsule wall specimens and reduce the risk of cancer cell implantation metastasis.
Disclosure of Invention
The invention aims to provide a cyst wall tissue biopsy device.
The invention provides a cyst wall tissue biopsy device, which comprises a suction needle cylinder, an aseptic membrane, a locking device and an electrotomy ring cutting device, wherein the suction needle cylinder is of a five-layer sleeve structure and comprises an outer cylinder, a first piston, a second piston, a third piston, a fourth piston and an inner cylinder, the far-end cylinder openings of the outer cylinder, the first piston, the second piston and the third piston are open cylinder openings, a suction needle is arranged in the center of the far-end surface of the fourth piston, the far end of the first piston is 0.7cm away from the cylinder opening of the outer cylinder, the far-end openings of the first piston, the second piston and the third piston are flush with the far-end opening of the suction needle of the fourth piston, so that the cyst is conveniently positioned, rubber rings are arranged between the outer cylinder and the first piston, between the second piston, between the third piston and between the fourth piston and the inner cylinder, a sealing ring plays a role in sealing between the cylinder and the piston, and a drawing end of the, the drawing end at the near end of the second piston is 8cm higher than that of the first piston; the drawing end of the near end of the third piston is 1cm higher than the second piston; the drawing end at the near end of the fourth piston is 8cm higher than that of the third piston; the near end of the inner cylinder is 1cm higher than the fourth piston, the far end surface of the fourth piston is arranged in a closed mode, a suction needle is arranged in the center of the fourth piston, and the inner cylinder is pulled to enable the suction needle to reach the cyst; limiting lugs which are oppositely clamped are arranged between the outer cylinder and the first piston, and between the first piston, the second piston, the third piston, the fourth piston and the inner cylinder, and the pistons are pulled and then positioned; the sterile film is arranged on the surface of the inner wall of the outer barrel, and the length of the sterile film is longer than that of the outer barrel by about 1 cm.
Preferably, the electric cutting ring cutting device comprises an electric cutting ring and a conductive head, wherein the electric cutting ring comprises a ring head which is made of iron wires and provided with a through hole at one end; the locking device comprises a first knob and a second knob which are arranged in a vertically separated mode; the movable end of the ring head penetrates through the through hole in the outer cylinder wall, and the ring head is locked through rotation of the first knob; the two ends of the second knob are symmetrically provided with a first grommet and a second grommet, the first grommet and the second grommet are both provided with a through hole at one end and penetrate through the through hole at the other end to form a grommet structure, the other ends of the first grommet and the second grommet respectively penetrate through the through hole of the outer cylinder wall and then are fixed on the second knob, the ring head is positioned between the first grommet and the second grommet, the ring head and the first grommet and the second grommet are positioned at the far end position of the first piston at the inner side of the outer cylinder and are within 0.7cm of the far end of the outer cylinder, wherein the width of the ring head is 0.1cm, the widths of the two grommets are 0.15cm, and the distance between the ring head and the two grommets is 0.1 cm; a bag opening formed by the sterile film sequentially passes through the second grommet, the ring head and the first grommet, and the bag opening of the sterile film is fastened and locked at two ends of the first grommet and the second grommet respectively after the second knob is rotated; preferably, the part of the sterile membrane which is longer than the length of the outer barrel is attached to the outer wall of the outer barrel after being overturned.
Preferably, the first knob and the second knob are arranged on the outer cylinder wall through threads.
Preferably, the through holes of the outer cylinder wall are all provided with one-way valves.
Compared with the prior art, the cyst wall tissue biopsy device provided by the invention is simple in structure, convenient to use and free of risk of planting and transferring.
Drawings
FIG. 1 is a schematic view of a wall tissue biopsy instrument according to the present invention;
FIG. 2 is a front view of FIG. 1;
fig. 3 is a cross-sectional view of fig. 1.
Wherein, the suction syringe-1, the sterile film-2, the locking device-3, the rubber ring-4, the ring head-5, the outer cylinder-11, the first piston-12, the second piston-13, the third piston-14, the fourth piston-15, the inner cylinder-16, the suction needle-17, the first knob-31, the second knob-32, the first grommet-33 and the second grommet-34.
