CN107348956A - A kind of radio-frequency electrode with Neural monitoring function in art - Google Patents
A kind of radio-frequency electrode with Neural monitoring function in art Download PDFInfo
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- CN107348956A CN107348956A CN201710647887.7A CN201710647887A CN107348956A CN 107348956 A CN107348956 A CN 107348956A CN 201710647887 A CN201710647887 A CN 201710647887A CN 107348956 A CN107348956 A CN 107348956A
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- outer tube
- frequency electrode
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- 238000012544 monitoring process Methods 0.000 title claims abstract description 95
- 230000001537 neural effect Effects 0.000 title claims abstract description 31
- 239000000523 sample Substances 0.000 claims abstract description 28
- 230000007246 mechanism Effects 0.000 claims abstract description 15
- 230000006870 function Effects 0.000 claims description 18
- 238000003466 welding Methods 0.000 claims description 3
- 230000015572 biosynthetic process Effects 0.000 claims description 2
- 230000008450 motivation Effects 0.000 claims description 2
- 230000005611 electricity Effects 0.000 claims 1
- 210000005036 nerve Anatomy 0.000 abstract description 15
- 230000000306 recurrent effect Effects 0.000 abstract description 10
- 230000000694 effects Effects 0.000 abstract description 7
- 238000005520 cutting process Methods 0.000 abstract description 5
- 208000028389 Nerve injury Diseases 0.000 abstract description 4
- 230000008764 nerve damage Effects 0.000 abstract description 4
- 238000010276 construction Methods 0.000 abstract description 2
- 210000001685 thyroid gland Anatomy 0.000 description 7
- 238000009413 insulation Methods 0.000 description 5
- 238000000034 method Methods 0.000 description 5
- 239000004020 conductor Substances 0.000 description 4
- 229910001220 stainless steel Inorganic materials 0.000 description 4
- 239000010935 stainless steel Substances 0.000 description 4
- 239000011248 coating agent Substances 0.000 description 3
- 238000000576 coating method Methods 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 239000003973 paint Substances 0.000 description 3
- 238000005345 coagulation Methods 0.000 description 2
- 230000015271 coagulation Effects 0.000 description 2
- 239000003292 glue Substances 0.000 description 2
- 238000000926 separation method Methods 0.000 description 2
- 238000001356 surgical procedure Methods 0.000 description 2
- 241001232809 Chorista Species 0.000 description 1
- 208000032984 Intraoperative Complications Diseases 0.000 description 1
- 238000002679 ablation Methods 0.000 description 1
- 230000008602 contraction Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000001514 detection method Methods 0.000 description 1
- 238000002224 dissection Methods 0.000 description 1
- 230000023597 hemostasis Effects 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 230000003183 myoelectrical effect Effects 0.000 description 1
- 230000004751 neurological system process Effects 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 230000000149 penetrating effect Effects 0.000 description 1
- 238000002271 resection Methods 0.000 description 1
- 238000007711 solidification Methods 0.000 description 1
- 230000008023 solidification Effects 0.000 description 1
- 238000009834 vaporization Methods 0.000 description 1
- 230000008016 vaporization Effects 0.000 description 1
- 210000001260 vocal cord Anatomy 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/24—Detecting, measuring or recording bioelectric or biomagnetic signals of the body or parts thereof
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/74—Details of notification to user or communication with user or patient ; user input means
- A61B5/746—Alarms related to a physiological condition, e.g. details of setting alarm thresholds or avoiding false alarms
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- Health & Medical Sciences (AREA)
- Life Sciences & Earth Sciences (AREA)
- Medical Informatics (AREA)
- Biophysics (AREA)
- Pathology (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Heart & Thoracic Surgery (AREA)
- Physics & Mathematics (AREA)
- Molecular Biology (AREA)
- Surgery (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Physiology (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a kind of radio-frequency electrode with recurrent nerve monitoring function, it includes electrotome head, monitoring probe, air plug head, monitoring plug, inner tube, outer tube, switching circuit board, guide pipe, monitoring wire, air plug head is connected by wire with switching circuit board, and air plug head is connected with inner tube, outer tube, electrotome head and forms electric knife loop respectively；Solidifying button of cutting is connected to form switching control mechanism with switching circuit board；Monitoring plug is by monitoring wire with monitoring probe connection and forming monitoring circuit；Outer tube is arranged on case nose, and fixed cover, which is connected with guide pipe and is arranged in shell, forms fixed mechanism；Sideslip key is connected as one with inner tube, sliding groove, guide pipe and electrotome head and forms sliding equipment respectively.It is simple in construction, it is easy to use, suitable for the various operations for needing Neural monitoring, and meanwhile monitoring recurrent nerve electric signal in real time, evade recurrent nerve injury, it is safe to use so that surgical effect can be more preferable.
