CN113598929B - Electrosurgical instrument with jaw structure - Google Patents
Electrosurgical instrument with jaw structure Download PDFInfo
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- CN113598929B CN113598929B CN202110791506.9A CN202110791506A CN113598929B CN 113598929 B CN113598929 B CN 113598929B CN 202110791506 A CN202110791506 A CN 202110791506A CN 113598929 B CN113598929 B CN 113598929B
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- electrode
- electrode carrier
- clamping plate
- clamping
- carrier
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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
-
- 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
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
-
- 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
- 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
- A61B18/1206—Generators therefor
- A61B2018/1246—Generators therefor characterised by the output polarity
- A61B2018/126—Generators therefor characterised by the output polarity bipolar
-
- Y—GENERAL TAGGING OF NEW TECHNOLOGICAL DEVELOPMENTS; GENERAL TAGGING OF CROSS-SECTIONAL TECHNOLOGIES SPANNING OVER SEVERAL SECTIONS OF THE IPC; TECHNICAL SUBJECTS COVERED BY FORMER USPC CROSS-REFERENCE ART COLLECTIONS [XRACs] AND DIGESTS
- Y02—TECHNOLOGIES OR APPLICATIONS FOR MITIGATION OR ADAPTATION AGAINST CLIMATE CHANGE
- Y02P—CLIMATE CHANGE MITIGATION TECHNOLOGIES IN THE PRODUCTION OR PROCESSING OF GOODS
- Y02P10/00—Technologies related to metal processing
- Y02P10/25—Process efficiency
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- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Otolaryngology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Abstract
The application relates to an electric chest surgical instrument with a jaw structure, which comprises a high-frequency generator, a first electrode carrier, a second electrode carrier, a first clamping part and a second clamping part, wherein the first electrode carrier and the second electrode carrier are hinged through a hinge shaft to form a pincer-shaped structure for clamping tissues, the first electrode carrier is provided with a first electrode and a first clamping plate, the second electrode carrier is provided with a second electrode and a second clamping plate which is symmetrically arranged with the first clamping plate, the first electrode and the second electrode are respectively electrically connected with the high-frequency generator and form the first clamping part, and the first clamping plate and the second clamping plate form the second clamping part. The first electrode and the second electrode of the first clamping part are respectively and electrically connected with the high-frequency generator, blood vessels between the first electrode and the second electrode are dehydrated and solidified, the purpose of hemostasis is achieved, and the second clamping part is used for clamping wounds or cleaning wounds by matching with the first clamping part, and the beneficial effect of accelerating operation efficiency is achieved by matching with the first clamping part.
Description
Technical Field
The application relates to the technical field of surgical instruments, in particular to an electric chest surgical instrument with a jaw structure.
Background
A high-frequency electric scalpel (high-frequency surgical instrument) is an electric surgical instrument having a jaw structure that performs tissue cutting instead of a mechanical scalpel. The tissue is heated when the high-frequency high-voltage current generated by the tip of the effective electrode contacts with the body, so that the separation and solidification of the body tissue are realized, and the purposes of cutting and hemostasis are achieved.
The bipolar coagulation is to provide high-frequency electric energy to the organism tissue through two tips of the bipolar forceps, so that the blood vessel between the two ends of the bipolar forceps is dehydrated and coagulated, and the purpose of hemostasis is achieved. The action range of the bipolar electric coagulation forceps is limited between two ends of forceps, and the damage degree and the influence range of the bipolar electric coagulation forceps on body tissues are far smaller than those of a monopolar mode, so that the bipolar electric coagulation forceps are mainly used in relatively fine operations such as chest surgery. The high-frequency electrotome of the existing electrosurgical instrument has the defects of single function and lower operation efficiency.
Disclosure of Invention
In order to solve the defects in the prior art, the application provides the electric chest surgical instrument with the jaw structure, the purpose of hemostasis is achieved through the first clamping part, the second clamping part is used for clamping a wound to carry out auxiliary operations such as cleaning and suturing, the operation efficiency is improved more quickly by matching with the first clamping part, and the pain duration of a patient is reduced.
