CN108742825A - Equipment and its SURGICAL NEEDLE THREADING DEVICE group for minimally invasive combination therapy - Google Patents
Equipment and its SURGICAL NEEDLE THREADING DEVICE group for minimally invasive combination therapy Download PDFInfo
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- CN108742825A CN108742825A CN201810622832.5A CN201810622832A CN108742825A CN 108742825 A CN108742825 A CN 108742825A CN 201810622832 A CN201810622832 A CN 201810622832A CN 108742825 A CN108742825 A CN 108742825A
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- 238000002648 combination therapy Methods 0.000 title claims abstract description 27
- 238000002679 ablation Methods 0.000 claims abstract description 39
- 238000010438 heat treatment Methods 0.000 claims abstract description 34
- 238000002347 injection Methods 0.000 claims abstract description 22
- 239000007924 injection Substances 0.000 claims abstract description 22
- 230000002427 irreversible effect Effects 0.000 claims abstract description 19
- 238000004520 electroporation Methods 0.000 claims abstract description 18
- 239000011159 matrix material Substances 0.000 claims description 24
- 239000010410 layer Substances 0.000 claims description 15
- 238000009413 insulation Methods 0.000 claims description 12
- 239000011229 interlayer Substances 0.000 claims description 12
- 230000001225 therapeutic effect Effects 0.000 claims description 11
- 239000006096 absorbing agent Substances 0.000 claims description 4
- 238000007789 sealing Methods 0.000 claims description 4
- 230000005611 electricity Effects 0.000 claims description 2
- 208000002847 Surgical Wound Diseases 0.000 abstract description 8
- 238000010586 diagram Methods 0.000 description 14
- 230000003902 lesion Effects 0.000 description 13
- 238000002324 minimally invasive surgery Methods 0.000 description 12
- 238000000034 method Methods 0.000 description 10
- 206010028980 Neoplasm Diseases 0.000 description 5
- 230000008685 targeting Effects 0.000 description 4
- 238000003466 welding Methods 0.000 description 4
- 208000001034 Frostbite Diseases 0.000 description 3
- 230000005684 electric field Effects 0.000 description 3
- 238000005516 engineering process Methods 0.000 description 3
- 239000000463 material Substances 0.000 description 3
- 230000006978 adaptation Effects 0.000 description 2
- 239000003795 chemical substances by application Substances 0.000 description 2
- 239000003814 drug Substances 0.000 description 2
- 230000000694 effects Effects 0.000 description 2
- 238000012977 invasive surgical procedure Methods 0.000 description 2
- 239000002184 metal Substances 0.000 description 2
- 229910052751 metal Inorganic materials 0.000 description 2
- 238000012986 modification Methods 0.000 description 2
- 230000004048 modification Effects 0.000 description 2
- 229910000986 non-evaporable getter Inorganic materials 0.000 description 2
- RYGMFSIKBFXOCR-UHFFFAOYSA-N Copper Chemical compound [Cu] RYGMFSIKBFXOCR-UHFFFAOYSA-N 0.000 description 1
- 206010028851 Necrosis Diseases 0.000 description 1
- 206010053615 Thermal burn Diseases 0.000 description 1
- 230000004071 biological effect Effects 0.000 description 1
- 201000011510 cancer Diseases 0.000 description 1
- 230000030833 cell death Effects 0.000 description 1
- 239000013065 commercial product Substances 0.000 description 1
- 229910052802 copper Inorganic materials 0.000 description 1
- 239000010949 copper Substances 0.000 description 1
- 201000010099 disease Diseases 0.000 description 1
- 208000037265 diseases, disorders, signs and symptoms Diseases 0.000 description 1
- 235000013399 edible fruits Nutrition 0.000 description 1
- 230000005672 electromagnetic field Effects 0.000 description 1
- 230000007613 environmental effect Effects 0.000 description 1
- 230000008014 freezing Effects 0.000 description 1
- 238000007710 freezing Methods 0.000 description 1
- 238000003780 insertion Methods 0.000 description 1
- 230000037431 insertion Effects 0.000 description 1
- 238000009434 installation Methods 0.000 description 1
- 230000010354 integration Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 210000004072 lung Anatomy 0.000 description 1
- 230000007246 mechanism Effects 0.000 description 1
- 239000007769 metal material Substances 0.000 description 1
- 238000005086 pumping Methods 0.000 description 1
- 238000007674 radiofrequency ablation Methods 0.000 description 1
- 239000003507 refrigerant Substances 0.000 description 1
- 239000000243 solution Substances 0.000 description 1
- 230000007704 transition Effects 0.000 description 1
- 210000004881 tumor cell Anatomy 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
