Suspended expansion device for prostate surgery
By designing a compact overhang expansion device, the existing delivery handle is solved inconvenient to operate during prostate surgery, a safer and more convenient surgical process is achieved, and the risk of surgery and infection is reduced.
Patent Information
- Application Number
- CN202411299526.4
- Authority / Receiving Office
- CN · China
- Patent Type
- Applications(China)
- Current Assignee / Owner
- Filing Date
- 2024-09-18
- Publication Date
- 2025-01-03
AI Technical Summary
The delivery handles of existing prostate implants have problems of inconvenience during the operation. They are large in size, heavy in weight, and difficult to customize, which increases the risk of surgery.
A suspension device is designed, including a conveyor handle and a conveyor pipe assembly. It adopts a compact structural design and is adapted to a conventional conveyor pipe assembly. It has the advantages of small size and easy operation and can be customized according to the operator's left and right hands. Integrate camera modules to reduce endoscopy use and reduce infection risk.
It realizes safer and more convenient operation in prostate surgery, reduces surgical risks, simplifies the surgical process, reduces operation difficulty, and avoids the risk of infection caused by reuse through one-time design.
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Figure CN119235419A_ABST
Abstract
Description
Technical Field
[0001] The invention belongs to prostate surgery instruments, and in particular relates to a suspension expansion device used for prostate surgery. Background Art
[0002] Benign prostatic hyperplasia (BPH) is a common disease in middle-aged and elderly men. Its main manifestations include hyperplasia of prostate stroma and glandular components, benign prostatic enlargement (BPE), lower urinary tract symptoms (LUTS), and bladder outlet obstruction (BOO). Currently, there are two treatment methods for BPH: drug therapy and surgical treatment. Surgical treatment includes: (1) transurethral resection of the prostate; (2) suprapubic or retropubic prostatectomy; (3) laser prostatectomy or resection; (4) minimally invasive treatment with implants. Among them, minimally invasive treatment with implants is to implant a permanent implant into the prostate through a delivery system, and use the implant to mechanically separate the two lobes of the prostate so that it no longer blocks the urethra, thereby continuously relieving the symptoms of BPH patients. There is no need to resect or ablate the prostate tissue, which can relieve the pain of patients and enable them to return to normal life as soon as possible.
[0003] Chinese patent 202311679703.7 discloses "a continuously accessible prostate anchor delivery system". The delivery system of the prostate implant usually requires the cooperation of a delivery handle and a delivery pipeline to realize the step-by-step implantation process of the prostate implant, wherein the delivery pipeline includes a main body, a puncture needle system, an anchor wire cutting system, an implant and an imaging system. The puncture needle system is used to pierce the prostate capsule and release the capsule sheet of the implant. The anchor wire cutting system is used to release the urethral end sheet on the prostate urethra side and complete the tightening and cutting of the anchor wire. The specific implantation process of the implant is as follows Figures 30 to 32 As shown in the figure, the delivery handle in this technical solution can cooperate with the puncture needle system and the anchor wire cutting system to realize the full implantation process of the prostate implant. Most of the delivery handles of prostate implants in the prior art have roughly the same operation steps as those in the above patent technology. Their structure is generally a pistol structure, with many internal structural accessories, large overall size and weight, which is inconvenient to operate during prostate surgery. Summary of the invention
[0004] Technical problem to be solved: In view of the shortcomings of the delivery handle in the prior art during the operation, the present invention provides a suspension expansion device for prostate surgery. The delivery handle can be adapted to the conventional delivery pipeline assembly, has the advantages of small size and easy operation, and its structure can be customized according to the operator's left or right hand, thereby reducing the risk of surgery.
[0005] Technical solution: The invention discloses a suspension expansion device for prostate surgery, the suspension expansion device comprising a delivery handle and a delivery pipeline assembly; the delivery handle comprises: A main frame, the main frame comprising a supporting base plate, the front end of the supporting base plate being provided with a connecting terminal for plugging the delivery pipeline assembly; A support frame, the support frame comprising a first support side plate and a second support side plate vertically arranged on both sides of a support base plate, the first support side plate and the second support side plate and the support base plate form an I-shaped structure, and a first mounting slide groove and a second mounting slide groove are formed on the upper and lower sides of the support base plate respectively; The puncture needle slider is fixedly connected to the puncture needle push tube and is slidably connected to the rear end of the first mounting slide groove; the front end of the first mounting slide groove is provided with an elastic connection component, and the puncture needle slider is connected to the elastic connection component through a puncture spring; A puncture needle lever, which is arranged on the upper side of the puncture needle slider and is clamped on the puncture needle slider to limit its forward sliding; A capsule film slider, wherein the capsule film slider is fixedly connected to the capsule film pushing tube, the capsule film slider is slidably connected in the first installation slide groove and is located at the front end of the puncture needle slider, the puncture needle slider is elastically connected to the capsule film slider through a constant force spring, and the constant force spring is initially in an untensioned state; A second limiter, which is correspondingly arranged on the upper side of the capsule film slider, drives the capsule film slider to move forward synchronously as the puncture needle stimulates the puncture needle slider, and enables the second limiter to be clamped on the capsule film slider to limit its backward sliding; as the puncture needle is retracted, the puncture needle slider moves backward and the position of the capsule film slider is limited and locked, so that the constant force spring is tightened and stored; A cutting knife slider, wherein the cutting knife slider is fixedly connected to the cutting knife tube and is slidably connected to the front end of the second mounting slide groove; A urethra end piece slider, the urethra end piece slider is fixedly connected to the urethra end piece push rod and is slidably connected to the rear end of the second mounting slide groove; the urethra end piece slider is connected to the cutting knife slider through a cutting spring; A push rod lever, the push rod lever is correspondingly arranged at the lower side of the urethra end piece slider, the push rod lever is clamped on the urethra end piece slider and restricts it from sliding forward; A cutting knife lever, wherein the cutting knife lever is correspondingly arranged between the cutting knife slider and the urethra end piece slider, the front end of the cutting knife lever is correspondingly clamped on the cutting knife slider and restricts it from sliding backward, and the rear end of the cutting knife lever can limit the forward sliding position of the urethra end piece slider; A rotary drive assembly is correspondingly arranged on the outer side of the first supporting side plate, and the rotary action of the rotary drive assembly can successively drive the puncture needle lever, the second limiter, the push rod lever and the cutting knife lever to perform corresponding actions, and successively release the restrictions on the puncture needle slider, the capsule film slider, the urethra end piece slider and the cutting knife slider to complete the implantation of the prostate implant.
[0006] Preferably, the upper and lower plate surfaces of the support base plate are respectively provided with two first guide slide bars along the length direction thereof, and a limiting groove is formed between the two first guide slide bars in the same plane.
[0007] Preferably, the puncture needle slider includes a guide slider, and guide sliders slidably connected to the first supporting side plate and the second supporting side plate are respectively arranged on both sides of the guide slider; Both sides of the rear end of the guide slide plate are respectively provided with constant force spring mounting seats for the constant force spring to be clamped; The top surface of the guide slide is located at the front side of the constant force spring mounting seat and is correspondingly provided with a first limiting wedge block, and the guide slide is located between the two first limiting wedge blocks and is provided with a spring connecting column; The front end of the guide slide plate is arranged on the first driving arm, and a puncture needle pushing tube clamping block is arranged on the inner side of the front end of the first driving arm.
[0008] Preferably, the capsule film slider comprises a supporting gusset plate supported on two first guide slides, and supporting slide plates slidably supported on a supporting base plate are respectively arranged on both sides of the rear end of the supporting gusset plate, and a connecting column for connecting a constant force spring is arranged at the rear end of the supporting slide plate; The rear end of the support gusset plate is located between the two support slide plates and is provided with a second drive arm rod that cooperates with the first drive arm rod, and the bottom surface of the rear end of the second drive arm rod is provided with a capsule film pushing tube clamp block; A second limiting wedge block is arranged at the front end of the supporting slide plate close to the first supporting side plate.