The application aims to achieve the aim, and the aim is achieved by the following technical scheme: the utility model provides an electric chest surgical instrument with structure of keeping silent, including the high frequency generator, still include first electrode carrier, the second electrode carrier, first clamping part and second clamping part, first electrode carrier and second electrode carrier pass through the articulated shaft and articulate the pincerlike structure that forms and be used for centre gripping tissue, be provided with first electrode on the first electrode carrier and rotate the first grip block that sets up on first electrode carrier, first electrode is located the pincerlike pointed end of first electrode carrier and perpendicular first electrode carrier, the second electrode carrier is provided with the second electrode that sets up with first electrode symmetry and the second grip block that sets up with first grip block symmetry, first electrode and second electrode respectively with high frequency generator electric connection and form first clamping part, first grip block and second grip block form second clamping part.
The second clamping plate is positioned in the middle of the second electrode carrier, rectangular grooves which are opened downwards are respectively formed in the opposite sides of the first electrode carrier and the second electrode carrier, the first clamping plate is rotatably arranged in the rectangular groove of the first electrode carrier through a bolt arranged at one end, and the second clamping plate is rotatably arranged in the rectangular groove of the second electrode carrier through a bolt arranged at one end;
one end of the first clamping plate and one end of the second clamping plate, which are far away from the bolt, are provided with inclined surfaces, and the inclined surfaces face to one side of the clamping tissue.
The first electrode carrier and the second electrode carrier of pincerlike structure are more sufficient for the gripping power of the bipolar forceps of prior art, and operation process is more accurate, and first electrode and the second electrode of first clamping part respectively with high frequency generator electric connection, the blood vessel dehydration between first electrode and the second electrode solidifies, reaches hemostatic purpose, and first grip block and the second grip block of second clamping part are used for cooperation first clamping part in the postoperative, in the books or postoperative centre gripping wound or clearance wound usefulness, do not need to change the tool frequently, cooperate first clamping part to realize accelerating the beneficial effect of operation efficiency.
When the second clamping part is needed to be used, the bolts on the first clamping plate and the second clamping plate are loosened manually, the first clamping plate and the second clamping plate are rotated to the proper positions, the proper positions are that the first clamping plate is perpendicular to the first clamping plate, the first clamping plate is perpendicular to the second clamping plate, the first clamping plate and the second clamping plate are arranged in parallel, the bolts are screwed, and the first clamping plate and the second clamping plate are close to each other for clamping tissues by rotating the first electrode carrier and the second electrode carrier; the first clamping plate and the second clamping plate are rotated into the rectangular groove when the second clamping portion is not needed.
Preferably, the first electrode extends to the outside of the first electrode carrier, and the second electrode extends to the outside of the second electrode carrier.
One end of the first electrode is externally leaked outside the first electrode carrier, and one end of the second electrode is externally leaked outside the second electrode carrier, so that the application has the beneficial effects of stopping bleeding or cutting wounds at multiple angles according to the actual conditions of operations.
Preferably, the first electrode and the second electrode are respectively electrically connected with the high-frequency generator through wires, wire grooves are respectively formed in the outer sides of the first electrode carrier and the second electrode carrier, the wires are fixedly arranged in the wire grooves, and insulating protective cases matched with the first electrode carrier or the second electrode carrier are inserted in the outer sides of the wire grooves.
The wire groove is used for connecting the high-frequency generator and the connection of first electrode and second electrode, and prior art exists the phenomenon that the wire influences doctor's art and uses, through wire groove and insulating protective housing cooperation, accomodates the wire, and insulating protective housing can prevent the effect of leakage wire and can play insulating protection again.
Preferably, the wire groove extends to the handle of the first electrode carrier, and the wire is electrically connected with the high-frequency generator through an insulating protective shell inserted on the wire groove.
