CN204909631U - High frequency operation electrotome with optical fiber probe - Google Patents

High frequency operation electrotome with optical fiber probe Download PDF

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Publication number
CN204909631U
CN204909631U CN201520608193.9U CN201520608193U CN204909631U CN 204909631 U CN204909631 U CN 204909631U CN 201520608193 U CN201520608193 U CN 201520608193U CN 204909631 U CN204909631 U CN 204909631U
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optical fiber
fiber probe
electric knife
electrotome
frequency surgery
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CN201520608193.9U
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吴向华
刘书朋
陈振宜
陈娜
王廷云
胡爱群
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Fudan University Shanghai Cancer Center
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Fudan University Shanghai Cancer Center
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Abstract

The utility model relates to medical equipment and oncotherapy field. The utility model relates to a take the novel medical high frequency operation electrotome of optical fiber probe. High frequency operation electrotome and control raman spectroscopy's host computer, electrotome handle of a knife, electrotome electrode, optical fiber probe and display are mainly controlled to this intelligence operation electrotome including the integration to and patient's polar plate and foot switch. Compare with traditional high frequency operation electrotome, its optic fibre range of this operation electrotome distributes in the interior survey of the electrode tip leading edge of electrotome, uses the optical fiber probe with the eletrode tip of laser transmission to the electrotome to autoanalysis and monitoring are caught to the raman spectroscopy signal of electrotome terminal tissue or cell in real time to the realization, during the use, but the tissue of real -time supervision scalpel incision department and the raman spectroscopy of cell obtain the information such as tissue and cell canceration state of the current position of performing the operation through assay spectral signature. This operation electrotome can be in the operation real -time identification tumour and normal structure, help the doctor accurately thoroughly to amputate the cancerous issue, avoid simultaneously excessively amputating influencing the tissues and organs function.

