WO2002038066A1 - Dispositif de recherche et de traitement d'un point hemorragique comprenant un pinceau a air - Google Patents

Dispositif de recherche et de traitement d'un point hemorragique comprenant un pinceau a air Download PDF

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Publication number
WO2002038066A1
WO2002038066A1 PCT/KR2001/000927 KR0100927W WO0238066A1 WO 2002038066 A1 WO2002038066 A1 WO 2002038066A1 KR 0100927 W KR0100927 W KR 0100927W WO 0238066 A1 WO0238066 A1 WO 0238066A1
Authority
WO
WIPO (PCT)
Prior art keywords
air
switch
unit
wire
bleeding point
Prior art date
Application number
PCT/KR2001/000927
Other languages
English (en)
Inventor
Hee-Young Lee
Original Assignee
Lee Hee Young
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
Priority claimed from KR1020000067176A external-priority patent/KR20010008164A/ko
Priority claimed from KR10-2000-0067175A external-priority patent/KR100404591B1/ko
Application filed by Lee Hee Young filed Critical Lee Hee Young
Publication of WO2002038066A1 publication Critical patent/WO2002038066A1/fr

Links

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
    • A61M—DEVICES FOR INTRODUCING MEDIA INTO, OR ONTO, THE BODY; DEVICES FOR TRANSDUCING BODY MEDIA OR FOR TAKING MEDIA FROM THE BODY; DEVICES FOR PRODUCING OR ENDING SLEEP OR STUPOR
    • A61M13/00—Insufflators for therapeutic or disinfectant purposes, i.e. devices for blowing a gas, powder or vapour into the body
    • A61M13/003—Blowing gases other than for carrying powders, e.g. for inflating, dilating or rinsing
    • 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
    • A61B2018/00571—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for achieving a particular surgical effect
    • A61B2018/00595—Cauterization
    • 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
    • A61B2018/1462—Tweezers
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation
    • A61B2218/003—Irrigation using a spray or a foam
    • A—HUMAN NECESSITIES
    • A61—MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61B—DIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B2218/00—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2218/001—Details of surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body having means for irrigation and/or aspiration of substances to and/or from the surgical site
    • A61B2218/002—Irrigation
    • A61B2218/006—Irrigation for smoke evacuation

