CN104887278B - Multifunctional handle for operation - Google Patents

Multifunctional handle for operation Download PDF

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Publication number
CN104887278B
CN104887278B CN201510278861.0A CN201510278861A CN104887278B CN 104887278 B CN104887278 B CN 104887278B CN 201510278861 A CN201510278861 A CN 201510278861A CN 104887278 B CN104887278 B CN 104887278B
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argon
pipe
suction
knife
guide pipe
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CN104887278A (en
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胡善云
卢宏浩
王明义
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ZHUHAI WEIERKANG BIOTECHNOLOGY Co Ltd
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ZHUHAI WEIERKANG BIOTECHNOLOGY Co Ltd
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Publication of CN104887278A publication Critical patent/CN104887278A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3203Fluid jet cutting instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • A61M1/0023
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/32Surgical cutting instruments
    • A61B17/3203Fluid jet cutting instruments
    • A61B2017/32032Fluid jet cutting instruments using cavitation of the fluid

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  • Health & Medical Sciences (AREA)
  • Surgery (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • Molecular Biology (AREA)
  • Biomedical Technology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Medical Informatics (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Animal Behavior & Ethology (AREA)
  • General Health & Medical Sciences (AREA)
  • Public Health (AREA)
  • Veterinary Medicine (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Otolaryngology (AREA)
  • Surgical Instruments (AREA)

Abstract

The invention provides a multifunctional handle for an operation. The handle comprises a base body, a water knife functional unit, a high-frequency electric cutter functional unit and an argon knife functional unit, wherein the water knife functional unit, the high-frequency electric cutter functional unit and the argon knife functional unit are installed on the base body. The water knife functional unit comprises an electricity and water channel pipe; the high-frequency electric cutter functional unit comprises a high-frequency electric cutter electrode; the argon knife functional unit comprises an argon output pipe and an argon knife electrode; the electricity and water channel pipe also serves as a high-frequency electric cutter electrode and an argon knife electrode; the electricity and water channel pipe is sleeved with the argon output pipe and is in clearance fit with the argon output pipe, and the argon output pipe can move relative to the electricity and water channel pipe in the axial direction of the electricity and water channel pipe. The multifunctional handle integrates functions of a water knife, a high-frequency electric cutter and an argon knife, can shorten time for switching different functional units during the operation, and is simple in structure and convenient to operate.

Description

Operation multifunctional handle
Technical field
The present invention relates to a kind of operating theater instruments, specifically, are related to a kind of operation multifunctional handle.
Background technology
Clinical parenchymal viscera operation, such as to liver and kidney tumor excision and transplant operation, it is desirable to cut wound surface and be easy to differentiate, to the greatest extent Amount reduces bleeding and energy quick-acting haemostatic powder, to keep visual area clear, and reduces unnecessary damage as far as possible, makes to be easy to extensive after operation in patients It is multiple;For other wound surface there is also corresponding demand than larger operation.
The equipment for being clinically used for above-mentioned operation at present is generally included:
1)High frequency electric knife:Energy fly-cutting is simultaneously stopped blooding, but there is hot injury greatly, and active edge cannot because of tissue coagulation carbonization Differentiate, the shortcoming of rear time lengthening;
2)Argon-gas knife:Rapid for facet hemostasis, hot injury is shallower with respect to electric knife, but presence cannot stop larger blood vessel Bleeding, solidifying front is easily charred, the shortcoming of obscure boundary;
3)Ultrasound knife:Wound surface hot injury is little, it is easy to differentiate boundary, but exist cannot fly-cutting or separation, and consumptive material is high Expensive shortcoming;
4)Water knife:Wound surface is separated quick and goes out insufficiency of blood without hot injury, can retain most minute blood vessels, but there is nothing The shortcoming of method hemostasis.
And the requirement of above-mentioned operation generally requires together to be realized using various above-mentioned surgical apparatuses, but performing the operation Surgical apparatuses are replaced as frequently as in journey, it is not only inconvenient, and operating time can be extended, increase operation risk, while increasing right The damage of normal structure, time lengthening after making patient more.
The content of the invention
The main object of the present invention is to provide a kind of handss for being integrated with water knife function, high frequency electric knife function and argon-gas knife function Art multifunctional handle, it is intended to shorten the time that operation process switches different function units.
It is a further object of the present invention to provide one kind is integrated with water knife function, high frequency electric knife function, argon-gas knife function and takes out Inhale the operation multifunctional handle of function, it is intended to shorten the time for switching different function units in operation process.
