CN103142305A - Medical bipolar operation electrode with platy contacts - Google Patents

Medical bipolar operation electrode with platy contacts Download PDF

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Publication number
CN103142305A
CN103142305A CN2012104260526A CN201210426052A CN103142305A CN 103142305 A CN103142305 A CN 103142305A CN 2012104260526 A CN2012104260526 A CN 2012104260526A CN 201210426052 A CN201210426052 A CN 201210426052A CN 103142305 A CN103142305 A CN 103142305A
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CN
China
Prior art keywords
electrode
contact
knife
point
bipolar electrode
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Pending
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CN2012104260526A
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Chinese (zh)
Inventor
尤铭德
刘式晋
黄梦桃
刘铮
白雪
尤若辰
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CHINAMERICA UNITED TECHNOLOGY (BEIJING) Co Ltd
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CHINAMERICA UNITED TECHNOLOGY (BEIJING) Co Ltd
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Priority to CN2012104260526A priority Critical patent/CN103142305A/en
Publication of CN103142305A publication Critical patent/CN103142305A/en
Pending legal-status Critical Current

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Abstract

The invention provides a medical bipolar electrode. A stimulating contact engraved by a metal sheet or a metal thin plate, the outer surface of an electrode knife rod is insulated, a metal tube is arranged in the electrode knife rod, and an outer insulated exposed part, of the metal tube, with the insulation surface, exposing from the working end of a knife head, is used as a backflow contact. The operation electrode can simultaneously have the functions of histological anatomy, drying, melting, blood coagulation, saline perfusion or/and serving as a suction unit and the like. The medical bipolar operation electrode with platy contacts can be applicable to various open and endoscope complicated operations.

