CN205964150U - Bipolar coagulation electric knife - Google Patents

Bipolar coagulation electric knife Download PDF

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Publication number
CN205964150U
CN205964150U CN201521116439.7U CN201521116439U CN205964150U CN 205964150 U CN205964150 U CN 205964150U CN 201521116439 U CN201521116439 U CN 201521116439U CN 205964150 U CN205964150 U CN 205964150U
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China
Prior art keywords
cutter head
spanner
pole cutter
tool bit
outer tube
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CN201521116439.7U
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Chinese (zh)
Inventor
刘春晓
林敏�
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Simai Co Ltd
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Simai Co Ltd
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Abstract

The utility model provides a bipolar coagulation electric knife, it includes tool bit subassembly, pull rod, outer tube and handle components, the overcoat is established and is insulating each other in pull rod and the outer tube, and the two connects high frequency energy source through the duplex wire respectively, the tool bit subassembly including effect utmost point tool bit, return circuit utmost point tool bit, return circuit utmost point tool bit insulating part, set up in middle insulating part between the cross section of effect utmost point tool bit and return circuit utmost point tool bit, handle components including the fixed handle that sets up with can be for handle wobbling spanner, the mode that return circuit utmost point tool bit insulating part can insulate when extremely the tool bit is closed with effect utmost point tool bit and return circuit is each other installed on the utmost point tool bit of return circuit, return circuit utmost point tool bit and outer union coupling, effect utmost point tool bit is connected to the spanner through the pull rod, thus the swing through the spanner makes extremely the the opening and shutting of tool bit of the relative displacement realization effect that produces utmost point tool bit and return circuit between pull rod and the outer tube. The utility model discloses can save operation time so that the operation in -process need not frequently to change with fixed attention electricly and the apparatus is cut to the electricity.