In order to realize above-mentioned main purpose, the present invention provides a kind of multifunctional handle of operation, and it includes matrix and peace It is mounted in water knife functional unit on the matrix, high frequency electric knife functional unit and argon-gas knife functional unit;Wherein, water knife functional unit Including electric water passage pipe, electric water passage pipe includes electric water passage pipe leading section, electric water passage pipe location division and water knife water inlet interface, Electric water passage pipe leading section is made of an electrically conducting material, and the port of export of electric water passage pipe leading section is water knife nozzle;High-frequency electrical slicing technique Energy unit includes high frequency electric knife electrode;Argon-gas knife functional unit includes argon outlet tube and argon-gas knife electrode, argon outlet tube The port of export is argon-gas knife nozzle;Electric water passage pipe leading section constitutes the high frequency electric knife electrode and argon-gas knife of high frequency electric knife functional unit The argon-gas knife electrode of functional unit;Argon outlet tube is placed on outside electric water passage pipe and therewith gap coordinates, and argon outlet tube is relative Electric water passage pipe can be along the axial movement of electric water passage pipe.
From above scheme, this multifunctional handle is integrated with water knife function, high frequency electric knife function and argon-gas knife function, just In operator be directed to operation process in different phase need select different function units with carrying out fast and flexible, it is to avoid in art In be replaced as frequently as surgical apparatuses;Surgical error can be efficiently reduced, shortens operating time, shorten patient's post-operative recovery time, Improve operation safety.Additionally, electric water passage pipe functions simultaneously as the conduit of water knife, the electrode of argon-gas knife, and the electricity of high frequency electric knife Pole, efficiently reduces the amount of parts of multifunctional handle, reduces its volume.
Specific scheme is that argon-gas knife functional unit also includes argon guide pipe, and the port of export of argon guide pipe is socketed on argon It is tightly connected on the entrance point of gas outlet tube and therewith;Argon outlet tube in the presence of axial force, with respect to argon guide pipe edge Axial movement;Argon guide pipe is placed on outside electric water passage pipe, and between argon guide pipe and electric water passage pipe ar gas passage, argon are provided with Gas channel between outlet tube and electric water passage pipe is connected with ar gas passage;Argon guide pipe is fixedly connected with matrix, electric water Channel location division is fixedly connected with matrix.It is easy to the operation of operator
In order to realize above-mentioned another object, the operation that the present invention is provided multifunctional handle also includes pumping function unit, It include suction intake pipe and suction guide pipe, aspirate guide pipe entrance point be socketed on the port of export of suction intake pipe and with Be tightly connected;In the presence of the axial axial force along its body, relative jam guide pipe is axially moveable suction intake pipe; Outside argon outlet tube and therewith gap coordinates suction intake pipe box, and suction guide pipe is placed on outside argon guide pipe, and suction is oriented to Suction channel is provided between pipe and argon guide pipe, the gas channel between suction intake pipe and argon outlet tube connects with suction channel It is logical;Suction guide pipe is fixedly connected with matrix.
From above scheme, the multifunctional handle is being integrated with water knife function, high frequency electric knife function and argon-gas knife function On the basis of, pumping function is also integrated with, it is easy to waste gas, bleeding, exudate, puss of operation generation etc. in operation process Material, understands visual area, drops oligosaprobic probability.
Specific scheme is that pumping function unit also includes the other jointed tubular workpieces of suction and suction outlet, aspirates guide pipe The port of export is connected by the other jointed tubular workpieces of suction with the entrance point of suction outlet;Argon-gas knife functional unit also includes the adapter of argon side Part and argon input pipe;The entrance point of argon guide pipe is connected by argon side jointed tubular workpieces with the port of export of argon input pipe.Just In being attached with external equipment by connection line, connection line is simple, is easy to connection line fault detect and maintenance.
More specifically scheme is that jointed tubular workpieces are a component for being formed with L-type air exhaust duct by suction, and suction guide pipe deviates from water One end of knife nozzle is socketed on outside argon guide pipe and is sealedly and fixedly connected therewith, and on the side wall for aspirating guide pipe first is formed with Lateral through aperture, the first side wall through hole constitutes the gas outlet of suction channel, and the other jointed tubular workpieces of suction are fixed on matrix, L-type air exhaust duct Air inlet be connected with the outlet of the first side wall through hole, the port of export of the other jointed tubular workpieces of suction is socketed on the import of suction outlet It is sealedly and fixedly connected on end and therewith;Argon side jointed tubular workpieces are a component for being formed with Z-type argon road, and argon side jointed tubular workpieces go out The entrance point that mouthful end is socketed on argon guide pipe is outer and be sealedly and fixedly connected therewith, the gas outlet in Z-type argon road and ar gas passage Air inlet be connected, the entrance point of argon side jointed tubular workpieces is socketed on the port of export of argon input pipe and seals therewith fixed company Connect;Water knife water inlet interface through the port of export of argon side jointed tubular workpieces port and from the be formed on the side wall in Z-type argon road Two lateral through aperture are stretched out outside the jointed tubular workpieces of argon side, and electric water passage pipe coordinates with the sealing of second sidewall through hole.
