CN110882054A - Novel T-shaped scalpel head area smoking measurement function monopole operation ablation electrode - Google Patents
Novel T-shaped scalpel head area smoking measurement function monopole operation ablation electrode Download PDFInfo
- Publication number
- CN110882054A CN110882054A CN201911148915.6A CN201911148915A CN110882054A CN 110882054 A CN110882054 A CN 110882054A CN 201911148915 A CN201911148915 A CN 201911148915A CN 110882054 A CN110882054 A CN 110882054A
- Authority
- CN
- China
- Prior art keywords
- cutter head
- pull rod
- outer tube
- ablation electrode
- handle
- 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
Links
- 238000002679 ablation Methods 0.000 title claims abstract description 42
- 230000000391 smoking effect Effects 0.000 title claims abstract description 28
- 238000005259 measurement Methods 0.000 title claims abstract description 25
- 230000005404 monopole Effects 0.000 title claims description 13
- 239000000779 smoke Substances 0.000 claims abstract description 70
- 238000009297 electrocoagulation Methods 0.000 claims description 13
- 238000005520 cutting process Methods 0.000 claims description 6
- 239000011810 insulating material Substances 0.000 claims description 5
- 238000003825 pressing Methods 0.000 claims description 3
- 230000000149 penetrating effect Effects 0.000 claims description 2
- 230000000740 bleeding effect Effects 0.000 abstract description 4
- 210000004204 blood vessel Anatomy 0.000 abstract description 3
- 238000005201 scrubbing Methods 0.000 abstract description 2
- 210000000056 organ Anatomy 0.000 abstract 1
- 210000001519 tissue Anatomy 0.000 description 21
- 238000005345 coagulation Methods 0.000 description 9
- 230000015271 coagulation Effects 0.000 description 9
- 238000001356 surgical procedure Methods 0.000 description 6
- 239000012212 insulator Substances 0.000 description 4
- 238000000034 method Methods 0.000 description 4
- 238000002324 minimally invasive surgery Methods 0.000 description 4
- 238000007599 discharging Methods 0.000 description 3
- 238000002674 endoscopic surgery Methods 0.000 description 3
- 239000003517 fume Substances 0.000 description 3
- 230000008569 process Effects 0.000 description 3
- 230000009471 action Effects 0.000 description 2
- 238000010586 diagram Methods 0.000 description 2
- 230000010354 integration Effects 0.000 description 2
- 238000002357 laparoscopic surgery Methods 0.000 description 2
- 238000000926 separation method Methods 0.000 description 2
- 238000003860 storage Methods 0.000 description 2
- 208000012260 Accidental injury Diseases 0.000 description 1
- 206010028980 Neoplasm Diseases 0.000 description 1
- 238000004140 cleaning Methods 0.000 description 1
- 230000007547 defect Effects 0.000 description 1
- 230000036541 health Effects 0.000 description 1
- 208000015181 infectious disease Diseases 0.000 description 1
- 208000014674 injury Diseases 0.000 description 1
- 230000000968 intestinal effect Effects 0.000 description 1
- 239000007788 liquid Substances 0.000 description 1
- 210000001165 lymph node Anatomy 0.000 description 1
- 229910052751 metal Inorganic materials 0.000 description 1
- 239000002184 metal Substances 0.000 description 1
- 238000012986 modification Methods 0.000 description 1
- 230000004048 modification Effects 0.000 description 1
- 239000011241 protective layer Substances 0.000 description 1
- 238000004904 shortening Methods 0.000 description 1
- 229910001220 stainless steel Inorganic materials 0.000 description 1
- 239000010935 stainless steel Substances 0.000 description 1
- 238000006467 substitution reaction Methods 0.000 description 1
- 239000002341 toxic gas Substances 0.000 description 1
- WFKWXMTUELFFGS-UHFFFAOYSA-N tungsten Chemical compound [W] WFKWXMTUELFFGS-UHFFFAOYSA-N 0.000 description 1
- 229910052721 tungsten Inorganic materials 0.000 description 1
- 239000010937 tungsten Substances 0.000 description 1
- 230000000007 visual effect Effects 0.000 description 1
Images
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1402—Probes for open surgery
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
-
- 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
- A61B2018/00607—Coagulation and cutting with the same instrument
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B90/00—Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
- A61B90/06—Measuring instruments not otherwise provided for
- A61B2090/061—Measuring instruments not otherwise provided for for measuring dimensions, e.g. length
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
- A61B2218/007—Aspiration
- A61B2218/008—Aspiration for smoke evacuation
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Life Sciences & Earth Sciences (AREA)
- Engineering & Computer Science (AREA)
- Biomedical Technology (AREA)
- Public Health (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Veterinary Medicine (AREA)
- General Health & Medical Sciences (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- Physics & Mathematics (AREA)
- Otolaryngology (AREA)
- Plasma & Fusion (AREA)
- Oral & Maxillofacial Surgery (AREA)
- Pathology (AREA)
- Surgical Instruments (AREA)
Abstract
The invention discloses a novel T-shaped cutter head single-pole surgical ablation electrode with a smoking measurement function, which comprises a handle component, a T-shaped cutter head component, a cutter bar component and an electrode system, wherein the handle component is connected with the T-shaped cutter head component; the T-shaped cutter head of the operation ablation electrode with the monopolar smoking measurement function can efficiently separate tissues, has stronger protection on tissues except target organ tissues such as blood vessels and the like, and prevents the tissues from being cut by mistake and damaging the blood vessels to cause bleeding; in addition, all the keys are designed on the handle, so that the usability of the operation can be greatly improved, and the operation time is obviously saved; the smoke exhaust component can quickly and efficiently absorb smoke generated in the operation, so that the harm of the operation smoke to doctors and nurses is greatly reduced; if the endoscope operation is performed, the smoking frequency and the scrubbing frequency of the endoscope lens are greatly reduced, the operation time is effectively shortened, and the operation efficiency is improved.