Description

A kind of bipolar coagulation electric knife
Technical field
This utility model is related to high frequency electrosurgical equipment, especially a kind of high-frequency bipolar closing of cutting knife, this utility model It is available for the tissue bundle of closing of cutting vascular, lymphatic vessel and suitable electrode jaw size in clinical departments application Rhizoma Atractylodis Macrocephalae.This apparatus warp Special design can be used for the tissue in hysteroscope and open surgery and vascular closing of cutting.
Background technology
At present, one pole high frequency electric knife is cut to tissue and blood coagulation using circuit, and this circuit is by high frequency electric knife High frequency generator and amplifier, patient, connecting wire and electrode composition.In most applications, using active wire and electrode Electric current is exported operative site, patient is also served as an electrode of path by this kind of one pole cutting mode, easily non-to patient Lesion portion applies excessive high-frequency energy, brings extra injury to patient.Bipolar high frequency electric knife generally adopts a pair of tongs Or the two ends of scissors are as the two poles of the earth, as the effect pole in one pole high frequency electric knife and loop pole, the electric current of high frequency electric knife is defined In a small amount of tissue in pliers direct effect region.Bipolar high frequency electric knife is mainly used to carry out blood coagulation to microscopic structure.
Utility model patent CN 102178559 discloses a kind of high-frequency bipolar closed cutting forceps, and it is provided simultaneously with blood coagulation and cuts Cut the function of tissue.Binding clip ingredient has the first closure binding clip, the second closure binding clip and telescopic blade, and handle portion has Two spanners, correspond to blood coagulation and the function of cutting tissue respectively.When promoting blood coagulation spanner, the first closure binding clip and second closes Binding clip closes, and realizes bleeding tissue or the solidifying of blood vessel are closed.When promoting cutting spanner, the telescopic blade of binding clip is to reach Dynamic, realize the cutting to tissue, notice that separate tissue is opened by cryoprobe sword by blade cutting action, and noenergy output.This kind of dress The advantage put be pliers realize simultaneously blood coagulation and cutting tissue function, need not in operation process frequent switching simple function Operating theater instruments.Need when being disadvantageous in that and tissue being cut first tissue to be carried out coagulating closing, then blade is released and cut Cut, first promote blood coagulation spanner, promoting cutting spanner after the completion of tissue blood coagulation prompting, whole process is comparatively laborious, and knife Piece cutting noenergy output, tissue no coagulates completely in the case of closing and promotes cutting spanner, will lead to bleeding.
Utility model patent CN 202397592 discloses a kind of disposable double-pole electric coagulation forceps, and it possesses coagulation function.Pincers Head ingredient has active clamp and fixing clamp, and handle ingredient has flexible handle and fixed handle, and working mechanism is logical Cross thumb and swing described flexible handle, pushing drawing rod is controlling the folding of binding clip.The advantage of this kind of device is that structure is simple, becomes This is advantageous.It is disadvantageous in that only coagulation function, no cutting function.While fixing, activity, controlled opens binding clip Angle is less, and handle no reset function, and long-time operation thumb is easily tired.
Utility model content
For solve prior art defect with not enough, the purpose of this utility model be provide a kind of structure simple, easy-operating, Possesses the bipolar coagulation electric knife of high reliability.
The purpose of this utility model is achieved through the following technical solutions:
A kind of bipolar coagulation electric knife, including cutter head assembly, pull bar, outer tube and Handleset;
Sheathed and mutually insulated inside and outside described pull bar and outer tube, the two connects high frequency energy source by duplex wire respectively;
Described cutter head assembly includes acting on pole cutter head, loop pole cutter head, loop pole cutter head insulating part, is arranged at described effect Intermediate insulator between the infall of pole cutter head and loop pole cutter head;
Described Handleset includes the handle being fixedly installed and the spanner that can swing with respect to handle;
Described loop pole cutter head insulating part can be pacified in the way of mutually insulated when acting on pole cutter head and loop pole cutter head closure It is loaded on the cutter head of described loop pole;Described loop pole cutter head is connected with described outer tube, and described effect pole cutter head passes through described pull bar Being connected to described spanner, making to produce relative displacement between pull bar and outer tube thus realizing described work by the swing of described spanner Folding with pole cutter head and loop pole cutter head.
