JPH04357946A - Biotissue freezing device - Google Patents

Biotissue freezing device

Info

Publication number
JPH04357946A
JPH04357946A JP3160108A JP16010891A JPH04357946A JP H04357946 A JPH04357946 A JP H04357946A JP 3160108 A JP3160108 A JP 3160108A JP 16010891 A JP16010891 A JP 16010891A JP H04357946 A JPH04357946 A JP H04357946A
Authority
JP
Japan
Prior art keywords
tube
freezing
needle
pipe
vacuum
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.)
Granted
Application number
JP3160108A
Other languages
Japanese (ja)
Other versions
JP3110800B2 (en
Inventor
Keisuke Kasahara
敬介 笠原
Moritake Kitano
北野 盛丈
Current Assignee (The listed assignees may be inaccurate. Google has not performed a legal analysis and makes no representation or warranty as to the accuracy of the list.)
Mayekawa Manufacturing Co
Original Assignee
Mayekawa Manufacturing Co
Priority date (The priority date 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 date listed.)
Filing date
Publication date
Application filed by Mayekawa Manufacturing Co filed Critical Mayekawa Manufacturing Co
Priority to JP03160108A priority Critical patent/JP3110800B2/en
Publication of JPH04357946A publication Critical patent/JPH04357946A/en
Application granted granted Critical
Publication of JP3110800B2 publication Critical patent/JP3110800B2/en
Anticipated expiration legal-status Critical
Expired - Fee Related legal-status Critical Current

Links

Abstract

PURPOSE:To provide the biotissue freezing device which is provided with a treating needle constituted to allow direct puncture into the affected part of the bioorgans from the outside of the body without incising the abdomen and to allow the introduction of biotissue freezing fluid to its tip part and can maintain the vacuum degree of the vacuum space provided on the inside wall side of the outside pipe of this treating needle over a long period of time. CONSTITUTION:This biotissue freezing device has the treating needle 1 constituted to allow the introduction of biotissue freezing fluid into its tip part and has a tubular body 6 formed to the diameter larger than the diameter of this treating needle on the base side of the treating needle 1. A freezing fluid introducing pipe 3 and a discharge pipe 4 are penetrated in the tubular body penetrating in this tubular body and a vacuum is maintained in the tubular body 6 having the large diameter. In addition, active carbon 4 is sealed into the large- diameter tubular body.

Description

【発明の詳細な説明】[Detailed description of the invention]

【0001】0001

【産業上の利用分野】本発明は、生体組織凍結装置に係
わり、特に、開腹する事なく体内に刺込み、体内臓器患
部を凍結壊死せしめる凍結治療針を備えた生体組織凍結
装置に関する。
BACKGROUND OF THE INVENTION 1. Field of the Invention The present invention relates to a living tissue freezing device, and more particularly to a living tissue freezing device equipped with a cryotherapy needle that is inserted into the body to freeze and necrotize the affected part of the body's internal organs without having to open the abdomen.

【0002】0002

【従来の技術】従来より、体内臓器の癌、例えば、肝臓
癌・肝臓腫瘍・膵臓癌の手術は、開腹・摘出する手術で
あった。手術を行う医師には、手術の危険性、及び手術
後の内蔵癒着にもみられる余病の併発等に対処し得る熟
練度を要求され、手術を受ける患者には、長時間にわた
る手術に耐え得る患者の体力が要求され、更に患者を取
り巻く家族・親族・友人達の心配・配慮等を考慮するな
ら、あらゆる面において開腹手術は大変なものである。 一方、超音波診断器による体内患部の影像も鮮明に解像
可能となり、初期癌が容易に発見されるようになったも
のの、余程の事のない限り開腹切除するより他の治療方
法を採ろうとし、開腹手術の頻度も制限されるものであ
った。また、開腹して患部を直視しながら液体窒素の蒸
発・断熱膨張による凍結チップで凍結・壊死させる方法
は、治療方法としては存在するものの、先ず開腹しなけ
ればならず、更に、先端凍結チップのみが低温ではなく
、液体窒素の容器から凍結チップに至るまでの接続フレ
キシブルパイプ、及び凍結チップの保持管に霜が付き、
保持管に付着した結氷により針として体内に刺す事はで
きないものであった。
BACKGROUND OF THE INVENTION Conventionally, surgery for cancer of internal organs, such as liver cancer, liver tumor, and pancreatic cancer, has been performed through laparotomy and removal. Doctors who perform surgery are required to have the skill to deal with the risks of the surgery and the complications of complications such as visceral adhesions after surgery, and patients undergoing surgery are required to have the ability to withstand the long duration of the surgery. Open surgery is difficult in all respects, as it requires physical strength from the patient and also takes into account the concerns and considerations of the patient's family, relatives, and friends. On the other hand, it has become possible to clearly resolve images of affected parts of the body using ultrasound diagnostic equipment, making it easier to detect early cancers. This also limited the frequency of open surgery. In addition, although there is a treatment method in which the abdomen is opened and the affected area is directly viewed and frozen and necrotized using a cryotip using liquid nitrogen evaporation and adiabatic expansion, it requires a laparotomy first, and furthermore, only the tip of the cryotip is needed. However, the temperature is not low enough to cause frost to form on the connecting flexible pipe from the liquid nitrogen container to the frozen chip, and on the frozen chip holding tube.
Due to the ice that had adhered to the holding tube, it was impossible to insert the needle into the body.

【0003】例えば、実公昭52−40618号公報に
開示された外科用消息子にあっては、内部を真空にしう
る外管内に配設された冷凍流体噴出パイプを通じて、液
体窒素を前記外管先端に固設した消息子先端キャップ内
の空間に導き、これの蒸発・断熱膨張により該消息子先
端キャップを冷却し、この冷却された消息子キャップを
患部に接触・凍結させるとしている。この外科消息子を
、基底神経節、大脳内腫瘍、脳下垂体、腔内肉腫等の手
術に用いて好成績をおさめている。
For example, in the surgical pump disclosed in Japanese Utility Model Publication No. 52-40618, liquid nitrogen is injected into the tip of the outer tube through a refrigerating fluid jetting pipe disposed inside the outer tube, which can create a vacuum inside. The tube is guided into the space inside the tip cap fixed to the tube, and the tip cap is cooled by evaporation and adiabatic expansion, and the cooled tip cap is brought into contact with the affected area and frozen. This surgical procedure has been used with good results in surgeries for basal ganglia, intracerebral tumors, pituitary glands, intracavity sarcomas, etc.

