CN102106749B - bipolar stripper - Google Patents
bipolar stripper Download PDFInfo
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- CN102106749B CN102106749B CN201110025086XA CN201110025086A CN102106749B CN 102106749 B CN102106749 B CN 102106749B CN 201110025086X A CN201110025086X A CN 201110025086XA CN 201110025086 A CN201110025086 A CN 201110025086A CN 102106749 B CN102106749 B CN 102106749B
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- plug
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- 239000004020 conductor Substances 0.000 claims abstract description 6
- 239000010935 stainless steel Substances 0.000 claims description 11
- 229910001220 stainless steel Inorganic materials 0.000 claims description 11
- 230000004888 barrier function Effects 0.000 claims description 7
- 238000009413 insulation Methods 0.000 claims description 7
- 210000001519 tissue Anatomy 0.000 abstract description 21
- 230000036285 pathological change Effects 0.000 abstract description 8
- 231100000915 pathological change Toxicity 0.000 abstract description 8
- 210000000944 nerve tissue Anatomy 0.000 abstract description 6
- 230000000638 stimulation Effects 0.000 abstract description 3
- 230000001575 pathological effect Effects 0.000 abstract description 2
- 238000000034 method Methods 0.000 description 8
- 229920001971 elastomer Polymers 0.000 description 5
- 238000007689 inspection Methods 0.000 description 4
- 239000000463 material Substances 0.000 description 4
- 238000005516 engineering process Methods 0.000 description 3
- 239000002184 metal Substances 0.000 description 3
- 210000003205 muscle Anatomy 0.000 description 3
- 239000000956 alloy Substances 0.000 description 2
- 231100000858 damage to nervous tissue Toxicity 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 230000005611 electricity Effects 0.000 description 2
- 239000007769 metal material Substances 0.000 description 2
- 230000001537 neural effect Effects 0.000 description 2
- 210000000578 peripheral nerve Anatomy 0.000 description 2
- 239000007921 spray Substances 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 229910000831 Steel Inorganic materials 0.000 description 1
- 230000002411 adverse Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 210000003792 cranial nerve Anatomy 0.000 description 1
- 230000007812 deficiency Effects 0.000 description 1
- 230000003111 delayed effect Effects 0.000 description 1
- 230000002939 deleterious effect Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 239000000806 elastomer Substances 0.000 description 1
- 230000002452 interceptive effect Effects 0.000 description 1
- 230000007794 irritation Effects 0.000 description 1
- 230000000302 ischemic effect Effects 0.000 description 1
- 210000005036 nerve Anatomy 0.000 description 1
- 210000004126 nerve fiber Anatomy 0.000 description 1
- 230000007971 neurological deficit Effects 0.000 description 1
- 210000000715 neuromuscular junction Anatomy 0.000 description 1
- 210000002569 neuron Anatomy 0.000 description 1
- 239000004033 plastic Substances 0.000 description 1
- 229950000845 politef Drugs 0.000 description 1
- 230000002980 postoperative effect Effects 0.000 description 1
- 230000035945 sensitivity Effects 0.000 description 1
- 230000003068 static effect Effects 0.000 description 1
- 239000010959 steel Substances 0.000 description 1
- 238000004804 winding Methods 0.000 description 1
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- Electrotherapy Devices (AREA)
- Measurement And Recording Of Electrical Phenomena And Electrical Characteristics Of The Living Body (AREA)
Abstract
The invention discloses a bipolar detacher, which is convenient for confirming the position of nerve tissue in an operation and can detach pathological tissue, wherein a core rod insulated with the operation part is arranged in the operation part of the detacher, and the core rod extends from one end to the other end of the operation part; the operating part and the mandrel are made of conductive materials, and the hand-held part is insulated from the operating part and the mandrel; the device also comprises two groups of wires, namely a first group of wires and a second group of wires, wherein one end of the first group of wires is connected with the operation part, and the other end of the first group of wires is connected with a first plug; one end of the second group of wires is connected with the core rod, and the other end of the second group of wires is connected with a second plug; the two groups of wires are insulated with the handheld part. In the operation, the current stimulation box can control the discharge of the operation part, the current can stimulate the nerve tissue around the pathological change, and the distribution position of the nerve tissue around the pathological change can be observed from the electromyogram, so that an operator can conveniently confirm the position of the nerve tissue at the early stage of the operation, and the damage to the nerve tissue is avoided.
