Myoma rotary-cut extractor
Technical Field
The invention belongs to the technical field of medical instruments, and particularly relates to a device for taking out hysteromyoma by rotary cutting.
Background
Hysteromyoma is the most common benign tumor of the female reproductive system, the incidence rate accounts for about 1/5 of women of childbearing age, and the operation treatment mode is divided into simple hysteromyoma digging-out or total hysterectomy. With the improvement of minimally invasive requirements of people on operation, the application of the laparoscope in hysteromyoma operation is increasingly wide, and the minimally invasive abdominal incision of the laparoscope is as small as 1cm, but the myoma is difficult to take out. The myoma is bored and is got to the commonly used myoma at present clinically, and the device only is fit for using at the great position in spaces such as pelvic cavity, needs the fixed myoma of forceps holder during the use, and then cuts the myoma, has the fixed not firm problem of easy slippage of forceps holder, and the device is because defect in the design easily causes the myoma tissue fracture of cutting, and can not take out this time the tissue of cutting. In addition, if the myoma is potentially malignant, iatrogenic tumors are easily scattered and planted when the device is used for taking the myoma. Therefore, for the myoma which is suspected of having malignant change, the myoma is usually loaded into a pick-up bag after being stripped in an operation, the pocket mouth of the pick-up bag is lifted out of an abdominal cavity through an abdominal wall incision, the space in the pick-up bag is narrow, the clamping and cutting of the myoma cannot be finished by a traditional myoma drills, the myoma can be taken only by adopting a manual clamping mode and a scalpel cutting mode at present, the clamping is difficult, the myoma tissue with the size of corn grains can be taken out at each time, the time for taking the myoma usually accounts for more than half of the time of the whole operation and the anesthesia, the efficiency is extremely low, the time and the physical strength are wasted, the physical and mental fatigue of an operator can be caused.
Disclosure of Invention
In order to solve the technical problems, the invention provides a novel, efficient and labor-saving rotary cutting device integrating rotary cutting and conveying of myoma, which is matched with a pick-up bag, so that not only can the disseminated planting of potential malignant myoma caused by iatrogenic origin be avoided, but also the device is suitable for taking out the myoma through a laparoscopic incision and vaginal incision.
In order to achieve the purpose, the invention provides the following technical scheme: a rotational atherectomy extractor for fibroids, comprising: the device comprises a myoma rotary cutting device and a myoma rotary conveying device, wherein the myoma rotary conveying device is matched with the myoma rotary cutting device;
the myoma rotary conveying device comprises a handle I, a rotary conveying cutter and a rear seat, wherein the handle I is positioned at one end of the rear seat and fixedly connected with the rear seat, a gear reduction stress application mechanism I and a motor I are arranged in the rear seat, and the gear reduction stress application mechanism I is respectively connected with the rotary conveying cutter and the motor I; the front half part of the rear seat is of a cylindrical structure with a ring sleeve rotary cutter, and the side surface of the rear seat is provided with an opening which is a discharge hole and is used for discharging myoma tissues;
the myoma rotary cutting device comprises a handle II, a rotary drum and a drum base, wherein the handle II is fixedly connected with the drum base, the rotary drum is sleeved on the inner surface of the drum base, a motor II is arranged in the handle II, a gear reduction stress application mechanism II is arranged in the drum base, and the gear reduction stress application mechanism II is respectively connected with the rotary drum and the motor II; one end of the rotary drum is of a sawtooth-shaped structure with open tough and sharp teeth, and the other end of the rotary drum is positioned in the drum seat.
The front sleeve structures of the rotary cutter and the rear seat of the myoma rotary feeding device can be respectively inserted and sleeved on the cylinder seat of the myoma rotary cutting device, and a power line communication circuit is arranged between the two devices.
Furthermore, the spiral feeding knife consists of a conveying shaft and a spiral blade, wherein the spiral blade spirally advances on the conveying shaft, and the tail end of the spiral blade is gradually contracted to form a sharp and slender knife tip.
Further, one part of the rotary feeding knife is positioned inside the cylinder seat, and the other part of the rotary feeding knife is positioned outside the cylinder seat.
