CN106725828A - The radio frequency needle and its application method of two ends activity - Google Patents

The radio frequency needle and its application method of two ends activity Download PDF

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Publication number
CN106725828A
CN106725828A CN201611117528.2A CN201611117528A CN106725828A CN 106725828 A CN106725828 A CN 106725828A CN 201611117528 A CN201611117528 A CN 201611117528A CN 106725828 A CN106725828 A CN 106725828A
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China
Prior art keywords
needle
radio frequency
conduction region
end conduction
puncture
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CN201611117528.2A
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Chinese (zh)
Inventor
孙洪荣
张宣政
姚伟钢
陈中
陈中一
铃木·由美子
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Shanghai SA Medical & Plastic Instruments Co Ltd
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Shanghai SA Medical & Plastic Instruments Co Ltd
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Priority to CN201611117528.2A priority Critical patent/CN106725828A/en
Publication of CN106725828A publication Critical patent/CN106725828A/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/0233Pointed or sharp biopsy 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
    • 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
    • A61NELECTROTHERAPY; MAGNETOTHERAPY; RADIATION THERAPY; ULTRASOUND THERAPY
    • A61N1/00Electrotherapy; Circuits therefor
    • A61N1/18Applying electric currents by contact electrodes
    • A61N1/32Applying electric currents by contact electrodes alternating or intermittent currents
    • A61N1/36Applying electric currents by contact electrodes alternating or intermittent currents for stimulation
    • A61N1/3605Implantable neurostimulators for stimulating central or peripheral nerve system
    • 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
    • A61B18/14Probes or electrodes therefor
    • A61B2018/1405Electrodes having a specific shape
    • 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
    • A61B2018/1405Electrodes having a specific shape
    • A61B2018/1425Needle
    • A61B2018/1427Needle with a beveled end

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

Abstract

The present invention discloses the radio frequency needle of two ends activity, including needle body, hollow structure inside needle body is set to RF ablation passage, needle body interior hollow section is embedded with can play ablation of tissue, nerve stimulation, it is powered, the nook closing member of positioning, needle body outer surface of cupular part is provided with the first end conduction region of the image technologies such as the logical ultrasound of electric clamping connection or CT, needle body bottom outer surface is provided with piercing focus release current and tumor locus or nerve fiber is carried out with the second end conduction region of RF ablation or stimulation, first end conduction region and the second end conduction region middle setting have the insulation layer for preventing current direction surrounding tissue, the length of first end conduction region and the second end conduction region is respectively less than the length of insulation layer, the surface of insulation layer is provided with the scale marker that display is pierced into focus depth.First end conduction region can be crossed can directly connect the image technologies such as ultrasound or CT, tumour part can be powered and be positioned, and eliminate the working method of wire connection electrode.

