CN209107566U - Plasma surgical electrode structure - Google Patents
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Abstract
Description
技术领域technical field
本实用新型属于医疗器械技术领域,具体涉及一种等离子体手术电极结构。The utility model belongs to the technical field of medical devices, in particular to a plasma surgical electrode structure.
背景技术Background technique
低温等离子体消融术,因为其在低温(40-70℃)条件下实现对组织的切割、消融和止血等功能,越来越多应用在临床中,特别是耳鼻喉科室中,例如喉部肿瘤切除、扁桃体和腺样体切除手术的切除消融止血等,有非常广泛的应用。现有临床电极刀杆都是使用的刚性管体,这种结构可以给电极刀头提供较好的刚性,刀杆位置也可以进行角度微调,但是也有明显的缺陷,就是这种结构刀杆外径较大(一般都大于),且由于是刚性的,一些较复杂的人体腔道手术时就比较困难(例如喉部手术,儿童扁腺体切除等),为了方便手术,往往将病人的口腔张开很大角度,给病人也造成一定伤害,同时由于到达病灶位置较困难,也有可能某些病灶并没有清除干净,留下了隐患,影响手术效果。Low-temperature plasma ablation, because it can achieve functions such as cutting, ablation and hemostasis of tissue under low temperature (40-70°C) conditions, is increasingly used in clinical practice, especially in ENT departments, such as the larynx Tumor resection, tonsillectomy and adenoidectomy, ablation, hemostasis, etc., have a very wide range of applications. The existing clinical electrode cutter bars are all rigid tube bodies. This structure can provide better rigidity for the electrode cutter head, and the angle of the cutter bar can also be fine-tuned. However, there are also obvious defects. larger diameter (generally larger than ), and because it is rigid, it is more difficult to perform some more complex human cavity operations (such as laryngeal surgery, children's flat gland removal, etc.). The patient also causes certain injuries. At the same time, because it is difficult to reach the location of the lesion, it is also possible that some lesions have not been cleaned up, leaving hidden dangers and affecting the effect of the operation.
发明内容SUMMARY OF THE INVENTION
鉴于以上所述现有技术的不足,本实用新型的目的在于提供一种等离子体手术电极结构,更好适应较狭小复杂的人体腔道,更准确到达病灶位置。In view of the above-mentioned deficiencies of the prior art, the purpose of the present invention is to provide a plasma surgical electrode structure, which can better adapt to the narrow and complex human body cavity, and can reach the lesion position more accurately.
为实现上述目的及其他相关目的,本实用新型技术方案如下:For realizing the above-mentioned purpose and other relevant purposes, the technical scheme of the present utility model is as follows:
一种等离子体手术电极结构,包括手柄、刀杆和电极刀头,所述刀杆连接在所述电极刀头和手柄之间,所述刀杆为柔性杆。A plasma surgical electrode structure includes a handle, a knife rod and an electrode knife head, the knife rod is connected between the electrode knife head and the handle, and the knife rod is a flexible rod.
相对于传统电极的刚性刀杆,本实用新型的刀杆采用可变形、弯曲的柔性杆,可以任意改变其形状,这样也就更容易进入人体腔道,到达需要手术的位置,而且刀杆管径可以做到较小且较软,视野会比较清晰,操作过程也不会机械性误伤其他组织,手术操作更便利。Compared with the rigid knife rod of the traditional electrode, the knife rod of the present invention adopts a deformable and bendable flexible rod, and its shape can be changed arbitrarily, so that it is easier to enter the human body cavity and reach the position requiring surgery, and the knife rod tube The diameter can be made smaller and softer, the field of vision will be clearer, the operation process will not mechanically injure other tissues, and the operation will be more convenient.
进一步,所述刀杆上设置有相互隔离的用于安装回流导线的回流通道、用于安装输出导线的输出通道和用于注入电解质溶液的灌注通道。Further, a return channel for installing a return wire, an output channel for installing an output wire, and a perfusion channel for injecting an electrolyte solution are provided on the cutter bar, which are isolated from each other.
分为三个相互隔离的腔,分别隔离输出导线、回流导线和外部空间,可预留一个较大空间用于布置抽吸管路。这种分腔式结构有更好的绝缘性,减少能量中途的损失,让电极刀头能量更集中。分腔结构也更简单,装配更方便。It is divided into three mutually isolated cavities, which isolate the output wire, the return wire and the external space respectively, and a larger space can be reserved for arranging the suction pipeline. This sub-cavity structure has better insulation, reduces the loss of energy in the middle, and makes the energy of the electrode cutter head more concentrated. The sub-cavity structure is also simpler and the assembly is more convenient.
