CN107007347B - Multifunctional electric scalpel - Google Patents

Multifunctional electric scalpel Download PDF

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Publication number
CN107007347B
CN107007347B CN201710380466.2A CN201710380466A CN107007347B CN 107007347 B CN107007347 B CN 107007347B CN 201710380466 A CN201710380466 A CN 201710380466A CN 107007347 B CN107007347 B CN 107007347B
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China
Prior art keywords
insulating tube
insulating
boss
adjusting rod
handle
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Application number
CN201710380466.2A
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Chinese (zh)
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CN107007347A (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
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First Affiliated Hospital of Zhengzhou University
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First Affiliated Hospital of Zhengzhou University
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Priority to CN201710380466.2A priority Critical patent/CN107007347B/en
Publication of CN107007347A publication Critical patent/CN107007347A/en
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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
    • 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 multifunctional electric scalpel for surgery, which comprises a first insulating pipe, a second insulating pipe, a conductive element and a power supply connecting wire, wherein an electrocoagulation switch and an electrosection switch are arranged on the second insulating pipe; one end of a connecting wire in the adjusting rod is connected with the knife handle, and the other end of the connecting wire is electrically connected with the conductive element. The invention has a plurality of cutter heads with different shapes, can realize the switching of the cutter heads with different shapes through the adjusting rod, and meets various requirements of operations; the upper inclined plane of the upper boss is obliquely arranged downwards from the top of the upper boss, and the lower inclined plane of the lower boss is obliquely arranged upwards from the bottom of the lower boss, so that the upper boss has a guiding function, and the cutter heads in different shapes can be conveniently switched; the air suction cover can suck out smoke to ensure clear visual field.

