CN109602490A - A kind of microwave ablation electrode under bronchoscope - Google Patents

A kind of microwave ablation electrode under bronchoscope Download PDF

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Publication number
CN109602490A
CN109602490A CN201811453259.6A CN201811453259A CN109602490A CN 109602490 A CN109602490 A CN 109602490A CN 201811453259 A CN201811453259 A CN 201811453259A CN 109602490 A CN109602490 A CN 109602490A
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CN
China
Prior art keywords
shank
wall
microwave ablation
ablation electrode
coaxial cable
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN201811453259.6A
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Chinese (zh)
Inventor
孙加源
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
NANJING VISON JIUZHOU MEDICAL EQUIPMENT RESEARCH AND DEVELOPMENT CENTER
Original Assignee
NANJING VISON JIUZHOU MEDICAL EQUIPMENT RESEARCH AND DEVELOPMENT CENTER
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Publication of CN109602490A publication Critical patent/CN109602490A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • 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
    • A61B2018/00005Cooling or heating of the probe or tissue immediately surrounding the probe
    • A61B2018/00011Cooling or heating of the probe or tissue immediately surrounding the probe with fluids
    • 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
    • A61B2018/00315Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
    • A61B2018/00541Lung or bronchi
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589Coagulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/1815Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves
    • A61B2018/1869Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using microwaves with an instrument interstitially inserted into the body, e.g. needles

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

Abstract

The present invention relates to the microwave ablation electrodes under a kind of bronchoscope, it include: metal puncture head, shank, coaxial cable, shank is flexible shank, flexible shank has the interior double-layer structure for setting hollow interlayer, inlet channel is formed between flexible shank inner wall and coaxial cable outer wall, hollow interlayer forms return water road, the inner wall aperture of flexible shank front end or fluting, it is connected to inlet channel at this with return water road, the inner wall or outer wall of the shank at antenna launch window rear are coated with metal or setting metal mesh.Microwave ablation electrode pliability of the present invention is good, can implement Microwave Coagulation Therapy by the conduit of bronchoscope.The inner conduit structure for eliminating traditional water cooling ablation needle changes and realizes water cooling by double-deck flexible shank, and structure is more compact, easy to produce.Electrode head has puncturing head, can directly be pierced into tumour, chokes ring is directly fixed on coaxial cable outer conductor, can effectively inhibit microwave retroeflection, and ablation range can obtain the spherical shape greater than 3cm.