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- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1402—Probes for open surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/02—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques
- A61B2018/0293—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by cooling, e.g. cryogenic techniques using an instrument interstitially inserted into the body, e.g. needle
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1425—Needle
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- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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- Heart & Thoracic Surgery (AREA)
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Abstract
The present invention discloses a kind of equipment and its SURGICAL NEEDLE THREADING DEVICE group for minimally invasive combination therapy, which includes：Pipe sheath；With the needle group that at least the two is constituted in puncture needle, cryoablation needle, heating ablation needle, irreversible electroporation needle and injection needle；Wherein, the endoporus of the pipe sheath is adapted to the outer diameter of each needle, so as to the selection of needle in art.Using this programme, minimally invasive combination therapy is carried out in can performing the operation at one, can overcome the problems, such as that the more existing surgical wounds of operation are excessive, and can effectively shorten treatment cycle, reduces operation cost.
Description
Technical field
The present invention relates to the field of medical instrument technology, and in particular to a kind of equipment for minimally invasive combination therapy and its more work(
It can needle group.
Background technology
In the Minimally Invasive Surgery field for the treatment of of cancer, clinically there are cryoablation, RF ablation, microwave ablation, high intensity
The methods of ultrasound, laserthermia, irreversible electroporation and localized plug are focused, tumour ablation is carried out with invasive methods, reaches and kill
It goes out the therapeutic purposes of tumor tissues.
In addition to being used alone, above-mentioned Minimally Invasive Surgery method can also be combined with each other application, to improve therapeutic effect and reduce simultaneously
Send out the generation of disease.It is well known that the method for existing minimally invasive combination therapy is performed the operation often by more, respectively in different times
Achieve the purpose that combination therapy using different Minimal invasive procedures；It is limited by existing surgical instrument, it can not be minimally invasive at one
In operation, achieve the purpose that combination therapy using different Minimal invasive procedures.It is more that accordingly, there exist surgical wounds, and treats
Period is longer, and operating room is added with that cost is higher, and patient's treatment cost can not be effectively controlled.
In view of this, it would be highly desirable to look for another way for instrument in a kind of art of minimally invasive combination therapy method offer, at same
Do not increase surgical wound in Minimally Invasive Surgery, realization can reach combination therapy pattern using different Minimal invasive procedures.
Invention content
In order to solve the above technical problems, the present invention provides a kind of equipment and its multifunction surgical for minimally invasive combination therapy
Needle group carries out combination therapy in can performing the operation at one, so as to overcome the surgical wound present in more operations is excessive to ask
Topic, effectively shortens treatment cycle.
Provided by the present invention for the SURGICAL NEEDLE THREADING DEVICE group of minimally invasive combination therapy, including：Pipe sheath；And it is puncture needle, cold
Freeze the needle group that at least the two is constituted in ablation needle, heating ablation needle, irreversible electroporation needle and injection needle；Wherein, the pipe
The endoporus of sheath is adapted to the outer diameter of each needle, so as to the selection of needle in art.
Preferably, the pipe sheath includes：The insert port of vacuum matrix cover, the needle is located at the vacuum matrix cover
Upper end；Double-deck pipe body forms vacuum interlayer between inner tube sheath and outer tube sheath, wherein inserts the upper end of said inner tube sheath
It is penetrated through loaded in the vacuum matrix cover, and with the insert port of the needle, upper end and the vacuum of the outer tube sheath
Matrix cover is connected to；And said inner tube sheath and the lower end of outer tube sheath seal.
