CN104116558A - Surgical equipment, surgical instrument control equipment and medical equipment - Google Patents

Surgical equipment, surgical instrument control equipment and medical equipment Download PDF

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Publication number
CN104116558A
CN104116558A CN201410359637.XA CN201410359637A CN104116558A CN 104116558 A CN104116558 A CN 104116558A CN 201410359637 A CN201410359637 A CN 201410359637A CN 104116558 A CN104116558 A CN 104116558A
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China
Prior art keywords
neural
electrode
operating theater
theater instruments
exploring
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CN201410359637.XA
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Chinese (zh)
Inventor
赵玉沛
胡亚
廖泉
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Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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Peking Union Medical College Hospital Chinese Academy of Medical Sciences
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Priority to CN201410359637.XA priority Critical patent/CN104116558A/en
Publication of CN104116558A publication Critical patent/CN104116558A/en
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Abstract

The invention discloses surgical equipment, surgical instrument control equipment and medical equipment, and relates to medical instruments. The surgical equipment comprises a surgical instrument and nerve monitoring electrodes arranged on the outer side of the surgery action portion of the surgical instrument and electrically insulated from the surgical instrument. Due to the fact that the nerve monitoring electrodes are arranged on the periphery of the surgical instrument and can carry out nerve monitoring in real time in the process of performing surgery through the surgical instrument and send out reminding signals automatically and/or stop energy output of bipolar coagulation when getting close to nerves to be protected, the switching frequency of the surgical instrument is reduced and the purpose of protecting the nerves is achieved.

Description

Surgical apparatus, operating theater instruments control appliance and armarium
Technical field
The present invention relates to technical field of medical instruments, particularly a kind of surgical apparatus, operating theater instruments control appliance and armarium.
Background technology
In surgical operation, often need to use the operating theater instruments such as scalpel, electrosurgical, bipolar electrocoagulator, ultrasound knife, plasma blade.Bipolar electrocoagulator is one of comparatively frequent apparatus using during doctor performs the operation.Bipolar electrocoagulator utilizes high-frequency alternating current, between two electrodes, produce electric heating, tissue to clamp between two electrodes solidifies, complete the effect to tissue hemostasis and cutting, have perienchyma's damage little, the advantage thoroughly of stopping blooding, has become the first-selected apparatus of numerous operations, particularly operation on neck.
Relating in motorial operation, for example, in common cervical region thyroid operation and parathyroid gland operation, determine the integrity of the nervus motorius positions such as recurrent laryngeal nerve, accessory nerve, vagus nerve neuroprotective, be one of key of successful surgery.If damage these neural functions because of machinery or the reasons such as burnings of fulgerizing in art, the postoperative part or all of motor function that will lose respective muscle, has a strong impact on quality of life of patient, even possible threat to life.Therefore, the nervus motorius in art monitoring in recent years, becomes one of the emphasis of medical skill development and focus, also becomes the important technical of surgical doctor simultaneously, in clinical position, is widely used.
In art, the principle of Neural monitoring technology is; monitoring equipment continues to produce the electricity irritation of some strength by electrode; if electrode is near to or in contact with arriving protected nervus motorius; nervus motorius will produce action potential; and be transmitted in corresponding muscle; produce muscle action potential; the collecting electrode being arranged in advance on muscle will extract these muscle current potentials; input again in Neural monitoring equipment; amplify and screen; reach after the alarm threshold value of setting, produce image and acoustical signal, remind clinicist to note neural position.
Neural monitoring process in existing art, in concrete operations, be in the time that separation connects adnerval possible position, first taking out exploring electrode tests suspected locations, if do not receive alarm signal, just use the operating theater instruments such as shears or bipolar electrocoagulator instead and continue to separate a small step, use again exploring electrode inspection instead once, then separate dissection.Whole need to ceaselessly use instead operating theater instruments and monitoring electrode, not only extend operating time, what is more important, in the process that separates dissection, can not accomplish lasting Neural monitoring in real time, at every turn nerve injury all may occur separating in the process of dissecting, and the nerve injury of afterwards finding there is no way and makes up.
