CN205198132U - A handle and operation control system for surgery operation - Google Patents

A handle and operation control system for surgery operation Download PDF

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Publication number
CN205198132U
CN205198132U CN201520849199.5U CN201520849199U CN205198132U CN 205198132 U CN205198132 U CN 205198132U CN 201520849199 U CN201520849199 U CN 201520849199U CN 205198132 U CN205198132 U CN 205198132U
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China
Prior art keywords
handle
high frequency
electrode
ultrasonic
power output
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CN201520849199.5U
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Chinese (zh)
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赵伟
杜雅飞
郭志刚
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Anjin Medical Technology Beijing Co Ltd
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Anjin Medical Technology Beijing Co Ltd
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Abstract

The utility model discloses a handle and operation control system for surgery operation, wherein, this handle includes a shell, first termination that supersound power output cable and high frequency power output cable pass through the handle is gone into to the handle inside, high frequency power output cable is extended to the second end of handle by first end, the inside ultrasonic transducer that sets up of handle, ultrasonic transducer's electrical connection end is connected to supersound power output cable, and the mechanical connection end is connected to the ultrasonic knife head, and ultrasonic knife head branch exposes to be held in the second, the second end has connection structure for installation detachable high frequency operation electrode connecting piece. The utility model discloses utilize high frequency operation electrode connecting piece, realize ultrasonic emulsifica and attraction, evapotranspire through simple installation or enough handle of disassembling operation ability and cut and solidify two kinds of operation modes, can adapt to different operation environment to and the tumour of the different texture of excision, need not to change operation equipment at the operation in -process, can more high -efficient, accurately accomplish the operation.

Description

For operating handle and operation control system
Technical field
This utility model relates to technical field of medical instruments, particularly relates to a kind of for operating handle and operation control system.
Background technology
High frequency electric knife is that a kind of tradition scalpel and cutting of replacing carries out the Electrosurgical instrument that tissue cuts, it is by applying high frequency voltage at active electrode tip, by eletrode tip and the high frequency electric that is attached to outside human body skin to flow through between negative plate, tissue is heated, realization is to the separation of when injected organism tissue or solidify, thus plays cutting and the effect of stopping blooding.The frequency that general high frequency electric knife uses is 300 ~ 500kHz, under this operating frequency, must use negative plate, have high frequency electric to flow through human body, has certain damage to tissue.High frequency electric knife is mainly applicable to working environment drying, the lesion tissue that quality is harder, and the high and lesion tissue that quality is soft to water content is also not suitable for, and the tissue higher to the elasticity such as blood vessel, nerve does not have selectivity.
Be disclose a kind of needs in the Chinese patent of 98804097.2 to arrange the high frequency apparatus for biological tissue treatment to pole plate at application number.It adopts the frequency (if frequency range is 8 ~ 60MHz) of radio frequency, when eletrode tip levels off to bio-tissue, biological tissue's regional area is exposed in the strong-electromagnetic field of eletrode tip, arc discharge is produced between eletrode tip and biological tissue, thus local produces Joule heat, utilize thermal denaturation can to evapotranspire to biological tissue, cut, solidify and stop blooding process.Operating frequency has been brought up to radio-frequency region by the high frequency electric knife of this electromagnetic type, do not need to pole plate can produce to tissue heat effect, and to tissue hot injury less.
Ultrasonic aspirator produces ultrasound wave by the mechanical vibration of the cutter head of hollow, and pulverize lesion tissue by ultrasonic emulsification or prepare the tissue of removing, then organize sucking-off with attraction system by what pulverize, reaches the object for the treatment of.Ultrasonic aspirator is destruction with while absorbing high-moisture tissue, and the high collagen content tissue preserration that elasticity can be made higher is intact, therefore has certain selectivity to blood vessel and nervous tissue, thus operation is carried out under the condition of safety, insufficiency of blood or depletion of blood.So ultrasonic aspirator compares the removal being applicable to the high soft lesion tissue of water content.
In actual operation process, often can run into the lesion tissue of differing texture.In current surgical procedures, especially in cerebral surgery operation, generally first by the position of the equipment such as CT and nuclear magnetic resonance, NMR determination focus, size estimate its quality, the surgical apparatus then determined modus operandi He should adopt.
