CN114631881A

CN114631881A - Detachable electrotome suitable for nasal endoscope operation

Info

Publication number: CN114631881A
Application number: CN202210376203.5A
Authority: CN
Inventors: 刘岳宇; 华旭
Original assignee: Nanjing Meichun Medical Co ltd
Current assignee: Nanjing Meichun Medical Co ltd
Priority date: 2022-04-11
Filing date: 2022-04-11
Publication date: 2022-06-17

Abstract

The invention discloses a detachable electrotome suitable for intranasal endoscopic surgery, which comprises a shell, a first cutter bar, a circuit board, an operation button and a cutter head assembly, wherein the first cutter bar and the circuit board are positioned in the shell and are electrically connected, the operation button is positioned on the outer wall of the shell and is electrically connected with the circuit board, the cutter head assembly is detachably connected with the first cutter bar, the cutter head assembly is detachably connected with the circuit board, the circuit board is arranged on the outer wall of the shell and is connected with a power supply lead arranged at the rear end of the shell, the power supply lead is connected with an electrotome main machine through a lead plug, one end of the cutter head assembly penetrates through an opening at the front end of the shell and is detachably connected with the first cutter bar, the other end of the cutter head assembly extends outwards to the front side of the shell, and when one end of the cutter head assembly is connected with the first cutter bar, the cutter head assembly is electrically connected with the first cutter bar. According to the invention, by arranging the detachable cutter head component, the cutter head components with different types can be replaced according to the position and the operation requirement of the lesion seen in the operation, so that the purpose of completely cutting the lesion in the deep nasal sinus is achieved.

Description

Detachable electrotome suitable for nasal endoscope operation

Technical Field

The invention relates to the technical field of medical instruments, in particular to a detachable electrotome suitable for endoscopic sinus surgery.

Background

The high-frequency electric knife (high-frequency operation device) is an electric surgical instrument for cutting tissue instead of mechanical operation knife, and can utilize the high-frequency high-voltage current produced by effective electrode tip to make contact with human body to heat tissue so as to implement separation and coagulation of human body tissue and attain the goal of cutting and stopping bleeding.

The functional nasal endoscope operation is to eliminate the sinus ostium sinus complex and the surrounding focus completely under the direct vision of the nasal endoscope at different angles, improve the ventilation and drainage of the nasal sinuses, and simultaneously keep the normal anatomical structure and physiological function of the nasal sinuses as much as possible. The nasal cavity nasal sinus structure is complicated, and the operation space is little in the nasal cavity, and the handle of a knife and the sword head portion of current electrotome can not generally be dismantled, can not select the tool bit subassembly of changing different models according to pathological change position and the operation demand of difference, consequently can't satisfy the special demand of otolaryngology branch of academic or vocational study especially nasal surgery.

Disclosure of Invention

In order to solve the above problems in the prior art, the present invention provides a detachable electric knife suitable for nasal department, which can replace different types of knife head components according to the position of the lesion and the operation requirement during the operation to achieve the purpose of completely cutting off the lesion in the deep sinus.

In order to solve the technical problems, the technical scheme adopted by the invention is as follows: a detachable electrotome suitable for use in endoscopic nasal surgery, comprising:

the front end of the shell is provided with an opening, and a hollow cavity which is communicated with the opening is arranged along the length direction of the shell;

the first cutter bar is positioned in the hollow cavity of the shell and is arranged along the length direction of the shell;

the circuit board is positioned in the hollow cavity of the shell and connected with the inner wall of the shell, the circuit board is respectively and electrically connected with the first knife rod positioned in the shell and a power supply lead positioned at the rear end of the shell, and the power supply lead is connected with the main electrotome through a lead plug;

one end of the cutter head component penetrates through the opening at the front end of the shell and then is detachably connected with the first cutter rod, the other end of the cutter head component extends outwards to the front side of the shell, and when one end of the cutter head component is connected with the first cutter rod, the cutter head component is electrically connected with the first cutter rod;

and the operation buttons comprise an electrotomy button and an electrocoagulation button which are arranged on the outer wall of the shell and are respectively electrically connected with the circuit board.

