CN213525445U

CN213525445U - Bipolar electric coagulation scissors with intraoperative nerve monitoring function

Info

Publication number: CN213525445U
Application number: CN202020943651.5U
Authority: CN
Inventors: 邱学文; 黄微; 胡涛
Original assignee: Wuhan Bbt Medical Technology Development Co ltd
Current assignee: Wuhan Bbt Medical Technology Development Co ltd
Priority date: 2020-05-28
Filing date: 2020-05-28
Publication date: 2021-06-25
Anticipated expiration: 2030-05-28

Abstract

The utility model relates to a bipolar coagulation scissors with a nerve monitoring function in operation, which comprises a cutter bar, a binding clip, a movable handle, a connector, a coagulation switch and a fixed handle; the cutter bar is hinged with the tong head; the forceps head is fixedly connected with the movable handle; the cutter bar is fixedly connected with the fixed handle; the bipolar electrocoagulation scissors further comprise a nerve monitoring switch; the cutter bar is electrically connected with the nerve monitoring switch and the connector; the cutter bar and the tong head are electrically connected with the electrocoagulation switch and the connector; the connector is connected with the nerve monitor and the high-frequency operation equipment. The utility model has simple structure, high safety and convenience in use, has the functions of cutting tissue, stopping bleeding and monitoring nerves, and is suitable for the surgical operation needing the monitoring of nerves in the operation; through inserting neural monitoring system in the art, realize the real-time supervision nerve signal of telecommunication, and then can effectively avoid neural damage in a lot of surgical operations that relate to nerve, show improvement operation effect.

Description

Bipolar electric coagulation scissors with intraoperative nerve monitoring function

Technical Field

The utility model belongs to the technical field of medical instrument, concretely relates to take bipolar coagulation of neural monitor function in art to cut.

Background

The high-frequency surgical instrument is an electric surgical instrument for replacing a mechanical scalpel to cut tissues, and the high-frequency high-voltage current generated by the tip of an effective electrode heats the tissues when contacting with the body, so that the separation and solidification of the body tissues are realized, and the aims of cutting and hemostasis are fulfilled.

The high-frequency surgical instrument has the advantages of high cutting speed, good hemostasis effect, simple operation, safety and convenience, and is widely applied to operations of diffuse blood seepage parts such as liver, spleen, thyroid, mammary gland and lung. Compared with other electric surgical instruments (such as laser scalpel, microwave scalpel, ultrasonic scalpel, water scalpel, semiconductor thermosetting scalpel and the like), the high-frequency surgical instrument has the advantages of wide applicable surgical range, easiness in entering a surgical part, simplicity and convenience in operation, reasonable cost performance and the like.

Bipolar electrocoagulation scissors are one type of high frequency surgical instrument. The existing bipolar electrocoagulation scissors are not connected with an intraoperative nerve monitoring system, so that in many neurosurgery operations involving nerves, no method is provided for monitoring whether nerves exist in tissues electrocoagulatively sheared by the bipolar electrocoagulation scissors, and nerve injury is easily caused. Taking thyroid surgery as an example, as bipolar electrocoagulation scissors are not connected to a nerve detection system in surgery, recurrent laryngeal nerves are easy to be damaged. The recurrent laryngeal nerve injury is the most serious complication of thyroid surgery, and can cause the patient to have hoarse voice or lose voice, the quality of life is reduced and even the life is threatened. Therefore, the problem that doctors are troubled by how to avoid nerve injury in the bipolar electrocoagulation-scissors operation is always a problem.

SUMMERY OF THE UTILITY MODEL

The utility model discloses to the technical problem who exists among the prior art, provide a take bipolar coagulation scissors of neural monitoring function in art, solve current bipolar coagulation scissors and do not insert neural monitoring system in the art, lead to the problem that can't avoid neural damage in a lot of surgical operations involving nerves.

