WO2016206499A1 - 左右并列回路双极电极 - Google Patents
左右并列回路双极电极 Download PDFInfo
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- WO2016206499A1 WO2016206499A1 PCT/CN2016/082156 CN2016082156W WO2016206499A1 WO 2016206499 A1 WO2016206499 A1 WO 2016206499A1 CN 2016082156 W CN2016082156 W CN 2016082156W WO 2016206499 A1 WO2016206499 A1 WO 2016206499A1
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- tube
- insulating
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- sleeve
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- 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
- A61B18/1485—Probes or electrodes therefor having a short rigid shaft for accessing the inner body through natural openings
-
- 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
- A61B18/148—Probes or electrodes therefor having a short, rigid shaft for accessing the inner body transcutaneously, e.g. for neurosurgery or arthroscopy
-
- 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
-
- 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
- A61B2018/00053—Mechanical features of the instrument of device
- A61B2018/00059—Material properties
- A61B2018/00071—Electrical conductivity
- A61B2018/00083—Electrical conductivity low, i.e. electrically insulating
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- 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
- A61B2018/00315—Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body for treatment of particular body parts
- A61B2018/00547—Prostate
-
- 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
- A61B2018/00601—Cutting
-
- 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
- A61B2018/1405—Electrodes having a specific shape
- A61B2018/1407—Loop
Definitions
- the present invention relates to the field of medical device technology, and in particular to an electrode for a resectoscope for minimally invasive surgery.
- Prostatic hyperplasia and hyperplasia are common diseases in middle-aged and elderly men with high incidence.
- Surgical resection is the most effective treatment.
- the traditional open surgery is to cut an incision in the lower abdomen of the patient, and then cut the bladder to remove the prostate, which is very harmful to the normal urinary tract physiological structure.
- prostatic hyperplasia patients are elderly people, who are often accompanied by other serious diseases and are difficult to tolerate the trauma caused by open surgery. Therefore, various minimally invasive methods of transurethral treatment of benign prostatic hyperplasia are greatly affected by urologists. Pay attention to it.
- Transurethral resection of the prostate is invented in developed countries in Europe and America. Because this surgery does not require surgery on the human body, it greatly reduces the trauma and is recognized as the current "gold standard" for the treatment of benign prostatic hyperplasia.
- a coaxial loop bipolar electrode disclosed in the invention patent CN 201492495 U is currently used more commonly.
- the parallel circuit bipolar electrode front section metal tube bifurcation, the metal tube port assembly ceramic tube, the rear end is composed of two side-by-side steel tubes 31; the positive electrode 35 passes through the steel tube 31 connecting the wires 36, in which the electrodes are side by side
- the steel pipes together form a loop electrode; the corresponding waterproof plug 34 opening is difficult to conform to the shape of the side-by-side steel pipe.
- the side-by-side steel pipes are commonly used as circuit electrodes. Although the surface has an insulating tube, the operation time is long, the insulating sleeve may be worn, and the pressure resistance performance is lowered, and there is a risk of electric leakage. In addition, the side-by-side steel pipe takes up a larger space than a single pipe, and the flow of brine in the inner sheath of the electric mirror is blocked, and the convection of the brine is not ideal.
- Patent EP 1072230 A1 shows another bipolar electrode, the front section of which is identical to the shape described in the above-mentioned CN 201492495 U, and the rear section is different.
- a circular steel tube is used instead of the side-by-side steel tube, and the corresponding waterproof plug opening is also circular. This can effectively improve the water leakage phenomenon of the electric mirror; however, the circular steel tube still acts as a loop electrode, so the insulation sleeve of the outer surface of the steel tube is degraded due to wear, and the risk of leakage cannot be eliminated.
- the insulating tube is added, the electrode resistance becomes large, and the electrode volume also increases.
- the left and right parallel loop bipolar electrodes of the invention minimize the contact area and the position of the loop electrode and the human body, reduce the stimulating effect of the current on the human body, and retain the advantages of the single loop cutting operation, and solve the bipolar electrode which is used more in the market.