Preferably, the lower end of the vacuum matrix cover is provided with getter accommodating chamber, and said inner tube sheath is from the air-breathing
Agent accommodating chamber is pierced by the rear insert port with the needle and penetrates through.
Preferably, the getter is evaporable air-absorbing agent, nonevaporable getter or combined getter.
Preferably, further include：Operation needle stand, is plugged in the vacuum matrix cover, close with the upper end of said inner tube sheath
Envelope connection, the insert port of the needle are located at the upper end of the operation needle stand.
Preferably, it is additionally provided with the vacuum nozzle for extracting vacuum being connected to the vacuum interlayer.
Preferably, the double-deck pipe body further includes heat insulation layer.
Preferably, the needle tubing of the cryoablation needle and heating ablation needle is without thermal insulation layer.
Preferably, the double-deck pipe body further includes electromagnetic-field-shielded layer.
Provided by the present invention for the equipment of minimally invasive combination therapy, including：Foregoing SURGICAL NEEDLE THREADING DEVICE group；And tool
There is the therapeutic equipment of function module interface corresponding with corresponding treatment in the needle group.
Using SURGICAL NEEDLE THREADING DEVICE group provided by the invention, coordinate using multiple needles and pipe sheath, it specifically can basis
Clinical combination therapy scheme is combined, for example, puncture needle, cryoablation needle, heating ablation needle, irreversible electroporation needle or injection
Needle, so as in a minimal invasive surgical procedures, successively select the needle of different function to pass through pipe sheath, be inserted into therapentic part reality
Different Minimally Invasive Surgeries is applied, achievees the purpose that disposable combination therapy, improves therapeutic effect.Compared with prior art, do not increasing
Under the premise of adding surgical wound, different Minimal invasive procedures can be used in same Minimally Invasive Surgery, it is multiple for formulating
No longer there are multiple surgical wounds in the patient for closing therapeutic scheme, on the basis of effectively reducing patient's art pain, additionally it is possible to reduce more
Platform operating room is added with cost；In addition, treatment cycle is greatly shortened.
In the preferred embodiment of the present invention, pipe sheath specifically includes vacuum matrix cover and double-deck pipe body, and inner tube sheath with
Vacuum interlayer is formed between outer tube sheath, so set, tube wall can be adiabatic or cold absolutely, prevents cryoablation needle or heating ablation
Needle frostbite or the normal structure for scalding puncture path are based on this, the needle body of cryoablation needle and heating ablation needle can be configured to without
Vacuum heat-insulating layer or other thermal insulation layers, can effectively evade normal tissue in art influences, while reducing the consumption of combination therapy operation
Material cost.
Description of the drawings
Fig. 1 is the overall structure diagram of SURGICAL NEEDLE THREADING DEVICE group described in specific implementation mode；
Fig. 2 is the structural schematic diagram of pipe sheath shown in Fig. 1；
Fig. 3 is the structural schematic diagram of puncture needle shown in Fig. 1；
Fig. 4 is the structural schematic diagram of cryoablation needle shown in Fig. 1；
Fig. 5 is the structural schematic diagram of heating ablation needle shown in Fig. 1；
Fig. 6 is the structural schematic diagram of irreversible electroporation needle shown in Fig. 1；
Fig. 7 is the structural schematic diagram of injection needle shown in Fig. 1.
In figure：
Pipe sheath 1, vacuum matrix cover 11, getter accommodating chamber 111, double-deck pipe body 12, inner tube sheath 121, outer tube sheath
122, connecting pipe head 123, operation needle stand 13, insert port 131, limited step 132, vacuum nozzle 14, puncture needle 2, major diameter section 21, cold
Freeze ablation needle 3, handling section 31, thermal insulation layer 311, needle body 32, heating ablation needle 4, handling section 41, needle body 42, irreversible electroporation needle
5, handling section 51, needle body 52, injection needle 6, major diameter section 61.
Specific implementation mode
It is below in conjunction with the accompanying drawings and specific real in order to make those skilled in the art more fully understand technical scheme of the present invention
Applying example, the present invention is described in further detail.
