DE2322193B2 - ELECTROCOAGULATION INSTRUMENT FOR TUBE STERILIZATION - Google Patents
ELECTROCOAGULATION INSTRUMENT FOR TUBE STERILIZATIONInfo
- Publication number
- DE2322193B2 DE2322193B2 DE19732322193 DE2322193A DE2322193B2 DE 2322193 B2 DE2322193 B2 DE 2322193B2 DE 19732322193 DE19732322193 DE 19732322193 DE 2322193 A DE2322193 A DE 2322193A DE 2322193 B2 DE2322193 B2 DE 2322193B2
- Authority
- DE
- Germany
- Prior art keywords
- electrocoagulation
- instrument
- legs
- tube
- free
- 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.)
- Pending
Links
- 238000009297 electrocoagulation Methods 0.000 title claims description 11
- 230000001954 sterilising effect Effects 0.000 title claims description 5
- 238000004659 sterilization and disinfection Methods 0.000 title claims description 5
- 238000005345 coagulation Methods 0.000 claims description 7
- 230000015271 coagulation Effects 0.000 claims description 7
- 239000004020 conductor Substances 0.000 claims description 4
- 238000000576 coating method Methods 0.000 claims description 2
- 239000000463 material Substances 0.000 claims description 2
- 238000002955 isolation Methods 0.000 claims 1
- 239000003518 caustics Substances 0.000 description 2
- 239000011810 insulating material Substances 0.000 description 2
- 238000009413 insulation Methods 0.000 description 2
- 229910000831 Steel Inorganic materials 0.000 description 1
- 230000000694 effects Effects 0.000 description 1
- 239000004744 fabric Substances 0.000 description 1
- 238000013021 overheating Methods 0.000 description 1
- 230000005855 radiation Effects 0.000 description 1
- 238000000926 separation method Methods 0.000 description 1
- 239000010959 steel Substances 0.000 description 1
Classifications
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1442—Probes having pivoting end effectors, e.g. forceps
-
- A—HUMAN NECESSITIES
- A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
- A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
- A61B18/00—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
- A61B18/04—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
- A61B18/12—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating by passing a current through the tissue to be heated, e.g. high-frequency current
- A61B18/14—Probes or electrodes therefor
- A61B18/1402—Probes for open surgery
Landscapes
- Health & Medical Sciences (AREA)
- Surgery (AREA)
- Engineering & Computer Science (AREA)
- Life Sciences & Earth Sciences (AREA)
- Biomedical Technology (AREA)
- Otolaryngology (AREA)
- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Plasma & Fusion (AREA)
- Physics & Mathematics (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
- Molecular Biology (AREA)
- Animal Behavior & Ethology (AREA)
- General Health & Medical Sciences (AREA)
- Public Health (AREA)
- Veterinary Medicine (AREA)
- Surgical Instruments (AREA)
Description
Die Erfindung betrifft ein Elektrokoagulationsinstrument für die Tubensterilisation mit zwei Schenkeln für eine bipolare Koagulation, die mit den Polen einer elektrischen Stromquelle verbunden sind.The invention relates to an electrocoagulation instrument for tube sterilization with two legs for a bipolar coagulation, which are connected to the poles of an electrical power source.
Ärztliche Instrumente für die Elektrokoagulation sind in den verschiedensten Ausführungsformen bekannt. So ist ein chirurgisches Schneidinstrument mit zwei beim Schneiden scheren- oder messerartig gegeneinander bewegbaren Schneidblättern bekannt (DT-OS 19 19 485). Ein derartiges Schneidinstrument ist dergestalt ausgebildet, daß eine von dem ersten Schneidblatt elektrisch isolierte Elektrode vorgesehen ist und daß zur Bildung von zwei Koagulationselektroden für eine bipolare Koagulation das erste Schneidblatt und die Elektrode mit den Polen einer elektrischen Stromquelle verbindbar sind.Medical instruments for electrocoagulation are known in the most varied of embodiments. For example, a surgical cutting instrument with two scissors or a knife against each other when cutting movable cutting blades known (DT-OS 19 19 485). Such a cutting instrument is such designed that an electrode electrically insulated from the first cutting blade is provided and that to form two coagulation electrodes for bipolar coagulation, the first cutting blade and the Electrode can be connected to the poles of an electrical power source.
