TWI446889B - Multi-functional surgical device and system comprising the same - Google Patents

Description

Multifunctional surgical device and surgical system containing the same

The present invention relates to a multifunctional surgical device and a surgical system therewith, and more particularly to a highly biocompatible surgical device incorporating electrochemical sensing and electrocautery and a surgical system therewith.

Arrhythmia can occur in children to the elderly, and is also an important cause of death. With the changes in human life patterns, increased social pressure and ageing population, cardiovascular disease has become a great threat to national health.

In the treatment of arrhythmia, catheterization is often used for treatment. Conventional catheter cauterization uses 30 kHz of RF energy to remove tissue that causes arrhythmia. However, the specific impedance of human tissue is heterogeneous, and when using RF current therapy, the RF current will be unevenly concentrated on the low-impedance tissue channel, and the range and depth of bad tissue cannot be accurately controlled, and the clinical efficacy is limited. Reproducibility. Therefore, in order to improve the surgical effect, it is still necessary to provide a device that can precisely control the surgical removal area.

On the other hand, when performing arrhythmia treatment, the heartbeat is one of the signals that can determine whether the heart is necrotic. However, at present, the measurement of the cardiac voltage signal cannot be directly detected by the device for performing the removal surgery, and the measurement is performed by the cardiac voltage signal measuring device. In addition, in the course of surgical treatment, the physiological environment is also one of the factors controlling the success rate of surgery. However, at present, the detection of the physiological environment cannot be directly performed by the device for performing the removal surgery, and the measurement is performed by the physiological signal detecting device. Regardless of whether it is a replacement surgical device, a cardiac voltage signal measuring device, or a physiological signal detecting device, for a time-consuming operation, the process of replacing the device during the operation causes an increase in the operation time and imposes a burden on the patient.

Therefore, it is highly desirable to develop a surgical device or a surgical system that can switch between detection and surgery to achieve the functions of detection and treatment during the operation to reduce the operation time and increase the success rate of the operation.

The main object of the present invention is to provide a multifunctional surgical device capable of simultaneously detecting physiological signals and treating lesions.

Another object of the present invention is to provide a versatile surgical system that can quickly switch between physiological signal sensing, electrocautery, and other functions during the procedure.

In order to achieve the above object, a first embodiment of the present invention provides a multifunctional surgical device comprising: an insulating substrate, wherein a surface of one of the insulating substrates is provided with a first working area, a reference electrode area, and a pair of electrodes a first circuit board disposed on the first working area of the insulating substrate; a second circuit board disposed on the reference electrode area of the insulating substrate; and a third circuit board disposed on the pair of the insulating substrate a first diamond conductive layer is disposed on the first circuit board and covers the first working area of the insulating substrate; a second diamond conductive layer is disposed on the second circuit board and covers the insulating substrate And an electrode region; and a third diamond conductive layer is disposed on the third circuit board and covers the opposite electrode region of the insulating substrate.

Therefore, the multifunctional surgical device according to the first embodiment of the present invention has three electrode regions, which are a first working region, a reference electrode region, and a counter electrode region, respectively. When a detection voltage is supplied to the first circuit board, the first working area acts as a detection area; and when a required energy (eg, radio frequency energy) is supplied to the first circuit board, the first working area acts as a Electric burning area.

Furthermore, a second embodiment of the present invention provides a multifunctional surgical system using the surgical device of the first embodiment, comprising: the surgical device of the first embodiment; a switching device, wherein the surgical device is a circuit board, a second circuit board, and a third circuit board are connected to the switching device; a voltage supply unit is connected to the switching device; a current detecting unit is connected to the switching device; and a power supply device Connect to the switchgear. As described above, the first circuit board, the second circuit board, and the third circuit board of the surgical device are connected to the switching device, and the voltage supply unit, the current detecting unit, and the power supply unit are also connected to the switching device. Through the switch device, the first circuit board, the second circuit board, or the third circuit board of the surgical device can be arbitrarily switched to be electrically connected to the voltage supply unit, the current detecting unit, or the power supply unit.

