CN104622565B - Multi-functional laser surgery dissector - Google Patents

Multi-functional laser surgery dissector Download PDF

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Publication number
CN104622565B
CN104622565B CN201510033646.4A CN201510033646A CN104622565B CN 104622565 B CN104622565 B CN 104622565B CN 201510033646 A CN201510033646 A CN 201510033646A CN 104622565 B CN104622565 B CN 104622565B
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China
Prior art keywords
electric knife
optical fiber
electrotome
described electric
dissector
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CN201510033646.4A
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Chinese (zh)
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CN104622565A (en
Inventor
蔡秀军
王帆
王一帆
苏英
彭淑牖
徐靖中
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Zhejiang University ZJU
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蔡秀军
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Abstract

The invention discloses a multi-functional laser surgery dissector which comprises a hollow electrotome handle. An aspirating opening connected with an aspirate is formed at the rear end of the electrotome handle. The dissector further comprises an electrotome arranged in the electrotome handle and extending out of the front end of the electrotome handle, the electrotome is provided with an electrotome body of a hollow pipe-shaped structure, the extending end of the electrotome body is provided with a slope used for aspirating and/or bluntly cutting and/or scraping opening and/or pushing pulling a surgical spot, and the top end of the slope is an electrotome head with electrocoagulation and/or electric resection functions. An optical fiber tube is arranged in the electrotome, and an optical fiber used for laser hemostasis and resection is arranged in the optical fiber tube. The electrotome handle is provided with a retractor device used for enabling the optical fiber and the electrotome to carry out relative retraction motion. The front end of the electrotome body is arranged in an insulation tube in a sleeved mode, and the rear end is connected in a tube piece detachably in an inserted mode.