- the existing seals are not good, the convection is not ideal, and the electrode resistance is large, which also solves the leakage problem caused by the wear of the insulation layer.
- a left and right parallel loop bipolar electrode comprising:
- a positive electrode a positive electrode, a second insulating tube, a metal sleeve as a negative electrode, a rigid tube, two insulating sleeves with a split end at one end and a split end, a straight metal tube with a flare, and an insulating layer Wire, twin conductor and terminal;
- the metal sleeve and the hard tube are arranged side by side at a distance, and the metal sleeve and the hard tube head respectively fix an insulating tube, one end of the positive electrode and the hard
- One of the wires with the insulating layer drawn from the tube is connected in a corresponding one of the insulating tubes, and the other wire with the insulating layer is welded to the metal sleeve;
- the rear part of the metal sleeve and the hard tube are respectively sleeved Provided in the two insulating sleeves; in the rear portion of the bipolar electrode, the flaring portion of the metal straight tube covers the closed rear portion of the two insulating sleeves;
- the metal a tail end of the straight pipe is connected to the terminal, the terminal is connected to the double-core wire, and the wires with the insulating layer are respectively connected to the double-core wire through the metal straight pipe;
- the other end of the positive electrode is fixed in the other of the insulating tubes;
- the high frequency energy forms a loop in the working medium through the two insulated conductor wires in the straight metal tube.
- left and right parallel loop bipolar electrodes including:
- a positive electrode a positive electrode, a second insulating tube, a metal sleeve as a negative electrode, an insulating tube, an insulating sleeve, a straight metal tube with a flare, two wires with an insulating layer, a double-core wire and a binding post;
- the metal sleeve and the hard tube are arranged side by side at a distance, and the metal sleeve and the insulating hard tube head respectively fix an insulating tube, one end of the positive electrode and the One of the wires with the insulating layer drawn from the hard pipe is connected in a corresponding one of the insulating tubes, and the other wire with the insulating layer is welded to the metal sleeve; the rear portion of the metal sleeve is sleeved in the In the insulating sleeve, in the rear portion of the bipolar electrode, the rear portion of the insulating tube and the rear portion of the insulating sleeve are closed, and the periphery thereof is covered by the flare of the metal straight tube a tail end of the metal straight pipe is connected to the terminal, the terminal is connected to the double-core wire, and the wire with the insulating layer passes through the metal straight pipe and corresponds to the double-core wire respectively Connecting;
- the high frequency energy forms a loop in the working medium through the two insulated conductor wires in the straight metal tube.
- the left and right parallel loop bipolar electrodes further comprise an electrode fixing card welded to the outer surface of the metal straight tube for mating with the mirror rod of the endoscope.
- the metal sleeve has an outer diameter of 1 mm to 1.7 mm
- the metal straight tube has an outer diameter of 1.5 to 2.2 mm.
- the exposed front portion of the metal sleeve that is not covered by the insulating sleeve is a return electrode having a surface area that is five times 16 times the surface area of the electrode of the curved positive electrode.
- the shape of the positive electrode is semi-annular, drum-shaped or shovel-like.
- the insulating tube is a ceramic insulating tube.
- the high-frequency energy of the left and right parallel loop bipolar electrodes of the present invention forms a loop through two wires with insulating layers in the straight metal tube, and the straight metal tube itself is not used as a loop electrode, and is not charged, so that there is no need for sheath insulation at the periphery thereof.
- FIG. 1 is a schematic view showing the overall structure of a prior art resective mirror bipolar electrode according to the background art of the present invention
- FIG. 2 is a schematic view showing the overall structure of a parallel loop bipolar electrode according to an embodiment of the present invention
- FIG. 3 is a top plan view and a perspective view of a front portion of a parallel loop bipolar electrode according to an embodiment of the present invention
- FIG. 4 is a side view and a perspective view of a front portion of a parallel loop bipolar electrode according to an embodiment of the present invention
- FIG. 5 is a cross-sectional view showing a front portion of a parallel loop bipolar electrode according to an embodiment of the present invention.
