CN109758226A - A kind of bipolar mis instruments of Neural monitoring - Google Patents

A kind of bipolar mis instruments of Neural monitoring Download PDF

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Publication number
CN109758226A
CN109758226A CN201910216136.9A CN201910216136A CN109758226A CN 109758226 A CN109758226 A CN 109758226A CN 201910216136 A CN201910216136 A CN 201910216136A CN 109758226 A CN109758226 A CN 109758226A
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CN
China
Prior art keywords
fine motion
motion control
nerve
control switch
bipolar
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Pending
Application number
CN201910216136.9A
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Chinese (zh)
Inventor
邱辉
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GOLDBOV PHOTOELECTRONICS Co.,Ltd.
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邱辉
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Priority to CN201910216136.9A priority Critical patent/CN109758226A/en
Publication of CN109758226A publication Critical patent/CN109758226A/en
Pending legal-status Critical Current

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Abstract

The invention discloses a kind of bipolar mis instruments of Neural monitoring, including bipolar control pedal, nerve monitoring stimulated current control pedal and six core plug-in units, first foot-operated fine motion control switch is installed above bipolar control pedal, the second foot-operated fine motion control switch is installed above the bipolar control pedal of first foot-operated fine motion control switch side, nerve monitoring stimulation fine motion control switch is installed above nerve monitoring stimulated current control pedal, the first signal output lead and second signal output lead are installed above nerve monitoring stimulation fine motion control switch.The present invention realizes nerve monitoring monitoring in bipolar high frequency energy instrument use process, solves traditional procedures electrode nerve monitoring stimulated current and high-frequency energy output is difficult to coexist and the excessive caused high frequency cauterization risk of high-frequency energy.

