CN110301974A - A kind of combined type hemostatic device - Google Patents
A kind of combined type hemostatic device Download PDFInfo
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- CN110301974A CN110301974A CN201910670161.4A CN201910670161A CN110301974A CN 110301974 A CN110301974 A CN 110301974A CN 201910670161 A CN201910670161 A CN 201910670161A CN 110301974 A CN110301974 A CN 110301974A
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- 230000002439 hemostatic effect Effects 0.000 title claims abstract description 40
- 230000023597 hemostasis Effects 0.000 claims abstract description 107
- 239000007788 liquid Substances 0.000 claims description 68
- 239000002826 coolant Substances 0.000 claims description 13
- 230000005611 electricity Effects 0.000 claims description 5
- 238000005452 bending Methods 0.000 claims description 4
- 230000000694 effects Effects 0.000 claims description 4
- 239000000306 component Substances 0.000 claims 8
- 239000012503 blood component Substances 0.000 claims 1
- 238000002679 ablation Methods 0.000 abstract description 33
- 238000003780 insertion Methods 0.000 abstract description 7
- 230000037431 insertion Effects 0.000 abstract description 7
- 238000010586 diagram Methods 0.000 description 24
- 230000006872 improvement Effects 0.000 description 13
- 230000015271 coagulation Effects 0.000 description 11
- 238000005345 coagulation Methods 0.000 description 11
- 238000000034 method Methods 0.000 description 9
- 238000005520 cutting process Methods 0.000 description 7
- 238000001816 cooling Methods 0.000 description 5
- 230000018044 dehydration Effects 0.000 description 4
- 238000006297 dehydration reaction Methods 0.000 description 4
- 230000003902 lesion Effects 0.000 description 4
- 238000010992 reflux Methods 0.000 description 4
- 230000000740 bleeding effect Effects 0.000 description 3
- 238000002844 melting Methods 0.000 description 3
- 230000008018 melting Effects 0.000 description 3
- 102100031144 Coilin Human genes 0.000 description 2
- 239000008280 blood Substances 0.000 description 2
- 210000004369 blood Anatomy 0.000 description 2
- 238000013461 design Methods 0.000 description 2
- 239000004744 fabric Substances 0.000 description 2
- 108010051876 p80-coilin Proteins 0.000 description 2
- 238000007789 sealing Methods 0.000 description 2
- 239000000243 solution Substances 0.000 description 2
- 206010002091 Anaesthesia Diseases 0.000 description 1
- 206010037660 Pyrexia Diseases 0.000 description 1
- 208000027418 Wounds and injury Diseases 0.000 description 1
- 230000037005 anaesthesia Effects 0.000 description 1
- 230000009286 beneficial effect Effects 0.000 description 1
- 230000008901 benefit Effects 0.000 description 1
- 230000015572 biosynthetic process Effects 0.000 description 1
- 238000003763 carbonization Methods 0.000 description 1
- 230000008859 change Effects 0.000 description 1
- 230000006378 damage Effects 0.000 description 1
- 238000011161 development Methods 0.000 description 1
- 239000000428 dust Substances 0.000 description 1
- 229920006351 engineering plastic Polymers 0.000 description 1
- 238000005516 engineering process Methods 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000001788 irregular Effects 0.000 description 1
- 238000004519 manufacturing process Methods 0.000 description 1
- 239000000463 material Substances 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000008520 organization Effects 0.000 description 1
- 239000002504 physiological saline solution Substances 0.000 description 1
- 230000002028 premature Effects 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 238000007711 solidification Methods 0.000 description 1
- 230000008023 solidification Effects 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 238000012546 transfer Methods 0.000 description 1
- 238000002604 ultrasonography Methods 0.000 description 1
- 238000003466 welding 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
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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
- A61B18/14—Probes or electrodes therefor
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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
- A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
- A61B2018/00589—Coagulation
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
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Abstract
The invention discloses a kind of combined type hemostatic devices, including several hemostasis components that can be used in combination；Each hemostasis component is provided at least a pair of electrode for the hemostasis that is powered；Each pair of electrode includes a work pole and circuit pole.Combined type hemostatic device with above structure, each hemostasis component can be used alone, also can be used in combination.A combination thereof quantity is unlimited, combination it is various informative, can meet the needs of different ablation areas size and shapes.Its hemostatic fashion can be used insertion tissue and carry out deep layer hemostasis, can also be flat against tissue and carry out the hemostasis of superficial large area, be suitable for various hemostasis.
Description
Technical field
The present invention relates to a kind of instrument for hemostasis, especially a kind of hemostatic device that can be used in combination.
