Disposable arthroscope soft sleeve
Technical Field
The utility model relates to the field of surgical instruments, in particular to a disposable arthroscope soft sleeve.
Background
An arthroscope is a rod-like optical instrument with a diameter of about 5MM for observing the internal structure of a joint, and is an endoscope for diagnosing and treating joint diseases. The arthroscope is provided with a lens at the end part of a thin tube, the thin tube is inserted into the joint, and the structure in the joint is displayed on a monitor. Thus, the internal structure of the joint can be directly observed. Arthroscopes have been widely used not only for the diagnosis of diseases but also for the treatment of joint diseases.
In arthroscopic surgery, when instruments with large wounds such as a planer and a grinding drill are used, the instruments repeatedly enter and exit the channel, so that a plurality of joint capsules are easy to be crevasse, and the possibility of damaging important tissues of nerve and blood vessels is increased. Particularly, in the shoulder arthroscopy operation, because shoulder muscles are thick, the anatomical levels through which the self-body surface enters the joint cavity are more, and slight direction change can mistakenly enter other levels, so that the tool cannot be placed in the working position. Therefore, it is generally necessary to establish a working channel percutaneously with a cannula so that other arthroscopic surgical tools can enter the joint cavity through the channel to complete the entire surgical procedure within the joint cavity. The outer wall of the existing sleeve is provided with threads, the sleeve can be rotated into a joint part, so that a working channel is established, the friction between the sleeve and a local anatomical structure is large due to the using mode, the local anatomical structure is easy to have a large number of scratches, and the damage of the local anatomical structure can be aggravated. In addition, due to poor sealing performance of the threaded sleeve, a large amount of lavage liquid is often overflowed in the operation process, and the visual field definition of an operation area is reduced.
Disclosure of Invention
In order to solve the problem, the utility model provides a soft sleeve pipe of disposable arthroscope has both avoided the soft tissue damage that the helicitic texture among the prior art caused, regulation and the position of locking soft sleeve pipe that again can be quick, has both guaranteed the business turn over of arthroscope apparatus, can effectively prevent a large amount of overflows of lavage liquid again, and stability is good, and the commonality is strong.
The utility model discloses a disposable arthroscope soft sleeve, including pipe end, body, pipe end, draw-in groove fixed block, pipe end, body and pipe end integration make, the middle part is equipped with working channel through, the pipe end extends to the outside of body, forms low flange structure, the pipe end extends to the outside of body, forms funnel horn mouth form, draw-in groove fixed block cover is located on the body, and can promote along the body is gone back and forth, evenly the interval is equipped with at least two first bellyings on the body, forms the draw-in groove between two first bellyings, be equipped with the second bellyings with draw-in groove size looks adaptation on the draw-in groove fixed block, the pipe end with the pipe end is put into the two-layer inside and outside of soft tissue respectively, will after the body is fixed in the soft tissue incision, promote the draw-in groove fixed block to hug closely the soft tissue skin, and rotating the clamping groove fixing block to place the second protruding part in the clamping groove, so that the tube body is locked in the soft tissue incision. The utility model discloses a sleeve pipe can promote the draw-in groove fixed block fast to locking sheathed tube position, spiral locking is faster more convenient among the prior art, has saved locking time greatly, has reduced operation operating time.
As a further improvement, the disposable arthroscope soft sleeve material is made of silica gel. The soft tissue incision surgical instrument is made of a silica gel material, is soft and deformable, can reduce damage to human tissues as much as possible, and can conveniently pass through soft tissue incisions needing surgery.