Description

The radio frequency needle and its application method of two ends activity
Technical field
The present invention relates to medicine equipment, the more particularly to radio frequency needle of two ends activity.
Background technology
In Minimally Interventional Therapy medical domain, the puncture needle of difference in functionality produces different therapeutic effects.For example:Now There is the puncture needle for carrying out soft tissue puncture or bone marrow aspiration in the puncture needle of application;One Common radio frequency puncture for treating pin can be with Importing RF energy makes tissue receive thermal coagulation;One biopsy needle can be used for live body sampling of soft tissue etc..
Radio-frequency ablation procedure is a kind of Minimally Interventional Therapy technology, by means of the image technologies such as ultrasound or CT positioning and guiding two Hold the radio frequency needle of activity to be inserted directly into focus, focus local organization is produced high temperature by RF energy, dry final solidification With inactivation soft tissue and tumour.
Radio-frequency ablation procedure is to develop a kind of more ripe therapeutic modality in current minimally-invasive treatment, is treated in pulmonary nodule and led Domain, when patient is unsatisfactory for surgical condition (such as rate pressure not in normal range (NR), simple chemicotherapy effect is undesirable etc.), It is contemplated that radiofrequency ablation therapy scheme.The characteristics of radio-frequency ablation procedure:It is minimally invasive, to greatest extent retain target organ function;Complication Less, recover fast, patient is easily accepted by, determined curative effect, repeat treatment;Indication is wide, simple to operate, and positioning, temperature control are reliable etc..
But, current radio frequency needle will carry out connecting ultrasound or CT image technologies, the pole in the connection of electrode by electrode It is inconvenience, not only needs to position radio frequency needle, and need fixed and electrode to puncture connection, to the operation band pole of doctor Inconvenience more, and the life-span that electrode is used is shorter, and costly, enhance treatment deposits this to the cost of electrode, and makes hand The linking of art is not convenient, and Practical Performance is not good, there is deficiency, it is impossible to adapt to the demand of social development.
In sum, it is existing to solve for the defect of prior art, it is accordingly required in particular to the radio frequency needle of the two ends activity of bending The deficiency of technology.
The content of the invention
For the deficiency that radio frequency needle in the prior art is present, the effect for the treatment of, the present invention is influenceed to propose a kind of two ends activity Radio frequency needle, it is novel in design, increase conduction region by the surface of radio frequency needle, by shadows such as the logical ultrasound of conductive electric clamping connection or CT As technology, strengthen the convenient performance of operation, solve the defect of prior art.
To achieve these goals, technical scheme is as follows:
The radio frequency needle of two ends activity, including needle body, the hollow structure inside needle body is set to RF ablation passage, in needle body Portion's hollow space is embedded with can play ablation of tissue, nerve stimulation, energization, the nook closing member of positioning, and needle body outer surface of cupular part is provided with logical The first end conduction region of the image technologies such as the logical ultrasound of electric clamping connection or CT is crossed, needle body bottom outer surface is provided with piercing focus release electricity Stream carries out the second end conduction region of RF ablation or stimulation to tumor locus or nerve fiber, and first end conduction region and the second end are led Electric area's middle setting has the insulation layer for preventing current direction surrounding tissue, and the length of first end conduction region and the second end conduction region is equal Less than the length of insulation layer, the surface of insulation layer is provided with the scale marker that display is pierced into focus depth.
Further, the material that described insulation layer is used is polyester material, and the thickness of insulation layer is 0.02mm.
Further, at the top of described needle body needle stand and first end conduction region is seamlessly connected, the handle that nook closing member top is set Be connected with needle stand, needle stand uses transparent crystal plastic cement, the access port of the installation flank that the surface of needle stand opens up, flank and Detachable connection, the shape of access port is used to take the shape of the letter U between needle stand.
Further, detachable connection is used between described needle body and nook closing member.
Further, the needlepoint form of described needle body is single beveled point or many beveled points.
Further, the material that described first end conduction region and the second end conduction region is used is stainless steel.
Further, the length of described first end conduction region and electricity folder length match, the length of the second end conduction region and Length into focus RF ablation matches.