Background technique
Electrosurgery hemostatic device, such as electric knife, electric coagulation forceps, ultrasound knife, diathermy forceps etc. are often used in surgical operation；
And current electrosurgical unit is usually to be used for surface hemostasis, hemostasis depth and hemostasis range are smaller, are cut on a large scale
Hemostasis efficiency is lower when operation.It is currently used for the instrument such as microwave melt needle of deep layer ablation, just for deep layer specific region
Ablation of tissue, ablation areas are mostly the irregular shapes such as spherical or elliposoidal, it has not been convenient to cut, reduce procedure efficiency.It is real
In the operation of border, whether hemostasis region is regular；The region in particular, cuboid easy to cut stops blooding is for improving procedure efficiency
It is very important.But current hemostatic device cannot form the hemostasis region easy to cut such as cuboid, not be able to satisfy fast
The demand of speed operation.In addition ablation areas shapes and sizes are fixation, can not be adjusted according to demand.
Because of many reasons, existing for connecting the host of hemostatic device, the interface for usually connecting hemostatic device only has one
A, an interface can only connect a hemostatic device.And a hemostasis for hemostatic device or being limited in scope for ablation, when need into
When the cutting of row large area lesion tissue, only use that this single hemostatic device efficiency is very low, substantially prolong operation when
Between, operating time would generally reach four or five hours, or even longer time, be not only easy to keep doctor excessively tired in this way, more hold
Easily increase the operation risk of patient.If operating time is too long, the time of anesthesia of patient is also grown, and bleeding is more, while being also required to defeated
Enter more blood, this not only will increase the injury to patient, but also will increase the medical expense of patient.
Summary of the invention
In view of this, the present invention provides a kind of combined type hemostatic device, solve the technical issues of hemostatic device low efficiency,
And its ablation areas shapes and sizes is adjustable.
In order to solve the above technical problems, it the technical solution of the present invention is as follows: a kind of combined type hemostatic device, including several is used for
The hemostasis component being applied in combination；Each hemostasis component is provided at least a pair of electrode for the hemostasis that is powered；Each pair of electrode
Including a work pole and circuit pole.Each hemostasis component passes through cable respectively and connect with radio frequency host, so that radio frequency energy
Amount flows between working machine and circuit pole.Since tissue has a constant impedance, heat can be generated when RF energy flows through tissue,
And the heat enables tissue coilin shrink, dehydration, makes vessel sealing, to realize hemostatic function.In hemostasis, electrode itself
It will not generate heat, the heat that " ohm fever " generates when the heat of hemostasis flows through tissue from RF energy.Several hemostasis components
Use (not needing connector to be fixed together) can be freely combined, adjust the size and shape of ablation areas according to demand.
It further, further include the joint current with plug, joint current is at least electrically connected with two hemostasis components.Pass through one
Platform radio frequency host connects more than two hemostasis components, and is combined into the arrangement mode of needs.Several hemostasis components pass through band
Use (not needing connector to be fixed together) can be freely combined by having the joint current of plug to be connected with an interface on host,
The size and shape of ablation areas is adjusted according to demand.
As an improvement being in series with selection switch between the joint current and each hemostasis component.Selection switch can appoint
The quantity that meaning selection control hemostasis component is powered.The benefit of this design is that doctor can select to need to connect according to the actual situation
Hemostasis component count, the hemostasis component that also can avoid not needing to use is conductive and influences operation.
As an improvement being provided with the connector for being cooperatively connected with other hemostasis components on the hemostasis component.
Different states can be spliced between each hemostasis component by connector, using more convenient.
The connector is the mortise and tenon (mode without being limited thereto) for the connection that cooperates.
As a kind of further improvement, the hemostasis component is two, is provided with mortise on one of hemostasis component,
The tenon being cooperatively connected with mortise is provided on another hemostasis component.Mortise and tenon are connector.The connection of mortise and tenon formula
Simply, it consolidates, the ablation areas that 4 quick detachable and in one line electrodes generate can cope with majority of case.
It further include the shell of encapsulated electrode, the electrode extends outside shell as a kind of further improvement；The company
Fitting is arranged on shell.Spool is stored using shell, facilitates arrangement, protects internal structure, while being convenient for multiple hemostasis components
It is integrated.
As a kind of further improvement, the hemostasis component is two or more, all electricity when being applied in combination
Pole is arranged in "-" type, and works pole and circuit pole is arranged alternately.
As a preference, the hemostasis component is two or more；When being applied in combination, all electrode arrangements are at two
Row；The work pole and circuit pole are alternately arranged.Wider ablation areas can be formed.