Summary of the invention
The present inventor finds to have problems in above-mentioned prior art, and has therefore proposed a kind of new technical scheme at least one problem in described problem.
An object of the present invention is to provide a kind of technical scheme for surgical apparatus easy to use.
According to a first aspect of the invention, provide a kind of surgical apparatus, having comprised: operating theater instruments; Be arranged on the neural exploring electrode in the operation site of action outside of described operating theater instruments; Wherein, described neural exploring electrode and described operating theater instruments electric insulation.
Alternatively, operating theater instruments is bipolar electrocoagulator; Described surgical apparatus comprises two legs, and each leg comprises coagulating electrode and neural exploring electrode; Wherein, expose described coagulating electrode and described neural exploring electrode at the tip of each leg, and described neural exploring electrode is positioned at the outside of described coagulating electrode.
Alternatively, each leg comprises a coagulating electrode and two neural exploring electrodes, and described coagulating electrode and described neural exploring electrode exposed tip also present " product " font or trapezoidal.
Alternatively, two 2 of a leg neural exploring electrodes with 2 neural exploring electrodes of another leg according to diagonal positions corresponding electrical connection between two.
Alternatively, each leg comprises 1 neural exploring electrode and 1 coagulating electrode, and described coagulating electrode and described Neural monitoring exploring electrode exposed tip also present " Lu " font or trapezoidal.
Alternatively, the coagulating electrode of each leg is connected with the energy output port of bipolar electrocoagulator main frame respectively; Described neural exploring electrode is connected with the stimulus signal output port of Neural monitoring instrument main frame.
Alternatively, operating theater instruments is ultrasound knife, unipolar electrocoagulator, ligasure, electrosurgical or plasma blade.
Alternatively, surgical apparatus comprises that 1 with epineural exploring electrode, is positioned on the circumference centered by the operation site of action of described operating theater instruments.
According to a further aspect in the invention, provide a kind of operating theater instruments control appliance, comprising: switch, adaptive on the circuit between described operating theater instruments main frame and operating theater instruments; Virtual protection circuit; be electrically connected with described switch, for receiving the Neural monitoring signal from Neural monitoring instrument main frame, judge whether described Neural monitoring signal is greater than predetermined threshold; if be greater than, control described switch to cut off described operating theater instruments main frame to described operating theater instruments output.
Alternatively, also comprise: control selector switch, for controlling the electrical connection between described virtual protection circuit and described switch.
Alternatively, also comprise: threshold value configuration module, for configuring the described predetermined threshold of described virtual protection circuit.
Alternatively, also comprise: Neural monitoring instrument main frame, for receiving by Neural monitoring electrode the electromyographic signal that monitored muscle sends, obtain Neural monitoring signal, described Neural monitoring signal is sent to described virtual protection circuit.
Alternatively, also comprise operating theater instruments main frame, be electrically connected with described operating theater instruments, for to described operating theater instruments output.
Alternatively, also comprise information display, for showing Neural monitoring alarm signal that described virtual protection circuit sends and the duty of virtual protection circuit.
Alternatively, switch is instantaneous acting relay.
Alternatively, operating theater instruments is bipolar electrocoagulator, unipolar electrocoagulator, ultrasound knife, ligasure, electrosurgical or plasma blade.
According to another aspect of the invention, provide a kind of armarium, comprise above-mentioned surgical apparatus, and above-mentioned operating theater instruments control appliance.
An advantage of the present invention is, at the periphery of operating theater instruments, neural exploring electrode is set, using operating theater instruments to carry out carrying out in real time Neural monitoring in operation process, reducing the object that realizes neuroprotective in operating theater instruments is switched, easy to use.
By the detailed description to exemplary embodiment of the present invention referring to accompanying drawing, it is clear that further feature of the present invention and advantage thereof will become.
Brief description of the drawings
The accompanying drawing that forms a part for description has been described embodiments of the invention, and together with the description for explaining principle of the present invention.