Die Anwendung eines derart ausgebildeten chirurgischen Schneidinstrumentes erfolgt in der Weise, daß der zwischen den Zangenbacken liegende Gewebeteil durch die Wirkung von Stromwärme erhitzt und durch Koagulation zerstört wird. Um ein Abtrennen der koagulierten Gewebsteile zu erreichen bzw. um vor dem Koagulieren die zu entfernenden Gewebsteile abtrennen zu können, können die beiden Elektroden eines derartigen chirurgischen Schneidinstrumentes messerartig ausgebildet sein.A surgical cutting instrument designed in this way is used in such a way that the part of tissue lying between the forceps jaws is heated by the effect of electrical heat and through Coagulation is destroyed. To achieve a separation of the coagulated tissue parts or before To be able to coagulate the tissue parts to be removed, the two electrodes can be one such a surgical cutting instrument be designed like a knife.
Neben derartig ausgebildeten chirurgischen Schneidinstrumenten sind auch galvanokaustische Schneidschlingen bekannt, die mit Kaustikstrom betrieben werden. Die Abgabe der Wärme erfolgt über Schneidschlingen (DT-PS 7 04 653).In addition to surgical cutting instruments designed in this way, there are also galvano-caustic cutting loops known that are operated with caustic current. The heat is given off via cutting loops (DT-PS 7 04 653).
Bei Elektrokoagulationsinstrumenten für bipolare Koagulation ist es ferner bekannt, eine lokale Überhitzung des Gewebes unmittelbar neben den Greifabschnitten dadurch zu vermeiden, daß die für die Berührung des zu koagulierenden Gewebes vorgesehenen Flächen der Greifabschnitte aus einem Werkstoff bestehen, dessen thermische und elektrische Leitfähigkeit größer sind als die entsprechenden Werte für Stahl (US-PS 36 85 518).In electrocoagulation instruments for bipolar coagulation, it is also known to cause local overheating of the fabric immediately adjacent to the gripping sections by preventing the contact the areas of the gripping sections provided for the tissue to be coagulated consist of a material, whose thermal and electrical conductivity are greater than the corresponding values for steel (U.S. Patent 3,685,518).
Es ist auch bereits bekannt (US-PS 19 08 201), bipolaSchenke! in einem Mantelrohr angeordnet und an der. blanken Enden als klauenförmige Greifabschnitte ausgebildet sind.It is also already known (US-PS 19 08 201), bipolaSchenke! arranged in a jacket tube and on the. bare ends are designed as claw-shaped gripping sections.
Aufgabe der Erfindung ist es demgegenüber, ein Elektrokoaguianonsinstrument für die Tubensterilisation mit zwei Schenkeln für eine bipolare Koagulation, die mit den Polen einer elektrischen Stromquelle verbunden sind, zu schaffen, das so ausgebildet ist, daß nur zwischen den Zangenbacken liegende Gewebeteile punktförmig koaguliert werden können.In contrast, the object of the invention is to provide an electrocoagulation instrument for tube sterilization with two legs for bipolar coagulation, which are connected to the poles of an electrical power source are to be created, which is designed so that only tissue parts lying between the forceps jaws can be coagulated punctiform.
Zur Lösung dieser Aufgabe wird ein Elektrokoagulationsinstrument für die Tubensterilisation gemäß der eingangs beschriebenen Art vorgeschlagen, das gemäß der Erfindung in der Weise ausgebildet ist, daß zwei aus isolierten elektrischen Leitern bestehende Schenkel in einem Mantelrohr angeordnet und einseitig in einem bügelartigen Griffstück zusammengeführt sind, wäh-To solve this problem, an electrocoagulation instrument for tube sterilization according to FIG Proposed type described above, which is designed according to the invention in such a way that two Legs consisting of insulated electrical conductors arranged in a casing tube and on one side in one bow-like handle are brought together, while
:c rend die anderen freien, aus dem Mantelrohr herausgeführten Enden als klauenförmige Greifabschnitte ausgebildet sind, deren verstärkt ausgebildeten Enden frei von Isolierungen sind.: c rend the other free, led out of the jacket pipe Ends are designed as claw-shaped gripping sections, the reinforced ends of which are free of insulation.