【0004】0004

【発明が解決しようとする課題】しかしながら前記従来
技術を詳細に検討すると、前記消息子は、前記外管の中
心部に、消息子先端キャップに挿入された気化冷媒排出
パイプを配設し、該排出パイプの下方に冷凍流体噴出パ
イプを配設し、これら両パイプの前記外管内での位置関
係が安定するように複数個の支持環で支持するよう構成
されている。該支持環の外周壁は前記外管の内周壁に密
着する直径を有し、該支持環は外管と対接する。即ち、
前記外管内を真空に維持し対流伝熱を遮断したとしても
、気化冷媒排出パイプ・冷凍流体噴出パイプから外管に
至る冷熱輻射に加えて、該両パイプの冷熱は前記複数の
支持環を介して該外管に伝達し、少なくとも該支持環が
対接する個所の外管外周壁に、霜・結氷が形成する可能
性がある。更に、前記消息子先端キャップの端面形状は
、前記外管の直径を半径とする球面である事も加えて、
患者の患部上皮、生物学的組織を切開するか、口腔・腔
口など予め開口した部分より患部まで消息子先端キャッ
プを挿入管部を介して挿入するしか患部に到達し得ない
However, when the above-mentioned prior art is examined in detail, it is found that the gas cylinder has a vaporized refrigerant discharge pipe inserted into the gas cylinder end cap in the center of the outer tube, and A refrigerating fluid ejection pipe is disposed below the discharge pipe, and is supported by a plurality of support rings so that the positional relationship between these two pipes within the outer tube is stabilized. The outer peripheral wall of the support ring has a diameter that closely contacts the inner peripheral wall of the outer tube, and the support ring faces the outer tube. That is,
Even if the inside of the outer tube is maintained in a vacuum and convective heat transfer is blocked, in addition to the cold radiation reaching the outer tube from the vaporized refrigerant discharge pipe and the frozen fluid jet pipe, the cold heat of both pipes is transmitted through the plurality of support rings. There is a possibility that frost and ice may be formed on the outer circumferential wall of the outer tube at least at the portion where the support ring is in contact with the outer tube. Furthermore, the end face shape of the probe tip cap is a spherical surface with a radius equal to the diameter of the outer tube;
The only way to reach the affected area is to make an incision in the epithelium or biological tissue of the affected area of the patient, or to insert the probe tip cap to the affected area from a pre-opened area such as the oral cavity or oral cavity through the insertion tube.

【0005】本発明はかかる従来技術の欠点に鑑み、開
腹する事なく体外から生体臓器の患部に直接刺込み可能
で、しかも先端部位に生体組織凍結用流体を導入可能に
した治療針を備えた生体組織凍結装置において、該治療
針の外管内壁側に設けた真空空間の真空度を長期間にわ
たって維持可能で、しかも該治療針の操作が容易な生体
組織凍結装置を提供する事を目的とする。
In view of the drawbacks of the prior art, the present invention provides a therapeutic needle that can be inserted directly into the affected part of a living organ from outside the body without having to open the abdomen, and that can also introduce a fluid for freezing living tissue into its tip. The object of the present invention is to provide a living tissue freezing device that can maintain the degree of vacuum in the vacuum space provided on the inner wall of the outer tube of the therapeutic needle for a long period of time, and in which the therapeutic needle is easy to operate. do.

【0006】[0006]

【課題を解決するための手段】本発明はかかる技術的課
題を達成するために、先端部位に生体組織凍結用流体を
導入可能にした治療針を備えた生体組織凍結装置におい
て、前記治療針の基側に、該治療針より太径に形成した
管体を有し、前記管体内を貫通する管体内に凍結用流体
導入管と排出管を貫設せしめると共に、前記太径の管体
内を真空に保持し、かつ前記太径の管体内に活性炭を内
封した事を特徴とする生体組織凍結装置を提案する。
[Means for Solving the Problems] In order to achieve the above-mentioned technical problems, the present invention provides a biological tissue freezing device equipped with a therapeutic needle capable of introducing a biological tissue freezing fluid into the distal end portion of the therapeutic needle. A tubular body having a diameter larger than that of the treatment needle is provided on the proximal side, and a freezing fluid introduction pipe and a discharge pipe are provided in the tubular body penetrating the tubular body, and a vacuum is provided in the tubular body of the large diameter. We propose a biological tissue freezing device characterized in that the biological tissue is maintained at a temperature of 100 mm, and activated carbon is enclosed within the large-diameter tube.

【0007】なお、前記太径の管体内に適宜長を有する
真空引き用自在ジョイント弁を付設し、また、前記太径
の管体の基側に、凍結用流体導入管を貫設させたフレキ
シブル管を介して前記導入管と連設するクライオポット
を設置する事が好ましい。更に、前記フレキシブル管の
上流側で排出管を分岐して挿出せしめ、該排出管を排気
ポンプに接続すると共に、該ポンプと前記クライオポッ
トを搬送ワゴン車に搭載し、前記クライオポットとフレ
キシブル管との間に自在接手を介在せしめるならば、な
お好ましい。
[0007] Furthermore, a flexible joint valve for evacuation having an appropriate length is provided inside the large-diameter tube, and a freezing fluid introduction pipe is provided through the base side of the large-diameter tube. It is preferable to install a cryopot connected to the introduction pipe via a pipe. Further, a discharge pipe is branched and inserted on the upstream side of the flexible pipe, the discharge pipe is connected to an exhaust pump, the pump and the cryopot are mounted on a transport wagon, and the cryopot and the flexible pipe are connected to each other. It is even more preferable if a universal joint is interposed between the two.

【0008】[0008]

【作用】かかる技術手段によれば、前記太径管体を貫通
する排出管と凍結用流体導入管を有し、該太径管体に接
続封止される外管を有する前記治療針において、外管と
排出管間に形成される環状空間と前記太径管体の真空空
間と連設するように構成するならば、前記太径管体の真
空空間容積は環状空間の容積よりはるかに大きく形成し
ているので、多少の真空洩れがあったとしても、環状空
間の真空度を長期間維持する事が可能となる。また、前
記真空空間に活性炭素を内封する事により、更に前記環
状空間の真空度を長期間維持する事ができる。
[Operation] According to this technical means, the therapeutic needle has a discharge pipe and a freezing fluid introduction pipe passing through the large diameter tubular body, and has an outer tube that is connected and sealed to the large diameter tubular body, If the annular space formed between the outer pipe and the discharge pipe is configured to be connected to the vacuum space of the large diameter pipe, the vacuum space volume of the large diameter pipe is much larger than the volume of the annular space. Because of this, even if there is some vacuum leakage, the degree of vacuum in the annular space can be maintained for a long period of time. Moreover, by enclosing activated carbon in the vacuum space, the degree of vacuum in the annular space can be maintained for a longer period of time.

