WO2021180157A1 - 双极电处理装置 - Google Patents

双极电处理装置 Download PDF

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Publication number
WO2021180157A1
WO2021180157A1 PCT/CN2021/080159 CN2021080159W WO2021180157A1 WO 2021180157 A1 WO2021180157 A1 WO 2021180157A1 CN 2021080159 W CN2021080159 W CN 2021080159W WO 2021180157 A1 WO2021180157 A1 WO 2021180157A1
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Prior art keywords
conductive
insulating
tube
treatment device
cup
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PCT/CN2021/080159
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English (en)
French (fr)
Inventor
赵振
时百明
李鹏
Original Assignee
杭州安杰思医学科技股份有限公司
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Publication of WO2021180157A1 publication Critical patent/WO2021180157A1/zh

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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/04Endoscopic instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B10/02Instruments for taking cell samples or for biopsy
    • A61B10/06Biopsy forceps, e.g. with cup-shaped jaws
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/1206Generators therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/1206Generators therefor
    • A61B18/1233Generators therefor with circuits for assuring patient safety
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/14Probes or electrodes therefor
    • A61B18/1442Probes having pivoting end effectors, e.g. forceps
    • A61B18/1445Probes having pivoting end effectors, e.g. forceps at the distal end of a shaft, e.g. forceps or scissors at the end of a rigid rod
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B90/00Instruments, implements or accessories specially adapted for surgery or diagnosis and not covered by any of the groups A61B1/00 - A61B50/00, e.g. for luxation treatment or for protecting wound edges
    • A61B90/08Accessories or related features not otherwise provided for
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B10/00Other methods or instruments for diagnosis, e.g. instruments for taking a cell sample, for biopsy, for vaccination diagnosis; Sex determination; Ovulation-period determination; Throat striking implements
    • A61B2010/009Various features of diagnostic instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B2018/00053Mechanical features of the instrument of device
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B18/00Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body
    • A61B18/04Surgical instruments, devices or methods for transferring non-mechanical forms of energy to or from the body by heating
    • A61B18/12Surgical 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
    • A61B18/1206Generators therefor
    • A61B2018/1246Generators therefor characterised by the output polarity
    • A61B2018/126Generators therefor characterised by the output polarity bipolar