Description

A kind of bipolar mis instruments of Neural monitoring
Technical field
The present invention relates to medical operation electrode technology field, specially a kind of bipolar mis instruments of Neural monitoring.
Background technique
It is commonly used in Thyroid Surgery field, in surgical procedure to high-frequency energy and excusing from death knife instrument, the excessive damage of energy The correlative study periodical literature for hurting nerve fiber often reports publication, and operation risk is high.Instrument is guarded even with nerve, Fast because there is operation change of illness state, the operative site surface of a wound is complicated, along with the waiting time caused by instrument replacement extends, medical matters work The problems such as eager multiple unfavorable factor of psychology of author, is likely to cause neuroprobe illusion, and detection is inaccurate generates, and often makes It is accidentally injured at nerve fiber.Simple bipolar high frequency energy instrument will cause the mutual shadow of the two with merging for neural monitor tool It rings, in Neural monitoring, high-frequency energy will cause electric injury neural unit, or even neural custodial care facility is caused to damage, instead up to not To the purpose of monitoring and operation.The present invention is specially a kind of bipolar mis instruments of Neural monitoring.
But there are deficiencies below for existing technology:
1, what bipolar high frequency energy and nerve monitoring stimulated current exported interacts, and will in nerve monitoring monitoring The electric injury of high-frequency energy can be brought, or even causes neural custodial care facility to damage because of high-frequency energy;
2, because jaw designs coarse, the excessive high-frequency energy of large area and excusing from death knife energy bring accident fulguration risk, The especially coating excision of thyroid tumor operation, complicated recurrent nerve, the kinesitherapy nerves such as superior laryngeal nerve and first shape Other gland is difficult to debate not, can all cause serious electric injury.
Summary of the invention
(1) the technical issues of solving
In view of the deficiencies of the prior art, the present invention provides a kind of bipolar mis instruments of Neural monitoring, in bipolar high frequency energy Nerve monitoring monitoring is realized in measuring device tool use process, solves traditional procedures electrode nerve monitoring stimulated current and high frequency Energy output be difficult to coexist and high-frequency energy it is excessive caused by high frequency cauterization risk.
(2) technical solution
To achieve the above object, the invention provides the following technical scheme: a kind of bipolar mis instruments of Neural monitoring, including it is double Pole control pedal, nerve monitoring stimulated current control pedal and six core plug-in units are equipped with the above the bipolar control pedal The bipolar control pedal top of one foot-operated fine motion control switch, first foot-operated fine motion control switch side is equipped with crus secunda Fine motion control switch is stepped on, the first conducting wire and privates are installed above the first foot-operated fine motion control switch, described Second conducting wire and privates, the nerve monitoring stimulated current control pedal are installed above two foot-operated fine motion control switches Top be equipped with nerve monitoring stimulation fine motion control switch, it is described nerve monitoring stimulation fine motion control switch above is equipped with First signal output lead and second signal output lead.
Preferably, the upper end of first conducting wire and the second conducting wire is equipped with double-pole plug, first conducting wire, second The female fitting that the middle-end of conducting wire and the first signal output lead passes through in six core plug-in units exports after connecting with convex plug-in unit.
Preferably, the upper end of first conducting wire and the second conducting wire is equipped with double-pole plug, first conducting wire, second The female fitting that the middle-end of conducting wire and the first signal output lead passes through in six core plug-in units exports after connecting with convex plug-in unit.
Preferably, the upper end of the privates, privates and second signal output lead is installed in fixing seat Portion, the side of the fixing seat are equipped with the first tweezer tablet and the second tweezer tablet, and the surface of second tweezer tablet is provided with symbol logo.
Preferably, the second signal output lead is in parallel with the second tweezer tablet with privates and is welded and fixed, and described Four conducting wires are welded and fixed with the first tweezer tablet, are mutually not turned between first tweezer tablet and the second tweezer tablet.
Preferably, first tweezer tablet and the second tweezer tablet tweezer tip position are by conductive rapid, yellow gold composition with high hardness, The pointed shape of tweezer is one of tip-like, sharp knife shape.
(3) beneficial effect
The present invention provides a kind of bipolar mis instruments of Neural monitoring, have it is following the utility model has the advantages that
(1) present invention passes through the first foot-operated fine motion control switch of setting, the second foot-operated fine motion control switch, nerve monitoring thorn Swash fine motion control switch, six core plug-in units, bipolar control pedal, nerve monitoring stimulated current control pedal, make the present invention have by Nerve stimulating current and high-frequency energy are output in a kind of integrated bipolar mis instruments of Neural monitoring, realize bipolar high frequency energy Replace output with neuroprobe, have neuroprobe function in the structure of high-frequency energy instrument, thus effective solution mind The problem of high-frequency energy generated when through monitoring influences, the first conducting wire and the second conducting wire and the first signal output lead are through six cores Plug-in unit connects through the first foot-operated fine motion control switch, the second foot-operated fine motion control switch and nerve monitoring stimulation fine motion control switch again It connects, and is connect respectively with extraneous high-frequency energy equipment and neural custodial care facility, by the first foot-operated fine motion control switch and second Foot-operated fine motion control switch control energy