CN107361820A - A kind of ultrasound with Neural monitoring function in art is cut - Google Patents
A kind of ultrasound with Neural monitoring function in art is cut Download PDFInfo
- Publication number
- CN107361820A CN107361820A CN201710647891.3A CN201710647891A CN107361820A CN 107361820 A CN107361820 A CN 107361820A CN 201710647891 A CN201710647891 A CN 201710647891A CN 107361820 A CN107361820 A CN 107361820A
- Authority
- CN
- China
- Prior art keywords
- inner tube
- neural monitoring
- art
- ultrasound
- binding clip
- 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
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Classifications
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/2812—Surgical forceps with a single pivotal connection
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/28—Surgical forceps
- A61B17/285—Surgical forceps combined with cutting implements
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B5/00—Measuring for diagnostic purposes; Identification of persons
- A61B5/40—Detecting, measuring or recording for evaluating the nervous system
-
- 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
- A61B5/7405—Details of notification to user or communication with user or patient ; user input means using sound
-
- 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
- A61B5/742—Details of notification to user or communication with user or patient ; user input means using visual displays
-
- 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
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B2017/00017—Electrical control of surgical instruments
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B17/00—Surgical instruments, devices or methods, e.g. tourniquets
- A61B17/32—Surgical cutting instruments
- A61B17/320068—Surgical cutting instruments using mechanical vibrations, e.g. ultrasonic
- A61B2017/320072—Working tips with special features, e.g. extending parts
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2217/00—General characteristics of surgical instruments
- A61B2217/002—Auxiliary appliance
Abstract
The invention discloses a kind of ultrasound with Neural monitoring function in art to cut, inner tube is connected with knife bar and outer tube respectively, outer tube is connected with inner tube and plastic casing respectively, drive connection bar is connected with sliding part and handle respectively, handle is connected with plastic casing, sliding part passes through laser welding with inner tube, transducer is connected through a screw thread bar with knife bar and is connected, ultrasonic button passes through switching circuit board, wire is connected with contact pin, binding clip both ends are connected with outer tube and inner tube respectively, binding clip is switched by Neural monitoring, switching circuit board, wire is connected with three core public plugs, three core public plugs dock with female, female is connected with main frame air plug head, knife bar, inner and outer tubes are concentric, knife bar and outer tube are fixed in a plastic housing by the first pin connection.It is simple in construction, it is easy to use, it is applicable to the surgical operation of Neural monitoring function in art.
Description
Technical field
The present invention relates to medical instruments field, is more particularly to a kind of ultrasound with Neural monitoring function in art and cuts, reaches
Neurotrosis in effective monitoring art, the effect for smoothly completing operation.Such as in thyroid operation, recurrent nerve can be monitored in real time
Electric signal, recurrent nerve injury is evaded.
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, ultrasound is cut and does not access recurrent nerve monitoring system, 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 ultrasound
It is always the problem for perplexing doctor to cut recurrent nerve injury in operation, and the present invention is exactly to be produced to solve problems
's.
Technique be ultrasound cut it is original on the basis of connect art in nerve, pass through Neural monitoring main frame
Audible alarm and display display alarm, such as recurrent nerve can be monitored in real time in thyroid operation, to avoid ultrasound from cutting hand
To the damage of patient's recurrent nerve in art.
The content of the invention：
The purpose of the present invention is to be the provision of a kind of ultrasound with Neural monitoring function in art to cut, on the basis of ultrasound is cut
Add Neural monitoring technology in art.It is simple in construction, it is easy to use, it is applicable to the surgical operation of Neural monitoring function in art.
Such as in thyroid operation, monitor recurrent nerve electric signal in real time, evaded recurrent nerve injury, it is safe to use so that hand
Art effect is more preferable.
In order to realize above-mentioned purpose, the present invention takes following technical scheme：
A kind of ultrasound with Neural monitoring function in art is cut, and it is connected by knife bar, binding clip, inner tube, outer tube, sliding part, driving
Extension bar, handle, transducer, plastic casing, ultrasonic button, wire, recurrent nerve switch, three core public plugs, female, main frame boat
Plug, whorl brace rod, the first pin, contact pin, copper ring, hole, switching circuit board and the second pin bank into, it is characterised in that：It is knife bar, interior
Pipe, outer tube are connected by the first pin with plastic casing respectively；Binding clip both ends are connected with outer tube and inner tube respectively；Drive connection bar point
It is not connected with sliding part and handle；Handle is connected with plastic casing；Sliding part passes through laser welding with inner tube；Transducer and knife bar
On have screw thread, be connected through a screw thread bar connection；Copper ring is housed on the end face of transducer, ultrasonic button by switching circuit board with
And wire is connected with contact pin；Binding clip is switched by Neural monitoring, switching circuit board, wire are connected with three core public plugs, and three cores are public
Plug is connected by female, main frame air plug head with main frame.