The SURGICAL NEEDLE THREADING DEVICE group that present embodiment provides is used for minimally invasive combination therapy, including pipe sheath 1 and puncture needle 2,
The needle group that at least the two is constituted in cryoablation needle 3, heating ablation needle 4, irreversible electroporation needle 5 and injection needle 6；Wherein,
The endoporus of pipe sheath 1 is adapted to the outer diameter of each needle, so as to the selection of needle in art.
Without loss of generality, for present embodiment using the needle of five types shown in Fig. 1 as description main body, being described in detail should
SURGICAL NEEDLE THREADING DEVICE group scheme.It should be appreciated that the puncture needle 2 selected in the needle group, cryoablation needle 3, heating ablation needle 4, can not
The principle of work and power of inverse electroporation needle 5 and injection needle 6 is same as the prior art, the selection of concrete type and quantity and itself work(
Substantive limitation can not be constituted for the core content of the SURGICAL NEEDLE THREADING DEVICE group.
Fig. 1 is referred to, the figure shows the overall structure diagrams of SURGICAL NEEDLE THREADING DEVICE group described in present embodiment.
It is constituted based on the pipe sheath 1 of the SURGICAL NEEDLE THREADING DEVICE group, according to Clinical practice demand, in a Minimally Invasive Surgery mistake
Cheng Zhong, apolegamy puncture needle 2, cryoablation needle 3, heating ablation needle 4, irreversible electroporation needle 5 and injection needle 6, is accordingly performed the operation
Treatment.Specifically, it can successively select the needle of different function that pipe sheath 1 is passed through to be inserted into therapentic part and implement different treatment hands
Art achievees the purpose that combination therapy scheme is completed in an operation.
In order to better adapt to the environmental requirement of different function needle, pipe sheath 1 can be advanced optimized, please together
Referring to Fig. 2, which is the structural schematic diagram of pipe sheath shown in Fig. 1.
As shown in the figure, pipe sheath 1 includes vacuum matrix cover 11 and the double-deck pipe body 12 with vacuum communicating.Wherein, needle
Insert port 131 is located at the upper end of vacuum matrix cover 11, in use, each needle is inserted into from vacuum matrix cover 11.Wherein, double-deck
Vacuum interlayer is formed between the inner tube sheath 121 and outer tube sheath 122 of tube body 12, the upper end of the inner tube sheath 121 is plugged in very
It in space base body cover 11, and is penetrated through with the insert port of needle 131, the upper end of outer tube sheath 122 is connected to vacuum matrix cover 11；And
Inner tube sheath 121 and the lower end of outer tube sheath 122 seal.It is built between vacuum matrix cover 11 and double-deck pipe body 12 as a result, true
Empty interval.The setting of vacuum matrix cover 11 provides the installation position of Vacuuming structure, also can be used as and carries out holding behaviour in art
Make position, implements operation convenient for medical staff.
Wherein, the insert port 131 of inner tube sheath 121 and needle perforation refers to being between the two and the extraneous company sealed
Logical, this programme is preferably using the operation needle stand 13 being plugged in vacuum matrix cover 11, the operation needle stand 13 and inner tube sheath 121
Upper end is tightly connected, and needle insert port 131 is located at the upper end of operation needle stand 13, and the inner cavity of the operation needle stand 13 has operation
Needle limited step 132, the needle body of each needle have the evagination major diameter section being adapted to the limited step 132, to limit operation
Operating position of the needle relative to the longest extension elongation of pipe sheath 1.
Wherein, inner tube sheath 121 may be used different technology modes from the sealing of the lower end of outer tube sheath 122 and realize, example
Such as, the two end welding or both is integrally formed.This programme realizes inner tube sheath 121 and outer tube sheath using connecting pipe head 123
The lower end of body 122 seals, as shown, the inside and outside wall surface of 123 connecting pin of connecting pipe head is respectively provided with adaptation step, inner tube sheath
121 and outer tube sheath 122 respective step and welding is bonded to form the preferable pipe sheath end of rigidity, and surfaces externally and internally smoothes out after welding
Transition；In addition, the lower end of connecting pipe head 123, which has, is oriented to chamfering, convenient for being operated in art.
