CN104188719B - Surface self-lubricating anti-adhesive structure of energy carrier minimally invasive operation knife - Google Patents

Surface self-lubricating anti-adhesive structure of energy carrier minimally invasive operation knife Download PDF

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CN104188719B
CN104188719B CN201410460681.XA CN201410460681A CN104188719B CN 104188719 B CN104188719 B CN 104188719B CN 201410460681 A CN201410460681 A CN 201410460681A CN 104188719 B CN104188719 B CN 104188719B
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micro
minimally invasive
invasive surgery
knife
nano
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CN104188719A (en
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张德远
陈华伟
张鹏飞
张力文
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Beihang University
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Beihang University
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Abstract

The invention discloses a surface self-lubricating anti-adhesive structure of an energy carrier minimally invasive operation knife. Micro-nano structures are machined on the surface of the energy carrier minimally invasive operation knife and are regular or irregular micro-structures which are machined on the surface of the operation knife in a micro scale, or a nano scale or a micro-nano scale. The micro-nano structures are micro grooves, micro arrays, micro pore channels and others. The surface acting force of gaps of the micro-nano structures is used for drawing biocompatible liquid to lubricate the surface of the operation knife, and the biocompatible liquid can be used for protecting the soft tissue from making contact with the surface of the operation knife through isolation, so that the liquid makes contact with the soft tissue, the temperature of the surface of the operation knife is effectively lowered, then the situation that the soft tissue adheres to the surface of the operation knife is reduced, the situation that the tissue is damaged due to adhering is reduced, and the safety of an energy carrier minimally invasive operation is improved.