Definitions

  • the present invention relates to the technical field of medical equipment, in particular to a bipolar electrical treatment device.
  • the Chinese patent with publication number CN205107883U discloses a thermal biopsy forceps with an insulating coating, which biopsy the target tissue by means of unipolar electric cutting, and its metal forceps cup and the negative plate attached to the human body form a high-frequency current Circuit, so that the cells between the metal knife edge of the cup and the tissue are ruptured to form a cut, and the blood vessels under the knife edge are simultaneously coagulated in the process.
  • the current loop of a unipolar device flows through a large area of the human body.
  • the current may pass through the pacemaker loop and burn the loop. Body tissue, severe cases may burn myocardium.
  • WO1994017741A1 discloses a bipolar biopsy instrument, which connects the two clamp cups to the positive and negative electrodes of the power supply respectively, thereby forming a high-frequency current loop between the clamp cups, avoiding the influence on the pacemaker .
  • the current is concentrated between the two clamp cups, the energy is too concentrated, which easily causes the biopsy tissue to lose its biological activity.
  • the existing design of the two clamp cups is easy to form a short circuit, resulting in The biopsy failed.
  • the Chinese patent with the application number CN201080032498.X also discloses a high-frequency treatment device, which belongs to a bipolar device solution.
  • the second end of the power supply line is connected to a power source, and the pair of power supply lines are electrically connected to each of the electrode portions of the pair of forceps members.
  • the outer diameter of the treatment device for an endoscope is limited by the inner diameter of the channel of the endoscopic instrument, and is usually less than 2.8 mm.
  • the arrangement of two or more manipulation/power supply wires is not convenient for the user to perform a rotation operation with timely feedback on the distal processing part at the proximal end, which is not conducive to the development of the operation.
  • the object of the present invention is to provide a bipolar electric treatment device, which can avoid the problem of inconvenience in operation due to excessive internal control wires or power supply wires.
  • the present invention provides a bipolar electrical treatment device, including:
  • One end of the first conductive operating member is connected to one end of the conductive traction rope;
  • An insulating connecting piece connected to the first conductive operating piece;
  • One end of the second conductive operating member is connected to the insulating connecting member, and the other end is extended in a direction away from the conductive traction rope.
  • a first groove is axially opened on the outer side of the insulating connecting member, and the second conductive operating member is fixedly embedded in the first groove.
  • a second groove is provided in the outer circumferential direction of the insulating connecting member, and a conductive tube electrically connected to the second conductive operating member is provided in the second groove.
  • the outer side of the first conductive operating member is fixedly sleeved with a plurality of first limiting tubes, and each of the first limiting tubes abuts against both sides of the insulating connecting member one by one; the first A first insulating tube is sleeved on the outer side of the limit tube, and the first insulating tube is seamlessly connected to the insulating connector.
  • a second insulating tube is sheathed on the outer side of the conductive traction rope, and the end of the second insulating tube is connected with the insulating connector; the outer side of the second insulating tube is sheathed with a lubricating tube.
  • the bipolar electrical treatment device further includes a sheath tube mechanism, the sheath tube mechanism includes a sheath tube and a conductive member disposed on the inner side of the sheath tube, and the conductive member is electrically connected to the second conductive operating member. sexual connection.
  • a sheath tube fixing member is sheathed on the outer side of the conductive member, and the sheath tube is fixedly installed on the sheath tube fixing member.
  • one side of the end of the conductive component is fixedly sleeved with a second limit tube for limiting, and the other side of the end of the conductive component is provided with a third limiting tube for limiting.
  • the bipolar electrical treatment device further includes a first electrode structure, and the first electrode structure includes:
  • One end of the conductive wire is electrically connected to the conductor, and the other end is electrically connected to the conductive component.
  • an accommodating gap is left between the sheath and the conductive component, and the end of the conductive wire away from the conductor penetrates into the accommodating gap and extends along the outer surface of the conductive component.
  • a third insulating tube is sheathed on the outer side of the conductive wire, and one end of the third insulating tube extends to the conductor; the side of the conductor is provided with a first fixing tube, and the conductive wire is close to the The end of the conductor is fixed and penetrated in the first fixed tube.
  • the bipolar electrical treatment device further includes a second electrode mechanism, and the second electrode mechanism includes:
  • One end of the conductive elastic piece is electrically connected to one end of the electrical connector, and the other end is electrically connected to the conductive traction rope;
  • the conductive sleeve is sleeved on the outer side of the conductive traction rope and is electrically connected with the conductive elastic sheet.
  • the bipolar electrical treatment device further includes a pole seat, an insulating cover is installed inside the pole seat, one end of the electrical connector is embedded in the insulating cover, and the conductive elastic sheet is installed Inside the insulating cover and connected with the electrical connector; the end of the conductive wire close to the pole base passes through the insulating cover and is connected with the conductor.
  • the same-side ends of the conductive traction rope and the sheath tube both extend horizontally into the pole base, and the conductive traction rope passes through the pole base in a horizontal direction and is connected to the electrical connector.
  • the conductive traction rope is electrically connected with the conductive elastic sheet.
  • a second fixing tube is connected to the end of the conductive member, and the second fixing tube abuts and fits with the pole base, so that the end of the conductive member is fixedly abutted against the pole base.
  • the bipolar electrical treatment device further includes a handle mechanism, and the handle mechanism includes:
  • a sliding ring is installed on the handle and can slide along the length of the handle;
  • Push-pull rod movably installed in the handle, and electrically connected with the conductive traction rope;
  • the fourth fixed tube is fixedly connected to the sliding ring, and one end of the push-pull rod is fixedly inserted in the fourth fixed tube;
  • a rotating block, the rotating block can be rotatably installed on the pole base, and the handle is fixedly installed on the rotating block.
  • the bipolar electrical treatment device further includes a fourth insulating tube, the push-pull rod is inserted into the fourth insulating tube, and an end of the fourth insulating tube away from the conductive sleeve extends to the first 2. Outer side of insulating tube.
  • the bipolar electrical treatment device further includes a pliers head mechanism
  • the pliers head mechanism includes: an insulated cup holder and two insulated pliers cups hinged on the insulated cup holder, the two insulated pliers cups The ends are hinged to the first conductive manipulating member and the second conductive manipulating member in a one-to-one correspondence; wherein, the opposite sides of each of the insulating forceps cups are formed with cups capable of accommodating biopsy samples, and each of the cups is opposite to each other. It is provided that a conductive layer is arranged on the outer side of the insulating pliers cup, and the inner side wall of the cup body is kept insulated.
  • the insulating pliers cup is provided with a first through hole, and the end of the insulating cup holder is radially provided with a second through hole, and the second through hole can be arranged directly opposite to the first through hole;
  • the pin can pass through the second through hole and the first through hole in sequence to hinge the insulating pliers cup to the insulating cup holder.
  • a plurality of first openings are opened on opposite sides of the end of the insulating cup holder, and each of the first openings is arranged in parallel and spaced apart, and each of the first openings is communicated with the second through hole.
  • Each of the insulating pliers cups is penetrated through each of the first openings in a one-to-one correspondence.
  • the insulating pliers cup is provided with a third through hole, the third through hole is located on a side of the first through hole away from the cup body, and the insulating cup holder is axially provided with a fourth through hole.
  • the fourth through hole communicates with each of the first openings and is located at the end of the insulating cup holder away from the insulating pliers cup; the first conductive operating member and the second conductive operating member pass through Into the fourth through hole and respectively pass through each of the first openings, and the first conductive operating member and the second conductive operating member are electrically connected to the insulating clamp cup through the third through hole. connect.
  • a third fixed tube is sheathed on the outer side of the end of the insulating cup holder close to the sheath tube, and the end of the conductive member is rotatably inserted through the third fixed tube and is connected to the insulating cup.
  • the end of the insulating cup holder close to the sheath tube is radially provided with a fifth through hole
  • the third fixed tube is radially provided with a sixth through hole
  • the fixed shaft passes through the first
  • the six through holes and the fifth through hole are used to fix the sheath tube on the outer side of the end of the insulating cup holder.
  • the present invention has the following beneficial effects:
  • the bipolar electrical treatment device provided by the present invention is connected to the first conductive operating member through a conductive traction rope, the second conductive operating member is fixedly mounted on the insulating connector, and the insulating connector is fixedly sleeved on On the first conductive operating member, the effect of manipulation can be performed only by pulling or rotating the conductive traction rope, which can avoid the inconvenience of operation caused by too many manipulation wires or conductive wires. Further, an insulating layer is provided on the outer side of the first conductive operating member, so as to avoid short-circuit phenomenon.
  • the second electrode structure is connected to the positive pole of the external power supply device through the electrical connector, so that the current output by the external power supply device flows through the electrical connector and the conductive shrapnel in sequence , Sheath and clamp head mechanism, and then the current flows back through the clamp head mechanism to the sheath, conductive wire, conductor (ie the first electrode structure), and finally flows to the external power supply device through the wire connected to the conductor
  • the negative electrode constitutes a complete high-frequency current loop.
  • the area of the human body that it flows through is small, which can avoid burns to the body of the patient with a pacemaker or ICD implanted, and has good safety.
  • the clamp head mechanism is achieved by arranging two insulating clamp cups made of insulating material and laying a conductive layer on the outer side of the insulating clamp cup, while keeping the inner side wall of the cup body insulated In order to form a high-frequency current loop on the outer side of the insulated clamp cup; at the same time, the biopsy sample placed in the cup body can be in an insulated state to avoid inactivation of the biopsy sample in the cup.
  • Fig. 1 is a schematic diagram of a bipolar electrical treatment device in an embodiment of the present invention.
  • Fig. 2 is a schematic diagram of the clamp head mechanism shown in Fig. 1.
  • Fig. 3 is a schematic diagram of the clamp head mechanism shown in Fig. 2 when it is in an open state.
  • Fig. 4 is a schematic diagram of another configuration of the clamp head mechanism shown in Fig. 1.
  • FIG. 5 is a schematic diagram of the pliers head mechanism shown in FIG. 4 from another perspective.
  • Fig. 6 is a schematic diagram of the insulating pliers cup shown in Fig. 4.
  • FIG. 7 is a schematic diagram of the insulating pliers cup shown in FIG. 4 from another perspective.
  • Fig. 8 is a schematic diagram of the insulating cup holder shown in Fig. 2.
  • FIG. 9 is a schematic diagram of the insulating cup holder shown in FIG. 2 from another perspective.
  • Fig. 10 is a schematic cross-sectional view of the bipolar electrical treatment device shown in Fig. 1.
  • Fig. 11 is an enlarged schematic diagram of area A shown in Fig. 10.
  • Fig. 12 is an enlarged schematic diagram of area B shown in Fig. 10.
  • Fig. 13 is an enlarged schematic diagram of the area C shown in Fig. 10.
  • FIG. 14 is an enlarged schematic diagram of area D shown in FIG. 10.
  • Fig. 15 is an enlarged schematic diagram of the E area shown in Fig. 10.
  • Fig. 16 is an enlarged schematic diagram of the F area shown in Fig. 10.
  • Sheath tube mechanism 210. Conductive component; 211. Second limiting tube; 212. Sheath fixing part; 213.
  • Electrode mechanism 310. Pole seat; 311. Heat shrinkable tube; 320. Electrical connector; 330. Conductive shrapnel; 340. Conductive wire; 341. Third insulating tube; 350. Conductor; 351. First fixed tube 360, insulating cover; 370, conductive sleeve; 380, fourth insulating tube;
  • Handle mechanism 410. Handle; 420. Sliding ring; 430. Rotating block; 440. Push-pull rod; 450. Fourth fixed tube.
  • an embodiment of the present invention provides a bipolar electrical treatment device 1000.
  • the bipolar electrical treatment device 1000 includes: a clamp mechanism 100, a sheath mechanism 200, an electrode mechanism 300, and a handle mechanism 400, And the bipolar linkage structure installed in the sheath mechanism 200.
