Round internal cutting closer for grinding glass nodules under lung pleural membrane and operation method of round internal cutting closer for grinding glass nodules under lung pleural membrane

By designing a circular intracuting closure for subpleural ground glass nodules in the lungs, including a manipulating grip, cutting mechanism and pulling mechanism, the problem of difficulty in clamping and removing lung nodules during cutting in the prior art is solved, and precise cutting and safe removal of lung nodules are achieved.

CN120189224AInactive Publication Date: 2025-06-24TONGJI HOSPITAL ATTACHED TO TONGJI MEDICAL COLLEGE HUAZHONG SCI TECH
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Patent Information

Application Number
CN202510608365.0
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2025-05-12
Publication Date
2025-06-24
Estimated Expiration
Not applicable · inactive patent

AI Technical Summary

Technical Problem

The existing CT-guided percutaneous puncture pulmonary nodule cutter cannot be clamped at the designated position of the lungs, resulting in easy removal of healthy lung tissue during cutting, and the cut lung nodule tissue is inconvenient to remove and easily fall off.

Method used

A circular intracutting closure for subpleural ground glass nodules in the lungs is designed, including a manipulating grip, a cutting mechanism and a pulling mechanism. The cutting mechanism drives the gear bars and arc teeth through a small motor to achieve clamping and laser cutting of the lung nodules; the pulling mechanism uses a pulling rope and rubber rod to grab and drag out the cut lung nodules tissue.

Benefits of technology

Accurate clamping and cutting of the lung nodule site is achieved, avoiding damage to healthy tissues, and facilitates the removal of the cut lung nodule tissue, improving the safety and success rate of the surgery.

✦ Generated by Eureka AI based on patent content.

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Abstract

The invention relates to the technical field of circular internal cutting occluders, in particular to a circular internal cutting occluder for grinding glass nodules under lung pleura, which comprises a control grip, one side of the control grip is provided with a control mechanism, one end of the control grip is fixedly connected with a fixed shell, and one side of the fixed shell is fixedly connected with a data processing mechanism. A fixed long cylinder is fixedly connected to one side of the control grip, a circular cutting outer cylinder is arranged at one end of the fixed long cylinder, a plurality of circular cutting inner cylinders are fixedly installed in the circular cutting outer cylinder, and when the cut pulmonary nodule part is dragged out, a sliding block on a guide rod is driven to slide through pulling of a traction rope; and in the sliding process of the sliding block, the traction rubber rod on the side is driven, so that the traction rubber rod pulls the gripper to grasp and drag out the cut pulmonary nodule part.
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Description

Technical Field

[0001] The present invention relates to the technical field of circular internal cutting closure devices, and in particular to a circular internal cutting closure device for subpleural ground glass nodules of the lungs and an operation method thereof. Background Art

[0002] Ground-glass nodules are a term used to describe a type of nodular shadow in thin-layer CT images of the lungs. This indicates that there are focal nodular density-enhanced shadows in the lungs, with clear or unclear shadow boundaries. Moreover, the density of the lesions is not enough to cover up the deformed bronchial vascular bundles. This typical sign is called a ground-glass density nodule, which is like a small piece of ground glass covering the lung tissue.

[0003] Among them, the "CT-guided percutaneous puncture of lung nodules cutter" disclosed in the application number "CN116019500B" is also an increasingly mature technology, which "includes an outer sheath puncture guide needle and a net bag-shaped electromagnetic cutting system, a hollow sleeve is arranged in the outer sheath puncture guide needle, and a net bag-shaped electromagnetic cutting system is arranged in the space between the outer sheath puncture guide needle and the hollow sleeve, and the main body of the net bag-shaped electromagnetic cutting system is made of a tubular polymer shape memory material, and at the same time, the position of the tubular shape toward the tip of the outer sheath puncture guide needle is integrally formed into two net bags; the invention ensures the comfort of patients, the safety of doctors' operation, and the effectiveness of pathological sampling, so that medical personnel engaged in puncture biopsy can use this lung nodule puncture cutter, which is simple and easy to operate, safe and accurate in positioning, and significantly improves the success rate of pathological diagnosis of lung nodules, while reducing the economic burden of patients and improving their comfort; it is also conducive to promoting and popularizing percutaneous cutting biopsy of lung nodules under CT guidance.