[0009] Preferably, a first driving rod is provided at the front end of the puncture needle lever near the first supporting side plate, and the first driving rod penetrates the first supporting side plate; The two sides of the middle part of the puncture needle lever are respectively provided with first pivots rotatably connected with the first supporting side plate and the second supporting side plate; A first limiting slot is provided on the upper side of the rear end of the puncture needle lever along its width direction; A first limiting member is disposed on the inner side of the first supporting side plate at the rear end of the puncture needle lever, the first limiting member is an L-shaped structure, and a clamping column supported in the first limiting clamping groove is disposed at the front end of the first limiting member; The lower side of the rear end of the puncture needle lever is correspondingly supported on the front side of the first limiting wedge block.
[0010] Preferably, the second limiting member is fixedly connected to the inner side of the first supporting side plate; The second limiting member comprises a clamping strip, a limiting clamping tooth supported on the second limiting wedge block is arranged at the front end of the clamping strip, and a mounting block is arranged at the rear end of the clamping strip; A second driving rod is arranged at a side of the front end of the clamping strip close to the first supporting side plate, and the second driving rod penetrates the first supporting side plate.
[0011] Preferably, the top surface of the cutting knife slider is provided with a cutting knife tube clamping block slidably connected to the limiting groove, the rear end of the cutting knife slider is provided with a spring connecting block for connecting the cutting spring, and the bottom surface of the cutting knife slider is provided with a clamping strip.
[0012] Preferably, a urethra end piece push rod block slidably connected to the limiting groove is arranged on the top surface of the urethra end piece slider, and a third limiting groove is arranged on the lower side of the rear end of the urethra end piece slider.
[0013] Preferably, the shear lever is a boat-shaped structure, wherein second pivots rotatably connected to the first supporting side plate and the second supporting side plate are respectively arranged on both sides of the middle; a second limiting slot for a card strip to be engaged is arranged on the upper side of the front end of the shear lever, and the rear end of the shear lever forms a first limiting end for driving and limiting the urethra end piece slider.
[0014] Preferably, a third driving rod is provided at the front end of the push rod lever close to the first supporting side plate, and the third driving rod passes through the first supporting side plate; The push rod lever has third pivots rotatably connected to the first supporting side plate and the second supporting side plate respectively disposed on both sides of the middle portion; The rear end of the push rod is provided with a second limiting end which is clamped into the third limiting clamping groove.
[0015] Preferably, the rotary drive assembly comprises a drive housing correspondingly buckled with the outer side of the first supporting side plate, a mounting circular groove is provided in the middle of the drive housing, and a driving wheel is provided in the mounting circular groove; The driving wheel comprises a disc body, a first driving block is arranged on the inner periphery of the disc body, and the second driving rod is correspondingly supported on the outer periphery of the disc body and is located in front of the first driving block; An outer driving ring body and an inner driving ring body are concentrically arranged on the inner disk surface of the disk body, and a limiting ring groove for the third driving rod to be clamped is formed between the outer driving ring body and the inner driving ring body, and a second driving block is arranged on the inner wall of the outer driving ring body; The first driving rod is correspondingly arranged inside the inner driving ring body, and a third driving block is arranged inside the inner driving ring body.
[0016] Preferably, a first mounting column is arranged on the outer side of the first supporting side plate, and a supporting sleeve correspondingly buckled in the first mounting column is arranged at the inner center of the driving wheel; A second mounting column is correspondingly arranged at the lower side of the first mounting column, the second mounting column is sleeved with a transmission gear, and the inner wall of the inner driving ring body is provided with an inner tooth area meshing with the transmission gear; The transmission gear is meshedly connected with a transmission rack on the upper side, a guide sliding long hole for the first mounting column to pass through is arranged in the middle of the transmission rack along its length direction, and a transmission tooth area is arranged along the bottom edge of the transmission rack along its length direction; The first supporting side plate is provided with a first guide slot along its length direction, and the guide slot of the puncture needle slider passes through the first guide slot and is fixedly connected to the transmission rack. Preferably, a ratchet area is provided on the outer periphery of the disk body, and a ratchet buckle engaged with the ratchet area is provided on the inner side of the drive housing.
[0017] Preferably, the first supporting side plate is provided with a second guide slide bar on the upper side of the first guide slide groove, and the second guide slide groove is provided on the inner side of the transmission rack corresponding to the second guide slide bar.
[0018] Preferably, four paddles are distributed on the outer side of the disk body along the circumference of the disk surface, and the paddles are correspondingly provided with digital numbers.
[0019] Preferably, a locking groove is provided on the outer side of the first driving block, and an unlocking component is correspondingly provided at the rear end of the driving shell, and the unlocking component includes an unlocking push block arranged on the outer side of the driving shell and an unlocking plug block arranged on the inner side of the driving shell, and the unlocking push block is fixedly connected to the unlocking plug block through a pin shaft; the front end of the unlocking plug block is correspondingly inserted into the locking groove, and an unlocking spring is provided at the rear end of the unlocking plug block and arranged between the unlocking plug block and the driving shell.
[0020] Preferably, the elastic connection assembly includes a support column installed between the first support side plate and the second support side plate, and the support column is provided with a spring buckle and a torsion spring, the spring buckle is suspended and connected to the puncture spring, and the torsion spring is supported on the side wall of the spring buckle and limits the opening direction of the hook.
[0021] Preferably, the delivery pipeline assembly includes a main body, a puncture needle assembly, a camera module and a tangent assembly. The radial section of the main body is an elliptical structure. The upper edge, the axis core and the lower edge of the main body are respectively provided with a puncture needle shuttle tube slot, a laparoscope slot and a tangent shuttle tube slot along its length direction, and the upper end of the puncture needle shuttle tube slot and the lower end of the tangent shuttle tube slot are open structures.
[0022] Compared with the prior art, the present invention has the following beneficial effects: 1. The delivery handle of the present invention can be adapted to a conventional delivery pipeline assembly, has a compact structure, is small in size, and is easy to operate, thereby reducing the risk of prostate surgery; 2. The conveying handle can be customized according to the operator's left or right hand, and can be designed to conform to the ergonomic structure and is easy to operate; 3. An integrated camera module can be integrated into the delivery pipeline assembly. The connection cable of the camera module can pass through the semicircular groove between the first driving arm and the second driving arm from the end of the delivery handle and be connected to an external control center (such as a computer) for digital display. There is no need to install an endoscope, thereby saving surgical time. In addition, the delivery handle can be made into a disposable product to avoid the risk of infection caused by repeated use of an endoscope. 4. The delivery handle can be used as a disposable medical device. The elastic connection component is tensioned and connected with the puncture spring during the puncture needle charging process. After the puncture spring is excited, the elastic connection component is disconnected from the puncture spring, so that the puncture needle does not need to overcome the tensile resistance of the puncture spring during the subsequent retraction process, and there is no need to charge the puncture spring. The puncture spring automatically disengages after being released, which makes the operator more labor-saving during operation and greatly reduces the difficulty of retracting the puncture needle; 5. The delivery pipeline assembly adopts a main body with stronger structural strength, so that the diameter of the main body can be as large as 6mm. During the operation, an 18Fr sheath can be set on the outside of the main body to improve the acceptance of prostate surgery. BRIEF DESCRIPTION OF THE DRAWINGS
[0023] Figure 1 This is a front view of the suspension expansion device structure of an embodiment of the present invention; Figure 2 for Figure 1 A top view of the middle conveying handle structure; Figure 3 for Figure 2 Exploded structure cross-sectional view of the middle conveying handle; Figure 4 for Figure 2 Schematic diagram of the internal transmission structure of the middle conveying handle; Figure 5 for Figure 2 Schematic diagram of the structure of the second supporting side plate; Figure 6 for Figure 4 Schematic diagram of the layout structure of the puncture needle slider and the main frame; Figure 7 for Figure 4 Schematic diagram of the layout structure of the puncture needle slider and the capsule sheet slider; Figure 8 for Figure 6Or the main frame structure diagram in 7; Fig. 9 for Figure 6 Schematic diagram of the connection structure between the puncture needle slider and the puncture needle push tube; Fig.10 for Figure 7 Schematic diagram of the connection structure between the middle capsule diaphragm slider and the capsule diaphragm push tube; Fig.11 for Figure 4 Schematic diagram of the layout structure of the middle cutting knife slider, urethra end piece slider and main frame; Fig.12 for Fig.11 Schematic diagram of the connection structure between the middle cutting knife slider, the urethra end piece slider, the cutting knife tube, and the urethra end piece push rod; Fig.13 for Figure 3 A schematic diagram of the first-person perspective structure of the connection between the puncture needle slider and the transmission rack; Fig.14 for Fig.13 A schematic diagram of the structure of the connection between the middle puncture needle slider and the transmission rack from the second viewing angle; Fig.15 for Figure 4 Schematic diagram of the connection structure between the middle puncture needle lever and the first limiter; Fig.16 for Figure 4 Schematic diagram of the structure of the second limiting member; Fig.17 for Fig.11 Schematic diagram of the lever structure of the middle cutting scissors; Fig.18 for Figure 4 Schematic diagram of the lever structure of the middle push rod; Fig.19 for Figure 1 A schematic diagram of the structure of the central rotation drive assembly from the first perspective; Fig. 20 for Fig.19 A schematic diagram of the structure of the middle rotation drive assembly from the second perspective; Fig.21 for Fig. 20 Schematic diagram of the connection structure between the unlocking component and the driving wheel; Fig. 22 for Fig.19 A schematic diagram of the structure of the middle drive wheel from the first perspective; Fig.23 for Fig. 22 A schematic diagram of the structure of the middle driving wheel from the second perspective; Fig.24 for Fig.23 A schematic diagram of the structure of the middle driving wheel connected to the puncture needle lever, the second limiter and the push rod lever from the first perspective; Fig.25 for Fig.24 A schematic diagram of the structure of the middle driving wheel connected to the puncture needle lever, the second limiter and the push rod lever from the first perspective; Fig.26 for Figure 4 Schematic diagram of the structure of the elastic connection component; Fig. 27 for Figure 1 Schematic diagram of the exploded structure of the transmission pipeline assembly; Fig.28 for Figure 1 A cross-sectional view of the middle conveying pipeline assembly; Fig.29 This is a schematic diagram of the structure of the prostate implant in an open state; Fig.30 It is a schematic diagram of the process of the puncture needle piercing the prostate at the front end of the delivery pipeline assembly; Fig.31 Schematic diagram of the process of releasing the capsule patch and anchoring wire for retracting the puncture needle of the delivery tube assembly; Fig.32 Schematic diagram of the process of releasing the urethral piece and cutting the anchor wire for the delivery tube assembly; Fig.33 for Figure 1 Physical picture of the structure of the mid-hung expansion device; Fig.34 for Fig.19 Physical picture of the structure of the rotary drive assembly of the mid-hanging expansion device in disassembled state; Fig.35 for Figure 6 Actual picture of the connection structure between the puncture spring and the puncture needle slider.