Description

A kind of microwave ablation electrode under bronchoscope
Technical field
The present invention relates to the microwave ablation electrodes under a kind of bronchoscope, belong to microwave ablation techniques field.
Background technique
With the progress of oncotherapy science, clinically achieved in tumor microwave ablation techniques in recent years considerable Progress.Microwave ablation is to generate fuel factor at once using microwave energy affected tissues, within several minutes of time, forms stable class Spherical thermal field, central temperature are greater than 100 DEG C, and edge is greater than 60 DEG C, and moment is solidified inactivation to tumor tissues at high temperature, in turn Gradually ablation reaches therapeutic purposes.Since the highly-safe and wound of microwave ablation techniques is small and to the sphere of action size of tissue Controllably, so increasingly by the high praise of doctors, have the tendency that in the future as first choice of technology of tumour ablation.
Lung cancer is one of most common malignant tumour, and its disease incidence, in trend is risen year by year, case fatality rate has leapt to various First of malignant tumour.Currently, surgical resection is still the main means of lung cancer therapy in clinical practice.But for the age Early stage patient larger, constitution is on the weak side and cardio-pulmonary function is poor and most of patients with terminal are not appropriate for row operative treatment, because This, is clinically still exploring new treatment means constantly to improve outcome and improve survival.
It finds, 105997234 A of Chinese invention patent application CN, discloses a kind of for being controlled under bronchoscope through retrieval The magnetic navigation radio frequency ablation catheter of lung cancer, including pipe shaft are treated, pipe shaft one end connects ixed control section, ixed control section connection electrode Section, electrode section are equipped with magnetic navigation device;It further include the handle being connect with the pipe shaft other end, handle is for controlling ixed control section Bending;Multiple fill orifices are equipped on the end face of electrode section, multiple fill orifices are connected to the cooling-water duct being set in pipe shaft. The program, which is able to cooperate magnetic navigation robot, remotely operates doctor's remote control even, the irradiation far from X-ray;Accurate positioning simultaneously, Operating time can be reduced, operation risk is reduced.The cooling-water duct of configuration can be cooling to heated tumor tissues localized pulverization Water avoids temperature excessively high, while keeping local organization impedance appropriate, is conducive to the ablation of tumor tissues.However its use to The mode of outer water spray cools down syringe needle and ablation tissue, and amount of cooling water is limited, is unable to satisfy high-power quick ablation.
Summary of the invention
The technical problem to be solved by the present invention is to overcome the disadvantages mentioned above of the prior art, provide under a kind of bronchoscope Microwave ablation electrode.
In order to solve the above technical problems, the microwave ablation electrode under bronchoscope provided by the invention, comprising: metal Tartar, medium tube, shank, coaxial cable, it is characterised in that: the shank is flexible shank, and flexible shank sets hollow in The double-layer structure of interlayer forms inlet channel between the flexibility shank inner wall and coaxial cable outer wall, and the hollow interlayer is formed Return water road, the inner wall aperture of the flexibility shank front end or fluting, are connected to inlet channel at this with return water road, antenna emitter window The inner wall or outer wall of the shank at mouth rear are coated with metal or setting metal mesh.
Microwave ablation electrode pliability of the present invention is good, can implement Microwave Coagulation Therapy by the conduit of bronchoscope.It saves The inner conduit structure of traditional water cooling ablation needle changes and realizes water cooling by double-deck flexible shank, and structure is more compact, convenient for life It produces.Electrode head has puncturing head, can directly be pierced into tumour, chokes ring is directly fixed on coaxial cable outer conductor, Neng Gouyou Effect inhibits microwave retroeflection, and ablation range can obtain the spherical shape greater than 3cm.
Detailed description of the invention
The present invention will be further described below with reference to the drawings.
Fig. 1 is one antenna head cross-sectional view of the embodiment of the present invention.
Fig. 2 is two antenna head cross-sectional view of the embodiment of the present invention.
Fig. 3 is triantennary of embodiment of the present invention head cross-sectional view.
Figure label is schematically as follows: 1: shank, 1-1: outer bar, 1-2: interior bar, 2: coaxial cable, 3: boss, 4: metal is worn Tartar, 5: antenna launch window, 6: metal mesh, 7: chokes ring, 8: dielectric-sleeve.
Specific embodiment
In order to make the object, technical scheme and advantages of the embodiment of the invention clearer, below in conjunction with the embodiment of the present invention In attached drawing, technical scheme in the embodiment of the invention is clearly and completely described.
Embodiment one
As shown in Figure 1, the microwave ablation electrode under the present embodiment bronchoscope, comprising: metal puncture head 4, shank 1, coaxial Cable 2 and the chokes ring 7 being set to outside the outer conductor of coaxial cable 2.The tail portion of metal puncture head 4 have boss 3, shank 1 with The boss 3 is fixedly connected.The tail portion of metal puncture head 4 have boss 3 connect with 2 inner conductor of coaxial cable, boss 3 with it is coaxial Antenna launch window 5 is formed between 2 outer conductor of cable.In the present embodiment, shank be flexible shank (processing of flexible plastic material and At, or use silica gel material), flexible shank has the interior double-layer structure for setting hollow interlayer, that is, has interior bar 1-2 and outer bar 1- 1.Inlet channel is formed between flexible 1 inner wall of shank and 2 outer wall of coaxial cable, the hollow interlayer between interior bar 1-2 and outer bar 1-1 is then Return water road, inner wall (interior bar 1-2) aperture of flexible shank front end or fluting are formd, connects inlet channel and return water road at this Logical, water flow schematic diagram is shown in arrow in figure.The inner wall of the shank at 5 rear of antenna launch window is coated with metal or setting metal mesh, uses To be shielded to microwave.The chokes ring 7 for being set to coaxial cable outer conductor can prevent microwave retroeflection, make ablation range It presents round.
In the present embodiment as shown in Figure 1, there is gap between chokes ring 7 and shank inner wall, pass through for cooling water, grip It is provided with metal mesh between stream ring and shank inner wall, improves the effect for stopping microwave retroeflection.
Embodiment two
As shown in Fig. 2, this implementation microwave ablation electrode body structure is the same as example 1, difference is metal puncture head 4 Dielectric-sleeve 8 is set on tail portion boss 3, shank 1 and dielectric-sleeve 8 are fixed.The shape of suit can be used in shank and dielectric-sleeve Formula is fixed.
Embodiment three
As shown in figure 3, the present embodiment microwave ablation electrode body structure and embodiment two are essentially identical, difference is chokes ring 7 It is fixed between 2 outer conductor of coaxial cable and interior bar 1-2 inner wall, specifically, is led outside the inner ring and coaxial cable 2 of chokes ring 7 Body is welded and fixed, and the outer rim of chokes ring 7 is welded or is adhesively fixed with interior bar 1-2 inner wall.Chokes ring is uniformly provided with several spirals Through-hole passes through for cooling water and guides to it, and the shank inner wall of chokes ring front end is provided with helicla flute, the rotation of helicla flute It is consistent with the direction of rotation of spiral through-hole to turn direction.Spiral through-hole and helicla flute cooperation, before guiding the cooling water flowed through spiral Into, reduce turbulent flow, improve the stability of water flow, keep the operation of cooling water more smoothly, and screw type water flow improve Hot transfer efficiency, water-cooled effect is more preferable, electrode is made to be able to bear bigger power.
In addition to the implementation, the present invention can also have other embodiments.It is all to use equivalent substitution or equivalent transformation shape At technical solution, fall within the scope of protection required by the present invention.