进一步,所述刀杆为软管,所述刀杆内腔构成所述灌注通道,所述输出通道和回流通道设置于刀杆内壁或外壁上。Further, the tool bar is a hose, the inner cavity of the tool bar constitutes the perfusion channel, and the output channel and the return channel are arranged on the inner wall or the outer wall of the tool bar.
进一步,所述刀杆内壁上设置有两个管道,两个所述管道分别形成所述输出通道和回流通道,所述刀杆内腔除管道外的其余部分形成所述灌注通道,并为抽吸管提供安装空间。Further, two pipes are arranged on the inner wall of the cutter bar, and the two pipes form the output channel and the return channel respectively, and the rest of the inner cavity of the cutter bar except the pipes forms the perfusion channel, and is used for pumping. The straw provides installation space.
进一步,所述管道与刀杆一体成型。便于制造。Further, the pipe and the cutter bar are integrally formed. Easy to manufacture.
进一步,所述刀杆由尼龙或者硅胶制成。刀杆材料满足生物相容性。Further, the cutter bar is made of nylon or silicone. The shank material meets biocompatibility.
进一步,所述电极刀头包括绝缘体、设置在绝缘体上的内电极和套在绝缘体外的外电极,所述外电极与刀杆相连,外电极上设有与灌注通道连通的灌注孔,所述绝缘体上设置有抽吸孔,所述刀杆内设置有与抽吸孔相连的抽吸管,所述输出通道和回流通道内分别设置有输出导线和回流导线,所述输出导线与内电极连接,回流导线与外电极连接。Further, the electrode cutter head comprises an insulator, an inner electrode arranged on the insulator, and an outer electrode sheathed outside the insulator, the outer electrode is connected with the cutter bar, and the outer electrode is provided with a perfusion hole that communicates with the perfusion channel, and the outer electrode is A suction hole is arranged on the insulator, a suction tube connected to the suction hole is arranged in the cutter bar, an output lead and a return lead are respectively arranged in the output channel and the return channel, and the output lead is connected with the inner electrode , the return wire is connected to the external electrode.
进一步,所述外电极与刀杆套接。连接组装方便。Further, the outer electrode is sleeved with the cutter bar. Easy to connect and assemble.
进一步,所述手柄连接有抽吸装置、灌注管和电极插头,所述抽吸管延伸至手柄,并通过抽吸接口与抽吸装置相连,所述灌注通道与灌注管连通,所述输出导线和回流导线连接至电极插头。Further, the handle is connected with a suction device, a perfusion tube and an electrode plug, the suction tube extends to the handle, and is connected to the suction device through a suction interface, the perfusion channel is communicated with the perfusion tube, and the output lead and return lead to the electrode plug.
进一步,所述绝缘体为柱形结构,由耐高温塑料聚四氟乙烯、聚醚醚酮、聚酰亚胺或陶瓷制成;所述外电极为不锈钢套管。Further, the insulator has a columnar structure and is made of high temperature-resistant plastic polytetrafluoroethylene, polyether ether ketone, polyimide or ceramics; the outer electrode is a stainless steel sleeve.
如上所述,本实用新型的有益效果是:本实用新型的刀杆采用可变形、弯曲的柔性杆,可以任意改变其形状,这样也就更容易进入人体腔道,到达需要手术的位置,而且刀杆管径可以做到较小且较软,视野会比较清晰,操作过程也不会机械性误伤其他组织,手术操作更便利。As mentioned above, the beneficial effects of the present invention are: the tool bar of the present invention adopts a deformable and bendable flexible bar, and its shape can be changed arbitrarily, so that it is easier to enter the human body cavity and reach the position requiring surgery, and The diameter of the cutter bar can be made smaller and softer, the field of vision will be clearer, and other tissues will not be mechanically injured during the operation, making the operation more convenient.
附图说明Description of drawings
图1为本实用新型优选实施例的结构示意图;Fig. 1 is the structural representation of the preferred embodiment of the present utility model;
图2为图1中A-A向视图;Fig. 2 is the A-A direction view in Fig. 1;
图3为刀杆的断面的几种变形结构;Figure 3 shows several deformation structures of the section of the cutter bar;
图4为本实用新型电极刀头的结构示意图;Fig. 4 is the structural representation of the electrode cutter head of the utility model;
图5为电极刀头与刀杆的连接示意图。Figure 5 is a schematic diagram of the connection between the electrode cutter head and the cutter bar.