- This embodiment provides a novel left and right parallel loop bipolar electrode, as shown in FIG. 2 to FIG. 5, which includes:
- the positive electrode 10, the two ceramic insulating tubes 11, the metal sleeve 13, the hard tube 22, the two insulating tubes 12 and 21 which are separated from each other at one end and close to each other, the metal straight tube 14 with the flared, and the electrode fixing card 15
- the metal sleeve 13 and the hard tube 22 are insulated from the metal straight tube 14 by the bifurcation of the branching insulations 12 and 21, respectively (see FIGS. 3 and 4 for details).
- the front end of the metal sleeve 13 and the hard tube 22 are respectively fixed with a ceramic insulating tube 11, and one end of the positive electrode 10 is connected to one of the wires 16 through a ceramic insulating tube 11 in the hard tube 22, and the other end is supported by the metal sleeve 13
- another wire 17 is welded to the corresponding metal sleeve 13
- the outer sleeves of the two metal sleeves are respectively sleeved with the insulating sleeves 12 and 21, thereby It is insulated from the metal straight tube 14 (see Figure 4 for details).
- the wires 16 and 17 pass through a straight metal tube 14.
- the high frequency energy passes through the positive electrode 10 in the hard tube 22 and flows through the metal sleeve 13 to form a loop.
- the rear section of the ceramic insulating tube 11 is covered by the front section of the metal sleeve 13 and the hard tube 22, and the front section of the ceramic insulating tube 11 is exposed; the metal sleeve The rear section of the tube 13 and the hard tube 22 is covered by the insulating tubes 12 and 21 so that the front sections of the metal sleeves 13, 22 are exposed.
- the exposed front section of the metal sleeve 13 is exposed in a saline environment in use, the surface area of which is the surface area of the return electrode, and the surface area of the positive electrode 10 is the surface area of the semi-annular positive electrode exposed in the saline environment.
- the surface area of the return electrode is between 5 and 16 times the surface area of the semi-annular positive electrode.
- the end of the metal straight tube 14 is provided with a terminal 19, and the double-core wire 20 extends from the terminal 19, and the tail end of the terminal is further connected with a plug.
- the wires 16 and 17 are connected to the double-core wire 20 after passing through the metal straight pipe 14.
- the electrode fixing card 15 is welded to the outer wall of the straight metal tube for mating with the mirror rod of the endoscope.
- the waterproof plug 18 is tightly fitted on the outer wall of the metal straight tube 14 , and is located between the electrode fixing card 15 and the terminal 19 .
- the outer wall of the metal straight tube 14 is circular, and the waterproof plug 18 has a circular hole therein to avoid water leakage caused by the waterproof plug shaped hole of the background art.
- the positive electrode is disposed in a semi-annular outer shovel shape, and the angle between the positive electrode and the metal sleeve is preferably 110 to 160 degrees.
- the positive electrode is provided in a semi-annular inner hook shape, and the angle between the positive electrode and the metal sleeve is preferably 70 to 90 degrees.
- the positive electrode 10 is generally semi-annular, and may also be a drum shape, a shovel shape or the like.
- the hard tube 22 is not used as a return electrode, and an insulating material may be used. If an insulating material is used as the hard tube 22, the insulating sleeve 12 may be used.
- the rear section of the insulated hard tube 22 is not sleeved with an insulating sleeve, but is closed with the rear section of the insulating sleeve, and the periphery of the closed portion is covered by the flared portion of the straight metal tube 14. Set coverage.