Definitions

  • This invention is useful of closing the bleeding point of operated regions by cauterizing with an electric device, and thus it is used for surgical operations.
  • the operation is completed by stanching the created bleeding point, and the compulsory stanching method is used to cauterize with the electric cauterizer like ELECTROROD.
  • the electric cauterization method stops bleeding by cauterizing the blood vessel tissues with electric heat. You have to get rid of blood or liquid around the cauterized region after swift search, in order to perform the successful electric cauterization. The blood or liquid flowed out from the bleeding point should be removed to perform the successful cauterization, since they hamper the exact search and cauterization.
  • the above device could enhance the compatibility by using the previously-used devices, when air brush and cauterizer were separated.
  • the surgeon and the assistant should make a complete teamwork, because the handling of the cauterizer and the air brush is separately performed. According to circumstances, a problem might occur, because blood or liquid are gathered due to the difference between cauterized region and brushing region
  • the above device might dry out the operated region and thus decrease water necessary for cauterizing, because it dries out water when spraying air.
  • the operation is composed of four procedures as follows. 1. Incision of side or external chin in order to secure the space for operation and operation devices. ; 2. The pulled procedure in order to adjust the open gap of the broken part. ; 3. Fixing with a metal screw after drilling both sides of the broken part and fixing it with a metal buttress. ; 4. Stitching up the incised region.
  • the switching devices for operating the devices are separated, because supplying devices are separated individually. Therefore, even when the simultaneous handling is required, the time difference might be occurring or the surgeon might not be harmonious with the assistant.
  • This invention makes handling easy by improving the bleeding point searching and operating device. This enables the operator to search and cauterize by using it with previous cauterizers. This makes it easy to control air by improving the switch handling structure of brush.
  • this invention prevents the operated region from drying out too much by giving waters in sprayed air.
  • This aims at providing the bleeding point searching and operating device that can use a single air nozzle and selectively spray water or air by convertible valve.
  • This invention prevents the accidents due to carelessness by providing the suitable supplying devices and improving the environment of the operation room. This aims at the effective performance of operations by making it possible to handle simultaneously.
  • Fig 1 shows the structure of this invention.
  • This invention is composed of the cauterizer(a), air brush(b) combined with the cauterizer. We can search the bleeding point with the air brush sprayed from the air nozzle, and cauterize the bleeding point with the cauterizer.
  • the Cauerizer(a) is passing the high frequency with 4,000,000Hz or the electric impact from the electric adaptor(l ⁇ ) to the rod(12) which is connected to the front part(l l), and then closing the bleeding point by burning it.
  • the type depends on the rod type of the body, which is made of the insulator, and there are two types such as the Monopolar type and Bipolar type. This invention is applied to both the Monopolar type and Bipolar type.
  • the air brush(b) enables us to easily search the bleeding point by blowing blood or liquid with the air sprayed through the air nozzle.
  • the previously-stated air brush was composed of the independent body or combined to the cauterizer in a body.
  • the invention of the air brush is possible to attach and detach to the cauterizer, because it's independent. It also makes the air supplied by the air controlling valve which is run by the pendant-typed switch or the wireless switch.
  • this invention is composed of the body(20) of the air brush, the air unit(30), the external air tube(40) making air supplied from the air unit to the body of the air brush, the switch( ⁇ ) to control the controlling valve(50), as showed in Fig 2.
  • the body(20) of the air brush is composed of cylinder-typed body(21), the air guiding pipe(22) made of the flexible materials and projected from the body, the air pipe(23) in the air guiding pipe and the clip(24) connected to the external part of the body.
  • the air pipe(23) is connected to the air nozzle(25) located in the front part of the air guiding pipe and to the tube connecting jack(26) in the rear body. This is the structure spraying the air supplied from the external air tube through the internal air pipe and the air nozzle.
  • the body of the above air brush is combined to the body of the cauterizer by the clip(24) as described in Fig 3. This makes it possible to search the bleeding point easily and to cauterize it by blowing the hampering blood or liquid with the air pressure supplied from the external air tube, after bending the air guiding pipe at a proper angle for the air nozzle to face the rod of the cauterizer.
  • the clip structure showed in the drawing may be composed of the butterfly-typed clip meshed by the elasticity of the spring(24a) or other types.
  • the air guiding pipe(22) has a diameter of 2mm.
  • the last part is very flexible, because it is made of plastics or very thin nozzles. It leads the air through the internal air nozzle.
  • the air unit(30) is the device for making the air for cure and supplying. Although it was not described as the generally used one in hospitals, it includes the motor and the air compressor, and can also have the structure that uses the air unit equipping the device to maintain the optimum pressure by self-operating program or the device supplying the charged air from the air tank.
  • the above integrated air unit can be explained by the following supplying device.