【0009】なお、前記太径管体に適宜長さの真空引き
用自在ジョイント弁を付設したので、該ジョイント弁に
使用されている比較的低温に耐え得ない部材を、低温で
ある太径管体から離れた場所に設ける事が可能となり、
該部材の機能を損する事なく前記真空空間・環状空間の
真空度を長期間維持する事ができる。また、太径管体と
クライオポットを前記凍結用流体導入管を貫設させたフ
レキシブル管により接続し、更に、前記クライオポット
とフレキシブル管との間に自在接手を介在させた事によ
り、定位置に設置されたクライオポットに邪魔される事
なく前記生体組織凍結装置を操作可能となる。更に、排
気ポンプとクライオポットを搬送ワゴン車に搭載したた
めに、患者の近傍に設置することができ、前記生体組織
凍結装置を容易に操作する事ができる。
[0009] Furthermore, since a vacuum evacuation universal joint valve of an appropriate length is attached to the large-diameter pipe, the members used in the joint valve that cannot withstand relatively low temperatures can be replaced with large-diameter pipes that are at low temperatures. It becomes possible to install it in a place far away from the body,
The degree of vacuum in the vacuum space/annular space can be maintained for a long period of time without impairing the function of the member. In addition, by connecting the large diameter tube and the cryopot with a flexible tube through which the freezing fluid introduction tube is inserted, and by interposing a flexible joint between the cryopot and the flexible tube, it is possible to maintain a fixed position. The living tissue freezing device can be operated without being obstructed by the cryopot installed in the body. Furthermore, since the exhaust pump and cryopot are mounted on the transport wagon, they can be installed near the patient, and the living tissue freezing device can be easily operated.

【0010】0010

【実施例】以下、図面を参照して本発明の好適な実施例
を例示的に詳しく説明する。但し、この実施例に記載さ
れている構成部品の寸法、材質、形状、その相対配置な
どは特に特定的な記載がない限りは、この発明の範囲を
それのみに限定する趣旨ではなく、単なる説明例に過ぎ
ない。
DESCRIPTION OF THE PREFERRED EMBODIMENTS Preferred embodiments of the present invention will be described in detail below by way of example with reference to the drawings. However, unless otherwise specified, the dimensions, materials, shapes, and relative positions of the components described in this example are not intended to limit the scope of this invention, but are merely illustrative. Just an example.

【0011】図1乃至図4は本発明の実施例に係る生体
凍結用治療針を示し、図1はその関連部材を含む全体構
成を示す正面切欠き断面図、図2は該生体凍結用治療針
の先端部分の正面断面図、図3はその途中管路を部分を
示す正面図、図4はその側面図である。1は生体凍結用
治療針で、内管3、中管4及び外管5からなる同心三重
管の針体1a、及び該針体1aの先端に封着された先端
部材2から成る。
1 to 4 show a therapeutic needle for freezing a living body according to an embodiment of the present invention, FIG. 1 is a front cutaway sectional view showing the overall configuration including related members, and FIG. 2 shows a needle for freezing a living body according to an embodiment of the present invention. FIG. 3 is a front sectional view of the tip of the needle, FIG. 3 is a front view showing a portion of the duct in the middle thereof, and FIG. 4 is a side view thereof. Reference numeral 1 designates a treatment needle for freezing living organisms, which consists of a concentric triple-tube needle body 1a consisting of an inner tube 3, a middle tube 4, and an outer tube 5, and a tip member 2 sealed to the tip of the needle body 1a.

【0012】前記針体1aの先端には、中管4の先端が
外管5内壁側に断面八の字状に拡径し溶着封止され、該
接合部は先端部材2の後部に嵌着封止され、内管3の先
端ノズル部3aは先端部材2の後端内部に設けられた円
錐状空所2a内に延設されている。先端部材2の先端は
、外管中心に対して斜に切削され、更に先端側の長円外
縁を研磨して切刃2bを設け、針体1aの外径と略同径
の先端部材2は針体1aと共に、開腹する事なく体内に
刺し込み可能に形成されている。また、中管4の外周に
は、ポリエチレン、ポリエステル等の樹脂製繊維糸をス
パイラル状に巻き付けて外管5との間の間隙保持部材5
aとすると共に、該中管4と外管5間の環状空間15は
、後述の太径管真空空間16と保持輪12Aを介して連
通し、真空吸引している。
[0012] At the tip of the needle body 1a, the tip of the middle tube 4 is expanded in diameter toward the inner wall of the outer tube 5 in a figure-eight shape and sealed by welding, and the joint part is fitted into the rear part of the tip member 2. The distal end nozzle portion 3a of the inner tube 3 is sealed and extends into a conical cavity 2a provided inside the rear end of the distal end member 2. The tip of the tip member 2 is cut obliquely with respect to the center of the outer tube, and the oval outer edge on the tip side is further polished to provide a cutting edge 2b, and the tip member 2 has approximately the same diameter as the outer diameter of the needle body 1a. Together with the needle body 1a, it is formed so that it can be inserted into the body without opening the abdomen. In addition, a fiber thread made of resin such as polyethylene or polyester is spirally wound around the outer periphery of the inner tube 4, and a gap maintaining member 5 is formed between the inner tube 4 and the outer tube 5.
The annular space 15 between the inner tube 4 and the outer tube 5 communicates with a large-diameter tube vacuum space 16, which will be described later, via a retaining ring 12A to provide vacuum suction.