But; by image documentation equipment, the accuracy of the estimation of tumor quality is depended on to a great extent to the experience of doctor; not exclusively accurately, therefore often appearing in operation carry out just finding in process the quality of tumor from estimate in advance different, cut-and-dried surgical apparatus needs replacing.And often kind of surgical apparatus has its pluses and minuses in clinical practice, the advantage of equipment should be played as far as possible in operation, avoid the inferior position of equipment, successfully could complete operation, less patient be damaged simultaneously.Therefore, in operation process, sometimes need being used alternatingly of several surgical apparatus, such as, in same operation, if cutting needs to keep the intact of blood vessel, need to use ultrasonic aspirator; Wish less hemorrhage when what the confession of cutting blood was more organizes, then have with during cutting the high frequency electric knife or electromagnetic field system that solidify function.In operation process, being used alternatingly of distinct device can cause operating time to extend, and brings inconvenience, and add the difficulty of operation to operation in Preoperative Method and art.
For the problems referred to above, at present effective solution is not yet proposed.
Utility model content
This utility model provides a kind of for operating handle and operation control system, at least to solve surgical apparatus in prior art only for the focus of certain quality, may need change surgical apparatus temporarily or be used alternatingly several surgical apparatus in actual operation process, operating time is caused to extend, to operating the problem of making troubles in Preoperative Method and art.
According to an aspect of the present utility model, provide a kind of for operating handle, described handle comprises a shell, and ultrasonic power output cable and high frequency power output cable are linked into described handle inner by the first end of described handle; Described high frequency power output cable extends to the second end of described handle by described first end; Described handle inner arranges a ultrasonic transducer, and the electrical connection terminal of described ultrasonic transducer is connected to described ultrasonic power output cable, and mechanical connection end is connected to ultrasonic cutter head, and described ultrasound knife head part is exposed to described second end; Described second end has syndeton, for installing dismountable high frequency operation electrode connector.
In one embodiment, described high frequency operation electrode connector comprises: insulation crust, procedures electrode, metal contiguous block and external electrode; Wherein, described procedures electrode inserts described insulation crust by one end of described high frequency operation electrode connector, and part is exposed to described insulation crust; It is inner that described metal contiguous block is placed in described insulation crust, and one end of described metal contiguous block is connected with described external electrode, and the other end is connected with described procedures electrode; Described external electrode is exposed to described insulation crust from the offside of described procedures electrode, and when described high frequency operation electrode connector is installed on described syndeton, described external electrode contacts with described high frequency power output cable.
In one embodiment, described syndeton is jack, and when described high frequency operation electrode connector is installed on described syndeton, described external electrode inserts in described jack, contacts with the described high frequency power output cable in described jack.
In one embodiment, described procedures electrode comprises: sphere pole, ring electrode, needle electrode, sickle shaped electrode, twolip knife-like electrode or sharp knife shape electrode.
In one embodiment, the housing exterior of described handle is connected with perfusion pipeline, passes into described handle inner, and described perfusion pipeline is used for the liquid needed for operative region perfusion operation.
In one embodiment, the side, position of described insulation crust inserting described procedures electrode is provided with through hole, and described through hole is for providing pouring liquid to the passage of operative region.
In one embodiment, described handle inner arranges aspiration, described aspiration extends to described second end by described first end, and be positioned at described ultrasonic transducer and described ultrasonic cutter head inside, for the lesion tissue pulverized in operation process and/or residual liquid being taken away under supersonic operation pattern.
According to another aspect of the present utility model, provide a kind of operation control system, comprising: control appliance, ultrasonic power output cable, high frequency power output cable and hands handle; Wherein, described handle be above-mentioned any one for operating handle, described handle is connected to described control appliance by described ultrasonic power output cable and described high frequency power output cable; Described control appliance, for exporting the power signal of supersonic frequency under supersonic operation pattern, and exports the high frequency power signals needed for operation under high frequency surgery pattern; Wherein, the power signal of described supersonic frequency is transformed to ultrasonic mechanical vibration by the ultrasonic transducer in described handle, produces emulsifying and excision effect to biological tissue; Described high frequency power signals to be evapotranspired cutting process to biological tissue by procedures electrode that described handle is installed.