As a preference, the hemostasis component is two of splayed arrangement；The work pole and circuit pole replace cloth
It sets.The ablation areas of arc can be formed.
As a preference, the electrode is arc.
As a further preference, several hemostasis components are surrounded by a circle, and the bending direction of electrode is towards in enclosing, and institute
There is electrode to be directed to same central point.The ablation areas of an approximate cup-shaped is formed, to adapt to certain particular procedure needs.
As a further preference, the hemostasis component is six, and pieces together one group two-by-two, the work pole and circuit
Pole is alternately arranged.Two components first piece together one group, and then three groups of hemostasis components are circumferentially uniformly distributed.And the electrode is all
It is arranged in such a way that work pole, circuit pole are arranged alternately, can preferably form a closed loop in this way.
As an improvement the electrode includes the electrode body of straight tube-like, described electrode body one end is closed point
End.The shape of electrode is straight tube-like and has tip, so that electrode is convenient for going deep into tissue or is flat against the enterprising whereabouts blood of tissue,
Suitable for various hemostasis.An overall co-ordination is connected into other hemostasis components using the connector on shell to use,
It is powered more firm when melting.
As an improvement each electrode is provided with inlet and liquid return hole, and in each electrode
It is provided with the cavity being connected to inlet and liquid return hole, inlet, cavity and liquid return hole constitute cooling medium circulation canal.At present
The hemostasis electrode of hemostatic device there is no cooling function, lead to that tissue is dry and hard rapidly, carbonization, the phenomenon that " viscous knife " occur, at this time
It needs that more times is spent to carry out clearing electrode.The RF energy density of electrode perimeter is much larger than the density of distant place, this is resulted in
The tissue of electrode perimeter can be more easier to be dehydrated it is dry and hard, if the tissue premature dehydration of electrode perimeter is dry and hard, RF energy without
Method is transferred to farther tissue and goes, then can not just stop blooding to the tissue of distant place, hemostasis range is greatly reduced.During each electrode is
Sky has the cavity for cooling media flow；Cooling medium flows through the inside of electrode, takes away the heat of electrode；Therefore the temperature of electrode
It spends not too high (being maintained at 25 DEG C or so), and the tissue of surrounding them will not be dry and hard too early, is not in " sticking phenomenon ", makes
Obtaining RF energy can transfer out, and enable tissue heat production, dehydration, the hemostasis of distant place.After energization, RF energy can be within the organization
Portion generates the ablation areas (or section is in ablation areas of quadrangle/trapezoidal) of substantially cuboid, after repeatedly melting, tissue
Upper to form three-dimensional coagulation band, each side or the face for constituting coagulation band are relatively straight (straight flange, plane), are more conducive to cutting.With
Solidifying belt edge is cut-off lines by the cutting tissue of lesion, cuts side and primary side is separated by coagulation band, avoid bleeding.
Meanwhile the heat on electrode has been taken away by the flowing of cooling medium, so that electrode remains lower temperature, avoid viscous
Knife phenomenon so that energy be enable to continue to export, and then generates biggish hemostasis range.Additionally, due to bipolar electrode (work pole
With circuit pole) design, RF energy only transmits between the electrodes, and RF energy can expand in the vertical direction of electrode connecting line
It dissipates, to form flat cuboid hemostasis (ablation) region (or section is in ablation areas of quadrangle/trapezoidal), stops blooding
Regional rule is more convenient cutting operation, can greatly improve procedure efficiency.Therefore, this improves while solving existing haemostat
Tool stops blooding region irregularly and the technical issues of easy " viscous knife ".This improvement can be not only used for surface hemostasis ablation, may be used also
To be melted for the hemostasis of deep tissues.It can be used inside needle electrode insertion deep tissues, will form disappearing for cuboid
Tabetisol domain；When flatting against tissue surface, relatively thin cuboid (or rectangle) ablation areas can be formed in tissue surface.It is long
The length or width in cube shape hemostasis region and the ratio of thickness are usually not less than 2.
As an improvement the inlet is located at one end opposite with tip on electrode body, tip and inlet it
Between be electrode cavity；Electrode body is arranged on the side wall of inlet in the liquid return hole.
The inlet tube for extending into cavity is provided at the inlet, the diameter of inlet tube is less than the diameter of electrode body,
And there are gaps for inlet tube one end for being located at cavity inside and the tip of electrode body.Inlet tube gos deep into inside electrode body, institute
Feed liquor pipe diameter is stated less than electrode body, so that having the cavity for cooling media flow between inlet tube and electrode body, is made
Enter channel and the return flow line of cooling medium separate, and back-flow velocity is more efficient, can take away heat more in time.