As a further improvement of the invention, the cutter head component comprises a first cutter head and a second cutter bar which are sequentially connected, wherein one end of the second cutter bar, which is far away from the first cutter head, is clamped with a drum spring fixedly connected to the front end of the first cutter bar;

when one end of the second cutter bar, which is far away from the first cutter head, penetrates through the opening at the front end of the shell and is clamped with the drum spring, the second cutter bar is electrically connected with the first cutter bar, and one end of the second cutter bar, which is close to the first cutter head, is positioned on the outer side of the front end of the shell.

As a further improvement of the invention, the outer peripheral wall of the second cutter bar is fixedly sleeved with a rubber sleeve, and the outer peripheral wall of the rubber sleeve is provided with a resistance ring along the circumferential direction of the rubber sleeve;

when the first cutter bar is clamped with the drum spring, one end of the rubber sleeve, which is close to the first cutter head, is located on the outer side of the front end of the shell, and the resistance ring is abutted to the inner wall of the shell.

As a further improvement of the invention, the included angle between the axis of the first cutter head and the second cutter bar is respectively 30 degrees, 45 degrees, 60 degrees or 90 degrees.

As a further improvement of the invention, the head of the first cutter head is in an electric hook shape.

As a further improvement of the invention, the tool bit assembly comprises a second tool bit, a third tool bar and a connecting rod, wherein the second tool bit and the third tool bar are sequentially connected, the connecting rod is sleeved on the outer peripheral wall of the third tool bar, an internal thread is arranged on the inner peripheral wall of the connecting rod, an external thread matched with the internal thread on the connecting rod is arranged at one end, close to the third tool bar, of the first tool bar, and one end, far away from the second tool bit, of the third tool bar is detachably locked with the first tool bar;

when the end, far away from the second cutter head, of the third cutter bar penetrates through an opening in the front end of the shell and is locked with the first cutter bar, the third cutter bar is electrically connected with the first cutter bar, one end, close to the second cutter head, of the third cutter bar is located on the outer side of the front end of the shell, and when the connecting rod is in threaded connection with one end of the third cutter bar, one end, close to the second cutter head, of the connecting rod is located on the outer side of the front end of the shell.

As a further improvement of the invention, one end of the third cutter bar, which is far away from the second cutter head, is provided with a linear plug connector, one end of the first cutter bar, which is close to the third cutter bar, is provided with a plug groove matched with one end of the linear plug connector of the second cutter head, and the outer diameter of the linear plug connector is larger than the inner diameter of the connecting rod.

As a further improvement of the invention, the peripheral wall of one end of the connecting rod close to the second cutter head is provided with a knurl pattern.

As a further improvement of the invention, the included angle between the second cutter head and the third cutter bar is respectively 30 degrees, 45 degrees, 60 degrees or 90 degrees.

As a further improvement of the invention, the head of the second cutter head is in an electric hook shape.

The negative pressure component comprises a negative pressure button which is positioned on the outer wall of the shell and electrically connected with the circuit board, and a suction tube which is laid along the hollow cavity of the shell, one end of the suction tube is connected with a negative pressure hose which penetrates through the rear end of the shell, the other end of the suction tube penetrates through an opening at the front end of the shell and then is positioned outside the front end of the shell, and one end of the negative pressure hose, far away from the suction tube, is connected with a negative pressure suction device through a negative pressure joint.

As a further improvement of the invention, the cross section of the shell is in a gun shape and comprises a holding part, a bending part and a working part which are sequentially connected from back to front, and the electrotomy button, the electrocoagulation button and the negative pressure button are all arranged on the outer wall of the holding part.

As a further improvement of the invention, the included angles of the center lines between the holding part and the bending part and between the bending part and the working part are both 120 degrees and 140 degrees.

As a further improvement of the present invention, the working portion is tapered from an end close to the bent portion toward a central axis of an end remote from the bent portion.

