CN210044113U - High frequency compound electric knife - Google Patents
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- CN210044113U CN210044113U CN201822047520.4U CN201822047520U CN210044113U CN 210044113 U CN210044113 U CN 210044113U CN 201822047520 U CN201822047520 U CN 201822047520U CN 210044113 U CN210044113 U CN 210044113U
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Abstract
Description
技术领域technical field
本实用新型属于内窥镜下切割剥离技术领域,具体涉及一种高频复合电刀。The utility model belongs to the technical field of cutting and stripping under an endoscope, in particular to a high-frequency composite electric knife.
背景技术Background technique
近年来随着内镜技术的发展,内镜下黏膜剥离术(Endoscopic submucosaldissection,ESD)得到广泛应用,其对消化道出血、息肉切除和早癌症的治疗,正逐渐成为首选的治疗手段。但ESD手术过程繁杂,一般耗时很长,且需在内镜引导下进行手术。内镜先进入人体发现病变组织,器械在内镜钳道进入人体内,进行病变标记,标记后退出器械,若病灶处视场不清晰,有血污,还需更换喷液器械对病灶处进行喷液清洗,清洗后再用适合的电刀进行手术,手术中需要更换器械,这使手术变得更加繁琐,并且延长了手术时间,给患者带来了痛苦。In recent years, with the development of endoscopic technology, endoscopic submucosal dissection (ESD) has been widely used, and it is gradually becoming the first choice for the treatment of gastrointestinal bleeding, polypectomy and early cancer. However, the ESD procedure is complicated, generally time-consuming, and requires endoscopic-guided surgery. The endoscope first enters the human body to find the diseased tissue. The instrument enters the human body through the endoscope forceps, and the lesions are marked. After marking, the instrument is withdrawn. It is necessary to replace the instruments during the operation, which makes the operation more complicated, prolongs the operation time, and brings pain to the patient.
实用新型内容Utility model content
本实用新型目的是为了解决上述问题,本实用新型提供一种兼具标记、切割和喷液功能于一体,同时结构简单,成本低廉的高频复合电刀。The purpose of this utility model is to solve the above-mentioned problems, and the utility model provides a high-frequency composite electric knife which has the functions of marking, cutting and liquid spraying, and has a simple structure and low cost at the same time.
具体技术方案如下:The specific technical solutions are as follows:
一种高频复合电刀,包括操作部、主体部和刀头部,A high-frequency composite electric knife, comprising an operation part, a main body part and a knife head,
所述操作部包括滑杆,所述滑杆套设有滑环,所述滑环上开设有槽口,所述槽口内设置有接电柱,所述滑杆中设置有拉绳,所述接电柱连接所述滑环和所述拉绳,所述拉绳穿设所述主体部与所述刀头部连接,The operating part includes a sliding rod, a sliding ring is sleeved on the sliding rod, a slot is formed on the sliding ring, a receiving column is arranged in the slot, a pulling rope is arranged in the sliding rod, and the The power receiving post connects the slip ring and the pull rope, and the pull rope passes through the main body part and is connected with the cutter head part,
所述主体部包括管体,所述管体开设有注入口,所述管体呈中空结构并形成有液柱通道,所述注入口连通所述液柱通道,所述液柱通道贯穿所述刀头部,The main part includes a pipe body, the pipe body is provided with an injection port, the pipe body is hollow and is formed with a liquid column channel, the injection port is connected to the liquid column channel, and the liquid column channel penetrates the knife head,
所述刀头部至少部分位于所述管体中,所述刀头部包括刀杆、针刀和绝缘头,所述刀杆为中空结构,所述刀杆的一端与所述拉绳连接,拉绳带动刀杆在管体中滑动,The cutter head is at least partially located in the pipe body, the cutter head comprises a cutter bar, a needle cutter and an insulating head, the cutter bar is a hollow structure, and one end of the cutter bar is connected with the pull rope, The pulling rope drives the knife rod to slide in the pipe body,
所述刀杆的另一端与所述绝缘头连接,所述针刀设置在所述刀杆中,所述绝缘头为中空结构且连通所述刀杆。The other end of the knife rod is connected with the insulating head, the needle knife is arranged in the knife rod, and the insulating head is a hollow structure and communicates with the knife rod.