One preferred version is electric water passage pipe, argon outlet tube and suction intake pipe coaxial arrangement.Due to four kinds of functions Unit for coaxial arrangement, its center to function of organization position is same point, is easy to operator to be operated.
Another preferred version be electric water passage pipe leading section be a cross section be rhombus elongated tubular, argon guide pipe Entrance point is socketed on outside electric water passage pipe location division and connection fixed thereto, is formed with the lateral wall of electric water passage pipe location division Axially disposed sidewall channels, sidewall channels constitute ar gas passage.Under conditions of identical cross-section, electric water can be effectively improved and led to The structural strength in road.
Another preferred version is the control unit for also including being arranged on matrix, and control unit is used to control external equipment By connection line to water knife function unit transportation High-Pressure Water, high-frequency electrical energy is conveyed to high frequency electric knife functional unit, and to argon Air knife functional unit conveys argon and high-frequency electrical energy.Be easy to operator in use to the selection of each functional unit with Switching.
Another preferred version is formed with the first outer lug boss on the lateral wall for the entrance point of argon outlet tube, argon is oriented to The first inner shoulder table is formed with the medial wall of the port of export of pipe, the first inner shoulder table constitutes axle of first outer lug boss along argon outlet tube To mobile spacing;The lateral wall of the port of export of suction intake pipe is provided with a position limiting slide block, aspirates shape on the side wall of guide pipe The long through-hole that Cheng Youyi matches with position limiting slide block, the length direction of long through-hole along the axial arranged of suction guide pipe, lead by suction The sealing plate for sealing the external port of above-mentioned long through-hole is provided with to the lateral wall of pipe;When the first inner shoulder table is against the first evagination Platform, and position limiting slide block against long through-hole away from suction guide pipe the port of export one end on when, the spout of argon-gas knife nozzle with take out The port of the entrance point of suction inlet pipe is coplanar, and the spout of water knife nozzle is located at the interior intracavity of argon-gas knife nozzle;When argon outlet tube Entrance point be resisted against the one end of electric water passage pipe location division away from water knife water inlet interface, and position limiting slide block against long through-hole away from When on one end of water knife nozzle, along water knife nozzle point to water knife water inlet interface direction, argon-gas knife nozzle be located at water knife nozzle with Between the port of the entrance point of suction intake pipe.The multifunctional handle is easy to assembling, and is easy to operator rapidly and accurately to enter The each functional unit of row switching.
Another preferred scheme is formed with the first outer lug boss on the lateral wall for the entrance point of argon outlet tube, and argon is led The first inner shoulder table is formed with the medial wall of the port of export of pipe, the first inner shoulder table constitutes the first outer lug boss along argon outlet tube What is moved axially is spacing;The lateral wall of the port of export of suction intake pipe is provided with a position limiting slide block, aspirates on the side wall of guide pipe A long through-hole matched with position limiting slide block is formed with, the length direction of long through-hole is aspirated along the axial arranged of suction guide pipe The lateral wall of guide pipe is provided with the sealing plate for sealing the external port of above-mentioned long through-hole;Formed on the side wall of the first inner shoulder table Have be pressed with along between the lateral wall of its first annular groove circumferentially, first annular groove and argon outlet tube first elasticity it is close Seal;It is formed with the side wall of the first outer lug boss along its second annular groove circumferentially, the second annular groove is led with argon To pipe medial wall between be pressed with the second elastic seal ring;It is formed with along its circumferential cloth on the medial wall of the entrance point of suction guide pipe The 3rd elastic seal ring is pressed between the lateral wall of the 3rd annular groove put, the 3rd annular groove and suction intake pipe.Many work( Energy handle is easy to assembling, and is easy to the positioning between related pipe fitting to keep, and is conducive to being tightly connected between related pipe fitting.
Description of the drawings
Fig. 1 is the three-dimensional structure diagram of first embodiment of the invention;
Fig. 2 is A partial enlarged drawings in Fig. 1;
Fig. 3 is the profile of handle casing in first embodiment of the invention;
Fig. 4 is the front view of electric water passage pipe in first embodiment of the invention;
Fig. 5 is the B-B profiles of Fig. 4;
Fig. 6 is the C-C profiles of Fig. 4;
Fig. 7 is the axonometric chart of electric water passage pipe leading section in first embodiment of the invention;
Fig. 8 is the section of structure of first embodiment of the invention;
Fig. 9 is the first working state schematic representation of first embodiment of the invention;
Figure 10 is the second working state schematic representation of first embodiment of the invention;
Figure 11 is and the matching used three-casing structure schematic diagram of fourth embodiment of the invention;
Figure 12 is the structural representation of fifth embodiment of the invention.
Below in conjunction with drawings and Examples, the invention will be further described.