Description
Technical field
The present invention relates to a kind of bipolar son of peeling off that is used to perform the operation.
Background technology
Peeling off son is a kind of armarium commonly used, generally comprises continuous Handheld Division and operating portion, and operating portion comprises linkage section and the working end that links to each other with linkage section; The linkage section of operating portion links to each other with the Handheld Division, and during operation, operator hold the Handheld Division; To organize through the working end of operating portion and to peel off from human body; According to the operation different in kind, the working end of operating portion has hook-shaped, lamellar and roller shape etc.Though thisly traditional peel off son and can conveniently tissue be peeled off, in the cranium nest disease, pathological changes is usually in close relations with cranial nerve after neurosurgery, sometimes even hold nervous tissue.Because pathological changes is to the crimp of nerve; Neural anatomical location also changes; In the operation; All be difficult to confirm the accurate position of nerve fiber through naked eyes or microscope, make when peeling off son and undergo surgery operation and to cause very easily injured nerve tissue the appearance of patient's postoperative or to increase the weight of delayed ischemic neurological deficits.
In addition; Be used at present confirming that the common method of nervous tissue is the electromyogram inspection method; The electromyogram inspection method is the static or electrical activity when shrinking of a kind of applied electronics instrument record muscle, and the electrical stimulation inspection is neural, muscle is excited and the method for conduction function.Can confirm the functional status of peripheral nerve, neuron, neuromuscular junction and muscle itself through this method.Utilize computer technology, can do Electromyographic automatic analysis, judge nervous tissue's allocation really.Electromyogram inspection method needle electrode commonly used and electrical stimulation technology; Needle electrode is one section metal needle tubing; Needle tubing links to each other with plug through lead; Plug links to each other with galvanism box on the electromyogram checkout facility, through the discharge of computer class control needle electrode, surveys nervous tissue's allocation really through electricity irritation.In addition, the electrode that links to each other with the galvanism box is divided into monopolar electrode and bipolar electrode, monopolar electrode generally with the galvanism box on the negative electrode socket link to each other; The electric current that produces to send out scope wider; Be that sensitivity is higher, but specificity is lower, can detects nervous tissue on a large scale and whether exist; Bipolar electrode links to each other with the negative electrode socket with the anode socket of galvanism box, the electric current of generation to send out scope less, specificity is higher, can confirm the definite position of nervous tissue.
Chinese patent 200720089112.4; Granted publication number is the special-purpose one pole crosspointer of a kind of electromyogram electrode for the patent document of CN201019744Y discloses; This electrode is that rustless steel needle body rear portion constitutes the plug-in type needle handle by good conductive filament compact winding, and needle handle inserts in the sleeve pipe in the socket, and the needle handle rear portion is connected with one end of the lead in the lead overcoat; The lead other end is connected on the plug body, and is connected with the intravital sleeve pipe of plug.Link to each other with galvanism box on the electromyogram checkout facility through this electrode, promptly can be used for detection nervous tissue.
Summary of the invention
The technical problem that the present invention solves provides a kind of be convenient in operation, to confirm nervous tissue position and the bipolar son of peeling off that can pathological tissues be peeled off.
The technical solution adopted for the present invention to solve the technical problems is: the bipolar son of peeling off; Comprise and peel off sub-body; Saidly peel off sub-body and comprise Handheld Division and operating portion; Said operating portion comprises linkage section that links to each other with the Handheld Division and the working end that links to each other with linkage section, and said operating portion set inside has and the insulating plug of operating portion, and said plug extends to the other end from operating portion one end; Aforesaid operations portion and plug are processed by conductive material, and said Handheld Division and operating portion and plug insulation; Also comprise two groups of leads, i.e. first group of lead and second group of lead, an end of first group of lead links to each other with operating portion, and the other end is connected with first plug; One end of second group of lead links to each other with plug, and the other end is connected with second plug; Above-mentioned two groups of leads all insulate with the Handheld Division.
