CN111759455A - Bubble suction instrument for electric excision operation - Google Patents
Bubble suction instrument for electric excision operation Download PDFInfo
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- CN111759455A CN111759455A CN202010603796.5A CN202010603796A CN111759455A CN 111759455 A CN111759455 A CN 111759455A CN 202010603796 A CN202010603796 A CN 202010603796A CN 111759455 A CN111759455 A CN 111759455A
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/08—Accessories or related features not otherwise provided for
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00559—Female reproductive organs
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00601—Cutting
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2018/00982—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body combined with or comprising means for visual or photographic inspections inside the body, e.g. endoscopes
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/007—Aspiration
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Abstract
The invention discloses a bubble suction device for an electrotomy operation, which relates to the technical field of hysteroscope electrotomy operation instruments and comprises a PLC (programmable logic controller), a button group and at least two medical electric proportional valves, wherein the button group is used for controlling the opening size and the switching speed of the medical electric proportional valves through the PLC, the linkage mode of the medical electric proportional valves is stored, and one-key starting is realized by one button in the button group. Through automatic a key bubble of control instrument development and absorb to the accessible is automatic operation repeatedly, reduces operation doctor's manipulation strength, reduces bubble persistence time in the hysteroscope operation, reduces the risk of air embolism in the operation, improves the security of operation.
Description
Technical Field
The invention relates to the technical field of hysteroscope electric excision surgical instruments, in particular to a bubble suction instrument for an electric excision surgery.
Background
The hysteroscope technology is a minimally invasive endoscope technology which utilizes a natural channel of a human body, namely vagina-cervix, adopts an external light source, optical fibers, electronic equipment and a uterus swelling medium, looks directly at pathological changes of the vagina, cervix, uterine cavity and uterine tube orifice and utilizes related instruments to perform operation. The hysteroscope technology has been developed for the first time in the 19 th century, gradually replaces the traditional operation by virtue of the advantages of wide adaptability, minimal invasion and the like, and brings revolutionary change to diagnosis and treatment of various intrauterine diseases. The hysteroscope technology has wide adaptation diseases, and is widely applied to clinic as a gynecological diagnosis and treatment routine. With the development of hysteroscopy, hysteroscopy and hysteroscopy procedures are considered the gold standards for the diagnosis and treatment of a variety of intrauterine diseases.
Hysteroscopic surgery plays a significant role in gynecological surgery. The number of hysteroscopic surgeries increases year by year, and thus, it is very important to prevent serious complications in the surgeries. With the popularization of hysteroscopy, the awareness of complications thereof is also gradually increased. Gas embolism is a sudden and potentially lethal complication of hysteroscopic surgery, the most risky hysteroscopic surgery is TCRA, which has a gas embolism incidence of about 4.48%, a TCRE of about 0.81%, a RCRM of about 0.75%, and a slightly lower TCRP risk of about 0.38%, but more evidence supports the subclinical incidence of gas embolism far beyond this.
A large amount of bubbles can be continuously generated in the hysteroscope electrostomy, and in addition, the uterine cavity is expanded, the operation in the uterine cavity damages the vein, and the blood sinus is opened, thereby creating conditions for gas to enter the blood vessel. The gas enters the blood circulation to form gas embolism, which causes blood circulation interruption, sudden cardiac death, or hypoxemia, pulmonary hypertension, or reversely embolism coronary artery and cerebral artery to cause cardiovascular and nervous system dysfunction.
The gas embolism is in a sudden onset, the treatment means is very limited, the fatality rate is high, so the gas embolism is seriously prevented. The primary measure of prevention is to prevent gas from entering the cervix or uterine cavity. Besides, the bubbles can further increase the difficulty of the operation and form serious gas embolism complications besides blocking the operation visual field. However, the current hysteroscope system is lack of a device for treating bubbles, the bubbles continuously generated by the electric cutter are accumulated in the uterine cavity, and the flow and the angle of input and output media are mainly adjusted by experience at present to impact and absorb the bubbles, so that the effect is limited, and the pressure stability in the uterine cavity is influenced. Bubbles generated in the hysteroscopy are mainly small connected bubbles or single large bubbles, so that the visual field of the operation is easily blocked, the operation difficulty is increased, an operator often needs to pause the operation and even take out hysteroscopy instruments to exhaust the bubbles, the operation time is increased, and the times of the instruments entering and exiting the uterine cavity are increased.
