Background technique
Microwave ablation is the thermal ablation techniques for developing faster one more than 10 years for oncotherapy.Microwave is to biological tissue
Heating mechanism there are two aspect: first is that the principal element of dipole heating and microwave heating.It is micro- in frequency > 900MHz
Under wave electromagnetic field effect, the dipoles charge polarity such as hydrone in tumour is unbalance, rapidly changes with the alternation of microwave electric field
Direction, with the frequency overturning per second more than million times and mutual frictional impact, generating a large amount of heat keeps tissue degeneratiaon downright bad;Separately
It on the one hand is Ion Heating, the ion in tissue also changes direction rapidly under the action of microwave electromagnetic field and generates vibration simultaneously
Mutually collision, makes kinetic energy be changed into thermal energy.It can be seen that the heating process of microwave is that group is woven in active heat production under the action of electromagnetic field,
High temperature is rapidly reached in short time.Compared with radio frequency and laser ablation, microwave ablation has heating rate fast, coagulation vessel ability
By force, influenced by blood flow factor it is small, can multiple antennas act on simultaneously, normal freezing range is larger and the features such as stabilization, becomes percutaneous heat
Great potential and a treatment means for having applications well prospect in ablation and surgical ablation treatment.Also can replace completely
RF ablation is melted in hepatotomy, pancreatic neoplasm, hepatic tumor ablation, is played in the surgical operations such as biliary tract ablation important
Effect.
In past 20 years, with the increase of the number of cases of the hepatectomy of implementation, more and more instrument and equipments are ground
It issues to apply and be controlled in such as blood vessel, stopped blooding, in the operation such as substantive detachment.Performance most outstanding be exactly liver detachment aspect increasingly
All kinds of surgical instrument types increased.The method of detachment include basis finger or clamp method to use such as ultrasound knife, radio frequency
The instruments based on complex technology such as energy knife, Water Cutting knife, tissue closure instrument, surgery closer.These methods and strategies purposes are equal
It is to reduce by intraoperative hemorrhage and blood transfusion bring postoperative complications.In addition, also to consider emphatically when selecting various methods
Such as operating time, practicability and ease for use, to the lesion size of liver, expense in terms of these.Traditional liver parenchyma detachment method is
From finger milling process to pincers milling process, isolates pipeline and ligatured cutting.Compared with referring to milling process, pincers milling process is more quick, experienced
Patient can accurately judge whether there is the presence of pipeline in clamp tissue by feel.Clamp milling process detachment liver parenchyma
When, tiny vena hepatica can grind with pincers and be ground disconnected, lead to the bleeding of section, tied with 8 word of thin silk thread.No matter stone roller is referred to
Method still clamps milling process, requires the cooperation in in-degree sequence (Pringle method).With high-tech progress and with medicine skill
Art fusion derives the new technology of many liver parenchyma detachments, but in traditional liver parenchyma detachment operation, is inhaled using traditional ultrasound
Draw the methods of knife (Cavitron ultra-sonic surgical aspirator, CUSA), water knife and Vascular closure device and pincers
The defects of milling process is the same, and operating time is longer, and amount of bleeding is big, and the complication of postoperative leak is higher.
Utility model content
Purpose of utility model: technical problem to be solved in the utility model is in view of the deficiencies of the prior art, to provide one
Rotatable microwave needle under kind laparoscope.
In order to solve the above-mentioned technical problem, the utility model provides rotatable microwave needle under a kind of laparoscope, including
Sequentially connected hardhead part, flexible joint part, Hard link part and handle, the hardhead part successively include microwave syringe needle,
Casing, clamping pipe, the handle inner are equipped with the soft microwave transmission cable for extending to hardhead part, soft microwave transmission cable
Distal end crimps to form radiating antenna with microwave syringe needle, and casing is successively set on the outer ring of soft microwave transmission cable with clamping pipe,
The flexible joint part includes soft microwave transmission cable.Hardhead part is punctured and is entered by clamping clamping pipe by laparoscopic forceps
Lesions position carries out ablative surgery.
In the utility model, the Hard link part includes sequentially connected cooling water plug, outer tube and boost tube, described
The distal end of cooling water plug is to be tightly connected with soft microwave transmission cable, and the proximal seal of cooling water plug is connected to outer tube,
The proximal end outer ring of outer tube is socketed boost tube.
In the utility model, the microwave syringe needle, casing and clamping pipe successively closely connect and diameter is adapted to, and forms rigidity
Structure.
In the utility model, described sleeve pipe includes signal emission part and first connecting portion, and signal emission part is micro- for emitting
Signal at wave syringe needle, first connecting portion are used to connect with clamping pipe.
