Surgical instrument set for ultra-micro-invasive suture-free surgical treatment of hand perspiration

Through the integrated surgical instrument set that drives rotational components, lifting components and recording components, the problem of excessive incision in ultra-invasive suture-free surgery of hand sweats is solved, and smaller incisions and higher integration is achieved, which promotes the Rapid recovery of patients.

CN119112342APending Publication Date: 2024-12-13THE SECOND AFFILIATED HOSPITAL OF NAVAL MEDICAL UNIVERSITY PLA
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Patent Information

Application Number
CN202411255534.9
Authority / Receiving Office
CN · China
Patent Type
Applications(China)
Current Assignee / Owner
Filing Date
2024-09-09
Publication Date
2024-12-13

AI Technical Summary

Technical Problem

In ultra-minimal invasive suture-free surgery for hand sweating, existing laparoscopic surgical hooks require larger incision insertion to adapt to the device, resulting in enlargement of incision and increased wound area, affecting patient recovery.

Method used

A surgical instrument set integrated to drive rotational components, lifting components and recording components is designed. The planetary gear set and rubber strip transmission are driven by a micro motor to realize the automatic operation and space optimization of the device, reduce the diameter of the hook body and reduce the incision. size.

Benefits of technology

It effectively reduces the incision size of the patient's armpit, improves the integration and conciseness of the operation, and promotes rapid recovery of the patient.

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Abstract

The invention discloses a surgical instrument set for ultra-micro-wound suture-free surgical treatment of hand perspiration, and relates to the field of medical instruments, and the surgical instrument set comprises an electric hook main body extending into the body of a patient; an electric hook head for cutting off a sympathetic chain is arranged at the lower end of the electric hook main body, and a grip main body convenient for a doctor to hold is arranged at the upper end of the electric hook main body; the driving rotating assembly is arranged on the lower portion of the electric hook body and provides driving force for the executing mechanism; the lifting assembly is arranged on one side of the outer wall of the electric hook body, and the driving rotating assembly provides driving force for the lifting assembly; and the video recording assembly is used for recording the environment in the body of the patient and transmitting an image to external display equipment. Therefore, the device has a small incision, only one instrument needs to be inserted, and the small incision is beneficial to rehabilitation of the patient.
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Description

Technical Field

[0001] The present application relates to the field of medical instruments, and in particular to a surgical instrument kit for ultra-minimally invasive suture-free surgical treatment of hyperhidrosis of the hands. Background Art

[0002] The ultra-minimally invasive suture-free surgery for hyperhidrosis of the hands, also known as ETS (Endoscopic Thoracic Sympathectomy), is an effective treatment for hyperhidrosis of the hands. The surgery uses thoracoscopic technology to make a tiny incision in the armpit to cut or burn the thoracic sympathetic nerve chain to achieve the purpose of treating hyperhidrosis of the hands. In addition, an electrocoagulation hook and thoracoscope are inserted through the same incision to find the thoracic sympathetic nerve trunk near the 3rd or 4th rib capitulum at the top of the chest and electrocoagulate and burn it.

[0003] For example, the laparoscopic surgical electric hook disclosed in publication number CN220938148U still has the following shortcomings in actual use:

[0004] In the actual surgical process, the above patent requires making an incision of 5-10mm in the patient's armpit, and then inserting the electric hook and laparoscope into the incision at the same time. However, the need to constantly adjust the position of the laparoscope and the electric hook may expand the incision. At the same time, the two treatment devices are inserted at the same time, so an incision of sufficient length is required, which will cause the incision to be larger and increase the wound area. Summary of the invention

[0005] In order to improve the problem of reduced length of the patient's underarm incision, the present application provides a surgical instrument kit for ultra-minimally invasive suture-free surgical treatment of hyperhidrosis of the hands.

[0006] The present application provides a surgical instrument kit for ultra-minimally invasive suture-free surgical treatment of hyperhidrosis of the hands, which adopts the following technical solution:

[0007] A surgical instrument set for ultra-minimally invasive suture-free surgical treatment of hyperhidrosis of the hands, comprising an electric hook body inserted into a patient's body; an electric hook head for cutting off the sympathetic nerve chain is arranged at the lower end of the electric hook body, and a grip body for the doctor to hold is arranged at the upper end of the electric hook body;

[0008] A driving rotating assembly is arranged at the lower part of the electric hook body and provides driving force for the actuator;

[0009] A lifting assembly is arranged on one side of the outer wall of the electric hook body, and the driving rotating assembly provides driving force for the lifting assembly;

[0010] The recording component is used to record the patient's internal environment and transmit the image to an external display device.

