CN209153962U - A kind of Neural monitoring operating assembly and the electrotome control system automatically powered off - Google Patents
A kind of Neural monitoring operating assembly and the electrotome control system automatically powered off Download PDFInfo
- Publication number
- CN209153962U CN209153962U CN201820435020.5U CN201820435020U CN209153962U CN 209153962 U CN209153962 U CN 209153962U CN 201820435020 U CN201820435020 U CN 201820435020U CN 209153962 U CN209153962 U CN 209153962U
- Authority
- CN
- China
- Prior art keywords
- monitoring
- electric knife
- target nerve
- neural monitoring
- instrument
- Prior art date
- Legal status (The legal status is an assumption and is not a legal conclusion. Google has not performed a legal analysis and makes no representation as to the accuracy of the status listed.)
- Active
Links
Abstract
The utility model discloses a kind of Neural monitoring operating assembly and the electrotome control systems automatically powered off, including the surgical instrument and Neural monitoring instrument for medical operating, the Neural monitoring instrument includes the fixing end being fixed on target nerve and the end of probe for detecting operative site target nerve position, the surgical instrument includes the operating side directly contacted with patients surgery part and monitoring interface, operating side is conductive, the monitoring interface is electrically connected with operating side, and monitoring interface is conducted by the end of probe of outer lead and Neural monitoring instrument；When operating side and target nerve contact, the fixing end, target nerve, operating side and end of probe constitute complete path.The utility model can be monitored the target nerve of patient while using surgical instrument, and operator is not necessarily to alternately switch Nerve Testing instrument and surgical instrument in the course of surgery, simplifies Neural monitoring and surgical procedure, save the time.
Description
Technical field
The utility model relates to the field of medical instrument technology, specially a kind of Neural monitoring operating assembly and automatically power off
Electrotome control system.
Background technique
Fixing end is placed on target nerve by Neural monitoring instrument, including fixing end and end of probe, when use, passes through detection
End is found at surgical wound position, using nerve as indirect conductor, so that fixing end is connected to end of probe, in this, as mesh
The means of neuroprobe are marked, once end of probe finds nerve, Neural monitoring instrument is reacted at once, informs the medical matters of surgical procedure
Specific location where personnel's nerve, makes doctor avoid neural position in the course of surgery, avoids damage to disconnected nerve.
By taking thyroid operation as an example, recurrent nerve injury is one of severe complication of thyroid operation, can lead to sound
Sound is hoarse, and drinking-water is choked cough, and serious person can cause a disease people's death by suffocation, incidence and thyroid disease type, operation number, operation
Whether mode, recurrent nerve exposure, the factors such as anatomical variation and surgical doctor skill it is related.
In thyroid operation, the fixing end of Neural monitoring instrument is placed in the throat of sufferer, so that fixed end in contact is returned
Laryngeal nerve detects nerve location in operative site by end of probe, medical staff is accurately positioned and is returned locating for laryngeal nerve
Position can effectively avoid nerve when operation cuts off thyroid gland, avoid nerve damage.Resection operation mostly use electric knife into
The cutting of row tissue, thus in actual operation, the alternately switching use between end of probe and electric knife is needed, it is continuous to find nerve
And it avoids nerve and tissue is cut off.This alternately switches use process, and more frequently, operative doctor needs constantly at two kinds
It is carried out between tool using cumbersome and waste time.
Currently, the Chinese utility model of Publication No. CN206414335U discloses a kind of medical monitoring electric knife, including knife
Body, main body, electric knife host, Neural monitoring equipment, coagulation switch are switched with cutting, and the blade is set in main body and one end is outside
It extends to outside main body, the coagulation switch is identical as cutting construction of switch, and the coagulation switch is electrically connected to electric knife host, described
Coagulation switch is set in main body, and the bottom of the coagulation switch is equipped with a push plate, is equipped with elastic device, the bullet below the push plate
The fixed conductive sheet in property device top, the Neural monitoring equipment are electrically connected to conductive sheet.
Above-mentioned utility model is only applicable on electric knife, cannot achieve in other operational tools；And above-mentioned electric knife is in reality
Needed in the operation of border operator pin always corresponding switch could both the surgical functions of electric knife and Nerve Testing function it
Between switch over, the structure in electric knife is relative complex and operator lower operation can generate sense tired out for a long time.