Nach einer zweckmäßigen Weiterbildung der Erfindung tragen die Greifabschnitte an ihrem äußeren Umfang Beschichtungen aus isolierenden Werkstoffen.According to an expedient development of the invention, the gripping sections carry on their outer circumference Coatings made of insulating materials.
Ein derart ausgebildetes Elektrokoagulationsinstrument erbringt den Vorteil, daß quasi eine punktgerichtete Erhitzung der zu koagulierenden Gewebeteile erfolgt. An electrocoagulation instrument designed in this way has the advantage that it is quasi a point-oriented The tissue parts to be coagulated are heated.
In der Zeichnung ist der Gegenstand der Erfindung beispielsweise dargestellt.In the drawing, the subject of the invention is shown for example.
Mit 10 ist ein Elektrokoagulationsinstrument bezeichnet, das aus zwei stabförmigen Schenkeln 11, 12 besteht, die einseitig in einem bügelartigen Griffstück 13 zusammengeführt sind. Die Schenkel ίί, 12, die aus isolierten elektrischen Leitern bestehen, sind in einem Mantelrohr 14 aus isolierenden Werkstoffen angeordnet, aus dem einseitig die Schenkelenden mit dem bügelartigen Griffstück 13 herausragen, während die anderen beiden aus dem anderen Mantdrohrende herausragenden Stabenden als klauenförmige Greifabschnitte 15, 16 ausgebildet sind, deren sich gegenüberliegende Endabschnitte 15a, 16a verstärkt und frei von Isolierungen sind. Die beiden Schenkel 11,12 sind in dem Griffstück 13 gegeneinander bei 17 isoliert. Ferner weisen die beiden Schenkel 11, 12 bei 18, 19 angedeutete Anschlußeinrichtungen für den Anschluß von mit einer Stromquelle verbundenen Verbindungskabeln auf, so daß der eine Arm U den + Pol und der andere Arm 12 den - Pol bildet.An electrocoagulation instrument is designated by 10, which consists of two rod-shaped legs 11, 12 consists, which are brought together on one side in a bracket-like grip piece 13. The legs ίί, 12 that come out insulated electrical conductors are arranged in a jacket tube 14 made of insulating materials, from which protrude on one side the leg ends with the bow-like grip piece 13, while the other two rod ends protruding from the other end of the jacket tube as claw-shaped gripping sections 15, 16 are formed, the opposite end portions 15a, 16a of which are reinforced and free of insulation are. The two legs 11, 12 are isolated from one another at 17 in the handle 13. Also show the two legs 11, 12 at 18, 19 indicated connection devices for the connection of with a Power source connected connection cables, so that one arm U the + pole and the other arm 12 the - pole forms.
Die Greifabschnitte 15, 16 sind nach außen hin mit einer bei 20, 21 angedeuteten Isolierschicht versehen, so daß eine Wärmestrahlung nur in dem von den Greifabschnitten umschlossenen Raum wirken kann.The gripping sections 15, 16 are provided on the outside with an insulating layer indicated at 20, 21, so that thermal radiation can only act in the space enclosed by the gripping sections.
Nach Erfassen des zu entfernenden Gewebeteils mittels der freien Endabschnitte 15a, 16a der Greifabschnitte 15,16 wird nach Anschluß des Instrumentes an eine Stromquelle auf Grund des zwischen den beiden Endabschnitten 15a, 16a vorhandenen Widerstandes Wärme erzeugt, die zur Entfernung des zu beseitigenden Gewebeteils verwendet wird.After grasping the tissue part to be removed by means of the free end sections 15a, 16a of the gripping sections 15,16 is after connection of the instrument to a power source due to the between the two End sections 15a, 16a existing resistance generates heat necessary to remove the Tissue part is used.
Der besondere Vorteil des Elektrokoagulationsinstrumentes liegt darin, daß nur der zu beseitigende Gewebeteil erfaßbar und somit koagulierbar ist.The particular advantage of the electrocoagulation instrument lies in the fact that only the tissue part to be removed can be grasped and thus coagulated.