As an improvement described each state in hemostasis component, the inlet of each electrode passes through feed liquor branch pipe respectively and connects
It is connected with feed liquor supervisor, the liquid return hole of each electrode is communicated with back liquid supervisor by returning liquid branch pipe respectively.
As an improvement further including an integrating device, the integrating device includes a feed liquor house steward interface and one
A time total interface tube of liquid is additionally provided with the feed liquor respectively with the supervisor's connection of each feed liquor and is responsible for interface, and be responsible for respectively with time liquid
Each time liquid of connection is responsible for interface；Each feed liquor supervisor's interface and feed liquor house steward orifice, each described time liquid master
Interface tube and time liquid general pipeline orifice.Simplify rear end pipe arrangement, is easy to use.
It is improved as another kind, the liquid return hole of an electrode is connected with the inlet of electrode described in another, makes
Concatenated cooling medium circulation canal is constituted between electrode two-by-two.
Further, the effect of each electrode is held level with both hands together；The electrode of each hemostasis component is parallel to each other, and phase
Spacing between adjacent electrode is equal.It is more likely formed the hemostasis region of cuboid in this way, effect is best.
As an improvement the ratio between the length of the electrode service portion and width are not less than 2.So-called service portion, refers to electricity
It extremely can be inserted into the part of tissue.In order to guarantee insertion depth, the length of the service portion of electrode be at least twice of its width or
Twice or more.
As a preference, the electrode is flat column.
The invention has the beneficial effects that: the combined type hemostatic device with above structure, each hemostasis component can be independent
It uses, also can be used in combination, multiple hemostasis components are used in combination, and operation is primary, and in the same time, hemostasis region is more
Greatly, the technical issues of hemostatic device low efficiency is solved.A combination thereof quantity is unlimited, combination it is various informative, difference can be met and disappeared
The demand of tabetisol domain size and shape.Currently, shortening operating time to improve procedure efficiency, the method generallyd use is to adjust
The output power of host is saved, i.e., improves the output power of host in a certain range, this mode is to raising procedure efficiency very little
Very little.The prior art does not have same or similar scheme to give the present invention with technical inspiration, due to thinking inertia, art technology
Personnel are also difficult to expect realizing through the above way.In addition, since the present invention using spaced work pole and returns
Lu Ji, RF energy act only on lesion tissue, will not be powered to entire human body, also do not need negative plate cooperation, can be avoided
Common monopolar electrode due to negative plate is easy to fall off caused by security risk, will not burn human body, meanwhile, also eliminating needs makes
With the trouble of negative plate, so that operation more safety and conveniently.
Detailed description of the invention
Fig. 1 is surface structure schematic diagram of the invention.
Fig. 2 is schematic diagram of internal structure of the invention.
Fig. 3 is the structural schematic diagram of electrode.
Fig. 4 is the flow direction schematic diagram of cooling medium in electrode.
Fig. 5 is the structural schematic diagram of dust collect plant.
Fig. 6 is that the hemostasis component of usage mode embodiment 1 overlooks arrangement schematic diagram.
Fig. 7 is the insertion use state diagram of usage mode embodiment 1.
Fig. 8 is the schematic diagram of ablation areas in usage mode embodiment 1.
Fig. 9 is to flat against use state diagram in usage mode embodiment 1.
Figure 10 is that the hemostasis component of usage mode embodiment 2 overlooks arrangement schematic diagram.
Figure 11 is the insertion use state diagram of usage mode embodiment 2.
Figure 12 is the schematic diagram of ablation areas in usage mode embodiment 2.
Figure 13 is to flat against use state diagram in usage mode embodiment 2.
Figure 14 is that the hemostasis component of usage mode embodiment 3 overlooks arrangement schematic diagram.
Figure 15 is the use state diagram of usage mode embodiment 3.
Figure 16 is the schematic diagram of ablation areas in usage mode embodiment 3.
Figure 17 is that the hemostasis component of usage mode embodiment 4 overlooks arrangement schematic diagram.
Figure 18 is the use state diagram of usage mode embodiment 4.
Figure 19 is the schematic diagram of ablation areas in usage mode embodiment 4.
Figure 20 is the use state diagram of usage mode embodiment 5.
Figure 21 is the schematic diagram of ablation areas in usage mode embodiment 5.