  • the clamp head mechanism 100 is installed on the right end of the sheath mechanism 200 and can rotate relative to the sheath mechanism 200; the left end of the sheath mechanism 200 is installed on the electrode mechanism 300, and the sheath mechanism 200 is connected to the electrode mechanism 300; the handle mechanism 400 is installed on the left side of the electrode mechanism 300 and can rotate relative to the electrode mechanism 300.
  • the bipolar linkage structure includes a conductive traction rope 240, an insulating connection member 220, and an operating member 130.
  • the operating member 130 includes a first conductive operating member 131 and a second conductive operating member 132 (see FIG. 11).
  • the pliers head mechanism 100 includes two insulated pliers cups 110 and an insulated cup holder 120, which are specifically as follows:
  • each insulating forceps cup 110 The opposite sides of each insulating forceps cup 110 are formed with a cup body 111, and the cup body 111 is used to hold the biopsy sample to be grasped.
  • 111 is located at the end position on the side of the insulating pliers cup 110; the outer side of the insulating pliers cup 110 is provided with a conductive layer (not shown), and the conductive layer of each insulating pliers cup 110 can be connected to an operating member (130) respectively to facilitate
  • a high-frequency current loop is formed on the outside of the two insulated clamp cups 110; in addition, the inner side wall of the cup body 111 is always kept in an insulated state and the cutting edge 1111 of the cup body 111 is also always kept insulated, so that it can be grabbed to the cup body
  • the biopsy sample in the body 111 is in an isolated state, so as to prevent the biopsy sample in the cup body 111 from losing biological activity due to the excessive concentration of electric energy on the outer side wall of the insulating forcep
  • the cutting edge 1111 on each insulated forceps cup 110 will cut the lesion tissue to obtain a biopsy sample; at the same time, the two insulated forceps
  • the two cups 111 surround each other to form a sealed cavity in an insulated state.
  • the biopsy sample is contained in the sealed cavity, thereby isolating the biopsy sample from the heated part of the insulating forceps cup 110. Effectively guarantee the biological activity of biopsy samples.
  • each insulating clamp cup 110 when each insulating clamp cup 110 is in the engaged state, the conductive layer on the outside of each insulating clamp cup 110 is electrically connected to different electrode circuits (positive circuit or negative circuit) through each operating member 130, and each insulating clamp The small outer diameter of the cup 110 is likely to cause a short-circuit phenomenon, which may lead to failure of the biopsy. Therefore, the cutting edges 1111 of each cup 111 are always kept in an insulated state, which can avoid electrical contact between the cups 111 in the occluded state, thereby preventing short circuits and avoiding the problem of biopsy failure.
  • the cutting edge 1111 of the above-mentioned cup body 111 is arranged in a tooth shape, so that the two insulating forceps cups 110 can be engaged with each other through the cutting edge 1111 arranged in a tooth shape, which is convenient for the bleeding part. Perform electrocoagulation operation.
  • the cutting edge 1111 of the cup body 111 can also be designed as an annular cutting edge, which is convenient for cutting the sample to be biopsy.
  • the shape of the cutting edge 1111 of the cup body 111 is not limited to the shape shown in FIG. 3 or FIG. Or perform electrical cutting operations on the biopsy sample.
  • each insulating pliers cup 110 away from the cup body 111 is hinged to the same end of the insulating cup holder 120, and the positions where each insulating pliers cup 110 and the insulating cup holder 120 are hinged are arranged in parallel and spaced apart, that is, each insulating pliers
  • the hinged ends of the cup 110 and the insulating cup holder 120 are spaced and cross-distributed to avoid the short circuit caused by the cross-contact of the conductive layers on the outer sides of the insulating clamp cups 110.
  • each operating member 130 is hinged on the end of each insulating pliers cup 110 away from the cup body 111 in a one-to-one correspondence, and an insulating layer (not shown) is arranged on the outer side of one of the operating members 130. It can be understood that the insulating layer is not arranged at the position where the operating member 130 with an insulating layer is hinged to the insulating pliers cup 110, that is, the operating member 130 with an insulating layer is always electrically connected to the conductive layer of the insulating pliers cup 110. Sexual connection.
  • each insulated pliers cup 110 can be opened or occluded, that is, the staff can use other structures to operate each manipulator 130, so that each insulated pliers cup 110 can be operated by
  • the open state is adjusted to the occluding state (or the occluding state is adjusted to the open state).
  • the insulating pliers cup 110 and the insulating cup holder 120 may be made of different insulating materials such as ceramics, Teflon, and PEEK.
  • the insulating cup holder 120 is preferably made of PEEK material.
  • the insulating pliers cup 110 is provided with a first through hole 112, the first through hole 112 is located in the middle of the insulating pliers cup 110, and the cup body 111 is located on the insulating pliers cup 110 away from the insulating cup
  • the end of the seat 120; the end of the insulating cup holder 120 is radially provided with a second through hole 121, the first through hole 112 can be directly opposite to the second through hole 121, and the pin 140 can pass through the second through hole in sequence 121 and the first through hole 112, that is, the pin 140 penetrates from one side of the second through hole 121, and passes through the first through hole 112 of each insulating pliers cup 110, and finally the pin 140 will penetrate to the first through hole 112.
  • the other side of the two through holes 121 so that each insulating pliers cup 110 is hinged at the end position of the insulating cup holder 120.
  • the end of the insulating cup holder 120 is provided with a plurality of first openings 122 on opposite sides.
  • the first openings 122 are arranged in parallel and spaced apart from each other, and each of the first openings 122 is communicated with the second through hole 121.
  • the cup 110 is disposed in each of the first openings 122 in a one-to-one correspondence.
  • the ends of the two insulated pliers cups 110 far away from the cup body 111 can penetrate into the corresponding first opening 122 from opposite sides of the insulated cup holder 120, so that the first portion of each insulated pliers cup 110
  • the through hole 112 is opposite to the second through hole 121, so that the pin 140 can pass through the second through hole 121 and each of the first through holes 112, so that the insulating pliers cups 110 can be spaced and crossed, and the insulating pliers cups 110 It is hinged at the end position of the insulating cup holder 120.
  • the ends of each insulating pliers cup 110 away from the cup body 111 are respectively located on opposite sides of the insulating cup holder 120.
  • the insulating pliers cup 110 is provided with a third through hole 113.
  • the third through hole 113 is located on the side of the first through hole 112 facing away from the cup body 111.
  • the operating member 130 can pass through the third through hole 113 and the insulating pliers cup. 110 makes electrical connections. It should be noted that each operating member 130 does not have a bending arrangement, and it can directly penetrate into the insulating cup holder 120, which can effectively reduce the resistance of each operating member 130 when moving.
  • the insulating cup holder 120 is axially provided with a fourth through hole 123, and the fourth through hole 123 is opened at the end of the insulating cup holder 120 away from the insulating pliers cup 110, that is, the fourth through hole 123 and the second through hole 121 are respectively located
  • the opposite ends of the insulating cup holder 120 in addition, the fourth through hole 123 is in communication with each first opening 122, and each operating member 130 can penetrate into the fourth through hole 123 and pass through different first openings 122, respectively. Therefore, each operating member 130 can be electrically connected to the end of each insulating pliers cup 110 away from the cup body 111.
  • the right end of the sheath mechanism 200 is in communication with the insulating cup holder 120 of the pliers mechanism 100, and the outer side of the first conductive operating member 131 is provided with an insulating layer ( Figure Not shown); the first conductive operating member 131 and the second conductive operating member 132 both pass through the fourth through hole 123 on the insulating cup holder 120 and penetrate into the sheath mechanism 200, and the first conductive operating member 131 and the first conductive member 131 The two conductive operating members 132 are spaced apart from each other.
  • the sheath mechanism 200 includes: a conductive component 210, an insulating connector 220, and a conductive tube 230.
  • the conductive component 210 is rotatably installed on the insulating cup holder 120 at the end close to the insulating cup holder 120, and is connected to the fourth through hole.
  • the conductive traction rope 240 is made of a material with conductive properties; the insulating connecting member 220 is preferably a connecting pipe made of plastic material.
  • the conductive traction rope 240 drives the first conductive operating member 131 to move, and at the same time, the insulating connecting member 220 and the second conductive operating member 132 also move based on the movement of the first conductive operating member 131 That is, the sheath mechanism 200 only needs to use a conductive traction rope 240 to push and pull the first conductive operating member 131 and the second conductive operating member 132.
  • a first groove 221 is axially opened on the outer side of the insulating connecting member 220, and the end of the second conductive operating member 132 away from the insulating pliers cup 110 is fixedly embedded in the first groove 221 so that the first groove 221 is fixedly embedded in the first groove 221.
  • the two conductive operating members 132 and the insulating connecting member 220 form an integral structure, and the second conductive operating member 132 can move simultaneously with the first conductive operating member 131.
  • a second groove 222 is provided on the outer side of the insulating connector 220 along the circumferential direction, the conductive pipe 230 is also provided with an opening (not shown) that matches the second groove 222, and the conductive pipe 230 is fixed to the sleeve It is arranged in the second groove 222 and is electrically connected to the second conductive operating member 132, and the opening at the conductive tube 230 is arranged opposite to the second groove 222.
  • first limiting tubes 250 are sleeved on the outer side of the first conductive operating member 131, and each first limiting tube 250 is located on both sides of the insulating connecting member 220, and abuts against the insulating connecting member 220 to The insulating connecting member 220 is limited on the first conductive operating member 131.
  • the first limit tube 250 is preferably a limit tube made of metal.
  • a first insulating tube 251 is sleeved on the outer side of the first limiting tube 250, and the first insulating tube 251 is seamlessly connected to the insulating connector 220, so that the first limiting tube 250 is in an insulated state, and avoiding The electrical contact between the first limit tube 250 and the second conductive operating member 132 causes a short circuit.
  • the first insulating tube 251 is preferably a patterned tube with insulating properties.
  • the first conductive operating member 131 is located on the outer side of the part of the first insulating tube 251 on the side of the insulating cup 120 and is also covered with patterns. The tube can effectively ensure the insulation stability between the first conductive operating member 131 and the second conductive operating member 132, and avoid a short circuit in the conductive member 210.
  • a second insulating tube 241 is sheathed on the outer side of the conductive traction rope 240, and the second insulating tube 241 extends toward the end of the insulating connector 220 along the outer side of the conductive traction rope 240 to the insulating connector 220 and is insulated from the insulating connector 220.
  • the connecting member 220 is connected, and the second insulating tube 241 is located outside the first insulating tube 251 on the side of the insulating connecting member 220 facing the conductive traction rope 240.
  • a lubricating tube 242 is sheathed on the outside of the second insulating tube 241, which can reduce the resistance that exists during the pushing and pulling of the conductive traction rope 240.
  • the sheath mechanism 200 further includes a third fixed tube 260, the third fixed tube 260 is fixedly sleeved on the outer side of the end of the insulating cup holder 120 away from the insulating pliers cup 110; the end of the conductive member 210 It is rotatably inserted in the third fixed tube 260 and communicated with the fourth through hole 123 at the insulating cup base 120.
  • a second limiting tube 211 is fixedly sleeved on the outer side of the conductive member 210, and the second limiting tube 211 is located on the side of the third fixing tube 260 facing the insulating cup holder 120, that is, the second limiting tube 211 is located on the first side of the insulating cup holder 120.
  • the second limiting tube 211 and the third fixing tube 260 perform a limiting fit to limit the conductive component 210 and the third fixing tube 260 into an integrated structure.
  • the end of the insulating cup holder 120 close to the third fixed tube 260 is radially provided with a fifth through hole 124, as shown in FIG. 8; the third fixed tube 260 is radially provided with a sixth through hole 261, as shown in FIG.
  • the fixed shaft 262 can pass through the sixth through hole 261 and the fifth through hole in sequence.
  • the through hole 124 is used to fix the third fixing tube 260 on the outer side of the end of the insulating cup holder 120.
  • the sheath mechanism 200 further includes: a flexible sheath 270, the sheath 270 is fixedly sleeved on the outer side of the conductive member 210, on the inner side of the sheath 270 and the conductive member 210 A hollow accommodating gap 280 is formed between the outer sides.