In the utility model, the clamping pipe is socketed in first connecting portion outer ring, increases rigidity.
In the utility model, the handle inner is equipped with cooling water, and cooling water plug includes sealing and second connecting portion,
Sealing is for blocking cooling water, and second connecting portion is for connecting outer tube.Cooling water is through cooling water pipe) to the same of Hard link part
Shaft cable is cooled down, and return water flows back in the water tank at handle, forms recirculated cooling water through external peristaltic tube.
In the utility model, the handle inner is equipped with microwave receiving connector, and microwave receiving connector connects soft microwave and passes
Transmission cable, the handle inner are additionally provided with water tank, and water tank is connected to cooling water pipe, and cooling water pipe extends to cooling water plug, water tank
It is respectively communicated with water inlet interface and water outlet mouthpiece, the boost tube outer ring is socketed with decoction cap, is connected with Handleset after decoction cap.
The utility model has the advantages that the utility model provides microwave melt needle under a kind of laparoscope, amount of bleeding is few, excision speed is fast,
It is highly-safe.And the utility model has rotation function, under laparoscope guidance, can arrive in abdominal cavity narrow space
Up to internal any lesions position, and venipuncture is carried out to it, the operation such as ablation, the application for microwave needle under laparoscope opens
One new way, with good medical applications foreground.
Embodiment:
As shown in Figure 1, Figure 2 and Fig. 3, rotatable microwave needle under a kind of laparoscope provided in this embodiment, including microwave syringe needle
1, casing 2, clamping pipe 3, soft microwave transmission cable 4, cooling water plug 5, outer tube 6, cooling water pipe 7, boost tube 8, decoction cap
9, Handleset 10, water tank 11, microwave receiving connector 12, water inlet interface 13, water outlet mouthpiece 14, flexible joint part 15, hardhead portion
Points 16 and Hard link part 17, the tip portion of this microwave needle include flexible joint part 15, hardhead part 16 and Hard link part
17 three parts, hardhead part successively include microwave syringe needle 1, casing 2, clamping pipe 3, and flexible joint part 15 includes the soft microwave in one end
Transmission cable 4, Hard link part 17 include sequentially connected cooling water plug 5, outer tube 6 and boost tube 8, and handle inner, which is equipped with, to be prolonged
The soft microwave transmission cable 4 of hardhead part is reached, soft microwave transmission cable distal end crimps formation radiation day with microwave syringe needle 1
Line, the soft microwave transmission cable 4 of three parts is same root cable in this microwave needle.
Microwave syringe needle 1 crimps to form radiating antenna with the inner core of soft microwave transmission cable 4 in far-end, and soft microwave passes
The other end inner core of transmission cable 4 is connect with microwave receiving connector 12 in proximal end;High frequency 915Mhz microwave signal is sent out from microwave equipment
Out, it through the soft microwave transmission cable 4 of microwave receiving connector 12 by microwave signal transmission to radiating antenna, is generated at radiating antenna
Microwave realizes microwave ablation to antenna surrounding tissue.The utility model is in microwave needle distal 56mm left-right position, this section of microwave needle
Non-water-cooled function, microwave transmission cable 4 are made of flexible material, it is possible to realize microwave needle distal Arbitrary Rotation function
Energy;At the 46mm of distal end, rigid stainless steel tube 3 is wrapped up in the outside of soft microwave transmission cable 4, makes to have at 0~46mm of distal end
There is rigidity, can arbitrarily be clamped by laparoscope pliers and not be deformed, and under the guidance that laparoscopic forceps sub-folder is held, realizes and puncture
Function of organization.Casing 2 is not metal material, will not shield microwaves signal, the signal of radiating antenna 1 can be allowed to send out from casing 2
It is shot out, realizes ablation functionality.
In the present embodiment, casing 2 is PTFE polytetrafluoro set 2, and clamping pipe 3 is stainless steel clamping pipe, and outer tube 6 is outside PEEK
Pipe.
Handle inner is equipped with microwave receiving connector 12, and microwave receiving connector 12 connects soft microwave transmission cable, the hand
Water tank 11 is additionally provided with inside handle, water tank 11 is connected to cooling water pipe 7, and cooling water pipe 7 extends to cooling water plug 5, and water tank 11 is distinguished
It is connected to water inlet interface 13 and water outlet mouthpiece 14, the handle outer includes the boost tube 8 being socketed on outer tube 6,8 outer ring of boost tube
It is socketed with decoction cap 9, Handleset 10 is connected with after decoction cap 9.The utility model microwave needle proximal end has water cooling function, cooling
Water is reached 5 position of distal end cooling water plug of microwave needle by water inlet interface 13 by cooling water pipe 7, to soft micro- in outer tube 6
Wave transmission cable 4 is cooled down, and herein apart from radiating antenna 1 about 56mm or so, cooling water reflow tank component 11 connects through water outlet
Mouth 14 flows out instruments, under the driving of wriggling water pump, recirculated cooling water cycle operation in instrument cavity, when microwave needle is worked
The amount of heat of sending is taken away, and realizes cooled microwave shank purpose, the temperature of shank is made to be maintained at 35 degrees centigrades.