Description

Multifunction laser operative dissector
Technical field
The present invention relates to a kind of multi-function dissector for operation, belong to medical instruments field.
Background technology
Electric knife is a kind of important tool wide variety of in surgical operation, is used for carrying out coagulation and TURP.With traditional Scalpel is compared, and electric knife has the advantages that bleeding is few, efficiency high, thus has become as much surgical essential apparatuses. Chinese patent Authorization Notice No. cn1233300c discloses a kind of multi-function dissector for operation, the electricity having except general electric knife Outside solidifying and/or TURP function, it has been also equipped with that offer is blunt to cut, scrape to take off and be conducive to, with pushing etc., the action carrying out of performing the operation, and by electricity Knife part and the design of attractor part are integral.But, when this patent uses, if there are the feelings such as knife blockage in operation Condition, whole dissector just cancels, and cost is higher.Meanwhile, when carrying out some and requiring stricter surgical operation, need Carry out laser therapy optical fiber, laser is mainly imported to human body position in need for the treatment of by a long optical fiber by it.Due to swashing Light optical fiber is more elongated, and therefore in clinical practice, stability is poor;The laser smog that burning tissue produces in treatment is past simultaneously Toward making visual area smudgy.
And, in practical operation, laser instrument and knife head for surgical are detached, so would take up surgical two Hand, or need two people to be operated, thus making troubles to operation.
The above-mentioned inconvenience of prior art increases technical difficulty and the workload of operative doctor, extends operating time, more Because replacement operation apparatus adds misery to patient;Accuracy during operative treatment usually can be affected, and then affect therapeutic effect. Lack the operative dissector that TURP electrode can be operated again to manipulate laser therapy optical fiber at present on the market.
Content of the invention
For the drawbacks described above overcoming existing operative dissector to exist, the present invention provides one kind can operate TURP electrode again The multifunction laser operative dissector of laser therapy optical fiber can be manipulated.
The technical solution used in the present invention is:
Laser surgey dissector, including the electric knife handle of a hollow, the rear end of described electric knife handle forms one and connects suction The suction port of lead device, is provided with pcb wiring board in described electric knife handle, described electric knife handle is respectively equipped with one for even The first switch and one with coagulation function connecing described pcb wiring board is used for connecting having of described pcb wiring board The second switch of TURP function it is characterised in that: also include:
It is arranged on the electric knife stretching out in described electric knife handle and from the front end of described electric knife handle, described electric knife is electric Connect pcb wiring board, described electric knife has the blade of a hollow tubular structure, and the end of the described external part of blade has One be used for operative site attracted and/or blunt cut and/or scrape take off and/or pushing inclined-plane, the top on described inclined-plane is For having the cutter head of coagulation and/or TURP function;
It is provided with an optical fiber tube in described electric knife, be provided with one in described optical fiber tube for laser hemostasis and cutting Optical fiber;It is provided with one for making described optical fiber and described electric knife make the flexible of relative telescoping movement on described electric knife handle Device;
The front end of described blade is set in an insulation tube, and rear end is removably plugged in a pipe fitting;Described pipe Part is connected with suction port by a connecting tube, and described blade, pipe fitting, connecting tube are collectively forming an attraction channel.
Described retractor device connects described optical fiber, makes described optical fiber make stretching motion with respect to described electric knife.
Described retractor device includes push button, and described electric knife handle offers the chute for push button slide anteroposterior;Institute It is affixed with optical fiber that optical fiber tube moulding is passed through in the bottom of the push button stated.
It is provided with the rubber ring sealing between described optical fiber tube and blade.
The rear end of described electric knife handle is connected with an aspirator tube by screw-cap, described screw-cap and described electricity The rear end of knife handle is spirally connected.
Described aspirator tube includes the first bellows and the second bellows, described screw-cap and the one of atresia pipe joint End connects, and the described other end of atresia pipe joint is connected with one end of the first bellows, described the first bellows another End is connected with one end of a perforated pipe joint, and the described other end of perforated pipe joint is connected with the second bellows, and described the Two bellowss connect attractor.
Described optical fiber is stretched out from the tapping of described perforated pipe joint and is connected with laser generator;Described perforate There is the effect adjusting suction port attraction size.
Described first switch and second switch are connected with pcb wiring board by shell fragment respectively, described shell fragment outer cladding There is the heat shrinkage film sealing.
Described pcb wiring board is electrically connected with plug by power line.
Described electric knife handle is made up of upper handle and lower handle.
Beneficial effects of the present invention are embodied in:
Firstth, structure is simple, easy to use;Electric knife electrode, laser therapy optical fiber, attractor are integrated in operative dissector Integrally;By the operative dissector of the present invention, the coagulation having except prior art, TURP, attraction, blunt cut, scrape take off and Outside the function of pushing, also there is the function of laser hemostasis.