  • a sheath fixing part 212 is sheathed on the outer side of the end of the conductive component 210 close to the insulating cup holder 120, and the end of the sheath 270 close to the insulating cup holder 120 is fixedly installed on the sheath fixing part 212, namely: sheath 270
  • the sheath fixing member 212 and the conductive component 210 are fixed as an integral structure.
  • a third limiting tube 213 is fixedly installed on the outer side of the conductive component 210, and the third limiting tube 213 is located at an end of the sheath tube fixing member 212 away from the insulating cup holder 120, and the third limiting tube 213 is fixed to the sheath tube.
  • the parts 212 are abutted and cooperated to limit the sheath fixing part 212, so as to achieve a suspended connection between the conductive part 210 and the third fixing tube 260.
  • the electrode mechanism 300 includes a first electrode structure and a second electrode structure.
  • the first electrode structure includes a conductor 350; a conductive wire 340, one end of which is electrically connected to the conductor 350, The other end is electrically connected to the conductive component 210.
  • the second electrode structure includes a pole base 310, an electrical connector 320, and a conductive spring 330.
  • One end of the electrical connector 320 penetrates the pole base 310 and is spaced apart from the sheath mechanism 200; the conductive spring 330 is mounted on the electrical connector 320 is close to the end position of the sheath mechanism 200 and is electrically connected to the sheath mechanism 200; the conductor 350 is located in the pole base 310, and the conductor 350 is installed on the circumferential outer side of the electrical connector 320; the conductive wire 340 One end is electrically connected to the conductor 350, and the other end penetrates into the sheath mechanism 200 and extends along the length direction of the sheath mechanism 200.
  • the conductive component 210 of the sheath tube mechanism 200 and the same side end of the sheath tube 270 extend horizontally into the inside of the pole base 310, and the conductive traction rope 240 penetrates horizontally from the right side of the pole base 310 and from The right side of the pole base 310 passes through; the electrical connector 320 extends into the end of the pole base 310 and the conductive traction rope 240 is spaced apart from each other, and the conductive elastic piece 330 is electrically connected to the part of the conductive traction rope 240 in the pole base 310; The end of the conductive wire 340 away from the conductive body 350 penetrates into the accommodating gap 280 and extends along the outer surface of the conductive component 210.
  • the electrical connector 320 can be electrically connected to the positive pole of the external power supply device, so that the external power supply device delivers current to the electrical connector 320, and at the same time, the current delivered by the external power supply device to the electrical connector 320 is delivered through the conductive spring 330 To the conductive traction rope 240, and then the current is sequentially delivered to the conductive layer connected to the first conductive operating member 131 and the first conductive operating member 131 via the conductive traction rope 240; then, the current is delivered to the conductive layer connected to the second conductive operating member 132 In the conductive layer, and further sequentially transported to the second conductive manipulator 132, the conductive member 210, the conductive wire 340 and the conductor 350, and finally transported to the negative electrode of the external power supply device through the external wire connected with the conductor 350 .
  • the entire current flow process can be divided into: an active electrode circuit and a passive electrode circuit, that is, the active electrode circuit and the passive electrode circuit form a high-frequency current loop flowing through the bipolar electrical treatment device 1000;
  • the active electrode circuit is at least Including: an electrical connector 320, a conductive spring 330 and a conductive traction rope 240, the passive electrode circuit at least includes: a conductive component 210, a conductive wire 340 and a conductor 350; in addition, in the passive electrode circuit, the current passes through the conductive component 210 and then through The arrangement of the conductive wire 340 flowing to the conductor 350 can effectively reduce the power loss caused by the current flow; in addition, the conductive wire 340 is preferably a molybdenum wire.
  • an insulating cover 360 is installed inside the pole base 310, and the conductive traction rope 240 penetrates into the insulating cover 360 from the right side of the insulating cover 360 in a horizontal direction, and passes out from the left side of the insulating cover 360;
  • the end of the device 320 facing the conductive traction rope 240 is embedded in the insulating cover 360 and is spaced apart from the conductive traction rope 240;
  • the conductive elastic piece 330 is installed in the insulating cover 360 so that the insulating cover 360 and the conductive elastic piece 330 There is an integral structure therebetween, and at the same time, the conductive elastic piece 330 is electrically connected to the electrical connector 320 and the conductive traction rope 240.
  • the end of the conductive wire 340 close to the pole base 310 passes through the insulating cover 360 and is connected to the conductive body 350.
  • the electrode mechanism 300 further includes a conductive sleeve 370, which is sleeved on the outside of the conductive traction rope 240 and is electrically connected to the conductive spring 330; in addition, the conductive sleeve 370 is located in the insulating cover 360, It is arranged spaced apart from the conductive member 210.
  • the active electrode circuit includes: an electrical connector 320, a conductive spring 330, a conductive sleeve 370, and a conductive traction rope 240.
  • the active electrode circuit includes: an electrical connector 320, a conductive spring 330, a conductive sleeve 370, and a conductive traction rope 240.
  • arranging the conductive elastic sheet 330 and the conductive sleeve 370 in the insulating cover 360 can increase the stability of the active electrode circuit.
  • a third insulating tube 341 is sheathed on the outer side of the conductive wire 340.
  • One end of the third insulating tube 341 is installed in the insulating cover 360, and the other end passes through the insulating cover 360 and faces the conductor 350, so that it can be
  • the third insulating tube 341 is used to increase the creepage gap between the conductive wire 340 and the electrical connector 320.
  • the third insulating tube 341 is preferably a patterned tube with insulating properties.
  • the side of the conductor 350 facing the third insulating tube 341 (that is, the side of the conductor 350 facing the third insulating tube 341) is provided with a first fixing tube 351, and the conductive wire 340 is fixedly inserted through the end of the conductor 350.
  • the conductive wire 340 and the conductive body 350 are integrally arranged.
  • a fourth insulating tube 380 is sheathed outside the conductive traction rope 240.
  • One end of the fourth insulating tube 380 penetrates into the insulating cover 360 and is spaced from the conductive sleeve 370, and the other end penetrates to the conductive sleeve 370.
  • the component 210 extends to the outside of the second insulating tube 241.
  • the end of the conductive component 210 close to the pole base 310 is fixedly installed with a second fixed tube 214.
  • the part is fixedly abutted on the insulating cover 360.
  • the end of the conductive wire 340 passes through the second fixing tube 214 and extends into the accommodating gap 280.
  • a heat-shrinkable tube 311 is installed outside the pole base 310, and the heat-shrinkable tube 311 extends along the outer surface of the sheath tube 270.
  • the handle mechanism 400 includes a handle 410, a sliding ring 420, a rotating block 430, and a push-pull rod 440.
  • the rotating block 430 is rotatably mounted on a side of the electrode mechanism 300 facing away from the sheath mechanism 200
  • the handle 410 is fixedly installed on the rotating block 430 and communicated with the electrode mechanism 300;
  • the sliding ring 420 is installed on the handle 410 and can slide along the length of the handle 410;
  • the push-pull rod 440 can be movably installed in the handle 410.
  • One end of the push-pull rod 440 is fixedly installed on the sliding ring 420, and the other end is inserted into the electrode mechanism 300.
  • one end of the conductive traction rope 240 close to the handle 410 is fixedly inserted into the push-pull rod 440, so that the conductive traction rope 240 can move or rotate under the drive of the push-pull rod 440; in addition, the push-pull rod 440 is far away from the handle 410.
  • One end passes through the insulating cover 360 of the electrode mechanism 300 and passes through the insulating cover 360 to abut against the end of the second insulating tube 241 of the sheath mechanism 200 facing the insulating cover 360.
  • the push-pull rod 440 penetrates the inner side of the conductive sleeve 370 and is located on the outer side of the conductive traction rope 240. It can be understood that the current flowing through the conductive elastic piece 330 flows into the conductive traction rope 240 through the conductive sleeve 370 and the push-pull rod 440 in sequence.
  • the end of the fourth insulating tube 380 facing the handle 410 extends along the outer side of the push-pull rod 440 into the insulating cover 360, so that the push-pull rod 440 and the conductive member 210 are insulated from each other; at the same time, the second insulating tube 241 is away from the handle One end of the 410 is connected with the insulating connector 220, and the other end is connected with the push-pull rod 440. Based on this, the conductive traction rope 240 located in the second insulating tube 241 and the push-pull rod 440 is in an insulated state, that is, there is no electrical contact between the conductive traction rope 240 and the conductive component 210.
  • the sliding ring 420 is fixedly installed with a fourth fixing tube 450, the fourth fixing tube 450 is located inside the handle 410, and the end of the push-pull rod 440 away from the pliers mechanism 100 is fixed through the fourth fixing tube 450 to make The push-pull rod 440 can move under the drive of the sliding ring 420.
  • the opening or occluding process of the clamp head mechanism 100 as shown in FIG. 10, can be described in detail as follows:
  • the sliding ring 420 drives the push-pull rod 440 to move to the right, the conductive traction rope 240 also moves to the right, and the conductive traction rope 240 pulls the first conductive operating member 131 And the second conductive operating member 132 moves toward the right side, so that the two insulated pliers cups 110 in the pliers head mechanism 100 are in an open state, as shown in FIG. 2;
  • the sliding ring 420 drives the push-pull rod 440 to move to the left, the conductive traction rope 240 also moves to the left, and the conductive traction rope 240 pulls the first conductive operating member 131 and The second conductive operating member 132 moves toward the left side, so that the two insulated pliers cups 110 in the pliers head mechanism 100 are in an engaged state, as shown in FIG. 3.
  • the push-pull rod 440 will also rotate clockwise or counterclockwise, thereby driving the conductive traction rope 240, the first conductive operating member 131, the second conductive operating member 132, and the insulated pliers cup.
  • the 110 rotates clockwise or counterclockwise.
  • the current flow process of the bipolar electrical processing device 1000 can be described in detail as follows: the current input from the positive pole of the external power supply device will sequentially flow through the electrical connector 320, the conductive spring 330, the conductive sleeve 370, The push-pull rod 440, the conductive traction rope 240, the first conductive operating member 131, the conductive layer of the insulating clamp cup 110 connected to the first conductive operating member 131; then, the current flows through the conductive layer electrically connected to the second conductive operating member 132 It flows to the second conductive manipulator 132, the conductive component 210, the conductive wire 340, and the conductor 350, and finally flows back to the negative electrode of the external power supply device via the wire connected to the conductor 350.
  • the bipolar electrical treatment device 1000 provided in the above embodiment has the following advantages:
  • the pliers head mechanism 100 is achieved by arranging two insulating pliers cups 110 made of insulating materials and laying a conductive layer on the outer side of the insulating pliers cup 110, while keeping the inner side wall of the cup 111 in an insulated state, so that it can be insulated
  • the outside of the clamp cup 110 constitutes a high-frequency current loop; at the same time, the biopsy sample contained in the cup 111 can be insulated to prevent the biopsy sample in the cup 111 from inactivating.
  • a conductive traction rope 240 in the conductive component 210 is connected to the first conductive operating member 131, the second conductive operating member 132 is fixedly installed on the insulating connecting member 220, and the insulating connecting member 220 is fixedly sleeved on the first conductive member 131.
  • the pliers mechanism 100 can be manipulated only by pulling or rotating the conductive traction rope 240, which can avoid the inconvenience of operation caused by too many operating wires or conductive wires in the conductive member 210
  • an insulating layer is provided on the outer side of the first conductive operating member 131, which can avoid a short circuit.
  • the electrode mechanism 300 is connected to the positive pole of the external power supply device through the electrical connector 320, so that the current output by the external power supply device flows through the electrical connector 320, the conductive spring 330, the sheath mechanism 200 and the clamp head mechanism in turn 100, and then the current flows back to the sheath mechanism 200, the conductive wire 340, and the conductor 350 through the clamp head mechanism 100 in sequence, and finally flows to the negative pole of the external power supply device through the wire connected to the conductor 350, thereby forming a complete high
  • the high-frequency current loop which flows through a small area of the human body, can avoid burns to the body of the patient implanted with a pacemaker or ICD, and has good safety.

