CN117503326A - Electrocoagulation cutting device - Google Patents
Electrocoagulation cutting device Download PDFInfo
- Publication number
- CN117503326A CN117503326A CN202410017140.3A CN202410017140A CN117503326A CN 117503326 A CN117503326 A CN 117503326A CN 202410017140 A CN202410017140 A CN 202410017140A CN 117503326 A CN117503326 A CN 117503326A
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- block
- knife
- pipe
- pole switch
- opening
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- 238000005520 cutting process Methods 0.000 title claims abstract description 23
- 238000009297 electrocoagulation Methods 0.000 title claims abstract description 22
- 230000007246 mechanism Effects 0.000 claims abstract description 23
- 229910001220 stainless steel Inorganic materials 0.000 claims abstract description 11
- 239000010935 stainless steel Substances 0.000 claims abstract description 11
- 239000000463 material Substances 0.000 claims abstract description 10
- 239000000919 ceramic Substances 0.000 claims abstract description 5
- XLYOFNOQVPJJNP-UHFFFAOYSA-N water Substances O XLYOFNOQVPJJNP-UHFFFAOYSA-N 0.000 claims description 63
- 230000001105 regulatory effect Effects 0.000 claims description 54
- 238000004804 winding Methods 0.000 claims description 47
- 230000005540 biological transmission Effects 0.000 claims description 33
- 230000000903 blocking effect Effects 0.000 claims description 24
- 238000011084 recovery Methods 0.000 claims description 19
- 238000001514 detection method Methods 0.000 claims description 15
- 238000001816 cooling Methods 0.000 claims description 11
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- 230000001276 controlling effect Effects 0.000 claims description 6
- 238000003860 storage Methods 0.000 claims description 4
- 230000000149 penetrating effect Effects 0.000 claims description 2
- 230000005404 monopole Effects 0.000 abstract description 22
- 238000007711 solidification Methods 0.000 abstract description 6
- 230000008023 solidification Effects 0.000 abstract description 6
- 230000023597 hemostasis Effects 0.000 abstract description 5
- 238000000926 separation method Methods 0.000 abstract description 5
- 230000000740 bleeding effect Effects 0.000 abstract description 3
- 238000007712 rapid solidification Methods 0.000 abstract description 3
- 230000001360 synchronised effect Effects 0.000 abstract 1
- 239000000853 adhesive Substances 0.000 description 12
- 230000001070 adhesive effect Effects 0.000 description 12
- 230000000694 effects Effects 0.000 description 10
- DKNPRRRKHAEUMW-UHFFFAOYSA-N Iodine aqueous Chemical compound [K+].I[I-]I DKNPRRRKHAEUMW-UHFFFAOYSA-N 0.000 description 8
- 238000000034 method Methods 0.000 description 8
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- 230000002439 hemostatic effect Effects 0.000 description 3
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Abstract
The utility model relates to an electrocoagulation cutting device, which comprises two handles hinged with each other and two binding clip arranged on the handles in an insulating way, wherein the binding clip is arranged as an elbow and the two binding clip bends towards the same side; one of the forceps heads is provided with a convex blade-shaped monopole knife, the other forceps head is provided with a monopole groove matched with the monopole knife, U-shaped dipole knives are arranged on the monopole groove and the periphery of the monopole knife, and each dipole knife comprises a stainless steel base material part and piezoelectric ceramics; the handle is provided with a single-pole switch for controlling the single-pole knife, a double-pole switch for controlling the double-pole knife and a control mechanism, wherein the control mechanism is used for realizing that the single-pole switch can be turned on after the double-pole switch is turned on or the double-pole switch can not be turned on after the single-pole switch is turned on. The combined monopolar knife and bipolar knife are mutually matched to act, and simultaneously, the synchronous rapid solidification hemostasis is completed at one time when the tissue is rapidly cut off, so that the bleeding and mechanical risks caused by solidification or incomplete separation generated in the steps of solidification before separation are avoided.
Description
Technical Field
The application relates to the technical field of medical instruments, in particular to an electrocoagulation cutting device.
Background
At present, in the abdominal cavity open surgery, the application of a conventional single-electrode and double-electrode high-frequency electrotome is popular, but with the continuous shortening of the surgery and anesthesia time requirements, especially for children, the elderly population has more strict surgery and paralysis time requirements.
The heck forceps are electrosurgical instruments for operation, and have the characteristics of large coagulated tissue structure, rapid hemostasis, re-bleeding prevention and the like. The principle is that the collagen of vascular tissues is effectively melted by the intelligent optimization and regulation output of electrosurgical bipolar energy, and the vascular tissues are permanently closed by combining the jaw pressure of an instrument, so that the vascular tissues have strong rupture resistance. The advantages of the heck forceps include rapid blood withdrawal, prevention of postoperative bleeding, friendly hospital cost consumption, etc. In addition, the accessory of heck pincers and host computer perfect synchronization cooperation can produce quick effectual electric coagulation effect to have automatic stop function, the convenient user operation.
The single bipolar high frequency electrotome that singly uses drawback can influence the operation quality, and single bipolar electrotome cutting rate is fast but hemostatic effect is poor, and bipolar forceps hemostatic effect is good, but hemostatic time overlength that needs, need increase in addition the surgical scissors, can prolong the time of breaking, increases the operation risk.
Disclosure of Invention
In order to solve the problem of complicated cutting and hemostasis operations in the operation process, the application provides an electrocoagulation cutting device.