Further be: be enclosed within outside the said Handheld Division on said two groups of leads, an end of first group of lead is positioned at inside, Handheld Division and links to each other with operating portion, and the other end is positioned at the outside, Handheld Division and links to each other with first plug; One end of second group of lead is positioned at inside, Handheld Division and links to each other with plug, and the other end is positioned at the outside, Handheld Division and links to each other with second plug.
Further be: said Handheld Division is a stainless steel tube.
Further be: the outer wall of the linkage section of said operating portion is provided with insulating barrier.
The invention has the beneficial effects as follows: the bipolar son of peeling off of the present invention is gone up owing to be connected with lead and plug; Therefore can link to each other with the galvanism box on the electromyogram checkout facility, in the operation, can be through the discharge of galvanism box control operation portion; Electric current can stimulate the nervous tissue around the pathological changes; And then can observe the distributing position of the nervous tissue around the pathological changes from electromyogram, and can be convenient to operator confirm nervous tissue early when operation position like this, avoid damage to nervous tissue.In addition,, promptly be equivalent to bipolar electrode because the present invention is the bipolar son of peeling off, the electric current of generation to send out scope less, specificity is higher, can confirm the position of nervous tissue comparatively accurately.
Description of drawings
Fig. 1 is the ionic sketch map of bipolar stripping of the present invention;
Fig. 2 is an A-A direction cutaway view among Fig. 1;
Fig. 3 is the B direction view of the end face of working end among Fig. 1.
Be labeled as among the figure: 1-second plug, second group of lead of 2-, 3-first plug, first group of lead of 4-, the 5-Handheld Division, 6-operating portion, 7-are peeled off sub-body, 8-linkage section, 9-working end, 10-plug.
The specific embodiment
Below in conjunction with the specific embodiment the present invention is further specified.
Extremely shown in Figure 3 like Fig. 1; The bipolar son of peeling off; Comprise and peel off sub-body 7 that saidly peel off sub-body 7 and comprise Handheld Division 5 and operating portion 6, said operating portion 6 comprises linkage section 8 that links to each other with Handheld Division 5 and the working end 9 that links to each other with linkage section 8; Said operating portion 6 set inside have and operating portion 6 insulating plugs 10, and said plug 10 extends to the other end from operating portion 6 one ends; Aforesaid operations portion 6 and plug 10 are processed by conductive material, and said Handheld Division 5 and operating portion 6 and plug 10 insulation; Also comprise two groups of leads, promptly an end of first group of lead 4 and 2, the first groups of leads 4 of second group of lead links to each other with operating portion 6, and the other end is connected with first plug 3; One end of second group of lead 2 links to each other with plug 10, and the other end is connected with second plug 1; Above-mentioned two groups of leads all insulate with Handheld Division 5.Aforesaid operations portion 6 and plug 10 can be processed by metal material, alloy material and other conductive material.In addition, link to each other through insulant between the metal tube that above-mentioned Handheld Division 5 can be processed for metal material, metal tube and operating portion 6; Insulating polymeric material for example; Preferred implementation is: said Handheld Division 5 is stainless steel tube, and stainless steel tube can guarantee higher intensity, and the connecting portion of stainless steel tube and operating portion 6 can be realized insulation through insulating barrier is set; For example at the connecting portion socket rubber tube of operating portion and stainless steel tube; Make the insulation of operating portion and stainless steel tube, also can be with stainless steel tube integral spray insulating polymeric material, perhaps be connected through elastomer connector between stainless steel tube and the operating portion 6.In addition, above-mentioned Handheld Division 5 and two groups of wire insulations can realize through coated insulation layer on lead, and rubber-coated pipe on lead for example also can be directly processed Handheld Division 5 by insulant, and for example Handheld Division 5 is a plastic tube.Above-mentioned plug 10 extends to the other end from operating portion 6 one ends, and promptly plug 10 runs through whole operation portion 6, extends to the end face of working end 9 always; Can make plug 10 become an electrode like this; Operating portion 6 is another electrode, and plug 10 and the operating portion 6 common bipolar electrodes that form can insulate through insulating barrier is set between above-mentioned plug 10 and the operating portion 6; For example on plug 10 outer walls, spray insulating polymeric material, or between plug 10 and operating portion 6, rubber tube is set.
