CN107736932A - Low-temperature plasma stripping cutter operation system and method - Google Patents

Low-temperature plasma stripping cutter operation system and method Download PDF

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Publication number
CN107736932A
CN107736932A CN201711025037.XA CN201711025037A CN107736932A CN 107736932 A CN107736932 A CN 107736932A CN 201711025037 A CN201711025037 A CN 201711025037A CN 107736932 A CN107736932 A CN 107736932A
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mode
plasma
control
unit
command
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CN201711025037.XA
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Chinese (zh)
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严航
郑忠伟
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上海诺英医疗器械有限公司
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Priority to CN201711025037.XA priority Critical patent/CN107736932A/en
Publication of CN107736932A publication Critical patent/CN107736932A/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
    • A61B18/042Surgical 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
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00577Ablation
    • 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
    • A61B2018/00601Cutting
    • 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
    • A61B2018/00636Sensing and controlling the application of energy

Abstract

The invention discloses a low-temperature plasma stripping cutter operation system and method. The system includes an input unit, a control unit, an interface unit and a plasma unit; the input unit isused for receiving a control instruction input by a user and sending the control instruction to the control unit; the control unit is used for parsing the control instruction, generating a first pattern instruction when the control instruction indicates a first pattern, calculating the output power under the first pattern according to the current impedance and the control instruction and sendingthe first pattern instruction and a first voltage indication correlated with the output power to the interface unit; the interface unit is used for transmitting the first pattern instruction and the first voltage indication to the plasma unit, receiving current impedance of a target contact end from the plasma unit and sending the current impedance to the control unit; the plasma unit switches into the first pattern and conducts vaporization stripping on a target object on the basis of the radio frequency energy of plasma as a response to the first pattern instruction and the first voltage indication which are received from the interface unit.

Description

一种低温等离子剥离刀手术系统及方法 A cryogenic plasma stripping knife operation system and method

技术领域 FIELD

[0001] 本发明涉及射频技术领域,并且更具体地,涉及一种低温等离子剥离刀手术系统及方法。 [0001] The present invention relates to the field of RF technology, and more particularly, to a low-temperature plasma stripping knife operation systems and methods.

背景技术 Background technique

[0002] 随着消化内镜技术的不断发展,消化道疾病的内镜下治疗也越来越普及。 [0002] With the continuous development of digestive endoscopy, and endoscopic treatment of gastrointestinal diseases are also becoming increasingly popular. 内镜下黏膜下剥离术用于治疗消化道早期癌,使得更多的消化道病变能够一次性地在内镜下大块完整切除。 Endoscopic submucosal dissection for the treatment of early digestive tract, so can be more gastrointestinal lesions once complete endoscopic resection bulk. 可免除传统手术治疗风险,具有创伤小、疗效好、手术技术要求高等特点。 May dispense with traditional surgical treatment of risk, with less trauma, good effect, surgical techniques require high.

[0003] 高频剥离电刀是一种取代机械手术刀进行组织剥离的电外科器械。 [0003] The high frequency electric knife peeling electrosurgical instrument is one substituent mechanical knife peeling organized. 高频剥离电刀的工作原理是通过有效电极尖端产生的高频高压电流与机体接触时对组织进行加热,实现对机体组织的分离和凝固,从而起到剥离和止血的目的。 Working principle of high-frequency electric knife peeling is generated at the tip of the active electrode by a high-frequency high-voltage current to the body tissue in contact with the heating of the body tissue to achieve separation and solidification, and thus play a stripping purposes hemostasis. 高频剥离电刀电凝模式的峰值电压较电切模式大,高频电流通过高阻抗的组织时,会在组织中热量,导致组织气化或凝固, 产生良好的止血效果,但同时也会造成更加明显的热损伤。 Peak voltage high-frequency coagulation mode release electric knife power cut mode than large, high frequency current through the high impedance tissue, the tissue will heat and cause the vaporized tissue or solidified to produce good hemostatic effect, but also resulting in more significant thermal damage. 高频剥离电刀瞬间稳定可高达150°C以上,能剥离组织的高频剥离电刀的加热效应,并不是由加热电极或刀头造成的。 Instantaneous frequency electric knife stable release can be as high 150 ° C, the heating effect of the high frequency electric knife can be peeled peeled tissues, not caused by heating or the electrode tip. 它是将高电流密度的高频电流聚集起来,直接摧毁处于与有效电极尖端相接触的组织。 It is a high frequency current of a high current density gathered directly in contact with the destruction of the active electrode tip tissue. 当与有效电极相接触或相邻近的组织或细胞的温度上升到细胞中的蛋白质变性时,便产生剥离及凝固的作用。 When the active electrode is in contact with or adjacent to a tissue or cell is increased to the temperature of protein denaturation of the cell, and then peeling effect solidification.

[0004] 普通高频剥离电刀的工作温度通常是100〜150°C,这个工作温度相对人组织仍属于高温,组织细胞受此温度影响后,由于剥离所造成组织蛋白变性。 [0004] Normal operating frequency electric knife peeling temperature is usually 100~150 ° C, the operating temperature is still relatively high temperature of human tissue, the tissue cells by this temperature effect, caused by the peeling tissue protein denaturation. 尤其是普通高频剥离电刀持续工作一定时间后,会对组织造成热损伤。 Especially after the ordinary high-frequency electric knife peeling continue to work a certain time, it will cause thermal tissue damage. 而组织细胞的变性坏死是一个逐渐发展的过程,普通高频剥离电刀会出现术区肿胀、术后疼痛等反应。 Degeneration and necrosis of tissue cells and is a progressive development of the process, the surgical swelling, postoperative pain and other reactions of ordinary high-frequency electric knife peeling occurs.

[0005] 在实际环境中,高频剥离电刀应用在医院进行肠胃里面的诸如早癌的病变部位的剥离术中容易产生并发症,这是因为温度对组织有损伤。 [0005] In the actual environment, the high frequency electric knife peeling dissection applications such as early cancer lesion gastrointestinal complications likely to occur inside the hospital, since the temperature of the tissue damage. 高频剥离电刀有两个电极,一个电极贴在患者身上,另一个电极放置在剥离刀部位,并且在手柄上设置电通路。 High frequency electric knife peeling two electrodes, one electrode attached to the patient, the other electrode is placed in the peeling blade portion, and an electrical path is provided on the handle. 高频发射温度高达400-500度,这个温度对周边良好的组织会误伤,进而使得出血问题产生的概率高、容易损坏病理组织。 High frequency transmission probability temperatures up to 400-500 degrees, the temperature of the surrounding tissue will be well-injury, thus making the problems of bleeding, histopathology easily damaged. 在这种情况下,医生无法进行病理分析,并且对切片整理有效分析时造成麻烦。 In this case, the doctor can not be pathological analysis, and the analysis is valid for slicing cause trouble finishing.

[0006] 申请号为CN201520088201.1的实用新型公开了一种可弯曲黏膜剥离刀,它包括: 手柄;导管,导管内设置有弯曲牵引腔和电切刀腔,导管的头部具有牵拉可弯曲部分,并且在导管的牵拉可弯曲部分的尾端侧壁上设置有与弯曲牵引腔相连通的牵引孔;分腔管,分腔管的一端与导管连接,另一端与手柄连接,并且分腔管的分腔与弯曲牵引腔相连通,分腔管的主腔与电切刀腔相连通;牵引手柄,牵引手柄可移动地连接在分腔管的分腔出口上;牵引弯曲丝,牵引弯曲丝的头端与导管的头端相连接,牵引弯曲丝从导管外侧通过牵引孔穿进导管的推杆腔和分腔管的推杆腔内后,再与牵引手柄连接。 [0006] Utility Model Application No. discloses a flexible blade CN201520088201.1 submucosal dissection, comprising: a handle; a catheter, the inner catheter is provided with a curved knife electric traction chamber and the cavity, the catheter having a pulling head can the bent portion, and a sidewall disposed on the trailing end portion of the catheter has a flexible pull and bend-pulling traction chamber communicating hole; lumen points, end points with the catheter lumen and the other end connected to the handle, and the curved sub-space divided traction chamber communicating lumen, a main chamber and sub-chamber electric knife lumen in communication; towing handle, pulling a handle movably connected to the sub-sub-chamber outlet lumen; traction bending wire, the first end of the traction wire bent tip connected to the catheter, pulling the catheter from the outside of the bending wire pulled through the hole into the lumen of the catheter the push rod and push rod chamber by a sub-lumen and then coupled to a traction handle. 它能够在剥离手术中,能较顺利的找到病变部位,从而进行手术操作,不用频繁的调整内镜,对盲区也能很好的进行手术操作。 It is capable of stripping surgery, can be more successfully find the lesion, to perform surgical procedures, endoscopic without frequent adjustment of the blind can be a good surgical operation.

[0007] 申请号为CN 201520088253.9的实用新型公开了一种带推杆的黏膜剥离刀,它包括:手柄;导管,导管内设置有推杆腔和电切刀腔;分腔管,分腔管的一端与导管连接,另一端与手柄连接,并且分腔管的分腔与推杆腔相连通,分腔管的主腔与电切刀腔相连通;推杆手柄,推杆手柄活动连接在分腔管的分腔出口上;推杆组件,推杆组件依次穿过导管的推杆腔和分腔管的推杆腔后,再与推杆手柄连接,推杆组件的头端设置有推杆;滑环,滑环设置在手柄上,滑环上设置有电极;电切刀组件,电切刀组件依次穿过导管的电切刀腔和分腔管的主腔后,再与滑环上的电极电性连接,电切刀组件的头端设置有电切刀。 [0007] Application No. CN 201520088253.9 discloses a method of the invention with the push rod submucosal dissection tool, comprising: a handle; a catheter, the inner catheter is provided with a pushrod chamber and the electric knife cavity; sub-lumen lumen minutes One end of the conduit and the other end connected to the handle, and the sub-space divided lumen in communication with the push rod chamber, the main chamber and the sub-electric knife lumen communicating chamber; putter handle, the push rod handle is movably connected the sub-chamber outlet lumen min; after push rod assembly, the plunger assembly passes through the catheter lumen pusher ram chambers and sub-lumen, and then connected to the putter handle, the head end of the push rod assembly is provided with a push rod; slip ring, the slip ring provided on the handle, the slip ring provided with an electrode; rear electric knife assembly, electric knife assembly passes through the main lumen of the catheter sub-chamber and the electric knife lumen, and then the slip ring an electrode electrically connected to the head end of the electric knife assembly is provided with an electric knife. 本实用新型在内镜剥离手术中能够获得比较好的视野,从而避免因为镜头无法观察到电切刀剥离组织的情况,减少了手术的风险。 In the present invention, the peeling endoscopic surgery can get a better field of vision, so as to avoid because the lens can not be observed peeling organization of electric knife, reducing the risk of surgery.

[0008] 申请号为CN201420542621.8的实用新型公开了一种弯柄显微外科手术剥离刀,包括刀柄和刀头,所述刀柄的下端通过刀座与所述刀头的上端连接;所述刀头的上端与所述刀座的下端固定连接,所述刀座的上端与所述刀柄的下端卡合连接;所述上卡合部和所述下卡合部所在直线与所述刀头所在直线相交形成第一夹角;所述刀柄分为柄头段和柄尾段,所述柄头段呈板形条,所述柄尾段呈长柱体,所述柄头段与所述柄尾段之间为平滑过度连接并形成第二夹角。 [0008] Application No. CN201420542621.8 utility model discloses a tang peeling knife microsurgery, comprising a shank and a head, the shank is connected to an upper end of the lower end of the cutting head by the seat; the upper end of the lower tip of the seat is fixedly connected to the upper end of the shank engaging the lower end of the seat; said upper engaging portion and the lower engaging portion where the straight line where the straight line intersects said tip forms a first angle; shank into the shank and the shank tail section header, said header plate-shaped bar handle, an elongated tail section of the pillar shank, the shank head between the tail section and the shank section is connected over a smooth forming a second angle. 本实用新型的弯柄显微外科手术剥离刀不但拆装方便,而且,容易清洗干净,还可以改变刀头的角度。 The present invention tang microsurgery peeling knife is not only easy disassembly and easy to clean, can also change the angle of the tip.

[0009] 然而,上述剥离刀均无法避免温度过高造成的误伤问题,并且刀头和导管在进入人体的过程中无法根据腔道的形状顺势形变,为手术操作带来极大的不便。 [0009] However, the peeling blade can not avoid the accidental injuries are caused by high temperature, and the tip of the catheter and can not bring great inconvenience to the surgeon depending on the shape deformation of homeopathic lumen into the body in the process of.

发明内容 SUMMARY

[0010] 根据本发明的一个方面,提供一种低温等离子剥离刀手术系统,所述系统包括: [0010] In accordance with one aspect of the invention, there is provided a low-temperature plasma stripping knife operation, the system comprising:

[0011] 输入单元,接收用户输入的控制指令并将所述控制指令发送给控制单元; [0011] an input unit receiving a user input control command and the control command to the control unit;

[0012] 控制单元,对所述控制指令进行解析并且当所述控制指令指示第一模式时生成第一模式指令,根据当前阻抗和所述控制指令计算用于第一模式下的输出功率,将第一模式指令以及与所述第一模式下的输出功率相关联的第一电压指示发送给接口单元; [0012] The control unit, the control command analyzing instruction and generating a first mode when the control command indicates a first mode, and the impedance based on the current command calculation for outputting the power control in the first mode, instruction indicating a first mode a first voltage and output power associated with the first mode of transmission to the interface unit;

[0013] 接口单元,从所述控制单元接收第一模式指令和第一电压指示,并且将所述第一模式指令和第一电压指示转发给等离子单元,以及从等离子单元接收目标接触端的当前阻抗并且将所述当前阻抗发送给所述控制单元; [0013] The interface unit, the receiving unit from the target contact terminal control unit receives a first voltage indicative of a first mode and a command, and the first voltage and a first instruction mode indication is forwarded to the plasma unit, and the impedance of the plasma current and the current sent to the impedance control means;

[0014] 等离子单元,响应于从所述接口单元接收第一模式指令和第一电压指示,进入第一模式:通过导电介质在所述等离子单元的目标接触端处的发射电极和回路电极之间进行电路激活以形成薄层,为发射电极和回路电极之间施加第一电压,使得所述导电介质达到第一温度并且被转换为等离子层,从而利用电能激发导电介质产生等离子体,并且基于等离子体的射频能量对目标体进行汽化剥离; [0014] The plasma unit, a first mode in response to receiving an instruction from the interface unit and the first voltage instruction enters the first mode: between the emitter electrode and a return electrode in contact with the plasma at the end of a target cell through a conductive medium a circuit activated to form a thin layer, applying a first voltage between the emitter electrode and the return electrode, such that the conductive medium to a first temperature and is converted into a plasma layer, whereby the conductive medium excited by electric energy to generate a plasma, and plasma-based RF energy to the target body member vaporizing stripping;

[0015] 其中所述发射电极、等离子层、回路电极以及目标接触端形成回路。 [0015] wherein said emitter electrode, a plasma layer, and a target return electrode contact terminal to form a loop.