The utility model provides an electrocoagulation cutting device adopts following technical scheme:
an electrocoagulation cutting device comprises two handles hinged with each other and two binding clip insulated on the handles, wherein the binding clip is arranged as an elbow and the two binding clip are bent towards the same side;
one of the forceps heads is provided with a convex blade-shaped monopole knife, the other forceps head is provided with a monopole groove matched with the monopole knife, U-shaped bipolar knives are arranged on the periphery of the monopole groove and the forceps head respectively, and each bipolar knife comprises a stainless steel base material part and piezoelectric ceramics;
the handle is provided with a single-pole switch for controlling the single-pole knife, a double-pole switch for controlling the double-pole knife and a control mechanism, wherein the control mechanism is used for realizing that the single-pole switch can be turned on after the double-pole switch is turned on or the double-pole switch can not be turned on after the single-pole switch is turned on.
Further, the handle is provided with a first groove for sliding the single-pole switch and a second groove for sliding the double-pole switch, and the first groove and the second groove are arranged in parallel and are arranged along the vertical direction;
the control mechanism comprises a first block fixedly connected with the single-pole switch, a second block fixedly connected with the double-pole switch, a connecting component used for the first block and an opening component used for unlocking the second block, wherein the first block is in sliding fit with the first groove, and the second block is in sliding fit with the second groove.
Still further, coupling assembling includes plug block, first spring and connecting block, the handle is in first groove lateral wall runs through and is provided with and is used for the spliced eye of plug block grafting, the connecting block slide in the spliced eye, connecting block length dimension with spliced eye degree of depth size is the same, the second piece is provided with and is used for the connecting hole of connecting block grafting, first piece is provided with and is used for the gliding spout of plug block, the both ends of first spring respectively with spout tip inner wall.
Still further, open the subassembly including two rotate set up in gear, two slide in the handle, first opening piece and second opening piece respectively with two rack tip fixed connection, two the gear is coaxial fixed, two the rack respectively with two gear engagement is connected and two the rack is located same one side, first opening piece or the second opening piece with handle elasticity sets up, the second piece is provided with the opening hole that the second opening piece pegged graft.
Still further, the binding clip is in the monopole inslot adaptation is installed the regulating box, the regulating box also sets up to the spill, the handle with be provided with in the regulating box be used for right monopole sword and correspond bipolar sword cooling or preheating's adjustment mechanism, adjustment mechanism include circulating pipe, recovery pipe, install in circulating pump on the circulating pipe and be used for realizing cooling or preheating's joint Assembly, the external water source of one end of circulating pipe, the other end of circulating pipe with joint Assembly is connected, the one end of recovery pipe is connected with external water storage tank, and the other end is also connected with joint Assembly.
Still further, the joint assembly includes main pipe, inlet tube, outlet pipe, solenoid valve and accuse temperature portion, the inlet tube with the outlet pipe respectively with the both ends of being responsible for are connected, the solenoid valve sets up to three, the circulating pipe with be responsible for be close to be connected in the one end of inlet tube, the recovery pipe is responsible for being close to in the one end of outlet pipe and is connected, and three solenoid valve sets up respectively on being responsible for the position, circulating pipe and the recovery pipe that are located between inlet tube and the outlet pipe, the inlet tube or any one of them installs the water pump in the outlet pipe, the control portion set up in be responsible for be located the inlet tube with the position between the outlet pipe.
Still further, the temperature control portion includes a temperature control pipe for filling the phase change material and an electromagnetic valve, the electromagnetic valve is also installed on the main pipe, and the temperature control pipe is fixed between two electromagnetic valves on the main pipe.
Still further, the regulating box diapire still is provided with and is used for detecting whether the monopole sword adheres to the detection mechanism of tissue, detection mechanism including the activity set up in detect plate, set up in adhesive spare, shutoff piece on the detect plate, be used for realizing the adhesive spare with the transmission subassembly of shutoff piece cooperation work, the end chamber and the both sides chamber separation setting of regulating box are the opening setting, the detect plate along vertical direction slide in the end intracavity of regulating box, the regulating box is provided with the regulating piece that is used for driving the detect plate along vertical direction motion, the regulating box diapire is provided with a plurality of regulation holes, the regulation hole with regulating box end chamber intercommunication, the shutoff piece is used for sealing the regulation hole, adhesive spare passes adhesive tissue behind the hole.
Still further, the drive assembly includes the drive block and is used for pulling the power portion that the drive block slided, the pick-up plate be provided with the same arc wall of regulating box bottom arc, the drive block slides the adaptation in the arc wall, the shutoff piece with the adhesion piece is all fixed on the drive block.
Still further, power portion includes winding rope, winding roller and winding motor, winding rope be located the regulating box bottom chamber and with drive block fixed connection, winding roller rotate set up in the binding clip, winding motor also set up in the binding clip and be used for the drive winding roller rotates, winding rope's the other end with winding roller outer wall fixed connection.
