CN219166615U

CN219166615U - High-safety bipolar electric coagulation forceps with nerve monitoring function

Info

Publication number: CN219166615U
Application number: CN202222984679.5U
Authority: CN
Inventors: 朱洪亮
Original assignee: Jiangsu Baining Yingchuang Medical Technology Co ltd
Current assignee: Jiangsu Baining Yingchuang Medical Technology Co ltd
Priority date: 2022-11-10
Filing date: 2022-11-10
Publication date: 2023-06-13
Anticipated expiration: 2032-11-10

Abstract

The utility model discloses a high-safety bipolar electric coagulation forceps with a nerve monitoring function, which belongs to the field of medical appliances and comprises a forceps tip, an upper forceps sheet, a lower forceps sheet, a forceps seat, a selection switch, a detection wire and a high-frequency cable wire, wherein the upper forceps sheet and the lower forceps sheet are fixed on the forceps seat, an integrated circuit board is arranged in the selection switch, and an a contact, a b contact, a c contact, a d contact, an e contact and an f contact are arranged on the integrated circuit board. The utility model realizes that the bipolar electric coagulation forceps are always in an off state when a doctor detects the nerve, and even if the doctor steps on the foot switch by mistake according to the working habit of stepping on the foot switch bipolar electric coagulation forceps, the bipolar electric coagulation forceps cannot be conducted to work, thereby ensuring the safety of detecting the nerve.

Description

High-safety bipolar electric coagulation forceps with nerve monitoring function

Technical Field

The utility model belongs to the field of medical instruments, and particularly relates to a high-safety bipolar coagulation forceps with a nerve monitoring function.

Background

Nerve injury is one of the most important complications of surgery, for example, recurrent laryngeal nerve injury can cause hoarseness or aphonia, dysphagia and choking, dyspnea or choking and other problems, and the quality of life is seriously affected. Open thyroid surgery is currently the most common procedure when it requires a neural judgment to detect the location during the procedure. The basic bipolar electric coagulation forceps in the market at present basically have no nerve detection function, and even the bipolar electric coagulation forceps with nerve monitoring function of some factories generally have the problem that the bipolar electric coagulation forceps function is excited by misoperation (such as stepping down a foot switch during detection, so that bipolar work) when the nerve monitoring function is used, thereby damaging the recurrent laryngeal nerve of a patient. Bipolar electric coagulation forceps without nerve detection function are often used for detection by adopting a separate nerve detection needle when nerve detection is needed in the thyroid operation process, so that the hospitalization cost of a patient is increased.

Patent number CN201720955226.6 discloses an electric coagulation forceps with function of nerve monitoring in operation, which comprises a metal forceps tip, an upper forceps body, an electric coagulation forceps plug, a plug seat and a lower forceps body, wherein the surfaces of the upper forceps body and the lower forceps body are electrically insulated, the metal forceps tip at the front end of the electric coagulation forceps tip is not subjected to insulation treatment, the rear end of the electric coagulation forceps tip is connected with the electric coagulation forceps plug through the plug seat, and the electric coagulation forceps further comprises a monitoring switch and a monitoring plug, wherein the metal forceps tip is electrically connected with the monitoring switch and the monitoring plug, and the monitoring plug is connected with a nerve monitoring host.

The prior art has the following defects: 1. no nerve monitoring function; 2. when the button is pressed to conduct nerve detection, the pedal switch triggered by the bipolar coagulation forceps is pressed down to enable the bipolar coagulation to work synchronously, so that nerve burn is caused. Because the bipolar coagulation forceps can be activated by stepping down the foot switch when in normal use, stepping down the foot switch is the habit of the doctor.

Disclosure of Invention

The utility model overcomes the defects in the prior art, provides the high-safety bipolar coagulation forceps with the nerve monitoring function, realizes that the bipolar coagulation forceps are always in an off state when a doctor performs nerve detection, and ensures the safety of nerve detection because the bipolar coagulation forceps cannot be conducted when the doctor steps on the foot switch by mistake even if the doctor has the habit of stepping on the foot switch to work.