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- Nuclear Medicine, Radiotherapy & Molecular Imaging (AREA)
- Otolaryngology (AREA)
- Biomedical Technology (AREA)
- Veterinary Medicine (AREA)
- Public Health (AREA)
- Heart & Thoracic Surgery (AREA)
- Medical Informatics (AREA)
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Abstract
Description
Claims (7)
- 一种左右并列回路双极电极,其特征在于,包括:正极电极、二绝缘管、一作为负极电极的金属套管、一硬管、一端分离另一端合拢的呈分叉状的两根绝缘套管、带扩口的金属直管、二带有绝缘层的导线、双芯导线及接线柱;所述双极电极的前段部分,所述金属套管与所述硬管左右并列间隔设置,金属套管和硬管头部分别固定一所述绝缘管,所述正极电极的一端和所述硬管引出的一条所述带有绝缘层的导线在其对应的一绝缘管内连接,另一条带有绝缘层的导线与所述金属套管焊接;所述金属套管和硬管的后段分别套设于所述两根绝缘套管内;在所述双极电极的后段部分,所述金属直管的扩口处将所述两根绝缘套管的合拢的后段套设覆盖;所述金属直管的尾端连接所述接线柱,所述接线柱连接所述双芯导线,所述二带有绝缘层的导线穿过所述金属直管与所述双芯导线分别对应连接;所述正极电极的另一端固定于另一根所述绝缘管内;高频能量通过所述金属直管内的所述二带有绝缘层的导线在工作介质中形成回路。
- 一种左右并列回路双极电极,其特征在于,包括:正极电极、二绝缘管、一作为负极电极的金属套管、一绝缘硬管、一根绝缘套管、带扩口的金属直管、二带有绝缘层的导线、双芯导线及接线柱;所述双极电极的前段部分,所述金属套管与所述硬管左右并列间隔设置,金属套管和绝缘硬管头部分别固定一所述绝缘管,所述正极电极的一端和所述硬管引出的一条所述带有绝缘层的导线在其对应的一绝缘管内连接,另一条带有绝缘层的导线与所述金属套管焊接;所述金属套管的后段套设于所述绝缘套管内;在所述双极电极的后段部分,所述绝缘硬管的后段和所述绝缘套管的后段合拢,其外围由所述金属直管的扩口处套设覆盖;所述金属直管的尾端连接所述接线柱,所述接线柱连接所述双芯导线,所述二带有绝缘层的导线穿过所述金属直管与所述双芯导线分别对应连接;所述正极电极的另一端固定于另一根所述绝缘管内;高频能量通过所述金属直管内的所述二带有绝缘层的导线在工作介质中形 成回路。
- 根据权利要求1或2所述的左右并列回路双极电极,其特征在于:其还包括电极固定卡,其焊接于所述金属直管的外表面,用于和内窥镜的镜杆配合。
- 根据权利要求1或2所述的并列回路双极电极,其特征在于:所述金属套管的外直径为1mm-1.7mm,所述金属直管的外直径为1.5-2.2mm。
- 根据权利要求4所述的左右并列回路双极电极,其特征在于:所述金属套管的未被所述绝缘套管覆盖的裸露的前段部分为回路电极,该回路电极的表面积为所述弧形正极的电极表面积的5倍16倍。
- 根据权利要求1或2所述的左右并列回路双极电极,其特征在于:所述正极电极的形状为半环状、滚筒状或铲状。
- 根据权利要求1或2所述的左右并列回路双极电极,其特征在于:所述绝缘管为陶瓷绝缘管。
Priority Applications (3)
Application Number | Priority Date | Filing Date | Title |
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JP2016600150U JP3216809U (ja) | 2015-06-24 | 2016-05-14 | 左右並列回路双極電極 |
US15/308,613 US20170181792A1 (en) | 2015-06-24 | 2016-05-14 | Left-right parallel loop bipolar electrode |
DE212016000007.1U DE212016000007U1 (de) | 2015-06-24 | 2016-05-14 | Bipolare Elektrode mit einer linken und rechten Parallelschleife |
Applications Claiming Priority (2)
Application Number | Priority Date | Filing Date | Title |
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CN201510355477.6 | 2015-06-24 | ||
CN201510355477.6A CN104921804B (zh) | 2015-06-24 | 2015-06-24 | 左右并列回路双极电极 |
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Publication Number | Publication Date |
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WO2016206499A1 true WO2016206499A1 (zh) | 2016-12-29 |