As a further improvement, the disposable arthroscope soft sleeve is characterized by further comprising a bonding fixing piece, a first sealing piece and a second sealing piece, wherein the bonding fixing piece, the first sealing piece and the second sealing piece are sequentially arranged inside the tube tail, the bonding fixing piece is bonded inside the tube tail, and the first sealing piece and the second sealing piece are fixed inside the tube tail, a three-fork cut is formed in the center of the bonding fixing piece, a first six-fork cut is formed in the center of the first sealing piece, and a second six-fork cut is formed in the center of the second sealing piece. The pipe tail entrance has set up bonding stationary blade and two-layer gasket, and the seepage of lavage liquid in can the minimize art, bonding stationary blade, first gasket and second gasket material are the silica gel material, can be better with the laminating of pipe tail guarantees the leakproofness, the better seepage that prevents lavage liquid in the art.
As the utility model discloses further improve, be equipped with first gasket through-hole and first gasket bellying on the first gasket, the second gasket is equipped with second gasket bellying and second gasket through-hole, the second gasket through-hole with second gasket bellying size looks adaptation, first gasket bellying with second gasket through-hole size looks adaptation. The two sealing sheets are connected by the structure, so that the installation is more convenient and the sealing performance is stronger.
As a further improvement, the utility model discloses at least a card wire casing has been seted up on the pipe tail edge. The wire clamping groove can be used for fixing and clamping wires used in the operation.
As a further improvement, the disposable arthroscope soft sleeve further comprises a valve port and a bolt cap, the valve port is cylindrical, a valve port connecting hole communicated with the valve port is formed in the tube body, and the bolt cap is used for sealing the valve port. The valve port is arranged, and liquid required in the operation, such as physiological saline or epinephrine and the like, can be filled into the joint cavity through the valve port in the operation. The cap with the bolt is connected to the bottom end of the valve port, so that medical staff can conveniently seal the valve port at any time according to needs.
The utility model has the advantages that:
1) the material is soft and deformable, so that the damage to human tissues can be reduced as much as possible, and the operation incision can be conveniently accessed.
2) The wire used in the clamping operation can be fixed by adopting the wire clamping groove.
3) The valve port can be selectively arranged, and medical personnel can select to use the sleeve pipe with the valve port and the sleeve pipe without the valve port according to the operation requirement, thereby being convenient and practical.
4) Medical instrument inserts from the pipe tail, and the incision that passes through bonding stationary blade (5), first gasket (6), second gasket (7) in proper order passes through working channel (8), comes out from the pipe end, reaches the soft tissue inlayer that needs the operation, and the leakage of the liquid that fills in can minimizing the art is arranged to two-layer gasket.
5) The clamping groove fixing block (4) is arranged, the position of the sleeve can be quickly locked by using a structure fixing mode of matching the lug boss with the clamping groove, the locking is quicker and more convenient than the spiral locking in the prior art, the locking time is greatly saved, and the operation time is reduced. The position of the locking soft sleeve can be adjusted, and the distance between the clamping groove fixing block and the pipe end can be adjusted according to the condition of a patient, so that the sleeve is suitable for different patient requirements, and the universal performance of the sleeve is realized.
6) The adhesive fixing piece and the sealing piece are provided with cuts, the adhesive fixing piece is a three-fork cut, the sealing piece is a six-fork cut, the positions of the cuts are staggered, the surgical instruments can be guaranteed to pass through smoothly on the premise of playing a waterproof role, and the sealing performance is enhanced.
7) The structure is simple and easy to manufacture, the price is low, and the practicability is strong.