The utility model provides an above-mentioned technical problem's technical scheme as follows:

a bipolar electric coagulation scissors with a nerve monitoring function in operation comprises a cutter bar, a forceps head, a movable handle, a connector, an electric coagulation switch and a fixed handle; the cutter bar is hinged with the tong head; the forceps head is fixedly connected with the movable handle; the cutter bar is fixedly connected with the fixed handle; the bipolar electrocoagulation scissors further comprise a nerve monitoring switch; the cutter bar is electrically connected with the nerve monitoring switch and the connector; the cutter bar and the tong head are electrically connected with the electrocoagulation switch and the connector; the connector is connected with the nerve monitor and the high-frequency operation equipment.

On the basis of the technical scheme, the utility model discloses can also do following improvement.

Further, the cutter bar and the tong head are insulated from each other when being opened.

Further, the bipolar electrocoagulation shear further comprises a plurality of conducting wires; the cutter bar is connected with the nerve monitoring switch and the connector through a lead; the cutter bar and the tong head are connected with the electrocoagulation switch and the connector through leads.

Further, the connector comprises a first wire plugging port, a second wire plugging port, a third wire plugging port, a fourth wire plugging port and a fifth wire plugging port; the cutter bar is connected with the fourth wire inserting port through a lead; one end of the nerve monitoring switch is connected with the cutter bar through a lead, and the other end of the nerve monitoring switch is connected with the fifth wire plugging port through a lead; the clamp head is connected with the third wire inserting port through a wire; the electrocoagulation switch is connected with the first wire plugging port and the second wire plugging port through conducting wires.

Further, the electrocoagulation switch and the nerve monitoring switch are mounted between the knife bar and the fixed handle.

Further, the connector is mounted on the fixed handle and is located between the movable handle and the fixed handle.

Further, the movable handle and the fixed handle are made of plastic.

The utility model has the advantages that: the bipolar electrocoagulation scissors are simple in structure, high in safety and convenience in use, have the functions of cutting tissues, stopping bleeding and monitoring nerves, and are suitable for surgical operations needing intraoperative nerve monitoring; through inserting neural monitoring system in the art, realize the real-time supervision nerve signal of telecommunication, and then can effectively avoid neural damage in a lot of surgical operations that relate to nerve, show improvement operation effect. Taking thyroid surgery as an example, due to the fact that the bipolar coagulation scissors are connected into a nerve detection system in surgery, the injury of recurrent laryngeal nerves caused by the surgery can be effectively avoided.

Drawings

FIG. 1 is a schematic structural view of a bipolar electrocoagulation shear according to an embodiment of the present invention;

fig. 2 is a schematic circuit wiring diagram of the bipolar electrocoagulation shear according to the embodiment of the present invention.

In the drawings, the components represented by the respective reference numerals are listed below:

1. the multifunctional electric coagulation forceps comprise a cutter bar, 2, a forceps head, 3, a movable handle, 4, a connector, 41, a first wire plugging port, 42, a second wire plugging port, 43, a third wire plugging port, 44, a fourth wire plugging port, 45, a fifth wire plugging port, 5, an electric coagulation switch, 6, a fixed handle, 7, a nerve monitoring switch, 8 and a lead.

Detailed Description

The principles and features of the present invention are described below in conjunction with the following drawings, the examples given are only intended to illustrate the present invention and are not intended to limit the scope of the present invention.

As shown in fig. 1, the bipolar electrocoagulation scissors with an intraoperative nerve monitoring function according to the embodiment comprises a cutter bar 1, a forceps head 2, a movable handle 3, a connector 4, an electrocoagulation switch 5 and a fixed handle 6; the tool bar 1 is hinged with the binding clip 2, the binding clip 2 is fixedly connected with the movable handle 3, the tool bar 1 is fixedly connected with the fixed handle 6, when the tool is used, the movable handle 3 is moved, and the movable handle 3 drives the binding clip 2 to rotate around a hinged point of the tool bar 1 and the binding clip 2, so that the opening and closing of the tool bar 1 and the binding clip 2 are realized; the bipolar electrocoagulation scissors further comprise a nerve monitoring switch 7; the cutter bar 1 is electrically connected with the nerve monitoring switch 7 and the connector 4; the cutter bar 1 and the tong head 2 are electrically connected with an electrocoagulation switch 5 and a connector 4; the connector 4 is connected with a nerve monitor and high-frequency operation equipment.