During use; Can bipolarly peel off plug that son go up to connect and link to each other with galvanism box on the electromyogram checkout facility of the present invention, through the working end of galvanism box control operation portion the tissue around the pathological changes discharged, nervous tissue forms electromyogram under galvanism; And then can confirm the position of nervous tissue through electromyogram; In follow-up strip operation, can diseased region accurately be peeled off through operating portion, avoid damage to nervous tissue.Because plug 10 forms bipolar electrodes with operating portion 6, the electric current that therefore produces to send out scope less, specificity is higher, can confirm the position of nervous tissue comparatively accurately.In addition,, in the time of can guaranteeing that operator's hands is taken Handheld Division 5, can not shocked by electricity, guarantee that operator can undergo surgery smoothly by electric current owing to all insulate with lead, operating portion and plug in Handheld Division 5.
Above-mentioned two groups of leads can whole be arranged on the outside of Handheld Division 5, but are provided with like this, when operation; Lead might influence carrying out smoothly of operation, in order to make compact conformation, and reduces the adverse effect of lead to operation process; As shown in Figure 1; Said Handheld Division 5 outer being enclosed within on said two groups of leads, an end of first group of lead 4 are positioned at 5 inside, Handheld Division and link to each other with operating portion 6, and the other end is positioned at 5 outsides, Handheld Division and links to each other with first plug 3; One end of second group of lead 2 is positioned at 5 inside, Handheld Division and links to each other with plug 10, and the other end is positioned at 5 outsides, Handheld Division and links to each other with second plug 1, and promptly two groups of leads have only an end that links to each other with plug to be positioned at the outside, Handheld Division, and remainder is positioned at the inside of Handheld Division 5.Adopt said structure, during use, it is the tail end that is positioned at Handheld Division 5 that two groups of leads are positioned at outside one section in Handheld Division 5, basically can be to the operation process deleterious impact.
The linkage section 8 of aforesaid operations portion 6 is owing to processing for conductive material; After the operating portion energising, linkage section also can discharge, and when tissue contacts with linkage section, also has signal like this and produces; Sort signal is an interfering signal; Can influence the definite position that operator confirm pathological changes peripheral nerve tissue, in order to overcome above-mentioned deficiency, the outer wall of the linkage section 8 of said operating portion 6 is provided with insulating barrier.Above-mentioned insulating barrier can be processed by insulating polymeric material, for example politef is sprayed on the outer wall of linkage section 8.
Embodiment:
The bipolar son of peeling off; Comprise and peel off sub-body 7; Saidly peel off sub-body 7 and comprise interconnective Handheld Division 5 and operating portion 6; Aforesaid operations portion 6 comprises linkage section 8 that links to each other with Handheld Division 5 and the working end 9 that links to each other with linkage section 8, and aforesaid operations portion 6 set inside have and operating portion 6 insulating plugs 10, and above-mentioned plug 10 extends to the end face of working end 9 from operating portion 6 one ends; Aforesaid operations portion 6 and plug 10 are processed by alloy material, and are provided with insulating barrier between operating portion 6 and the plug 10, and above-mentioned Handheld Division 5 is a stainless steel tube, is socketed with rubber tube with the stainless steel tube junction on the operating portion 6; Above-mentioned Handheld Division 5 outer being enclosed within on two groups of leads, an end of first group of lead 4 are positioned at 5 inside, Handheld Division and link to each other with operating portion 6, and the other end is positioned at 5 outsides, Handheld Division and links to each other with first plug 3; One end of second group of lead 2 is positioned at 5 inside, Handheld Division and links to each other with plug 10, and the other end is positioned at 5 outsides, Handheld Division and links to each other with second plug 1.