With reference to accompanying drawing, according to detailed description below, can more be expressly understood the present invention, wherein:
Figure 1A, 1B are the structural representations illustrating according to an embodiment of the bipolar electrocoagulator of fusion neuroprotective function of the present invention;
Fig. 2 illustrates bipolar electrocoagulator eletrode tip sectional view in Figure 1A, 1B embodiment;
Fig. 3 illustrates electrode connection mode schematic diagram in Figure 1A, 1B embodiment;
Fig. 4 is the eletrode tip sectional view illustrating according to another embodiment of bipolar electrocoagulator of the present invention;
Fig. 5 is the sectional view illustrating according to unipolar electrocoagulator of the present invention embodiment;
Fig. 6 is the tip figure illustrating according to another embodiment of surgical apparatus of the present invention;
Fig. 7 is the structure chart illustrating according to armarium of the present invention embodiment;
Fig. 8 is the structure chart illustrating according to operating theater instruments control appliance of the present invention embodiment.
Detailed description of the invention
Describe various exemplary embodiment of the present invention in detail now with reference to accompanying drawing.It should be noted that: unless illustrate in addition, the parts of setting forth in these embodiments and positioned opposite, numeral expression formula and the numerical value of step do not limit the scope of the invention.
, it should be understood that for convenience of description, the size of the various piece shown in accompanying drawing is not to draw according to actual proportionate relationship meanwhile.
Illustrative to the description only actually of at least one exemplary embodiment below, never as any restriction to the present invention and application or use.
May not discuss in detail for the known technology of person of ordinary skill in the relevant, method and apparatus, but in suitable situation, described technology, method and apparatus should be regarded as authorizing a part for description.
In all examples with discussing shown here, it is exemplary that any occurrence should be construed as merely, instead of as restriction.Therefore, other example of exemplary embodiment can have different values.
It should be noted that: in similar label and letter accompanying drawing below, represent similar terms, therefore, once be defined in an a certain Xiang Yi accompanying drawing, in accompanying drawing subsequently, do not need it to be further discussed.
The inventor finds, operating theater instruments and neural exploring electrode can be combined, by the optimization setting of electrode, at the neural exploring electrode of the operation site of action arranged outside of operating theater instruments, using operating theater instruments to carry out carrying out in real time Neural monitoring in operation process.The operation site of action of operating theater instruments refers to the part that operating theater instruments and patient's operative segment is had an effect, for example, for bipolar electrocoagulator, expose coagulating electrode at tip so that the position that operative site is stopped blooding or cut, be the operation site of action of bipolar electrocoagulator.For example, at the periphery of bipolar electrocoagulator, neural exploring electrode is set, using bipolar electrocoagulator to carry out carrying out in real time Neural monitoring in dissection process.And by circuit design, when near protected nerve, automatically send the energy output of alerting signal and/or termination bipolar electrocoagulator, when switching, minimizing operating theater instruments realizes the object of neuroprotective.In this article, bipolar electrocoagulator is also referred to as bipolar coagulation forceps, double-pole electric coagulation forceps or bipolar coagulation cutter.
Figure 1A, 1B are the structural representations illustrating according to an embodiment of the bipolar electrocoagulator of fusion neuroprotective function of the present invention.
As shown in Figure 1A, 1B, in this embodiment, bipolar electrocoagulator comprises two legs, and two legs keep electric insulation each other.Each leg comprises tweezer body 111, tweezer body front end or tweezer body tip 112.Two legs are connected in electrode tip holder 113 places in tweezer body rear end, and are connected with conductor wire 114.Each leg comprises and is positioned at coagulating electrode and neural exploring electrode.In a toe end, tweezer body front end 112 places expose coagulating electrode and neural exploring electrode, and coagulating electrode and neural exploring electrode keep electric insulation in a toe end, and neural exploring electrode is positioned at the outside of coagulating electrode.In one embodiment, two legs of bipolar electrocoagulator are made by engineering plastics or the similar insulant of insulation, contain three electrodes, wherein one, coagulation power stage electrode (abbreviation coagulating electrode), two of neural exploring electrodes, all be insulated material and wrap, only expose at the tip of tweezer body front end 112.Under the machining functions such as such as spring steel plate or engineering plastics self elasticity, in the time not using, two legs are in open configuration.When use, surgical doctor is clutched leg, utilizes the coagulating electrode clamp tissue of a toe end, then starts bipolar coagulation main frame output AC electric energy, and interelectrode tissue is stopped blooding or cut.