【0013】太径管体6の先端側にはテーパ部6a、後
端側にはジョイント部6bが形成されており、該テーパ
部6a先端は、針体1aの外管5が挿入され溶着封止さ
れている。該外管5と中管4との間に形成している環状
の環状空間15は、該太径管体6内の太径管真空空間1
6と連通し、該太径管真空空間16は太径管体6の後部
に設けられた真空排気管8及び真空自在ジョイント7に
連通し真空吸引している。また、中管4は保持輪12A
に保持されて太径管体6の後部の排気管10に延設・溶
着封止されており、中管4の内壁と内管3の外壁の間隙
に形成された戻りガス環路17は該排気管10に開口し
ており、更に、排気管9に連通している。また、前記排
気管10を貫通した内管3は、ジョイント部6bに設け
られた保持輪12Bに保持されて、内管3より大きな内
径を有するフレキシブルパイプ11に案内されて、クラ
イオポット18に至る。前記排気管10を貫通し前記ク
ライオポット18に至る内管3の外壁には、アルミフォ
イルとナイロン糸交織布を積層したテープ状の断熱布1
3を巻回している。更に、太径管真空空間16には活性
炭素14を内装している。
A tapered portion 6a is formed at the distal end of the large diameter tube 6, and a joint portion 6b is formed at the rear end, and the outer tube 5 of the needle body 1a is inserted into the tapered portion 6a and sealed by welding. It has been stopped. The annular annular space 15 formed between the outer tube 5 and the middle tube 4 is the large diameter tube vacuum space 1 in the large diameter tube body 6.
6, and the large-diameter tube vacuum space 16 communicates with a vacuum exhaust pipe 8 and a vacuum flexible joint 7 provided at the rear of the large-diameter tube body 6 for vacuum suction. In addition, the middle pipe 4 has a retaining ring 12A.
The return gas ring passage 17 formed in the gap between the inner wall of the middle pipe 4 and the outer wall of the inner pipe 3 is held by the exhaust pipe 10 at the rear of the large diameter pipe 6 and sealed by welding. It opens into the exhaust pipe 10 and further communicates with the exhaust pipe 9. In addition, the inner tube 3 that has passed through the exhaust pipe 10 is held by a retaining ring 12B provided at the joint portion 6b, and is guided to a flexible pipe 11 having an inner diameter larger than that of the inner tube 3, and reaches the cryopot 18. . On the outer wall of the inner tube 3 that passes through the exhaust pipe 10 and reaches the cryopot 18, a tape-shaped heat insulating cloth 1 made of laminated aluminum foil and nylon threaded woven cloth is provided.
3 is wound. Furthermore, activated carbon 14 is contained in the large diameter tube vacuum space 16.

【0014】かように生体凍結用治療針1、太径管体6
、及びフレキシブルパイプ11が構成されているので、
外管5と中管4間に形成された環状空間15と、太径管
体6と中管4間に形成された太径管真空空間16と、フ
レキシブルパイプ11と内管3間の環状空間11bとは
互いに連通しており、真空自在ジョイント7に不図示の
真空ポンプを接続し真空排気管8・真空自在ジョイント
7を介して前記三空間を吸引するなら、該三空間を真空
度10−6〜10−7トールの真空にする事ができる。 環状空間15に比べて残りの二空間の容積は極めて大き
く形成されており、多少の真空洩れがあっても容易に前
記真空度を降下させる事がなく、また前記太径管体6内
の活性炭素14の分子吸着により該真空度の真空を長期
間維持する事ができる。
[0014] As described above, the therapeutic needle 1 for freezing a living body and the large diameter tube body 6
, and the flexible pipe 11 are configured,
An annular space 15 formed between the outer tube 5 and the middle tube 4, a large diameter tube vacuum space 16 formed between the large diameter tube body 6 and the middle tube 4, and an annular space between the flexible pipe 11 and the inner tube 3. 11b are in communication with each other, and if a vacuum pump (not shown) is connected to the vacuum universal joint 7 and the three spaces are suctioned through the vacuum exhaust pipe 8 and the vacuum flexible joint 7, the three spaces will have a vacuum degree of 10- A vacuum of 6 to 10-7 torr can be created. The volumes of the remaining two spaces are extremely large compared to the annular space 15, so that even if there is some vacuum leakage, the degree of vacuum will not drop easily, and the activity inside the large diameter tubular body 6 will be reduced. By adsorbing carbon-14 molecules, this degree of vacuum can be maintained for a long period of time.

【0015】次に針体1aを形成する同心三重管の各管
体について順次説明するに、内管3は、外径・内径がそ
れぞれ略1.0mm,0.8mmのステンレス鋼細管で
、その先端ノズル部3aは先端部材2の後端内部に設け
られた円錐状空所2a内に延設されていて、該内管3内
を流れる液体窒素31は該ノズル部3aから噴出し先端
部材2内壁面に衝突し気化するように構成されている。 中管4は外径・内径がそれぞれ略1.8mm,1.4m
mのステンレス鋼細管で、前記内管3と該中管4との間
隙に形成される戻りガス環路17を気化した窒素が還流
する。外管5は外径・内径がそれぞれ略3.0mm,2
.4mmの剛直ステンレス鋼管で、前記中管3と該外管
5との間隙に形成される環状空間15は太径管体6の太
径管真空空間16に連通されている。また、前記同心三
重管の長さは略200mm程度で、前記先端部材2と共
に体内に刺し込まれるよう構成されている。なお、前記
太径管体6は外径が略25mm,長さが200mm程度
のステンレス鋼管である。
Next, each tube of the concentric triple tube forming the needle body 1a will be explained in order.The inner tube 3 is a stainless steel thin tube with an outer diameter and an inner diameter of approximately 1.0 mm and 0.8 mm, respectively. The tip nozzle portion 3a extends into a conical cavity 2a provided inside the rear end of the tip member 2, and the liquid nitrogen 31 flowing inside the inner tube 3 is ejected from the nozzle portion 3a to the tip member 2. It is configured to collide with the inner wall surface and vaporize. The inner diameter of the middle tube 4 is approximately 1.8 mm and 1.4 m, respectively.
The vaporized nitrogen is refluxed through a return gas ring 17 formed in the gap between the inner tube 3 and the middle tube 4 through a stainless steel thin tube of m. The outer tube 5 has an outer diameter and an inner diameter of approximately 3.0 mm and 2
.. The annular space 15 formed in the gap between the inner tube 3 and the outer tube 5 is communicated with a large diameter tube vacuum space 16 of the large diameter tube body 6, which is a 4 mm rigid stainless steel tube. Further, the length of the concentric triple tube is about 200 mm, and it is configured to be inserted into the body together with the tip member 2. The large diameter tube 6 is a stainless steel tube with an outer diameter of about 25 mm and a length of about 200 mm.