Further, the distance between adjacent scale is 1mm.
The application method of the radio frequency needle of two ends activity, the method is comprised the following steps:
1) the localised puncture target spot under the Medical Imaging Technology such as B ultrasonic or CT or MRI, is predicted by real-time monitoring and punctures road Footpath, is determined and punctures distance, and the outer pin vernier of mobile radio puncture needle is formed and puncture distance to corresponding scale;
2) radio frequency puncture needle is axially punctured in point of puncture along inserting needle, until close to slider position, radio frequency puncture needle Needle tip activity end points stabs target spot position neurological region;Positive source joint is directly connected to radio frequency needle needle stand portion activity end, Minus plate reclines human body, and forming radio frequency puncture needle points stimulates loop structure;
3) needle stand activity noncontinuous electrode joint is disconnected, minus plate is removed;
4) by the satisfactory pin withdraw of the needle vertically of radio frequency puncture needle, catheter needle is longitudinally inserted into, forms injection-type radio-frequency electrode pin, Gu Determine needle body position constant;
5) catheter needle is withdrawn from, again insertable into nook closing member, the outer pin of condensation radio frequency needle, after composition puncture needle assembly, while exiting Combination pin;
6) using step 2), 4) formed structures and methods peripheral nerve or intraspinal tube neural stimulation therapy are carried out to human body With nerve block for treatment or nerve and tumour ablation.
The beneficial effects of the invention are as follows:It is minimum beneficial to penetration Resistance, operation wound is reduced, mitigate patient's pain, Ke Yizhi The image technology direct-electrifying first end conduction regions such as ultrasound or CT are connected, tumour or nerve fiber can be powered and determined Position, eliminates the working method of wire connection electrode, and convenience simple to operation strengthens the imaging effect of ultrasonoscopy when treating, if Meter is novel, is a kind of good innovation scheme, there is very much market promotion prospect.
Brief description of the drawings
Describe the present invention in detail with reference to the accompanying drawings and detailed description:
Fig. 1 is structural representation of the invention.
100- needle bodies in figure, 110- first end conduction regions, the second ends of 120- conduction region, 130- insulation layers, 140- needle points, 150- needle stands, 160- handles, 170- nook closing members, 180- scale markers.
Specific embodiment
In order that technological means, creation characteristic, reached purpose and effect that the present invention is realized are easy to understand, tie below Conjunction is specifically illustrating, and the present invention is expanded on further.
Referring to Fig. 1, the radio frequency needle of two ends activity, including needle body 100, the hollow structure inside needle body 100 is set to radio frequency Ablation passage, the interior hollow section of needle body 100 is embedded with can play ablation of tissue, nerve stimulation, energization, the nook closing member 170 of positioning, pin The outer surface of cupular part of body 100 is provided with the first end conduction region 110 of the image technologies such as the logical ultrasound of electric clamping connection or CT, needle body 100 Bottom outer surface is provided with piercing focus release current and carries out the second of RF ablation or stimulation to tumor locus or nerve fiber End conduction region 120, the middle setting of 110 and second end conduction region of first end conduction region 120 has prevention current direction surrounding tissue Insulation layer 130, the length of the end conduction region 120 of first end conduction region 110 and second is respectively less than the length of insulation layer 130, insulation layer It is 1mm that 130 surface is provided with the distance between the scale marker 180 that display is pierced into focus depth, adjacent scale.
In addition, the material that insulation layer 130 is used is polyester material, the thickness of insulation layer is 0.02mm.The pin at the top of needle body 100 Seat 150 and first end conduction region 110 are seamlessly connected, and the handle 160 and needle stand 150 that the top of nook closing member 170 is set are connected, needle stand 150 use transparent crystal plastic cement, and the access port of the installation flank that the surface of needle stand 150 opens up is adopted between flank and needle stand 150 With detachable connection, the shape of access port takes the shape of the letter U.Detachable connection is used between needle body 100 and nook closing member 170.The pin of needle body 100 Point is shaped as single beveled point or many beveled points.The material that 110 and second end conduction region of first end conduction region 120 is used is Stainless steel.The length of first end conduction region 110 and electricity folder length match, and the length of the second end conduction region 120 and enter focus The length of RF ablation matches.