[0011] By adopting the above technical solution, the driving rotation component, the lifting component and the recording component are integrated into the electric hook body, which can effectively increase the integration of the device, facilitate subsequent use, and at the same time reduce the number of devices entering the patient's body, thereby reducing the patient's incision and helping the patient to recover quickly.

[0012] Preferably, the electric hook body includes a metal sleeve fixedly mounted on the lower end of the handle body, an insertion strip is fixedly inserted on one side of the inner cavity of the metal sleeve, and an outer insulating sleeve is fixedly inserted on the other side, the insertion strip and the outer insulating sleeve are spliced ​​to form a circle, and the lower end of the insertion strip is located on one side of the outer insulating sleeve and is provided with an inner groove for installing a driving rotating component.

[0013] By adopting the above technical solution, the length of the insert is equal to that of the metal sleeve, thereby achieving better sealing and fixing effects. The insert and the outer insulating sleeve are spliced ​​into a circular setting, which can make the two fixed to the metal sleeve more firmly and can also increase the thickness of the outer insulating sleeve to improve insulation.

[0014] Preferably, a ceramic sleeve is plugged and fixed in the middle of the outer insulating sleeve, an inner insulating sleeve is plugged and fixed in the middle of the ceramic sleeve, and an electric hook core fixed to one end of the electric hook head is plugged and fixed in the middle of the inner insulating sleeve.

[0015] By adopting the above technical solution, the arrangement of the ceramic sleeve and the inner insulating sleeve can achieve good insulation. At the same time, the structure of the ceramic sleeve and the inner insulating sleeve can be arranged according to the structure of the electric hook core to increase the insulation effect.

[0016] Preferably, the driving rotating assembly includes a planetary gear set fixed to the bottom of the inner slot, a main shaft is fixed through the middle of the sun gear of the planetary gear set, a micro motor is fixed to the side wall of the inner slot, and the output shaft of the micro motor is fixed to one end of the main shaft.

[0017] By adopting the above technical solution, the micro motor drives the planetary gear set through the main shaft, thereby driving the lifting of the mobile box and the rotation of the rotating seat, realizing automated operation and allowing doctors to control it in real time.

[0018] Preferably, the planetary gears of the planetary gear set are all rotatably provided with a planet carrier, an outer connecting rod is fixedly provided at one end of the planet carrier away from the micro motor, and an inner connecting rod is movably inserted into the middle of the inner cavity of the outer connecting rod.

[0019] By adopting the above technical solution, various operating states of the planetary gear set are utilized to realize the control of the rotating seat and the moving box, so that the device has a higher degree of integration and a more concise structure.

[0020] Preferably, a plurality of rubber strips 1 are evenly arranged around the outer surface of one end of the main shaft away from the micro motor, the inner connecting rod is located on one side of the main shaft and has a side circular hole for inserting one end of the main shaft, and a plurality of rubber strips 2 are evenly arranged around the inside of the side circular hole for contacting the plurality of rubber strips 1 and realizing transmission.

[0021] By adopting the above technical solution, the length of rubber strip one is the same as that of rubber strip two, and both rubber strip one and rubber strip two can be deformed under pressure, so that the main shaft can run idle. The number of rubber strip one and rubber strip two needs to be set according to the diameter of the main shaft to achieve the best arrangement.

[0022] Preferably, the metal sleeve and one side of the insert strip are both provided with opposite outer slots, one end of the outer connecting rod movably passes through the side wall of the inner slot and extends into the outer slot, an inclined surface is provided at the upper end of the outer slot, and one end of the inclined surface extends to the bottom of the outer slot.

[0023] By adopting the above technical solution, the setting of the external groove can accommodate the moving box and the rotating seat, thereby ensuring the flatness of the metal sleeve surface, which is helpful for the insertion of the device. The setting of the inclined surface can make it easy to move out and retract the moving box.

[0024] Preferably, the recording assembly includes a rotating seat rotatably arranged inside the outer slot, a transverse hole for inserting and fixing the outer connecting rod is opened at the lower end of the rotating seat, a longitudinal connecting rod is longitudinally inserted through the middle part of the rotating seat, the lower end of the longitudinal connecting rod extends into the transverse hole, and the lower end of the longitudinal connecting rod and one end of the inner connecting rod located in the inner cavity of the transverse hole are fixed with bevel gears, and the two bevel gears are meshed with each other.

