CN106691584A - Bipolar electrocoagulation electrode - Google Patents

Bipolar electrocoagulation electrode Download PDF

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Publication number
CN106691584A
CN106691584A CN201611140589.0A CN201611140589A CN106691584A CN 106691584 A CN106691584 A CN 106691584A CN 201611140589 A CN201611140589 A CN 201611140589A CN 106691584 A CN106691584 A CN 106691584A
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CN
China
Prior art keywords
electrode
coagulation
main body
bipolar
wire
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201611140589.0A
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Chinese (zh)
Inventor
费兴波
邹剑龙
熊六林
石长亮
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Beijing Huifukang Technology Co ltd
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Beijing 3H Medical Technology Co Ltd
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Publication date
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Priority to CN201611140589.0A priority Critical patent/CN106691584A/en
Publication of CN106691584A publication Critical patent/CN106691584A/en
Pending legal-status Critical Current

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    • 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
    • A61B18/14Probes or electrodes therefor
    • 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
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00505Urinary tract
    • A61B2018/00511Kidney
    • 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
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00595Cauterization
    • 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
    • A61B18/1206Generators therefor
    • A61B2018/1246Generators therefor characterised by the output polarity
    • A61B2018/126Generators therefor characterised by the output polarity bipolar

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

Abstract

The invention relates to the technical field of medical instruments, in particular to a bipolar electrocoagulation electrode which comprises an electrocoagulation body extending into a body. A first electrode and a second electrode are arranged on the electrocoagulation body, axially distributed and arranged in an insulated manner. In order to solve the technical problem of overcoming the defect of large occupied space when hemostasis of a side wall of a puncture channel is performed through bipolar electrocoagulation in the prior art, the bipolar electrocoagulation electrode which is small in occupied space and suitable for hemostasis of the side wall of the puncture channel.