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Abstract

一种双极电处理装置(1000),包括:导电牵引绳(240);第一导电操纵件(131),其一端与导电牵引绳(240)的一端相连接;绝缘连接件(220),连接于第一导电操纵件(131)上;及,第二导电操纵件(132),其一端部连接于绝缘连接件(220)上,另一端部沿远离导电牵引绳(240)的方向延伸设置。该双极电处理装置(1000)通过一根导电牵引绳(240)与第一导电操纵件(131)相连接,第二导电操纵件(132)固定装设在绝缘连接件(220)上,并且绝缘连接件(220)固定套设在第一导电操纵件(131)上,进而能够仅通过拉动或转动导电牵引绳(240)即可进行操纵的效果,能够避免操纵线或导电线过多而带来的操作不便。

Description

双极电处理装置 技术领域
本发明涉及医疗器械技术领域,特别是涉及双极电处理装置。
背景技术
软式内窥镜手术因其微创、恢复快,正日益成为当下消化道、泌尿、心肺及血管外周领域常用的手术方式。在内窥镜的术前诊断中,通常需要对疑似病灶进行取活检操作,以便进行病理分析。现有方式主要为通过具有挠性轴的活检钳对病灶组织进行抓取,而抓取过程可能破坏黏膜下层的血管而导致出血,对患者造成生理负担。另一方面,由于病理分析需要保持活检组织的生物活性,使得活检钳的钳杯内部温度不能过高或过低。
公开号为CN205107883U的中国专利公开了一种带绝缘涂层的热活检钳,其通过单极电切割的方式对目标组织进行活检,其金属钳杯与贴敷于人体的负极板形成高频电流回路,从而在杯体金属刀口与组织之间电灼细胞使之破裂形成切割,在此过程中同时凝住了刀口下方的血管。然而,单极器械的电流回路流经较大范围的人体,对于心脏起搏器或ICD(埋藏式心律转复除颤器)植入患者,电流可能通过起搏器环路,灼伤环路上的肌体组织,严重者可能灼伤心肌。
公开号为WO1994017741A1的美国专利公开了一种双极活检器械,其将两钳杯分别连接于电源正负极,从而在钳杯之间形成高频电流回路,避免了对心脏起搏器的影响。然而,由于电流集中于两钳杯之间,能量过于集中,容易导致活检组织失去生物活性;另一方面,由于活检钳外径尺寸很小,现 有设计两钳杯之间易构成短路,导致活检失效。
申请号为CN201080032498.X的中国专利还公开了一种高频处理器具,属于双极器械方案,其包括一对供电线,该供电线的第一端部以能够转动的方式与上述转动轴相连接,该供电线的第二端部与电源相连接,该一对供电线分别与上述一对钳子构件的各个上述电极部电连接。而为使内窥镜用处理装置能够自由穿行于内窥镜钳道,内窥镜用处理装置的外径受到内窥镜器械通道内径的限制,通常在2.8mm以下。两根以上操纵/供电线的布置不便于用户在近端对远端的处理部执行能够及时反馈的旋转操作,不利于手术的开展。
发明内容
本发明的目的在于提供一种双极电处理装置,该双极电处理装置能够避免因其内部操纵线或供电线过多而造成操作不便的问题。
为实现上述目的,本发明采用了如下技术方案:
本发明提供了一种双极电处理装置,包括:
导电牵引绳;
第一导电操纵件,其一端与所述导电牵引绳的一端相连接;
绝缘连接件,连接于所述第一导电操纵件上;及,
第二导电操纵件,其一端部连接于所述绝缘连接件上,另一端部沿远离所述导电牵引绳的方向延伸设置。
优选的,所述绝缘连接件的外侧轴向开设有第一凹槽,所述第二导电操纵件固定嵌设于所述第一凹槽内。
优选的,所述绝缘连接件的外侧周向开设有第二凹槽,所述第二凹槽内 设置有与所述第二导电操纵件电连接的导电管件。
优选的,所述第一导电操纵件的外侧固定套设有若干第一限位管,各所述第一限位管一一对应抵接于所述绝缘连接件的两侧;所述第一限位管的外侧套设有第一绝缘管,所述第一绝缘管无缝连接于所述绝缘连接件。
优选的,所述导电牵引绳的外侧套设有第二绝缘管,所述第二绝缘管的端部与所述绝缘连接件相连接;所述第二绝缘管的外侧套设有润滑管。
优选的,所述双极电处理装置还包括鞘管机构,所述鞘管机构包括鞘管以及设置于所述鞘管内侧上的导电部件,所述导电部件与所述第二导电操纵件电性连接。
优选的,所述导电部件外侧套设有鞘管固定件,所述鞘管固定装设于所述鞘管固定件上。
优选的,所述导电部件的端部一侧固定套设有用于限位的第二限位管,所述导电部件的端部另一侧设有用于限位的第三限位管。
优选的,所述双极电处理装置还包括第一电极结构,所述第一电极结构包括:
导电体;及,
导电丝,一端电连接于所述导电体,另一端与所述导电部件电连接。
优选的,所述鞘管与导电部件之间留置有容置间隙,所述导电丝远离所述导电体的一端穿入所述容置间隙内并沿所述导电部件的外侧面延伸。
优选的,所述导电丝的外侧套设有第三绝缘管,所述第三绝缘管一端延伸至所述导电体;所述导电体侧面装设有第一固定管,所述导电丝靠近所述导电体的端部固定穿设于所述第一固定管内。
优选的,所述双极电处理装置还包括第二电极机构,所述第二电极机构 包括:
电连接器;
导电弹片,一端与所述电连接器的一端电连接,另一端与导电牵引绳电连接;及,
导电套管,所述导电套管套设于所述导电牵引绳的外侧并与所述导电弹片电连接。
优选的,所述双极电处理装置还包括极座,所述极座内部装设有绝缘盖体,所述电连接器的一端嵌设于所述绝缘盖体,且所述导电弹片装设于所述绝缘盖体内并与所述电连接器相连接;所述导电丝靠近所述极座的一端穿出所述绝缘盖体并与所述导电体相连接。
优选的,所述导电牵引绳及所述鞘管的同侧端部均水平伸入至所述极座内,所述导电牵引绳沿水平方向穿出所述极座并与所述电连接器相间隔设置,且所述导电牵引绳与所述导电弹片电连接。
优选的,所述导电部件的端部连接有第二固定管,所述第二固定管与所述极座相抵接配合,以使所述导电部件的端部固定抵接于所述极座。
优选的,所述双极电处理装置还包括手柄机构,所述手柄机构包括:
手柄,与所述极座连接设置;
滑动指环,装设于所述手柄,并能够沿所述手柄的长度方向滑动;
推拉杆,可活动式装设于所述手柄内,并与所述导电牵引绳电连接;
第四固定管,与所述滑动指环固定连接,且所述推拉杆的一端固定穿设于所述第四固定管内;及,
旋转块,所述旋转块可转动式装设于所述极座,所述手柄固定装设于所述旋转块。
优选的,所述双极电处理装置还包括第四绝缘管,所述推拉杆穿设于所述第四绝缘管内,所述第四绝缘管远离所述导电套管的一端延伸至所述第二绝缘管外侧面。
优选的,所述双极电处理装置还包括钳头机构,所述钳头机构包括:绝缘杯座及铰接于所述绝缘杯座上的两个绝缘钳杯,两个所述绝缘钳杯的端部一一对应铰接于所述第一导电操纵件和所述第二导电操纵件;其中,各个所述绝缘钳杯相对的侧面形成有能够容纳活检样本的杯体,各个所述杯体相对设置,所述绝缘钳杯的外侧布设有导电层,且所述杯体的内侧壁保持绝缘。
优选的,所述绝缘钳杯上开设有第一通孔,所述绝缘杯座的端部径向开设有第二通孔,所述第二通孔能够与所述第一通孔相正对设置;销轴能够顺次穿过所述第二通孔及所述第一通孔,以将所述绝缘钳杯铰接于所述绝缘杯座。
优选的,所述绝缘杯座端部的相对两侧开设有多个第一开口,各个所述第一开口相平行间隔设置,且各个所述第一开口均与所述第二通孔相连通,各个所述绝缘钳杯一一对应穿设于各个所述第一开口。
优选的,所述绝缘钳杯上开设有第三通孔,所述第三通孔位于所述第一通孔远离所述杯体的一侧,所述绝缘杯座轴向开设有第四通孔,所述第四通孔与各个所述第一开口相连通,并位于所述绝缘杯座远离所述绝缘钳杯的一端;所述第一导电操纵件和所述第二导电操纵件穿入所述第四通孔内并分别经各个所述第一开口穿出,且所述第一导电操纵件和所述第二导电操纵件通过所述第三通孔与所述绝缘钳杯电连接。
优选的,所述绝缘杯座靠近所述鞘管的端部外侧套设有第三固定管,所述导电部件的端部可转动式穿设于所述第三固定管并与所述绝缘杯座相连 通;所述绝缘杯座靠近所述鞘管的端部径向开设有第五通孔,所述第三固定管径向开设有第六通孔,固定轴顺次穿过所述第六通孔及所述第五通孔,以将所述鞘管固定套设于所述绝缘杯座的端部外侧。
相比现有技术,本发明的有益效果在于:
1.本发明所提供的双极电处理装置,通过一根导电牵引绳与第一导电操纵件相连接,第二导电操纵件固定装设在绝缘连接件上,并且绝缘连接件固定套设在第一导电操纵件上,进而能够仅通过拉动或转动导电牵引绳即可进行操纵的效果,能够避免操纵线或导电线过多而带来的操作不便。进一步的,在第一导电操纵件的外侧设置绝缘层,能够避免出现短路现象。
2.本发明所提供的双极电处理装置,第二电极结构是通过电连接器与外部的电源设备的正极相连接,进而令外部电源设备所输出的电流依次流经电连接器、导电弹片、鞘管及钳头机构,然后电流经钳头机构顺次回流至鞘管、导电丝、导电体(即第一电极结构),并最终经与导电体相连接的导线流至外部电源设备的负极,从而构成完整的高频电流回路,其流经的人体的面积较小,能够避免对心脏起搏器或ICD植入患者的肌体造成灼伤,具有较好的安全性。
3、本发明所提供的双极电处理装置,钳头机构是通过设置由绝缘材料制成的两个绝缘钳杯并在绝缘钳杯的外侧布设导电层,同时令杯体的内侧壁保持绝缘状态,以便于能够在绝缘钳杯的外侧构成高频电流回路;同时也能够令杯体内容置的活检样本处于绝缘状态,以避免杯体内的活检样本失活。
附图说明
图1为本发明一实施例中的一种双极电处理装置的示意图。
图2为图1所示钳头机构的示意图。
图3为图2所示钳头机构处于张开状态时的示意图。
图4为图1所示钳头机构另一构型的示意图。
图5为图4所示钳头机构另一视角的示意图。
图6为图4所示绝缘钳杯的示意图。
图7为图4所示绝缘钳杯另一视角的示意图。
图8为图2所示绝缘杯座的示意图。
图9为图2所示绝缘杯座另一视角的示意图。
图10为图1所示双极电处理装置的剖面示意图。
图11为图10所示A区域的放大示意图。
图12为图10所示B区域的放大示意图。
图13为图10所示C区域的放大示意图。
图14为图10所示D区域的放大示意图。
图15为图10所示E区域的放大示意图。
图16为图10所示F区域的放大示意图。
1000、双极电处理装置;
100、钳头机构;110、绝缘钳杯;111、杯体;1111、刃口;112、第一通孔;113、第三通孔;120、绝缘杯座;121、第二通孔;122、第一开口;123、第四通孔;124、第五通孔;130、操纵件;131、第一导电操纵件;132、第二导电操纵件;140、销轴;
200、鞘管机构;210、导电部件;211、第二限位管;212、鞘管固定件;213、第三限位管;214、第二固定管;220、绝缘连接件;221、第一凹槽;222、第二凹槽;230、导电管件;240、导电牵引绳;241、第二绝缘管;242、 润滑管;250、第一限位管;251、第一绝缘管;260、第三固定管;261、第六通孔;262、固定轴;270、鞘管;280、容置间隙;