Detailed Description
The present invention will be described in detail below with reference to the embodiments with reference to the attached drawings. It should be noted that the embodiments and features of the embodiments may be combined with each other without conflict. For convenience of description, the words "upper", "lower", "left" and "right" in the following description are used only to indicate the correspondence between the upper, lower, left and right directions of the drawings themselves, and do not limit the structure.
As shown in fig. 1, 2, and 3, the cyst wall tissue biopsy device provided in this embodiment includes a suction syringe 1, an aseptic membrane 2, a locking device 3, and an electrotomy ring cutting device, wherein the suction syringe has a five-layer sleeve structure and is made of a highly transparent material, that is, an outer cylinder 11, a first piston 12, a second piston 13, a third piston 14, a fourth piston 15, and an inner cylinder 16, distal cylinder openings of the outer cylinder, the first piston, the second piston, and the third piston are open cylinder openings to facilitate cyst positioning, rubber rings 4 are disposed between the outer cylinder and the first piston, between the first piston, the second piston, the third piston, the fourth piston, and the inner cylinder to seal the cylinders and the pistons, a proximal drawing end of the first piston is 1cm higher than a proximal end of the outer cylinder, and a proximal drawing end of the second piston is 8cm higher than the first piston; the drawing end of the near end of the third piston is 1cm higher than the second piston; the drawing end at the near end of the fourth piston is 8cm higher than that of the third piston; the near end of the inner cylinder is 1cm higher than the fourth piston, the far end surface of the fourth piston is arranged in a closed mode, the center of the far end surface of the fourth piston is provided with a suction needle 17, the distance from the far end of the first piston to the opening of the outer cylinder is 0.7cm, the tail ends of the first piston, the second piston and the third piston are flush with the tail end of the suction needle of the fourth piston, and the fourth piston is pulled to enable the suction needle to reach cysts; limiting lugs (not shown in the figure) which are oppositely clamped are arranged between the outer cylinder and the first piston and between the first piston, the second piston, the third piston and the fourth piston and the inner cylinder, and the pistons play a role in fixing after being pulled; the sterile film 2 is lined on the surface of the inner wall of the outer cylinder, the length of the sterile film is longer than that of the outer cylinder, and the extended part is lined on the outer wall of the outer cylinder in a turnover way.
The outer cylinder wall is provided with a locking device 3 and an electrotomy ring cutting device, the electrotomy ring cutting device comprises an electrotomy ring and a conductive head, the electrotomy ring comprises a ring head 5 with an insulating heat-resistant perforation at one end, the ring head is formed by fixing one end of an iron wire with an electrotomy function to the perforation and penetrating the other end of the iron wire through the perforation, and the conductive head is fixed on a first knob; the locking device comprises a first knob 31 and a second knob 32 which are arranged in a vertically separated mode, and the knobs of the embodiment are arranged on the outer cylinder wall through threads; the movable end of the ring head penetrates through a first through hole with a one-way valve on the outer cylinder wall and is fixed on a first knob, and the ring head is locked through the rotation of the first knob; the two ends of the second knob are symmetrically provided with a first grommet 33 and a second grommet 34, the first grommet and the second grommet are both grommet structures, one end of each grommet is provided with a through hole, the other end of each grommet penetrates through a second through hole and a third through hole of the wall of the outer barrel, the other ends of the first grommet and the second grommet penetrate through the wall of the outer barrel, the second through hole and the third through hole are respectively fixed on the second knob, the ring head is positioned between the first grommet and the second grommet, the ring head and the first grommet and the second grommet are positioned at the far end of the first piston on the inner side of the outer barrel and within a distance of 0.7cm from the far end of the outer barrel, wherein the width of the ring head is 0.1cm, the widths of the two grommets are 0.15cm, and the distance between the ring head and the two grommets is 0.; the bag mouth formed by the sterile film sequentially passes through the second grommet, the ring head and the first grommet, and the two ends of the first grommet and the second grommet are respectively fastened and locked with the bag mouth of the sterile film after the second knob is rotated.
