CN107334526A - A kind of diathermy forceps with Neural monitoring function in art - Google Patents

A kind of diathermy forceps with Neural monitoring function in art Download PDF

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Publication number
CN107334526A
CN107334526A CN201710647459.4A CN201710647459A CN107334526A CN 107334526 A CN107334526 A CN 107334526A CN 201710647459 A CN201710647459 A CN 201710647459A CN 107334526 A CN107334526 A CN 107334526A
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CN
China
Prior art keywords
monitoring
diathermy forceps
plug
tweezer
neural
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Pending
Application number
CN201710647459.4A
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Chinese (zh)
Inventor
邱学文
魏云
刘继斌
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WUHAN BANBIANTIAN MEDICAL TECHNOLOGY DEVELOPMENT Co Ltd
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WUHAN BANBIANTIAN MEDICAL TECHNOLOGY DEVELOPMENT Co Ltd
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Priority to CN201710647459.4A priority Critical patent/CN107334526A/en
Publication of CN107334526A publication Critical patent/CN107334526A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
    • 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
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/06Measuring instruments not otherwise provided for
    • 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
    • A61B2018/00589Coagulation
    • 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
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B2018/1462Tweezers

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

Abstract

The invention discloses a kind of diathermy forceps with Neural monitoring function in art, including metal tweezer is sharp, upper tweezer body, diathermy forceps plug, connector assembly, lower tweezer body, the surface of upper tweezer body and lower tweezer body is electrically insulated, the metal tweezer point of its front end does not do insulation processing, its rear end is connected by connector assembly with diathermy forceps plug, also include monitoring switch, monitoring plug, metal tweezer point is electrically connected with monitoring switch, monitoring plug, and monitoring plug is connected with Neural monitoring main frame.The present invention can monitor reflection nerve in real time except the function with diathermy forceps resection organization and coagulation, and during use, be applicable to the surgical operation of Neural monitoring, such as thyroid operation etc., effectively avoid injured nerve in operation, good operation effect.