Description
Technical field
The present invention relates to medical instruments field, is more particularly to a kind of radio-frequency electrode of Neural monitoring function in art, is applicable
Performed the operation in the tissue for needing to monitor nerve in art, such as suitable for thyroid operation, reach effective monitoring recurrent nerve
Damage (or other neurotrosises) smoothly completes the effect of operation.
Background technology
In the surgical operation for being much related to nerve, it is a key subjects to avoid neurotrosis, such as：With thyroid gland hand
Exemplified by art, in normal thyroid operation, radio-frequency electrode does not access nerve in art, and recurrent nerve injury is operation
The complication of most serious, patient can be caused to have a husky voice or cry out, quality of life declines even life-threatening, how to evade radio frequency
Neurotrosis is always to perplex the problem of doctor in electrode surgery, and the present invention is exactly to be carried out to solve this problem.
Technique is that electrotome head is designed into Collapsible structure, it is necessary to visit on the basis of the original function of radio-frequency electrode
By in electrotome head retraction outer tube during survey, by nerve in the monitoring probe connection art on outer tube, pass through Neural monitoring
The audible alarm of main frame and display display alarm, monitor recurrent nerve, to avoid electrotomy in real time in thyroid operation
In damage to patient's recurrent nerve.
A kind of recurrent nerve monitor and monitoring method were described in patent CN106510703.A disclosed in application.Should
Operating theater instruments 301 described in patent is ablation needle or probe.Radio-frequency electrode on the market is pure operating theater instruments at present, is not had
Neural monitoring function in band art.It yet there are no and have been reported that radio-frequency electrode possesses this technology of Neural monitoring in art, therefore the present invention
With certain innovative value.
The content of the invention：
The purpose of the present invention is to be the provision of a kind of radio-frequency electrode with Neural monitoring function in art, in radio-frequency electrode work(
Neural monitoring technology in art is added on the basis of energy.It is simple in construction, it is easy to use, suitable for the various operations for needing Neural monitoring,
Such as thyroid operation, while monitoring recurrent nerve electric signal in real time, evade recurrent nerve injury, it is safe to use so that hand
Art effect can be more preferable.
To achieve these goals, the present invention takes following technical scheme：
Its technical concept is：Radio-frequency electrode is a kind of electrosurgical unit for substituting mechanical operation knife to carry out tissue cutting.It
Tissue is discharged or heated when being contacted by high-frequency high-voltage current caused by active electrode tip with human body, collapses cell
Split, moisture vaporization, realize separation and solidification to injected organism tissue, so as to play the purpose of cutting and hemostasis.The present invention is by radio frequency
Electrode knife head is designed to Collapsible structure, and tip shapes variation (is required) with adapting to different operations, outer tube band monitoring probe, if
Count Thinking Creation, it is rational in infrastructure, keep radio-frequency electrode it is easy to use the characteristics of.
