CN101019776A - Bloodless liver exsector - Google Patents

Bloodless liver exsector Download PDF

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Publication number
CN101019776A
CN101019776A CN 200710078270 CN200710078270A CN101019776A CN 101019776 A CN101019776 A CN 101019776A CN 200710078270 CN200710078270 CN 200710078270 CN 200710078270 A CN200710078270 A CN 200710078270A CN 101019776 A CN101019776 A CN 101019776A
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CN
China
Prior art keywords
bloodless
exsector
attraction
liver
cutter head
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Granted
Application number
CN 200710078270
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Chinese (zh)
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CN100459947C (en
Inventor
夏锋
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First Affiliated Hospital of TMMU
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First Affiliated Hospital of TMMU
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Priority to CNB2007100782704A priority Critical patent/CN100459947C/en
Publication of CN101019776A publication Critical patent/CN101019776A/en
Application granted granted Critical
Publication of CN100459947C publication Critical patent/CN100459947C/en
Expired - Fee Related legal-status Critical Current
Anticipated expiration legal-status Critical

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Abstract

The bloodless liver exsector has one exsector head, one water control button connected through water pipeline to the exsector head, one main control button connected through wires to the exsector head, one power source with circuit board, one suction tube set in the front end of the exsector head, one suction cap covering the front end of the exsector bar and communicated with the suction tube and one flushing tube. During operation, the suction cap with negative pressure sucks out the liquid and other rabbish in the operational view field, and the liver exsector exsects liver tissue while blocking small blood vessels and coagulating electrically for hemostasis. The operation process has clear view field and is safe, and the bloodless liver exsector has compact structure, small size and easy operation.