[0004] However, the above-mentioned CT-guided percutaneous puncture lung nodule cutter design has the following disadvantages: the lung nodule cutter cannot clamp at a designated position of the lung, which may easily cause the laser cutter to remove healthy lungs during cutting, and it is impossible to clamp and fix the lung nodule site in advance for cutting. At the same time, when the cut lung nodule tissue is removed from the lung, it is not convenient to grasp and remove it, which may easily cause it to fall off.

[0005] Therefore, it is necessary to provide a circular inner cutting closure device for subpleural ground glass nodules of the lung and an operation method thereof to solve the above problems. Summary of the invention

[0006] In view of the deficiencies in the prior art, the present invention provides a circular internal cutting closure device for subpleural ground glass nodules of the lung and an operating method thereof, which solves the problems raised in the background technology.

[0007] To achieve the above object, the present invention provides the following technical solution: a circular internal cutting and closing device for subpleural ground-glass nodules in the lungs, comprising a control grip, a control mechanism is arranged on one side of the control grip, a fixed shell is fixedly connected to one end of the control grip, a data processing mechanism is fixedly connected to one side of the fixed shell, a fixed long tube is fixedly connected to one side of the control grip, a circular cutting outer tube is arranged at one end of the fixed long tube, a plurality of circular cutting inner tubes are fixedly installed inside the circular cutting outer tube, a cutting mechanism is arranged inside each circular cutting inner tube, a pulling mechanism is arranged inside the circular cutting outer tube, a cover plate is arranged at the opening of the circular cutting outer tube, and a plurality of slotted holes are formed in the cover plate.

[0008] Preferably, the control mechanism includes a Z-shaped engaging groove formed at the top of the control grip, an engaging block is inserted into the Z-shaped engaging groove, a sleeve is arranged inside the control grip, an inserting rod is inserted into the sleeve, a return spring is sleeved outside the inserting rod, one end of the return spring is fixedly connected to the top end of the inserting rod, the other end of the return spring is fixedly connected to one side of the sleeve, a pulling member is movably connected to one side of the sleeve, one end of the pulling member is movably connected to one side of the bottom of the control grip, a pulling rope is fixedly connected to one end of the inserting rod, and the bottom end of the engaging block is fixedly connected to the pulling rope inside the control grip.

[0009] Preferably, the data processing mechanism includes a force-sensitive sensor installed inside the fixed long tube, a displacement sensor is arranged on one side of the force-sensitive sensor, a wireless signal receiving module is fixedly connected to the top of the fixed shell, a wireless signal transmitting module is arranged on one side of the wireless signal receiving module, and a data analysis module is arranged on one side of the wireless signal transmitting module.

[0010] Preferably, the cutting mechanism includes a fixed seat fixedly connected to the inside of the circular cutting inner cylinder. One side of the fixed seat is fixedly connected with an electric telescopic rod. The telescopic end of the electric telescopic rod is fixedly connected with a mounting seat. One side of the mounting seat is fixedly connected with two longitudinal slide rails and a transverse slide rail. A sliding seat is slidably connected to the side of the transverse slide rail and the two longitudinal slide rails in a limited manner. Gear racks are fixedly installed on the side of the transverse slide rail and the two longitudinal slide rails. A small gear is meshed with one side of the gear rack. One side of the small gear is fixedly connected with a small motor. A device frame is fixedly connected to the side of the small motor. A first small motor is fixedly connected to the top of the small motor. A first small gear is fixedly connected to the transmission end of the first small motor. A first arc-shaped tooth is meshed with the outside of the first small gear. A fixed frame is fixedly connected to the top of the first arc-shaped tooth. A second small motor is fixedly connected to the top of the fixed frame. A second small gear is fixedly connected to one end of the second small motor. A second arc-shaped tooth is meshed with the outside of the second small gear. A cutting clamp is fixedly connected to one side of the second arc-shaped tooth. A laser cutter is fixedly connected to one side of one of the cutting clamps.

