CN107007347A - Multifunction surgical electric knife - Google Patents

Multifunction surgical electric knife Download PDF

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Publication number
CN107007347A
CN107007347A CN201710380466.2A CN201710380466A CN107007347A CN 107007347 A CN107007347 A CN 107007347A CN 201710380466 A CN201710380466 A CN 201710380466A CN 107007347 A CN107007347 A CN 107007347A
Authority
CN
China
Prior art keywords
handle
knife
insulation tube
adjusting rod
guide groove
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.)
Granted
Application number
CN201710380466.2A
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Chinese (zh)
Other versions
CN107007347B (en
Inventor
张水军
郭文治
陈亚斌
曹胜利
王盼梁
阎冰
唐红卫
史晓奕
杨翰
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
First Affiliated Hospital of Zhengzhou University
Original Assignee
First Affiliated Hospital of Zhengzhou University
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by First Affiliated Hospital of Zhengzhou University filed Critical First Affiliated Hospital of Zhengzhou University
Priority to CN201710380466.2A priority Critical patent/CN107007347B/en
Publication of CN107007347A publication Critical patent/CN107007347A/en
Application granted granted Critical
Publication of CN107007347B publication Critical patent/CN107007347B/en
Active legal-status Critical Current
Anticipated expiration legal-status Critical

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Classifications

    • 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
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/0091Handpieces of the surgical instrument or device
    • A61B2018/00916Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device
    • A61B2018/00958Handpieces of the surgical instrument or device with means for switching or controlling the main function of the instrument or device for switching between different working modes of the main function
    • 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
    • A61B2018/124Generators therefor switching the output to different electrodes, e.g. sequentially
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/007Aspiration
    • A61B2218/008Aspiration for smoke evacuation

Abstract

The invention discloses a kind of multifunction surgical electric knife, including first, second insulation tube, conducting element and electric power connection line, coagulation switch, TURP switch are provided with second insulation tube, it is provided with first insulation tube on limiting plate, limiting plate and is equipped with handle of a knife unit, handle of a knife unit includes handle of a knife and adjusting rod, cutter head is fixed with handle of a knife bottom, first insulation tube upper end offers and is provided with guide rail on guide groove, the first insulation inside pipe wall, and adjusting rod is plugged in guide groove and slided along guide rail;Connecting wire one end in adjusting rod is connected with handle of a knife, the other end is electrically connected with conducting element.The present invention has multiple cutter heads of different shapes, and the switching of different shape cutter head can be realized by adjusting rod, meets a variety of demands of operation;The ramp of convex platform is down-set from its top droop, and the lower inclined plane of lower convex platform is set up from its bottom angled, with guide effect, is easy to the switching of different shape cutter head;Suspended hood can suction out cigarette, it is ensured that get a clear view.