According to the negative pressure suction principle, after a suction negative pressure cylinder consisting of a piston and an inner cylinder is close to a cyst, a part of the cyst is sucked into a cavity of an outer cylinder, a first piston is pumped, the cyst wall of the cyst part can be sucked into the outer cylinder, and the first piston is fixed on the inner wall of the outer cylinder through limiting lugs arranged on the inner wall of the outer cylinder and the outer wall of the first piston in a staggered manner; the second piston is pumped to lead the cylinder opening to descend and to be positioned and attached to the capsule wall sucked into the outer cylinder and fixed on the first piston through a limiting block; the third piston is drawn to suck part of the capsule wall into the second piston cylinder, and the third piston is fixed on the second piston through a limiting block; the fourth piston is drawn to descend, the suction needle at the far end is inserted into the capsule wall in the third piston cylinder, and the fourth piston is fixed on the third piston through a limiting block; the inner cylinder is drawn to suck cyst fluid in the cyst into the fourth piston cylinder, the internal pressure of the cyst is further reduced, and the cyst wall is looser, so that the cyst wall is sucked into the cylinder with multiple cyst walls.
The above description is only an embodiment of the present invention, and not intended to limit the scope of the present invention, and all modifications of equivalent structures and equivalent processes, which are made by using the contents of the present specification and the accompanying drawings, or directly or indirectly applied to other related technical fields, are included in the scope of the present invention.

Claims (10)

1.一种囊壁组织活检器,其特征在于,包括抽吸针筒、无菌膜、锁紧装置以及电切环切割装置,所述抽吸针筒为五层套筒结构即外筒、第一活塞、第二活塞、第三活塞、第四活塞和内筒构成,在第四活塞远端面为闭合设置且其中心部位设置抽吸针,外筒、第一活塞、第二活塞、第三活塞远端筒口为开放式筒口,第一活塞、第二活塞、第三活塞的远端筒口与第四活塞的抽吸针端齐平,而近端位置筒口高低错落,外筒、第一活塞、第二活塞、第三活塞、第四活塞与内筒相互之间设置橡胶圈;所述外筒内壁表面设有无菌膜,且长度长于外筒的长度;所述锁紧装置以及电切环切割装置设置在外筒上;所述电切环切割装置包括电切环、导电头,电切环包括由铁丝制成的一端带穿孔的环头;锁紧装置包括上下分离设置的第一旋钮和第二旋钮;所述环头的活动端穿过外筒壁上的通孔,通过第一旋钮的旋转来锁紧环头;无菌膜通过第二旋钮的旋转进行锁紧。1. a capsule wall tissue biopsy device, is characterized in that, comprises suction syringe, sterile membrane, locking device and electric cutting ring cutting device, and described suction syringe is five-layer sleeve structure namely outer tube, The first piston, the second piston, the third piston, the fourth piston and the inner cylinder are constituted, the distal end surface of the fourth piston is closed and a suction needle is arranged at the center thereof, the outer cylinder, the first piston, the second piston, The distal barrel port of the third piston is an open barrel port. The distal barrel ports of the first piston, the second piston, and the third piston are flush with the suction needle end of the fourth piston, while the barrel ports at the proximal end are staggered. A rubber ring is arranged between the first piston, the second piston, the third piston, the fourth piston and the inner cylinder; the inner wall surface of the outer cylinder is provided with a sterile membrane, and the length is longer than that of the outer cylinder; the locking device and The electric cutting ring cutting device is arranged on the outer cylinder; the electric cutting ring cutting device comprises an electric cutting ring and a conductive head, and the electric cutting ring comprises a ring head made of iron wire with a perforation at one end; A knob and a second knob; the movable end of the ring head passes through the through hole on the outer cylinder wall, and the ring head is locked by the rotation of the first knob; the sterile membrane is locked by the rotation of the second knob. 2.