CN205339112U - Special bipolar electrotome of mucosa excision and contain its high frequency operation ware under soft lens - Google Patents

Special bipolar electrotome of mucosa excision and contain its high frequency operation ware under soft lens Download PDF

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Publication number
CN205339112U
CN205339112U CN201620035093.6U CN201620035093U CN205339112U CN 205339112 U CN205339112 U CN 205339112U CN 201620035093 U CN201620035093 U CN 201620035093U CN 205339112 U CN205339112 U CN 205339112U
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negative electrode
soft lens
electrode
electric knife
anelectrode
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蔡长春
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Abstract

The utility model discloses a special bipolar electrotome of mucosa excision under the soft lens, it includes the outer tube and establishes wire in the outer tube, and the wire is extending an end -to -end connection electrode of outer tube, the electrode for the two -way electrode structure including positive electrode and negative electrode. The utility model discloses a bipolar electrotome mode be through two -way electrode two pointed ends to the organism tissue provide high frequency electric can, make the blood vessel dehydration between the bipolar both ends and solidify, reach the hemostasis purpose, reach the cutting purpose through the cytoplasm vaporization. Its decisive range is only limited to between the positive and negative electrode both ends, and is much little more than the monopole mode to the damage degree and the influence scope of organism tissue, can obviously reduce and bleed and fenestrate incidence. The utility model relates to a bipolar electrotome of saying through the soft lens pincers makes soft lens treatment scope wider, and efficiency is higher, and the risk is littleer.

