CN107280759A - A kind of low-temperature plasma surgery systems - Google Patents

A kind of low-temperature plasma surgery systems Download PDF

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Publication number
CN107280759A
CN107280759A CN201710642527.8A CN201710642527A CN107280759A CN 107280759 A CN107280759 A CN 107280759A CN 201710642527 A CN201710642527 A CN 201710642527A CN 107280759 A CN107280759 A CN 107280759A
Authority
CN
China
Prior art keywords
pole plate
electrode
low
surgery systems
temperature plasma
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
CN201710642527.8A
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Chinese (zh)
Inventor
杨聪
许德冰
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.)
Ji'nan Micro Intelligent Technology Co Ltd
Original Assignee
Ji'nan Micro Intelligent Technology Co Ltd
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 Ji'nan Micro Intelligent Technology Co Ltd filed Critical Ji'nan Micro Intelligent Technology Co Ltd
Priority to CN201710642527.8A priority Critical patent/CN107280759A/en
Publication of CN107280759A publication Critical patent/CN107280759A/en
Pending legal-status Critical Current

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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
    • A61B18/042Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating using additional gas becoming plasma
    • 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
    • A61B2018/00005Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • A61B2018/00023Cooling or heating of the probe or tissue immediately surrounding the probe with fluids closed, i.e. without wound contact by the fluid
    • 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
    • A61B2018/00053Mechanical features of the instrument of device
    • A61B2018/00107Coatings on the energy applicator
    • A61B2018/0013Coatings on the energy applicator non-sticking
    • 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
    • A61B2018/00577Ablation
    • A61B2018/00583Coblation, i.e. ablation using a cold plasma
    • 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
    • A61B2018/00607Coagulation and cutting with the same instrument

Abstract

The invention discloses a kind of low-temperature plasma surgery systems, including main frame, control pedal, negative plate and procedures electrode, described procedures electrode includes plasma kinetic cutting electrode, described plasma kinetic cutting electrode includes the first pole plate, the second pole plate and the insulating barrier being arranged between first pole plate and the second pole plate, the a plurality of infusion hole for being used to convey physiological saline is provided with described insulating barrier, and width of a plurality of described infusion hole along the plasma kinetic cutting electrode is inline.The system not only reduces fire damage, disclosure satisfy that the requirement of delicate procedure, and by setting coating on the surface of procedures electrode, reduce adhesion.