Description

Multifunction surgical electric knife
Technical field
The present invention relates to medical auxiliary equipment, more particularly, to a kind of multifunction surgical electric knife.
Background technology
With continuing to develop for medical technique level, application of the electrosurgical in surgical operation is more and more extensive, can use In operation techniques such as cutting, drying, blood coagulation, cauterise tissues.Existing electrosurgical only one of which electric knife head, is needed in surgical procedure When using cutter head of different shapes, generally using two methods of replacing electrosurgical and replacing electric knife head.In surgical procedure Multiple electrosurgicals are used simultaneously, and circuit is more and chaotic, operation inconvenience, and because electrosurgical is mostly disposable, wave Take material, therefore existing general many methods using replacing electric knife head are changed, on the electric knife head in Renewal process after use Heat it is big, easily scald medical personnel, and electric knife head is smaller, easily drops in patient, influence sufferer health.
The content of the invention
Present invention aims at providing, one kind not only has multiple cutter heads and tip shapes are different, also there is smoke abatement to make Multifunction surgical electric knife.
To achieve the above object, the present invention takes following technical proposals:
Multifunction surgical electric knife of the present invention, including the first insulation tube, the second insulation tube, conducting element and with plug Electric power connection line, first, second insulation tube is fixed with one by pipe joint, and being provided with coagulation on the second insulation tube opens Close and TURP switch, the lower ending opening of the first insulation tube is set, it is characterised in that:It is provided with first insulation tube rounded Limiting plate, be uniformly equipped with multiple structure identical handle of a knife units on the limiting plate;
The handle of a knife unit includes handle of a knife and the adjusting rod being plugged at the top of the handle of a knife, and cutter head is fixed with handle of a knife bottom;Institute The first insulation tube upper end is stated to offer and the one-to-one guide groove of handle of a knife unit, first positioned at the guide groove both sides The guide rail extended from its top down is provided with insulation inside pipe wall, the guide groove is staggered with the guide rail, guide groove Length be more than the length of guide rail, the adjusting rod is plugged in the guide groove and slided along guide rail;
The adjusting rod is insulating bar, and adjusting rod includes the body of rod, and the upper end on the outside of the body of rod is fixed with button, the guiding The length difference of groove and guide rail is more than or equal to the length of button;Body of rod clear width is provided with convex platform and lower convex platform, it is described The longitudinal section of upper and lower boss is trapezium structure or the step-like structure being connected by trapezium structure, under the lower convex platform Limiting stand is provided with the body of rod of side, compression spring is arranged with the handle of a knife between the limiting plate and limiting stand;
Offered along its length on the body of rod and connecting wire is equipped with mounting hole, the mounting hole, the connection is led One end of line is connected with the handle of a knife, the other end of the connecting wire extend the pipe joint and with the conducting element Electrical connection.
The first insulation tube lower end is arranged with suspended hood, the side wall of the suspended hood and offers through hole, described logical Aspiration channel is provided with and communicated with hole, the aspiration channel is connected on first insulation tube and/or the second insulation tube by line card, The port of export of aspiration channel is connected with the air inlet of getter device.
The port of export of first insulation tube forms up big and down small bowl-shape or reverse frustoconic structure for interior receive downwards.
Being shaped as the cutter head is spherical, annular, aciculiform, rectangle or blade-shaped, the knife of multiple handle of a knife unit handle of a knife lower ends Head shapes are different.
Insulation sleeve is arranged with the handle of a knife of each handle of a knife unit.
Compared with existing electrosurgical, multifunction surgical electric knife of the present invention has advantages below:
(1)The present invention has multiple handle of a knife units, and the tip shapes of each handle of a knife unit are spherical, annular, aciculiform, rectangle or knife One kind of piece shape and different, the handover operation of different shape cutter head can be realized by adjusting rod, and then meet surgical procedure In a variety of demands;The handover operation process of different shape cutter head is as follows:Two of which handle of a knife unit is respectively designated as first Handle of a knife unit and the second handle of a knife unit, by taking the switching of first, second handle of a knife unit as an example, when the adjusting rod of the first handle of a knife unit exists When sliding down to guide rail end along guide rail in guide groove, its button is just installed in the guide groove below guide rail, now should The cutter head of handle of a knife unit extends outward the outlet of the first insulation bottom of the tube;When handover is needed, the second handle of a knife list is pressed downwards First button makes its adjusting rod downwards, and the lower convex platform in moving process on the second handle of a knife unit adjusting rod is pressed down against touching the first knife Convex platform on handle unit adjusting rod, resets the first handle of a knife unit, continues to move down the adjusting rod of the second handle of a knife unit, make Its button snap is in guide groove, and cutter head switching is simple.
(2)The length difference of guide groove and guide rail is more than or equal to the length of button, when adjusting rod slides into guide rail end, Make button snap in the guide groove of guide rail lower end, and button top holds out against the bottom of guide rail, now the handle of a knife unit lower end Cutter head stretch out the first insulation tube outside, with spacing, positioning action.
(3)The longitudinal section of upper and lower boss is trapezium structure or step-like structure, and the ramp of convex platform is from its top droop Down-set, the lower inclined plane of lower convex platform is set up from its bottom angled, and the ramp of convex platform and the lower inclined plane of lower convex platform are equal With guide effect, it is easy to the switching of different shape cutter head.
(4)The lower end of first insulation tube is arranged with suspended hood, can be in time by smog by suspended hood in surgical procedure Suction out, it is ensured that get a clear view.
Brief description of the drawings
Fig. 1 is the structural representation of the present invention.
Fig. 2 is the cross section structure diagram of the line A-A along along Fig. 1(Conceal aspiration channel).
Fig. 3 is the internal structure schematic diagram of the first insulation tube in Fig. 1.
Fig. 4 is the structural representation of adjusting rod in Fig. 3.
Fig. 5 is the structural representation of guide rail of the present invention.
Fig. 6 is the structural representation of handle of a knife of the present invention and cutter head.
Fig. 7 is the structural representation of use state of the present invention.
Embodiment
As shown in figure 1, multifunction surgical electric knife of the present invention, including the first insulation tube 1, the second insulation tube 2, conduction Element(It is not shown to anticipate out)With the electric power connection line 4 with plug 3, first, second insulation tube 1,2 is connected by pipe joint 5 It is integrated, first, second insulation tube 1,2 is threadedly coupled with pipe joint 5, pipe joint 5 is acted on the limited location of adjusting rod 10, second Coagulation switch 6 and TURP switch 7 are provided with insulation tube 2, conducting element is arranged in the second insulation tube 2, conducting element and electricity Source connecting line 4 is electrically connected;
As shown in figure 3, being provided with the first insulation tube 1 on rounded limiting plate 8, limiting plate 8 four are evenly equipped with along its circumference Intert in through hole, each through hole and a handle of a knife unit is installed, the structure of four handle of a knife units is identical, the top of handle of a knife 9 is offered Installing blind, the bottom of adjusting rod 10 is provided with projection, and the bottom of adjusting rod 10 is plugged in installing blind, and projection can be effectively true Protect adjusting rod 10 to be tightly inserted in handle of a knife 9, insulation sleeve is arranged with handle of a knife 9(Do not illustrated in figure), prevent between handle of a knife unit because Touch and it is conductive, the bottom of handle of a knife 9 is fixed with cutter head, as shown in fig. 6, cutter head be knife head ball 17.1, annular cutter head 17.2, aciculiform Any one in cutter head 17.3, rectangle cutter head 17.4 or blade-shaped cutter head 17.5, the cutter head of four lower ends of handle of a knife unit handle of a knife 9 Shape is different, and blade-shaped cutter head 17. is used to cut, and knife head ball 17.1 is used to stop blooding, and needle-like cutter head 17.3 is used for fine The cutting and hemostasis at position, annular cutter head 17.2 be used for gynecological surgery cutting and hemostasis, when needing to use different cutter heads by Lower the corresponding button 10.2 can be used;The lower ending opening of first insulation tube 1 is set, and the lower end of the first insulation tube 1 is received in downwards to be formed Up big and down small bowl structure, with guide effect, is easy to cutter head to stretch out;As shown in Figure 1 and Figure 2, the upper end of the first insulation tube 1 from Upper and lower uniform intervals offer four guide grooves 11, as shown in Fig. 2, Fig. 5, the first insulation tube 1 positioned at the both sides of guide groove 11 The guide rail 12 extended from its top down is provided with inwall, guide groove 11 is staggered with guide rail 12, the length of guide groove 11 More than the length of the guide rail 12, the adjusting rod 10 is plugged in guide groove 11 and slided along the guide rail 12;