[0016] 还包括所述控制单元对所述控制指令进行解析并且当所述控制指令指示第二模式时生成第二模式指令,根据当前阻抗和所述控制指令计算用于第二模式下的输出功率, 将第二模式指令以及与所述第二模式下的输出功率相关联的第二电压指示发送给接口单JL 〇 [0016] The control unit further comprises the control instruction analyzing and generating a second command when the mode control command indicates a second mode, the output is calculated in a second mode according to the control instruction and the current impedance power, and the second command mode instruction to the interface unit and the second voltage output JL square power in the second mode associated

[0017] 所述接口单元从所述控制单元接收第二模式指令和第二电压指示,并且将所述第二模式指令和第二电压指示转发给等离子单元。 The [0017] interface unit the control unit receives the second voltage and a second indication mode command, and the second mode indication instruction and the second voltage forwarded to the like from the plasma unit.

[0018] 响应于从所述接口单元接收的第二指令和第二电压指示,所述等离子单元进入第二模式:施加第二电压以将所述等离子单元的目标接触端保持为第二温度,从而将目标体进行消融凝固。 [0018] In response to receiving a second command from said interface unit and a second voltage indicative of the plasma cell enters the second mode: applying a second voltage to the target contact end of the plasma cell is maintained at a second temperature, so that the target body ablation coagulation.

[0019] 还包括报警单元,用于在接收到报警信号时,通过声音提示、文字提示和/或指示灯显示进行报警; [0019] further comprises an alarm unit, when receiving the alarm signal, by voice prompts, text prompts and / or display alarm indicators;

[0020] 其中在所述等离子单元检测到运行故障后向控制单元发送报警信号,所述控制单元将报警信号发送给所述报警单元。 Transmitting the alarm signal to the control unit [0020] wherein in the plasma unit detects the operation failure, the control unit transmits an alarm signal to the alarm unit.

[0021] 所述输入单元为脚踏式输入设备,其中用户通过对所述脚踏式输入设备进行操作来生成所述控制指令,其中所述控制指令为二元组〈模式,功率〉。 [0021] The input unit is a pedal input device, through which the user operates the pedal input device to generate the control command, wherein the control command is a tuple <mode power>.

[0022] 还包括滴液输入单元,用于基于所述控制单元的导电介质输入指令向等离子单元输入所述导电介质,其中所述等离子单元实时测量所述导电介质的当前余量并且将所述当前余量发送给控制单元,所述控制单元基于所述当前余量确定是否生成所述导电介质输入指令并且在确定生成所述导电介质输入指令后将所述导电介质输入指令发送给滴液输入单元。 [0022] further comprises an input unit drops, the balance for the current based on the ion conductive medium input unit inputs an instruction to the control unit of the other conductive medium, wherein the real-time measurement of the plasma cell and the conductive medium the current balance to the control unit, the control unit based on the current remaining after determining whether the input command generating said conductive medium and determining the input command to generate a conductive medium the conductive medium input command to the input drops unit.

[0023] 还包括显示单元,用于实时显示所述低温等离子剥离刀手术系统的运行状态。 [0023] further comprising a display unit for displaying the operating state of the real-time low-temperature plasma stripping knife surgical system.

[0024] 所述第一电压的范围为IOOVrms至300Vrms,并且所述第二电压的范围为60Vrms至80Vrms〇 [0024] The range of the first voltage is IOOVrms to 300Vrms, and the range of the second voltage is 60Vrms to 80Vrms〇

[0025] 所述第一温度的范围为35°C_40°C,所述第二温度的范围为40°C_70°C,以及 [0025] The first temperature range is 35 ° C_40 ° C, the second temperature is 40 ° C_70 ° C, and

[0026] 在第一模式下,热穿透距离小于或等于150微米,并且在第二模式下,热穿透距离小于或等于200微米。 [0026] In a first mode, the heat penetration distance is less than or equal to 150 micrometers, and in the second mode, heat penetration distance is less than or equal to 200 micrometers.

[0027] 根据本发明的另一方面,提供一种低温等离子剥离刀手术方法,所述方法包括: [0027] According to another aspect of the present invention, there is provided a low-temperature plasma stripping knife operation, the method comprising:

[0028] 接收用户输入的控制指令; [0028] receiving a control command input by a user;

[0029] 对所述控制指令进行解析并且当所述控制指令指示第一模式时生成第一模式指令,根据当前阻抗和所述控制指令计算用于第一模式下的输出功率,以及确定与所述第一模式下的输出功率相关联的第一电压指示; [0029] analyzing the control command and generates a first command mode when the control command indicates a first mode, and the impedance based on the current command calculation for outputting power control in the first mode, and determining the a first voltage indicative of the output power associated with said first mode in;

[0030] 将所述第一模式指令和第一电压指示转发给等离子设备,以及从所述等离子设备接收目标接触端的当前阻抗; [0030] The first voltage indicative of a first mode and a command forwarded to the plasma equipment, and the like from the receiving apparatus the target ion current resistance contact end;

[0031] 响应于接收到第一模式指令和第一电压指示,促使所述等离子设备进入第一模式:通过导电介质在所述等离子单元的目标接触端的发射电极和回路电极之间进行电路激活以形成薄层,为发射电极和回路电极之间施加第一电压,使得所述导电介质达到第一温度并且被转换为等离子层,从而利用电能激发导电介质产生等离子体,并且基于等离子体的射频能量对目标体进行汽化剥离; [0031] In response to receiving a first voltage indicative of a first mode and a command, cause the apparatus to enter a first mode plasma: activating a circuit between the emitter electrode and a return electrode in contact with the target end of the plasma cell through a conductive medium forming a thin layer, applying a first voltage between the emitter electrode and the return electrode, such that the conductive medium to a first temperature and is converted into a plasma layer, whereby the conductive medium excited by electric energy to generate a plasma, and a plasma RF energy based vaporizing the release of the target body;

[0032] 其中所述发射电极、等离子层、回路电极以及目标接触端形成回路。 [0032] wherein said emitter electrode, a plasma layer, and a target return electrode contact terminal to form a loop.

[0033] 还包括对所述控制指令进行解析并且当所述控制指令指示第二模式时生成第二模式指令,根据当前阻抗和所述控制指令计算用于第二模式下的输出功率,以及确定与所述第二模式下的输出功率相关联的第二电压指示。 [0033] the control instructions further comprising analyzing and generating a second mode when the control command indicates a second instruction mode, output power is calculated for the second mode according to the current and the impedance control instruction, and determining and a second output voltage indicative of the power associated with the second mode.

[0034] 将所述第二模式指令和第二电压指示转发给等离子设备。 [0034] The second instruction mode indication is forwarded to the second voltage and the plasma equipment.

[0035] 响应于从接收到第二指令和第二电压指示,所述等离子设备进入第二模式:施加第二电压以将所述等离子设备的目标接触端保持为第二温度,从而将目标体进行消融凝固。 [0035] In response to receiving the second command and a second voltage indicative of said plasma device enters a second mode: applying a second voltage to the target contact end of the plasma apparatus is maintained at a second temperature, so that the target body ablation coagulation.

[0036] 还包括在接收到报警信号时,通过声音提示、文字提示和/或指示灯显示进行报警; [0036] Also included in the alarm signal is received, the voice prompts, text prompts and / or display alarm indicators;

[0037] 其中在检测到运行故障后生成报警信号。 [0037] wherein the alarm signal is generated after detecting a fault operation.

[0038] 其中用户通过对脚踏式输入设备进行操作来生成所述控制指令,其中所述控制指令为二元组〈模式,功率〉。 [0038] wherein the foot of the user by operating input device to generate the control command, wherein the control command is a tuple <mode power>.

[0039] 还包括基于导电介质输入指令向所述等离子设备输入所述导电介质,其中所述等离子设备实时测量所述导电介质的当前余量并且基于所述当前余量确定是否生成所述导电介质输入指令。 [0039] further comprises a current-remaining-time measurements based on the conductive medium to said electrically conductive medium input commands and other ionic conductive medium the input apparatus, wherein said plasma generation device and determining whether the conductive medium based on the current balance input command.

[0040] 还包括实时显示所述等离子设备的运行状态。 [0040] further comprises a real-time operating state of the plasma display apparatus.

[0041] 所述第一电压的范围为IOOVrms至300Vrms,并且所述第二电压的范围为60Vrms至80Vrms〇 [0041] The range of the first voltage is IOOVrms to 300Vrms, and the range of the second voltage is 60Vrms to 80Vrms〇

[0042] 所述第一温度的范围为35°C_40°C,所述第二温度的范围为40°C_70°C,以及 [0042] The first temperature range is 35 ° C_40 ° C, the second temperature is 40 ° C_70 ° C, and

[0043] 在第一模式下,热穿透距离小于或等于150微米,并且在第二模式下,热穿透距离小于或等于200微米。 [0043] In a first mode, the heat penetration distance is less than or equal to 150 micrometers, and in the second mode, heat penetration distance is less than or equal to 200 micrometers.

[0044] 根据本申请的低温等离子剥离刀手术系统及方法的工作的温度只有40-70度,从而解决了对周边良好组织的误伤问题、出血问题并且减少并发症。 [0044] According to the work of the present application, low-temperature plasma stripping knife operation system and method of temperature is only 40-70 degrees, thereby solving the problem of accidental injury to surrounding well-organized, bleeding problems and reduce complications. 此外,本申请的低温等离子剥离刀手术系统及方法结构上采用双极方式,直接在导管上形成回路。 Further, the present application bipolar low-temperature plasma stripping knife operation system and method of the structure, the loop is formed directly on the catheter.

附图说明 BRIEF DESCRIPTION

[0045] 通过参考下面的附图,可以更为完整地理解本发明的示例性实施方式: [0045] reference to the following figures, it may be more complete understanding of exemplary embodiments of the present invention:

[0046] 图1为根据本发明优选实施方式的等离子治疗仪的主要零件示意图; [0046] FIG. 1 is a schematic diagram of the main parts of a preferred embodiment of the present invention, an ion or the like of the treatment instrument;

[0047] 图2为根据本发明优选实施方式的等离子治疗仪的结构示意图; [0047] FIG. 2 is a schematic structure according to a preferred embodiment of the present invention, other embodiments of the ion therapy device;

[0048] 图3为根据本发明优选实施方式的低温等离子剥离刀手术系统的结构示意图; [0048] FIG. 3 is a schematic structural peeling knife operation system according to a preferred embodiment of the low temperature plasma of the present invention;

[0049] 图4为根据本发明优选实施方式的低温等离子剥离刀手术方法的流程图; [0049] FIG 4 is a flowchart of a method of peeling knife operation in accordance with a preferred embodiment of the low temperature plasma of the present invention;

[0050] 图5为根据本发明优选实施方式的低温等离子剥离刀手术设备的结构示意图;以及 [0050] FIG. 5 is a schematic view of a preferred embodiment of the low temperature embodiment of the present invention, the ion peeling knife in accordance with the structure of the surgical apparatus; and

[0051] 图6-8为根据本发明优选实施方式的低温等离子剥离刀手术设备的局部放大或截面示意图。 [0051] FIG. 6-8 is a partially preferred embodiment of the low temperature plasma of the present invention, the peeling blade or surgical devices enlarged cross-sectional schematic view.

具体实施方式 Detailed ways

[0052] 以下由特定的具体实施例说明本发明的实施方式,本领域技术人员可由本说明书所揭示的内容轻易地了解本发明的其他优点及功效。 [0052] The following examples illustrate embodiments of the present invention consists of certain specific, one skilled in the art may be disclosed in the present specification easily understand other advantages and effects of the present invention.

[0053] 现在参考附图介绍本发明的示例性实施方式,然而,本发明可以用许多不同的形式来实施,并且不局限于此处描述的实施例,提供这些实施例是为了详尽地且完全地公开本发明,并且向所属技术领域的技术人员充分传达本发明的范围。 [0053] Now herein is for the detailed description and examples, these embodiments are described with reference to the accompanying drawings exemplary embodiments of the present invention, however, the present invention may be embodied in many different forms and is not limited exactly the present invention is disclosed, and the ordinary skilled in the art will fully convey the scope of the present invention. 对于表示在附图中的示例性实施方式中的术语并不是对本发明的限定。 For the exemplary embodiments represented in the drawings in terms are not intended to limit the present invention. 在附图中,相同的单元/元件使用相同的附图标记。 In the drawings, the same elements / components the same reference numerals.

[0054] 除非另有说明,此处使用的术语(包括科技术语)对所属技术领域的技术人员具有通常的理解含义。 [0054] Unless otherwise indicated, the terms used herein (including technical and scientific terms) used herein have the meaning commonly understood to those skilled in the art. 另外,可以理解的是,以通常使用的词典限定的术语,应当被理解为与其相关领域的语境具有一致的含义,而不应该被理解为理想化的或过于正式的意义。 In addition, it is understood that, in order to commonly used dictionaries define the term, the context should be understood as its related fields have the same meaning, and should not be interpreted in an idealized or overly formal sense.

[0055] 图1为根据本发明优选实施方式的等离子治疗仪100的功能示意图。 [0055] FIG. 1 is a schematic functional ionic preferred embodiment of the present invention therapy apparatus 100. 等离子治疗仪100能够用于肠胃里面的诸如早癌的病变部位的剥离、消融和凝固与止血。 Plasma treatment apparatus 100 can be used to release early lesions, such as cancer of the stomach inside, ablation, and coagulation and hemostasis. 此外,等离子治疗仪100还能够用于关节、脊柱、皮肤、耳鼻喉等外科手术中软组织的剥离、消融、凝固与止血。 In addition, the plasma treatment apparatus 100 can also be used to strip joints, spine, skin, ENT surgery and other soft tissue, ablation, coagulation and hemostasis. 本申请的等离子治疗仪100使用时间为24小时以内、按照接触时间分类属于暂时接触、 按照接触人体性质分类属于外部接入器械(与组织/骨/牙本质)以及按照医疗器械结构特征分类属于有源医疗器械。 Ion therapy apparatus 100 of the present application is used as the time within 24 hours, according to the classification of a temporary contact with a contact time, according to the nature of the contact body are external access device classification (tissue / bone / dentin) and classified according to structural features belong to the medical device source of medical equipment. 等离子治疗仪100的附件双极手术电极(剥离刀)头属于一次性无菌产品。 Plasma treatment of bipolar surgical instrument attachment electrode 100 (peeling knife) belonging to the first disposable sterile products.