Description

A kind of high-frequency surgery electric knife with optical fiber probe
Technical field
This utility model belongs to medical apparatus and instruments and therapeutic field of tumor.Relate to a kind of novel medicinal intelligent electrosurgical, be specifically related to a kind of high-frequency surgery electric knife with optical fiber probe, this utility model is on the basis of original high-frequency surgery electric knife, add the design of Raman fiber probe, obtained a kind of can passing through detects the difference Intelligent Recognition tumor tissues of Raman spectrum and the medical operation electric knife of normal structure in real time.In this intelligent operation electric knife energy art of the present utility model, quick diagnosis is good pernicious.
Background technology
Operation is one of primary treatments of current malignant tumor, its with scalpel, cut, operation that the apparatus such as pin carries out at body local, remove the tumor tissues of pathological changes, repair damage and carry out treating disease.High-frequency surgery electric knife is applied to the history of clinical existing more than 90 year so far from nineteen twenty.--the more change in high power valve--high power transistor--high-power MOS tube four generation that experienced by spark-discharge therebetween; Along with universal, application, the development of computer technology, implement the automatic adjustment to power waveform, voltage, electric current under various function, the detection of various safety index, and the detection of Programmed control and fault and instruction, thus substantially increase the safety and reliability of equipment itself, simplify the operating process of doctor.
The high-frequency surgery electric knife of current Clinical practice is primarily of main frame and electrotome handle, electrode and patient's pole plate and foot switch adnexa composition.Doctor uses scalpel can excise the tumor tissues etc. of pathological changes clinically, but in lumpectomy procedure, surgeon cuts in order to avoid tumor tissues leaks, and general method is enough apart from so-called normal structure tumor resection from borderline tumor.But in clinical practice, due to the difference of tumor location, be difficult to accomplish to keep negative cutting edges to balance with preservation organ dysfunction, simultaneously, by means of experience and the perusal of doctor, be difficult to the boundary precisely distinguishing tumor tissues and normal structure, once there is positive margin residual tumor, bring a very large difficult problem by for follow-up treatment, also can have influence on the prognosis of patient.But current electrosurgical does not all possess the function of Real time identification tumor.
Since the nineties in last century, along with the development of laser technology and the application of new detector technology ripe gradually, the application of Raman spectroscopy is more and more extensive; Because human organ tissue comprises tumor tissues with regard to its basic chemical composition, be all by protein, nucleic acid, the biomolecule such as lipid and saccharide forms.The molecule of different structure has different Raman spectral characteristics, thus can identify from the Raman signatures spectrum of material and distinguish different materials.According to the difference in the composition of composition each in tumor tissues and normal structure and molecular conformation, make the difference of being caught raman scattering spectrum by clinical fiber Raman spectral technique, directly with Real time identification malignant tumor and normal structure become possibility in vivo.Studies have found that and genetic algorithm is applied in Raman spectrum analysis, live body can be done to early stage cancerous tissue and identify fast; Have raman bands that research display analysis identification cervical cancer tissues obtains to cancer early diagnosis accuracy 82.9%(sensitivity 72.5% (29/40), specificity 89.2% (58/65)) ".Fiber Raman spectrum can provide the molecular structure information of tissue samples as a kind of optical technology.P.Crow etc. analyze 220 Raman spectrums of 29 routine freezing bladder cancer samples, and result shows that Fiber optic near infrared spectroscopy Raman spectrum can be used for the in-vitro diagnosis of transitional cell carcinoma of bladder.
In view of the defect that prior art exists, present inventor intend providing a kind of can improve thorough excision cancerous issue as much as possible and preserve a kind of of the precision of more normal structures can the method for Real time identification cancerous issue and normal structure and instrument.
Summary of the invention
The purpose of this utility model is to provide a kind of new medicinal intelligent electrosurgical, is specifically related to a kind of high-frequency surgery electric knife with optical fiber probe.This utility model, on the basis of original high-frequency surgery electric knife, adds the design of Raman fiber probe, and obtained a kind of can passing through detects the difference Intelligent Recognition tumor tissues of Raman spectrum and the medical operation electric knife of normal structure in real time.Quick diagnosis innocent and malignant tumour tissue and cell in intelligent operation electric knife energy art of the present utility model.
Another object of the present utility model is that in the intelligent operation electric knife Rhizoma Atractylodis Macrocephalae of this New Energy identification tumor tissues of application and cell, Real time identification cancerous issue and normal structure are convenient to ensure thoroughly efficient tumor resection in surgical cut down procedure.
For achieving the above object, this utility model adopts following technical proposals:
A kind of high-frequency surgery electric knife with optical fiber probe, mainly comprise and control high frequency electric knife and Co ntrolled release, catch analyze Raman spectrum integrated main frame, with controlling electric knife and the handle of a knife of fiber functions key, the electric knife electrode of inner side profile fiber probe and the acoustic control touch screen display device with different colours signal lights and audio prompting function; LASER Light Source and spectroanalysis instrument is connected in described optical fiber probe rear end, the raman spectral signal of the tissue under electrotome handle inner fibers probe tip position can be obtained, in order to identify that electric knife point of a knife organizes whether canceration in one's power, and there is prompting function in a variety of forms.
More specifically, a kind of high-frequency surgery electric knife with optical fiber probe of the present utility model, it is characterized in that, this electrosurgical structure comprises: main frame (1), electrotome handle (2), optical fiber probe (3) electric knife electrode (4), display (5), described optical fiber probe (3) is arranged in the inner side of electric knife electrode (4).
In this utility model, described main frame (1) is for integral traffic control electric knife and control laser discharges and spectrum catches the intelligent apparatus with analytic function, in an embodiment of the present utility model, preferred main frame (1) is by electric knife controller and laser and the split type combination unit of spectral analysis controlling device.
In this utility model, described electrotome handle (2) increases laser spectrum regulation and control button on former electric knife basis.