In summary, the beneficial technical effects of the application are:
(1) The monopolar knife and the bipolar knife are combined to interact, so that the rapid solidification hemostasis can be synchronously and rapidly completed at one time while the tissue is rapidly cut off, and bleeding and mechanical risks caused by solidification or incomplete separation generated by multiple steps of solidification and separation are avoided; the current bipolar forceps can coagulate 7MM blood vessels, the width dimension of the forceps head is designed to be more than 7MM, and excessive electrocoagulation can be caused by the forceps width of more than 7MM blood vessels of 5MM, 3MM and 1-2MM, so that the forceps head is provided with a plurality of groups of bipolar electrodes according to the clinical adjustment quantity under the condition of keeping the forceps width unchanged according to different blood vessel sizes;
(2) When the bipolar switch is started at first, the second block slides in the second groove, the second block plugs the plug hole, the plug hole is staggered with the connecting hole, the end part of the first opening block is provided with an inclined plane facing the first block and an inclined plane facing the second block, when the second block is abutted with the second opening block in the moving process, the second opening block moves towards the inner cavity of the handle, the opening hole moves to the position of the second opening block, the first opening block moves to the outside of the handle, namely, the first groove is displaced, when the single-pole switch is started, the first block moves upwards and abuts against the first opening block, the first block pushes the first opening block towards the inner cavity of the handle, under the action of the two gears and the two racks, the second opening block moves outwards of the handle, namely, the second opening block moves to be plugged in the opening hole, and the plug block is always positioned in the chute, the effect of starting the bipolar knife is realized, and the bipolar switch is locked;
(3) When the tissue is required to be detected, the detection plate is pushed downwards through the adjusting piece, the blocking piece is separated from the adjusting hole, the winding motor controls the winding roller to rotate, the winding rope is wound on the winding roller and pulls the transmission block to move along the arc-shaped groove, the transmission block drives the adhesive piece to move to the position of the adjusting hole, the adjusting piece is pulled to move upwards, the adhesive piece moves into the adjusting hole, the monopole knife is placed down, the tissue above the monopole knife is moved to the position of the adhesive piece after the monopole knife is put down, the adhesive piece adheres to the tissue, the adhesive piece is pulled out of the adjusting hole, and Lugol's iodine liquid is injected into the detection tube through the hose; the transmission block is continuously pulled by the winding rope and is pulled to the outer side of the regulating box, at the moment, whether the Lugol's iodine solution and tissues on the adhesive part are discolored or not is observed, and if the Lugol's iodine solution and the tissues on the adhesive part are brown, the single-pole knife is proved to be adhered with the tissues which need to be treated; if the color is not changed, a worker firstly presses the detection plate downwards, then moves the blocking piece towards the other end along the arc-shaped groove, and the blocking piece and the transmission block are pushed to the initial position together, namely, the blocking piece moves to the position corresponding to the adjusting hole.
Drawings
FIG. 1 is a schematic overall structure of an embodiment of the present application;
FIG. 2 is a schematic partial cross-sectional view of an embodiment of the present application;
FIG. 3 is an enlarged schematic view of portion A of FIG. 2;
FIG. 4 is a schematic view of a bipolar knife, an adjustment box, and an adjustment mechanism in an embodiment of the present application;
FIG. 5 is an enlarged schematic view of portion B of FIG. 4;
FIG. 6 is a partial cross-sectional view of an adjustment box and detection structure in an embodiment of the present application;
fig. 7 is a schematic diagram of a detection structure in an embodiment of the present application.
Reference numerals: 1. a handle; 2. a clamp head; 3. a monopolar tank; 4. a monopolar knife; 5. a bipolar knife; 6. a stainless steel base material portion; 7. piezoelectric ceramics; 8. a single pole switch; 9. a bipolar switch; 10. a first groove; 11. a second groove; 12. a first block; 13. a second block; 14. a plug block; 15. a first spring; 16. a connecting block; 17. a gear; 18. a rack; 19. a first opening block; 20. a second opening block; 21. opening the hole; 22. an adjusting box; 23. a circulation pipe; 24. a recovery pipe; 25. a detection tube; 26. a main pipe; 27. a water inlet pipe; 28. a water outlet pipe; 29. a detection plate; 30. an adhesive member; 31. a blocking member; 32. an adjusting member; 33. an adjustment aperture; 34. a transmission block; 35. an arc-shaped groove; 36. winding the rope; 37. a winding roller; 38. a winding motor; 39. a plug hole; 40. and (3) a hose.
Detailed Description
The following description of the embodiments of the present application will be made apparent and fully in view of the accompanying drawings, in which some, but not all embodiments of the invention are shown. All other embodiments, which can be made by one of ordinary skill in the art without undue burden from the present disclosure, are within the scope of the present disclosure.
The embodiment of the application discloses an electrocoagulation cutting device. Referring to fig. 1 and 2, an electrocoagulation cutting device comprises two handles 1 hinged to each other and two binding clip 2 arranged on the handles 1 in an insulating manner, wherein the binding clip 2 is provided as an elbow and the two binding clips 2 are bent towards the same side; one end of the handle 1 is provided with a signal output control system which is responsible for outputting bipolar energy compensation through a high-frequency electric knife signal, one clamp head 2 is provided with a convex blade-shaped monopolar knife 4, the other clamp head 2 is provided with a monopolar groove 3 which is matched with the monopolar knife 4, the clamp heads 2 are respectively provided with a U-shaped bipolar knife 5 at the periphery of the monopolar groove 3 and the clamp head 2 at the periphery of the monopolar knife 4, and the bipolar knife 5 comprises a stainless steel base material part 6 and piezoelectric ceramics 7 (shown in figure 4); the monopolar knife 4 is connected with the stainless steel base material part 6 in an insulating way, the stainless steel base material part 6 is adhered or welded with the clamp head 2, and the bottom is connected with the stainless steel base; therefore, in the operation process, the monopolar knife 4 and the bipolar knife 5 are combined to mutually cooperate, and simultaneously, the rapid solidification hemostasis can be synchronously and rapidly completed at one time when the dissociated tissues are rapidly cut, so that the bleeding and mechanical risks caused by solidification or dissociation incompletely generated in the steps of solidification and dissociation are avoided. In addition, the monopole blade 4 is made of tungsten carbide or stainless steel; and its dimensions are: 0.5mm wide and 1.1mm high; the bipolar blade 5 is made of stainless steel and has the following dimensions: one side is 0.2mm wide and 1.3mm thick.