零件标号说明Part number description
1-电极刀头;11-绝缘体;12-外电极;13-内电极;14-灌注孔;2-刀杆;21-灌注通道;22-输出通道;23-回流通道;24-管道;25-套管;3-刀柄;4-抽吸装置;5-灌注管;6-电极插头;7-输出导线;8-回流导线;9-抽吸管。1-electrode cutter head; 11-insulator; 12-outer electrode; 13-inner electrode; 14-perfusion hole; 2-tool bar; 21-perfusion channel; 22-output channel; 23-return channel; 24-pipeline; 25 - cannula; 3 - handle; 4 - suction device; 5 - perfusion tube; 6 - electrode plug; 7 - output lead; 8 - return lead; 9 - suction tube.
具体实施方式Detailed ways
以下由特定的具体实施例说明本实用新型的实施方式,熟悉此技术的人士可由本说明书所揭露的内容轻易地了解本实用新型的其他优点及功效。The embodiments of the present invention are described below by specific embodiments, and those who are familiar with the technology can easily understand other advantages and effects of the present invention from the contents disclosed in this specification.
实施例Example
如图1和图2所示,一种等离子体手术电极结构,包括手柄3、刀杆2、电极刀头1、抽吸装置4、灌注管5和电极插头6等。其中,灌注管5用于将生理盐水或其他电解质溶液注入到电极刀头1;抽吸装置4用于负压抽吸血水或残留组织等;电极插头6用于与主机连接供电;手柄3用于术者操作电极时握持;刀杆2用于固定电极刀头1并深入病灶位置;电极刀头1,直接作用在病灶位置,形成等离子场,完成切割、消融等手术功能。As shown in Figures 1 and 2, a plasma surgical electrode structure includes a handle 3, a knife rod 2, an electrode cutter head 1, a suction device 4, an irrigation tube 5, an electrode plug 6, and the like. Among them, the perfusion tube 5 is used to inject physiological saline or other electrolyte solutions into the electrode cutter head 1; the suction device 4 is used to suction blood water or residual tissue with negative pressure; the electrode plug 6 is used to connect with the host for power supply; the handle 3 is used for It is held by the operator when operating the electrode; the cutter bar 2 is used to fix the electrode cutter head 1 and penetrate into the lesion position; the electrode cutter head 1 directly acts on the lesion position to form a plasma field and complete the surgical functions such as cutting and ablation.
抽吸装置4、灌注管5和电极插头6与手柄3相连,刀杆2连接在所述电极刀头1和手柄3之间,关键在于,所述刀杆2为柔性杆。其中,所述柔性杆是相对于传统电极的刚性刀杆2而言,刀杆2可变形、弯曲,可以任意改变其形状,这样也就更容易进入人体腔道,到达需要手术的位置,而且刀杆2管径可以做到较小且较软,视野会比较清晰,操作过程也不会机械性误伤其他组织,手术操作更便利。The suction device 4, the perfusion tube 5 and the electrode plug 6 are connected with the handle 3, and the cutter bar 2 is connected between the electrode cutter head 1 and the handle 3. The key point is that the cutter bar 2 is a flexible bar. Wherein, the flexible rod is relative to the rigid knife rod 2 of the traditional electrode, the knife rod 2 can be deformed and bent, and its shape can be changed arbitrarily, so that it is easier to enter the human body cavity and reach the position requiring surgery, and The diameter of the cutter bar 2 can be made smaller and softer, the field of vision will be clearer, and other tissues will not be mechanically accidentally injured during the operation, making the operation more convenient.
作为优选,刀杆2上设置有用于安装输出导线7的输出通道22、用于安装回流导线8的回流通道23和用于注入电解质溶液的灌注通道21。刀杆2一方面用于安装电极刀头1,另一方面为电极刀头1的两个电极提供布线通道以及为灌注提供通道,以便线缆走线并与电极插头6连接。Preferably, the cutter bar 2 is provided with an output channel 22 for installing the output wire 7 , a return channel 23 for installing the return wire 8 and a perfusion channel 21 for injecting the electrolyte solution. The cutter bar 2 is used to mount the electrode tip 1 on the one hand, and provides a wiring channel for the two electrodes of the electrode tip 1 and a channel for irrigation on the other hand, so that the cables can be routed and connected to the electrode plug 6 .