Described binding clip one end with outer tube is connected by the second pin and (is used as pivot point), and the other end has projection, through interior
Hole on pipe, wherein boring ratio projection is bigger, to ensure the scope of activities of binding clip.
Contact pin is fixed with described plastic casing, there is copper ring the end face of transducer, and contact pin contacts with copper ring, ultrasonic button
The break-make of its circuit is controlled by switching circuit board.
When inner tube moves forward and backward, binding clip is promoted to rotate (being rotary motion by transform linear motion) around fulcrum,
So as to realize the folding of binding clip, the action of " shearing " is made.
Main frame provides the energy of ultrasonic wave by transducer to knife bar, by the folding of ultrasonic button, forms path and breaks
Road, so as to realize the difference of main engine power output.
Binding clip is switched by Neural monitoring, switching circuit board, wire are connected with three core public plugs, and three core public plugs pass through mother
Plug, main frame air plug head are connected with Neural monitoring main frame, realize that the monitoring circuit of nerve smoothly connects, so as to realize in monitoring art
The purpose of electroneurographic signal.
Ultrasonic shear structure is not made larger modification by the present invention, and mentality of designing innovation is rational in infrastructure, keeps ultrasound to cut user
Just the characteristics of.
The present invention innovative point and protection point is the ingenious original structure cut using former ultrasound, with wire by binding clip with
Neural monitoring main frame is connected so that ordinary ultrasonic clipper has Neural monitoring function.As the engineer or other for being familiar with this business
Related personnel principle can be modified slightly according to this, for example wire connection is changed into other electric connection structures of non-wire (such as conduction
Piece, conductive film, electrically-conducting paint are such), the patent infringement to the present invention can not be excluded.
The present invention is applicable to the surgical operation of Neural monitoring in art, such as thyroid operation or the like is fine
Open surgery.
The present invention compared with prior art, has advantages below and effect：
The present invention is rational in infrastructure, and neural in increase art in the case that contour structures do larger change supervise is not being cut to former ultrasound
Brake, the operating habit that former doctor is cut using ultrasound will not be changed.Except removing tissue and coagulation work(with ultrasonic shear
Can, and nerve in art can be monitored during use in real time, avoid surgical injury neural, ensure that safe handling is convenient, surgical effect
It is good.It is applicable to the surgical operation of Neural monitoring in art, such as thyroid operation or the like is fine open outer
Section performs the operation.
Brief description of the drawings
Fig. 1 is the structural representation that a kind of ultrasound with Neural monitoring function in art is cut.
Wherein：1- knife bars, 2- binding clips, 3- inner tubes, 4- outer tubes, 5- sliding parts, 6- drive connection bars, 7- handles, 8- transducings
Device (ceramic gasket circle inner core transducer, in the market are purchased), 9- plastic casings, 10- ultrasounds button, 11- wires, 12- nerve prisons
Slowdown monitoring switch, the core public plugs of 13- tri-, 14- females, 15- main frame air plugs head, 16- whorl brace rods, 17- first sell, 18- contact pins,
19- copper rings, 20- holes, 21- switching circuit boards (unicast son piece is switched, and in the market is purchased), 22- second sell.
Embodiment
The present invention is explained further below in conjunction with the accompanying drawings.