Description

The special bipolar electric knife of mucosa resection and comprise its high frequency electro surgical unit under soft lens
Technical field
This utility model relates to field of medical technology, is specifically related to a kind of medical apparatus and instruments, particularly to the special bipolar electric knife of mucosa resection under a kind of soft lens.
Background technology
In soft lens, mucosa resection technology all applies Single-pole electric knife: if IT cutter, Hook cutter, triangular knife etc. are all the main tool of soft lens technology such as ESD, ESE, STER.But it has been observed that perforation and hemorrhage be the main complication of above technology and failed reason.Cause above reason to be because Single-pole electric knife and there is design defect: Single-pole electric knife is with electric knife for a pole, and the tissue of contact and health are another pole carrier;Require electric knife pole necessary pin-point accuracy when contact tissue after energising, otherwise there will be resection organization and cross shallow and cross deep phenomenon, excise especially for digestive tract tissue adherence or submucous tissue and perforated phenomenon easily occurs.Owing to being used for organizing cutting to need TURP pattern, coagulation pattern need to be used for blood vessel cutting, therefore, often have coagulation and TURP separately in Single-pole electric knife is applied or mixing applicable cases.Due to tissue and microvascular tissue mixing extremely difficult resolution, therefore there is the arterial vascular risk of TURP when electricity cutting tissue, what cause occurring being difficult to stopping is hemorrhage.It addition, when coagulation vascular time is long, digestive canal wall coagulation necrosis around can be caused, and then brings out Delayed onset perforation and hemorrhage.In order to reduce hemorrhage and perforation accident, usually applying water cushion technology clinically, namely under mucosa, a small amount of hypertonic saline of open texture pad is with chorista spacing, although this measure decreases complication to a certain extent;But still have the incidence rate of up to 20-40% complication.
In monopolar mode, cutting and solidified structure with a complete circuit, this circuit is made up of the high frequency generator in high frequency electric knife, patient's pole plate, in succession wire and electrode.In most application, electric current is by active wires and electrode traverse patient, then is returned the generator of high frequency electric knife by patient's pole plate and wire thereof.So perforation very easily occurring when the very thin tissues such as cutting hollow organ such as gastrointestinal mucous membrane of esophagus usually occur, in order to avoid perforation application cutting current very easily injured blood vessel causes hemorrhage.Patient's pole plate in single-pole device contacted not at that time, may result in the side effect burnt in contact area.
Therefore, when prior art, in order to reduce the problem of operating difficulty and the incidence rate reducing the complication such as hemorrhage and perforation, this utility model comes therefrom.
Utility model content
The Single-pole electric knife that technical problem to be solved in the utility model is the soft lens overcoming prior art also exists the hemorrhage risk waiting severe complication of perforation, it is provided that a kind of various types of bipolar electric knife clamping road feature suitable in soft lens.
For solving the technical problem of above-mentioned first aspect, this utility model provides the special bipolar electric knife of mucosa resection under a kind of soft lens, it includes trocar sheath and the wire being located in described trocar sheath, and described wire connects electrode at the end extending trocar sheath, it is characterized in that, described electrode is the bipolar electrode structure including anelectrode and negative electrode.
In the preferred technical scheme of this utility model, between described anelectrode and negative electrode, it is not provided with attachment structure.
In the preferred technical scheme of this utility model, negative electrode one end of described bipolar electrode structure is perpendicular straight configuration, and its another end connects wire and is connected to the negative pole of power supply via trocar sheath;Described positive electricity is extremely located at arc or the annular of the suitable radius distance in negative electrode periphery, and its two end connects wire respectively and is connected to the positive pole of power supply via trocar sheath.
In the preferred technical scheme of this utility model, anelectrode and the negative electrode of described bipolar electrode structure are positioned at approximately the same plane.
In the preferred technical scheme of this utility model, connected by covered wire between described anelectrode and negative electrode.
In the preferred technical scheme of this utility model, the linear structure that described anelectrode and negative electricity are extremely parallel to each other, one end of described anelectrode and negative electrode is connected with described covered wire respectively, and their other end connects wire respectively and is connected to the both positive and negative polarity of power supply via trocar sheath.
In the preferred technical scheme of this utility model, described anelectrode and negative electrode are formed as plow-shape structure, and one end of described anelectrode and negative electrode is connected with described covered wire respectively, and their other end wire respectively is connected to the both positive and negative polarity of power supply via trocar sheath.
In the preferred technical scheme of this utility model, in described anelectrode and negative electrode are generally aligned in the same plane.
In the preferred technical scheme of this utility model, described anelectrode and negative electrode are not in same plane, for dissymmetrical structure.
Second aspect of the present utility model provides a kind of high frequency electro surgical unit being provided with above-mentioned bipolar electric knife.
Described operating theater instruments includes the soft lens such as the high frequency electric knife of gastroscope, intestinal mirror, enteroscope, duodenoscope, ureteroscope, cystoscope, bronchoscope etc..
Bipolar electric cutting die formula of the present utility model is to provide high-frequency electrical energy by two tips of bipolar electrode (structure electrode such as needle electrode, tweezers or shears) to body tissue, the blood vessel dehydration between bipolar two ends is made to solidify, reach hemostasis purpose, arrive cutting purpose by Cytoplasm vaporization;Its sphere of action is only limited between positive and negative electrode two ends, and degree of injury and coverage to body tissue are much smaller more than unipolar fashion, it is possible to significantly reduce hemorrhage and perforation incidence rate.The bipolar electric knife that this utility model design clamps road by soft lens makes soft lens therapeutic domain wider, and in hgher efficiency, risk is less.