Description

A kind of antiseized structure of load energy Minimally Invasive Surgery cutter surface self-lubricating
Technical field
The present invention relates to a kind of antiseized structure of load energy Minimally Invasive Surgery cutter surface self-lubricating, more specifically, refer to one Plant and carrying and can process micro-nano structure on Minimally Invasive Surgery cutter, act on gravitational attraction liquid moistening surgical knife tool using micro-nano structure surface Surface, realizes lubrication with liquid film and isolates, thus reach carrying the method that can prevent soft tissue adhesion during performing the operation.
Background technology
Carry and can be mainly used in the hemostasis of soft tissue, electricity burning separation and cutting by Minimally Invasive Surgery cutter.The energy such as radio-frequency power supply are sent out Raw instrument output energy signal carries energy surgical knife tool to Single-pole electric knife, double-pole electric coagulation forceps, electroprobe, ultrasound knife etc., and then produces electricity The energy such as arc, heat energy, mechanical vibration, implement blood coagulation, tissue cutting etc. in contact site.Carry energy Minimally Invasive Surgery cutter because having wound Wound is little, painful gently, recover the feature such as fast, it has also become the new trend of surgical operation, and carries and can Minimally Invasive Surgery cutter be increasingly becoming The technology commanding elevation of medical apparatus and instruments.
Carry and can produce substantial amounts of heat energy during performing the operation so that surgical knife tool has very high temperature.When high temperature operation Blood coagulation, the effect of cutting can be produced when cutter is contacted with soft tissue, but also bring along the adhesion of surgical knife tool and soft tissue simultaneously, And then easily cause extra tissue injury, tear bleeding, scald etc..According to Minimally Invasive Surgery accident statistics, cause of accident more than 80% It is under the jurisdiction of such damage.The antiseized control carrying energy Minimally Invasive Surgery cutter has very urgent current demand.
The method that tradition load energy Minimally Invasive Surgery cutter passes through to add coating in tool surface is antiseized, and conventional has fluorinated polymers Thing, gold, silicones etc..These methods enable a certain degree of antiseized, but the attachment of adhesion organization can gradually make this anti- Viscous Disability.And, the coating material such as fluoropolymer, gold is expensive, and excessive temperature also can cause fluoropolymer to divide Explanation is placed with poisonous gas.Thus, what design was new carries and can have very big necessity by Minimally Invasive Surgery cutter anti-adhesion method.
Present patent application, by the bionics fiber to Herba nepenthiss, proposes a kind of new load energy Minimally Invasive Surgery cutter surface anti sticking Structure, this structure can be greatly lowered adhesion on surgical knife tool for the soft tissue, and reduces the damage being caused by adhesion.
Content of the invention
1st, purpose: it is an object of the invention to provide a kind of antiseized structure of load energy Minimally Invasive Surgery cutter surface self-lubricating, should Anti-sticking structure is capable of antiseized under room temperature/high temperature, and liquid film that self-lubricating is formed is antiseized thoroughly and will not produce toxic gas, Blood coagulation, the tissue adhesion in cutting process can effectively be solved the problems, such as.
2nd, technical scheme: a kind of antiseized structure of present invention load energy Minimally Invasive Surgery cutter surface self-lubricating, this structure can be retouched State for: carry can Minimally Invasive Surgery cutter Surface Machining micro-nano structure, the surface action gravitational attraction using micro-nano structure gap is biological Compatible liquid, biocompatible liquid active moistening tool surface under surface force effect, reach cooling and lubrication purpose, minimizing group It is woven in the incrustation on scalpel and adhesion.The load energy surgical knife tool of high temperature can make liquid gradually volatilize, and micro-nano structure passes through surface Effect gravitational attraction biocompatible liquid continues moistening tool surface, reaches from slow release lubricant effect, keeps continuing of antiseized ability Property.
Described processing micro-nano structure on carrying energy Minimally Invasive Surgery cutter Surface Machining, micro-nano structure is on surgical knife tool surface The regular or irregular micro structure of the micron of upper processing, nanometer or micro-nano-scale, can be very low power, microarray, micropore Road etc..
Wherein, carrying Minimally Invasive Surgery cutter to be operation object, and it is the scalpel of the loaded energy such as high frequency electric knife, ultrasound knife Tool.
Wherein, carrying Minimally Invasive Surgery cutter to be that Single-pole electric knife, one pole electroprobe, double-pole electric coagulation forceps, ultrasound knife are first-class.
Wherein, carrying Minimally Invasive Surgery cutter surface can be plane, cambered surface, the face of cylinder, taper seat etc..
Wherein, the processing method of surgical knife tool surface micro-nano structure can be machine cut, electrolysis, chemical etching, photoetching, Laser engraving, impressing, 3d printing etc..
Wherein, biocompatible liquid passes through the surface reaction forces moistening surgical knife tool surface of micro-nano structure, bio-compatible liquid Body is with physiological inertia, nontoxic, difficult volatilization, resistant to elevated temperatures liquid, can be water, silicone oil, Polyethylene Glycol, Pluronic F-127 etc. One of.