Further, handle I is equipped with the start button, divide into gear 1 and gear 2, gear 1 is used for starter motor I, gear 2 is used for starter motor I and motor II simultaneously.
Further, handle I, handle II are equipped with the power cord respectively and insert the mouth, but motor I, motor II, start button and power pass through the power cord and pull out the formula intercommunication of inserting respectively for control myoma changes the use of cutting the device, myoma and send the device soon.
Furthermore, a rotating shaft of the motor I is connected with a conveying shaft of the rotary conveying knife by the gear speed reducing and force applying mechanism I, and the gear speed reducing and force applying mechanism I is used for driving the conveying shaft of the rotary conveying knife to rotate.
Furthermore, the gear speed reducing and force applying mechanism II is used for connecting a rotating shaft of the motor II with the rotating drum and is used for driving the rotating drum to rotate.
Further, the spiral diameter of the spiral feeding knife is about 1.5-2.0cm, and the pitch of the spiral feeding knife is about 0.5-1 cm.
Furthermore, the central bulge part of the cylinder seat contains a part of a gear speed change structure, and the other end of the cylinder seat is open and can be inserted into a sleeve at the front end of the rear seat.
Further, the diameter of the rotary drum is 1-3mm larger than the spiral diameter of the spiral feeding knife, and the length of the rotary drum is about 10-20 cm.
Further, when the rotary feeding knife is completely inserted into the rotary drum, the tail end knife tip of the rotary feeding knife is about 0.5-1cm longer than the rotary drum.
Further, the rotating direction of the rotary feeding knife is favorable for the rotary feeding propelling direction and is opposite to the rotating direction of the rotary drum.
Further, the rotating speed of the rotary knife is about 50-200 rpm, and the rotating speed of the rotary drum is about 100-300 rpm.
Furthermore, the periphery of the motor I and the periphery of the motor II are both in a sealed waterproof design, so that the disinfection and the recycling of the whole instrument device are facilitated.
The invention has the beneficial effects that:
the invention breaks through the thinking of the traditional forceps holder and cutting, skillfully utilizes the principle of spiral transmission, and adds a sharp tool bit which is arranged at the front end of the spiral blade and is used for cutting myoma and guiding the spiral cutter to advance; the rotation of the rotary cutter can convey out the cut myoma and provide forward power for the rotary cutter. In addition, the pick-up bag is matched for use, the abdominal cavity planting and spreading of the potential malignant myoma can be avoided, the tension of the pick-up bag is pulled to form powerful fixation on the myoma, and the firmness degree of the pick-up bag is far stronger than that of the traditional clamp fixation. Therefore, compared with the traditional myoma drill, the device has the advantages of obvious advantages, simplicity in operation, higher efficiency, higher safety, wider application range and the like, and has a very wide application prospect.
(1) Solves the problem that the tool for taking myoma in the pick-up bag is lack
The abdominal cavity planting of present for avoiding potential malignant myoma is broadcast, it takes out to place it in picking up the thing bag, because the instrument lacks and lacks, can only adopt the forceps holder, the mode that the scalpel is cut is gone on, efficiency is extremely low, waste time and energy, increase operation time, anesthesia expense and operation risk, this device is because of utilizing the big tongs that is used for the forceps holder in the screw bit replaces traditional myoma to bore, the required space of operation has greatly been saved, consequently can carry out the efficient cutting in narrow and small picking up the thing bag, this kind of mode of getting the myoma also can popularize and apply to taking out of ordinary myoma.
(2) Greatly improving the myoma taking-out efficiency
Due to the characteristics that most myoma tissues are fragile, fragile and easy to break, the myoma tissues are often broken when the traditional myoma drill is used, so that the cut myoma tissues are also failed to be taken out (because the other end of the myoma tissues is still connected with the myoma mass body). The invention adopts the transmission of the rotary cutter, the spiral blade advances and cuts in the myoma in a spiral way, and the fracture of the myoma is not easy to cause because of no traction, and even if the myoma tissue is fractured, the fractured tissue is still positioned between the rotary cutter blades in the rotary drum and can be pushed out by the newly cut myoma tissue in the next cutting.