The wire groove is used for accommodating wires, and prevents the phenomenon that the wires interfere with the operation.
The inclined surfaces of the first clamping plate and the second clamping plate face to one side of the clamped tissue and are used for increasing the contact area with the tissue or the skin and reducing the clamping injury to the tissue or the skin.
Preferably, a plurality of rubber anti-skid convex blocks are fixedly arranged on the inclined surface.
Compared with the prior art, the application has the beneficial effects that: compared with the bipolar forceps in the prior art, the clamp-shaped structure has the advantages that the grasping force of the first electrode carrier and the second electrode carrier is higher, the operation process is more accurate, the first electrode and the second electrode of the first clamping part are respectively and electrically connected with the high-frequency generator, blood vessels between the first electrode and the second electrode are dehydrated and solidified, the purpose of hemostasis is achieved, the first clamping plate and the second clamping plate of the second clamping part are used for clamping wounds or cleaning wounds before, during or after operation in cooperation with the first clamping part, replacement tools do not need to be replaced frequently, and the operation efficiency is quickened in cooperation with the first clamping part; one end of the first electrode is externally leaked outside the first electrode carrier, and one end of the second electrode is externally leaked outside the second electrode carrier, so that the application has the beneficial effects of stopping bleeding or cutting wounds at multiple angles according to the actual conditions of operations; the wire groove is used for connecting the high-frequency generator and the connection of first electrode and second electrode, and prior art exists the phenomenon that the wire influences doctor's art and uses, through wire groove and insulating protective housing cooperation, accomodates the wire, and insulating protective housing can prevent the effect of leakage wire and can play insulating protection again.
Drawings
FIG. 1 is a schematic view of a first perspective structure of the present application;
FIG. 2 is an enlarged schematic view of the structure of FIG. 1A according to the present application;
FIG. 3 is an enlarged schematic view of the structure of FIG. 1 according to the present application;
fig. 4 is a schematic diagram of a second three-dimensional structure of the present application after the insulating protective case is hidden.
The reference numbers shown in the drawings: 1. a first electrode carrier; 2. a second electrode carrier; 3. a first electrode; 4. a first clamping plate; 5. a second electrode; 6. a second clamping plate; 7. rectangular grooves; 8. a bolt; 9. a wire groove; 10. a wire; 11. an insulating protective shell; 12. a pincer-shaped tip; 13. a grab handle; 14. an inclined surface; 15. rubber skid-proof blocks; 16. and a hinge shaft.
Detailed Description
The application will be further described with reference to specific embodiments, as shown in fig. 1 to 4, of an electrosurgical instrument having a jaw structure, comprising a high-frequency generator, a first electrode carrier 1, a second electrode carrier 2, a first clamping part and a second clamping part, the first electrode carrier 1 and the second electrode carrier 2 being hinged by a hinge shaft 16 to form a pincer-like structure for clamping tissue, the first electrode carrier 1 being provided with a first electrode 3 and a first clamping plate 4 rotatably provided on the first electrode carrier 1, the first electrode 3 being located at a pincer-like tip 12 of the first electrode carrier 1 and perpendicular to the first electrode carrier 1, the second electrode carrier 2 being provided with a second electrode 5 symmetrically provided with the first electrode 3 and a second clamping plate 6 symmetrically provided with the first clamping plate 4, the first electrode 3 and the second electrode 5 being electrically connected with the high-frequency generator by a wire 10, respectively, and forming the first clamping part, the first clamping plate 4 and the second clamping plate 6 forming the second clamping part.
The first electrode carrier 1 and the second electrode carrier 2 of pincerlike structure are more sufficient for the grasping power of the bipolar forceps of prior art, and operation process is more accurate, and the first electrode 3 and the second electrode 5 of first clamping part are respectively with high frequency generator electric connection, and the blood vessel between the first electrode 3 and the second electrode 5 dewaters and solidifies, reaches hemostatic purpose, and first clamping plate 4 and second clamping plate 6 of second clamping part are used for cooperation first clamping part in the postoperative, books or postoperative centre gripping wound or clearance wound usefulness, do not need to trade the change apparatus, cooperate first clamping part to realize accelerating operation efficiency's beneficial effect.