Specific embodiment
First embodiment
Referring to Fig. 1 to Fig. 8, operation multifunctional handle is by matrix and the control unit on the matrix, water slicing technique Can unit, high frequency electric knife functional unit, argon-gas knife functional unit and pumping function unit composition.
Matrix is made up of handle casing 11 and Sleeve around pipe end 12, handle casing 11 by two salable foldings half shell group Into handle casing 11 has inner chamber 111.Control unit, water knife functional unit, high frequency electric knife functional unit, argon-gas knife function list Unit and pumping function unit are arranged in inner chamber 111, and the front end of inner chamber 111 is provided with the 3rd inner shoulder table 112, and middle part is provided with first The inner shoulder table 114 of boss 113 and the 4th, the aft bulkhead of inner chamber 111 is provided with the aft bulkhead through hole 115 being engaged with Sleeve around pipe end 12. The installing hole of three and ft connection is formed with the side wall of inner chamber 111, is respectively used to that operational and controlled key button 21,22 and 23 is installed.
Control unit is made up of operational and controlled key button 21,22,23, button circuit board 24 and connection line, and button circuit board 24 is consolidated On the side wall of inner chamber 111.One end of part connection line is formed through the circuit hole 124 on Sleeve around pipe end 12 and sets with outside The electrical interface of standby electrical connection, such as water knife pump, suction pump, the high-frequency electrical energy, argon delivery pump, the other end and button circuit board 24 Electrical connection, so as to the working condition of these external equipments can be controlled by operational and controlled key button.
Electric water passage pipe 3 constitutes the aquaporin of water knife functional unit, also constitutes the high frequency electric knife of high frequency electric knife functional unit Electrode, its electric water passage pipe leading section 31, electric water passage pipe location division 32 and the water inlet of water knife by made by being conductive material connect Mouth 33 is constituted, and the port of export of electric water passage pipe leading section 31 is water knife nozzle 311.One through the pipeline hole on Sleeve around pipe end 12 The port of export of 123 water pipe is socketed on outside water knife water inlet interface 33, the entrance point of water pipe and the outfan of external equipment water knife pump Docking, so as to provide High-Pressure Water for water knife functional unit, and sprays from water knife nozzle 311.Electric water passage pipe 3 is used as high-frequency electrical The high frequency electric knife electrode of knife functional unit, is electrically connected by the part connection line in control unit with key control panel 24, from And the high-frequency electrical energy conveying feedwater knife nozzle 311 for realizing producing the external equipment high-frequency electrical energy.Electric water passage pipe leading section 31 For a cross section for rhombus elongated tubular, the electric discharge for being easy to high frequency electric knife functional unit cuts, elongated tubular be internally formed for The aquaporin 321 of water conservancy diversion.Formed on the lateral wall of the part of the neighbouring electricity water passage pipe leading section 31 in electric water passage pipe location division 32 There are four sidewall channels 322, sidewall channels 322 constitute the ar gas passage between electric water passage pipe location division 32 and argon guide pipe 43, interior Portion is formed with aquaporin 321.Electric water passage pipe 3 is made of stainless steel.
Argon-gas knife functional unit is by argon outlet tube 42, argon guide pipe 43, argon side jointed tubular workpieces 44, argon input pipe 45 And argon-gas knife electrode is constituted;Argon input pipe 45 is metal tube.The port of export of argon outlet tube 42 be argon-gas knife nozzle 41, argon External screw thread is formed with the entrance point of knife nozzle 41 and, argon bonding with the medial wall of argon outlet tube 42 threaded connection blend compounds water The port of export of gas guide pipe 43 is socketed on outside the entrance point of argon outlet tube 42 and is sealed by elastic seal ring 62 and 63 Connection, argon outlet tube 42 is axially moveable in the presence of its axial force with respect to argon guide pipe 43;Argon outlet tube The first outer lug boss 421 is formed with the lateral wall of 42 entrance point, is formed with the medial wall of the port of export of argon guide pipe 43 First inner shoulder table 431, the first inner shoulder table 431 constitutes the first outer lug boss along the spacing of the axial movement of argon outlet tube 42;First It is formed with the medial wall of inner shoulder table 431 along its first annular groove circumferentially, the first elastic seal ring 62 is placed in first In annular groove, and elastic deformation is produced by the lateral wall extruding of first annular groove and argon outlet tube 42;First evagination It is formed with the lateral wall of platform 421 along its second annular groove circumferentially, it is annular that the second elastic seal ring 63 is placed in second In groove, and elastic deformation is produced by the medial wall extruding of the second annular groove and argon guide pipe 43.First elastic packing The elastic seal ring 63 of circle 62 and second is silica gel sealing ring.The entrance point of argon guide pipe 43 and the outlet of argon input pipe 45 End is fixedly connected and is connected by argon side jointed tubular workpieces 44.Piece argon conduit through the pipeline hole 122 on Sleeve around pipe end 12 On the entrance point of port of export socket argon input pipe 45, the entrance point of argon conduit and the outfan of external equipment argon delivery pump Docking, so as to provide argon for argon-gas knife functional unit, and sprays from argon-gas knife nozzle 41.Argon-gas knife nozzle 41 is by non-stick ceramic Material is made, and both with high temperature resistant, and can improve its non-stick.Argon-gas knife electrode is electric water passage pipe 3.
