CN112089489A - Multifunctional laser surgical instrument - Google Patents

Multifunctional laser surgical instrument Download PDF

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Publication number
CN112089489A
CN112089489A CN202010525998.2A CN202010525998A CN112089489A CN 112089489 A CN112089489 A CN 112089489A CN 202010525998 A CN202010525998 A CN 202010525998A CN 112089489 A CN112089489 A CN 112089489A
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CN
China
Prior art keywords
laser
connecting rod
handle
surgical instrument
suction
Prior art date
Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
Pending
Application number
CN202010525998.2A
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Chinese (zh)
Inventor
刘国雄
乔西民
徐晓峰
贺大林
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Xianyang central hospital
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Xianyang central hospital
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Xianyang central hospital filed Critical Xianyang central hospital
Priority to CN202010525998.2A priority Critical patent/CN112089489A/en
Publication of CN112089489A publication Critical patent/CN112089489A/en
Pending legal-status Critical Current

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/18Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves
    • A61B18/20Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser
    • A61B18/22Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by applying electromagnetic radiation, e.g. microwaves using laser the beam being directed along or through a flexible conduit, e.g. an optical fibre; Couplings or hand-pieces therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00589Coagulation
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00601Cutting
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00571Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00607Coagulation and cutting with the same instrument
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001Details 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
    • A61B2218/007Aspiration
    • A61B2218/008Aspiration for smoke evacuation

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

Abstract

The invention discloses a multifunctional laser surgical instrument, wherein the tail end of an occlusion clamp of the multifunctional laser surgical instrument is connected with a connecting rod fixing device through a connecting rod, a laser device is arranged at the rear side of the connecting rod fixing device and is connected with an operating handle through an optical fiber, the front side of the upper end of the handle is connected with a suction control switch, the suction control switch is connected with a suction device, a suction channel and a laser optical fiber are arranged in the connecting rod, the tail part of the suction channel is connected with a negative pressure suction device, the tail part of the laser optical fiber is connected with the laser device, the front end of the suction channel is connected with the occlusion clamp, the front end of the laser optical fiber is also connected. The invention has reasonable structural design, focuses laser energy on the tail end of the bite forceps of an operating instrument, and has the functions of cutting and hemostasis; meanwhile, the suction channel is added, smoke generated in the cutting or hemostasis process is sucked in time, the operation visual field is clear, and manpower resources in the operation are saved.