As a further improvement of the invention, the electric knife further comprises a foot switch, and the foot switch is connected with the main electric knife machine.

Compared with the prior art, the invention has the following beneficial effects:

1. according to the detachable electrotome applicable to the endoscopic sinus surgery, the detachable cutter head component is arranged, so that different types of cutter head components can be replaced according to the position of lesion seen in the surgery and the operation requirement, and the purpose of thoroughly cutting off the lesion in the deep nasal sinus is achieved.

2. According to the detachable electrotome applicable to the nasal endoscope operation, the negative pressure component is arranged, so that smoke generated in the operation is reduced, and the operation visual field is improved.

3. According to the detachable electrotome suitable for the nasal endoscope operation, the shell is arranged in a gun type, so that the operation visual field is further improved, and the condition that the sight line is influenced by hand action of a doctor in the operation process is avoided.

Drawings

FIG. 1 is a first general structural diagram of the present invention;

FIG. 2 is a first schematic view of the internal structure of the housing of the present invention;

FIG. 3 is a schematic view of a cutting-head assembly 400 according to the present invention;

FIG. 4 is a schematic view of a different angle cutting-head assembly 400 of the present invention;

FIG. 5 is a schematic view of the overall structure of the present invention;

FIG. 6 is a second schematic view of the internal structure of the housing of the present invention;

FIG. 7 is a schematic view of a tool bit assembly 500 coupled to a first tool shaft in accordance with the present invention;

fig. 8 is a second schematic view of a different angle cutting-head assembly 500 according to the present invention.

In the drawings:

100. a housing; 110. a holding part; 120. a bending section; 130. a working part;

200. a first cutter bar; 200-1, external threads; 200-2, inserting grooves;

300. a circuit board; 310. a power supply lead; 320. a wire plug;

400. a cutter head assembly; 410. a first cutter head; 420. a second cutter bar; 430. a drum spring; 440. a rubber sleeve; 450. a resistance ring;

500. a cutter head assembly; 510. a second cutter head; 520. A third cutter bar; 520-1 and a straight plug; 530. a connecting rod; 530-1, a flower-biting pattern;

600. an operation button; 610. an electric switch button; 620. an electrocoagulation button;

700. a negative pressure assembly; 710. a negative pressure button; 720. a suction tube; 730. a negative pressure hose; 740. and a negative pressure joint.

Detailed Description

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 only a part of the embodiments of the present invention, and not all of the embodiments. 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

Fig. 1 to 4 are schematic structural views illustrating an embodiment of a detachable electric knife suitable for an endoscopic sinus surgery according to the present invention, and a main body portion of the detachable electric knife includes a housing 100, a first knife bar 200, a circuit board 300, a knife head assembly 400 and an operation button 600.

The housing 100 is used for holding a doctor during an operation, and the housing 100 is made of an insulating material. The front end of the casing 100 is open and a hollow cavity penetrating the opening is arranged along the length direction of the casing 100. Preferably, in the present embodiment, the outer wall of the casing 100 is wrapped with an anti-slip structure, for example, the outer wall of the casing 100 is provided with a protruding point, and other structural forms for increasing the holding force, for example, structural forms such as an annular protruding strip, which are used for increasing the holding force, are also provided, so as to avoid the occurrence of phenomena such as slipping off when the medical staff uses the medical staff as much as possible.

The first tool bar 200 is used for electrically connecting with the tool bit assembly 400, and the first tool bar 200 is located in the hollow cavity of the housing 100 and arranged along the length direction of the housing 100.

The circuit board 300 is located in the hollow cavity of the casing 100 and connected to the inner wall of the casing 100, the circuit board 300 is electrically connected to the first knife bar 200 located in the casing 100 and the power conductor 310 located at the rear end of the casing 100, the power conductor 310 is connected to the main electric knife through a conductor plug 320, and the circuit board 300 is a printed circuit board. The power wire 310 is used to connect the circuit board 300 and the wire plug 320, and is connected to the main body of the electric knife through the wire plug 320.