Description

A kind of low-temperature plasma surgery systems
Technical field
The present invention relates to electrosurgical medical technique with the apparatus field, specifically a kind of low-temperature plasma surgery systems.
Background technology
Clinic typically uses electric knife when being cut at present.Electric knife is that a kind of substitution mechanical operation knife is carried out Organize cutting electrosurgical unit, it by active electrode tip produce high-frequency high-voltage current contacted with human body when to organize into Row heating, occurs cell explosion or vaporizes, realize the separation and solidification to injected organism tissue, so as to play the mesh of cutting and hemostasis 's.
But electric knife is too high due to operationally procedures electrode temperature, generally 300 DEG C, therefore when being performed the operation Fire damage to perienchyma is very big, is unfavorable for wound healing.In addition, the mechanical strength in order to ensure procedures electrode, therefore it is high The procedures electrode of frequency electric knife can not be made thin or very thin, therefore otch is wider when cutting tissue, it is impossible to meet fine The requirement of operation.
For this question patent number a kind of novel low temperature plasma operation is disclosed for 201410384714.7 patent Device, although the device reduces the temperature of work to a certain extent, the problem of still having following several respects.
First, novel low temperature plasma operation device is made by reducing the width of bare electrode (i.e. the width of slit) Energy is concentrated, so that power when reducing work, and then reduce the temperature of procedures electrode operationally, therefore the width of bare electrode Spending (i.e. the width of slit) can not be too wide, is otherwise unfavorable for reducing temperature during procedures electrode work.But reduce the width of narrow slit It is due to that the width of slit is narrow, worked although degree reduces temperature during procedures electrode work to a certain extent The contact area of Cheng Zhongyu tissues is too small, therefore coagulating effectiveness is bad.
Second, temperature when novel low temperature plasma operation device works is 130 DEG C or so, although relative to electric knife 300 DEG C of operating temperature, is greatly reduced, but still can produce fire damage to surrounding tissue.
3rd, procedures electrode temperature is higher during due to work, operationally, the local organization on periphery is occurred carbon Change, so as to stick on procedures electrode, need constantly to wipe procedures electrode during work, it is comparatively laborious.
The content of the invention
In view of the above-mentioned problems, the invention provides a kind of low-temperature plasma surgery systems, the system not only reduces heat waste Wound, disclosure satisfy that the requirement of delicate procedure, and by setting coating on the surface of procedures electrode, reduce adhesion.
The technical scheme adopted by the invention to solve the technical problem is that:
A kind of low-temperature plasma surgery systems, including main frame, control pedal, negative plate and procedures electrode, described operation Electrode includes plasma kinetic cutting electrode, and described plasma kinetic cutting electrode includes the first pole plate, the second pole plate and set It is provided with the insulating barrier being placed between first pole plate and the second pole plate, described insulating barrier for conveying physiological saline Infusion hole.
Further, described infusion hole is a plurality of, and a plurality of described infusion hole cuts electricity along the plasma kinetic The width of pole is inline.
Further, described insulating barrier is formed using ceramic material.
Further, described insulating barrier is made using rigid plastics.
Further, the distance between first pole plate and the second pole plate described in the present embodiment 0.3-0.5mm.
Further, the first described pole plate and the second pole plate are respectively arranged with coating, described coating using tungsten sulfide, Fluorine carbon or nano-silicon are made.
Further, described procedures electrode also includes being coated with tungsten needle electrode, and the tungsten needle of the tungsten needle electrode Layer, described coating is made using tungsten sulfide, fluorine carbon or nano-silicon.
The beneficial effects of the invention are as follows:
1st, by setting the first pole plate and the second pole plate, and insulating barrier is set between the first pole plate and the second pole plate, Infusion hole is set in insulating barrier, when plasma kinetic cutting electrode is contacted with tissue, before plasma kinetic cutting electrode End forms low temperature plasma thin layer, by applying voltage to low temperature plasma thin layer, makes charged particle impinging tissue, interrupts Molecular link, makes the tissue breakdowns such as protein, reaches the cutting purpose to tissue.In this course, due to the first described pole The distance between plate and the second pole plate very little, can reach 0.3-0.5mm, and during operation by infusion hole in a steady stream not The disconnected front end to plasma kinetic cutting electrode conveys physiological saline as electrolytic medium, therefore required operating voltage Low, the heat of generation is small, and temperature during work is low, can be controlled in the range of 40 DEG C -70 DEG C by experiment work temperature, to week The fire damage for enclosing tissue is small.