In the embodiment, the cutter bar 1 is connected with the nerve monitor, so that the bipolar electrocoagulation scissors have a nerve monitoring function, and the position of a nerve can be detected in a plurality of neurosurgical operations related to the nerve, so that the nerve can be avoided when tissues are cut off, the nerve is not injured in the cutting process, and the operation effect is improved; the tissue cutting and hemostasis functions of the bipolar electrocoagulation scissors are realized by connecting the cutter bar 1 and the forceps head 2 with high-frequency surgical equipment; and the on-off of the nerve monitoring circuit and the radio frequency circuit is controlled by the nerve monitoring switch 7 and the electrocoagulation switch 5 respectively.

Further, the cutter bar 1 and the tong head 2 are insulated from each other when being opened; when the cutter bar 1 is closed with the clamp head 2, a passage is formed, and the function of electrocoagulation shearing is achieved.

As shown in fig. 1 and 2, the bipolar electrocoagulation shear further comprises a plurality of wires 8; the cutter bar 1 is connected with the nerve monitoring switch 7 and the connector 4 through a lead 8; the cutter bar 1 and the clamp head 2 are connected with the electrocoagulation switch 5 and the connector 4 through leads 8, so that the bipolar electrocoagulation scissors can control the connection and disconnection of the nerve monitoring circuit and the radio frequency circuit through the nerve monitoring switch 7 and the electrocoagulation switch 5 respectively.

Specifically, as shown in fig. 2, the connector 4 includes a first plug wire port 41, a second plug wire port 42, a third plug wire port 43, a fourth plug wire port 44, and a fifth plug wire port 45; the cutter bar 1 is connected with a fourth wire inserting port 44 through a lead 8; one end of the nerve monitoring switch 7 is connected with the cutter bar 1 through a lead 8, and the other end of the nerve monitoring switch is connected with a fifth plug wire port 45 through the lead 8; the binding clip 2 is connected with a third wire inserting port 43 through a lead 8; the electrocoagulation switch 5 is connected with a first wire plugging port 41 and a second wire plugging port 42 through a lead 8.

The bipolar electrocoagulation shear can also change the wire connection into other electric connection structures which are not wires, such as conducting strips, conducting films and conducting coatings.

As shown in FIG. 1, the electrocoagulation switch 5 and nerve monitoring switch 7 are mounted between the knife bar 1 and stationary handle 6 to improve the ease of use of the bipolar electrocoagulation scissors.

Further, the connector 4 is installed on the fixed handle 6 and is located between the movable handle 3 and the fixed handle 6, so that the use convenience of the bipolar electrocoagulation scissors is improved.

Furthermore, the movable handle 3 and the fixed handle 6 are made of plastics, and the plastics are electrically insulated and light in weight, so that the safety and the convenience of the use of the bipolar electrocoagulation scissors are improved.

The working process of the bipolar electrocoagulation shear comprises the following steps:

taking thyroid operation as an example, when anatomy and tissue separation are needed in the operation process, before tissue excision and hemostasis, the nerve monitoring switch 7 is started first, so that the cutter bar 1 is communicated with the nerve monitor;

then the cutter bar 1 is close to the tissue so that the electric signal transmitted by the nerve monitor stimulates the tissue through the cutter bar 1, if the screen of the nerve monitor does not display an alarm waveform and cannot hear the alarm sound of vocal cord activity reaction, the tissue can be considered to have no nerve, and necessary operation can be performed safely; if myoelectric alarm waveform is seen or myoelectric activity alarm sound is heard, namely nerve passing is indicated in the tissue, and the nerve needs to be carefully avoided when the tissue is cut off;

and then closing the nerve monitoring switch 7, opening the electrocoagulation switch 5, holding the fixed handle 6 and moving the movable handle 3 to close the cutter bar 1 and the forceps head 2, communicating the cutter bar 1 and the forceps head 2 with high-frequency surgical equipment, and performing tissue excision and hemostasis surgery to realize no nerve injury (recurrent laryngeal nerve) in the surgical process.