[0024] Reference numerals: 100, suspension expansion device; 1, conveying handle; 2. Delivery pipeline assembly; 201. Main body; 2011. Puncture needle shuttle tube slot; 2012. Laparoscope slot; 2013. Tangent shuttle tube slot; 202. Puncture needle shuttle tube; 203. Puncture needle push tube; 204. Capsule film push tube; 205. Puncture needle; 206. Camera module; 207. Tangent shuttle tube; 208. Tangent knife tube; 209. Urethral end film push rod; 3. Rotary drive assembly; 4. Drive housing; 401. Mounting circular groove; 5. Drive wheel; 501. Plate; 502. Paddle; 503. First drive block; 5031. Locking groove; 504. Ratchet area; 505. Support sleeve; 506. Internal tooth area; 507. Limiting ring groove; 508. Second drive block; 509. Third drive block; 510. External drive ring body; 511. Internal drive ring body; 6. Unlocking assembly; 601. Unlocking push block; 602. Unlocking plug block; 603. Unlocking spring; 7. Main frame; 701. Support base plate; 702. First guide slide; 703. Limiting groove; 704. Connecting terminal; 8. Support frame; 81. First support side plate; 811. Second guide slide bar; 812. First mounting column; 813. Second mounting column; 814. First guide slide groove; 815. Mounting hole; 82. Second support side plate; 83. First mounting slide groove; 84. Second mounting slide groove; 9. Elastic connection assembly; 91. Support column; 92. Spring buckle; 93. Torsion spring; 10. puncture spring; 11. puncture needle lever; 1101. first drive rod; 1102. first pivot; 1103. first limit slot; 12. puncture needle slider; 121. guide slide; 122. first limit wedge; 123. constant force spring mounting seat; 124. spring connecting column; 125. first drive arm; 126. puncture needle push tube block; 127. guide slide; 13. first limit member; 1301. clamping column; 14. constant force spring; 15. Second limiter; 151. Card strip; 152. Limiting card tooth; 153. Second driving rod; 154. Mounting block; 16. Transmission rack; 1601. Long guide slide hole; 1602. Transmission gear area; 1603. Second guide slide groove; 17. Transmission gear; 18. Capsule membrane slide block; 181. Support slide plate; 182. Connecting column; 183. Second driving arm rod; 184. Capsule membrane push tube card block; 185. Second limit wedge block; 186. Support buckle plate; 19. Cutter slider; 191. Cutter tube block; 192. Spring connection block; 193. Card strip; 20. Cutter lever; 2001. First limit end; 2002. Second pivot; 2003. Second limit slot; 21. Cutter spring; 22. Push rod lever; 221. Second limit end; 222. Third pivot; 223. Third drive rod; 23. Urethral end piece slider; 231. Urethral end piece push rod block; 232. Third limit slot; 24. Ratchet buckle; 26. Capsular membrane patch; 27. Anchoring line; 28. Urethral end patch; 01. Bladder; 02. Pubis; 03. Urethra; 04. Prostate; 05. Prostatic capsule. DETAILED DESCRIPTION
[0025] To make the purpose, technical solution and advantages of the embodiments of the present invention clearer, the following will be combined with the attached Figures 1 to 35 The technical solutions of the embodiments of the present invention are described clearly and completely. Obviously, the described embodiments are only part of the embodiments of the present invention, not all of the embodiments. Based on the described embodiments of the present invention, all other embodiments obtained by ordinary technicians in this field belong to the scope of protection of the present invention.
[0026] like Figures 30 to 32 As shown, a coronal cross-section of the lower abdomen of a man with prostate hyperplasia, the bladder 01 is a bubble-like structure for storing urine, located behind the human pubic bone 02, and its open end is connected to a soft, elastic tubular structure as the urethra 03, and the urine stored in the bladder is discharged from the front end of the penis through the urethra 03. The prostate 04 is located outside the urethra at the junction of the urethra 03 and the bladder 01. The health of the prostate 04 has an important impact on the normal function of the male reproductive system. For example, if the prostate hyperplasia occurs, it will squeeze the urethra 03 and narrow the urethral passage, which may cause problems such as frequent urination, urgent urination, painful urination, and sexual dysfunction. The prostate capsule 05 is distributed on the outer wall of the prostate 04, and the prostate capsule 05 has a certain structural strength.
[0027] like Fig.29 As shown, the anchor implant is a medical device for minimally invasive surgery to treat prostate hyperplasia, which usually includes a capsule sheet 26 clamped on the outside of the prostate capsule 05, a urethral end sheet 28 clamped on the inner wall of the prostate urethra, and an anchor line 27 connecting the capsule sheet 26 and the urethral end sheet 28. The urethral end sheet 28 is pulled closer to the capsule sheet 26 through the anchor line 27, thereby expanding the urethral stenosis position and clearing the urine discharge passage. The capsule sheet 26 in the prior art adopts a straight structure. After the capsule sheet 26 is released on the outside of the prostate capsule 05, the capsule sheet 26 and the anchor line 27 form a T-shaped structure. When the urethral end sheet 28 is released on the urethra side and fixedly clamped with the anchor line head, an I-shaped structure (such as Fig.29 shown).
[0028] like Figure 1 and Fig.33 As shown, the present invention discloses a suspension expansion device for prostate surgery. The suspension expansion device 100 includes a delivery handle 1 and a delivery pipeline assembly 2.