The technical scheme of the utility model is that the high-safety bipolar electric coagulation forceps with the nerve monitoring function comprise forceps tips, upper forceps sheets, lower forceps sheets, forceps holders, selection switches, detection wires and high-frequency cables, wherein the upper forceps sheets and the lower forceps sheets are provided with insulating coatings and guide pieces, the upper forceps sheets and the lower forceps sheets are fixed on the forceps holders, an integrated circuit board is arranged in the selection switches, an a contact, a b contact, a c contact, a d contact, an e contact and an f contact are arranged on the integrated circuit board, the a contact and the f contact are mutually communicated, the detection wires are welded and fixed on the f contact, the upper forceps sheets are welded and fixed on the b contact through wires, the lower forceps sheets are welded and fixed on the e contact through wires, the detection wires are provided with detection plugs, the detection plugs are plugged on corresponding interfaces of nerve monitoring equipment, the high-frequency cables comprise two wire bundles which are respectively welded on the c contact and the d contact, the high-frequency cables are provided with high-frequency cable plugs, and the detection wires are plugged on corresponding interfaces of the high-frequency cable generators.

Preferably, the selection switch is a double-pole double-throw switch, the selection switch is provided with a switch shifting handle, when the switch shifting handle is in a position A, the contact a is conducted with the contact B, the contact e is conducted with the contact f, when the switch shifting handle is in a position B, the contact B is conducted with the contact c, and the contact e is conducted with the contact d.

Preferably, the exposed length of the forceps tip is 3 mm-10 mm.

The utility model has the beneficial effects that:

1. the bipolar coagulation forceps with the nerve monitoring function have high safety, and well solve the problem that the existing bipolar coagulation forceps with the nerve monitoring function are easy to be damaged by mistakenly stepping on pedal habitual actions by medical staff;

2. the structure is simple and ingenious, and the operation is simple and convenient;

3. reduces the hospitalization cost of the patient.

Drawings

FIG. 1 is a schematic diagram of the structure of the present utility model;

FIG. 2 is a schematic view of the contact on-off when the switch handle is in position A;

FIG. 3 is a schematic view of the contact on and off when the switch handle is in position B;

in the figure: 1. the forceps comprise forceps tips, 2, an upper forceps sheet, 3, a lower forceps sheet, 4 insulating coatings, 5 guide seats, 6, forceps seats, 7, a double-pole double-throw switch, 7-1, a switch pulling handle, 8 integrated circuit boards, 8-1, an a contact, 8-2, a b contact, 8-3, a c contact, 8-4, a d contact, 8-5, an e contact, 8-6, an f contact, 9, a detection wire, 9-1, a detection plug, 10, a high-frequency cable, 10-1, a high-frequency cable plug, 11 and a wire.

Detailed Description

As shown in fig. 1: the utility model provides a high security bipolar coagulation forceps with nerve monitoring function, a high security bipolar coagulation forceps with nerve monitoring function includes tweezers point 1, goes up tweezers piece 2, lower tweezers piece 3, tweezers seat 6, double-pole double-throw switch 7, detection line 9 and high frequency cable conductor 10, go up tweezers piece 2 and lower tweezers piece 3 all are equipped with insulating coating 4 and guide 5, go up tweezers piece 2 and lower tweezers piece 3 and fix on tweezers seat 6, detection line 9 is equipped with detection plug 9-1, detection plug 9-1 is pegged graft on the corresponding interface of nerve monitoring appearance equipment, high frequency cable conductor 10 is equipped with high frequency cable conductor plug 10-1, high frequency cable conductor plug 10-1 is pegged graft on high frequency generator's corresponding interface.

As shown in fig. 2 and 3: an integrated circuit board 8 is arranged in the double-pole double-throw switch 7, an a contact 8-1, a b contact 8-2, a c contact 8-3, a d contact 8-4, an e contact 8-5 and an f contact 8-6 are arranged on the integrated circuit board 8, the a contact 8-1 and the f contact 8-6 are mutually communicated, a detection wire 9 is welded and fixed on the f contact 8-6, an upper forceps sheet 2 is welded and fixed on the b contact 8-2 through a wire 11, a lower forceps sheet 3 is welded and fixed on the e contact 8-5 through a wire 11, the detection wire 9 is welded and fixed on the f contact 8-6, a high-frequency cable 10 comprises two wire harnesses, and the two wire harnesses are respectively welded on the c contact 8-3 and the d contact 8-4.

The selection switch 7 is provided with a switch shifting handle 7-1, when the switch shifting handle is at a position A, an a contact 8-1 is conducted with a B contact 8-2, an e contact 8-5 is conducted with an f contact 8-6, when the switch shifting handle 7-1 is at a position B, a B contact 8-2 is conducted with a c contact 8-3, and an e contact 8-5 is conducted with a d contact 8-4.