Description
Technical Field
The invention relates to the technical field of surgical instruments, in particular to a novel T-shaped monopolar surgical ablation electrode with a function of measuring smoking of a cutter head.
Background
The high-frequency electric surgical instrument is widely used in clinical surgery modes as a basic surgical energy instrument, and the position of the high-frequency electric surgical instrument in open surgery cannot be swung. Although the popularization of ultrasonic knives has made them a good place for endoscopic surgery over the past two decades, high frequency electrosurgical instruments such as monopolar coagulation hooks, monopolar electric scissors (as used in da vinci robot), bipolar coagulation (as used in Ligasure, hectic forceps) and the like have also developed rapidly and are widely used in endoscopic minimally invasive surgery. The clinically and conventionally used monopolar high-frequency ablation electrode (including a common surgical electrotome for open surgery and a monopolar electric coagulation hook for endoscopic minimally invasive surgery, a monopolar electric scissors and the like) mainly generates heat and gasifies or coagulates high-impedance tissues by high-frequency high-voltage current. Compared with energy instruments such as an ultrasonic knife and the like, the high-frequency ablation electrode has the advantages that the operations of cutting, separating, stopping bleeding and the like can be performed on tissues efficiently without converting electric energy into mechanical energy.
The monopolar high-frequency electric surgical instruments on the market at present mainly use a monopolar electric knife (mainly for open surgery), an electric coagulation hook and an electric coagulation shovel (mainly for endoscopic minimally invasive surgery), and the defects of the surgical instruments are as follows: firstly, in open or endoscopic surgery, the tool bit of most monopolar high-frequency electric surgical instruments is exposed without a protective layer (such as an electric knife pen, an electric coagulation hook, an electric knife shovel and the like), the whole metal part is exposed beside a surgical target area, and the tool bit part is easy to accidentally injure surrounding tissues during the surgical operation, particularly when fine operations such as cleaning lymph nodes beside blood vessels and the like are carried out, particularly when the electric coagulation hook is used in the endoscopic surgery; secondly, the high-frequency electric surgical instrument cauterizes, stops bleeding and cuts tissues through heat to gasify tissue liquid, smoke generated by gasified tissues is large, and the smoke contains a large amount of toxic gas, so that the health of doctors and nurses on an operation table is greatly influenced in open operations; in the endoscopic minimally invasive surgery, the lens of the endoscope is easily atomized and polluted, so that the observation of the endoscope is influenced, the surgical progress is seriously influenced if frequent smoke suction and air exchange or lens scrubbing are needed, and the safety and the efficiency of the surgery are not improved; thirdly, the cutter head of most single-pole ablation electrodes is sharp, the outer surface of the part of the single-pole ablation electrodes is provided with edges and corners, and when the single-pole ablation electrodes are not electrified for blunt separation, the surrounding tissue plane can be possibly damaged, so that bleeding and the like are caused.
Disclosure of Invention
In order to solve the technical problems of the existing surgical instruments, the invention firstly provides a novel T-shaped surgical ablation electrode with a smoking measurement function.