[0029] like Figures 27 and 28As shown, the delivery pipeline assembly 2 includes a main body 201, a puncture needle assembly, a camera module 206 and a tangent assembly. The radial section of the main body 201 is an elliptical structure. The upper edge, the axis core and the lower edge of the main body 201 are respectively provided with a puncture needle shuttle tube slot 2011, a laparoscope slot 2012 and a tangent shuttle tube slot 2013 along its length direction, and the upper end of the puncture needle shuttle tube slot 2011 and the lower end of the tangent shuttle tube slot 2013 are open structures. The main body 201 can meet the needs of convenient layout of the puncture needle assembly, the camera module and the tangent assembly. The puncture needle assembly includes a puncture needle shuttle tube 202 that is mounted in a puncture needle shuttle tube slot 2011 and a puncture needle push tube 203 that is slidably connected to the puncture needle shuttle tube 202. The front end of the puncture needle push tube 203 is connected to a puncture needle head 205, and a capsule membrane sheet 26 is stored in the puncture needle head 205. The rear end of the capsule membrane sheet 26 is fixedly connected to an anchor line 27. A capsule membrane sheet push tube 204 is provided at the rear end of the capsule membrane sheet 26 in the puncture needle push tube 203, and the anchor line 27 is stored in the capsule membrane sheet push tube 204. The puncture needle head 205 moves forward under the push of the puncture needle push tube 202 to puncture the lateral lobe of the prostate (such as Fig.30 As shown). The puncture needle 205 contains a capsule sheet 26, and during the puncture process of the puncture needle 205, the capsule sheet 26 and the anchoring line 27 are synchronously punctured into the prostate capsule 05. As the puncture needle push tube 203 shrinks backward and drives the puncture needle 205 to retract, the capsule sheet push tube 204 moves forward relative to the puncture needle push tube 203 (the position of the capsule sheet push tube 204 remains unchanged), so that the capsule sheet 26 is released from the outer wall of the prostate capsule 05 and automatically pops open. After the capsule sheet 26 pops open, it forms a T-shaped structure with the anchoring line 27, and then the capsule sheet push tube 204 continues to move backward with the puncture needle push tube 203, pulling the anchoring line 27 backward to tighten the capsule sheet 26 on the outer wall of the prostate capsule 05 (as shown). Fig.31 shown).
[0030] like Figures 27 and 28As shown, the thread cutting assembly includes a thread cutting shuttle tube 207 which is clamped in the thread cutting shuttle tube slot 2013, a thread cutting knife tube 208 is installed in the thread cutting shuttle tube 207, a urethra end piece pushing rod 209 is installed in the thread cutting knife tube 209, and a urethra end piece 28 is arranged at the front end of the urethra end piece pushing rod 209, and the thread cutting shuttle tube 207, the thread cutting knife tube 208 and the urethra end piece pushing rod 209 all adopt a square structure. A thread cutting edge is arranged at the front end of the thread cutting knife tube 208. A V-shaped notch for the anchoring wire 27 to be inserted is provided at the front end of the urethral end piece 28. After the cystic membrane piece 26 is released and the anchoring wire 27 is tightened, the urethral end piece pushing rod 209 pushes the urethral end piece 28 forward. During the advancement of the urethral end piece 28, the anchoring wire 27 is correspondingly connected to the root of the V-shaped notch, thereby realizing the anchoring of the anchoring wire 27 and the urethral end piece 28. Then, the cutting knife tube 208 is pushed backward to move along the cutting shuttle tube 207. During the movement, the cutting edge of the cutting knife tube 208 and the V-shaped notch of the urethral end piece 28 form a scissors difference, so that the anchoring wire 27 can be cut and cut, thereby completing the release of the anchoring implant (such as Fig.32 shown).
[0031] like Figures 2~4 As shown, the conveying handle 1 includes a main frame 7, a support frame 8, a puncture needle slider 12, a puncture needle lever 11, a capsule film slider 18, a second limiter 15, a cutting knife slider 19, a urethral end piece slider 23, a push rod lever 22, a cutting knife lever 20 and a rotation drive assembly 3.
[0032] like Figure 8 As shown, the main frame 7 includes a support base plate 701, and a connection terminal 704 for the delivery pipeline assembly 2 to be plugged is arranged at the front end of the support base plate 701. Two first guide slides 702 are arranged on the upper and lower surfaces of the support base plate 701 along its length direction, and a limit groove 703 is formed between the two first guide slides 702 in the same plane. The puncture needle push tube 203 and the capsule film push tube 204 of the puncture needle assembly are correspondingly accommodated in the limit groove 703 on the upper side of the support base plate 701, and the tail end of the capsule film push tube 204 extends out of the tail end of the puncture needle push tube 203; the tangent knife tube 208 and the urethra end piece push rod 209 of the tangent assembly are correspondingly accommodated in the limit groove 703 on the lower side of the support base plate 701, and the tail end of the urethra end piece push rod 209 extends out of the tail end of the tangent knife tube 208.
[0033] like Figures 2~5As shown, the support frame 8 includes a first support side plate 81 and a second support side plate 82 which are vertically arranged on both sides of the support base plate 701. The first support side plate 81 and the second support side plate 82 form an I-shaped structure with the support base plate 701. A first mounting groove 83 and a second mounting groove 84 are respectively formed on the upper and lower sides of the support base plate 701. The main frame 7 and the support frame 8 form the main frame of the conveying handle 1. The main frame is made of metal material, and its structure has high strength and stability.
[0034] like Figures 6 to 9 and Fig.35 As shown, the puncture needle slider 12 is slidably connected to the rear end of the first installation slot 83, and the puncture needle slider 12 is fixedly connected to the puncture needle push tube 203. An elastic connection component 9 is provided at the front end of the first installation slot 83, and the puncture needle slider 12 is connected to the elastic connection component 9 through the puncture spring 10. Specifically, the puncture needle slider 12 includes a guide slider 121, and guide sliders 127 slidably connected to the first support side plate 81 and the second support side plate 82 are provided on both sides of the guide slider 121. Constant force spring mounting seats 123 for the constant force spring 14 to be clamped are provided on both sides of the rear end of the guide slider 121, that is, the constant force spring 14 includes two correspondingly arranged on the guide slider 121. The top surface of the guide slider 121 is located at the front side of the constant force spring mounting seat 123 and is correspondingly provided with a first limiting wedge 122, and the guide slider 121 is provided with a spring connecting column 124 between the two first limiting wedges 122, and one end of the puncture spring 10 is suspended on the spring connecting column 124. The front end of the guide slide 121 is arranged on the first driving arm 125, and a puncture needle pushing tube block 126 is arranged on the inner side of the front end of the first driving arm 125. The end of the puncture needle pushing tube 203 can be fixedly connected to the puncture needle pushing tube block 126. As the puncture needle slider 12 moves forward or backward along the supporting base plate 701, the puncture needle pushing tube block 126 can push the puncture needle pushing tube 203 forward or backward along the puncture needle shuttle tube 202, thereby promoting the puncture needle 205 to pierce or retract.
[0035] like Figure 4 and Fig.15As shown, the puncture needle lever 11 is arranged on the upper side of the puncture needle slider 12, and the puncture needle lever 11 is clamped on the puncture needle slider 12 and restricts it from sliding forward. Specifically, a first driving rod 1101 is arranged on the front end of the puncture needle lever 11 near the first supporting side plate 81, and the first driving rod 1101 penetrates the first supporting side plate 81. First pivots 1102 rotatably connected to the first supporting side plate 81 and the second supporting side plate 82 are arranged on both sides of the middle part of the puncture needle lever 11, respectively, and the puncture needle lever 11 can perform a small range of rotation through the first pivot 1102. The lower side of the rear end of the puncture needle lever 11 is correspondingly supported on the front side of the first limiting wedge 122, and a first limiting slot 1103 is arranged on the upper side of the rear end of the puncture needle lever 11 along its width direction. A first stopper 13 is provided at the rear end of the puncture needle lever 11 on the inner side of the first support side plate 81. The first stopper 13 is an L-shaped structure, and a clamping column 1301 supported in the first limit slot 1103 is provided at the front end of the first stopper 13. The clamping column 1301 is correspondingly supported in the first limit slot 1103 of the puncture needle lever 11, thereby limiting the rotation of the puncture needle lever 11. When it is necessary to release the position restriction of the puncture needle lever 11 on the puncture needle slider 12, the puncture needle lever 11 can be driven to rotate along the first pivot 1102 by applying a downward force to the first driving rod 1101, and the resistance of the first stopper 13 acting on the rear end of the puncture needle lever 11 is overcome, so that the first stopper 13 is deformed, so that the rear end of the puncture needle lever 11 is separated from the contact with the first limit wedge 122, and the puncture needle slider 12 can slide forward under the action of the puncture spring 10, thereby pushing the puncture needle push tube 203 forward to puncture the needle 205.