[0025] By adopting the above technical solution, the outer side of the rotating seat is set to be an arc, and the arc has the same radius as the arc edge line of the outer groove. At the same time, the transverse hole is set to be through, and the space of the transverse hole is larger than the volume after the two bevel gears are meshed, so that the two bevel gears can rotate normally.

[0026] Preferably, a movable box for mounting a camera is longitudinally slidably disposed inside the cavity at the upper end of the rotating seat, a transparent glass opposite to the camera is fixedly disposed at the opening on the outer surface of the movable box, and the camera is set to a wide angle.

[0027] By adopting the above technical solution, the camera setting can act as a laparoscope to collect images inside the patient's body. At the same time, fill lights need to be set on both sides to achieve the fill light effect and increase image clarity. At the same time, the set transparent glass can protect the camera and prevent the camera from causing pollution to the body. At the same time, the transparent glass is set to be arc-shaped.

[0028] Preferably, the lifting assembly includes an internal threaded hole opened inside the moving box, the internal threaded hole is threadedly connected to a screw rotatably arranged at the bottom of the upper end cavity of the rotating seat, the lower end of the screw is sleeved and fixed with gear 1, and the upper end of the longitudinal connecting rod is sleeved and fixed with gear 2 meshing with gear 1.

[0029] By adopting the above technical solution, the rotation of the lead screw in the internal threaded hole can drive the moving box to move up and down.

[0030] In summary, the present application includes at least one of the following beneficial technical effects:

[0031] 1. The driving rotating assembly can drive the rotating seat to rotate, and then drive the moving box to rotate out of the outer slot and rotate to 90 degrees, so that the camera faces the electric hook head, so that the inside of the patient and the position of the electric hook head can be recorded, which is helpful for doctors to observe during surgery and is convenient for use. At the same time, the driving rotating assembly is arranged inside the electric hook body and does not occupy external space. Therefore, the electric hook body can be made thinner, thereby reducing the size of the wound;

[0032] 2. The driving rotating assembly can drive the moving box to move out from the inside of the rotating seat, thereby moving the camera away from the metal sleeve to increase the camera's recording range. At the same time, the camera's angle can be changed to help doctors observe the state of the body. At the same time, the extended moving box can push organs such as the lungs to prevent the organs from covering the nerves to be cut and affecting the doctor's vision. BRIEF DESCRIPTION OF THE DRAWINGS

[0033] Figure 1 This is the overall axonometric diagram of the present application;

[0034] Figure 2 This is a schematic cross-sectional isometric diagram of the electric hook body of the present application;

[0035] Figure 3 This is a schematic diagram of the installation position of the driving rotating assembly and the inner slot of the present application;

[0036] Figure 4 This is a schematic diagram of the installation of the driving rotating assembly and the recording assembly of the present application;

[0037] Figure 5 A schematic cross-sectional view of the video recording component of the present application;

[0038] Figure 6 This is a schematic diagram of the separation of the lead screw and the internal threaded hole of the present application;

[0039] Figure 7 This is a schematic diagram of the separated axle measurement of the inner connecting rod, the outer connecting rod, the main shaft and the planet carrier of the present application;

[0040] Figure 8This is a schematic diagram of the connection between the inner connecting rod and the rubber strip 2 of the present application;

[0041] Fig. 9 This is a schematic cross-sectional isometric diagram of the planetary gear set, inner connecting rod and outer connecting rod of the present application.

[0042] Reference numerals: 100, electric hook body; 101, plug strip; 102, outer insulating sleeve; 103, ceramic sleeve; 104, inner insulating sleeve; 105, electric hook core; 106, inner slot; 107, metal sleeve;

[0043] 2. Electric hook head; 3. Handle body; 4. External slot;

[0044] 5. Video recording component; 51. Mobile box; 52. Camera; 53. Transparent glass; 54. Rotating seat; 55. Horizontal hole;

[0045] 6. Incline;

[0046] 7. Driving rotating assembly; 71. Micro motor; 72. Planetary gear set; 73. Longitudinal connecting rod; 74. Bevel gear; 75. Inner connecting rod; 76. Outer connecting rod; 77. Planet carrier; 78. Main shaft; 79. Rubber strip 1; 791. Side circular hole; 792. Rubber strip 2;

[0047] 8. Lifting assembly; 81. Gear 1; 82. Internal threaded hole; 83. Lead screw; 84. Gear 2. DETAILED DESCRIPTION

[0048] The following is combined with Figure 1-9 This application is described in further detail.

[0049] The embodiment of the present application discloses a surgical instrument kit for ultra-minimally invasive suture-free surgical treatment of hyperhidrosis of hands.