In one embodiment, described operation control system also comprises: perfusion device, is connected with the perfusion pipeline of described control appliance and described handle outer, under the control of described control appliance, provides the liquid of perfusion.
In one embodiment, described operation control system also comprises: aspirator, be connected with the aspiration in described control appliance and described handle, under the control of described control appliance, the lesion tissue providing suction to pulverize and/or the suction of residual liquid.
In one embodiment, described operation control system also comprises foot switch, and described foot switch is connected to described control appliance by cable, and described foot switch comprises: switch key and control key; Described switch key is for switching described supersonic operation pattern and described high frequency surgery pattern; Described control key is used under described supersonic operation pattern, control the output of ultrasonic power and the use of debridement function, and under described high frequency surgery pattern, controls the output of high frequency power and solidify the use of function.
By of the present utility model for operating handle and operation control system, utilize high frequency operation electrode connector, ultrasonic emulsification and attraction can be realized with a handle by simple installation or removal operation, the cutting and solidify two kinds of modus operandis of evapotranspiring, different surgical environments can be adapted to, and the tumor of excision differing texture, without the need to changing surgical apparatus in operation process, operation can be completed more efficiently and accurately.This operation control system is applicable to soft and rigid focus simultaneously, has merged the function of high frequency electrosurgical equipment and ultrasonic therapeutic apparatus, namely have evapotranspire vaporization and tissue of tissue simultaneously and pulverize the function of emulsifying, and structure is simple, easy and simple to handle.
Accompanying drawing explanation
Accompanying drawing described herein is used to provide further understanding of the present utility model, and form a application's part, schematic description and description of the present utility model, for explaining this utility model, is not formed restriction of the present utility model.In the accompanying drawings:
Fig. 1 is the structural representation for operating handle of this utility model embodiment;
Fig. 2 is the structural representation of the high frequency operation electrode connector of this utility model embodiment;
Fig. 3 is the connection diagram of the high frequency operation electrode connector of this utility model embodiment;
Fig. 4 is the structural representation of the operation control system of this utility model embodiment;
Fig. 5 is another structural representation of the operation control system of this utility model embodiment;
Fig. 6 is the structured flowchart of the control appliance of this utility model embodiment.
Detailed description of the invention
Below in conjunction with the accompanying drawing in this utility model embodiment, be clearly and completely described the technical scheme in this utility model embodiment, obviously, described embodiment is only this utility model part embodiment, instead of whole embodiments.Based on embodiment of the present utility model, those of ordinary skill in the art, not making the every other embodiment obtained under creative work prerequisite, belong to protection domain of the present utility model.
This utility model embodiment provides a kind of for operating handle, and Fig. 1 is the structural representation for operating handle of this utility model embodiment, and this figure only does example explanation.As shown in Figure 1, this handle 100 comprises a shell 110, and it is inner that ultrasonic power output cable 200 and high frequency power output cable 300 are linked into handle 100 by the first end 120 of handle 100; High frequency power output cable 300 extends to the second end 130 of handle 100 by first end 120.
Handle 100 inside arranges a ultrasonic transducer 140, and the electrical connection terminal of ultrasonic transducer 140 is connected to ultrasonic cable 200, and mechanical connection end is connected to ultrasonic cutter head 150, and ultrasonic cutter head 150 part is exposed to the second end 130.
Second end 130 has syndeton 131 (see Fig. 3), for installing dismountable high frequency operation electrode connector 160.
Handle described by above-described embodiment, utilize dismountable high frequency operation electrode connector 160, ultrasonic emulsification and attraction can be realized on a handle by simple installation or removal operation, the cutting and solidify two kinds of modus operandis of evapotranspiring, different surgical environments can be adapted to, and the tumor of excision differing texture, without the need to changing surgical apparatus in operation process, operation can be completed more efficiently and accurately.
Ultrasonic cutter head 150 can realize ultrasonic emulsification and suction function, and the procedures electrode connected by high frequency operation electrode connector 160 can realize evapotranspiring cutting and solidifying function.This handle can realize evapotranspiring of electric knife and cuts and solidify function, also can realize ultrasonic emulsification and suction function.High frequency operation electrode connector 160 is installed on handle casing 110, such as, can be installed, can dismantle easily by the mode such as grafting, socket.The syndeton 131 that second end 130 has can be the buckle etc. on outer casing inner wall or outer wall, also can be the jack on outer shell outer wall.High frequency operation electrode connector 160 can be pulled down easily when needs use ultrasonic cutter head 150, when needs use procedures electrode, high frequency operation electrode connector 160 is installed.