Description

A kind of bipolar coagulation electrode
Technical field
The present invention relates to technical field of medical instruments, and in particular to a kind of bipolar coagulation electrode.
Background technology
PNL, is to set up a puncture channel from skin to kidney in waist, is punctured by this logical Kidney mirror is inserted kidney by road, using rock breaking tools such as laser, ultrasounds, kidney stone is smashed taking-up.The meeting during passage is set up There is bleeding, influence surgical field of view and operation progress, at this time, it may be necessary to the blutpunkte at puncture channel is stopped blooding.
At present, in the prior art such as Chinese patent literature CN201930068U, a kind of bipolar electrocoagulator is disclosed, it includes Handle, one end of handle is provided with the electrode needle and electrode tube being connected with two poles respectively, and electrode tube is set in outside electrode needle, Insulating barrier is provided between electrode needle and electrode tube.
The bipolar electrocoagulator of above-mentioned patent document, electrode tube is set in the outside of electrode needle, and the tip portion of electrode needle is naked The outside of electrode tube is exposed to, when in use, electrode needle can be contacted with tissue simultaneously with electrode tube, but the scope stopped blooding is in electrode tube End face diameter in, therefore, the bipolar electrocoagulator is only applicable to close to plane or being organized in electrode tube end face diameter in tissue Scope is stopped blooding close to the part of plane, and can not be applicable for the side such as puncture channel wall in the case of of hemostasis.
In order to solve the above-mentioned technical problem, Chinese patent literature CN203790036U discloses a kind of with suction function Laparoscopic surgery bipolar coagulation, it includes bipolar coagulation head, shaft, bi-terminal handle, electriocoagulator fixed part, coagulation connection Portion and coagulation transport part;Described bipolar coagulation head is arranged on one end of described shaft by described electriocoagulator fixed part, Described bi-terminal handle is arranged on the other end of described shaft by described coagulation connecting portion;Described electriocoagulator is consolidated Determine the tubular structure that portion is the " U "-shaped opening in one end, described shaft is coaxially connected with described electriocoagulator fixed part, described Bipolar coagulation head is arranged at the opening of described electriocoagulator fixed part by rotating shaft, and described bipolar coagulation head turns around described Axle is rotated;Described shaft is hollow tubular structure, and one end that described shaft is connected with described electriocoagulator fixed part is provided with Multiple attracts side openings, it is described it is multiple attract side openings to be looped around respectively on described shaft, described shaft and described coagulation One end of connecting portion connection is provided with attraction pipeline interface, the described external suction pipe of attraction pipeline interface, described coagulation Transport part is arranged on described bi-terminal handle, and is electrically connected with described bipolar coagulation head by wire.
The laparoscopic surgery bipolar coagulation with suction function of above-mentioned patent document, is pointed to two bipolar coagulation heads Between tissue carry out clamping electric discharge and realize hemostasis to the tissue, but the space that takes of two bipolar coagulation heads and clamping need Activity space it is all larger, it is possible to new injury is caused to puncture channel when in use, is unfavorable for the postoperative recovery of patient.
The content of the invention
Therefore, the technical problem to be solved in the present invention be overcome in the prior art bipolar coagulation to the side such as puncture channel wall Take up room big defect during hemostasis, thus provide it is a kind of occupy little space be suitable to the offside such as puncture channel wall hemostasis it is bipolar Coagulating electrode.
To solve the above problems, a kind of bipolar coagulation electrode of the invention, including it is adapted to extend into internal coagulation main body, institute State and first electrode and second electrode be provided with coagulation main body, the first electrode and the second electrode axially distribution and between Insulation set.
Wherein, the first electrode and the second electrode are connected with the first wire and the second wire respectively, and described first Insulation set between wire and second wire.
Wherein, the first electrode and the second electrode are around 360 ° of the coagulation main body lateral wall and first electricity Pole is identical with the external diameter of the second electrode.
Wherein, insulator is arranged between the first electrode and the second electrode, the external diameter of the insulator is less than The external diameter of the first electrode and the second electrode.
Wherein, the axial length of the insulator is 0.2-3mm.
Wherein, the relatively described second electrode of the first electrode is closer to the free end of the coagulation main body, described first Electrode its be axially distant from described second electrode one end and be additionally provided with insulating element.
Wherein, the coagulation main body has bending section, and the bending section is arranged on the second electrode away from described first Electrode side.
Technical solution of the present invention, has the following advantages that:
1. coagulation main body of the present invention is stretched into vivo, and when occurring bleeding in puncture channel, coagulation main body is reached out At blood point, because blood is electrically conductive, blood is located between first electrode and second electrode, and first electrode and second electrode are discharged Loop is formed by blood, by blutpunkte electric coagulation hemostasis, because first electrode and second electrode are axially to be distributed in coagulation main body On, more to be fitted with the side wall of puncture channel, haemostatic effect is good, and occupies little space, it is not necessary to which puncture channel is coagulation main body Larger activity space is provided, can relative decrease puncture channel diameter, to be conducive to the post-operative recovery of patient.
2. heretofore described first electrode and the second electrode are connected with the first wire and the second wire respectively, described First wire and second wire are connected with power supply, so that after forming loop between the first electrode and the second electrode Insulation set between electric coagulation hemostasis, and first wire and second wire can be carried out to blutpunkte, described is prevented One wire and second wire form short circuit, make bipolar coagulation electrode damage.
3. the first electrode of the invention and the second electrode are around 360 ° of the coagulation main body lateral wall and described First electrode is identical with the external diameter of the second electrode, i.e., described first electrode and the second electrode are around coagulation main body wall One week, in use, can be without considering the use direction of first electrode and second electrode, using more facilitating.