在某些实施方式中,所述操作部还包括助推管和连接柱,所述助推管套设在所述拉绳上设置在所述滑杆和所述管体中,并通过所述连接柱和所述接电柱固定连接。In some embodiments, the operation part further includes a booster tube and a connecting column, the booster tube is sleeved on the pull rope and arranged in the sliding rod and the tube body, and passes through the The connection post is fixedly connected to the electrical connection post.
在某些实施方式中,所述管体还包括鲁尔圆锥杆头、电刀杆头、护套管和鞘管,所述鲁尔圆锥杆头的一端和所述滑杆套接,所述鲁尔圆锥杆头的另一端和所述电刀杆头的一端套接,述电刀杆头通过内部设置的连接件与所述鞘管套接,所述护套管套设在所述鞘管上。In some embodiments, the tube body further comprises a luer conical rod tip, an electric knife rod tip, a sheath tube and a sheath tube, one end of the luer conical rod tip is sleeved with the sliding rod, and the The other end of the luer conical rod head is sleeved with one end of the electric knife rod head, the electric knife rod head is sleeved with the sheath tube through a connecting piece provided inside, and the sheath tube is sleeved on the sheath tube.
在某些实施方式中,所述鲁尔圆锥杆头连通所述液柱通道。In certain embodiments, the luer cone tip communicates with the liquid column channel.
在某些实施方式中,所述刀头部还包括对接管,所述刀杆通过所述对接管连接所述拉绳,所述对接管的中部设置第一限位块。In some embodiments, the cutter head further includes a butt pipe, the cutter bar is connected to the pull rope through the butt pipe, and a first limit block is provided in the middle of the butt pipe.
在某些实施方式中,所述刀杆的一端开设有多个滑口,所述针刀设有弯折部,所述弯折部可滑动地卡设在所述滑口中。In some embodiments, one end of the knife bar is provided with a plurality of sliding openings, the needle knife is provided with a bending portion, and the bending portion is slidably clamped in the sliding openings.
在某些实施方式中,所述刀头部还包括针刀固定套,所述针刀固定套套设于所述滑口处,所述针刀固定套的外周面呈齿状结构,且与所述管体紧配合。In some embodiments, the knife head further includes a needle knife fixing sleeve, the needle knife fixing sleeve is sleeved at the sliding port, and the outer peripheral surface of the needle knife fixing sleeve is in a tooth-like structure, and is connected with the The tube body is tightly fitted.
在某些实施方式中,所述刀杆的另一端呈喇叭状且设置,所述刀杆的中部设置有第二限位块,所述第二限位块的外径大于所述针刀固定套的内径。In some embodiments, the other end of the knife bar is trumpet-shaped and arranged, and the middle part of the knife bar is provided with a second limit block, and the outer diameter of the second limit block is larger than that of the needle knife fixed The inner diameter of the sleeve.
在某些实施方式中,所述绝缘头套接于所述刀杆的端口。In some embodiments, the insulating head is sleeved on the port of the cutter bar.
在某些实施方式中,所述滑杆上和所述滑环上均设置环形拉手。In some embodiments, annular pull handles are provided on both the sliding rod and the sliding ring.
本实用新型具有以下有益效果:本实用新型提供的高频复合电刀,通过刀杆和针刀的配合,可以对病灶处进行标志和切割,此过程中,无需更换器械,节约手术时间。此外,本实用新型提供的高频复合刀头还设有注入口和液柱通道,因此若病灶处视场不清晰、有血污时,可通过注入口和液柱通道在无需更换器械的情况下对病灶处进行清洗,保证了手术的安全性和可靠性。The utility model has the following beneficial effects: the high-frequency composite electric knife provided by the utility model can mark and cut the lesion through the cooperation of the knife bar and the needle knife. In this process, the instruments need not be replaced and the operation time is saved. In addition, the high-frequency composite cutter head provided by the present invention is also provided with an injection port and a liquid column channel, so if the visual field of the lesion is not clear and there is blood stains, the injection port and the liquid column channel can pass through the injection port and the liquid column channel without changing the instrument. Cleaning the lesions ensures the safety and reliability of the operation.