刀杆内腔分隔为三个相互隔离的腔,分别隔离输出导线7、回流导线8和外部空间。这种分腔式结构有更好的绝缘性,减少能量中途的损失,让电极刀头1能量更集中。分腔结构也更简单,装配更方便。The inner cavity of the cutter bar is divided into three mutually isolated cavities, which isolate the output wire 7, the return wire 8 and the external space respectively. This split-cavity structure has better insulation, reduces the loss of energy in the middle, and makes the energy of the electrode cutter head 1 more concentrated. The sub-cavity structure is also simpler and the assembly is more convenient.
作为优选,刀杆2为软管,刀杆2内腔构成所述灌注通道21,抽吸管9也布置于灌注通道21内,输出通道22和回流通道23均设置于刀杆2内壁上或均设置于刀杆2外壁上;或者其中一个设置于内壁另一个设置于外壁上,如图3(b)所示;或者刀杆2内同心设置有套管25,套管25与刀杆2内壁之间隔离出两个通道构成所述输出通道22和回流通道23,套管25内形成灌注通道21,或者套管25与刀杆2内壁之间的其余部分构成灌注通道21,抽吸管9从套管25内插入;具体参见图3(c)所示。Preferably, the cutter bar 2 is a hose, the inner cavity of the cutter bar 2 constitutes the perfusion channel 21 , the suction pipe 9 is also arranged in the perfusion channel 21 , the output channel 22 and the return channel 23 are both arranged on the inner wall of the cutter bar 2 or All are arranged on the outer wall of the cutter bar 2; or one of them is arranged on the inner wall and the other is arranged on the outer wall, as shown in Figure 3 (b); Two channels are isolated between the inner walls to form the output channel 22 and the return channel 23, the perfusion channel 21 is formed in the sleeve 25, or the rest between the sleeve 25 and the inner wall of the cutter bar 2 constitutes the perfusion channel 21, and the suction pipe 9 is inserted from the cannula 25; see Fig. 3(c) for details.
如图2和图3(a)所示,本例中,刀杆2内腔被分隔为三个通道,输出通道22和回流通道23分别由设置于刀杆2内壁的管道24内腔构成,刀杆2内腔的其余部分形成灌注通道21,并为抽吸管9提供安装空间。本例中为保证绝缘效果,输出通道22和回流通道23分设于软管内壁相对距离最远的位置,该结构还可预留一个较大空间用于布置抽吸管9。As shown in Figure 2 and Figure 3(a), in this example, the inner cavity of the cutter bar 2 is divided into three channels, and the output channel 22 and the return channel 23 are respectively formed by the inner cavity of the pipe 24 arranged on the inner wall of the cutter bar 2, The rest of the inner cavity of the cutter bar 2 forms a perfusion channel 21 and provides an installation space for the suction tube 9 . In this example, in order to ensure the insulation effect, the output channel 22 and the return channel 23 are respectively arranged at the position where the inner wall of the hose is farthest away from each other. In this structure, a large space can be reserved for arranging the suction pipe 9 .
为便于制造,管道24与刀杆2一体成型。刀杆2可采用尼龙、硅胶等满足生物相容性的材料制成。优选地,刀杆采用尼龙软管。For ease of manufacture, the pipe 24 is integrally formed with the cutter bar 2 . The cutter bar 2 can be made of materials that meet biocompatibility, such as nylon and silicone. Preferably, the cutter bar adopts a nylon hose.
如图4和图5所示,电极刀头1包括绝缘体11、设置在绝缘体11上的内电极13和套在绝缘体11外的外电极12,外电极12与刀杆2相连,外电极12上设有与灌注通道21连通的灌注孔14,灌注通道21与灌注管5连通,所述绝缘体11上设置有抽吸孔,所述刀杆2内设置有抽吸管9,抽吸管9一端与抽吸孔连接,另一端延伸至手柄3,并通过抽吸接口与抽吸装置4相连,所述输出通道22和回流通道23内分别设置有输出导线7和回流导线8,所述输出导线7前端与内电极13连接,回流导线8前端与外电极12连接;所述输出导线7和回流导线8后端连接至电极插头6。As shown in FIG. 4 and FIG. 5 , the electrode cutter head 1 includes an insulator 11 , an inner electrode 13 disposed on the insulator 11 and an outer electrode 12 sleeved outside the insulator 11 . The outer electrode 12 is connected to the cutter bar 2 , and the outer electrode 12 is There is a perfusion hole 14 communicated with the perfusion channel 21, the perfusion channel 21 is communicated with the perfusion pipe 5, the insulator 11 is provided with a suction hole, the knife rod 2 is provided with a suction pipe 9, and one end of the suction pipe 9 is provided It is connected with the suction hole, the other end extends to the handle 3, and is connected with the suction device 4 through the suction interface. The output channel 22 and the return channel 23 are respectively provided with an output lead 7 and a return lead 8. The output lead The front end of 7 is connected to the inner electrode 13 , the front end of the return wire 8 is connected to the outer electrode 12 ; the rear end of the output wire 7 and the back end of the return wire 8 are connected to the electrode plug 6 .