[0056] 等离子治疗仪100采用双极方案,并且其工作频率为IlOkHz。 [0056] Plasma treatment instrument 100 bipolar scheme, and the operating frequency of IlOkHz. 等离子治疗仪100通过等离子技术实现对耳鼻喉等手术中软组织的剥离、消融、凝固与止血。 Plasma treatment instrument 100 by plasma technology to release ENT other soft tissue surgery, ablation, coagulation and hemostasis. 工作时,等离子治疗仪100通过生理盐水作为导电液,激活发射电极和回路电极之间时形成一个薄层。 In operation, the plasma treatment apparatus 100 through the conductive saline solution, forming a thin layer of emitter activation between the electrodes and the return electrode. 当等离子治疗仪100给予足够的能量(电压)时,生理盐水就转化为一个由赋能带电粒子组成的气体层(等离子层)。 When the plasma treatment device 100 give sufficient energy (voltage), physiological saline is converted into a gas energized by a layer of charged particles (plasma layer). 即,等离子治疗仪100利用能量激发导电介质(例如,生理盐水)产生等离子体,并且依靠等离子体的能量打断组织分子键。 That is, the plasma excitation energy treatment instrument 100 using a conductive medium (e.g., physiological saline) to produce a plasma, the plasma energy and rely tissue break molecular bonds. 等离子体的能量将蛋白质等生物大分子直接裂解成〇2,co2,N2等气体,从而完成对组织的汽化剥离。 The energy of the plasma biomacromocular lysed directly into 〇2, co2, N2 and other gases, thus completing the release of tissue vaporization. 当对等离子治疗仪100的工作刀头给予低电压时,电场低于产生等离子层的域值要求并且产生组织电阻热,从而将组织进行消融凝固与止血。 When work tip 100 ion therapy administered to a low voltage device, the electric field below the threshold required to produce a plasma layer and heat generating resistance of the tissue, thereby ablating the tissue coagulation and hemostasis.

[0057] 如图1所示,等离子治疗仪100的功能体系结构包括:主控程序、报警单元、界面单元、输出控制单元、双极手术电极(剥离刀)接口、双极手术电极(剥离刀)、脚踏开关、脚控接口、滴液控制阀以及滴液控制阀接口。 Functional architecture [0057] As shown in FIG 1, the plasma treatment device 100 comprising: a main control program, an alarm unit, the interface unit, the output control unit, a bipolar surgical electrode (peeling knife) interface, a bipolar surgical electrode (peeling knife ), foot switch, the foot control interface, the control valve and drip dropping control valve interface. 其中,主控程序、报警单元、界面单元、输出控制、双极手术电极接口、脚控接口以及滴液控制阀接口属于等离子治疗仪100的软件部分。 Wherein the master program, an alarm unit, the interface unit, the output control, a bipolar surgical electrode interfaces, and a dropping pin control interface control software portion of the valve belonging to the interface device 100 of the plasma treatment. 等离子治疗仪100的部分部件的功能介绍如表1所示, Plasma treatment instrument section 100 describes the functional components shown in Table 1,

[0058] 表1部分部件的功能介绍 Function [0058] Table 1 describes the portion of the member

[0059] [0059]

Figure CN107736932AD00091

[0060] [0060]

Figure CN107736932AD00101

[0061] 优选地,脚踏开关能够控制等离子治疗仪100的工作模式。 [0061] Preferably, the foot switch can be controlled like the operation mode of the plasma treatment apparatus 100. 等离子治疗仪100的工作模式分为剥离模式与凝血模式。 Other mode of plasma treatment instrument 100 into the release mode and the coagulation mode. 脚踏开关的防水等级为防水等级标准IPX8,并且脚踏开关为电动脚踏开关。 Waterproof grade is waterproof foot switch grading IPX8, and the foot switch is an electric foot switch.

[0062] 优选地,脚踏开关的黄色踏板对应于剥离模式,并且剥离模式的档位级别为1至9 档。 [0062] Preferably, the yellow pedal foot switch corresponds to the peel mode, and the peel mode gear range is 1-9 gear. 即,当踩踏脚踏开关的黄色踏板时,等离子治疗仪100进入剥离模式。 That is, when the foot switch pedal is depressed yellow, plasma treatment instrument 100 enters the release mode. 剥离模式的档位调节方式为:在调节至剥离模式的状态下由脚踏开关上黑色按钮(或手动调节主机面板上黄色按钮)进行调节。 Adjusting mode to the release mode: (yellow button on the panel or manual adjustment) by a foot switch on the black button in peel mode is adjusted to a state regulation. 剥离档位可以选择从1至9档中的任意一档。 Release gear can be selected from 1 to 9 a profile of any file. 其中,档位越高,输出电压越大。 Wherein, the higher the gear, the greater the output voltage. 在剥离模式中,1至9档的输出电压如表2所示: In the peel mode, the output voltage of the 1-9 shift shown in Table 2:

[0063] 表2剥离模式中的输出档位 [0063] Table 2 peel mode output gear of

[0064] [0064]

Figure CN107736932AD00102

[0065] [0065]

Figure CN107736932AD00111

[0066] 优选地,脚踏开关的蓝色踏板对应于凝血模式,并且凝血模式的档位级别为1至5 档。 [0066] Preferably, the foot pedal switch blue corresponding to the coagulation mode, coagulation mode and gear range is 1-5 gear. 即,当踩踏脚踏开关的蓝色踏板时,等离子治疗仪100进入凝血模式。 That is, when the foot switch pedal is depressed blue, plasma treatment instrument 100 enters the coagulation mode. 凝血模式的档位调节方式为:在调节至凝血模式的状态下(按模式键可切换剥离模式和凝血模式)由蓝色踏板上黑色按钮(或手动调节主机面板上下蓝色按钮)进行调节。 Adjusting mode coagulation modes is: at the coagulation mode is adjusted to a state (mode key to switch press release mode and coagulation mode) (blue button down regulation or manual host panel) by a blue black pedal adjustment button. 脚踏黑色按钮时,凝血档位可以选择从1至5档中的任意一档,其中档位越高输出电压越大。 When the black button pedal, gear coagulation 1-5 can be selected from any of a profile file, in which the larger the higher the output voltage range. 当临床使用中需要进行凝血时,踏下蓝色踏板进行凝血。 When clinical use required for clotting, coagulation pedal depression blue. 在凝血模式中,1至5档的输出电压如表3所示: In the coagulation mode, the output voltage of the 1-5 shift shown in Table 3:

[0067] 表3凝血模式中的输出档位 Output gear [0067] Table 3 Coagulation mode

[0068] [0068]

Figure CN107736932AD00112

[0069] 优选地,脚控接口用于接收脚踏开关的控制指令,并且将所述控制指令转发给主控程序。 [0069] Preferably, the foot control interface for receiving control commands foot switch, and the control command is forwarded to main control program. 其中,控制指令为二元组〈模式,功率〉。 Wherein the control command is a tuple <mode power>. 模式包括:剥离模式和凝血模式。 Mode comprising: a coagulation mode and a release mode. 在剥离模式中,功率包括9个档位,并且在凝血模式中,功率包括5个档位。 In the release mode, including the power gear 9, and in the coagulation mode, the power includes five gears.

[0070] 优选地,主控程序对所述控制指令进行解析并且当所述控制指令指示第一模式时生成第一模式指令,根据当前阻抗和所述控制指令计算用于第一模式下的输出功率,将第一模式指令以及与所述第一模式下的输出功率相关联的第一电压指示发送给输出控制单元。 [0070] Preferably, the master program for analyzing and generating control instructions for a first mode when the control command indicates a first instruction mode and the impedance control according to the current command calculation for outputting a first mode power, the first mode a first voltage command indicating the output power of the first mode of transmission to the output associated with the control unit. 其中,初始的当前阻抗为零,即在等离子治疗仪100开机进行操作时,默认的当前阻抗为零。 Wherein the initial current impedance is zero, i.e., when operating in other plasma treatment device 100 is turned on, the default current zero impedance. 所述主控程序对所述控制指令进行解析并且当所述控制指令指示第二模式时生成第二模式指令,根据当前阻抗和所述控制指令计算用于第二模式下的输出功率,将第二模式指令以及与所述第二模式下的输出功率相关联的第二电压指示发送给输出控制单元。 The master program of the control instruction analyzing and generating a second control mode instruction when the instruction indicates a second mode, and the impedance based on the current command calculation for outputting power control in the second mode, the first second mode instruction and an instruction sent to the output control unit and a second voltage at the second output power pattern associated. 其中所述当前阻抗包括高阻抗、中阻抗和低阻抗(0阻抗为低阻抗)。 Wherein said current impedance comprises a high impedance, low impedance, and impedance (0 impedance low impedance). 优选地,根据当前阻抗和所述控制指令计算用于第一模式下的输出功率包括:如果当前阻抗为高阻抗并且所述控制指令指示第一模式下的第2档,则将第一模式下的输出功率设置为第4档;如果当前阻抗为中阻抗并且所述控制指令指示第一模式下的第2档,则将第一模式下的输出功率设置为第3档; 以及如果当前阻抗为低阻抗并且所述控制指令指示第一模式下的第2档,则将第一模式下的输出功率设置为第2档。 Preferably, the impedance and the current command calculation for outputting power control in the first mode comprises: a high impedance and to said control command indicating the second gear in the first mode, then the impedance of the first mode if the current the output power is set to fourth gear; if the current and the impedance of the impedance control command indicating the second gear in the first mode, the output power will be provided in the first mode to the third gear; and if the current impedance low impedance and the control command indicating the second gear in the first mode, then the output power in the first mode to the second gear. 优选地,根据当前阻抗和所述控制指令计算用于第二模式下的输出功率包括:如果当前阻抗为高阻抗并且所述控制指令指示第二模式下的第2档,则将第二模式下的输出功率设置为第4档;如果当前阻抗为中阻抗并且所述控制指令指示第二模式下的第2档,则将第二模式下的输出功率设置为第3档;以及如果当前阻抗为低阻抗并且所述控制指令指示第二模式下的第2档,则将第二模式下的输出功率设置为第2档。 Preferably, the impedance and the current command calculation for outputting power control in the second mode comprises: a high impedance and to said control command indicating the second gear in the second mode, then the impedance of the second mode if the current the output power is set to fourth gear; if the current and the impedance of the impedance control command indicating the second gear in the second mode, the output power will be provided in the second mode to the third gear; and if the current impedance low impedance and the control command indicating the second gear in the second mode, then the output power in the second mode is set to the second gear. 优选地,当所计算得到的输出功率超过第一模式或第二模式中的最高档位时,以最高档位作为实际输出功率。 Preferably, when the calculated output power exceeding a first mode or a second mode in the highest gear to the highest gear as the actual output power.

[0071] 优选地,输出控制单元用于从所述主控程序接收第一模式指令和第一电压指示, 并且将所述第一模式指令和第一电压指示转发给双极手术电极接口,以及从双极手术电极接口接收目标接触端的当前阻抗并且将所述当前阻抗发送给所述主控程序。 [0071] Preferably, the output control unit is configured to receive a first voltage indicative of a first mode and a command from the master control program, and the first voltage indicative of a first mode and a command forwarded to the bipolar surgical electrode interface, and a target operation received from an interface of the bipolar electrode contact impedance end of the current and the impedance of the current transmitted to the main control program. 以及所述输出控制单元从所述主控程序接收第二模式指令和第二电压指示,并且将所述第二模式指令和第二电压指示转发给双极手术电极接口。 And the output control unit receives the second voltage and the second mode indication instruction from the master program and the second voltage and a second indication mode instructions to the forward bipolar surgical electrode interface.

[0072] 优选地,双极手术电极接口用于接收主控程序的功率指示并且将所述功率指示发送给双极手术电极,以及对双极手术电极的实时阻抗进行测量并且将所述实时阻抗通过输出控制单元传递给主控程序。 [0072] Preferably, a bipolar electrode operation indicates an interface for receiving power and controlling application of said power indication to a bipolar electrode operation, and real-time operation of the bipolar electrode impedance is measured and the real impedance transmitted to the master program through the output control unit.

[0073] 优选地,双极手术电极响应于从所述双极手术电极接口接收第一模式指令和第一电压指示,进入第一模式:通过导电介质在所述双极手术电极的目标接触端处的发射电极和回路电极之间进行电路激活以形成薄层,为发射电极和回路电极之间施加第一电压,使得所述导电介质达到第一温度并且被转换为等离子层,从而利用电能激发导电介质产生等离子体,并且基于等离子体的射频能量对目标体进行汽化剥离。 [0073] Preferably, a bipolar electrode operation in response to the bipolar surgical electrode interface to receive a first voltage indicative of a first mode and a command to enter a first mode: target medium via the conductive contact end of the bipolar surgical electrode activating a circuit between the emitter electrode and a return electrode to form a thin layer, applying a first voltage between the emitter electrode and the return electrode, such that the conductive medium to a first temperature and is converted into a plasma layer, so that excited by electric energy conductive medium to generate a plasma, the plasma and the RF energy based on the target body vaporizing stripping. 响应于从所述双极手术电极接口接收的第二指令和第二电压指示,所述双极手术电极进入第二模式:施加第二电压以将所述双极手术电极的目标接触端保持为第二温度,从而将目标体进行消融凝固。 In response to an instruction from said second bipolar surgical electrode and a second interface for receiving a voltage indicative of the bipolar electrode into the second surgical mode: applying a second voltage to the target contact end of the bipolar surgical electrode is maintained a second temperature, thereby solidifying the target material ablation.

[0074] 优选地,报警单元用于在接收到报警信号时,通过声音提示、文字提示和/或指示灯显示进行报警。 [0074] Preferably, the alarm unit when receiving the alarm signal, by voice prompts, text prompts and / or display alarm indicators. 其中在所述双极手术电极检测到运行故障后向主控程序发送报警信号, 所述主控程序将报警信号发送给所述报警单元。 Wherein the electrodes in the bipolar surgical operation fault is detected after the alarm signal is transmitted to the main control program, the master program alarm signal to the alarm unit.

[0075] 优选地,界面单元,用于实时显示所述低温等离子剥离刀手术系统的运行状态。 [0075] Preferably, the operating state of the interface unit, for real-time display of the low-temperature plasma stripping knife surgical system.

[0076] 优选地,滴液控制阀用于基于所述主控程序的导电介质输入指令向双极手术电极输入所述导电介质,其中所述双极手术电极实时测量所述导电介质的当前余量并且将所述当前余量发送给主控程序,所述主控程序基于所述当前余量确定是否生成所述导电介质输入指令并且在确定生成所述导电介质输入指令后将所述导电介质输入指令发送给滴液控制阀。 [0076] Preferably, the control valve for dropping the conductive medium current I based on the input command to the main control program of the bipolar surgical electrode input the conductive medium, wherein real-time measurement of the bipolar surgical electrode is the conductive medium and the amount of remaining current transmitted to the main control program, the master program of the current margin is determined whether the input command to generate the conductive medium and conductive medium will be generated after determining the input command based on the conductive medium dropping the input command to the control valve. 优选地,滴液控制阀接口用于实现滴液控制阀和主控程序之间的双向通信。 Preferably, the control valve drip dropping interfaces provide for bidirectional communication between the control valve and the master control program.