The operating principle of the resecting operation makes the bubble generation reduction basically impossible, and the existing hysteroscope apparatus does not have a bubble suction device, so that an operator needs to pause the operation and take out the hysteroscope apparatus to exhaust the bubbles. At present, no equipment specially used for processing bubbles in the hysteroscopy operation exists, the opening sizes of valves for inputting and outputting media are mainly controlled by hands of an operator, the requirements on the experience of the operator are high, the dependency on the experience of the operator is high, the skill of an expert is difficult to be taught to a new operator, and the effect of the expert every time can not be guaranteed. Moreover, the two valves are controlled independently, and both hands are needed to operate respectively, and the more common method for sucking and removing bubbles is to open the large input and output valves quickly and simultaneously, so that the difficulty of the respective operation of both hands is higher, and doctors are easy to fatigue and disperse energy.
Disclosure of Invention
The invention aims to provide a bubble suction instrument for an electrostomy. The purpose of the invention is realized by the following technical scheme:
a bubble suction instrument for an electrotomy operation is characterized by comprising a PLC (programmable logic controller), a button group and at least two medical electric proportional valves, wherein the button group is used for controlling the opening size and the opening and closing speed of the medical electric proportional valves through the PLC, the linkage mode of the medical electric proportional valves is stored, and one-button starting is realized through one button in the button group.
Preferably, the button group comprises at least one group of a first start button and a second start button, the first start button and the second start button are mutually exclusive, at least one group of buttons can only start one linkage mode when one button is pressed down, and when the other button is pressed down, the linkage mode of the previous button is automatically stopped, and the linkage mode corresponding to the new button is started; the first starting button and the second starting button respectively control the two medical electric proportional valves through the PLC.
Preferably, the bubble suction apparatus further comprises a central processing unit, and the setting of the linkage mode started by the button group is transmitted to the PLC controller through the central processing unit.
Preferably, the linkage mode comprises rapidly opening the input valve and the output valve simultaneously.
Preferably, the linkage mode comprises rapidly closing the input valve and the output valve.
Preferably, the first start button and the second start button are both provided with eye-catching marks, different buttons on the button group can be correspondingly sucked by the eye-catching marks, for example, writing "small" indicates that the button has a good effect on small bubbles, and writing "large" indicates that the button has a good effect on large bubbles.
Preferably, the first start button and the second start button of the button group are arranged in a planar manner, and are suitable for one-palm operation.
Preferably, the bubble removing apparatus further comprises a foot switch, and the foot switch is used for stepping down the foot switch after the bubble removing apparatus successfully removes the bubbles to record the linkage mode at the moment. The linkage mode can be input by the experience of a skilled physician, and can also adopt or optimize the successful attempt in the manual mode; marking the record of the previous operation is a successful attempt.
The invention provides a method for removing bubbles in real time and shortening the retention time of the bubbles in a uterine cavity so as to keep a good operation visual field and effectively avoid serious complications of a hysteroscope operation.
The invention relates to a special instrument for effectively removing bubbles in real time in hysteroscopy, which overcomes the defect that the existing hysteroscopy equipment can not effectively remove bubbles, updates the existing instrument equipment and achieves the aim of preventing gas embolism.
The invention can automatically suck and remove the bubbles by one key through the development of a control instrument, and can reduce the operation intensity of a surgeon through repeated automatic operation, reduce the bubble retention time in the hysteroscope operation, reduce the risk of air embolism in the operation and improve the safety of the operation.
The invention can customize various operation modes for absorbing and removing bubbles and set the optimal absorbing and removing mode aiming at different bubble distribution modes.
The invention can also work in a manual mode, and the operation process and the result are saved, thereby facilitating the introduction of a method for subsequent trial.
Compared with the prior art, the invention has the following beneficial effects:
(1) a bubble suction instrument for an electrostomy is a method which is convenient for removing bubbles in real time and shortening the retention time of the bubbles in a uterine cavity so as to keep a good operation visual field and effectively avoid serious complications of a hysteroscope operation;
(2) the defect that the existing hysteroscope equipment cannot effectively remove bubbles is overcome, the existing instrument equipment is updated, and the aim of preventing gas embolism is fulfilled;
(3) the bubbles are automatically sucked by one key through the development of a control instrument, and the operation intensity of an operating doctor is reduced through repeated automatic operation, the bubble retention time in the hysteroscope operation is reduced, the risk of air embolism in the operation is reduced, and the safety of the operation is improved;
(4) the invention can customize a plurality of operation modes for absorbing and removing bubbles, and sets the optimal absorbing and removing mode aiming at different bubble distribution modes; the invention can also work in a manual mode, and the operation process and the result are saved, thereby facilitating the introduction of a method for subsequent trial.