In this utility model, described optical fiber probe (3) is made up of taper nano optical fibers probe; Its end can be connected to the main frame that can discharge laser He catch and analyze Raman spectrum; In an embodiment of the present utility model, described optical fiber probe (3) also can be made up of section nano optical fibers probe, and its end can be connected to the main frame that can discharge laser He catch and analyze Raman spectrum.
In this utility model, inner side leading edge arrangement optical fiber probe (3) of described electric knife electrode (4).
In this utility model, described display (5) is a kind of touch-sensitive display, can be aided with the green color signal lamp of reddish yellow and audio prompting function simultaneously; Touch-sensitive display adds red, yellow and green display lamp and represents tumor tissues, precancerous lesion and normal structure respectively; In an embodiment of the present utility model, described touch-sensitive display supplemental audio loudspeaker prompting function.
The total surgical resection that this utility model cannot identify tumor tissues and normal structure voluntarily for current conventional electrosurgical and cause is not thoroughly or the deficiency of excessively excision, provide a kind of surgical knife with optical fiber probe, because its handle of a knife inboard row is furnished with optical fiber probe, by optical fiber, laser signal can be conducted to the tissue at scalpel tip, the Real-Time Monitoring of Raman spectrum is carried out to the tissue of current location and catches, by the Raman spectrum difference of cancerous issue and normal structure, Real time identification cancerous issue and normal structure, be convenient in surgical cut down procedure, ensure that tumor resection is thorough, and this scalpel has the features such as simple, easy to operate, easy to use and safe and reliable.
This utility model, compared with traditional scalpel, has following apparent outstanding substantive distinguishing features and remarkable advantage:
1. intelligent operation electric knife application optical fiber of the present utility model is most advanced and sophisticated to scalpel by Laser Transmission; thus the collection of tissue Raman spectral signal to electrosurgical location of cut; by computer calculate and and different tissues Raman spectrum data storehouse compare of analysis within 3 seconds, judge current organization whether canceration; thus allow the position of the cancerous issue will excised in surgeon's real-time judge operation process; doctor is helped thoroughly to excise cancerous issue in operation; reduce tumor tissues residual rate, avoid the more body function of excessive excision protection of normal structure simultaneously.By analyzing the cancerous state judging current organization of contrast raman spectral signal and being shown in touch display screen, can respectively with redness, malignant tissue pointed out by yellow and green indicating lamp, precancerous lesion and normal structure, be aided with sound prompt function simultaneously, remind doctor to carry out rational radical resection cancerous issue.
2. novel intelligent electrosurgical of the present utility model overcomes the deficiency of current conventional electrosurgical None-identified tumor tissues and normal structure.Revolutionizing surgeon relies on the preoperative imaging examination of tumor patient and the experience seen in individual art to make the judgement of excision extension.This intelligent operation electric knife not only can help doctor's science to excise cancerous issue, reduces the too much injury to healthy human body tissue.
3. novel intelligent electrosurgical of the present utility model is by real-time Raman spectrum analysis, has frozen section diagnostic function in alternative art, greatly will improve procedure efficiency.
4. novel intelligent electrosurgical technology of the present utility model can merge mutually with intelligent operation robot, operation is able to highly intelligent.
Accompanying drawing explanation
Fig. 1 is first embodiment of the present utility model, namely in conjunction with the device schematic diagram of the surgical knife of end face optical fiber probe.
Fig. 2 is this utility model two embodiments, namely in conjunction with the device schematic diagram of the surgical knife of taper nano optical fibers probe.
Detailed description of the invention
Details are as follows by reference to the accompanying drawings for preferred embodiment of the present utility model:
embodiment 1
As shown in Figure 1, of the present utility modelly can identify that the intelligent operation electric knife of tumor tissues and cell comprises integral traffic control high-frequency surgery electric knife and controls the main frame 1 of Raman spectrum and electrotome handle 2, add end face optical fiber probe 3 on this basis, it is characterized in that, described optical fiber 3 end face is smooth, it is distributed in the interior survey of high frequency electric knife electrode 4, and wherein optical fiber 3 terminal can connect lasing light emitter and spectroanalysis instrument display 5.In addition, patient's pole plate 6 and foot switch adnexa 7 is also comprised.
In the surgical cut down procedure of clinical implementation cancerous issue, doctor uses end face optical fiber 3 to be connected to the LASER Light Source of 633nm etc., after connecting light source, when scalpel is resected to certain pathologic tissue areas, first by optical fiber, laser is got to the raman spectral signal of the tissue acquisition current location at blade holder 2 tip, by analyzing the cancerous state of the judgement current organization of contrast raman spectral signal and being shown in touch display screen 5, can respectively with redness, malignant tissue pointed out by yellow and green indicating lamp, precancerous lesion and normal structure, be aided with sound prompt function simultaneously, doctor is reminded to carry out rational radical resection cancerous issue.
embodiment 2
Details are as follows by reference to the accompanying drawings for another preferred embodiment of the present utility model:
As shown in Figure 2, comprise the main frame 1 and electric knife control handle of a knife 2 of integrating high-frequency surgery electric knife and spectrogrph, add taper nano optical fibers probe 3 and electric knife electrode 4 on this basis, it is characterized in that, described conical fiber probe 3 tip size can reach 100 nanoscales, and it is distributed in the interior survey of high frequency electric knife electrode 4, and wherein optical fiber 3 terminal can the main frame of integral traffic control electric knife and laser spectral analysis instrument function and display 5.This device also comprises patient's pole plate and foot switch adnexa in addition.
In the surgical cut down procedure implementing clinical cancerous issue, doctor uses end face optical fiber 3 to be connected to the LASER Light Source of 633nm etc., after connecting light source, when scalpel is resected to certain pathologic tissue areas, the tissue first laser being got to procedures electrode 4 tip by optical fiber obtains the raman spectral signal of current location, by analyzing the cancerous state judging current organization of contrast raman spectral signal and being shown in touch display screen 5, can respectively with redness, malignant tissue pointed out by yellow and green indicating lamp, precancerous lesion and normal structure, be aided with sound prompt function simultaneously, doctor is reminded to carry out rational radical resection cancerous issue.
Compared with end face optical fiber probe, taper nano optical fibers probe can improve the concentration class of laser and the collection efficiency of scattered light effectively.Effectively can improve the raman spectrum strength of tissue in the surgical cut down procedure of clinical cancerous issue, thus improve the rate of correct diagnosis of cancerous issue.