Description

Bloodless liver exsector
Technical field
The present invention relates to a kind of surgical operating instrument, particularly a kind of multi-functional depletion of blood is cut the liver surgery cutter.
Background technology
Control over bleeding is vital technical problems with the various pipelines that appear in the liver section in the hepatotomy process.Be covered with a large amount of netted blood vessels and bile duct in the liver organization, if can use the closed thin pipeline of apparatus, manifested the in addition ligation of thicker pipeline simultaneously, then the difficult problem of hepatectomy will be readily solved.Though the clamp method can be pressed from both sides and be closed thicker pipeline in the main at present apparatus that uses, and can cause bleeding profusely of little blood vessel; High frequency electric knife can solidify by electricity and produce the thinner pipeline of eschar sealing, but can not appear the pipeline configuration in the liver, will cause when tube wall being destroyed with fixed attention by electricity and bleed profusely when running into big blood vessel, in addition eschar the operation process in come off easily cause again hemorrhage.Though ultrasound knife and water cutter can be known the pipeline configuration that shows in the liver, do not have the hemostatic function.Chinese patent ZL 91229015.3 discloses a kind of negative pressure attraction type liver cutter, at the other attraction pipeline that is provided with of knife bar, can siphon away the hemorrhage and clear demonstration operation section of little blood vessel by vacuum suction, but cause easily and bleed profusely, this cutter can only attract the hemorrhage of section one side of performing the operation, no matter from the orientation still on scope, can not make all that operating field is clear to be presented, and can not disengage the closed thin pipeline of radio frequency, so the attraction effect that this negative pressure attraction type liver cutter plays and not obvious.Chinese patent ZL01250021.6 discloses a kind of bipolar liver of dripping and has cut electric knife, in operation process, can reach the effect of anti-eschar by the cutter head cooling of dripping, but cause hydrops and dirt in the operating field easily, and make operating field unintelligible, occur security incident easily;
Thereby so still lack at present a kind of can control over bleeding, again can prevent eschar damage trunk and can remove comprehensive, on a large scale the clear demonstration section of liquid and foreign material the liver instrument of cutting.
Summary of the invention
In view of this, the purpose of this invention is to provide a kind of multifunction surgical cutter that is suitable for hepatotomy, its current collection coagulates, vessel sealing and anti-eschar forms, attracts and flushing is one, make operation process safer, improve the operation quality, and this tool construction compactness, volume little, be convenient to operation and carry.
Bloodless liver exsector of the present invention, comprise hollow and have side opening passivity cutter head, knife bar, aqueduct and water delivery control knob, connect lead and the main action button, attraction pipeline and attraction control knob, circuit board, handle of a knife and attaching plug, described cutter head is communicated with aqueduct and water delivery control knob, described cutter head be connected lead and the main action button, the circuit board attaching plug is communicated with, attraction pipeline is arranged on the knife bar front end, described bloodless liver exsector also comprises the attraction medicated cap that is communicated with attraction pipeline, described attraction medicated cap is shell-like and is sleeved on the knife bar front end that its edge is far from cutter head 1-2 centimetre.
Further, described bloodless liver exsector also includes the flushing pipe of push button and described aqueduct parallel connection;
Further, the water delivery conduit of described bloodless liver exsector, flushing pipe, connection lead, attraction pipeline and circuit board are arranged in the shell that handle of a knife constitutes;
Further, the spindle passivity cutter head made of the cutter head conductive material of described bloodless liver exsector;
Further, described flushing pipe, aqueduct and attraction pipeline internal diameter are the 2-4 millimeter;
Further, described attraction medicated cap is the circle shell-like;
Further, be provided with the groove that two ends are connected with cutter head and aqueduct respectively in the described knife bar.
Beneficial effect of the present invention: the suction device of bloodless liver exsector of the present invention is owing to take to attract the version of cap sleeve on knife bar, therefore in the operation process, attract medicated cap to utilize negative pressure to finish and attract local oozing of blood sepage and other foreign material from any orientation around the cutter head by attraction pipeline, because attracting medicated cap is the medicated cap shape, the also corresponding increasing of attraction scope keeps operating field clear.Structure owing to the flushing pipe of taking to be arranged in parallel with the water delivery conduit, can increase cutter head discharge, and the local oozing of blood sepage in operation Yezhong and other foreign material are washed, can keep operating field clear, know to appear pipeline bigger in the liver, make whole surgery process safety.Because water delivery conduit, flushing pipe, connection lead, attraction pipeline and circuit board are arranged in the shell that handle of a knife constitutes, make this tool construction compactness, volume is little, helps operation and carries.
Description of drawings
Below in conjunction with drawings and Examples the present invention is further described.