The present invention directly by image technologies such as electricity folder connection ultrasound or CT, and can be counted according to by first end conduction region Site of puncture is calculated with a distance from lesions position, puncture needle core is punctured into corresponding scale, into targeted site, and by bending Song can enter into the bending section of focus, and needle body of the present invention uses stainless steel, and hardness is strong, easily punctures, and reduces the pain of patient Sense, is positioned by image technologies such as ultrasound or CT, and interior pin can be taken out and carry out radiofrequency ablation therapy by positioning after completing, Practical Performance is excellent.
Radio frequency is the dither that a kind of frequency reaches 150,000 times per second.Human body is made up of many organic and inorganic substances Labyrinth, substantial amounts of dielectric, such as ion, water, colloidal particles are contained in body fluid, human body relies primarily on ion movement and passes Electrical conduction current.In the presence of high-frequency alternating current, the change in concentration direction of ion is that positive-negative half-cycle comes and goes change with the sense of current. Under the higher-order of oscillation, the ion between two electrodes is quickly moved along power line direction, and vibrational state is gradually become by mobile status.By Size, quality, electric charge and translational speed in various ions is different, and ion mutually rubs and collided with other particulates and produced Biological heat effect.Due to tumour weak heat-dissipating, make tumor tissues temperature higher than its normal adjacent tissue, add cancer cell to temperature-sensitive high Sense, heat energy high kills cancer cell, and side effect does not occur.
The cure mechanism of the radio-frequency therapeutic equipment with ablation and cutting function is mainly fuel factor.Rf wave is substantially special Determine the electromagnetic wave in scope.Current medical radio-frequency is mostly using the frequency of 200KHz-750KHz.(scope) radio-frequency therapeutic equipment works Frequency is 400KHz.When radio-frequency current flows through tissue, because the quick change of electromagnetic field causes intracellular positive and negative ion Quick motion, then between them and they make diseased region heat up with the friction of intracellular other molecules, ion etc., causes Make intraor extracellular moisture evaporation, drying, pyknosis comes off so that aseptic necrosis, so as to reach the purpose for the treatment of.
The method is comprised the following steps:
1) the localised puncture target spot under the Medical Imaging Technology such as B ultrasonic or CT or MRI, is predicted by real-time monitoring and punctures road Footpath, is determined and punctures distance, and the outer pin vernier of mobile radio puncture needle is formed and puncture distance to corresponding scale;
2) radio frequency puncture needle is axially punctured in point of puncture along inserting needle, until close to slider position, radio frequency puncture needle Needle tip activity end points stabs target spot position neurological region;Positive source joint is connected to radio frequency needle needle stand portion activity end, negative electrode Plate reclines human body, and forming radio frequency puncture needle points stimulates loop structure;
3) needle stand activity noncontinuous electrode joint is disconnected, minus plate is removed;
4) by the satisfactory pin withdraw of the needle vertically of radio frequency puncture needle, catheter needle is longitudinally inserted into, forms injection-type radio-frequency electrode pin, Gu Determine needle body position constant;
5) catheter needle is withdrawn from, again insertable into nook closing member, the outer pin of condensation radio frequency needle, after composition puncture needle assembly, while exiting Combination pin;
6) using step 2), 4) formed structures and methods peripheral nerve or intraspinal tube neural stimulation therapy are carried out to human body With nerve block for treatment or nerve and tumour ablation.
Beneficial effects of the present invention are:It is minimum beneficial to penetration Resistance, operation wound is reduced, mitigate patient's pain, can mistake the One end conduction region can directly connect the image technologies such as ultrasound or CT, tumour part can be powered and be positioned, and eliminate The working method of wire connection electrode, convenience simple to operation, the imaging effect of ultrasonoscopy, novel in design during enhancing treatment, is A kind of good innovation scheme, there is market promotion prospect very much.
It should be understood by those skilled in the art that, the present invention is not limited to the above embodiments, above-described embodiment and explanation Merely illustrating the principles of the invention described in book, it is of the invention without departing from the spirit and scope of the present invention also to have respectively Changes and improvements are planted, these changes and improvements all fall within the protetion scope of the claimed invention.The claimed scope of the invention by Appending claims and its equivalent are defined.