  • the controlling valve(50) controls the air supplied from the air unit in order to supply it only if necessary. It makes it possible to control effectively by equipping it on the external air tube.
  • the control of the controlling valve is performed by the switch device(60).
  • the switch device controls the controlling valve with the wire or wireless controls. It can save the operation time, if it's easy, and prevent the accidents due to carelessness during operating.
  • this invention provides us with the wire pendant-typed switch, wire foot switch and wireless foot switch.
  • the ellipsoidal switch case (61a) should be established to hang in the body of the air brush.
  • the switch knob (61b) in the case pushes the switch case to turn on and off in the switch knob (61b).
  • the switch withdrawal wire (61c) from the controlling valve(50) is combined to the external air tube(40) in one body so that it is connected to the withdrawal wire in the internal body when combining with the tube connector.
  • the length of the switch case projected from the body is about 15cm properly.
  • the above pendant-typed switch plays a role in preventing errors happening while handing over the body of the cauterizer from one hand to the other hand to spray air or missing the timing to search the bleeding point and cauterize when spraying air is controlled by an assistant, because the main activity of operations is to cauterize the bleeding point.
  • the bleeding point exposed to the air spray maintains it in a moment. If stopping the air spray, the bleeding point is covered with the additional blood or the around liquid. Therefore, the same person should control the cauterizer and the air brush.
  • the pendant-typed switch of this invention makes it possible to control the cauterizer switch using thumb and the air brush using a little finger at the same time, since the switch case is caught by the part of a little finger while the surgeon is holding the cauterizer with thumb and index finger. Therefore, the operation room can be maintained clean, because the switch withdrawal wire is grouped in the external air tube in a body.
  • the foot switch of this invention can be composed wire or wireless typed. In both types, surgeons can control the cauterizer using a hand and the air brush using a foot. Accordingly, he/she can control the cauterizer and the air brush at the same time.
  • the wire foot switch(62) simply extends from the controlling valve(62) to the withdrawal wire (62a).
  • the wireless foot switch(63) is combined on the foot switch and run by batteries. It includes the transmitter sending remote controls(63a) and the receiver attached to the controlling valve(50). Therefore, the controlling valve is controlled remotely according to ON/OFF of the remote foot switch.
  • This invention makes it possible to search the bleeding point by spraying the air supplied from the air unit.
  • the air from the above air unit is so dry that it may dry out waters from the operated region if it's used for a long time. Therefore, the proper amount of water necessary for cauterizing could't be maintained.
  • this invention provides us with the structure combined with the separate water supplying device(70) on the air supply line.
  • the above water supplying device is combined with the external air tube (40), and providing it with air and water after mixing them. This is described in Fig 7 and 8.
  • Fig 7 shows the structure that the external air tube sprays the mixed air and water through the upper part of the water tank(71). This forms a filter layer(72) on the water so that the steamed vapor is not sprayed in liquid type.
  • Fig 8 shows the structure that combines the ultrasonic waves vapor generator(73) with the external air tube. This device produces vapor using the wave pressure by vibrating the vibration board(74) with the ultrasonic wave assigned to the board. If necessary, it's working by producing vapor with self- controlling circuit.
  • the water supplying device of this invention doesn't use another water supplying device when cleaning by spraying water. This water supplying device is added to use it systemically when cauterizing and searching.
  • Fig 10 is the example of this invention.
  • the structure is composed of the follows, " The convertible valve( ⁇ l) having two entrances(81a)(81b) and one exit(81c) on the external air tube(41) between the controlling valve(50) for controlling air and the air unit(30) is installed.
  • the tube(41) connected to the controlling valve is linked to the exit( ⁇ lc).
  • the tube(42) connected to the air unit(30) is linked to one entrance (8 la), and the tube(83) connected to the water supplying unit is linked to the other entrance( ⁇ lb) of the convertible valve using another water supplying unit( ⁇ 2).
  • the air and water are selectively supplied according to the switch handling of the convertible valve(81).
  • the above structure shows that the selected one among air and water is supplied to the controlling valve(50) according to the switch handling of the convertible valve( ⁇ l), and the water(Saline water) and air are selectively supplied through the air nozzle by opening or shutting the controlling valve with the switch device(60).
  • Fig 11 describes the structure that is combined with the supplying device for providing air, water, power and suction when using the processor of the above BLEEDING POINT SEARCHING AND OPERATING DEVICE.
  • This supplying device of this invention has the power supply (110) / the suction unit(120)/ the air unit(130)/ the water supplying unit(1 0) within a single case(150).
  • the air supplied from the air unit is controlled by the controlling valve(131) within each.
  • the power cable(ll l) from the power supply/ the switch wire(121) for activating the suction unit/ the switch wire(132) for controlling the air unit/ the switch wire) 141) for activating the water supplying unit are withdrawn to the outside of the case.
  • the above structure could be combined with the adaptor(Frequency maker, 190) for cauterizing if necessary.