为便于组装,外电极12与刀杆2套接,连接组装方便。具体地刀杆2前端为阶梯结构,伸入外电极12内与外电极12套接,或者外电极12插入刀杆2前端内,与刀杆2插接。In order to facilitate assembly, the outer electrode 12 is sleeved with the cutter bar 2, which is convenient for connection and assembly. Specifically, the front end of the tool bar 2 has a stepped structure, which extends into the outer electrode 12 and is sleeved with the outer electrode 12 , or the outer electrode 12 is inserted into the front end of the tool bar 2 and is inserted into the tool bar 2 .
本例中,绝缘体11为柱形结构,由耐高温塑料聚四氟乙烯、聚醚醚酮、聚酰亚胺或陶瓷制成;外电极12为不锈钢套管,其通过回流导线8连接至电极插头6。In this example, the insulator 11 has a cylindrical structure and is made of high temperature-resistant plastic PTFE, PEEK, polyimide or ceramic; the outer electrode 12 is a stainless steel sleeve, which is connected to the electrode through the return wire 8 Plug 6.
其中,不锈钢管作为回路极,绝缘体11上内电极13作为输出极,导线或导电丝分别从刀杆2两管道24内通过,与电极插头6的线缆连接,抽吸管9也插入刀杆2内部,在手柄3位置与抽吸接口连接。生理盐水通过刀杆2内部剩余的间隙流到电极刀头1的灌注孔14位置。Among them, the stainless steel tube is used as the return pole, the inner electrode 13 on the insulator 11 is used as the output pole, the wires or conductive wires pass through the two pipes 24 of the cutter bar 2 respectively, and are connected with the cable of the electrode plug 6, and the suction tube 9 is also inserted into the cutter bar. 2 Inside, connected to the suction port at the handle 3 position. Physiological saline flows to the position of the perfusion hole 14 of the electrode cutter head 1 through the remaining gap inside the cutter bar 2 .
本实用新型的结构装配得到简化,由于刀杆2和电极刀头1的装配关系,使得刀杆2及其后方的结构具有通用性,只要将电极刀头1装配好,直接与刀杆2连接后,在手柄3位置就可以完成焊接。实际生产中,只要改变电极刀头1,刀杆2及其刀柄等结构不变;就可以形成不同的电极,从而完成不同的手术,降低了生产成本。The structure and assembly of the utility model is simplified. Due to the assembling relationship between the cutter bar 2 and the electrode cutter head 1, the cutter bar 2 and the structure behind it have universality. As long as the electrode cutter head 1 is assembled, it is directly connected to the cutter bar 2. After that, welding can be completed at the handle 3 position. In actual production, as long as the electrode cutter head 1 is changed, the cutter bar 2 and its shank and other structures remain unchanged; different electrodes can be formed, thereby completing different operations and reducing production costs.
本实用新型,提高了手术效率,提高了等离子体电极的实用性,同时更容易到达病灶位置,减少对患者的伤害,帮助医生更加轻松完成手术。The utility model improves the operation efficiency, improves the practicability of the plasma electrode, and at the same time, it is easier to reach the lesion position, thereby reducing the damage to the patient, and helping the doctor to complete the operation more easily.
任何熟悉此技术的人士皆可在不违背本实用新型的精神及范畴下,对上述实施例进行修饰或改变。因此,举凡所属技术领域中具有通常知识者在未脱离本实用新型所揭示的精神与技术思想下所完成的一切等效修饰或改变,仍应由本实用新型的权利要求所涵盖。Anyone skilled in the art can modify or change the above embodiments without departing from the spirit and scope of the present invention. Therefore, all equivalent modifications or changes made by those with ordinary knowledge in the technical field without departing from the spirit and technical idea disclosed by the present invention should still be covered by the claims of the present invention.
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