[0050] The gear ratio of the transmission structure of the device needs to be set according to the gears of the device structure.

[0051] Reference Figure 1 , 2A surgical instrument set for ultra-minimally invasive suture-free surgical treatment of hyperhidrosis of the hands, including an electric hook body 100 inserted into the patient's body. It should be noted that the outer wall of the electric hook body 100 is covered with a sterile film, and the material of the film is the same as the surface material of the existing electric hook. The electric hook body 100 includes a metal sleeve 107 fixedly sleeved on the lower end of the handle body 3. The connection between the handle body 3 and the metal sleeve 107 has a smooth transition and is sealed to avoid bacterial growth and is also convenient for disinfection. The handle body 3 is provided with a switch to control the operation of the micro motor 71 and a wire connected to an external real device. One side of the inner cavity of the metal sleeve 107 is connected to the One side of the plug-in strip 101 is plugged in and fixed. The plug-in strip 101 is preferably made of hard plastic material and the part where it fits with the inner wall of the metal sleeve 107 is set to an arc shape so that the inner wall of the metal sleeve 107 and the plug-in strip 101 fit tightly. The other side of the inner wall of the metal sleeve 107 is plugged in and fixed with the outer insulating sleeve 102. The side of the outer insulating sleeve 102 away from the plug-in strip 101 is set to an arc shape and fits with the inner wall of the metal sleeve 107. The opposite sides of the plug-in strip 101 and the outer insulating sleeve 102 are both set to flat surfaces. The plane of the plug-in strip 101 and the plane of the outer insulating sleeve 102 are in contact, so that the plug-in strip 101 and the outer insulating sleeve 102 are spliced ​​to form a circle.

[0052] The above arrangement retains the insulation performance of the existing electric hook structure and the processing capacity of the electric hook, and through the provision of the outer insulating sleeve 102 and the insert 101, both are reasonably installed in the metal sleeve 107, thereby maximizing the space utilization, and the diameter of the electric hook can be kept the same as or smaller than the existing electric hook size, and functions can be added to the electric hook body 100. The use of the electric hook is the same as the existing electric hook.

[0053] Reference Figure 2 The lower end of the insert 101 is located on one side of the outer insulating sleeve 102 and is provided with a rectangular inner groove 106. The inner groove 106 is used to install the driving rotating component 7. A circular hole is provided in the middle of the outer insulating sleeve 102. A ceramic sleeve 103 is inserted and fixed in the circular hole. The middle of the ceramic sleeve 103 is interlaced and fixed with the inner insulating sleeve 104. A metal sleeve 107 extends from the lower end of the ceramic sleeve 103 and wraps a part of the electric hook head 2 to achieve an insulating effect. The size of the lower end extension of the ceramic sleeve 103 is the same as the diameter of the metal sleeve 107 and the connection is sealed. An electric hook core 105 is inserted and fixed in the middle of the inner insulating sleeve 104, and the lower end of the electric hook core 105 is fixed to one end of the electric hook head 2.

[0054] Since the electric hook core 105 is not located at the center of the metal sleeve 107, when the electric hook head 2 is located at the residence position of the metal sleeve 107, the electric hook core 105 needs to be in a bent state, and the ceramic sleeve 103 and the inner insulating sleeve 104 are also in a bent state. The ceramic sleeve 103, the inner insulating sleeve 104 and the outer insulating sleeve 102 are all used as insulation, which is the same as the function of the prior art, so this patent will not describe them in detail.

[0055] Reference Figure 1 , 2 An electric hook head 2 for cutting off the sympathetic nerve chain is fixed at the lower end of the electric hook body 100, and a handle body 3 for the doctor to hold is fixed at the upper end of the electric hook body 100. The surface of the handle body 3 is respectively provided with electrical and switch structures, and a circuit board is provided inside, so that the electric hook body 100 can realize basic functions and perform surgery.

[0056] Reference Figure 7-9 The driving rotating assembly 7 is arranged at the lower part of the electric hook body 100 and provides driving force for the actuator. The actuator is set as a lifting assembly 8 and a recording assembly 5. The driving rotating assembly 7 includes a planetary gear set 72 fixed at the bottom of the inner slot 106. The planetary gear set 72 includes a gear ring, a sun gear and a planetary gear. The gear ring is fixed to the bottom of the inner slot 106 by a fixing rod to achieve fixation. The through hole in the middle of the sun gear of the planetary gear set 72 is fixed to the middle of the main shaft 78. The side wall of the inner slot 106 is connected to the micro The mounting end of the micro motor 71 is fixed by bolts, and the output shaft of the micro motor 71 is fixed to one end of the main shaft 78 by a coupling to realize power transmission. A planet carrier 77 is rotatably arranged at one end of the rotating shaft of the planetary gear set 72. The planet carrier 77 is integrally formed and fixed with one end of the outer connecting rod 76 away from the micro motor 71, and the connection is smoothed. The middle part of the inner cavity of the outer connecting rod 76 is movably interlaced with the inner connecting rod 75. It should be noted that the end of the inner connecting rod 75 away from the main shaft 78 has a thinner diameter to facilitate connection and fixation with the bevel gear 74.