At present, the bipolar forceps can coagulate 7MM blood vessels, the width dimension of the forceps head is designed to be more than 7MM, and for 5MM, 3MM and 1-2MM blood vessels, excessive electrocoagulation can be caused by the forceps width of more than 7MM, so that the forceps head is provided with a plurality of groups of bipolar electrodes according to the clinical adjustment quantity under the condition of keeping the forceps width unchanged according to different blood vessel sizes.
Referring to fig. 2 and 3, fig. 3 is a state that the bipolar switch is locked after the monopolar switch is turned on, any one of the handles 1 is provided with a monopolar switch 8 for controlling the monopolar switch 4, a bipolar switch 9 for controlling the bipolar switch 5, and a control mechanism for turning on the bipolar switch 8 after the bipolar switch 9 is turned on or turning on the bipolar switch 8 before the bipolar switch 9 is turned on, that is, only the bipolar switch 4 is turned on first, the bipolar switch 5 cannot be turned on at this time, and the bipolar switch 8 can be turned on again when the bipolar switch 9 is turned on first, and the bipolar switch 8 controls the on or off of the monopolar switch 4 and the bipolar switch 9 controls the on or off of the bipolar switch 5 according to the control principle in the prior art, which is not repeated in this embodiment.
The handle 1 is provided with a first groove 10 for sliding the single-pole switch 8 and a second groove 11 for sliding the double-pole switch 9, the first groove 10 is parallel to the second groove 11 and is arranged along the vertical direction, the control mechanism comprises a first block 12 fixedly connected with the single-pole switch 8, a second block 13 fixedly connected with the double-pole switch 9, a connecting component for the first block 12 and an opening component for unlocking the second block 13, the first block 12 is slidingly matched in the first groove 10, the second block 13 is slidingly matched in the second groove 11, in order to avoid the first block 12 falling from the first groove 10 and the second block 13 falling from the second groove 11, the sections of the first block 12 and the second block 13 are all T-shaped, the horizontal section of the first block 12 is slidingly arranged in a part with a large opening of the first groove 10, the vertical section of the first block 12 is slidingly arranged in a part with a small opening of the first groove 10, the first block 12 is slidingly arranged in the first groove 10, the same second block 13 is slidingly matched in the second groove 11, and the second block 13 is slidingly arranged in the second groove 11.
The connecting assembly comprises an inserting block 14, a first spring 15 and a connecting block 16, wherein an inserting hole 39 for inserting the inserting block 14 is formed in the side wall of the first groove 10 in a penetrating manner in the handle 1, the connecting block 16 slides in the inserting hole 39, the length dimension of the connecting block 16 is the same as the depth dimension of the inserting hole 39, the second block 13 is provided with a connecting hole for inserting the connecting block 16, the first block 12 is provided with a sliding groove for sliding the inserting block 14, the length direction of the sliding groove is perpendicular to the length direction of the first groove 10, and two ends of the first spring 15 are fixedly connected with the inner wall of the end part of the sliding groove and the end part of the inserting block 14 respectively; in the initial state, the plug block 14 is positioned below the plug hole 39, the connecting hole is communicated with the plug hole 39, when the single-pole switch 8 is started, the first block 12 is driven to move upwards until the plug block 14 moves to the position of the plug hole 39, the plug block 14 is plugged into the plug hole 39 under the elastic force of the first spring 15, the connecting block 16 is driven to face the connecting hole, at the moment, the second block 13 is locked in the second groove 11, namely, after the single-pole switch 8 is started, the double-pole switch 9 is not started; in this embodiment, in order to facilitate unlocking the second block 13, the connection block 16 is inserted into the connection hole and is configured as a hemisphere, when the worker drives the bipolar switch 9 to move upwards by force, the bipolar switch 9 drives the second block 13 to move upwards in the second slot 11, at this time, the connection block 16 receives the force of moving towards the insertion hole 39, the connection block 16 is completely moved into the insertion hole 39, the insertion block 14 is separated from the insertion hole 39, and at this time, the first block 12 can be restored to the initial position.
Referring to fig. 2 and 3, the opening assembly includes two gears 17 rotatably disposed in the handle 1, two racks 18 sliding in the handle 1, a first opening block 19 and a second opening block 20, the first opening block 19 and the second opening block 20 are fixedly connected with the ends of the two racks 18 respectively, the two gears 17 are coaxially fixed, the axis direction of the gears 17 is perpendicular to the plane where the handle 1 is located, the two racks 18 are respectively meshed with the two gears 17 and the two racks 18 are located on the same side, the two racks 18 are distributed along the axis direction of the gears 17, the first opening block 19 or the second opening block 20 is elastically arranged with the handle 1, in this embodiment, the first opening block 19 is elastically arranged with the handle 1, a second spring is fixedly connected between the inner cavity of the handle 1 and the first opening block 19, a sliding sleeve for limiting the movement of the first opening block 19 and the second opening block 20 is disposed in the inner cavity of the handle 1, and the second opening block 13 is provided with an opening hole 21 for inserting the second opening block 20.