Accompanying drawing is a bloodless liver exsector structural profile sketch map of the present invention.
The specific embodiment
As shown in drawings, bloodless liver exsector comprises that hollow spindle passivity cutter head 1, the circle shell-like with holes that conductive metallic material is made attracts medicated cap 2, knife bar 3, the main action button 5, handle of a knife 7, aqueduct 8 and water delivery control knob 6 thereof, connection lead 9, attraction pipeline 10 and attract control knob 12, circuit board 11, flushing pipe 14 and push button 4 thereof.
Rigid connection between cutter head 1 and knife bar 3 and knife bar 3 and the handle of a knife 7; The internal diameter of described aqueduct 8, attraction pipeline 10, flushing pipe 14 is 2mm, and water delivery conduit 8, connects lead 9, attraction pipeline 10, circuit board 11 and flushing pipe 14 and be arranged in the shell that handle of a knife 7 constituted; Push button 4, the main action button 5, attraction control knob 6, water delivery control knob 12 are arranged on the handle 7.This mode is provided with, and makes whole bloodless liver exsector compact conformation, small and exquisite, easy to operate.Certainly, knife bar 3 and handle of a knife 7 can also be made one, the internal diameter of aqueduct 8, flushing pipe 14, attraction pipeline 10 is not limited to 2 millimeters, can be controlled at the 2-4 millimeter, if the too small meeting of internal diameter causes current too small or cause attraction pipeline to stop up, foreign material can't sucking-off in the operating field, the excessive cutter hub volume of then performing the operation of internal diameter strengthens, make the cutter hub heaviness, increase manufacturing cost, and current are wayward.
Passivity cutter head 1 is connected with high frequency electric source by connection lead 9, the main action button 5, circuit board 11, when undergoing surgery, open and discharge frequency spectrum by the main action button 5, the hepatic tissue that has been cured by passivity cutter head cutting and keep bigger pipeline so that ligation is cut off and kept and carries out ligation than trunk is by the closed little blood vessel of radio frequency, electric coagulation hemostasis.Passivity cutter head 1 also is communicated with by groove 13 in the knife bar 3 and aqueduct 8, control by water delivery control knob 6, when the cutting hepatic tissue, utilize in closed little blood vessel of radio frequency and the electric coagulation hemostasis, open water delivery control knob 6, there is slower water droplet cutter head 1 to be immersed in the liquid, thereby makes local cooling can not form eschar by aqueduct 8 and groove 13.Certainly, cutter head 1 and aqueduct 8 can directly be connected and must not offer groove 13 in knife bar 3, play identical water delivery effect.
Attract medicated cap 2 to make round shell-like also around knife bar 3 front ends, the edge is far from about 1 centimeters of cutter head, attraction medicated cap 2 links to each other with attraction pipeline and is controlled by attraction control knob 12, open in the operation process and attract control knob 12, utilize the negative pressure of attraction pipeline to finish attraction in each orientation on every side from cutter head, remove hydrops and other foreign material, make operating field clear, improve the operation quality.Owing to attract medicated cap 2 for being the medicated cap shape, the attraction scope that the attraction scope obviously directly attracts greater than suction catheter attracts medicated cap 2 to be enclosed within the knife bar front end, is controlled at 1-2 centimetre from the distance of cutter head, see cutter head if the too little then user of distance can't be known, do not have a corresponding attraction effect apart from too far away.Certainly, attract medicated cap also can be made into other non-circular shape, also can reach the attraction effect, still,, should make to attract medicated cap 2 suits and center on knife bar 3 front ends in order to play good attraction effect.
Flushing pipe 14 is in parallel with aqueduct 8, and control by push button 4, during operation, open push button 4, strengthen water flow in cutter head 1 hole, make the operation section clean so that operating field is washed, by attracting medicated cap 2 flushing liquor and the foreign material that washs are siphoned away, the maintenance operating field is clear.Certainly, can also not comprise flushing pipe 14 and push button 4 thereof in the practice, and the internal diameter of increasing aqueduct 8 is regulated by water delivery control knob 6, plays identical effect.
The spindle passivity cutter head that cutter head 1 adopts conductive metallic material to make, edge of a knife passivity slyness, not the easy damaged tissue that need not cut or bigger blood vessel under the situation that cutting inertia is arranged make operation process safety.
Above embodiment is only unrestricted in order to technical scheme of the present invention to be described, although the present invention is had been described in detail with reference to preferred embodiment, those of ordinary skill in the art is to be understood that, can make amendment or be equal to replacement technical scheme of the present invention, and not breaking away from the spirit and scope of technical solution of the present invention, it all should be encompassed in the middle of the claim scope of the present invention.
In the practice; the conversion setting of the change of shape of the attraction medicated cap of bloodless liver exsector and bath pipeline; the setting of described lead, circuit board, flushing pipe, aqueduct, attraction pipeline and all control knobs also has other modes, certainly, all falls within protection scope of the present invention.