Marked in the figure: 1 hemostasis component, 2 work poles, 3 circuit poles, 4 feed liquors supervisor, 5 times liquid supervisors, 6 leader cables, 7 tenons,
8 mortises, 9 upper casings, 10 lower casings, 11 feed liquor branch pipes, 12 times liquid branch pipes, 13 cables, 14 inte-grated switch devices, 15 feed liquors supervisor connect
Mouth, 16 times liquid are responsible for interfaces, 17 cable interfaces, 18 feed liquor house steward interfaces, the total interface tube of 19 times liquid, 20 joint current sockets, 21 groups
It knits, 22 ablation areas, 23 RF energies, 24 electrode jacks, 25 cut-off lines, 26 cutting sides, 27 coagulation bands, 41 feed liquors supervisor connect
Head, 51 times liquid are responsible for connector, 61 cable connectors, 201 electrode bodies, 202 inlet tubes, 203 times liquid bend pipes, 204 inlets, 205
Liquid return hole.
Specific embodiment
In order to make those skilled in the art more fully understand technical solution of the present invention, With reference to embodiment
The present invention is described in further detail.
As Figure 1-Figure 5, the present invention includes the hemostasis group of several (i.e. one or more than one) for being applied in combination
Part 1；Each hemostasis component 1 is provided at least a pair of electrode for the hemostasis that is powered；Each pair of electrode includes a work pole 2
With circuit pole 3.
Constructive embodiment 1: two hemostasis components 1 are selected to be combined, for more convenient combination, each hemostasis component is only
Include a pair of electrodes.Since electrode needs to be powered and needs to be inserted into tissue, though it is foreseeable that electrode is preferably made by metal,
The material selected in the present embodiment is stainless steel.Electrode is connect by cable with radio frequency host, so that RF energy is in work pole 2
It is flowed between circuit pole 3.RF energy can increase by the pedal type switch that is connected with host, or in the hemostatic device
If manual switch, the switch for carrying out the forms such as manual is controlled.
Constructive embodiment 2: unlike the first embodiment, the electrode includes the electrode body 201 of straight tube-like, the electricity
Ontology 201 one end in pole is closed tip；It further include the shell for encapsulated electrode, 201 tip of electrode body is extended
Outside shell；The connector connecting can be cooperated with other hemostasis 1 shells of component by being provided on the shell.In the present embodiment, even
Fitting setting makes all electrodes arrange in "-" type after housing sidewall, connection, and 3 staggered row of pole 2 and circuit pole that works
Cloth.The form of connector can be diversified, as long as can firmly connect two hemostasis components 1.In the present embodiment wherein
The housing sidewall of one hemostasis component is provided with mortise 8, and the housing sidewall of another hemostasis component, which is provided with to cooperate with mortise 8, to be connected
The tenon 7 connect.Tenon 7 and mortise 8, in order to enable connection fastens, can be set cricoid by interference fit connection on tenon 7
Boss.Shell is put together by upper casing 9 and lower casing 10, and upper casing 9 and lower casing 10 are made of engineering plastics.Tenon 7 and mortise 8 also lead to
It crosses and spells and constitute complete shape.Bracket is provided in shell, for fixing and separating each electrode.
Preferably all hemostasis components for being applied in combination both are from the same radio frequency host.It further include with plug
Joint current, there are two (or even more than two) hemostasis components for joint current electrical connection.Two hemostasis component with same radio frequency
Host connection.
Constructive embodiment 3: unlike the first embodiment, each electrode is provided with inlet 204 and liquid return hole 205, and
And the cavity being connected to inlet 204 and liquid return hole 205 is provided in each electrode, inlet 204, cavity and time liquid
Mouth 205 constitutes cooling medium circulation canals.The inlet 204 is located at one end opposite with tip on electrode body 201, tip
It is the cavity of electrode between inlet 204；Electrode body is arranged on the side wall of inlet 204 in the liquid return hole 205.
The inlet tube 202 for extending into cavity is provided at inlet 204, inlet tube 202 and electrode body 201 are coaxial, inlet tube 202
Diameter is less than the diameter of electrode body 201, and inlet tube 202 is located at one end of cavity inside and the tip of electrode body 201 and stays
There is gap；Liquid bend pipe 203 is connected with back at the liquid return hole 205.The effect of each electrode is held level with both hands together；Each hemostasis component
Electrode be parallel to each other, and the spacing between adjacent electrode is equal.Returning liquid bend pipe 203 is 90 ° of bendings, with electrode body
201 connecting pins are vertical with electrode body 201.It is welded after being handled at 201 inlet 204 of electrode body by undergauge with inlet tube 202
It connects and closes, liquid return hole 205 is attached with time liquid bend pipe 203 also with the mode of welding.