[0057] When the micro motor 71 is powered on, the output shaft of the micro motor 71 drives the main shaft 78 to rotate and then drives the sun gear of the planetary gear set 72 to rotate. The main shaft 78 drives the inner connecting rod 75 to rotate and then drives one of the bevel gears 74 to rotate. At the same time, the sun gear drives multiple planetary gears to rotate in the ring gear, and the multiple planetary gears drive the planet carrier 77 to rotate. The planet carrier 77 drives the outer connecting rod 76 to rotate and then drives the rotating seat 54 to rotate in the outer slot 4.

[0058] Reference Figure 3-5A plurality of rubber strips 79 are fixedly arranged on the outer surface of one end of the main shaft 78 away from the micro motor 71. The plurality of rubber strips 79 are equally fixed around the surface of the main shaft 78, and a space for a rubber strip 2 792 to be inserted and abutted is arranged between two rubber strips 1 79. The inner connecting rod 75 is located on one side of the main shaft 78 and has a side circular hole 791. One end of the main shaft 78 is inserted into the inside of the side circular hole 791. A plurality of rubber strips 2 792 are equally arranged around the inside of the side circular hole 791. The plurality of rubber strips 2 792 are in contact with the plurality of rubber strips 1 79 to realize transmission. The rubber strips 2 792 and the rubber strips 1 79 are both made of flexible materials. To produce deformation under force, the metal sleeve 107 and one side of the insert strip 101 are both provided with external slots 4 of the same size and shape and opposite to each other. The joints between the metal sleeve 107 and the insert strip 101 are sealed, and the corners of the external slot 4 are chamfered to make the joint smoother. One end of the external connecting rod 76 movably penetrates the side wall of the internal slot 106, and the end of the external connecting rod 76 away from the main shaft 78 movably penetrates into the external slot 4. An inclined surface 6 is provided at the upper end of the external slot 4. The inclination of the inclined surface 6 can be matched and set according to the length of the mobile box 51 extended. One end of the inclined surface 6 extends to the bottom of the inner cavity of the external slot 4, and one end of the inclined surface 6 has a smooth transition with the bottom of the external slot 4.

[0059] When the main shaft 78 rotates, it will drive several rubber strips 79 to rotate. Since the rubber strip 79 is arranged between two rubber strips 792, the inner connecting rod 75 can be driven to rotate through the rubber strip 792. One end of the inner connecting rod 75 will drive one of the bevel gears 74 to rotate and then drive the other bevel gear to rotate.

[0060] When the inner connecting rod 75 is limited and cannot rotate, the main shaft 78 continues to rotate under the drive of the micro motor 71, and the rubber strip 1 79 continues to rotate and squeezes the rubber strip 2 792 to deform the rubber strip 2 792, thereby moving the end of the rubber strip 1 79 to the end of the rubber strip 2 792 and then sliding between the other two rubber strips 2 792, so that the main shaft 78 can be idling in this cycle. This device will not affect the rotation of the planetary gear and can cut off the lifting assembly 8 to move the moving box 51 out to the maximum value and maintain it. The outer connecting rod 76 drives the rotating seat 54 to rotate to 90 degrees, so that the notch at the lower end of the surface of the rotating seat 54 fits with the bottom of the outer slot 4.

[0061] The outer side of the rotating seat 54 is provided with a notch (such as Figure 4 As shown), when the rotating seat 54 fits with the bottom of the outer slot 4, one end of the notch abuts against the surface of the electric hook body 100 to achieve a limiting effect. A pin is fixed in the transverse hole 55 at the end of the rotating seat 54 away from the main shaft 78. The pin is movably inserted into the side wall of the outer slot 4 to achieve a supporting effect. At the same time, the axis of the pin coincides with the axis of the inner connecting rod 75.