[0036] like Figure 4 , Figure 7 and Fig.10The diaphragm sheet slider 18 is fixedly connected to the diaphragm sheet push tube 204. The diaphragm sheet slider 18 is slidably connected in the first mounting groove and is located at the front end of the puncture needle slider 12. The puncture needle slider 12 is elastically connected to the diaphragm sheet slider 18 through the constant force spring 14, and the constant force spring 1 is initially in an untensioned state. Specifically, the diaphragm sheet slider 18 includes a support buckle plate 186 supported on two first guide slides 702. Both sides of the rear end of the support buckle plate 186 are respectively provided with support slide plates 181 slidably supported on the support base plate 701. The position of the support slide plate 181 is lower than the height of the support buckle plate 186. The rear end of the support slide plate 181 is provided with a connecting column 182 for connecting the constant force spring 14. The constant force spring 14 is rotatably connected to the constant force spring mounting seat 123 of the puncture needle slider 12. The constant force spring The free end of 14 is suspended on the connecting column 182. The function of the constant force spring 14 is that when the puncture needle slider 12 slides backward and drives the puncture needle push tube 203 to return backward, the constant force spring 14 can provide a pulling force for the capsule membrane slider 18 to return in sequence, thereby driving the capsule membrane slider push tube 204 to return backward, and the constant force spring 14 can make the puncture needle slider 12 and the capsule membrane slider 18 have an action time difference when returning backward, thereby delaying the capsule membrane slider 18 from sliding backward and returning. The rear end of the support buckle plate 186 is located between the two support slide plates 181 and is provided with a second drive arm 183 that cooperates with the first drive arm 125. The rear end bottom surface of the second drive arm 183 is provided with a capsule film push tube clamp 184. The rear end of the capsule film push tube 204 extends out of the puncture needle push tube 203, so that the capsule film push tube 204 is clamped on the capsule film push tube clamp 184. When the capsule film push tube clamp 184 slides forward or backward along the first installation slide groove 83, it can drive the capsule film push tube 204 forward or backward, thereby realizing the forward release of the capsule film 26 and the backward pulling and tensioning action of the anchor line 27. The first drive arm 125 and the second drive arm 183 are respectively provided with a 1 / 4 concave arc along the length direction to form a semicircular groove structure, so as to facilitate the wiring of the connection cable of the camera module 206. During operation, after the puncture needle lever 11 is driven to release the restriction on the puncture needle slider 12, the puncture needle slider 12 slides forward under the action of the puncture spring 10 to drive the puncture needle 205 forward to puncture the lateral lobe of the prostate. The front end of the first driving arm 125 of the puncture needle slider 12 is supported on the supporting slide 181, thereby pushing the capsule sheet slider 18 to slide forward, and then driving the second driving arm 183 to move forward, pushing the capsule sheet push tube 204 to move forward along with the puncture needle push tube 203, that is, during the puncture process of the puncture needle 205, the capsule sheet 26 stored in the puncture needle 205 passes through the lateral lobe of the prostate, preparing for the release of the capsule sheet 26.
[0037] like Figure 4 , Figure 7 , Fig.10 and Fig.16 As shown, a second limiting wedge 185 is arranged at the front end of the supporting slide plate 181 near the first supporting side plate 81, and the second limiting member 15 is fixedly connected to the inner side of the first supporting side plate 81, and the second limiting member 15 is correspondingly arranged on the upper side of the diaphragm sheet slider 18. The second limiting member 15 is correspondingly arranged on the upper side of the diaphragm sheet slider 18. As the puncture needle stimulates the puncture needle slider 12, the diaphragm sheet slider 18 is driven to move forward synchronously, and the second limiting member 15 is clamped on the diaphragm sheet slider 18 to limit its backward sliding; as the puncture needle is retracted, the puncture needle slider 12 moves backward and the position of the diaphragm sheet slider 18 is limited and locked, so that the constant force spring 14 is tightened and stored. Specifically, the second limit member 15 can adopt a limit buckle structure, including a clamping strip 151, a limit clamping tooth 152 supported on the second limit wedge block 185 is provided at the front end of the clamping strip 151, and a mounting block 154 is provided at the rear end of the clamping strip 151, and the mounting block 154 is correspondingly connected to the inner side of the first support side plate 81; a second driving rod 153 is provided on the front end of the clamping strip 151 close to the first support side plate 81, and the second driving rod 153 passes through the first support side plate 81; it should be noted that the second limit member 15 can also adopt a lever-like structure, which needs to be coordinated with the structure of the rotation drive component 3. When the diaphragm slider 18 is pushed forward into position along with the puncture needle slider 12, under the driving power of the puncture needle slider 12, the second limiting wedge block 185 will move forward and lift the limiting tooth 152 of the second limiting member 15 and move it to the front side of the limiting tooth 152. At this time, the limiting tooth 152 can be clamped on the second limiting wedge block 185 under the action of its reset elastic force, thereby limiting the diaphragm slider 18 from resetting backward; when the puncture needle slider 12 slides backward, the limiting tooth 152 limits the diaphragm slider 18 from moving backward, thereby causing the constant force spring 14 to stretch and store energy. This process corresponds to the puncture needle slider 12 moving forward to the position to complete the puncture needle 205 to complete the puncture. When the puncture needle slider 12 moves backward, the puncture needle push tube 203 drives the puncture needle 205 to retract. The second limiter 15 limits the capsule sheet slider 18 to reset backward, so that the capsule sheet 26 moves forward relative to the puncture needle 205. At this time, the capsule sheet 26 does not move, and the puncture needle 205 retracts backward to release the capsule sheet 26 on the outside of the prostate capsule 05. After the capsule sheet 26 is released, the second driving rod 153 is driven to move slightly upward to drive the limiter tooth 152 to move upward to contact the restriction of the second limiter wedge 185. When the puncture needle slider 12 continues to move backward, the constant force spring 14 can drive the capsule sheet slider 18 to slide backward, and the capsule sheet push tube 204 moves backward to pull the anchor line 27 to tighten the capsule sheet 26 on the outside of the prostate capsule 05.
[0038] like Figure 4 and Figures 11-12As shown, the cutting knife slider 19 is fixedly connected to the cutting knife tube 208 and slidably connected to the front end of the second installation slide groove; the urethral end piece slider 23 is fixedly connected to the urethral end piece push rod 209 and slidably connected to the rear end of the second installation slide groove; the urethral end piece slider 23 is connected to the cutting knife slider 19 through the cutting spring 21. Specifically, the top surface of the cutting knife slider 19 is provided with a cutting knife tube clamping block 191 that is slidably connected to the limiting groove 703, the rear end of the cutting knife slider 19 is provided with a spring connecting block 192 for connecting the cutting spring 21, and the bottom surface of the cutting knife slider 19 is provided with a clamping strip 193. The top surface of the urethral end piece slider 23 is provided with a urethral end piece push rod clamping block 231 that is slidably connected to the limiting groove 703, and the lower side of the rear end of the urethral end piece slider 23 is provided with a third limiting clamping groove 232.
[0039] like Figure 4 and Fig.18 As shown, the push rod lever 22 is correspondingly arranged at the lower side of the urethral end piece slider 23, and the push rod lever 22 is clamped on the urethral end piece slider 23 and limits its forward sliding. Specifically, a third driving rod 223 is arranged at the front end of the push rod lever 22 near the first supporting side plate 81, and the third driving rod 223 penetrates the first supporting side plate 81; third pivots 222 are respectively arranged on both sides of the middle part of the push rod lever 22, which are rotatably connected to the first supporting side plate 81 and the second supporting side plate 82; a second limiting end 221 is arranged at the rear end of the push rod lever 22, which is clamped in the third limiting slot 232. In a normal state, the push rod lever 22 is correspondingly clamped in the third limiting slot 232 of the urethral end piece slider 23 through the second limiting end 221, thereby limiting the urethral end The sheet slider 23 moves forward to keep the urethral end sheet 28 in the starting state in the cutting knife tube 208; when the capsule sheet pushing tube 204 moves backward to tighten the anchor line 27, the third driving rod 223 is driven to make a small displacement upward, so that the pushing rod lever 22 rotates along the third pivot 222, and the second limit end 221 can be disengaged from the third limit slot 232. The urethral end sheet slider 23 moves forward under the traction of the cutting spring 21, thereby driving the urethral end sheet pushing rod 209 to move forward to push the urethral end sheet 28 out, so that the V-shaped bayonet of the urethral end sheet 28 is engaged with the anchor line.