As shown in Figure 3, Figure 4, adjusting rod includes the body of rod 10.1, and button 10.2 is fixed with the upper end in the outside of the body of rod 10.1, Its clear width is provided with convex platform 10.3 and lower convex platform 10.4, the longitudinal section of convex platform 10.3 is isosceles trapezoidal structure, under it is convex The longitudinal section of platform 10.3 is step-like structure, and it is formed by two in isosceles trapezoidal structure linking, and the upper bottom of trapezium structure is with Bottom is vertically arranged, and the bottom of trapezium structure is fixedly connected with the body of rod 10.1, is set on the body of rod 10.1 of the lower section of lower convex platform 10.4 Limiting stand 10.5 is equipped with, compression spring 13, guide groove 11 are arranged with the handle of a knife 9 between limiting plate 8 and limiting stand 10.5 It is more than or equal to the length of button 10.2, when adjusting rod 10 slides into 12 end of guide rail, button 10.1 with the length difference of guide rail 12 In the guide groove 11 for being installed on the lower end of guide rail 12, the lower convex platform 10.4 on other handle of a knife unit adjusting rods 10 is located at the adjusting rod 10 The surface of convex platform 10.3;Specific regulation process is as follows:For ease of distinguishing, four handle of a knife units are respectively designated as first, Second, third, the 4th handle of a knife unit, as shown in fig. 7, the adjusting rod 10 of first handle of a knife unit is slid into guide rail along guide groove 11 12 ends, now the button 10.2 on the top of adjusting rod 10 be installed in the guide groove 11 of the downside of guide rail 12, under the first handle of a knife unit The connected cutter head in end is stretched out outside the first insulation tube 1, when the cutter head for needing to switch to other shapes, using the second handle of a knife unit as Example, presses the slide downward adjusting rod 10 of button 10.2 of the second handle of a knife unit, now the lower convex platform 10.4 of the second handle of a knife unit Lower inclined plane is pressed down against the ramp of the first handle of a knife unit convex platform 10.3, and the adjusting rod 10 of the first handle of a knife unit is in the second handle of a knife Recover under the extruding of unit from 12 times abjections of guide rail to home position, the button 10.2 of the second handle of a knife unit is installed on guide groove 11 Interior, now the cutter head of the second handle of a knife unit is stretched out outside the first insulation tube 1, i.e., two or more cutter heads can not stretch out the simultaneously Outside one insulation tube 1;
As shown in figure 4, adjusting rod 10 is insulating bar, mounting hole is offered along its length on the body of rod 10.1 of adjusting rod 10, Connecting wire 14 is equipped with the mounting hole, the lower end of adjusting rod 10 is plugged in the top of handle of a knife 9, one end of connecting wire 14 It is connected with handle of a knife 9, the other end of connecting wire 14 extends the pipe joint 3 and is connected with conducting element.
As shown in Figure 1, Figure 3, the lower end in the first insulation tube 1 is arranged with the suspended hood 15 being made up of transparency and heat-proof material, Suspended hood 15 is up-small and down-big, is easy to offer through hole on air draught, the side wall of suspended hood 15, aspiration channel is provided with and communicated with through hole 16, aspiration channel 16 is connected on first, second insulation tube 1,2 by line card, the port of export of aspiration channel 16 and entering for getter device Air port is connected, in surgical procedure, and the dense smoke produced when can be by coagulation or TURP is directly suctioned out, it is ensured that surgical field of view is clear.
During actual manufacture, spherical pattern is engraved or stamped in the handle of a knife unit button 10.2 for being fixed with knife head ball, together Reason, stamps or engraves corresponding tip shapes identical pattern on its excess-three button 10.2, is easy to distinguish, has simultaneously Beneficial to realizing being switched fast between different cutter heads.
During work, plug 3 is electrically connected with external power supply, and doctor needs to select suitable cutter head according to practical operation, so Press the button 10.2 corresponding to its afterwards, adjusting rod 10 along guide rail 12 slide into its end when button 10.2 be installed on guide rail 12 In the guide groove 11 of lower section, now the port of export of the cutter head from the first insulation tube 1 is protruding, you can carry out coagulation or TURP is made Industry;Such as need to switch cutter head of different shapes, the corresponding button 10.2 of the cutter head is pressed and is installed on corresponding guide groove 11 It is interior.