[0062] Reference Figure 5 ,6 The lifting component 8 is arranged on one side of the outer wall of the electric hook body 100, and the driving rotating component 7 provides driving force for the lifting component 8. The lifting component 8 includes an internal threaded hole 82 opened in the middle of the lower end of the moving box 51, and the internal threaded hole 82 is threadedly connected with a screw 83. The lower end of the screw 83 is rotatably arranged with the bottom of the upper cavity of the rotating seat 54 through a bearing. The installation method of the bearing is the prior art and is not described in detail. The lower end of the screw 83 is fixedly sleeved with the middle part of the gear 1 81, and the lower end face of the gear 1 81 is fitted with the bottom of the upper cavity of the rotating seat 54. The upper end of the longitudinal connecting rod 73 is sleeved with a gear 2 84, and the gear 2 84 meshes with the gear 1 81 to realize transmission.

[0063] The rotation of gear 2 84 drives gear 1 81 to rotate, and then drives the screw 83 to rotate. The rotation of screw 83 drives the mobile box 51 to move upward in the upper cavity of the rotating seat 54, and then drives the mobile box 51 to move out of the upper cavity of the rotating seat 54, so as to extend the camera 52 to increase the recording range. It should be noted that longitudinal grooves are provided on both sides of the upper cavity of the rotating seat 54, and limit blocks are fixed on both sides of the outer surface of the mobile box 51, which slide in the longitudinal grooves and realize limiting. In this way, the movement of the mobile box 51 is limited to prevent the mobile box 51 from moving away from the rotating seat 54 (the limit blocks and the longitudinal grooves are not shown in the figure).

[0064] Reference Figure 5 , 6 The recording component 5 is used to record the patient's internal environment and transmit the image to an external display device. The external display device adopts an existing image display device and is not described in detail. The recording component 5 includes a rotating seat 54 rotatably arranged inside the external slot 4. Both sides of the rotating seat 54 abut against the side walls of the external slot 4 and rotate. After abutting, a certain sealing effect can be achieved. A transverse hole 55 is opened at the lower end of the rotating seat 54, and an external connecting rod 76 is inserted and fixed inside the transverse hole 55 to drive the rotating seat 54 to rotate.

[0065] The rotation of the outer connecting rod 76 drives the rotating base 54 to rotate, so that the rotating base 54 is within the range of 0-90 degrees, thereby increasing the recording range of the camera 52.

[0066] Reference Figure 5 , 6A circular through hole is longitudinally opened in the middle of the rotating seat 54, and a longitudinal connecting rod 73 is movably inserted in the circular through hole. The lower end of the longitudinal connecting rod 73 extends into the transverse hole 55, and the lower end of the longitudinal connecting rod 73 and one end of the inner connecting rod 75 located in the inner cavity of the transverse hole 55 are both sleeved and fixed with a bevel gear 74. The two bevel gears 74 are engaged to realize transmission. A moving box 51 is longitudinally slidably arranged inside the cavity at the upper end of the rotating seat 54. An opening is slotted on one side of the moving box 51. The bottom of the inner cavity at the opening is fixed to the mounting end of the camera 52. A transparent glass 53 is fixed at the opening on the outer surface of the moving box 51. The transparent glass 53 is opposite to the camera 52, and the camera 52 is set to a wide angle.

[0067] The bevel gear 74 at the lower end of the longitudinal connecting rod 73 rotates and drives the longitudinal connecting rod 73 to rotate, the longitudinal connecting rod 73 drives gear 2 84 to rotate, gear 2 84 drives gear 1 81 to rotate, gear 1 81 drives the lead screw 83 to rotate, and drives the moving box 51 to be lifted and lowered on the upper end of the rotating seat 54.

[0068] At the same time, the structure of the recording component 5, the structure of the driving rotation component 7 and the structural dimensions of the lifting component 8 need to be set according to the internal structure of the electric hook body 100, so that all structures can be installed smoothly.

[0069] It should be noted that the outer surfaces of the metal sleeve 107 and the exposed portion of the ceramic sleeve 103 are provided with the same flexible sterile material as the outer wall of the existing electric hook, which is not a major technology and will not be described in detail.

[0070] The implementation principle of the surgical instrument kit for ultra-minimally invasive suture-free surgical treatment of hyperhidrosis in the embodiment of the present application is as follows: when using the device, the doctor makes an incision in the patient's armpit according to the diameter size of the electric hook body 100. The incision only requires inserting the electric hook body 100 into the patient's body. Therefore, the incision in the patient's armpit can be effectively reduced.