High frequency operation electrode connector 160 is installed on the second end 130 of handle 100, its objective is and connect procedures electrode and high frequency power output cable 300, and be not connected with ultrasonic cutter head 150, make it possible to perform the operation in the evapotranspire mode of cutting of high frequency, be applicable to environmental drying and the harder lesion tissue of quality.
In one embodiment, the structure of high frequency operation electrode connector 160 can as shown in Figure 2, comprise: insulation crust 161, procedures electrode 162, metal contiguous block 163 and external electrode 164.Wherein, procedures electrode 162 inserts insulation crust 161 by one end of high frequency operation electrode connector 160, and part is exposed to insulation crust 161; It is inner that metal contiguous block 163 is placed in insulation crust 161, and one end of metal contiguous block 163 is connected with external electrode 164, and the other end is connected with procedures electrode 162; External electrode 164 is exposed to insulation crust 161 from the offside of procedures electrode 162, and when high frequency operation electrode connector 160 is installed on syndeton 131, external electrode 164 contacts with high frequency power output cable 300.In the present embodiment, by insulation crust 161, can ensure that procedures electrode 162 and ultrasonic cutter head 150, handle casing 110 are isolated, in order to avoid affect the normal work of electrode.Metal contiguous block 163 can ensure that procedures electrode 162 is connected with high frequency power output cable 300, and be not connected with ultrasonic cutter head 150, to connect the interlock circuit of high frequency surgery pattern, thus can be evapotranspired the operations such as cutting by procedures electrode 162 pairs of biological tissues.
In a specific embodiment, Fig. 3 shows the connection diagram of high frequency operation electrode connector 160, as shown in Figure 3, syndeton 131 can be jack, when high frequency operation electrode connector 160 is installed on syndeton 131, external electrode 164 inserts in jack, contacts with the high frequency power output cable 300 in jack.Thus, when installing high frequency operation electrode connector 160, procedures electrode 162 is connected with the heart yearn of high frequency power output cable 300 by metal contiguous block 163, external electrode 164, thus can carry high frequency power signal to procedures electrode 162.
Different operation demands needs to use different procedures electrodes.Procedures electrode 162 in high frequency operation electrode connector 160 can be sphere pole, ring electrode, needle electrode, sickle shaped electrode, twolip knife-like electrode or sharp knife shape electrode, to tackle different operation demands.
In an embodiment of the application, handle 100 can be straight type, also can be curved, as shown in Figure 1, the axis of handle 100 is arranged on the position of the axis departing from procedures electrode 162 (or ultrasonic cutter head 150), and departure degree meets the following conditions: the finger holding the doctor of handle 100 can not stop along the axis of procedures electrode 162 (or ultrasonic cutter head 150) from the sight line of the operation end of first end 120 unilateral observation procedures electrode 162 (or ultrasonic cutter head 150).Curved handle can ensure that the visual field of doctor in operation process is not subject to the stop of handle and affects.Meanwhile, the diameter of curved handle second end 130 can be less than the diameter of first end 120, can ensure that the doctor visual field is unaffected further.Curved design, needs to arrange a union joint 112 at crooked position.
In addition, anti-skidding and deformation process that is anti-rotation can be carried out in handle 100 outside, to facilitate doctor to hold, prevents handle 100 to take up a job as a doctor landing in green hand.
In one embodiment, as shown in Figure 1, the shell 110 of handle 100 is externally connected to perfusion pipeline 180, passes into handle 100 inner, and perfusion pipeline 180 is for pouring into the liquid needed for operation to operative region.Can perfusion fluid by perfusion pipeline 180, as normal saline etc., this liquid to operative region, realizes cleaning or cooling via handle inner spatial flow.As shown in Figure 1, perfusion pipeline 180 can be passed into handle 100 in the position near the second end 130 inner.
In one embodiment, the side, position of insulation crust 161 inserting procedures electrode 162 can be provided with through hole, and this through hole is for providing pouring liquid to the passage of operative region.Particularly, one or more through hole can be set, such as, two through holes can be symmetrical arranged on procedures electrode 162 both sides.When using high frequency surgery pattern to perform the operation, by the liquid of perfusion pipeline drip, operative region can be flow into via this through hole, to reduce electrode and tissue temperature, avoiding electrode overheating to produce adhesion with tissue.