The bipolar electric knife of this utility model is for mucosa resection treatment under soft lens (such as soft lens such as gastroscope, intestinal mirror, enteroscope, ureteroscope, bronchoscopies).Compared with existing Single-pole electric knife technology, this utility model is created has significantly hemorrhage, punching rate minimizing, advantage simple to operate when hollow organ mucosas such as resection cavity shape organ such as stomach, intestinal, esophagus, uterus, vagina, bladders.
Accompanying drawing explanation
Fig. 1 is an embodiment schematic diagram of the bipolar electric knife of this utility model.
Fig. 2 is the another embodiment schematic diagram of the bipolar electric knife of this utility model.
The another embodiment schematic diagram of the bipolar electric knife of Fig. 3 this utility model.
Another embodiment schematic diagram of the bipolar electric knife of Fig. 4 this utility model.
One embodiment schematic diagram of the bipolar electric knife of Fig. 5 this utility model.
Fig. 6 is the left view of Fig. 5.
Wherein, 1 is anelectrode, and 2 is negative electrode, and 3 is anelectrode wire, and 4 is negative electrode wire, and 5 is trocar sheath, and 6 is covered wire.
Detailed description of the invention:
For being further appreciated by this utility model, below in conjunction with specific embodiment, this utility model preferred version is described, it is understood that these describe simply as further illustrating feature and advantage of the present utility model, rather than the restriction to this utility model claim.
Embodiment 1
An embodiment of the special bipolar electric knife of mucosa resection under of the present utility model a kind of soft lens as shown in Figure 1, it includes trocar sheath 5 and the wire being located in described trocar sheath 5, and wire connects electrode at the end extending trocar sheath 5, described electrode is the bipolar electrode structure including anelectrode 1 and negative electrode 2, and in the present embodiment, it is not provided with connecting line between anelectrode 1 and negative electrode 2, and negative electrode 2 one end of bipolar electrode structure is perpendicular straight configuration, its another end connects negative electrode wire 4 and is connected to the negative pole of power supply via trocar sheath 5;Anelectrode 1 is the arcuate structure being located at the suitable radius distance in negative electrode 2 periphery, and its two end connects anelectrode wire 3 respectively and is connected to the positive pole of power supply via trocar sheath 5, and anelectrode and negative electrode are positioned at approximately the same plane.
Embodiment 2
An embodiment of the special bipolar electric knife of mucosa resection under of the present utility model a kind of soft lens as shown in Figure 2, it includes trocar sheath 5 and the wire being located in described trocar sheath 5, and wire connects electrode at the end extending trocar sheath 5, described electrode is the bipolar electrode structure including anelectrode 1 and negative electrode 2, and in the present embodiment, it is not provided with connecting line between anelectrode 1 and negative electrode 2, and negative electrode 2 one end of bipolar electrode structure is perpendicular straight configuration, its another end connects negative electrode wire 4 and is connected to the negative pole of power supply via trocar sheath 5;Anelectrode 1 is the annular being located at the suitable radius distance in negative electrode 2 periphery, and its two end connects anelectrode wire 3 respectively and is connected to the positive pole of power supply, anelectrode 1 and negative electrode 2 via trocar sheath 5 and is positioned at approximately the same plane.
Embodiment 3
The another embodiment of the special bipolar electric knife of mucosa resection under of the present utility model a kind of soft lens as shown in Figure 3, it includes trocar sheath 5 and the wire being located in described trocar sheath 5, and wire connects electrode at the end extending trocar sheath 5, described electrode is the bipolar electrode structure including anelectrode 1 and negative electrode 2, and in the present embodiment, connected by covered wire 6 between anelectrode 1 and negative electrode 2, anelectrode 1 and negative electrode 2 are linear structure parallel to each other, and in being generally aligned in the same plane, one end of anelectrode 1 and negative electrode 2 is connected with covered wire 6 respectively, their other end connects respective wire respectively and is connected to the both positive and negative polarity of power supply via trocar sheath.
Embodiment 4
The another embodiment of the special bipolar electric knife of mucosa resection under of the present utility model a kind of soft lens as shown in Figure 4, it includes trocar sheath 5 and the wire being located in described trocar sheath 5, and wire connects electrode at the end extending trocar sheath 5, described electrode is the bipolar electrode structure including anelectrode 1 and negative electrode 2, connected by covered wire 6 between anelectrode 1 and negative electrode 2, anelectrode 1 and negative electrode 2 are formed as plow-shape structure, and in being generally aligned in the same plane, one end of anelectrode 1 and negative electrode 2 is connected with described covered wire 6 respectively, their other end wire respectively is connected to the both positive and negative polarity of power supply via trocar sheath.
Embodiment 5
The another embodiment of the special bipolar electric knife of mucosa resection under of the present utility model a kind of soft lens as shown in Figure 5, it includes trocar sheath 5 and the wire being located in described trocar sheath 5, and wire connects electrode at the end extending trocar sheath 5, described electrode is the bipolar electrode structure including anelectrode 1 and negative electrode 2, connected by covered wire 6 between anelectrode 1 and negative electrode 2, described anelectrode 1 and negative electrode 2 are not in same plane, for dissymmetrical structure, as shown in the left view of Fig. 6.
Technology contents of the present utility model and technical characteristic have revealed that as above; but those of ordinary skill in the art are still potentially based on teaching of the present utility model and announcement and do all replacements without departing substantially from this utility model spirit and modification; therefore; this utility model protection domain should be not limited to the content that embodiment is disclosed; and should include various without departing substantially from replacement of the present utility model and modification, and contained by present patent application claim.