[0071] After the electric hook body 100 is inserted into the patient's body, the switch is turned on, and then the micro motor 71 and the camera 52 are powered on. The output shaft of the micro motor 71 drives the main shaft 78 to rotate and then drives the sun gear to rotate. The rotation of the sun gear will drive the planetary gears to rotate, and the planetary gears will drive the planetary carrier 77 to rotate. Because the ring gear is fixed, each planetary gear at this time rotates along the ring gear driven by the sun gear and then drives the planetary carrier 77 to rotate, which is carried out in two steps and simultaneously.

[0072] Step 1: The rotation of the planet carrier 77 drives the outer connecting rod 76 to rotate, and then drives the rotating seat 54 to rotate from the outer slot 4 and slowly rotate to 90 degrees as needed, so that the camera 52 faces the direction of the electric hook head 2, thereby achieving the effect of recording.

[0073] Step 2, the main shaft 78 rotates through the rubber strip 1 79 and the rubber strip 2 792 to drive the inner connecting rod 75 to rotate inside the outer connecting rod 76, the inner connecting rod 75 drives one bevel gear 74 to rotate and then drives another bevel gear 74 to rotate and then rotates through the longitudinal connecting rod 73, the longitudinal connecting rod 73 drives the gear 1 81 to rotate through the gear 2 84 and then drives the moving box 51 to move upward through the screw 83, thereby adjusting the distance between the camera 52 and the electric hook body 100 and then adjusting the recording range of the camera 52.

[0074] It should be noted that the above-mentioned "step one" and "step two" are performed synchronously, that is, the rotating seat 54 rotates the moving box 51 while rising, so the inclined surface 6 can avoid the moving box 51 from interfering with the metal sleeve 107 in the initial stage of rising.

[0075] When it is necessary to recycle the camera 52:

[0076] The micro motor 71 turns over to drive the sun gear and the planetary gear to turn over, and then drives the planetary carrier 77 to reverse. First, the outer connecting rod 76 drives the rotating seat 54 to slowly rotate into the outer slot 4 for storage. At the same time, the mobile box 51 will also slowly shrink into the cavity of the rotating seat 54. However, this situation is divided into two types:

[0077] 1. When the rotating seat 54 is retracted into the outer slot 4 , the moving box 51 is completely retracted into the cavity of the rotating seat 54 .

[0078] 2. When the rotating seat 54 is retracted into the outer slot 4, there is still a section of the moving box 51 that has not been retracted into the cavity of the rotating seat 54. Because the rotating seat 54 is retracted into place and is restricted from rotating, the main shaft 78 is still rotating. At this time, the planetary carrier 77 is fixed and cannot move. At this time, multiple planetary gears will rotate around their own middle parts as axes to achieve self-rotation, and will not interfere with the normal rotation of the sun gear. Then, the inner connecting rod 75, the two bevel gears 74, the longitudinal connecting rod 73, the gear 1 81, the gear 2 84 and the lead screw 83 rotate to continuously drive the moving box 51 to move downward. At this time, the moving box 51 abuts and slides on the inclined surface 6 until the moving box 51 slowly retracts into the cavity of the rotating seat 54.

[0079] Afterwards, the doctor can remove the device after the operation is completed. Therefore, the device has a small incision, and only one instrument needs to be inserted, and the small incision helps the patient's recovery.

[0080] The above are all preferred embodiments of the present application, and the protection scope of the present application is not limited thereto. Therefore, any equivalent changes made according to the structure, shape, and principle of the present application should be included in the protection scope of the present application.

Claims

1. A surgical instrument set for ultra-minimally invasive suture-free surgical treatment of hyperhidrosis of hands, characterized by: The device comprises an electric hook body (100) inserted into a patient's body; an electric hook head (2) for cutting off the sympathetic nerve chain is arranged at the lower end of the electric hook body (100); and a handle body (3) for a doctor to hold the handle is arranged at the upper end of the electric hook body (100); A driving rotation assembly (7) is arranged at the lower part of the electric hook body (100) and provides driving force for the actuator; A lifting component (8) is arranged on one side of the outer wall of the electric hook body (100), and the driving rotation component (7) provides driving force for the lifting component (8); The video recording component (5) is used to record the patient's internal environment and transmit the image to an external display device.

2. The surgical instrument set for ultra-minimally invasive suture-free surgical treatment of hyperhidrosis of hands according to claim 1, characterized in that: The electric hook body (100) comprises a metal sleeve (107) fixedly sleeved on the lower end of the handle body (3); a plug-in strip (101) is inserted and fixedly connected to one side of the inner cavity of the metal sleeve (107); an outer insulating sleeve (102) is inserted and fixedly connected to the other side; the plug-in strip (101) and the outer insulating sleeve (102) are spliced ​​together to form a circle; and an inner slot (106) for mounting a driving rotating assembly (7) is provided at the lower end of the plug-in strip (101) located on one side of the outer insulating sleeve (102).