Claims (9)

1. the radio frequency needle of two ends activity, including needle body, it is characterised in that:Hollow structure inside needle body is set to RF ablation and leads to Road, needle body interior hollow section is embedded with can play ablation of tissue, nerve stimulation, energization, the nook closing member of positioning, needle body outer surface of cupular part The first end conduction region of the image technologies such as the logical ultrasound of electric clamping connection or CT is provided with, needle body bottom outer surface is provided with piercing disease Stove release current carries out the second end conduction region of RF ablation or stimulation to tumor locus or nerve fiber, first end conduction region and Second end conduction region middle setting has the insulation layer for preventing current direction surrounding tissue, first end conduction region and the second end conduction region Length be respectively less than the length of insulation layer, the surface of insulation layer is provided with the scale marker that display is pierced into focus depth.
2. according to claim 1 two ends activity radio frequency needle, it is characterised in that:The material that described insulation layer is used is poly- Ester material, the thickness of insulation layer is 0.02mm.
3. according to claim 1 two ends activity radio frequency needle, it is characterised in that:Needle stand at the top of described needle body and first End conduction region is seamlessly connected, and the handle and needle stand that nook closing member top is set are connected, and needle stand uses transparent crystal plastic cement, needle stand The access port of installation flank that opens up of surface, detachable connection is used between flank and needle stand, the shape of access port takes the shape of the letter U.
4. according to claim 1 two ends activity radio frequency needle, it is characterised in that:Being used between described needle body and nook closing member can Split connection.
5. according to claim 1 two ends activity radio frequency needle, it is characterised in that:The needlepoint form of described needle body is monocline Face needle point or many beveled points.
6. according to claim 1 two ends activity radio frequency needle, it is characterised in that:Described first end conduction region and the second end The material that conduction region is used is stainless steel.
7. according to claim 1 two ends activity radio frequency needle, it is characterised in that:The length of described first end conduction region and Electricity folder length matches, and the length of the second end conduction region and the length into focus RF ablation match.
8. according to claim 1 two ends activity radio frequency needle, it is characterised in that:The distance between adjacent scale is 1mm.
9. two ends activity radio frequency needle application method, it is characterised in that:The method is comprised the following steps:
1) the localised puncture target spot under the Medical Imaging Technology such as B ultrasonic or CT or MRI, puncture path is predicted by real-time monitoring, is surveyed Fixed to puncture distance, the outer pin vernier of mobile radio puncture needle is formed and punctures distance to corresponding scale;
2) radio frequency puncture needle is axially punctured in point of puncture along inserting needle, until close to slider position, radio frequency puncture needle needle point Portion's activity end points stabs target spot position neurological region;Positive source joint is connected to radio frequency needle needle stand portion activity end, minus plate patch By human body, forming radio frequency puncture needle points stimulates loop structure;
3) needle stand activity noncontinuous electrode joint is disconnected, minus plate is removed;
4) by the satisfactory pin withdraw of the needle vertically of radio frequency puncture needle, catheter needle is longitudinally inserted into, forms injection-type radio-frequency electrode pin, fixed pin Body position is constant;
5) catheter needle is withdrawn from, again insertable into nook closing member, the outer pin of condensation radio frequency needle, after composition puncture needle assembly, while exiting combination Pin;
6) using step 2), 4) formed structures and methods peripheral nerve or intraspinal tube neural stimulation therapy and god are carried out to human body Through Block For Treating or nerve and tumour ablation.
CN201611117528.2A 2016-12-07 2016-12-07 The radio frequency needle and its application method of two ends activity Pending CN106725828A (en)

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Application Number Priority Date Filing Date Title
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109431618A (en) * 2018-12-10 2019-03-08 邱建星 A kind of telltale mark medical apparatus in operation
CN113729920A (en) * 2021-09-28 2021-12-03 深圳迈微医疗科技有限公司 Bimodal tissue ablation needle

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN109431618A (en) * 2018-12-10 2019-03-08 邱建星 A kind of telltale mark medical apparatus in operation
CN113729920A (en) * 2021-09-28 2021-12-03 深圳迈微医疗科技有限公司 Bimodal tissue ablation needle
WO2023051165A1 (en) * 2021-09-28 2023-04-06 深圳迈微医疗科技有限公司 Dual-mode tissue ablation needle

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