[0011] Preferably, the pulling mechanism includes a pulling cylinder arranged in the middle of the circular cutting outer cylinder. A pulling rope is inserted through one side of the pulling cylinder. One end of the pulling rope is fixedly connected with a pulling slider. The slider is inserted and connected with a guide rod fixedly connected to one side of the pulling cylinder. A pulling rubber rod is movably connected to the side of the slider. One end of the pulling rubber rod is movably connected with a gripper.

[0012] Preferably, a method for operating a circular internal cutting and closing device for subpleural ground-glass nodules in the lung includes the following steps:

[0013] Step 1: Preoperative preparation. The patient needs to undergo a series of examinations, including chest CT examination, blood routine examination, etc., to evaluate the physical condition and the nature of the lung nodule.

[0014] According to the specific situation of the patient, the doctor will choose a suitable anesthesia method, usually general anesthesia.

[0015] Step 2: Surgical procedure

[0016] After the anesthesia effect is satisfactory, the doctor will make a small incision on the surface of the patient's chest skin, and then insert the thoracoscope into the chest cavity to observe the position and size of the lung nodule. Sometimes, open-chest surgery may also be used, but it has basically been abandoned clinically at present.

[0017] According to the size of the pulmonary nodule, the doctor will select an appropriate surgical method to remove the lesion. For pulmonary nodules on the edge of the lung, circular internal cutting is performed through a cutting mechanism. If the lesion occurs in a deeper position, close to the root or the nodule is relatively large, the entire lung lobe may be resected. During the resection process, the data processing mechanism is set to monitor the depth or force of the cutting mechanism and feedback it to the medical staff to master the cutting situation;

[0018] After the resection, the pulmonary nodule tissue is pulled out through the set pulling mechanism. After completion, the doctor will perform lymph node dissection to evaluate whether the nodule has metastasized.

[0019] Compared with the prior art, the beneficial effects of the present invention are:

[0020] The present invention provides a circular internal cutting stapler for subpleural ground-glass nodules in the lung and its operation method:

[0021] 1. When performing laser cutting of pulmonary nodules, in order to facilitate accurate clamping of the position of small pulmonary nodules for precise laser cutting, it is necessary to clamp and fix the lungs at the pulmonary nodule site. The rotation of a small motor drives the rotation of a small gear, and it slides back and forth on the rack, facilitating the sliding adjustment of the sliding seats on the transverse slide rail and the two longitudinal slide rails to approach or move away, so as to clamp the nodule position area of the lungs. The rotation of a first small motor drives the rotation of a first small gear, so that the first small gear meshes and drives the adjustment of the fixing frame during rotation, and the rotation of a second small motor on the fixing frame drives the cutting jaws to clamp the nodule part to be cut. Cutting is performed through the set laser cutter to avoid resection of healthy lung tissue.

[0022] 2. When pulling out the cut pulmonary nodule part, the pulling of the pulling rope drives the sliding of the slider on the guide rod. During the sliding process of the slider, the pulling rubber rod on the side is driven, so that the pulling rubber rod pulls the gripper to tightly hold and pull out the cut pulmonary nodule part. BRIEF DESCRIPTION OF THE DRAWINGS

[0023] Figure 1 is a schematic structural diagram of the present invention;

[0024] Figure 2 is one of the schematic structural diagrams of the present invention;

[0025] Figure 3 is a schematic structural diagram of the control mechanism of the present invention;

[0026] Figure 4 is a schematic structural diagram of the grooved hole of the present invention;

[0027] Figure 5 is a schematic structural diagram of the fixed shell of the present invention;

[0028] Figure 6 Schematic diagram of the first arc tooth structure of the present invention;

[0029] Figure 7 Schematic diagram of the pulling mechanism structure of the present invention;

[0030] Figure 8 Schematic diagram of the second small motor structure of the present invention;

[0031] Figure 9 Schematic diagram of the displacement sensor structure of the present invention;

[0032] Figure 10 Schematic diagram of the data processing mechanism structure of the present invention;

[0033] Figure 11 Schematic diagram of the circular cutting inner cylinder structure of the present invention;

[0034] Figure 12 One of the schematic diagrams of the cutting mechanism structure of the present invention.