Claims (6)

1. the microwave ablation electrode under a kind of bronchoscope, comprising: metal puncture head, shank, coaxial cable, feature exist It is flexible shank in: the shank, flexible shank has an interior double-layer structure for setting hollow interlayer, the flexibility shank inner wall and same Form inlet channel between shaft cable outer wall, the hollow interlayer forms return water road, the inner wall aperture of the flexibility shank front end or Fluting, be connected to inlet channel at this with return water road, the inner wall or outer wall of the shank at antenna launch window rear be coated with metal or Metal mesh is set.
2. the microwave ablation electrode under bronchoscope according to claim 1, it is characterised in that: coaxial cable outer conductor On be fixed with chokes ring, between chokes ring and shank inner wall have gap, pass through for cooling water.
3. the microwave ablation electrode under bronchoscope according to claim 2, it is characterised in that: the chokes ring and needle Metal mesh is provided between bar inner wall.
4. the microwave ablation electrode under bronchoscope according to claim 1, it is characterised in that: the metal puncture head Tail portion there is boss, be set with dielectric-sleeve on the boss, the shank is fixed with dielectric-sleeve.
5. the microwave ablation electrode under bronchoscope according to claim 1, it is characterised in that: the metal puncture head Tail portion there is boss, the shank is fixedly connected with the boss.
6. the microwave ablation electrode under bronchoscope according to claim 1, it is characterised in that: coaxial cable outer conductor Chokes ring is fixed between shank inner wall, the chokes ring is uniformly provided with several spiral through-holes, is passed through with cooling water, described The shank inner wall of chokes ring front end is provided with helicla flute, the direction of rotation of the helicla flute and the direction of rotation one of spiral through-hole It causes.
CN201811453259.6A 2018-11-27 2018-11-30 A kind of microwave ablation electrode under bronchoscope Pending CN109602490A (en)

Applications Claiming Priority (2)

Application Number Priority Date Filing Date Title
CN2018114234173 2018-11-27
CN201811423417 2018-11-27

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CN109602490A true CN109602490A (en) 2019-04-12

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021139017A1 (en) * 2020-01-07 2021-07-15 南京康友医疗科技有限公司 Microwave ablation needle head and microwave ablation needle
CN114366289A (en) * 2022-01-14 2022-04-19 南通大学 Microwave ablation antenna and manufacturing method

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2698539A1 (en) * 1992-12-01 1994-06-03 Milly Lucien Neutralising HIV in the human body - by selective super-heating of flowing blood, used for treating acquired immune deficiency syndrome
CN206198041U (en) * 2016-06-15 2017-05-31 南京微创医学科技股份有限公司 A kind of soft bar pin of microwave ablation
CN107115146A (en) * 2017-04-20 2017-09-01 南京维京九洲医疗器械研发中心 With the tumour Microwave Coagulation Therapy aciculiform antenna for taking out fluid-filling structure
CN107260302A (en) * 2017-04-20 2017-10-20 南京维京九洲医疗器械研发中心 Curved microwave ablation aciculiform antenna for treating fibroid
CN108175498A (en) * 2018-01-31 2018-06-19 海口市人民医院(中南大学湘雅医学院附属海口医院) Cooling device of microwave ablation needle

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
FR2698539A1 (en) * 1992-12-01 1994-06-03 Milly Lucien Neutralising HIV in the human body - by selective super-heating of flowing blood, used for treating acquired immune deficiency syndrome
CN206198041U (en) * 2016-06-15 2017-05-31 南京微创医学科技股份有限公司 A kind of soft bar pin of microwave ablation
CN107115146A (en) * 2017-04-20 2017-09-01 南京维京九洲医疗器械研发中心 With the tumour Microwave Coagulation Therapy aciculiform antenna for taking out fluid-filling structure
CN107260302A (en) * 2017-04-20 2017-10-20 南京维京九洲医疗器械研发中心 Curved microwave ablation aciculiform antenna for treating fibroid
CN108175498A (en) * 2018-01-31 2018-06-19 海口市人民医院(中南大学湘雅医学院附属海口医院) Cooling device of microwave ablation needle

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
WO2021139017A1 (en) * 2020-01-07 2021-07-15 南京康友医疗科技有限公司 Microwave ablation needle head and microwave ablation needle
CN114366289A (en) * 2022-01-14 2022-04-19 南通大学 Microwave ablation antenna and manufacturing method

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Application publication date: 20190412

RJ01 Rejection of invention patent application after publication