The cutter head assembly 400, which is used to perform an electro-cutting or electro-coagulation operation on nasal cavity tissue, is detachably coupled to the front end of the housing 100. One end of the cutter head assembly 400 passes through the opening at the front end of the shell 100 and then is detachably connected with the first cutter bar 200, the other end of the cutter head assembly 400 extends outwards to the front side of the shell 100, and when one end of the cutter head assembly 400 is connected with the first cutter bar 200, the cutter head assembly 400 is electrically connected with the first cutter bar 200. Specifically, in this embodiment, the cutter head assembly 400 includes a first cutter head 410 and a second cutter bar 420 connected in sequence, and one end of the second cutter bar 420 far away from the first cutter head 410 is clamped with a drum spring 430 fixedly connected to the front end of the first cutter bar 200. The exposed length of the first cutting head 410 is set to be 3-5 mm, and the rest parts extending out of the shell 100 are wrapped with insulating rubber or coated with an insulating coating. When the surgical knife is used, firstly, one end of the second knife bar 420, which is far away from the first knife head 410, is inserted into the hollow cavity of the housing 100 from the opening at the front end of the housing 100, then the second knife bar 420 and the drum spring 430 at the front end of the first knife bar 200 are clamped and fixed, at this time, one end of the second knife bar 420, which is close to the first knife head 410, is located at the outer side of the front end of the housing 100, and the second knife bar 420 is electrically connected with the first knife bar 200, so that a doctor can perform a surgical operation. In the present embodiment, the drum spring 430 also has a conductive function.

Preferably, in this embodiment, in order to further facilitate insertion and extraction, a rubber sleeve 440 is fixedly sleeved on the outer circumferential wall of the second knife bar 420, after the drum spring 430 is clamped with the first knife bar 200, one end of the rubber sleeve 440 close to the first knife head 410 is located at the outer side of the front end of the housing 100, and a doctor can insert and extract the integral knife head assembly 400 by holding the rubber sleeve 440. Further, a resistance ring 450 is provided on the outer circumferential wall of the rubber sleeve 440 along the circumferential direction of the rubber sleeve 440, and after the first blade bar 200 is engaged with the drum spring 430, the resistance ring 450 abuts against the inner wall of the housing 100, increasing the frictional force with the inner wall of the housing 100. Preferably, in the present embodiment, the head of the first cutting head 410 is formed in an electric hook shape, the head of the first cutting head 410 is made of a tungsten alloy, and the tip is a tungsten needle tip, which has characteristics of antibacterial property, high hardness, high melting point, and no adhesion to tissue, and prevents tissue adhesion during an operation to shorten an operation time.

Preferably, in the present embodiment, the included angles between the first tool bit 410 and the second tool bar 420 are respectively 30 degrees, 45 degrees, 60 degrees or 90 degrees, and specifically, the tool bit assemblies 400 may be arranged in 4 groups, and the included angles between the axis of the first tool bit 410 and the axial direction of the second tool bar 420 are respectively 30 degrees, 45 degrees, 60 degrees and 90 degrees. When specifically using, the doctor can freely change the tool bit subassembly 400 of suitable angle according to patient's individual difference and the different physiological structure of nasal cavity paranasal sinus, and accurate location reduces the wound, can remain the normal morphological structure of nasal cavity paranasal sinus to the at utmost, protects the original physiological function of mucous membrane.

The operation button 600 is used to control the operation of the cutter head assembly 400, and the operation button 600 includes an electrotomy button 610 and an electrocoagulation button 620 which are disposed on the outer wall of the housing 100 and electrically connected to the circuit board 300, respectively. In use, the surgeon may press the electrotomy button 610 or electrocoagulation button 620 with the index finger to effect the electrotomy or electrocoagulation of the nasal tissue. Preferably, in the present embodiment, the electric knife further includes a foot switch, and the foot switch is connected to the main electric knife unit. The foot switch has the same function as the operation button 600, when in use, a doctor can also control the operation of electric excision or electric coagulation through the foot switch, and a foot control mode is added on the basis of manual control, thereby further facilitating the operation of the doctor.