[0035] In the figure: 1, control grip; 101, fixed shell; 102, fixed long cylinder; 103, circular cutting outer cylinder; 104, slotted hole; 1041, circular cutting inner cylinder; 2, control mechanism; 201, Z-shaped engaging groove; 202, engaging block; 203, sleeve; 204, inserting rod; 205, return spring; 206, pulling rope; 207, pulling part;

[0036] 3, data processing mechanism; 301, force-sensitive sensor; 302, displacement sensor; 303, wireless signal receiving module; 304, wireless signal transmitting module; 305, data analysis module;

[0037] 4, cutting mechanism; 401, fixed seat; 402, electric telescopic rod; 403, mounting seat; 404, longitudinal slide rail; 405, transverse slide rail; 406, sliding seat; 407, gear rack; 408, small gear; 409, small motor; 4010, device frame; 4011, first small motor; 4012, first small gear; 4013, first arc tooth; 4014, fixed frame; 4015, second small motor; 4016, second small gear; 4017, second arc tooth; 4018, cutting clamp; 4019, laser cutter;

[0038] 5, pulling mechanism; 501, pulling cylinder; 502, gripper; 503, slider; 504, guide rod; 505, pulling rubber rod;

[0039] 6, cover plate. Detailed implementation manners

[0040] The following will clearly and completely describe the technical solutions in the embodiments of the present invention with reference to the accompanying drawings in the embodiments of the present invention. Obviously, the described embodiments are only a part of the embodiments of the present invention, rather than all of them. All other embodiments obtained by those of ordinary skill in the art based on the embodiments of the present invention without creative efforts shall fall within the protection scope of the present invention.

[0041] The terms "first", "second", etc. in the description and claims of this application are used to distinguish similar objects, rather than to describe a specific order or sequence. It should be understood that such data can be interchanged under appropriate circumstances so that the embodiments of this application can be implemented in an order other than those illustrated or described herein, and the objects distinguished by "first", "second", etc. are generally of the same type, and the number of objects is not limited. For example, the first object can be one or multiple. In addition, "and / or" in the description and claims means at least one of the connected objects, and the character " / " generally indicates an "or" relationship between the associated objects before and after.

[0042] In the description of the present invention, it should be understood that the orientation or positional relationship indicated by the terms "center", "upper", "lower", "front", "rear", "left", "right", "vertical", "horizontal", "top", "bottom", "inner", "outer", etc. is based on the orientation or positional relationship shown in the accompanying drawings, and is only for the convenience of describing the present invention and simplifying the description, rather than indicating or implying that the device or element referred to must have a specific orientation, be constructed and operated in a specific orientation, and therefore should not be construed as a limitation of the present invention.

[0043] In the description of the present invention, it should be noted that unless otherwise clearly specified and defined, the terms "installed", "connected", "set" should be understood in a broad sense. For example, it can be fixedly connected and set, or detachably connected and set, or integrally connected and set. For those of ordinary skill in the art, the specific meanings of the above terms in the present invention can be understood according to specific circumstances.