Drawings
Other features, objects and advantages of the invention will become more apparent upon reading of the detailed description of non-limiting embodiments with reference to the following drawings:
FIG. 1 is a schematic diagram of the apparatus of the present invention;
FIG. 2 is a wiring diagram of an embodiment;
reference numerals: 1. the medical electric proportional valve is arranged at the input end; 2. the medical electric proportional valve is arranged at the output end; 3. a PLC controller; 4. a foot switch; 5. operating a button box; 6. a button group; 7. a toggle switch.
Detailed Description
The following examples will assist those skilled in the art in further understanding the invention, but are not intended to limit the invention in any way. It will be apparent to those skilled in the art that various changes and modifications can be made without departing from the spirit and scope of the invention. The present invention will be described in detail with reference to the following specific examples:
example 1
As shown in figure 1, the bubble removing device for the electric excision operation comprises a PLC (programmable logic controller) 3 as the core of the invention, controls the size of the valve opening and the opening and closing speed of two medical electric proportional valves 1 and 2, and the linkage mode of the two medical electric proportional valves is written into a button group 6. The operator can obtain the set linkage mode only by pressing the corresponding button in the button group 6, thereby simplifying the operation difficulty and solidifying the successful experience.
The operation button box 5 is provided with a one-click type plurality of buttons (in the embodiment of fig. 2, 3X3 button rows), and the function of each button can be customized by the user. The parameters that can be controlled are: the opening size of the input valve, the opening size of the output valve, the opening change speed of the input valve and the opening change speed of the output valve.
One of the buttons functions as: and the large input valve and the large output valve are opened rapidly and simultaneously. This setup is a method of removing bubbles according to the conclusion of experienced physicians. It realizes constant pressure and large flow impact-absorption of bubbles.
One of the buttons functions as: the input and output valves are quickly closed. This allows the flow to settle quickly and quickly, facilitating the procedure to continue quickly.
Different absorption modes are available according to the distribution difference of the bubbles such as the connected small bubbles and the single large bubble. Characters such as small and large can be marked on each button on 6 (button group), and the selection of a doctor during operation is convenient.
When in operation, a doctor only needs to hold one palm on the button 6 (button group) and selects the suction mode to be adopted by touching the hand feeling.
When a mode is unsuccessful, it can be attempted by quickly pressing the other button.
The physician has more time to think and choose because of the simplified procedure.
In addition to the one-touch operation, the instrument of the present invention also retains a separate manual operation. The operator can control the opening size of the input valve and the output valve respectively and control the speed automatically. The invention records the size and the turning speed of the valve in each operation. After successful removal of the bubble, the surgeon presses 4 (foot switch) to mark the successful attempt. After surgery, the control software of the instrument concludes the successful attempted methods for reference by the operator, who can consider whether to adopt or optimize these methods and consolidate into a one-touch button based on his own judgment.
The medical electric proportional valves 1 and 2 can be opened or closed by electric driving and can control the valve opening and closing speed thereof; the valve can also work in a manual mode, and in the manual mode, the opening and closing size of the valve can be monitored in real time. The medical electric proportional valve can transmit signals to the PLC 3 in real time and can be wireless or wired.
The medical electrically operated proportional valves 1 and 2 may be purchased as mature products or customized.
Manual and electric switches for switching the medical electric proportional valves 1 and 2, i.e., a button switch 7 in fig. 2, are provided on the operation button box 5.
With the accessory, a novice physician can suck air bubbles by one key, and an acquaintance physician can reduce labor intensity and further improve skills.
The foregoing description of specific embodiments of the present invention has been presented. It is to be understood that the present invention is not limited to the specific embodiments described above, and that various changes or modifications may be made by one skilled in the art within the scope of the appended claims without departing from the spirit of the invention. The embodiments and features of the embodiments of the present application may be combined with each other arbitrarily without conflict.
Claims (8)
1. A bubble suction instrument for an electrotomy operation is characterized by comprising a PLC (programmable logic controller), a button group and at least two medical electric proportional valves, wherein the button group is used for controlling the opening size and the opening and closing speed of the medical electric proportional valves through the PLC.