[0077] 优选地,双极手术电极末端导管处的发射电极、等离子层、回路电极以及目标接触端形成回路。 [0077] Preferably, the emitter electrode of the bipolar surgical electrode tip catheter at the plasma layer, and a target return electrode contact terminal to form a loop. 在剥离模式中,双极手术电极的工作温度为35至40°C,而传统电外科刀的工作温度为350至700°C。 In the release mode, the operating temperature of the bipolar surgical electrode is 35 to 40 ° C, whereas the conventional electrosurgical knife operating temperature of 350 to 700 ° C. 双极手术电极的热穿透距离比传统电外科刀的热穿透距离小,其中剥离模式中的热穿透距离小于或等于150微米并且凝血模式中的热穿透距离小于或等于200 微米,而传统电外科刀的热穿透距离大于9000微米。 Heat penetration distance bipolar surgical electrode distance smaller than the thermal penetration conventional electrosurgical knife, wherein the heat penetration from the peel mode is less than or equal to 150 microns and heat penetration from the coagulation mode is equal to or less than 200 microns, thermally conventional electrosurgical knife penetration distance of greater than 9000 microns.

[0078] 等离子治疗仪100工作原理是等离子体低温消融术。 [0078] 100 works such as ion therapy device is low-temperature plasma ablation. 利用双极刀头产生能量,将生理盐水转换成等离子体薄层,解离靶组织中构成细胞成分的分子键,造成组织凝固性坏死, 形成消融或剥离的效果。 Bipolar bit generating energy, converting a thin layer of saline into a plasma, the dissociation of molecular bonds constituting the target tissue cell components, cause tissue coagulation necrosis, ablation or peeling effect is formed. 由于在相对较低的温度下工作,比传统使用的高频剥离电刀对周边组织的热损伤降到最小程度。 Since working at a relatively low temperature, high frequency electric knife peeling than conventionally used thermal damage to surrounding tissue is minimized extent. 在35°C左右工作温度可使靶组织体积缩小,靶组织中的微血管封闭,切除病变。 At about 35 ° C operating temperature of the target tissue volume reduction can, the target tissue of microvascular closed, removal of lesions. 其低温和组织减容消融特性,较常用的单极电刀更具有缩短术后恢复时间、减轻术后疼痛和减少手术治疗费用的优点。 Low temperature properties and tissue ablation volume reduction, more commonly more monopolar knife Reduced postoperative recovery time, decreased postoperative pain and reduce the cost of surgery advantages. 其中,等离子治疗仪与普通高频剥离电刀的温度比较如表4所示: Wherein the plasma frequency therapy device peeling knife ordinary temperature comparison shown in Table 4:

[0079] 表4 [0079] TABLE 4

[0080] [0080]

Figure CN107736932AD00131

[0081] 等离子治疗仪在工作时刀头周围温度低于70°C (详见离体实验研究组织热损伤报告),与传统意义上的普通高频剥离电刀(100〜150°C高温)相比工作温度更低,虽然低温等离子刀的治疗温度相对人组织仍属于高温,组织细胞受此温度影响后,同样会出现电刀剥离造成组织蛋白变性,尤其是持续一定时间后,亦可对组织造成热损伤。 [0081] Plasma treatment instrument tip at the working ambient temperature is below 70 ° C (see the report of thermal injury in vitro study of tissue), and the release of ordinary high-frequency electric knife in the traditional sense (100~150 ° C temperature) compared to a lower operating temperature, low temperature plasma treatment while the knife is still relatively high temperature of human tissue, the tissue cells by this temperature effect, the same will be caused the peeling knife tissue protein denaturation, especially after a certain time duration, also on thermal damage to tissue. 而组织细胞的变性坏死是一个逐渐发展的过程,故部分患者行低温等离子手术后,其术区肿胀、术后疼痛等反应不比高频剥离电刀反应轻。 Degeneration and necrosis of tissue cells and is a progressive development of the process, so that the rear portion of patients with low-temperature plasma operation, which the surgical swelling, postoperative pain and other reactions than the high frequency electric knife light release reaction. 等离子治疗仪与普通高频剥离电刀的损伤热损伤深度比较如下表5所示: Depth of thermal damage and other damage to the common high-frequency plasma treatment apparatus of Comparative peeling knife as shown in Table 5:

[0082] 表5 [0082] TABLE 5

[0083] [0083]

Figure CN107736932AD00132

[0084] 由于每次手术时间存在差异所以等离子治疗仪在离体实验研究组织热损伤报告中选用了最大手术时间,由对比可见最大手术时间的等离子治疗仪和正常使用的高频剥离电刀热损深度。 [0084] Since each occurrence operation time difference so that the plasma treatment device selected maximum operating time in the thermal injury of in vitro experimental study tissue, the contrast can be seen the maximum operation time of the plasma treatment apparatus and the high peeling knife thermal normal use loss of depth. 故正常使用的等离子治疗仪的热损深度应低于高频剥离电刀热损深度。 Therefore, the depth of heat loss of normal plasma used should be lower than the high-frequency treatment instrument of the peeling knife depth of heat loss.

[0085] 图2为根据本发明优选实施方式的等离子治疗仪200的主要零件示意图。 [0085] FIG. 2 is a schematic view of the main part 200 in accordance with a preferred embodiment of the present invention, an ion of the therapy device and the like. 如图2所示,等离子治疗仪200的主要零件包括:双极手术电极接口201、滴液控制阀接口202、踩踏开关接口203、显示屏204、主板205、喇叭206、前面板207、故障报警灯208、下模209、上模210、 电源模块211、滴液控制阀212以及风扇213。 2, the main parts of the plasma treatment apparatus 200 includes: a bipolar electrode operation interface 201, the interface dropping control valve 202, depressing the switch interface 203, display screen 204, the motherboard 205, the speaker 206, the front panel 207, fault alarm lamp 208, the lower mold 209, upper mold 210, the power module 211, dropping the control valve 212 and a fan 213.

[0086] 优选地,踩踏开关接口203用于接收脚踏开关的指令,脚踏开关并且能够控制等离子治疗仪20 0的工作模式。 [0086] Preferably, the depression switch interface 203 for receiving a foot switch command, a foot switch and can control the plasma treatment device 200 of the operation mode. 等尚子治疗仪2 0 0的工作模式分为剥尚模式与凝血模式。 Work mode Naoko therapy device 200 is still divided into stripping mode and coagulation mode. 脚踏开关的防水等级为防水等级标准IPX8,并且脚踏开关为电动脚踏开关。 Waterproof grade is waterproof foot switch grading IPX8, and the foot switch is an electric foot switch.

[0087] 优选地,脚踏开关的黄色踏板对应于剥离模式,并且剥离模式的档位级别为1至9 档。 [0087] Preferably, the yellow pedal foot switch corresponds to the peel mode, and the peel mode gear range is 1-9 gear. 即,当踩踏脚踏开关的黄色踏板时,等离子治疗仪200进入剥离模式。 That is, when the foot switch pedal is depressed yellow, plasma treatment instrument 200 into the peel mode. 剥离模式的档位调节方式为:在调节至剥离模式的状态下由脚踏开关上黑色按钮(或手动调节主机面板上黄色按钮)进行调节。 Adjusting mode to the release mode: (yellow button on the panel or manual adjustment) by a foot switch on the black button in peel mode is adjusted to a state regulation. 剥离档位可以选择从1至9档中的任意一档。 Release gear can be selected from 1 to 9 a profile of any file. 其中,档位越高,输出电压越大。 Wherein, the higher the gear, the greater the output voltage.

[0088] 优选地,脚踏开关的蓝色踏板对应于凝血模式,并且凝血模式的档位级别为1至5 档。 [0088] Preferably, the foot pedal switch blue corresponding to the coagulation mode, coagulation mode and gear range is 1-5 gear. 即,当踩踏脚踏开关的蓝色踏板时,等离子治疗仪200进入凝血模式。 That is, when the foot switch pedal is depressed blue, other ions 200 into the coagulation mode the therapy device. 凝血模式的档位调节方式为:在调节至凝血模式的状态下(按模式键可切换剥离模式和凝血模式)由蓝色踏板上黑色按钮(或手动调节主机面板上下蓝色按钮)进行调节。 Adjusting mode coagulation modes is: at the coagulation mode is adjusted to a state (mode key to switch press release mode and coagulation mode) (blue button down regulation or manual host panel) by a blue black pedal adjustment button. 脚踏黑色按钮时,凝血档位可以选择从1至5档中的任意一档,其中档位越高输出电压越大。 When the black button pedal, gear coagulation 1-5 can be selected from any of a profile file, in which the larger the higher the output voltage range. 当临床使用中需要进行凝血时,踏下蓝色踏板进行凝血。 When clinical use required for clotting, coagulation pedal depression blue.

[0089] 优选地,踩踏开关接口203用于接收脚踏开关的控制指令,并且将所述控制指令转发给主控程序。 [0089] Preferably, the depression switch interface 203 for receiving control commands foot switch, and the control command is forwarded to main control program. 其中,控制指令为二元组〈模式,功率〉。 Wherein the control command is a tuple <mode power>. 模式包括:剥离模式和凝血模式。 Mode comprising: a coagulation mode and a release mode. 在剥离模式中,功率包括9个档位,并且在凝血模式中,功率包括5个档位。 In the release mode, including the power gear 9, and in the coagulation mode, the power includes five gears.

[0090] 优选地,主板205用于容纳固件,所述固件中存储主控程序。 [0090] Preferably, the main board 205 for receiving the firmware, the firmware stored in the master program. 其中,主控程序对所述控制指令进行解析并且当所述控制指令指示第一模式时生成第一模式指令,根据当前阻抗和所述控制指令计算用于第一模式下的输出功率,将第一模式指令以及与所述第一模式下的输出功率相关联的第一电压指示发送给输出控制单元。 Wherein the master control program of the control instruction parses and generates a first mode when the control command indicates a first instruction mode, and the impedance based on the current command calculation for outputting power control in the first mode, the first indicating a mode command is sent to the control unit and the first output voltage at the output power of the first mode is associated. 其中,初始的当前阻抗为零,即在等离子治疗仪200开机进行操作时,默认的当前阻抗为零。 Wherein the initial current impedance is zero, i.e., when operating in power-like plasma treatment device 200, the default current zero impedance. 所述主控程序对所述控制指令进行解析并且当所述控制指令指示第二模式时生成第二模式指令,根据当前阻抗和所述控制指令计算用于第二模式下的输出功率,将第二模式指令以及与所述第二模式下的输出功率相关联的第二电压指示发送给输出控制单元。 The master program of the control instruction analyzing and generating a second control mode instruction when the instruction indicates a second mode, and the impedance based on the current command calculation for outputting power control in the second mode, the first second mode instruction and an instruction sent to the output control unit and a second voltage at the second output power pattern associated. 其中所述当前阻抗包括高阻抗、中阻抗和低阻抗(0阻抗为低阻抗)。 Wherein said current impedance comprises a high impedance, low impedance, and impedance (0 impedance low impedance). 优选地,根据当前阻抗和所述控制指令计算用于第一模式下的输出功率包括:如果当前阻抗为高阻抗并且所述控制指令指示第一模式下的第2档,则将第一模式下的输出功率设置为第4档;如果当前阻抗为中阻抗并且所述控制指令指示第一模式下的第2档,则将第一模式下的输出功率设置为第3档;以及如果当前阻抗为低阻抗并且所述控制指令指示第一模式下的第2档,则将第一模式下的输出功率设置为第2档。 Preferably, the impedance and the current command calculation for outputting power control in the first mode comprises: a high impedance and to said control command indicating the second gear in the first mode, then the impedance of the first mode if the current the output power is set to fourth gear; if the current and the impedance of the impedance control command indicating the second gear in the first mode, the output power will be provided in the first mode to the third gear; and if the current impedance low impedance and the control command indicating the second gear in the first mode, then the output power in the first mode to the second gear. 优选地,根据当前阻抗和所述控制指令计算用于第二模式下的输出功率包括:如果当前阻抗为高阻抗并且所述控制指令指示第二模式下的第2档,则将第二模式下的输出功率设置为第4档;如果当前阻抗为中阻抗并且所述控制指令指示第二模式下的第2档,则将第二模式下的输出功率设置为第3档;以及如果当前阻抗为低阻抗并且所述控制指令指示第二模式下的第2档, 则将第二模式下的输出功率设置为第2档。 Preferably, the impedance and the current command calculation for outputting power control in the second mode comprises: a high impedance and to said control command indicating the second gear in the second mode, then the impedance of the second mode if the current the output power is set to fourth gear; if the current and the impedance of the impedance control command indicating the second gear in the second mode, the output power will be provided in the second mode to the third gear; and if the current impedance low impedance and the control command indicating the second gear in the second mode, then the output power in the second mode is set to the second gear. 优选地,当所计算得到的输出功率超过第一模式或第二模式中的最高档位时,以最高档位作为实际输出功率。 Preferably, when the calculated output power exceeding a first mode or a second mode in the highest gear to the highest gear as the actual output power.

[0091] 优选地,输出控制单元(图2中未示出)用于从所述主控程序接收第一模式指令和第一电压指示,并且将所述第一模式指令和第一电压指示转发给双极手术电极接口201,以及从双极手术电极接口201接收目标接触端的当前阻抗并且将所述当前阻抗发送给所述主控程序。 [0091] Preferably, the output control unit (not shown in FIG. 2) for receiving a first voltage indicative of a first mode and a command from the master control program, and the first voltage indicative of a first mode and a forwarding instruction surgical bipolar electrode interface 201 to, and receiving from the target a bipolar surgical electrode contacting interface 201 and the current impedance end of the current sent to the impedance of the main control program. 以及所述输出控制单元从所述主控程序接收第二模式指令和第二电压指示,并且将所述第二模式指令和第二电压指示转发给双极手术电极接口201。 And the output control unit receives the second voltage and the second mode indication instruction from the master program and the second voltage and a second indication mode instructions to the forward bipolar surgical electrode interface 201.

[0092] 优选地,双极手术电极接口201用于接收主控程序的功率指示并且将所述功率指示发送给双极手术电极,以及对双极手术电极的实时阻抗进行测量并且将所述实时阻抗通过输出控制单元传递给主控程序。 [0092] Preferably, a bipolar electrode operation interface 201 for receiving power instruction master program and the power indication to a bipolar electrode operation, and real-time operation of the bipolar electrode impedance is measured and the real-time impedance is transmitted to the output control unit via the master control program.