Description

A kind of medical bipolar surgery electrode of lamellar contact
Affiliated technical field
The present invention relates to a kind of medical operation electrode, especially can carry out anatomic tissue in operation, or tissue is dry, or ablation of tissue, or the bipolar electrode of low temperature blood coagulation.
Background technology
At present, in known procedures electrode, excite contact and the backflow contact of a class electrode are separated from each other, needle-like excite the contact focus, the backflow contact of lamellar (electrode slice) is attached to patient, is referred to as monopolar electrode on medical speciality.Another kind of electrode is to provide simultaneously in work end to excite contact and current reflux contact, is referred to as bipolar electrode on medical speciality.During bipolar electrode work, electric field not by human body, therefore has more advantage in safety.
In the bipolar electrode field, be used for tweezer shape electrode---the bipolar tweezer of blood coagulation, there has been the use of last 100 years historical.Another kind of will excite contact and backflow contact to be arranged on the cutter head of a knife bar, and anatomic tissue, drying will be provided simultaneously, melt the bipolar electrode with blood coagulation, and due to its distinctive safety and efficiently, begin more to be paid attention to.Use comparatively complicatedly and various due to actual medical, in different field of surgery, the version requirement of electrode is not quite similar, thereby the electrode form that more corresponds to actual needs need to be arranged.
Make electrode contact with seal wire and can obtain satisfied Electric Field Distribution effect, but because bipolar electrode cutter head space surface is limited, make the seal wire contact difficulty of processing precise larger.Make accurate complicated electrode contact by the metal incision technology, can improve manufacturing effect, represented following direction of bipolar electrode contact manufacturing.
Bipolar electrode cut in saline and the solidifying effect of heat in order to improve, and makes for improving being easy to get property simultaneously, need design contact form and the electrode form that is more suitable for, and to satisfy the needs of daily operative treatment, the needs of open surgery and Microendoscopic complicated operation especially.
Summary of the invention
In order to adapt to medical operating to the actual requirement of ambipolar procedures electrode, be convenient to simultaneously processing, the invention provides a kind of medical bipolar electrode, utilize metal to scribe technology, manufacture and design various forms of electrode contacts.If necessary, perfusion and drainage system can be installed easily thereon, normal saline is directed to therapentic part from bag of saline (bottle), or abandon the liquid bottle from therapentic part with what tissue debris and saline were directed to vacuum extractor, thereby make that procedures electrode possesses simultaneously anatomic tissue, drying, melts, blood coagulation, perfusion saline be or/and multiple functions such as suction pumps, the complicated operation that especially is fit to open and Microendoscopic operates.
The technical solution adopted for the present invention to solve the technical problems is:
One or more contact isolated insulation posts are set on electrode knife head, one or more metal contact are set on each insulated column; At least arrange one on the point of a knife of electrode and excite contact by Metal Flake (thickness is less than the solid of its length and width) or with what foil was scribed; The insulation of electrode knife bar appearance wherein arranges a metal tube at least, and metal tube exposes the part of appearance insulation and serves as a backflow contact in the working end; Cutter head contact isolated insulation post is arranged at the front end of metal tube in electrode stem, and the insulant of insulated column is resin, plastics, silicone rubber or pottery, or the combination of above several insulant.The metal tube front end face is parallel with the front surface of insulated column on it is set, and the suitable creep age distance of being separated by.
With saline swollen chamber the time, electrode does not need the perfusion of saline system, but as required drainage system can be set on electrode; The occasion that there is no saline at therapentic part can arrange the filling system that is comprised of water injection pipe in water injection conduit, electrode and electrode tip water filling port on electrode; Or above-mentioned perfusion and drainage system be set simultaneously.The water injection conduit of electrode is connected with drainage catheter with infusion apparatus joint and is connected with attractive device connector; The outer cone joint of the specification of infusion apparatus joint and medical Transfusion device is supporting, the specification of attractive device connector and the connecting pipe matched of Medical vacuum extractor.When the needs water filling, bag of saline (bottle) is connected with the infusion connector of electrode by medical Transfusion device, saline under action of gravitation, the electrode infusion apparatus joint of flowing through, water injection conduit enters electrode knife bar water-injecting cavity, flows out from the cutter head water filling port; At needs during with the electrode drain, saline, tissue debris and the smog at cutter head position attract mouthful via cutter head under the effect of negative pressure, the electrode inner drainage tube, and drainage catheter and attractive device connector are abandoned the liquid bottle to vacuum extractor.
Cutter head attracts mouth can be arranged on the front surface of contact isolated insulation post.The position can be arranged on centre of surface, or amesiality setting.It can be circular or semicircle attracting mouth.
Adapt to dissimilar operation, the point of a knife contact can be to comprise one or more list structure contacts of being made by sheet metal.If the mouth of attraction is arranged, the segment conductor of contact covers and attracts mouth.Except vertical bar shape contact, the insulated column surface can also arrange the contact of circular arc strip.Each conductor can divide and is arranged, and more common form is mutually to intersect or arranged in a crossed manner.
Adapt to dissimilar operation, the point of a knife contact can be to comprise the circle made by sheet metal (in inclined-plane point of a knife situation for oval), fan-shaped, fillet polygon or loop configuration lamellar contact.Have simultaneously one or several circular holes, elliptical aperture, semicircle orifice or delthyrium (circular arc delthyrium or fillet delthyrium) thereon.If the mouth of attraction is arranged, the segment conductor of contact covers and attracts mouth.