Description

A kind of diathermy forceps with Neural monitoring function in art
Technical field
The invention belongs to technical field of medical instruments, and in particular to a kind of diathermy forceps with Neural monitoring function in art, fit For being related to the surgical operation (such as thyroid operation) of Neural monitoring, effective monitoring neurotrosis smoothly completes to perform the operation.
Background technology
In the surgical operation for being much related to nerve, it is a key subjects to avoid neurotrosis, such as in normal first shape In gland operation, diathermy forceps does not access recurrent nerve monitoring system, and recurrent nerve injury is the complication of operation most serious, can be led Pathogenic people has a husky voice or cried out, and quality of life declines even life-threatening, how to evade diathermy forceps larynx is damaged in operation and return Nerve is always the problem for perplexing doctor, and the present invention is exactly to be carried out to solve this problem.
Diathermy forceps is the new instruments of the fine surgical operation such as ear nose larynx, by two valve tweezer points of diathermy forceps to lesion tissue High-frequency electrical energy is provided, the blood vessel between the valve tweezer point of diathermy forceps two is dehydrated and is solidified, reaches the purpose of hemostasis.At present on the market Diathermy forceps is pure operating theater instruments, without Neural monitoring function in band art.
The present invention increases a monitoring switch on the original architecture basics of conventional diathermy forceps, and monitoring switch both ends connect respectively Tweezer point and monitoring plug are connect, monitoring plug is connected with Neural monitoring main frame, it is necessary to pin the monitoring switch of diathermy forceps when detecting, even Neural monitoring circuit in logical art, the tissue of monitoring is judged with display display alarm by the audible alarm of Neural monitoring main frame In whether have neural process, recurrent nerve can be monitored in real time such as in thyroid operation, to avoid diathermy forceps in operation to disease The damage of people's recurrent nerve.
The content of the invention
The purpose of the present invention is to be the provision of a kind of diathermy forceps with Neural monitoring function in art, in conventional diathermy forceps knot Neural monitoring structure in art is added on the basis of structure, is applicable to the surgical operation of Neural monitoring, such as in thyroid operation Recurrent nerve electric signal can be monitored in real time, evaded recurrent nerve injury, it is safe to use so that surgical effect can be more preferable.
To achieve these goals, the present invention takes following technical scheme:
A kind of diathermy forceps with Neural monitoring function in art, including metal tweezer is sharp, upper tweezer body, diathermy forceps plug, connector assembly, lower tweezer The surface electric insulation of body, upper tweezer body and lower tweezer body, the metal tweezer point of its front end do not do insulation processing, its rear end by connector assembly with Diathermy forceps plug is connected, in addition to monitoring switch, monitoring plug, and metal tweezer point is electrically connected with monitoring switch, monitoring plug, monitored Plug is connected with Neural monitoring instrument.
Further, described diathermy forceps is bipolar coagulation forceps, upper tweezer body and lower tweezer body electrically insulated from one another.
Further, described diathermy forceps is monopolar coagulation forceps, and upper tweezer body and lower tweezer body connect as one at connector assembly.
Further, described monitoring switch is arranged at tweezer body or is floor push.
The present invention inventive point be to increase monitoring switch on conventional diathermy forceps, the metal tweezer point of diathermy forceps is passed through into prison Slowdown monitoring switch is connected with Neural monitoring main frame so that common diathermy forceps has Neural monitoring function.
The present invention compared with prior art, has advantages below and effect:
The present invention is rational in infrastructure, on the basis of the former diathermy forceps of guarantee coagulates and cuts function, increases Neural monitoring function, will not change doctor The raw operating habit using diathermy forceps.Can be real except with diathermy forceps resection organization and coagulation function, and when using When monitoring reflection nerve, avoid surgical injury neural, ensure that safe handling is convenient, good operation effect, suitable for thyroid operation Or other similar institutional frameworks with reflection nerve, such fine open surgery.
Brief description of the drawings
Fig. 1 is a kind of structural representation with the diathermy forceps of Neural monitoring function in art.
Wherein:1- metals tweezer point, the upper tweezer bodies of 2-, 3- monitoring switchs, 4- monitoring wire, 5- monitorings plug, 6- diathermy forcepses are inserted Tweezer body under head, 7- connector assemblies, 8-.
Embodiment
As shown in figure 1, a kind of diathermy forceps with Neural monitoring function in art, including metal tweezer point 1, upper tweezer body 2, monitoring are opened Close 3, monitoring wire 4, monitoring plug 5, diathermy forceps plug 6, connector assembly 7, lower tweezer body 8.Upper tweezer body 2 and the lower surface of tweezer body 8 electricity are absolutely Edge, the metal tweezer point 1 of its front end do not do insulation processing, and the rear end of upper and lower tweezer body is connected by connector assembly 7 with diathermy forceps plug 6, Metal tweezer point 1 is electrically connected by monitoring wire 4 with monitoring switch 3, monitoring plug 5, and monitoring plug 5 is connected with Neural monitoring instrument.
Further, the above-mentioned diathermy forceps with Neural monitoring function in art is bipolar coagulation forceps, upper tweezer body 2 and lower tweezer body 8 electrically insulated from one another, upper tweezer body 2 and lower tweezer body 8 can be made of metal material, and insulation processing or insulation are made in surface Material is made, and metal tweezer point 1 is connected by wire with connector assembly.
Further, the above-mentioned diathermy forceps with Neural monitoring function in art is monopolar coagulation forceps, upper tweezer body 2 and lower tweezer body 8 connect as one at connector assembly 7.
Further, the above-mentioned monitoring switch 3 with the diathermy forceps of Neural monitoring function in art is on upper tweezer body 2 or outer It is set to floor push.After diathermy forceps is connected to radio frequency surgical apparatus by diathermy forceps plug, by picking out one on radio frequency surgical apparatus Individual floor push controls diathermy forceps to work, as monitoring switch is arranged at the upper tweezer body of diathermy forceps, then monitoring switch and radio frequency Foot-operated control Neural monitoring loop and the coagulation loop respectively picked out on surgical apparatus;Then it is both feet if monitoring switch is foot-operated Step on and control Neural monitoring loop and coagulation loop respectively.
When operation technique, diathermy forceps plug 6 is connected with high frequency surgical equipment, and monitoring plug 5 is connected to Neural monitoring instrument. When diathermy forceps tweezer point is close to neurotomy chorista, before coagulation, cut-out tissue, monitoring switch 3 is pinned, connects art Middle neural monitoring circuit, the stimulating electrical signal monitoring tissue for being transmitted Neural monitoring instrument by tweezer point, then by insertion tissue Signal-receiving electrode pass tissue signal back Neural monitoring instrument, as the non-display alarm waveform of monitor screen fails to hear sound Alarm sound with activity reaction, you can think that impassivity is present at this, now can relievedly carry out necessary operation technique, such as See myoelectricity alarm waveform and hear myoelectrical activity alarm sound, that is, represent there is neural process in the tissue, need careful separation solution Nerve is cutd open, avoids neurotrosis in art.After Neural monitoring step is completed, monitoring switch 3 is unclamped, disconnects Neural monitoring loop Stepping on the floor push that high frequency surgical equipment picks out realizes coagulation circuit communication simultaneously, and now diathermy forceps has the work(of coagulation Energy.The present invention is applicable to the surgical operation (such as thyroid operation) of Neural monitoring, and effective monitoring neurotrosis is so as to hand Art smoothly completes.