[0093] 优选地,双极手术电极(图中未示出)响应于从所述双极手术电极接口201接收第一模式指令和第一电压指示,进入第一模式:通过导电介质在所述双极手术电极的目标接触端处的发射电极和回路电极之间进行电路激活以形成薄层,为发射电极和回路电极之间施加第一电压,使得所述导电介质达到第一温度并且被转换为等离子层,从而利用电能激发导电介质产生等离子体,并且基于等离子体的射频能量对目标体进行汽化剥离。 [0093] Preferably, a bipolar surgical electrode (not shown) in response to receiving a first voltage indicative of a first mode and a command from the bipolar surgical electrode interface 201, enters the first mode: the conductive medium activating a circuit between the emitter electrode and the return electrode in contact with the target at the end of a bipolar surgical electrode to form a thin layer, applying a first voltage between the emitter electrode and the return electrode, such that the conductive medium to a first temperature and is converted a plasma layer, whereby the conductive medium excited by electric energy to generate a plasma, and the release of the target material is vaporized RF energy based plasma. 响应于从所述双极手术电极接口201接收的第二指令和第二电压指示,所述双极手术电极进入第二模式:施加第二电压以将所述双极手术电极的目标接触端保持为第二温度,从而将目标体进行消融凝固。 And a second response to the second command voltage indication received from the bipolar surgical electrode interface 201, the bipolar surgical electrode into the second mode: applying a second voltage to the target electrode contact end of the bipolar surgical holding a second temperature, thereby solidifying the target material ablation.

[0094] 优选地,故障报警灯208用于在接收到报警信号时,通过指示灯显示进行报警。 [0094] Preferably, the failure alarm lamp 208 when receiving the alarm signal through an alarm indicator display. 其中在所述双极手术电极检测到运行故障后向主控程序发送报警信号,所述主控程序将报警信号发送给所述故障报警灯208。 Wherein the electrodes in the bipolar surgical operation fault is detected after the alarm signal is transmitted to the main control program, the master program fault alarm signal to the alarm lamp 208. 喇叭206用于在接收到报警信号时,通过声音进行报警。 Speaker 206 when receiving the alarm signal, alarm by voice. 其中在所述双极手术电极检测到运行故障后向主控程序发送报警信号,所述主控程序将报警信号发送给所述喇叭206。 Wherein the electrodes in the bipolar surgical operation fault is detected after the alarm signal is transmitted to the main control program, the master program alarm signal to the speaker 206.

[0095] 优选地,显示屏204用于实时显示所述低温等离子剥离刀手术系统的运行状态。 [0095] Preferably, the real time display screen 204 for displaying the operating state of a low temperature plasma stripping knife surgical system.

[0096] 优选地,滴液控制阀212用于基于所述主控程序的导电介质输入指令向双极手术电极输入所述导电介质,其中所述双极手术电极实时测量所述导电介质的当前余量并且将所述当前余量发送给主控程序,所述主控程序基于所述当前余量确定是否生成所述导电介质输入指令并且在确定生成所述导电介质输入指令后将所述导电介质输入指令发送给滴液控制阀212。 [0096] Preferably, the control valve 212 for dropping the conductive medium based on the current command input to the main control program of the bipolar surgical electrode input the conductive medium, wherein real-time measurement of the bipolar surgical electrode is the conductive medium and the balance remaining current transmitted to the main control program, the master program is determined based on the current remaining after conducting medium if the input command generator generating said conductive medium and determining the input command of the conductive medium input command to the control valve 212 drops. 优选地,滴液控制阀接口202用于实现滴液控制阀212和主控程序之间的双向通信。 Preferably, the control valve drip dropping interface 202 for realizing the bidirectional communication between control valve 212 and the master control program.

[0097] 优选地,本申请采用双模式液体出口:1、滴定模式,即像吊瓶输液的方式一样一滴一滴的供给;以及2、连续供给模式,即连续供应液体流的模式。 [0097] Preferably, the present application uses a dual mode liquid outlet: 1, titration mode, i.e., drop by drop infusion bottle is supplied as the same manner; and a mode 2 is continuously supplied liquid flow, continuously feeding mode, i.e.. 双极手术电极接口(剥离刀接口)通过插接线与如下所述的图5的双极电极插口接头(剥离刀接头)连接,滴液控制阀接口通过连接管与图5的通液腔连接。 Surgical bipolar electrode interfaces (Interface peeling knife) bipolar electrode socket joint (peeling knife linker) 5 via the plug connection with FIG follows, dropping the control valve is connected via the interface through the connection tube to the liquid chamber 5 of FIG. 脚踏开关口通过连接线与外置的脚踏板连接,用来控制能量和滴液的供应和断开。 Foot switch port connected by a connecting cord to the external foot pedal, for controlling the energy supply and drip on and off. 当脚踏板踩下时,能量和滴液供应;当脚踏板松开时,能量和滴液断开。 When the foot pedal depressed, and dropping the energy supply; when the foot pedal is released and drops energy disconnected.

[0098] 优选地,双极手术电极末端导管处的发射电极、等离子层、回路电极以及目标接触端形成回路。 [0098] Preferably, the emitter electrode of the bipolar surgical electrode tip catheter at the plasma layer, and a target return electrode contact terminal to form a loop. 在剥离模式中,双极手术电极的工作温度为35至40°C,而传统电外科刀的工作温度为350至700°C。 In the release mode, the operating temperature of the bipolar surgical electrode is 35 to 40 ° C, whereas the conventional electrosurgical knife operating temperature of 350 to 700 ° C. 双极手术电极的热穿透距离比传统电外科刀的热穿透距离小,其中剥离模式中的热穿透距离小于或等于150微米并且凝血模式中的热穿透距离小于或等于200 微米,而传统电外科刀的热穿透距离大于9000微米。 Heat penetration distance bipolar surgical electrode distance smaller than the thermal penetration conventional electrosurgical knife, wherein the heat penetration from the peel mode is less than or equal to 150 microns and heat penetration from the coagulation mode is equal to or less than 200 microns, thermally conventional electrosurgical knife penetration distance of greater than 9000 microns.

[0099] 优选地,上模210和下模209通过组合的方式来保护主板。 [0099] Preferably, the upper mold 210 and lower mold 209 is protected by the motherboard in combination. 风扇213用于散热,并且电源模块211用于为等离子治疗仪200提供电力。 A cooling fan 213, and the power supply module 211 is used for the plasma treatment device 200 to provide power. 前面板207用于进行数据显示和操作控制。 The front panel 207 for display and the operation control data.

[0100] 图3为根据本发明优选实施方式的低温等离子剥离刀手术系统300的结构示意图。 [0100] FIG. 3 is a schematic view of the peeling knife operation system 300 in accordance with a preferred embodiment of the low temperature plasma of the present invention. 低温等离子剥离刀手术系统300能够用于肠胃里面的诸如早癌的病变部位的剥离、消融和凝固与止血。 Low temperature plasma stripping knife operation system 300 can be used to release early lesions, such as cancer of the stomach inside, ablation, and coagulation and hemostasis. 此外,低温等离子剥离刀手术系统300还能够用于关节、脊柱、皮肤、耳鼻喉等外科手术中软组织的剥离、消融、凝固与止血。 In addition, low-temperature plasma stripping knife operation system 300 can also be used to strip joints, spine, skin, ENT surgery and other soft tissue, ablation, coagulation and hemostasis. 本申请的低温等离子剥离刀手术系统300使用时间为24小时以内、按照接触时间分类属于暂时接触、按照接触人体性质分类属于外部接入器械(与组织/骨/牙本质)以及按照医疗器械结构特征分类属于有源医疗器械。 This low-temperature plasma application peeling knife operation system 300 is a time within 24 hours, according to the classification of a temporary contact time of the contact, according to the nature of the contact body are external access device classification (tissue / bone / dentin), and in accordance with the structural characteristics of the medical device classification is active medical device.

[0101] 低温等离子剥离刀手术系统300采用双极方案,并且其工作频率为110kHz。 [0101] The low plasma stripping knife operation system 300 employs bipolar scheme, and the operating frequency of 110kHz. 低温等离子剥离刀手术系统300通过等离子技术实现对耳鼻喉等手术中软组织的剥离、消融、凝固与止血。 Low temperature plasma stripping knife operation system 300 by plasma technology to release ENT other soft tissue surgery, ablation, coagulation and hemostasis. 工作时,低温等离子剥离刀手术系统300通过生理盐水作为导电液,激活发射电极和回路电极之间时形成一个薄层。 In operation, a low temperature plasma stripping knife operation system 300 through the conductive saline solution, forming a thin layer of emitter activation between the electrodes and the return electrode. 当低温等离子剥离刀手术系统300给予足够的能量(电压)时,生理盐水就转化为一个由赋能带电粒子组成的气体层(等离子层)。 When the low-temperature plasma stripping knife operation system 300 give sufficient energy (voltage), physiological saline is converted into a gas energized by a layer of charged particles (plasma layer). 即,低温等离子剥离刀手术系统300利用能量激发导电介质(例如,生理盐水)产生等离子体,并且依靠等离子体的能量打断组织分子键。 That is, the low temperature plasma stripping knife operation system 300 using the excitation energy conductive medium (e.g., physiological saline) to produce a plasma, the plasma energy and rely tissue break molecular bonds. 等离子体的能量将蛋白质等生物大分子直接裂解成〇2,C02,N2 等气体,从而完成对组织的汽化剥离。 The energy of the plasma biomacromocular lysed directly into 〇2, C02, N2 and other gases, thus completing the release of tissue vaporization. 当对等离子治疗仪100的工作刀头给予低电压时,电场低于产生等离子层的域值要求并且产生组织电阻热,从而将组织进行消融凝固与止血。 When work tip 100 ion therapy administered to a low voltage device, the electric field below the threshold required to produce a plasma layer and heat generating resistance of the tissue, thereby ablating the tissue coagulation and hemostasis.

[0102] 如图3所示,低温等离子剥离刀手术系统300包括:输入单元301、控制单元302、接口单元303、等离子单元304、报警单元305、滴液输入单元306以及显示单元307。 [0102] As shown, the low-temperature plasma stripping knife operation system 3003 comprises: an input unit 301, control unit 302, an interface unit 303, a plasma cell 304, an alarm unit 305, an input unit 306 and dropping the display unit 307. 优选地,输入单元301例如是脚踏开关,并且脚踏开关能够控制低温等离子剥离刀手术系统300工作模式。 Preferably, the input unit 301, for example, a foot switch, the foot switch and the low-temperature plasma can be controlled peeling knife operation system 300 operating mode. 低温等尚子剥尚刀手术系统300的工作模式分为剥尚模式与凝血模式。 Naoko low temperature stripping operation mode still knife operation system 300 is divided into stripping still mode and coagulation mode. 脚踏开关的防水等级为防水等级标准IPX8,并且脚踏开关为电动脚踏开关。 Waterproof grade is waterproof foot switch grading IPX8, and the foot switch is an electric foot switch.

[0103] 优选地,脚踏开关的黄色踏板对应于剥离模式,并且剥离模式的档位级别为1至9 档。 [0103] Preferably, the yellow pedal foot switch corresponds to the peel mode, and the peel mode gear range is 1-9 gear. 即,当踩踏脚踏开关的黄色踏板时,低温等离子剥离刀手术系统300进入剥离模式。 That is, when the foot switch pedal is depressed yellow, low-temperature plasma stripping knife operation system 300 enters the release mode. 剥离模式的档位调节方式为:在调节至剥离模式的状态下由脚踏开关上黑色按钮(或手动调节主机面板上黄色按钮)进行调节。 Adjusting mode to the release mode: (yellow button on the panel or manual adjustment) by a foot switch on the black button in peel mode is adjusted to a state regulation. 剥离档位可以选择从1至9档中的任意一档。 Release gear can be selected from 1 to 9 a profile of any file. 其中,档位越高,输出电压越大。 Wherein, the higher the gear, the greater the output voltage.

[0104] 优选地,脚踏开关的蓝色踏板对应于凝血模式,并且凝血模式的档位级别为1至5 档。 [0104] Preferably, the foot pedal switch blue corresponding to the coagulation mode, coagulation mode and gear range is 1-5 gear. 即,当踩踏脚踏开关的蓝色踏板时,低温等离子剥离刀手术系统300进入凝血模式。 That is, when the foot switch pedal is depressed blue, low-temperature plasma stripping knife operation system 300 enters the coagulation mode. 凝血模式的档位调节方式为:在调节至凝血模式的状态下(按模式键可切换剥离模式和凝血模式)由蓝色踏板上黑色按钮(或手动调节主机面板上下蓝色按钮)进行调节。 Adjusting mode coagulation modes is: at the coagulation mode is adjusted to a state (mode key to switch press release mode and coagulation mode) (blue button down regulation or manual host panel) by a blue black pedal adjustment button. 脚踏黑色按钮时,凝血档位可以选择从1至5档中的任意一档,其中档位越高输出电压越大。 When the black button pedal, gear coagulation 1-5 can be selected from any of a profile file, in which the larger the higher the output voltage range. 当临床使用种需要进行凝血时,踏下蓝色踏板进行凝血。 When using types require clinical coagulation, coagulation pedal depression blue.

[0105] 优选地,脚控接口用于接收脚踏开关的控制指令,并且将所述控制指令转发给主控程序。 [0105] Preferably, the foot control interface for receiving control commands foot switch, and the control command is forwarded to main control program. 其中,控制指令为二元组〈模式,功率〉。 Wherein the control command is a tuple <mode power>. 模式包括:剥离模式和凝血模式。 Mode comprising: a coagulation mode and a release mode. 在剥离模式中,功率包括9个档位,并且在凝血模式中,功率包括5个档位。 In the release mode, including the power gear 9, and in the coagulation mode, the power includes five gears.