Pumping function unit is by suction intake pipe 51, suction guide pipe 52, the other jointed tubular workpieces 53 of suction and suction outlet 54 Constitute, suction outlet 54 is metal tube.The entrance point of suction guide pipe 52 is socketed on outside the port of export of suction intake pipe 51, is taken out A position limiting slide block 511 is bonded with the lateral wall of the port of export of suction inlet pipe 51, on the side wall for aspirating guide pipe 52 one is formed with The long through-hole 64 matched with position limiting slide block 511, the length direction of long through-hole 64 is aspirated along the axial arranged of suction guide pipe 52 The sealing plate 55 of one piece of external port for sealing long through-hole 64 is bonded with the lateral wall of guide pipe 52.Suction guide pipe 52 It is formed with the medial wall of entrance point along its 3rd annular groove circumferentially, it is annular that the 3rd elastic seal ring 61 is placed in the 3rd In groove, and elastic deformation is produced by the lateral wall extruding of the 3rd annular groove and suction intake pipe 51.Suction guide pipe 52 The port of export be fixedly connected and connect with outlet 54 is aspirated by the other jointed tubular workpieces 53 of suction.One through the pipe on Sleeve around pipe end 12 The entrance point of the suction catheter in road hole 121 is socketed on outside the port of export of suction outlet 54, the port of export and the outside of suction catheter The entrance point docking of equipment suction pump, forms negative pressure in suction channel, so as to the entrance point for passing through suction intake pipe 51 will be useless The materials such as gas are siphoned away.
Argon outlet tube 42 is placed on outside electric water passage pipe leading section 31 and therewith gap coordinates, and gap therebetween is constituted Ar gas passage;The rear end of argon guide pipe 43 is socketed on outside electric water passage pipe location division 32 and is brought into close contact therewith, sidewall channels 322 Constitute ar gas passage between the two;Argon side jointed tubular workpieces 44 are a component for being formed with Z-type argon road, argon side jointed tubular workpieces 44 The port of export be socketed on argon guide pipe 43 entrance point it is outer and therewith bonding and be brought into close contact and seal, the outlet in Z-type argon road Mouth is connected with the air inlet of ar gas passage, and the entrance point of argon side jointed tubular workpieces 44 is socketed on outside the port of export of argon input pipe 45 And therewith bonding and be sealedly and fixedly connected.Second sidewall is formed with Z-type argon road on the side wall corresponding with its gas outlet to lead to Hole, water knife water inlet interface 33 sequentially passes through the gas outlet in Z-type argon road and second sidewall through hole and stretches out jointed tubular workpieces 44 by argon Outward, carry out bonding between electric water passage pipe location division 33 and second sidewall through hole and be tightly connected.
Suction intake pipe 51 is placed on outside argon outlet tube 42 and therewith gap coordinates, and gap composition suction therebetween is logical Road.Suction guide pipe 52 is placed on outside argon guide pipe 43, except adopting viscous between the lateral wall of rearward end and argon guide pipe 43 Connect outside being tightly connected, other parts are gap cooperation, gap therebetween constitutes suction channel.The import of suction guide pipe 52 The shaft shoulder on end is resisted against on the 3rd inner shoulder table 112, and rearward end is fixedly connected with the 4th inner shoulder table 114.The other jointed tubular workpieces 53 of suction For a component for being formed with L-type air exhaust duct, on the side wall for aspirating guide pipe 52 the first side wall through hole, the first side wall through hole are formed with The gas outlet of suction channel is constituted, the other jointed tubular workpieces 53 of suction are fixed on the medial wall of inner chamber 111 of handle casing 11, and L-type is taken out The air inlet of air flue is close to the outlet of the first side wall through hole and is connected, and the port of export of the other jointed tubular workpieces 53 of suction is socketed on suction Outside the entrance point of outlet 54 and therewith adhering and sealing is fixedly connected.