A T-blade monopolar surgical ablation electrode comprising:
a handle assembly: the electric coagulation switch comprises a holding handle, a movable handle capable of swinging relative to the holding handle, an electric coagulation switch and an electric cutting switch;
t-shaped cutter head assembly: an upper tool bit, a lower tool bit and a blade; the blade (comprising a stainless steel blade or a tungsten needle type blade) is arranged on the inner side of the clamping surface of the upper cutter head, and the size of the upper cutter head is larger than that of the blade;
the cutter bar component: an outer tube, a pull rod; the pull rod is sleeved in the outer tube, the lower tool bit is fixedly connected with the outer tube, the upper tool bit is hinged with the outer tube and is connected with the movable handle through the pull rod, so that when the movable handle swings relative to the holding handle, the pull rod can displace relative to the outer tube, and the upper tool bit and the lower tool bit are closed;
an electrode system: single-pole lead, pull rod contact, conducting strip; the single-pole lead extends out of the electrode wire tube, the first end of the single-pole lead is connected with the high-frequency energy platform, the second end of the single-pole lead is connected with a pull rod contact positioned at the tail end of the pull rod, and the conducting strip is positioned between the pull rod and the blade, so that current on the pull rod can flow to the blade after the single-pole lead is electrified; wherein, the monopole lead, the pull rod contact, the conducting strip and the blade form a current conducting element; the electrocoagulation switch and the electric cutting switch are used for controlling the connection or disconnection of the current conduction element and the high-frequency energy platform;
the pull rod and the outer pipe are mutually insulated, the outer surfaces of the upper cutter head and the lower cutter head are insulated, and the upper cutter head and the lower cutter head are mutually insulated when closed.
The realization process of the monopolar function in the monopolar operation ablation electrode comprises the following steps: part of tissues are clamped by an upper tool bit and a lower tool bit, an electrocoagulation switch or an electrotomy switch is pressed down, then a current conduction essential element is electrified with a high-frequency energy platform, at the moment, high-frequency current in the high-frequency energy platform is conducted to a pull rod contact through a single-pole lead, then sequentially passes through a pull rod and a conducting strip and finally reaches a blade in the center of the upper tool bit, an upper tool bit insulating element is arranged on the periphery of the blade and forms an insulating state with a clamping surface of the upper tool bit, and then the high-frequency current in the blade of the upper tool bit forms a loop through an electrode slice on a human body, so that the; at the moment, the blade is a monopolar ablation electrode, and the design can ensure that the acted tissues are the tissues clamped by the upper cutter head and the lower cutter head no matter monopolar electrocoagulation or monopolar electrosection in the operation process, so that other surrounding tissues are prevented from being accidentally injured.
The T-shaped cutter head component of the invention refers to: the blade is located in the center of the upper blade gripping surface so that the upper blade and the blade form a T-shape.
In some specific embodiments, the closing of the upper and lower tool bits is achieved by: the tail end of the upper cutter head is hinged with the pull rod head through the pull rod shaft, the fixed shaft is located between the pull rod shaft and the upper cutter head and fixed with the outer tube, and when the pull rod moves relative to the outer tube, the pull rod shaft moves correspondingly through the fixed shaft, so that the upper cutter head and the lower cutter head are closed.
It is noted that the upper and lower blades may be either closed or semi-closed, since the upper blade acts as a cut as long as the upper blade is energized, and cannot close if too much tissue is clamped.
In some specific embodiments, the electrocoagulation switch and the electrotomy switch are positioned at the holding end of the holding handle, so that the electrocoagulation switch and the electrotomy switch are in accordance with the human body design, are convenient for operators to operate and control, and are in accordance with most of the habits of surgical operations, thereby shortening the operation time and reducing the operation infection risk.
The outer pipe and the pull rod arranged in the outer pipe are insulated from each other, and the outer pipe and the pull rod are covered with insulating materials, so that the creepage phenomenon in the high-voltage working state is prevented. In addition, the surfaces of the upper cutter head and the lower cutter head are also covered with insulating materials.
In some specific embodiments, the outer tube comprises an outer tube connecting section connected with the T-shaped cutter head assembly, the diameter of the outer tube connecting section is smaller than that of the outer tube, and the outer wall of the outer tube is provided with scales. Specifically, the scale marks are accurate to millimeter level, and the size of the target tissue (such as the length of the intestinal tube to be cut, the size of the excised tumor tissue and the like) can be measured through the scale marks of the outer tube, so that the accuracy of the operation is improved.