[0106] 优选地,控制单元302对所述控制指令进行解析并且当所述控制指令指示第一模式时生成第一模式指令,根据当前阻抗和所述控制指令计算用于第一模式下的输出功率, 将第一模式指令以及与所述第一模式下的输出功率相关联的第一电压指示发送给接口单元303。 [0106] Preferably, the control unit parses the control instruction and generating a first control mode when the command instruction indicates a first mode, and the impedance is calculated based on the current control command to output in the first mode 302 power, the first mode a first voltage command indicating the output power of the first mode of transmission to the associated interface unit 303. 其中,初始的当前阻抗为零,即在低温等离子剥离刀手术系统300开机进行操作时, 默认的当前阻抗为零。 Wherein the initial current zero impedance, i.e. operating at a low temperature plasma power peeling knife operation system 300, the default current zero impedance. 所述控制单元302对所述控制指令进行解析并且当所述控制指令指示第二模式时生成第二模式指令,根据当前阻抗和所述控制指令计算用于第二模式下的输出功率,将第二模式指令以及与所述第二模式下的输出功率相关联的第二电压指示发送给接口单元303。 The control unit 302 parses the control command and generates a second control mode instruction when the instruction indicates a second mode, and the impedance is calculated based on the current output power control commands in a second mode, the first and a second mode instruction indicating a second output voltage at the second power mode to the associated interface unit 303 transmits. 其中所述当前阻抗包括高阻抗、中阻抗和低阻抗(0阻抗为低阻抗)。 Wherein said current impedance comprises a high impedance, low impedance, and impedance (0 impedance low impedance). 优选地, 根据当前阻抗和所述控制指令计算用于第一模式下的输出功率包括:如果当前阻抗为高阻抗并且所述控制指令指示第一模式下的第2档,则将第一模式下的输出功率设置为第4档; 如果当前阻抗为中阻抗并且所述控制指令指示第一模式下的第2档,则将第一模式下的输出功率设置为第3档;以及如果当前阻抗为低阻抗并且所述控制指令指示第一模式下的第2 档,则将第一模式下的输出功率设置为第2档。 Preferably, the impedance and the current command calculation for outputting power control in the first mode comprises: a high impedance and to said control command indicating the second gear in the first mode, then the impedance of the first mode if the current the output power is set to fourth gear; if the current and the impedance of the impedance control command indicating the second gear in the first mode, the output power will be provided in the first mode to the third gear; and if the current impedance low impedance and the control command indicating the second gear in the first mode, then the output power in the first mode to the second gear. 优选地,根据当前阻抗和所述控制指令计算用于第二模式下的输出功率包括:如果当前阻抗为高阻抗并且所述控制指令指示第二模式下的第2档,则将第二模式下的输出功率设置为第4档;如果当前阻抗为中阻抗并且所述控制指令指示第二模式下的第2档,则将第二模式下的输出功率设置为第3档;以及如果当前阻抗为低阻抗并且所述控制指令指示第二模式下的第2档,则将第二模式下的输出功率设置为第2档。 Preferably, the impedance and the current command calculation for outputting power control in the second mode comprises: a high impedance and to said control command indicating the second gear in the second mode, then the impedance of the second mode if the current the output power is set to fourth gear; if the current and the impedance of the impedance control command indicating the second gear in the second mode, the output power will be provided in the second mode to the third gear; and if the current impedance low impedance and the control command indicating the second gear in the second mode, then the output power in the second mode is set to the second gear. 优选地,当所计算得到的输出功率超过第一模式或第二模式中的最高档位时, 以最高档位作为实际输出功率。 Preferably, when the calculated output power exceeding a first mode or a second mode in the highest gear to the highest gear as the actual output power.

[0107]优选地,接口单元303用于从所述控制单元302接收第一模式指令和第一电压指示,并且将所述第一模式指令和第一电压指示转发给等离子单元304,以及从等离子单元304接收目标接触端的当前阻抗并且将所述当前阻抗发送给所述控制单元302。 [0107] Preferably, the interface unit 303 to instruction from said first mode indication is forwarded to the first voltage and the plasma cell 304, and the plasma from the control unit 302 receives a first voltage and a first indication mode instruction, and unit 304 receives the target current and the impedance of the contact end of the current sent to the impedance control unit 302. 以及所述接口单元303从所述控制单元302接收第二模式指令和第二电压指示,并且将所述第二模式指令和第二电压指示转发给等离子单元304。 And the interface unit 303 from the control unit 302 receives the second voltage and a second indication mode instruction and the second instruction mode and a second voltage indicative of the plasma unit 304 forwards.

[0108]优选地,接口单元303用于接收控制单元302的功率指示并且将所述功率指示发送给等离子单元304,以及对等离子单元304的实时阻抗进行测量并且将所述实时阻抗通过接口单元303传递给控制单元302。 [0108] Preferably, the interface unit 303 for receiving the power instruction control unit 302 and the power indication to a plasma cell 304, and the impedance of the plasma cell 304 is measured in real time and the real time interface unit 303 through the impedance transmitted to the control unit 302.

[0109]优选地,等离子单元304响应于从所述等离子单元304接收第一模式指令和第一电压指示,进入第一模式:通过导电介质在所述等离子单元304的目标接触端处的发射电极和回路电极之间进行电路激活以形成薄层,为发射电极和回路电极之间施加第一电压,使得所述导电介质达到第一温度并且被转换为等离子层,从而利用电能激发导电介质产生等离子体,并且基于等离子体的射频能量对目标体进行汽化剥离。 [0109] Preferably, the plasma unit 304 in response to the plasma unit 304 receives a first voltage indicative of a first mode and a command to enter a first mode: by contacting conductive medium at the transmitting end of the plasma at the target electrode unit 304 between the return electrode and a circuit activated to form a thin layer, applying a first voltage between the emitter electrode and the return electrode, such that the conductive medium to a first temperature and is converted into a plasma layer, whereby the conductive medium excited by electric energy produced plasma body, and a plasma RF energy based on the target body vaporizing stripping. 响应于从所述等离子单元304 接收的第二指令和第二电压指示,所述等离子单元304进入第二模式:施加第二电压以将所述等离子单元304的目标接触端保持为第二温度,从而将目标体进行消融凝固。 In response to an instruction from the second plasma unit 304 receives the indication and the second voltage, the plasma cell 304 enters the second mode: applying a second voltage to maintain a target contact end 304 of the plasma cell is a second temperature, so that the target body ablation coagulation.

[0110]优选地,报警单元305用于在接收到报警信号时,通过声音提示、文字提示和/或指示灯显示进行报警。 [0110] Preferably, the alarm unit 305 when receiving the alarm signal, by voice prompts, text prompts and / or display alarm indicators. 其中在所述等离子单元304检测到运行故障后向控制单元302发送报警信号,所述控制单元302将报警信号发送给所述报警单元305。 Sending an alarm signal to the control unit 302 wherein after said plasma operation unit 304 detects a fault, the control unit 302 transmits an alarm signal to the alarm unit 305. 优选地,滴液输入单元306用于基于所述控制单元302的导电介质输入指令向等离子单元304输入所述导电介质,其中所述等离子单元304实时测量所述导电介质的当前余量并且将所述当前余量发送给控制单元302,所述控制单元302基于所述当前余量确定是否生成所述导电介质输入指令并且在确定生成所述导电介质输入指令后将所述导电介质输入指令发送给滴液输入单元306。 Preferably, dropping the input unit 306 based on the input 304 of the conductive medium 302 to the plasma unit to input instructions the conductive medium to the control unit, wherein the plasma cell 304 a current balance of the real-time measurement and the conductive medium said current balance to the control unit 302, the control unit 302 determines whether the remaining amount based on the current generated input instructions, and the conductive medium is determined after the instruction to generate the input conductive medium input command to the conductive medium The input unit 306 dropping.

[0112] 优选地,等离子单元304末端导管处的发射电极、等离子层、回路电极以及目标接触端形成回路。 Emitter electrode [0112] Preferably, the other end of the conduit 304 at the plasma cell, a plasma layer, and a target return electrode contact terminal to form a loop. 在剥离模式中,等离子单元304的工作温度为35至40°C,而传统电外科刀的工作温度为350至700°C。 In the peel mode, the operating temperature of the plasma cell 304 is 35 to 40 ° C, whereas the conventional electrosurgical knife operating temperature of 350 to 700 ° C. 等离子单元304的热穿透距离比传统电外科刀的热穿透距离小,其中剥离模式中的热穿透距离小于或等于150微米并且凝血模式中的热穿透距离小于或等于200微米,而传统电外科刀的热穿透距离大于9000微米。 Thermal plasma unit 304 to penetrate a small distance from the heat than conventional electrosurgical knife penetrates, wherein the heat release mode penetration distance of 150 microns and less than or equal to the heat coagulation mode penetration distance equal to or less than 200 microns, and traditional electrosurgical blade heat penetration distance of greater than 9000 microns.

[0113] 优选地,显示单元307,用于实时显示所述低温等离子剥离刀手术系统的运行状态。 [0113] Preferably, the display unit 307, for real-time display of the operating state of a low temperature plasma stripping knife surgical system. 低温等离子剥离刀手术系统300工作原理是等离子体低温消融术。 Low-temperature plasma stripping knife operation system 300 works by low-temperature plasma ablation. 利用双极刀头产生能量,将生理盐水转换成等离子体薄层,解离靶组织中构成细胞成分的分子键,造成组织凝固性坏死,形成消融或剥离的效果。 Bipolar bit generating energy, converting a thin layer of saline into a plasma, the dissociation of molecular bonds constituting the target tissue cell components, cause tissue coagulation necrosis, ablation or peeling effect is formed. 由于在相对较低的温度下工作,比传统使用的高频剥离电刀对周边组织的热损伤降到最小程度。 Since working at a relatively low temperature, high frequency electric knife peeling than conventionally used thermal damage to surrounding tissue is minimized extent. 在35°C左右工作温度可使靶组织体积缩小,靶组织中的微血管封闭,切除病变。 At about 35 ° C operating temperature of the target tissue volume reduction can, the target tissue of microvascular closed, removal of lesions. 其低温和组织减容消融特性,较常用的单极电刀更具有缩短术后恢复时间、减轻术后疼痛和减少手术治疗费用的优点。 Low temperature properties and tissue ablation volume reduction, more commonly more monopolar knife Reduced postoperative recovery time, decreased postoperative pain and reduce the cost of surgery advantages. 低温等离子剥离刀手术系统300在工作时刀头周围温度低于70°C (详见离体实验研究组织热损伤报告),与传统意义上的普通高频剥离电刀(100〜150°C高温)相比工作温度更低,虽然低温等离子刀的治疗温度相对人组织仍属于高温,组织细胞受此温度影响后,同样会出现电刀剥离造成组织蛋白变性,尤其是持续一定时间后,亦可对组织造成热损伤。 Low temperature plasma stripping knife operation system 300 during operation ambient temperature is below the tip 70 ° C (see the report of thermal injury in vitro study of tissue), and the release of ordinary high-frequency electric knife in the traditional sense (100~150 ° C temperature ) lower compared to the working temperature, low temperature plasma treatment temperature while the knife is still relatively high temperature of human tissue, after the temperature on tissue cells by this same knife peeling will cause tissue protein denaturation, especially after a certain time duration, may thermal damage to tissue. 而组织细胞的变性坏死是一个逐渐发展的过程,故部分患者行低温等离子手术后,其术区肿胀、术后疼痛等反应不比高频剥离电刀反应轻。 Degeneration and necrosis of tissue cells and is a progressive development of the process, so that the rear portion of patients with low-temperature plasma operation, which the surgical swelling, postoperative pain and other reactions than the high frequency electric knife light release reaction. 由于每次手术时间存在差异所以等离子治疗仪在离体实验研究组织热损伤报告中选用了最大手术时间,由对比可见最大手术时间的等离子治疗仪和正常使用的高频剥离电刀热损深度。 Since each operation time differences so that the plasma treatment device selected maximum operating time in the thermal injury of in vitro experimental study tissue, the contrast can be seen the maximum operation time of the plasma treatment apparatus and the high peeling knife thermal normal use damage depth. 故正常使用的等离子治疗仪的热损深度应低于高频剥离电刀热损深度。 Therefore, the depth of heat loss of normal plasma used should be lower than the high-frequency treatment instrument of the peeling knife depth of heat loss.

[0114] 图4为根据本发明优选实施方式的低温等离子剥离刀手术方法400的流程图。 [0114] FIG 4 is a flowchart 400 of the peeling knife operation method according to a preferred embodiment of low temperature plasma of the present invention. 如图4所示,方法400从步骤401处开始。 4, method 400 begins at step 401. 在步骤401,接收用户输入的控制指令。 In step 401, receive control commands input by the user.

[0115] 在步骤402,对所述控制指令进行解析并且当所述控制指令指示第一模式时生成第一模式指令,根据当前阻抗和所述控制指令计算用于第一模式下的输出功率。 [0115] In step 402, the control command analyzing instruction and generating a first mode when the control command indicates a first mode, based on the current and the impedance of the output power control command in a first mode for calculation.

[0116] 在步骤403,确定与所述第一模式下的输出功率相关联的第一电压指示。 [0116] In step 403, determines a first voltage indicative of the output power of the first mode is associated.

[0117] 在步骤404,将所述第一模式指令和第一电压指示转发给等离子设备,以及从所述等离子设备接收目标接触端的当前阻抗。 [0117] In step 404, the first instruction mode and a first voltage indicating forward to the plasma equipment, and the like from the receiving apparatus the target ion current resistance contact end.

[0118] 在步骤405,响应于接收到第一模式指令和第一电压指示,促使所述等离子设备进入第一模式:通过导电介质在所述等离子单元的目标接触端的发射电极和回路电极之间进行电路激活以形成薄层,为发射电极和回路电极之间施加第一电压,使得所述导电介质达到第一温度并且被转换为等离子层,从而利用电能激发导电介质产生等离子体,并且基于等离子体的射频能量对目标体进行汽化剥离; [0118] In step 405, in response to receiving a first voltage indicative of a first mode and a command, cause the apparatus to enter a first mode plasma: media between the emitter electrode through the conductive circuit and the target electrode in the contact end of the plasma unit a circuit activated to form a thin layer, applying a first voltage between the emitter electrode and the return electrode, such that the conductive medium to a first temperature and is converted into a plasma layer, whereby the conductive medium excited by electric energy to generate a plasma, and plasma-based RF energy to the target body member vaporizing stripping;

[0119] 其中所述发射电极、等离子层、回路电极以及目标接触端形成回路。 [0119] wherein said emitter electrode, a plasma layer, and a target return electrode contact terminal to form a loop.

[0120] 还包括对所述控制指令进行解析并且当所述控制指令指示第二模式时生成第二模式指令,根据当前阻抗和所述控制指令计算用于第二模式下的输出功率,以及确定与所述第二模式下的输出功率相关联的第二电压指示。 [0120] the control instructions further comprising analyzing and generating a second mode when the control command indicates a second instruction mode, output power is calculated for the second mode according to the current and the impedance control instruction, and determining and a second output voltage indicative of the power associated with the second mode. 将所述第二模式指令和第二电压指示转发给等离子设备。 The second indication mode and a second voltage command is forwarded to the plasma device. 响应于从接收到第二指令和第二电压指示,所述等离子设备进入第二模式:施加第二电压以将所述等离子设备的目标接触端保持为第二温度,从而将目标体进行消融凝固。 In response to receiving the second command and a second voltage indicative of said plasma device enters a second mode: to a second voltage applied to the target contact end of the plasma apparatus is maintained at a second temperature, thereby solidifying the target material to ablate .

[0121] 还包括在接收到报警信号时,通过声音提示、文字提示和/或指示灯显示进行报警;其中在检测到运行故障后生成报警信号。 [0121] Also included in the alarm signal is received, the voice prompts, text prompts and / or display alarm indicators; wherein the alarm signal is generated upon detection of operational failure.

[0122] 其中用户通过对脚踏式输入设备进行操作来生成所述控制指令,其中所述控制指令为二元组〈模式,功率〉。 [0122] wherein the foot of the user by operating input device to generate the control command, wherein the control command is a tuple <mode power>.