Referring to Fig. 9, suction intake pipe 51 is applied to point to the thrust or pulling force of suction guide pipe 52, can will aspirate guide pipe Take in inner chamber 111 and be resisted against on the one end of long through-hole 64 away from water knife nozzle 311 up to position limiting slide block 511, suction intake pipe 51 entrance point is located at outside inner chamber 111, to pull out suction intake pipe 51 during follow-up use.Again to argon-gas knife nozzle 41 Apply the thrust or pulling force for pointing to inner chamber 111, the major part of argon outlet tube 42 can be taken in inner chamber 111, until argon is defeated On the one end of the entrance point of outlet pipe 42 against electric aquaporin location division 32 away from water knife water inlet interface 33, now argon nozzle 41 Between the port of water knife nozzle 311 and the entrance point of suction intake pipe 51, i.e., water knife nozzle 311 stretches out the interior of argon nozzle 41 Outside chamber.Due to the elastic restoring force of the first elastic seal ring 62, the second elastic seal ring 63 and the first elastic seal ring 61 Supporting role, can effectively keep the relative position between suction intake pipe 51, argon guide pipe 43 and argon outlet tube 42 to close System.In this case, can be performed the operation using water knife functional unit and high frequency electric knife functional unit, i.e., by manipulating button control External equipment water knife pump sprays from water knife nozzle 311 and carries out high pressure waterjet to the conveying high-pressure current of water knife water inlet interface 33 And separate;Offer high-frequency electrical energy is carried out to electric water passage pipe 3 by manipulating the button control external equipment high-frequency electrical energy, so as to can Cut and stopped blooding using high frequency electric knife function.
Referring to Figure 10, the pulling force away from inner chamber 111 is applied to argon-gas knife nozzle 41, make argon outlet tube 42 be drawn out inner chamber 111 up to the first outer lug boss 421 against the first inner shoulder table 521, and now, water knife nozzle 311 will omit indentation argon-gas knife nozzle 41 Manipulation button is pressed in interior intracavity, the port to water knife nozzle 311 apart from 0.5 millimeter to 1 millimeter of the port of argon-gas knife nozzle 41, Argon stream is conveyed to the entrance point of argon input pipe 45 by external equipment, and while applies high-frequency electrical to electric water passage pipe 3 Can, ionization is carried out to the argon that argon knife gas jets 41 spray and forms argon plasma, so as to be cut using argon-gas knife function Cut and stop blooding.
External equipment suction pump applies suction airstream to aspirating outlet 54, so as to produce negative pressure in suction channel, leads to Cross suction intake pipe 51 to walk the suction of the materials such as waste gas, blood.Pumping function unit in this example can be in operation process always In opening, when needing the materials such as suction blood, suction intake pipe 51 is pulled out, when need to only aspirate waste gas, can Suction intake pipe 51 is withdrawn.Unlatching and closing of the outside manipulation button to suction pump can be led to be controlled, to pumping function The working condition of unit is controlled.Also manipulation button can be set up on handle casing to enter the working condition of pumping function unit Row control.When applying to suction intake pipe 51 away from the pulling force of inner chamber 111, suction intake pipe 51 will be drawn out inner chamber, until Position limiting slide block 511 is resisted against on the one end of long through-hole 64 away from water knife water inlet interface 33, now, the entrance point of suction intake pipe 51 Port it is coplanar with the port of argon-gas knife nozzle 41.
Second embodiment
As the explanation to second embodiment of the invention, only pair illustrate with the difference of first embodiment below.
By the control unit being arranged on handle casing outside handle casing, its manipulation button is replaced as pedal, In operation process by pedal apply pressure and control the working condition of each functional unit, can reduce handle volume and Simplify its structure, while can prevent from pressing manipulation button by mistake and maloperation occur in operation process.
3rd embodiment
As the explanation to third embodiment of the invention, only pair illustrate with the difference of first embodiment below.
Pumping function unit is omitted, directly argon guide pipe is fixed on handle casing, its port of export is resisted against the 3rd On inner shoulder table and connection fixed thereto, the suction tube that can be used alone in operation process carries out suction related substanceses.
Fourth embodiment
As the explanation to fourth embodiment of the invention, only pair illustrate with the difference of first embodiment below.
Omit the argon side jointed tubular workpieces in handle casing, argon input pipe, the other jointed tubular workpieces of suction and aspirate outlet.Using Three sleeve pipes as shown in figure 11,8 by the entrance point of argon guide pipe, the port of export of suction guide pipe and water knife water inlet interface with it is outer Portion's equipment is connected.Three sleeve pipes 8 are by first sleeve 81, the second sleeve pipe 82, support member 84 is constituted between the 3rd sleeve pipe 83 and layer pipe.
5th embodiment
As the explanation to fifth embodiment of the invention, only pair illustrate with the difference of 3rd embodiment below.
Argon outlet tube is an integral tube with argon guide pipe;Electric water passage pipe opposite handle shell can axially be moved along it Dynamic is installed on handle casing.