Claims (10)

1. the special bipolar electric knife of mucosa resection under a soft lens, it includes trocar sheath and the wire being located in described trocar sheath, and described wire connects electrode at the end extending trocar sheath, it is characterised in that described electrode is the bipolar electrode structure including anelectrode and negative electrode.
2. the special bipolar electric knife of mucosa resection under soft lens according to claim 1, it is characterised in that be not provided with attachment structure between described anelectrode and negative electrode.
3. the special bipolar electric knife of mucosa resection under soft lens according to claim 1 and 2, it is characterised in that negative electrode one end of described bipolar electrode structure is perpendicular straight configuration, and its another end connects wire and is connected to the negative pole of power supply via trocar sheath;Described positive electricity is extremely located at arc or annular, the straight of the suitable radius distance in negative electrode periphery, and its two end connects wire respectively and is connected to the positive pole of power supply via trocar sheath.
4. the special bipolar electric knife of mucosa resection under soft lens according to claim 3, it is characterised in that the anelectrode of described bipolar electrode structure and negative electrode are positioned at approximately the same plane or are not same plane.
5. the special bipolar electric knife of mucosa resection under soft lens according to claim 1, it is characterised in that connected by covered wire between described anelectrode and negative electrode.
6. the special bipolar electric knife of mucosa resection under soft lens according to claim 5, it is characterized in that, the linear structure that described anelectrode and negative electricity are extremely parallel to each other, one end of described anelectrode and negative electrode is connected with described covered wire respectively, and their other end connects wire respectively and is connected to the both positive and negative polarity of power supply via trocar sheath.
7. the special bipolar electric knife of mucosa resection under soft lens according to claim 5, it is characterized in that, described anelectrode and negative electrode are formed as plow-shape structure, and one end of described anelectrode and negative electrode is connected with described covered wire respectively, their other end wire respectively is connected to the both positive and negative polarity of power supply via trocar sheath.
8. the special bipolar electric knife of mucosa resection under the soft lens according to claim 6 or 7, it is characterised in that in described anelectrode and negative electrode are generally aligned in the same plane.
9. the special bipolar electric knife of mucosa resection under soft lens according to claim 1, it is characterised in that described anelectrode and negative electrode are not in same plane, for dissymmetrical structure.
10. the high frequency electro surgical unit being provided with above-mentioned bipolar electric knife, it is characterised in that it includes just like the special bipolar electric knife of mucosa resection under the soft lens described in any one of claim 1-9.
CN201620035093.6U 2016-01-14 2016-01-14 Special bipolar electrotome of mucosa excision and contain its high frequency operation ware under soft lens Active CN205339112U (en)

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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105686879A (en) * 2016-01-14 2016-06-22 蔡长春 Soft lenses mucous membrane resection special-purpose bipolar electrotome and high frequency surgical instrument having same
CN107456272A (en) * 2017-09-28 2017-12-12 成都美创医疗科技股份有限公司 A kind of plasma external piles scalpel

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105686879A (en) * 2016-01-14 2016-06-22 蔡长春 Soft lenses mucous membrane resection special-purpose bipolar electrotome and high frequency surgical instrument having same
CN107456272A (en) * 2017-09-28 2017-12-12 成都美创医疗科技股份有限公司 A kind of plasma external piles scalpel

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