Utility model content
The purpose of this utility model is to provide for a kind of Neural monitoring operating assembly, can use the same of surgical instrument
When the target nerve of patient is monitored, operator is not necessarily to alternately switch Nerve Testing instrument and operation in the course of surgery
Utensil simplifies Neural monitoring and surgical procedure, saves the time.
In order to achieve the above-mentioned object of the invention, the utility model uses a kind of following technical scheme: Neural monitoring operational group
Part, including the surgical instrument and Neural monitoring instrument for medical operating, the Neural monitoring instrument includes being fixed on target nerve
Fixing end and end of probe for detecting operative site target nerve position, the surgical instrument include and patients surgery part
The operating side directly contacted and monitoring interface, operating side is conductive, and the monitoring interface is electrically connected with operating side, and monitoring connects
Mouth is conducted by the end of probe of outer lead and Neural monitoring instrument；When operating side and target nerve contact, the fixing end,
Target nerve, operating side and end of probe constitute complete path.
The fixing end of Neural monitoring instrument is fixed on one end of patients target's nerve, and surgical instrument passes through monitoring interface and mind
It is connected through monitor, in the course of surgery, when the conductive operating side of the surgical instrument in operator's hand touches trouble
After target nerve in person's body, Neural monitoring instrument can be made a sound or other prompts remind operator to touch target nerve.
Compared with prior art, it using the Neural monitoring operating assembly of above-mentioned technical proposal, has the following beneficial effects:
Using the Neural monitoring operating assembly of the utility model, Neural monitoring instrument and surgical instrument are combined, and operator exists
While using surgical instrument, directly contacted with operative site to determine whether touching target by conductive operating side
Nerve achievees the purpose that while being operated and Neural monitoring that operator is not necessarily in surgical instrument and Neural monitoring instrument two
Frequently switched between person, simplify surgical procedure, saves operating time.
I.e. when using the surgical instruments such as ultrasound knife, surgical clamp, scalpel, medical staff can be directed at mind while operating
It is monitored through present position, avoids making nerve damage when clamping tissue or being cut off.
And when using energy platform, electric knife, since surgical instrument needs individual power supply to be powered, operating side
It is to be in lasting energized state, therefore have influence of the portion of electrical current to Neural monitoring instrument, Neural monitoring instrument can be made to be difficult to just
When often work, i.e. electric knife energization coagulation work, Neural monitoring instrument does not work；And when electric knife needs to detect nerve, then cut off electricity
The electric knife power supply of knife, Neural monitoring instrument work normally.
Therefore when surgical instrument is electric knife, the operating side is cutter head, and the electric knife, which is equipped with for connecting power supply, is
The power interface of electric knife power supply.Electric knife is surgical instrument relatively conventional in surgical procedure, and electric knife and Neural monitoring instrument combine
Operator can improve the accuracy of electric knife in the course of surgery, and save directly by cutter head come monitoring objective nerve afterwards
Utensil switches the process used, saves operating time.
Preferably, the cutter head is individually attached with monitoring interface or power interface by being switched by switching, with
Electric current when electric knife being avoided to work influences Neural monitoring instrument.
Preferably, the cutter head is located at one end of electric knife, and the power interface and monitoring interface are disposed adjacent in electric knife
The other end.
Preferably, the switching switch is located at the middle part of electric knife, and the switching switch is toggle switch.
Preferably, the surgical instrument is electric knife, ultrasound knife or energy platform.
In order to achieve the above object, the invention also discloses a kind of electrotome control systems automatically powered off, including electricity
Source, electric knife and Neural monitoring instrument, the Neural monitoring instrument include the fixing end being fixed on target nerve and perform the operation for detecting
The end of probe of position target nerve position, further include power switch and detection control module, the electric knife by power switch with
Power supply connection, the fixing end are connect by detecting control module with target nerve, the electric knife, target nerve, detection control
Module, fixing end and end of probe successively constitute Neural monitoring circuit；The detection control module respectively with fixing end, control switch
It is connected with target nerve, for detecting the monitoring current value in Neural monitoring circuit, when monitoring current value is more than pre-set current value
When, detection control module control power switch disconnects.
