CN208481461U - Rotatable microwave needle under peritoneoscope - Google Patents

Rotatable microwave needle under peritoneoscope Download PDF

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Publication number
CN208481461U
CN208481461U CN201721459365.6U CN201721459365U CN208481461U CN 208481461 U CN208481461 U CN 208481461U CN 201721459365 U CN201721459365 U CN 201721459365U CN 208481461 U CN208481461 U CN 208481461U
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China
Prior art keywords
microwave
cooling water
soft
transmission cable
pipe
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CN201721459365.6U
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Chinese (zh)
Inventor
严盛
董晓刚
吴天春
韦建宇
沈正华
郑锐
张尧尧
李常青
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Canyon Medical Inc
Micro Tech Nanjing Co Ltd
First Affiliated Hospital of Zhejiang University School of Medicine
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Canyon Medical Inc
Micro Tech Nanjing Co Ltd
First Affiliated Hospital of Zhejiang University School of Medicine
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Priority to CN201721459365.6U priority Critical patent/CN208481461U/en
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Abstract

The utility model provides a rotatable microwave needle under peritoneoscope, including the hard head part, soft junction part, hard junction part and the handle that connect gradually, hard head part includes microwave syringe needle, sleeve pipe, centre gripping pipe in proper order, the inside soft microwave transmission cable that extends to hard head part that is equipped with of handle, soft microwave transmission cable distal end and microwave syringe needle crimping formation radiation antenna, sleeve pipe and centre gripping pipe set gradually in soft microwave transmission cable's outer lane, soft junction part includes soft microwave transmission cable, hard junction part is including the cooling water end cap, outer tube and the boosting pipe that connect gradually, the distal end and the soft microwave transmission cable of cooling water end cap are sealing connection, and the near-end sealing connection of cooling water end cap is to the outer tube, and the boosting pipe is cup jointed to the near-end outer lane of outer tube.

Description

Rotatable microwave needle under a kind of laparoscope
Technical field
The utility model relates to area of medical devices, rotatable microwave needle under especially a kind of laparoscope.
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.
Detailed description of the invention
The utility model is done with reference to the accompanying drawings and detailed description and is further illustrated, the utility model Above-mentioned or otherwise advantage will become apparent.
Fig. 1 is microwave needle overall structure cross-sectional view;
Fig. 2 is microwave syringe needle partial sectional view at I in Fig. 1;
Fig. 3 is cross-sectional view at II in Fig. 1;
Fig. 4 is that microwave needle bends 110 degree of schematic diagrames;
Fig. 5 is that microwave needle bends 90 degree of schematic diagrames;
Fig. 6 is microwave needle overall structure diagram;
Fig. 7 is microwave needle head structure schematic diagram;
Fig. 8 is cannula structure schematic diagram;
Fig. 9 is clamping pipe structural schematic diagram;
Figure 10 is cooling water stopper structure schematic diagram;
Figure 11 is outer tube structure schematic diagram;
Figure 12 is boost tube structural schematic diagram;
Specific embodiment
It elaborates below in conjunction with attached drawing to the utility model.
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.

Claims (7)

1. rotatable microwave needle under a kind of laparoscope, which is characterized in that including sequentially connected hardhead part (16), be flexible coupling Partially (15), Hard link part (17) and handle, the hardhead part successively include microwave syringe needle (1), casing (2), clamping pipe (3), the handle inner is equipped with the soft microwave transmission cable (4) for extending to hardhead part, soft microwave transmission cable distal end It crimps to form radiating antenna with microwave syringe needle (1), casing (2) and clamping pipe (3) are successively set on soft microwave transmission cable (4) Outer ring, the flexible joint part includes soft microwave transmission cable (4).
2. rotatable microwave needle under a kind of laparoscope according to claim 1, which is characterized in that the Hard link part Including sequentially connected cooling water plug (5), outer tube (6) and boost tube (8), the distal end of the cooling water plug (5) with it is soft Microwave transmission cable (4) is to be tightly connected, and the proximal seal of cooling water plug (5) is connected to outer tube (6), the proximal end of outer tube (6) Outer ring is socketed a boost tube (8).
3. rotatable microwave needle under a kind of laparoscope according to claim 1, which is characterized in that the microwave syringe needle (1), (3) successively close connection and diameter adaptation is managed in casing (2) and clamping, forms rigid structure.
4. rotatable microwave needle under a kind of laparoscope according to claim 1, which is characterized in that described sleeve pipe (2) packet Signal emission part (2a) and first connecting portion (2b) are included, signal emission part (2a) is used to emit the signal at microwave syringe needle (1), the One interconnecting piece (2b) is used to connect with clamping pipe (3).
5. rotatable microwave needle under a kind of laparoscope according to claim 4, which is characterized in that (3) are managed in the clamping It is socketed in the outer ring first connecting portion (2b), increases rigidity.
6. rotatable microwave needle under a kind of laparoscope according to claim 1, which is characterized in that the handle inner is set There is cooling water, cooling water plug (5) includes sealing (5a) and second connecting portion (5b), and sealing (5a) is for blocking cooling Water, second connecting portion (5b) is for connecting outer tube (6).
7. rotatable microwave needle under a kind of laparoscope according to claim 2, which is characterized in that the handle inner is set Have microwave receiving connector (12), microwave receiving connector (12) connects soft microwave transmission cable, and the handle inner is additionally provided with water Case (11), water tank (11) are connected to cooling water pipe (7), and cooling water pipe (7) extends to cooling water plug (5), and water tank (11) connects respectively Logical water inlet interface (13) and water outlet mouthpiece (14), boost tube (8) outer ring are socketed with decoction cap (9), and decoction cap (9) connects afterwards There are Handleset (10).
CN201721459365.6U 2017-11-03 2017-11-03 Rotatable microwave needle under peritoneoscope Active CN208481461U (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
CN201721459365.6U CN208481461U (en) 2017-11-03 2017-11-03 Rotatable microwave needle under peritoneoscope

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Application Number Priority Date Filing Date Title
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Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107865690A (en) * 2017-11-03 2018-04-03 浙江大学医学院附属第医院 Rotatable microwave needle under peritoneoscope
CN111297472A (en) * 2020-03-25 2020-06-19 南京亿高微波系统工程有限公司 Multifunctional microwave ablation needle

Cited By (2)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN107865690A (en) * 2017-11-03 2018-04-03 浙江大学医学院附属第医院 Rotatable microwave needle under peritoneoscope
CN111297472A (en) * 2020-03-25 2020-06-19 南京亿高微波系统工程有限公司 Multifunctional microwave ablation needle

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CP03 Change of name, title or address

Address after: Hangzhou City, Zhejiang province 310003 Qingchun Road No. 79

Co-patentee after: Nanwei Medical Technology Co.,Ltd.

Patentee after: THE FIRST AFFILIATED HOSPITAL,ZHEJIANG University SCHOOL OF MEDICINE

Co-patentee after: CANYON MEDICAL Inc.

Address before: 310003 No.79, Qingchun Road, Hangzhou, Zhejiang

Co-patentee before: Micro-Tech (Nanjing) Co.,Ltd.

Patentee before: THE FIRST AFFILIATED HOSPITAL,ZHEJIANG University SCHOOL OF MEDICINE

Co-patentee before: CANYON MEDICAL Inc.