4. heretofore described insulation sleeve, for that will be insulated between the first electrode and the second electrode, it is to avoid Short circuit is formed between the first electrode and the second electrode, the bipolar coagulation electrode is damaged, and the insulator is outer Footpath is less than the first electrode and the external diameter of the second electrode, you can blutpunkte is placed at the insulator, while Can make have a certain amount of blood herein, make to form loop between the first electrode and the second electrode, make the electricity of blutpunkte Solidifying hemostasis.
5. the axial length of heretofore described insulator is 0.2-3mm, and within this range, the insulator can be prevented Short circuit is formed between the first electrode and the second electrode, can be placed in the first electrode and the second electrode again Loop is formed when at blutpunkte between the two, electric coagulation hemostasis effect is reached.
6. first electrode of the present invention its be axially distant from described second electrode one end and be additionally provided with insulating element, make institute The electricity for stating first electrode is more concentrated on the first electrode outer wall of coagulation main body lateral wall, makes electric coagulation hemostasis effect More preferably.
7. bending section of the present invention, makes the coagulation main body to stretch into and occurs fold or bending in puncture channel Place is stopped blooding, the hemostasis of the blutpunkte for being also applied in tissue having certain angle with respect to coagulation main body, the bipolar coagulation Electrode is more widely applied.
Brief description of the drawings
In order to illustrate more clearly of the specific embodiment of the invention or technical scheme of the prior art, below will be to specific The accompanying drawing to be used needed for implementation method or description of the prior art is briefly described, it should be apparent that, in describing below Accompanying drawing is some embodiments of the present invention, for those of ordinary skill in the art, before creative work is not paid Put, other accompanying drawings can also be obtained according to these accompanying drawings.
Fig. 1 is the structural representation of the first implementation method of the invention;
Fig. 2 is schematic diagram when the first implementation method of the invention is used;
Fig. 3 is the structural representation of second implementation method of the invention;
Fig. 4 is the structural representation of the third implementation method of the invention;
Description of reference numerals:
1- coagulation main bodys;2- first electrodes;3- second electrodes;4- insulation tubes;5- insulators;6- free ends;7- insulation divisions Part;8- bending sections;9- puncture channels;A- blutpunktes.
Specific embodiment
Technical scheme is clearly and completely described below in conjunction with accompanying drawing, it is clear that described implementation Example is a part of embodiment of the invention, rather than whole embodiments.Based on the embodiment in the present invention, ordinary skill The every other embodiment that personnel are obtained under the premise of creative work is not made, belongs to the scope of protection of the invention.
Embodiment one
A kind of bipolar coagulation electrode of the invention, as shown in figure 1, including being adapted to extend into internal coagulation main body 1, coagulation master Be provided with first electrode 2 and second electrode 3 on body 1, first electrode 2 and second electrode 3 along coagulation main body 1 axial direction distribution and Between insulation set.
When in the operation for needing to set up puncture channel 9, as shown in Fig. 2 when occurring blutpunkte A in puncture channel 9, can be by Coagulation main body 1 is stretched into puncture channel 9, and first electrode 2 and second electrode 3 are placed at the A of blutpunkte, first electrode 2 and second Electrode 3 discharges and the blood between it forms loop, by blutpunkte A electric coagulation hemostasis, to reach the purpose of hemostasis.
First electrode 2 and second electrode 3 can set around the angle of the lateral wall of coagulation main body 1 according to actual conditions, In the present embodiment, first electrode 2 and second electrode 3 are around 360 ° of 1 lateral wall of coagulation main body and first electrode 2 and second electrode 3 External diameter it is identical.360 ° can certainly be set smaller than, be 160 ° such as around the lateral wall of coagulation main body 1, outside coagulation main body 1 Side wall forms a sector, when so setting, it is ensured that first electrode 2 and second electrode 3 are correspondingly arranged, that is, be arranged on electricity The same side of solidifying main body 1.
First electrode 2 and second electrode 3 are connected with the first wire and the second wire respectively, the first wire and the second wire it Between insulation set, the first wire and the second wire are connected with power supply, are that first electrode 2 and second electrode 3 are powered, and in coagulation master Being arranged with the outer wall of body 1 prevents the insulation tube 4 of electric leakage, and patient or doctor are hurt with anticreep.
In order to prevent first electrode 2 and second electrode 3 to be short-circuited, it is arranged between first electrode 2 and second electrode 3 Insulator 5, the external diameter of insulator 5 is less than first electrode 2 and the external diameter of second electrode 3.The axial length of insulator 5 is long by shadow Ring first electrode 2 and second electrode 3 forms the coagulation effect behind loop, therefore, the axial length of insulator 5 can be set to 0.2-3mm。
When first electrode 2 and second electrode 3 are around 360 ° of 1 lateral wall of coagulation main body, as shown in figure 1, can be by the first electricity Pole 2 is set to the free end 6 of coagulation main body 1.
As shown in figure 1, first electrode 2 and second electrode 3 and insulator 5, second electrode 3 and the electricity of insulation tube 4 and first Pole 2 and second electrode 3 are all smooth settings or connect, to prevent from damaging puncture channel 9.
Embodiment two:
The present embodiment is with the difference of embodiment one, as shown in figure 3, first electrode 2 its be axially distant from second electrode 3 One end is additionally provided with insulating element 7, and the setting of insulating element 7 makes the electricity of the first electrode 2 more concentrate on around electricity On the outer wall of the first electrode 2 of the solidifying lateral wall of main body 1, make electric coagulation hemostasis effect more preferable.
Embodiment three:
The present embodiment is with the difference of embodiment one or two, as shown in figure 4, coagulation main body 1 has bending section 8, bending Section 8 is arranged on second electrode 3 away from the side of the first electrode 2, so that bipolar coagulation electrode is more widely applied, and bends The crooked radian of section 8, can be set according to actually used situation.
Example IV:
The present embodiment is that the external diameter of the insulator 5 is more than or equal to the described first electricity with the difference of above-described embodiment Pole 2 and the external diameter of the second electrode 3.
Obviously, above-described embodiment is only intended to clearly illustrate example, and not to the restriction of implementation method.It is right For those of ordinary skill in the art, can also make on the basis of the above description other multi-forms change or Change.There is no need and unable to be exhaustive to all of implementation method.And the obvious change thus extended out or Among changing still in the protection domain of the invention.