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PCT/CN2016/082156 WO2016206499A1 (zh) | 2015-06-24 | 2016-05-14 | 左右并列回路双极电极 |
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US (1) | US20170181792A1 (zh) |
JP (1) | JP3216809U (zh) |
CN (1) | CN104921804B (zh) |
DE (1) | DE212016000007U1 (zh) |
WO (1) | WO2016206499A1 (zh) |
Families Citing this family (7)
Publication number | Priority date | Publication date | Assignee | Title |
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CN104921804B (zh) * | 2015-06-24 | 2018-02-06 | 珠海市司迈科技有限公司 | 左右并列回路双极电极 |
CN105250023B (zh) * | 2015-11-20 | 2018-11-20 | 珠海市司迈科技有限公司 | 一种具有新型密封结构的电切镜 |
TWM573429U (zh) * | 2017-10-11 | 2019-01-21 | 訊凱國際股份有限公司 | Fluid leak detector |
CN109394338A (zh) * | 2018-10-19 | 2019-03-01 | 江苏邦士医疗科技有限公司 | 一种等离子射频电极 |
DE102018127919A1 (de) | 2018-11-08 | 2020-05-14 | Karl Storz Se & Co. Kg | Elektrodenanordnung für ein bipolares Resektoskop sowie Resektoskop |
CN110464450A (zh) * | 2019-09-06 | 2019-11-19 | 珠海市司迈科技有限公司 | 一种手术电极开关控制电路及高频手术装置 |
CN113967069B (zh) * | 2021-10-15 | 2024-04-16 | 邦士医疗科技股份有限公司 | 一种等离子手术电极及等离子手术器械 |
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CN201492495U (zh) * | 2009-08-21 | 2010-06-02 | 钟李宽 | 电切镜双极电极 |
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CN204765911U (zh) * | 2015-06-24 | 2015-11-18 | 珠海市司迈科技有限公司 | 左右并列回路双极电极 |
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2015
- 2015-06-24 CN CN201510355477.6A patent/CN104921804B/zh active Active
-
2016
- 2016-05-14 WO PCT/CN2016/082156 patent/WO2016206499A1/zh active Application Filing
- 2016-05-14 DE DE212016000007.1U patent/DE212016000007U1/de active Active
- 2016-05-14 JP JP2016600150U patent/JP3216809U/ja active Active
- 2016-05-14 US US15/308,613 patent/US20170181792A1/en not_active Abandoned
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CN1611193A (zh) * | 2003-10-28 | 2005-05-04 | 沈阳沈大内窥镜有限公司 | 双极电极及其联接结构 |
CN101035478A (zh) * | 2004-10-05 | 2007-09-12 | 奥林巴斯株式会社 | 高频处置装置 |
CN201398997Y (zh) * | 2009-04-08 | 2010-02-10 | 广州市惠润医疗设备有限公司 | 等离子双极电切镜电极 |
CN102846375A (zh) * | 2012-08-16 | 2013-01-02 | 珠海市司迈科技有限公司 | 电切镜双极电极 |
CN202960757U (zh) * | 2012-08-16 | 2013-06-05 | 珠海市司迈科技有限公司 | 电切镜双极电极 |
CN104921804A (zh) * | 2015-06-24 | 2015-09-23 | 珠海市司迈科技有限公司 | 左右并列回路双极电极 |
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US20170181792A1 (en) | 2017-06-29 |
CN104921804B (zh) | 2018-02-06 |
JP3216809U (ja) | 2018-06-28 |
CN104921804A (zh) | 2015-09-23 |
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