Drawings
FIG. 1 is a schematic view of the overall structure of a disposable arthroscopic hose cover;
FIG. 2 is a schematic front view of a disposable arthroscopic hose cover;
FIG. 3 is a right side view of FIG. 1;
FIG. 4 is a left side view of FIG. 1;
FIG. 5 is a schematic view of section B-B of FIG. 2;
FIG. 6 is an enlarged schematic view of detail E of FIG. 5;
FIG. 7 is a schematic front view of the adhesive fastening sheet of FIG. 6;
FIG. 8 is a schematic front view of the first sealing disc of FIG. 6;
FIG. 9 is a schematic front view of the second seal flap of FIG. 6;
FIG. 10 is an enlarged view of portion A of FIG. 1;
FIG. 11 is an enlarged view of portion C of FIG. 2;
FIG. 12 is an enlarged view of portion D of FIG. 4;
FIG. 13 is a schematic cross-sectional view of the clamping groove fixing block and the pipe body in FIG. 1 in an adjusted state;
FIG. 14 is a cross-sectional view of the locking slot fixture block and the tube body of FIG. 1 in a locked state;
FIG. 15 is a schematic structural view of example 2;
the device comprises a mark 1, a pipe end 2, a pipe body 2, a first bulge 2-1, a clamping groove 2-3, a valve port connecting hole 3, a pipe tail 3-1, a wire clamping groove 4, a clamping groove fixing block 4-1, a second bulge 5, an adhesive fixing piece 5-1, a three-fork cut 6, a first sealing piece 6-1, a first sealing piece through hole 6-2, a first sealing piece bulge 6-3, a first six-fork cut 7, a second sealing piece 7-1, a second sealing piece bulge 7-2, a second through hole 7-3, a second six-fork cut 8, a working channel 9, a valve port 10 and a bolt cap.
Detailed Description
The technical solutions in the embodiments of the present invention will be described clearly and completely with reference to the accompanying drawings in the embodiments of the present invention, and it is obvious that the described embodiments are only some embodiments of the present invention, not all embodiments. Based on the embodiments of the present invention, all other embodiments obtained by a person of ordinary skill in the art without creative efforts belong to the protection scope of the present invention.
As shown in fig. 1-14, the disposable arthroscope soft cannula provided by the present invention comprises a tube end 1, a tube body 2, a tube tail 3, a slot fixing block 4, wherein the tube end 1, the tube body 2 and the tube tail 3 are integrally formed, a working channel 8 is penetratingly arranged at the middle part, the tube end 1 extends to the outside of the tube body 2 to form a low flange structure, the tube tail 3 extends to the outside of the tube body 2 to form a funnel-shaped bell mouth, the slot fixing block 4 is sleeved on the tube body 2 and can push back and forth along the tube body 2, at least two first protrusions 2-1 are uniformly arranged on the tube body 2 at intervals, a slot 2-2 is formed between the two first protrusions 2-1, a second protrusion 4-1 matched with the slot 2-2 in size is arranged on the slot fixing block 4, the pipe end 1 and the pipe tail 3 are respectively arranged in an inner layer and an outer layer of soft tissue, after the pipe body 2 is fixed in the soft tissue incision, the clamping groove fixing block 4 is pushed to be tightly attached to the outer layer of the soft tissue, the clamping groove fixing block 4 is rotated, and the second protruding portion 4-1 is arranged in the clamping groove 2-2, so that the pipe body 2 is locked in the soft tissue incision. The utility model discloses a sleeve pipe can promote draw-in groove fixed block 4 fast to locking sheathed tube position, spiral locking is faster more convenient among the prior art, has saved locking time greatly, has reduced operation operating time.
The disposable arthroscope soft sleeve material is made of silica gel. The soft tissue incision surgical instrument is made of a silica gel material, is soft and deformable, can reduce damage to human tissues as much as possible, and can conveniently pass through soft tissue incisions needing surgery.
The disposable arthroscope soft sleeve is characterized by further comprising a bonding fixing piece 5, a first sealing piece 6 and a second sealing piece 7, wherein the bonding fixing piece 5, the first sealing piece 6 and the second sealing piece 7 are sequentially arranged inside the tube tail 3, the bonding fixing piece 5 is bonded inside the tube tail 3, the first sealing piece 6 and the second sealing piece 7 are fixed inside the tube tail 3, a three-fork notch 5-1 is formed in the center of the bonding fixing piece 5, a first six-fork notch 6-3 is formed in the center of the first sealing piece 6, and a second six-fork notch 7-3 is formed in the center of the second sealing piece 7. 3 entrances of pipe tail have set up bonding stationary blade and two-layer gasket, can the leakage of lavage liquid in the minimizing art, bonding stationary blade 5, first gasket 6 and 7 materials of second gasket are the silica gel material, can be better with the laminating of pipe tail 3 guarantees the leakproofness, the better seepage that prevents lavage liquid in the art.