Claims (10)

1. bloodless liver exsector, comprise hollow and have side opening passivity cutter head (1), knife bar (3), aqueduct (8) and water delivery control knob (6), connect lead (9) and the main action button (5), attraction pipeline (10) and attraction control knob (12), circuit board (11), handle of a knife (7) and attaching plug, described cutter head (1) is communicated with aqueduct (8) and water delivery control knob (6), described cutter head be connected lead (9) and the main action button (5), circuit board (11) attaching plug is communicated with, attraction pipeline (10) is arranged on knife bar (3) front end, it is characterized in that: described bloodless liver exsector also comprises the attraction medicated cap (2) that is communicated with attraction pipeline (10), described attraction medicated cap (2) is for shell-like and be sleeved on knife bar (3) front end, and its edge is far from 1-2 centimetre of cutter head (1).
2. bloodless liver exsector according to claim 1 is characterized in that: described bloodless liver exsector also includes flushing pipe (14) and the push button (4) in parallel with described aqueduct (8).
3. bloodless liver exsector according to claim 2 is characterized in that: described water delivery conduit (8), connect lead (9), attraction pipeline (10), circuit board (11) and flushing pipe (14) and be arranged in the shell that handle of a knife (7) constituted.
4. according to the described bloodless liver exsector of 1 to 3 arbitrary claim, it is characterized in that: the spindle passivity cutter head that described cutter head (1) is made for conductive material.
5. according to the described bloodless liver exsector of 1 to 3 arbitrary claim, it is characterized in that: described flushing pipe (14), aqueduct (8) and attraction pipeline (10) diameter are the 2-4 millimeter.
6. bloodless liver exsector according to claim 4 is characterized in that: described flushing pipe (14), aqueduct (8) and attraction pipeline (10) diameter are the 2-4 millimeter.
7. according to the described bloodless liver exsector of 1 to 3 or 6 arbitrary claim, it is characterized in that: described push button (4), the main action button (5), attraction control knob (6), water delivery control knob (12) are arranged on the handle (7).
8. bloodless liver exsector according to claim 4 is characterized in that: described push button (4), the main action button (5), attraction control knob (6), water delivery control knob (12) are arranged on the handle (7).
9. according to 1 to 3 or the 6 or 8 described bloodless liver exsectors of arbitrary claim, it is characterized in that: described attraction medicated cap (2) is the circle shell-like.
10. bloodless liver exsector according to claim 7 is characterized in that: described attraction medicated cap (2) is the circle shell-like.
CNB2007100782704A 2007-03-09 2007-03-09 Bloodless liver exsector Expired - Fee Related CN100459947C (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CNB2007100782704A CN100459947C (en) 2007-03-09 2007-03-09 Bloodless liver exsector

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CNB2007100782704A CN100459947C (en) 2007-03-09 2007-03-09 Bloodless liver exsector

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CN101019776A true CN101019776A (en) 2007-08-22
CN100459947C CN100459947C (en) 2009-02-11

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103494641A (en) * 2013-08-26 2014-01-08 北京龙慧珩医疗科技发展有限公司 Multifunctional laser treatment combined system and method
CN105769294A (en) * 2014-12-18 2016-07-20 罗继琴 Blood guiding drainage type scalpel
CN107951544A (en) * 2017-12-18 2018-04-24 任伟 A kind of scalpel high with adjustable rotary cutter head safety operation control coefficient
CN108523988A (en) * 2018-01-30 2018-09-14 尹丽丽 A kind of electric knife therapeutic device
CN114569233A (en) * 2022-03-02 2022-06-03 深圳大学 Radio frequency ablation instrument and method for treating giant hepatic hemangioma

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US4800878A (en) * 1987-08-26 1989-01-31 Becton, Dickinson And Company Electrosurgical knife with visual alarm
CN2107250U (en) * 1991-11-22 1992-06-17 刘保池 Negative pressure attraction type liver cutter
CN1446519A (en) * 2002-03-21 2003-10-08 苏英 Multi-functional electricity knife of peritoneoscope
JP4643361B2 (en) * 2005-05-30 2011-03-02 オリンパス株式会社 Endoscope treatment tool and endoscope treatment tool system
JP2007021024A (en) * 2005-07-20 2007-02-01 Olympus Medical Systems Corp High frequency treatment instrument

Cited By (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103494641A (en) * 2013-08-26 2014-01-08 北京龙慧珩医疗科技发展有限公司 Multifunctional laser treatment combined system and method
CN105769294A (en) * 2014-12-18 2016-07-20 罗继琴 Blood guiding drainage type scalpel
CN107951544A (en) * 2017-12-18 2018-04-24 任伟 A kind of scalpel high with adjustable rotary cutter head safety operation control coefficient
CN108523988A (en) * 2018-01-30 2018-09-14 尹丽丽 A kind of electric knife therapeutic device
CN108523988B (en) * 2018-01-30 2020-07-07 尹丽丽 High-frequency electrotome treatment device
CN114569233A (en) * 2022-03-02 2022-06-03 深圳大学 Radio frequency ablation instrument and method for treating giant hepatic hemangioma

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Granted publication date: 20090211

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