Description

Multifunctional laser surgical instrument
Technical Field
The invention relates to the technical field of medical instruments, in particular to a multifunctional laser surgical instrument.
Background
The cutting hemostatic instruments commonly used in the current operation comprise an ultrasonic knife, a bipolar hemostatic forceps, a monopolar electric coagulation hook and the like, and along with the continuous updating of the development of laser surgical instruments and the continuous improvement of the quality of optical fibers, a laser surgical system has the development trends of small volume, high power, low price and the like, and provides a good energy source for surgical tools.
During surgical procedures, it is common practice to perform hemostasis by cutting with the aid of surgical instruments. In the age of minimally invasive surgery, how to perform a perfect operation is of great importance. The surgical instruments used in clinical practice at present include traditional cold knife, electric knife (monopolar and bipolar), electric coagulation hook, electric coagulation hemostatic forceps and ultrasonic knife, but have advantages and disadvantages in the operation process.
The cold knife can accurately cut tissues but can not effectively stop bleeding; although the electric coagulation and excision equipment is low in price, the thermal damage range is large, much smoke is generated, the cutting efficiency is not high (or the cutting cannot be performed), and the hemostatic capacity is limited during operation; with the development of ultrasonic instruments, ultrasonic knives are widely applied to operations, however, smoke generated by acting tissues in the operation process caused by the working principle of the ultrasonic knives is difficult to remove in time, particularly, the lenses need to be wiped in time in laparoscopic operations, the operation efficiency is affected, and the ultrasonic knives are more expensive than common electrosurgical instruments.
With the continuous development of laser medicine and the continuous research and development of lasers, laser surgical instruments gradually show the advantages of small size, high power, stable energy, low price and the like, and surgical instruments related to lasers are continuously developed and mature to apply. There are still many areas that have not been addressed and there is a need to develop applications to better facilitate the development of minimally invasive surgery.
The present invention is directed to the application of laser-like ultrasonic knives in surgical procedures in general. The related report of the assumption is not found at present through retrieval. The invention designs a multifunctional laser surgical instrument.
Disclosure of Invention
Aiming at the defects in the prior art, the invention aims to provide a multifunctional laser surgical instrument which is reasonable in structural design and focuses laser energy at the tail end of a bite clamp of an operating instrument so as to have the functions of cutting and hemostasis. In addition, the suction channel is added at the same time, and the smoke generated in the cutting or hemostasis process is sucked in time, so that the operation visual field is clear, and the manpower resource in the operation is saved.
In order to achieve the purpose, the invention is realized by the following technical scheme: the utility model provides a multi-functional laser surgical instrument, including stinging pincers, the connecting rod, a handle, the attraction control switch, laser device, negative pressure suction device, attract the passageway, laser fiber and connecting rod fixing device, sting pincers end and link rod fixing device through the connecting rod and link rod fixing device link to each other, link rod fixing device rear side is through optic fibre link laser device, be provided with the handle that accords with human functional mechanics, handle upper end front side is connected with attraction control switch, attraction control switch links to each other with suction device, the connecting rod embeds there is attraction passageway and laser fiber, attract the passageway afterbody and link to each other with negative pressure suction device, laser fiber afterbody and laser device link to each other, it stings pincers to attract passageway front end connection, the pincers are stinged also to laser fiber front end connection, negative pressure suction device sets.
Preferably, the inner wall of the front end of the biting pincers is provided with biting teeth.
The handle is in a handle shape, is convenient to hold by one hand, accords with the mechanical function of a human body, and is convenient to operate.
The handle and the laser control switch are both provided with anti-skid lines.
The invention has the beneficial effects that: the invention has reasonable structural design, focuses laser energy on the tail end of the bite clamp of the operating instrument, and has the functions of cutting and hemostasis by reflecting the light energy to the tissue acted by the bite clamp. In addition, the suction channel is added at the same time, and the smoke generated in the cutting or hemostasis process is sucked in time, so that the operation visual field is clear, and the manpower resource in the operation is saved.
Drawings
The invention is described in detail below with reference to the drawings and the detailed description;
FIG. 1 is a schematic structural view of the present invention;
FIG. 2 is a cross-sectional view of the connecting rod of the present invention;
fig. 3 is a schematic diagram of laser reflection vaporization cutting according to the present invention.
Detailed Description
In order to make the technical means, the creation characteristics, the achievement purposes and the effects of the invention easy to understand, the invention is further described with the specific embodiments.
Referring to fig. 1 to 3, the following technical solutions are adopted in the present embodiment: a multifunctional laser surgical instrument comprises a biting clamp 1, a connecting rod 2, a handle 3, an attraction control switch 4, a handle device 5, a negative pressure attraction device 6, an attraction channel 7, a laser optical fiber 8 and a connecting rod fixing device 9, wherein the tail end of the biting clamp 1 is connected with the connecting rod fixing device 9 through the connecting rod 2, the handle device 5 is arranged on the rear side of the connecting rod fixing device 9, the handle 3 is arranged below the handle device 5, the laser control switch 4 is connected to the front side of the upper end of the handle 3, the irrigation control switch 4 is connected with an irrigation device, the attraction channel 7 and the laser optical fiber 8 are arranged in the connecting rod 2, the tail of the attraction channel 7 is connected with the negative pressure attraction device 6, the tail of the laser optical fiber 8 is connected with the laser device, the front end of the attraction channel 7 is connected with the biting clamp 1, the front end of the laser optical fiber 8 is.
It is noted that the inner wall of the front end of the biting pliers 1 is provided with biting teeth 10.
It is worth noting that the handle 3 is in a handle shape, so that the handle can be conveniently held by one hand, better accords with the mechanical function of the human body, and is convenient to operate.
In addition, the handle 3 and the suction control switch 4 are both provided with anti-skid grains.
The laser device is arranged at the tail end of the biting clamp, so that when the biting clamp works, the laser control switch 4 is controlled, laser energy is gathered to the tail end of the biting clamp through the laser optical fiber, and then auxiliary hemostasis or cutting operation can be carried out; the tissue is irradiated by stronger laser, water inside and outside the cell is vaporized, and an ionization effect is generated at the same time, so that the cell is expanded and broken, and the effect of cutting the tissue is achieved; the tissue is gasified and then continuously irradiated to reach the talking degree, and the bone tissue can be cut by the tissue. Because the laser can be focused into a very thin beam, the damage of surrounding tissues during cutting is small, and the photocoagulation effect of the laser can ensure that the operation does not bleed.
The suction channel 7 is additionally arranged in the specific embodiment, smoke generated in the cutting or hemostasis process is timely sucked through the negative pressure suction device 6, the operation visual field is clear, and manpower resources in the operation are saved.
The foregoing shows and describes the general principles and broad features of the present invention and advantages thereof. It will be understood by those skilled in the art that the present invention is not limited to the embodiments described above, which are described in the specification and illustrated only to illustrate the principle of the present invention, but that various changes and modifications may be made therein without departing from the spirit and scope of the present invention, which fall within the scope of the invention as claimed. The scope of the invention is defined by the appended claims and equivalents thereof.