[0044] Such as Figures 1 - 12As shown in the figure, a circular internal cutting and closing device for subpleural ground-glass nodules in the lungs proposed by the present invention includes a control grip 1. A control mechanism 2 is provided on one side of the control grip 1. One end of the control grip 1 is fixedly connected to a fixed shell 101. A data processing mechanism 3 is fixedly connected to one side of the fixed shell 101. A fixed long cylinder 102 is fixedly connected to one side of the control grip 1. One end of the fixed long cylinder 102 is provided with a circular cutting outer cylinder 103. A number of circular cutting inner cylinders 1041 are fixedly installed inside the circular cutting outer cylinder 103. A cutting mechanism 4 is provided inside each circular cutting inner cylinder 1041. A pulling mechanism 5 is provided inside the circular cutting outer cylinder 103. The opening of the circular cutting outer cylinder 103 is provided with a cover plate 6, and the cover plate 6 is provided with a number of slotted holes 104.

[0045] The control mechanism 2 includes a Z-shaped engaging groove 201 opened at the top of the control grip 1. A engaging block 202 is inserted inside the Z-shaped engaging groove 201. A sleeve 203 is provided inside the control grip 1. An insertion rod 204 is inserted inside the sleeve 203. A return spring 205 is sleeved outside the insertion rod 204. One end of the return spring 205 is fixedly connected to the top end of the insertion rod 204. The other end of the return spring 205 is fixedly connected to one side of the sleeve 203. One side of the sleeve 203 is movably connected to a pulling member 207. One end of the pulling member 207 is movably connected to one side of the bottom of the control grip 1. One end of the insertion rod 204 is fixedly connected to a pulling rope 206. The bottom end of the engaging block 202 is fixedly connected to the pulling rope 206 inside the control grip 1.

[0046] During specific use, after a lung operation, it is necessary to pull out the cut lung nodules. When medical staff are operating, they control the pulling mechanism 5 by manipulating the pulling rope 206 to pull out the cut lung nodules. By manually pressing the pulling member 207, when the pulling member 207 is pressed, it drives the sleeve 203 to move, so that the sleeve 203 pushes the return spring 205. Under the elastic action of the return spring 205, the insertion rod 204 is pushed, so that one end of the pulling mechanism 5 grabs the cut lung nodules. Then, by adjusting the engaging block 202 inside the Z-shaped engaging groove 201, the engaging block 202 pulls and fixes the pulling rope 206, preventing the pulling rope 206 from moving and causing the cut lung nodules at one end of the pulling mechanism 5 to fall off. At the same time, it is convenient to drag the circular internal cutting and closing device out of the patient's body.

[0047] The data processing mechanism 3 includes a force-sensitive sensor 301 installed inside the fixed long cylinder 102. A displacement sensor 302 is provided on one side of the force-sensitive sensor 301. A wireless signal receiving module 303 is fixedly connected to the top of the fixed shell 101. A wireless signal transmitting module 304 is provided on one side of the wireless signal receiving module 303. A data analysis module 305 is provided on one side of the wireless signal transmitting module 304.

[0048] During specific use, when removing lung nodules, after the lung nodules are excised by laser using the force-sensitive sensor 301 provided, the pulling force on the lung nodules is monitored. When the pulling mechanism 5 performs laser cutting on the lung nodules, the displacement sensor 302 provided monitors the moving distance of the displacement, so as to facilitate timely feedback of the intraoperative situation to the doctor for understanding. Through the cooperation of the wireless signal receiving module 303 and the wireless signal transmitting module 304 provided, it is convenient to transmit or receive signals for monitoring the situation of lung nodule surgery. Through the data analysis module 305 provided, the data of lung nodule cutting is analyzed, processed, and converted for transmission.