  • the withdrawn wire(191) of the adaptor is connected by the socket to the externally integrated cable.
  • the power supply(ll ⁇ ) is the device for supplying power for activating the lamps for illumination, the hot wire within the mirrors for operations, drills and drivers. This supplies the useful direct current power for activating the operation devices.
  • the non-described suction unit in Fig s has the pump for absorbing the bad stuffs, the case for temporarily storing the absorbed stuffs and the filter for purifying and discharging the noxious gas. This absorbs the water, the skin pieces or the bad stuffs used for cleaning and the blood from the suction device within the combined operation devices. This is activated by the switch handling connected to the switch wire which is withdrawn to the combined cable.
  • the air unit can be using the stored air by storing the air produced by the compressor which is activated by the self-controlling device.
  • the air tank is equipped within the case or that the air tank charged outside is connected to the controlling valve, because the general operation room should be quiet.
  • the air supply could be remotely controlled by opening and shutting the controlling valve with the switch handling.
  • the non-described water supplying unit is composed of a water tank and a small pump. Pumping is performed by the remote switch handling connected to the switch wire which is externally withdrawn.
  • the optimum temperature should be maintained by equipping a temperature sensor and a hot wire in the water tank, because the water used during operation is also used for cleaning the operated region by directly spraying or for washing a lens or a mirror for sight.
  • the supplying device of this invention is applied to the combined type of operating devices as well as each individual type of operating devices. For example, if you want to apply it to the existing suction device, you can combine the suction tube with the tube connecting jack in the back of the suction device and link up the related switch wire of the combined cable to the switch wire connecting jack. If it is a non-compatible jack, you can also use it unrestrictedly by connecting another connector.
  • the combined operating device which is activated by electricity, combined with the water spraying device, the suction device and the air brush can be integrated by using the pertinent combined cable jack and the tube jack.
  • Fig 12 is the example of the switch device(200) by the wire foot switch(201).
  • the parallel terminal(201a) is installed on the socket which is connected to the integrated cable.
  • the foot switch is linked up with the withdrawn wire(201b) connected to each terminal.
  • the above structure enables one switch to activate the related unit by parallel connecting the foot switch with the switch installed in each operation device. Therefore, in case of the compound operating device, the operator can simultaneously control the compound operating device by handling one device by hand and the other by foot.
  • the combined water spraying device with the suction compound operation device he can operate the water supplying unit by pushing the switch on the water supplying device by hand and operate the suction unit by pushing the foot switch by foot. Therefore, he can clean it by spraying water and absorbing at the same time.
  • the compound operating device is combined to the a bove cauterizer for cauterizing the bleeding point, the air brush for searching the bleeding point and the suction device for discharging the smokes generated when cauterizing, the operator searches the bleeding point by operating the air unit and spraying air using the foot switch. After searching it, he should push the cauterizing switch on stopping the air unit in order to search and cauterize the bleeding point immediately.
  • cauterizing he can effectively discharge the smokes generated when cauterizing by operating the suction unit using another foot switch.
  • Fig 13 shows the example of the structure of the wireless foot switch(202) of the above switch device.
  • the parallel terminal(202a) is installed on the socket connected to the combined cable.
  • the withdrawn wire of each terminal receives the switch driving knob(202b) and the remotely controlled signs, and this is the receiving part(202c), which is operating the driving knob.
  • It is also composed of the receiver, which is generating the remotely controlled signs by self-power according to ON/Off of the foot switch(202). Therefore the operator can control the related unit by changing ON/OFF of the foot switch.
  • the above wireless foot switch has an effect on decreasing in disorder in operation rooms by reducing the withdrawn wires related to the foot switch.
  • the unexplained 210 on Fig s is the illuminating lamp, which is one of the factors of the compound operating device, 211 is the electric rod for cauterizing, 212 is the suction device, 213 is the device for spraying air and water and 214 is the puller, which is composed of the mirror(214a), the illuminating lamp(214b), the water spraying nozzle(214c), the air spraying nozzle(214d) and the suction device(214e). 215 is the power switch for common use.
  • the supplying device as stated above provides various functions in a compound operation, and thus it is suitable for searching and treating the bleeding point. It is also designed for operators to use each kind of operation device effectively and can solve the problems brought about from mishandling of switches, by integrating the power supply, the suction unit, the air unit and the water supplying unit which are usually used in the general operation rooms. [Brief Description of Drawings] ,
  • Controlling valve 60 Controlling valve 60.
  • Switch device 61 Pendant-typed switch 62.
  • Wire foot switch 63 Wireless foot switch 63a.Transmitter 63b.Receiver 70.Water supplying device 1. Water tank
  • Switch device 201 Wire foot switch 202.Wireless foot switch