Description

Multifunctional electric surgical knife
Technical Field
The invention relates to medical auxiliary equipment, in particular to a multifunctional electric scalpel.
Background
With the continuous development of the medical technology level, the application of the electrosurgical knife in the surgical operation is more and more extensive, and the electrosurgical knife can be used for the surgical operations of cutting, drying, blood coagulation, tissue burning and the like. The existing electric scalpel is only provided with one electric scalpel head, and two methods of replacing the electric scalpel and replacing the electric scalpel head are usually adopted when the scalpel heads in different shapes need to be used in the operation process. Use a plurality of electrotomes in the operation in-process simultaneously, the circuit is many and chaotic, and the operation is inconvenient to because the electrotome is mostly disposable, extravagant material, so current method of generally adopting the change electrotome head more changes, and the heat on the electrotome head after using in the change process is big, very easily scalds medical personnel, and the electrotome head is less, drops the disease easily internally, influences that the disease is healthy.
Disclosure of Invention
The invention aims to provide a multifunctional electric scalpel which is provided with a plurality of scalpel heads, has different shapes and has a smoke removing function.
In order to achieve the purpose, the invention adopts the following technical scheme:
the invention relates to a multifunctional electric scalpel, which comprises a first insulating tube, a second insulating tube, a conductive element and a power supply connecting wire with an electric plug, wherein the first insulating tube and the second insulating tube are fixedly connected into a whole through a tube joint, an electrocoagulation switch and an electrotomy switch are arranged on the second insulating tube, and an opening at the lower end of the first insulating tube is arranged, and the multifunctional electric scalpel is characterized in that: a circular limiting plate is arranged in the first insulating pipe, and a plurality of cutter handle units with the same structure are uniformly distributed on the limiting plate in a penetrating manner;
the cutter handle unit comprises a cutter handle and an adjusting rod inserted at the top of the cutter handle, and the bottom of the cutter handle is fixedly connected with a cutter head; the upper end of the first insulating pipe is provided with guide grooves corresponding to the cutter handle units one by one, guide rails extending downwards from the top of the first insulating pipe are arranged on the inner walls of the first insulating pipe on two sides of the guide grooves, the guide grooves and the guide rails are arranged in a staggered mode, the length of each guide groove is larger than that of each guide rail, and the adjusting rod is inserted into the guide grooves and slides along the guide rails;
the adjusting rod is an insulating rod and comprises a rod body, the upper end of the outer side of the rod body is fixedly connected with a button, and the length difference between the guide groove and the guide rail is greater than or equal to the length of the button; the inner side of the rod body is provided with an upper boss and a lower boss at intervals, the longitudinal sections of the upper boss and the lower boss are in a trapezoidal structure or a step-shaped structure formed by connecting the trapezoidal structures, the rod body positioned below the lower boss is provided with a limiting table, and a cutter handle positioned between the limiting table and the limiting table is sleeved with a compression spring;
the tool comprises a shank and a pipe joint, wherein the shank is provided with a mounting hole along the length direction, a connecting wire penetrates through the mounting hole, one end of the connecting wire is connected with the tool shank, and the other end of the connecting wire extends out of the pipe joint and is electrically connected with a conductive element.
The air suction device is characterized in that an air suction cover is sleeved at the lower end of the first insulating pipe, a through hole is formed in the side wall of the air suction cover, the air suction pipe is communicated with the through hole and fixedly connected to the first insulating pipe and/or the second insulating pipe through a wire clamp, and the outlet end of the air suction pipe is communicated with an air inlet of an air suction device.
The outlet end of the first insulating pipe is in a downward inward contraction shape to form a bowl-shaped or inverted circular truncated cone-shaped structure with a large upper part and a small lower part.
The shape of the tool bit is spherical, annular, needle-shaped, rectangular or blade-shaped, and the tool bits at the lower ends of the tool shanks of the plurality of tool shank units are different from each other.
And the knife handle of each knife handle unit is sleeved with an insulating sleeve.
Compared with the existing electric scalpel, the multifunctional electric scalpel has the following advantages:
(1) The invention is provided with a plurality of handle units, the shape of the tool bit of each handle unit is one of spherical, annular, needle-shaped, rectangular or blade-shaped and is different from each other, the switching operation of the tool bits in different shapes can be realized by adjusting the rod, and then various requirements in the operation process are met; the switching operation process of the different-shape cutter heads is as follows: taking the switching of the first and second handle units as an example, when an adjusting rod of the first handle unit slides downwards along a guide rail in a guide groove to the tail end of the guide rail, a button of the first handle unit is just clamped in the guide groove below the guide rail, and at the moment, a tool bit of the handle unit extends outwards to form an outlet at the bottom of the first insulating pipe; when the tool bit needs to be switched, the button of the second tool handle unit is pressed downwards to enable the adjusting rod to be downward, the lower boss on the adjusting rod of the second tool handle unit is pressed downwards to touch the upper boss on the adjusting rod of the first tool handle unit in the moving process, the first tool handle unit is reset, the adjusting rod of the second tool handle unit is continuously moved downwards, the button of the adjusting rod of the second tool handle unit is clamped in the guide groove, and the tool bit is switched simply.
(2) The length difference between the guide groove and the guide rail is larger than or equal to the length of the button, when the adjusting rod slides to the tail end of the guide rail, the button is clamped in the guide groove at the lower end of the guide rail, the top of the button tightly pushes the bottom of the guide rail, and the cutter head at the lower end of the cutter handle unit extends out of the first insulating pipe at the moment, so that the limiting and positioning effects are achieved.
(3) The longitudinal section of the upper boss and the lower boss is of a trapezoidal structure or a step-shaped structure, the upper inclined plane of the upper boss is inclined downwards from the top of the upper boss, the lower inclined plane of the lower boss is inclined upwards from the bottom of the lower boss, and the upper inclined plane of the upper boss and the lower inclined plane of the lower boss have guiding functions, so that different cutter heads can be switched conveniently.
(4) The lower pot head of first insulating tube is equipped with the cover that induced drafts, can in time suck the smog suction through the cover that induced drafts in the operation process, ensures that the field of vision is clear.
Drawings
Fig. 1 is a schematic structural view of the present invention.
Fig. 2 isbase:Sub>A schematic sectional view along the linebase:Sub>A-base:Sub>A in fig. 1 (with the suction duct hidden).
Fig. 3 is a schematic view of the internal structure of the first insulating tube in fig. 1.
Fig. 4 is a schematic view of the structure of the adjusting lever in fig. 3.
Fig. 5 is a schematic view of the structure of the guide rail according to the present invention.
Fig. 6 is a schematic structural view of the tool holder and the tool bit of the present invention.
Fig. 7 is a schematic structural view of a use state of the present invention.
Detailed Description
As shown in fig. 1, the multifunctional electric scalpel for surgical operation of the invention comprises a first insulating tube 1, a second insulating tube 2, a conductive element (not shown in the figure) and a power supply connecting wire 4 with an electric plug 3, wherein the first insulating tube 1 and the second insulating tube 2 are fixedly connected into a whole through a pipe joint 5, the first insulating tube 1 and the second insulating tube 2 are both in threaded connection with the pipe joint 5, the pipe joint 5 has a limiting effect on an adjusting rod 10, an electrocoagulation switch 6 and an electrotomy switch 7 are arranged on the second insulating tube 2, the conductive element is arranged in the second insulating tube 2, and the conductive element is electrically connected with the power supply connecting wire 4;
as shown in fig. 3, a circular limiting plate 8 is arranged in the first insulating tube 1, four through holes are uniformly distributed on the limiting plate 8 along the circumferential direction of the limiting plate, a handle unit is inserted into each through hole, the four handle units have the same structure, a blind mounting hole is formed in the top of the handle 9, a protrusion is arranged on the lower portion of the adjusting rod 10, the lower portion of the adjusting rod 10 is inserted into the blind mounting hole, the protrusion can effectively ensure that the adjusting rod 10 is tightly inserted into the handle 9, an insulating sleeve (not shown in the figure) is sleeved on the handle 9 to prevent the handle units from conducting electricity due to touch, and a cutter head is fixedly connected to the bottom of the handle 9. As shown in fig. 6, the cutter head is any one of a spherical cutter head 17.1, an annular cutter head 17.2, a needle-shaped cutter head 17.3, a rectangular cutter head 17.4 or a blade-shaped cutter head 17.5, the cutter heads at the lower ends of the four handle units 9 are different in shape, the blade-shaped cutter head 17 is used for cutting, the spherical cutter head 17.1 is used for hemostasis, the needle-shaped cutter head 17.3 is used for the cutting and hemostasis of a fine position, and the annular cutter head 17.2 is used for the cutting and hemostasis of a gynecological operation when different cutter heads are needed; the lower end of the first insulating tube 1 is provided with an opening, and the lower end of the first insulating tube 1 is folded downwards to form a bowl-shaped structure with a large upper part and a small lower part, so that the cutter head can be conveniently extended out; as shown in fig. 1 and 2, four guide grooves 11 are uniformly spaced from top to bottom at the upper end of the first insulating tube 1, as shown in fig. 2 and 5, guide rails 12 extending downward from the top of the first insulating tube 1 are arranged on the inner walls of the first insulating tube 1 at two sides of the guide grooves 11, the guide grooves 11 and the guide rails 12 are arranged in a staggered manner, the length of each guide groove 11 is greater than that of each guide rail 12, and the adjusting rod 10 is inserted into each guide groove 11 and slides along each guide rail 12;