A kind of radio-frequency electrode with Neural monitoring function in art：It by electrotome head, monitoring probe, it is solidifying cut button, shell,
Air plug head, monitoring plug, sideslip key, inner tube, outer tube, sliding groove, switching circuit board, fixed cover, guide pipe, wire, monitoring are led
Line forms.It is characterized in that：Air plug head is connected by wire with switching circuit board, air plug head respectively with guide pipe, inner tube, electric knife
Cutter head connects and forms electric knife loop；Solidifying button of cutting is connected (coagulate cut button be arranged on switching circuit board) shape with switching circuit board
Into switching control mechanism；Monitoring plug is by monitoring wire with monitoring probe connection and forming monitoring circuit；Outer tube is arranged on outer
Shell front end, fixed cover, which is connected with guide pipe and is arranged in shell, forms fixed mechanism；Sideslip key respectively with inner tube, sliding groove,
It is connected as one with electrotome head and forms sliding equipment, can be slided by sideslip key in guide pipe and outer tube, in driving
Pipe, electrotome head, sliding groove are capable of expansion and contraction.
Described electric knife loop, fixed mechanism, switching control mechanism, monitoring circuit and sliding equipment is installed in shell
It is interior.
Described shell is packaged by welding or being bonded (common glue).
Described electrotome head is needle-like cutter head, sheet cutter head, thread cutter head, spherical cutter head, hook-shaped cutter head and other shapes
The polytypes such as shape cutter head, to adapt to different operation demands.
The innovative point of the present invention and protection point are the ingenious function using former radio-frequency electrode, and electrotome head is designed to
Scalable, the monitoring in electrotome head retraction outer tube, utilizing band on outer tube is popped one's head in during Neural monitoring carries out Neural monitoring.
The monitoring probe of radio-frequency electrode outer tube is connected with Neural monitoring main frame with wire so that Common radio frequency electrode has neural in art
Monitoring function.Outer tube is that (such as stainless steel) is made in conductive material, can be popped one's head in, removed as monitoring by the use of the front end part of outer tube
Outside position of the monitoring probe as monitoring, other outer surfaces do insulation processing (isolating shrinkable tube or insulating coating etc.), prison
Probing head can also be fabricated separately on outer tube, and is dielectrically separated from outer tube.As the engineer for being familiar with this business or
Other related personnel principle can be modified slightly according to this, for example make monitoring probe using electric knife outer tube, for example wire is connected
Other electric connection structures (as increase wire, conducting strip or conductive film, electrically-conducting paint are such) are changed to, can not be excluded
Patent infringement to the present invention.
The present invention compared with prior art, has advantages below and effect：
The present invention is rational in infrastructure, is designed to electrotome head in the case where ensureing that former radio-frequency electrode is solidifying to cut function scalable
Structure, then increase Neural monitoring function in art, the operating habit that former doctor uses radio-frequency electrode will not be changed.Except with penetrating
Frequency electrode resection organization and coagulation function, and reflection nerve can be monitored during use in real time, avoid surgical injury neural,
Ensure that safe handling is convenient, good operation effect.The tissue for being applicable to monitor nerve in art is performed the operation, such as thyroid gland hand
Art is other, such fine open surgery.
Brief description of the drawings
Fig. 1 is radio-frequency electrode structural representation neural in a kind of monitoring art.
Fig. 2 is a kind of sectional view for monitoring radio-frequency electrode internal structure neural in art.
Wherein：1- electrotome heads, 2- monitoring probes (common), 3- be solidifying, and to cut button, 4- shells, 5- air plugs head, 6- monitorings slotting
Head, 7- sideslips key, 8- inner tubes, 9- outer tubes, 10- sliding grooves, 11- switching circuit boards (unicast son piece is switched, and market is purchased), 12-
Fixed cover, 13- guide pipes, 14- wires, 15- monitoring wires.