Further, the vacuum nozzle for extracting vacuum being connected to vacuum interlayer can be set on vacuum matrix cover 11
14, the vacuum insulation for establishing pipe sheath.As shown, the vacuum nozzle 14 preferably use can shape changing metal pipe, for example, oxygen-free copper
Pipe.Thus cold welding sealing is carried out after completing pumping, and then forms complete sealing space.Certainly, the vacuum nozzle of needle assembly 1
14 can also use vacuum stopper to seal after evacuation, in this way, the inner wall of outer wall and the vacuum matrix cover 11 of operation needle stand 13 it
Between cavity can form vacuum state, shape between the inner tube sheath 121 and outer tube sheath 122 of the vacuum cavity and double-deck pipe body 12
At vacuum interlayer conducting, with achieve the purpose that it is adiabatic or absolutely it is cold.
In addition, the lower end of vacuum matrix cover 11 is provided with getter accommodating chamber 111, it is provided with getter, for inhaling
The gas in the heat-insulation vacuum interlayer of double-deck pipe body 12 is received, to which the vacuum degree of vacuum interlayer can be maintained for a long time.Such as figure
Shown, 121 Self inhaling agent accommodating chamber 111 of inner tube sheath is tightly connected after being pierced by with operation needle stand 13, and then is inserted into needle
Mouth 131 penetrates through.In the present solution, getter is evaporable air-absorbing agent, nonevaporable getter or combined getter, specifically may be used
To select commercial product as needed.
Further, the heat insulation layer of the double-deck pipe body 12 in this programme is used to completely cut off cryoablation needle 3 or heating ablation needle 4
Cold or heat prevent cryoablation needle 3 or 4 frostbite of heating ablation needle or scald the normal structure of puncture path；And cryoablation
The tip portion of needle 3 or heating ablation needle 4 exposes pipe sheath, implements the accurately operation of targeting cryoablation or heating ablation to therapentic part
Operation, and the length that can expose pipe sheath 1 by adjusting the tip portion of cryoablation needle 3 or heating ablation needle 4 can control treatment
The shape and range in region.Meanwhile double-deck pipe body 12 further includes electromagnetic-field-shielded layer (not shown), for shielding heating ablation
The electric field of the electric field or electromagnetic field of needle 4 and irreversible electroporation needle 6, to be worn by controlling heating ablation needle 4 or irreversible electricity
The length of the tip portion exposing pipe sheath 1 of hole needle 5 can control the shape and range for the treatment of region.
Fig. 3 is referred to, which is the structural schematic diagram of puncture needle shown in Fig. 1.
The puncture needle 2 is used for Minimally Invasive Surgery, and it acts as the paths that puncturing tissue gets through Minimally Invasive Surgery so that pipe sheath 1 supports
Up to operative treatment position.It when operation, is equipped with after puncture needle 2 may make pipe sheath 1 to arrive at operative treatment position, by puncture needle 2 from pipe
It is extracted in sheath 1, you can form the channel for leading to therapentic part.It should be understood that 2 usual lightweight of puncture needle is flexible, swept with CT
It retouches equipment to be used in combination, more easily be operated in pipe sheath 1, to efficiently and rapidly be inserted into lesion tissue；It compares
For, other needles such as cryoablation needle 3 or heating ablation needle 4, needle body than heavier, in pipe sheath 1 be easy tilt, if not by
Ancillary equipment is unfavorable for once-through operation in manual operation and goes directly lesions position.
As shown, the needle body top of puncture needle 2 has the limited step 132 for the operation needle stand 13 with pipe sheath 1 suitable
The end face of the evagination major diameter section 21 matched, the major diameter section can offset with the limited step 132 of operation needle stand 13, to limit puncture needle
The 2 opposite operating position relative to the longest extension elongation of pipe sheath 1.
Fig. 4 is referred to, which is the structural schematic diagram of cryoablation needle shown in Fig. 1.