2. A bubble removal apparatus for use in an electrosurgical procedure according to claim 1, wherein the button set includes at least one set of a first start button and a second start button, the first start button and the second start button being mutually exclusive, at least one set of the first start button and the second start button being capable of starting only one linkage mode when one button is pressed, the linkage mode of the previous button being automatically stopped when the other button is pressed, and the linkage mode corresponding to the new button being started; the first starting button and the second starting button respectively control the two medical electric proportional valves through the PLC.
3. A bubble removal apparatus for use in an electrosurgical procedure according to claim 1, wherein the bubble removal apparatus further comprises a central processor, and the setting of the linkage mode initiated by the button set is transmitted to the PLC controller via the central processor.
4. A bubble removal apparatus for use in an electrosurgical procedure according to claim 3, wherein the ganged mode includes simultaneous opening of the input and output valves.
5. A bubble removal apparatus for use in electrostomy according to claim 3, wherein the linkage mode comprises closing of the input and output valves.
6. A bubble removal apparatus for use in an electrosurgical procedure according to claim 1, wherein the first and second actuating buttons each have a visible indicator thereon, and different bubbles can be removed by corresponding visible indicators on different buttons of the set of buttons, such as "small" indicating that the button is effective for small bubbles and "large" indicating that the button is effective for large bubbles.
7. A bubble removal apparatus for use in an electrosurgical procedure according to claim 1, wherein the first and second actuating buttons of the button set are arranged in a planar configuration for one-handed operation.
8. A bubble removal apparatus for use in an electrosurgical procedure according to claim 1, further comprising a foot switch for depressing the foot switch after the bubble removal apparatus has successfully removed bubbles to record the ganged mode at that time. The linkage mode can be input by the experience of a skilled physician, and can also adopt or optimize the successful attempt in the manual mode; marking the record of the previous operation is a successful attempt.
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CN202010603796.5A CN111759455A (en) | 2020-06-29 | 2020-06-29 | Bubble suction instrument for electric excision operation |
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CN202010603796.5A CN111759455A (en) | 2020-06-29 | 2020-06-29 | Bubble suction instrument for electric excision operation |
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Citations (9)
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CN101786101A (en) * | 2009-01-22 | 2010-07-28 | 大连宝锋机器制造有限公司 | Cooling medium adjustable roller |
WO2014137342A1 (en) * | 2013-03-07 | 2014-09-12 | Arthrocare Corporation | Electrosurgical systems and methods |
CN104107080A (en) * | 2013-04-18 | 2014-10-22 | 精工爱普生株式会社 | Liquid ejection device and medical apparatus |
CN104699129A (en) * | 2013-12-09 | 2015-06-10 | 任波 | Automatic control system for water level of water tower |
CN205845798U (en) * | 2016-06-21 | 2016-12-28 | 东莞市新泰汽车配件有限公司 | Automobile memory switch |
CN109124782A (en) * | 2018-08-29 | 2019-01-04 | 合肥工业大学 | Intelligent integral cavity mirror system |
CN209032292U (en) * | 2018-05-23 | 2019-06-28 | 苏剑锋 | A kind of gynaecology's multi-function uterus cavity mirror |
-
2020
- 2020-06-29 CN CN202010603796.5A patent/CN111759455A/en active Pending
Patent Citations (9)
Publication number | Priority date | Publication date | Assignee | Title |
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US5322503A (en) * | 1991-10-18 | 1994-06-21 | Desai Ashvin H | Endoscopic surgical instrument |
CN101366046A (en) * | 2005-11-01 | 2009-02-11 | 卡姆赛特有限公司 | Method of dental microscopic procedure |
CN101786101A (en) * | 2009-01-22 | 2010-07-28 | 大连宝锋机器制造有限公司 | Cooling medium adjustable roller |
WO2014137342A1 (en) * | 2013-03-07 | 2014-09-12 | Arthrocare Corporation | Electrosurgical systems and methods |
CN104107080A (en) * | 2013-04-18 | 2014-10-22 | 精工爱普生株式会社 | Liquid ejection device and medical apparatus |
CN104699129A (en) * | 2013-12-09 | 2015-06-10 | 任波 | Automatic control system for water level of water tower |
CN205845798U (en) * | 2016-06-21 | 2016-12-28 | 东莞市新泰汽车配件有限公司 | Automobile memory switch |
CN209032292U (en) * | 2018-05-23 | 2019-06-28 | 苏剑锋 | A kind of gynaecology's multi-function uterus cavity mirror |
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Application publication date: 20201013 |