[0123] 还包括基于导电介质输入指令向所述等离子设备输入所述导电介质,其中所述等离子设备实时测量所述导电介质的当前余量并且基于所述当前余量确定是否生成所述导电介质输入指令。 [0123] further comprises a current-remaining-time measurements based on the conductive medium to said electrically conductive medium input commands and other ionic conductive medium the input apparatus, wherein said plasma generation device and determining whether the conductive medium based on the current balance input command. 方法400实时显示所述等离子设备的运行状态。 The method of operating state of the real-time display 400 plasma apparatus.

[0124] 图5为根据本发明优选实施方式的低温等离子剥离刀手术设备的结构示意图。 [0124] FIG. 5 is a schematic view of the surgical knife peeling device according to a preferred embodiment of the low temperature plasma of the present invention. 如图5所示,低温等离子剥离刀手术设备包括:发射电极(剥离刀头)501、回路电极(圆套)502、 管鞘503、注射腔接口505、拉杆帽506、垫块507、滑块(带插座孔)508、插座Pin 509和拉杆510。 5, the low temperature plasma surgical knife peeling device comprising: an emitter electrode (release bit) 501, a return electrode (circle sets) 502, a sheath pipe 503, the injection chamber interface 505, cap lever 506, spacer 507, the slider (with socket holes) 508, 510 and the tie rod socket Pin 509. 优选地,发射电极(剥离刀头)501和回路电极(圆套) 502通过相同的导管导入并且在目标体形成导电回路。 Preferably, the emitter electrode (release bit) 501 and a return electrode (circular sleeve) 502 and the conductive circuit is formed on the target by the same catheter into the body. 发射电极(剥离刀头)501,经由插座Pin 509接收所述高频发生器所产生的第一输入电压,在发射电极(剥离刀头)501和回路电极(圆套)502之间施加第一电压, 使得所述导电介质达到第一温度并且促使所述导电介质被转换为等离子层,从而利用电能激发导电介质产生等离子体,并且基于等离子体的射频能量对目标体进行汽化剥离。 Emitter electrode (release bit) 501, via a socket Pin 509 receives the first input voltage generated by the high frequency generator, is applied between the first emitter electrode 502 (release bit) 501 and a return electrode (circle sets) voltage, so that the conductive medium to a first temperature and causes the plasma layer is converted into the conductive medium, the conductive medium so that the excitation energy is generated using the plasma, and the release of the target material is vaporized RF energy based plasma. 管鞘503,用于提供外层包覆功能。 Sheaths 503, for providing a sheath function. 注射腔接口505基于液体输入指令向液体输入单元输入所述液体,其中所述液体输入单元实时测量所述液体的当前余量并且将所述当前余量发送给控制单元,所述控制单元基于所述当前余量确定是否生成所述液体输入指令并且在确定生成所述液体输入指令后将所述液体输入指令发送给滴液输入单元。 Liquid injection chamber port 505 based on the input instruction input unit liquid to a liquid, wherein the liquid supply means current real-time measurement of the liquid balance and the balance of the current transmission to the control unit, the control unit based on determining whether said current to generate the remaining liquid is determined and the input command inputted after the liquid generating the instruction input instruction to the liquid drip input unit. 注射腔接口505是位于发射电极导线(剥离刀头导线)外的环形腔。 Injection cavity interface 505 is located in the outer annular chamber emitter electrode lead (release wire tip).

[0125] 拉杆510用于使操作者通过把拉杆510来提供支撑力。 [0125] rod 510 for causing the operator to provide support to the force rod 510. 插座Pin 509通过高频连接线与高频发生器连接,用于接收所述高频发生器所产生的第一输入电压。 Pin 509 is connected via outlet line and the high-frequency generator connected to a high frequency, a first input for receiving the high-frequency voltage produced by the generator. 插座Pin 509接收所述高频发生器所产生的第二输入电压并且将所述第二输入电压传输给发射电极,在发射电极501和回路电极502之间施加第二电压,以使得目标体保持为第二温度,从而促使目标体进行消融凝固。 Pin 509 socket receiving said high frequency generator and the second input voltage generated by the second input voltage to a transmitter electrode, a second voltage is applied between the emitter electrode 501 and return electrode 502, so that the target holder a second temperature, thereby causing the solidification of the target material ablation. 液体输入单元(图5中未示出),响应于液体输入信号,向目标体处输入液体从而在发射电极和回路电极之间形成导电介质的薄层。 Liquid supply means (not shown in FIG. 5), the liquid in response to the input signal, thereby forming a thin layer of a conductive medium between the emitter electrode and a return electrode input to liquid at a target body. 液体输入单元通过以下模式中的一种进行液体输入:滴定模式和连续供液模式。 Liquid input means for input by means of a liquid of the following modes: Titration mode and the continuous mode liquid supply.

[0126] 其中,发射电极(剥离刀头)501的材料是不锈钢304、回路电极(圆套)502的材料是不锈钢304、管鞘503的材料是聚四氟乙烯PTFE、注射腔接口505的材料是丙烯腈-丁二烯-苯乙烯共聚物ABS、拉杆帽506的材料是ABS、垫块507的材料是ABS、滑块(带插座孔)的材料是ABS、插座Pin的材料是不锈钢304以及拉杆510的材料是ABS。 [0126] wherein the electrode material (release bit) 501 stainless steel 304 emission, return electrode material (round jacket) was 502 stainless steel 304, tube 503 of the sheath material is a material of polytetrafluoroethylene PTFE, interface 505 of the injection chamber acrylonitrile - butadiene - styrene copolymer, ABS, cap 506 is a rod material ABS, pad 507 material is ABS, the slide material (with socket holes) is ABS, the material is stainless steel socket Pin 304 and material rod 510 is ABS.

[0127] 如图5所示,发射电极2的剥离刀头可呈钩状、半圆球状、梅花状、圆柱状或球状,以适应不同的目标体形状来进行切割。 As shown in [0127] FIG. 5, the emitter electrode tip 2 can be peeled off hook shape, semi-sphere, plum-like, cylindrical or spherical shape, to accommodate different target shape to be cut. 回路电极502的长度可以是任意合理的数值,例如4至5 毫米。 The length of the loop electrode 502 can be any reasonable value, for example 4-5 mm. 其中,回路电极502的靠近管鞘503顶部的一端与管鞘503的顶端面的距离可以是任意合理的数值,例如2至3毫米。 Wherein the return electrode 502 adjacent to the top surface of the sheaths from one end of the sheath tube 503 of the top 503 can be any reasonable value, for example 2-3 mm. 其中,出水口511 (或被称为输液口)设置管鞘503的顶端面。 Wherein the water outlet 511 (referred to as an infusion or port) provided to the top surface 503 of the sheath tube.

[0128] 发射电极501通过滑块508可伸缩地设置。 [0128] emitter electrode 501 telescopically disposed through the slider 508. 在初始状态下,发射电极501回缩致管鞘503内,以方便管鞘503的前端进入人体。 In the initial state, the emitter electrode 501 is retracted inside the sheath actuator tube 503, to facilitate the distal end of the sheath tube 503 into the body. 当到达指定位置后,滑块508向前移动,将发射电极501推出管鞘503的顶端面。 After reaching the specified position, the slider 508 moves forward, the emitter electrode 501 to the top surface of the launch tube 503 of the sheath. 滑块508在插座孔处,并且插座Pin 509设置在插座孔内。 Hole 508 in the slide socket, and the socket Pin 509 disposed in the receptacle bore.

[0129] 图6-8为根据本发明优选实施方式的低温等离子剥离刀手术设备的局部放大或截面示意图。 [0129] FIG. 6-8 is a partially preferred embodiment of the low temperature plasma of the present invention, the peeling blade or surgical devices enlarged cross-sectional schematic view. 图6示出了双极电极插口接头(剥离刀接头)600的局部放大示意图,其中包括:发射电极导线(剥离刀头导线)601和回路电极导线602。 Figure 6 shows an enlarged schematic view of a bipolar electrode socket joint (peeling knife linker) local 600, wherein comprising: an emitter electrode lead (wire release bit) 601 and the return electrode lead 602. 低温等离子剥离刀手术设备能够用于肠胃里面的诸如早癌的病变部位的剥离、消融和凝固与止血。 Low temperature plasma surgical device can be peeled off knife for peeling a lesion such as early cancer, stomach inside, ablation, and coagulation and hemostasis. 此外,低温等离子剥离刀手术设备还能够用于关节、脊柱、皮肤、耳鼻喉等外科手术中软组织的剥离、消融、凝固与止血。 In addition, low-temperature plasma surgical device can also release the knife for peeling joints, spine, skin, ENT surgery and other soft tissue, ablation, coagulation and hemostasis. 本申请的低温等离子剥离刀手术设备使用时间为24小时以内、按照接触时间分类属于暂时接触、按照接触人体性质分类属于外部接入器械(与组织/骨/牙本质)以及按照医疗器械结构特征分类属于有源医疗器械。 This low-temperature plasma application equipment peeling knife operation time is within 24 hours, according to the classification of a temporary contact time of the contact, according to the nature of the contact body are external access device classification (tissue / bone / dentin) and classified according to structural features of the medical device belonging to the active medical device. 低温等离子剥离刀手术设备的附件双极手术电极属于一次性无菌产品。 Annex bipolar electrode operation temperature plasma surgical knife peeling devices belonging to a disposable sterile products.

[0130] 低温等离子剥离刀手术设备采用双极方案,并且其工作频率为110kHz。 [0130] The low plasma peeling knife scheme bipolar surgical device, and the operating frequency of 110kHz. 等离子治疗仪100通过等离子技术实现对耳鼻喉等手术中软组织的剥离、消融、凝固与止血。 Plasma treatment instrument 100 by plasma technology to release ENT other soft tissue surgery, ablation, coagulation and hemostasis. 工作时, 低温等离子剥离刀手术设备通过生理盐水作为导电液,激活发射电极和回路电极之间时形成一个薄层。 In operation, a low temperature plasma surgical device by peeling knife saline as a conductive fluid, forming a thin layer of emitter activation between the electrodes and the return electrode. 当等离子治疗仪给予足够的能量(电压)时,生理盐水就转化为一个由赋能带电粒子组成的气体层(等离子层)。 When the plasma treatment apparatus to give sufficient energy (voltage), physiological saline is converted into a gas energized by a layer of charged particles (plasma layer). 即,低温等离子剥离刀手术设备利用能量激发导电介质(例如,生理盐水)产生等离子体,并且依靠等离子体的能量打断组织分子键。 That is, a low temperature plasma apparatus using a surgical knife peeling excitation energy conductive medium (e.g., physiological saline) to produce a plasma, the plasma energy and rely tissue break molecular bonds. 等离子体的能量将蛋白质等生物大分子直接裂解成〇2,co2,N2等气体,从而完成对组织的汽化剥离。 The energy of the plasma biomacromocular lysed directly into 〇2, co2, N2 and other gases, thus completing the release of tissue vaporization. 当对低温等离子剥离刀手术设备的工作刀头给予低电压时,电场低于产生等离子层的域值要求并且产生组织电阻热,从而将组织进行消融凝固与止血。 When the required threshold voltage is given a low temperature plasma surgical knife peeling device working head, an electric field is generated below the plasma layer and heat generating resistance tissue, thereby ablating the tissue coagulation and hemostasis.

[0131] 图7示出了沿BB的截面示意图,其中包括:发射电极导线(剥离刀头导线)701、回路电极导线702、通液腔704和发射电极腔705。 [0131] FIG. 7 shows a schematic view along the section BB, which comprises: an emitter electrode lead (wire release bit) 701, loop electrode lead wires 702, 704 through the liquid chamber 705 and the emitter electrode chamber. 更为详细地,图7示出了发射电极导线(剥离刀头导线)701的剖面图706,其中包括绝缘层707和金属丝708。 In more detail, FIG. 7 shows a sectional view of the emitter electrode lead wire 706 (wire release bit) 701, which includes an insulating layer 707 and wire 708. 发射电极导线(剥离刀头导线)需要绝缘层,起作绝缘和隔热的作用,回路电极导线702可以不设置绝缘层。 Emitter electrode lead (release bit wire) requires the insulating layer serving as a role and thermal insulation of the wire loop electrode 702 may not be provided an insulating layer.

[0132] 另外,本领域的技术人员根据需要,也可以将回路电极腔705作为通液腔,在回路电极腔705作为通液腔时,回路电极导线702需设置绝缘层。 [0132] Further, those skilled in the art as needed, may be used as the return electrode chamber 705 through the liquid chamber, when the return electrode chamber 705 and a flow chamber, the return electrode wire 702 is provided for an insulating layer.

[0133] 图8示出了沿CC的截面示意图,其中包括发射电极导线(剥离刀头导线)801和回路电极导线802。 [0133] FIG. 8 shows a schematic cross-section along CC, wherein the emitter electrode comprises a wire (wire release bit) 801 and the return electrode lead 802.

[0134] 已经通过参考少量实施方式描述了本发明。 [0134] The present invention has been described with reference to a small amount embodiment. 然而,本领域技术人员所公知的,正如附带的专利权利要求所限定的,除了本发明以上公开的其他的实施例等同地落在本发明的范围内。 However, those skilled in the art well known, as the accompanying patent claims as defined above except that other embodiments of the present invention is equally fall within the scope disclosed in the present invention.

[0135] 通常地,在权利要求中使用的所有术语都根据他们在技术领域的通常含义被解释,除非在其中被另外明确地定义。 [0135] Generally, all terms used in the claims are to be construed in accordance with their usual meaning in the technical field, unless explicitly defined therein. 所有的参考“一个/所述/该[装置、组件等]”都被开放地解释为所述装置、组件等中的至少一个实例,除非另外明确地说明。 All reference to "the a / / the [device components, etc.]" are to be interpreted openly as at least one instance of the devices, components, etc., unless explicitly stated otherwise. 这里公开的任何方法的步骤都没必要以公开的准确的顺序运行,除非明确地说明。 Steps of any method disclosed herein did not need to run at the exact order disclosed, unless explicitly stated otherwise.