Claims (4)
1. the bipolar son of peeling off comprises and peels off sub-body (7), and the said sub-body (7) of peeling off comprises Handheld Division (5) and operating portion (6), and said operating portion (6) comprises linkage section (8) that links to each other with Handheld Division (5) and the working end (9) that links to each other with linkage section (8), it is characterized in that:
Said operating portion (6) set inside has and the insulating plug of operating portion (6) (10), and said plug (10) extends to the other end from operating portion (6) one ends;
Aforesaid operations portion (6) and plug (10) are processed by conductive material, and said Handheld Division (5) and operating portion (6) and plug (10) insulation;
Also comprise two groups of leads, i.e. first group of lead (4) and second group of lead (2), an end of first group of lead (4) links to each other with operating portion (6), and the other end is connected with first plug (3); One end of second group of lead (2) links to each other with plug (10), and the other end is connected with second plug (1); Above-mentioned two groups of leads all insulate with Handheld Division (5);
Said first plug (3) and second plug (1) link to each other with galvanism box on the electromyogram checkout facility.
2. the bipolar son of peeling off as claimed in claim 1; It is characterized in that: said Handheld Division (5) are outer to be enclosed within on said two groups of leads; One end of first group of lead (4) is positioned at inside, Handheld Division (5) and links to each other with operating portion (6), and the other end is positioned at outside, Handheld Division (5) and links to each other with first plug (3); One end of second group of lead (2) is positioned at inside, Handheld Division (5) and links to each other with plug (10), and the other end is positioned at outside, Handheld Division (5) and links to each other with second plug (1).
3. the bipolar son of peeling off as claimed in claim 1 is characterized in that: said Handheld Division (5) are stainless steel tube.
4. like claim 1, the 2 or 3 described bipolar sons of peeling off, it is characterized in that: the outer wall of the linkage section (8) of said operating portion (6) is provided with insulating barrier.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201110025086XA CN102106749B (en) | 2011-01-24 | 2011-01-24 | bipolar stripper |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201110025086XA CN102106749B (en) | 2011-01-24 | 2011-01-24 | bipolar stripper |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN102106749A CN102106749A (en) | 2011-06-29 |
| CN102106749B true CN102106749B (en) | 2012-03-07 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201110025086XA Expired - Fee Related CN102106749B (en) | 2011-01-24 | 2011-01-24 | bipolar stripper |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN102106749B (en) |
Families Citing this family (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US10039915B2 (en) * | 2015-04-03 | 2018-08-07 | Medtronic Xomed, Inc. | System and method for omni-directional bipolar stimulation of nerve tissue of a patient via a surgical tool |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2553747Y (en) * | 2002-07-26 | 2003-06-04 | 林远斌 | Cutting detacher |
| CN201019744Y (en) * | 2007-01-05 | 2008-02-13 | 张炳谦 | Special-purpose monopole double-needle electrode for electromyogram |
| CN201958964U (en) * | 2011-01-24 | 2011-09-07 | 四川大学华西医院 | Bipolar stripper |
Family Cites Families (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| JPH03141939A (en) * | 1989-10-30 | 1991-06-17 | Yoshiharu Yumoto | Chord sheath incision knife |
-
2011
- 2011-01-24 CN CN201110025086XA patent/CN102106749B/en not_active Expired - Fee Related
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN2553747Y (en) * | 2002-07-26 | 2003-06-04 | 林远斌 | Cutting detacher |
| CN201019744Y (en) * | 2007-01-05 | 2008-02-13 | 张炳谦 | Special-purpose monopole double-needle electrode for electromyogram |
| CN201958964U (en) * | 2011-01-24 | 2011-09-07 | 四川大学华西医院 | Bipolar stripper |
Also Published As
| Publication number | Publication date |
|---|---|
| CN102106749A (en) | 2011-06-29 |
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Granted publication date: 20120307 Termination date: 20150124 |
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