In order to solve the technical problem that a large amount of surgical smoke cannot be quickly sucked due to the generation of the prior art, the invention also provides a novel T-shaped scalpel head monopolar surgical ablation electrode with a smoke suction measurement function, wherein a smoke exhaust component is added on the monopolar surgical ablation electrode, and comprises a smoke suction window hole, a smoke exhaust pipe communicated with the smoke suction window hole and a smoke exhaust control switch arranged on a holding handle; wherein the smoking fenestration hole is located the step department of being connected between outer tube linkage segment and the outer tube, and/or the junction between T type cutter head subassembly and the outer tube linkage segment, the pipe of discharging fume is made by insulating material, it passes the outer tube and grips inside the handle, and stretch out from gripping handle rear, so, make the ablation electrode possess the function of smoking, can in time suck away the smog in the operation field of vision through the smoking fenestration hole at the operation in-process, thereby be convenient for in time observe the operation field of vision through the endoscope, accelerate the operation process, efficiency of the operation and security are improved.
In some specific embodiments, the smoke exhaust control switch can adjust the size of the cavity of the smoke exhaust pipe, so as to achieve the purpose of adjusting the smoke suction amount and the smoke suction speed.
In the invention, the position of the smoke suction opening hole is well designed, smoke can be generated in the T-shaped cutter head component by electrocoagulation and electrosection operations, therefore, the smoke suction opening hole is arranged at the connecting part between the T-shaped cutter head component and the outer pipe connecting section, thus, the smoke suction opening hole can accurately suck away operation smoke and prevent the smoke from dispersing, in addition, the smoke suction opening hole is additionally arranged at the step part connected between the outer pipe connecting section and the outer pipe, when the operation smoke area is larger, the smoke suction opening hole arranged at the T-shaped cutter head component cannot suck away all smoke, the smoke which is not sucked away by the smoke suction opening hole at the connecting part between the T-shaped cutter head component and the outer pipe connecting section can be timely sucked away by the smoke suction opening hole arranged at the step part connected between the outer pipe connecting section and the outer pipe, thus, the smoke generated by the T-shaped cutter head component can be effectively and synchronously sucked away, and the pressure in the cavity can be, effectively improve the continuity of the operation.
In some embodiments, the smoke evacuation control switch includes a controller base disposed through the smoke evacuation pipe, and a push button disposed in the controller base and pressing on the smoke evacuation pipe, the push button protruding from a surface of the grip handle. Therefore, the size of the tube cavity of the smoke exhaust tube is adjusted by pushing the push type button, and the purpose of adjusting the smoking flow of the smoke exhaust tube is achieved.
Above-mentioned novel area smoking measurement function operation monopole ablation electrode has solved current ablation electrode and has been suitable for singleness, operate technical problem such as inconvenient, can be applied to in various clinical surgery and carry out tissue and the closed cutting of vessel under high-efficient, accurate condition of discharging fume.
In some specific embodiments, the gripping surfaces of the upper and lower blades are provided with tooth-like protrusions, so that the gripping capability of the upper and lower blades on the tissue can be increased, and the tissue can be prevented from slipping off the upper and lower blades.
In some embodiments, the upper and lower blades are curved and have a uniform curvature. In some more specific embodiments, the upper cutter head and the lower cutter head are both slightly bent towards the side, so that in the laparoscopic surgery, when the angle formed by the laparoscope and the instrument is smaller, the tip of the operated cutter head can still be clearly seen by the laparoscope, the misoperation caused by the lack of the visual angle in the laparoscopic surgery is reduced, and the occurrence of surgical complications can be effectively reduced.
In some specific embodiments, a return spring is further arranged in the holding handle, one end of the return spring is abutted against the movable handle, the other end of the return spring is fixed in the holding handle, and when the movable handle swings relative to the holding handle, the return spring is compressed; so, after loosening movable handle, reset spring then produces reverse driving force and makes movable handle reset to keep the state that upper cutter head and lower cutter head normally opened.
In some specific embodiments, the electrode line tube and the smoke exhaust tube are combined into an integrated pipeline system at the tail end of the holding handle, the integrated pipeline system is separated after leaving the operation area, the smoke exhaust tube is connected with the smoke exhaust system, and the unipolar lead is connected with the unipolar high-frequency energy platform, so that the integration and the storage of pipelines and lines with different functions are facilitated.
In order to solve the technical problem that the ablation electrode is safe to operate and avoids accidental injury of surrounding tissues, the outer surfaces of the upper cutter head and the lower cutter head of the T-shaped cutter head component of the monopolar surgical ablation electrode with the smoking measurement function are both designed smoothly and have smooth surfaces, so that the upper cutter head and the lower cutter head can be ensured to effectively enter tissue gaps, the surrounding tissues are prevented from being damaged, meanwhile, blunt separation of target tissue gaps can be facilitated, and the surgical time is effectively shortened.