Hierzu 1 Blatt Zeichnungen1 sheet of drawings
Claims (2)
Applications Claiming Priority (1)
| Application Number | Priority Date | Filing Date | Title |
|---|---|---|---|
| DE19737305040U DE7305040U (en) | 1973-02-10 | 1973-02-10 | ELECTROCOAGULATION FORCEPS FOR TUBE STERILIZATION USING BIPOLAR HIGH-FREQUENCY HEAT RADIATION |
Publications (2)
| Publication Number | Publication Date |
|---|---|
| DE2322193A1 DE2322193A1 (en) | 1974-11-21 |
| DE2322193B2 true DE2322193B2 (en) | 1976-02-19 |
Family
ID=6636758
Family Applications (2)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE19737305040U Expired DE7305040U (en) | 1973-02-10 | 1973-02-10 | ELECTROCOAGULATION FORCEPS FOR TUBE STERILIZATION USING BIPOLAR HIGH-FREQUENCY HEAT RADIATION |
| DE19732322193 Pending DE2322193B2 (en) | 1973-02-10 | 1973-05-03 | ELECTROCOAGULATION INSTRUMENT FOR TUBE STERILIZATION |
Family Applications Before (1)
| Application Number | Title | Priority Date | Filing Date |
|---|---|---|---|
| DE19737305040U Expired DE7305040U (en) | 1973-02-10 | 1973-02-10 | ELECTROCOAGULATION FORCEPS FOR TUBE STERILIZATION USING BIPOLAR HIGH-FREQUENCY HEAT RADIATION |
Country Status (6)
| Country | Link |
|---|---|
| US (1) | US3831607A (en) |
| AT (1) | AT329739B (en) |
| CH (1) | CH551202A (en) |
| DE (2) | DE7305040U (en) |
| FR (1) | FR2221113B1 (en) |
| GB (1) | GB1428238A (en) |
Families Citing this family (30)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| CA1018419A (en) * | 1973-07-04 | 1977-10-04 | Gerald Turp | Instrument for laparoscopic tubal cauterization |
| DE2513868C2 (en) * | 1974-04-01 | 1982-11-04 | Olympus Optical Co., Ltd., Tokyo | Bipolar electrodiathermy forceps |
| CH587664A5 (en) * | 1974-09-05 | 1977-05-13 | Fischer Fa F L | |
| US3982542A (en) * | 1975-03-12 | 1976-09-28 | Ford John L | Electroresectroscope and method of laparoscopic tubal sterilization |
| US4005714A (en) * | 1975-05-03 | 1977-02-01 | Richard Wolf Gmbh | Bipolar coagulation forceps |
| US4174714A (en) * | 1976-03-26 | 1979-11-20 | Mehl Thomas L | Method for permanent removal of hair |
| US4174713A (en) * | 1976-03-26 | 1979-11-20 | Mehl Thomas L | Device for permanent removal of hair |
| US4315510A (en) * | 1979-05-16 | 1982-02-16 | Cooper Medical Devices Corporation | Method of performing male sterilization |
| US4655216A (en) * | 1985-07-23 | 1987-04-07 | Alfred Tischer | Combination instrument for laparoscopical tube sterilization |
| US5169398A (en) * | 1990-09-21 | 1992-12-08 | Glaros Nicholas G | Electronic hair remover |
| US6193672B1 (en) | 1993-05-11 | 2001-02-27 | Mectra Labs, Inc. | Lavage |
| GB9410505D0 (en) * | 1994-05-25 | 1994-07-13 | Microsurgical Equipment Ltd | Tissue connecting apparatus |
| US20110077672A1 (en) * | 1995-06-07 | 2011-03-31 | Fleischman Sidney D | Devices For Installing Stasis Reducing Means In Body Tissue |
| US6132438A (en) * | 1995-06-07 | 2000-10-17 | Ep Technologies, Inc. | Devices for installing stasis reducing means in body tissue |
| US5843080A (en) * | 1996-10-16 | 1998-12-01 | Megadyne Medical Products, Inc. | Bipolar instrument with multi-coated electrodes |
| US6245062B1 (en) | 1998-10-23 | 2001-06-12 | Afx, Inc. | Directional reflector shield assembly for a microwave ablation instrument |
| US7226446B1 (en) | 1999-05-04 | 2007-06-05 | Dinesh Mody | Surgical microwave ablation assembly |
| US6277113B1 (en) | 1999-05-28 | 2001-08-21 | Afx, Inc. | Monopole tip for ablation catheter and methods for using same |