300、电极机构;310、极座;311、热缩管;320、电连接器;330、导电弹片;340、导电丝;341、第三绝缘管;350、导电体;351、第一固定管;360、绝缘盖体;370、导电套管;380、第四绝缘管;
400、手柄机构;410、手柄;420、滑动指环;430、旋转块;440、推拉杆;450、第四固定管。
具体实施方式
以下将结合附图,对本发明进行更为详细的描述,需要说明的是,下参照附图对本发明进行的描述仅是示意性的,而非限制性的。各个不同实施例之间可以进行相互组合,以构成未在以下描述中示出的其他实施例。
请参阅图1,本发明的一实施例中提供了一种双极电处理装置1000,该双极电处理装置1000包括:钳头机构100,鞘管机构200,电极机构300,手柄机构400,以及安装于鞘管机构200中的双极联动结构。该钳头机构100装设在鞘管机构200的右侧端部,并可相对于鞘管机构200进行转动;鞘管机构200的左侧端部装设在电极机构300上,并且鞘管机构200与电极机构300相连通;手柄机构400装设在电极机构300的左侧,并能够相对于电极机构300转动。双极联动结构包括导电牵引绳240、绝缘连接件220和操纵件130,操纵件130包括第一导电操纵件131和第二导电操纵件132(参见图11)。
请一并参阅图2至图5,该钳头机构100包括:两个绝缘钳杯110、绝缘杯座120,具体如下:
各个绝缘钳杯110相对的侧面均形成有杯体111,该杯体111用于容纳被抓取的活检样本,各个杯体111相对设置,并且各个杯体111的形状相适配,该杯体111位于绝缘钳杯110侧面的端部位置处;绝缘钳杯110的外侧布设有导电层(图未示),各个绝缘钳杯110的导电层可分别连接一根操纵件(130),以便于在两个绝缘钳杯110外侧形成高频电流回路;另外,该杯体111的内侧壁始终保持为绝缘状态以及该杯体111的刃口1111也始终保持绝缘,以使被抓取至杯体111内的活检样本处于隔绝状态,从而能够避免因绝缘钳杯110外侧壁的电能过于集中而令杯体111内的活检样本丧失生物活性。另外,在绝缘钳杯110外侧所铺设的导电层可以采用电镀或喷涂等方式进行布设。
可以理解的,当两个绝缘钳杯110由张开状态转换为咬合状态的过程中,各个绝缘钳杯110上的刃口1111将对病灶组织进行切割得到活检样本;同时,在两个绝缘钳杯110处于咬合状态时,两个杯体111相互围设形成处于绝缘状态的密封腔体,活检样本被容置在密封腔体内,进而令活检样本与绝缘钳杯110发热的部位相隔绝,能够有效保证活检样本的生物活性。
可以理解的,在各个绝缘钳杯110处于咬合状态时,由于各个绝缘钳杯110外侧的导电层通过各个操纵件130分别与不同电极电路(正极电路或负极电路)进行电连接,以及各个绝缘钳杯110的外径尺寸较小的原因,容易造成短路现象,进而易导致活检失效。因而,各个杯体111的刃口1111始终保持绝缘状态的设置,能够避免处于咬合状态的各个杯体111之间存在电性接触,进而防止出现短路现象,也能够避免出现活检失效的问题。
可以理解的,如图3所示,上述杯体111的刃口1111呈齿状设置,以使两个绝缘钳杯110之间可通过呈齿状设置的刃口1111相互咬合,便于对出血 部位进行电凝操作。另外,如图4所示,杯体111的刃口1111也可设计为环形刃口,便于对待活检的样本进行切割。上述杯体111的刃口1111的形状并不局限于图3或图4所示的形状,本领域的技术人员也可将刃口1111设计为其他类型的形状,以满足对出血部位进行电凝或对待活检样本进行电切割等操作。
其中,各个绝缘钳杯110远离杯体111的一端均铰接在绝缘杯座120的同一端部,并且各个绝缘钳杯110与绝缘杯座120相铰接的位置相平行间隔设置,即;各个绝缘钳杯110与绝缘杯座120相铰接的端部之间相间隔交叉分布,以避免因各个绝缘钳杯110外侧的导电层相交叉接触而引发短路现象。
其中,各个操纵件130一一对应铰接在各个绝缘钳杯110远离杯体111的端部,并且其中一个操纵件130的外侧布设有绝缘层(图未示)。可以理解的是,布设有绝缘层的操纵件130与绝缘钳杯110相铰接的位置未布设绝缘层,即:布设有绝缘层的操纵件130始终与绝缘钳杯110的导电层之间进行电性连接。
可以理解的,基于各个操纵件130的推拉过程,各个绝缘钳杯110能够进行张开操作或咬合操作,即工作人员可借助其他结构对各个操纵件130进行操作,以使各个绝缘钳杯110由张开状态调整为咬合状态(或者由咬合状态调整为张开状态)。
可以理解的,绝缘钳杯110及绝缘杯座120可以是由陶瓷、特氟龙、PEEK等不同的绝缘材料制备而成。该绝缘杯座120优选为PEEK材料进行制备。
请一并参阅图6至图9,在绝缘钳杯110上开设有第一通孔112,该第一通孔112位于绝缘钳杯110的中部,其杯体111位于绝缘钳杯110远离绝缘杯座120的端部;绝缘杯座120的端部径向开设有第二通孔121,第一通孔 112能够正对于第二通孔121,进而销轴140可顺次穿过第二通孔121及第一通孔112,即:销轴140由第二通孔121的一侧穿入,并穿过各个绝缘钳杯110上的第一通孔112,最终销轴140将穿入至第二通孔121的另一侧,从而令各个绝缘钳杯110铰接在绝缘杯座120的端部位置处。
另外,绝缘杯座120的端部相对两侧开设有多个第一开口122,各个第一开口122相互平行间隔设置,并且各个第一开口122均与第二通孔121相连通,各个绝缘钳杯110一一对应穿设于各个第一开口122内。
可以理解的,两个绝缘钳杯110远离杯体111的端部可分别从绝缘杯座120相对的两侧穿入至相应的第一开口122内,以使各个绝缘钳杯110上的第一通孔112正对于第二通孔121,便于销轴140穿过第二通孔121及各个第一通孔112,能够令各个绝缘钳杯110相互间隔交叉分布,也能够使各个绝缘钳杯110铰接在绝缘杯座120的端部位置处,此时,各个绝缘钳杯110远离杯体111的端部分别位于绝缘杯座120相对的两侧。
其中,绝缘钳杯110上开设有第三通孔113,该第三通孔113位于第一通孔112背向杯体111的一侧,操纵件130能够通过第三通孔113与绝缘钳杯110进行电连接。需要说明的是,各个操纵件130均不存在弯折设置,其可直接穿入绝缘杯座120中,能够有效降低各个操纵件130移动时的阻力。
其中,绝缘杯座120轴向开设有第四通孔123,该第四通孔123开设于绝缘杯座120远离绝缘钳杯110的一端,即第四通孔123与第二通孔121分别位于绝缘杯座120相对的两端部;另外,第四通孔123与各个第一开口122均相连通,各个操纵件130能够穿入第四通孔123内并分别经不同的第一开口122穿出,进而令各个操纵件130可与各个绝缘钳杯110远离杯体111的端部进行电连接。
请一并参阅图10及图11,该鞘管机构200的右侧端部与钳头机构100的绝缘杯座120相连通,第一导电操纵件131的周向外侧面布设有绝缘层(图未示);第一导电操纵件131及第二导电操纵件132均穿过绝缘杯座120上的第四通孔123并穿入至鞘管机构200内,并且第一导电操纵件131与第二导电操纵件132之间相互间隔。
该鞘管机构200包括:导电部件210、绝缘连接件220、导电管件230,该导电部件210靠近绝缘杯座120的端部可转动式装设在绝缘杯座120上,并与第四通孔123相连通;第一导电操纵件131远离绝缘钳杯110的一端伸入至导电部件210内部,并与导电牵引绳240的端部相连接,且在绝缘连接件220固定套设在第一导电操纵件131的外侧面上;第二导电操纵件132固定装设在绝缘连接件220的外侧面,并与导电管件230电连接,其导电管件230嵌设在绝缘连接件220的周向外侧面。另外,该导电牵引绳240是具有导电性能的材料制备而成;绝缘连接件220优选为塑料材质的连接管。
可以理解的,当推拉导电牵引绳240时,导电牵引绳240带动第一导电操纵件131移动,同时,绝缘连接件220及第二导电操纵件132也基于第一导电操纵件131的移动而移动,即:该鞘管机构200仅需要通过一根导电牵引绳240即可实现对第一导电操纵件131及第二导电操纵件132的推拉操作。
其中,在绝缘连接件220的外侧沿轴向开设有第一凹槽221,第二导电操纵件132远离绝缘钳杯110的端部固定嵌设在该第一凹槽221内,以使该第二导电操纵件132与绝缘连接件220呈一体式结构,进而该第二导电操纵件132能够与第一导电操纵件131同时移动。
其中,在绝缘连接件220的外侧沿周向开设有第二凹槽222,该导电管件230也开设有与该第二凹槽222相匹配的开口(图未示),该导电管件230 固定套设在该第二凹槽222内并与第二导电操纵件132电连接,且导电管件230处的开口与第二凹槽222相正对设置。
其中,在第一导电操纵件131的外侧套设有若干个第一限位管250,各个第一限位管250分别位于绝缘连接件220的两侧,并与绝缘连接件220相抵接以将绝缘连接件220限位在第一导电操纵件131上。另外,该第一限位管250优选为金属材质的限位管。
其中,第一限位管250的外侧套设有第一绝缘管251,并且该第一绝缘管251与绝缘连接件220之间无缝连接,以使第一限位管250处于绝缘状态,避免因第一限位管250与第二导电操纵件132之间电性接触而造成短路。
可以理解的,该第一绝缘管251优选为具备绝缘性能的花纹管,同时,第一导电操纵件131位于第一绝缘管251靠近绝缘杯座120一侧的部分管段的外侧也套设有花纹管,能够有效保证第一导电操纵件131与第二导电操纵件132之间的绝缘稳定性,避免在导电部件210内出现短路现象。
其中,在导电牵引绳240的外侧套设有第二绝缘管241,该第二绝缘管241朝向绝缘连接件220的端部沿导电牵引绳240的外侧面延伸至绝缘连接件220并与该绝缘连接件220相连接,同时该第二绝缘管241位于绝缘连接件220朝向导电牵引绳240一侧的第一绝缘管251的外侧。另外,在该第二绝缘管241的外侧还套设有润滑管242,能够降低导电牵引绳240推拉过程中存在的阻力。
请一并参阅图12,该鞘管机构200还包括第三固定管260,该第三固定管260固定套设在绝缘杯座120远离绝缘钳杯110的端部外侧;导电部件210的端部可转动式穿设在第三固定管260内,并与绝缘杯座120处的第四通孔123相连通。
其中,在导电部件210的外侧固定套设有第二限位管211,该第二限位管211位于第三固定管260面向绝缘杯座120的一侧,即第二限位管211位于第三固定管260内部,该第二限位管211与第三固定管260进行限位配合,以将导电部件210与第三固定管260限位为一体式结构。