附图说明Description of drawings
图1是本实用新型实施例提供的高频复合电刀的立体结构示意图;Fig. 1 is the three-dimensional structure schematic diagram of the high frequency composite electrosurgical knife provided by the embodiment of the present invention;
图2是本实用新型实施例提供的高频复合电刀的平面截面示意图;Fig. 2 is the plane cross-sectional schematic diagram of the high-frequency compound electric knife provided by the embodiment of the present invention;
图3是图2在A处的放大面示意图;3 is an enlarged schematic view of FIG. 2 at A;
图4是本实用新型实施例提供的高频复合电刀滑环向后拉动时刀头部放大平面截面示意图;4 is a schematic diagram of an enlarged plane cross-sectional view of the knife head when the high-frequency composite electric knife slip ring provided by the embodiment of the present invention is pulled backward;
图5是本实用新型实施例提供的高频复合电刀滑环向前推动时刀头部放大平面截面示意图。5 is an enlarged plan cross-sectional schematic diagram of the knife head when the high-frequency composite electric knife slip ring provided by the embodiment of the present invention is pushed forward.
具体实施方式Detailed ways
为使本实用新型的目的、技术方案和优点更加清楚明白,以下结合具体实施例,并参照图1-图5,对本实用新型进一步详细说明。In order to make the purpose, technical solutions and advantages of the present utility model clearer, the present utility model will be further described in detail below in conjunction with specific embodiments and with reference to FIGS. 1 to 5 .
本实用新型提供一种高频复合电刀,具体方案如下:The utility model provides a high-frequency composite electric knife, and the specific scheme is as follows:
一种高频复合电刀,包括操作部1、主体部2和刀头部3。操作部1包括滑杆11,滑杆11套设有滑环12,滑环12上开设有槽口121,槽口121内设置有接电柱122,滑杆11中设置有拉绳111,接电柱121连接滑环12和拉绳111,拉绳111穿设主体部2与所述刀头部3连接。如此,操作部1通过滑环12带动拉绳111,从而带动刀头部3,对病灶进行操作和处理。A high-frequency composite electric knife, comprising an operation part 1 , a
在某些实施方式中,操作部1还包括助推管112和连接柱123,助推管112 套设在拉绳111上设置在滑杆11和管体21中,并通过连接柱123和所述接电柱 122固定连接。在需要通电的情况下,接电柱122接电,通过连接柱123、助推管112和拉绳111输电,此外助推管112有效促进拉绳111推动刀杆31的效果。In some embodiments, the operation part 1 further includes a
主体部2包括管体21,管体21开设有注入口21,管体21呈中空结构并形成有液柱通道27,注入口21连通液柱通道27,液柱通道27贯穿刀头部3。如此,注入口21注入液体,液体通过液柱通道27流至刀头部,从刀头部3喷出。The
在某些实施方式中,管体还包括鲁尔圆锥杆头23、电刀杆头24、护套管25 和鞘管26,鲁尔圆锥杆头23的一端和滑杆11套接,鲁尔圆锥杆头23的另一端和电刀杆头24的一端套接,电刀杆头24通过内部设置的连接件28与鞘管26 套接,护套管25套设在鞘管26上。在某些实施方式中,鲁尔圆锥杆头23连通液柱通道27。In some embodiments, the tube body further includes a luer
具体地,可将注液泵或注射器连接至鲁尔圆锥杆头23,进行注液,例如注射生理盐水等。液体通过鲁尔圆锥杆头23进入连接件28和鞘管26形成的液柱通道27,护套管25对鞘管26起到保护的作用。Specifically, an infusion pump or a syringe can be connected to the luer
刀头部3至少部分位于所述管体21中,刀头部3包括刀杆31、针刀32和绝缘头33,刀杆31为中空结构,刀杆31的一端与拉绳111连接,拉绳111带动刀杆在管体21中滑动,刀杆31的另一端与绝缘头33连接,针刀32设置在刀杆31中,绝缘头33为中空结构且连通刀杆31。The cutter head 3 is at least partially located in the
在某些实施方式中,刀头部3还包括对接管34,刀杆31通过对接管34连接拉绳111,对接管的中部设置第一限位块341。In some embodiments, the cutter head 3 further includes a
如此,通过拉绳111的带动刀杆31在鞘管26中滑动,使针刀32相对于刀杆31产生滑动,从而使针刀32在刀杆31中伸出和缩进,第一限位块341在拉绳带动刀杆先前时配合针刀32弯折部起到限位作用避免刀杆过渡伸出鞘管26。In this way, the
在某些实施方式中,刀杆31的一端开设有多个滑口312,针刀32设有弯折部321,所弯折部321可滑动地卡设在滑口312中。刀头部3还包括针刀固定套 35,针刀固定套35套设于滑口312处,针刀固定套35的外周面呈齿状结构,且与管体21紧配合。如此,针刀32相对于鞘管26保持静止,相对于刀杆31 能够滑动,此外,滑口312还可以作为液体进入刀杆的流入口。In some embodiments, one end of the