The bipolar electrocoagulation scissors are simple in structure, high in safety and convenience in use, have the functions of cutting tissues, stopping bleeding and monitoring nerves, and are suitable for surgical operations needing intraoperative nerve monitoring; through inserting neural monitoring system in the art, realize the real-time supervision nerve signal of telecommunication, and then can effectively avoid neural damage in a lot of surgical operations that relate to nerve, show improvement operation effect. Taking thyroid surgery as an example, due to the fact that the bipolar coagulation scissors are connected into a nerve detection system in surgery, the injury of recurrent laryngeal nerves caused by the surgery can be effectively avoided.

The above description is only for the preferred embodiment of the present invention, and is not intended to limit the present invention, and any modifications, equivalent replacements, improvements, etc. made within the spirit and principle of the present invention should be included within the protection scope of the present invention.

Claims

1. A bipolar electrocoagulation scissors with a nerve monitoring function in operation comprises a cutter bar (1), a forceps head (2), a movable handle (3), a connector (4), an electrocoagulation switch (5) and a fixed handle (6); the cutter bar (1) is hinged with the tong head (2); the forceps head (2) is fixedly connected with the movable handle (3); the cutter bar (1) is fixedly connected with the fixed handle (6); characterized in that the bipolar electrocoagulation scissors further comprise a nerve monitoring switch (7); the cutter bar (1) is electrically connected with the nerve monitoring switch (7) and the connector (4); the cutter bar (1) and the tong head (2) are electrically connected with the electrocoagulation switch (5) and the connector (4); the connector (4) is connected with a nerve monitor and high-frequency operation equipment.

2. The bipolar electrocoagulation scissors with an intraoperative nerve monitoring function according to claim 1, characterized in that the cutter bar (1) and the forceps head (2) are insulated from each other when opened.

3. The bipolar electrocoagulation shear with intraoperative nerve monitoring function of claim 1, further comprising a plurality of wires (8); the cutter bar (1) is connected with the nerve monitoring switch (7) and the connector (4) through a lead (8); the cutter bar (1) and the tong head (2) are connected with the electrocoagulation switch (5) and the connector (4) through a lead (8).

4. The bipolar electrocoagulation scissors with an intraoperative nerve monitoring function according to claim 3, wherein the connector (4) comprises a first wire plugging port (41), a second wire plugging port (42), a third wire plugging port (43), a fourth wire plugging port (44) and a fifth wire plugging port (45); the cutter bar (1) is connected with a fourth wire inserting opening (44) through a conducting wire (8); one end of the nerve monitoring switch (7) is connected with the cutter bar (1) through a lead (8), and the other end of the nerve monitoring switch is connected with a fifth wire plugging port (45) through a lead (8); the tong head (2) is connected with a third wire inserting port (43) through a lead (8); the electrocoagulation switch (5) is connected with the first wire plugging port (41) and the second wire plugging port (42) through a conducting wire (8).

5. The bipolar electrocoagulation scissors with an intraoperative nerve monitoring function according to claim 1, characterized in that the electrocoagulation switch (5) and the nerve monitoring switch (7) are installed between the knife bar (1) and the fixed handle (6).

6. The bipolar electrocoagulation scissors with an intraoperative nerve monitoring function according to claim 1, wherein the connector (4) is mounted on the fixed handle (6) and is located between the movable handle (3) and the fixed handle (6).

7. The bipolar electrocoagulation scissors with an intraoperative nerve monitoring function according to claim 1, characterized in that the movable handle (3) and the fixed handle (6) are made of plastic.