3rd, advantage and effect: devise a kind of new load energy Minimally Invasive Surgery cutter anti-sticking structure, it is using from slow-release bio Compatible liquid film replaces conventional coatings it is achieved that more thoroughly antiseized under high-temperature condition, decreases the tissue in operation process Incrustation and adhesion, alleviate and carry the additional injuries that energy surgical knife tool adhesion causes, make Minimally Invasive Surgery safer.
Brief description
Fig. 1: be to carry energy Minimally Invasive Surgery operating system schematic diagram.
Fig. 2: be one of Fig. 1 Single-pole electric knife head schematic diagram.
Fig. 3: be one of Fig. 1 Single-pole electric knife schematic diagram.
Fig. 4: be one of Fig. 1 double-pole electric coagulation forceps schematic diagram.
Fig. 5: be one of Fig. 1 ultrasonic cutter head schematic diagram.
Fig. 6 a: be a kind of cylindrical-array pattern schematic diagram carrying energy Minimally Invasive Surgery cutter surface.
Fig. 6 b: be the generalized section of Fig. 6 a.
Fig. 7 a: be a kind of groove pattern schematic diagram carrying energy Minimally Invasive Surgery cutter surface.
Fig. 7 b: be the generalized section of Fig. 7 a.
Fig. 8 a: be that Fig. 6 cylindrical-array is lubricated concrete effect diagram by biocompatible liquid.
Fig. 8 b: be the generalized section of Fig. 8 a.
Component symbol is described as follows:
1 ... carries the radio-frequency power supply that energy Minimally Invasive Surgery operating system 11 ... carries energy Minimally Invasive Surgery operating system
12 ... the surgical knife tool control handles 13 ... carrying energy minimally invasive surgery system carry the surgical knife tool of energy minimally invasive surgery system
14 ... the surgical knife tool knife faces 131 ... carrying energy minimally invasive surgery system carry a kind of Single-pole electric knife head of energy Minimally Invasive Surgery cutter
A kind of 132 ... the Single-pole electric knife pens 133 ... carrying energy Minimally Invasive Surgery cutter carry a kind of double-pole electric coagulation forceps of energy Minimally Invasive Surgery cutter
The cylindrical-array of 134 ... a kind of ultrasonic cutter heads 21 ... the operation knife faces carrying energy Minimally Invasive Surgery cutter
The groove array 31 ... of 22 ... operation knife faces is for lubricating the biocompatible liquid of cylindrical-array
The interface channel of 32 ... introducing biocompatible liquid
Specific embodiment
Below in conjunction with drawings and Examples, the present invention is described in further detail.
Fig. 1 is a kind of operation technique system 1 carrying energy Minimally Invasive Surgery, including radio-frequency power supply 11, surgical knife tool control handle 12 With surgical knife tool 13.Radio-frequency power supply 11 is the device producing energy needed for operation, and the energy conveying that it produces is to the operation being connected Tool Control handle 12, operation tool control handle 12 controls surgical knife tool 13, surgical knife tool 13 be used for the hemostasis of soft tissue, cutting and Electricity burns and separates, and surgical knife tool knife face 14 is the main portions sticking together in Minimally Invasive Surgery.
Fig. 2 Fig. 5 is several examples of the surgical knife tool in operation technique system, has Single-pole electric knife head 131, Single-pole electric knife Pen 132, double-pole electric coagulation forceps 133, ultrasonic cutter head 134.Single-pole electric knife head 131, Single-pole electric knife pen 132 and double-pole electric coagulation forceps 133 lead to Often it is connected with high frequency RF power source, carry out hemostasis and the cutting of soft tissue by heat production on operation knife face for the electric energy.Ultrasound knife Head connects supersonic frequency generator, carries out hemostasis and the cutting of soft tissue by the high-frequency mechanical vibration producing.
Fig. 6 a, b Fig. 7 a, b are two kinds of pattern examples on operation knife face, have cylindrical-array 21, the operation of operation knife face The groove array 22 of knife face.Micro-nano array on operation knife face can be added by methods such as electrolysis, chemical etching, laser engravings Work, array mainly passes through the surface action gravitational attraction biocompatible liquid produced by gap between it, realizes self-lubricating and liquid Body is isolated, and reaches the adhesion reducing scalpel knife face.
Wherein, the body diameter of cylindrical-array is 80 μm;
The cylinder height of cylindrical-array is 3 μm;
The cylinder spacing of cylindrical-array is 120 μm.
Wherein, the groove width of groove array is 100 μm;
The gash depth of groove array is 5 μm;
The groove pitch of groove array is 150 μm.
Fig. 8 a, b are that cylindrical-array 21 self-gravitation on operation knife face is used for lubricating the biocompatible liquid 31 of cylindrical-array The effect of lubrication operation knife face.The interface channel 32 that biocompatible liquid passes through to introduce biocompatible liquid is connected to operation knife face Array, the capillary surface gravitational attraction biocompatible liquid lubrication operation knife face by oneself for the operation knife face array.Can produce for carrying The very big operation of heat, biocompatible liquid is resistant to elevated temperatures, have physiological inertia, nontoxic liquid;Can heat up for carrying Unconspicuous operation, biocompatible liquid can be to have physiological inertia, nontoxic liquid.
The present invention passes through 14 processing micro-nano structures operation knife faces on the surgical knife tool knife face carrying energy minimally invasive surgery system Cylindrical-array 21 and the groove array 22 of operation knife face, utilize the surface gravitational attraction of micro-nano structure to be used for lubricating the life of cylindrical-array Thing compatible liquid 31 self-lubricating operation knife face, liquid can realize the soft tissue isolation of the contact with operation knife face it is possible to reduce The temperature of operation knife face, thus reducing the adhesion carrying soft tissue and operation knife face in energy Minimally Invasive Surgery, and reduces because of adhesion And the damage causing.