【0016】かかる治療針によれば、排気管9にて排気
ポンプ23により吸引減圧すれば、内管3により液体窒
素31が導入されて、ノズル部3aにて該液体窒素31
が先端部材2内面の円錐状空間2aに噴射されて、膨張
しながら先端部材2に衝突し、その蒸発潛熱が凍結熱と
して働いた後、吸熱・気化したガスは反転して内管3外
壁と中管4の内側空隙の戻りガス環路17を通って、戻
り窒素ガス32として排気管9・フレキシブル排気管2
5を経て排気ポンプ23により排出される。この際、戻
りガス環路17は液若しくは気体が正圧状態で流通して
いるために保持部材を設ける必要はなく、むしろ保持部
材の存在は抵抗となるので好ましくない。また内管3と
中管4が接触しても低温同士であるため熱損失の影響は
少ない。
According to this therapeutic needle, when the exhaust pipe 9 is suctioned and depressurized by the exhaust pump 23, the liquid nitrogen 31 is introduced through the inner tube 3, and the liquid nitrogen 31 is discharged through the nozzle portion 3a.
is injected into the conical space 2a on the inner surface of the tip member 2, collides with the tip member 2 while expanding, and after the heat of evaporation acts as freezing heat, the heat-absorbing and vaporized gas reverses and hits the outer wall of the inner tube 3. It passes through the return gas ring path 17 in the inner gap of the middle pipe 4 and is discharged as return nitrogen gas 32 to the exhaust pipe 9 and the flexible exhaust pipe 2.
5 and is exhausted by the exhaust pump 23. At this time, since the liquid or gas flows through the return gas ring path 17 under a positive pressure state, there is no need to provide a holding member, and rather the presence of a holding member is not preferable because it creates resistance. Further, even if the inner tube 3 and the middle tube 4 come into contact with each other, the influence of heat loss is small because they are at low temperatures.

【0017】かかる点は既に公知であるためにその詳細
構成の説明は省略し、本発明の要部たる樹脂製糸の間隙
保持部材5aについて説明する。図3に示すように、中
管4には略1/2Aに近似する直径aの樹脂糸を互に逆
向き方向に、もしくは巻回ピッチを変えて互に交差する
ように中管4に巻付け、交差点5bで2本の糸が重なる
点を保持支点となるよう構成する。即ち、前記一対の間
隙保持部材5aの直径aは略1/2Aであるため、図3
及び図4のごとく、環状空間15全長に亙り前記交差点
5b以外で両管は熱的に接続しなく、また前記交差点5
bが中管4と外管5とを同心円保持する支持点となる。
Since this point is already known, a detailed explanation of the structure will be omitted, and the resin thread gap holding member 5a, which is the main part of the present invention, will be explained. As shown in FIG. 3, resin threads having a diameter a approximately 1/2 A are wound around the middle tube 4 in opposite directions or at different winding pitches so as to cross each other. The point where the two threads overlap at the intersection 5b is configured to serve as a holding fulcrum. That is, since the diameter a of the pair of gap holding members 5a is approximately 1/2A, FIG.
As shown in FIG. 4, the two pipes are not thermally connected to each other over the entire length of the annular space 15 other than the intersection 5b;
Point b serves as a support point that holds the middle tube 4 and the outer tube 5 concentrically.

【0018】図5は、本発明の実施例に係る前記生体凍
結用治療針を含む凍結針治療装置の構成を示す斜視図で
、18は液体窒素31を充填する魔法瓶であるクライオ
ポットで、23は前記生体凍結用治療針1にて気化した
戻り窒素ガス32を排気する排気ポンプ、24は該排気
ポンプ23を操作するスイッチであり、22は前記クラ
イオポット18と排気ポンプ23、及びスイッチ24を
搭載するワゴン車である。
FIG. 5 is a perspective view showing the configuration of a cryo-needle treatment apparatus including the treatment needle for freezing a living body according to an embodiment of the present invention, in which 18 is a cryopot which is a thermos flask filled with liquid nitrogen 31; 24 is a switch for operating the exhaust pump 23; 22 is a switch for operating the cryopot 18, the exhaust pump 23, and the switch 24; 24 is a switch for operating the exhaust pump 23; This is a wagon car equipped with the vehicle.

【0019】内管3を内包するフレキシブルパイプ11
の先端部は前記太径管体6の後端側のジョイント部6b
に溶着され、該フレキシブルパイプ11の後端側は液送
管19先端部外径に溶着され、該フレキシブルパイプ1
1と内管3間に形成される環状空間11b部内を太径管
真空空間16に連通しさせながら気密的にシール固着す
る。前記内管3は外周壁面を断熱材により断熱措置され
た液送管19に接続され、該液送管19は自在ジョイン
ト21を介してクライオポット18内の略底部に至るサ
イホン(不図示)に接続され、該クライオポット18に
充填された液体窒素31は、前記生体凍結用治療針1に
供給されるように構成されている。
Flexible pipe 11 containing inner pipe 3
The distal end portion is the joint portion 6b on the rear end side of the large diameter tube body 6.
The rear end side of the flexible pipe 11 is welded to the outer diameter of the tip of the liquid feed pipe 19, and the flexible pipe 1
The inside of the annular space 11b formed between the inner tube 1 and the inner tube 3 is airtightly sealed and fixed while communicating with the large diameter tube vacuum space 16. The inner pipe 3 is connected to a liquid feed pipe 19 whose outer peripheral wall surface is insulated with a heat insulating material, and the liquid feed pipe 19 is connected to a siphon (not shown) that reaches approximately the bottom of the cryopot 18 via a universal joint 21. The liquid nitrogen 31 connected and filled in the cryopot 18 is configured to be supplied to the treatment needle 1 for freezing a living body.

【0020】前記排気ポンプ23はフレキシブル排気管
25を介して生体凍結用治療針1の排気管9と接続され
ている。
The exhaust pump 23 is connected to the exhaust pipe 9 of the treatment needle 1 for freezing living organisms via a flexible exhaust pipe 25.