Adapt to dissimilar operation, can have one or several semicircles, rectangle or vee on the outer edge of above-mentioned point of a knife contact, thereby adjust the Electric Field Distribution of point of a knife.
Adapt to dissimilar operation, the contact of being made by sheet metal on point of a knife can be in a plane, also can be in the middle of same contact plane.When contact is in same plane, Yi Bian the contact plane can also separate with the front surface of insulated column, form one less than the angle δ of 90 ° between contact plane and insulated column front surface.As required, also can be arranged in parallel between the front surface of contact plane and contact isolated insulation post, comprise and to lie prostrate on the insulated column front surface by note, at this moment be equivalent to angle δ and equal 0 °.
Adapt to different type of surgery, the front surface of welding tip contact isolated insulation post can with the sagittal plane shape of welding tip α in an angle, also can be axially vertical with welding tip, at this moment be equivalent to angle α and equal 0 °.
Adapt to different operations, electrode can be the straight-bar form, also can a bent angle β be set according to the operation needs between welding tip and electrode knife bar.Be to adapt to the requirement of endoscopic surgery, the electrode knife bar is arranging a bent angle θ reverse with the point of a knife direction near the handle place.In deep operation, the electrode knife bar can also arrange near working end place one with point of a knife direction bent angle λ in the same way.
The invention has the beneficial effects as follows, make the bipolar surgery electrode be more suitable for different operating actual needs.Improve simultaneously the manufacturability of the electrode contact of different operations.
Description of drawings
The present invention is further described below in conjunction with drawings and Examples.
Fig. 1 is the schematic side view of bipolar electrode of the present invention.
Fig. 2 is the front elevational schematic that contact embodiment cutter head is intersected in a bar shaped.
Fig. 3 be one with the front elevational schematic of circular arc bar and vertical bar shaped contact embodiment cutter head.
Fig. 4 is a circle and with the front elevational schematic of the contact embodiment cutter head of a plurality of delthyriums.
Fig. 5 be one with the front elevational schematic of the lamellar contact embodiment cutter head of two circular holes.
Fig. 6 is with two breach lamellar contact embodiment cutter head front elevational schematic of three hole outer edge bands in one.
Fig. 7 is the contact embodiment cutter head front elevational schematic of three breach open loops of circular hole tyre in a band.
Fig. 8 is the contact embodiment schematic diagram of various different geometric formats.
Fig. 9 is the cutter head schematic side view of inclined-plane point of a knife band drift angle contact embodiment.
Figure 10 is the cutter head schematic side view of a plane point of a knife parallel-contact embodiment.
Figure 11 be one with the schematic side view of the procedures electrode embodiment of a plurality of bent angles
The specific embodiment
Bipolar electrode in Fig. 1 is by electrode knife bar 1, electrode handle 2, and the plug 31 of electrode cable 3 and RF power supply forms; Be provided with cutting 21, heat solidifying 22 and voltage-regulation 23 fingers on handle and press button; In electrode, flood pattern can be set, can be connected with bag of saline with transfusion device by water injection conduit 33; In electrode, drainage system can also be set, be connected with the adapter of vacuum extractor by drainage catheter 35; The angle beta of a suitable operation is arranged between cutter head working end and knife bar.
In Fig. 2 embodiment, three vertical bar shaped conductors intersect, the pellet electrode contact 4 that forms a Y shape is installed on contact isolated insulation post 5, insulated column is arranged at the front end of electrode metal pipe 6, metal tube 6 appearances arrange insulating barrier 7, and the part that metal tube 6 exposes insulating barrier 7 is served as the backflow contact of electrode.Can be provided with drain in contact isolated insulation post front surface center and attract mouthfuls 81, the segment conductor of contact 4 covers and attracts mouthfuls 81; Cutter head lower rear at electrode stem 1 front end can also be provided with water filling port 60.
The difference of Fig. 3 embodiment and Fig. 2 embodiment is, the vertical bar shaped conductor that three ends intersect is crossing at the other end with circular arc strip conductors, forms a fan-shaped pellet electrode contact 4.This embodiment also can regard the circular arc delthyrium that has two symmetries in a fan-shaped lamellar contact as.
Difference with Fig. 2 embodiment in Fig. 4 embodiment is, contact 4 is to form by having a plurality of tri-angle-holed laminated structure conductors in a disk (or oval).
Difference with Fig. 2 embodiment in Fig. 5 embodiment is, contact 4 is to be formed by the laminated structure conductor that has two arc-shaped holes in a disk (or oval).
Difference with Fig. 2 embodiment in Fig. 6 embodiment is, contact 4 is tri-angle-holed by having a plurality of fillets in a disk (or oval), on outer edge below lamellar contact 4, be arranged with two semicircular breach simultaneously, contact conductor piece profile presented similar fan-shaped.
Difference with Fig. 2 embodiment in Fig. 7 embodiment is, contact is comprised of circle (or oval) ring of an open loop, has three half round cut at its edge, outer ring.
Fig. 8 has enumerated the embodiment of other several contacts that can implement 4.The technical solution of the present invention metal is scribed contact 4 and is included but not limited to these lamellar contact forms.
In Fig. 9 embodiment, welding tip contact conductor 4 forms a plane, between the front surface of contact 4 planes and contact isolated insulation post 5, an angle δ is arranged; Between the front surface of contact isolated insulation post 5 and the sagittal plane of working end, an angle α is arranged also; Contact isolated insulation post 5 is arranged on the front end of metal tube 6, and the front end face of metal tube 6 is parallel with 5 front surface.
Different outer being of Figure 10 embodiment and Fig. 9 embodiment, welding tip contact conductor electrode 4 planes and note parallel with the front surface of contact isolated insulation post 5 lie prostrate 5 and the surface on, namely angle δ equals 0 °; To vertical, namely angle α equals 0 ° to 5 front surface with the welding tip over glaze.7 is the appearance insulating barrier of electrode stem 1.
In Figure 11 embodiment, electrode knife bar 1 has a bent angle θ reverse with the point of a knife direction near the position of handle 3.The electrode knife bar also be provided with near working end place one with point of a knife direction bent angle λ in the same way.