Described loop pole cutter head is pivotally fixed on the end of outer tube by fixing axle;Act on pole cutter head, return Road pole cutter head and Intermediate insulator are connected by the jackshaft of isolation material, so can achieve effect pole cutter head and loop pole cutter head Isolated insulation;The end of described effect pole cutter head and described pull bar is connected by pull rod shaft.
Described Handleset also includes runner, outer pipe clamp head, draw bar chuck;Described runner its be embedded in described handle and can Around 360 ° of rotations of handle head, runner is fixed with described outer tube;Described outer pipe clamp head and described draw bar chuck elastic clamping respectively Outer tube and pull bar are fixed in described handle;Described outer tube and described pull bar are connected double respectively by outer pipe clamp head with draw bar chuck Two cores of core electrode line.
The afterbody of described pull bar is embedded in described spanner, and spanner fulcrum is located at the top of described pull bar;When spanner is around pulling During handss fulcrum swing, pull bar also moves forward and backward simultaneously, because described outer tube is fixed in described runner so that the position of outer tube Put opposite handle motionless, when pull bar swings with spanner and moves forward and backward, pull bar produces relative displacement with outer tube, thus controlling Effect pole cutter head and the folding of loop pole cutter head.
Described Handleset also includes back-moving spring, and its one end is fixed on described handle, and the other end is contacted with spanner;When During spanner swing backward, effect pole cutter head is closed with loop pole cutter head, and back-moving spring is in confined state simultaneously, unclamps spanner Afterwards, back-moving spring promotes spanner to travel forward, thus holding effect pole cutter head is in normally open with loop pole cutter head.
Preferably, described effect pole cutter head and loop pole cutter head all carry radian, and both radians are consistent, maximum deflection point and knife The distance of head centrage is 2.0~3.0mm.
Preferably, described effect pole cutter head and loop pole cutter head outer surface are coated with for preventing the plating of tissue that bonds Layer.
Preferably, described effect pole cutter head width is 1.0~1.5mm, and loop pole cutter head width is 3.0~4.5mm.
Preferably, described outer pipe clamp head and described draw bar chuck profile are splayed and carry flexible, typically select phosphor-copper Material, shell fragment thickness 0.2~0.5mm.
Preferably, the loop pole cutter head being connected with described outer tube offers groove, groove depth is 1.0~1.5mm, described The bottom of groove embeds described loop pole cutter head insulating part, and the thickness of described insulating trip is 0.5~1.0mm, the optional Teflon of material Or pottery.
Preferably, the outer surface of described pull bar and described outer tube all does insulation processing, can be selected for plated surface insullac or The mode of set isolating shrinkable tube.
With respect to prior art, the utility model has the advantage of:
Bipolar coagulation electric knife of the present utility model is provided simultaneously with coagulation and TURP function of organization, and implementation is by stepping on Export different high-frequency energies about pedal, so just simplify the cutting mode as shown in CN102178559, by stepping on It is foot-operated that to realize different high-frequency energies outputs more safe and reliable;Coagulation and TURP apparatus need not frequently be changed in operation process, Save operating time.
Tip shapes band radian of the present utility model, is conducive to observing cutter head position during surgical, it is to avoid cut by mistake.Make Thin and loop pole cutter head is thick with pole cutter head, during clamping tissue, effect pole cutter head is little with contact tissue area and loop pole cutter head and group Knit contact area big.So energy concentrates on effect pole cutter head, favourable to cutting tissue.Loop pole cutter head add collets so that Effect pole cutter head is insulated from each other when closing with loop pole cutter head, it is to avoid effect pole cutter head and loop pole cutter head directly contact after closure Lead to short circuit noenergy output in the two poles of the earth cannot cut off tissue.Machinery with the utilization retractable blade of CN 102178559 description Cutting mode is different, and TURP of the present utility model leans on high-frequency energy cutting will to be organized to separate completely, be not in because blade long when Between cannot cut off the situation of tissue using rear rust and occur.
This utility model cutter head can 360 ° of rotations, outer pipe clamp head and draw bar chuck be in splayed and have elasticity, outer pipe clamp Head and draw bar chuck are clamped outer tube respectively and are fixed in handle with pull bar afterbody, and during such cutter head rotation, outer tube is with pull bar respectively Outer pipe clamp head with draw bar chuck rotate.Outer pipe clamp head is connected twin-core electrode wires two core, high-frequency energy respectively with draw bar chuck Effect pole cutter head and loop pole cutter head are transferred to by outer pipe clamp head and draw bar chuck, realize the coagulation to tissue and cutting.