[0049] The cutting mechanism 4 includes a fixed seat 401 fixedly connected to the inside of the circular cutting inner cylinder 1041. One side of the fixed seat 401 is fixedly connected to an electric telescopic rod 402. The telescopic end of the electric telescopic rod 402 is fixedly connected to a mounting seat 403. One side of the mounting seat 403 is fixedly connected to two longitudinal slide rails 404 and a transverse slide rail 405. A sliding seat 406 is slidably connected to the limit on one side of the transverse slide rail 405 and the two longitudinal slide rails 404. Gear racks 407 are fixedly installed on one side of the transverse slide rail 405 and the two longitudinal slide rails 404. A small gear 408 is meshed with one side of the gear rack 407. One side of the small gear 408 is fixedly connected to a small motor 409. The side of the small motor 409 is fixedly connected to a device frame 4010. The top of the small motor 409 is fixedly connected to a first small motor 4011. The transmission end of the first small motor 4011 is fixedly connected to a first small gear 4012. The first small gear 4012 is meshed with the outside of a first arc-shaped tooth 4013. The top of the first arc-shaped tooth 4013 is fixedly connected to a fixed frame 4014. The top of the fixed frame 4014 is fixedly connected to a second small motor 4015. One end of the second small motor 4015 is fixedly connected to a second small gear 4016. The second small gear 4016 is meshed with the outside of a second arc-shaped tooth 4017. One side of the second arc-shaped tooth 4017 is fixedly connected to a cutting clamp 4018. A laser cutter 4019 is fixedly connected to one side of one of the cutting clamps 4018.

[0050] During specific use, when performing laser cutting of pulmonary nodules, in order to facilitate accurate clamping of the position of the pulmonary nodules for precise laser cutting, it is necessary to clamp and fix the lungs at the nodule site. The telescopic movement of the electric telescopic rod 402 on one side of the fixed seat 401 facilitates pushing the mounting seat 403 to extend into the slot hole 104 to approach the part of the lungs with nodules. Then, the rotation of the small motor 409 on the mounting seat 403 drives the small gear 408 to rotate, and it slides back and forth on the rack 407, facilitating the sliding adjustment of the sliding seats 406 on the transverse slide rail 405 and the two longitudinal slide rails 404 to approach or move away, so as to clamp the nodule position area of the lungs. The rotation of the first small motor 4011 drives the first small gear 4012 to rotate, so that the first small gear 4012 meshes and drives the fixing frame 4014 to adjust during rotation. At the same time, the rotation of the second small motor 4015 on the fixing frame 4014 drives the cutting gripper 4018 to clamp the nodule part to be cut, and the laser cutter 4019 is used for cutting.

[0051] The pulling mechanism 5 includes a pulling cylinder 501 arranged in the middle of the circular cutting outer cylinder 103. One side of the pulling cylinder 501 is penetrated by a pulling rope 206. One end of the pulling rope 206 is fixedly connected to a pulling slider 503. The slider 503 is inserted and connected to a guide rod 504 fixedly connected to one side of the pulling cylinder 501. The side of the slider 503 is movably connected to a pulling rubber rod 505. One end of the pulling rubber rod 505 is movably connected to a gripper 502.

[0052] During specific use, when pulling out the cut pulmonary nodule part, the pulling of the set pulling rope 206 drives the slider 503 on the guide rod 504 to slide. During the sliding of the slider 503, the pulling rubber rod 505 on the side is driven, so that the pulling rubber rod 505 pulls the gripper 502 to tightly hold and pull out the cut pulmonary nodule part.

[0053] A method for operating a circular internal cutting and closing device for subpleural ground-glass nodules in the lungs includes the following steps:

[0054] Step 1: Preoperative preparation. The patient needs to undergo a series of examinations, including chest CT examination, blood routine examination, etc., to evaluate the physical condition and the nature of the pulmonary nodules.

[0055] According to the specific situation of the patient, the doctor will choose a suitable anesthesia method, usually general anesthesia.

[0056] Step 2: Surgical procedure

[0057] After the anesthetic effect is satisfactory, the doctor will make a small incision on the surface of the patient's chest skin, and then insert a thoracoscope into the chest cavity to observe the location and size of the lung nodules. Sometimes, open-chest surgery may also be used, but it has basically been abandoned clinically at present;

[0058] According to the size of the lung nodules, the doctor will choose an appropriate surgical method to remove the lesion. For the lung nodules on the lung margin, circular internal cutting is performed through the cutting mechanism 4. If the lesion occurs in a deeper position, close to the root or the nodule is relatively large, the entire lung lobe may be removed. During the resection process, the data processing mechanism 3 is used to monitor the depth or force of the cutting mechanism 4 and feedback it to the medical staff to master the cutting situation;

[0059] After the resection, the traction mechanism 5 is used to drag out the lung nodule tissue. After completion, the doctor will perform lymph node dissection to evaluate whether the nodule has metastasized.