With reference to fig. 1 to 4, the detachable electric knife suitable for the nasal endoscopic surgery according to the embodiment is specifically used as follows:

casing 100 is handed to the doctor, gets into the nasal cavity paranasal sinus through the patient nostril, visual arrival paranasal sinus pathological change region under the supplementary of handheld nasal endoscope, reachs the surgical site after according to the pathological change position and the operation demand that see in the art, change the tool bit subassembly of different models in order to reach the purpose of thoroughly excising the pathological change of paranasal sinus depths, the operation in-process is through electrotomy button 610 and the electricity congeals button 620 on casing 100, operation tool bit subassembly is in operation position row cutting and the operation of coagulating blood.

Example 2

As shown in fig. 5 to 8, embodiment 2 differs from embodiment 1 in that the tool bit assembly 500 is connected to the first tool shank 200 in a releasable locking and threaded connection. Specifically, tool bit subassembly 500 includes second tool bit 510 and third cutter arbor 520 and the cover that connects gradually and establishes connecting rod 530 on third cutter arbor 520 periphery wall, the internal perisporium of connecting rod 530 is provided with the internal thread, the one end that first cutter arbor 200 is close to third cutter arbor 520 is provided with the external screw thread 200-1 with internal thread looks adaptation on connecting rod 530, the one end that second tool bit 510 was kept away from to third cutter arbor 520 can dismantle the locking with first cutter arbor 200. When one end of the third cutter bar 520, which is far away from the second cutter head 510, passes through the opening at the front end of the housing 100 and is locked with the first cutter bar 200, the third cutter bar 520 is electrically connected with the first cutter bar 200, and the connecting end of the third cutter bar 520 and the second cutter head 510 and one end of the connecting rod 530 are located outside the front end of the housing 100. The exposed length of the second cutting head 510 is set to be 3-5 mm, and the rest parts extending out of the shell 100 are wrapped with insulating rubber or coated with an insulating coating. When the surgical knife is used, one end of the third knife bar 520, which is far away from the second knife head 510, is inserted into the hollow cavity of the housing 100 from the opening at the front end of the housing 100 and is locked with one end of the first knife bar 200, and then the connecting rod 530 is screwed clockwise, so that the connecting rod 530 and the first knife bar 200 are fixed in position, and at this time, the third knife bar 520 is electrically connected with the first knife bar 200, and a doctor can perform a surgical operation. Specifically, in this embodiment, one end of the third cutter bar 520, which is far away from the second cutter head 510, is provided with a straight-line-shaped plugging joint 520-1, and one end of the first cutter bar 200, which is close to the third cutter bar 520, is provided with a plugging groove 200-2 matched with one end of the straight-line-shaped plugging joint 520-1 of the second cutter head 510, so that the third cutter bar 520 and the first cutter bar 200 can be detachably locked. It should be noted that, in addition to the matching manner of the in-line plug 520-1 and the plug groove 200-2 in the present embodiment, a plug manner such as a cross key and a cross groove or a spline and a spline groove may be adopted, and it is within the scope of the present embodiment as long as the third tool bar 520 and the first tool bar 200 can be detachably locked. In addition, the outer diameter of the straight-line-shaped plug 520-1 is larger than the inner diameter of the connecting rod 530, so that the problem that the connecting rod 530 slides off the third cutter bar 520 is avoided.