Drawings
In order to more clearly illustrate the technical solutions of the embodiments of the present invention, the drawings needed to be used in the description of the embodiments or the prior art will be briefly introduced below, and it is obvious that the drawings in the following description are some embodiments of the present invention, and for those skilled in the art, other drawings can be obtained according to these drawings without creative efforts;
FIG. 1 is a schematic overall structure diagram of a novel T-shaped surgical ablation electrode with a smoking measurement function and a monopolar operation function;
FIG. 2 is a schematic partial structural view (perspective view) of the monopolar surgical ablation electrode with a smoke measurement function shown in FIG. 1;
FIG. 3 is a schematic view showing the radian of a tool tip of the monopolar surgical ablation electrode with a smoke measuring function shown in FIG. 1;
FIG. 4 is a schematic structural view of a T-shaped cutter head assembly of the monopolar surgical ablation electrode with a smoking measurement function shown in FIG. 1;
FIG. 5 is a cross-sectional view of the knife bar assembly of the monopolar surgical ablation electrode with smoke measurement capability of FIG. 1;
FIG. 6 is a schematic perspective view of the knife bar assembly and the T-shaped knife bar assembly of the monopolar surgical ablation electrode with smoking measurement function shown in FIG. 1 (part of the structure is not shown);
FIG. 7 is a schematic structural view of a smoke evacuation assembly of the monopolar surgical ablation electrode of FIG. 1 with smoke measurement;
FIG. 8 is a bottom view of the upper blade of the monopolar surgical ablation electrode with smoke measurement of FIG. 1;
FIG. 9 is a schematic diagram of the connection of the electrode system of the monopolar surgical ablation electrode of FIG. 1 with a smoke measurement function;
FIG. 10 is a schematic view of the integrated tubing at the distal end of the handle assembly of the monopolar surgical ablation electrode of FIG. 1 having a smoke measurement function;
description of reference numerals: 1-a handle assembly; 11-a rotating wheel; 121-a tie contact; 122-an electrocoagulation switch; 123-electric cut-off switch; 124-electrode conduit; 125-monopolar lead; 13-a movable handle; 131-a movable handle fulcrum; 14-smoke exhaust control switch; 141-push button; 142-a controller base; 15-a return spring; 16-a grip handle; 17-integrated piping system; 2-a tool bar assembly; 21-a pull rod; 22-a smoke exhaust pipe; 23-an outer tube; 231. 232, 241, 242-smoking fenestration; 24-an outer tube connection section; 25-graduation; 3-T type cutter head component; 31-upper cutter head; 32-a lower cutter head; 33-upper bit insulator; 34-lower bit insulator; 35-a blade; 351-a conductive sheet; 36-a fixed shaft; 37-pull rod axis; 371-insulating rubber; 38-tooth-like convex structure.
Detailed Description
In order to make the objects, technical solutions and advantages of the embodiments of the present invention clearer, the technical solutions in the embodiments of the present invention will be clearly and completely described below with reference to the drawings in the embodiments of the present invention, and it is obvious that the described embodiments are some, but not all, embodiments of the present invention. All other embodiments, which can be derived by a person skilled in the art from the embodiments given herein without making any creative effort, shall fall within the protection scope of the present invention.
Example 1
Shown, this embodiment provides a novel T type sword area smoking measurement function monopole operation ablation electrode, by handle components 1, T type tool bit subassembly 3, cutter arbor subassembly 2, the subassembly of discharging fume, electrode system constitution.
As shown in fig. 1 and 2, the handle assembly 1 comprises a holding handle 16, a movable handle 13, a movable handle fulcrum 131, a return spring 15, an electrocoagulation switch 122 and an electric cutting switch 123, wherein the movable handle fulcrum 131 is positioned inside the holding handle 16, the upper half part of the movable handle 13 is positioned inside the holding handle 16, and the lower half part of the movable handle 13 can swing backwards with the movable handle fulcrum 131 as an action point; one end of the return spring 15 abuts on a portion of the movable handle 13 near the movable handle fulcrum 131, and the other end is fixed inside the grip handle 16. An electrocoagulation switch 122, an electric cut-off switch 123 are located at the gripping end of the gripping handle 16.
As shown in fig. 2, 3 and 4, the T-head assembly 3 includes an upper head 31, a lower head 32, an upper head insulator 33, a blade 35, and a lower head insulator 34; the outer surfaces of the upper tool bit 31 and the lower tool bit 32 are both smooth in design, and the surfaces are smooth; here, the blade 35 is located inside the clipping surface of the upper tool bit 31, and the size of the blade is smaller than that of the upper tool bit 31, the lower tool bit 32 is provided with a recess which is adapted to the shape of the blade of the upper tool bit, the clipping surfaces of the upper tool bit 31 and the lower tool bit 32 are both provided with a tooth-shaped convex structure 38, and the upper tool bit 31 and the lower tool bit 32 both have a radian which is consistent with the radian of the upper tool bit 31 and the lower tool bit 32. In this embodiment, the upper tool bit 31 and the lower tool bit 32 are both slightly curved to the side.