As illustrated, a kind of ultrasound with Neural monitoring function in art is cut, it includes knife bar 1, binding clip 2, inner tube 3, outer tube
4th, sliding part 5, drive connection bar 6, handle 7, transducer 8, plastic casing 9, ultrasonic button 10, wire 11, Neural monitoring switch
12nd, three core public plugs 13, female 14, main frame air plug be first 15, whorl brace rod 16, the first pin 17, contact pin 18, copper ring 19, opens
Close circuit board 21, the second pin 22, it is characterised in that：Knife bar 1, inner tube 3, outer tube 4 pass through the first pin 17 and the phase of plastic casing 9 respectively
Even；The both ends of binding clip 2 are connected with outer tube 4 and inner tube 3 respectively；Drive connection bar 6 is connected with sliding part 5 and handle 7 respectively；Handle 7
It is connected with plastic casing 9；Sliding part 5 passes through laser welding with inner tube 3；There is screw thread on transducer 8 and knife bar 1, pass through screw thread
Connecting rod 16 connects；Copper ring 19 is housed on the end face of transducer 8；Ultrasonic button 10 by switching circuit board 21 and wire 11 with
Contact pin 18 is connected；Binding clip 2 is connected by Neural monitoring switch 12, switching circuit board 21, wire 11 with three core public plugs 13, three cores
Public plug 13 is connected by female 14, main frame air plug first 15 with main frame.
Described knife bar 1 and outer tube 4 is fastened in plastic casing 9 by the first pin 17.
Described one end of binding clip 2 is connected with outer tube 4 by the second pin 22 and (is used as pivot point), and the other end has projection, wears
The hole 20 crossed in inner tube 3, its mesopore 20 is more bigger than raised, to ensure the scope of activities of binding clip.
Contact pin 18 is fixed with described plastic casing 9, there is copper ring 19 end face of transducer 8, and contact pin 18 connects with copper ring 19
Touch, ultrasonic button 10 controls the break-make of its circuit by switching circuit board 21.
In use, pressing fixed handle 7, handle 7 is rotated around a fulcrum, and drive connection bar 6 is moved, so that the cunning being attached thereto
Moving part 5 is movable (being linear motion by convert rotational motion), because sliding part 5 and inner tube 3 are laser welded, inner tube
3 will also do it is movable, so as to which the convert rotational motion of handle 7 is movable for inner tube 3, when inner tube 3 is movable
When, you can drive binding clip 2 that (being rotary motion by transform linear motion) is rotated, so as to realize the folding of binding clip, do
Go out the action of " shearing ".
By the folding of shift knob 10, path and open circuit are formed, the difference of main engine power output is realized, is cut so as to realize
Cut the difference of tissue effect.
Binding clip 2 is connected by Neural monitoring switch 12, switching circuit board 21, wire 11 with three core public plugs 13, and three cores are public
Plug 13 is connected by female 14, main frame air plug first 15 with Neural monitoring main frame, realizes that the monitoring circuit of nerve smoothly connects,
So as to realize the purpose of electroneurographic signal in monitoring art.
When operation technique, when ultrasound cuts the neurotomy chorista in the art, clamp, ligation or coagulation,
Before cut-out, the electric signal that Neural monitoring instrument transmits is stimulated into the tissue by binding clip 2, as Neural monitoring instrument screen does not show report
Warn waveform and fail to hear the alarm sound of myoelectrical activity reaction, you can think that impassivity is present at this, can relievedly be carried out
Necessary operation technique.Such as see myoelectricity alarm waveform or hear myoelectrical activity alarm sound, that is, represent there is god in the tissue
Through passing through, careful separation dissection nerve is needed.
Innovative point of the present invention is the ingenious original structure cut using former ultrasound, with wire 11 by the binding clip 2 cut of ultrasound with
Neural monitoring main frame is connected so that ordinary ultrasonic has cut Neural monitoring function in art.The present invention is rational in infrastructure, not to former ultrasound
Cutting in the case that contour structures do larger change increases Neural monitoring function in art, will not change the behaviour that former doctor is cut using ultrasound
Work is accustomed to.Except removing tissue and coagulation function with ultrasonic shear, and nerve in art can be monitored during use in real time, kept away
Exempt from surgical injury nerve, ensure that safe handling is convenient, good operation effect.As the engineer or other technology people for being familiar with this business
Member can be modified slightly according to this, for example wire connection is changed to other electric connection structures (such as conducting strip, conductive thin of non-wire
Film, electrically-conducting paint are such), the patent infringement to the present invention can not be excluded.
The present invention is applicable to the surgical operation of Neural monitoring in art, such as thyroid operation or the like is fine
Open surgery.