Second, can convert and be used alternatingly TURP at any time and two kinds of art formulas of laser therapy optical fiber carry out operative treatment;And The smog, blood and the chip that produce in operation can be removed in time.
3rd, because laser therapy optical fiber is connected with the push button on electric knife handle, the Telescopic using push button controls light Fine position, when needing to carry out laser hemostasis and cutting function, push button is pushed away forward, optical fiber stretches out in blade;When being not required to When wanting laser function, push button is reversed backward, in optical fiber retraction blade, can be continuing with the attraction of dissector, coagulation, TURP, Passivity is scraped and is taken off the functions such as pushing.
4th, reduce fiber operation difficulty, treatment optical fiber easily and accurately can reach therapentic part, make laser surgey Treatment is simpler, convenient.
5th, electric knife part is plugged in pipe fitting, and is designed to demountable structure, if running into knife blockage in operation Deng situation when, only electric knife and its outer sheathed insulation tube need to be pulled down, replace with new can be it is not necessary to by whole dissector Change, cost-effective, replacement operation is convenient.
6th, aspirator tube is divided into two sections, one pipe joint with perforate of medium design, and perforate is in open shape at ordinary times State, does not at this moment have suction on electric knife head, needs to be blocked perforate with hand during attraction, and the size being plugged by perforate is adjusting The size of section attraction.
Brief description
Fig. 1 is overall structure of the explosion figure of the present invention.
Specific embodiment
With reference to Fig. 1, laser surgey dissector, including the electric knife handle of a hollow, the rear end of described electric knife handle is formed The suction port 22 of one connection attractor, is provided with pcb wiring board 6, on described electric knife handle respectively in described electric knife handle Be provided with one for connect the first switch 3 and with coagulation function of described pcb wiring board 6 be used for connecting described The second switch 4 with TURP function of pcb wiring board 6, also includes:
It is arranged on the electric knife 10 stretching out in described electric knife handle and from the front end of described electric knife handle, described electric knife 10 electrical connection pcb wiring boards 6, described electric knife 10 has a blade of a hollow tubular structure, the described external part of blade End have one for operative site attracted and/or blunt cut and/or scrape take off and/or pushing inclined-plane, described inclined-plane Top as there is coagulation and/or the cutter head of TURP function;
Be provided with an optical fiber tube 12 in described electric knife 10, be provided with described optical fiber tube 12 one for laser hemostasis and The optical fiber 13 of cutting;It is provided with one for making described optical fiber 13 make relative stretching with described electric knife 10 on described electric knife handle The retractor device of contracting motion;
The front end of described blade is set in an insulation tube 11, and rear end is removably plugged in a pipe fitting 9;Described Pipe fitting 9 is connected with suction port 22 by a connecting tube 8, and described blade, pipe fitting 9, connecting tube 8 are collectively forming an attraction channel.
Described retractor device connects described optical fiber 13, so that described optical fiber 13 is stretched with respect to described electric knife 10 Motion.
Described retractor device includes push button 2, and described electric knife handle offers the chute for push button 2 slide anteroposterior 23;It is affixed with optical fiber 13 that optical fiber tube moulding 15 is passed through in the bottom of described push button 2.
It is provided with the rubber ring 14 sealing between described optical fiber tube 12 and blade.
The rear end of described electric knife handle is connected with an aspirator tube by screw-cap 16, described screw-cap 16 with described The rear end of electric knife handle be spirally connected.
Described aspirator tube includes the first bellows 18 and the second bellows 20, and described screw-cap 16 is connect with non-perforated pipe 17 one end connects, and the described other end of atresia pipe joint 17 is connected with one end of the first bellows 18, and described first The other end of bellows 18 is connected with one end of a perforated pipe joint 19, the described other end of perforated pipe joint 19 and the second ripple Line pipe 20 connects, and described the second bellows 20 connects attractor.
Described optical fiber 13 is stretched out at the perforate 191 of described perforated pipe joint 19 and is connected with laser generator;Institute The perforate 191 stated has the effect adjusting suction port attraction size.
Described first switch 3 and second switch 4 are connected with pcb wiring board 6 by shell fragment 7 respectively, outside described shell fragment 7 It is coated with the heat shrinkage film sealing.
Described pcb wiring board 6 is electrically connected with plug 1 by power line.
Described electric knife handle is made up of upper handle 5 and lower handle 6.
During operation, surgeon can switch electric knife and the use of laser therapy optical fiber as desired by push button.When need When laser hemostasis to be carried out and cutting function, push button is pushed away forward, optical fiber stretches out in blade, electric knife meanwhile can be utilized Cutter head position carries out the operation such as cutting to operative site, and is attracted by attractor, removes the smog producing in operation, blood Liquid and chip;When not needing laser function, push button is reversed backward, in optical fiber retraction blade, dissector can be continuing with Attraction, coagulation, TURP, passivity scrape and take off the functions such as pushing, and attracted by attractor, remove the cigarette producing in operation Mist, blood and chip.
Content described in this specification embodiment is only enumerating of the way of realization to inventive concept, the protection of the present invention Scope is not construed as being only limitted to the concrete form that embodiment is stated, protection scope of the present invention is also and in art technology Personnel according to present inventive concept it is conceivable that equivalent technologies mean.