In one embodiment, handle 100 inside arranges aspiration 190, aspiration 190 extends to the second end 130 by first end 120, and be positioned at ultrasonic transducer 140 and ultrasonic cutter head 150 inside, for the lesion tissue pulverized in operation process and/or residual liquid being taken away under supersonic operation pattern.
As shown in Figure 1, the first end 120 of handle 100 can be provided with gland 111, and gland 111 is provided with multiple hole, for being inserted into handle 100 inside for high frequency power output cable 300, ultrasonic power output cable 200, aspiration 190.The gland 111 of the present embodiment can avoid cable winding to disturb mutually, can provide the passage of access aspiration 190, the lesion tissue of pulverizing and/or residual liquid to be taken away simultaneously.
This utility model embodiment still provides a kind of operation control system, and as shown in Figure 4, this operation control system comprises: control appliance 400, ultrasonic power output cable 200, high frequency power output cable 300 and handle 100.Handle 100 be any one described in above-described embodiment for operating handle, handle 100 is connected to control appliance 400 by ultrasonic power output cable 200 and high frequency power output cable 300.Control appliance 400 for exporting the power signal of supersonic frequency under supersonic operation pattern, and exports high frequency power signals under high frequency surgery pattern.Wherein, the ultrasonic transducer 140 in the power signal driving handle 100 of above-mentioned supersonic frequency produces ultrasonic mechanical vibration, realizes ultrasonic emulsification; Above-mentioned high frequency power signals realizes the cutting process of evapotranspiring to biological tissue by the procedures electrode be arranged on handle.
Above-mentioned operation control system, by ultrasonic emulsification and suction function, evapotranspiring to cut and solidify function integrates, a surgical apparatus realizes, different surgical environments can be adapted to, and the tumor of excision differing texture, without the need to changing surgical apparatus in operation process, operation can be completed more efficiently and accurately.
In one embodiment, as shown in Figure 5, above-mentioned operation control system can also comprise: perfusion device 500, be connected with the perfusion pipeline 180 of control appliance 400 and handle 100 outside, for under the control of control appliance 400, the liquid of perfusion is provided, wherein, the speed of perfusion can be regulated by control appliance 400.
In one embodiment, above-mentioned operation control system can also comprise: aspirator 600, be connected with the aspiration 190 in control appliance 400 and handle 100, for under the control of control appliance 400, the lesion tissue providing suction to pulverize and/or the suction of residual liquid, wherein, the suction of suction can be regulated by control appliance 400.
Above-mentioned operation control system can also comprise foot switch 700, and foot switch 700 is connected to control appliance 400 by cable, and foot switch 700 comprises: switch key and control key.Wherein, switch key is for switching supersonic operation pattern and high frequency surgery pattern; Control key is used under described supersonic operation pattern, control the output of ultrasonic power and the use of debridement function, and under described high frequency surgery pattern, controls the output of high frequency power and solidify the use of function.
In actual applications, foot switch can comprise: two major keys (i.e. control key) and a switch key.Switch key is responsible for switching supersonic operation pattern and high frequency surgery pattern, and control key is used under current procedure pattern, carry out corresponding control.Concrete, under supersonic operation pattern, two major keys are used for controlling ultrasonic output, and now high frequency output does not start, and such as, tramples a major key, carries out debridement treatment to surgical wound surface, trample another major key, carry out Ultrasonic Pulverization.Under high frequency surgery pattern, two major keys are used for controlling the output of high frequency, and now ultrasonic output does not start, and such as, a major key is used for control and cuts, and another major key is used for control and solidifies.Like this when the function of operative model and the current use of handle is inconsistent, can not the function of starting handle, in order to avoid damage patient, prevent misuse.
In actual applications, ultrasonic power output cable 200 and high frequency power output cable 300 can make two cables, also can make a cable.(namely ultrasonic emulsification and suction function is used) under supersonic operation pattern, need to use aspirator and perfusion device, (namely use and evapotranspire cutting and solidify function) under high frequency surgery pattern, owing to organizing vaporization of evapotranspiring, only can use perfusion device.