output, nerve monitoring stimulation fine motion control switch control nerve stimulating current output, In actual use, by bipolar control pedal and nerve monitoring stimulated current control pedal control the first foot-operated fine motion control switch, The starting and disconnection of second foot-operated fine motion control switch and nerve monitoring stimulation fine motion control switch, the second tweezer tablet are nerve thorn Swash electric current output stage, which has additional character mark, in the course of surgery with the trachea cannula for having contact electrode and Circuit needle forms a surgical operation unit, is connected to high-frequency energy equipment, and neural custodial care facility persistently keeps Anesthetic Patients ventilation same When, by nerve stimulating current effective stimulus recurrent nerve, contact electrode and circuit needle with trachea cannula are guarded through nerve Equipment jointly determine kinesitherapy nerve position, avoid bipolar high frequency energy and nerve stimulating current output interact, and The electric injury of high-frequency energy will be brought in Neural monitoring, or even causes neural custodial care facility to damage because of high-frequency energy.
(2) present invention makes the present invention in the course of surgery by high frequency by setting fixing seat, the first tweezer tablet, the second tweezer tablet Energy concentrates on the operative site between the two poles of the earth, and the fine forceps point being made of yellow gold can cut rapidly and finely separate soft Tissue not will cause and prevent large area energy excessive, reduces high-frequency energy bring and surprisingly burns motorial risk, is The further creation and invention of energy instrument and Neural monitoring instrument, it is ensured that operation safety improves surgical effect and quality, To which the excessive excessively high high-frequency energy bring fulguration problem of effective solution generates, by by second signal output lead In parallel with the second tweezer tablet with privates and be welded and fixed, privates are welded and fixed with the first tweezer tablet, the first tweezer tablet and second It is mutually not turned between tweezer tablet, high-frequency energy is limited between the first tweezer tablet and the second tweezer tablet, prevents high-frequency current large area stream string The accident for the neural soft tissue that may cause is burnt, and guarding in surgical procedure through nerve stimulates fine motion control switch, and electrode can be with Kinesitherapy nerve position is constantly detected by nerve stimulating current, which is bipolar high frequency energy and neuroprobe skill The creation and invention of art, it is ensured that thyroid operation safety improves thyroid operation effect and quality, and structure is feasible, operation Simply, technologically advanced.
Detailed description of the invention
Fig. 1 is the structural diagram of the present invention;
Fig. 2 is schematic enlarged-scale view at A of the invention;
Fig. 3 is schematic enlarged-scale view at B of the invention.
Appended drawing reference in figure are as follows: 1, double-pole plug;2, the first conducting wire;3, the second conducting wire;4, the first signal output lead;5, Privates;6, privates;7, second signal output lead;8, the first tweezer tablet;9, the second tweezer tablet;10, symbol logo;11, First foot-operated fine motion control switch;12, the second foot-operated fine motion control switch;13, nerve monitoring stimulation fine motion control switch;14, Bipolar control pedal;15, nerve monitoring stimulated current control pedal;16, convex plug-in unit;17, six core plug-in unit;18, female fitting;19, Fixing seat.
Specific embodiment
Following will be combined with the drawings in the embodiments of the present invention, and technical solution in the embodiment of the present invention carries out clear, complete Site preparation description, it is clear that described embodiments are only a part of the embodiments of the present invention, instead of all the embodiments.It is based on Embodiment in the present invention, it is obtained by those of ordinary skill in the art without making creative efforts every other Embodiment shall fall within the protection scope of the present invention.
As shown in Figure 1-3, the present invention provides a kind of technical solution: a kind of bipolar mis instruments of Neural monitoring, including it is bipolar Control pedal 14, nerve monitoring stimulated current control pedal 15 and six core plug-in units 17, the top of bipolar control pedal 14 are equipped with First foot-operated fine motion control switch 11 is equipped with above the bipolar control pedal 14 of first foot-operated 11 side of fine motion control switch The top of two foot-operated fine motion control switches 12, the first foot-operated fine motion control switch 11 is equipped with the first conducting wire 2 and privates 6, The top of second foot-operated fine motion control switch 12 is equipped with the second conducting wire 3 and privates 5, the first conducting wire 2 and the second conducting wire 3 Upper end is equipped with double-pole plug 1, and the middle-end of the first conducting wire 2, the second conducting wire 3 and the first signal output lead 4 is inserted across six cores Female fitting 18 in part 17 exports after connecting with convex plug-in unit 16, and the upper end of the first conducting wire 2 and the second conducting wire 3 is equipped with bipolar insert First 1, the middle-end of the first conducting wire 2, the second conducting wire 3 and the first signal output lead 4 pass through female fitting 18 in six core plug-in units 17 with Convex plug-in unit 16 exports after connecting, and the top of nerve monitoring stimulated current control pedal 15 is equipped with nerve monitoring stimulation fine motion and controls Switch 13, the first foot-operated fine motion control switch 11, the second foot-operated fine motion control switch 12 and nerve monitoring stimulation fine motion control Switch 13 is waterproofing design, effectively prevent unintentional actuation caused by liquid, the top of nerve monitoring stimulation fine motion control switch 13 First signal output lead 4 and second signal output lead 7 are installed, the first conducting wire 2, the second conducting wire 3, the output of the first signal are led Line 4, privates 5, privates 6 and second signal output lead 7 and bipolar control pedal 14 and nerve monitoring stimulated current Control pedal 15 is connected by six core