Preferably, in the present embodiment, in order to further facilitate the insertion and extraction, the connecting rod 530 is provided with a knurl 530-1 on a peripheral wall of one end close to the second cutter head 510. When the linear plug 520-1 is plugged into the plugging groove 200-2 of the first knife bar 200 and the connecting rod 530 is in threaded connection with the first knife bar 200, one end of the knurl pattern 530-1 is located at the outer side of the front end of the housing 100, so that a doctor can hold one end of the knurl pattern 530-1 on the connecting rod 530, unscrew the connecting rod 530 counterclockwise to separate the connecting rod 530 from the first knife bar 200, and pull out the linear plug 520-1 from the plugging groove 200-2 to realize the plugging and unplugging of the integral knife head assembly 500. Preferably, in the present embodiment, the head of the second cutting head 510 is formed in an electric hook shape, the head of the second cutting head 510 is made of a tungsten alloy, and the tip is a tungsten needle tip, which has characteristics of antibacterial property, high hardness, high melting point, and no adhesion to tissue, and prevents tissue adhesion during an operation to shorten an operation time.

Preferably, in the present embodiment, the included angles between the second tool bit 510 and the third tool bar 520 are 30 degrees, 45 degrees, 60 degrees, or 90 degrees, respectively. Specifically, the cutter head assembly 500 may be provided in 4 groups, and the angle between the axis of the second cutter head 510 and the axial direction of the third cutter bar 520 is 30 degrees, 45 degrees, 60 degrees or 90 degrees, respectively. When specifically using, the doctor can freely change the tool bit subassembly 500 of suitable angle according to patient's individual difference and the different physiological structure of nasal cavity paranasal sinus, and accurate location reduces the wound, can remain the normal morphological structure of nasal cavity paranasal sinus to the at utmost, protects the original physiological function of mucous membrane.

It should be noted that, in addition to the present invention in which the cutting head assembly 400 and the first tool shaft 200 are engaged and the cutting head assembly 500 and the first tool shaft 200 are detachably locked and screwed, other configurations of connection may be used, as long as the detachable connection between the cutting head assembly and the first tool shaft 200 can be used in the present invention. When the operation is performed on the same patient, the cutter head components of different models can be replaced according to different positions of the nasal cavity, the problem of waste of medical instruments is solved, and the generation of medical waste is reduced.

Example 3

Embodiment 3 is based on embodiment 1 or embodiment 2 in order to suck away the gas generated by the gasification of the body tissue in time, provide a good surgical field for the doctor, and add the negative pressure assembly 700, which is beneficial to the health of the doctor and can reduce the accidental injury to the patient. Specifically, in this embodiment, the negative pressure assembly 700 includes a negative pressure button 710 located on an outer wall of the casing 100 and electrically connected to the circuit board 300, and a suction tube 720 laid along a hollow cavity of the casing 100, one end of the suction tube 720 is connected to a negative pressure hose 730 penetrating through a rear end of the casing 100, the other end of the suction tube 720 passes through an opening at a front end of the casing 100 and is located outside the front end of the casing 100, and one end of the negative pressure hose 730 far away from the suction tube 720 is connected to a negative pressure suction device through a negative pressure joint 740. When the suction device is used, the external negative pressure suction device is started through the negative pressure button 710, and at the moment, smoke or blood generated in an operation is quickly and effectively absorbed by one end of the suction tube 720 positioned on the front side of the shell 100 and is conveyed into the negative pressure suction device through the negative pressure hose 730, so that the smoke generated in the operation is reduced, and the operation visual field is improved.

Example 4

As shown in fig. 1 and 5, in example 4, based on the embodiment 3, in order to further improve the surgical field, the housing 100 is designed to be gun-shaped, in the functional nasal endoscope operation, the cutting and hemostasis tool which is conventionally used at present is a long straight electric knife which can cut and stop bleeding of a lesion, and in the operation, the surgical field is affected. Specifically, the housing 100 includes a holding portion 110, a bending portion 120, and a working portion 130 connected in sequence from back to front, and the electrotomy button 610, the electrocoagulation button 620, and the negative pressure button 710 are disposed on an outer wall of the holding portion 110. In this embodiment, the electrotomy button 610 and the electrocoagulation button 620 may be disposed on the outer wall of the top end of the holding part 110, and the negative pressure button 710 is disposed on the side wall of the holding part 110, or the electrotomy button 610 and the electrocoagulation button 620 may be disposed in the front-rear order, and the negative pressure button 710 and the operation button 600 may be disposed right-left opposite to each other for the single-handed operation of the doctor. In the present embodiment, the shape of the first tool holder 200 is also adapted to a gun shape.