When the bipolar switch 9 is started at first, the second block 13 slides in the second groove 11, the second block 13 plugs the plug hole 39, the plug hole 39 is staggered with the connecting hole, the end part of the first opening block 19 is provided with an inclined plane facing the first block 12 and an inclined plane facing the second opening block 20, when the second block 13 is abutted with the second opening block 20 in the moving process, the second opening block 20 moves towards the inner cavity of the handle 1, the opening hole 21 moves to the position of the second opening block 20, the first opening block 19 moves to the outside of the handle 1, namely, the first groove 10 is displaced, when the single-pole switch 8 is opened, the first block 12 moves upwards and abuts the first opening block 19, the first block 12 pushes the first opening block 19 towards the inner cavity of the handle 1, and under the action of the two gears 17 and the two racks 18, the second opening block 20 moves outwards towards the handle 1, namely, the second opening block 20 moves to be spliced in the opening hole 21, and the plug block 14 is always positioned in the sliding groove, so that the bipolar switch 4 is opened, and the bipolar switch 9 is locked; when the bipolar switch and the monopolar switch are required to be closed, the monopolar switch 8 is controlled to move downwards, the monopolar knife 4 is closed, the first opening block 19 moves towards the first groove 10 under the action of the elasticity of the second spring, and the second opening block 20 moves away from the opening hole 21 under the action of the two gears 17 and the two racks 18, so that the locking of the bipolar switch 9 is released, and the bipolar switch 9 can slide downwards.
Referring to fig. 4 and 5, the clamp head 2 is provided with an adjusting box 22 in the monopole groove 3 in an adapting way, the plane of the adjusting box 22 is also concave, two side cavities of the adjusting box 22 are communicated and are hollow, two ends of the two side cavities of the adjusting box 22 are closed, the bottom cavity of the adjusting box 22 is separated from the side cavities, an adjusting mechanism for cooling or preheating the monopole knife 4 and the corresponding bipolar knife 5 is arranged in the handle 1 and the adjusting box 22, the adjusting mechanism comprises a circulating pipe 23, a recovery pipe 24, a circulating pump arranged on the circulating pipe 23 and a joint assembly for realizing cooling or preheating, one end of the circulating pipe 23 is externally connected with a water source, the other end of the circulating pipe 23 is connected with the joint assembly, one end of the recovery pipe 24 is connected with an external water storage tank, and the other end is also connected with the joint assembly; when the monopole knife 4 moves into the monopole groove 3 after the work is completed, the adjusting box 22 is coated on the outer side of the monopole knife 4, and the monopole knife 4 is cooled after being connected with cooling water through the circulating pipe 23 and the circulating pump.
The joint assembly comprises a main pipe 26, a water inlet pipe 27, a water outlet pipe 28, electromagnetic valves and a temperature control part, wherein the water inlet pipe 27 and the water outlet pipe 28 are respectively connected with two ends of the main pipe 26, the number of the electromagnetic valves is four, the water inlet pipe 27 is connected with one end of a side cavity of the regulating box 22, the water outlet pipe 28 is connected with the other side cavity of the regulating box 22, the circulating pipe 23 is connected with the position, close to the water inlet pipe 27, of the main pipe 26, the other end of the circulating pipe 23 is connected with an external water storage tank, the four electromagnetic valves are respectively arranged on the position, between the water inlet pipe 27 and the water outlet pipe 28, of the circulating pipe 23 and the recovery pipe 24, the recovery pipe 24 is connected with one end, close to the water outlet pipe 28, of the water inlet pipe 27 or the water outlet pipe 28, and the water pump is preferably arranged on the water outlet pipe 28 in the embodiment; when the adjusting box 22 is required to have a cooling effect, the electromagnetic valve on the circulating pipe 23 is opened, the electromagnetic valve on the recovery pipe 24 is opened, the electromagnetic valve of the main pipe 26 between the water inlet pipe 27 and the water outlet pipe 28 is closed, at this time, cooling water enters the water inlet pipe 27 from the circulating pipe 23, cooling water of the water inlet pipe 27 enters the cavities on two sides of the adjusting box 22 and then cools the monopolar knife 4 or the bipolar knife 5, and then flows out from the water outlet pipe 28 through the recovery pipe 24, so that the cooling effect on the monopolar knife 4 and the bipolar knife 5 is completed.
Referring to fig. 4 and 5, a control part is provided at a position between the water inlet pipe 27 and the water outlet pipe 28 of the main pipe 26, the control part including a temperature control pipe for filling the phase change material, which is fixed in the main pipe 26, and solenoid valves (not shown) which are also installed on the main pipe 26, and a temperature control pipe located at a position between the two solenoid valves on the main pipe 26, the phase change material absorbing heat when the temperature increases and releasing heat when the temperature decreases. Specifically, when the temperature rises to the phase transition temperature, it undergoes a phase transition and absorbs heat. This phase change process is reversible, i.e. when the temperature drops below the phase change temperature, the phase change material will revert to its original state and release the previously absorbed heat. In the process of cooling the monopolar blade 4 or the bipolar blade 5, the phase change material absorbs and stores heat of the monopolar blade 4 or the bipolar blade 5, when the monopolar blade 4 or the bipolar blade 5 needs to be preheated, the electromagnetic valves on the circulating pipe 23 and the recovery pipe 24 are closed, the two electromagnetic valves on the main pipe 26 are opened, at the moment, under the action of the water pump on the water outlet pipe 28, water enters the main pipe 26 from the water outlet pipe 28 and contacts the temperature control pipe, the phase change material in the temperature control pipe releases heat, and after the water is heated, the water enters the side cavity of the regulating box 22 from the water inlet pipe 27, so that the effect of preheating the monopolar blade 4 or the bipolar blade 5 is realized.