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  • Health & Medical Sciences (AREA)
  • Life Sciences & Earth Sciences (AREA)
  • Engineering & Computer Science (AREA)
  • General Health & Medical Sciences (AREA)
  • Veterinary Medicine (AREA)
  • Surgery (AREA)
  • Biomedical Technology (AREA)
  • Animal Behavior & Ethology (AREA)
  • Heart & Thoracic Surgery (AREA)
  • Public Health (AREA)
  • Anesthesiology (AREA)
  • Physics & Mathematics (AREA)
  • Plasma & Fusion (AREA)
  • Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
  • Otolaryngology (AREA)
  • Hematology (AREA)
  • Medical Informatics (AREA)
  • Molecular Biology (AREA)
  • Massaging Devices (AREA)

Abstract

L'invention concerne un dispositif permettant de rechercher et de traiter des points hémorragiques, comprenant (a) un cautère pour cautériser les points hémorragiques à l'aide d'une puissance haute fréquence provenant de l'embout, et (b) un pinceau à air conçu pour pulvériser de l'air comprimé fourni par l'unité d'alimentation en air à travers la buse d'air. Le pinceau à air est monté sur le cautère et le point hémorragique est recherché à l'aide de l'air pulvérisé provenant de la buse d'air, le cautère brûle le point hémorragique. La recherche d'un point hémorragique est facile car le sang accumulé est dispersé immédiatement à l'aide de l'air comprimé de manière à nettoyer la zone de cautérisation. La combinaison du pinceau à air et du cautère électrique en un seul appareil permet de rechercher et de cautériser rapidement et simultanément un point hémorragique de manière à permettre un traitement et une guérison rapides.
PCT/KR2001/000927 2000-11-13 2001-06-01 Dispositif de recherche et de traitement d'un point hemorragique comprenant un pinceau a air WO2002038066A1 (fr)

Applications Claiming Priority (4)

Application Number Priority Date Filing Date Title
KR1020000067176A KR20010008164A (ko) 2000-11-13 2000-11-13 복합 수술기구를 위한 통합 공급장치
KR10-2000-0067175A KR100404591B1 (ko) 2000-11-13 2000-11-13 압축공기를 이용한 출혈점 탐색 및 처리장치
KR2000/0067175 2000-11-13
KR2000/0067176 2000-11-13

Publications (1)

Publication Number Publication Date
WO2002038066A1 true WO2002038066A1 (fr) 2002-05-16

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Family Applications (1)

Application Number Title Priority Date Filing Date
PCT/KR2001/000927 WO2002038066A1 (fr) 2000-11-13 2001-06-01 Dispositif de recherche et de traitement d'un point hemorragique comprenant un pinceau a air

Country Status (1)

Country Link
WO (1) WO2002038066A1 (fr)

Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5084045A (en) * 1990-09-17 1992-01-28 Helenowski Tomasz K Suction surgical instrument
US5709680A (en) * 1993-07-22 1998-01-20 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device
US6071280A (en) * 1993-11-08 2000-06-06 Rita Medical Systems, Inc. Multiple electrode ablation apparatus
KR20000058465A (ko) * 2000-05-30 2000-10-05 이희영 압축공기를 이용한 출혈점 탐색 및 처리기구

Patent Citations (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5084045A (en) * 1990-09-17 1992-01-28 Helenowski Tomasz K Suction surgical instrument
US5709680A (en) * 1993-07-22 1998-01-20 Ethicon Endo-Surgery, Inc. Electrosurgical hemostatic device
US6071280A (en) * 1993-11-08 2000-06-06 Rita Medical Systems, Inc. Multiple electrode ablation apparatus
KR20000058465A (ko) * 2000-05-30 2000-10-05 이희영 압축공기를 이용한 출혈점 탐색 및 처리기구

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