Referring to Figure 12, argon side jointed tubular workpieces 944 are sealed on the medial wall of the through hole for coordinating with electric water passage pipe location division 932 It is formed with the fourth annular groove circumferentially of the electric water passage pipe in an edge, fourth annular groove and electric water passage pipe location division The 4th elastic seal ring 964 is pressed between 932.On the medial wall in the axial hole on the first inner convex platform 9113 on handle casing 911 It is formed with the 5th annular groove circumferentially along electric water passage pipe, the 5th annular groove and electric water passage pipe location division 932 Between be pressed with the 5th elastic seal ring 965;A necking section 935, one end of plectrum 97 and constriction are formed with the rear end of electric aquaporin Portion is fixedly connected, and the other end can move along the chute 9111 being formed on handle 911.Electric aquaporin is promoted by plectrum 97 Axial movement of the relative argon outlet tube of pipe along argon outlet tube.
Sixth embodiment
As the explanation to sixth embodiment of the invention, only pair illustrate with the difference of first embodiment below.
The cross section of electric water passage pipe leading section can also be triangular structure, be easy to the electric discharge of high frequency electric knife functional unit Cutting.

Claims (9)

1. operation multifunctional handle, including matrix and installation water knife functional unit, high frequency electric knife function on the matrix Unit and argon-gas knife functional unit;
It is characterized in that:
The water knife functional unit includes electric water passage pipe, and the electric water passage pipe includes that electric water passage pipe leading section, electric water lead to Deferent location division and water knife water inlet interface, the electric water passage pipe leading section is made of an electrically conducting material, before the electric water passage pipe The port of export of end is water knife nozzle;
The high frequency electric knife functional unit includes high frequency electric knife electrode;
The argon-gas knife functional unit includes argon outlet tube, argon guide pipe and argon-gas knife electrode, the argon outlet tube The port of export is argon-gas knife nozzle;
The electric water passage pipe leading section constitutes the high frequency electric knife electrode and the argon-gas knife electrode;
The argon outlet tube is placed on outside the electric water passage pipe and therewith gap coordinates, the relatively described electricity of the argon outlet tube Water passage pipe can be along the axial movement of the electric water passage pipe;
The port of export of the argon guide pipe is socketed on the entrance point of the argon outlet tube and is tightly connected therewith;
In the presence of axial force, relatively described argon guide pipe is axially moveable the argon outlet tube;
The argon guide pipe is placed on outside the electric water passage pipe, and between the argon guide pipe and the electric water passage pipe argon is provided with Gas passage, the gas channel between the argon outlet tube and the electric water passage pipe is connected with the ar gas passage;
The argon guide pipe is fixedly connected with described matrix, and the electric water passage pipe location division is fixedly connected with described matrix.
2. multifunctional handle according to claim 1, it is characterised in that:
Also include pumping function unit;
The pumping function unit includes suction intake pipe and suction guide pipe, and the entrance point of the suction guide pipe is socketed on institute State on the port of export of suction intake pipe and be tightly connected therewith;
In the presence of axial force, relatively described suction guide pipe is axially moveable the suction intake pipe;
Outside the argon outlet tube and therewith gap coordinates the suction intake pipe box, and the suction guide pipe is placed on the argon Outside gas guide pipe, between the suction guide pipe and the argon guide pipe suction channel is provided with, the suction intake pipe with it is described Gas channel between argon outlet tube is connected with the suction channel;
The suction guide pipe is fixedly connected with described matrix.
3. multifunctional handle according to claim 2, it is characterised in that:
The pumping function unit also includes the other jointed tubular workpieces of suction and suction outlet;
The port of export of the suction guide pipe is connected by suction side jointed tubular workpieces with the entrance point of the suction outlet;
The argon-gas knife functional unit also includes argon side jointed tubular workpieces and argon input pipe;
The entrance point of the argon guide pipe is connected by argon side jointed tubular workpieces with the port of export of the argon input pipe.
4. multifunctional handle according to claim 3, it is characterised in that:
Suction side jointed tubular workpieces are a component for being formed with L-type air exhaust duct, and the suction guide pipe deviates from the water knife nozzle To be socketed on the argon guide pipe outer and be sealedly and fixedly connected therewith for one end, the is formed with the side wall of the suction guide pipe One lateral through aperture, the first side wall through hole constitutes the gas outlet of the suction channel, and suction side jointed tubular workpieces are fixed on institute State on matrix, the air inlet of the L-type air exhaust duct is connected with the outlet of the first side wall through hole, suction side jointed tubular workpieces The port of export be socketed on it is described suction outlet entrance point on and be sealedly and fixedly connected therewith;
Argon side jointed tubular workpieces are a component for being formed with Z-type argon road, and the port of export of argon side jointed tubular workpieces is socketed on It is sealedly and fixedly connected outside the entrance point of the argon guide pipe and therewith, the gas outlet in the Z-type argon road is logical with the argon The air inlet in road is connected, and the entrance point of argon side jointed tubular workpieces is socketed on the port of export of the argon input pipe and therewith It is sealedly and fixedly connected;
The water knife water inlet interface through the port of export of argon side jointed tubular workpieces port and from being formed at the Z-type argon road Side wall on second sidewall through hole stretch out outside the jointed tubular workpieces of argon side, the electric water passage pipe and the second sidewall through hole Sealing coordinates.