As shown in fig. 2, the tool bar assembly 2 includes an outer tube 23 and a pull rod 21, the outer tube 23 is used for connecting the T-shaped tool bit assembly 3 and the holding handle 16, the pull rod 21 is sleeved in the outer tube 23, in this embodiment, the lower tool bit 32 is fixedly connected with the outer tube 23, the end of the upper tool bit 31 is hinged with the head of the pull rod 21 through a pull rod shaft 37, and the fixed shaft 36 is located between the pull rod shaft 37 and the upper tool bit 31 and is fixed with the outer tube 23; the tail part of the pull rod 21 is connected with the movable handle 13 part close to the movable handle fulcrum 131, so that after the movable handle 13 is pulled, the movable handle 13 swings with the movable handle fulcrum 131 as an action point, and the swing of the movable handle 13 enables the pull rod 21 to displace relative to the outer tube 23, thereby realizing the closing of the upper cutter head 31 and the lower cutter head 32; the outer tube 23 comprises an outer tube connecting section 24 connected with the T-shaped cutter head assembly 3, the diameter of the outer tube connecting section 24 is smaller than that of the outer tube 23, and the outer wall of the outer tube 23 is provided with a scale 25.
As shown in fig. 5, 6 and 7, the smoke evacuation assembly includes smoke evacuation apertures 231, 232, 241, 242, smoke evacuation tubes 22 communicating with the smoke evacuation apertures 231, 232, 241, 242, and smoke evacuation control switches 14 provided on the grip handle 16; wherein the smoking openings 231, 232, 241, 242 are located at the step of the connection between the outer tube connecting section 24 and the outer tube 23, and/or the connection between the T-shaped cutter head assembly 3 and the outer tube connecting section 24, the smoke discharge tube 22 is made of an insulating material, passes through the outer tube 23 (located below the pull rod 21) and the inside of the grip handle 16, and protrudes from the rear of the grip handle 16; the smoke discharge control switch comprises a controller base 142 penetrating the smoke discharge pipe 22 and a push button 141 arranged in the controller base 142 and pressing on the smoke discharge pipe, wherein the push button 141 protrudes out of the surface of the holding handle 16.
As shown in fig. 8 and 9, the electrode system includes the tie bar contact 121, the unipolar wire 125, and the conductive sheet 351; the monopole lead 125 extends out of the electrode conduit 124, a first end of the monopole lead 125 is connected with the high-frequency energy platform, a second end of the monopole lead is connected with the pull rod contact 121 at the tail end of the pull rod 21, and the conductive sheet 351 is positioned between the pull rod 21 and the blade 35, so that after the power is on, the current on the pull rod 21 can flow to the blade 35 (specifically, the conductive sheet 351 connects the pull rod and the blade); the unipolar lead 125, the pull rod contact 121, the conductive sheet 351 and the blade 35 form a current conduction element; the electrocoagulation switch 122 and the electrocoagulation switch 123 are used for controlling the connection or disconnection of the current conduction element and the high-frequency energy platform.
In order to prevent the single-pole high-frequency current from generating a creepage phenomenon, the blade 35 and the periphery of the conducting strip 351 are provided with an upper tool bit insulating part 33 for protection; when the upper tool bit 31 and the lower tool bit 32 are closed, the lower tool bit insulating part 34 on the lower tool bit 32 is inosculated with the blade 35; all parts of the pull rod shaft 37, which are in contact with the upper tool bit 31, are protected by insulating rubber 371, and the parts of the pull rod shaft 37, which have the conductive function, are only reserved at the joint of the pull rod 21 and the pull rod shaft 37 and the joint of the pull rod shaft 37 and the conductive sheet 351, so that the electrode system is complete.
As shown in fig. 2, in the present embodiment, a rotating wheel 11 is disposed at the head end of the handle assembly 1, and the outer tube 23 is fixedly connected to the rotating wheel 11.
In this embodiment, as shown in fig. 10, the electrode conduit 124 and the smoke exhaust tube 22 are gathered into an integrated conduit system 17 at the end of the handle 16, the integrated conduit system is separated after leaving the surgical field, and the smoke exhaust tube is connected to the smoke exhaust system, and the monopole lead is connected to the monopole high frequency energy platform, so that the integration and storage of conduits and lines with different functions are facilitated.