It is schematic diagram when this microwave needle bends 110 degree and 90 respectively such as Fig. 4 and Fig. 5, since flexible joint part 15 is naked
The soft microwave transmission cable 4 of dew, therefore the section can be bent.
It is overall structure diagram when microwave needle is bent such as Fig. 6.
If the inner core of Fig. 7, soft microwave transmission cable 4 are inserted into inside microwave syringe needle 1, crimping is fixed, and radiating antenna is formed.
Such as Fig. 8, casing 2 includes signal emission part 2a and first connecting portion 2b, and signal emission part 2a is for emitting microwave needle
Signal at first 1, first connecting portion 2b are used to connect with clamping pipe 3.
Such as Fig. 9, clamps pipe 3 and be socketed in the outer ring first connecting portion 2b, increase rigidity.
Such as Figure 10, handle inner is equipped with cooling water, and cooling water plug 5 includes sealing 5a and second connecting portion 5b, sealing
Portion 5a is for blocking cooling water, and second connecting portion 5b is for connecting outer tube 6.
Such as Figure 11,6 distal end of outer tube is socketed on the second connecting portion 5b of cooling water plug 5, and proximal end is for protecting cooling water
Pipe.
Such as Figure 12, boost tube 8 is connected on handle, convenient for holding the microwave needle.
Because having the function of cooling water high-power, long-time may be implemented, persistently in microwave needle under the utility model laparoscope
The function of ablation does not damage surrounding tissue and laparoscopic forceps road;Distal end has the function of Arbitrary Rotation simultaneously, can be by abdominal cavity
Pincers clamping, and under its guidance, intra-abdominal organ is realized and is punctured, ablation, the purpose for the treatment of.Carry out laparoscope for surgeon
The operation of interior microwave ablation and surgery open the operation of abdomen microwave ablation and provide good tool, are a great potentials and have good
The treatment means of good application prospect.
When in use, microwave pin puncture is entered lesions position, carried out this microwave needle by laparoscopic forceps by clamping clamping pipe
Ablative surgery.
The utility model provides the liver parenchyma detachment new equipment that a kind of amount of bleeding is few, excision speed is fast, highly-safe, abdomen
Microwave melt needle under hysteroscope.It, can be in abdominal cavity narrow space, in abdomen because the utility model has the function of Arbitrary Rotation
Under hysteroscope guidance, any lesions position in vivo is reached, and venipuncture is carried out to it, the operation such as ablation.For microwave under laparoscope
The application of needle opens a new way, with good medical applications foreground.
Manager refer to experimental verification select power 50W, time 100S, 915MHz microwave in liver can formation length about
5CM, the column solidification zone of width about 2CM are based on above this set of parameter designing system, first in planning in hepatectomy
The liver parenchyma coagulation necrosis area of wide 2CM is frozen on excision section with this system, reaches hemostasis purpose, then uses routine operation
The equipment detachment liver parenchyma such as knife, ultrasound knife.
During surgery, microwave solidifies excision section, hepatic tissue coagulation necrosis in section in advance, and thin vessels occlude (diameter
Within 5mm), the hepatic parenchymal process of detachment actually carries out in preparatory solidifying front after solidification, pays attention to during detachment
Ligature entire detachment process hardly bleeding in the case of larger blood vessel.
Liver parenchyma solidification finishes detachment liver since necrotic tissue is crisp, not bleeding, therefore greatly shortens operating time and liver
Dirty blocking Ischemia Time, is conducive to patient's post-operative recovery.
Since liver parenchyma detachment face is in sterile coagulation necrosis, bile leakage after operation, bleeding, infection, liver failure etc. are concurrent
Disease chance of occurrence is small, can get higher operation safety.
The utility model provides rotatable microwave needle under a kind of laparoscope, implement the technical solution method and
There are many approach, and the above is only the preferred embodiment of the utility model, it is noted that for the common skill of the art
For art personnel, without departing from the principle of this utility model, several improvements and modifications can also be made, these improve and
Retouching also should be regarded as the protection scope of the utility model.The available prior art of each component part being not known in the present embodiment adds
To realize.