Claims (10)

1. multifunction laser operative dissector, including the electric knife handle of a hollow, the rear end of described electric knife handle forms one even Connect the suction port of attractor, be provided with pcb wiring board in described electric knife handle, described electric knife handle is respectively equipped with a use It is used for connecting described pcb wiring board in the first switch and with coagulation function connecting described pcb wiring board There is the second switch of TURP function it is characterised in that: also include:
It is arranged on the electric knife stretching out in described electric knife handle and from the front end of described electric knife handle, described electric knife electrically connects Pcb wiring board, described electric knife has the blade of a hollow tubular structure, and the end of the described external part of blade has a use In operative site is attracted and/or blunt cut and/or scrape take off and/or pushing inclined-plane, the top on described inclined-plane is to be had There are coagulation and/or the cutter head of TURP function;
It is provided with an optical fiber tube in described electric knife, be provided with one in described optical fiber tube for laser hemostasis and the light cutting Fine;It is provided with one for making described optical fiber and described electric knife make the flexible dress of relative telescoping movement on described electric knife handle Put;
The front end of described blade is set in an insulation tube, and rear end is removably plugged in a pipe fitting;Described pipe fitting leads to Cross a connecting tube to connect with suction port, described blade, pipe fitting, connecting tube are collectively forming an attraction channel.
2. multifunction laser operative dissector as claimed in claim 1 it is characterised in that: described retractor device connects described Optical fiber, make described optical fiber make stretching motion with respect to described electric knife.
3. multifunction laser operative dissector as claimed in claim 2 it is characterised in that: described retractor device includes pushing away Key, described electric knife handle offers the chute for push button slide anteroposterior;The bottom of described push button is molded by optical fiber tube Part is affixed with optical fiber.
4. multifunction laser operative dissector as claimed in claim 2 or claim 3 it is characterised in that: described optical fiber tube and blade Between be provided with the rubber ring sealing.
5. multifunction laser operative dissector as claimed in claim 4 it is characterised in that: the rear end of described electric knife handle leads to Cross screw-cap to be connected with an aspirator tube, described screw-cap is spirally connected with the rear end of described electric knife handle.
6. multifunction laser operative dissector as claimed in claim 5 it is characterised in that: described aspirator tube includes first Bellows and the second bellows, described screw-cap is connected with one end of atresia pipe joint, described atresia pipe joint another End is connected with one end of the first bellows, and the described other end of the first bellows is connected with one end of a perforated pipe joint, institute The other end of perforated pipe joint stated is connected with the second bellows, and the second described bellows connects attractor.
7. multifunction laser operative dissector as claimed in claim 6 it is characterised in that: described optical fiber has hole from described The tapping of pipe joint is stretched out and is connected with laser generator;Described perforate has the work adjusting suction port attraction size With.
8. multifunction laser operative dissector as claimed in claim 7 it is characterised in that: described first switch and second is opened Close and be connected with pcb wiring board by shell fragment respectively, described shell fragment is coated with the heat shrinkage film sealing.
9. multifunction laser operative dissector as claimed in claim 8 it is characterised in that: described pcb wiring board pass through electricity Source line is electrically connected with plug.
10. multifunction laser operative dissector as claimed in claim 9 it is characterised in that: described electric knife handle is by left-hand seat Handle and lower handle are constituted.
CN201510033646.4A 2015-01-23 2015-01-23 Multi-functional laser surgery dissector Active CN104622565B (en)

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Families Citing this family (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105662579B (en) * 2016-03-08 2018-08-28 四川航天世都制导有限公司 A kind of novel laser therapy handle
CN107374720A (en) * 2017-09-04 2017-11-24 拓普能量(天津)科技有限公司 A kind of plasma procedures electrode knife of changeable electrodes

Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101579256A (en) * 2008-05-13 2009-11-18 上海导向医疗系统有限公司 Concentric, detachable and replaceable multifunctional targeted tumor scalpel
CN204500940U (en) * 2015-01-23 2015-07-29 蔡秀军 Multifunction laser operative dissector

Family Cites Families (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6293945B1 (en) * 2000-03-06 2001-09-25 Everest Medical Corporation Electrosurgical instrument with suction capability
CN1233300C (en) * 2003-02-19 2005-12-28 苏英 Multifunctional operational dissector

Patent Citations (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN101579256A (en) * 2008-05-13 2009-11-18 上海导向医疗系统有限公司 Concentric, detachable and replaceable multifunctional targeted tumor scalpel
CN204500940U (en) * 2015-01-23 2015-07-29 蔡秀军 Multifunction laser operative dissector

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Effective date of registration: 20180514

Address after: 310058 zhe Da Road, Xihu District, Hangzhou, Zhejiang Province, No. 38

Patentee after: Zhejiang University

Address before: 310016 Sir Run Run Shaw Hospital, 3 Qingchun East Road, Hangzhou, Zhejiang

Patentee before: Cai Xiujun

TR01 Transfer of patent right