Preferably, in the present embodiment, the included angles between the central lines of the grip portion 110 and the curved portion 120 and between the central lines of the curved portion 120 and the working portion 130 are both 120 degrees and 140 degrees, and the length of the grip portion 110 is 15 CM. The working part 130 is tapered from one end close to the bending part 120 to the central axis of one end far away from the bending part 120, and the gun type design does not influence the sight line during the operation of the nasal vestibule.

Although embodiments of the present invention have been shown and described, it will be appreciated by those skilled in the art that changes, modifications, substitutions and alterations can be made in these embodiments without departing from the principles and spirit of the invention, the scope of which is defined in the appended claims and their equivalents.

Claims

1. A detachable electrotome suitable for use in endoscopic nasal surgery, comprising:

a housing (100) having an opening at a front end thereof and a hollow cavity penetrating the opening along a length direction of the housing (100);

the first cutter bar (200) is positioned in the hollow cavity of the shell (100) and is arranged along the length direction of the shell (100);

the circuit board (300) is positioned in the hollow cavity of the shell (100) and connected with the inner wall of the shell (100), the circuit board (300) is respectively and electrically connected with the first cutter bar (200) positioned in the shell (100) and a power supply lead (310) positioned at the rear end of the shell (100), and the power supply lead (310) is connected with the electrotome main machine through a lead plug (320);

the cutter head assembly (400, 500) is detachably connected with the first cutter bar (200) after one end of the cutter head assembly (400, 500) penetrates through the opening at the front end of the shell (100), the other end of the cutter head assembly (400, 500) extends outwards to the front side of the shell (100), and when one end of the cutter head assembly (400, 500) is connected with the first cutter bar (200), the cutter head assembly (400, 500) is electrically connected with the first cutter bar (200);

and the operating button (600) comprises an electrotomy button (610) and an electrocoagulation button (620) which are arranged on the outer wall of the shell (100) and are respectively electrically connected with the circuit board (300).

2. The detachable electrotome suitable for use in intranasal endoscopic surgery according to claim 1, wherein: the cutter head assembly (400) comprises a first cutter head (410) and a second cutter bar (420) which are sequentially connected, wherein one end, far away from the first cutter head (410), of the second cutter bar (420) is clamped with a drum spring (430) fixedly connected to the front end of the first cutter bar (200);

when one end, far away from the first cutter head (410), of the second cutter bar (420) penetrates through the opening in the front end of the shell (100) and is clamped with the drum spring (430), the second cutter bar (420) is electrically connected with the first cutter bar (200), and one end, close to the first cutter head (410), of the second cutter bar (420) is located on the outer side of the front end of the shell (100).

3. The detachable electrotome suitable for use in intranasal endoscopic surgery according to claim 2, wherein: a rubber sleeve (440) is fixedly sleeved on the outer peripheral wall of the second cutter bar (420), and a resistance ring (450) is arranged on the outer peripheral wall of the rubber sleeve (440) along the circumferential direction of the rubber sleeve (440);

when the first cutter bar (200) is clamped with the drum spring (430), one end of the rubber sleeve (440) close to the first cutter head (410) is located on the outer side of the front end of the shell (100), and the resistance ring (450) is abutted to the inner wall of the shell (100).

4. A detachable electrotome suitable for use in endoscopic nasal surgery according to any one of claims 2 to 3, wherein: the included angle between the first cutter head (410) and the second cutter bar (420) is 30 degrees, 45 degrees, 60 degrees or 90 degrees respectively.

5. A detachable electrotome suitable for use in endoscopic nasal surgery according to any one of claims 2 to 3, wherein: the head of the first cutter head (410) is in an electric hook shape.