The inlet 204 of each electrode is communicated with feed liquor supervisor 4, the liquid return hole of each electrode by feed liquor branch pipe 11 respectively
205 are communicated with back liquid supervisor 5 by returning liquid branch pipe 12 respectively.Specifically, the inlet tube 202 of electrode and time liquid bend pipe 203 are distinguished
It pools feed liquor supervisor 4 and returns liquid supervisor 5.Inlet tube 202 is connect by feed liquor branch pipe 11 flexible with feed liquor supervisor 4, described
It returns liquid bend pipe 203 and is connect by flexible time liquid branch pipe 12 with liquid supervisor 5 is returned.Feed liquor branch pipe 11 and inlet tube 202 return liquid branch pipe
12 pass through interference fit connection with liquid bend pipe 203 is returned.In addition, each electrode is respectively connected with a cable 13, cable 13 summarizes
To leader cable 6.The feed liquor supervisor 4, time liquid supervisor 5, leader cable 6 are arranged at case top.Make so each electrode without
All it is parallel relationship by circuit and cooling cycle access, is independent of each other.Fig. 4 is that cooling medium flows schematic diagram, and circulator is driven
Dynamic cooling medium (including but not limited to physiological saline) branches to each feed liquor branch pipe 11 from feed liquor supervisor 4, and from inlet tube 202 into
Enter each 201 inside of electrode body with after electrode generation heat exchange, is finally converged to by returning liquid bend pipe 203, returning liquid branch pipe 12
Liquid supervisor 5 is returned, then is back to circulator and completes one cycle.
It further include an inte-grated switch device 14, inte-grated switch device 14, which divides, is in order to facilitate the arrangement of pipeline and cable
Switch and integrating device are selected, switch control hemostasis component is selected to be powered, integrating device controls hemostasis component feed liquor and returns liquid.Institute
Stating inte-grated switch device 14 includes one 18, one, feed liquor house steward interface times total interface tubes 19 of liquid and joint current sockets 20.Also
It is provided with the feed liquor connecting respectively with each feed liquor supervisor 4 and is responsible for interface 15, return liquid master with what each time liquid supervisor 5 connect respectively
Interface tube 16, respectively with each 6 connecting cable interface 17 of leader cable；Each feed liquor supervisor's interface 15 and feed liquor house steward interface
4 connections, each time liquid supervisor's interface 16 is connected to the total interface tube 5 of liquid is returned, and each cable interface 17 is electrically connected with joint current socket 20
It connects.
Several feed liquor supervisor interfaces 15 return liquid supervisor interface 16, cable interface 17 in "-" type arrangement, position and split
The feed liquor supervisor 4 of two good hemostasis components 1, time liquid supervisor 5, leader cable 6 are corresponding.
In order to facilitate connection, feed liquor supervisor 4, return liquid supervisor 5,6 end of leader cable be provided with respectively with inte-grated switch device
The feed liquor that feed liquor supervisor interface 15, time liquid supervisor interface 16, cable interface 17 on 14 are cooperatively connected is responsible for connector 41, returns liquid master
Pipe fitting 51, cable connector 61.
In the present embodiment, " selection switch " and " integrating device " are combined into one, and constitute inte-grated switch device 14.Actually
" selection switch " is responsible for electrical connection and " integrating device " is responsible for cooling medium disengaging, and principle is similar.In actual use, it can pass through
Several hemostasis components are dismantled or installed to inte-grated switch device 14, to reach requirement.
In order to further increase insulating properties, electrode body 201, which is located at the intracorporal portion envelops of shell, insulating layer, and insulating layer can
To be realized by heat-shrink tube or insulating tape.Certainly, in order to enable RF energy circulates between work pole 2 and circuit pole 3,
The tip needs of at least electrode body 201 are exposed outside.Preferably electrode body 201 extend shell part it is all exposed.
Electrode body 201 has cuspidated one end and extends shell, and development length is preferably 3~10cm, between electrode 1
Spacing is preferably 5~12mm, and 201 diameter of electrode body is preferably 1.0~2mm, is not limited to above-mentioned size certainly, can basis
Actual demand is adaptively adjusted.Scale can also be set on electrode body 201, to indicate the depth of insertion tissue.
The ratio between the length of electrode service portion and width are not less than 2.So-called service portion refers to that electrode can be inserted into the portion of tissue
Point.In order to guarantee insertion depth, the length of the service portion of electrode is at least twice or twice of its width or more.The present embodiment
In, the service portion of electrode is the part being exposed to outside shell.