Embodiment
Embodiment 1：
The invention will be further described below in conjunction with the accompanying drawings, it can be seen from Fig. 1, Fig. 2：
A kind of radio-frequency electrode with Neural monitoring function in art, it is by electrotome head 1, monitoring probe 2, the solidifying button 3, outer cut
Shell 4, air plug are first 5, monitoring plug 6, sideslip key 7, inner tube 8, outer tube 9, sliding groove 10, switching circuit board 11, fixed cover 12, are oriented to
Pipe 13, wire 14, monitoring wire 15 form, it is characterised in that：Air plug first 5 is connected by wire 14 with switching circuit board 11, boat
Plug 5 is connected with inner tube 8, guide pipe 13, electrotome head 1 and forms electric knife loop respectively；It is solidifying to cut button 3 and switching circuit board 11
Be connected (solidifying button 3 of cutting is on switching circuit board 11) formation switching control mechanism；Monitoring plug 6 by monitor wire 15 with
Monitoring probe 2 connects and forms monitoring circuit；Outer tube 9 is arranged on the front end of shell 4, and fixed cover 12 is connected and installed with guide pipe 13
Fixed mechanism is formed in shell 4；Sideslip key 7 is connected as one with inner tube 8, sliding groove 10, electrotome head 1 and forms cunning respectively
Motivation structure, it can be slided by sideslip key 7 in guide pipe 13 and outer tube 9, driving inner tube 8, electrotome head 1, sliding groove 10 are stretched
Contracting is freely.
Described electric knife loop, fixed mechanism, switching control mechanism, monitoring circuit and sliding equipment is installed in shell 4
It is interior.
Described shell 4 is packaged by welding or being bonded (common glue).
Described electrotome head 1 can be designed as needle-like cutter head, sheet cutter head, thread cutter head, spherical cutter head, hook-shaped cutter head
With the polytype such as other shapes cutter head, to adapt to different operation demands.
Described monitoring probe 2 is used for carrying out Neural monitoring, length dimension scope 1.5-3mm, can be circular layout,
It can be 1/2,1/3,1/4 arrangement of circumference.Outer tube 9 is that (such as stainless steel) is made in conductive material, before can utilizing outer tube 9
Portion of end office (EO) is as monitoring probe 2, and in addition to monitoring probe 2 is used as the position of monitoring, insulation processing (insulation is done in other outer surfaces
Heat-shrink tube or insulating coating etc.).Monitoring probe 2 can also individually use metalwork (such as stainless steel) or conductive material fabrication and installation
It is dielectrically separated from outer tube 9, and with outer tube 9.
Electrotome head 1 is designed to the part scalable, monitoring probe 2 is designed as outer tube 9, except the position as monitoring
Insulation processing is done, then will monitor probe with wire 14 2 is connected with outer tube 9, monitor and pop one's head in 2 by monitoring wire 15 and monitoring
Plug 6 connects, and is finally connected to Neural monitoring main frame by monitoring plug 6, realizes that the monitoring circuit of nerve smoothly connects, to pusher
Dynamic sideslip key 7 drives sliding groove 10, inner tube 8 and electrotome head 1, and (sideslip key 7, sliding groove 10, inner tube 8, electrotome head 1 are linked as whole
Body) it is retracted in outer tube 9, by the detection nerve of monitoring probe 2, electroneurographic signal is monitored in real time.
Monitoring probe 2 can also be separately provided, and be insulated installed in the one end of outer tube 9, and with outer tube 9.
Wire 14 in feature, can with the Conducting forms of the other structures of right and wrong wire, such as conducting strip, conductive film,
Electrically-conducting paint etc., is not enumerated.
Above-mentioned technical proposal obtains following technique effect：
When before coagulation, cut-out, by the retraction outer tube 9 of radio-frequency electrode electrotome head 1, monitoring is popped one's head in operation technique
2 close to neurotomy chorista when, by the electric signal that Neural monitoring instrument transmits by monitor probe 2 stimulate the tissue, such as god
Through the non-display alarm waveform of monitor screen and fail to hear the alarm sound of vocal cords activity reaction, you can think impassivity at this
In the presence of can relievedly carry out necessary operation technique.Such as see myoelectricity alarm waveform or hear myoelectrical activity alarm sound,
Represent there is neural process in the tissue, need careful separation dissection nerve.Electrotome head 1 can then be stretched out, implement operation.