plug-in units 17, and floor push is designed to reuse, in order to keep the product with human contact It is germ-free condition, other component is designed as disposable structure, because floor push may be reused, reduces product use Cost improves the level of resources utilization, mitigates burden of patients, privates 5, privates 6 and second signal output lead 7 it is upper End is installed on inside fixing seat 19, and the side of fixing seat 19 is equipped with the first tweezer tablet 8 and the second tweezer tablet 9, the table of the second tweezer tablet 9 Face is provided with symbol logo 10, the first conducting wire 2 and the second conducting wire 3 and the first signal output lead 4 passes through again through six core plug-in units 17 First foot-operated fine motion control switch 11, the second foot-operated fine motion control switch 12 and nerve monitoring stimulation fine motion control switch 13 connect It connects, and is connect respectively with extraneous high-frequency energy equipment and nerve custodial care facility, by the first foot-operated fine motion control switch 11 and the Two foot-operated fine motion control switches 12 control energy output, and it is defeated that nerve monitoring stimulation fine motion control switch 13 controls nerve stimulating current Out, in actual use, the first foot-operated fine motion is controlled by bipolar control pedal 14 and nerve monitoring stimulated current control pedal 15 The starting and disconnection of control switch 11, the second foot-operated fine motion control switch 12 and nerve monitoring stimulation fine motion control switch 13, Second tweezer tablet 9 is nerve stimulating current output stage, which has additional character to identify 10, is contacted in the course of surgery with having The trachea cannula and circuit needle of formula electrode form a surgical operation unit, are respectively connected to high-frequency energy equipment, neural custodial care facility, Persistently keep Anesthetic Patients ventilation simultaneously, the contact by nerve stimulating current effective stimulus recurrent nerve, with trachea cannula Electrode and circuit needle determine kinesitherapy nerve position, second signal output lead 7 and privates 5 through neural custodial care facility jointly In parallel with the second tweezer tablet 9 and be welded and fixed, privates 6 are welded and fixed with the first tweezer tablet 8, the first tweezer tablet 8 and the second tweezer tablet 9 it Between be mutually not turned on, so that high-frequency energy is limited between the first tweezer tablet 8 and the second tweezer tablet 9, prevent high-frequency current large area stream The accident of nerve, tissue that string may cause is burnt, and through microswitch in surgical procedure, electrode can constantly pass through nerve stimulation Gallon kinesitherapy nerve position.
In use, the first conducting wire 2 and the second conducting wire 3 and the first signal output lead 4 are through six core plug-in units 17 in the present invention Again through the first foot-operated fine motion control switch 11, the second foot-operated fine motion control switch 12 and nerve monitoring stimulation fine motion control switch 13 Connection, and connect respectively with extraneous high-frequency energy equipment and neural custodial care facility, by the first foot-operated 11 He of fine motion control switch Second foot-operated fine motion control switch 12 controls energy output, and nerve monitoring stimulation fine motion control switch 13 controls nerve stimulating current Output is ridden micro- in actual use by bipolar control pedal 14 and nerve monitoring stimulated current control pedal 15 control first Moving control switch 11, the second foot-operated fine motion control switch 12 and nerve monitoring stimulates the starting of fine motion control switch 13 and breaks Open, the second tweezer tablet 9 be nerve stimulating current output stage, the pole surface have additional character identify 10, in the course of surgery with have The trachea cannula and circuit needle of contact electrode form a surgical operation unit, are respectively connected to high-frequency energy equipment, nerve monitoring Equipment persistently keeps Anesthetic Patients ventilation simultaneously, by nerve stimulating current effective stimulus recurrent nerve, with connecing for trachea cannula Touch electrode and circuit needle determine kinesitherapy nerve position through neural custodial care facility jointly, and high-frequency energy is limited in 8 He of the first tweezer tablet Between second tweezer tablet 9, the accident for the nerve fiber for preventing high-frequency current large area stream string from may cause is burnt, and is passed through in surgical procedure Nerve monitoring stimulation fine motion control switch 13, electrode constantly can detect kinesitherapy nerve position by nerve stimulating current.
Can to sum up obtain, the present invention by setting the first foot-operated fine motion control switch 11, the second foot-operated fine motion control switch 12, Nerve monitoring stimulation fine motion control switch 13, six core plug-in units 17, bipolar control pedal 14, nerve monitoring stimulated current control pedal 15, fixing seat 19, the first tweezer tablet 8,9 structure of the second tweezer tablet, the high-frequency energy that generates when solving Neural monitoring influence and excessive High-frequency energy bring fulguration risk the problem of.
It should be noted that, in this document, relational terms such as first and second and the like are used merely to a reality Body or operation are distinguished with another entity or operation, are deposited without necessarily requiring or implying between these entities or operation In any actual relationship or order or sequence.Moreover, the terms "include", "comprise" or its any other variant are intended to Non-exclusive inclusion, so that the process, method, article or equipment including a series of elements is not only wanted including those Element, but also including other elements that are not explicitly listed, or further include for this process, method, article or equipment Intrinsic element.
It although an embodiment of the present invention has been shown and described, for the ordinary skill in the art, can be with A variety of variations, modification, replacement can be carried out to these embodiments without departing from the principles and spirit of the present invention by understanding And modification, the scope of the present invention is defined by the appended.