When above-mentioned electric knife is run, Neural monitoring instrument runs the detection for carrying out target nerve together, when the cutter head of electric knife is being transported
Electric current when making with control cutter head coagulation running on cutter head, cutter head are cut operative site Neural monitoring closer from target nerve and are returned
Resistance in road is smaller, and the monitoring current value that detection control module detects will be increasing.When monitoring current value is greater than inspection
When surveying the pre-set current value in control module, power switch is controlled by electric knife for electrically disconnected, electric knife will not be after after no longer working
Continuous incision tissue, guarantees that target nerve not will receive the damage of cutter head.
Compared with prior art, using the electrotome control system of above-mentioned technical proposal automatically powered off, have has as follows
Beneficial effect:
One, using the electrotome control system automatically powered off of the utility model, electric knife is worked at the same time with Neural monitoring instrument, behaviour
Author can be monitored the position of target nerve when carry out operation incision, control after electric knife is close to target nerve in detection
Electric knife powers off under the control of molding block, protects target nerve not and will receive the damage of cutter head.
Two, in order to be safely operated, electrotome head can have compare the biggish electricity of monitoring current value in the running electric knife
Stream, this larger current may be entered in Neural monitoring instrument by operative site tissues and target nerve and be caused to Neural monitoring instrument
Damage, so needing electric knife and dump guaranteeing nerve prison when the monitoring current in Neural monitoring circuit reaches certain value
Survey the safety of instrument.
Predetermined current can carry out the adjusting of adaptability with electric knife power difference.Preferably, the pre-set current value is 1-
3mA。
Detailed description of the invention
Fig. 1 is the structural schematic diagram of the utility model Neural monitoring operating assembly embodiment；
Fig. 2 is the structural schematic diagram of electric knife in the present embodiment；
Fig. 3 is the enlarged drawing in Fig. 2 at A；
Fig. 4 is the enlarged drawing in Fig. 2 at B；
Fig. 5 is the structural schematic diagram for switching switch in the present embodiment；
Fig. 6 is the structural schematic diagram for the electrotome control system embodiment that the utility model automatically powers off.
Appended drawing reference: 1, operating side；2, switching switch；31, interface is monitored；32, power interface；41, fixing end；42, it visits
Survey end；5, power switch.
Specific embodiment
The utility model is described further with reference to the accompanying drawing.
The Neural monitoring operating assembly as shown in Fig. 1 to 5, including the surgical instrument and Neural monitoring for medical operating
Instrument, Neural monitoring instrument include the fixing end 41 being fixed on target nerve and the spy for detecting operative site target nerve position
Survey end 42.As shown in Figure 1 for using the present embodiment carry out surgical procedure between surgical instrument, Neural monitoring instrument and human body
Annexation figure, it can be seen from figure 1 that including operating side 1 and monitoring interface 31 on surgical instrument, operating side 1 is conductive
And it is directly contacted with patients surgery part.
By taking the electric knife in Fig. 2 as an example, one end of electric knife is the cutter head that electric knife carries out surgical cut, and cutter head herein is exactly to have
The operating side 1 directly contacted with patients surgery position is had conductivity, in Fig. 4 in the enlarged drawing of the other end of electric knife, electric knife
Adjacent on the other end be equipped with power interface 32 and monitoring interface 31, power interface 32 for connect power supply be electric knife power with
Guarantee the normal operation of electric knife energy, monitors interface 31 as shown in figure 1 by the end of probe 42 on external wire and Neural monitoring instrument
It connects, the fixing end 41 on Neural monitoring instrument is accurately positioned and is fixed on respective objects nerve.
Switching switch 2 is installed, Fig. 3 is the enlarged drawing of the switching switch 2 in the middle part of electric knife, and Fig. 5 is this reality in the middle part of electric knife
Apply the circuit reduction figure in example after each section connection.Wherein detection interface 31 is connect by switching switch 2 with cutter head, power switch
32 it is same switching switch 2 is attached as toggle switch by switching switch 2 and cutter head, on toggle switch there are three terminal, divide
It is not connect with cutter head, the end of probe of Neural monitoring instrument and electric knife power supply.In actual use, cutter head always with other both ends
In one end be conducted, when operator using electric knife carry out surgical cut when electric knife cutter head and electric knife power supply be connected, electric knife
It is able to carry out normal work；When operator wants to carry out the monitoring of operative site target nerve using the cutter head of electric knife, need
The end of probe phase being changed to Neural monitoring instrument will be connected to electric knife power supply in switch by stirring the switching switch 2 being mounted in the middle part of electric knife
Conducting.The fixing end of nerve detecting instrument is already fixed on target nerve at this time, after cutter head monitors target nerve, fixing end
41, target nerve, operating side 1 and end of probe 42 constitute complete path, and Neural monitoring instrument can issue after monitoring target nerve
The prompt such as sound.Wherein, connection among the above refers to the current lead-through for passing through electric current.