Fig. 2 illustrates bipolar electrocoagulator eletrode tip sectional view in Figure 1A, 1B embodiment.As shown in Figure 2, the tip of each leg comprises coagulating electrode 21, two neural exploring electrodes 22,23, and one of them neural exploring electrode is anodal, as 22, another one Neural monitoring exploring electrode is negative pole, as 23, fixes three electrodes 21,22,23 by insulator 24.Neural exploring electrode 22,23 is positioned at the outside of coagulating electrode 21, and coagulating electrode and neural exploring electrode are fixed by wrapped with insulation, and exposed tip also presents " product " font or trapezoidal.
In above-described embodiment by neural exploring electrode being set in the periphery of coagulating electrode; using bipolar coagulation to carry out carrying out in real time Neural monitoring in dissection process; can in operation process, find protected nerve in time; do not need to carry out the switching of operating theater instruments; be convenient to doctor's operation, and realize the object of neuroprotective simultaneously.
Fig. 3 is the electrode connection mode schematic diagram that embodiment in Fig. 1 is shown.As shown in Figure 3, in two legs, the end of six electrodes 21,22,23 is connected with conductor wire respectively, wherein coagulating electrode 21 is in the inner part connected with the energy output port of bipolar electrocoagulator main frame respectively, the mode that two groups four neural exploring electrodes 22,23 in the outer part adopt diagonal positions to be connected between two connects, and then conductor wire 35 is connected with the stimulus signal output port of Neural monitoring instrument main frame again.Above-described embodiment is arranged by the diagonal of neural exploring electrode, can around bipolar coagulation power stage electrode, form three-dimensional detection and stimulate district, to just sent early warning before power stage electrode is applied to nerve, thereby reach the object of avoiding damage in dissection nervous process separating.In one embodiment, neural exploring electrode 22 and neural exploring electrode 23 are respectively positive pole and negative pole, and adopt anodal 22 to be electrically connected with the corresponding mode being connected of negative pole 23.By such mode, make the probe current producing be limited to the operative site between the both positive and negative polarity of neural exploring electrode, thereby avoid impact or the interference on other positions of patient as far as possible.
Fig. 4 is the eletrode tip sectional view illustrating according to another embodiment of bipolar electrocoagulator of the present invention.As shown in Figure 4, the tip of each leg comprises coagulating electrode 41, neural exploring electrode 43 and insulator 42.Coagulating electrode 41 and neural exploring electrode 43 are fixed and are insulated by insulator 42.In two neural exploring electrodes 43, a neural exploring electrode is anodal, and the neural exploring electrode of another one is negative pole.Each leg exposed tip also presents " Lu " font or trapezoidal.In two legs, the end of 4 electrodes is connected with conductor wire respectively, wherein coagulating electrode 41 is in the inner part connected with the energy output port of bipolar electrocoagulator main frame respectively, and neural exploring electrode 43 is in the outer part connected with the stimulus signal output port of Neural monitoring instrument main frame.
Those skilled in the art is according to angle of the present disclosure, and the neural exploring electrode that can design other is positioned at the surgical apparatus of operating theater instruments periphery, and concrete position and distribution can be selected as required.
Fig. 5 is the sectional view illustrating according to unipolar electrocoagulator of the present invention embodiment.As shown in Figure 5, this unipolar electrocoagulator comprises coagulating electrode 51, insulating material 52 and neural exploring electrode 53.Insulating material 52 keeps coagulating electrode 51 and neural exploring electrode 53 electric insulations.Unipolar electrocoagulator exposes coagulating electrode 51 and neural exploring electrode 53 at tip, neural exploring electrode 53 is positioned on the excircle of coagulating electrode 51.