[0060] It should be noted that in this article, the terms "include", "comprise" or any other variant thereof are intended to cover non-exclusive inclusion, so that a process, method, article or device including a series of elements not only includes those elements, but also includes other elements not explicitly listed, or also includes elements inherent to such process, method, article or device. Without further limitation, an element defined by the statement "including one..." does not exclude the existence of additional identical elements in the process, method, article or device including that element. In addition, it should be pointed out that the scope of the methods and devices in the embodiments of the present application is not limited to performing functions in the order shown or discussed, and may also include performing functions in a substantially simultaneous manner or in the reverse order according to the functions involved. For example, the described methods may be performed in an order different from that described, and various steps may be added, omitted, or combined. In addition, the features described with reference to certain examples may be combined in other examples.

[0061] The embodiments of the present application have been described above in conjunction with the accompanying drawings. However, the present application is not limited to the above specific embodiments. The above specific embodiments are merely illustrative and not restrictive. Under the inspiration of the present application, those of ordinary skill in the art can also make many forms without departing from the purpose of the present application and the scope protected by the claims, and all of them fall within the protection scope of the present application.

Claims

1. A circular internal cutting and closing device for subpleural ground glass nodules of the lung, comprising a control handle (1), characterized in that: A control mechanism (2) is provided on one side of the control handle (1), a fixed shell (101) is fixedly connected to one end of the control handle (1), a data processing mechanism (3) is fixedly connected to one side of the fixed shell (101), a fixed long cylinder (102) is fixedly connected to one side of the control handle (1), a circular cut outer cylinder (103) is provided on one end of the fixed long cylinder (102), a plurality of circular cut inner cylinders (1041) are fixedly installed inside the circular cut outer cylinder (103), a cutting mechanism (4) is provided inside each of the circular cut inner cylinders (1041), a pulling mechanism (5) is provided inside the circular cut outer cylinder (103), a cover plate (6) is provided at the opening of the circular cut outer cylinder (103), and the cover plate (6) is provided with a plurality of slotted holes (104).

2. The circular internal cutting and closing device for subpleural ground glass nodules of the lung according to claim 1, characterized in that: The control mechanism (2) comprises a Z-shaped engaging groove (201) provided at the top of the control handle (1), a engaging block (202) being inserted into the Z-shaped engaging groove (201), a sleeve (203) being provided inside the control handle (1), an insertion rod (204) being inserted into the sleeve (203), a return spring (205) being sleeved on the outer side of the insertion rod (204), one end of the return spring (205) being fixedly connected to the top of the insertion rod (204), the other end of the return spring (205) being fixedly connected to one side of the sleeve (203), and a buckle (207) being movably connected to one side of the sleeve (203).

3. According to claim 2, a circular internal cutting closure device for subpleural ground glass nodules in the lungs, one end of the buckle (207) is movably connected to one side of the bottom of the control handle (1), one end of the insertion rod (204) is fixedly connected to a pulling rope (206), and the bottom end of the locking block (202) is fixedly connected to the pulling rope (206) inside the control handle (1).

4. The circular internal cutting and closing device for subpleural ground glass nodules of the lung according to claim 1, characterized in that: The data processing mechanism (3) comprises a force-sensitive sensor (301) installed inside the fixed long tube (102), a displacement sensor (302) is arranged on one side of the force-sensitive sensor (301), a wireless signal receiving module (303) is fixedly connected to the top of the fixed shell (101), a wireless signal transmission module (304) is arranged on one side of the wireless signal receiving module (303), and a data analysis module (305) is arranged on one side of the wireless signal transmission module (304).