[0040] like Figure 4 , Figures 11-12 , Fig.17As shown, the cutting blade lever 20 is correspondingly arranged between the cutting blade slider 19 and the urethra end piece slider 23, the front end of the cutting blade lever 20 is correspondingly clamped on the cutting blade slider 19 and restricts its backward sliding, and the rear end of the cutting blade lever 20 can limit the forward sliding position of the urethra end piece slider 23. Specifically, the cutting blade lever 20 is a boat-shaped structure, and the second pivot shaft 2002 rotatably connected to the first supporting side plate 81 and the second supporting side plate 82 is respectively arranged on both sides of the middle part; the second limiting slot 2003 for clamping the clamping strip 193 is arranged on the upper side of the front end of the cutting blade lever 20, and the rear end of the cutting blade lever 20 forms a first limiting end 2001 for driving and limiting the urethra end piece slider 23. Under normal conditions, the cutting knife slider 19 is clamped in the second limiting slot 2003 of the cutting knife lever 20 through the clamping strip 193, so that the cutting knife slider 19 cannot move backward; at this time, there is a distance between the first limiting end 2001 of the cutting knife lever 20 and the urethra end piece slider 23 to meet the requirement of the urethra end piece slider 23 sliding forward. When the push rod lever 22 releases the restriction on the urethral end piece slider 23, the urethral end piece slider 23 slides forward under the action of the cutting spring 21, and the front inclined surface of the urethral end piece slider 23 will be supported on the first limit end 2001 of the cutting knife lever 20 during the movement, giving the first limit end 2001 a force to rotate upward, so that the cutting knife lever 20 rotates through the second pivot 2002, and the second limit slot 2003 is out of contact with the card strip 193, and the cutting knife slider 19 can slide backward close to one side of the urethral end piece slider 23 under the action of the cutting spring 21. During the backward movement of the cutting knife slider 19, it drives the cutting knife tube 208 to move backward and forms a scissors difference with the V-shaped bayonet of the urethral end piece 28 to complete the intermittent action on the anchor line 27. The cooperation of the cutting knife slider 19, the cutting knife lever 20, the pushing rod lever 22 and the urethral end piece slider 23 of this structure can continuously and automatically realize the process of releasing the urethral end piece 28 and cutting the anchor line 27, thereby improving the convenience of operation.
[0041] like Figures 1 to 3 , Figures 19 to 23 and Fig.34As shown, the rotary drive assembly 3 is correspondingly arranged on the outside of the first supporting side plate 81, and the rotary action of the rotary drive assembly 3 can successively drive the puncture needle lever 11, the second limiter 15, the push rod lever 22 and the cutting knife lever 20 to perform corresponding actions, and successively release the restrictions on the puncture needle slider 12, the capsule sheet slider 18, the urethra end sheet slider 23 and the cutting knife slider 19 to complete the implantation of the prostate implant. Specifically, the rotary drive assembly 3 includes a drive housing 4 correspondingly buckled on the outside of the first supporting side plate 81, and a mounting circular groove 401 is arranged in the middle of the drive housing 4, and a driving wheel 5 is arranged in the mounting circular groove 401. The driving wheel 5 includes a disk body 501, and four paddles 502 are distributed along the circumference of the disk surface on the outside of the disk body 501. The paddles 502 are correspondingly provided with digital numbers. The paddles 502 can be used to sequentially to toggle the driving wheel 5 to perform a rotation action to achieve different implantation steps of the prostate implant. A first driving block 503 is arranged on the inner periphery of the disk body 501, and the second driving rod 153 of the second limiting member 15 corresponds to the outer periphery of the supporting disk body 501 and is located in front of the first driving block 503. When the driving wheel 5 rotates to make the first driving block 503 rotate to the second driving rod 153 and lift it up, the second limiting member 15 can contact the restriction on the diaphragm slider 18, so that the diaphragm slider 18 can slide backward under the action of the constant force spring 14 to complete the tensioning process of the anchor line 27. An outer driving ring body 510 and an inner driving ring body 511 are concentrically arranged on the inner disk surface of the disk body 501, and a limiting ring groove 507 for the third driving rod 223 to be clamped is formed between the outer driving ring body 510 and the inner driving ring body 511. A second driving block 508 is arranged on the inner wall of the outer driving ring body 510, and the third driving rod 223 of the pushing rod lever 22 is correspondingly slidably connected in the limiting ring groove 507. When the driving wheel 5 rotates to make the second driving block 508 rotate to the third driving rod 223 and push it upward, the pushing rod lever 22 releases the restriction on the urethral end piece slider 23, and the urethral end piece slider 23 completes the process of pushing the urethral end piece 28 into place and opening the cutting process of the anchor line 27 under the action of the cutting spring 21. The first driving rod 1101 of the puncture needle lever 11 is correspondingly arranged on the inner side of the inner driving ring body 511, and the third driving block 509 is arranged on the inner side of the inner driving ring body 511. When the driving wheel 5 rotates to make the third driving block 509 rotate to the first driving rod 1101 and press it down, the puncture needle lever 11 releases the restriction on the puncture needle slider 12, and the puncture needle slider 12 completes the puncture process of the puncture needle 205 under the action of the puncture spring 10. The driving wheel 5 can be cleverly structured, and different implantation steps of the prostate implant can be realized through its rotation.
[0042] like Figures 4 and 5 and Figures 13 and 14As shown, a first mounting column 812 is arranged on the outer side of the first supporting side plate 81, and a supporting sleeve 505 correspondingly buckled on the first mounting column 812 is arranged at the inner center of the driving wheel 5, that is, the driving wheel 5 is buckled on the outer end of the first mounting column 812 through the supporting sleeve 505. A second mounting column 813 is arranged on the lower side of the first mounting column 812, and a transmission gear 17 is sleeved on the second mounting column 813. The inner wall of the inner driving ring body 511 is provided with an inner tooth area 506 meshing with the transmission gear 17. When the driving wheel 5 rotates so that the inner tooth area 506 meshes with the transmission gear 17, the transmission gear 17 can be driven to rotate to realize power transmission; in the non-meshing state, the transmission gear 17 can rotate freely without power transmission. The transmission gear 17 is meshedly connected with a transmission rack 16 on its upper side, and a guide sliding long hole 1601 is provided in the middle of the transmission rack 16 along its length direction for the first mounting column 812 to pass through, and a transmission tooth area 1602 is provided on the bottom edge of the transmission rack 16 along its length direction; the first supporting side plate 81 is provided with a first guide sliding groove 814 along its length direction, and the guide sliding block 127 of the puncture needle sliding block 12 passes through the first guide sliding groove 814 and is fixedly connected to the transmission rack 16. When the puncture needle slider 12 slides forward along the first mounting slot 83 to realize the puncture needle 205 to perform the puncture action, the guide slider 127 can drive the transmission rack 16 to move forward along the first mounting column 812 during the process of moving forward, and the transmission rack 16 drives the transmission gear 17 to idle during the forward movement, that is, the dynamic transmission rack 16 does not work during the forward movement of the puncture needle slider 12; when it is necessary to drive the puncture needle slider 12 to reset backward to complete the retraction of the puncture needle 205, the driving wheel 5 rotates into place so that the inner tooth area 506 is meshed with the transmission gear 17, and as the driving wheel 5 rotates, the transmission gear 17 rotates and drives the transmission gear 17 to move backward, thereby driving the puncture needle slider 12 to move backward along the first mounting slot 83 to complete the retraction process of the puncture needle 205.
[0043] In a preferred embodiment, if Figure 3 and Figure 22-23 As shown, a ratchet area 504 is provided on the outer periphery of the disk body 501, and a pawl buckle 24 engaged with the ratchet area 504 is provided on the inner side of the driving shell 4. The driving wheel 5 of this arrangement can limit its rotation direction through the pawl buckle 24 to avoid medical accidents caused by operational errors; and this arrangement improves the rotation stability of the driving wheel 5.