Fig. 6 is the tip figure illustrating according to another embodiment of surgical apparatus of the present invention.In this embodiment, operating theater instruments is for example unipolar electrocoagulator, ultrasound knife, electrosurgical or plasma blade.As shown in Figure 6, this tip comprises unipolar electrocoagulator, ultrasound knife, electrosurgical or plasma blade 61, the neural exploring electrode 62 of Neural monitoring electrode and insulator 63.Wherein, the neural exploring electrode 62 of Neural monitoring electrode is positioned at taking unipolar electrocoagulator, ultrasound knife, electrosurgical or plasma blade 61 on the circumference in the center of circle.Those skilled in the art is to be understood that, in certain embodiments, also can comprise 2 neural exploring electrodes 62 of above Neural monitoring electrode, the neural exploring electrode of these Neural monitoring electrodes is for example distributed in taking unipolar electrocoagulator, ultrasound knife, electrosurgical or plasma blade 61 on the circumference in the center of circle in equally distributed mode.Circumference is herein not limited to regular circumference, and refers in periphery roughly.
It may be noted that, in the sectional view shown in Fig. 2-4,6, the cross section of neural exploring electrode is shown schematically as regular triangle or trapezoidal, and in fact the present invention is not limited to this, can be also circle, rectangle, ellipse or not exclusively regular shape.Same coagulating electrode is also not limited to regular circle or trapezoidal.
Fig. 7 is the structure chart illustrating according to armarium of the present invention embodiment.As shown in Figure 7, this armarium comprises operating theater instruments main frame 71, operating theater instruments 72 and neuroprotective circuit 73.Operating theater instruments 72 is for example the operating theater instruments that the fusion introduced in embodiment above has neuroprotective function.Operating theater instruments main frame 71 can be electrically connected with operating theater instruments 72, for to operating theater instruments 72 outputs.Neuroprotective circuit 73 comprises: switch 731, on the circuit between operating theater instruments main frame 71 and operating theater instruments 72; Virtual protection circuit 732; be electrically connected with switch 731, for receiving the Neural monitoring signal from Neural monitoring instrument main frame, judge whether Neural monitoring signal is greater than predetermined threshold; if be greater than, gauge tap with amputation apparatus main frame 71 to operating theater instruments 72 outputs.This Neural monitoring instrument main frame can utilize existing Neural monitoring instrument to realize.In one embodiment; neuroprotective circuit 73 is comparator; represent the signal of telecommunication of Neural monitoring signal by reception; compare with predefined signal of telecommunication threshold value; in the time being greater than this predetermined threshold; send the signal of telecommunication with cut-off switch 731, thereby amputation apparatus main frame 71 is to operating theater instruments 72 outputs.
Fig. 8 is the structure chart illustrating according to operating theater instruments control appliance of the present invention embodiment.As shown in Figure 8, operating theater instruments control appliance comprises bipolar electrocoagulator main frame 81, neuroprotective logic circuit 83 and Neural monitoring instrument 84.Neuroprotective logic circuit 83 comprises virtual protection circuit 832 and instantaneous acting relay 831.Bipolar electrocoagulator main frame 81 is electrically connected with the coagulation power stage electrode (coagulating electrode) of bipolar electrocoagulator 82 by instantaneous acting relay 831, for the coagulating electrode output to bipolar electrocoagulator.Neural monitoring instrument 84 is electrically connected with the neural exploring electrode of bipolar electrocoagulator 84, stimulates the signal of telecommunication for the output of neurad exploring electrode.Neural monitoring instrument 84 is also electrically connected with Neural monitoring electrode (neural collecting electrode) 85.In one embodiment; Neural monitoring instrument 84 receives the electromyographic signal of sending from the monitored muscle of Neural monitoring electrode 85; obtain Neural monitoring signal; send to virtual protection circuit 832; virtual protection circuit 832 receives the Neural monitoring monitor signal from Neural monitoring instrument 831, control instantaneous acting relay 831 with amputation apparatus main frame 81 to operating theater instruments 82 outputs.In one embodiment, also comprise Neural monitoring electrode 85, the electromyographic signal of sending for obtaining monitored muscle, sends to Neural monitoring instrument 831.In one embodiment, neuroprotective logic circuit 83 also comprises information display 833, for showing the working condition of Neural monitoring alarm signal and logic control circuit; Or by auditory tone cues Neural monitoring alarm signal.Neuroprotective logic circuit 83 also comprises controls selector switch 834.In one embodiment, neuroprotective logic circuit 83 also comprises threshold value configuration module (not shown), for the predetermined threshold of configuration logic holding circuit 832.