2nd, by setting infusion hole in insulating barrier, operationally, by infusion hole endlessly to plasma kinetic The front end conveying physiological saline of cutting electrode, on the one hand there is provided electrolytic medium, on the other hand also plays the effect of cooling, enters Reduce to one step the temperature during work of plasma kinetic cutting electrode.
3rd, while plasma kinetic cutting electrode operating temperature is ensured, plasma kinetic cutting electrode and group are increased Contact area between knitting, improves the effect of blood coagulation.
4th, by the Surface coating coating in plasma kinetic cutting electrode and tungsten needle electrode, reduce in surgical procedure Adhesion phenomenon.
Brief description of the drawings
Fig. 1 is structural representation of the invention;
Fig. 2 is the structural representation of plasma kinetic cutting electrode;
Fig. 3 is Fig. 2 top view.
In figure:1- main frames, 2- negative plates, 3- cables, 41- plasma kinetic cutting electrodes, the pole plates of 411- first, 412- Two pole plates, 413- insulating barriers, 414- infusion holes, 42- tungsten needle electrodes.
Embodiment
Embodiment one
As shown in figure 1, a kind of low-temperature plasma surgery systems include main frame 1, control pedal (not shown), negative plate 2 and procedures electrode, it is connected between described negative plate 2 and main frame 1, and between procedures electrode and main frame 1 by cable 3. Wherein described procedures electrode is a variety of, can be selected accordingly as needed during being performed the operation.
Described procedures electrode includes plasma kinetic cutting electrode 41, as shown in Figures 2 and 3, described bipolar grade from Sub- cutting electrode 41 include the first pole plate 411, the second pole plate 412 and be arranged at the pole plate 412 of the first pole plate 411 and second it Between insulating barrier 413, as a kind of embodiment, the insulating barrier 413 described in the present embodiment uses ceramic material Form.The a plurality of infusion hole 414 for being used to convey physiological saline is provided with described insulating barrier 413.
During work, discharged by the front end of the first pole plate 411 and the second pole plate 412, at the same time by described Infusion hole 414 endlessly conveys physiological saline to the front end of plasma kinetic cutting electrode 41.It is transported to plasma kinetic The physiological saline of the front end of cutting electrode 41 is ionized in the presence of the first pole plate 411 and the second pole plate 412, formed low temperature etc. from Daughter thin layer, and by applying voltage to low temperature plasma thin layer, make charged particle impinging tissue, interrupt molecular link, make egg The tissue breakdowns such as white matter, reach the cutting purpose to tissue.
In this course, due to the distance between described the first pole plate 411 and the second pole plate 412 very little, and in hand Endlessly physiological saline is conveyed during art to the front end of plasma kinetic cutting electrode 41 by infusion hole 414 to be used as Electrolytic medium, therefore required operating voltage is low, the heat of generation is small, and temperature during work is low.Through overtesting, institute of the present invention Temperature when the plasma kinetic cutting electrode 41 of offer works can be controlled in the range of 40 DEG C -70 DEG C, to surrounding tissue Fire damage it is small.
Further, in order to reduce the distance between described pole plate 412 of first pole plate 411 and second, it can meet The requirement of delicate procedure, as shown in figure 3, width of a plurality of described infusion hole 414 along the plasma kinetic cutting electrode 41 Direction is inline.
Although operating voltage can be reduced by reducing the distance between the first pole plate 411 and the second pole plate 412, it is set to meet essence The requirement carefully performed the operation, but be due to that can also reduce the contact area between plasma kinetic cutting electrode 41 and tissue, reduction is solidifying The effect of blood, considers this several respects factor, is used as a kind of embodiment, it is preferred that described in the present embodiment The distance between one pole plate 411 and the second pole plate 412 (i.e. the thickness of insulating barrier 413) 0.3-0.5mm.
Further, due to traditional procedures electrode operationally, the tissue contacted with procedures electrode is heated, part group Knit and easily adhere on procedures electrode, in operation, it is necessary to frequently wipe procedures electrode.In order to solve this problem, this hair In bright, described the first pole plate 411 and the second pole plate 412 is respectively arranged with coating, described coating using tungsten sulfide, fluorine carbon or It is that nano-silicon is made.
Described procedures electrode also includes tungsten needle electrode 42, when similarly in order to avoid work, is connect with the tungsten needle electrode 42 Tactile tissue adhesion uses tungsten sulfide, fluorine to coating, described coating in tungsten needle, is coated with the tungsten needle of the tungsten needle electrode 42 Carbon or nano-silicon are made.
Embodiment two
Described insulating barrier 413 is made using rigid plastics, remaining structure be the same as Example one.