Claims (11)

1. the high-frequency surgery electric knife with optical fiber probe, it is characterized in that, this electrosurgical structure comprises: main frame (1), electrotome handle (2), optical fiber probe (3) electric knife electrode (4), and display (5), described optical fiber probe (3) is arranged in the inner side of electric knife electrode (4).
2. the high-frequency surgery electric knife with optical fiber probe according to claim 1, is characterized in that, described main frame (1) is that integral traffic control electric knife catches the intelligent apparatus with analytic function with the release of control laser and spectrum.
3. the high-frequency surgery electric knife with optical fiber probe according to claim 2, is characterized in that, described main frame (1) is by electric knife controller and laser and the split type combination unit of spectral analysis controlling device.
4. the high-frequency surgery electric knife with optical fiber probe according to claim 1, is characterized in that, described electrotome handle (2) adds laser spectrum regulation and control button on electric knife.
5. the high-frequency surgery electric knife with optical fiber probe according to claim 1, is characterized in that, described optical fiber probe (3) is made up of taper nano optical fibers probe, and its end is connected to the main frame that can discharge laser He catch and analyze Raman spectrum.
6. the high-frequency surgery electric knife with optical fiber probe according to claim 1, is characterized in that, described optical fiber probe (3) is made up of section nano optical fibers probe, and its end is connected to the main frame that can discharge laser He catch and analyze Raman spectrum.
7. the high-frequency surgery electric knife with optical fiber probe according to claim 1, is characterized in that, inner side leading edge arrangement optical fiber probe (3) of described electric knife electrode (4).
8. the high-frequency surgery electric knife with optical fiber probe according to claim 1, is characterized in that, described display (5) is that a kind of touch screen type can be aided with the green color signal lamp of reddish yellow and audio prompting function simultaneously.
9. the high-frequency surgery electric knife with optical fiber probe according to claim 8, is characterized in that, described display (5) is a kind of touch-sensitive display.
10. the high-frequency surgery electric knife with optical fiber probe according to claim 8, is characterized in that, described display (5) is that a kind of touch-sensitive display adds and represents the red, yellow of tumor tissues, precancerous lesion and normal structure and green display lamp respectively.
11. high-frequency surgery electric knifes with optical fiber probe according to claim 8, is characterized in that, described display (5) is a kind of touch-sensitive display supplemental audio loudspeaker prompting function.
CN201520608193.9U 2015-08-13 2015-08-13 High frequency operation electrotome with optical fiber probe Active CN204909631U (en)

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Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106198360A (en) * 2016-08-23 2016-12-07 冯庆宇 A kind of tumor marker analytical equipment and tumor treatment equipment
CN106420041A (en) * 2015-08-13 2017-02-22 复旦大学附属肿瘤医院 High frequency electric operating knife with fiber probe
CN108523988A (en) * 2018-01-30 2018-09-14 尹丽丽 A kind of electric knife therapeutic device

Cited By (3)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN106420041A (en) * 2015-08-13 2017-02-22 复旦大学附属肿瘤医院 High frequency electric operating knife with fiber probe
CN106198360A (en) * 2016-08-23 2016-12-07 冯庆宇 A kind of tumor marker analytical equipment and tumor treatment equipment
CN108523988A (en) * 2018-01-30 2018-09-14 尹丽丽 A kind of electric knife therapeutic device

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