[0044] In a preferred embodiment, if Figure 5 and Fig. 20As shown, the first support side plate 81 is provided with a second guide slide bar 811 on the upper side of the first guide slide groove 814, and the inner side of the transmission rack 16 is provided with a second guide slide groove 1603 corresponding to the second guide slide bar 811; the transmission rack 16 provided in this way can stably slide along the first support side plate 81, thereby improving the sliding stability of the puncture needle slider 12. It should be noted that the first support side plate 81 and the second support side plate 82 are also provided with a plurality of mounting holes 815 according to requirements, and the specific positions of the mounting holes are set according to requirements, which will not be described in detail here.
[0045] In a preferred embodiment, if Figure 3 , Fig.19 and Figures 21 and 22 As shown, a locking groove 5031 is provided on the outer side of the first driving block 503, and an unlocking assembly 6 is correspondingly provided at the rear end of the driving housing 4. The unlocking assembly 6 includes an unlocking push block 601 provided on the outer side of the driving housing 4 and an unlocking plug block 602 provided on the inner side of the driving housing 4. The unlocking push block 601 is fixedly connected to the unlocking plug block 602 through a pin shaft; the front end of the unlocking plug block 602 is correspondingly inserted into the locking groove 5031, and the rear end of the unlocking plug block 602 is provided with an unlocking spring 603 provided between the unlocking plug block 602 and the driving housing 4. Under normal conditions, the unlocking plug block 602 is inserted into the locking groove 5031 of the first driving block 503 under the action of the unlocking spring 603, thereby locking the driving wheel 5; when the unlocking push block 601 is pushed backward to drive the unlocking plug block 602 to move backward to overcome the resistance of the unlocking spring 603, the driving wheel 5 can be unlocked, so that the driving wheel 5 can rotate.
[0046] In a preferred embodiment, if Figure 4 and Fig.26 As shown, the elastic connection assembly 9 includes a support column 91 installed between the first support side plate 81 and the second support side plate 82, and a spring buckle 92 and a torsion spring 93 are mounted on the support column 91. The spring buckle 92 is suspended and connected with the puncture spring 10, and the torsion spring 93 is supported on the side wall of the spring buckle 92 and limits the opening direction of the hook. The elastic connection assembly 9 is tensioned and connected with the puncture spring 10 during the puncture needle power accumulation process. After the puncture needle slider 12 is released from the restriction, the puncture spring 10 is excited and relaxed. Since the puncture spring 10 relaxes the traction on the spring buckle 92, the spring buckle 92 rotates at a certain angle under the drive of the torsion spring 93, so that the opening offset of the hook of the spring buckle 92 is disconnected from the spring hook of the puncture spring 10, so that the puncture needle slider 12 can be easily moved to the right along the first installation slide groove 83 to reset during the process of moving backward to drive the puncture needle 205 to retract, thereby greatly reducing the difficulty of retracting the puncture needle 205.
[0047] The above are preferred embodiments of the present invention. It should be pointed out that, for ordinary technicians in this technical field, several improvements and modifications can be made without departing from the principles of the present invention. These improvements and modifications should also be regarded as within the scope of protection of the present invention.
Claims
1. A suspension expansion device for prostate surgery, characterized in that: The suspension expansion device (100) comprises a conveying handle (1) and a conveying pipeline assembly (2); the conveying handle (1) comprises: A main frame (7), the main frame (7) comprising a support base plate (701), a front end of the support base plate (701) being provided with a connection end (704) for plugging the delivery pipeline assembly (2); A support frame (8), the support frame (8) comprising a first support side plate (81) and a second support side plate (82) vertically arranged on both sides of a support base plate (701), the first support side plate (81) and the second support side plate (82) forming an I-shaped structure with the support base plate (701), and a first installation slide groove and a second installation slide groove are formed on the upper and lower sides of the support base plate (701), respectively; A puncture needle slider (12), the puncture needle slider (12) is fixedly connected to the puncture needle push tube (203), and is slidably connected to the rear end of the first mounting slide groove; an elastic connection component (9) is provided at the front end of the first mounting slide groove, and the puncture needle slider (12) is connected to the elastic connection component (9) via a puncture spring (10); A puncture needle lever (11), wherein the puncture needle lever (11) is arranged on the upper side of the puncture needle slider (12), and the puncture needle lever (11) is clamped on the puncture needle slider (12) and restricts the puncture needle slider from sliding forward; A capsule membrane slide block (18), wherein the capsule membrane slide block (18) is fixedly connected to the capsule membrane push tube (204), the capsule membrane slide block (18) is slidably connected in the first installation slide groove and is located at the front end of the puncture needle slide block (12), the puncture needle slide block (12) is elastically connected to the capsule membrane slide block (18) via a constant force spring (14), and the constant force spring (14) is initially in an untensioned state; A second limiting member (15), wherein the second limiting member (15) is correspondingly arranged on the upper side of the capsule sheet slider (18), and as the puncture needle excites the puncture needle slider (12), the capsule sheet slider (18) is driven to move forward synchronously, and the second limiting member (15) is clamped on the capsule sheet slider (18) to limit its backward sliding; as the puncture needle is retracted, the puncture needle slider (12) moves backward and the capsule sheet slider (18) is locked in position, so that the constant force spring (14) is tightened and stored; A cutting knife slider (19), the cutting knife slider (19) is fixedly connected to the cutting knife tube (208) and is slidably connected to the front end of the second mounting slide groove; A urethra end piece slider (23), the urethra end piece slider (23) being fixedly connected to the urethra end piece push rod (209) and slidably connected to the rear end of the second mounting slide groove; the urethra end piece slider (23) being connected to the cutting knife slider (19) via a cutting spring (21); A push rod lever (22), the push rod lever (22) being arranged correspondingly on the lower side of the urethra end piece slider (23), the push rod lever (22) being clamped on the urethra end piece slider (23) and limiting its forward sliding; a cutting blade lever (20), the cutting blade lever (20) being correspondingly arranged between the cutting blade slider (19) and the urethra end piece slider (23), the front end of the cutting blade lever (20) being correspondingly clamped on the cutting blade slider (19) and restricting the cutting blade slider from sliding backwards, and the rear end of the cutting blade lever (20) being capable of limiting the forward sliding position of the urethra end piece slider (23); A rotary drive assembly (3), the rotary drive assembly (3) being correspondingly arranged on the outer side of the first supporting side plate (81), and the rotary action of the rotary drive assembly (3) can sequentially drive the puncture needle lever (11), the second limiter (15), the push rod lever (22) and the cutting knife lever (20) to perform corresponding actions, and sequentially release the restrictions on the puncture needle slider (12), the capsule sheet slider (18), the urethra end sheet slider (23) and the cutting knife slider (19) to complete the implantation of the prostate implant.
2. The suspension expansion device for prostate surgery according to claim 1, characterized in that: The upper and lower plate surfaces of the support base plate (701) are respectively provided with two first guide slide bars (702) along the length direction thereof, and a limiting groove (703) is formed between the two first guide slide bars (702) in the same plane.
3. The suspension expansion device for prostate surgery according to claim 2, characterized in that: The puncture needle slider (12) comprises a guide slider (121), and guide sliders (127) slidably connected to the first supporting side plate (81) and the second supporting side plate (82) are respectively provided on both sides of the guide slider (121); Both sides of the rear end of the guide slide plate (121) are respectively provided with constant force spring mounting seats (123) for mounting the constant force spring (14); The top surface of the guide slide plate (121) is located in front of the constant force spring mounting seat (123), and a first limiting wedge block (122) is correspondingly arranged thereon, and the guide slide plate (121) is located between the two first limiting wedge blocks (122) and a spring connecting column (124); The front end of the guide slide plate (121) is arranged on the first driving arm (125), and a puncture needle pushing tube clamp (126) is arranged on the inner side of the front end of the first driving arm (125).
4. The suspension expansion device for prostate surgery according to claim 3, characterized in that: The capsule membrane slider (18) comprises a support buckle plate (186) supported on two first guide slide bars (702), and support slide plates (181) slidably supported on a support base plate (701) are respectively arranged on both sides of the rear end of the support buckle plate (186), and a connecting column (182) for connecting a constant force spring (14) is arranged at the rear end of the support slide plate (181); The rear end of the support buckle plate (186) is located between the two support slide plates (181) and is provided with a second drive arm (183) that cooperates with the first drive arm (125); the rear end bottom surface of the second drive arm (183) is provided with a capsule membrane sheet pushing tube clamp (184); A second limiting wedge block (185) is provided at the front end of the supporting slide plate (181) close to the first supporting side plate (81).