在某些实施方式中,刀杆31的另一端呈喇叭状,所述刀杆31的中部设置有第二限位块311,所述第二限位块311的外径大于所述针刀固定套35的内径。如此,液体从液柱通道27流出可以增加喷射面积,并且设置第二限位块311可以有效防止刀杆31过度缩入鞘管26。In some embodiments, the other end of the
在某些实施方式中,绝缘头33套接于刀杆31的端口。绝缘头33有效阻止刀头部3和组织形成回路,有效将电能转化为热能,从而切割组织。In some embodiments, the insulating
在某些实施方式中,滑杆11上和滑环12上均设置环形拉手13。环形拉手 13的设置便于操作。In some embodiments, an
综上所述,本实用新型实施方式中的高频复合电刀工作原理大致如下:To sum up, the working principle of the high-frequency composite electrosurgical knife in the embodiment of the present invention is roughly as follows:
喷液、标记:在内窥镜下将高频复合电刀寻至患处,若患处血污较多,影响标记、切割操作,向后拉动滑环11的环形拉手13,带动拉绳111将刀杆31 向后拉动,此时针刀从刀杆31和绝缘头33中伸出,由医护人员用注射器将清污液通过鲁尔圆锥杆头23上的注入口22注入,流入液柱通道27,并从绝缘头 33出喷出,冲洗血污。清洗干净之后,接电柱122接电,将电通过拉绳111输送至针刀出处,使针刀32沿病灶外围一周,烧灼出一圈标记,以便于准确的切割剥离或者做浅层切割。Liquid spraying and marking: find the high-frequency compound electric knife to the affected area under the endoscope. If the affected area is heavily stained with blood, which will affect the marking and cutting operations, pull the
切割剥离:向前推动滑环11的环形拉手13,通过拉绳111在助推杆112的配合下将刀杆31向前推动,使刀杆31从鞘管26中露出并遮蔽针刀32;此时通电,在内窥镜视场下,使刀杆31沿着标记圈,切割病灶处周边组织,把病灶剥离出来。Cutting and peeling: push the
本实用新型提供的高频复合电刀,通过刀杆31和针刀32的配合,可以对病灶处进行标志和切割,此过程中,无需更换器械,节约手术时间。此外,本实用新型提供的高频复合刀头还设有注入口121和液柱通道27,因此若病灶处视场不清晰、有血污时,可通过注入口121和液柱通道27在无需更换器械的情况下对病灶处进行清洗,保证了手术的安全性和可靠性。The high-frequency composite electric knife provided by the utility model can mark and cut the lesion through the cooperation of the
上述仅本实用新型较佳可行实施例,并非是对本实用新型的限制,本实用新型也并不限于上述举例,本技术领域的技术人员,在本实用新型的实质范围内,所作出的变化、改型、添加或替换,也应属于本实用新型的保护范围。The above is only a preferred feasible embodiment of the present invention, not a limitation of the present invention, and the present invention is not limited to the above examples. Those skilled in the art, within the essential scope of the present invention, make changes, Modification, addition or replacement should also belong to the protection scope of the present invention.
Claims (10)
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Cited By (2)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109394335A (en) * | 2018-12-06 | 2019-03-01 | 武进区湖塘宝强医疗信息咨询服务部 | The compound electric knife of high frequency |
| CN112472277A (en) * | 2020-11-25 | 2021-03-12 | 西安交通大学医学院第一附属医院 | Electrotome limiting and cleaning device used in operation and use method thereof |
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2018
- 2018-12-06 CN CN201822047520.4U patent/CN210044113U/en active Active
Cited By (4)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CN109394335A (en) * | 2018-12-06 | 2019-03-01 | 武进区湖塘宝强医疗信息咨询服务部 | The compound electric knife of high frequency |
| CN109394335B (en) * | 2018-12-06 | 2024-03-19 | 江苏安特尔医疗科技有限公司 | High frequency composite electrosurgery |
| CN112472277A (en) * | 2020-11-25 | 2021-03-12 | 西安交通大学医学院第一附属医院 | Electrotome limiting and cleaning device used in operation and use method thereof |
| CN112472277B (en) * | 2020-11-25 | 2022-02-11 | 西安交通大学医学院第一附属医院 | An electric knife limiting and cleaning device used in surgery |
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