Referring to fig. 6 and 7, in this embodiment, because the monopolar knife 4 is easy to adhere tissue in the cutting process and the operator is hard to observe whether the tissue adheres or not, therefore, whether the tissue adheres or not on the monopolar knife 4 needs to be detected, the bottom wall of the regulating box 22 is further provided with a detecting mechanism for detecting whether the tissue adheres or not, the detecting mechanism comprises a detecting plate 29 movably arranged on the bottom wall of the regulating box 22, an adhering part 30 arranged on the detecting plate 29, a blocking part 31, a transmission component for realizing the cooperation of the adhering part 30 and the blocking part 31, the bottom cavity and two side cavities of the regulating box 22 are arranged separately, one end of the bottom cavity of the regulating box 22 is provided with an opening, the detecting plate 29 slides in the bottom cavity of the regulating box 22 along the vertical direction, the regulating box 22 is provided with a regulating part 32 for driving the detecting plate 29 to move along the vertical direction, the regulating part 32 adopts an electric push rod, the bottom of the regulating box 22 is provided with a plurality of regulating holes 33, the regulating holes 33 are arranged at equal intervals along the length direction of the regulating box 22, the regulating hole 33 is communicated with the bottom cavity of the regulating box 22, the blocking part 31 is used for sealing the hole 33, the adhering part 30 and the bottom cavity is connected with the two bottom cavities of the regulating box 22 through the bottom wall and the two bottom wall and the bottom wall of the regulating box are respectively provided with the sliding rod and the sliding rod. The material of the blocking element 31 is identical to the material of the adjusting box 22, for example, a stainless steel block, and the blocking element 31 is adapted to the adjusting bore 33.
The transmission assembly comprises a transmission block 34 and a power part for pulling the transmission block 34 to slide, the detection plate 29 is provided with an arc groove 35 which is the same as the arc at the bottom of the regulating box 22, the transmission block 34 is matched in the arc groove 35 in a sliding way, the blocking piece 31 and the adhesion piece 30 are both fixed on the transmission block 34, the arc extending direction of the transmission block 34 is the same as the arc extending direction of the regulating box 22, the arc groove 35 is matched with the transmission block 34, the adhesion piece 30 and the blocking piece 31 are both fixed on the transmission block 34, the two ends of the arc groove 35 are closed, in order to facilitate the observation of the adhesion piece 30 in the embodiment, one end of the detection plate 29 extends out of the bottom cavity of the regulating box 22, and the one end of arc-shaped groove 35 also is located the regulating box 22 outside, transmission piece 34 fixedly connected with detecting tube 25, the lateral wall of detecting tube 25 is provided with a plurality of detection holes, adhesion piece 30 is fixed outside detecting tube 25 and the one end of adhesion piece 30 also with one side fixed connection of transmission piece 34, adhesion piece 30 sets up to gauze or sponge in this embodiment all, the other end of detecting tube 25 is connected with hose 40, the end-to-end connection external world of hose 40 is used for injecting the container of lugol's iodine solution, a plurality of detecting tubes 25 are connected with same hose 40 in this embodiment, when lugol's iodine solution meets the glycogen in the tissue, brown coloring reaction can appear. This is because glycogen reacts with iodine to produce a brown compound.
Referring to fig. 5 and 7, the power part comprises a winding rope 36, a winding roller 37 and a winding motor 38, the winding rope 36 is positioned in the bottom cavity of the adjusting box 22 and is fixedly connected with the transmission block 34, the winding roller 37 is rotatably arranged in the clamp head 2, the winding motor 38 is also arranged in the clamp head 2 and is used for driving the winding roller 37 to rotate, the axial direction of the winding roller 37 is perpendicular to the plane where the clamp head 2 is positioned, one end of the winding rope 36 is fixedly connected with the outer wall of the winding roller 37, and the transmission block 34 moves along the arc-shaped groove 35 by the traction of the winding rope 36; when the tissue is required to be detected, the detecting plate 29 is pushed downwards through the adjusting piece 32, the blocking piece 31 is separated from the adjusting hole 33, the winding motor 38 controls the winding roller 37 to rotate, the winding rope 36 winds on the winding roller 37 and pulls the transmission block 34 to move along the arc-shaped groove 35, the transmission block 34 drives the adhesion piece 30 to move to the position of the adjusting hole 33, the adjusting piece 32 pulls the detecting plate 29 to move upwards, the adhesion piece 30 moves into the adjusting hole 33, the monopolar knife 4 is placed at the moment, before the tissue on the monopolar knife 4 is adhered, the monopolar knife 4 is cooled, the tissue above the monopolar knife 4 moves onto the adhesion piece 30 after the monopolar knife 4 is placed, the adhesion piece 30 adheres the tissue, the adhesion piece 30 is pulled out of the adjusting hole 33, and the lugol iodine solution is injected into the detecting tube 25 through the hose 40; the transmission block 34 is pulled continuously through the winding rope 36 and is pulled to the outer side of the regulating box 22, at the moment, whether the tissue on the Lugol's iodine solution and the adhesion piece 30 changes color or not is observed, and if the tissue changes color, the tissue adhered to the monopolar knife 4 needs to be treated; if there is no color change, the worker first presses the detection plate 29 downward, then moves the blocking member 31 toward the other end along the arc-shaped groove 35, and pushes the blocking member 31 to the initial position together with the transmission block 34, that is, moves the blocking member 31 to the position corresponding to the adjustment hole 33.