Above-mentioned operation control system had both been applicable to conventional highfrequency electric knife (operating frequency is generally 300 to 500kHz), also (operating frequency is higher than 5MHz to be applicable to high frequency electromagnetic knife, such as 13.56MHz), if use conventional highfrequency electric knife, then need to arrange pole plate, if use high frequency electromagnetic knife, then without the need to arranging pole plate.High frequency electromagnetic knife has had very large upgrading on conventional highfrequency electric knife, has the excellent vaporizing property that evapotranspires, does not have high-power electric current to flow through in body, eliminate pole plate, and little to the hot injury of surrounding tissue, is suitable for the Minimally Invasive Surgery of the sensitizing range such as brain, spinal column.
Below to apply high frequency electromagnetic knife, the structure of control appliance 400 is described.Following used, term " unit " or " module " to realize the software of predetermined function and/or the combination of hardware.Although the system described by following examples preferably realizes with software, hardware, or the realization of the combination of software and hardware also may and conceived.
The structured flowchart of control appliance 400 as shown in Figure 6, comprise: power supply 401, high frequency unit (comprising high-frequency signal source and power amplifier module 402, output module 403), ultrasound unit (comprising ultrasonic generator 404, ultrasonic power amplification module 405), high frequency power feedback unit 406, ultrasonic power follow the tracks of and frequency modulation unit 407, CPU408, manual control unit 409 (operation push-button such as, on control appliance panel) and display unit 410.
Power output part (as shown in solid line boxes in figure) comprising: power supply 401, high frequency unit and ultrasound unit.Power supply 401 is powered for giving control appliance 400.High-frequency signal source and power amplifier module 402 are mainly used in exporting high frequency power signals and carrying out power amplification, and output module 403 is mainly used in the impedance matching with equivalent load.Ultrasonic generator 404 and ultrasonic power amplification module 405 mainly for generation of supersonic frequency power signal and carry out power amplification, wherein also contains and impedance matching circuit between ultrasonic transducer.
High frequency power feedback unit 406 carries out invariable power feedback to the high frequency power exported, to press the power needed for setting value output, improve the output change constant power instability problem that different due to tissue load 800 or in operation process change causes, in order to avoid affect surgical effect.
Ultrasonic power tracking and frequency modulation unit 407 gather the output current signal of ultrasonic power amplification module, and make output current reach maximum by the ultrasonic frequency of fine setting, ensure that ultrasonic transducer is operated in the mode of resonance with load, enable electric energy convert ultrasonic energy to efficiently, ensure best ultrasonic therapeutic effect.
CPU408 mainly controls size that high frequency electromagnetic energy and ultrasonic energy export and time, the size of perfusion flow and start-stop, the size of captivation and start-stop.It can show each controling parameters by display unit 410, and carried out the setting of various parameter by the operation push-button on panel by operator, by foot switch 700 (control appliance 400 can be connected to by cable) control high frequency electromagnetic energy and ultrasonic energy output and with perfusion, the coordinating of suction function.In actual use, doctor is by the button on control appliance panel and built-in software system, function that selection will use (ultrasonic emulsification and suction function or evapotranspire cutting and solidify function) and different operation parameters is set, start or stop different functions by foot switch 700.Display unit 410 is for showing various equipment operation information and providing the interface of man-machine interaction.
Aspirator 600 can provide the suction carrying out aspirating, to take lesion tissue and residual liquid away.Perfusion device 500 under different operative model, can provide medicinal liquid, carries out cleaning or lowering the temperature.Aspirator 600 and perfusion device 500 all can be connected to control appliance 400 by cable.
Handle 100 (comprising portion of the handle 101, ultrasonic cutter head 150 and procedures electrode 162) is the real execution unit of whole surgery systems, makes handle 100 realize different surgical functions by control appliance 400.