(3) Simple operation and wide application range
When the traditional myoma drill is used, the myoma needs to be fixed by clamping points and needs to be continuously adjusted. The method for fixing the myoma by the pick-up bag is adopted, the surrounding of the myoma is fixed, and the fixed position does not need to be adjusted repeatedly, so that the method is firmer and simpler; in addition, the invention can be applied to the taking out of the singly excavated myoma through an abdominal wall incision and the taking out of the uterus (combined myoma) through the vagina after the uterus is completely resected, thereby having wider application range and very wide prospect.
Drawings
Fig. 1 is a schematic structural view of a handle and a backseat of the myoma rotary-cut extractor of the invention;
FIG. 2 is a schematic view of a rotary cutter of the myoma rotary-cut extractor of the present invention;
FIG. 3 is a schematic structural view of a myoma rotary delivery device of the myoma rotary-cut extractor of the present invention;
fig. 4 is a schematic structural view of a myoma rotary-cut device of the myoma rotary-cut extractor of the invention;
FIG. 5 is a schematic view of the myoma rotary-cut extractor of the present invention;
in the figure: 1. the device comprises handles I and 11, a starting button 12, power line inlets and outlets I and 13, a rear seat 14, a discharge port 15 and a gear speed reduction stress application mechanism I; 16. a motor I;
2. a conveying shaft 21, a spiral blade 22 and a knife tip;
3. the handle II, 31, the motor II, 32, the dentate knife 33, the rotary drum 34, the power line access port II, 35, the gear speed reducing and force applying mechanism II, 36, the central bulge 37 and the drum seat;
51. the device comprises a collecting bag 52, an abdominal wall or a vaginal wall 53, myoma masses 54, power lines I and 55 and a power line II.
Detailed Description
The following non-limiting examples will allow one of ordinary skill in the art to more fully understand the present invention, but are not intended to limit the invention in any way.
The device is described in further detail below with reference to the accompanying drawings.
As shown in fig. 1-4, a myoma rotary-cut extractor is divided into two parts, namely a myoma rotary-delivery device (fig. 3) and a myoma rotary-cut device (fig. 4); FIG. 3: the myoma rotary delivery device comprises a handle, a rear seat (figure 1) and a rotary delivery knife (figure 2); FIG. 1: the handle and the rear seat are integrated; FIG. 2: the spiral blade is integrated with the conveying shaft.
The operation and working principle of the present invention are described in the following by the specific embodiments.
Example 1
As shown in fig. 1-5, a fibroid rotational atherectomy extractor comprises: the device comprises a myoma rotary cutting device and a myoma rotary conveying device, wherein the myoma rotary conveying device is matched with the myoma rotary cutting device;
myomata send the device soon and include handle I1, send sword and back seat 13 soon, handle I1 is located the one end of back seat, handle I1 and 13 fixed connection of back seat, be equipped with gear reduction power mechanism I15 and motor I16 in the back seat 13, gear reduction power mechanism I15 is connected with sending sword and motor I16 soon respectively. The front half part of the rear seat 13 is a tubular structure with a ring sleeve rotary cutter, and the side surface of the rear seat 13 is provided with an opening which is a discharge hole 14 and is used for discharging myoma tissues. The spiral feeding knife consists of a conveying shaft 2 and a spiral blade 21, wherein the spiral blade 21 spirally advances on the conveying shaft 2, and the tail end of the spiral blade is gradually contracted to form a sharp and slender knife point 22. One part of the rotary feeding knife is positioned inside the cylinder seat 13, and the other part of the rotary feeding knife is positioned outside the cylinder seat 13. The rotating shaft of the motor I16 is connected with the conveying shaft 2 of the rotary feeding knife through a gear speed reducing and force applying mechanism I15, and the gear speed reducing and force applying mechanism I15 is used for driving the conveying shaft 2 of the rotary feeding knife to rotate. The spiral diameter of the spiral feeding knife is about 1.5-2.0cm, and the pitch of the spiral feeding knife is about 0.5-1 cm.