其中,绝缘杯座120靠近第三固定管260的端部径向开设有第五通孔124,如图8所示;第三固定管260径向开设有第六通孔261,如图4所示,当第三固定管260套设在绝缘杯座120的端部外侧同时第六通孔261正对于第五通孔124时,固定轴262能够顺次穿过第六通孔261及第五通孔124,以将第三固定管260固定套设在绝缘杯座120的端部外侧。
请一并参阅图13,该鞘管机构200还包括:具有挠性的鞘管270,该鞘管270固定套设在导电部件210的外侧,在该鞘管270的内侧面与导电部件210的外侧面之间形成有中空的容置间隙280。
其中,导电部件210靠近绝缘杯座120的端部外侧套设有鞘管固定件212,鞘管270靠近绝缘杯座120的端部固定装设在鞘管固定件212上,即:鞘管270通过鞘管固定件212与导电部件210固定为一体式结构。
另外,导电部件210的外侧固定装设有第三限位管213,该第三限位管213位于鞘管固定件212远离绝缘杯座120的一端,并且第三限位管213与鞘管固定件212之间相抵接配合,以限位鞘管固定件212,从而实现导电部件210与第三固定管260之间的悬挂式连接。
请一并参阅图13及图14,该电极机构300包括第一电极结构和第二电极结构,所述第一电极结构包括导电体350;导电丝340,一端电连接于所述导电体350,另一端与所述导电部件210电连接。第二电极结构包括极座310、电连接器320及导电弹片330,电连接器320的一端穿设在极座310内并与 鞘管机构200相间隔设置;导电弹片330装设在电连接器320靠近鞘管机构200的端部位置处,并与鞘管机构200电连接;导电体350位于极座310内,并且导电体350装设在电连接器320的周向外侧;导电丝340的一端与导电体350电性连接,另一端穿入至鞘管机构200的内部并沿鞘管机构200的长度方向延伸。
其中,鞘管机构200中的导电部件210及鞘管270的同侧端部均水平伸入至极座310的内部,并且该导电牵引绳240沿水平方向从极座310的右侧穿入并从极座310的右侧穿出;电连接器320伸入至极座310的端部与导电牵引绳240相互间隔设置,同时导电弹片330与导电牵引绳240位于极座310内的部分进行电连接;导电丝340远离导电体350的一端穿入至容置间隙280内并沿导电部件210的外侧面进行延伸。
可以理解的,电连接器320可与外部电源设备的正极电连接,以使外部电源设备输送电流至电连接器320,同时,外部电源设备输送至电连接器320内的电流经导电弹片330输送至导电牵引绳240上,进而电流经导电牵引绳240顺次输送至第一导电操纵件131与第一导电操纵件131相连接的导电层;然后,电流输送至与第二导电操纵件132相连的导电层内,并进一步的顺次输送至第二导电操纵件132、导电部件210、导电丝340及导电体350,并最终经与导电体350相连接的外部导线输送至外部电源设备的负极。
可以理解的,整个电流的流动过程可分为:主动电极电路及被动电极电路,即主动电极电路与被动电极电路构成了流经双极电处理装置1000的高频电流回路;其主动电极电路至少包括:电连接器320、导电弹片330及导电牵引绳240,被动电极电路至少包括:导电部件210、导电丝340及导电体350;另外,在被动电极电路中,电流经导电部件210之后再经导电丝340 流动至导电体350的设置,能够有效减少电流流动过程中所带来的电能损失;另外,该导电丝340优选为钼丝。
其中,在极座310内部装设有绝缘盖体360,导电牵引绳240从绝缘盖体360右侧沿水平方向穿入绝缘盖体360,并从绝缘盖体360的左侧穿出;电连接器320面向导电牵引绳240的一端嵌设在绝缘盖体360内,并与导电牵引绳240相间隔设置;导电弹片330装设在绝缘盖体360内,以使绝缘盖体360与导电弹片330之间呈一体式结构,同时,该导电弹片330与电连接器320及导电牵引绳240进行电连接。另外,导电丝340靠近极座310的一端穿出绝缘盖体360,并与导电体350相连接。
其中,该电极机构300还包括:导电套管370,该导电套管370套设在导电牵引绳240的外侧,并与导电弹片330电连接;另外,导电套管370位于绝缘盖体360内,并与导电部件210相间隔设置。
可以理解的,流经导电弹片330的电流可通过导电套管370输送至导电牵引绳240,即:主动电极电路包括:电连接器320、导电弹片330、导电套管370、导电牵引绳240。另外,在绝缘盖体360内设置导电弹片330及导电套管370能够增加主动电极电路的稳定性。
其中,导电丝340的外侧套设有第三绝缘管341,该第三绝缘管341的一端装设在绝缘盖体360内,另一端穿出绝缘盖体360并正对于导电体350,从而可利用该第三绝缘管341增大导电丝340与电连接器320之间的爬电间隙。另外,该第三绝缘管341优选为具有绝缘性能的花纹管。
其中,导电体350面向第三绝缘管341的侧面(即:导电体350面向第三绝缘管341的侧面)装设有第一固定管351,导电丝340靠近导电体350的端部固定穿设在第一固定管351内,从而令导电丝340与导电体350呈一 体化设置。
其中,在导电牵引绳240的外侧套设有第四绝缘管380,该第四绝缘管380的一端穿入至绝缘盖体360内并与导电套管370相间隔,其另一端穿入至导电部件210内并延伸至第二绝缘管241的外侧。
其中,导电部件210靠近极座310的端部固定装设有第二固定管214,该第二固定管214与极座310及绝缘盖体360之间相抵接配合,以使导电部件210的端部固定抵接在绝缘盖体360上。另外,导电丝340的端部穿过该第二固定管214伸入至容置间隙280内。另外,在该极座310外侧装设有热缩管311,该热缩管311沿鞘管270的外侧面延伸设置。
请一并参阅图15及图16,手柄机构400包括:手柄410、滑动指环420、旋转块430及推拉杆440,旋转块430可转动式装设在电极机构300背向鞘管机构200的一侧,并与该电极机构300相连通;手柄410固定装设在旋转块430上,并与电极机构300相连通;滑动指环420装设在手柄410上,并能够沿手柄410的长度方向滑动;推拉杆440可活动式装设在手柄410内,推拉杆440的一端固定装设在滑动指环420上,另一端穿设至电极机构300内。
可以理解的,导电牵引绳240靠近手柄410的一端固定穿设在推拉杆440内,以使导电牵引绳240能够在推拉杆440的带动下进行移动或转动;另外,推拉杆440远离手柄410的一端穿设在电极机构300中的绝缘盖体360内,并穿出绝缘盖体360以与鞘管机构200中的第二绝缘管241面向绝缘盖体360的端部相抵接。
另外,推拉杆440穿设在导电套管370的内侧,并位于导电牵引绳240的外侧面。可以理解的,流经导电弹片330的电流依次经导电套管370、推 拉杆440流动至导电牵引绳240内。
另外,第四绝缘管380面向手柄410的一端沿推拉杆440的外侧面延伸至绝缘盖体360内,以使推拉杆440与导电部件210之间相互绝缘;同时,第二绝缘管241远离手柄410的一端与绝缘连接件220相连接,另一端与推拉杆440相连接。基于此,位于第二绝缘管241及推拉杆440内的导电牵引绳240处于绝缘状态,即导电牵引绳240与导电部件210之间不存在电性接触。
其中,滑动指环420处固定装设有第四固定管450,该第四固定管450位于手柄410内部,推拉杆440远离钳头机构100的一端固定穿设在第四固定管450上,以使推拉杆440可在滑动指环420的带动下移动。
上述实施例中所提供的双极电处理装置1000,其钳头机构100的张开或咬合过程,如图10所示,可详述为:
当用户利用食指与中指拉动滑动指环420朝向右侧移动时,滑动指环420带动推拉杆440朝向右侧移动,导电牵引绳240也朝向右侧移动,进而导电牵引绳240拉动第一导电操纵件131及第二导电操纵件132朝向右侧移动,从而令钳头机构100中的两个绝缘钳杯110处于张开状态,如图2所示;
当用户利用食指与中指拉动滑动指环420朝向左侧移动,滑动指环420带动推拉杆440朝向左侧移动,导电牵引绳240也朝向左侧移动,进而导电牵引绳240拉动第一导电操纵件131及第二导电操纵件132朝向左侧移动,从而令钳头机构100中的两个绝缘钳杯110处于咬合状态,如图3所示。
另外,当用户顺时针或逆时针转动手柄410时,推拉杆440也将顺时针或逆时针转动,进而带动导电牵引绳240、第一导电操纵件131、第二导电操纵件132及绝缘钳杯110进行顺时针或逆时针转动。
上述实施例中所提供的双极电处理装置1000的电流流动过程可详述为:外部电源设备的正极所输入的电流将顺次流经电连接器320、导电弹片330、导电套管370、推拉杆440、导电牵引绳240、第一导电操纵件131、与第一导电操纵件131相连接的绝缘钳杯110的导电层;然后,电流经与第二导电操纵件132电连接的导电层流动至第二导电操纵件132、导电部件210、导电丝340及导电体350,并最终经与导电体350相连接的导线回流至外部电源设备的负极。
上述实施例中所提供的双极电处理装置1000,具有如下优点:
1、钳头机构100是通过设置由绝缘材料制成的两个绝缘钳杯110并在绝缘钳杯110的外侧布设导电层,同时令杯体111的内侧壁保持绝缘状态,以便于能够在绝缘钳杯110的外侧构成高频电流回路;同时也能够令杯体111内容置的活检样本处于绝缘状态,以避免杯体111内的活检样本失活。
2、导电部件210内的一根导电牵引绳240与第一导电操纵件131相连接,第二导电操纵件132固定装设在绝缘连接件220上,并且绝缘连接件220固定套设在第一导电操纵件131上,进而能够仅通过拉动或转动导电牵引绳240即可实现对钳头机构100进行操纵的效果,能够避免因导电部件210内操纵线或导电线过多而带来的操作不便;同时,在第一导电操纵件131的外侧设置绝缘层,能够避免出现短路现象。
3、电极机构300是通过电连接器320与外部的电源设备的正极相连接,进而令外部电源设备所输出的电流依次流经电连接器320、导电弹片330、鞘管机构200及钳头机构100,然后电流经钳头机构100顺次回流至鞘管机构200、导电丝340、导电体350,并最终经与导电体350相连接的导线流至外部电源设备的负极,从而构成完整的高频电流回路,其流经的人体的面积较 小,能够避免对心脏起搏器或ICD植入患者的肌体造成灼伤,具有较好的安全性。
上述实施方式仅为本发明的优选实施方式,不能以此来限定本发明保护的范围,本领域的技术人员在本发明的基础上所做的任何非实质性的变化及替换均属于本发明所要求保护的范围。