【0021】図6及び図7は、本発明の実施例に係わる
生体凍結用治療針を用いて行う治療方法を示し、図6は
治療方法の概念を示す正面図、図7は治療に用いるCR
T画面の正面図である。1は前記生体凍結用治療針で、
保持・ガイド金具42を介して人体44に刺込まれ、前
記保持・ガイド金具42に保持され人体44に接触配置
された超音波センサ41は、人体44の患部45に対し
て送信波47を発信し、患部45を含む人体臓器からの
反射波48を受信する。50はCRT画面で、該CRT
画面には超音波送受信の基線画像51と前記治療針の映
像52、患部の映像55を示すよう構成されている。
6 and 7 show a treatment method performed using a treatment needle for freezing living bodies according to an embodiment of the present invention, FIG. 6 is a front view showing the concept of the treatment method, and FIG. 7 is a CR used for treatment.
It is a front view of a T screen. 1 is the treatment needle for freezing a living body;
The ultrasonic sensor 41 inserted into the human body 44 via the holding/guide fitting 42 and held by the holding/guiding fitting 42 and placed in contact with the human body 44 emits a transmission wave 47 to the affected part 45 of the human body 44. Then, reflected waves 48 from human organs including the affected part 45 are received. 50 is a CRT screen;
The screen is configured to display a baseline image 51 of ultrasonic transmission and reception, an image 52 of the treatment needle, and an image 55 of the affected area.

【0022】前記のように構成された凍結針治療装置の
作用を説明するに、CRT画面50における基線の画像
51と患部の映像55を看視しながら、前記生体凍結用
治療針1を人体44の患部45に向って刺込む。該治療
針1の映像52もCRT画面50に示されるので、保持
・ガイド金具42を操作しながら基線画像51と治療針
の映像52とが一致する合致点53に至るまで押入する
。次いで、スイッチ24を操作して排気ポンプ23を駆
動させると、フレキシブル排気管25、排気管9,10
、及び戻りガス環路17内の気体が吸入・排気されて、
先端部材2の円錐状空所2a内の圧力は負圧になる。従
って、クライオポット18内の液体窒素31は液送管1
9を経て内管3を流れてノズル部3aで噴霧状に噴出し
、前記先端部材2の内壁面に衝突・気化し、該先鋭部2
はおよそ1分経過後に−130度に冷却され、該先鋭部
2外周部にアイスボール46が形成され、該アイスボー
ルはおよそ1分経過後に直径略10〜15mmに、およ
そ10分経過後に直径略20〜30mmに成長する。
To explain the operation of the cryo-needling treatment apparatus configured as described above, while viewing the baseline image 51 and the image 55 of the affected area on the CRT screen 50, the treatment needle 1 for freezing the living body is inserted into the human body 44. Insert it toward the affected area 45. Since the image 52 of the therapeutic needle 1 is also displayed on the CRT screen 50, the holding/guide fitting 42 is operated until the baseline image 51 and the image 52 of the therapeutic needle match up to a matching point 53. Next, when the switch 24 is operated to drive the exhaust pump 23, the flexible exhaust pipe 25, exhaust pipes 9, 10
, and the gas in the return gas loop 17 is sucked in and exhausted,
The pressure within the conical cavity 2a of the tip member 2 becomes negative pressure. Therefore, the liquid nitrogen 31 in the cryopot 18 is
9, flows through the inner tube 3, is ejected in the form of a spray from the nozzle portion 3a, collides with the inner wall surface of the tip member 2 and vaporizes, and the sharp portion 2
is cooled to -130 degrees after approximately 1 minute, and an ice ball 46 is formed on the outer periphery of the sharpened portion 2, and the ice ball has a diameter of approximately 10 to 15 mm after approximately 1 minute, and approximately 10 to 15 mm in diameter after approximately 10 minutes. Grows to 20-30mm.

【0023】CRT画面50上のアイスボールの映像5
6を看視しながら目的とするアイスボール46の大きさ
に達したなら、スイッチ24を操作して排気ポンプ23
の駆動を中断する。液体窒素31の供給は停止し、前記
先端部材2に形成されたアイスボール46は体液によっ
て解凍されて、患部45から治療針1を抜脱する事がで
きる。必要に応じて治療針1を刺込みなおして、残りの
患部45の生体組織を凍結・壊死させるまで、前記操作
を繰返す。
Ice ball image 5 on CRT screen 50
6 and when the desired size of the ice ball 46 is reached, operate the switch 24 to turn off the exhaust pump 23.
interrupts driving. The supply of liquid nitrogen 31 is stopped, the ice ball 46 formed on the tip member 2 is thawed by the body fluid, and the treatment needle 1 can be removed from the affected area 45. The treatment needle 1 is reinserted as necessary, and the above operation is repeated until the remaining living tissue in the affected area 45 is frozen and necrotized.

【0024】なお、前記先端部材2及び針体1aの外径
は3mm程度と細いので、出血しても自己回復可能であ
り、しかも針体1aは環状空間15により断熱されてい
るので先鋭部2以外は氷結せず、生体凍結用治療針1の
刺込み、抜脱処置の際、患部臓器に至るまでの途中の臓
器・器官を結氷によって損傷する事もない。
Furthermore, since the outer diameter of the tip member 2 and the needle body 1a is as small as about 3 mm, they can self-recover even if bleeding occurs.Moreover, since the needle body 1a is insulated by the annular space 15, the sharp point 2 When the treatment needle 1 for living body freezing is inserted and removed, organs on the way to the affected organ will not be damaged by freezing.

【0025】なお、内管3に流す液体窒素31は、フレ
キシブルパイプ11内にあっては断熱布13による輻射
放熱、及び真空に維持された環状空間11bによる対流
放熱が遮断されており、また、生体凍結用治療針1内に
あっては中管4内壁との間に形成された戻りガス環路1
7を還流する低温の気体窒素に保護され、しかも針体1
a内にあっては外管5と中管4間に形成されている環状
空間15の真空により断熱されているので、外気に冷熱
を放散して余分に蒸発する事がなく、従って、該液体窒
素31を先端ノズル部3aに熱損失することなく供給す
る事ができる。
It should be noted that the liquid nitrogen 31 flowing into the inner tube 3 is blocked from radiant heat radiation by the heat insulating cloth 13 and from convective heat radiation by the annular space 11b maintained in a vacuum inside the flexible pipe 11. In the living body freezing treatment needle 1, a return gas ring path 1 is formed between the inner wall of the middle tube 4 and the inner wall of the inner tube 4.
7 is protected by low-temperature gaseous nitrogen refluxing, and the needle body 1
Inside a, it is insulated by the vacuum of the annular space 15 formed between the outer tube 5 and the inner tube 4, so the cold heat is dissipated to the outside air and no excess evaporation occurs. Nitrogen 31 can be supplied to the tip nozzle portion 3a without heat loss.