Claims (5)

1. a kind of diathermy forceps with Neural monitoring function in art, including metal tweezer point(1), upper tweezer body(2), diathermy forceps plug(6)、 Connector assembly(7), lower tweezer body(8), upper tweezer body(2)With lower tweezer body(8)Surface is electrically insulated, the metal tweezer point of its front end(1)Do not leave no room for manoeuvre Edge processing, its rear end passes through connector assembly(7)With diathermy forceps plug(6)Connection, it is characterised in that:Also include monitoring switch(3), prison Survey plug(5), metal tweezer point(1)With monitoring switch(3), monitoring plug(5)Electrical connection, monitor plug(5)With Neural monitoring instrument Connection.
2. the diathermy forceps according to claim 1 with Neural monitoring function in art, it is characterised in that:Described diathermy forceps is Bipolar coagulation forceps, upper tweezer body(2)With lower tweezer body(8)Electrically insulated from one another.
3. the diathermy forceps according to claim 1 with Neural monitoring function in art, it is characterised in that:Described diathermy forceps is Monopolar coagulation forceps, upper tweezer body(2)With lower tweezer body(8)In connector assembly(7)Place connects as one.
4. the diathermy forceps according to claim 1 with Neural monitoring function in art, it is characterised in that:Described monitoring switch (3)It is arranged at tweezer body(2).
5. the diathermy forceps according to claim 1 with Neural monitoring function in art, it is characterised in that:Described monitoring switch (3)For floor push.
CN201710647459.4A 2017-08-01 2017-08-01 A kind of diathermy forceps with Neural monitoring function in art Pending CN107334526A (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107260258A (en) * 2017-08-01 2017-10-20 武汉半边天微创医疗技术有限公司 A kind of rf ultrasound's tweezer
CN109758226A (en) * 2019-03-21 2019-05-17 邱辉 A kind of bipolar mis instruments of Neural monitoring
CN112472283A (en) * 2021-01-12 2021-03-12 江苏百宁盈创医疗科技有限公司 Wireless nerve monitoring bipolar coagulation forceps

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1090745A (en) * 1993-01-19 1994-08-17 高桂才 A kind of manual radio frequency double-electrode electric coagulation forceps
CN105030300A (en) * 2015-03-23 2015-11-11 唐华松 Multifunctional nerve monitoring and fine separating probe clamp
CN105055019A (en) * 2015-09-11 2015-11-18 安进医疗科技(北京)有限公司 Handle for surgery, electromagnetic scalpel surgery system and locating system and method
CN207370755U (en) * 2017-01-23 2018-05-18 苏州大学附属第二医院 Multifunctional bipolar diathermy forceps

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN1090745A (en) * 1993-01-19 1994-08-17 高桂才 A kind of manual radio frequency double-electrode electric coagulation forceps
CN105030300A (en) * 2015-03-23 2015-11-11 唐华松 Multifunctional nerve monitoring and fine separating probe clamp
CN105055019A (en) * 2015-09-11 2015-11-18 安进医疗科技(北京)有限公司 Handle for surgery, electromagnetic scalpel surgery system and locating system and method
CN207370755U (en) * 2017-01-23 2018-05-18 苏州大学附属第二医院 Multifunctional bipolar diathermy forceps

Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107260258A (en) * 2017-08-01 2017-10-20 武汉半边天微创医疗技术有限公司 A kind of rf ultrasound's tweezer
CN109758226A (en) * 2019-03-21 2019-05-17 邱辉 A kind of bipolar mis instruments of Neural monitoring
CN109758226B (en) * 2019-03-21 2024-05-31 武汉金柏威光电技术有限公司 Neural monitoring bipolar minimally invasive instrument
CN112472283A (en) * 2021-01-12 2021-03-12 江苏百宁盈创医疗科技有限公司 Wireless nerve monitoring bipolar coagulation forceps

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Application publication date: 20171110