The myoma rotary cutting device comprises a handle II 3, a rotary drum 33 and a drum base 37, the handle II 3 is fixedly connected with the drum base 37, the rotary drum 33 is sleeved on the inner surface of the drum base 37, a motor II 31 is arranged in the handle II 3, a gear speed reducing and force applying mechanism II 35 is arranged in the drum base 37, and the gear speed reducing and force applying mechanism II 35 is respectively connected with the rotary drum 33 and the motor II 31; one end of the rotary drum 33 is a toothed knife 32 with a saw-toothed structure and a sharp tooth, and the other end is positioned in a drum seat 37. The rotating shaft of the motor II 31 is connected with the rotary drum 33 through a gear speed reducing and force adding mechanism II 35, and the gear speed reducing and force adding mechanism II 35 is used for driving the rotary drum 33 to rotate. The central boss 36 of the cartridge holder 37 contains a part of the gear change mechanism, and the other end of the cartridge holder is open and is insertable into a sleeve at the front end of the rear holder 13.
The myoma rotary feeding device is characterized in that a rotary feeding knife and a sleeve structure at the front part of the rear seat 13 can be respectively inserted into and sleeved on a cylinder seat 37 of the myoma rotary cutting device, and a power line communication circuit is arranged between the two devices. The diameter of the drum 33 is 2mm larger than the spiral diameter of the rotary feed knife, and the length of the drum 33 is about 10 cm. When the rotary cutter is fully inserted into the drum 33, the end tip of the rotary cutter is about 330.5 cm longer than the drum. Handle I1 is equipped with start button 11, divide into gear 1 and gear 2, gear 1 is used for starter motor I16, gear 2 is used for starting motor I16 and motor II 31 simultaneously. Handle I1 is equipped with the power cord and inserts mouth I12, and handle II 3 is equipped with power cord and inserts mouth II 34, power cord inserts mouth I12 and motor I16, start button 11 electric connection, and power cord inserts mouth I12 and can pull out the formula intercommunication through power cord I54 with external power, and power cord inserts mouth II 34 and motor II 31, start button 11 electric connection, and power cord inserts mouth II 34 and can pull out the formula intercommunication through power cord II 55 and power cord insert mouth I12.
The direction of rotation of the rotary feed knife is favorable for the rotary feed propulsion direction and is opposite to the direction of rotation of the drum 33. The rotational speed of the rotary feed knife is about 100 rpm and the rotational speed of the drum 33 is about 150 rpm.
Example 2
As shown in fig. 1-5, a fibroid rotational atherectomy extractor comprises: the device comprises a myoma rotary cutting device and a myoma rotary conveying device, wherein the myoma rotary conveying device is matched with the myoma rotary cutting device;
myomata send the device soon and include handle I1, send sword and back seat 13 soon, handle I1 is located the one end of back seat, handle I1 and 13 fixed connection of back seat, be equipped with gear reduction power mechanism I15 and motor I16 in the back seat 13, gear reduction power mechanism I15 is connected with sending sword and motor I16 soon respectively. The front half part of the rear seat 13 is a tubular structure with a ring sleeve rotary cutter, and the side surface of the rear seat 13 is provided with an opening which is a discharge hole 14 and is used for discharging myoma tissues. The spiral feeding knife consists of a conveying shaft 2 and a spiral blade 21, wherein the spiral blade 21 spirally advances on the conveying shaft 2, and the tail end of the spiral blade is gradually contracted to form a sharp and slender knife point 22. One part of the rotary feeding knife is positioned inside the cylinder seat 13, and the other part of the rotary feeding knife is positioned outside the cylinder seat 13. The rotating shaft of the motor I16 is connected with the conveying shaft 2 of the rotary feeding knife through a gear speed reducing and force applying mechanism I15, and the gear speed reducing and force applying mechanism I15 is used for driving the conveying shaft 2 of the rotary feeding knife to rotate. The spiral diameter of the spiral feeding knife is about 1.5-2.0cm, and the pitch of the spiral feeding knife is about 0.5-1 cm.