【0026】更に、前記凍結針装置は、全てをワゴン車
22に搭載されているために、治療に当り患者に該装置
を近接して配置する事ができ、しかも、生体凍結用治療
針1とワゴン車22に搭載している装置とは、可撓性の
フレキシブルパイプ11、及びフレキシブル排気管25
で接続されているために、前記生体凍結用治療針1を容
易に操作できる。
Furthermore, since the freezing needle device is entirely mounted on the wagon 22, the device can be placed close to the patient during treatment, and moreover, the freezing needle device 1 can be placed close to the patient during treatment. The devices installed on the wagon 22 include a flexible pipe 11 and a flexible exhaust pipe 25.
Since the needles 1 and 2 are connected with each other, the treatment needle 1 for freezing a living body can be easily operated.

【0027】従来、超音波診断装置によって細胞採集の
プローブ・注射針の映像を看視しながら医科治療を行っ
ているが、本願の生体凍結用治療針を超音波診断装置と
併用する治療方法は未だ確立されていない。しかしなが
らアイスボールの成長過程を超音波エコー映像に鮮明に
映し出す事ができるので、開腹する事なく治療する事が
可能となった。
Conventionally, medical treatment has been performed while monitoring images of cell collection probes and injection needles using an ultrasonic diagnostic device, but the treatment method of the present application uses the therapeutic needle for freezing living bodies in combination with an ultrasonic diagnostic device. Not yet established. However, since the growth process of the ice ball can be clearly seen on ultrasound echo images, it has become possible to treat it without having to open the abdomen.

【0028】図8は、本発明の他の実施例に係わる生体
組織凍結装置を示す正面図で、1は生体凍結用治療針で
、太径管体6に溶着封止している。前記太径管体6内部
は、不図示の超真空ポンプに真空自在ジョイントを介し
て接続・吸引され、真空に維持されている。前記治療針
1にて気化した排気窒素ガス32は不図示の排気ポンプ
により排気管9・フレキシブル排気管25を介して排出
される。前記治療針1は、太径管体6の後端部に設けた
接手ナット61及び断熱直管62を介して、クライオポ
ット18に接続する。
FIG. 8 is a front view showing a biological tissue freezing device according to another embodiment of the present invention. Reference numeral 1 designates a treatment needle for freezing a biological body, which is welded and sealed to a large diameter tube body 6. As shown in FIG. The inside of the large-diameter tubular body 6 is connected to an ultra-vacuum pump (not shown) via a vacuum flexible joint and sucked therein, and is maintained in a vacuum. The exhaust nitrogen gas 32 vaporized by the treatment needle 1 is exhausted through the exhaust pipe 9 and the flexible exhaust pipe 25 by an exhaust pump (not shown). The therapeutic needle 1 is connected to the cryopot 18 via a joint nut 61 and an insulated straight pipe 62 provided at the rear end of the large diameter tube 6.

【0029】かように構成された生体組織凍結装置は、
レバー63を押下して排気ポンプを駆動させて排気窒素
ガス32を排出させると、クライオポット18内の液体
窒素31は治療針1先端部に導入される。前記生体組織
凍結装置は、特に、治療針1が頭蓋骨貫通して刺込み可
能であるので、大脳内腫瘍、脳下垂体等脳組織を凍結・
壊死させる脳外科に応用される。
[0029] The biological tissue freezing device configured as described above has the following features:
When the lever 63 is pressed down to drive the exhaust pump and discharge the exhaust nitrogen gas 32, the liquid nitrogen 31 in the cryopot 18 is introduced into the tip of the treatment needle 1. In particular, the biological tissue freezing device can freeze and insert intracerebral tumors, pituitary glands, and other brain tissues, since the therapeutic needle 1 can be inserted through the skull.
It is applied in brain surgery to cause necrosis.

【0030】[0030]

【発明の効果】以上記載した如く本発明によれば、前記
治療針における外管と中管間に形成された環状空間が、
太径管体の真空空間と連通して構成され、しかも、該太
径管真空空間に活性炭素を内装したために、該太径管真
空空間の容積は環状空間の容積よりはるかに大きく形成
されているので、多少の真空洩れがあったとしても、環
状空間の真空度を長期間維持する事が可能となり、長期
間前記治療針の外周壁面は結氷する事のない、また開腹
する事なく生体患部に刺込む事ができる治療針を有する
生体凍結装置を提供する事が可能である。
As described above, according to the present invention, the annular space formed between the outer tube and the middle tube of the treatment needle is
It is configured to communicate with the vacuum space of the large diameter tube body, and because the large diameter tube vacuum space is filled with activated carbon, the volume of the large diameter tube vacuum space is formed to be much larger than the volume of the annular space. Therefore, even if there is a slight vacuum leak, it is possible to maintain the degree of vacuum in the annular space for a long period of time, and the outer peripheral wall of the treatment needle will not freeze over a long period of time. It is possible to provide a living body freezing device that has a therapeutic needle that can be inserted into the body.

【0031】更に、前記太径管体に適宜長さの真空引き
用自在ジョイント弁を付設したので、低温である太径管
体から離れた場所に低温に耐え得ない部材を設ける事が
可能となり、該部材の機能を損する事なく前記太径管真
空空間・環状空間の真空度を長期間維持する事ができる
生体凍結装置を提供する事が可能である。また、太径管
体とクライオポットを前記凍結用流体導入管を貫設させ
たフレキシブル管により接続し、更に、前記クライオポ
ットとフレキシブル管との間に自在接手を介在させた事
により、定位置に設置されたクライオポットに邪魔され
る事なく前記生体組織凍結装置を操作可能となる。更に
、排気ポンプとクライオポットを搬送ワゴン車に搭載し
たために、患者の近傍に設置することができ、前記生体
組織凍結装置を容易に操作する事ができる。等の種々の
著効を有す。
[0031]Furthermore, since a vacuum evacuation universal joint valve of an appropriate length is attached to the large-diameter tube, it is possible to install a member that cannot withstand low temperatures at a location away from the large-diameter tube, which is at a low temperature. It is possible to provide a biological freezing device that can maintain the degree of vacuum in the large-diameter tube vacuum space/annular space for a long period of time without impairing the function of the member. In addition, by connecting the large diameter tube and the cryopot with a flexible tube through which the freezing fluid introduction tube is inserted, and by interposing a flexible joint between the cryopot and the flexible tube, it is possible to maintain a fixed position. The living tissue freezing device can be operated without being obstructed by the cryopot installed in the body. Furthermore, since the exhaust pump and cryopot are mounted on the transport wagon, they can be installed near the patient, and the living tissue freezing device can be easily operated. It has various effects such as

【図面の簡単な説明】[Brief explanation of drawings]

【図1】本発明の実施例に係る生体凍結用治療針の内部
構造を示す正面断面図
FIG. 1 is a front cross-sectional view showing the internal structure of a treatment needle for freezing a living body according to an embodiment of the present invention.