Claims (3)
1. a kind of ultrasound with Neural monitoring function in art is cut, it includes knife bar（1）, binding clip（2）, inner tube（3）, outer tube（4）, it is sliding
Moving part（5）, drive connection bar（6）, handle（7）, transducer（8）, plastic casing（9）, ultrasonic button（10）, wire（11）, god
Through monitoring switch（12）, three core public plugs（13）, female（14）, main frame air plug head（15）, whorl brace rod（16）, first pin
（17）, contact pin（18）, copper ring（19）, switching circuit board（21）, second pin（22）, it is characterised in that：Knife bar（1）, inner tube（3）、
Outer tube（4）Pass through the first pin respectively（17）With plastic casing（9）It is connected, binding clip（2）Both ends respectively with outer tube（4）And inner tube（3）
It is connected, drive connection bar（6）Respectively with sliding part（5）And handle（7）It is connected, handle（7）With plastic casing（9）It is connected, slides
Part（5）With inner tube（3）Pass through laser welding, transducer（8）With knife bar（1）On have screw thread, be connected through a screw thread bar（16）Connection,
Transducer（8）End face on copper ring is housed（19）, ultrasonic button（10）Pass through switching circuit board（21）And wire（11）With contact pin
（18）It is connected, binding clip（2）Switched by Neural monitoring（12）, switching circuit board（21）, wire（11）With three core public plugs（13）
Connection, three core public plugs（13）Pass through female（14）, main frame air plug head（15）It is connected with main frame.
2. described a kind of ultrasound with Neural monitoring function in art as claimed in claim 1 is cut, it is characterised in that：Described
Binding clip（2）One end passes through the second pin（22）With outer tube（4）Connection, the other end has projection, through inner tube（3）On hole（20）.
3. described a kind of ultrasound with Neural monitoring function in art as claimed in claim 1 is cut, it is characterised in that：Described
Plastic casing（9）In be fixed with contact pin（18）, transducer（8）End face have copper ring（19）, contact pin（18）With copper ring（19）Contact,
Ultrasonic button（10）Pass through switching circuit board（21）Control the break-make of its circuit.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710647891.3A CN107361820A (en) | 2017-08-01 | 2017-08-01 | A kind of ultrasound with Neural monitoring function in art is cut |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201710647891.3A CN107361820A (en) | 2017-08-01 | 2017-08-01 | A kind of ultrasound with Neural monitoring function in art is cut |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN107361820A true CN107361820A (en) | 2017-11-21 |
Family
ID=60308680
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201710647891.3A Pending CN107361820A (en) | 2017-08-01 | 2017-08-01 | A kind of ultrasound with Neural monitoring function in art is cut |
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| Country | Link |
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| CN (1) | CN107361820A (en) |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TWI757675B (en) * | 2017-12-29 | 2022-03-11 | 美商克魯畢司米克公司 | A mechanism to controllably move a wire within a flexible tubular member |
| US11517368B2 (en) | 2020-10-09 | 2022-12-06 | Nerve Safe Llc | Electrocautery systems with automatic shut-off |
| US11969182B2 (en) | 2020-09-04 | 2024-04-30 | Board Of Regents Of The University Of Texas System | End effector and end effector drive apparatus |
Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN204562361U (en) * | 2015-01-20 | 2015-08-19 | 武汉半边天医疗技术发展有限公司 | With the bipolar ultrasonic cutter of high frequency hemostatic function |
| CN105534572A (en) * | 2015-12-11 | 2016-05-04 | 浙江大学 | Endoscopic multifunctional separating clamp |
| CN208910398U (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 ultrasound with Neural monitoring function in art is cut |
-
2017
- 2017-08-01 CN CN201710647891.3A patent/CN107361820A/en active Pending
Patent Citations (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN204562361U (en) * | 2015-01-20 | 2015-08-19 | 武汉半边天医疗技术发展有限公司 | With the bipolar ultrasonic cutter of high frequency hemostatic function |
| CN105534572A (en) * | 2015-12-11 | 2016-05-04 | 浙江大学 | Endoscopic multifunctional separating clamp |
| CN208910398U (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 ultrasound with Neural monitoring function in art is cut |
Cited By (3)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| TWI757675B (en) * | 2017-12-29 | 2022-03-11 | 美商克魯畢司米克公司 | A mechanism to controllably move a wire within a flexible tubular member |
| US11969182B2 (en) | 2020-09-04 | 2024-04-30 | Board Of Regents Of The University Of Texas System | End effector and end effector drive apparatus |
| US11517368B2 (en) | 2020-10-09 | 2022-12-06 | Nerve Safe Llc | Electrocautery systems with automatic shut-off |
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