Claims (10)

1. a medical bipolar electrode, is characterized in that electrode knife head is provided with one or more contact isolated insulation posts, and insulated column is provided with one or more contacts; Have at least one to excite contact by what Metal Flake (thickness is less than the solid of its length and width) or thin slice were scribed on the point of a knife of electrode; The insulation of electrode knife bar appearance wherein arranges a metal tube at least, and metal tube exposes the part of appearance insulation and serves as a backflow contact in the working end; Cutter head contact isolated insulation post is arranged at the front end of metal tube in electrode stem, and the insulant of insulated column is resin, plastics, silicone rubber or pottery, or the combination of above several insulant.
2. bipolar electrode according to claim 1, is characterized in that point of a knife sheet metal contact is one or several vertical bars or circular arc bar shaped, or the bar shaped of intersecting and intersecting.
3. bipolar electrode according to claim 1 is characterized in that point of a knife sheet metal contact rounded (on the inclined-plane for oval), fan-shaped, polygon or annular, or the combination of these geometries; Annular can be open loop or closed loop; One or several circular holes, elliptical aperture, semicircle orifice or delthyrium (circular arc delthyrium or fillet delthyrium) are arranged on it.
4. bipolar electrode according to claim 3, is characterized in that point of a knife sheet metal contact outer edge has one or several semicircles, rectangle or vee.
5. bipolar electrode according to claim 1 is characterized in that point of a knife sheet metal contact rounded (on the inclined-plane for oval), fan-shaped, polygon, circular arc bar shaped or annular, or the combination of these geometries; Annular can be open loop or closed loop; Its outer edge has one or several semicircles, rectangle or vee.
6. bipolar electrode according to claim 1, is characterized in that electrode is provided with the filling system that is comprised of water injection pipe in water injection conduit, electrode and electrode tip water filling port; Or be provided with drainage system by electrode tip attracts mouthful, electrode inner drainage tube and drainage catheter form; Or be provided with simultaneously above-mentioned perfusion and drainage system.
7. bipolar electrode according to claim 1, is characterized in that welding tip and electrode knife bar have a bent angle β.
8. bipolar electrode according to claim 1, is characterized in that all are provided with an angle δ between the front surface of the contact of being made by sheet metal on point of a knife plane of living in and contact isolated insulation post.
9. bipolar electrode according to claim 1, is characterized in that the front surface of welding tip contact isolated insulation post and the sagittal plane of welding tip are provided with an angle α.
10. bipolar electrode according to claim 1 is characterized in that the electrode knife bar is having a bent angle θ reverse with the point of a knife direction near the handle place.
CN2012104260526A 2012-10-31 2012-10-31 Medical bipolar operation electrode with platy contacts Pending CN103142305A (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
EP2949283A1 (en) * 2014-05-30 2015-12-02 Biosense Webster (Israel) Ltd. Catheter with distal section having side-by-side loops
CN103536351B (en) * 2013-10-25 2016-02-24 方润医疗器械科技(上海)有限公司 A kind of low-temperature plasma electrode assembly for hals,Nasen und Ohrenheilkunde
CN116236273A (en) * 2023-02-28 2023-06-09 北京大学深圳医院 Plasma electrode rod assembly, plasma electrode and electrode system
CN116919562A (en) * 2023-08-08 2023-10-24 融和医疗科技(浙江)有限公司 Oral cavity ablation device