The implementation principle of the electrocoagulation cutting device provided by the embodiment of the application is as follows: when the bipolar switch 9 is turned on firstly, the second block 13 slides in the second groove 11, the second block 13 plugs the plug hole 39, the plug hole 39 is staggered with the connecting hole, the end part of the first opening block 19 is provided with an inclined plane facing the first block 12 and an inclined plane facing the second block 13, when the second block 13 is abutted with the second opening block 20 in the moving process, the second opening block 20 moves towards the inner cavity of the handle 1, the opening hole 21 moves to the position of the second opening block 20, the first opening block 19 moves to the outside of the handle 1, namely, the first groove 10 is displaced, when the single-pole switch 8 is opened, the first block 12 moves upwards and abuts the first opening block 19, the first block 12 pushes the first opening block 19 towards the inner cavity of the handle 1, and under the action of the two gears 17 and the two racks 18, the second opening block 20 moves outwards towards the handle 1, namely, the second opening block 20 moves until the second opening block 20 is spliced into the opening block 21, and in the process, the plug block 14 is always positioned in the sliding groove, so that the bipolar switch 4 is opened, and the bipolar switch 9 is locked.
When the regulating box 22 is required to have a cooling effect, the electromagnetic valve on the circulating pipe 23 is opened, the electromagnetic valve on the recovery pipe 24 is opened, the electromagnetic valve of the main pipe 26 positioned between the water inlet pipe 27 and the water outlet pipe 28 is closed, at the moment, cooling water enters the water inlet pipe 27 from the circulating pipe 23, the cooling water of the water inlet pipe 27 enters the cavities on two sides of the regulating box 22 and then cools the monopolar knife 4 or the bipolar knife 5, and then flows out from the water outlet pipe 28 through the recovery pipe 24, so that the cooling effect on the monopolar knife 4 and the bipolar knife 5 is completed; when the monopolar blade 4 or the bipolar blade 5 needs to be preheated, the electromagnetic valves on the circulating pipe 23 and the recovery pipe 24 are closed at the moment, the two electromagnetic valves on the main pipe 26 are opened, at the moment, under the action of the water pump on the water outlet pipe 28, water enters the main pipe 26 from the water outlet pipe 28 and contacts the temperature control pipe, the phase material in the temperature control pipe releases heat, and after the water is heated, the water enters the side cavity of the regulating box 22 from the water inlet pipe 27, so that the effect of preheating the monopolar blade 4 or the bipolar blade 5 is realized.
When the tissue is required to be detected, the detecting plate 29 is pushed downwards through the adjusting piece 32, the blocking piece 31 is separated from the adjusting hole 33, the winding motor 38 controls the winding roller 37 to rotate, the winding rope 36 winds on the winding roller 37 and pulls the transmission block 34 to move along the arc-shaped groove 35, the transmission block 34 drives the absorbing piece to move to the position of the adjusting hole 33, the adjusting piece 32 pulls the detecting plate 29 to move upwards, the absorbing piece moves into the adjusting hole 33, the monopolar knife 4 is placed at the moment, the tissue above the monopolar knife 4 is moved onto the adhering piece 30 after being placed, the adhering piece 30 adheres to the tissue, the adhering piece 30 is separated from the adjusting hole 33 again, and the Lugol iodine liquid is injected into the detecting tube 25 through the hose 40; continuing to work the driving block 34 by winding the rope 36 and pulling the driving block to the outer side of the regulating box 22, at this time, observing whether the Lugol's iodine solution and the tissue on the adhesion piece 30 are discolored or not, and if the Lugol's iodine solution and the tissue on the adhesion piece become brown, proving that the tissue is adhered to the monopolar knife 4 and the tissue needs to be treated; if there is no color change, the worker first presses the detection plate 29 downward, then moves the blocking member 31 toward the other end along the arc-shaped groove 35, and pushes the blocking member 31 to the initial position together with the transmission block 34, that is, moves the blocking member 31 to the position corresponding to the adjustment hole 33.
The foregoing are all preferred embodiments of the present application, and are not intended to limit the scope of the present application in any way, therefore: all equivalent changes in structure, shape and principle of this application should be covered in the protection scope of this application.
Claims (10)
1. The electrocoagulation cutting device is characterized by comprising two handles (1) hinged with each other and two binding clip (2) arranged on the handles (1) in an insulating way, wherein the binding clip (2) is arranged as an elbow, and the two binding clip (2) are bent towards the same side;
one of the forceps heads (2) is provided with a convex blade-shaped monopolar knife (4), the other forceps head (2) is provided with a monopolar groove (3) matched with the monopolar knife (4), the forceps heads (2) are respectively provided with a U-shaped bipolar knife (5) at the periphery of the monopolar groove (3) and the forceps heads (2) at the periphery of the monopolar knife (4), and the bipolar knife (5) comprises a stainless steel base material part (6) and piezoelectric ceramics (7);
the handle (1) is provided with a single-pole switch (8) for controlling the single-pole knife (4), a double-pole switch (9) for controlling the double-pole knife (5) and a control mechanism, wherein the control mechanism is used for realizing that the single-pole switch (8) can be started after the double-pole switch (9) is started or the double-pole switch (9) can not be started after the single-pole switch (8) is started.
2. An electrocoagulation cutting device as claimed in claim 1, characterized in that the handle (1) is provided with a first slot (10) for sliding the single-pole switch (8) and a second slot (11) for sliding the double-pole switch (9), the first slot (10) and the second slot (11) being arranged in parallel and along a vertical direction;
the control mechanism comprises a first block (12) fixedly connected with the single-pole switch (8), a second block (13) fixedly connected with the double-pole switch (9), a connecting component for the first block (12) and an opening component for unlocking the second block (13), wherein the first block (12) is in sliding fit in the first groove (10), and the second block (13) is in sliding fit in the second groove (11).