The innovative point of the present invention and protection point are the ingenious function using former radio-frequency electrode, and electrotome head 1 is designed
Into scalable, the monitoring probe 2 of band on outer tube 9 in the retraction outer tube 9 of electrotome head 1, will be utilized to carry out god when carrying out Neural monitoring
Through monitoring.The monitoring probe 2 of radio-frequency electrode outer tube 9 is connected with Neural monitoring main frame with wire 14 so that Common radio frequency electrode
With Neural monitoring function.Outer tube 9 is that (such as stainless steel) is made in conductive material, except monitoring probe other outer surfaces of 2 positions
Do insulation processing (isolating shrinkable tube or insulating coating etc.).Monitoring probe 2 can also be fabricated separately on outer tube 9, and
It is dielectrically separated from outer tube 9.Principle it can be modified slightly according to this as the engineer or other related personnel for being familiar with this business, than
Monitoring probe 2 such as is made using electric knife outer tube, for example the connection of wire 14 is changed to other electric connection structures and (such as increase wire, led
Electric piece or conductive film, electrically-conducting paint are such), the patent infringement to the present invention can not be excluded.
The scope of application of the present invention is applicable to Neural monitoring surgical operation, including thyroid operation.
Claims (4)
1. a kind of radio-frequency electrode with Neural monitoring function in art, it includes electrotome head（1）, monitoring probe（2）, solidifying cut button
（3）, shell（4）, air plug head（5）, monitoring plug（6）, sideslip key（7）, inner tube（8）, outer tube（9）, sliding groove（10）, switch electricity
Road plate（11）, fixed cover（12）, guide pipe（13）, wire（14）With monitoring wire（15）, it is characterised in that：Air plug head（5）It is logical
Cross wire（14）With switching circuit board（11）Connection, air plug head（5）Respectively with inner tube（8）, guide pipe（13）, electrotome head（1）
Connection forms electric knife loop, solidifying to cut button（3）With switching circuit board（11）Switching control mechanism is connected to form, it is solidifying to cut button（3）
Installed in switching circuit board（11）Upper is switching control mechanism, monitors plug（6）By monitoring wire（15）Popped one's head in monitoring（2）
Connection forms monitoring circuit, outer tube（9）Installed in shell（4）Front end, fixed cover（12）With guide pipe（13）Connect and be arranged on
Shell（4）Interior formation fixed mechanism, sideslip key（7）Respectively with inner tube（8）, sliding groove（10）, electrotome head（1）It is connected to form cunning
Motivation structure.
A kind of 2. radio-frequency electrode with Neural monitoring function in art as claimed in claim 1, it is characterised in that：Described electric knife
Loop, fixed mechanism, switching control mechanism, monitoring circuit and sliding equipment are installed in shell（4）It is interior.
A kind of 3. radio-frequency electrode with Neural monitoring function in art as claimed in claim 1, it is characterised in that：Described shell
（4）It is packaged by welding or being bonded.