Claims (5)

1. a kind of multifunction surgical electric knife, including the first insulation tube(1), the second insulation tube(2), conducting element and with plug (3)Electric power connection line(4), first, second insulation tube(1、2)Pass through pipe joint(5)It is fixed with one, the second insulation tube (2)On be provided with coagulation switch(6)With TURP switch(7), the first insulation tube(1)Lower ending opening set, it is characterised in that:Institute State the first insulation tube(1)Inside it is provided with rounded limiting plate(8), the limiting plate(8)On be uniformly equipped with multiple structure phases Same handle of a knife unit;
The handle of a knife unit includes handle of a knife(9)Be plugged in the handle of a knife(9)The adjusting rod at top(10), in handle of a knife(9)Bottom It is fixed with cutter head;First insulation tube(1)Upper end is offered and the one-to-one guide groove of handle of a knife unit(11), it is located at The guide groove(11)First insulation tube of both sides(1)The guide rail extended from its top down is provided with inwall(12), it is described Guide groove(11)With the guide rail(12)It is staggered, guide groove(11)Length be more than guide rail(12)Length, the regulation Bar(10)It is plugged in the guide groove(11)It is interior and along guide rail(12)Slide,
The adjusting rod(10)For insulating bar, adjusting rod(10)Including the body of rod(10.1), in the body of rod(10.1)Outside it is upper End is fixed with button(10.2), the guide groove(11)With guide rail(12)Length difference be more than or equal to button(10.2)Length Degree;In the body of rod(10.1)Clear width is provided with convex platform(10.3)And lower convex platform(10.4), the upper and lower boss(10.3、 10.4)Longitudinal section for trapezium structure or by trapezium structure be connected step-like structure, positioned at the lower convex platform(10.4) The body of rod of lower section(10.1)On be provided with limiting stand(10.5), positioned at the limiting plate(8)And limiting stand(10.5)Between knife Handle(9)On be arranged with compression spring(13);
The body of rod(10.1)On offer along its length in mounting hole, the mounting hole and be equipped with connecting wire(14), The connecting wire(14)One end and the handle of a knife(9)It is connected, the connecting wire(14)The other end extend described Pipe joint(5)And electrically connected with the conducting element.
2. multifunction surgical electric knife according to claim 1, it is characterised in that:First insulation tube(1)Lower end is arranged There is suspended hood(15), the suspended hood(15)Side wall on offer through hole, be provided with and communicated with aspiration channel in the through hole (16), the aspiration channel(16)First insulation tube is connected in by line card(1)And/or second insulation tube(2)On, aspiration channel (16)The port of export be connected with the air inlet of getter device.
3. multifunction surgical electric knife according to claim 1, it is characterised in that:First insulation tube(1)The port of export Up big and down small bowl-shape or reverse frustoconic structure is formed for interior receive downwards.
4. multifunction surgical electric knife according to claim 1, it is characterised in that:Being shaped as the cutter head be spherical, annular, Aciculiform, rectangle or blade-shaped, multiple handle of a knife unit handle of a knifes(9)The tip shapes of lower end are different.
5. the multifunction surgical electric knife according to claim 1 or 4, it is characterised in that:The handle of a knife of each handle of a knife unit (9)On be arranged with insulation sleeve.
CN201710380466.2A 2017-05-25 2017-05-25 Multifunctional electric scalpel Active CN107007347B (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201710380466.2A CN107007347B (en) 2017-05-25 2017-05-25 Multifunctional electric scalpel

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Application Number Priority Date Filing Date Title
CN201710380466.2A CN107007347B (en) 2017-05-25 2017-05-25 Multifunctional electric scalpel

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Publication Number Publication Date
CN107007347A true CN107007347A (en) 2017-08-04
CN107007347B CN107007347B (en) 2023-03-14

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113397694A (en) * 2021-07-21 2021-09-17 杭州电子科技大学 Electric coagulation water knife under cavity mirror

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2026562A1 (en) * 1989-11-03 1991-05-04 George R. Proto Apparatus for attaching surgical suture components
WO2005053554A1 (en) * 2003-12-01 2005-06-16 Zheng-Ling Ji Multifunctional handpiece for laparoscopic surgery
CN203524846U (en) * 2013-11-06 2014-04-09 党雪 Multi-knife-head ophthalmic surgical device
CN204219035U (en) * 2014-11-10 2015-03-25 南京大学医学院附属鼓楼医院 Can be used for the Multifunctional electrotome in thoracic cavity

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2026562A1 (en) * 1989-11-03 1991-05-04 George R. Proto Apparatus for attaching surgical suture components
WO2005053554A1 (en) * 2003-12-01 2005-06-16 Zheng-Ling Ji Multifunctional handpiece for laparoscopic surgery
CN203524846U (en) * 2013-11-06 2014-04-09 党雪 Multi-knife-head ophthalmic surgical device
CN204219035U (en) * 2014-11-10 2015-03-25 南京大学医学院附属鼓楼医院 Can be used for the Multifunctional electrotome in thoracic cavity

Non-Patent Citations (1)

* Cited by examiner, † Cited by third party
Title
张晓彤等: "一种手术用电刀的设计与应用", 《循证护理》 *

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113397694A (en) * 2021-07-21 2021-09-17 杭州电子科技大学 Electric coagulation water knife under cavity mirror

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