| US7033352B1 (en) | 2000-01-18 | 2006-04-25 | Afx, Inc. | Flexible ablation instrument |
| US6926712B2 (en) | 2000-03-24 | 2005-08-09 | Boston Scientific Scimed, Inc. | Clamp having at least one malleable clamp member and surgical method employing the same |
| US6692491B1 (en) * | 2000-03-24 | 2004-02-17 | Scimed Life Systems, Inc. | Surgical methods and apparatus for positioning a diagnostic or therapeutic element around one or more pulmonary veins or other body structures |
| US6673068B1 (en) | 2000-04-12 | 2004-01-06 | Afx, Inc. | Electrode arrangement for use in a medical instrument |
| US20020087151A1 (en) | 2000-12-29 | 2002-07-04 | Afx, Inc. | Tissue ablation apparatus with a sliding ablation instrument and method |
| US7785324B2 (en) | 2005-02-25 | 2010-08-31 | Endoscopic Technologies, Inc. (Estech) | Clamp based lesion formation apparatus and methods configured to protect non-target tissue |
| US7753908B2 (en) | 2002-02-19 | 2010-07-13 | Endoscopic Technologies, Inc. (Estech) | Apparatus for securing an electrophysiology probe to a clamp |
| US7099717B2 (en) | 2002-01-03 | 2006-08-29 | Afx Inc. | Catheter having improved steering |
| US7192427B2 (en) | 2002-02-19 | 2007-03-20 | Afx, Inc. | Apparatus and method for assessing transmurality of a tissue ablation |
| US6932816B2 (en) * | 2002-02-19 | 2005-08-23 | Boston Scientific Scimed, Inc. | Apparatus for converting a clamp into an electrophysiology device |
| US8002770B2 (en) | 2003-12-02 | 2011-08-23 | Endoscopic Technologies, Inc. (Estech) | Clamp based methods and apparatus for forming lesions in tissue and confirming whether a therapeutic lesion has been formed |
| US7727231B2 (en) | 2005-01-08 | 2010-06-01 | Boston Scientific Scimed, Inc. | Apparatus and methods for forming lesions in tissue and applying stimulation energy to tissue in which lesions are formed |
Family Cites Families (6)
| Publication number | Priority date | Publication date | Assignee | Title |
|---|---|---|---|---|
| FR598149A (en) * | 1925-05-08 | 1925-12-07 | bipolar electrodes for electrocoagulation | |
| US1908201A (en) * | 1931-03-09 | 1933-05-09 | Morton G Welch | Bipolar tonsil forceps |
| US1983669A (en) * | 1933-04-19 | 1934-12-11 | Gen Electric X Ray Corp | Electrode |
| US2100116A (en) * | 1935-09-05 | 1937-11-23 | Webb George Farrell | Method and apparatus for treating pyorrhea |
| US3163165A (en) * | 1960-09-12 | 1964-12-29 | Islkawa Humio | Uterotube-closing instrument |
| FR1536272A (en) * | 1967-06-06 | 1968-08-16 | S M A Segnalamento Marittimo E | Coagulation device for high-frequency cauterization, using hemostats |
-
1973
- 1973-02-10 DE DE19737305040U patent/DE7305040U/en not_active Expired
- 1973-03-01 CH CH303873A patent/CH551202A/en not_active IP Right Cessation
- 1973-03-01 AT AT186373A patent/AT329739B/en not_active IP Right Cessation
- 1973-03-07 US US00339011A patent/US3831607A/en not_active Expired - Lifetime
- 1973-03-07 FR FR7308190A patent/FR2221113B1/fr not_active Expired
- 1973-03-07 GB GB1122973A patent/GB1428238A/en not_active Expired
- 1973-05-03 DE DE19732322193 patent/DE2322193B2/en active Pending
Also Published As
| Publication number | Publication date |
|---|---|
| AT329739B (en) | 1976-05-25 |
| FR2221113B1 (en) | 1975-08-22 |
| DE7305040U (en) | 1973-06-20 |
| CH551202A (en) | 1974-07-15 |
| ATA186373A (en) | 1975-08-15 |
| DE2322193A1 (en) | 1974-11-21 |
| US3831607A (en) | 1974-08-27 |
| FR2221113A1 (en) | 1974-10-11 |
| GB1428238A (en) | 1976-03-17 |
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