When in operation, a high-frequency cable plug 10-1 of the high-safety bipolar coagulation forceps with the nerve monitoring function is connected with high-frequency generator equipment, and a detection plug 9-1 is connected with a nerve monitor. When the forceps tip 1 is close to nerve dissection and tissue separation, and nerve monitoring, judging and positioning are needed in operation, the switch pulling handle 7-1 on the double-pole double-throw switch 7 is pushed to the position A, so that the upper forceps sheet 2, the lower forceps sheet 3 and the detection wire 9 can be conducted, and meanwhile, the upper forceps sheet 2, the lower forceps sheet 3 and the high-frequency cable 10 are in a disconnection state, and at the moment, even if a doctor steps on a foot switch connected with high-frequency generator equipment by misoperation, high-frequency electric coagulation and cutting functions cannot occur. The nerve monitoring circuit is communicated with the nerve in the operation, the stimulating current signal of the nerve monitoring instrument is conducted to the tissue part to be monitored through the forceps tip, then the myoelectricity feedback signal generated by the current stimulation of the tissue is transmitted back to the nerve monitoring instrument through the needle electrode received by the signal inserted into the subcutaneous tissue, if the screen of the monitoring instrument does not display the neuromyoelectricity waveform diagram and fails to hear the prompting sound of the vocal cord activity reaction, no nerve exists in the tissue of the detection area, at the moment, the necessary operation can be carried out safely, such as seeing the neuromyoelectricity waveform and hearing the myoelectricity activity prompting sound, namely, the nerve passing in the tissue of the area is indicated, the anatomical nerve needs to be carefully separated, and the nerve injury in the operation is avoided. When the nerve monitoring and positioning is finished, the switch pulling handle 7-1 on the double-pole double-throw switch 7 is pulled to the position B, the upper forceps sheet 2, the lower forceps sheet 3 and the detection wire 9 are disconnected, the upper forceps sheet 2, the lower forceps sheet 3 and the high-frequency cable 10 are in a conducting state, at the moment, the electric coagulation and cutting loop communication can be realized by stepping on the foot switch connected with the high-frequency generator equipment, and at the moment, the electric coagulation forceps have the functions of coagulation hemostasis and cutting. The utility model is suitable for the surgical operation (such as thyroid operation and the like) involving nerve monitoring, and effectively monitors nerve injury so that the operation can be successfully completed.

The above is only a preferred embodiment of the present utility model, and the protection scope of the present utility model is not limited to the above examples, and all technical solutions belonging to the concept of the present utility model belong to the protection scope of the present utility model. It should be noted that modifications and adaptations to the utility model without departing from the principles thereof are intended to be within the scope of the utility model as set forth in the following claims.

Claims

1. A high-safety bipolar coagulation forceps with nerve monitoring function is characterized in that: the nerve monitoring instrument comprises a forceps tip, an upper forceps sheet, a lower forceps sheet, a forceps seat, a selection switch, a detection wire and a high-frequency cable, wherein the upper forceps sheet and the lower forceps sheet are both provided with an insulating coating and a guide piece, the upper forceps sheet and the lower forceps sheet are fixed on the forceps seat, an integrated circuit board is arranged in the selection switch, an a contact, a b contact, a c contact, a d contact, an e contact and an f contact are arranged on the integrated circuit board, the a contact and the f contact are mutually communicated, the detection wire is welded and fixed on the f contact, the upper forceps sheet is welded and fixed on the b contact through a wire, the lower forceps sheet is welded and fixed on the e contact through a wire, the detection wire is provided with a detection plug, the detection plug is inserted on a corresponding interface of the nerve monitoring instrument, the high-frequency cable comprises two wire bundles, the two wire bundles are respectively welded on the c contact and the d contact, the high-frequency cable is provided with a high-frequency cable plug, and the high-frequency cable plug is inserted on a corresponding interface of the high-frequency generator.

2. The high-safety bipolar coagulation forceps with nerve monitoring function according to claim 1, wherein the high-safety bipolar coagulation forceps are characterized in that: the selection switch is a double-pole double-throw switch, the selection switch is provided with a switch shifting handle, when in a position A, an a contact and a B contact are mutually conducted, an e contact and an f contact are mutually conducted, when in a position B, a B contact and a c contact are mutually conducted, and an e contact and a d contact are mutually conducted.

3. The high-safety bipolar coagulation forceps with nerve monitoring function according to claim 1, wherein the high-safety bipolar coagulation forceps are characterized in that: the exposed length of the forceps tip is 3 mm-10 mm.