6. The detachable electrotome suitable for use in intranasal endoscopic surgery according to claim 1, wherein: the cutter head assembly (500) comprises a second cutter head (510), a third cutter bar (520) and a connecting rod (530) sleeved on the peripheral wall of the third cutter bar (520), wherein the second cutter head and the third cutter bar (520) are sequentially connected, an internal thread is arranged on the inner peripheral wall of the connecting rod (530), an external thread (200-1) matched with the internal thread on the connecting rod (530) is arranged at one end, close to the third cutter bar (520), of the first cutter bar (200), and one end, far away from the second cutter head (510), of the third cutter bar (520) is detachably locked with the first cutter bar (200);

when one end of the third cutter bar (520) far away from the second cutter head (510) penetrates through the opening at the front end of the shell (100) and is locked with the first cutter bar (200), the third cutter bar (520) is electrically connected with the first cutter bar (200), one end of the third cutter bar (520) close to the second cutter head (510) is located on the outer side of the front end of the shell (100), and when the connecting rod (530) is in threaded connection with one end of the third cutter bar (520), one end of the connecting rod (530) close to the second cutter head (510) is located on the outer side of the front end of the shell (100).

7. The detachable electrotome suitable for use in intranasal endoscopic surgery according to claim 6, wherein: one end, far away from the second cutter head (510), of the third cutter bar (520) is provided with a linear inserting joint (520-1), one end, close to the third cutter bar (520), of the first cutter bar (200) is provided with an inserting groove (200-2) matched with one end of the linear inserting joint (520-1) of the second cutter head (510), and the outer diameter of the linear inserting joint (520-1) is larger than the inner diameter of the connecting rod (530).

8. A detachable electrotome suitable for use in intranasal endoscopic surgery according to any one of claims 6 to 7 wherein: the circumferential wall of one end, close to the second cutter head (510), of the connecting rod (530) is provided with a flower-biting pattern (530-1).

9. A detachable electrotome suitable for use in intranasal endoscopic surgery according to any one of claims 6 to 7 wherein: the included angle between the second cutter head (510) and the third cutter bar (520) is 30 degrees, 45 degrees, 60 degrees or 90 degrees respectively.

10. A detachable electrotome suitable for use in intranasal endoscopic surgery according to any one of claims 6 to 7 wherein: the head of the second cutter head (510) is in an electric hook shape.

11. The detachable electrotome suitable for use in intranasal endoscopic surgery according to claim 1, wherein: still include negative pressure subassembly (700), negative pressure subassembly (700) including be located casing (100) outer wall and with circuit board (300) electric connection's negative pressure button (710) and attract pipe (720) of laying along casing (100) cavity, the one end of attracting pipe (720) is connected with negative pressure hose (730) that run through casing (100) rear end, the other end of attracting pipe (720) is located after passing the opening of casing (100) front end the front end outside of casing (100), the one end that attracts pipe (720) was kept away from in negative pressure hose (730) is passed through negative pressure joint (740) and is connected with the negative pressure suction device.

12. The detachable electrotome suitable for use in intranasal endoscopic surgery according to claim 11, wherein: the cross section of casing (100) is the rifle formula, includes from back to front portion's that connects gradually gripping portion (110), flexion (120) and work portion (130), electrotomy button (610), electricity congeal button (620) and negative pressure button (710) all set up on the outer wall of gripping portion (110).

13. The detachable electrotome suitable for use in intranasal endoscopic surgery according to claim 12, wherein: the included angles of the central lines between the holding part (110) and the bending part (120) and between the bending part (120) and the working part (130) are all 120 DEG and 140 deg.

14. The detachable electrotome suitable for use in intranasal endoscopic surgery according to claim 13, wherein: the working part (130) is tapered from one end close to the bending part (120) to the central axis of one end far away from the bending part (120).

15. The detachable electrotome suitable for use in intranasal endoscopic surgery according to claim 1, wherein: the electric knife is characterized by further comprising a foot switch, and the foot switch is connected with the electric knife main machine.