as shown in fig. 3 and 4, the adjusting rod comprises a rod body 10.1, a button 10.2 is fixedly connected to the upper end of the outer side of the rod body 10.1, an upper boss 10.3 and a lower boss 10.4 are arranged at intervals on the inner side of the rod body, the longitudinal section of the upper boss 10.3 is of an isosceles trapezoid structure, the longitudinal section of the lower boss 10.3 is of a step-shaped structure and is formed by connecting two isosceles trapezoid structures, the upper bottom and the lower bottom of the trapezoid structure are vertically arranged, the lower bottom of the trapezoid structure is fixedly connected with the rod body 10.1, a limiting table 10.5 is arranged on the rod body 10.1 below the lower boss 10.4, a compression spring 13 is sleeved on a handle 9 between the limiting plate 8 and the limiting table 10.5, the length difference between a guide groove 11 and a guide rail 12 is greater than or equal to the length of the button 10.2, when the adjusting rod 10 slides to the tail end of the guide rail 12, the button 10.1 is clamped in the guide groove 11 at the lower end of the guide rail 12, and the lower boss 10.4 on the adjusting rod 10 of other unit is positioned right above the adjusting rod 10.3; the specific adjustment process is as follows: for the convenience of distinction, the four handle units are named as a first handle unit, a second handle unit, a third handle unit and a fourth handle unit respectively, as shown in fig. 7, an adjusting rod 10 of the first handle unit slides along a guide groove 11 to the end of a guide rail 12, a button 10.2 on the upper part of the adjusting rod 10 is clamped in the guide groove 11 on the lower side of the guide rail 12, a tool bit fixedly connected with the lower end of the first handle unit extends out of a first insulating tube 1, when the tool bit needs to be switched into other shapes, taking the second handle unit as an example, the button 10.2 of the second handle unit is pressed to slide the adjusting rod 10 downwards, a lower inclined surface of a lower boss 10.4 of the second handle unit downwards presses an upper inclined surface of an upper boss 10.3 of the first handle unit, the adjusting rod 10 of the first handle unit is pressed by the second handle unit and is pulled out of the guide rail 12 to return to the original position, and a button 10.2 of the second handle unit is clamped in the guide groove 11, and the tool bit of the second handle unit extends out of the first insulating tube 1, namely two or more tool bits cannot simultaneously extend out of the first insulating tube 1;
as shown in fig. 4, the adjusting rod 10 is an insulating rod, a mounting hole is formed in the rod body 10.1 of the adjusting rod 10 along the length direction of the rod body, a connecting wire 14 penetrates through the mounting hole, the lower end of the adjusting rod 10 is inserted into the top of the tool holder 9, one end of the connecting wire 14 is connected with the tool holder 9, and the other end of the connecting wire 14 extends out of the pipe joint 3 and is connected with the conductive element.
As shown in fig. 1 and 3, the lower end cover in the first insulating tube 1 is provided with an air suction cover 15 made of transparent heat-resistant material, the air suction cover 15 is small at the top and big at the bottom, so that air suction is facilitated, a through hole is formed in the side wall of the air suction cover 15, an air suction tube 16 is communicated and arranged at the through hole, the air suction tube 16 is fixedly connected to the first insulating tube 1 and the second insulating tube 2 through a wire clamp, the outlet end of the air suction tube 16 is communicated with the air inlet of an air suction device, and in the operation process, dense smoke generated in electrocoagulation or electrosection can be directly sucked out, so that the clear operation visual field is ensured.
During actual manufacturing, spherical patterns are engraved or printed on the handle unit buttons 10.2 fixedly connected with the spherical cutter heads, and similarly, patterns with the same shapes as the corresponding cutter heads are engraved or printed on the other three buttons 10.2, so that the buttons are convenient to distinguish, and meanwhile, quick switching among different cutter heads is facilitated.
When the electric coagulation and electrotomy device works, the electric plug 3 is electrically connected with an external power supply, a doctor selects a proper cutter head according to actual operation requirements, then presses the corresponding button 10.2, the button 10.2 is clamped in the guide groove 11 below the guide rail 12 when the adjusting rod 10 slides to the tail end along the guide rail 12, and at the moment, the cutter head extends outwards from the outlet end of the first insulating tube 1, so that the electrocoagulation or electrotomy operation can be carried out; if the cutter heads with different shapes need to be switched, the button 10.2 corresponding to the cutter head is pressed and clamped in the corresponding guide groove 11.