Finally, it should be noted that: the above examples are only intended to illustrate the technical solution of the present invention, but not to limit it; although the present invention has been described in detail with reference to the foregoing embodiments, it will be understood by those of ordinary skill in the art that: the technical solutions described in the foregoing embodiments may still be modified, or some technical features may be equivalently replaced; and such modifications or substitutions do not depart from the spirit and scope of the corresponding technical solutions of the embodiments of the present invention.
Claims (9)
1. A monopolar surgical ablation electrode, comprising:
handle assembly (1): a holding handle (16), a movable handle (13) which can swing relative to the holding handle (16), an electrocoagulation switch (122) and an electric switch (123);
t-shaped cutter head assembly (3): an upper cutter head (31), a lower cutter head (32) and a blade (35); the blade (35) is arranged on the inner side of the clamping surface of the upper tool bit (31), and the size of the upper tool bit (31) is larger than that of the blade (35);
knife bar assembly (2): an outer tube (23), a pull rod (21); the pull rod (21) is sleeved in the outer pipe (23), the lower cutter head (32) is fixedly connected with the outer pipe (23), the upper cutter head (31) is hinged with the outer pipe (23) and is connected with the movable handle (13) through the pull rod (21), so that when the movable handle (13) swings relative to the holding handle (16), the pull rod (21) can displace relative to the outer pipe (23), and the upper cutter head (31) and the lower cutter head (32) are closed;
an electrode system: a unipolar lead (125), a pull rod contact (121), a conductive sheet (351); the monopole lead (125) extends out of the electrode conduit (124), the first end of the monopole lead (125) is connected with the high-frequency energy platform, the second end of the monopole lead is connected with the pull rod contact (121) positioned at the tail end of the pull rod (21), and the conducting strip (351) is positioned between the pull rod (21) and the blade (35), so that after the power is on, the current on the pull rod (21) can flow to the blade (35); wherein the unipolar lead (125), the pull rod contact (121), the conducting strip (351) and the blade (35) form a current conducting element; the electrocoagulation switch (122) and the electric cutting switch (123) are used for controlling the connection or disconnection of the current conduction element and the high-frequency energy platform;
the pull rod (21) and the outer tube (23) are mutually insulated, the outer surfaces of the upper tool bit (31) and the lower tool bit (32) are insulated, and the upper tool bit (31) and the lower tool bit (32) are mutually insulated when closed.
2. The monopolar surgical ablation electrode of claim 1, wherein the outer tube (23) includes an outer tube connecting section (24) connected to the T-blade assembly (3), the outer tube connecting section (24) having a diameter smaller than that of the outer tube (23), and the outer wall of the outer tube (23) is provided with a scale (25).
3. The novel T-shaped scalpel head monopolar surgical ablation electrode with a smoking measurement function is characterized in that a smoke exhaust component is added on the monopolar surgical ablation electrode as claimed in claim 2, and the smoke exhaust component comprises a smoking opening hole (231, 232, 241, 242), a smoke exhaust pipe (22) communicated with the smoking opening hole (231, 232, 241, 242), and a smoke exhaust control switch (14) arranged on a holding handle (16); wherein the smoking opening (231, 232, 241, 242) is located at the step of the connection between the outer tube connection section (24) and the outer tube (23) and/or the connection between the T-shaped cutter head assembly (3) and the outer tube connection section (24), and the smoke discharge tube (22) is made of an insulating material, penetrates through the inner parts of the outer tube (23) and the holding handle (16), and extends out from the rear of the holding handle (16).
4. The novel T-shaped headband smoking measurement function monopolar surgical ablation electrode according to claim 3, wherein the smoke exhaust control switch (14) comprises a controller base (142) penetrating through the smoke exhaust pipe (22) and a push button (141) arranged in the controller base (142) and pressing on the smoke exhaust pipe, and the push button (141) protrudes out of the surface of the holding handle (16).
5. The novel T-shaped cutter head with smoking measurement function monopolar surgical ablation electrode as claimed in claim 4, wherein the end of the upper cutter head (31) is hinged with the head of the pull rod (21) through a pull rod shaft (37), the fixed shaft (36) is located between the pull rod shaft (37) and the upper cutter head (31) and fixed with the outer tube (23), and when the pull rod (21) is displaced relative to the outer tube (23), the pull rod shaft (37) is correspondingly displaced through the fixed shaft (36), so that the upper cutter head (31) and the lower cutter head (32) are closed.
6. The novel T-shaped cutter head with smoking measurement function monopolar surgical ablation electrode as claimed in claim 5, wherein the gripping surface of the upper cutter head (31) and the gripping surface of the lower cutter head (32) are provided with tooth-like convex structures (38).