The cryoablation needle 3 is performed the operation for minimally invasive cryoablation, same as the prior art, is inserted to after lesion tissue in fact
Now target tissue is eliminated in freezing.Preferably, the needle tubing of cryoablation needle 3 can be without thermal insulation layer, and establishing has refrigerant work
It recycles, with the pipe sheath 1 with 12 vacuum interlayer of double-deck pipe body with the use of (in use, cryoablation needle 3 is stretched out in needle tip
The part of pipe sheath 1 is the treatment zone for contacting tumor tissues), the normal of 3 frostbite puncture path of cryoablation needle can be prevented
Tissue.When operation, cryoablation needle 3 can be entered therapentic part by the path that puncture needle 2 is got through, it can also be by cryoablation
It is punctured after needle 3 and the combination of pipe sheath 1 and enters therapentic part, accurately targeting cryoablation operation is implemented to lesion tissue.
In addition, 31 periphery of handling section of 3 top of cryoablation needle has thermal insulation layer 311, in order to which medical staff is hand-held
Operation.As shown, the outer diameter of the handling section 31 is more than the outer diameter of needle body 32, the end face of the major diameter section can be with pipe sheath
The limited step 132 of 1 operation needle stand 13 offsets, to limit longest extension elongation of the cryoablation needle 3 relative to pipe sheath 1
Opposite operating position.
Fig. 5 is referred to, which is the structural schematic diagram of heating ablation needle shown in Fig. 1.
The heating ablation needle 4 is performed the operation for minimally invasive heating ablation, same as the prior art, straight using thermogenetic biological effect
Connecing causes the tumour cell in lesion tissue that irreversible damage or coagulation necrosis occurs.Heating ablation needle 4 includes microwave heating ablation
Needle and radiofrequency needle.Preferably, the needle tubing of heating ablation needle 4 can only have without thermal insulation layer and realize heating ablation
Function is used cooperatively (interlayer of double-deck pipe body 12 is electromagnetic-field-shielded layer at this time) with the pipe sheath 1 with double-deck pipe body 12,
In use, heating ablation needle 4 is the treatment zone for contacting tumor tissues in the part of needle tip protruded tube sheath 1.It, will be hot when operation
Ablation needle 4 enters therapentic part by the path that puncture needle 2 is got through, and can also will be punctured after heating ablation needle 4 and the combination of pipe sheath 1
Into therapentic part, accurately targeting heating ablation operation is implemented to lesion tissue.
As shown, the outer diameter of the handling section 41 is more than the outer diameter of needle body 42, the end face of the major diameter section can be with
The limited step 132 of the operation needle stand 13 of pipe sheath 1 offsets, to limit longest extension elongation of the heating ablation needle 4 relative to pipe sheath 1
Opposite operating position.
Fig. 6 is referred to, which is the structural schematic diagram of irreversible electroporation needle shown in Fig. 1.
The irreversible electroporation needle 5 is used for Minimally Invasive Surgery, same as the prior art, and lesion is pierced into through skin using electrode needle
Tissue.In a manner of ultrashort electric pulse, the electric field for generating strength makes tissue cell death.When operation, by irreversible electroporation
Needle 5 enters therapentic part by the path that puncture needle 2 is got through, and can also will be worn after irreversible electroporation needle 5 and the combination of pipe sheath 1
It lunges into therapentic part, accurately targeting is implemented to lesion tissue and is performed the operation.
As shown, the outer diameter of the handling section 51 is more than the outer diameter of needle body 52, the end face of the major diameter section can be with
The limited step 132 of the operation needle stand 13 of pipe sheath 1 offsets, and is stretched relative to the longest of pipe sheath 1 to limit irreversible electroporation needle 5
Go out the opposite operating position of length.
Fig. 7 is referred to, which is the structural schematic diagram of injection needle shown in Fig. 1.
The injection needle 6 is used for Minimally Invasive Surgery, and it acts as into therapentic part, when operation, injection needle 6 is passed through puncture needle
2 paths got through enter therapentic part, can also enter therapentic part by being punctured after the combination of injection needle 6 and pipe sheath 1, to lesion
Tissue injection medicament implements treatment.Implement to treat to lesion tissue injection medicament.
