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Retracting and cleaning device for brain surgery and using method thereof

A cleaning device and a technique for surgery, applied in the field of medical devices, can solve the problems of difficult control of the opening and closing gap, cumbersome surgical operations, excessive equipment, etc., and achieve the effects of reducing the amount of fluid in the brain, simplifying the surgical operation, and improving the surgical efficiency.

Active Publication Date: 2020-03-17
THE FIRST AFFILIATED HOSPITAL OF MEDICAL COLLEGE OF XIAN JIAOTONG UNIV
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  • Summary
  • Abstract
  • Description
  • Claims
  • Application Information

AI Technical Summary

Problems solved by technology

[0003] The current cleaning device is a suction rod, which is used throughout the operation to clean up fluid, blood and tissue in the brain; however, the surface of the existing suction rod lacks a support and protection structure, and the doctor's Each finger is directly in contact with the outer wall of the cylindrical liquid suction rod. During the operation, it is necessary to hold the liquid suction rod for a long time, and the doctor's fingers will be very painful when touched by the rod, which will affect the doctor's finger flexibility and accuracy during operation;
[0004] The current traction device is a retractor and a brain compression plate. The retraction process is as follows: retract the operation gap on the skull, install the retractor on one side of the brain, and then install the brain compression plate on the retractor. Through the operation gap and open the brain tissue, the doctor uses the suction rod and electrocoagulation tweezers to operate on the deep brain tissue; the existing traction device has the following defects: continuous use of the retractor and the brain pressure plate, the brain pressure plate will be damaged for a long time Compress brain tissue, leading to complications such as brain contusion, cerebral edema, and intracerebral hematoma;
[0005] Therefore, both the existing cleaning device and the traction device have defects, which lead to unsatisfactory effect of the traction operation, and too many devices are used in the entire traction operation, which makes the operation complicated, time-consuming and costly
[0006] The patent for invention with the publication number CN105769268A discloses a "flexible retraction assembly, including an expansion balloon made of elastic material that can shrink to enter the lesion and form a retraction channel for the lesion, and communicate with the expansion balloon. The support tube, the connection seat located at both ends of the support tube with the expansion balloon, the locking mechanism coaxially arranged with the support tube and locked with the connection seat, and the expansion or expansion through the connection seat an inflation device connector that deflates the dilation balloon; and a brain compression plate, sleeved at the distal end of the flexible retractor assembly and entering into the retractor channel so that the retractor channel is in a retracted state", the The published patent uses the airbag to expand the brain tissue, thereby increasing the surgical gap, without using a retractor; however, the airbag takes up a lot of space, which easily blocks the doctor's operation line of sight, and is not convenient for the insertion of surgical instruments. The opening and closing gap is not easy to control

Method used

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  • Retracting and cleaning device for brain surgery and using method thereof
  • Retracting and cleaning device for brain surgery and using method thereof
  • Retracting and cleaning device for brain surgery and using method thereof

Examples

Experimental program
Comparison scheme
Effect test

Embodiment 1

[0092] When the location of the diseased tissue is outside the brain tissue:

[0093] S1. After determining the location of the diseased tissue, cut the scalp, skull, and meninges in sequence; wherein, the brain incision is formed by the gap between the brain tissue and the skull at this time; the brain gap can be formed quickly, and the surgical path is determined. The doctor can Manipulate the surgical space along the brain space.

[0094] S2. Insert the liquid suction rod 1 into the preliminary gap; the doctor's index finger and middle finger exert a force on the liquid suction rod 1 away from the side of the skull, and the thumb presses against the liquid suction rod 1; The gap between the brain tissue and the skull is increased, and the preliminary gap is converted into an operation gap; the hand-held liquid suction rod 1 constantly cuts through the brain tissue of the brain incision, so that the operation gap is continuously closed. Extend inwards close to the diseased ...

Embodiment 2

[0100] When the location of the diseased tissue is inside the brain tissue:

[0101] S1. After determining the location of the diseased tissue, cut the scalp, skull and meninges in sequence, and cut the superficial brain tissue to form the brain space;

[0102] S2. Adjust the patient's body position so that the head is inclined downward, and the horizontal distance between the head and the heart is greater than 10 cm; The horizontal distance between them is greater than 10cm. At this time, the center of gravity of the brain tissue is at the bottom, and the brain tissue will tilt and sag under the action of gravity. A certain gap can be left between the brain tissue and the skull, which is convenient for subsequent retraction of the surgical gap; The method of regulating and injecting 20% ​​mannitol can reduce the blood volume in the brain to avoid excessive blood affecting the operation process; insert a needle tube into the patient's waist and drain the effusion outward to re...

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PUM

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Abstract

The invention relates to a retracting and cleaning device for brain surgery and a using method thereof. The retracting and cleaning device comprises a liquid suction rod and a first supporting plate for supporting a thumb is arranged on the outer wall of the liquid suction rod. The device further comprises a supporting mechanism arranged on the side wall, deviating from the first supporting plate,of the liquid suction rod; the supporting mechanism is used for supporting the index finger of the user; a third supporting plate is arranged at the bottom of the supporting mechanism and is used forsupporting the middle finger. According the invention, the brain tissue is pushed aside through the liquid suction rod, so that an operation gap is rapidly and conveniently pulled open and traction-free operation is realized; the situation of brain tissue necrosis can be effectively avoided and non-destructive traction is realized; and due to the arrangement of the supporting mechanism, a doctorcan operate more smoothly and does not feel hurt by hands.

Description

technical field [0001] The invention relates to a retraction and cleaning device for brain surgery and a method for using the same, belonging to the technical field of medical devices. Background technique [0002] Due to the relatively deep location of the skull base and deep brain tumors, the obstruction of the superficial lesion tissue prevents the exposure of the deep lesion tissue during the operation. During the operation, it is necessary to pull the peripheral neurovascular or brain tissue to increase exposure and facilitate tumor resection; Conventional instruments such as suction rods, scalpels, electrocoagulation forceps, and traction devices are required in the traction operation; [0003] The current cleaning device is a suction rod, which is used throughout the operation to clean up fluid, blood and tissue in the brain; however, the surface of the existing suction rod lacks a support and protection structure, and the doctor's Each finger is directly in contact ...

Claims

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Application Information

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Patent Type & Authority Applications(China)
IPC IPC(8): A61B17/02A61M1/00
CPCA61M1/0023A61B17/02A61B2217/005
Inventor 李徐奇梁挺
Owner THE FIRST AFFILIATED HOSPITAL OF MEDICAL COLLEGE OF XIAN JIAOTONG UNIV
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