This utility model handle inner has a back-moving spring, tissue is solidifying close or cutting action after the completion of unclamp spanner, spanner from Move back and make cutter head be in normally open.
Brief description
Fig. 1 is the overall structure diagram of the bipolar coagulation electric knife of this utility model embodiment;
Fig. 2 is the cutter head assembly enlarged drawing of part A in Fig. 1;
Fig. 3 is the profile in Fig. 1 along B-B;
Fig. 4 is the use state schematic diagram of the cutter head assembly of this utility model embodiment;
Fig. 5 is the top view of the cutter head assembly of this utility model embodiment.
Specific embodiment
The present embodiment provides a kind of bipolar coagulation electric knife, and as depicted in figs. 1 and 2, it includes:
Cutter head assembly 10, pull bar 21, outer tube 22 and Handleset.
Described cutter head assembly includes acting on pole cutter head 101, loop pole cutter head 102, loop pole cutter head insulating part 103, centre Insulating part 104, fixing axle 106, jackshaft 105 and pull rod shaft 107.
Described Handleset includes handle 25, runner 30, outer pipe clamp head 23, draw bar chuck 24, spanner 26, back-moving spring 27 And twin-core electrode wires 28.
Described pull bar 21 is arranged inside described outer tube 22, and described outer tube 22 is fixing with described runner 30, and pull bar 21 can be lived Dynamic, pull bar 21 and outer tube 22 outer surface all have insulating barrier, prevent both from climbing electricity in a high voltage state.
Loop pole cutter head 102 is fixed on outer tube 22 by fixing axle 106, and loop pole cutter head 102 can rotate around fixing axle 106. Jackshaft 105 interconnection function pole cutter head 101, loop pole cutter head 102 and Intermediate insulator 104, jackshaft 105 is ceramic material, So can achieve the isolated insulation of effect pole cutter head 101 and loop pole cutter head 102.Pull rod shaft 107 interconnection function pole cutter head 101 with Pull bar 21.When pull bar 21 occurs relative displacement with outer tube 22, effect pole cutter head 101 and loop pole cutter head 102 are with relative displacement Change is opened and closure.Pull bar 21 and outer tube 22 outer surface all do insulation processing and prevent from climbing electricity generation.
Runner 30 is embedded in handle 25 and can be fixing with outer tube 22 around the 360 ° of rotations of handle 25 head, runner 30, i.e. runner During 30 rotation, outer tube 22 and pull bar 21 also and then rotate.Outer pipe clamp head 23 and draw bar chuck 24 respectively elastic clamping outer tube 22 with draw Bar 21 is fixed in handle 25.Outer pipe clamp head 23 is connected two cores of twin-core electrode wires 28, such high frequency respectively with draw bar chuck 24 Energy passes through outer pipe clamp head 23 to be transmitted to loop pole cutter head 102 and effect pole cutter head 101 with draw bar chuck 24.
The bipolar coagulation electric knife of the present embodiment is provided simultaneously with coagulation and cutting function of organization, and implementation is by trampling Different high-frequency energies are exported about foot-operated.
The afterbody of pull bar 21 is embedded in spanner 26, and spanner fulcrum 260 is located above pull bar 21.When spanner 26 props up around spanner During point 260 swing, pull bar 21 also moves forward and backward simultaneously, because outer tube 22 is fixed in runner 30 so that the position of outer tube 22 Opposite handle 25 is motionless, and when pull bar 21 swings with spanner 26 and moves forward and backward, pull bar 21 produces relative displacement with outer tube 22, Thus the folding of control action pole cutter head 101 and loop pole cutter head 102.
Described back-moving spring 27 one end is fixed on described handle 25, and the other end is contacted with spanner 26.When spanner 26 backward During swing, effect pole cutter head 101 is closed with loop pole cutter head 102, and back-moving spring 27 is in confined state simultaneously, unclamps spanner After 26, back-moving spring 27 promotes spanner 26 to travel forward, thus holding effect pole cutter head 101 is in often with loop pole cutter head 102 Open state.
Fluting in the middle of loop pole cutter head 102, loop pole cutter head insulating part 103 is embedded in inside groove.When effect pole cutter head 101 with During loop pole cutter head 102 closure, because there being the insulating effect of loop pole cutter head insulating part 103, the two poles of the earth persistently have energy to export, until Tissue coagulates to close or cut and completes.
As shown in figure 5, described effect pole cutter head 101 and loop pole cutter head 102 all carry radian, both radians are consistent, maximum Bending point is 2.0~3.0mm with the distance of cutter head center line.
It should be pointed out that for the person of ordinary skill of the art, before conceiving without departing from this utility model Put, some deformation can also be made and improve, these broadly fall into protection domain of the present utility model.Therefore, this utility model The protection domain of patent should be defined by claims.