Preferably, the needle body top of injection needle 6 has the limited step for the operation needle stand 13 with pipe sheath 1
The evagination major diameter section 61 of 132 adaptations, as shown, the end face of the major diameter section can offset with the limited step 132 of operation needle stand 13,
To limit opposite operating position of the injection needle 6 relative to the longest extension elongation of pipe sheath 1.In addition, the needle tip of injection needle 6
There are multiple trepannings on needle wall, fully contacted with lesion tissue in this way, being conducive to treatment liquid when injection.
It should be noted that the effect basis mechanism of each needle is same as the prior art in needle group in this programme, therefore other work(
Repeats no more herein for energy structure.Wherein, pipe sheath 1, puncture needle 2, cryoablation needle 3, heating ablation needle 4, irreversible 5 and of electroporation needle
The material of injection needle 6 can be metal, inorganic non-metallic material, high molecular material, and combinations thereof.
A kind of equipment and its SURGICAL NEEDLE THREADING DEVICE group for minimally invasive combination therapy provided by the invention, using multiple hands
Art needle coordinates with pipe sheath, can be specifically combined according to clinical combination therapy scheme, for example, puncture needle, cryoablation needle, heat disappear
Melt needle, irreversible electroporation needle or injection needle, so as in a minimal invasive surgical procedures, successively select the operation of different function
Needle passes through pipe sheath, insertion therapentic part to implement different Minimally Invasive Surgeries, achievees the purpose that disposable combination therapy, improves treatment effect
Fruit.Compared with prior art, it under the premise of not increasing surgical wound, can use in same Minimally Invasive Surgery different
No longer there are multiple surgical wounds in Minimal invasive procedures, the patient for formulating combination therapy scheme, are effectively reducing patient's art
On the basis of pain, additionally it is possible to which reduce more operating rooms is added with cost, and treatment cycle is greatly shortened；Further, since treatment
When, doctor can control the length at needle point protruded tube sheath end, be stretched so as to adjust needle point according to the flexible shapes of lesion tissue
The length of outlet pipe sheath end, to control the shape and range for the treatment of region.If such as the approximate elongated shape of lesion tissue, can be with
It is longer to control needle point protruded tube sheath end；So that treatment is more abundant.
In addition to aforementioned SURGICAL NEEDLE THREADING DEVICE group, present embodiment also provides a kind of equipment (figure for minimally invasive combination therapy
In be not shown), including foregoing SURGICAL NEEDLE THREADING DEVICE group, and there is function corresponding with corresponding treatment in needle group
Module interface therapeutic equipment.The therapeutic equipment is corresponding by electric-control system, cryoablation module, heating ablation module and injection Micropump module etc.
Function module forms；Specifically, each needle is connected by pipeline with the corresponding function module interface.Certainly, therapeutic equipment
The therapeutic equipment of SURGICAL NEEDLE THREADING DEVICE group repertoire can be corresponded to non-integration, it is specifically same using the therapeutic equipment of function independently
Sample disclosure satisfy that the needs of minimally invasive combination therapy scheme.
It illustrates, in the description of the present invention, it should be noted that term "upper", "lower" are to be based on more work(
The specifically used custom of the needle set group that can perform the operation determines, is merely for convenience of description of the present invention and simplification of the description, rather than indicate or
It implies device or element must have a particular orientation, with specific azimuth configuration and operation, therefore should not be understood as to this hair
Bright limitation.
It the above is only the preferred embodiment of the present invention, it is noted that those skilled in the art are come
It says, various improvements and modifications may be made without departing from the principle of the present invention, these improvements and modifications also should be regarded as
Protection scope of the present invention.
Claims (10)
1. a kind of SURGICAL NEEDLE THREADING DEVICE group is used for minimally invasive combination therapy, which is characterized in that including：
Pipe sheath (1)；With
At least two in puncture needle (2), cryoablation needle (3), heating ablation needle (4), irreversible electroporation needle (5) and injection needle (6)
The needle group that person is constituted；Wherein, the endoporus of the pipe sheath (1) is adapted to the outer diameter of each needle, so as to needle in art
Selection.