If need the ultrasonic emulsification function of use equipment in operation, doctor is arranged system by button, such as, arranges the power ratio etc. of the output of equipment, perfusion rate and flow, suction, arranges result and show by display unit.After setting up parameters, undertaken opening and shut-down operation by foot switch.When stepping on foot switch, ultrasonic generator can produce the voltage mated with parameters, voltage passes through power amplification, be loaded on ultrasonic transducer, electrical power is converted to mechanical vibration power vertically by ultrasonic transducer, vibration can pass on ultrasonic cutter head by ultrasonic transducer and union joint, thus produce one with frequently and through the vibration of Amplitude amplification at ultrasound knife cephalic par.Vibration is carried in lesion tissue, pulverizes tissue.After tissue is to a certain degree pulverized, the load of its equivalence can produce certain change, makes the duty of ultrasonic transducer off-target, and the output current of ultrasonic power amplification module diminishes simultaneously.Now, ultrasonic power is followed the tracks of and frequency modulation unit automatic fine tuning output frequency, make ultrasonic transducer again with change after load matched, export the ultrasonic power of setting, reach and start the same to organize crushing effect, and adapt to, in the process of equivalent load change, complete with more constant therapeutic effect and treat the emulsifying of focus this constantly adjusting frequency.Meanwhile, the liquid that pulverized tissue and perfusion device provide forms emulsion, is sucked device and is taken away by the aspiration in the middle of handle.
If run into harder lesion tissue in operation process, need use evapotranspire cutting function time, at handle head, high frequency operation electrode connector is installed, function and the parameter of high frequency electric knife are set by operation push-button, evapotranspire by foot switch unlatching and stopping and cutting or coagulation function.After high frequency electric knife function is opened, high-frequency signal source and power amplifier module can produce the high frequency power signals of a predetermined power, are carried on the high frequency operation electrode on handle, realize the cutting of evapotranspiring to lesion tissue.Along with the qualitative change of lesion tissue, its equiva lent impedance can change, and the equivalent output powers of output module is changed.High frequency power feedback unit detects the change of equivalent output powers automatically, and adjusts the output of output module, makes equivalent output powers reach setting value, and the effect that keeping evapotranspires cuts and load change front consistent.
In sum, this utility model provides a kind of the novel operation handle and the operation control system that integrate ultrasonic therapeutic and high frequency electrosurgical, be applicable to the soft operation of excising with hard lesion tissue of human body simultaneously, a handle has merged the dual-use function of high frequency electric knife and ultrasonic aspirator, namely there is the function of evapotranspire vaporization cutting and Ultrasonic Pulverization emulsifying simultaneously, and structure is simple, easy and simple to handle.
In the description of this description, specific features, structure, material or feature that the description of reference term " embodiment ", " some embodiments ", " example ", " concrete example " or " some examples " etc. means to describe in conjunction with this embodiment or example are contained at least one embodiment of the present utility model or example.In this manual, identical embodiment or example are not necessarily referred to the schematic representation of above-mentioned term.And the specific features of description, structure, material or feature can combine in an appropriate manner in any one or more embodiment or example.
Above-described specific embodiment; the purpose of this utility model, technical scheme and beneficial effect are further described; be understood that; the foregoing is only specific embodiment of the utility model; and be not used in restriction protection domain of the present utility model; all within spirit of the present utility model and principle, any amendment made, equivalent replacement, improvement etc., all should be included within protection domain of the present utility model.

Claims (11)

1. for an operating handle, it is characterized in that, described handle comprises a shell, and ultrasonic power output cable and high frequency power output cable are linked into described handle inner by the first end of described handle; Described high frequency power output cable extends to the second end of described handle by described first end;
Described handle inner arranges a ultrasonic transducer, and the electrical connection terminal of described ultrasonic transducer is connected to described ultrasonic power output cable, and mechanical connection end is connected to ultrasonic cutter head, and described ultrasound knife head part is exposed to described second end;
Described second end has syndeton, for installing dismountable high frequency operation electrode connector.
2. according to claim 1ly it is characterized in that for operating handle, described high frequency operation electrode connector comprises: insulation crust, procedures electrode, metal contiguous block and external electrode;
Wherein, described procedures electrode inserts described insulation crust by one end of described high frequency operation electrode connector, and part is exposed to described insulation crust;
It is inner that described metal contiguous block is placed in described insulation crust, and one end of described metal contiguous block is connected with described external electrode, and the other end is connected with described procedures electrode;
Described external electrode is exposed to described insulation crust from the offside of described procedures electrode, and when described high frequency operation electrode connector is installed on described syndeton, described external electrode contacts with described high frequency power output cable.