5. The suspension expansion device for prostate surgery according to claim 4, characterized in that: A first driving rod (1101) is provided on the front end of the puncture needle lever (11) near the first supporting side plate (81), and the first driving rod (1101) passes through the first supporting side plate (81); The puncture needle lever (11) is provided with first pivots (1102) rotatably connected to the first supporting side plate (81) and the second supporting side plate (82) respectively on both sides of the middle part; A first limiting slot (1103) is provided on the upper side of the rear end of the puncture needle lever (11) along its width direction; A first limiting member (13) is provided on the inner side of the first supporting side plate (81) at the rear end of the puncture needle lever (11); the first limiting member (13) is an L-shaped structure, and a clamping column (1301) supported in the first limiting clamping groove (1103) is provided at the front end of the first limiting member (13); The lower side of the rear end of the puncture needle lever (11) is supported correspondingly on the front side of the first limiting wedge block (122).
6. The suspension expansion device for prostate surgery according to claim 5, characterized in that: The second limiting member (15) is fixedly connected to the inner side of the first supporting side plate (81); The second limiting member (15) comprises a clamping strip (151), a limiting clamping tooth (152) supported on the second limiting wedge block (185) is arranged at the front end of the clamping strip (151), and a mounting block (154) is arranged at the rear end of the clamping strip (151); A second driving rod (153) is provided at the front end of the clamping strip (151) close to the first supporting side plate (81), and the second driving rod (153) passes through the first supporting side plate (81).
7. The suspension expansion device for prostate surgery according to claim 6, characterized in that: The top surface of the cutting knife slider (19) is provided with a cutting knife tube clamping block (191) that is slidably connected to the limiting groove (703), the rear end of the cutting knife slider (19) is provided with a spring connecting block (192) for connecting the cutting spring (21), and the bottom surface of the cutting knife slider (19) is provided with a clamping strip (193).
8. The suspension expansion device for prostate surgery according to claim 7, characterized in that: The top surface of the urethra end piece slider (23) is provided with a urethra end piece pushing rod clamping block (231) slidably connected to the limiting groove (703), and the lower side of the rear end of the urethra end piece slider (23) is provided with a third limiting groove (232).
9. The suspension expansion device for prostate surgery according to claim 8, characterized in that: The cutting blade lever (20) is a boat-shaped structure, wherein second pivots (2002) are respectively arranged on both sides of the middle thereof and are rotatably connected to the first supporting side plate (81) and the second supporting side plate (82); a second limiting slot (2003) for the clamping strip (193) to be clamped is arranged on the upper side of the front end of the cutting blade lever (20), and a first limiting end (2001) for the urethra end piece slider (23) to drive and limit is formed at the rear end of the cutting blade lever (20).
10. The suspension expansion device for prostate surgery according to claim 9, characterized in that: A third driving rod (223) is provided on the front end of the push rod lever (22) close to the first supporting side plate (81), and the third driving rod (223) passes through the first supporting side plate (81); A third pivot (222) rotatably connected to the first supporting side plate (81) and the second supporting side plate (82) is respectively provided on both sides of the middle of the push rod lever (22); The rear end of the push rod lever (22) is provided with a second limiting end (221) which is locked into the third limiting slot (232).
11. The suspension expansion device for prostate surgery according to any one of claims 4 to 10, characterized in that: The rotary drive assembly (3) comprises a drive housing (4) correspondingly buckled with the outer side of the first supporting side plate (81), a mounting circular groove (401) being provided in the middle of the drive housing (4), and a driving wheel (5) being provided in the mounting circular groove (401); The driving wheel (5) comprises a disk body (501), a first driving block (503) is arranged on the inner periphery of the disk body (501), and the second driving rod (153) is supported on the outer periphery of the disk body (501) and is located in front of the first driving block (503); An outer driving ring body (510) and an inner driving ring body (511) are concentrically arranged on the inner disk surface of the disk body (501), and a limiting ring groove (507) for clamping the third driving rod (223) is formed between the outer driving ring body (510) and the inner driving ring body (511), and a second driving block (508) is arranged on the inner wall of the outer driving ring body (510); The first driving rod (1101) is correspondingly arranged on the inner side of the inner driving ring body (511), and a third driving block (509) is arranged on the inner side of the inner driving ring body (511).
12. The suspension expansion device for prostate surgery according to claim 11, characterized in that: A first mounting column (812) is arranged on the outside of the first supporting side plate (81), and a supporting shaft sleeve (505) correspondingly buckled on the first mounting column (812) is arranged at the center of the inner side of the driving wheel (5); A second mounting column (813) is correspondingly arranged at the lower side of the first mounting column (812), the second mounting column (813) is sleeved with a transmission gear (17), and the inner wall of the inner driving ring body (511) is provided with an inner tooth area (506) meshing with the transmission gear (17); The transmission gear (17) is meshingly connected with a transmission rack (16) on its upper side, a guide slot (1601) is provided in the middle of the transmission rack (16) along its length direction for the first mounting column (812) to pass through, and a transmission tooth area (1602) is provided at the bottom edge of the transmission rack (16) along its length direction; The first supporting side plate (81) is provided with a first guide slot (814) along its length direction, and the guide slider (127) of the puncture needle slider (12) passes through the first guide slot (814) and is fixedly connected to the transmission rack (16).
13. The suspension expansion device for prostate surgery according to claim 11, characterized in that: A ratchet area (504) is arranged on the outer periphery of the disc body (501), and a ratchet buckle (24) meshing with the ratchet area (504) is arranged on the inner side of the drive housing (4).
14. The suspension expansion device for prostate surgery according to claim 12, characterized in that: The first supporting side plate (81) is provided with a second guide slide bar (811) on the upper side of the first guide slide groove (814), and a second guide slide groove (1603) is provided on the inner side of the transmission rack (16) corresponding to the second guide slide bar (811).
15. The suspension expansion device for prostate surgery according to claim 11, characterized in that: Four paddles (502) are distributed on the outer side of the disk body (501) along the circumference of the disk surface, and the paddles (502) are correspondingly provided with numerical numbers.
16. The suspension expansion device for prostate surgery according to claim 11, characterized in that: A locking groove (5031) is provided on the outer side of the first driving block (503); an unlocking assembly (6) is correspondingly provided at the rear end of the driving housing (4); the unlocking assembly (6) comprises an unlocking push block (601) provided on the outer side of the driving housing (4) and an unlocking plug block (602) provided on the inner side of the driving housing (4); the unlocking push block (601) is fixedly connected to the unlocking plug block (602) via a pin shaft; the front end of the unlocking plug block (602) is correspondingly inserted into the locking groove (5031), and an unlocking spring (603) is provided at the rear end of the unlocking plug block (602) and is arranged between the unlocking plug block (602) and the driving housing (4).
17. The suspension expansion device for prostate surgery according to claim 11, characterized in that: The elastic connection assembly (9) comprises a support column (91) installed between a first support side plate (81) and a second support side plate (82), a spring buckle (92) and a torsion spring (93) being mounted on the support column (91), the spring buckle (92) being suspended and connected to the piercing spring (10), and the torsion spring (93) being supported on the side wall of the spring buckle (92) and limiting the opening direction of the hook.
18. The suspension expansion device for prostate surgery according to claim 11, characterized in that: The delivery pipeline assembly (2) comprises a main body (201), a puncture needle assembly, a camera module (206) and a tangent assembly. The radial section of the main body (201) is an elliptical structure. The upper edge, the axis core and the lower edge of the main body (201) are respectively provided with a puncture needle shuttle tube slot (2011), a laparoscope slot (212) and a tangent shuttle tube slot (213) along the length direction thereof, and the upper end of the puncture needle shuttle tube slot (2011) and the lower end of the tangent shuttle tube slot (2013) are open structures.
Citation Information
Patent Citations
Prostate anchoring part conveying system capable of being continuously taken and used
CN119157588A
Cited By
Prostate lifting device
CN121196679A