3. The surgical instrument set for ultra-minimally invasive suture-free surgical treatment of hyperhidrosis of hands according to claim 2, characterized in that: A ceramic sleeve (103) is plugged and fixed in the middle of the outer insulating sleeve (102), an inner insulating sleeve (104) is plugged and fixed in the middle of the ceramic sleeve (103), and an electric hook core (105) fixed to one end of the electric hook head (2) is plugged and fixed in the middle of the inner insulating sleeve (104).

4. The surgical instrument set for ultra-minimally invasive suture-free surgical treatment of hyperhidrosis of hands according to claim 2, characterized in that: The driving rotating assembly (7) comprises a planetary gear set (72) fixedly mounted at the bottom of the inner slot (106), a main shaft (78) passing through and fixedly mounted in the middle of the sun gear of the planetary gear set (72), a micro motor (71) fixedly mounted on the side wall of the inner slot (106), and an output shaft of the micro motor (71) fixedly mounted to one end of the main shaft (78).

5. The surgical instrument set for ultra-minimally invasive suture-free surgical treatment of hyperhidrosis of hands according to claim 4, characterized in that: The planetary gears of the planetary gear set (72) are all rotatably provided with a planet carrier (77), one end of the planet carrier (77) away from the micro motor (71) is fixedly provided with an outer connecting rod (76), and an inner connecting rod (75) is movably inserted into the middle of the inner cavity of the outer connecting rod (76).

6. The surgical instrument set for ultra-minimally invasive suture-free surgical treatment of hyperhidrosis of hands according to claim 5, characterized in that: The outer surface of the main shaft (78) away from the end of the micro motor (71) is surrounded by a plurality of rubber strips (79) arranged in equal parts, and the inner connecting rod 75 is located on one side of the main shaft (78) and is provided with a side circular hole (791) for inserting one end of the main shaft (78), and the inside of the side circular hole (791) is surrounded by a plurality of rubber strips (792) arranged in equal parts for contacting the plurality of rubber strips (79) and realizing transmission.

7. The surgical instrument set for ultra-minimally invasive suture-free surgical treatment of hyperhidrosis of hands according to claim 6, characterized in that: The metal sleeve (107) and the insert strip (101) are both provided with opposite outer slots (4) on one side, one end of the outer connecting rod (76) movably penetrates the side wall of the inner slot (106) and extends into the outer slot (4), an inclined surface (6) is provided at the upper end of the outer slot (4), and one end of the inclined surface (6) extends to the bottom of the outer slot (4).

8. The surgical instrument set for ultra-minimally invasive suture-free surgical treatment of hyperhidrosis of hands according to claim 7, characterized in that: The video recording assembly (5) comprises a rotating seat (54) rotatably arranged inside the outer slot (4), a transverse hole (55) for inserting and fixing an outer connecting rod (76) is provided at the lower end of the rotating seat (54), a longitudinal connecting rod (73) is inserted and inserted in the middle of the rotating seat (54) in a longitudinally movable manner, the lower end of the longitudinal connecting rod (73) extends into the transverse hole (55), and the lower end of the longitudinal connecting rod (73) and one end of the inner connecting rod (75) located in the inner cavity of the transverse hole (55) are fixedly provided with a bevel gear (74), and the two bevel gears (74) are meshed with each other.

9. The surgical instrument set for ultra-minimally invasive suture-free surgical treatment of hyperhidrosis of hands according to claim 8, characterized in that: A movable box (51) for mounting a camera (52) is longitudinally slidably disposed inside the cavity at the upper end of the rotating seat (54), and a transparent glass (53) opposite to the camera (52) is fixedly disposed at an opening on the outer surface of the movable box (51), and the camera (52) is configured to have a wide angle.

10. The surgical instrument set for ultra-minimally invasive suture-free surgical treatment of hyperhidrosis of hands according to claim 8, characterized in that: The lifting assembly (8) comprises an internal threaded hole (82) provided inside the moving box (51), the internal threaded hole (82) is threadedly connected to a lead screw (83) rotatably arranged at the bottom of the upper cavity of the rotating seat (54), a gear 1 (81) is sleeved and fixed at the lower end of the lead screw (83), and a gear 2 (84) meshing with the gear 1 (81) is sleeved and fixed at the upper end of the longitudinal connecting rod (73).