【図2】本発明の実施例に係る前記生体凍結用治療針の
要部構造をしめす正面断面図
FIG. 2 is a front sectional view showing the main structure of the treatment needle for freezing living bodies according to the embodiment of the present invention.

【図3】本発明の実施例に係る前記生体凍結用治療針の
途中管路を部分を示す正面図
FIG. 3 is a front view showing a portion of the midway pipe line of the treatment needle for freezing a living body according to the embodiment of the present invention;

【図4】図3の側面図である。FIG. 4 is a side view of FIG. 3;

【図5】本発明の実施例に係る前記生体凍結用治療針を
含む凍結針治療装置の構成を示す斜視図
FIG. 5 is a perspective view showing the configuration of a freezing needle treatment device including the treatment needle for freezing a living body according to an embodiment of the present invention.

【図6】本発明
の実施例に係わる生体凍結用治療針を用いて行う治療方
法の概念を示す正面図
FIG. 6 is a front view showing the concept of a treatment method performed using a treatment needle for freezing living organisms according to an embodiment of the present invention.

【図7】本発明の実施例に係わる生体凍結用治療針を用
いて行う治療に用いるCRT画面の正面図
FIG. 7 is a front view of a CRT screen used for treatment using a treatment needle for freezing living organisms according to an embodiment of the present invention.

【図8】本発
明の他の実施例に係わる生体組織凍結装置を示す正面図
FIG. 8 is a front view showing a biological tissue freezing device according to another embodiment of the present invention.

【符号の説明】[Explanation of symbols]

1    治療針 3    凍結用流体導入管 4    排出管 6    太径管体 7    真空引き用自在ジョイント弁9    排出
管 11  フレキシブル管 14  活性炭 16  太径管真空空間 18  クライオポット 21  自在接手 22  搬送ワゴン車 23  排気ポンプ
1 Treatment needle 3 Freezing fluid introduction pipe 4 Discharge pipe 6 Large diameter pipe 7 Universal joint valve for vacuuming 9 Discharge pipe 11 Flexible pipe 14 Activated carbon 16 Large diameter pipe vacuum space 18 Cryopot 21 Universal joint 22 Transport wagon 23 Exhaust pump

Claims (4)

【特許請求の範囲】[Claims] 【請求項1】  先端部位に生体組織凍結用流体を導入
可能にした治療針を備えた生体組織凍結装置において、
前記治療針の基側に、該治療針より太径に形成した管体
を有し、前記管体内を貫通する管体内に凍結用流体導入
管と排出管を貫設せしめると共に、前記太径の管体内を
真空に保持し、かつ前記太径の管体内に活性炭を内封し
た事を特徴とする生体組織凍結装置
Claim 1: A biological tissue freezing device equipped with a treatment needle capable of introducing a biological tissue freezing fluid into its tip portion,
A tubular body having a larger diameter than the therapeutic needle is provided on the proximal side of the therapeutic needle, and a freezing fluid introduction pipe and a discharge pipe are provided in the tubular body penetrating the tubular body. A living tissue freezing device characterized by maintaining a vacuum inside the tube and encapsulating activated carbon in the large diameter tube.
【請求項2】  前記太径の管体内に適宜長を有する真
空引き用自在ジョイント弁を付設した請求項1記載の生
体組織凍結装置
2. The biological tissue freezing device according to claim 1, further comprising a vacuum evacuation universal joint valve having an appropriate length inside the large-diameter tube.
【請求項3】  前記太径の管体の基側に、凍結用流体
導入管を貫設させたフレキシブル管を介して前記導入管
と連設するクライオポットを設置した請求項1記載の生
体組織凍結装置
3. The living tissue according to claim 1, further comprising a cryopot connected to the introduction tube via a flexible tube having a freezing fluid introduction tube inserted therethrough, on the base side of the large-diameter tube body. freezing equipment
【請求項4】  前記フレキシブル管の上流側で排出管
を分岐して挿出せしめ、該排出管を排気ポンプに接続す
ると共に、該ポンプと前記クライオポットを搬送ワゴン
車に搭載した請求項4記載の生体組織凍結装置【請求項
5】  前記クライオポットとフレキシブル管との間に
自在接手を介した請求項4記載の生体組織凍結装置
4. A discharge pipe according to claim 4, wherein a discharge pipe is branched and inserted on the upstream side of the flexible pipe, the discharge pipe is connected to an exhaust pump, and the pump and the cryopot are mounted on a transport wagon. 5. The living tissue freezing device according to claim 4, wherein a flexible joint is provided between the cryopot and the flexible tube.
JP03160108A 1991-06-03 1991-06-03 Biological tissue freezing device Expired - Fee Related JP3110800B2 (en)

Priority Applications (1)

Application Number Priority Date Filing Date Title
JP03160108A JP3110800B2 (en) 1991-06-03 1991-06-03 Biological tissue freezing device

Applications Claiming Priority (1)

Application Number Priority Date Filing Date Title
JP03160108A JP3110800B2 (en) 1991-06-03 1991-06-03 Biological tissue freezing device

Publications (2)

Publication Number Publication Date
JPH04357946A true JPH04357946A (en) 1992-12-10
JP3110800B2 JP3110800B2 (en) 2000-11-20

Family

ID=15708029

Family Applications (1)

Application Number Title Priority Date Filing Date
JP03160108A Expired - Fee Related JP3110800B2 (en) 1991-06-03 1991-06-03 Biological tissue freezing device

Country Status (1)

Country Link
JP (1) JP3110800B2 (en)

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* Cited by examiner, † Cited by third party
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CN108498162B (en) * 2018-04-24 2024-05-17 海杰亚(北京)医疗器械有限公司 Split-connection cryoablation needle, needle head assembly and needle tail assembly thereof
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