Claims (22)

  1. 一种双极电处理装置,其特征在于,包括:
    导电牵引绳;
    第一导电操纵件,其一端与所述导电牵引绳的一端相连接;
    绝缘连接件,连接于所述第一导电操纵件上;及,
    第二导电操纵件,其一端部连接于所述绝缘连接件上,另一端部沿远离所述导电牵引绳的方向延伸设置。
  2. 如权利要求1所述的双极电处理装置,其特征在于,所述绝缘连接件的外侧轴向开设有第一凹槽,所述第二导电操纵件固定嵌设于所述第一凹槽内。
  3. 如权利要求2所述的双极电处理装置,其特征在于,所述绝缘连接件的外侧周向开设有第二凹槽,所述第二凹槽内设置有与所述第二导电操纵件电连接的导电管件。
  4. 如权利要求1所述的双极电处理装置,其特征在于,所述第一导电操纵件的外侧固定套设有若干第一限位管,各所述第一限位管一一对应抵接于所述绝缘连接件的两侧;所述第一限位管的外侧套设有第一绝缘管,所述第一绝缘管无缝连接于所述绝缘连接件。
  5. 如权利要求1所述的双极电处理装置,其特征在于,所述导电牵引绳的外侧套设有第二绝缘管,所述第二绝缘管的端部与所述绝缘连接件相连接,所述第二绝缘管的外侧套设有润滑管。
  6. 如权利要求1所述的双极电处理装置,其特征在于,所述双极电处理装置还包括鞘管机构,所述鞘管机构包括鞘管以及设置于所述鞘管内侧上的导电部件,所述导电部件与所述第二导电操纵件电性连接。
  7. 如权利要求6所述的双极电处理装置,其特征在于,所述导电部件外 侧套设有鞘管固定件,所述鞘管固定装设于所述鞘管固定件上。
  8. 如权利要求6所述的双极电处理装置,其特征在于,所述导电部件的端部一侧固定套设有用于限位的第二限位管,所述导电部件的端部另一侧设有用于限位的第三限位管。
  9. 如权利要求6所述的双极电处理装置,其特征在于,所述双极电处理装置还包括第一电极结构,所述第一电极结构包括:
    导电体;及,
    导电丝,一端电连接于所述导电体,另一端与所述导电部件电连接。
  10. 如权利要求9所述的双极电处理装置,其特征在于,所述鞘管与导电部件之间留置有容置间隙,所述导电丝远离所述导电体的一端穿入所述容置间隙内并沿所述导电部件的外侧面延伸。
  11. 如权利要求9所述的双极电处理装置,其特征在于,所述导电丝的外侧套设有第三绝缘管,所述第三绝缘管一端延伸至所述导电体;所述导电体侧面装设有第一固定管,所述导电丝靠近所述导电体的端部固定穿设于所述第一固定管内。
  12. 如权利要求9所述的双极电处理装置,其特征在于,所述双极电处理装置还包括第二电极机构,所述第二电极机构包括:
    电连接器;
    导电弹片,一端与所述电连接器的一端电连接,另一端与导电牵引绳电连接;及,
    导电套管,所述导电套管套设于所述导电牵引绳的外侧并与所述导电弹片电连接。
  13. 如权利要求12所述的双极电处理装置,其特征在于,所述双极电处 理装置还包括极座,所述极座内部装设有绝缘盖体,所述电连接器的一端嵌设于所述绝缘盖体,且所述导电弹片装设于所述绝缘盖体内并与所述电连接器相连接;所述导电丝靠近所述极座的一端穿出所述绝缘盖体并与所述导电体相连接。
  14. 根据权利要求12所述的双极电处理装置,其特征在于,所述导电牵引绳及所述鞘管的同侧端部均水平伸入至所述极座内,所述导电牵引绳沿水平方向穿出所述极座并与所述电连接器相间隔设置,且所述导电牵引绳与所述导电弹片电连接。
  15. 根据权利要求12所述的双极电处理装置,其特征在于,所述导电部件的端部连接有第二固定管,所述第二固定管与所述极座相抵接配合,以使所述导电部件的端部固定抵接于所述极座。
  16. 根据权利要求13所述的双极电处理装置,其特征在于,所述双极电处理装置还包括手柄机构,所述手柄机构包括:
    手柄,与所述极座连接设置;
    滑动指环,装设于所述手柄,并能够沿所述手柄的长度方向滑动;
    推拉杆,可活动式装设于所述手柄内,并与所述导电牵引绳电连接;
    第四固定管,与所述滑动指环固定连接,且所述推拉杆的一端固定穿设于所述第四固定管内;及,
    旋转块,所述旋转块可转动式装设于所述极座,所述手柄固定装设于所述旋转块。
  17. 根据权利要求16所述的双极电处理装置,其特征在于,所述双极电处理装置还包括第四绝缘管,所述推拉杆穿设于所述第四绝缘管内,所述第四绝缘管远离所述导电套管的一端延伸至所述第二绝缘管外侧面。
  18. 根据权利要求6所述的双极电处理装置,其特征在于,所述双极电处理装置还包括钳头机构,所述钳头机构包括:绝缘杯座以及铰接于所述绝缘杯座上的两个绝缘钳杯,两个所述绝缘钳杯的端部一一对应铰接于所述第一导电操纵件和所述第二导电操纵件;其中,各个所述绝缘钳杯相对的侧面形成有能够容纳活检样本的杯体,各个所述杯体相对设置,所述绝缘钳杯的外侧布设有导电层,且所述杯体的内侧壁保持绝缘。
  19. 如权利要求18所述的双极电处理装置,其特征在于,所述绝缘钳杯上开设有第一通孔,所述绝缘杯座的端部径向开设有第二通孔,所述第二通孔能够与所述第一通孔相正对设置;销轴能够顺次穿过所述第二通孔及所述第一通孔,以将所述绝缘钳杯铰接于所述绝缘杯座。
  20. 如权利要求19所述的双极电处理装置,其特征在于,所述绝缘杯座端部的相对两侧开设有多个第一开口,各个所述第一开口相平行间隔设置,且各个所述第一开口均与所述第二通孔相连通,各个所述绝缘钳杯一一对应穿设于各个所述第一开口。
  21. 如权利要求20所述的双极电处理装置,其特征在于,所述绝缘钳杯上开设有第三通孔,所述第三通孔位于所述第一通孔远离所述杯体的一侧,所述绝缘杯座轴向开设有第四通孔,所述第四通孔与各个所述第一开口相连通,并位于所述绝缘杯座远离所述绝缘钳杯的一端;所述第一导电操纵件和所述第二导电操纵件穿入所述第四通孔内并分别经各个所述第一开口穿出,且所述第一导电操纵件和所述第二导电操纵件通过所述第三通孔与所述绝缘钳杯电连接。
  22. 如权利要求21所述的双极电处理装置,其特征在于,所述绝缘杯座靠近所述鞘管的端部外侧套设有第三固定管,所述导电部件的端部可转动式 穿设于所述第三固定管并与所述绝缘杯座相连通;所述绝缘杯座靠近所述鞘管的端部径向开设有第五通孔,所述第三固定管径向开设有第六通孔,固定轴顺次穿过所述第六通孔及所述第五通孔,以将所述鞘管固定套设于所述绝缘杯座的端部外侧。
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Cited By (4)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116172691A (zh) * 2023-01-31 2023-05-30 极限人工智能有限公司 具有供电功能的驱动器、手术钳、手术机器人及供电方法
CN116585025A (zh) * 2023-07-04 2023-08-15 山东威高手术机器人有限公司 导电手术器械及手术机器人
CN117017472A (zh) * 2023-08-16 2023-11-10 镇江恒生涓恩医疗器械有限公司 一种双极手术电极
CN117838267A (zh) * 2024-03-08 2024-04-09 深圳科思明德医疗科技有限公司 一种异物钳及手术系统

Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5496317A (en) * 1993-05-04 1996-03-05 Gyrus Medical Limited Laparoscopic surgical instrument
US6193718B1 (en) * 1998-06-10 2001-02-27 Scimed Life Systems, Inc. Endoscopic electrocautery instrument
US20020198525A1 (en) * 2001-01-24 2002-12-26 Schulze Dale R. Electrosurgical instrument with closing tube for conducting RF energy and moving jaws
CN102225026A (zh) * 2011-06-27 2011-10-26 申屠丙花 双极电凝手术剪刀
US20120289957A1 (en) * 2011-05-13 2012-11-15 Bernd Emmerich Electrosurgical instrument
CN105228543A (zh) * 2014-01-14 2016-01-06 奥林巴斯株式会社 切开器具
CN108066004A (zh) * 2017-01-23 2018-05-25 杭州安杰思医学科技有限公司 内窥镜用处理装置、内窥镜、及扩展支架

Family Cites Families (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CA2106126A1 (en) * 1992-09-23 1994-03-24 Ian M. Scott Bipolar surgical instruments
AU6174894A (en) * 1993-02-11 1994-08-29 Symbiosis Corporation Endoscopic biopsy forceps devices with selective bipolar cautery
CA2121194A1 (en) * 1993-05-06 1994-11-07 Corbett Stone Bipolar electrosurgical instruments
JP3615960B2 (ja) * 1999-04-14 2005-02-02 ペンタックス株式会社 内視鏡用針付生検鉗子
CN208725866U (zh) * 2017-12-25 2019-04-12 杭州安杰思医学科技有限公司 一种电手术用器械操纵装置
CN109953820A (zh) * 2017-12-25 2019-07-02 杭州安杰思医学科技有限公司 电手术用器械操纵装置

Patent Citations (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5496317A (en) * 1993-05-04 1996-03-05 Gyrus Medical Limited Laparoscopic surgical instrument
US6193718B1 (en) * 1998-06-10 2001-02-27 Scimed Life Systems, Inc. Endoscopic electrocautery instrument
US20020198525A1 (en) * 2001-01-24 2002-12-26 Schulze Dale R. Electrosurgical instrument with closing tube for conducting RF energy and moving jaws
US20120289957A1 (en) * 2011-05-13 2012-11-15 Bernd Emmerich Electrosurgical instrument
CN102225026A (zh) * 2011-06-27 2011-10-26 申屠丙花 双极电凝手术剪刀
CN105228543A (zh) * 2014-01-14 2016-01-06 奥林巴斯株式会社 切开器具
CN108066004A (zh) * 2017-01-23 2018-05-25 杭州安杰思医学科技有限公司 内窥镜用处理装置、内窥镜、及扩展支架

Cited By (7)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
CN116172691A (zh) * 2023-01-31 2023-05-30 极限人工智能有限公司 具有供电功能的驱动器、手术钳、手术机器人及供电方法
CN116172691B (zh) * 2023-01-31 2023-10-20 极限人工智能有限公司 具有供电功能的驱动器、手术钳、手术机器人及供电方法
CN116585025A (zh) * 2023-07-04 2023-08-15 山东威高手术机器人有限公司 导电手术器械及手术机器人
CN117017472A (zh) * 2023-08-16 2023-11-10 镇江恒生涓恩医疗器械有限公司 一种双极手术电极
CN117017472B (zh) * 2023-08-16 2024-02-02 镇江恒生涓恩医疗器械有限公司 一种双极手术电极
CN117838267A (zh) * 2024-03-08 2024-04-09 深圳科思明德医疗科技有限公司 一种异物钳及手术系统
CN117838267B (zh) * 2024-03-08 2024-05-03 深圳科思明德医疗科技有限公司 一种异物钳及手术系统

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