Claims (7)

1. a kind of bipolar mis instruments of Neural monitoring, including bipolar control pedal (14), nerve monitoring stimulated current control pedal (15) He Liuxin plug-in unit (17), it is characterised in that: be equipped with the first foot-operated fine motion control above the bipolar control pedal (14) Bipolar control pedal (14) top of system switch (11), first foot-operated fine motion control switch (11) side is equipped with crus secunda It steps on fine motion control switch (12), the first conducting wire (2) and the 4th is installed above the first foot-operated fine motion control switch (11) Conducting wire (6) is equipped with the second conducting wire (3) and privates (5) above the second foot-operated fine motion control switch (12), described Nerve monitoring stimulation fine motion control switch (13), the nerve are installed above nerve monitoring stimulated current control pedal (15) The first signal output lead (4) and second signal output lead (7) are installed above monitoring stimulation fine motion control switch (13).
2. the bipolar mis instruments of a kind of Neural monitoring according to claim 1, it is characterised in that: first conducting wire (2) It is equipped with double-pole plug (1) with the upper end of the second conducting wire (3), first conducting wire (2), the second conducting wire (3) and the first signal The female fitting (18) that the middle-end of output lead (4) passes through in six core plug-in units (17) exports after connecting with convex plug-in unit (16).
3. the bipolar mis instruments of a kind of Neural monitoring according to claim 1, it is characterised in that: the privates (5), The middle-end of privates (6) and second signal output lead (7) passes through female fitting (18) and convex plug-in unit in six core plug-in units (17) (16) it is exported after connecting.
4. the bipolar mis instruments of a kind of Neural monitoring according to claim 1, it is characterised in that: the privates (5), The upper end of privates (6) and second signal output lead (7) is installed on fixing seat (19) inside, the fixing seat (19) Side is equipped with the first tweezer tablet (8) and the second tweezer tablet (9), and the surface of second tweezer tablet (9) is provided with symbol logo (10).
5. the bipolar mis instruments of a kind of Neural monitoring according to claim 4, it is characterised in that: the second signal output Conducting wire (7) is in parallel with the second tweezer tablet (9) with privates (5) and is welded and fixed, the privates (6) and the first tweezer tablet (8) It is welded and fixed, is mutually not turned between first tweezer tablet (8) and the second tweezer tablet (9).
6. the bipolar mis instruments of a kind of Neural monitoring according to claim 5, it is characterised in that: first tweezer tablet (8) With the second tweezer tablet (9) tweezer tip position by conductive rapid, yellow gold composition with high hardness, the pointed shape of tweezer is tip-like, sharp knife shape One of.
7. the bipolar mis instruments of a kind of Neural monitoring according to claim 4, it is characterised in that: in use, the first conducting wire (2) and the second conducting wire (3) and the first signal output lead (4) Jing Liuxin plug-in unit (17) are again through the first foot-operated fine motion control switch (11), the second foot-operated fine motion control switch (12) and nerve monitoring stimulation fine motion control switch (13) connect, and respectively with the external world High-frequency energy equipment connect with neural custodial care facility, by the first foot-operated fine motion control switch (11) and the second foot-operated fine motion control (12) control energy output is switched, nerve monitoring stimulation fine motion control switch (13) controls nerve stimulating current output, in reality In use, being opened by bipolar control pedal (14) and the foot-operated fine motion control of nerve monitoring stimulated current control pedal (15) control first The starting and disconnection of (11), the second foot-operated fine motion control switch (12) and nerve monitoring stimulation fine motion control switch (13) are closed, Second tweezer tablet (9) be nerve stimulating current output stage, the pole surface have additional character identify (10), in the course of surgery with have The trachea cannula and circuit needle of contact electrode form a surgical operation unit, are respectively connected to high-frequency energy equipment, nerve monitoring Equipment persistently keeps Anesthetic Patients ventilation simultaneously, by nerve stimulating current effective stimulus recurrent nerve, with connecing for trachea cannula Touch electrode and circuit needle determine kinesitherapy nerve position through neural custodial care facility jointly, and high-frequency energy is limited in the first tweezer tablet (8) And second between tweezer tablet (9), the accident for the nerve fiber for preventing high-frequency current large area stream string from may cause is burnt, surgical procedure Middle guard through nerve stimulates fine motion control switch (13), and electrode constantly can detect kinesitherapy nerve position by nerve stimulating current It sets.
CN201910216136.9A 2019-03-21 2019-03-21 A kind of bipolar mis instruments of Neural monitoring Pending CN109758226A (en)