Therefore, in the multi-functional surgical system according to the second embodiment of the present invention, when the first circuit board is switched to the voltage supply unit through the switching device, the voltage supply unit can provide a voltage to the first circuit board and the second circuit. Between the boards, the current detecting unit detects the current between the first circuit board and the third circuit board for electrochemical measurement. In addition, when the first circuit board is switched by the switching device and the power supply device, the energy required for the operation can be provided to the first working area of the surgical device, so that the first working area of the surgical device performs the function of electric burning. Preferably, the energy required for the procedure is an RF energy.

The multi-functional surgical device and surgical system according to the first embodiment and the second embodiment of the present invention are a device having three electrode regions. Therefore, the switching of the switching device is required to achieve the purpose of electrochemical detection or electrocautery.

In addition, the third embodiment of the present invention provides another multifunctional surgical device. Compared with the surgical device of the first embodiment, the surgical device of the third embodiment further includes: a second working area, a first Four circuit boards, and a fourth diamond conductive layer. Therefore, the multifunctional surgical device according to the third embodiment of the present invention includes: an insulating substrate, wherein a surface of one of the insulating substrates is provided with a first working area, a reference electrode area, a pair of electrode areas, and a second operation a first circuit board disposed on the first working area of the insulating substrate; a second circuit board disposed on the reference electrode area of the insulating substrate; and a third circuit board disposed on the pair of the insulating substrate a fourth circuit board is disposed on the second working area of the insulating substrate; a first diamond conductive layer is disposed on the first circuit board and covers the first working area of the insulating substrate; a diamond conductive layer disposed on the second circuit board and covering the reference electrode region of the insulating substrate; and a third diamond conductive layer disposed on the third circuit board and covering the opposite electrode region of the insulating substrate; a fourth diamond The conductive layer is disposed on the fourth circuit board and covers the second working area of the insulating substrate.

Therefore, the multifunctional surgical device according to the third embodiment of the present invention has four electrode regions, which are a first working region, a reference electrode region, a counter electrode region, and a second working region. Here, the functions of the first work area and the second work area are not particularly limited, and may be used as a detection area, an electric burning area, or another active area. Preferably, a required energy for surgery and a detection voltage are respectively provided to the first circuit board and the fourth circuit board, the first working area is used as an electric burning area, and the second working area is used as a detecting area.

In addition, a fourth embodiment of the present invention provides a multifunctional surgical system using the third embodiment, comprising: the surgical device of the third embodiment; a switch device, wherein the first circuit board of the surgical device a second circuit board, a third circuit board, and a fourth circuit board are connected to the switching device; a voltage supply unit is connected to the switching device; a current detecting unit is connected to the switching device; and a power supply device , is connected to the switch device. As described above, the first circuit board, the second circuit board, the third circuit board, and the fourth circuit board of the surgical device are connected to the switching device, and the voltage supply unit, the current detecting unit, and the power supply unit are also connected to Switching device. Through the switch device, the first circuit board, the second circuit board, the third circuit board, or the fourth circuit board of the surgical device can be arbitrarily switched to be electrically connected to the voltage supply unit, the current detecting unit, or the power supply unit.

In the multi-functional surgical system according to the second embodiment of the present invention and the fourth embodiment, the first circuit board, the second circuit board, the third circuit board, and even the fourth circuit board can be arbitrarily switched through the switching device. It is electrically connected to different devices (such as voltage supply unit, current detecting unit, power supply device, etc.). In addition, the electrode area of the surgical device can be connected to other devices through a switching device, such as a signal processing device, a voltage detecting device, etc., so that the electrode region is used for other purposes. For example, when the surgical system of the present invention is connected to the voltage detecting device, the heart voltage signal can be detected by using the first working area connected to the first circuit board and the second working area connected to the second circuit board. It can be judged whether the heart beat is abnormal.

However, the surgical device and the surgical system of the present invention are not limited to the three electrode regions or the four electrode regions of the above embodiment, and four or more electrode regions may be designed as needed to allow a single device to have multiple functions.

In the surgical device and system of the above embodiment of the present invention, the shape of the insulating substrate is not particularly limited, and may be a columnar shape, a plate shape, or even a hollow tubular column, and the above electrode region, the wiring board, and the diamond are electrically conductive. The layer is disposed on a surface of the insulating substrate that is in contact with the outside. Furthermore, in the surgical device and system of the above embodiment of the present invention, an insulating diamond film is further disposed on the surface of the insulating substrate to make the entire surgical device highly biocompatible. Among them, the material of the insulating diamond film is an undoped or treated diamond film.