3. according to claim 2 for operating handle, it is characterized in that, described syndeton is jack, when described high frequency operation electrode connector is installed on described syndeton, described external electrode inserts in described jack, contacts with the described high frequency power output cable in described jack.
4. according to claim 2ly it is characterized in that for operating handle, described procedures electrode comprises: sphere pole, ring electrode, needle electrode, sickle shaped electrode, twolip knife-like electrode or sharp knife shape electrode.
5. according to claim 1ly it is characterized in that for operating handle, the housing exterior of described handle is connected with perfusion pipeline, passes into described handle inner, and described perfusion pipeline is used for the liquid needed for operative region perfusion operation.
6. according to claim 2ly it is characterized in that for operating handle, the side, position of described insulation crust inserting described procedures electrode is provided with through hole, and described through hole is for providing pouring liquid to the passage of operative region.
7. according to claim 1 for operating handle, it is characterized in that, described handle inner arranges aspiration, described aspiration extends to described second end by described first end, and be positioned at described ultrasonic transducer and described ultrasonic cutter head inside, for the lesion tissue pulverized in operation process and/or residual liquid being taken away under supersonic operation pattern.
8. an operation control system, is characterized in that, comprising: control appliance, ultrasonic power output cable, high frequency power output cable and hands handle;
Wherein, described handle be according to any one of claim 1 to 7 for operating handle, described handle is connected to described control appliance by described ultrasonic power output cable and described high frequency power output cable;
Described control appliance, for exporting the power signal of supersonic frequency under supersonic operation pattern, and exports the high frequency power signals needed for operation under high frequency surgery pattern; Wherein, the power signal of described supersonic frequency is transformed to ultrasonic mechanical vibration by the ultrasonic transducer in described handle, produces emulsifying and excision effect to biological tissue; Described high frequency power signals to be evapotranspired cutting process to biological tissue by procedures electrode that described handle is installed.
9. operation control system according to claim 8, is characterized in that, described operation control system also comprises:
Perfusion device, is connected with the perfusion pipeline of described control appliance and described handle outer, under the control of described control appliance, provides the liquid of perfusion.
10. operation control system according to claim 8 or claim 9, it is characterized in that, described operation control system also comprises:
Aspirator, is connected with the aspiration in described control appliance and described handle, under the control of described control appliance, and the lesion tissue providing suction to pulverize and/or the suction of residual liquid.
11. operation control system according to claim 8, is characterized in that, described operation control system also comprises foot switch, and described foot switch is connected to described control appliance by cable, and described foot switch comprises: switch key and control key;
Described switch key is for switching described supersonic operation pattern and described high frequency surgery pattern;
Described control key is used under described supersonic operation pattern, control the output of ultrasonic power and the use of debridement function, and under described high frequency surgery pattern, controls the output of high frequency power and solidify the use of function.
CN201520849199.5U 2015-10-28 2015-10-28 A handle and operation control system for surgery operation Withdrawn - After Issue CN205198132U (en)

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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105832405A (en) * 2015-10-28 2016-08-10 安进医疗科技(北京)有限公司 Handle used for surgery and surgery control system
WO2018028375A1 (en) * 2016-08-08 2018-02-15 江苏水木天蓬科技有限公司 Ultrasonic scalpel handle
CN109700505A (en) * 2019-03-07 2019-05-03 上海科朋生物科技有限公司 A kind of surgical ultrasonic handle
WO2020114341A1 (en) * 2018-12-05 2020-06-11 上海逸思医疗科技有限公司 Electrosurgical generator and electrosurgical system with variable frequency output

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105832405A (en) * 2015-10-28 2016-08-10 安进医疗科技(北京)有限公司 Handle used for surgery and surgery control system
CN105832405B (en) * 2015-10-28 2018-09-07 安进医疗科技(北京)有限公司 Handle and operation control system for surgical operation
WO2018028375A1 (en) * 2016-08-08 2018-02-15 江苏水木天蓬科技有限公司 Ultrasonic scalpel handle
WO2020114341A1 (en) * 2018-12-05 2020-06-11 上海逸思医疗科技有限公司 Electrosurgical generator and electrosurgical system with variable frequency output
CN109700505A (en) * 2019-03-07 2019-05-03 上海科朋生物科技有限公司 A kind of surgical ultrasonic handle

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