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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112914741A (en) * 2021-01-28 2021-06-08 浙江大学 Neuroprotective probe for operation of electrical energy instruments

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CN105744887A (en) * 2012-11-06 2016-07-06 纽文思公司 Systems and methods for performing neuroophysiologic monitoring during spine surgery
CN107334526A (en) * 2017-08-01 2017-11-10 武汉半边天医疗技术发展有限公司 A kind of diathermy forceps with Neural monitoring function in art
WO2018200254A2 (en) * 2017-04-28 2018-11-01 Stryker Corporation Control console and accessories for rf nerve ablation and methods of operating the same
CN210644163U (en) * 2019-03-21 2020-06-02 邱辉 Nerve monitoring bipolar minimally invasive instrument

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US9084550B1 (en) * 2007-10-18 2015-07-21 Innovative Surgical Solutions, Llc Minimally invasive nerve monitoring device and method
CN104168949A (en) * 2012-03-16 2014-11-26 波士顿科学神经调制公司 Neurostimulation system for preventing magnetically induced currents in electronic circuitry
CN105744887A (en) * 2012-11-06 2016-07-06 纽文思公司 Systems and methods for performing neuroophysiologic monitoring during spine surgery
CN104116558A (en) * 2014-07-25 2014-10-29 中国医学科学院北京协和医院 Surgical equipment, surgical instrument control equipment and medical equipment
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CN107334526A (en) * 2017-08-01 2017-11-10 武汉半边天医疗技术发展有限公司 A kind of diathermy forceps with Neural monitoring function in art
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Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN112914741A (en) * 2021-01-28 2021-06-08 浙江大学 Neuroprotective probe for operation of electrical energy instruments

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