The myoma rotary cutting device comprises a handle II 3, a rotary drum 33 and a drum base 37, the handle II 3 is fixedly connected with the drum base 37, the rotary drum 33 is sleeved on the inner surface of the drum base 37, a motor II 31 is arranged in the handle II 3, a gear speed reducing and force applying mechanism II 35 is arranged in the drum base 37, and the gear speed reducing and force applying mechanism II 35 is respectively connected with the rotary drum 33 and the motor II 31; one end of the rotary drum 33 is a toothed knife 32 with a saw-toothed structure and a sharp tooth, and the other end is positioned in a drum seat 37. The rotating shaft of the motor II 31 is connected with the rotary drum 33 through a gear speed reducing and force adding mechanism II 35, and the gear speed reducing and force adding mechanism II 35 is used for driving the rotary drum 33 to rotate. The central boss 36 of the cartridge holder 37 contains a part of the gear change mechanism, and the other end of the cartridge holder is open and is insertable into a sleeve at the front end of the rear holder 13.
The myoma rotary feeding device is characterized in that a rotary feeding knife and a sleeve structure at the front part of the rear seat 13 can be respectively inserted into and sleeved on a cylinder seat 37 of the myoma rotary cutting device, and a power line communication circuit is arranged between the two devices. The diameter of the drum 33 is 2mm larger than the spiral diameter of the rotary feed knife, and the length of the drum 33 is about 10 cm. When the rotary cutter is fully inserted into the drum 33, the end tip of the rotary cutter is about 330.5 cm longer than the drum. Handle I1 is equipped with start button 11, divide into gear 1 and gear 2, gear 1 is used for starter motor I16, gear 2 is used for starting motor I16 and motor II 31 simultaneously. Handle I1 is equipped with the power cord and inserts mouth I12, and handle II 3 is equipped with power cord and inserts mouth II 34, power cord inserts mouth I12 and motor I16, start button 11 electric connection, and power cord inserts mouth I12 and can pull out the formula intercommunication through power cord I54 with external power, and power cord inserts mouth II 34 and motor II 31, start button 11 electric connection, and power cord inserts mouth II 34 and can pull out the formula intercommunication through power cord II 55 and power cord insert mouth I12.
The direction of rotation of the rotary feed knife is favorable for the rotary feed propulsion direction and is opposite to the direction of rotation of the drum 33. The rotational speed of the rotary feed knife is about 100 rpm and the rotational speed of the drum 33 is about 150 rpm. The periphery of the motor I16 and the periphery of the motor II 31 are both in a sealed waterproof design, so that the disinfection and the recycling of the whole instrument device are facilitated.
Application process and working principle
As shown in fig. 1-5, when the device is applied, the myoma mass 53 is put into the object collecting bag 51, the opening of the object collecting bag 51 is pulled out through the incision of the abdominal wall 52 or the vagina 52, and the opening of the object collecting bag 51 is pulled to the periphery and is kept at a certain tension, so that the myoma can be fixed. The power cord I54 and the power cord II 55 are communicated, the handle I1 is held by the right hand, the handle II 3 is held by the left hand, a rotary cutter (shown in figure 2) is completely inserted into the rotary cutting cylinder 33, the cutter point 22 is exposed by 0.5-1cm, the cutter point 22 is attached to the myoma mass 53, the button 11 is started to the gear 1, the rotary cutter point 22 penetrates into the myoma mass 53, the switch 11 is pressed to the gear 2, the rotary cutter advances and cuts in the myoma mass 53 with the assistance of the toothed cutter 32 of the rotary cylinder 33, and the cut fibroids are continuously conveyed backwards to the discharge hole 14 to be discharged. But the manual control of rotary-cut sword forward speed, when the tool bit is about to reach myomata mass 53 edge, can stop the advance of rotary-cut sword artificially, the myomata tissue is cut off and is stayed in rotary drum 33 this moment, need not to take out rotary-cut sword from rotary drum 33 this moment, can continue the rotary-cut, new cutting myomata tissue can push the myomata tissue of last cutting to the discharge gate, consequently, can carry out continuous incessant cutting to myomata mass 53 tissue, the efficiency of very big improvement rotary-cut, save time, physical power.
It will be apparent to those skilled in the art from this disclosure that many changes and modifications can be made, or equivalents modified, in the embodiments of the invention without departing from the scope of the invention. Therefore, any simple modification, equivalent change and modification made to the above embodiments according to the technical essence of the present invention shall still fall within the protection scope of the technical solution of the present invention, unless the contents of the technical solution of the present invention are departed.