5. The circular internal cutting and closing device for subpleural ground glass nodules of the lung according to claim 1, characterized in that: The cutting mechanism (4) comprises a fixing seat (401) fixedly connected to the inside of the circular cutting inner cylinder (1041); one side of the fixing seat (401) is fixedly connected to an electric telescopic rod (402); the telescopic end of the electric telescopic rod (402) is fixedly connected to a mounting seat (403); one side of the mounting seat (403) is fixedly connected to two longitudinal slide rails (404) and a transverse slide rail (405); one side of the transverse slide rail (405) and the two longitudinal slide rails (404) is limitedly slidably connected to a sliding seat (406); A gear bar (407) is fixedly installed on one side of the rail (405) and the two longitudinal slide rails (404); a pinion gear (408) is meshedly connected to one side of the gear bar (407); a small motor (409) is fixedly connected to one side of the small motor (408); a device frame (4010) is fixedly connected to the side of the small motor (409); a first small motor (4011) is fixedly connected to the top of the small motor (409); and a first small gear (4012) is fixedly connected to the transmission end of the first small motor (4011).

6. According to claim 5, a circular internal cutting closure device for ground glass nodules under the pleura of the lung, the outer side of the first pinion (4012) is meshedly connected with a first arc-shaped tooth (4013), the top of the first arc-shaped tooth (4013) is fixedly connected with a fixing frame (4014), the top of the fixing frame (4014) is fixedly connected with a second small motor (4015), one end of the second small motor (4015) is fixedly connected with a second pinion (4016), the outer side of the second pinion (4016) is meshedly connected with a second arc-shaped tooth (4017), one side of the second arc-shaped tooth (4017) is fixedly connected with a cutting clamp (4018), and one side of one of the cutting clamps (4018) is fixedly connected with a laser cutter (4019).

7. The circular internal cutting and closing device for subpleural ground glass nodules of the lung according to claim 1, characterized in that: The pulling mechanism (5) comprises a pulling cylinder (501) arranged in the middle of the circular cut outer cylinder (103), a pulling rope (206) is inserted on one side of the pulling cylinder (501), one end of the pulling rope (206) is fixedly connected to a pulling slider (503), the slider (503) is inserted and connected with a guide rod (504) fixedly connected to one side of the pulling cylinder (501), the side of the slider (503) is movably connected to a pulling rubber rod (505), and one end of the pulling rubber rod (505) is movably connected to a gripper (502).

8. A method for operating a circular internal cutting and closing device for ground glass nodules under the pleura of the lung, comprising the circular internal cutting and closing device for ground glass nodules under the pleura of the lung described in 1-7 above, characterized in that: The steps include: Step 1: Preoperative preparation: the patient needs to undergo a series of examinations, including chest CT scan, blood routine test, etc., to assess the physical condition and the nature of the lung nodules; Depending on the patient's specific condition, the doctor will choose the appropriate anesthesia method, usually general anesthesia. Step 2: Surgical Procedure After the anesthesia effect is satisfactory, the doctor will make a small incision on the surface of the patient's chest skin, and then insert a thoracoscope into the chest cavity to observe the location and size of the lung nodules. Sometimes, thoracotomy may be used, but it has been basically abandoned in clinical practice. According to the size of the lung nodule, the doctor will choose an appropriate surgical method to remove the lesion. The lung nodules at the edge of the lung will be cut in a circular manner by the cutting mechanism (4). If the lesion is located deep, close to the root or the nodule is relatively large, the entire lung lobe may be removed. During the removal process, the depth or strength of the cutting mechanism (4) is monitored by the data processing mechanism (3) and fed back to the medical staff to understand the cutting situation. After the resection, the pulmonary nodule tissue is pulled out by the provided pulling mechanism (5). After completion, the doctor will perform lymph node dissection to assess whether the nodule has metastasized.

Citation Information

Patent Citations

  • A CT-guided percutaneous puncture lung nodule cutter

    CN116019500B