The improved sealing structure is characterized in that a first sealing piece through hole 6-1 and a first sealing piece protruding portion 6-2 are formed in the first sealing piece 6, a second sealing piece protruding portion 7-1 and a second sealing piece through hole 7-2 are formed in the second sealing piece 7, the second sealing piece through hole 7-2 and the second sealing piece protruding portion 7-1 are matched in size, and the first sealing piece protruding portion 6-2 and the second sealing piece through hole 7-2 are matched in size. The two sealing sheets are connected by the structure, so that the installation is more convenient and the sealing performance is stronger.
At least 2 wire clamping grooves are formed in the edge of the tube tail 3. The wire clamping groove can be used for fixing and clamping wires used in the operation.
As shown in fig. 15, the disposable arthroscopic soft sleeve further comprises a valve port 9 and a cap with a bolt 10, wherein the valve port 9 is cylindrical, a valve port connecting hole 2-3 communicated with the valve port 9 is formed in the tube body 2, and the cap with a bolt 10 is used for sealing the valve port 9. The valve port is arranged, and liquid required in the operation, such as physiological saline or epinephrine and the like, can be filled into the joint cavity through the valve port in the operation. The cap with the bolt is connected to the bottom end of the valve port, so that medical staff can conveniently seal the valve port at any time according to needs, and the medical staff can select to use the valve port according to needs of patients by virtue of the sleeve with the valve port and the sleeve without the valve port.
The operation process is as follows:
1. clamping the tube end 1 of the soft cannula by using an operating forceps, inserting the tube end 1 into an incision from the incision of an operation, loosening the operating forceps to restore the original shape of the tube end 1,
2. the clamping groove fixing block 4 is pushed to the outer surface of the soft tissue of the patient, the clamping groove fixing block 4 is rotated until the second protruding part 4-1 is clamped into the clamping groove 2-2, and therefore the soft cannula is locked in the soft tissue incision of the patient.
The utility model has the advantages that:
1) the material is soft and deformable, so that the damage to human tissues can be reduced as much as possible, and the operation incision can be conveniently accessed.
2) The wire used in the clamping operation can be fixed by adopting the wire clamping groove.
3) The valve port can be selectively arranged, and medical personnel can select to use the sleeve pipe with the valve port and the sleeve pipe without the valve port according to the operation requirement, thereby being convenient and practical.
4) Medical instrument inserts from the pipe tail, and the incision that passes through bonding stationary blade 5, first gasket 6, second gasket 7 in proper order passes through working channel 8, comes out from the pipe end, reaches the soft tissue inlayer that needs the operation, and the leakage of the liquid that fills in can minimizing the art is sealed in the setting of two-layer gasket.
5) Set up draw-in groove fixed block 4, utilize bellying and draw-in groove complex fixed mode of structure, can lock sheathed tube position fast, it is faster more convenient than screw locking among the prior art, saved locking time greatly, reduced operation time. The position of the locking soft sleeve can be adjusted, and the distance between the clamping groove fixing block and the pipe end can be adjusted according to the condition of a patient, so that the sleeve is suitable for different patient requirements, and the universal performance of the sleeve is realized.
6) The adhesive fixing piece and the sealing piece are provided with cuts, the adhesive fixing piece is a three-fork cut, the sealing piece is a six-fork cut, the positions of the cuts are staggered, the surgical instruments can be guaranteed to pass through smoothly on the premise of playing a waterproof role, and the sealing performance is enhanced.
7) The structure is simple and easy to manufacture, the price is low, and the practicability is strong.
The above description is only a preferred embodiment of the present invention, and is not intended to limit the present invention in any way, but also to cover any modifications or equivalent changes made in the technical spirit of the present invention, which fall within the scope of the present invention.