Claims (4)

1. A multifunctional laser surgical instrument is characterized by comprising a bite clamp (1), a connecting rod (2), a handle (3), an attraction control switch (4), a handle device (5), a negative pressure attraction device (6), an attraction channel (7), a laser fiber (8) and a connecting rod fixing device (9), wherein the tail end of the bite clamp (1) is connected with the connecting rod fixing device (9) through the connecting rod (2), the laser device (5) is arranged on the rear side of the connecting rod fixing device (9), the handle (3) is arranged below the laser device (5), the laser control switch (4) is connected on the front side of the upper end of the handle (3), the laser control switch (4) is connected with the laser device (5), the attraction channel (7) and the laser fiber (8) are arranged in the connecting rod (2), the tail part of the attraction channel (7) is connected with the negative pressure attraction device (6), and the tail part of the laser fiber (8) is connected with the, the front end of the suction channel (7) is connected with the biting pliers (1), the front end of the laser fiber (8) is also connected with the biting pliers (1), and the negative pressure suction device (6) is arranged at the rear end of the laser device (5).
2. A multifunctional laser surgical instrument according to claim 1, characterized in that the inner wall of the front end of the bite forceps (1) is provided with bite teeth (10).
3. A multifunctional laser surgical instrument according to claim 1, characterized in that the handle (3) is grip-like.
4. A multifunctional laser surgical instrument according to claim 1, characterized in that the handle (3) and the suction control switch (4) are provided with anti-slip threads.
CN202010525998.2A 2020-06-10 2020-06-10 Multifunctional laser surgical instrument Pending CN112089489A (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN202010525998.2A CN112089489A (en) 2020-06-10 2020-06-10 Multifunctional laser surgical instrument

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
CN202010525998.2A CN112089489A (en) 2020-06-10 2020-06-10 Multifunctional laser surgical instrument

Publications (1)

Publication Number Publication Date
CN112089489A true CN112089489A (en) 2020-12-18

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CN202010525998.2A Pending CN112089489A (en) 2020-06-10 2020-06-10 Multifunctional laser surgical instrument

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CN (1) CN112089489A (en)

Cited By (1)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113952036A (en) * 2021-09-09 2022-01-21 杭州微引科技有限公司 Surgical manipulator execution integrated head and surgical manipulator device

Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2044104A (en) * 1978-12-16 1980-10-15 Wolf Gmbh Richard Improvements in or relating to coagulator devices
US5217460A (en) * 1991-03-22 1993-06-08 Knoepfler Dennis J Multiple purpose forceps
CN2691506Y (en) * 2004-02-17 2005-04-13 中国人民解放军第二军医大学 Means for holding laser optical-fiber
US20110087202A1 (en) * 2009-04-07 2011-04-14 Lumenis Ltd. Tissue treatment apparatus and methods
CN214208486U (en) * 2020-06-10 2021-09-17 咸阳市中心医院 Multifunctional laser surgical instrument

Patent Citations (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB2044104A (en) * 1978-12-16 1980-10-15 Wolf Gmbh Richard Improvements in or relating to coagulator devices
US5217460A (en) * 1991-03-22 1993-06-08 Knoepfler Dennis J Multiple purpose forceps
CN2691506Y (en) * 2004-02-17 2005-04-13 中国人民解放军第二军医大学 Means for holding laser optical-fiber
US20110087202A1 (en) * 2009-04-07 2011-04-14 Lumenis Ltd. Tissue treatment apparatus and methods
CN214208486U (en) * 2020-06-10 2021-09-17 咸阳市中心医院 Multifunctional laser surgical instrument

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN113952036A (en) * 2021-09-09 2022-01-21 杭州微引科技有限公司 Surgical manipulator execution integrated head and surgical manipulator device
CN113952036B (en) * 2021-09-09 2022-09-02 杭州微引科技有限公司 Surgical manipulator execution integrated head and surgical manipulator device

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