The first grip block 4 is located the middle part of first electrode carrier 1, and the second grip block 6 is located the middle part of second electrode carrier 2, and downward open-ended rectangular groove 7 has been seted up respectively to the opposite side of first electrode carrier 1 and second electrode carrier 2, and first grip block 4 rotates the rectangular inslot 7 that sets up at first electrode carrier 1 through the bolt 8 that sets up at one end, and second grip block 6 rotates the rectangular inslot 7 that sets up at second electrode carrier 2 through the bolt 8 that sets up at one end. One end of the first clamping plate 4 and the second clamping plate 6 far away from the bolt 8 is provided with an inclined surface 14, the inclined surface 14 faces one side of the clamping tissue, the inclined surfaces 14 of the first clamping plate 4 and the second clamping plate 6 face one side of the clamping tissue, and a plurality of rubber anti-skid lugs 15 are fixedly arranged on the inclined surfaces 14 and used for increasing the contact area with the tissue or the skin and reducing the clamping injury to the tissue or the skin.
The first electrode 3 extends to the outer side of the first electrode carrier 1, the second electrode 5 extends to the outer side of the second electrode carrier 2, one end of the first electrode 3 is externally leaked to the outer side of the first electrode carrier 1, and one end of the second electrode 5 is externally leaked to the outer side of the second electrode carrier 2, so that the application can stop bleeding or cut wounds at multiple angles according to actual conditions of operations.
When the second clamping part is needed to be used, the bolts 8 on the first clamping plate 4 and the second clamping plate 6 are manually unscrewed, the first clamping plate 4 and the second clamping plate 6 are rotated to the proper positions, the proper positions are that the first clamping plate 4 is vertical to the first electrode carrier 1, the second electrode carrier 2 is vertical to the second clamping plate 6, the first clamping plate 4 and the second clamping plate 6 are arranged in parallel, the bolts 8 are screwed, and the first clamping plate 4 and the second clamping plate 6 are close to each other by rotating the first electrode carrier 1 and the second electrode carrier 2 so as to clamp tissues; the first clamping plate 4 and the second clamping plate 6 are rotated into the rectangular groove 7 when the second clamping part is not needed.
The outside of the first electrode carrier 1 and the second electrode carrier 2 are respectively provided with a wire groove 9, a wire 10 is fixedly arranged in the wire groove 9, and an insulating protection shell 11 matched with the first electrode carrier 1 or the second electrode carrier 2 is inserted outside the wire groove 9.
The wire groove 9 is used for connecting the high-frequency generator and is connected with the first electrode 3 and the second electrode 5, and the phenomenon that the wire 10 influences doctor's operation in the prior art is used through the cooperation of wire groove 9 and insulating protective housing 11, accomodates wire 10, and insulating protective housing 11 can prevent the drain wire and can play insulating protection's effect again.
The wire groove 9 extends to the grab handle 13 of the first electrode carrier 1, and the wire 10 passes through the insulating protective shell 11 inserted on the wire groove 9 and is electrically connected with the high-frequency generator, and the wire groove 9 is used for accommodating the wire 10, prevents that the wire 10 from appearing the phenomenon that disturbs the operation.
It is to be understood that these examples are illustrative of the present application and are not intended to limit the scope of the present application. Further, it will be understood that various changes and modifications may be made by those skilled in the art after reading the teachings of the application, and equivalents thereof fall within the scope of the application as defined by the claims.