Its work process comprises: Neural monitoring instrument 831 is received the electromyographic signal that monitored muscle sends, and signal is screened to amplification, if signal reaches the alarm threshold value of setting, sends the sound and picture signal, and from the corresponding output port output alarm signal of telecommunication; The warning signal of telecommunication arrives virtual protection circuit 832; by logic circuit processing; after identification alarm signal; control instantaneous acting relay 82; interrupt immediately the power stage of bipolar coagulation 84; thereby avoid the loss of monitored nerve, can also, in conjunction with controlling selector switch 834 and information display 833, select as the case may be threshold value and the time slot of port power stage simultaneously.Because neural exploring electrode is arranged on the periphery of coagulating electrode, the protected nerve of distance is nearer, therefore can better realize defencive function.
Holding circuit in above-described embodiment, after Neural monitoring instrument sends warning signal, caution signals interrupts the power stage of bipolar coagulation automatically by relay, thereby realizes the object of avoiding nerve injury.
In one embodiment, existing bipolar electrocoagulator main frame or nervus motorius monitor main frame are not transformed, only need by the adjustment of signal input port and power input port is gone for to various existing equipments, can not increase extra equipment purchasing expense, there is the prospect that promotes the use widely.
Technical scheme of the present disclosure can be applicable to by the change of material and profile the transformation of other operating theater instruments such as laparoscopic surgery.
Technical scheme of the present disclosure can be applicable to by the change of material and profile the transformation of the operating theater instruments of other operation principles such as ultrasound knife, plasma blade.
So far, described in detail according to surgical apparatus of the present invention, operating theater instruments control appliance and armarium.For fear of covering design of the present invention, details more known in the field are not described.Those skilled in the art, according to description above, can understand how to implement technical scheme disclosed herein completely.
Although specific embodiments more of the present invention are had been described in detail by example, it should be appreciated by those skilled in the art, above example is only in order to describe, instead of in order to limit the scope of the invention.It should be appreciated by those skilled in the art, can without departing from the scope and spirit of the present invention, above embodiment be modified.Scope of the present invention is limited by claims.

Claims (12)

1. a surgical apparatus, is characterized in that, comprising:
Operating theater instruments;
Be arranged on the neural exploring electrode in the operation site of action outside of described operating theater instruments;
Wherein, described neural exploring electrode and described operating theater instruments electric insulation.
2. surgical apparatus according to claim 1, is characterized in that, described operating theater instruments is bipolar electrocoagulator;
Described surgical apparatus comprises two legs, and each leg comprises coagulating electrode and neural exploring electrode; Wherein, expose described coagulating electrode and described neural exploring electrode at the tip of each leg, and described neural exploring electrode is positioned at the outside of described coagulating electrode.
3. surgical apparatus according to claim 2, is characterized in that, each leg comprises a coagulating electrode and two neural exploring electrodes, and described coagulating electrode and described neural exploring electrode exposed tip also present " product " font or trapezoidal;
Or
Each leg comprises 1 neural exploring electrode and 1 coagulating electrode, and described coagulating electrode and described Neural monitoring exploring electrode exposed tip also present " Lu " font or trapezoidal.