2. SURGICAL NEEDLE THREADING DEVICE group as described in claim 1, which is characterized in that the pipe sheath (1) includes：
Vacuum matrix cover (11), the insert port (131) of the needle are located at the upper end of the vacuum matrix cover (11)；
Double-deck pipe body (12) forms vacuum interlayer, wherein said inner tube sheath between inner tube sheath (121) and outer tube sheath (122)
The upper end of body (121) is plugged in the vacuum matrix cover (11), and is penetrated through with the insert port of the needle (131), described
The upper end of outer tube sheath (122) is connected to the vacuum matrix cover (11)；And said inner tube sheath (121) and outer tube sheath
(122) lower end sealing.
3. SURGICAL NEEDLE THREADING DEVICE group as claimed in claim 2, which is characterized in that the lower end of the vacuum matrix cover (11) is arranged
There are getter accommodating chamber (111), said inner tube sheath (121) to be pierced by the rear and operation from the getter accommodating chamber (111)
The insert port (131) of needle penetrates through.
4. SURGICAL NEEDLE THREADING DEVICE group as claimed in claim 3, which is characterized in that the getter is evaporable air-absorbing agent, non-
Evaporable air-absorbing agent or combined getter.
5. the SURGICAL NEEDLE THREADING DEVICE group as described in claim 2-4, which is characterized in that further include：
Operation needle stand (13), is plugged in the vacuum matrix cover (11), seals and connects with the upper end of said inner tube sheath (121)
It connects, the insert port (131) of the needle is located at the upper end of the operation needle stand (13).
6. SURGICAL NEEDLE THREADING DEVICE group as claimed in claim 5, which is characterized in that be additionally provided with and be connected to the vacuum interlayer
Vacuum nozzle (14) for extracting vacuum.
7. SURGICAL NEEDLE THREADING DEVICE group as described in claim 1, which is characterized in that the double-deck pipe body (12) further includes thermal insulation
Layer.
8. SURGICAL NEEDLE THREADING DEVICE group as claimed in claim 7, which is characterized in that the cryoablation needle (3), heating ablation needle
(4) needle tubing (32,42) is without thermal insulation layer.
9. SURGICAL NEEDLE THREADING DEVICE group as claimed in claim 7 or 8, which is characterized in that the double-deck pipe body (12) further includes electricity
Magnetic field shielding layer.
10. the equipment for minimally invasive combination therapy, which is characterized in that including：
SURGICAL NEEDLE THREADING DEVICE group as claimed in any one of claims 1-9 wherein；With
Therapeutic equipment has function module interface corresponding with corresponding treatment in the needle group.
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810622832.5A CN108742825B (en) | 2018-06-15 | 2018-06-15 | Device for minimally invasive compound treatment and multifunctional surgical needle set thereof |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201810622832.5A CN108742825B (en) | 2018-06-15 | 2018-06-15 | Device for minimally invasive compound treatment and multifunctional surgical needle set thereof |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| CN108742825A true CN108742825A (en) | 2018-11-06 |
| CN108742825B CN108742825B (en) | 2024-03-26 |
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| Application Number | Title | Priority Date | Filing Date |
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| CN201810622832.5A Active CN108742825B (en) | 2018-06-15 | 2018-06-15 | Device for minimally invasive compound treatment and multifunctional surgical needle set thereof |
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| CN110123438A (en) * | 2019-06-27 | 2019-08-16 | 安徽邵氏华艾生物医疗电子科技有限公司 | A kind of sliding contact formula nano-knife ablating electrode |
| CN111643178A (en) * | 2019-05-20 | 2020-09-11 | 上海申赞科贸有限公司 | Tumor ablation cold-hot alternate treatment equipment |
| CN116898559A (en) * | 2023-09-12 | 2023-10-20 | 首都医科大学附属北京友谊医院 | ablation scalpel |
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|---|---|
| CN108742825B (en) | 2024-03-26 |
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