Furthermore, in the surgical device and system of the above embodiment of the present invention, the first diamond conductive layer, the second diamond conductive layer, the third diamond conductive layer, and the fourth diamond conductive layer may each independently be a P-type. Diamond film, or an N-type diamond film. Wherein, the first diamond conductive layer, the second diamond conductive layer, the third diamond conductive layer and the fourth diamond conductive layer are respectively independently a hydrogen film treated with a surface, a boron doped diamond film, or A nitrogen-doped diamond film. Preferably, the first diamond conductive layer, the second diamond conductive layer, the third diamond conductive layer and the fourth diamond conductive layer are nitrogen doped diamond films.

In addition, in the surgical device and system of the above embodiment of the present invention, the first circuit board, the second circuit board, the third circuit board, and the fourth circuit board may be metal circuit boards commonly used in the technical field. The material may be copper, gold, platinum, tungsten, molybdenum or the like.

Further, in the surgical apparatus and system of the above-described embodiment of the present invention, electrochemical detection is performed using cyclic voltammetry. Wherein, the voltage supply unit can provide a circulating voltage of -2V to +2V, preferably providing a circulating voltage of -1 to +1V. Furthermore, in the surgical system of the second embodiment and the fourth embodiment of the present invention, the voltage supply unit and the current detecting unit can be used in the art. The voltage supply unit and the current detecting unit may be two different devices respectively, or a device integrated with a voltage supply unit and a current detecting unit, such as a potentiostat.

In the surgical device and system of the above embodiment of the present invention, the conductive diamond used has a relatively low electrochemical current background value and a wide range of electrochemical potential windows, so that a high signal noise ratio can be achieved. (signal-to-noise ratio), which is effective for the detection of biomolecules. In addition, the conductive diamond used in the present invention has chemical inertness, high physical and chemical stability, and low wear rate, so the surgical device developed by the present invention has a long service life. At the same time, the conductive diamond used in the invention has high biocompatibility and low stickiness, so it can be applied to the detection of biomolecules in vivo. On the other hand, since the conductive diamond used in the present invention has higher heat conductivity, it can provide energy required for surgery (eg, radio frequency energy) to the first working area and/or the second working area, and electricity The method of burning is performed to treat the lesion.

For example, when performing surgery on the device and system of the present invention, when the surgical device contacts the tissue of the human body, especially when contacting the heart, the surgical device of the present invention is controlled by the heart signal transmitting the voltage signal to control the heart beat. The voltage between the two points of the heart can be detected through two of the electrodes (eg, the first circuit board of the first working area and the fourth circuit board of the second working area) to distinguish whether the heart tissue is normal. If the surgical device of the present invention detects an abnormality of the heart signal, the first circuit board of the first working area can be connected to the power supply device by using the switching device, and an RF energy is supplied through the power supply device to treat the abnormal tissue.

Furthermore, the surgical system developed by the present invention can be quickly switched through the switch device for detecting or performing a surgical function, and detecting changes in the physiological signal of the patient or performing surgery at the moment of the operation to improve the accuracy of the operation.

For example, the tissue detection can be performed first. When the surgical device of the present invention detects an abnormality, the detection function can be switched to the electric burning function through the switching device, in particular, the first working area is used as the electric burning area to treat Abnormal organization. Then, the electric burning function is switched back to the detecting function through the switching device, and the operating environment is electrochemically detected. Then, the switch device can be switched again to detect the tissue state (eg, heart voltage signal). Through continuous functional switching, the electrochemical detection of the surgical environment, detection of tissue status, and treatment of lesions can be achieved simultaneously.

The embodiments of the present invention are described by way of specific examples, and those skilled in the art can readily appreciate the other advantages and advantages of the present invention. The present invention may be embodied or applied in various other specific embodiments. The details of the present invention can be variously modified and changed without departing from the spirit and scope of the invention.