Claims (1)

1. a kind of antiseized structure of load energy Minimally Invasive Surgery cutter surface self-lubricating it is characterised in that: this structure is carry can be minimally invasive Surgical knife tool Surface Machining micro-nano structure, using the surface action gravitational attraction biocompatible liquid in micro-nano structure gap, biofacies Hold liquid active moistening tool surface under surface force effect, reach cooling and lubrication purpose, reduce and be organized on scalpel Incrustation and adhesion;Micro-nano structure is the rule of micron, nanometer or micro-nano-scale processed on surgical knife tool surface or does not advise Micro structure then, it is very low power, microarray, microchannel;
Wherein, carrying Minimally Invasive Surgery cutter to be operation object, and it is high frequency electric knife, ultrasound knife, one pole electroprobe, double-pole electric coagulation forceps;
Wherein, carrying Minimally Invasive Surgery cutter surface to be plane, cambered surface, the face of cylinder, taper seat;
Wherein, the processing method of surgical knife tool surface micro-nano structure be machine cut, electrolysis, chemical etching, impressing, 3d print in One kind;
Wherein, biocompatible liquid passes through the surface reaction forces moistening surgical knife tool surface of micro-nano structure, and biocompatible liquid is There is physiological inertia, nontoxic, difficult volatilization, resistant to elevated temperatures liquid, be one of water, silicone oil, Polyethylene Glycol, Pluronic F-127.
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Publication number Priority date Publication date Assignee Title
CN107175694A (en) * 2017-04-27 2017-09-19 北京航空航天大学 On a kind of tool surface can self-lubricating structure
CN109421083A (en) * 2017-08-29 2019-03-05 李明守 A kind of adherent surfaces, kitchen knife, pot, scalpel, operating scissors and preparation method
CN107553527A (en) * 2017-08-29 2018-01-09 李明守 A kind of anti-sticking kitchen knife
CN107595379A (en) * 2017-08-29 2018-01-19 李明守 A kind of scalpel of built-in heating unit
CN107496023A (en) * 2017-08-29 2017-12-22 李明守 A kind of heat setting anthemorrhagic operation is cut
CN111203919A (en) * 2018-11-22 2020-05-29 武汉苏泊尔炊具有限公司 Tool and method of machining a tool
CN110053325B (en) * 2019-05-09 2021-05-04 费凛 Anti-sticking film layer on surface of electrotome

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TW201320951A (en) * 2011-11-25 2013-06-01 Ind Tech Res Inst Electrosurgical unit with micro/nano structures and the manufacturing method thereof
CN103892905A (en) * 2014-04-17 2014-07-02 吉林大学 Bionic anti-sticking high-frequency electrotome bit

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CN201101573Y (en) * 2007-08-23 2008-08-20 镇江恒生医疗器械有限公司 Non-stick electrical knife
TW201320951A (en) * 2011-11-25 2013-06-01 Ind Tech Res Inst Electrosurgical unit with micro/nano structures and the manufacturing method thereof
CN103892905A (en) * 2014-04-17 2014-07-02 吉林大学 Bionic anti-sticking high-frequency electrotome bit

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