In addition, electrode can also flat column.Square column includes triangular prism, 4 square columns, 5 square columns etc., is not intended to limit in the present invention.
Certainly, the hemostasis component in the application can not also utilize connector connection to use.
The arrangement of electrode is also not necessarily staggeredly in the application, i.e. electrode can not only be according to: work pole-circuit pole-work
Pole-circuit pole mode is arranged, can also be by: work pole-circuit pole-circuit pole-work is arranged in the way of pole.
In the application, do not repel concatenated cooling cycle mode between electrode yet, i.e., the liquid return hole of one electrode with it is next
Inlet connection of root electrode and so on, makes to constitute concatenated cooling medium circulation canal between electrode two-by-two.
The following are usage mode embodiments of the invention.
As shown in Fig. 6-Fig. 9, usage mode embodiment 1 is that single hemostasis component uses.
For being inserted into tissue 21 and stop blooding.Electrode is inserted into tissue 21 and forms electrode jack 24, and RF energy 23 exists after energization
It is flowed between work pole 2 and reflux pole 3.Since tissue 21 has a constant impedance, heat can be generated when RF energy flows through tissue 21
Amount, and the heat enables tissue coilin shrink, dehydration, makes vessel sealing, to realize hemostatic function.RF energy 23 passes through
Region be ablation areas 22, after repeatedly melting, tissue 21 on formed coagulation band 27.Using 27 edge of coagulation band as cut-off lines 25
By the cutting tissue of lesion, cuts side 26 and separated with primary side by coagulation band 27, avoid bleeding.Single hemostasis component 1
The ablation areas 22 of only two electrodes, formation is smaller, therefore the coagulation band 27 after ablation is also more narrow.
Fig. 9 is the schematic diagram for flatting against tissue 21 and stopping blooding, and the mode flatted against is stopped blooding suitable for superficial large area.
As shown in figures 10-13, usage mode embodiment 2 is two splits in one line of hemostasis component 1.It is noticeable
It is that work pole 2 and reflux pole 3 need to be staggered.
There are four electrodes for two hemostasis components 1 splitting mode in one line on the same line, can form biggish disappear
Tabetisol domain 22, therefore the coagulation band 27 repeatedly after ablation is also longer.
Figure 13 is the schematic diagram for flatting against tissue 21 and stopping blooding, and the mode flatted against is stopped blooding suitable for superficial large area.
As illustrated in figures 14-16, usage mode embodiment 3 is two hemostasis components 1 overlapping splits, it is also noted that
Work pole 2 and reflux pole 3 need interleaved.All electrode arrangements are at two rows.
The splitting modes that two hemostasis components 1 are overlapped are square arrangement there are four electrode, can form biggish ablation areas
22, so the coagulation band 27 repeatedly after ablation is also wider.
This mode split is unsuitable for flatting against hemostasis.In addition being applied in combination for this mode does not need connector for two hemostasis
Component 1 is combined into one, it is only necessary to the position of user's control two hemostasis components 1 by way of hand-held.
As in figs. 17-19, usage mode embodiment 4 is two hemostasis 1 arc of component combinations, it is also noted that
Work pole 2 and reflux pole 3 need interleaved.
There are four electrode cambers for the splitting mode of two hemostasis 1 arc of component arrangements, so the repeatedly solidification after ablation
Band 27 is arc-shaped.
This mode split is unsuitable for flatting against hemostasis.In addition being applied in combination for this mode does not need connector for two hemostasis
Component 1 is combined into one, it is only necessary to the position of user's control two hemostasis components 1 by way of hand-held.
As shown in figures 20-21, in usage mode embodiment 5, all electrodes be arc, and to circle inner bending.Stop blooding component 1
It is six, and pieces together one group two-by-two, is connected between the component that stops blooding without connector.Work pole 2 and circuit pole 3 are alternately arranged.
Hemostasis component 1 is surrounded by a circle, and electrode is directed to same central point.
This mode can form the ablation areas of cup-shaped, and cutting side is located at intermediate similar hemispherical, is suitable for some special hands
The requirement of art.
The above is only the preferred embodiment of the present invention, it is noted that above-mentioned preferred embodiment is not construed as pair
Limitation of the invention, protection scope of the present invention should be defined by the scope defined by the claims..For the art
For those of ordinary skill, without departing from the spirit and scope of the present invention, several improvements and modifications can also be made, these change
It also should be regarded as protection scope of the present invention into retouching.