根据权利要求1所述的囊壁组织活检器,其特征在于,所述第一活塞的远端距外筒的筒口0.6-0.8cm,第一活塞近端的抽拉端高出外筒近端1cm。2 . The capsule wall tissue biopsy device according to claim 1 , wherein the distal end of the first piston is 0.6-0.8 cm from the opening of the outer cylinder, and the drawing end of the proximal end of the first piston is nearly higher than the outer cylinder. 3 . end 1cm. 3.根据权利要求2所述的囊壁组织活检器,其特征在于,所述第二活塞的近端抽拉端高出第一活塞8cm。3 . The capsule wall tissue biopsy device according to claim 2 , wherein the proximal drawing end of the second piston is 8 cm higher than the first piston. 4 . 4.根据权利要求1所述的囊壁组织活检器,其特征在于,所述第三活塞近端抽拉端高出第二活塞1cm。4 . The capsule wall tissue biopsy device according to claim 1 , wherein the drawing end of the proximal end of the third piston is 1 cm higher than the second piston. 5 . 5.根据权利要求4所述的囊壁组织活检器,其特征在于,所述第四活塞近端抽拉端高出第三活塞8cm。5 . The capsule wall tissue biopsy device according to claim 4 , wherein the drawing end of the proximal end of the fourth piston is 8 cm higher than the third piston. 6 . 6.根据权利要求1所述的囊壁组织活检器,其特征在于,所述内筒近端高出第四活塞1cm。6 . The capsule wall tissue biopsy device according to claim 1 , wherein the proximal end of the inner cylinder is 1 cm higher than the fourth piston. 7 . 7.根据权利要求1所述的囊壁组织活检器,其特征在于,所述外筒与第一活塞之间、第一活塞、第二活塞、第三活塞、第四活塞与内筒相互之间设置相对卡合的限位凸块。7. The capsule wall tissue biopsy device according to claim 1, wherein the outer cylinder and the first piston, the first piston, the second piston, the third piston, the fourth piston and the inner cylinder are mutually Positioning bumps that engage relative to each other are arranged between them. 8.根据权利要求1所述的囊壁组织活检器,其特征在于,所述第二旋钮两端对称设置第一索环、第二索环,第一索环和第二索环都为一端带穿孔、另一端穿过该穿孔形成索环结构,第一索环、第二索环的另一端分别穿过外筒壁的通孔后固定在第二旋钮上,所述环头位于第一索环与第二索环之间,所述环头以及第一、第二索环位于外筒内侧的第一活塞远端位置,距离外筒远端的0.7cm的距离内,其中环头宽度为0.1cm,两索环宽度为0.15cm,环头与两索环间距均为0.1cm;无菌膜形成的袋口依次穿过第二索环、环头、第一索环,通过第二旋钮旋转后分别将第一索环和第二索环的两头系牢锁紧无菌膜袋口,所述无菌膜长于外筒长度的部分翻转后衬于外筒的外壁。8 . The capsule wall tissue biopsy device according to claim 1 , wherein a first grommet and a second grommet are symmetrically arranged at both ends of the second knob, and both the first grommet and the second grommet are one end. 9 . A grommet structure is formed with a perforation and the other end passes through the perforation. The other ends of the first grommet and the second grommet pass through the through hole of the outer cylinder wall respectively and are fixed on the second knob, and the ring head is located in the first grommet. Between the grommet and the second grommet, the ring head and the first and second grommets are located at the distal end of the first piston inside the outer cylinder, within a distance of 0.7 cm from the distal end of the outer cylinder, wherein the width of the ring head is is 0.1cm, the width of the two grommets is 0.15cm, and the distance between the ring head and the two grommets is 0.1cm; the bag mouth formed by the sterile film passes through the second grommet, the ring head, the first After the knob is rotated, the two ends of the first grommet and the second grommet are respectively fastened to the mouth of the sterile film bag, and the part of the sterile film longer than the length of the outer cylinder is turned over and lined with the outer wall of the outer cylinder. 9.根据权利要求8所述的囊壁组织活检器,其特征在于,所述第一旋钮、第二旋钮通过螺纹设置在外筒壁。9 . The capsule wall tissue biopsy device according to claim 8 , wherein the first knob and the second knob are arranged on the outer cylinder wall through threads. 10 . 10.根据权利要求9所述的囊壁组织活检器,其特征在于,所述外筒壁的通孔均设置单向活瓣。10 . The capsule wall tissue biopsy device according to claim 9 , wherein the through holes of the outer cylinder wall are provided with one-way valves. 11 .
CN201810735782.1A 2018-07-05 2018-07-05 Biopsy device for cyst wall tissue Expired - Fee Related CN108836404B (en)

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