A kind of 4. radio-frequency electrode with Neural monitoring function in art as claimed in claim 1, it is characterised in that：Described electric knife
Cutter head（1）It is designed as needle-like cutter head, sheet cutter head, thread cutter head, spherical cutter head, hook-shaped cutter head and shape cutter head.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710647887.7A CN107348956A (en) | 2017-08-01 | 2017-08-01 | A kind of radio-frequency electrode with Neural monitoring function in art |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710647887.7A CN107348956A (en) | 2017-08-01 | 2017-08-01 | A kind of radio-frequency electrode with Neural monitoring function in art |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN107348956A true CN107348956A (en) | 2017-11-17 |
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Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710647887.7A Pending CN107348956A (en) | 2017-08-01 | 2017-08-01 | A kind of radio-frequency electrode with Neural monitoring function in art |
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Cited By (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109528297A (en) * | 2018-10-29 | 2019-03-29 | 四川大学华西医院 | A kind of ablation needle carrying out recurrent nerve monitoring and monitoring system |
| CN109758225A (en) * | 2019-03-21 | 2019-05-17 | 邱辉 | A kind of Neural monitoring monopole mis instruments |
| CN110432979A (en) * | 2019-09-06 | 2019-11-12 | 江西同德药业发展有限公司 | A kind of anti-sticking electric hook that stretches that children use |
| CN113425406A (en) * | 2021-05-31 | 2021-09-24 | 南京航空航天大学 | Intelligent double-frequency microwave ablation treatment system |
| CN114271935A (en) * | 2021-12-30 | 2022-04-05 | 河南科技大学第一附属医院 | Safety electric knife |
Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5178145A (en) * | 1991-07-24 | 1993-01-12 | Rea James L | Self retaining laryngeal surface electrode and method for independent identification of human recurrent laryngeal nerve |
| CN104116558A (en) * | 2014-07-25 | 2014-10-29 | 中国医学科学院北京协和医院 | Surgical equipment, surgical instrument control equipment and medical equipment |
| CN106214249A (en) * | 2016-09-12 | 2016-12-14 | 肖玉根 | A kind of medical nerve monitoring electric knife |
| CN106821490A (en) * | 2015-12-07 | 2017-06-13 | 北京恒实基业科技有限公司 | A kind of electric knife writing of indictments, appeals, etc. |
| CN208910239U (en) * | 2017-08-01 | 2019-05-31 | 武汉半边天医疗技术发展有限公司 | A kind of radio-frequency electrode with Neural monitoring function in art |
-
2017
- 2017-08-01 CN CN201710647887.7A patent/CN107348956A/en active Pending
Patent Citations (5)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| US5178145A (en) * | 1991-07-24 | 1993-01-12 | Rea James L | Self retaining laryngeal surface electrode and method for independent identification of human recurrent laryngeal nerve |
| CN104116558A (en) * | 2014-07-25 | 2014-10-29 | 中国医学科学院北京协和医院 | Surgical equipment, surgical instrument control equipment and medical equipment |
| CN106821490A (en) * | 2015-12-07 | 2017-06-13 | 北京恒实基业科技有限公司 | A kind of electric knife writing of indictments, appeals, etc. |
| CN106214249A (en) * | 2016-09-12 | 2016-12-14 | 肖玉根 | A kind of medical nerve monitoring electric knife |
| CN208910239U (en) * | 2017-08-01 | 2019-05-31 | 武汉半边天医疗技术发展有限公司 | A kind of radio-frequency electrode with Neural monitoring function in art |
Cited By (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109528297A (en) * | 2018-10-29 | 2019-03-29 | 四川大学华西医院 | A kind of ablation needle carrying out recurrent nerve monitoring and monitoring system |
| CN109758225A (en) * | 2019-03-21 | 2019-05-17 | 邱辉 | A kind of Neural monitoring monopole mis instruments |
| CN109758225B (en) * | 2019-03-21 | 2023-11-07 | 武汉金柏威光电技术有限公司 | Nerve monitoring single-pole minimally invasive instrument |
| CN110432979A (en) * | 2019-09-06 | 2019-11-12 | 江西同德药业发展有限公司 | A kind of anti-sticking electric hook that stretches that children use |
| CN113425406A (en) * | 2021-05-31 | 2021-09-24 | 南京航空航天大学 | Intelligent double-frequency microwave ablation treatment system |
| CN114271935A (en) * | 2021-12-30 | 2022-04-05 | 河南科技大学第一附属医院 | Safety electric knife |
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Application publication date: 20171117 |