5. the multifunctional handle according to any one of claim 2 to 4, it is characterised in that:
The electric water passage pipe, the argon outlet tube and the suction intake pipe coaxial arrangement.
6. the multifunctional handle according to any one of claim 2 to 4, it is characterised in that:
The electric water passage pipe leading section is the elongated tubular that a cross section is rhombus, and the entrance point of the argon guide pipe is socketed on Outside the electric water passage pipe location division and connection fixed thereto, it is formed with along axle on the lateral wall of the electric water passage pipe location division To the sidewall channels of arrangement, the sidewall channels constitute the ar gas passage.
7. the multifunctional handle according to any one of Claims 1-4, it is characterised in that:
Also include control unit on the matrix is installed, described control unit is used to control external equipment by connection line To the water knife function unit transportation High-Pressure Water, high-frequency electrical energy is conveyed to the high frequency electric knife functional unit, and to the argon Air knife functional unit conveys argon and high-frequency electrical energy.
8. the multifunctional handle according to any one of claim 2 to 4, it is characterised in that:
The first outer lug boss is formed with the lateral wall of the entrance point of the argon outlet tube, the port of export of the argon guide pipe The first inner shoulder table is formed with medial wall, first inner shoulder table constitutes axle of first outer lug boss along the argon outlet tube To mobile spacing;
The lateral wall of the port of export of the suction intake pipe is provided with a position limiting slide block, is formed on the side wall of the suction guide pipe There is a long through-hole matched with the position limiting slide block, the length direction of the long through-hole is along the axial cloth for aspirating guide pipe Put, the lateral wall of the suction guide pipe is provided with the sealing plate of one piece of external port for sealing the long through-hole;
When first inner shoulder table is taken out against the long through-hole against first outer lug boss, and the position limiting slide block away from described When on the one end for the port of export for inhaling guide pipe, the port of the spout of the argon-gas knife nozzle and the entrance point of the suction intake pipe Coplanar, the spout of the water knife nozzle is located at the interior intracavity of the argon-gas knife nozzle;
When the entrance point of the argon outlet tube is resisted against the electric water passage pipe location division away from the water knife water inlet interface When on one end, and the one end of the position limiting slide block against the long through-hole away from the water knife nozzle, refer to along the water knife nozzle To the direction of the water knife water inlet interface, the argon-gas knife nozzle is located at the import of the water knife nozzle and the suction intake pipe Between the port at end.
9. the multifunctional handle according to any one of claim 2 to 4, it is characterised in that:
The first outer lug boss is formed with the lateral wall of the entrance point of the argon outlet tube, the port of export of the argon guide pipe The first inner shoulder table is formed with medial wall, first inner shoulder table constitutes axle of first outer lug boss along the argon outlet tube To mobile spacing;
The lateral wall of the port of export of the suction intake pipe is provided with a position limiting slide block, is formed on the side wall of the suction guide pipe There is a long through-hole matched with the position limiting slide block, the length direction of the long through-hole is along the axial cloth for aspirating guide pipe Put, the lateral wall of the suction guide pipe is provided with the sealing plate of one piece of external port for sealing the long through-hole;
The first annular groove circumferentially along first inner shoulder table is formed with the side wall of first inner shoulder table, it is described The first elastic seal ring is pressed between the lateral wall of first annular groove and the argon outlet tube;
The second annular groove circumferentially along first outer lug boss is formed with the side wall of first outer lug boss, it is described The second elastic seal ring is pressed between the medial wall of the second annular groove and the argon guide pipe;
The 3rd ring circumferentially along the suction guide pipe is formed with the medial wall of the entrance point of the suction guide pipe The 3rd elastic seal ring is pressed between the lateral wall of connected in star, the 3rd annular groove and the suction intake pipe.
CN201510278861.0A 2015-05-27 2015-05-27 Multifunctional handle for operation Active CN104887278B (en)

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CN106236247B (en) * 2016-08-29 2020-03-31 重庆金山科技(集团)有限公司 Telescopic knife pen

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CN1327377A (en) * 1998-11-16 2001-12-19 伊恩·考斯麦斯库 Multifunctional telescopic electrosurgical instrument and method therefor
CN1805716A (en) * 2003-06-17 2006-07-19 Kls马丁有限及两合公司 Electrosurgical instrument for an endoscope or a catheter
CN201185964Y (en) * 2007-12-29 2009-01-28 北京恒实基业科技有限公司 Multifunctional short argon-gas knife pen
CN101983038A (en) * 2008-04-03 2011-03-02 爱尔伯电子医疗设备公司 Water jet surgical instrument
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