Claims (7)

1. a kind of bipolar coagulation electrode, including
Internal coagulation main body (1) is adapted to extend into, first electrode (2) and second electrode are provided with the coagulation main body (1) (3), it is characterised in that the first electrode (2) and the second electrode (3) axially distribution and between insulation set.
2. bipolar coagulation electrode according to claim 1, it is characterised in that the first electrode (2) and second electricity Pole (3) is connected with the first wire and the second wire respectively, insulation set between first wire and second wire.
3. bipolar coagulation electrode according to claim 1, it is characterised in that the first electrode (2) and second electricity Pole (3) is around 360 ° of coagulation main body (1) lateral wall and the external diameter phase of the first electrode (2) and the second electrode (3) Together.
4. according to any described bipolar coagulation electrodes of claim 1-3, it is characterised in that the first electrode (2) and described It is arranged with insulator (5) between second electrode (3), the external diameter of the insulator (5) is less than the first electrode (2) and described the The external diameter of two electrodes (3).
5. bipolar coagulation electrode according to claim 4, it is characterised in that the axial length of the insulator (5) is 0.2-3mm。
6. the bipolar coagulation electrode according to claim 1 or 2 or 3 or 5, it is characterised in that the first electrode (2) is relative The second electrode (3) closer to the free end (6) of the coagulation main body (1), the first electrode (2) its be axially distant from institute State second electrode (3) one end and be additionally provided with insulating element (7).
7. bipolar coagulation electrode according to claim 6, it is characterised in that the coagulation main body (1) is with bending section (8), the bending section (8) is arranged on the second electrode (3) away from the first electrode (2) side.
CN201611140589.0A 2016-12-12 2016-12-12 Bipolar electrocoagulation electrode Pending CN106691584A (en)

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Citations (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO1996036282A2 (en) * 1995-05-15 1996-11-21 Baxter International Inc. Bipolar vascular sealing apparatus and methods
WO2000032127A1 (en) * 1998-12-03 2000-06-08 Arthrocare Corporation Systems and methods for electrosurgical treatment of vascular disorders
CN101022768A (en) * 2004-08-05 2007-08-22 Vnus医疗技术有限公司 Methods and apparatus for coagulating and/or constricting hollow anatomical structures
CN102018569A (en) * 2009-09-18 2011-04-20 王剑火 Electric-coagulation hemostatic device
CN204274636U (en) * 2014-10-09 2015-04-22 刘京山 Electric-coagulation hemostatic device
CN207152648U (en) * 2016-12-12 2018-03-30 北京汇福康医疗技术股份有限公司 A kind of bipolar coagulation electrode

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6398782B1 (en) * 1992-10-13 2002-06-04 Edwards Lifesciences Corporation Bipolar vascular sealing apparatus and methods
WO1996036282A2 (en) * 1995-05-15 1996-11-21 Baxter International Inc. Bipolar vascular sealing apparatus and methods
WO2000032127A1 (en) * 1998-12-03 2000-06-08 Arthrocare Corporation Systems and methods for electrosurgical treatment of vascular disorders
CN101022768A (en) * 2004-08-05 2007-08-22 Vnus医疗技术有限公司 Methods and apparatus for coagulating and/or constricting hollow anatomical structures
CN102018569A (en) * 2009-09-18 2011-04-20 王剑火 Electric-coagulation hemostatic device
CN204274636U (en) * 2014-10-09 2015-04-22 刘京山 Electric-coagulation hemostatic device
CN207152648U (en) * 2016-12-12 2018-03-30 北京汇福康医疗技术股份有限公司 A kind of bipolar coagulation electrode

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