Claims (18)
1. a kind of combined type hemostatic device, it is characterised in that: including several hemostasis components for being applied in combination；It is described each to stop
Blood component is provided at least a pair of electrode for the hemostasis that is powered；Each pair of electrode includes a work pole and circuit pole.
2. a kind of combined type hemostatic device according to claim 1, it is characterised in that: further include total electricity with plug
Cable, joint current are at least electrically connected with two hemostasis components.
3. a kind of combined type hemostatic device according to claim 2, it is characterised in that: the joint current and each hemostasis group
Selection switch is in series between part.
4. described in any item a kind of combined type hemostatic devices according to claim 1~3, it is characterised in that: the hemostasis component
On be provided with for other hemostasis components be cooperatively connected connector.
5. a kind of combined type hemostatic device according to claim 4, it is characterised in that: the connector is for phase interworking
Close the mortise and tenon of connection.
6. a kind of combined type hemostatic device according to claim 4, it is characterised in that: it further include the shell of encapsulated electrode,
The electrode extends outside shell；The connector is arranged on shell.
7. a kind of combined type hemostatic device according to claim 1, it is characterised in that: the hemostasis component be two or
Two or more, when being applied in combination, all electrodes are arranged in "-" type.
8. a kind of combined type hemostatic device according to claim 1, it is characterised in that: the hemostasis component is two or two
More than a；When being applied in combination, all electrode arrangements are at two or more rows.
9. a kind of combined type hemostatic device according to claim 1, it is characterised in that: the electrode is arc.
10. a kind of combined type hemostatic device according to claim 9, it is characterised in that: several hemostasis components are surrounded by one
Circle, the bending direction of electrode is towards in enclosing.
11. a kind of combined type hemostatic device according to claim 1, it is characterised in that: the electrode includes straight tube-like
Electrode body, described electrode body one end are closed tip.
12. a kind of combined type hemostatic device according to claim 11, it is characterised in that: each electrode is provided with
Inlet and liquid return hole, and the cavity being connected to inlet and liquid return hole, inlet, sky are provided in each electrode
Chamber and liquid return hole constitute cooling medium circulation canal.
13. a kind of combined type hemostatic device according to claim 12, it is characterised in that: the inlet is located at electrode sheet
One end opposite with tip on body is the cavity of electrode between tip and inlet；The liquid return hole setting is leaned in electrode body
On the side wall of nearly inlet.
14. a kind of combined type hemostatic device according to claim 12, it is characterised in that: be provided with and prolong at the inlet
Put in the inlet tube of cavity, the diameter of inlet tube is less than the diameter of electrode body, and inlet tube be located at cavity inside one end and
There are gaps at the tip of electrode body.
15. 2~14 described in any item a kind of combined type hemostatic devices according to claim 1, it is characterised in that: each hemostasis group
The inlet of each electrode passes through feed liquor branch pipe respectively and is communicated with feed liquor supervisor in part, and the liquid return hole of each electrode passes through back respectively
Liquid branch pipe is communicated with back liquid supervisor.
16. a kind of combined type hemostatic device according to claim 15, it is characterised in that: it further include an integrating device,
The integrating device includes that a feed liquor house steward interface and one return the total interface tube of liquid, is additionally provided with and is responsible for respectively with each feed liquor
The feed liquor of connection is responsible for interface, and is responsible for interface with each time liquid for returning liquid supervisor's connection respectively；Each feed liquor supervisor connects
Mouth and feed liquor house steward orifice, each liquid that returns are responsible for interface and return liquid general pipeline orifice.
17. 2~14 described in any item a kind of combined type hemostatic devices according to claim 1, it is characterised in that: an electricity
The liquid return hole of pole is connected with the inlet of electrode described in another, makes to constitute concatenated cooling medium circulation between electrode two-by-two
Channel.
18. a kind of combined type hemostatic device according to claim 1, it is characterised in that: the effect end of each electrode
Concordantly；The electrode of each hemostasis component is parallel to each other.
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| CN201910670161.4A CN110301974B (en) | 2019-07-23 | 2019-07-23 | Combined hemostatic instrument |
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| CN201910670161.4A CN110301974B (en) | 2019-07-23 | 2019-07-23 | Combined hemostatic instrument |
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| CN110301974B CN110301974B (en) | 2024-09-27 |
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| CN110755151A (en) * | 2019-11-19 | 2020-02-07 | 绵阳立德电子股份有限公司 | Blood coagulation electrode |
| CN118402860A (en) * | 2024-07-02 | 2024-07-30 | 成都德倍佳医疗科技有限责任公司 | Electrode assembly, hemostatic instrument and system thereof |
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