Example 1 - Preparation of a surgical device having three boron-doped diamond electrodes

First, as shown in Fig. 1(A), an insulating substrate 11 is provided which is a hollow insulating substrate. Then, an insulating diamond film 12 is plated on the outer surface of the insulating substrate 11 by microwave plasma chemical vapor deposition. Here, the process of plating the insulative diamond film 12 is roughly as follows: using a mixed gas of methane (0.8 sccm) and hydrogen (100 sccm), using a microwave source of 900 W at a gas pressure of 30 Torr, and a frequency of about 700 at a frequency of 2.45 GHz. An insulating diamond film 12 can be obtained by carrying out the reaction at a temperature of -750 ° C for 1.5 hours.

Next, as shown in FIG. 1(B), the insulating diamond film 12 on the outer surface of the insulating substrate 11 is etched to pattern the insulating diamond film 12, and a first working region 121 and a reference electrode are formed on the surface of the insulating substrate 11. A region 122 and a pair of electrode regions 123. Among them, each electrode area is 0.071 cm ² .

Then, as shown in FIG. 1(C), a first circuit board 131, a second circuit board 132, and a third line are formed on the first working area 121, the reference electrode area 122, and the counter electrode area 123, respectively. The board 133, and the first circuit board 131, the second circuit board 132, and the third circuit board 133 are electrically connected to the outside through the wires. In the embodiment, the first circuit board 131, the second circuit board 132, and the third circuit board 133 are copper circuit boards.

As shown in FIG. 1(D), a first diamond conductive layer 141 is first plated on the first working region 121, the reference electrode region 122, and the counter electrode region 123 by microwave plasma chemical vapor deposition. A second diamond conductive layer 142 and a third diamond conductive layer 143. In this embodiment, the first diamond conductive layer 141, the second diamond conductive layer 142, and the third diamond conductive layer 143 are both boron doped diamond films, and the process thereof is similar to the process of plating the insulated diamond film described above, except Boron is added to the mixed gas used for plating the insulating diamond film, and the boron/carbon addition ratio is 10 ^-1 to 10 ^-8 . Preferably, the boron/carbon addition ratio is from 10 ^-2 to 10 ^-4 . Further, the source of boron in the mixing is not limited, and a boron element or any compound containing boron may be used.

After the above process, the multifunctional surgical device of the present embodiment can be obtained. As shown in FIG. 1(D), the surgical device 1 of the present embodiment includes an insulating substrate 11 having an insulating diamond film 12 on its surface, wherein a surface of one of the insulating substrates 11 is provided with a first working area 121 and a reference. The electrode region 122 and the pair of electrode regions 123; a first circuit board 131 is disposed on the first working area 121 of the insulating substrate 11; and a second circuit board 132 is disposed on the reference electrode area 122 of the insulating substrate 11. A third circuit board 133 is disposed on the opposite electrode region 123 of the insulating substrate 11; a first diamond conductive layer 141 is disposed on the first circuit board 131 and covers the first working area 121 of the insulating substrate 11. A second diamond conductive layer 142 is disposed on the second circuit board 132 and covers the reference electrode region 122 of the insulating substrate 11; a third diamond conductive layer 143 is disposed on the third circuit board 133 and covers the insulating substrate 11 of the electrode area 123.

Example 2 - Preparation of a surgical device having three nitrogen-doped diamond electrodes

The structure and manufacturing method of the multifunctional surgical device of the present embodiment is similar to that of Embodiment 1, except that the first diamond conductive layer, the second diamond conductive layer, and the third diamond conductive layer are all nitrogen-doped diamond films. The nitrogen-doped diamond film of the present embodiment is prepared by microwave plasma chemical vapor deposition, and the process is roughly as follows: a mixed gas of argon gas (78 sccm), methane (2 sccm) and nitrogen gas (20 sccm) is used. A nitrogen-doped diamond film can be obtained by using a microwave source of 950 W at 80 Torr gas pressure and reacting at a temperature of 2.45 GHz at a temperature of about 800 ° C for 40 minutes.