In the present embodiment, surgical instrument is not just for the electric knife in above-mentioned example, and in field of medical technology, there are also very much
It can be used in the surgical instrument being used in combination with Neural monitoring instrument, such as ultrasound knife or energy platform etc..
The electrotome control system as shown in FIG. 6 automatically powered off, including power supply, electric knife and Neural monitoring instrument, Neural monitoring
Instrument includes the fixing end 41 being fixed on target nerve and the end of probe 42 for detecting operative site target nerve position, is also wrapped
Power switch 5 and detection control module are included, electric knife is connected to power supply by power switch 5, and fixing end 41 passes through detection control mould
Block is connect with target nerve, and electric knife, target nerve, detection control module, fixing end 41 and end of probe 42 successively constitute nerve prison
Survey time road；Detection control module is connect with fixing end 41, control switch and target nerve respectively, for detecting Neural monitoring circuit
In monitoring current value, when monitoring current value be more than pre-set current value when, detection control module control power switch 5 disconnect.Its
In, pre-set current value 3mA.
When electric knife is run, Neural monitoring instrument runs the detection for carrying out target nerve together, when the cutter head of electric knife is in running
Electric current with the operating of position cutter head on cutter head, cutter head cut the electricity in operative site Neural monitoring circuit closer from target nerve
Hinder smaller, the monitoring current value that detects of detection control module will be increasing.When monitoring current value is greater than detection control mould
When pre-set current value 3mA in block, power switch 5 is controlled by electric knife for electrically disconnected, electric knife will not continue to cut after no longer working
Enter tissue, guarantees that target nerve not will receive the damage of cutter head.
Make preferred embodiments of the present invention above, does not depart from this reality for those of ordinary skill in the art
Under the premise of with new principle, several variations and modifications can also be made, these also should be regarded as the protection scope of the utility model.
Claims (8)
1. a kind of Neural monitoring operating assembly, including the surgical instrument and Neural monitoring instrument for medical operating, the nerve prison
Surveying instrument includes the fixing end (41) being fixed on target nerve and the end of probe for detecting operative site target nerve position
(42), it is characterised in that: the surgical instrument includes the operating side (1) directly contacted with patients surgery part and monitoring interface
(31), operating side (1) is conductive, and the monitoring interface (31) is electrically connected with operating side (1), and monitoring interface (31) passes through outer
Portion's conducting wire and the end of probe (42) of Neural monitoring instrument are conducted；When operating side (1) and target nerve contact, the fixing end
(41), target nerve, operating side (1) and end of probe (42) constitute complete path.
2. Neural monitoring operating assembly according to claim 1, it is characterised in that: the surgical instrument is electric knife, described
Operating side (1) is cutter head, and the electric knife is equipped with for connecting the power interface (32) that power supply is electric knife power supply.
3. Neural monitoring operating assembly according to claim 2, it is characterised in that: the cutter head passes through through switching switch
(2) it is individually attached with monitoring interface (31) or power interface (32).
4. Neural monitoring operating assembly according to claim 2, it is characterised in that: the cutter head is located at one end of electric knife,
The power interface (32) and monitoring interface (31) are disposed adjacent the other end in electric knife.
5. Neural monitoring operating assembly according to claim 3, it is characterised in that: the switching switch (2) is located at electric knife
Middle part, switching switch (2) is toggle switch.
6. Neural monitoring operating assembly according to claim 1, it is characterised in that: the surgical instrument is electric knife, ultrasound
Knife or energy platform.