Claims (5)
1. An electrosurgical instrument having a jaw structure, comprising a high frequency generator, characterized in that: the tissue-clamping device comprises a first electrode carrier (1), a second electrode carrier (2), a first clamping part and a second clamping part, wherein the first electrode carrier (1) and the second electrode carrier (2) are hinged through a hinge shaft (16) to form a clamp-shaped structure for clamping tissues, a first electrode (3) and a first clamping plate (4) rotationally arranged on the first electrode carrier (1) are arranged on the first electrode carrier (1), the first electrode (3) is positioned at a clamp-shaped tip (12) of the first electrode carrier (1) and is perpendicular to the first electrode carrier (1), the second electrode carrier (2) is provided with a second electrode (5) symmetrically arranged with the first electrode (3) and a second clamping plate (6) symmetrically arranged with the first clamping plate (4), the first electrode (3) and the second electrode (5) are respectively electrically connected with a high-frequency generator to form the first clamping part, and the first clamping plate (4) and the second clamping plate (6) form the second clamping part;
the second clamping plate (6) is positioned in the middle of the second electrode carrier (2), rectangular grooves (7) which are downwards opened are respectively formed in the opposite sides of the first electrode carrier (1) and the second electrode carrier (2), the first clamping plate (4) is rotatably arranged in the rectangular grooves (7) of the first electrode carrier (1) through bolts (8) arranged at one end, and the second clamping plate (6) is rotatably arranged in the rectangular grooves (7) of the second electrode carrier (2) through bolts (8) arranged at one end;
one end of the first clamping plate (4) and one end of the second clamping plate (6) far away from the bolt (8) are provided with inclined surfaces (14), and the inclined surfaces (14) face to one side of the clamping tissue.
2. The electrosurgical instrument having a jaw structure of claim 1, wherein: the first electrode (3) extends to the outside of the first electrode carrier (1), and the second electrode (5) extends to the outside of the second electrode carrier (2).
3. The electrosurgical instrument having a jaw structure of claim 1, wherein: the high-frequency electrode comprises a first electrode (3) and a second electrode (5), wherein the first electrode (3) and the second electrode (5) are respectively electrically connected with a high-frequency generator through wires (10), wire grooves (9) are respectively formed in the outer sides of a first electrode carrier (1) and a second electrode carrier (2), the wires (10) are fixedly arranged in the wire grooves (9), and insulating protective shells (11) matched with the first electrode carrier (1) or the second electrode carrier (2) are inserted in the outer sides of the wire grooves (9).
4. An electrosurgical instrument having a jaw structure according to claim 3, wherein: the wire groove (9) extends to a grab handle (13) of the first electrode carrier (1), and the wire (10) passes through an insulating protective shell (11) inserted on the wire groove (9) to be electrically connected with the high-frequency generator.
5. The electrosurgical instrument having a jaw structure of claim 1, wherein: a plurality of rubber anti-slip bumps (15) are fixedly arranged on the inclined surface (14).
Priority Applications (1)
Application Number | Priority Date | Filing Date | Title |
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CN202110791506.9A CN113598929B (en) | 2021-07-13 | 2021-07-13 | Electrosurgical instrument with jaw structure |
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CN202110791506.9A CN113598929B (en) | 2021-07-13 | 2021-07-13 | Electrosurgical instrument with jaw structure |
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CN113598929A CN113598929A (en) | 2021-11-05 |
CN113598929B true CN113598929B (en) | 2023-08-15 |
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US6174309B1 (en) * | 1999-02-11 | 2001-01-16 | Medical Scientific, Inc. | Seal & cut electrosurgical instrument |
JP2007307363A (en) * | 2006-05-15 | 2007-11-29 | Olympus Winter & Ibe Gmbh | Vascular coagulation forceps |
DE102008030285A1 (en) * | 2008-06-30 | 2009-12-31 | Celon Ag Medical Instruments | Electrosurgical instrument |
DE102008054351A1 (en) * | 2008-11-03 | 2010-05-06 | Erbe Elektromedizin Gmbh | Electrosurgical high frequency generator for e.g. cutting, of biological tissue of patient, has forceps and clamping surfaces connected parallel to neutral electrode so that portion of current flows over tissue via path in selective manner |
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