Claims (7)

1. a kind of low-temperature plasma surgery systems, including main frame, control pedal, negative plate and procedures electrode, it is characterised in that:Institute The procedures electrode stated includes plasma kinetic cutting electrode, and described plasma kinetic cutting electrode includes the first pole plate, second It is provided with pole plate and the insulating barrier being arranged between first pole plate and the second pole plate, described insulating barrier for conveying life Manage the infusion hole of salt solution.
2. a kind of low-temperature plasma surgery systems according to claim 1, it is characterised in that:Described infusion hole is many Bar, and width of a plurality of described infusion hole along the plasma kinetic cutting electrode is inline.
3. a kind of low-temperature plasma surgery systems according to claim 1, it is characterised in that:Described insulating barrier is using pottery Ceramic material is made.
4. a kind of low-temperature plasma surgery systems according to claim 1, it is characterised in that:Described insulating barrier is using hard Matter plastic production is formed.
5. a kind of low-temperature plasma surgery systems according to claim 1, it is characterised in that:The first described pole plate and The distance between two pole plates 0.3-0.5mm.
6. a kind of low-temperature plasma surgery systems according to claim 1, it is characterised in that:The first described pole plate and Two pole plates are respectively arranged with coating, and described coating is made using tungsten sulfide, fluorine carbon or nano-silicon.
7. a kind of low-temperature plasma surgery systems according to claim 1, it is characterised in that:Described procedures electrode is also wrapped Include and coating is coated with tungsten needle electrode, and the tungsten needle of the tungsten needle electrode, described coating uses tungsten sulfide, fluorine carbon or nanometer Silicon is made.
CN201710642527.8A 2017-07-31 2017-07-31 A kind of low-temperature plasma surgery systems Pending CN107280759A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201710642527.8A CN107280759A (en) 2017-07-31 2017-07-31 A kind of low-temperature plasma surgery systems

Applications Claiming Priority (1)

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Publications (1)

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CN107280759A true CN107280759A (en) 2017-10-24

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Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030130658A1 (en) * 2001-12-27 2003-07-10 Goble Coliin C.O. Surgical instrument
CN201727580U (en) * 2010-08-17 2011-02-02 刘向东 Plasma otorhinolaryngologic operating knife
CN201912225U (en) * 2010-11-25 2011-08-03 北京恒福思特科技发展有限责任公司 Scalpel used for electrosurgical operation and electrosurgical operation system
CN104161584A (en) * 2014-08-05 2014-11-26 中国人民解放军总医院 Novel low-temperature plasma operation device
CN104207844A (en) * 2014-09-28 2014-12-17 大连顺达微创科技有限公司 Plasma surgical electrode with fluid being supplied on inner side of tubular electrode
CN105167909A (en) * 2015-10-20 2015-12-23 成都美创医疗科技股份有限公司 Low-temperature plasma ophthalmic scalpel bit
CN208274613U (en) * 2017-07-31 2018-12-25 济南显微智能科技有限公司 A kind of low-temperature plasma surgery systems

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US20030130658A1 (en) * 2001-12-27 2003-07-10 Goble Coliin C.O. Surgical instrument
CN201727580U (en) * 2010-08-17 2011-02-02 刘向东 Plasma otorhinolaryngologic operating knife
CN201912225U (en) * 2010-11-25 2011-08-03 北京恒福思特科技发展有限责任公司 Scalpel used for electrosurgical operation and electrosurgical operation system
CN104161584A (en) * 2014-08-05 2014-11-26 中国人民解放军总医院 Novel low-temperature plasma operation device
CN104207844A (en) * 2014-09-28 2014-12-17 大连顺达微创科技有限公司 Plasma surgical electrode with fluid being supplied on inner side of tubular electrode
CN105167909A (en) * 2015-10-20 2015-12-23 成都美创医疗科技股份有限公司 Low-temperature plasma ophthalmic scalpel bit
CN208274613U (en) * 2017-07-31 2018-12-25 济南显微智能科技有限公司 A kind of low-temperature plasma surgery systems

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Inventor after: Zhang Yixin

Inventor after: Xu Debing

Inventor after: Yang Cong

Inventor before: Yang Cong

Inventor before: Xu Debing