7. a kind of electrotome control system automatically powered off, including power supply, electric knife and Neural monitoring instrument, the Neural monitoring instrument include
The fixing end (41) being fixed on target nerve and the end of probe (42) for detecting operative site target nerve position, feature
It is: further includes power switch and detection control module, the electric knife is connected to power supply by power switch, the fixing end
(41) it is connect by detecting control module with target nerve, the electric knife, target nerve, detection control module, fixing end (41)
Neural monitoring circuit is successively constituted with end of probe (42)；
The detection control module is connect with fixing end (41), control switch and target nerve respectively, for detecting Neural monitoring
Monitoring current value in circuit, when monitoring current value is more than pre-set current value, detection control module control power switch is disconnected.
8. the electrotome control system according to claim 7 automatically powered off, it is characterised in that: the pre-set current value is 1-
3mA。
Priority Applications (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201820435020.5U CN209153962U (en) | 2018-03-29 | 2018-03-29 | A kind of Neural monitoring operating assembly and the electrotome control system automatically powered off |
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| CN201820435020.5U CN209153962U (en) | 2018-03-29 | 2018-03-29 | A kind of Neural monitoring operating assembly and the electrotome control system automatically powered off |
Publications (1)
| Publication Number | Publication Date |
|---|---|
| CN209153962U true CN209153962U (en) | 2019-07-26 |
Family
ID=67326237
Family Applications (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| CN201820435020.5U Active CN209153962U (en) | 2018-03-29 | 2018-03-29 | A kind of Neural monitoring operating assembly and the electrotome control system automatically powered off |
Country Status (1)
| Country | Link |
|---|---|
| CN (1) | CN209153962U (en) |
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114366309A (en) * | 2022-01-17 | 2022-04-19 | 上海锦立城医疗科技有限公司 | Surgical robot with nerve monitoring function |
-
2018
- 2018-03-29 CN CN201820435020.5U patent/CN209153962U/en active Active
Cited By (1)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN114366309A (en) * | 2022-01-17 | 2022-04-19 | 上海锦立城医疗科技有限公司 | Surgical robot with nerve monitoring function |
Similar Documents
| Publication | Publication Date | Title |
|---|---|---|
| US7203556B2 (en) | Device for monitoring medical equipment | |
| JP4731166B2 (en) | Electrosurgical generator and malfunction detection method | |
| JP6423921B2 (en) | Interface module that enables tissue stimulation and electrosurgical delivery via common surgical instruments | |
| US7766905B2 (en) | Method and system for continuity testing of medical electrodes | |
| EP1569568B1 (en) | Electrosurgical generator for cross-checking output power | |
| US10022090B2 (en) | Nerve protecting dissection device | |
| EP2474282B1 (en) | System for measuring current of an electrosurgical generator | |
| US20170189101A1 (en) | Jaw position impedance limiter for electrosurgical instrument | |
| US9949782B2 (en) | Method for the control of a medical device as a function of neutral electrode impedance | |
| EP2223666A2 (en) | Devices for detecting heating under a patient return electrode | |
| CN106137381B (en) | Radiofrequency melting instrument, the control method of radiofrequency melting instrument and device | |
| US20120123405A1 (en) | Power Glove | |
| KR20170009923A (en) | Electrosurgical system | |
| CN101677833B (en) | Hf surgical testing device | |
| GB2374532A (en) | Electrosurgery apparatus monitoring impedance of split-plate return electrode | |
| CN209153962U (en) | A kind of Neural monitoring operating assembly and the electrotome control system automatically powered off | |
| KR101731004B1 (en) | Energy devices surgical instrument attached with nerve stimulator | |
| CN2875353Y (en) | Radiofrequency ablation therapy system | |
| US20220079651A1 (en) | Electrosurgical system | |
| WO2019068105A1 (en) | Surgical safety devices and methods | |
| CN211023087U (en) | Electric energy device with nerve monitoring function for surgical robot | |
| JP3580895B2 (en) | Induction cautery equipment | |
| CN218391251U (en) | Energy work platform for operation | |
| CN103892901A (en) | Safety monitor for high-frequency electrotome | |
| US20200237462A1 (en) | Surgical Safety Devices and Methods |
Legal Events
| Date | Code | Title | Description |
|---|---|---|---|
| GR01 | Patent grant | ||
| GR01 | Patent grant |