Example 3 - Surgical System of Surgical Device with Three Boron-Doped Diamond Electrodes

As shown in FIG. 2, the multifunctional surgical system of the present embodiment includes: a multifunctional surgical device 1 as shown in Embodiment 1, a switching device 2, a voltage supply unit 21, a current detecting unit 22, and a The power supply device 23, a signal processing device 24, and a voltage detecting device 25. The structure of the surgical device 1 of the present embodiment is the same as that of the first embodiment, and will not be described herein.

The surgical device 1 is connected to the switch device 2, and the voltage supply unit 21, the current detecting unit 22, the power supply device 23, the signal processing device 24, and the voltage detecting device 25 are also connected to the switching device 2. Through the arbitrary switching of the switching device 2, each electrode region of the surgical device 1 (including the first circuit board 131, the second circuit board 132, and the third circuit board 133) and the voltage supply unit 21, the current detecting unit 22, The power supply device 23, the signal processing device 24, and the voltage detecting device 25 are electrically connected.

Example 4 - Preparation of a surgical device having four boron-doped diamond electrodes

The structure and manufacturing method of the multifunctional surgical device of this embodiment are similar to those of the first embodiment.

First, as shown in Fig. 3(A), an insulating substrate 31 is provided which is a hollow insulating substrate. Then, an insulating diamond film 32 is plated on the outer surface of the insulating substrate 31 by microwave plasma chemical vapor deposition. Here, the process of plating the insulative diamond film 12 is roughly as follows: using a mixed gas of methane (0.8 sccm) and hydrogen (100 sccm), using a microwave source of 900 W at a gas pressure of 30 Torr, and a frequency of about 700 at a frequency of 2.45 GHz. An insulating diamond film 32 can be obtained by carrying out the reaction at a temperature of -750 ° C for 1.5 hours.

Next, as shown in FIG. 3(B), the insulating diamond film 32 on the outer surface of the insulating substrate 31 is etched to pattern the insulating diamond film 32, and a second working area 321 is formed on the surface of the insulating substrate 31. The working area 322, a reference electrode area 323, and a pair of electrode areas 324. Among them, each electrode area is 0.071 cm ² .

Then, as shown in FIG. 3(C), a fourth circuit board 331 and a first circuit board 332 are formed on the second working area 321, the first working area 322, the reference electrode area 323, and the counter electrode area 324, respectively. a second circuit board 333 and a third circuit board 334, and the fourth circuit board 331, the first circuit board 332, the second circuit board 333, and the third circuit board 334 are respectively electrically connected to the outside through the wires. . In the embodiment, the fourth circuit board 331, the first circuit board 332, the second circuit board 333, and the third circuit board 334 are copper circuit boards.

As shown in FIG. 3(D), a fourth diamond is further plated on the second working region 321, the first working region 322, the reference electrode region 323, and the counter electrode region 324 by microwave plasma chemical vapor deposition. The conductive layer 341, a first diamond conductive layer 342, a second diamond conductive layer 343, and a third diamond conductive layer 344. In this embodiment, the fourth diamond conductive layer 341, the first diamond conductive layer 342, the second diamond conductive layer 343, and the third diamond conductive layer 344 are all boron doped diamond films, and the process thereof and the above-mentioned plated insulated diamonds The process of the film is similar except that boron is added to the mixed gas used for plating the insulating diamond film, and the boron/carbon addition ratio is 10 ^-1 to 10 ^-8 . Preferably, the boron/carbon addition ratio is from 10 ^-2 to 10 ^-4 . Further, the source of boron in the mixing is not limited, and a boron element or any compound containing boron may be used.

After the above process, the multifunctional surgical device of the present embodiment can be obtained. As shown in FIG. 3(D), the surgical device 3 of the present embodiment includes: an insulating substrate 31 having an insulating diamond film 32 on its surface, wherein a surface of one of the insulating substrates 31 is provided with a second working area 321 a working area 322, a reference electrode area 323, and a pair of electrode areas 324; a fourth circuit board 331 is disposed on the second working area 321 of the insulating substrate 31; a first circuit board 332 is insulated a first circuit area 322 of the substrate 31; a second circuit board 333 is disposed on the reference electrode area 323 of the insulating substrate 31; a third circuit board 334 is disposed on the opposite electrode area 324 of the insulating substrate 31; A fourth diamond conductive layer 341 is disposed on the fourth circuit board 331 and covers the second working area 321 of the insulating substrate 31. A first diamond conductive layer 342 is disposed on the first circuit board 332 and covers the insulating substrate. a first working area 322 of a 31; a second diamond conductive layer 343 is disposed on the second circuit board 333 and covers the reference electrode area 323 of the insulating substrate 31; a third diamond conductive layer 344 is disposed on the third line The plate 334 covers the counter electrode region 3 of the insulating substrate 31 twenty four.