4. surgical apparatus according to claim 3, is characterized in that, two 2 neural exploring electrodes of a leg with 2 neural exploring electrodes of another leg according to diagonal positions corresponding electrical connection between two.
5. according to the surgical apparatus described in claim 2,3,4 or 5, it is characterized in that, the coagulating electrode of each leg is connected with the energy output port of bipolar electrocoagulator main frame respectively; Described neural exploring electrode is connected with the stimulus signal output port of Neural monitoring instrument main frame.
6. surgical apparatus according to claim 1, is characterized in that, described operating theater instruments is ultrasound knife, unipolar electrocoagulator, ligasure, electrosurgical or plasma blade.
7. surgical apparatus according to claim 6, is characterized in that, described surgical apparatus comprises that 1 with epineural exploring electrode, is positioned on the circumference centered by the operation site of action of described operating theater instruments.
8. an operating theater instruments control appliance, is characterized in that, comprising:
Switch, adaptive on the circuit between described operating theater instruments main frame and operating theater instruments;
Virtual protection circuit; be electrically connected with described switch, for receiving the Neural monitoring signal from Neural monitoring instrument main frame, judge whether described Neural monitoring signal is greater than predetermined threshold; if be greater than, control described switch to cut off described operating theater instruments main frame to described operating theater instruments output.
9. equipment according to claim 8, is characterized in that, also comprises:
Control selector switch, for controlling the electrical connection between described virtual protection circuit and described switch;
And/or
Threshold value configuration module, for configuring the described predetermined threshold of described virtual protection circuit.
10. equipment according to claim 8, is characterized in that, also comprises:
Neural monitoring instrument main frame, for receiving by Neural monitoring electrode the electromyographic signal that monitored muscle sends, obtains Neural monitoring signal, and described Neural monitoring signal is sent to described virtual protection circuit;
And/or
Operating theater instruments main frame, is electrically connected with described operating theater instruments, for to described operating theater instruments output;
And/or
Information display, for the Neural monitoring alarm signal that shows that described virtual protection circuit sends.
11. equipment according to claim 8, is characterized in that, described switch is instantaneous acting relay;
And/or
Described operating theater instruments is bipolar electrocoagulator, unipolar electrocoagulator, ultrasound knife, ligasure, electrosurgical or plasma blade.
12. 1 kinds of armarium, is characterized in that, comprise the surgical apparatus as described in any one in claim 1-7, and operating theater instruments control appliance as described in any one in claim 8 to 11.
CN201410359637.XA 2014-07-25 2014-07-25 Surgical equipment, surgical instrument control equipment and medical equipment Pending CN104116558A (en)

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CN104887217A (en) * 2015-06-24 2015-09-09 李天成 Nerve monitoring system and medical elastic separating pliers thereof
CN105030300A (en) * 2015-03-23 2015-11-11 唐华松 Multifunctional nerve monitoring and fine separating probe clamp
CN105852811A (en) * 2016-04-15 2016-08-17 肖玉根 Multifunctional intraoperative human nerve detection and alarming system
CN107348956A (en) * 2017-08-01 2017-11-17 武汉半边天医疗技术发展有限公司 A kind of radio-frequency electrode with Neural monitoring function in art
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CN107741450A (en) * 2017-10-17 2018-02-27 付瑞萍 A kind of marker analytical equipment and therapeutic apparatus for treating tumor
CN109758226A (en) * 2019-03-21 2019-05-17 邱辉 A kind of bipolar mis instruments of Neural monitoring
CN114366309A (en) * 2022-01-17 2022-04-19 上海锦立城医疗科技有限公司 Surgical robot with nerve monitoring function
US11517368B2 (en) 2020-10-09 2022-12-06 Nerve Safe Llc Electrocautery systems with automatic shut-off

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CN104887217A (en) * 2015-06-24 2015-09-09 李天成 Nerve monitoring system and medical elastic separating pliers thereof
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CN114366309A (en) * 2022-01-17 2022-04-19 上海锦立城医疗科技有限公司 Surgical robot with nerve monitoring function

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Application publication date: 20141029