Claims (10)

1. a kind of bipolar coagulation electric knife, it includes cutter head assembly, pull bar, outer tube and Handleset;It is characterized in that:
Sheathed and mutually insulated inside and outside described pull bar and outer tube, the two connects high frequency energy source by duplex wire respectively;
Described cutter head assembly includes acting on pole cutter head, loop pole cutter head, loop pole cutter head insulating part, is arranged at described effect pole knife Intermediate insulator between head and the infall of loop pole cutter head;
Described Handleset includes the handle being fixedly installed and the spanner that can swing with respect to handle;
Described loop pole cutter head insulating part can be installed in the way of mutually insulated when acting on pole cutter head and loop pole cutter head closure On the cutter head of described loop pole;Described loop pole cutter head is connected with described outer tube, and described effect pole cutter head is connected by described pull bar To described spanner, make to produce relative displacement between pull bar and outer tube thus realizing described effect pole by the swing of described spanner Cutter head and the folding of loop pole cutter head.
2. bipolar coagulation electric knife according to claim 1 it is characterised in that:Described loop pole cutter head pass through fixing axle with Rotatable mode is fixed on the end of outer tube;Effect pole cutter head, loop pole cutter head and Intermediate insulator pass through isolation material Jackshaft connects;The end of described effect pole cutter head and described pull bar is connected by pull rod shaft.
3. bipolar coagulation electric knife according to claim 1 it is characterised in that:Described Handleset also includes runner, outer Pipe clamp head, draw bar chuck;Described runner its be embedded in described handle and can be around the rotation of 360 ° of handle head, runner and described outer tube Fixing;Elastic clamping outer tube and pull bar are fixed in described handle respectively for described outer pipe clamp head and described draw bar chuck;Described outer Pipe and described pull bar are connected two cores of twin-core electrode wires respectively by outer pipe clamp head with draw bar chuck.
4. bipolar coagulation electric knife according to claim 3 it is characterised in that:The afterbody of described pull bar is embedded in described spanner In, spanner fulcrum is located at the top of described pull bar;When spanner is around spanner fulcrum swing, pull bar also moves simultaneously in front and back Dynamic, because described outer tube is fixed in described runner so that the position opposite handle of outer tube is motionless, when pull bar swings with spanner And when movable, pull bar and outer tube produce relative displacement, thus the folding of control action pole cutter head and loop pole cutter head.
5. bipolar coagulation electric knife according to claim 1 it is characterised in that:Described Handleset also includes reset bullet Spring, its one end is fixed on described handle, and the other end is contacted with spanner;When spanner swing backward, act on pole cutter head and loop Pole cutter head closure, back-moving spring is in confined state simultaneously, and after unclamping spanner, back-moving spring promotes spanner to travel forward, from And holding effect pole cutter head is in normally open with loop pole cutter head.
6. bipolar coagulation electric knife according to claim 1 it is characterised in that:Described effect pole cutter head and loop pole cutter head Outer surface is coated with for preventing the coating of tissue that bonds.
7. bipolar coagulation electric knife according to claim 1 it is characterised in that:Described effect pole cutter head width be 1.0~ 1.5mm, loop pole cutter head width is 3.0~4.5mm.
8. bipolar coagulation electric knife according to claim 1 it is characterised in that:Described outer pipe clamp head and described draw bar chuck Profile is splayed and carries flexible, shell fragment thickness 0.2~0.5mm.
9. bipolar coagulation electric knife according to claim 1 it is characterised in that:The loop pole cutter head being connected with described outer tube On offer groove, groove depth be 1.0~1.5mm, embed described loop pole cutter head insulating part in the bottom of described groove, its thickness is 0.5~1.0mm.
10. bipolar coagulation electric knife according to claim 1 it is characterised in that:Described effect pole cutter head and loop pole knife Head all carries radian, and both radians are consistent, and maximum deflection point is 2.0~3.0mm with the distance of cutter head center line.
CN201521116439.7U 2015-12-25 2015-12-25 Bipolar coagulation electric knife Active CN205964150U (en)

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Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105496550A (en) * 2015-12-25 2016-04-20 珠海市司迈科技有限公司 Bipolar coagulation electric knife
CN109009333A (en) * 2018-08-03 2018-12-18 北京安和加利尔科技有限公司 A kind of ultrasound radio knife
CN109394331A (en) * 2017-08-17 2019-03-01 上海伴诚医疗科技有限公司 A kind of Novel double-pole electrocoagulation device pincers
CN109953820A (en) * 2017-12-25 2019-07-02 杭州安杰思医学科技有限公司 Electrosurgical instrument manipulation device
CN112674863A (en) * 2020-12-30 2021-04-20 中国医学科学院北京协和医院 Manual excitation type bipolar electrocoagulation-cutting instrument

Cited By (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN105496550A (en) * 2015-12-25 2016-04-20 珠海市司迈科技有限公司 Bipolar coagulation electric knife
CN109394331A (en) * 2017-08-17 2019-03-01 上海伴诚医疗科技有限公司 A kind of Novel double-pole electrocoagulation device pincers
CN109953820A (en) * 2017-12-25 2019-07-02 杭州安杰思医学科技有限公司 Electrosurgical instrument manipulation device
CN109009333A (en) * 2018-08-03 2018-12-18 北京安和加利尔科技有限公司 A kind of ultrasound radio knife
CN112674863A (en) * 2020-12-30 2021-04-20 中国医学科学院北京协和医院 Manual excitation type bipolar electrocoagulation-cutting instrument

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