Example 4 - Preparation of a surgical device having four nitrogen-doped diamond electrodes

The structure and manufacturing method of the multifunctional surgical device of the present embodiment is similar to that of Embodiment 3 except that the first diamond conductive layer, the fourth diamond conductive layer, the second diamond conductive layer, and the third diamond conductive layer are all nitrogen doped. Diamond film. The process of the nitrogen-doped diamond film of this embodiment is similar to that described in Example 2.

Example 5 - Surgical System of Surgical Device with Four Nitrogen Doped Diamond Electrodes

As shown in FIG. 4, the multifunctional surgical system of the present embodiment includes: a multifunctional surgical device 3 as shown in Embodiment 4, a switching device 2, a voltage supply unit 21, a current detecting unit 22, and a The power supply device 23, a signal processing device 24, and a voltage detecting device 25. The structure of the surgical device 3 of the present embodiment is the same as that of the embodiment 4, and will not be described herein.

The surgical device 1 is connected to the switch device 2, and the voltage supply unit 21, the current detecting unit 22, the power supply device 23, the signal processing device 24, and the voltage detecting device 25 are also connected to the switching device 2. Through the arbitrary switching of the switching device 2, each electrode region of the surgical device 1 (including the first circuit board 131, the second circuit board 132, and the third circuit board 133) and the voltage supply unit 21, the current detecting unit 22, The power supply device 23, the signal processing device 24, and the voltage detecting device 25 are electrically connected.

Referring to FIG. 3(D) and FIG. 4, the fourth circuit board 331 of the surgical device 3 is electrically connected to the power supply device 23 through the switching of the switching device 2, and an RF energy is supplied through the power supply device 223 for power supply. Surgical treatment. Alternatively, the fourth circuit board 331 of the surgical device 3 can be electrically connected to the voltage detecting device 25 to detect the voltage signal of the heart through the switching of the switching device 2. Furthermore, the first circuit board 332 and the second circuit board 333 can be connected to the voltage supply unit 21 through the switching of the switching device 2, and the first circuit board 332 and the third circuit board 334 and the current detecting unit 22 can be connected. Electrically connected to detect electrochemical signals in the physiological environment.

The above-mentioned embodiments are merely examples for convenience of description, and the scope of the claims is intended to be limited to the above embodiments.

1,3. . . Surgical device

11,31. . . Insulating substrate

12,32. . . Insulating diamond film

121,322. . . First work area

122,323. . . Reference electrode area

123,324. . . Counter electrode area

131,332. . . First circuit board

132,333. . . Second circuit board

133,334. . . Third circuit board

141,342. . . First diamond conductive layer

142,343. . . Second diamond conductive layer

143,344. . . Third diamond conductive layer

2. . . Switching device

twenty one. . . Voltage supply unit

twenty two. . . Current detection unit

twenty three. . . Power supply unit

twenty four. . . Signal processing device

25. . . Voltage detecting device

321. . . Second work area

331. . . Fourth circuit board

341. . . Fourth diamond conductive layer

1 is a schematic view showing a manufacturing process of a multifunctional surgical device according to Embodiment 1 of the present invention.

2 is a schematic view of a multifunctional surgical system according to Embodiment 3 of the present invention.

3 is a schematic view showing the manufacturing process of the multifunctional surgical device according to Embodiment 4 of the present invention.

Figure 4 is a schematic illustration of a multifunctional surgical system in accordance with a sixth embodiment of the present invention.