3. An electrocoagulation cutting device as claimed in claim 2, characterized in that the connection assembly comprises a plug-in block (14), a first spring (15) and a connection block (16), the handle (1) is provided with a plug-in hole (39) for plugging in the plug-in block (14) in a penetrating manner on the side wall of the first groove (10), the connection block (16) slides in the plug-in hole (39), the length dimension of the connection block (16) is the same as the depth dimension of the plug-in hole (39), the second block (13) is provided with a connection hole for plugging in the connection block (16), the first block (12) is provided with a sliding groove for sliding in the plug-in block (14), and two ends of the first spring (15) are respectively connected with the inner wall of the end part of the sliding groove.
4. An electrocoagulation cutting device as claimed in claim 3, wherein the opening assembly comprises two gears (17) rotatably arranged in the handle (1), two racks (18) sliding in the handle (1), a first opening block (19) and a second opening block (20), the first opening block (19) and the second opening block (20) are fixedly connected with the ends of the two racks (18) respectively, the two gears (17) are coaxially fixed, the two racks (18) are respectively meshed with the two gears (17) and the two racks (18) are positioned on the same side, the first opening block (19) or the second opening block (20) is elastically arranged with the handle (1), and the second opening block (13) is provided with an opening hole (21) for inserting the second opening block (20).
5. An electrocoagulation cutting device as claimed in claim 1, characterized in that the clamp head (2) is provided with an adjusting box (22) in the monopolar groove (3) in an adapting way, the adjusting box (22) is also provided with a concave shape, the handle (1) and the adjusting box (22) are internally provided with an adjusting mechanism for cooling or preheating the monopolar knife (4) and the bipolar knife (5) correspondingly, the adjusting mechanism comprises a circulating pipe (23), a recovery pipe (24), a circulating pump arranged on the circulating pipe (23) and a joint assembly for realizing cooling or preheating, one end of the circulating pipe (23) is externally connected with a water source, the other end of the circulating pipe (23) is connected with the joint assembly, one end of the recovery pipe (24) is connected with an external water storage tank, and the other end is also connected with the joint assembly.
6. The electrocoagulation cutting device according to claim 5, wherein the joint assembly comprises a main pipe (26), a water inlet pipe (27), a water outlet pipe (28), an electromagnetic valve and a temperature control part, the water inlet pipe (27) and the water outlet pipe (28) are respectively connected with two ends of the main pipe (26), the electromagnetic valve is three, the circulating pipe (23) is connected with one end of the main pipe (26) close to the water inlet pipe (27), the recovery pipe (24) is connected with one end of the main pipe (26) close to the water outlet pipe (28), the three electromagnetic valves are respectively arranged on the position of the main pipe (26) between the water inlet pipe (27) and the water outlet pipe (28), the circulating pipe (23) and the recovery pipe (24), a water pump is arranged on any one of the water inlet pipe (27) or the water outlet pipe (28), and the control part is arranged at the position of the main pipe (26) between the water inlet pipe (27) and the water outlet pipe (28).
7. An electrocoagulation cutting apparatus as claimed in claim 6 wherein the temperature control section comprises a temperature control tube for filling phase change material and a solenoid valve which is also mounted on the main tube (26), the temperature control tube being fixed on the main tube (26) between two solenoid valves.
8. The electrocoagulation cutting device as claimed in claim 5, wherein the bottom wall of the regulating box (22) is further provided with a detecting mechanism for detecting whether tissue is adhered to the monopolar knife (4), the detecting mechanism comprises a detecting plate (29) movably arranged on the bottom wall of the regulating box (22), an adhesion piece (30) arranged on the detecting plate (29), a blocking piece (31) and a transmission assembly for realizing the cooperation of the adhesion piece (30) and the blocking piece (31), a bottom cavity of the regulating box (22) is separated from two side cavities, one end of the bottom cavity of the regulating box (22) is provided with an opening, the detecting plate (29) slides in the bottom cavity of the regulating box (22) along a vertical direction, the regulating box (22) is provided with a regulating piece (32) for driving the detecting plate (29) to move along the vertical direction, the bottom wall of the regulating box (22) is provided with a plurality of holes (33), the regulating hole (33) is communicated with the bottom cavity of the regulating box (22), and the bottom cavity of the regulating box (30) is communicated with the blocking piece (31), and the adhesion piece (33) is penetrated through the holes (30).
9. An electrocoagulation cutting apparatus as claimed in claim 8, wherein the transmission assembly comprises a transmission block (34) and a power section for pulling the transmission block (34) to slide, the detection plate (29) is provided with an arc-shaped groove (35) identical to the arc shape of the bottom of the regulating box (22), the transmission block (34) is slidingly fitted in the arc-shaped groove (35), and the blocking member (31) and the adhesion member (30) are both fixed on the transmission block (34).
10. The electrocoagulation cutting device according to claim 9, characterized in that the power section comprises a winding rope (36), a winding roller (37) and a winding motor (38), wherein the winding rope (36) is located in a bottom cavity of the regulating box (22) and fixedly connected with the transmission block (34), the winding roller (37) is rotatably arranged in the clamp head (2), the winding motor (38) is also arranged in the clamp head (2) and is used for driving the winding roller (37) to rotate, and the other end of the winding rope (36) is fixedly connected with the outer wall of the winding roller (37).
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| Application Number | Priority Date | Filing Date | Title |
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| CN202410017140.3A CN117503326B (en) | 2024-01-05 | 2024-01-05 | Electrocoagulation cutting device |
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| Application Number | Priority Date | Filing Date | Title |
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| CN202410017140.3A CN117503326B (en) | 2024-01-05 | 2024-01-05 | Electrocoagulation cutting device |
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| CN117503326B CN117503326B (en) | 2024-04-09 |
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| CN117503326B (en) | 2024-04-09 |
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