7. The novel T-shaped cutter head with smoking measurement function monopolar surgical ablation electrode as claimed in claim 6, wherein the upper cutter head (31) and the lower cutter head (32) are provided with radian, and the radian of the upper cutter head and the radian of the lower cutter head are consistent.
8. The novel T-shaped blade head smoking measurement function monopolar surgical ablation electrode as claimed in claim 7, characterized in that a return spring (15) is further arranged in the holding handle (16), one end of the return spring (15) is abutted against the movable handle (13), the other end of the return spring is fixed in the holding handle (16), and when the movable handle (13) swings relative to the holding handle (16), the return spring (15) is compressed.
9. The novel T-blade band smoking measurement function monopolar surgical ablation electrode of claim 8, wherein said electrode conduit (124) and smoke exhaust conduit (22) converge into an integrated tubing (17) at the end of the gripping handle (16).
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
---|---|---|---|
CN201911076591 | 2019-11-06 | ||
CN201911076591X | 2019-11-06 |
Publications (1)
Publication Number | Publication Date |
---|---|
CN110882054A true CN110882054A (en) | 2020-03-17 |
Family
ID=69748264
Family Applications (1)
Application Number | Title | Priority Date | Filing Date |
---|---|---|---|
CN201911148915.6A Pending CN110882054A (en) | 2019-11-06 | 2019-11-21 | Novel T-shaped scalpel head area smoking measurement function monopole operation ablation electrode |
Country Status (1)
Country | Link |
---|---|
CN (1) | CN110882054A (en) |
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN114795395A (en) * | 2022-05-19 | 2022-07-29 | 浙江医高医疗科技有限公司 | Pincers, suction assembly and have its suction pincers |
-
2019
- 2019-11-21 CN CN201911148915.6A patent/CN110882054A/en active Pending
Cited By (1)
Publication number | Priority date | Publication date | Assignee | Title |
---|---|---|---|---|
CN114795395A (en) * | 2022-05-19 | 2022-07-29 | 浙江医高医疗科技有限公司 | Pincers, suction assembly and have its suction pincers |
Similar Documents
Publication | Publication Date | Title |
---|---|---|
US11026742B2 (en) | Vessel sealing instrument with suction system | |
JP3934185B2 (en) | Surgical instruments | |
US8968305B2 (en) | Surgical forceps with external cutter | |
JP5147211B2 (en) | Flexible endoscope catheter with LIGASURE | |
US6926717B1 (en) | Electrosurgical breast electrode | |
US10039591B2 (en) | Surgical forceps | |
US20100087814A1 (en) | Device for cutting and coagulating tissue | |
CN110882053A (en) | Novel single-bipolar mixed mode surgical ablation electrode with smoking measurement function | |
CN211534775U (en) | Single-bipolar mixed mode surgical ablation electrode and surgical ablation electrode with smoking measurement function in single-bipolar mixed mode | |
US9987071B2 (en) | Surgical instrument with end-effector assembly including three jaw members | |
US9987035B2 (en) | Surgical instrument with end-effector assembly including three jaw members and methods of cutting tissue using same | |
CN110882054A (en) | Novel T-shaped scalpel head area smoking measurement function monopole operation ablation electrode | |
CN211534776U (en) | Monopole surgical ablation electrode and novel T-shaped scalpel head band smoking measurement function monopole surgical ablation electrode in single-stage mode | |
US8298231B2 (en) | Bipolar scissors for adenoid and tonsil removal | |
CN110897707A (en) | Novel open operation area deep illumination smoking measurement function mixed type tool bit monopole ablation electrode | |
CN211796833U (en) | Mixed type tool bit ablation electrode with deep lighting and smoking measurement for open surgery | |
CN212547157U (en) | Multipurpose electric coagulation suction pipe with quickly-replaced cutter head | |
KR101535152B1 (en) | Electro-surgical device | |
CN215079560U (en) | Manual excitation type bipolar electrocoagulation-cutting instrument | |
CN113491569A (en) | Multipurpose electric coagulation suction pipe with quickly-replaced cutter head | |
JP2000083962A (en) | Coagulotomic device for electric operation apparatus |
Legal Events
Date | Code | Title | Description |
---|---|---|---|
PB01 | Publication | ||
PB01 | Publication | ||
SE01 | Entry into force of request for substantive examination | ||
SE01 | Entry into force of request for substantive examination | ||
WD01 | Invention patent application deemed withdrawn after publication | ||
WD01 | Invention patent application deemed withdrawn after publication |
Application publication date: 20200317 |