1. . . Surgical device

131. . . First circuit board

132. . . Second circuit board

133. . . Third circuit board

2. . . Switching device

twenty one. . . Voltage supply unit

twenty two. . . Current detection unit

twenty three. . . Power supply unit

twenty four. . . Signal processing device

Claims (18)

A multi-functional surgical device includes: an insulating substrate, wherein a surface of the insulating substrate is provided with a first working area, a reference electrode area, and a pair of electrode areas; and a first circuit board is disposed on the insulating substrate a first circuit board; a second circuit board disposed on the reference electrode region of the insulating substrate; a third circuit board disposed on the pair of electrode regions of the insulating substrate; a first diamond a conductive layer covering the first circuit board and covering the first working area of the insulating substrate; a second diamond conductive layer covering the second circuit board and covering the reference electrode area of the insulating substrate And a third diamond conductive layer covering the third electrode board and covering the pair of electrode regions of the insulating substrate. The surgical device of claim 1, further comprising an insulating diamond film disposed on the surface of the insulating substrate. The surgical device of claim 1, wherein the first diamond conductive layer, the second diamond conductive layer, and the third diamond conductive layer are each independently a P-type diamond film or an N-type diamond. membrane. The surgical device of claim 1, wherein the first diamond conductive layer, the second diamond conductive layer, and the third diamond conductive layer are each independently a hydrogen treated diamond film, a boron Doped with a diamond film, or a nitrogen-doped diamond film. The surgical device of claim 1, further comprising a second working area, a fourth circuit board, and a fourth diamond conductive layer, wherein the second working area is disposed on the surface of the insulating substrate The fourth circuit board is disposed on the second working area of the insulating substrate, and the fourth diamond conductive layer is disposed on the fourth circuit board and covers the second working area of the insulating substrate. The surgical device of claim 5, wherein the fourth diamond conductive layer is a P-type diamond film or an N-type diamond film. The surgical device of claim 5, wherein the fourth diamond conductive layer is a diamond film having a surface treated with hydrogen, a boron-doped diamond film, or a nitrogen-doped diamond film. A multifunctional surgical system comprising: a multifunctional surgical device comprising: an insulating substrate, wherein a surface of the insulating substrate is provided with a first working area, a reference electrode area, and a pair of electrode areas; a first line a second circuit board disposed on the reference electrode region of the insulating substrate; a third circuit board disposed on the insulating substrate a first diamond conductive layer covering the first circuit board and covering the first working area of the insulating substrate; a second diamond conductive layer covering the second circuit board and covering the reference electrode region of the insulating substrate; and a third diamond conductive layer covering the third circuit board and covering the insulating substrate a pair of electrode devices; a switching device, wherein the first circuit board, the second circuit board, and the third circuit board of the surgical device are connected to the switching device; a voltage supply unit is connected to the switching device a current detecting unit connected to the switching device; and a power supply device connected to the switching device. The surgical system of claim 8, wherein the power supply device provides a radio frequency energy to the first circuit board. The surgical system of claim 8, wherein the surgical device further comprises an insulating diamond film attached to the surface of the insulating substrate. The surgical system of claim 8, wherein the first diamond conductive layer, the second diamond conductive layer, and the third diamond conductive layer are respectively a P-type diamond film, or An N-type diamond film. The surgical system of claim 8, wherein the first diamond conductive layer, the second diamond conductive layer, and the third diamond conductive layer of the surgical device are each independently a hydrogen-treated diamond A film, a boron-doped diamond film, or a nitrogen-doped diamond film. The surgical system of claim 8, wherein the surgical device further comprises a second working area, a fourth circuit board, and a fourth diamond conductive layer, wherein the second working area is disposed in the insulation The substrate The fourth circuit board is disposed on the second working area of the insulating substrate, and the fourth diamond conductive layer is disposed on the fourth circuit board and covers the second working area of the insulating substrate, and the A four-circuit board is connected to the switching device. The surgical system of claim 13, wherein the fourth diamond conductive layer is a P-type diamond film or an N-type diamond film. The surgical system of claim 13, wherein the fourth diamond conductive layer is a hydrogen treated diamond film, a boron doped diamond film, or a nitrogen doped diamond film. The surgical system of claim 8, wherein the voltage supply unit provides a voltage of -2V to +2V. The surgical system of claim 8, wherein the voltage supply unit provides a voltage of -1 to +1V. The surgical system of claim 8 further comprising a signal processing device coupled to the switching device.