Claims (5)

1. The utility model provides a multi-functional surgical electric knife, includes first insulating tube (1), second insulating tube (2), conductive element and power connecting wire (4) that have electric plug (3), first, second insulating tube (1, 2) link firmly as an organic whole through coupling (5), are provided with electrocoagulation switch (6) and electrotomy switch (7) on second insulating tube (2), and the lower extreme opening of first insulating tube (1) sets up its characterized in that: a circular limiting plate (8) is arranged in the first insulating pipe (1), and a plurality of cutter handle units with the same structure are uniformly distributed on the limiting plate (8) in a penetrating manner;
the cutter handle unit comprises a cutter handle (9) and an adjusting rod (10) inserted at the top of the cutter handle (9), and a cutter head is fixedly connected to the bottom of the cutter handle (9); the upper end of the first insulating pipe (1) is provided with guide grooves (11) which correspond to the cutter handle units one by one, guide rails (12) extending downwards from the top of the first insulating pipe (1) are arranged on the inner walls of the first insulating pipe (1) positioned at two sides of the guide grooves (11), the guide grooves (11) and the guide rails (12) are arranged in a staggered manner, the length of the guide grooves (11) is greater than that of the guide rails (12), the adjusting rod (10) is inserted in the guide grooves (11) and slides along the guide rails (12),
the adjusting rod (10) is an insulating rod, the adjusting rod (10) comprises a rod body (10.1), the upper end of the outer side of the rod body (10.1) is fixedly connected with a button (10.2), and the length difference between the guide groove (11) and the guide rail (12) is larger than or equal to the length of the button (10.2); an upper boss (10.3) and a lower boss (10.4) are arranged on the inner side of the rod body (10.1) at intervals, the longitudinal sections of the upper boss (10.3) and the lower boss (10.4) are of a trapezoidal structure or a step-shaped structure formed by connecting the trapezoidal structures, a limiting table (10.5) is arranged on the rod body (10.1) below the lower boss (10.4), and a compression spring (13) is sleeved on a cutter handle (9) between the limiting plate (8) and the limiting table (10.5);
the tool is characterized in that a mounting hole is formed in the rod body (10.1) along the length direction of the rod body, a connecting wire (14) penetrates through the mounting hole, one end of the connecting wire (14) is connected with the tool handle (9), and the other end of the connecting wire (14) extends out of the pipe joint (5) and is electrically connected with the conductive element.
2. The multi-functional electrosurgical knife of claim 1, wherein: the utility model discloses a fan, including first insulating tube (1), aspiration channel (15), aspiration channel (16) and wire clamp, the pot head is equipped with aspiration channel (15) under first insulating tube (1), the through-hole has been seted up on the lateral wall of aspiration channel (15) through-hole department intercommunication is provided with aspiration channel (16), aspiration channel (16) link firmly through the wire clamp on first insulating tube (1) and/or second insulating tube (2), the exit end and the air intake of getter device of aspiration channel (16) are linked together.
3. The multi-functional electrosurgical knife of claim 1, wherein: the outlet end of the first insulating pipe (1) is downwards inwards contracted to form a bowl-shaped or inverted-truncated-cone-shaped structure with a large upper part and a small lower part.
4. The multi-functional electrosurgical knife of claim 1, wherein: the shape of the tool bit is spherical, annular, needle-shaped, rectangular or blade-shaped, and the tool bit shapes at the lower ends of the tool shanks (9) of the plurality of tool shank units are different from each other.
5. The multifunctional electrosurgical knife of claim 1 or 4, wherein: and an insulating sleeve is sleeved on the knife handle (9) of each knife handle unit.
CN201710380466.2A 2017-05-25 2017-05-25 Multifunctional electric scalpel Active CN107007347B (en)

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CN107007347B true CN107007347B (en) 2023-03-14

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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
一种手术用电刀的设计与应用;张晓彤等;《循证护理》;20160730(第03期);全文 *

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