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2143101Y (en) * 1992-10-28 1993-10-06 崔建伟 Medical high-frequency surgical knife
CN1371259A (en) * 1999-06-25 2002-09-25 奥拉特英特凡股份有限公司 Electrode for electrosurgical ablation of tissue
CN1586421A (en) * 2004-07-24 2005-03-02 罗中明 Electric needle capable of flushing and sucking
CN101516286A (en) * 2006-07-28 2009-08-26 特偲芙医药公司 Ablation apparatus and system to limit nerve conduction
US20100152729A1 (en) * 2008-12-16 2010-06-17 Gallo Sr David P Ablator with scalloped electrode and swaged tube
US20100211069A1 (en) * 2009-02-18 2010-08-19 Tyco Healthcare Group Lp Two Piece Tube for Suction Coagulator
CN202960758U (en) * 2012-10-31 2013-06-05 中美联合技术(北京)有限公司 Medical bipolar operating electrode with sheet contact

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN2143101Y (en) * 1992-10-28 1993-10-06 崔建伟 Medical high-frequency surgical knife
CN1371259A (en) * 1999-06-25 2002-09-25 奥拉特英特凡股份有限公司 Electrode for electrosurgical ablation of tissue
CN1586421A (en) * 2004-07-24 2005-03-02 罗中明 Electric needle capable of flushing and sucking
CN101516286A (en) * 2006-07-28 2009-08-26 特偲芙医药公司 Ablation apparatus and system to limit nerve conduction
US20100152729A1 (en) * 2008-12-16 2010-06-17 Gallo Sr David P Ablator with scalloped electrode and swaged tube
US20100211069A1 (en) * 2009-02-18 2010-08-19 Tyco Healthcare Group Lp Two Piece Tube for Suction Coagulator
CN202960758U (en) * 2012-10-31 2013-06-05 中美联合技术(北京)有限公司 Medical bipolar operating electrode with sheet contact

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103536351B (en) * 2013-10-25 2016-02-24 方润医疗器械科技(上海)有限公司 A kind of low-temperature plasma electrode assembly for hals,Nasen und Ohrenheilkunde
EP2949283A1 (en) * 2014-05-30 2015-12-02 Biosense Webster (Israel) Ltd. Catheter with distal section having side-by-side loops
US9468407B2 (en) 2014-05-30 2016-10-18 Biosense Webster (Israel) Ltd. Catheter with distal section having side-by-side loops
US9788894B2 (en) 2014-05-30 2017-10-17 Biosense Webster (Israel) Ltd. Catheter with distal section having side-by-side loops
US10143518B2 (en) 2014-05-30 2018-12-04 Biosense Webster (Israel) Ltd. Catheter with distal section having side-by-side loops
CN116236273A (en) * 2023-02-28 2023-06-09 北京大学深圳医院 Plasma electrode rod assembly, plasma electrode and electrode system
CN116919562A (en) * 2023-08-08 2023-10-24 融和医疗科技(浙江)有限公司 Oral cavity ablation device

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Application publication date: 20130612