Claims (20)

1. 一种低温等离子剥离刀手术系统,其特征在于,所述系统包括: 输入单元,接收用户输入的控制指令并将所述控制指令发送给控制单元; 控制单元,对所述控制指令进行解析并且当所述控制指令指示第一模式时生成第一模式指令,根据当前阻抗和所述控制指令计算用于第一模式下的输出功率,将第一模式指令以及与所述第一模式下的输出功率相关联的第一电压指示发送给接口单元; 接口单元,从所述控制单元接收第一模式指令和第一电压指示,并且将所述第一模式指令和第一电压指示转发给等离子单元,以及从等离子单元接收目标接触端的当前阻抗并且将所述当前阻抗发送给所述控制单元; 等离子单元,响应于从所述接口单元接收第一模式指令和第一电压指示,进入第一模式:通过导电介质在所述等离子单元的目标接触端处的发射电极和回路 A low-temperature plasma stripping knife operation system, characterized in that, said system comprising: an input unit receiving a user input control command and the control command to the control unit; control means, the control command parse and generating the control command when the first mode is indicative of a first instruction mode, and the impedance based on the current command calculation for outputting the power control in the first mode, the first mode and a command mode, said first first voltage output power associated with the indication to the interface unit; an interface unit, the control unit from the ion mode instruction unit receives a first voltage and a first indication, and the first mode instructions and the like to a first voltage indicating forward and means for receiving current from the plasma impedance and the target contact terminal transmits the current to the impedance control means; plasma cell, in response to receiving a first voltage indicative of a first mode and a command from the interface unit to enter a first mode: emitter electrode and a contact end at the circuit through the conductive medium of the plasma cell target 极之间进行电路激活以形成薄层,为发射电极和回路电极之间施加第一电压,使得所述导电介质达到第一温度并且被转换为等离子层,从而利用电能激发导电介质产生等离子体,并且基于等离子体的射频能量对目标体进行汽化剥离; 其中所述发射电极、等离子层、回路电极以及目标接触端形成回路。 Between the circuit electrode be activated to form a thin layer, applying a first voltage between the emitter electrode and the return electrode, such that the conductive medium to a first temperature and is converted into a plasma layer, whereby the conductive medium excited by electric energy to generate a plasma, and RF energy based on the target body plasma vaporizing stripping; wherein said emitter electrode, a plasma layer, and a target return electrode contact terminal to form a loop.
2. 根据权利要求1所述的低温等离子剥离刀手术系统,其特征在于,还包括所述控制单元对所述控制指令进行解析并且当所述控制指令指示第二模式时生成第二模式指令,根据当前阻抗和所述控制指令计算用于第二模式下的输出功率,将第二模式指令以及与所述第二模式下的输出功率相关联的第二电压指示发送给接口单元。 The low temperature plasma according to claim 1 peeling knife operation system, wherein said control means further comprising command analyzing the control mode and generating a second command when the control command indicates a second mode, the impedance and the current command calculation for outputting the power control in the second mode, the second mode a second voltage command and the output power in the second mode associated with the instruction to the interface unit.
3. 根据权利要求2所述的系统,所述接口单元从所述控制单元接收第二模式指令和第二电压指示,并且将所述第二模式指令和第二电压指示转发给等离子单元。 3. The system of claim 2, wherein the interface unit from the control unit receives the second voltage and a second indication mode command, and the second instruction mode and the second voltage indication is forwarded to the plasma unit.
4. 根据权利要求3所述的低温等离子剥离刀手术系统,其特征在于,响应于从所述接口单元接收的第二指令和第二电压指示,所述等离子单元进入第二模式:施加第二电压以将所述等离子单元的目标接触端保持为第二温度,从而将目标体进行消融凝固。 3, 4. The low temperature plasma stripping knife operation system and the like according to claim, wherein, in response to a second instruction and the second voltage indication received from said interface unit, said plasma cell enters the second mode: applying a second contacting a target voltage to the plasma cell side is maintained at a second temperature, thereby solidifying the target material ablation.
5. 根据权利要求1所述的低温等离子剥离刀手术系统,其特征在于,还包括报警单元, 用于在接收到报警信号时,通过声音提示、文字提示和/或指示灯显示进行报警; 其中在所述等离子单元检测到运行故障后向控制单元发送报警信号,所述控制单元将报警信号发送给所述报警单元。 Surgical peeling knife 5. ion cryogenic system according to claim 1 and the like, characterized by further comprising an alarm unit, when receiving the alarm signal, by voice prompts, text prompts and / or display alarm indicators; wherein sending an alarm signal to the control unit after the unit detects a fault in the operation of plasma, the control unit transmits an alarm signal to the alarm unit.
6. 根据权利要求1所述的低温等离子剥离刀手术系统,其特征在于,所述输入单元为脚踏式输入设备,其中用户通过对所述脚踏式输入设备进行操作来生成所述控制指令,其中所述控制指令为二元组〈模式,功率〉。 The low temperature ion-stripping tool according to claim surgical system, wherein the input unit is a pedal input device, through which the user operates the pedal input device to generate the control command wherein the control command is a tuple <mode power>.
7. 根据权利要求1所述的低温等离子剥离刀手术系统,其特征在于,还包括滴液输入单元,用于基于所述控制单元的导电介质输入指令向等离子单元输入所述导电介质,其中所述等离子单元实时测量所述导电介质的当前余量并且将所述当前余量发送给控制单元,所述控制单元基于所述当前余量确定是否生成所述导电介质输入指令并且在确定生成所述导电介质输入指令后将所述导电介质输入指令发送给滴液输入单元。 The low temperature ion release said surgical tool system of claim wherein the dropping further comprising an input unit for controlling the conductivity of the medium based on the input command unit like an ion conductive medium to the input unit, wherein said plasma cell current balance of the real-time measurement of conductive medium and the current margin to the control unit, the control unit determines whether the generated input command generating said conductive medium and determining the margin based on the current the conductive medium input command inputted after the command to the electrically conductive medium dropping the input unit.
8. 根据权利要求1所述的低温等离子剥离刀手术系统,其特征在于,还包括显示单元, 用于实时显示所述低温等离子剥离刀手术系统的运行状态。 8. The cryogenic stripping knife according to an ion surgical system requirements, characterized by further comprising a display unit for displaying the operating state of the real-time low-temperature plasma stripping knife surgical system.
9. 根据权利要求1所述的低温等离子剥离刀手术系统,其特征在于,所述第一电压的范围为IOOVrms至300Vrms,并且所述第二电压的范围为60Vrms至80Vrms。 9. The low-temperature plasma stripping knife according to a surgical system requirements, wherein said first voltage range is IOOVrms to 300Vrms, and the range of the second voltage is 60Vrms to 80Vrms.
10. 根据权利要求1所述的低温等离子剥离刀手术系统,其特征在于,所述第一温度的范围为35°c-40°c,所述第二温度的范围为40°c-70°c,以及在第一模式下,热穿透距离小于或等于150微米,并且在第二模式下,热穿透距离小于或等于200微米。 10. The low temperature according to claim 1 ion peeling knife operation system requirements, wherein the first temperature range is 35 ° c-40 ° c, the second temperature range is 40 ° c-70 ° C, and in a first mode, the heat penetration distance is less than or equal to 150 micrometers, and in the second mode, heat penetration distance is less than or equal to 200 micrometers.
11. 一种低温等离子剥离刀手术方法,其特征在于,所述方法包括: 接收用户输入的控制指令; 对所述控制指令进行解析并且当所述控制指令指示第一模式时生成第一模式指令,根据当前阻抗和所述控制指令计算用于第一模式下的输出功率,以及确定与所述第一模式下的输出功率相关联的第一电压指示; 将所述第一模式指令和第一电压指示转发给等离子设备,以及从所述等离子设备接收目标接触端的当前阻抗; 响应于接收到第一模式指令和第一电压指示,促使所述等离子设备进入第一模式:通过导电介质在所述等离子单元的目标接触端的发射电极和回路电极之间进行电路激活以形成薄层,为发射电极和回路电极之间施加第一电压,使得所述导电介质达到第一温度并且被转换为等离子层,从而利用电能激发导电介质产生等离子体,并且基于等离子体 A low-temperature plasma stripping knife operation, characterized in that, the method comprising: receiving a control instruction input by a user; analyzing the control command and generates a first control mode when the command instruction indicating a first mode the impedance and the current command calculation for outputting power control in the first mode, and determining a first voltage indicative of the output power in the first mode is associated; the first mode and the first instruction voltage indicative of impedance to the plasma current forwarding device, and the like from the contact end receiving target ions device; a first mode in response to receiving a first command and a voltage indication, the device causing the plasma to enter the first mode: the conductive medium between the emitter electrode and the other electrode circuit contact terminal plasma cell target is activated to form a thin layer of a circuit, a first voltage is applied between the emitter electrode and the return electrode, such that the conductive medium to a first temperature and is converted into a plasma layer, excited by electric energy conductive medium thereby generating a plasma, and the plasma based 射频能量对目标体进行汽化剥离; 其中所述发射电极、等离子层、回路电极以及目标接触端形成回路。 RF energy to the target material is vaporized stripping; wherein said emitter electrode, a plasma layer, and a target return electrode contact terminal to form a loop.
12. 根据权利要求11所述的方法,还包括对所述控制指令进行解析并且当所述控制指令指示第二模式时生成第二模式指令,根据当前阻抗和所述控制指令计算用于第二模式下的输出功率,以及确定与所述第二模式下的输出功率相关联的第二电压指示。 12. The method according to claim 11, further comprising analyzing the control command and generates a second control mode instruction when the instruction indicates a second mode, and the impedance based on the current command calculation control for a second output power mode, and a second output voltage indicative of the power associated with the second mode is determined.
13. 根据权利要求12所述的方法,将所述第二模式指令和第二电压指示转发给等离子设备。 13. The method of claim 12, the second instruction mode indication is forwarded to the second voltage and the plasma equipment.
14. 根据权利要求13所述的低温等离子剥离刀手术方法,其特征在于,响应于从接收到第二指令和第二电压指示,所述等离子设备进入第二模式:施加第二电压以将所述等离子设备的目标接触端保持为第二温度,从而将目标体进行消融凝固。 Low temperature according to claim 13, said ion peeling knife operation, characterized in that, in response to receiving the second command and a second voltage indicative of said plasma device enters a second mode: applying a second voltage to the contacting said target end of the plasma is maintained at a second temperature device, thereby ablating the target member set.
15. 根据权利要求11所述的方法,还包括在接收到报警信号时,通过声音提示、文字提示和/或指示灯显示进行报警; 其中在检测到运行故障后生成报警信号。 15. The method according to claim 11, further comprising upon receiving the alarm signal, by voice prompts, text prompts and / or display alarm indicators; wherein the alarm signal is generated upon detection of operational failure.
16. 根据权利要求11所述的低温等离子剥离刀手术方法,其特征在于,其中用户通过对脚踏式输入设备进行操作来生成所述控制指令,其中所述控制指令为二元组〈模式,功率〉。 16. The low temperature plasma of claim 11 peeling knife operation method, wherein the user input device by operating the foot to generate the control command, wherein the control command is a tuple <mode, power>.
17. 根据权利要求11所述的低温等离子剥离刀手术方法,其特征在于,还包括基于导电介质输入指令向所述等离子设备输入所述导电介质,其中所述等离子设备实时测量所述导电介质的当前余量并且基于所述当前余量确定是否生成所述导电介质输入指令。 11 17. The low temperature ion surgical knife peeling claim, wherein said plasma further comprises an input device to the conductive medium, wherein the plasma-time measurement apparatus based on the conductive medium input instructions conductive medium and current balance based on the current margin is determined whether the input command to generate the conductive medium.
18. 根据权利要求11所述的低温等离子剥离刀手术方法,其特征在于,还包括实时显示所述等离子设备的运行状态。 According to claim 11, wherein the low temperature plasma stripping knife operation, characterized in that, further comprising a real-time operating state of the plasma display apparatus.
19. 根据权利要求11所述的低温等离子剥离刀手术方法,其特征在于,所述第一电压的范围为IOOVrms至300Vrms,并且所述第二电压的范围为60Vrms至80Vrms。 19. A plasma surgical cryogenic stripping knife according to claim 11 and the like, wherein the first voltage range is IOOVrms to 300Vrms, and the range of the second voltage is 60Vrms to 80Vrms.
20. 根据权利要求11所述的低温等离子剥离刀手术方法,其特征在于,所述第一温度的范围为35°C_40°C,所述第二温度的范围为40°C_70°C,以及在第一模式下,热穿透距离小于或等于150微米,并且在第二模式下,热穿透距离小于或等于200微米。 11 20. The low temperature ion surgical knife peeling claim, wherein the first temperature range is 35 ° C_40 ° C, the second temperature range is 40 ° C_70 ° C, and in the first mode, heat penetration distance is less than or equal to 150 micrometers, and in the second mode, heat penetration distance is less than or equal to 200 micrometers.
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019080081A1 (en) * 2017-10-27 2019-05-02 上海诺英医疗器械有限公司 Low temperature plasma stripping knife surgical device, system and method

Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103932780A (en) * 2013-01-17 2014-07-23 亚瑟罗凯尔公司 Systems and methods for turbinate reduction
CN203912302U (en) * 2013-02-11 2014-10-29 科罗拉多州立大学研究基金会 Plasma system
CN105025832A (en) * 2013-02-21 2015-11-04 康尔福盛2200有限公司 Intravertebral tissue ablation device and method
CN105338918A (en) * 2013-05-08 2016-02-17 科瑞欧医疗有限公司 Method and apparatus for controlling power delivered by electrosurgical probe
CN105792764A (en) * 2014-04-11 2016-07-20 奥林巴斯株式会社 Plasma treatment system
CN106456237A (en) * 2014-02-14 2017-02-22 亚瑟罗凯尔公司 Methods and systems related to an electrosurgical controller
WO2017034863A1 (en) * 2015-08-24 2017-03-02 Smith & Nephew, Inc. Electrosurgical wand with a spacer and with an active electrode, an associated system and an ablation method including generating a plasma
CN107072705A (en) * 2014-07-24 2017-08-18 亚瑟罗凯尔公司 Electrosurgical system and method having enhanced arc prevention

Patent Citations (8)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN103932780A (en) * 2013-01-17 2014-07-23 亚瑟罗凯尔公司 Systems and methods for turbinate reduction
CN203912302U (en) * 2013-02-11 2014-10-29 科罗拉多州立大学研究基金会 Plasma system
CN105025832A (en) * 2013-02-21 2015-11-04 康尔福盛2200有限公司 Intravertebral tissue ablation device and method
CN105338918A (en) * 2013-05-08 2016-02-17 科瑞欧医疗有限公司 Method and apparatus for controlling power delivered by electrosurgical probe
CN106456237A (en) * 2014-02-14 2017-02-22 亚瑟罗凯尔公司 Methods and systems related to an electrosurgical controller
CN105792764A (en) * 2014-04-11 2016-07-20 奥林巴斯株式会社 Plasma treatment system
CN107072705A (en) * 2014-07-24 2017-08-18 亚瑟罗凯尔公司 Electrosurgical system and method having enhanced arc prevention
WO2017034863A1 (en) * 2015-08-24 2017-03-02 Smith & Nephew, Inc. Electrosurgical wand with a spacer and with an active electrode, an associated system and an ablation method including generating a plasma

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2019080081A1 (en) * 2017-10-27 2019-05-02 上海诺英医疗器械有限公司 Low temperature plasma stripping knife surgical device, system and method

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